Ziimpuku zaBamva? Ukuqonda Amaqhuma Abuhlungu Ngasemva

Abantu ngabanye banokufumanisa iqhuma, i-bump, okanye i-nodule phantsi kwesikhumba ejikeleze umqolo wabo ongezantsi, esinqeni, kunye ne-sacrum enokubangela intlungu ngokucinezela i-nerve kunye nokonakalisa i-fascia. Ngaba ukwazi iimeko ezidityaniswe nabo kunye neempawu zabo kunokunceda ababoneleli bezempilo bamisele uxilongo oluchanekileyo kwaye baphuhlise isicwangciso sonyango esisebenzayo kubo?

Amaqhuqhuva abuhlungu, amaqhuqhuva ajikeleze ngasemva, iiHips, kunye neSacrum

Izihlwele ezibuhlungu ngaphakathi nasezinqeni ezijikeleze, i sacrum, yaye umqolo ongezantsi unamaqhuma anamafutha okanye ii<em>lipomas, ii<em>fibrous tissue, okanye ezinye iindidi zamaqhuqhuva ashukumayo xa ecinezelwe. Abanye ababoneleli bezempilo kunye nee-chiropractors, ngokukodwa, basebenzisa igama elingelona lezonyango iimpuku ezingasemva (Ngo-1937, eli gama lalisetyenziselwa ukuchaza amaqhuma ahambelana ne-episacroiliac lipoma) ukuchaza amaqhuma. Abanye abaqeqeshi bezempilo bayaphikisana ngokuchasene nokubiza iimpuku ezininzi kuba ayicacanga kwaye inokukhokelela ekuxilongeni kakubi okanye kunyango olungachanekanga.

• Uninzi lubonakala kwindawo esezantsi kunye ne-hip.
• Kwezinye iimeko, ziphuma okanye zikhuphe i-herniate nge-lumbodorsal fascia okanye inethiwekhi yezicubu ezidibeneyo ezigquma izihlunu ezinzulu zomqolo osezantsi kunye nombindi.
• Amanye amaqhuma anokukhula kwithishu ephantsi kwesikhumba.

Namhlanje, iimeko ezininzi zinxulunyaniswa namaqhuma empuku, kubandakanya:

• I-Iliac crest pain syndrome
• I-Multifidus triangle syndrome
• I-Lumbar fascial fat herniation
• Lumbosacral (sacrum) i-fat herniation
• Episacral lipoma

Iimeko ezinxulumeneyo

I-Iliac Crest Pain Syndrome

• Eyaziwa nangokuthi i-iliolumbar syndrome, i-iliac crest pain syndrome ikhula xa ukukrazula kwi-ligament kwenzeka.
• Ibhendi ye-ligament idibanisa i-vertebrae yesine neyesihlanu kunye ne-ilium kwicala elifanayo. (UDąbrowski, K. Ciszek, B. 2023)
• Izizathu zibandakanyiwe:
• Ukukrazula i-ligament ekugobeni ngokuphindaphindiweyo kunye nokujija.
• Ukulimala okanye ukuphuka kwethambo ilium okubangelwa ukuwa okanye ingozi yemoto.

Multifidus Triangle Syndrome

• I-Multifidus triangle syndrome ikhula xa imisipha ye-multifidus ecaleni komqolo iyancipha kwaye iyancipha umsebenzi okanye amandla.
• Ezi zihlunu zinokuba ne-atrophy, kwaye izicubu ezinamafutha e-intramuscular zinokuthatha indawo yesihlunu.
• Izihlunu ezineAtrophied zinciphisa ukuzinza komnqonqo kwaye zinokubangela iintlungu ezisezantsi. (Seyedhoseinpoor, T. et al., 2022)

Lumbar Facial Fat Herniation

• I-lumbodorsal fascia yinwebu ebhityileyo ene-fibrous egquma izihlunu ezinzulu zomva.
• I-Lumbar fascial fat herniation bubunzima obubuhlungu bamafutha aphuma okanye aphuma kwi-membrane, abanjwe kwaye adumbe, kwaye abangele intlungu.
• Izizathu zolu hlobo lwe-herniation azikaziwa okwangoku.

Lumbosacral (Sacrum) I-Fat Herniation

• I-Lumbosacral ichaza apho i-lumbar spine idibana ne-sacrum.
• I-Lumbosacral fat herniation bubunzima obubuhlungu obufana ne-lumbar facial herniation kwindawo eyahlukileyo ejikeleze i-sacrum.
• Izizathu zolu hlobo lwe-herniation azikaziwa okwangoku.

Episacral Lipoma

I-Episacral lipoma yiqhuqhuva elibuhlungu elincinane elingaphantsi kwesikhumba elithi liphuhle kuqala phezu kweencam eziphezulu zethambo le-pelvic. Ezi ziqhuma zenzeke xa inxalenye ye-dorsal fat pad iphuma ngokukrazula kwi-thoracodorsal fascia, i-tissue edibeneyo enceda ukubamba imisipha yangasemva. (Erdem, HR et al., 2013) Umboneleli wezempilo unokuthumela umntu kugqirha wamathambo okanye kugqirha wamathambo ukwenzela le lipoma. Umntu usenokufumana isiqabu kwiintlungu kwi-massage therapist eyaziyo imeko. (Erdem, HR et al., 2013)

iimpawu

Amaqhuma angasemva angabonwa rhoqo phantsi kwesikhumba. Ngokuqhelekileyo zithenda xa zibamba kwaye zinokwenza ukuhlala esitulweni okanye ukulala ngomqolo kube nzima, njengoko zihlala zivela kumathambo e-hip kunye nommandla we-sacroiliac. (Bicket, MC et al., 2016) Amaqhuqhuva anokuthi:

• Qina okanye uqine.
• Yiba nemvakalelo enwebekayo.
• Hambisa phantsi kwesikhumba xa ucinezelekile.
• Ibangela ubuhlungu obukhulu, ubuhlungu obukhulu.
• Iintlungu zibangelwa kuxinzelelo kwintlama, ecinezela imithambo-luvo.
• Umonakalo kwi-fascia engaphantsi kunokubangela iimpawu zentlungu.

Ukuqondwa

Abanye abantu abaqondi ukuba banamaqhuqhuva okanye amaqhuma de kufakwe uxinzelelo. I-Chiropractors kunye nee-massage therapists zihlala zibafumana ngexesha lonyango kodwa azixilonga ukukhula okungaqhelekanga kwamafutha. I-chiropractor okanye i-massage therapist iya kuthumela isigulane kwi-dermatologist eqeqeshiwe okanye ingcali yezonyango enokwenza izifundo ze-imaging kunye ne-biopsy. Ukufumanisa ukuba yintoni na amaqhuma kunokuba ngumceli mngeni ngenxa yokuba ayingqalanga. Ababoneleli bezempilo ngamanye amaxesha baxilonga amaqhuqhuva ngokuwatofa ngeyeza lokuthomalalisa lasekuhlaleni. (Bicket, MC et al., 2016)

Ukuxilongwa ngokungafani

I-fatty deposits ingaba nayiphi na inani lezinto, kwaye kuyafana nakwimithombo yentlungu ye-nerve. Umboneleli wezempilo unokuphinda axilonge ngokukhupha ezinye izizathu, ezinokubandakanya:

Izilonda zeSebaceous

• I-capsule enobubele, ezaliswe lulwelo phakathi kwesikhumba.

Ithumba elingaphantsi kwesikhumba

• Ingqokelela yobubovu phantsi kwesikhumba.
• Ngokuqhelekileyo kubuhlungu.
• Inokudumba.

Sciatica

• Ukukhupha intlungu ye-nerve phantsi kwemilenze enye okanye yomibini ebangelwa yi-disc ye-herniated, i-bone spur, okanye i-spasming muscles kumqolo ophantsi.

Liposarcoma

• Amathumba amabi ngamanye amaxesha anokuvela njengokukhula okunamafutha kwizihlunu.
• I-Liposarcoma idla ngokufunyaniswa nge-biopsy, apho ezinye iithishu zisuswa kwiqhuqhuva kwaye zivavanyelwe iiseli zomhlaza. (Johns Hopkins Medicine. 2024)
• I-MRI okanye i-CT scan nayo inokwenziwa ukufumanisa indawo echanekileyo yeqhuqhuva.
• I-lipomas ezibuhlungu nazo zidibene ne-fibromyalgia.

impatho

Amaqhuqhuva angasemva aqhelekile, ngoko akukho sizathu sokuwasusa ngaphandle kokuba abangela intlungu okanye iingxaki zokuhamba (I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. 2023). Nangona kunjalo, kufuneka bahlolwe ukuqinisekisa ukuba abanawo umhlaza. Unyango ludla ngokubandakanya ii-anesthetics ezitofwayo, ezifana ne-lidocaine okanye i-corticosteroids, kunye nezithomalalisi zeentlungu ezingaphaya kwe-counter ezifana nee-NSAID.

Ukuhlinzwa

Ukuba iintlungu zinzima, ukususwa ngotyando kunokucetyiswa. Oku kubandakanya ukusika ubunzima kunye nokulungisa i-fascia yokukhululeka okungapheliyo. Nangona kunjalo, ukususa kunokungacetyiswa ukuba kukho amaqhuqhuva amaninzi, njengoko abanye abantu benokuba namakhulu. I-Liposuction inokusebenza ukuba amaqhuma amancinci, abanzi kakhulu, kwaye aquka ulwelo oluninzi. (UGqirha woSapho waseMelika. 2002) Iingxaki zokususwa ngotyando zinokubandakanya:

• Scarring
• Ukunyakaza
• Ukungalingani kwesikhumba
• Sulelo

Unyango olongezelelweyo kunye nolunye unyango

Ukuthotyelwa kunye nonyango olulolunye olufana ne-acupuncture, i-acupuncture eyomileyo, kunye nokuphathwa kakubi komqolo kunokunceda. Uninzi lwee-chiropractors lukholelwa ukuba amaqhuqhuva angasemva anganyangwa ngempumelelo kunye nonyango olulolunye. Indlela eqhelekileyo isebenzisa i-acupuncture kunye ne-spinal manipulation ngokudibanisa. Uphononongo lwengxelo yachaza ukuba inaliti yokuthomalalisa ilandelwa yinaliti eyomileyo, efana ne-acupuncture, iphucula ukuthomalalisa iintlungu. (Bicket, MC et al., 2016)

I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic igxile kwiinkqubo zonyango eziqhubekayo kunye neenkqubo zokuvuselela ezisebenzayo ezijoliswe ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokulimala kunye nokulimala kwezicubu ezithambileyo kunye nenkqubo epheleleyo yokubuyisela. Imimandla yethu yokuziqhelanisa ibandakanya i-Wellness & Nutrition, Intlungu engapheliyo, ukwenzakala komntu, ukuKhathalelwa kweNgozi ye-Auto, ukwenzakala komsebenzi, ukwenzakala ngasemva, iintlungu ezisezantsi, iintlungu zentamo, iMigraine Headaches, i-Sciatica enzima, i-Scoliosis, i-Complex Herniated Discs, i-Fibromyalgia, i-Chronic Iintlungu, Ukwenzakala Okuntsonkothileyo, Ulawulo Loxinzelelo, Unyango Lwezonyango oluSebenzayo, kunye neeprothokholi zokhathalelo olukwi-scope. Ukuba umntu ufuna olunye unyango, baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu kwimeko yabo, njengoko uDkt Jimenez ehlangene noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, abaphengululi, abaqeqeshi, kunye nabanikezeli be-premiere rehabilitation.

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Ngaphaya koMphezulu

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Ucaphulo

Dąbrowski, K., & Ciszek, B. (2023). I-Anatomy kunye ne-morphology ye-iliolumbar ligament. Utyando kunye ne-radiologic anatomy: SRA, 45 (2), 169-173. doi.org/10.1007/s00276-022-03070-y

Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, MA, Takamjani, IE, Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Ukuguqulwa kwe-lumbar muscle morphology kunye nokubunjwa ngokumalunga neentlungu ezisezantsi: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 22 (4), 660-676. doi.org/10.1016/j.spinee.2021.10.018

Erdem, HR, Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [Episacral lipoma: unobangela onokunyangeka weentlungu ezisezantsi]. Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = Ijenali yoMbutho waseTurkey we-Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626

I-Bicket, MC, Simmons, C., & Zheng, Y. (2016). Ezona ziCwangciso ziFanelweyo “zeempuku ezingasemva” kunye naMadoda: Ingxelo yeNgxelo kunye noPhononongo loNcwadi lwe-Episacroiliac Lipoma. Ugqirha weentlungu, i-19 (3), i-181-188.

Johns Hopkins Medicine. (2024). Liposarcoma. www.hopkinsmedicine.org/health/conditions-and-diseases/sarcoma/liposarcoma

I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. (2023). Lipoma. orthoinfo.aaos.org/en/diseases–conditions/lipoma

UGqirha woSapho waseMelika. (2002). Ukukhutshwa kweLipoma. UGqirha weNtsapho waseMelika, 65 (5), 901-905. www.aafp.org/pubs/afp/issues/2002/0301/p901.html