Piriformis syndrome inorwadza mubutt, chaizvoizvo. Ichi chiitiko chinokonzerwa nekudzvinyirira kwe sciatic nerve, iyo inokonzera marwadzo uye chiveve mumagadziko uye kumashure kwemakumbo; saka zvakajairika kunzwa kurwadziwa kwakanyanya kana uchifamba.
El piriformis Imhasuru diki inomhanya kubva pasacrum pazasi pemusana kusvika kumusoro kwefemu muhudyu. Imhasuru yakakosha zvikuru inobatsira kunze tenderera hudyu uye yakakosha kune basa rekufamba nekupa kugadzikana kune sacrum uye sacroiliac joint paunenge uchifamba.
Chii chinonzi piriformis syndrome?
Chirwere chacho chinoitika apo piriformis muscle inomanikidza sciatic nerve, iyo inomhanya pasi payo. Iyo sciatic nerves (iwe une mbiri) ndidzo tsinga dzakarebesa uye dzakakura kwazvo mumuviri, dzinofamba kubva kuzasi kwemuzongoza kuburikidza nebhuto uye dzichidzika makumbo kusvika kutsoka. Basa re sciatic nerve ndeyekutumira zviratidzo pakati pemasuru uye ganda remakumbo netsoka.
Kungofanana nemhasuru chero ipi zvayo, piriformis inogona kupfupisa uye kuva yakasimba, iyo inogona kuita kuti isvine kana kupinza sciatic nerve. Izvi zvinoita kuti tsinga ishatirwe uye ive yakazvimba. Uye, kunyange zvazvo zvisingawanzoitiki muhuwandu hwevanhu, zvinokanganisa vakadzi vakawanda kupfuura varume.
Zvakafanana ne sciatica here?
Piriformis syndrome haina kufanana ne sciatica, kunyange zvazvo mazwi acho anowanzoshandiswa zvakasiyana. Sciatica haisi chirwere chekurapa mukati uye pachako; asi iyo inounganidza zviratidzo, zvakafanana neyepiriformis syndrome, inokonzerwa nerimwe dambudziko, rakadai se lumbar disc herniation, iyo inokanganisa sciatic nerve. Sciatica, kana lumbar radiculopathy, inotangira muchiuno chepamusoro, nepo piriformis syndrome inotanga mumagadziko.
Ndezvipi zvikonzero?
Iyo sciatic nerve inomhanya nepakati pepiriformis muscle inongowedzera njodzi yekumanikidzwa kwetsinga uye piriformis syndrome. The basa rakawandisa ndicho chikonzero chikuru che syndrome. Iyo piriformis muscle inoremerwa kana iripo kusashanda zvakanaka, kupera simba kana kushaika kwemakanika mune imwe nzvimbo yemuviri iyo inobatana nayo. Semuyenzaniso:
- Sacroiliac kana hip joint dysfunction
- Kushaya simba kweyakadzika stabilizer hudyu tsandanyama
- Overpronation kana kudonha arch yetsoka
Iyo tsandanyama inogona zvakare kushandwa zvakanyanya nekufamba kwenguva refu kwekuita basa rekuita senge kumhanya marathon.
Zvimwe zvikonzero zvepiriformis syndrome zvinosanganisira:
- Misumbu yetsandanyama inokonzerwa nekutsamwiswa kwepiriformis tsandanyama kana chivakidzani chimiro, senge sacroiliac joint kana hudyu.
- Piriformis tsandanyama kukuvara.
- Kubuda ropa munharaunda yepiriformis muscle kunokonzera kushatirwa.
- Tora zvinzvimbo zvinotenderera kunze makumbo kwenguva yakareba.
- Hyperlordosis kana yakawedzera lumbar curve.
Sezvatakambotaura, iyi syndrome inobata vakadzi vakawanda kupfuura varume nekuda kwemusiyano mumichina yemuviri weyakafara quadriceps tsandanyama angle pahudyu, zvichiita kuti kona yejojo ive yakafara.
Piriformis syndrome zviratidzo
El marwadzo mumagaro ndicho chiratidzo chikuru. Iwe unogonawo kuva nemarwadzo anopararira kuseri kwechidya uye pasi pemhuru netsoka. Izvi zvinogona kuperekedzwa nekukwenya uye chiveve mumagaro.
Chero kufamba kunosanganisira basa rehudyu kunogona kuwedzera marwadzo, saka kufamba kunogona kuva kwakaoma uye kusagadzikana kana uine chirwere. Kurwadziwa kwePiriformis kana uchifamba kunogona kuwedzera kana uchikwira masitepisi kana uchikwira.
Zvimwe zviratidzo nezviratidzo zvinosanganisira:
- Kutadza kuisa huremu pabeche rabatwa.
- Spasms yemusumbu wepiriformis.
- Kupfura marwadzo muchiuno uye kumashure kwegumbo paunenge uchishandura chiuno kunze kwekupikisa.
- Marwadzo anowedzera kana wakagara.
Inoonekwa sei?
Chikonzero chakananga hachigoni kuonekwa nguva dzose uye hapana muedzo wepiriformis syndrome. Chiremba wako achatora nhoroondo uye abvunze mibvunzo pamusoro pekukuvara kupi zvako kungave kwakakonzera zviratidzo zvako kana kusimba uye nguva yemabasa ako ekurovedza muviri. Kana isu takanga tadonha munguva pfupi yapfuura kana kuyeuka kuve nekunetseka kwemhasuru panguva yemitambo, tinofanira kugovera ruzivo irworwo nachiremba. Izvo hazvina basa kana isu tisina chokwadi kuti ndizvo zvakakonzera zviratidzo.
Vachaitawo bvunzo dzemuviri, vachiongorora marwadzo anokonzerwa nekumwe mafambiro. Miedzo yeRadiological, yakadai seMRIs, inogona kuitwa kuti ibvise zvimwe zvikonzero zvezviratidzo. MRI kana CT scan inogona kubatsira chiremba wako kuti aone kana arthritis kana kuti ruptured disc inokonzera marwadzo ako. Kana zvichiita sekuti piriformis syndrome inokonzera zviratidzo zvako, ultrasound yemusumbu inogona kubatsira pakuongorora mamiriro acho ezvinhu.
Kurapa
Piriformis syndrome kazhinji haidi chero kurapwa. Kuzorora uye kudzivisa zviitiko zvinotanga zviratidzo zvinowanzova zvinhu zvekutanga zvatinofanira kuita. Tinganzwa zviri nani kana tinochinjanisa ice uye kupisa pamagaro kana makumbo. Tichaputira ice pack mumucheka mutete kuitira kuti irege kubata ganda zvakananga. Ichando chinoda kuchengetwa kwemaminetsi gumi nemashanu kusvika makumi maviri. Ipapo isu toshandisa pedhi yekudziya pane yakaderera kuseta kweinenge yakaenzana nguva yenguva.
ari painkiller Over-the-counter mishonga yakaita seibuprofen kana naproxen inogonawo kukubatsira kuti unzwe zviri nani. Marwadzo uye kupera kunobatanidza nepiriformis syndrome inogona kuenda pasina imwezve kurapwa. Kana zvisina kudaro, tinogona kubatsirwa nekurapa kwemuviri. Tichadzidza maitiro akasiyana-siyana uye maitiro ekuvandudza simba uye kushanduka kwepiriformis.
Muzviitiko zvakakomba zvepiriformis syndrome, ungada inyecciones ye corticosteroides kubatsira kubvisa kuzvimba kwetsandanyama. Isu tinogona zvakare kuwana zororo mushure me transcutaneous magetsi nerve stimulator kurapwa. Mumwe mudziyo wakadaro iyuniti inobatwa neruoko inotumira machaji emagetsi madiki kuburikidza neganda kune tsinga dziri pasi. Simba remagetsi rinokurudzira tsinga uye rinokanganisa zviratidzo zvinorwadza kuuropi.
Inogona kudzivirirwa here?
Kunyange zvazvo kurovedza muviri dzimwe nguva kunogona kukonzera piriformis syndrome, kudzidzira nguva dzose kunogona kubatsira kuderedza ngozi. Tsandanyama dzinoda kurovedza muviri kuti dzirambe dzakasimba uye dzine hutano. Kana tichida kubatsira kudzivirira kukuvadzwa kunotungamirira kupiriformis syndrome, tinofanira kuita zvinotevera:
- Dziya uye tambanudza usati wamhanya kana kuita maekisesaizi ane simba
- Zvishoma nezvishoma wedzera kusimba kwechero maekisesaizi kana mutambo watiri kuita
- Dzivisa kukwira nekudzika zvikomo kana kumhanya panzvimbo dzisina kuenzana
- Simuka ufambe kuti usagare kana kurara pasi kwenguva refu usina chawaita.
Kana isu tatove takarapwa piriformis syndrome, tinogona kunge tiri panjodzi yakanyanya yekudzoka. Kana tikaramba tichiita zvidzidzo zvakadzidzwa mu physiotherapy, tinogona kudzivisa kudzokazve kunze kwekunge pane kukuvara kwakakomba.
maekisesaizi kuti apore
Mutsara wekutanga wekurapa kwepiriformis syndrome chirongwa chekurapa kwepanyama, iyo inosanganisira maitiro chaiwo uye kutambanudza. Aya maekisesaizi anofanira kubatsira kuderedza marwadzo ekufamba.
Nemhaka yokuti zvikonzero zvepiriformis syndrome zvakasiyana kubva kumunhu kusvika kune munhu, kurovedza chiremba wako kana chiremba wepanyama anokurudzira zvichave zvakananga kwauri. Zvisinei, mimwe mienzaniso yakajairika inosanganisira:
piriformis kutambanudza
- Rara nemabvi ako akakotama uye tsoka dzakati twarara pasi.
- Hunza ibvi rako rekurudyi mukati uye sunga maoko ako kumativi ekumusoro kweshin yako.
- Dhonza ibvi kubendekete woribata kwemasekonzi makumi matatu.
- Sunungura uye shandura mativi.
Hamstring stretch
- Rara nemanhede wakatambanudza makumbo ese.
- Simudza gumbo rimwe kumusoro uye monera tauro kana tambo pazasi petsoka yako.
- Kuchengeta gumbo rako rakananga, dhonza mukati kusvikira iwe uchinzwa kutambanudza zvinyoro kumashure kwegumbo rako.
- Bata kwemasekonzi makumi matatu; wobva wachinja mativi.
Chidimbu
- Rara nedumbu maoko ako ari pasi akatarisana.
- Isa zvigunwe zvako mukati uye simudza chiuno chako kuitira kuti muviri wako uve mumutsara wakatwasuka.
- Bata kwemasekonzi gumi nemashanu, uchishanda kusvika kumasekonzi makumi matanhatu.
- Dzokorora katatu.
Rutivi rwepuranga
- Rara nedivi wakatsigira pagokora rako.
- Isa tsoka dzako pamusoro peumwe neumwe uye simudza chiuno chako kuitira kuti muviri wako uite mutsara wakatwasuka.
- Bata kwemasekonzi gumi nemashanu, uchishanda kusvika kumasekonzi makumi matanhatu.
- Chinja mativi uye dzokorora katatu.