Ukuqonda Iintlungu ezinzulu zeButock: Yintoni ekufuneka uyazi

Ngaba iiprothokholi zonyango zonyango ezijolise ekuphuculeni uluhlu lwentshukumo kunye nokuguquguquka kwi-hip kunye nokunciphisa ukuvuvukala okujikeleze i-nerve ye-sciatic kunokunceda abantu abafumana intlungu enzulu ye-buttock okanye i-piriformis syndrome?

Iintlungu eziNgqondo ezinzulu

• Isifo sePiriformis, ak. iintlungu ezinzulu zempundu, zichazwa njengokucaphuka kwe-nerve ye-sciatic ukusuka kwi-piriformis muscle.
• I-piriformis sisihlunu esincinci emva kwe-hip joint kwi-buttocks.
• Imalunga nesentimitha enye ububanzi kwaye isebenza kumjikelo wangaphandle we-hip joint okanye ukujikela ngaphandle.
• Imisipha ye-piriformis kunye ne-tendon isondele kwi-nerve ye-sciatic, enika iindawo ezisezantsi kunye nemisebenzi yemoto kunye neemvakalelo.
• Ngokuxhomekeke kukwahluka komntu kwi-anatomic ye-muscle kunye ne-tendon:
• Ezi zimbini ziwela, ngaphantsi, okanye enye kwenye emva kwe-hip joint kwi-buttock enzulu.
• Olu lwalamano lucatshangelwa ukuba luyacaphukisa i-nerve, ekhokelela kwiimpawu ze-sciatica.

Piriformis Syndrome

• Xa ufunyaniswa ukuba une-piriformis syndrome, kucingelwa ukuba i-muscle kunye ne-tendon ibophelela kunye / okanye i-spasm ejikeleze i-nerve, ebangela ukucaphuka kunye neempawu zentlungu.
• Ithiyori exhaswayo kukuba xa i-piriformis muscle kunye ne-tendon yayo iqina, i-nerve ye-sciatic iyaxinzelelwa okanye igxininiswe. Oku kunciphisa ukujikeleza kwegazi kwaye kucaphukisa i-nerve evela kuxinzelelo. (Shane P. Cass 2015)

iimpawu

Iimpawu eziqhelekileyo kunye neempawu ziquka: (Shane P. Cass 2015)

• Ubumnene ngoxinzelelo kwimisipha ye-piriformis.
• Ukungakhululeki emva kwethanga.
• Iintlungu ezinzulu zempundu emva kwesinqe.
• Ukuvakalelwa kombane, ukothuka, kunye neentlungu zihamba phantsi ngasemva kwendawo engezantsi.
• Ubundisholo kumda ongezantsi.
• Abanye abantu baba neempawu ngequbuliso, ngelixa abanye bekhula kancinci.

Ukuqondwa

• Oogqirha baya kuodola i-X-rays, i-MRIs, kunye nezifundo zokuqhuba i-nerve, okuqhelekileyo.
• Ngenxa yokuba i-piriformis syndrome ingaba ngumngeni ukuxilonga, abanye abantu abaneentlungu ezincinci ze-hip banokufumana ukuxilongwa kwe-piriformis syndrome nokuba abanayo imeko. (Shane P. Cass 2015)
• Ngamanye amaxesha kuthiwa yintlungu enzulu yempundu. Ezinye izizathu zolu hlobo lweentlungu ziquka umva kunye neengxaki zomqolo ezifana:

1. Iidiski zeHerniated
2. I stenosis
3. I-Radiculopathy - i-sciatica
4. I-Hip bursitis
5. Ukuxilongwa kwe-piriformis syndrome ngokuqhelekileyo kunikwa xa ezi ezinye izizathu zipheliswa.

• Xa ukuxilongwa kungaqinisekanga, i-injection ilawulwa kwindawo ye-piriformis muscle. (UDanilo Jankovic et al., 2013)
• Amayeza ahlukeneyo angasetyenziswa, kodwa i-injection ngokwayo isetyenziselwa ukukunceda ukuchonga indawo ethile yokukhathazeka.
• Xa i-injection inikezelwa kwi-piriformis muscle okanye i-tendon, isoloko ilawulwa yi-ultrasound guided ukuqinisekisa ukuba inaliti ihambisa iyeza kwindawo echanekileyo. (Elizabeth A. Bardowski, JW Thomas Byrd 2019)

impatho

Unyango oluqhelekileyo lubandakanya oku kulandelayo. (UDanilo Jankovic et al., 2013)

Ukuphumla

• Ukuphepha imisebenzi ebangela iimpawu ubuncinane kwiiveki ezimbalwa.

Ulungiso lwenyama

• Gxininisa ukunweba kunye nokomeleza imisipha ye-hip rotator.

Ukuthotywa kwe-Non-Utyando

• Ukutsala ngobunono umqolo ukukhulula naluphi na uxinzelelo, ukuvumela ukubuyisela amanzi kunye nokujikeleza kunye nokuthatha uxinzelelo kwi-nerve ye-sciatic.

UbuChwephesha bokuMasa boNyango

• Ukuphumla kunye nokukhulula uxinzelelo lwemisipha kunye nokwandisa ukujikeleza.

Ukwenza i-Acupuncture

• Ukunceda ukuphumla i imisipha ye-piriformis, i-nerve ye-sciatic, kunye nommandla ojikelezileyo.
• Khulula iintlungu.

Ulungiso lweChiropractic

• Uhlengahlengiso lulungelelanisa umqolo kunye nenkqubo ye-musculoskeletal ukunciphisa intlungu.

Imithi echasayo

• Ukunciphisa ukuvuvukala kwi-tendon.

Izitofu zeCortisone

• Iinaliti zisetyenziselwa ukunciphisa ukudumba kunye nokudumba.

Isitofu seToxin yeBotulinum

• Izitofu zetyhefu ye-botulinum zikhubaza isihlunu ukuze kuthomalaliswe iintlungu.

Ukuhlinzwa

• Utyando lunokwenziwa kwiimeko ezinqabileyo ukukhulula i-piriformis tendon, eyaziwa ngokuba yi-piriformis release. (Shane P. Cass 2015)
• Utyando licebo lokugqibela xa unyango olulondolozayo luye lwazanywa ubuncinane iinyanga ezi-6 kungekho ncedo luncinci.
• Ukuchacha kunokuthatha iinyanga ezininzi.

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Izizathu ze-Sciatica kunye noNyango

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Ucaphulo

I-Cass SP (2015). I-Piriformis syndrome: imbangela ye-nondiscogenic sciatica. Iingxelo zangoku zamayeza ezemidlalo, 14(1), 41–44. doi.org/10.1249/JSR.0000000000000110

UJankovic, D., Peng, P., & van Zundert, A. (2013). Uphononongo olufutshane: i-piriformis syndrome: i-etiology, ukuxilongwa, kunye nokulawula. Ijenali yaseKhanada ye-anesthesia = Ijenali canadien d'anesthesie, 60(10), 1003–1012. doi.org/10.1007/s12630-013-0009-5

Bardowski, EA, & Byrd, JWT (2019). I-Piriformis Injection: I-Ultrasound-Guided Technique. Ubuchule be-arthroscopy, i-8 (12), e1457-e1461. doi.org/10.1016/j.eats.2019.07.033