I-Piriformis syndrome ibuhlungu ku-butt, ngokwezwi nezwi. Lesi simo sibangelwa ukucindezelwa kwe-nerve sciatic, okubangela ubuhlungu nokuba ndikindiki ezinqeni nangemuva kwemilenze; ngakho kuvamile ukuzwa ubuhlungu obuningi lapho uhamba.
El piriformis Kungumsipha omncane osuka ku-sacrum phansi komgogodla uye phezulu kwe-femur ethangeni. Kungumsipha obaluleke kakhulu osizayo zungezisa inqulu ngaphandle futhi ibalulekile emsebenzini wokuhamba ngokunikeza ukuzinza kwe-sacrum kanye ne-sacroiliac joint ngenkathi ihamba.
Iyini i-piriformis syndrome?
I-syndrome yenzeka lapho imisipha ye-piriformis icindezela inzwa ye-sciatic, egijima ngaphansi kwayo. Izinzwa ze-sciatic (unazo ezimbili) ziyizinzwa ezinde kakhulu futhi ezinkulu kunazo zonke emzimbeni, ezihamba zisuka emgogodleni ongezansi zidabule esinqeni zehle ngemilenze ziye ezinyaweni. Umsebenzi we-sciatic nerve ukuthumela amasignali phakathi kwemisipha nesikhumba semilenze nezinyawo.
Njenganoma yimuphi umsipha, i-piriformis ingafinyeza futhi iqine, okungabangela ukuthi icindezele noma icindezele inzwa ye-sciatic. Lokhu kubangela ukuthi inzwa ithukuthele futhi ivuvuke. Futhi, nakuba kuvamile kubantu abaningi, kuthinta abesifazane abaningi kunabesilisa.
Ingabe iyafana ne-sciatica?
I-Piriformis syndrome ayifani ne-sciatica, nakuba amagama avame ukusetshenziswa ngokungafani. I-Sciatica ayiyona ukuxilongwa kwezokwelapha futhi ngokwayo; kunalokho iqoqo lezimpawu, ezifana nalezo ze-piriformis syndrome, ezibangelwa enye inkinga, njenge-lumbar disc herniation, ethinta inzwa ye-sciatic. I-Sciatica, noma i-lumbar radiculopathy, ivela emgodleni we-lumbar, kuyilapho i-piriformis syndrome ivela ezinqeni.
Ziyini izimbangela?
I-nerve ye-sciatic egijima emsipha we-piriformis yandisa ngokuzenzakalelayo ingozi yokucindezelwa kwenzwa kanye nesifo se-piriformis. I umsebenzi omningi yisona sizathu esiyinhloko se-syndrome. Imisipha ye-piriformis igcwele ngokweqile uma ikhona ukungasebenzi kahle, ubuthakathaka noma ukungasebenzi kahle kwemishini kwenye indawo yomzimba lapho ixhumeka khona. Ngokwesibonelo:
- Ukungasebenzi kahle kwe-Sacroiliac noma i-hip joint
- Ubuthakathaka bemisipha ye-hip ye-stabilizer ejulile
- I-overpronation noma ikhothamo eligoqayo lezinyawo
Imisipha ingase isebenze ngokweqile ngokuzivivinya isikhathi eside, njengokugijima i-marathon.
Ezinye izimbangela ze-piriformis syndrome zihlanganisa:
- I-muscle spasms ebangelwa ukucasuka kwemisipha ye-piriformis noma isakhiwo esiseduze, njenge-joint sacroiliac noma i-hip.
- Ukulimala kwemisipha ye-piriformis.
- Ukopha eduze komsipha we-piriformis okubangela ukucasuka.
- Ukuthatha izikhundla ezizungeza ngaphandle imilenze isikhathi eside.
- I-Hyperlordosis noma ijika le-lumbar eleqile.
Njengoba sishilo ngaphambili, le syndrome kuthinta abesifazane abaningi kunabesilisa ngenxa yomehluko kumishini yomzimba ye-engeli yemisipha ye-quadriceps ebanzi okhalweni, okwenza i-engeli ehlangene ibe banzi.
Izimpawu ze-Piriformis syndrome
El ubuhlungu ezinqeni uphawu oluyinhloko. Ungase futhi ube nobuhlungu obunwebeka phansi ngemuva kwethanga futhi behle enkonyaneni nasenyaweni. Lokhu kungase kuhambisane nokushoshozela nokuba ndikindiki ezinqeni.
Noma yikuphi ukunyakaza okubandakanya umsebenzi we-hip kungandisa ubuhlungu, ngakho ukuhamba kungaba yinselele futhi kungakhululekile uma une-syndrome. Ubuhlungu be-piriformis lapho uhamba bungase bube bubi nakakhulu lapho ukhuphuka izitebhisi noma ukhuphuka ethambekeni.
Ezinye izimpawu nezimpawu zihlanganisa:
- Ubunzima bokubeka isisindo esinqeni esithintekile.
- Ama-spasms we-piriformis muscle.
- Ubuhlungu bokudubula esinqeni nangemuva komlenze lapho ukhipha inqulu ngokumelene nokuphikiswa.
- Ubuhlungu obunzima lapho uhlezi.
Kutholakala kanjani?
Isizathu esiqondile asikwazi ukubonwa ngaso sonke isikhathi futhi akukho ukuhlolwa kwe-piriformis syndrome. Udokotela wakho uzothatha umlando futhi abuze imibuzo mayelana nanoma yikuphi ukulimala okungenzeka kubangele izimpawu zakho noma ukuqina nobude bemisebenzi yakho yokuzivocavoca. Uma sibe nokuwa kwakamuva noma sikhumbula ukuba nokucindezeleka kwemisipha phakathi nemidlalo, kufanele sabelane nodokotela ngalolo lwazi. Akunandaba ukuthi asinaso isiqiniseko sokuthi yilokho okubangele izimpawu.
Bayophinde benze ukuhlolwa ngokomzimba, bahlole ubuhlungu obubangelwa ukunyakaza okuthile. Ukuhlolwa kwe-radiological, okufana ne-MRIs, kungenziwa ukuze kukhishwe ezinye izimbangela zezimpawu. I-MRI noma i-CT scan ingasiza udokotela wakho ukuthi anqume ukuthi i-arthritis noma i-disc ephukile ibangela ubuhlungu bakho. Uma kubonakala sengathi i-piriformis syndrome ibangela izimpawu zakho, i-ultrasound ye-muscle ingase ibe usizo ekuhloleni isimo.
Ukwelapha
I-Piriformis syndrome ngokuvamile ayidingi ukwelashwa. Ukuphumula nokugwema imisebenzi eqala izimpawu ngokuvamile kuyizinto zokuqala okufanele sizenze. Singase sizizwe singcono uma sishintshanisa iqhwa nokushisa ezinqeni noma emilenzeni. Sizogoqa iphakethe leqhwa ngethawula elincane ukuze lingathinti isikhumba ngqo. Iqhwa lizodinga ukugcinwa imizuzu eyi-15 kuya kwengama-20. Bese sizosebenzisa iphedi yokushisisa endaweni ephansi cishe isikhathi esifanayo.
I-Los ama-painkiller Imithi ethengwayo efana ne-ibuprofen noma i-naproxen nayo ingakusiza uzizwe ungcono. Ubuhlungu kanye ne-numbness ehambisana ne-piriformis syndrome ingase ihambe ngaphandle kokwelashwa okwengeziwe. Uma kungenjalo, singazuza ekwelapheni ngokomzimba. Sizofunda ukwelula nokuzivocavoca okuhlukahlukene ukuze sithuthukise amandla nokuguquguquka kwe-piriformis.
Ezimweni ezimbi kakhulu ze-piriformis syndrome, ungase udinge izidakamizwa ze-corticosteroids ukusiza ukukhulula ukuvuvukala kwemisipha. Singathola futhi ukukhululeka ngemva kokwelashwa kwe-transcutaneous electrical nerve stimulator. Enye yezinto ezinjalo iyunithi ephathwa ngesandla ethumela amashaji kagesi amancane ngesikhumba emithanjeni engezansi. Amandla kagesi ashukumisa imizwa futhi aphazamise izimpawu zobuhlungu eziya ebuchosheni.
Kungavinjelwa?
Nakuba ukuzivocavoca ngezinye izikhathi kungabangela i-piriformis syndrome, ukuqeqeshwa okuvamile kungasiza ekunciphiseni ingozi. Imisipha idinga ukuzivocavoca ukuze ihlale iqinile futhi inempilo. Uma sifuna ukusiza ukuvimbela ukulimala okuholela ku-piriformis syndrome, kufanele senze lokhu okulandelayo:
- Zifudumeze futhi welule ngaphambi kokugijima noma ukuvivinya umzimba ngamandla
- Khulisa kancane kancane ukuqina kwanoma yikuphi ukuvivinya umzimba noma umdlalo esiwenzayo
- Gwema ukwehla nokwenyuka amagquma noma ukugijima ezindaweni ezingalingani
- Vuka unyakaze ukuze ungahlali noma ulale isikhathi eside ungenzi lutho.
Uma sesivele selashelwa i-piriformis syndrome, singase sibe sengozini enkulu yokuthi sibuye. Uma siqhubeka nokwenza izivivinyo ezifundwe ku-physiotherapy, singagwema ukuphindelela ngaphandle uma kukhona ukulimala okubi kakhulu.
izivivinyo ukuze alulame
Umugqa wokuqala wokwelashwa kwe-piriformis syndrome wuhlelo lokwelapha ngokomzimba, oluhlanganisa ukuzivocavoca okuthile nokwelula. Lezi zivivinyo kufanele zisize ukunciphisa ubuhlungu bokuhamba.
Ngenxa yokuthi izimbangela ze-piriformis syndrome zihluka kumuntu nomuntu, izivivinyo udokotela wakho noma uchwepheshe wezomzimba oncomayo zizoba eziqondile kuwe. Nokho, ezinye izibonelo ezivamile zihlanganisa:
i-piriformis elula
- Lala ngomhlane amadolo akho egobile futhi izinyawo zibheke phansi.
- Letha idolo lakho langakwesokudla bese uhlanganisa izandla zakho phezulu kwe-shin yakho.
- Donsela idolo ngasehlombe bese ulibamba imizuzwana engama-30.
- Khulula futhi ushintshe izinhlangothi.
I-hamstring elula
- Lala ngomhlane uvule imilenze yomibili.
- Phakamisa umlenze owodwa phezulu bese ugoqa ithawula noma uyibophe phansi konyawo lwakho.
- Gcina umlenze wakho uqondile, uwudonse uze uzwe ukwelula okuthambile ngemuva komlenze wakho.
- Bamba imizuzwana engu-30; bese ushintsha izinhlangothi.
Igobho
- Lala ngesisu amangalo akho aphansi aqondane.
- Gcoba izinzwane zakho bese uphakamisa izinqulu zakho ukuze umzimba wakho ube emgqeni oqondile.
- Bamba imizuzwana engu-15, usebenze kufika kumasekhondi angu-60.
- Phinda kathathu.
Ipulangwe eliseceleni
- Lala ngohlangothi olulodwa usekelwe ngendololwane yakho.
- Beka izinyawo zakho phezu komunye nomunye futhi uphakamise izinqulu zakho ukuze umzimba wakho wenze umugqa oqondile.
- Bamba imizuzwana engu-15, usebenze kufika kumasekhondi angu-60.
- Shintsha izinhlangothi bese uphinda izikhathi ezintathu.