Chii chinopesana pakati pe piriformis syndrome ne sciatica?

Syndrome ye piriformis ne sciatica zvinogona kusanganiswa nekuti zvine zviratidzo zvakafanana uye zvose zvinokanganisa musana wepasi nemakumbo. Zvakakosha kunzwisisa mamiriro ega ega, sezvo aine zvikonzero zvakasiyana zvinoita kuti pave nekurapwa kwakasiyana. Syndrome ye piriformis inoitika apo tsandanyama ye piriformis iri mumabvi inomanikidza kana kukuvadza tsinga ye sciatic. Sciatica izwi rakafara rinoreva kurwadziwa kunofamba munzira yetsinga ye sciatic. Kurwadziwa uku kunogona kukonzerwa nekunetseka kana kukuvadzwa pakuwanda kwakasiyana-siyana mumusana wepasi.
Kuziva kuti syndrome ye piriformis ne sciatica zvakasiyana sei zvinogona kukanganisa zvikuru maitiro aunorapwa nawo uye unodzoka. Kunyange zvazvo mamiriro maviri anogona kukonzera kurwadziwa kwakafanana mumusana wepasi nemakumbo, ane matambudziko akasiyana-siyana. Kunzwisisa uku kunogona kuva kwakakosha pakutsvaka rubatsiro rwekurapa, sezvo kuongororwa kwakakwana kwakakosha zvikuru.
Kana uchifunga kuti ungave une mamiriro api neapi, kuziva bvunzo dzakakodzera kutora ndiko kunokosha. Kuziva zviratidzo zvakakosha kunogona kukubatsira kutarisira mamiriro acho nenzira iri nani. Mamiriro ega ega anoda nzira dzakasiyana dzekuwana zororo, saka zvakakosha kuwana kuongororwa kwakakwana.

Kunzwisisa Anatomy neZvikonzero

Syndrome ye piriformis ne sciatica zvose zvinokonzera kurwadziwa mumusana wepasi, mabvi, nemakumbo, asi zvine zvikonzero zvakasiyana nekurapwa. Kunzwisisa musiyano wavo kunogona kubatsira pakuongororwa kwakakwana nekutarisirwa.

Zvikonzero

• Syndrome ye Piriformis – Inokonzerwa netsandanyama ye piriformis inokuvadza kana kumanikidza tsinga ye sciatic.

• Sciatica – Inokonzerwa nekumanikidzwa kwetsinga nekuda kwediski yakaputsika, spinal stenosis, kana mapfupa akasimba.

Zviratidzo: Maitiro ekutsanangura Musiyano pakati peZviviri

Syndrome ye piriformis ne sciatica zvine zviratidzo zvakafanana, asi kunzwisisa nuances yega yega kunogona kubatsira kutsanangura zviviri. Pazasi pane nzira dzakakosha dzekuziva nekutsanangura zviratidzo zvemamiriro ega ega.

Zviratidzo Zvakakosha zveSyndrome ye Piriformis

1. Nzvimbo yeKurwadziwa – Kurwadziwa kunonzwikwa kunyanya mumabvi uye dzimwe nguva kunopararira kuenda kukumashure kwehudyu.

2. Mhando yeKurwadziwa – Kurwadziwa kunowanzova kunzwa kwakadzika, kunorwadza, kazhinji kuri kuipa mushure mekugara kwenguva refu kana kuita zvemuviri.

3. Mabasa Anonzwa – Kurwadziwa kunogona kunzwa nemabasa akadai sekukwira matanho, kugara kwenguva refu, kana kumhanya.

4. Kunyorova neKutonhora – Zvisingawanzoitika asi zvinogona kunzwa mumabvi uye dzimwe nguva muhudyu.

5. Zororo nekutambanudza – Kutambanudza tsandanyama ye piriformis kana kurara pasi kunogona kubatsira kuderedza zviratidzo.

Zviratidzo Zvakakosha zveSciatica

1. Nzvimbo yeKurwadziwa – Kurwadziwa kazhinji kunopararira kubva kumusana wepasi kuenda kumabvi, hudyu, nehudyu. Kunogona kutowedzera kusvika pagumbo.

2. Mhando yeKurwadziwa – Sciatica inokonzera kurwadziwa kwakapinza, kunopfuura, dzimwe nguva kunorondedzerwa sekuvhunduka kwemagetsi.

3. Mabasa Anonzwa – Zviratidzo kazhinji zvinonzwa nemabasa akadai sekubendera, kukwidza, kana kugara kwenguva refu.

4. Kunyorova neKutonhora – Zvakajairika muhudyu kana pagumbo, kazhinji zvichienderana nesimba.

5. Hapana Zororo nekutambanudza – Sciatica inogona kusavandudza nekutambanudza uye inogona kuipa nezviito zvakakosha.

Kuongororwa neNzira dzebvunzo

Kuongororwa kwakakwana kwakakosha pakutsanangura kana zviratidzo zviri nekuda kwe syndrome ye piriformis kana sciatica. Vanachiremba vanowanzoshandisa musanganiswa wenhoroondo yemurwere, bvunzo dzemuviri, uye mifananidzo yekutsanangura pakati pemamiriro maviri.

Kuongorora Syndrome ye Piriformis

1. Bvunzo yeMuviri – Chiremba achaongorora huwandu hwekufamba, zvinokonzera kurwadziwa, uye simba retsandanyama. Bvunzo dzakakosha senge bvunzo yeFAIR (Flexion, Adduction, neInternal Rotation) dzinogona kubatsira kukonzera zviratidzo zve syndrome ye piriformis.

2. Palpation – Kuisa kumanikidza patsandanyama yepiriformis kunogona kuita kuti kurwadziwa kuoneke, kunyanya mumabvi.

3. Mifananidzo – MRI kana CT scans kazhinji anoshandiswa kubvisa mamwe mamiriro, asi syndrome ye piriformis kazhinji inoonongororwa zvichienderana nezviratidzo zvemuviri.

Kuongorora Sciatica

1. Bvunzo yeMuviri – Chiremba achaongorora kumanikidzwa kwetsinga kuburikidza nebvunzo senge Straight Leg Raise (SLR), iyo inokonzera kurwadziwa munzira yetsinga ye sciatic.

2. Kuongororwa kweNeurological – Bvunzo dzeReflex, simba retsandanyama, uye kuongororwa kwekunzwa kuziva kubatanidzwa kwetsinga muhudyu.

3. Mifananidzo – MRI kana CT scan kazhinji inoshandiswa kuona zvikonzero zve sciatica, senge disk yakaputsika, spinal stenosis, kana mapfupa akasimba.

Pfupiso

Syndrome ye piriformis ne sciatica zvinoda nzira dzakasiyana dzekuongorora. Kune syndrome ye piriformis, bvunzo yemuviri inotarisa simba retsandanyama, huwandu hwekufamba, uye bvunzo dzakakosha senge bvunzo yeFAIR inobatsira kuziva zviratidzo. Mifananidzo (MRI kana CT scans) inogona kushandiswa kubvisa zvimwe zvikonzero, asi kuongororwa kunonyanya kuenderana nezviwanikwa zvemuviri.

Zvakapesana, kuongorora sciatica kunosanganisira kuongorora kumanikidzwa kwetsinga kuburikidza nebvunzo senge Straight Leg Raise uye kuongorora reflexes, simba retsandanyama, uye kunzwa. Mifananidzo (MRI kana CT scan) ine basa rakakosha mukuona zvikonzero zvakavanzika senge madiski akaputsika kana spinal stenosis. Mamiriro maviri anogona kuda bvunzo dzimwe, senge electromyography (EMG), kana zviratidzo zvichinzwa.

Kuongororwa kwakakwana kwakakosha pakutsanangura kurapwa kwakakodzera, kungave kuburikidza ne physiotherapy, mishonga, kana kuvhiya.