Matenda a Piriformis

Matenda a Piriformis ndi kupweteka komanso kufooka m'matako mwanu ndikutsikira kumbuyo kwa mwendo wanu. Zimachitika pamene minofu ya piriformis m'matako imakanikizira mitsempha yambiri.

Matendawa, omwe amakhudza azimayi ambiri kuposa amuna, siachilendo. Koma zikachitika, zimatha kuyambitsa sciatica.

Minofu ya piriformis imakhudzidwa pafupifupi pafupifupi kusuntha kulikonse komwe mumapanga ndi thupi lanu lakumunsi, kuyambira pakuyenda mpaka kusintha kosunthika kuchokera kuphazi kupita ku linzake. Pansi pa minofu ndi mitsempha ya sciatic. Minyewa imeneyi imachokera kumsana wanu kutsika kumbuyo kwa mwendo wanu mpaka kuphazi lanu.

Kuvulala kapena kukwiyitsa minofu ya piriformis imatha kupangitsa kuti minofu ipasuke. Izi zimapanikiza mitsempha yomwe ili pansi pake, ndikupweteka.

Kugwiritsa ntchito mopitirira muyeso kumatha kutupa kapena kuvulaza minofu. Kutuluka kwa minofu kumatha kubwera kuchokera:

• Kukhala nthawi yayitali
• Pa kulimbitsa thupi
• Kuthamanga, kuyenda, kapena kuchita zinthu zina zobwerezabwereza
• Kuchita masewera
• Masitepe okwera
• Kukweza zinthu zolemera

Kupwetekedwa mtima kumathanso kukhumudwitsa minofu ndi kuwonongeka. Izi zitha kuyambitsidwa ndi:

• Ngozi zamagalimoto
• Kugwa
• Kupindika mwadzidzidzi m'chiuno
• Zilonda zolowera

Sciatica ndiye chizindikiro chachikulu cha matenda a piriformis. Zizindikiro zina ndizo:

• Wachikondi kapena wopweteka m'matako
• Kumata kapena dzanzi pakhosi komanso kumbuyo kwa mwendo
• Kuvuta kukhala
• Zowawa zakukhala zomwe zimakulirakulirabe pamene mukupitiliza kukhala
• Ululu womwe umakulirakulira ndi zochitika
• Kupweteka kwa thupi kochepa kwambiri komwe kumachepetsa

Kupweteka kumakhudza mbali imodzi yokha ya thupi. Koma zikhozanso kuchitika mbali zonse ziwiri nthawi imodzi.

Wothandizira zaumoyo wanu:

• Chitani mayeso
• Funsani za zomwe mukudwala komanso zomwe mwachita posachedwa
• Tengani mbiri yanu yazachipatala

Pakati pa mayeso, omwe amakupatsani akhoza kukuyendetsani mosiyanasiyana. Chowonadi ndi kuwona ngati ndi komwe kumabweretsa ululu.

Mavuto ena amatha kuyambitsa sciatica. Mwachitsanzo, kutaya kwa disk kapena nyamakazi ya msana kumatha kuyika mitsempha yambiri. Pofuna kudziwa zina zomwe zingayambitse, mutha kukhala ndi MRI kapena CT scan.

Nthawi zina, mwina simudzafunika chithandizo chamankhwala. Wopezayo angakulimbikitseni njira zodzisamalirira zotsatirazi zothandiza kuthetsa ululu.

• Pewani zinthu zomwe zimapweteka, monga kupalasa njinga kapena kuthamanga. Mutha kuyambiranso izi zitatha ululu.
• Onetsetsani kuti mukugwiritsa ntchito mawonekedwe ndi zida zoyenera pochita masewera kapena zochitika zina zakuthupi.
• Gwiritsani ntchito mankhwala opweteka monga ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), kapena acetaminophen (Tylenol) chifukwa cha ululu.
• Yesani ayezi ndi kutentha. Gwiritsani ntchito phukusi la ayisi kwa mphindi 15 mpaka 20 maola angapo. Lembani phukusi la ayezi mu thaulo kuti muteteze khungu lanu. Sakani paketi yozizira yokhala ndi pedi yotenthetsera m'malo otsika. Musagwiritse ntchito pedi yotenthetsera motalika kuposa mphindi 20 nthawi imodzi.
• Tsatirani malangizo a omwe akukuthandizani pakuchita zotambalala zapadera. Kutambasula ndi kuchita masewera olimbitsa thupi kumatha kupumula ndikulimbitsa minofu ya piriformis.
• Gwiritsani ntchito kaimidwe koyenera mukakhala pansi, kuimirira kapena kuyendetsa galimoto. Khalani molunjika ndipo osafooka.

Wothandizira anu akhoza kukupatsani mankhwala opumulira. Izi zipumitsa minofu kuti muthe kuchita masewera olimbitsa thupi ndikutambasula. Majekeseni a mankhwala a steroid m'derali amathanso kuthandizira.

Kuti mumve kuwawa kwambiri, omwe amakupatsirani akhoza kulangiza zamagetsi monga TENS. Mankhwalawa amagwiritsa ntchito mphamvu zamagetsi kuti achepetse kupweteka ndikuletsa kutuluka kwa minofu.

Pomaliza, omwe amakupatsani akhoza kulangiza opareshoni kuti achepetse minofu ndikuthana ndi kupsinjika kwa mitsempha.

Kupewa ululu wamtsogolo:

• Muzichita masewera olimbitsa thupi nthawi zonse.
• Pewani kuthamanga kapena kuchita masewera olimbitsa thupi pamapiri kapena malo osagwirizana.
• Konzekera ndi kutambasula musanachite masewera olimbitsa thupi. Kenako pang'onopang'ono khalani olimba pantchito yanu.
• Ngati chinachake chimakupweteketsani, lekani kuchichita. Osakankhira kupweteka. Pumulani mpaka ululu udutse.
• Osakhala kapena kugona kwa nthawi yayitali m'malo omwe amakupanikizani m'chiuno.

Itanani omwe akukuthandizani ngati muli ndi:

• Ululu womwe umatenga nthawi yayitali kuposa milungu ingapo
• Ululu womwe umayamba mutavulala pangozi

Pezani chithandizo chamankhwala mwachangu ngati:

• Muli ndi zowawa mwadzidzidzi kumsana kapena m'miyendo, komanso kufooka kwa minofu kapena kufooka
• Mumavutika kulamulira phazi lanu ndipo mumadzipeza mukupunthwa mukamayenda
• Simungathe kuyendetsa matumbo kapena chikhodzodzo

Pseudosciatica; Sciatica wallet; Matenda a m'chiuno; Matenda obwereketsa; Kupweteka kwakumbuyo - piriformis

Tsamba la American Academy of Family Physicians. Matenda a Piriformis. familydoctor.org/condition/piriformis-syndrome. Idasinthidwa pa Okutobala 10, 2018. Idapezeka pa Disembala 10, 2018.

Otsatira TH, Wang R, Alleva JT. Matenda a Piriformis. Mu: Frontera WR, Silver JK, Rizzo TD, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: chap 58.

Khan D, matenda a Nelson A. Piriformis. Mu: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, olemba. Zofunikira pa Mankhwala Opweteka. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 67.

• Sciatica