I-Sacral Plexus Rundown

The I-plexus ye-lumbosacral ibekwe phezu kodonga posterolateral ye i-pelvis encinci, ecaleni kwe-lumbar spine. I-plexus yinethiwekhi yemithambo-luvo edibeneyo eyabelana ngeengcambu, amasebe kunye nemisebenzi. I-plexus ye-sacral yinethiwekhi ephuma kwindawo esezantsi yomqolo. I-plexus emva koko izifake kwi-psoas enkulu yesihlunu kwaye ivele kwi-pelvis. Ezi mithambo-luvo zibonelela ngolawulo lweemoto kwaye zifumana ulwazi lweemvakalelo ezivela kumacandelo e-pelvis nomlenze. Iimpawu zokungahambi kakuhle kwe-nerve ye-Sacral, ukuphazamiseka, okanye ezinye iimvakalelo kunye nentlungu inokubangelwa kukwenzakala, ngakumbi ukuba iingcambu ze-nerve zixinzelelwe, zixutywe, zixutywe kwaye zicatshulwe. Oku kunokubangela iimpawu ezinjengeentlungu zangasemva, iintlungu ngasemva nasemacaleni emilenze, imiba yeemvakalelo echaphazela i-groin kunye neempundu, kunye neengxaki zebladder okanye isisu. Ukulimala kweChiropractic yezoNyango kunye neKlinikhi yoNyango oluSebenzayo inokuphuhlisa isicwangciso sonyango lomntu siqu ukukhulula iimpawu, ukukhulula imithambo-luvo, ukuphumza imisipha, kunye nokubuyisela umsebenzi.

I-Plexus yeSacral

Anatomy

• I-plexus ye-sacral yenziwa yi-lumbar spinal nerves, i-L4 kunye ne-L5, kunye ne-sacral nerves S1 nge-S4.
• Iindibaniso ezininzi zezi mithambo-luvo zomnqonqo zidibana kunye kwaye emva koko zahlulwe kumasebe e-sacral plexus.
• Wonke umntu une-sacral plexi ezimbini - isininzi seplexus - enye kwicala lasekunene kunye necala lasekhohlo elilinganayo kwisakhiwo kunye nomsebenzi.

Ulwakhiwo

Kukho iiplexi ezininzi kuwo wonke umzimba. I-plexus ye-sacral igubungela ummandla omkhulu womzimba ngokubhekiselele kumsebenzi we-motor kunye ne-sensory nerve.

• I-Spinal nerves L4 kunye ne-L5 zenza i-lumbosacral trunk, kunye ne-rami yangaphambili ye-sacral spinal nerves S1, i-S2, i-S3, kunye ne-S4 ijoyina i-lumbosacral trunk ukwenza i-sacral plexus.
• sobuKristu rami Ngamasebe omthambo ajonge kumphambili wethambo lomqolo/phambi komzimba.
• Kwinqanaba ngalinye lomqolo, ingcambu yemoto yangaphambili kunye nengcambu yenzwa yangasemva ijoyina ukwenza i-nerve yomgogodla.
• Umthambo ngamnye womqolo emva koko uyahlukana kwi-anterior - ventral - kunye ne-posterior - dorsal - isahlulo serami.
• Ngamnye unokuba nemoto kunye / okanye imisebenzi yeemvakalelo.

The I-plexus ye-sacral iyahlula ibe ngamasebe amaninzi e-nerveezibandakanya:

• I-nerve ephezulu ye-gluteal - L4, L5, kunye ne-S1.
• I-nerve ye-gluteal engaphantsi - i-L5, i-S1, kunye ne-S2.
• The nerve -yeyona mithambo-luvo inkulu ye-sacral plexus kwaye phakathi kwezona mithambo-luvo inkulu emzimbeni-L4, L5, S1, S2, kunye ne-S3
• The i-fibular nerve eqhelekileyo -L4 nge-S2, kunye ne-tibial nerves - i-L4 nge-S3 ngamasebe e-nerve ye-sciatic.
• Ngasemva kwe-femoral cutaneous nerve-S1, S2, kunye ne-S3.
• I-Pudendal nerve-S2, S3, kunye ne-S4.
• I-nerve kwi-quadratus femoris muscle yenziwe yi-L4, L5, kunye ne-S1.
• I-obturator internus muscle nerve - L5, S1, kunye ne-S2.
• I-piriformis muscle nerve - i-S1 kunye ne-S2.

itheko

I-plexus ye-sacral inemisebenzi ebalulekileyo kwi-pelvis yonke kunye nemilenze. Amasebe anikezela ukuvuselela i-nerve kwiimisipha ezininzi. Amasebe e-sacral plexus nerve nawo afumana imiyalezo yeemvakalelo evela eluswini, amalungu, kunye nezakhiwo ze-pelvis kunye nemilenze.

imoto

Imithambo-luvo ye-motor ye-sacral plexus ifumana imiqondiso evela kwingqondo ehamba ezantsi kumqolo womqolo, iphumele kumasebe emithambo-luvo ye-sacral plexus ukuvuselela ukucutheka kwemisipha kunye nokushukuma. Imithambo-luvo yemoto ye-sacral plexus ibandakanya:

I-Superior Gluteal Nerve

• Le nzwa inika ukuvuselela kwi-gluteus minimus, i-gluteus medius, kunye i-tensor fascia lata, zizihlunu ezinceda ukususa isinqe kumbindi womzimba.

INerve yeGluteal engaphantsi

• Le nzwa inika ukuvuselela kwi-gluteus maximus, isihlunu esikhulu esihambisa i-hip ecaleni.

Ithambo leNzululwazi

• I-nerve ye-sciatic inesahlulo se-tibial kunye nesahlulo esiqhelekileyo se-fibular, esine-motor and sensory function.
• Inxalenye ye-tibial ivuselela inxalenye yangaphakathi yethanga kwaye isebenze imisipha emva komlenze kunye nonyawo lonyawo.
• Inxalenye ye-fibular eqhelekileyo ye-nerve ye-sciatic ivuselela kwaye ihambisa ithanga kunye nedolo.
• I-nerve ye-fibular eqhelekileyo ivuselela izihlunu ngaphambili kunye nasemacaleni emilenze kwaye yandisa iinzwane ukuze zilungelelanise.

Pudendal Nerve

• I-nerve ye-pudendal nayo inemisebenzi ye-sensory evuselela imisipha ye-urethral sphincter ukulawula ukuchama kunye nezihlunu ze-anal sphincter ukulawula ukuchithwa.
• I-nerve kwi-quadratus femoris ivuselela i-muscle ukuba ihambise ithanga.
• I-nerve kwi-obturator internus muscle ivuselela i-muscle ukuba ijikeleze i-hip kunye nokuzinzisa umzimba xa uhamba.
• I-nerve kwi-piriformis muscle ivuselela i-muscle ukuba isuse ithanga kude nomzimba.

Conditions

I-plexus ye-sacral, okanye iindawo ze-plexus, zinokuchatshazelwa sisifo, ukwenzakala okubuhlungu, okanye umhlaza. Ngenxa yokuba inethiwekhi ye-nerve inamasebe amaninzi kunye namacandelo, iimpawu zinokudideka. Abantu ngabanye banokufumana ukulahlekelwa kwemvakalelo okanye intlungu kwimimandla kwi-pelvis kunye nomlenze, kunye okanye ngaphandle kobuthathaka bemisipha. Iimeko ezichaphazela i-plexus ye-sacral ziquka:

ukwenzakala

• Ukwenzakala okubuhlungu kwi-pelvis kunokolula, ukukrazula, okanye ukwenzakalisa imithambo ye-sacral plexus.
• Ukopha kunokutshisa kwaye kucinezele imithambo-luvo, kubangele ukungasebenzi kakuhle.

Neuropathy

• Ukuphazamiseka kwe-nerve kunokuchaphazela i-plexus ye-sacral okanye iinxalenye zayo.
• I-neuropathy inokuvela:
• Diabetes
• Ukunqongophala kweVitamin B12
• Amayeza athile - i-chemotherapeutic meds
• Iityhefu ezifana nelothe
• Utywala
• Izigulo zeMetabolic

Sulelo

• Usulelo lomnqonqo okanye ummandla we-pelvic unokusasazeka kwi-sacral plexus nerves okanye ukuvelisa ithumba, elibangela iimpawu zokuphazamiseka kwemithambo-luvo, iintlungu, ukuthamba, kunye neemvakalelo ezijikeleze ummandla owosulelekileyo.

Cancer

• Ukukhula komhlaza kwi-pelvis okanye ukusasazeka kwi-pelvis ukusuka kwenye indawo kunokucinezela okanye ukosulele imithambo ye-sacral plexus.

Unyango lweMeko yoNyango ePhambili

Ukuvuselelwa kuqala ngonyango lwemeko yonyango ephantsi ebangela iingxaki ze-nerve.

• Unyango lomhlaza - utyando, ichemotherapy, kunye/okanye ngemitha.
• Unyango lwe-antibiotics kwizifo.
• Unyango lwe-neuropathy lunokuba nzima kuba unobangela unokungacaci, kwaye umntu unokufumana izizathu ezininzi ze-neuropathy ngaxeshanye.
• Ukwenzakala okukhulu kwe-pelvic njengokungqubana kwesithuthi kunokuthatha iinyanga, ngakumbi ukuba kukho ukuqhekeka kwamathambo amaninzi.

IMoto kunye noBuyiselo luvo

• Iingxaki zeemvakalelo zinokuphazamisa ukuhamba, ukuma, kunye nokuhlala.
• Ukuziqhelanisa neentsilelo zeemvakalelo yinxalenye ebalulekileyo yonyango, ukubuyisela kwisimo sangaphambili, kunye nokuchacha.
• IChiropractic, Uxinzelelo, i-massage, kunye nokunyangwa komzimba kunokuphelisa iimpawu, ukubuyisela amandla, ukusebenza kunye nokulawulwa kwemoto.

Iimfihlo zeSciatica zityhiliwe

Ucaphulo

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I-Eggleton JS, iCunha B. I-Anatomy, i-Abdomen kunye ne-Pelvis, i-Pelvic Outlet. [Ihlaziywe ngo-2022 ngo-Agasti 22]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK557602/

UGarozzo, uDebora et al. "Kwi-lumbosacral plexus ukwenzakala singakwazi ukuchonga izikhombisi ezixela kwangaphambili ukuchacha ngokuzenzekelayo okanye imfuno yonyango lotyando? Iziphumo zophando lwezonyango kwizigulana ezingama-72. ” Ijenali yebrachial plexus kunye neperipheral nerve injury vol. 9,1 1. 11 Jan. 2014, doi:10.1186/1749-7221-9-1

I-Gasparotti R, u-Shah L. Brachial kunye ne-Lumbosacral Plexus kunye ne-Peripheral Nerves. 2020 Feb 15. Ku: Hodler J, Kubik-Huch RA, von Schulthess GK, abahleli. Izifo zengqondo, iNtloko kunye neNtamo, i-Spine 2020-2023: i-Diagnostic Imaging [i-Intanethi]. Cham (CH): Springer; 2020. Isahluko 20. Ifumaneka ku: www.ncbi.nlm.nih.gov/books/NBK554335/ doi: 10.1007/978-3-030-38490-6_20

Norderval, Stig, et al. "Ukuvuselela i-nerve ye-Sacral." Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke vol. 131,12 (2011): 1190-3. doi:10.4045/tidsskr.10.1417

Neufeld, uEthan A et al. "UMR Ukucinga ngeLumbosacral Plexus: Uphononongo lweeTekhnoloji kunye nePathologies." Ijenali ye-Neuroimaging: ijenali esemthethweni ye-American Society of Neuroimaging vol. 25,5 (2015): 691-703. doi:10.1111/jon.12253

Abasebenzi, uNathan P, kunye no-Anthony J Windebank. "I-peripheral neuropathy ngenxa yokunqongophala kweevithamini, ityhefu kunye namayeza." Continuum (Minneapolis, Minn.) vol. I-20,5 ye-Peripheral Nervous System Disorders (2014): 1293-306. doi:10.1212/01.CON.0000455880.06675.5a

Yin, Gang, et al. "I-Obturator Nerve Transfer kwiSebe le-Tibial Nerve Innervating ye-Gastrocnemius Muscle yoNyango lwe-Sacral Plexus Nerve Injury." I-Neurosurgery vol. 78,4 (2016): 546-51. doi:10.1227/NEU.0000000000001166