Coccygodynia
Ubuhlungu be-Tailbone, ubuchwepheshe obubizwa ngokuba yi-coccygodynia, ayikho ipikiniki elunxwemeni.
I-Coccygodynia inokubangelwa kukuwa okanye enye intlungu engxenyeni engaphantsi komqolo wakho. Ingozi enjalo inokuphazamisa i-periosteum (izicubu ezinxibelelwano ezijikeleze ithambo), ezibangela intlungu. Ukuphosa kumsila umzimba ungaphinda uchithe ithambo, ulilahle (kwi-joint sacroccygeal, leyo yindawo apho i-coccyx kunye ne-sacrum behlangene,) okanye zombini.
Kungakhathaliseki ukuba yintoni isiphumo soxinzelelo, ukukhulula intlungu yomsila onobungozi kudla nzima.
Enyanisweni, kuba uhleli-umsebenzi oqingqiweyo kuthi uninzi lwethu, kunye nefuthe elichaphazela ngqo i-coccyx - lingaxhamla kakhulu xa une-coccygodynia, le meko iyaziwayo ngokuphazamisa umgangatho wobomi.
Ezihlobene: Coccyx kunye neSigrum
Izizathu
Ngelixa ixesha elininzi le-coccygodynia liphumela kuhlobo oluthile loxinzelelo kwi-bone msila, kukho ezinye izizathu, ngokunjalo.
Iingxaki ngesifo sakho se-coccyx esinokubangela ukuba i-coccygodynia ingabandakanya ukulimala (kubandakanywa kodwa kungagqithwanga ukuwa, njengoko kuchazwe ngasentla), ukuguqulwa kwe-disc kwi-Sacrococcygeal yakho (kuchazwe ngasentla) kunye / okanye i-intercoccygeal joints (amaqumrhu phakathi kweengcezu ezincinci zethambo ezibandakanya i-coccyx), ithambo lihlamba kwi-coccyx (ebizwa ngokuba yi-coccygeal spicule), ukusuleleka kwithambo (ebizwa ngokuba yi-osteomyelitis) okanye i-tumor kwithambo.
Enye imbangela ye coccygodynia (kumama) yintlungu yokuzalwa kwesisu.
I-Coccygodynia ingakhokelela ekubeni intlungu ebhekiswe kuyo , oko kukuthi ubuhlungu buvela kwizitho apho kukho ukuphazamiseka. Imizekelo ingabandakanya izimo okanye iingxaki kwi-colon sigmoid, inkqubo ye-urrogenital kunye / okanye i-rectum.
Akunjalo nje, intlungu emsila wesinye isinye isinye ilandelwa kwiingxaki ezenzekayo, kwiindawo ezisondeleyo.
Imizekelo ibandakanya: Iingxaki kwi-lumbosacral endaweni yomgudu wakho, i-sacrum kunye ne- sacroiliac imiba edibeneyo , i-piriformis syndrome, izifo zeengcambu ze-pelvic, i-hemorrhoids, kunye nokunye.
Ezihlobene: I- Piriformis Syndrome
Ekugqibeleni, i-coccygodynia yakho mhlawumbi ibe yimeko "yezizathu ezingaziwa." Kuhlolisiso lwezifundo ezinesihloko esithi "I-Coccygodynia: i-etiology, i-pathogenesis, iimpawu zeklinikhi, ukuxilongwa kunye neyeza," epapashwe kwiphepha le-Jan-Feb 2012 lejenje yezobuCroatia uLijec Vjesn , umbhali uGrogć uthi 30% ye-coccygodynia idiopathic; ngamanye amagama, isizathu sokuba intlungu yethambo yomsila ayifumaneki.
Umsila weTystmobile Bone
Ngaloo nto yathi, ukungahambi kakuhle kwe-coccyx (ukuxhatshaza kubhekiselele ekuthambekeni kwethambo ukuxhomekeka) yinto eqhelekileyo yokufumana unyango olunxulumene nomsila weethambo. I-Grgić ithi i-70% yezigulane ezine-coccygodynia zibonise iimpawu zokuhamba ngokuthe gqithwa kweli thambo xa kuthathwa i-X-rays enamandla.
Kanye nokulimala (njengoko kuchazwe ngasentla), ukukhulula i-coccyx ngexesha lokunyakaza kunye nokuba kusekudala kungabangela i-coccyx (hypermobile (and painful). ImiSebenzi kunye neendawo zokuba ziyakunceda ukuba ukhulule i-coccyx yakho zibandakanya ukugqithisa kwaye / okanye ukuhlala ixesha elide (ukukhwelisa ngokugqithiseleyo), kunye nebhayisikili, ukukhwela okanye ukugibela.
Ngophando lwayo lwango-2014 olupapashwe kwi- Ochsner Journal , abaphandi bathi ukunyameka nokuba ngowesifazana kubangelwa yimiba emibini yengozi yeentlungu.
Iimpawu zeCoccygodynia
Iimpawu ze-coccygodynia ziquka ukungathandeki kunye nentlungu kwisiseko sakho sempeni (yilapho ithambo le-coccyx likhona). Ikwaquka kwakhona intlungu kwi-back your back and / or hips. Unokufumana ufumene intlungu yokudubula phantsi kwemilenze yakho, nayo.
Ubungakanani beCoccygodynia buhluka ukusuka kumntu ukuya kumntu. Ubunzima bobuhlungu bakho be-coccygodynia bunokuba bunzima ngaphezu kwexesha.
Njengoko ndikhankanywe ngaphambili, i-coccygodynia inokuphazamisa impilo yakho. Ingonakalisa ubuthongo obuhle kwaye uphazamise ukukwazi ukwenza imisebenzi apho kuhlala khona kunye / okanye ukugoba kuyimfuneko.
Inokukwenza ukuba unakekele imisebenzi yomzimba ngokukhawuleza.
Oku kuthetha ukuba izinto ozenzayo ngokuqhelekileyo-kwaye mhlawumbi uthatha ngokungenakuqhathaniswa-njengokusebenza kwikhompyutheni yakho okanye ukuqhuba umbane kunokuba buhlungu kakhulu. Inyaniso kukuba xa ubeka isisindo kwisithambo sakho se-coccyx, nangona umgangatho ongaphantsi kwakho ngumsila osilekileyo okanye usihlalo, intlungu yakho iya kwanda. Unokufumana ukuba ukunyuka ukusuka kwindawo ehleliyo kunzima.
Ukuxilongwa
Oogqirha ngokuqhelekileyo baxilonga i-coccygodynia ngokuthatha imbali yonyango, ukwenza uvavanyo lomzimba (olubandakanya ukutsalwa kwendawo) kunye nokuthatha i-x-rays eqhelekileyo. Inokwenzeka ukuba, ugqirha uya kukucela ukuba uhlale kunye / okanye ukwenza ibhayisikili, uzame ukuvelisa intlungu kunye neempawu zakho.
Idibeneyo: Qhagamshelana neziganeko zakho kwiDokotela wakho
Ukuxilongwa kwe-coccygodynia kudla ngokuqinisekiswa kwindlela yokujola. Kule meko, i- anesthetic yendawo ijojowe kwindawo ethile okanye kwindawo kwindawo yesithambiso somsila apho, ngokusekelwe kulokho utshoyo malunga neempawu zakho kunye neziphumo zokuhlolwa kwakho ngokomzimba, kunye nemijelo ye-x kwaye mhlawumbi i-MRI (jonga ngezantsi ukuze uthole ulwazi oluninzi), ugqirha wakho uyakrokra ukuba intlungu ivela.
Uphando nge-MRIs
Uninzi lwexesha i-MRI ayisetyenziswanga kwinkqubo yokuxilongwa. Kodwa ngo-2012, abaphandi baseFransi bafumanisa ukuba i-MRIs inokunika iinkcukacha ezingasetyenziselwa ukucacisa imbangela yomsila onobunzima. Uphononongo lwabo lubonakalise ukuba xa iimeko ezinxulumene nokuhamba kwe-coccyx yaziwa, i-MRI inganceda ukuphinda upende umfanekiso wezinto ezenzekayo. Ngokomzekelo, kwiphononongo, kuma-172 amatyala ahlolwayo, i-105 ibonise i-coccyx yeselula. Kule, ininzi ibonisa iidiski ezingavamile; Kwizigulane ezingama-67 ezinesigxina (immobile) coccyx, iimpawu ezingavumelekanga zifunyenwe kwicandelo elingaphantsi lesithambo, elibizwa ngokuba yinto.
Unyango kunye noNcedo lwezinhlungu
Akukuso konke kulula ukufumana intlungu ye-coccygodynia.
Njengoko uninzi lweengxaki zentlambo, unyango luhlukaniswe zibe ziintlobo ezimbini eziphambili: Ukugcinwa kwemvelo (engekho intsha) kunye nokugqitywa (okubizwa ngokuba yi-invasive). Utyando lomsila weethambo lubizwa ngokuba yi-coccygetectomy. Ingaba yinxalenye okanye isuswe ngokupheleleyo somsila; lo msebenzi uvame ukugcinwa ngamaxesha xa zonke izinto ziye zahlolwa ngaphandle kwempumelelo. Ngokuqhelekileyo, iziphumo zivame ukuba zilingane, kwaye ngokuhlinzwa, ubeka ingozi yokufumana iingxaki.
Unyango olulondolozayo lwentlungu yesisa luquka ukuphumla, amayeza, njengama- NSAID (ingakumbi ekuqaleni), ehleli emkhombeni kunye nomgodi owenziwe phakathi (ngokudla ngokukhawuleza kubizwa ngokuba yi "whoopie cushion"), unyango lwe-acupuncture kunye nonyango. Xa usesisigxina esingasigxina sokulimala, unyango lwamayeza lungafaka izandla kwiindlela zokunyusa ukuguquguquka komgangatho weplavic - ngokukodwa i-levator ani muscle, leyo leyo iyakwazi ukukhulula ithambo le-coccyx ukuba iqinile.
Abaphandi abakhankanywe ngasentla abaye bapapashwa ngo-2014 kwi- Ochsner Journal bathi indlela eyahlukeneyo yokwenza unyango ihamba phambili. Bathi kwakhona ukuba unyango olungenagqirha lusebenza malunga ne-90% yexesha.
Idibeneyo: Amanyathelo oMzimba
Ugqirha wakho unokubonisa ukuba ufumane injeni ye- steroid , okanye umjovo we-anesthetic yendawo, ukukunceda ukujongana nentlungu. (Ukwenziwa kwesikhokelo kunokuncedisa oku, ngokunjalo.) Ngamanye amaxesha inkqubo yokulawula ubuhlungu eyaziwa ngokuba yi-radiation frequency is used for coccygodynia, kodwa oku akunakucetyiswa ngokubanzi.
Imithombo:
Grgić V. [Coccygodynia: i-etiology, i-pathogenesis, iimpawu zekliniki, ukuxilongwa kunye neyeza]. Lijec Vjesn. 2012 Jan-Feb; 134 (1-2): 49-55. http://www.ncbi.nlm.nih.gov/pubmed/22519253
ULirette, L., MD. I-Coccydynia: Inkcazo ye-Anatomy, Etiology, kunye noTyango lweCoccyx Pain i-Ochsner J. Spring 2014. Kufumaneka: ngoJuni 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963058/
UMaigne JY, uPigeau I, uRoger B. Magnetic resonance ukufumana iziphumo kwi-coccyx ebuhlungu. Eur Spine J. 2012 Oct; 21 (10): 2097-104. i-doi: 10.1007 / s00586-012-2202-6. Epub 2012 Feb 22. http://www.ncbi.nlm.nih.gov/pubmed/22354690
UMorey, uK., uDalley, A. I-Anatomy ye-Clinically Oriented. Isihlanu. Uhlobo. Lippincott, Williams & Wilkins. 2006. Baltimore. Pool-Goudz.
Patijn J, Janssen M, Hayek S, Mekhail N, Van Zundert J, van Kleef M. Coccygodynia. Iintlungu. Ngo-2010 uNgo-Dec; 10 (6): 554-9. i-doi: 10.1111 / j.1533-2500.2010.00404.x. Epub 2010 Septemba 6.
I-Vacarro, A. I-Spine: Ulwazi olunzulu kwi-Orthopedics. Elsevier Mosby 2005. Philadelphia, PA.