ʻO ka ʻeha ma ka gluteus medius i kapa ʻia ʻo pseudo-sciatica, ke kumu o keia gluteus medius ʻeha ʻO ka hapa nui o ka manawa he hopohopo a pili pū me ka lumbar spine.
ʻO ia ke kumu o ka sciatica a me ka gluteus medius pili loa lakou, ʻoiai ʻo ka mumū o ke aʻalolo e hoʻoulu ai i ka ʻeha nui ma ka ʻāʻī e ʻā ana i ke kua o ka wāwae hema..
Ma ka liʻiliʻi hoʻokahi 20% o na ma'i e hoike mai ana i ka oihana pilikia no a ʻeha hope haʻahaʻa pili i ka gluteal.
E ʻike i nā kumu i loaʻa ai ʻā o ka gluteus medius a i ʻole ke aʻalolo sciatic e ʻā ana, ʻO ia ke kumuhana o nā loea i ka traumatology a i ʻole nā ʻeha spinal.
Hiki i nā ʻeha lumbar ʻokoʻa ke hoʻoulu i ka ʻeha e like me sciatica a me ka gluteus medius, Ma kēia 'atikala e wehewehe mākou i kekahi mau 'eha a me nā kumu o kēia 'eha ke kumu no ke kūkākūkā 'ana, no ka eha nui ana.
E papa inoa pū mākou i kekahi mau lāʻau lapaʻau i hoʻohana ʻia i kēia manawa e hoʻomaha i ka ʻeha gluteus medius.
Papa kuhikuhi
He aha nā kumu o ka ʻeha?
ʻO kekahi ʻeha haʻahaʻa a i ʻole nā pilikia i loaʻa mua e hiki ke hōʻeha nui i kēia ʻiʻo o ke kino., Akā ʻo nā kumu nui o ka ʻeha gluteus medius:
- ʻO ke kumu nui o ka ʻeha gluteal he hōʻeha i ka spine lumbar e pili ana i nā aʻalolo pili a hiki ke hoʻomālamalama i ka ʻāʻī..
- Hiki i ka ʻeha a i ʻole ka pā ʻana ke hōʻeha i ka lumbar e alakaʻi i kēia maʻi ʻeha.
- Nā disc herniated: ʻo ia ke kumu o ka ʻeha puʻupuʻu, ʻO kekahi poʻe me kēia maʻi e loaʻa i ka puʻuwai aʻalolo ma ka lumbar a i ʻole ka sacral vertebrae, e lele ana i ka puʻu a me nā wāwae i kekahi manawa, ʻo ka gluteus medius wale nō.
- Nā hemahema orthopedic: pehea ka lōʻihi o ka wāwae o kekahi wāwae i kēia ʻeha, he nui na manawa.
- He ʻoki ʻiʻo: hiki ke hōʻeha i kēia ʻiʻo ma muli o kahi ʻeha mua a i ʻole ka neʻe koke ʻana i ka wā e pāʻani ana i nā haʻuki.
Hana ʻia ka hōʻailona o ka maʻi gluteus medius ma o ka nānā ʻana o ke kiʻi. Hoʻopili pū ʻia me nā MRI a me nā kiʻi o ka wahi lumbar i hoʻopilikia ʻia.
Lapaʻau no ka ʻeha gluteus medius
Ke loaʻa iā ʻoe ka hōʻailona hiki iā ʻoe ke kūkākūkā me kāu kauka lapaʻau, nā koho lapaʻau, Ma keia mea, he nui na manao a me na manao. Pono ʻoe e loiloi i nā koho āpau e kōkua i ka hoʻomaha ʻana i ka ʻeha.
Hiki ke hoʻohui ʻia nā lāʻau lapaʻau, i ka wa mua o a lapaʻau no ka ʻeha gluteus medius ka hoʻoponopono hou ʻia ʻana o:
- Lomi ʻeha
- Proprioception
- Hoʻopaʻa wāwae
- Nā hoʻoikaika kino
- Hoʻohana el tens
Inā ʻaʻole e emi a nalowale ka ʻeha, hiki ke hoʻohana i nā lāʻau lapaʻau hou aku, no ka laʻana lumbar a kūloko infiltrations.
Me ka hoʻohana ʻana i nā corticosteroids e nā ala venous, ma 60% o nā hihia a me kēia mau lāʻau lapaʻau, conservative a invasive, hoʻomaikaʻi ke kanaka i ke kūlana a ʻaʻohe ʻeha no kekahi mau mahina, mea iki loa 6 O 7 mahina.
I kēia manawa, aia nō ka mālama ʻana i ka platelet cell-based treatment , kapa ʻia hoʻi ka lāʻau ulu ulu, ka mea e hiki ai ke hoʻohaʻahaʻa loa i ka ʻeha lumbar i loaʻa i loko o kēia ʻiʻo.
ʻO ka hope loa, ʻO ka ulu ʻana o ka ʻeha a i ʻole kona hoʻomaikaʻi ʻana ʻo ia ka hōʻailona maikaʻi loa a ua maikaʻi nā lāʻau lapaʻau, no ka mea, ʻaʻole hoʻohana ʻia ka ʻoki ʻana i kēia mau hihia