Coccygodynia
Ubuhlungu be-tailbone, okuthiwa i-coccygodynia, akuyona ipikinikini ogwini.
I-Coccygodynia ingabangelwa ukuwa noma ezinye izinkinga ezibangelwa phansi kwengxenyana engezansi yomgogodla wakho. Ukuhlukunyezwa okunjalo kungaphazamisa i-periosteum (izicubu ezixhunyiwe ezizungeze ithambo), ezibangela ubuhlungu. Ukuphuza emthonjeni womsila nakho kungaphula amathambo, ukuwahlukanise (ekuhlanganyeleni kwe-sacroccygeal, okuyindawo lapho i-coccyx ne-sacrum behlangana khona,) noma kokubili.
Kungakhathaliseki ukuthi yikuphi umphumela we-trauma, ukuthola ukukhululeka kobuhlungu emaseni okulimala ngokuvamile kunzima.
Eqinisweni, ngoba ukuhlala - umsebenzi oyinhloko kwabaningi bethu, futhi owenza ngokuqondile i-coccyx - kungakhululekile kakhulu uma une-coccygodynia, lesi simo siyaziwa kakhulu ngokuphazamisa izinga lokuphila.
Okuhlobene: I- Coccyx ne- Sacrum
Izimbangela
Nakuba isikhathi esiningi se-coccygodynia siphumela kuhlobo oluthile lokuhlukumezeka emthonjeni womsila, kunezinye izimbangela, futhi.
Izinkinga ngethambo lakho le-coccyx elingabangela i-coccygodynia lingabandakanya ukulimala (kufaka phakathi kodwa kungagcini ukuwa, njengokukhulunywe ngenhla), ukuhlukunyezwa kwe-disk ku-sacrococcygeal yakho (echazwe ngenhla) kanye / noma ama-intercoccygeal joints (amalunga phakathi kwezingcezu ezincane zethambo ezihlanganisa i-coccyx), ithambo lihluma ku-coccyx (ebizwa ngokuthi i-coccygeal spicule), ukutheleleka emthanjeni (okuthiwa i-osteomyelitis) noma isisu emathanjeni.
Esinye isizathu se-coccygodynia (kumama) sizalwa ngokubeletha okubuhlungu.
I-coccygodynia ingase ibe yimbangela yezinhlungu ezibhekiswe kuzo , okungukuthi ubuhlungu obuvela ezingxenyeni ezikhona ukuphazamiseka. Izibonelo zingafaka izimo noma izinkinga ku-colon sigmoid, uhlelo lwe-urogenital kanye / noma i-rectum.
Akukhona lokho kuphela, ubuhlungu emzimbeni wesisindo somsila ngezinye izikhathi kungalandelwa izinkinga ezenzekayo, noma ezakhiweni eziseduze.
Izibonelo zibandakanya: Izinkinga endaweni ye-lumbosacral yomgogodla wakho, i-sacrum nezindaba ze- sacroiliac ezihlangene , i-piriformis syndrome, izifo zezitho zomzimba, izinhlungu ze-hemorrhoids, nokuningi.
Okuhlobene: Piriformis Syndrome
Okokugcina, i-coccygodynia yakho kungenzeka ibe yinto "yezizathu ezingaziwa." Ekubuyekezweni kwezifundo ezinesihloko esithi "Coccygodynia: i-etiology, i-pathogenesis, izici zezokwelapha, ukuxilongwa kanye nokwelashwa," enyatheliswa kuyi-Jan-Feb 2012 umagazini wezokwelapha waseCroatia uLijec Vjesn , umbhali uGgić uthi 30% ye-coccygodynia idiopathic; Ngamanye amazwi, isizathu sokuba ubuhlungu besikhumba semsila abukatholakali.
I-Hypermobile Tail Bone
Ngalokho kusho, ukungaqondakali kwe-coccyx (ukungaqondakali kubhekisela ekuthambekeni kwethambo ukuxoshwa) kuyinto ejwayelekile kakhulu yezokwelapha ezihlotshaniswa nosizi lwesisindo somsila. UGrgić uthi iziguli ezingu-70% ezine-coccygodynia zibonisa izimpawu zokuhamba ngokweqile kwalesi sithambo lapho kuthathwa ama-X-rays ashukumisayo.
Kanye nokulimala (njengoba kushiwo ngenhla), ukulayisha ngokweqile i-coccyx ngenkathi ukunyakaza kanye nalapho okumile kungabangela i-coccyx ene-hypermobile (futhi ebuhlungu). Imisebenzi kanye nokusho ukuthi yilokho okungakunqanda ukuba ukhiqize i-coccyx yakho kufaka phakathi ukukhululeka kanye / noma ukuhlala isikhathi eside (ukukhulelwa ngokweqile), nokuhamba ngebhayisikili, ukugibela noma ukugibela (ukulayisha ngokweqile).
Esifundweni sabo se-2014 eshicilelwe ku- Ochsner Journal , abacwaningi bathi ukukhuluphama nokuba ngowesifazane yizici ezimbili zobungozi bokuhlukunyezwa kwe-tailbone.
Izimpawu zeCoccygodynia
Izimpawu ze-coccygodynia zifaka ubuhlungu nobuhlungu phansi kwesihluthulelo sakho (yilapho ithambo le-coccyx likhona). Kungabandakanya ubuhlungu emhlane wakho ophansi kanye / noma izintambo. Ungathola ukuthi uthola ubuhlungu bokudubula phansi emilenzeni yakho, futhi.
I-Coccygodynia intensity ihlukahluka komunye nomuntu. Ubuhlungu bezinhlungu zakho ze-coccygodynia kungase bubi kakhulu ngokuhamba kwesikhathi.
Njengoba ngishilo ekuqaleni, i-coccygodynia ingaphazamisa kakhulu indlela yakho yokuphila. Kungabhubhisa ukulala okuhle ebusuku futhi kuphazamise ikhono lakho lokwenza imisebenzi lapho uhlezi kanye / noma ukuguqa kuyadingeka.
Kungenza futhi ukunakekelwa kwemisebenzi yomzimba kakhulu.
Lokhu kusho ukuthi izinto ovame ukuzikwenza - futhi mhlawumbe uthathe kalula - njengokusebenza kukhompyutha yakho noma ukushayela kungase kube buhlungu kakhulu. Iqiniso liwukuthi uma ubeka isisindo esitokisini sakho se-coccyx, ngisho noma indawo engaphansi kwakho iyisitoli esithambile noma isihlalo, ubuhlungu bakho buyokhula. Ungase uthole nokuthi ukuvuka endaweni ehlezi kunzima.
Ukuxilongwa
Odokotela ngokuvamile bahlolisisa i-coccygodynia ngokuthatha umlando wezokwelapha, ukwenza ukuhlolwa ngokomzimba (okubandakanya ukufakwa kwendawo) nokuthatha ama-x-rays ajwayelekile. Cishe, udokotela wakho uzokucela ukuthi uhlale futhi / noma wenze ibhayisikili, ukuze uzame ukuzala ubuhlungu nobuhlungu bakho.
Okuhlobene: Xoxa Izimpawu Zakho KuDokotela Wakho
Ukuxilongwa kwe-coccygodynia kuvame ukuqinisekiswa nge-injection. Kule nkinga, ukujola kwezifo zendawo kujova endaweni noma izindawo ezithile endaweni yesisindo somsila lapho, ngokusekelwe kulokho okushoyo ngezimpawu zakho kanye nemiphumela yokuhlolwa kwakho ngokomzimba, kanye nama-x-rays mhlawumbe ne-MRI (bheka ngezansi ukuze uthole olunye ulwazi), udokotela wakho usola ukuthi ubuhlungu buvela.
Ucwaningo nge-MRIs
Isikhathi esiningi i-MRI ayisetshenziselwa inqubo yokuxilongwa. Kodwa ngonyaka wezi-2012, abacwaningi baseFrance bathola ukuthi i-MRIs ingase inikeze imininingwane engasetshenziswa ukucacisa imbangela yethambo lomsila olubuhlungu. Ukutadisha kwabo kwembulani ukuthi uma isimo esivumelanayo sokuhamba kwe-coccyx siyaziwa, i-MRI ingasiza ukuphinda udwebe isithombe salokho okwenzekayo. Isibonelo, esifundweni, ku-172 amacala ahlolwa, i-coccyx yeselula ikhonjiswe. Kulezi, iningi labonisa ama-disc angavamile; ku-67 iziguli ezine-rigid (immobile) coccyx, izici ezingavamile zitholakala engxenyeni engezansi yethambo, ebizwa ngokuthi iphuzu.
Ukwelashwa Nokukhululeka Kwezinhlungu
Akulula neze ukuthola ukuphumula kobuhlungu be-coccygodynia.
Njengezinkinga eziningi zomgogodla, ukwelashwa kuhlukaniswe zibe izinhlobo ezimbili eziyinhloko: I-Conservative (engeyona intsha) kanye nokuhlinzeka (okubizwa nangokuthi kungenasidingo). Ukuhlinzekwa komsila wezinsizi ubuhlungu bemfuyo kubizwa ngokuthi i-coccygetectomy. Kungaba yinxenye noma ukukhishwa ngokuphelele kwe-tailbone; lokhu kuvulwa kuvame ukugcinwa izikhathi lapho konke okunye okuye kwavivinywa ngaphandle kwempumelelo. Ngokuvamile, imiphumela ijwayele ukulinganisela okungcono, futhi ngokuhlinzwa, ubeka ingozi yokubhekana nezinkinga.
Imithi yokwelapha yomsila ubuhlungu buhlanganisa ukuphumula, imithi, njengama- NSAID (ikakhulukazi ekuqaleni), ehlezi emgodini nomgodi owenziwe phakathi (ngokuvamile ebizwa ngokuthi "i-whoopie cushion"), ukukhwabanisa nokwelapha ngokomzimba. Uma usengumgogodla wokulimala, ukwelashwa kokwelashwa kungase kufaka izandla ngezindlela zokwandisa ukuguquguquka kwesiteji se-pelvic - ikakhulukazi isisindo se-levator ani, okungase sikwazi ukukhipha ithambo le-coccyx uma linamathele.
Abacwaningi okukhulunywe ngaye ngenhla okuqhutshwa isifundo se-2014 ku- Ochsner Journal bathi indlela ehlukahlukene yokuphatha ukwelashwa iqala ukusebenza kangcono. Bathi futhi ukwelashwa okungewona ukwelashwa kusebenza cishe ngo-90% wesikhathi.
Okuhlobene: Izindlela zokwelashwa ngokwemithi
Udokotela wakho angase asikisele ukuthola umjovo we- steroid , noma umjovo we-anesthetic yendawo, ukusiza ukubhekana nobuhlungu. (Ukuphambana ngesikhumba kungasiza nalokhu, futhi.) Ngezinye izikhathi inqubo yokulawula ubuhlungu eyaziwa ngokuthi i-radiation frequency ablation isetshenziselwa i-coccygodynia, kodwa lokhu akuvunyelwanga ngokuvamile.
Imithombo:
Grgić V. [Coccygodynia: i-etiology, i-pathogenesis, izici zokwelapha, ukuxilongwa kanye nokwelapha]. Lijec Vjesn. 2012 Jan-Feb; 134 (1-2): 49-55. http://www.ncbi.nlm.nih.gov/pubmed/22519253
ULirette, L., MD. I-Coccydynia: Sibutsetelo se-Anatomy, Etiology, kanye Nokuphathwa Kwe-Coccyx Pain Ochsner J. Spring 2014. Ukutholakala: June 2016. http://www.ncbi.nlm.nih.gov/pmc/article/PMC3963058/
UMaigne JY, uPigeau I, uRoger B. Magnetic resonance ekutholeni izithombe ezitholakala ku-coccyx ekhulile. Eur Spine J. 2012 Oct; 21 (10): 2097-104. i-doi: 10.1007 / s00586-012-2202-6. I-Epub 2012 Feb 22. http://www.ncbi.nlm.nih.gov/pubmed/22354690
U-Moore, uK., uDalley, A. I-Anatomy eqondiswa umtholampilo. Okwesishiyagalolunye. Edition. ULippincott, Williams & Wilkins. 2006. Baltimore. Pool-Goudz.
Patijn J, Janssen M, Hayek S, Mekhail N, Van Zundert J, van Kleef M. Coccygodynia. I-Pain Pract. 2010 Nov-Dec; 10 (6): 554-9. i-doi: 10.1111 / j.1533-2500.2010.00404.x. I-Epub 2010 Septhemba 6.
I-Vacarro, i-A. Spine: Ulwazi Oluyisisekelo kuma-Orthopediki. U-Elsevier Mosby 2005. Philadelphia, PA.