Ingabe uzwa ubuhlungu ezinqeni zakho nasemilenzeni? Lokhu kungaba yi-Piriformis Syndrome!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungapheli noma ukuba ndikindiki okuqala esinqeni sakho bese kwehlela emlenzeni wakho? Ingabe kuba kubi kakhulu uma uhleli noma ukhuphuka izitebhisi? Ngakho-ke kubaluleke kakhulu ukuthi uqaphele lesi simo esizokhuluma ngaso namuhla esibizwa ngokuthi `(Piriformis Syndrome)`. Ungakhathazeki, ake sixoxe ngokuthi siyini, kungani senzeka, nokuthi singaselapha kanjani.

Kuyini `(Piriformis Syndrome)`? Masikuqonde kalula!

Kalula nje, i-Piriformis Syndrome yisimo esenzeka lapho imisipha ye-piriformis ezinqeni zethu icindezela i-sciatic nerve edlula kuyo. Cabanga ngayo njengepayipi lamanzi elivinjiwe yisisindo, lapho le misipha iqina, i-nerve egijima ngaphansi iyacindezelwa, iphazamise ukusebenza kwayo. Yilokhu okubangela izimpawu ezifana nobuhlungu kanye nokungazweli.

Ukuchaza kancane:

• Umsipha we-Piriformis: Lona umsipha oyisicaba, omncane. Ugijima kusukela emhlane wethu ongezansi, udlule ezinqeni zethu, futhi uxhumeke phezulu kwamathanga ethu. Sinalo msipha kuzo zombili izinhlangothi zomzimba wethu. Usiza cishe kuyo yonke inyakazo yomzimba wethu ongezansi lapho sihamba, sigijima, futhi sishwiba imilenze yethu.
• I-Sciatic nerve: Lona umthambo omude kakhulu nomkhulu kunayo yonke emzimbeni wethu. Uqala emgogodleni wethu, udlule ezinqeni zethu, wehle ngemuva komlenze ngamunye, bese uphela ezinyaweni zethu. I-sciatic nerve ivame ukutholakala ngaphansi komsipha we-piriformis.

Ngakho-ke, uma ngesizathu esithile lo msipha we-piriformis uvuvukala, uqine, noma ube nezibazi, ungaqala ukucindezela i-sciatic nerve egijima ngaphansi kwawo. Yilapho kuvela khona izimpawu ze-"Piriformis Syndrome". Lokhu kungenzeka ohlangothini olulodwa lomzimba, noma kuzo zombili izinhlangothi.

Sivame kangakanani lesi simo esibizwa ngokuthi "i-Piriformis Syndrome"?

I-Piriformis Syndrome empeleni ayivamile kangako. Odokotela nososayensi bakholelwa ukuthi ibangela kuphela phakathi kuka-0.3% no-6% wabo bonke ubuhlungu beqolo elingezansi. Lokho kusho ukuthi abantu abaningi abanabo.

Ingabe i-Piriformis Syndrome ne-Sciatica ziyafana?

Abantu abaningi banalo mbuzo ngoba izimpawu zazo zombili lezi zimo zifana kancane. Kodwa-ke, kunomehluko ocacile phakathi kwazo zombili.

• I-Sciatica: Lokhu kuvame ukubangelwa yi-disc ehlutshiwe, noma ukuncishiswa komsele womgogodla, okuqale kucindezele i-sciatic nerve. Ubuhlungu bungaqala emhlane ongezansi bese buyehla ezinqeni nasemilenzeni.
• I-Piriformis Syndrome: Yilapho imisipha ye-piriformis esinqeni icindezela khona i-sciatic nerve. Ubuhlungu bufana nobe-sciatica, kodwa bukhulu kakhulu.Ngokuvamile ubuhlungu buzwakala kakhulu endaweni yezinqe. Uma sikhuluma iqiniso, inkinga ayikho emhlane, kodwa emisipheni ye-gluteal.

Okusho ukuthi, i-sciatica yigama elijwayelekile lanoma yisiphi isimo esibangela ingcindezi emsipheni we-sciatic. I-Piriformis Syndrome ingenye nje imbangela ethile ye-sciatica.

Kungani lokhu `(Piriformis Syndrome)` kwenzeka? Ziyini izimbangela?

Noma yini ebeka ingcindezi emsipheni we-piriformis noma emsipheni we-sciatic ingabangela lokhu.

Izizathu eziyinhloko ezivame ukubonakala yilezi:

• Ukuvuvukala (ukuvuvukala) kwemisipha ye-piriformis noma izicubu ezizungezile.
• Ukuqaqamba kwemisipha .
• Ukusha kwemisipha.

Kunezinye izinto ezingaba nomthelela kulolu hlobo lwesimo:

• Ukukhuphuka izitebhisi, ukuhamba, noma ukugijima ngaphandle kokuba umsipha we-piriformis uqine ngokwanele .
• Ukulimala esinqeni, ezinqeni, noma endaweni yomlenze. Isibonelo, ukuwa noma ingozi yemoto.
• Ukuqina kwemisipha ngenxa yokungawuvivinyi umzimba . Uma sikhuluma iqiniso, ukuntuleka kokuzilolonga.
• Ukulimala kwemisipha ye-piriformis ngenxa yokuphakamisa okungalungile .
• Ukungafudumali kahle ngaphambi kokuzivocavoca umzimba noma ukungazeluli kahle ngemva kokuzivocavoca.
• Ukuvivinya umzimba ngokweqile noma ukunyakaza okuphindaphindiwe. Isibonelo, ukugijima ibanga elide.
• Ukuhlala endaweni efanayo isikhathi eside. (Isibonelo, izisebenzi zasehhovisi, abashayeli bamabhasi, njll.) Cabanga nje, abanye abantu basebenza behleli esihlalweni amahora amaningi ngesikhathi.

Kodwa-ke, ngezinye izikhathi i-Piriformis Syndrome ingavela ngenxa yokungajwayelekile kwesakhiwo somzimba (i-Abnormal anatomy). Odokotela bayibiza ngokuthi i -Primary Piriformis Syndrome . Isibonelo, umuntu angazalwa enendlela engajwayelekile ye-sciatic nerve yakhe. Noma, imisipha ye-piriformis noma i-sciatic nerve ingase ibe nokwakheka okungajwayelekile.

Ziyini izimpawu ze-Piriformis Syndrome?

Izimpawu zalesi simo zivame ukuzwakala ezinqeni, ezinqeni, noma emathangeni angaphezulu. Abantu abaningi bachaza ubuhlungu ngamagama anjengokuthi:

• Ubuhlungu obubuhlungu njengokungathi udla izingubo
• Njengokusha `(Ukusha)`
• Ukuba ndikindiki
• Ubuhlungu obukhulu `(Ubuhlungu)`
• Njengokushaywa kukagesi `(Ukushaywa / Ukudubula)`

Lezi zimpawu zingase zibe zimbi kakhulu uma wenza imisebenzi ethile, njenge:

• Uma uhleli isikhathi eside.
• Uma uhamba noma ugijima.
• Uma ukhuphuka izitebhisi.

Odokotela basithola kanjani lesi simo (i-Piriformis Syndrome)?

Uma ngikhuluma iqiniso, i-Piriformis Syndrome ingaba nzima ukuyixilonga. Ngenxa yokuthi kunezinye izimo ezibangela izimpawu ezifanayo, odokotela kufanele banqume ezinye izimbangela ngaphambi kokunquma ukuthi ngabe yi-Piriformis Syndrome.

Udokotela uvame ukwenza lezi zinto:

• Uzobuzwa ngezimpawu zakho kanye nemikhuba yakho yokusebenza.
• Bakhuluma ngezifo zakho zangaphambilini kanye nokulimala kwakho.
• Izinqe zakho, izinqe, nemilenze yakho kuzogoba, kusonteke, futhi kucindezelwe ngezindlela ezahlukene. Okusho ukuthi, bazothola ukuthi yiziphi izikhundla, yiziphi ukunyakaza, ubuhlungu buvela kuphi, nokuthi ubuhlungu butholakala kuphi ngempela.

Akukho ukuhlolwa okuqondile kokuxilonga i-Piriformis Syndrome. Kodwa-ke, udokotela wakho angase akucele ukuhlolwa ukuze ahlole ezinye izinkinga ezingase zibangele izimpawu zakho. Isibonelo:

• Ukuskena nge-ultrasound
• Ukuskena kwe-CT
• Ukuskena kwe-MRI
• Ukuhlolwa kwe-Electromyogram (EMG) (lokhu kuhlola ukusebenza kukagesi kwemisipha nezinzwa)

Lezi zivivinyo zisetshenziselwa ukuthola ukuthi ngabe kukhona yini inkinga ngomgogodla, inkinga komunye umsipha, noma ngabe kukhona ukulimala kwemizwa.

Yiziphi izindlela zokwelapha i-Piriformis Syndrome?

Ngenhlanhla, kunezindlela eziningana zokwelapha lesi simo. Ezimweni eziningi, singelapheka ngokwelashwa okulula.

• Phumula izinsuku ezimbalwa: Kubalulekile ukuhlala kude nemisebenzi ekhulisa ubuhlungu isikhashana.
• Ukuzivocavoca ongakwenza ekhaya: Ukuzivocavoca okwelula nokuqinisa imisipha ye-piriformis. Lokhu kufanele kufundwe ngokunembile kudokotela wezokwelapha ngokomzimba.
• Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala: Imithi efana `(imithi yokulwa nokuvuvukala engeyona eye-steroidal - ama-NSAID)`. Isibonelo: i-Ibuprofen, i-Naproxen. Lokhu kufanele kuthathwe ngokwelulekwa ngudokotela.
• Ukubhucunga: Ukubhucunga izicubu ezijulile kungasiza ekuphumuzeni imisipha eqinile.
• Iziphumuli zemisipha: Lokhu kusiza ekunciphiseni ukuqina kwemisipha.
• Ukwelashwa ngokomzimba: Lokhu kubaluleke kakhulu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa kahle ukuthi welula futhi uqinise kanjani imisipha ye-piriformis kanye nemisipha ezungezile.
• Imijovo ye-steroid: Uma ubuhlungu nokuvuvukala kukhulu, udokotela angase anikeze umjovo we-steroid ngqo emisipheni ye-piriformis.
• Imijovo ye-Botulinum toxin (Botox®): Le mijovo isetshenziselwa futhi ukukhulula imisipha kwezinye izimo.

Ukuhlinzwa akudingeki kakhulu:Kuphela uma zonke ezinye izindlela zokwelapha zehlulekile lapho odokotela becabangela ukuhlinzwa. Ukuhlinzwa kuhilela ukususa izicubu zesilonda noma ezinye izinto ezicindezela imizwa.

Ungazivikela kanjani kulesi simo (i-Piriformis Syndrome)?

Kunezinto eziningana esingazenza ukuvimbela lesi simo ukuthi singenzeki futhi sivimbele ukuthi singaphinde sivele:

• Vivinya umzimba njalo: Kubaluleke kakhulu ukugcina imisipha yakho iphilile futhi iqinile. Yenza izivivinyo eziqinisa imisipha ezinqeni zakho, ezinqeni, nasemilenzeni, ikakhulukazi.
• Gcina ukuma okuhle: Prakthiza ukugcina umhlane wakho uqondile ngenkathi uhleli, ushayela, futhi umile.
• Uma uphakamisa izinsimbi, ziphakamise ngendlela efanele: Goba amadolo akho bese ugcina umhlane wakho uqondile. Phakamisa umthwalo eduze komzimba wakho, ungajiki noma ujike.
• Fudumala kahle ngaphambi kokuzivocavoca umzimba bese welula kahle ngemva kokuzivocavoca umzimba.
• Uma kufanele uhlale isikhathi eside, vuka uhambe kancane, welula umzimba wakho.

Kuthatha isikhathi esingakanani ukuphulukiswa kwi-Piriformis Syndrome?

Ezimweni eziningi, izimpawu ziyathuthuka zingakapheli izinsuku noma amasonto ambalwa ngokushintsha indlela yokuphila kanye nokwelashwa okulula.

Kodwa-ke, lesi simo singaphinde sibuye, ikakhulukazi kulabo abangalandeli iseluleko sezokwelapha. Uma singelashwa kahle, ezimweni ezimbi kakhulu, singaba sibi kakhulu kangangokuthi akunakwenzeka ngisho nokwenza imisebenzi yansuku zonke.

Ngingazinakekela kanjani uma ngine-Piriformis Syndrome?

Uma une-Piriformis Syndrome, lezi zinto zingakusiza ukuthi uphathe izimpawu zakho uma zenzeka:

• (I-Piriformis Syndrome) Gwema imisebenzi ekhulisa lesi simo okwesikhashana. Isibonelo, uma uzwa ubuhlungu ngenkathi ugibela ibhayisikili, khetha ukuzivocavoca okuhlukile izinsuku ezimbalwa.
• Yenza i-deep tissue massage endaweni yesinqe kanye nesinqe.
• Vuka esihlalweni sakho njalo. Sukuma, hambahamba, futhi welule umzimba wakho. Lokhu kubaluleke kakhulu kubantu abasebenza behleli phansi (isib., abasebenzi basehhovisi, abashayeli).
• Thatha ama-NSAID njengoba uqondiswe udokotela wakho ukuze unciphise ukuvuvukala.
• Faka amaphakethe abandayo noma okushisa njengoba kudingeka. Amaphakethe eqhwa imizuzu eyi-15 izikhathi eziningana ngosuku angasiza ekunciphiseni ukuvuvukala. Amaphakethe okushisa (njenge-heating pad) angasiza ekuphumzeni imisipha eqinile.
• Yelula imisipha ye-piriformis kanye nemisipha ezungezile. Isibonelo:
• Lala ngomhlane wakho bese udonsa idolo elilodwa ulibhekise esifubeni sakho. Bamba imizuzwana emi-5-30, bese wenza okufanayo ngomunye umlenze.
• Yima, goba phambili ezinqeni, bese uvumela ikhanda lakho nezingalo zakho zilengise phansi ngokukhululeka. Lokhu kuzokwelula umhlane wemilenze yakho nezinqe.

Kufanele ngimbone nini udokotela?

Uma une-Piriformis Syndrome, xhumana nodokotela ngokushesha uma unezinye zalezi zimpawu:

• Uma uvame ukukhubeka noma ukuwa ngenxa yobuhlungu noma ukungakhululeki.
• Uma ubuhlungu buqhubeka isikhathi esingaphezu kwamasonto ambalwa naphezu kokulandela iseluleko sezokwelapha nokwenza izinguquko endleleni yokuphila.
• Uma unezinkinga ezifana nokulahlekelwa ukulawula ukuhamba kwamathumbu noma ukuchama .
• Uma uzwa ubuhlungu obukhulu emhlane noma emlenzeni wakho ongezansi ngokuzumayo .
• Uma ngokuzumayo uba buthakathaka noma ukungabi namizwa emhlane noma emilenzeni yakho .
• Uma ulimele emhlane, esinqeni, noma emlenzeni .
• Uma kunzima ukuphakamisa unyawo lwakho phansi.

Isifinyezo nezinto okufanele uzikhumbule

Ngakho-ke, "(I-Piriformis Syndrome)" yisimo esibangelwa umsipha we-piriformis, ocindezela i-sciatic nerve, okubangela izimpawu ezifana nobuhlungu, ukungazweli, noma ukusha ezinqeni, ezinqeni, noma emathangeni aphezulu. Ezimweni eziningi, kuyaphela ezinsukwini noma emavikini ambalwa ngokuphumula kanye nokwelashwa okulula.

Kodwa-ke, uma ubuhlungu bubangelwa ukulimala, noma uma izimpawu zihlala isikhathi esingaphezu kwamasonto ambalwa, kufanele nakanjani ubone udokotela ukuze uthole iseluleko. Ngoba, ukuxilongwa okufanele kanye nokwelashwa kuyindlela engcono kakhulu yokululama ngokushesha. Ungesabi, landela iseluleko sikadokotela, futhi unakekele izinto esikhulume ngazo. Sikufisela ukululama okusheshayo!

I- Piriformis Syndrome, I-Sciatic Nerve, Ubuhlungu Bezinqe, Ubuhlungu Bemilenze, Ubuhlungu Bemisipha, Ubuhlungu Bomhlane, Ukwelashwa Komzimba