The tsokar piriformis (PM) sananne ne a cikin magani azaman tsoka mai mahimmanci na hip na baya. Wata tsoka ce da ke da rawar da take takawa wajen sarrafa jujjuyawar hadin gwiwa da kuma sacewa, haka nan tsoka ce da ta shahara saboda jujjuya aikinta. PM kuma ya ba da hankali saboda rawar da yake takawa a cikin ciwo na piriformis, yanayin da ke tattare da shi azaman tushen jin zafi da rashin aiki.
Za'a iya bayyana ciwo na piriformis a matsayin yanayin kiwon lafiya wanda ƙwayar piriformis, wanda ke cikin yankin buttock, spasms kuma yana haifar da ciwon gindi. Sciatic Nerve na iya zama fushi ta hanyar hulɗar tsakanin SN da PM suna haifar da ciwon hip na baya a cikin cinya na baya, suna kwaikwayon 'sciatica'.
Gunaguni na ciwon buttock tare da nuna alamun bayyanar cututtuka ba su da mahimmanci ga Muscle Piriformis. Alamun sun yaɗu tare da ƙarin bayyanar cututtuka na ciwon baya. An nuna cewa ciwon piriformis yana da alhakin 5-6 bisa dari na lokuta na sciatica. A mafi yawan lokuta, yana faruwa a cikin mutane masu matsakaicin shekaru kuma ya fi yawa a cikin mata.
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Anatomy: piriformis
PM ya samo asali ne daga saman gaban sacrum kuma an haɗa shi da haɗe-haɗe na jiki guda uku tsakanin na farko, na biyu, na uku da na huɗu na gaban sacral foramina. Lokaci-lokaci asalinsa na iya zama mai faɗi sosai har ya haɗu da capsule na haɗin gwiwa na sacroiliac a sama kuma tare da sacrotuberous da / ko sacrospinous ligament a ƙasa.
PM wani tsoka ne mai kauri kuma mai girma, kuma yayin da yake fita daga ƙashin ƙugu ta cikin mafi girma sciatic foramen, ya raba masu zuwa cikin suprapiriform da infra-piriform foramina. Yayin da yake yin karatun gaba da gaba ta mafi girma na sciatic foramen, yana fitar da wata igiya wacce ke manne da saman tsaka-tsakin tsaka-tsakin mafi girma, yawanci yana haɗuwa tare da gama gari na obturator internus da tsokoki na Gemelli.
Jijiya da jini a cikin suprapiriform foramen su ne mafi girma gluteal jijiya da tasoshin, kuma a cikin infra-piriform fossa akwai ƙananan jijiyoyi na gluteal da tasoshin da jijiyar sciatic (SN). Saboda girman girmansa a cikin mafi girma sciatic foramen, yana da damar damfara tasoshin ruwa da jijiyoyi masu yawa waɗanda ke fita daga ƙashin ƙugu.
PM yana da alaƙa ta kut-da-kut da sauran gajerun masu jujjuyawar hips waɗanda ke ƙasa da ƙasa kamar gemellus mafi girma, obturator internus, gemellus na baya, da obturator externus. Bambanci na farko tsakanin PM da sauran gajerun masu juyawa shine dangantaka da SN. PM yana wucewa ta baya zuwa jijiya yayin da sauran obturator ke wucewa ta gaba.
Dalili: Ciwon piriformis
Ciwon Piriformis na iya haifar da shi ko kuma yana da alaƙa da dalilai guda uku na farko;
1. Tsuntsaye da gajarta zaruruwan tsoka da aka yi amfani da su ta hanyar wuce gona da iri irin su squat da huhu motsi a cikin juyawa na waje, ko rauni kai tsaye. Wannan yana ƙara girth na PM yayin ƙaddamarwa, kuma yana iya zama tushen matsi / tarko.
2. Shigar jijiya.
3.Sacroiliac Joint Dysfunction (SI Joint Pain) yana haifar da ciwon PM.
Alamun: Ciwon Piriformis
Alamun alamun cututtukan piriformis sun haɗa da:
- Wani matsi ko maƙarƙashiya a gindi da/ko hamstring.
- Gluteal zafi.
- Ciwon maraƙi.
- Tsananin zama da tsuguno, musamman idan gangar jikin ta karkata a gaba ko kuma an haye kafa a kan ƙafar da ba ta shafa ba.
- Matsaloli masu yiwuwa alamun jijiya na gefe kamar zafi da paraesthesia a baya, makwancin gwaiwa, gindi, perineum, bayan cinya.
Jiyya: Ciwon piriformis
Lokacin da aka yarda cewa cuta na piriformis akwai kuma likitan yana jin cewa an sami ganewar asali, magani yawanci zai dogara ne akan abin da ake zargi. Idan PM yana da wuya kuma a cikin spasm to da farko magani mai ra'ayin mazan jiya zai mayar da hankali kan shimfiɗawa da kuma yin amfani da tsoka mai mahimmanci don cire PM a matsayin tushen ciwo.
Idan wannan ya gaza, to an ba da shawarar masu zuwa:
- Toshe maganin sa barci na cikin gida da likitocin anesthesiologists waɗanda ke da ƙwarewa a cikin kula da ciwo suka yi.
- Allurar steroid a cikin PM.
- Allurar Botulinum a cikin PM.
- Tiyatar Jijiya.
Abubuwan da aka ba da umarni masu ilimin hanyoyin kwantar da hankali kamar shimfiɗa PM da tausa kai tsaye ana ba da shawarar koyaushe. PM yana shimfiɗawa a cikin matsayi na jujjuyawar hip fiye da digiri na 90, ƙaddamarwa, da juyawa na waje don amfani da jujjuyawar tasirin aikin PM don ware shimfiɗa zuwa wannan tsoka mai zaman kanta daga sauran masu juyawa na waje na hip.
Kammalawa: Ciwon piriformis
The tsokar piriformis tsoka ne mai ƙarfi da ƙarfi da gaske wanda ke gudana daga sacrum zuwa cikin femur. Yana gudana ƙarƙashin tsokoki na gluteal jijiyoyi suna tafiya ƙarƙashinsu. Idan wannan tsoka ta shiga spasm, to jijiyar tana haifar da raɗaɗi mai raɗaɗi, raɗaɗi, tingling, ko ƙonewa daga gindi zuwa ƙafa da ƙafa. Sauran mutane suna ci gaba da ciwo yayin da suke fama da ƙananan ciwon baya.
Ayyuka da motsin da ke haifar da tsokar piriformis don yin kwangilar kara damfara jijiyar sciatic, haifar da ciwo. Wannan tsoka tana yin kwangila da zarar mun tsugunna, ko tsayawa, tafiya, hawa matakai. Yana kula da ƙarfafawa lokacin da muka zauna a kowane wuri fiye da minti 20 zuwa 30.
Mutanen da ke da tarihin ciwon ciwon baya na yau da kullum suna ɗauka cewa radiating ciwon sciatic yana iya gano su zuwa ƙananan kashin baya. Tarihin su na faifan diski, ko sprains, damuwa sun koya musu cewa zai tafi kamar al'ada kuma cewa zafi ya fita daga kashin baya. Kawai lokacin da zafin bai amsa kamar yadda aka saba ba mutane suna neman magani, don haka jinkirta murmurewa.
Sciatica Pain
Bayanin nan akan "Jiyya na Piriformis"Ba a yi niyya don maye gurbin dangantaka daya-daya tare da ƙwararren ƙwararren kiwon lafiya ko likita mai lasisi ba kuma ba shawara ba ne na likita. Muna ƙarfafa ku don yin shawarwarin kiwon lafiya bisa ga bincikenku da haɗin gwiwa tare da ƙwararren ƙwararren kiwon lafiya.
Bayanin Blog & Tattaunawar Tattaunawa
Iyalin bayanin mu yana iyakance ga Chiropractic, musculoskeletal, magungunan jiki, lafiya, bayar da gudummawar etiological viscerosomatic tashin hankali a cikin gabatarwar asibiti, haɗin gwiwa na somatovisceral reflex na ƙwanƙwasa na asibiti, rukunin subluxation, batutuwan kiwon lafiya masu mahimmanci, da / ko labaran aikin likitanci, batutuwa, da tattaunawa.
Mun bayar da kuma gabatar haɗin gwiwar asibiti tare da kwararru daga fannoni daban-daban. Kowane ƙwararrun ana sarrafa su ta hanyar ƙwararrun aikinsu da ikonsu na lasisi. Muna amfani da ka'idojin lafiya na aiki & lafiya don jiyya da tallafawa kulawa ga raunin da ya faru ko rashin lafiyar tsarin musculoskeletal.
Bidiyoyin mu, abubuwan da muke aikawa, batutuwa, batutuwa, da kuma fahimtar juna sun shafi batutuwan asibiti, batutuwa, da batutuwan da suka shafi kai tsaye ko a kaikaice suna tallafawa aikin aikin mu na asibiti.*
Ofishin mu ya yi ƙoƙari a haƙiƙa don ba da shawarwari masu goyan baya kuma ya gano binciken binciken da ya dace ko nazarin da ke tallafawa posts ɗinmu. Muna ba da kofe na tallafin karatun bincike da ake da su ga kwamitocin tsarawa da jama'a kan buƙata.
Mun fahimci cewa muna rufe al'amuran da ke buƙatar ƙarin bayani game da yadda za ta taimaka a cikin wani shirin kulawa na musamman ko yarjejeniya ta magani; saboda haka, don ƙarin tattauna batun da ke sama, da fatan za a yi tambaya kyauta Dokta Alex Jimenez, DC, Ko tuntube mu a 915-850-0900.
Munzo ne domin taimaka muku da danginku.
Albarkar
Dr. Alex Jimenez - DC, Msacp, RN*, CCST, Farashin IFMCP*, Farashin CIFM*, atn*
email: kocin@elpasofunctionalmedicine.com
An ba da lasisi a matsayin Doctor na Chiropractic (DC) in Texas & New Mexico*
Lasisi Texas DC # TX5807, New Mexico DC Lasisi # Saukewa: NM-DC2182
An ba da lasisi a matsayin Nurse mai rijista (RN*) in Florida
Lasisin RN na Florida # RN9617241 (Control No. 3558029)
Karamin Matsayi: Lasisi mai yawan Jiha: An ba da izini don Kwarewa a ciki Ƙasar 40*
Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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