Iliopsoas kwabesifazane

imisipha ye-psoas

Yakhiwe izingxenye ezimbili ezihlukene, imisipha ye-iliopsoas, eyaziwa nangokuthi i-iliopsoas, itholakala ku-T12 kanye nama-vertebrae amahlanu okuqala angama-lumbar. Eyaziwa ngamandla ayo amangalisayo, lo msipha uthambekele ku-psoas tendonitis. Lesi simo, esivame ukutholakala kubasubathi, sihilela ukuvuvukala kwe-iliopsoas muscle tendon futhi ngokuyinhloko kuthinta i-hip yangaphakathi kanye nendawo ye-pelvic.

Kulesi sihloko sizokutshela konke okudingeka ukwazi mayelana nobuhlungu beqolo. iliac psoas kwabesifazane nezimbangela zayo.

Uyini umsuka we-psoas tendonitis?

ukuma kwe-psoas

Ukujikeleza nokunyakaza kwethanga langaphandle kwenziwa lula yi-psoas muscle. Idlala indima ebalulekile ekusivumeleni ukuthi sihambe futhi senze ukunyakaza kwe-hip okuhlukahlukene. Ukuvuvukala kwethenda ye-psoas kungabangelwa izici eziningana. Esinye isizathu esingenzeka ukuvuvukala okubangelwa ukungezwani okwanele emsipha.

Ukungqubuzana kuyaqina lapho i-pelvis itshekela ngemuva, okungaholela ekuthuthukisweni kwalesi simo uma kuqhubeka isikhathi eside. Ngaphezu kwalokho, umthelela oqondile ungase futhi uqalise ukubonakaliswa kwayo.

Esinye isici esingaba nomthelela we-psoas tendonitis ukuphakama kwamadolo isikhathi eside ngenkathi uhlezi, njengalapho Sihlezi esihlalweni esingalungiswanga kahle ubude bethu.

Kodwa-ke, esinye isici esinomthelela ku-psoas tendinitis ukwelashwa okwanele noma ukutholakala okwanele ebuhlungu obuphansi emuva. Ngenxa yalokho, Umsipha we-iliopsoas uphoqeleka ukuba wenze umzamo omkhulu, okuholela ekulimaleni okungenzeka.

Imisebenzi yezemidlalo efana nokudansa, ukugijima, kanye nebhola likanobhutshuzwayo ngokuvamile kubangela lesi simo ngenxa yokuguquguquka okuphindaphindiwe kwe-hip. Esinye isenzakalo esivamile ukuhamba ngebhayisikili, lapho ukuchitha isikhathi eside ugibela izinyawo kubeka ingcindezi endaweni.

Ubani osengozini enkulu yokuthuthukisa i-psoas tendonitis?

psoas kwabesifazane

Abantu abasha abahileleke ngokujulile kwezemidlalo bathinteka ikakhulukazi kwi-psoas tendonitis. Ngokuvamile, leli qembu lezibalo zabantu linombono onciphile wezingozi ezingaba khona ezihlobene nokugcina ukuma okungakhululekile, njengoba Babeka phambili ukuthuthukisa amakhono abo ngokomzimba nangokwengqondo.

I-demographic ethinteka kakhulu ku-psoas tendonitis ngabesifazane, kuyilapho abantu abangaphezu kweminyaka engu-60, kungakhathaliseki ubulili, nabo bathambekele kulesi simo. Ukuwohloka kwemisipha kungase kube nomthelela kulesi simo kubantu abadala asebekhulile, nakuba esikhathini esidlule bekuvame ukuhlotshaniswa nemisebenzi yezemidlalo eyeqile. Ngakho-ke, ngaphandle kokucwaninga kwangaphambili, kunzima ukusungula ukuhlobana okuqondile phakathi kwe-psoas tendonitis nabantu asebekhulile.

Izimpawu zokuvuvukala kwe-psoas tendon

psoas

Isimo esivame ukubizwa ngokuthi "i-psoitis" noma i-tendonitis ngokuvamile sizibonakalisa ngezimpawu ezihlukahlukene, ezihlanganisa:

  • Ubuhlungu obusuka endaweni ye-groin buphumela ezinqeni, emathangeni nasemadolweni.
  • Ubuhlungu esifundeni se-lumbar
  • Ukukhathala

Izimpawu ze-psoas tendinitis noma i-psoitis ngokuvamile zibonakala ngezikhathi ezithile, ezihambisana nemisebenzi leyo faka ingcindezi ezinqulwini, emathangeni, noma ezinqeni, njengokuhamba noma ukushayela. Nokho, uma sesikuyekile lokhu kunyakaza, ubuhlungu buyancipha kancane kancane futhi ekugcineni bunyamalale.

Uma isimo siba sibi, izimpawu zingase zibonakale ngisho nangezikhathi zokuphumula.

Ungakugwema kanjani

Ukuze ulungiselele kahle imisipha yomsebenzi womzimba, kuyadingeka ukwenza izivivinyo zokwelula ngaphambi kokufudumala. Lezi zintambo kufanele ziqondiswe uchwepheshe wezemidlalo onolwazi ukuze aqinisekise ukuthi noma yikuphi ukuma okungalungile kulungiswa ngokushesha. Lokhu kusiza kokubili ukukhulula imisipha nokuzilungiselela kahle ukuzilolonga kwezemidlalo.

Ngokuhlanganisa imidlalo enomthelela omncane kanye nemisebenzi enomthelela omkhulu noma esezingeni eliphezulu, Ingozi yokubangela ukuhlukumezeka okukhulu kanye nokuqina kwemisipha ngokweqile kungancishiswa.

Kubalulekile ukugcina isisindo esifanele ngokusekelwe kumthethosisekelo womzimba ngamunye ukuze ugweme ukucindezeleka ngokweqile ekwakheni umzimba kanye nesakhiwo samathambo. Kubantu abajwayele ukuzijwayeza ezemidlalo, kubalulekile ukufuna ukubonisana nochwepheshe emkhakheni we-traumatology kanye ne-physiotherapy. Kubalulekile ukuhlola isimo sezicubu zomzimba futhi uthathe izinyathelo ezidingekayo zokuhlonza nokuvimbela izinkinga ezingaba khona.

Kutholakala kanjani

Ukutholakala kwalesi simo ngokuvamile kungasolwa ngokusekelwe ezimpawini ezibikwa isiguli. Kodwa-ke, kubalulekile ukucabangela ukuthi kunezinye izimo ezingabangela ubuhlungu be-groin, okudinga ukucabangela ukuxilonga okuhlukile phakathi nenqubo yokuhlola. Ukuqinisekisa ukuxilongwa, Udokotela noma umelaphi womzimba wenza ukuhlola ngokomzimba. Lokhu kuhlolwa kuhilela ukumbambatha isifunda se-inguinal (okubangela ubuhlungu), ukuhlola ububanzi bokunyakaza emalungeni (okungase kunqunyelwe ngenxa yobuhlungu), nokuhlola amandla emisipha ye-hip.

Ukwengeza, ukuhlolwa kokucasula kuyenziwa, njengokuhlolwa kweLudloff. Lokhu kuhlolwa kuhilela ukugoba inqulu ngedolo elinwetshiwe ngenkathi isiguli silele phansi. Uma lokhu kuqondisa kubangela ubuhlungu obujulile ku-groin, kubonisa ukuthi ukufakwa kwe-tendon ye-muscle ku-trochanter encane kuthintekile. (okwaziwa njengophawu oluhle lwe-Ludloff).

Nakuba ukuhlola ngokomzimba kuphumelela ekuhlonzeni i-psoitis, ukuhlolwa kwe-imaging kuphela okunganquma izinga eligcwele lokulimala kwe-tendon. Isinyathelo sokuqala ukwenza i-ultrasound endaweni ethintekile, ehlinzeka ngolwazi olubalulekile mayelana nesimo se-tendon.

Ukwengeza, izifundo ezifana ne-MRI ne-CT ziyadingeka ukuze zingagcini nje ukuhlola indawo yokufaka i-hip flexor kodwa futhi zikhiphe ezinye izilonda eziseduze ezibangela izimpawu ezifana ne-psoriasis (ukuxilongwa okuhlukile).

Odokotela baqale batshele iziguli ukuthi ziyeke futhi zinciphise imisebenzi efaka ingcindezi ezinqulwini, okuyinto Sebenzisa iqhwa endaweni ebuhlungu kanye nemithi efana ne-ibuprofen noma i-diclofenac ukuze unciphise ubuhlungu nokuvuvukala. Uma ubuhlungu buye bancishiswa kakhulu, udokotela wakho uzokwenza ukwelashwa ngokomzimba, okubandakanya ukuqeqeshwa kokunyakaza ngokusebenzisa izivivinyo ezikhethekile zokwelula nokuqinisa. Uma izimpawu ziqhubeka, udokotela wakho angase akunikeze umjovo we-cortisone eduze kwe-tendon engaphezulu kwethanga lakho.

Ngithemba ukuthi ngalolu lwazi ungafunda kabanzi mayelana nobuhlungu be-iliopsoas kwabesifazane nezimbangela zabo.