Koj puas mob koj lub pob tw thiab koj ob txhais ceg? Qhov no yuav yog Piriformis Syndrome!

Puas muaj tej lub sij hawm koj hnov ​​mob lossis loog uas pib ntawm koj lub pob tw thiab mus rau koj ceg? Puas yog nws hnyav zuj zus thaum koj zaum lossis nce ntaiv? Yog li ntawd, nws yog ib qho tseem ceeb heev rau koj kom paub txog qhov mob no uas peb yuav tham txog hnub no hu ua '(Piriformis Syndrome)'. Tsis txhob txhawj, cia peb tham txog nws yog dab tsi, vim li cas nws tshwm sim, thiab yuav kho nws li cas.

`(Piriformis Syndrome)` yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, Piriformis Syndrome yog ib qho mob uas tshwm sim thaum cov leeg nqaij piriformis hauv peb lub pob tw nias cov hlab ntsha sciatic uas khiav hla nws. Xav txog nws zoo li cov yeeb nkab dej uas raug thaiv los ntawm qhov hnyav, thaum cov leeg nqaij no nruj, cov hlab ntsha uas khiav hauv qab raug nias, cuam tshuam rau nws txoj haujlwm. Qhov no yog qhov ua rau muaj cov tsos mob xws li mob thiab loog.

Yuav piav qhia me ntsis:

• Cov leeg nqaij Piriformis: Qhov no yog cov leeg nqaij tiaj tus, nqaim. Nws khiav ntawm peb lub nraub qaum qis, dhau ntawm peb lub pob tw, thiab txuas mus rau sab saum toj ntawm peb lub duav. Peb muaj cov leeg nqaij no ntawm ob sab ntawm peb lub cev. Nws pab nrog yuav luag txhua qhov kev txav ntawm peb lub cev qis thaum peb taug kev, khiav, thiab co peb ob txhais ceg.
• Cov hlab ntsha Sciatic: Qhov no yog cov hlab ntsha ntev tshaj plaws thiab loj tshaj plaws hauv peb lub cev. Nws pib ntawm peb cov hlab ntsha caj qaum, khiav los ntawm peb lub pob tw, nqis mus rau tom qab ntawm txhua ceg, thiab xaus rau ntawm peb txhais taw. Cov hlab ntsha sciatic feem ntau nyob hauv qab cov leeg nqaij piriformis.

Yog li ntawd, yog tias muaj qee yam ua rau cov leeg nqaij piriformis no o, nruj, lossis muaj qhov txhab, nws tuaj yeem pib nias rau ntawm cov hlab ntsha sciatic uas khiav hauv qab nws. Thaum ntawd cov tsos mob ntawm "Piriformis Syndrome" tshwm sim. Qhov no tuaj yeem tshwm sim rau ib sab ntawm lub cev, lossis ob sab.

Tus mob no hu ua "Piriformis Syndrome" ntau npaum li cas?

Kab mob Piriformis tsis yog ib yam mob uas neeg feem coob muaj. Cov kws kho mob thiab cov kws tshawb fawb ntseeg tias nws tsuas yog ua rau mob nraub qaum li ntawm 0.3% thiab 6% xwb. Qhov ntawd txhais tau tias feem ntau cov neeg tsis muaj mob no.

Puas yog Piriformis Syndrome thiab Sciatica zoo ib yam?

Muaj coob tus neeg muaj cov lus nug no vim tias cov tsos mob ntawm ob qho mob no zoo sib xws. Txawm li cas los xij, muaj qhov txawv ntawm ob qho no.

• Sciatica: Qhov no feem ntau yog tshwm sim los ntawm lub disc herniated, lossis los ntawm kev nqaim ntawm cov hlab ntsha hauv qab, uas thaum xub thawj nias cov hlab ntsha sciatic. Qhov mob tuaj yeem pib ntawm sab nraub qaum qis thiab mus rau hauv lub pob tw thiab ob txhais ceg.
• Kab mob Piriformis: Qhov no yog thaum cov leeg nqaij piriformis hauv lub pob tw nias rau ntawm cov hlab ntsha sciatic. Qhov mob zoo ib yam li sciatica, tab sis nws hnyav dua.Feem ntau qhov mob feem ntau tshwm sim rau ntawm thaj tsam lub pob tw. Yog hais kom meej, qhov teeb meem tsis yog nyob tom qab, tab sis nyob rau hauv cov leeg nqaij gluteal.

Yog li ntawd, sciatica yog ib lo lus dav dav rau txhua yam mob uas ua rau muaj kev nyuaj siab rau cov hlab ntsha sciatic. Piriformis Syndrome tsuas yog ib qho ua rau mob sciatica xwb.

Vim li cas qhov mob "Piriformis Syndrome" no thiaj tshwm sim? Dab tsi yog cov ua rau muaj qhov teeb meem no?

Txhua yam uas muab kev nyuaj siab rau cov leeg nqaij piriformis lossis cov hlab ntsha sciatic tuaj yeem ua rau qhov no.

Cov laj thawj tseem ceeb uas feem ntau pom yog:

• Kev o (o) ntawm cov leeg nqaij piriformis lossis cov ntaub so ntswg ib puag ncig.
• Cov leeg nqaij ntswj .
• Kev mob ntawm cov leeg nqaij.

Muaj lwm yam uas tuaj yeem ua rau hom mob no:

• Nce ntaiv, taug kev, lossis khiav yam tsis muaj cov leeg nqaij piriformis muaj zog txaus .
• Kev raug mob rau ntawm lub duav, lub pob tw, lossis thaj tsam ceg. Piv txwv li, ntog lossis raug xwm txheej tsheb sib tsoo.
• Cov leeg nqaij tawv vim tsis muaj kev tawm dag zog . Yog hais kom meej, tsis muaj kev tawm dag zog.
• Kev raug mob rau cov leeg nqaij piriformis vim yog kev tsa tsis raug .
• Tsis ua kom sov so kom zoo ua ntej ua si lossis tsis ncab cev kom zoo tom qab ua si.
• Kev tawm dag zog ntau dhau los yog kev txav mus los tas li. Piv txwv li, kev khiav deb.
• Zaum tib qho chaw ntev heev. (Piv txwv li, cov neeg ua haujlwm hauv chaw ua haujlwm, cov neeg tsav tsheb npav, thiab lwm yam) Xav txog, qee tus neeg ua haujlwm zaum hauv lub rooj zaum ntau teev ib zaug.

Txawm li cas los xij, qee zaum Piriformis Syndrome kuj tseem tuaj yeem tshwm sim vim muaj qhov tsis zoo ntawm lub cev (Abnormal anatomy). Cov kws kho mob hu qhov no ua Primary Piriformis Syndrome . Piv txwv li, ib tus neeg yuav yug los nrog txoj kev tsis zoo rau lawv cov hlab ntsha sciatic. Los yog, cov leeg nqaij piriformis lossis cov hlab ntsha sciatic yuav zoo li tsis zoo.

Cov tsos mob ntawm Piriformis Syndrome yog dab tsi?

Cov tsos mob ntawm tus mob no feem ntau pom nyob rau hauv lub pob tw, lub duav, lossis sab saud ntawm ob txhais ceg. Muaj ntau tus neeg piav qhia txog qhov mob no nrog cov lus zoo li:

• Mob mob zoo li noj khaub ncaws
• Zoo li kub hnyiab '(Hlawv)'
• Kev tsis muaj zog
• Mob ntse (Mob)
• Zoo li hluav taws xob tua '(Tingling / Shooting)'

Cov tsos mob no yuav hnyav dua thaum koj ua qee yam kev ua ub no, xws li:

• Thaum zaum ntev.
• Thaum taug kev los yog khiav.
• Thaum nce ntaiv.

Cov kws kho mob kuaj mob no li cas (Piriformis Syndrome)?

Yog hais qhov tseeb, Piriformis Syndrome yuav nyuaj me ntsis rau kev kuaj mob. Vim tias muaj lwm yam mob uas ua rau muaj cov tsos mob zoo sib xws, cov kws kho mob yuav tsum tshem tawm lwm yam ua rau ua ntej txiav txim siab seb nws puas yog Piriformis Syndrome.

Feem ntau tus kws kho mob ua cov no:

• Yuav nug koj txog koj cov tsos mob thiab koj tus cwj pwm ua ub ua no.
• Lawv tham txog koj cov kab mob thiab kev raug mob yav dhau los.
• Koj lub duav, lub pob tw, thiab ob txhais ceg yuav raug khoov, ntswj, thiab nias rau ntau txoj kev. Qhov ntawd yog, lawv yuav pom tias qhov mob tshwm sim hauv qhov chaw twg, nrog rau kev txav mus los twg, thiab qhov mob nyob qhov twg.

Tsis muaj kev kuaj mob tshwj xeeb los kuaj mob Piriformis Syndrome. Txawm li cas los xij, koj tus kws kho mob yuav hais kom kuaj qee yam los xyuas seb puas muaj lwm yam teeb meem uas ua rau koj cov tsos mob. Piv txwv li:

• Kev kuaj mob ultrasound
• Kev kuaj CT
• Kev kuaj MRI
• Kev kuaj Electromyogram (EMG) (qhov no kuaj cov haujlwm hluav taws xob ntawm cov leeg thiab cov hlab ntsha)

Cov kev kuaj no yog siv los nrhiav seb puas muaj teeb meem nrog tus txha nqaj qaum, teeb meem nrog lwm cov leeg nqaij, lossis yog tias muaj kev puas tsuaj rau cov hlab ntsha.

Cov kev kho mob rau Piriformis Syndrome yog dab tsi?

Zoo hmoo, muaj ntau txoj kev kho mob rau tus mob no. Feem ntau, nws tuaj yeem kho tau nrog kev kho mob yooj yim.

• So ob peb hnub: Nws yog ib qho tseem ceeb kom nyob deb ntawm cov dej num uas ua rau mob ntxiv ib pliag.
• Cov kev tawm dag zog uas koj ua tau hauv tsev: Cov kev tawm dag zog uas ncab thiab ua kom cov leeg nqaij piriformis muaj zog. Cov no yuav tsum tau kawm los ntawm tus kws kho lub cev.
• Cov tshuaj tua mob thiab cov tshuaj tiv thaiv kev o: Cov tshuaj xws li '(Cov tshuaj tsis yog steroidal anti-inflammatory - NSAIDs)'. Piv txwv li: Ibuprofen, Naproxen. Cov no yuav tsum tau noj raws li kev qhia ntawm kws kho mob.
• Kev Zaws: Kev zaws cov nqaij tob tuaj yeem pab so cov leeg nqaij nruj.
• Cov tshuaj ua kom cov leeg nqaij so: Cov no pab txo cov leeg nqaij tawv.
• Kev Kho Mob Lub Cev: Qhov no tseem ceeb heev. Tus kws kho mob lub cev yuav qhia koj paub meej tias yuav ua li cas ncab thiab ua kom cov leeg nqaij piriformis thiab cov leeg nqaij nyob ib puag ncig nws muaj zog.
• Kev txhaj tshuaj steroid: Yog tias qhov mob thiab o hnyav heev, tus kws kho mob yuav muab kev txhaj tshuaj steroid ncaj qha rau hauv cov leeg nqaij piriformis.
• Kev txhaj tshuaj Botulinum toxin (Botox®): Cov tshuaj txhaj no kuj qee zaum siv los so cov leeg.

Kev phais mob tsis tshua muaj:Tsuas yog thaum txhua yam kev kho mob tsis ua haujlwm xwb cov kws kho mob thiaj li xav txog kev phais. Kev phais yog tshem tawm cov nqaij caws pliav lossis lwm yam uas nias rau ntawm cov hlab ntsha.

Yuav ua li cas thiaj tiv thaiv koj tus kheej ntawm tus mob no (Piriformis Syndrome)?

Muaj ob peb yam uas peb ua tau los tiv thaiv qhov mob no kom tsis txhob tshwm sim thiab kom tsis txhob rov tshwm sim dua:

• Kev tawm dag zog tsis tu ncua: Nws yog ib qho tseem ceeb heev uas yuav tsum ua kom koj cov leeg nqaij noj qab haus huv thiab muaj zog. Ua cov kev tawm dag zog uas ua rau cov leeg nqaij ntawm koj lub duav, pob tw, thiab ceg muaj zog, tshwj xeeb tshaj yog.
• Tswj koj lub cev kom zoo: Xyaum ua kom koj nraub qaum ncaj thaum zaum, tsav tsheb, thiab sawv ntsug.
• Thaum tsa cov khoom hnyav, tsa kom raug: Khoov koj lub hauv caug thiab ua kom koj nraub qaum ncaj. Nqa cov khoom hnyav ze rau koj lub cev, tsis txhob ntswj lossis ntswj.
• Ua kom sov so ua ntej thiab ncab koj lub cev tom qab ua si.
• Yog koj yuav tsum zaum ntev, sawv tsees thiab taug kev ncig me ntsis, ncab koj lub cev.

Yuav siv sijhawm ntev npaum li cas los kho tus mob Piriformis Syndrome?

Feem ntau, cov tsos mob yuav zoo dua hauv ob peb hnub lossis ob peb lub lis piam nrog kev hloov pauv yooj yim hauv kev ua neej thiab kev kho mob.

Txawm li cas los xij, qhov mob no tuaj yeem rov tshwm sim dua, tshwj xeeb tshaj yog rau cov neeg uas tsis ua raws li cov lus qhia kho mob. Yog tias tsis kho kom zoo, thaum muaj mob hnyav, nws tuaj yeem hnyav heev uas nws tsis tuaj yeem ua tej yam txhua hnub.

Kuv yuav ua li cas thiaj saib xyuas kuv tus kheej yog tias kuv muaj Piriformis Syndrome?

Yog tias koj muaj Piriformis Syndrome, cov no tuaj yeem pab koj tswj koj cov tsos mob thaum lawv tshwm sim:

• (Piriformis Syndrome) Tsis txhob ua tej yam uas ua rau mob hnyav dua ib ntus. Piv txwv li, yog tias koj mob thaum caij tsheb kauj vab, xaiv lwm yam kev tawm dag zog rau ob peb hnub.
• Ua ib qho kev zaws cov nqaij tob hauv thaj tsam ntawm lub duav thiab lub pob tw.
• Sawv ntawm koj lub rooj zaum tsis tu ncua. Sawv ntsug, taug kev ncig, thiab ncab koj lub cev. Qhov no tseem ceeb heev rau cov neeg ua haujlwm zaum (piv txwv li, cov neeg ua haujlwm hauv chaw ua haujlwm, cov tsav tsheb).
• Noj cov NSAIDs raws li koj tus kws kho mob qhia kom txo qhov o.
• Siv cov hnab txias los yog cov hnab kub raws li qhov xav tau. Siv cov hnab dej khov rau 15 feeb ntau zaus hauv ib hnub tuaj yeem pab txo qhov o. Cov hnab kub (xws li daim pam kub) tuaj yeem pab so cov leeg nqaij nruj.
• Ncab cov leeg nqaij piriformis thiab cov leeg nqaij ib puag ncig. Piv txwv li:
• Pw rau koj nraub qaum thiab rub ib lub hauv caug mus rau koj lub hauv siab. Tuav li 5-30 vib nas this, tom qab ntawd ua tib yam nrog lwm ceg.
• Sawv ntsug, khoov koj lub duav mus tom ntej, thiab cia koj lub taub hau thiab caj npab dai rau hauv pem teb. Qhov no yuav ua rau koj ob txhais ceg thiab pob tw ncab.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj tus kab mob Piriformis Syndrome, mus ntsib kws kho mob tam sim ntawd yog tias koj muaj ib qho ntawm cov tsos mob no:

• Yog tias koj feem ntau ntog lossis ntog vim mob lossis loog.
• Yog tias qhov mob tseem mob ntev tshaj ob peb lub lis piam txawm tias ua raws li cov lus qhia kho mob thiab hloov pauv txoj kev ua neej.
• Yog tias koj muaj teeb meem xws li tsis tswj tau koj txoj kev tawm quav lossis tso zis .
• Yog tias koj tam sim ntawd hnov ​​​​​​mob hnyav heev rau ntawm koj nraub qaum lossis ceg .
• Yog tias koj tam sim ntawd muaj qhov tsis muaj zog lossis loog hauv koj nraub qaum lossis ob txhais ceg .
• Yog tias koj muaj kev raug mob rau koj nraub qaum, lub duav, lossis ceg .
• Yog tias nws nyuaj rau tsa koj txhais taw tawm hauv av.

Kev piav qhia luv luv thiab tej yam yuav tsum nco ntsoov

Yog li ntawd, "(Piriformis Syndrome)" yog ib qho mob uas tshwm sim los ntawm cov leeg nqaij piriformis, uas nias cov hlab ntsha sciatic, ua rau muaj cov tsos mob xws li mob, loog, lossis kub hnyiab hauv lub pob tw, lub duav, lossis sab saud ntawm lub duav. Feem ntau, nws ploj mus hauv ob peb hnub lossis ob peb lub lis piam nrog kev so thiab kev kho mob yooj yim.

Txawm li cas los xij, yog tias qhov mob yog los ntawm kev raug mob, lossis yog tias cov tsos mob kav ntev tshaj ob peb lub lis piam, koj yuav tsum mus ntsib kws kho mob kom tau txais kev qhia. Vim tias, kev kuaj mob thiab kev kho mob kom raug yog txoj hauv kev zoo tshaj plaws kom zoo sai sai. Tsis txhob ntshai, ua raws li kws kho mob cov lus qhia, thiab saib xyuas cov yam uas peb tau tham txog. Xav kom koj rov zoo sai sai!

` Mob Piriformis Syndrome, Mob Sciatic Nerve, Mob Pob Qij Txha, Mob Ceg, Mob Nqaij, Mob Nraub Qaum, Kev Kho Mob Lub Cev