Isifo sePiriformis

I-Piriformis syndrome ibuhlungu nobuthakathaka ezinqeni zakho bese wehla ngemuva komlenze wakho. Kwenzeka lapho imisipha ye-piriformis ezinqeni icindezela ku-nerve ye-sciatic.

Lesi sifo, esithinta abesifazane abaningi kunabesilisa, asivamile. Kepha uma kwenzeka, kungadala i-sciatica.

Imisipha ye-piriformis ibandakanyekile cishe kuyo yonke iminyakazo oyenzayo nomzimba wakho ophansi, kusukela ekuhambeni kuya ekushintsheni kwesisindo kusuka kolunye unyawo kuye kolunye. Ngaphansi kwemisipha kunesibindi se-sciatic. Le nzwa iphuma emgogodleni wakho ophansi yehle ngomhlane womlenze wakho iye ezinyaweni zakho.

Ukulimaza noma ukucasula imisipha ye-piriformis kungadala ukuphazamiseka kwemisipha.Imisipha nayo ingakhukhumala noma iqine kusuka kuma-spasms. Lokhu kufaka ingcindezi emsipheni ongaphansi kwayo, kubangele ubuhlungu.

Ukusetshenziswa ngokweqile kungadala ukuvuvukala noma kulimaze imisipha. Ukuphazamiseka kwemisipha kungavela ku:

• Ukuhlala isikhathi eside
• Ngokuzivocavoca ngokweqile
• Ukugijima, ukuhamba, noma ukwenza eminye imisebenzi ephindaphindwayo
• Ukudlala imidlalo
• Ukukhuphuka izitebhisi
• Ukuphakamisa izinto ezisindayo

Ukuhlukumezeka nakho kungadala ukucasuka kwemisipha nomonakalo. Lokhu kungabangelwa:

• Izingozi zezimoto
• Ukuwa
• Ukusonta ngokungazelelwe kwesinqe
• Amanxeba angena ngaphakathi

I-Sciatica uphawu oluyinhloko lwe-piriformis syndrome. Ezinye izimpawu zifaka:

• Ubumnene noma ubuhlungu obuzwelayo ezinqeni
• Ukushwabana noma ukuba ndikindiki ezinqeni nasemuva komlenze
• Kunzima ukuhlala
• Ubuhlungu bokuhlala obukhula kabi njengoba uqhubeka nokuhlala
• Ubuhlungu obuya buba bubi ngomsebenzi
• Izinhlungu zomzimba ezingezansi ezinzima kakhulu ziyakhubazeka

Ubuhlungu buvame ukuthinta uhlangothi olulodwa lomzimba ongezansi. Kepha kungenzeka ezinhlangothini zombili ngasikhathi sinye.

Umhlinzeki wakho wezokunakekelwa kwempilo uzo:

• Yenza ukuhlolwa komzimba
• Buza ngezimpawu zakho nangemisebenzi yakamuva
• Thatha umlando wakho wezokwelapha

Ngesikhathi sokuhlolwa, umhlinzeki wakho angakufaka ebangeni lokunyakaza. Iphuzu ukubona ukuthi ngabe zibangela ubuhlungu kuphi nokuthi kuphi.

Ezinye izinkinga zingadala i-sciatica. Isibonelo, i-disk esetshenzisiwe noma i-arthritis yomgogodla ingafaka ingcindezi kwi-nerve ye-sciatic. Ukukhipha ezinye izimbangela, ungahle ube ne-MRI noma i-CT scan.

Kwezinye izimo, ungahle ungadingi ukwelashwa. Umhlinzeki wakho angancoma amathiphu wokuzinakekela alandelayo ukusiza ukudambisa izinhlungu.

• Gwema imisebenzi edala izinhlungu, njengokuhamba ngebhayisikili noma ukugijima. Ungaqala kabusha le misebenzi ngemuva kokuphela kobuhlungu.
• Qiniseka ukuthi usebenzisa ifomu elifanele nemishini lapho wenza ezemidlalo noma eminye imisebenzi yomzimba.
• Sebenzisa imithi yezinhlungu efana ne-ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), noma i-acetaminophen (iTylenol) yezinhlungu.
• Zama iqhwa nokushisa. Sebenzisa iphakethe leqhwa imizuzu eyi-15 kuye kwengama-20 njalo emahoreni ambalwa. Songa iphakethe leqhwa ngethawula ukuvikela isikhumba sakho. Shintsha iphakethe elibandayo ngephedi yokushisa kusethingi ephansi. Ungasebenzisi iphedi yokushisa isikhathi esingaphezu kwemizuzu engama-20 ngesikhathi.
• Landela imiyalo yomhlinzeki wakho ngokwenza okulula okukhethekile. Ukwelula nokuzivocavoca kungakhululeka futhi kuqinise imisipha ye-piriformis.
• Sebenzisa ukuma okufanele lapho uhleli, umile noma ushayela. Hlala uqonde futhi unganqeni.

Umhlinzeki wakho angahle anikeze ukuphumula kwemisipha. Lokhu kuzokhulula izicubu zomzimba ukuze ukwazi ukuzivocavoca futhi uzelule. Ukujova kwemithi ye-steroid endaweni nakho kungasiza.

Ngobuhlungu obukhulu, umhlinzeki wakho angancoma i-electrotherapy efana ne-TENS. Le ndlela yokwelashwa isebenzisa ukugqugquzela kagesi ukunciphisa izinhlungu nokumisa ukuphazamiseka kwemisipha.

Njengesinqumo sokugcina, umhlinzeki wakho angancoma ukuhlinzwa ukuze usike imisipha futhi unciphise ingcindezi kwi-nerve.

Ukuvimbela ubuhlungu besikhathi esizayo:

• Vivinya umzimba njalo.
• Gwema ukugijima noma ukuzivocavoca emagqumeni noma ezindaweni ezingalingani.
• Fudumala futhi welule ngaphambi kokuzivocavoca. Bese ukhulisa kancane kancane ukuqina komsebenzi wakho.
• Uma okuthile kukuzwisa ubuhlungu, yeka ukukwenza. Ungaduduli ebuhlungwini. Phumula kuze kudlule ubuhlungu.
• Ungahlali noma ulale phansi isikhathi eside ezikhundleni ezifaka ingcindezi eyengeziwe okhalweni lwakho.

Shayela umhlinzeki wakho uma une:

• Ubuhlungu obuhlala isikhathi eside kunamasonto ambalwa
• Ubuhlungu obuqala ngemuva kokulimala engozini

Thola usizo lwezokwelapha ngokushesha uma:

• Unobuhlungu obukhulu ngokuzumayo emhlane noma emilenzeni yakho engezansi, kanye nobuthakathaka bemisipha noma ukuba ndikindiki
• Unobunzima bokulawula unyawo lwakho bese uzithola ukhubeka ngalo lapho uhamba
• Awukwazi ukulawula amathumbu akho noma isinye

I-Pseudosciatica; I-wallet sciatica; I-hip socket neuropathy; I-pelvic outlet syndrome; Ubuhlungu obuphansi emuva - i-piriformis

I-American Academy of Family Physicians iwebhusayithi. Isifo sePiriformis. familydoctor.org/condition/piriformis-syndrome. Kubuyekezwe u-Okthoba 10, 2018. Kufinyelelwe kuDisemba 10, 2018.

UHudgins TH, uWang R, u-Alleva JT. Isifo sePiriformis. Ku: Frontera WR, iSilver JK, uRizzo TD, ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 58.

UKhan D, uNelson A. Piriformis syndrome. Ku: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, ama-eds. Okubalulekile Kwemithi Yezinhlungu. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 67.

• ISciatica