Isifo sePiriformis

Isifo sePiriformis yintlungu kunye nokubhabha ezinqeni zakho nasemva komlenze wakho. Kwenzeka xa umsipha we-piriformis ezinqeni ucinezela kwi-nerve ye-sciatic.

Isifo esichaphazela abafazi abaninzi kunamadoda, asiqhelekanga. Kodwa xa isenzeka, inokubangela i-sciatica.

Imisipha ye-piriformis ibandakanyeka phantse kuyo yonke intshukumo oyenzayo nomzimba wakho osezantsi, ukusuka ekuhambeni ukuya kutshintsho lobunzima ukusuka kolunye unyawo ukuya kolunye. Ngaphantsi kwesisipha kukho i-nerve ye-sciatic. Le luvo lubaleka luvela kumqolo wakho osezantsi ukuhla ngomva womlenze wakho ukuya elunyaweni.

Ukulimala okanye ukucaphukisa imisipha ye-piriformis kunokubangela ukuphazamiseka kwemisipha kunye nemisipha inokudumba okanye ukuqina kwi-spasms. Oku kubeka uxinzelelo kwimbilini phantsi kwayo, kubangela intlungu.

Ukusetyenziswa gwenxa kunokubangela ukudumba okanye ukwenzakala kwezihlunu. Ukudumba kwemisipha kunokuvela:

• Ukuhlala ixesha elide
• Ngaphezulu kokuzilolonga
• Ukubaleka, ukuhamba, okanye ukwenza ezinye izinto eziphindaphindayo
• Ukudlala imidlalo
• Ukunyuka kwezinyuko
• Ukuphakamisa izinto ezinzima

Umothuko unokubangela ukuphazamiseka kwemisipha kunye nomonakalo. Oku kunokubangelwa:

• Iingozi zeemoto
• Ukuwa
• Ukujija ngesiquphe kwesinqe
• Amanxeba angena ngaphakathi

I-Sciatica luphawu oluphambili lwe-piriformis syndrome. Ezinye iimpawu zibandakanya:

• Ukuthantamisa okanye ukuqaqamba kwempundu
• Ukucofa okanye ukuba ndindisholo ngempundu nasemva komlenze
• Kunzima ukuhlala
• Ubuhlungu bokuhlala obukhula kakubi njengoko uqhubeka nokuhlala
• Intlungu eba mandundu ngomsebenzi
• Intlungu ezisezantsi zomzimba eziqatha kakhulu ziyakhubazeka

Intlungu ihlala ichaphazela icala elinye lomzimba ongezantsi. Kodwa inokwenzeka nasemacaleni omabini ngaxeshanye.

Umboneleli wakho wezempilo uya:

• Yenza uvavanyo lomzimba
• Buza malunga neempawu zakho kunye nemisebenzi yakutshanje
• Thatha imbali yakho yonyango

Ngexesha loviwo, umboneleli wakho unokukubeka kuluhlu lweentshukumo. Inqaku kukujonga ukuba kwaye zibangela phi iintlungu.

Ezinye iingxaki zinokubangela i-sciatica. Umzekelo, idiski etyibilikileyo okanye isifo samathambo somqolo sinokubeka uxinzelelo kwi-nerve ye-sciatic. Ukulawula ezinye izizathu ezinokubangela, unokuba ne-MRI okanye i-CT scan.

Ngamanye amaxesha, awungekhe ufune unyango. Umboneleli wakho unokucebisa ezi ngcebiso zilandelayo zokuzikhathalela ukunceda ukunciphisa iintlungu.

• Gwema imisebenzi ebangela intlungu, njengokuhamba ngebhayisikili okanye ukuqhuba. Ungaqhubeka nale misebenzi emva kokuba intlungu ihambile.
• Qiniseka ukuba usebenzisa ifom efanelekileyo kunye nezixhobo xa usenza imidlalo okanye eminye imisebenzi yomzimba.
• Sebenzisa amayeza entlungu afana ne-ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), okanye i-acetaminophen (iTylenol) yentlungu.
• Zama umkhenkce nobushushu. Sebenzisa ipakethe yomkhenkce kangangemizuzu eli-15 ukuya kwengama-20 qho kwiiyure ezimbalwa. Bopha ipakethe yomkhenkce ngetawuli ukukhusela ulusu lwakho. Enye ipakethi ebandayo kunye nephedi yokufudumeza kwindawo esezantsi. Sukusebenzisa iphedi yokufudumeza ngaphezulu kwemizuzu engama-20 ngexesha.
• Landela imiyalelo yomboneleli wakho ngokwenza ukolulwa okukhethekileyo. Ukolula kunye nokuzilolonga kunokuphumla kwaye komeleze imisipha ye-piriformis.
• Sebenzisa ukuma kakuhle xa uhleli, umi okanye uqhuba. Hlala nkqo kwaye musa ukutyibilika.

Umboneleli wakho unokumisela ukuphumla kwezihlunu. Oku kuyakuphumza umsipha ukuze ukwazi ukuzilolonga kwaye wolule. Inaliti yamayeza e-steroid kwindawo leyo inokunceda.

Ngeentlungu ezibi kakhulu, umboneleli wakho unokuncoma i-electrotherapy efana ne-TENS. Olu nyango lusebenzisa ukukhuthaza umbane ukunciphisa iintlungu kunye nokuyeka ukuxhamla kwezihlunu.

Njengendawo yokugqibela, umboneleli wakho unokucebisa utyando ukunciphisa umsipha kunye nokunciphisa uxinzelelo kwimithambo-luvo.

Ukuthintela iintlungu ezizayo:

• Yenza umthambo rhoqo.
• Kuphephe ukubaleka okanye ukuzilolonga ezindulini okanye kwiindawo ezingalinganiyo.
• Zifudumeze kwaye uzolule ngaphambi kokuzilolonga. Emva koko yonyusa kancinci amandla omsebenzi wakho.
• Ukuba kukho into ekubangela iintlungu, yeka ukuyenza. Musa ukutyhala iintlungu. Phumla de intlungu idlule.
• Musa ukuhlala phantsi okanye ukulala ixesha elide kwizikhundla ezibeka uxinzelelo olongezelelweyo ezinqeni zakho.

Fowunela umnikezeli wakho ukuba unayo:

• Intlungu ehlala ixesha elide kuneeveki ezimbalwa
• Intlungu eqala emva kokonzakala kwingozi

Fumana uncedo lonyango ngokukhawuleza ukuba:

• Unentlungu ebukhali ngesiquphe kumqolo wakho osezantsi okanye emilenzeni, kunye nokuswela amandla kwemisipha okanye ukubindisholo
• Unobunzima bokulawula unyawo lwakho kwaye uzifumanise ukhubeka ngalo xa uhamba
• Awunakho ukulawula amathumbu okanye isinyi

IPseudosciatica; I-wallet sciatica; I-socket neuropathy; Isifo sePelvic outlet syndrome; Intlungu ebuyela umva- ipiriformis

I-American Academy yaBagqirha boSapho iwebhusayithi. Isifo sePiriformis. Familydoctor.org/condition/piriformis-syndrome. Ukuhlaziywa kwe-10 ka-Okthobha ka-2018. Kufikeleleke ngoDisemba 10, 2018.

IHudgins TH, uWang R, uAleva JT. Isifo sePiriformis. Ku: UFrontera WR, iSilver JK, uRizzo TD, ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 58.

UKhan D, uNelson A. Piriformis isifo. Ku: I-Benzon HT, i-Raja SN, i-Liu SS, i-Fishman SM, i-Cohen SP, ii-eds. Iimfuno zonyango lwezoNyango. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 67.

• ISciatica