Piriformis maʻi maʻi

ʻO ka maʻi Piriformis ka ʻeha a me ka helu ʻole i kou mau puʻupuʻu a i ka hope o kou wāwae. Hana ia i ka wā e kaomi ai ka mākala piriformis i ka puʻupuʻu i ke aʻalolo sciatic.

ʻO ka maʻi maʻi, ka mea e hoʻopili i nā wahine ʻoi aku ka nui o nā kāne, ʻaʻohe maʻamau. Akā ke hiki mai ia, hiki iā ia ke kumu i ka sciatica.

Pili ka mākala piriformis i kēlā me kēia neʻe āu e hana ai me kou kino haʻahaʻa, mai ka hele ʻana i ka hoʻololi ʻana i ke kaumaha mai kekahi wāwae i kekahi. Ma lalo o ka mākala ka nerve sciatic. Holo kēia aʻalolo mai kou kua lalo i lalo o kou wāwae i kou wāwae.

ʻO ka hōʻeha a hoʻonāukiuki paha i ka mākala piriformis hiki ke hana i nā spasms muscle. Hiki ke pehu a hoʻopaʻa paha ka mākala mai nā spasms. Kau kaomi i ke aʻalolo ma lalo ona, e ʻeha ana.

Hiki i ka overuse ke kumu i ka pehu a ʻeha paha i ka mākala. Hiki mai nā spasms Muscle mai:

• Noho no nā wā lōʻihi
• Ma luna o ka hoʻoikaika kino
• Holo, holoholo, a i ʻole hana i nā hana hou hou aʻe
• Pāʻani pāʻani
• Piʻi piʻi piʻi piʻi
• Ke hāpai nei i nā mea kaumaha

Hiki i ka hōʻeha ke hoʻonāukiuki i ka mākala a me ka hōʻino. ʻO kēia paha ke kumu o:

• Nā ulia kaʻa
• Wailele
• Wili wili ʻana o ka uha
• Hoʻopili ʻeha

ʻO sciatica ka hōʻailona nui o ka piriformis syndrome. ʻO nā ʻōuli ʻē aʻe e like me:

• ʻO ka palupalu a i ʻole ʻeha dull i ka puʻu
• ʻO ka ʻūlū ʻana a i ʻole ka helu ʻana i ka puʻu a ma hope o ka wāwae
• Noho paʻakikī
• ʻO ka ʻeha mai ka noho ʻana e ulu ʻoi aʻe ka hewa i kou hoʻomau ʻana e noho
• ʻO kaʻeha eʻoi aku ana kaʻino me ka hana
• ʻEha ʻeha o ke kino lalo loa a lilo i ka hana ʻole

Hoʻopili pinepine ka ʻeha i hoʻokahi ʻaoʻao o ke kino haʻahaʻa. Akā hiki ke hana ʻia ma nā ʻaoʻao ʻelua i ka manawa like.

ʻO kāu mea mālama ola:

• Hana i kahi hōʻike kino
• E nīnau e pili ana i kāu mau hōʻailona a me nā hana hou
• Lawe i kāu mōʻaukala olakino

I ka wā o ka hoʻokolohua, hoʻokau paha kāu mea hāʻawi iā ʻoe ma waena o nā neʻe. ʻO ke kuhi ke ʻike inā a ma hea lākou e ʻeha ai.

Hiki i nā pilikia ʻē aʻe ke kumu i ka sciatica. ʻO kahi laʻana, hiki i kahi disipped slip a i ʻole ke kuamoʻo o ka iwi kuamoʻo ke hoʻokau i ke aʻalolo sciatic. No ka haʻalele ʻana i nā kumu kūpono ʻē aʻe, loaʻa iā ʻoe kahi MRI a i ʻole he scan CT.

I kekahi mau hihia, ʻaʻole pono ʻoe i ka lāʻau lapaʻau. E ʻōlelo paha kāu mea hāʻawi i nā ʻōlelo aʻoaʻo pilikino e hiki mai ana e kōkua ai i ka ʻeha.

• Hōʻalo i nā hana e hōʻeha ai i ka ʻeha, e like me ka holo kaʻa a holo paha. Hiki iā ʻoe ke hoʻomaka hou i kēia mau hana ma hope o ka hala ʻana o ka ʻeha.
• E hoʻohana pono i ke ʻano pono a me nā pono pono ke hana i nā haʻuki a i ʻole nā ​​hana hoʻoikaika kino.
• E hoʻohana i nā lāʻau ʻeha e like me ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), a i ʻole acetaminophen (Tylenol) no ka ʻeha.
• E hoʻāʻo i ka hau a me ka wela. E hoʻohana i kahi pahu hau no 15 a 20 mau minuke i kēlā me kēia mau hola. Hoʻopili i ka pahu hau i loko o ke kāwele e pale ai i kou ʻili. E kuapo i ke ʻeke anuanu me ka pale hoʻomehana ma kahi hoʻonoho haʻahaʻa. Mai hoʻohana i kahi pale pumehana ma mua o 20 mau minuke i ka manawa.
• E hāhai i nā ʻōkuhi a kāu mea hāʻawi no ka hana ʻana i nā kikoʻī kūikawā. Hiki i nā kikoo a me nā hoʻoikaika kino ke hoʻomaha a hoʻoikaika i ka mākala piriformis.
• E hoʻohana i ke kūlana kūpono ke noho, kū, a hoʻokele paha. Noho kū pololei a mai hāʻule ʻole.

Kauoha paha kāu mea hāʻawi i nā relant Muscle. E hoʻomaha kēia i ka mākala i hiki iā ʻoe ke hoʻoikaika a hoʻolōʻihi iā ia. Hiki ke kōkua i nā kuʻina o nā lāʻau steroid i loko o ka wahi.

No ka ʻehaʻeha ʻoi loa, hiki i kāu mea hāʻawi ke paipai i ka electrotherapy e like me TENS. Hoʻohana kēia hana i ka hoʻoulu uila e hoʻoliʻiliʻi i ka ʻeha a hoʻōki i nā spasms muscle.

Ma ke ʻano he koho hope loa, hiki i kāu mea hāʻawi ke ʻōlelo i ke ʻoki e ʻoki i ka mākala a hoʻomāmā i ke kaomi ma ke aʻalolo.

E pale aku ai i ka ʻeha e hiki mai ana:

• E kiʻi i ka hoʻoikaika kino maʻamau.
• Hōʻalo i ka holo a hana ʻana paha ma luna o nā puʻu a i ʻole nā ​​pae kaulike.
• Mahana a hoʻolōʻihi ma mua o ka hoʻoikaika kino. A laila e hoʻonui mālie i ka ikaika o kāu hana.
• Inā hōʻeha kekahi mea iā ʻoe, e oki ka hana ʻana. Mai hoʻokau i ka ʻeha. Hoʻomaha a hala ka ʻeha.
• Mai noho a moe i lalo no nā wā lōʻihi i nā kūlana e kau i ke kaomi hou i kou pūhaka.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻOi aku ka ʻeha ma mua o kekahi mau pule
• ʻO ka ʻeha e hoʻomaka ma hope o kou hōʻeha ʻia i kahi ulia

E kiʻi koke i ke kōkua lapaʻau inā:

• He ʻehaʻeha koʻikoʻi kou i kou kua i lalo a i ʻole nā ​​wāwae, me ka nāwaliwali o nā mākala a me ka helu
• He paʻakikī ʻoe e kaohi i kou wāwae a ʻike iā ʻoe iho e heʻe ana iā ia ke hele ʻoe
• ʻAʻole hiki iā ʻoe ke kaohi i kou ʻōpū a i ʻole ka wai paʻa

Pseudosciatica; Wallit sciatica; Neuropathy kumu Hip; Pelvic outlet syndrome; Paʻi kua haʻahaʻa - piriformis

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. Piriformis maʻi maʻi. ʻohanadoctor.org/condition/piriformis-syndrome. Hoʻohou ʻia ʻOkakopa 10, 2018. Loaʻa iā Kēkēmapa 10, 2018.

ʻO Hudgins TH, Wang R, Alleva JT. Piriformis maʻi maʻi. I: Frontera WR, Silver JK, Rizzo TD, huaʻi. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 58.

ʻO Khan D, ʻo Nelson A. Piriformis maʻi. I: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Nā mea nui o ka lāʻau lapaʻau ʻeha. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 67.

• ʻO Sciatica