Coccygodynia
Cikin baƙin ciki, wanda ake kira coccygodynia, ba kullin a bakin rairayin bakin teku.
Coccygodynia zai iya haifar da wani ɓangare ko wani rauni a kan ɓangaren ƙananan kashin ka. Irin wannan mummunan hali zai iya rusa lokacin da ke ciki (nau'in haɗin kai wanda ke kewaye da kashi), yana haifar da ciwo. Hudu a kan kashi mai launin kuma zai iya karya kashin, cire shi (a cikin haɗin zane, wanda shine wurin da coccyx da sacrum suka haɗu,) ko duka biyu.
Duk abinda yakamata sakamakon cututtuka, samun sauƙin jin zafi ga kashin da ya ji rauni yana da wuya.
A gaskiya ma, saboda zaune - aiki na musamman ga yawancin mu, da kuma wanda ke kai tsaye a kan coccyx - zai iya zama matukar damuwa lokacin da kake da coccygodynia, wannan yanayin sananne ne don katsewar halayen rayuwa.
Dalilin
Duk da yake mafi yawan lokuta coccygodynia na haifar da wasu nau'i na cuta zuwa kashi mai sika, akwai wasu dalilai, haka ma.
Matsaloli da kututturenka wanda zai iya haifar da coccygodynia na iya haɗawa da raunuka (ciki harda amma ba'a iyakance ga dama ba, kamar yadda aka tattauna a sama), lalacewar disiki a cikin sacrococcygeal (an bayyana a sama) da / ko intercoccygeal joints (ɗakuna a tsakanin kananan kashi guda daya tare da juna coccyx), kashi yana wucewa a coccyx (wanda ake kira coccygeal spicule), kamuwa da cuta a cikin kasusuwa (wanda ake kira osteomyelitis) ko ƙari akan kashi.
Wata hanyar coccygodynia (a cikin mahaifiyar) ita ce haihuwar jin ciki.
Coccygodynia na iya zama sakamakon sakamakon ciwo , watau jin zafi wanda ya haifar da gabobin da abin ya faru. Misalai na iya haɗawa da yanayi ko matsaloli a cikin sigmoid colon, urogenital tsarin da / ko dubban.
Ba wai kawai ba, abin da ake fama da ƙananan kashi kashi a wasu lokuta yana iya faruwa ga matsalolin da ke faruwa a, a kan ko a cikin sassa na kusa.
Misalan sun hada da: Matsaloli a cikin layin gizon layinku na karanku, ruhu da sacroiliac , mahaukaciyar piriformis, cututtuka na ƙwayoyin ƙwayoyin cuta, hadari, da sauransu.
Related: Piriformis Ciwo
A ƙarshe, your coccygodynia iya zama wani al'amari na "dalilin unknown." A cikin nazarin karatun da ake kira "Coccygodynia: Etiology, Pathogenesis, Properties Clinical, Diagnostic andrapy," a cikin Janar Feb 2012 na jaridar likitancin Croatia Lijec Vjesn , marubuci Grgić ya ce 30% na coccygodynia ne idiopathic; a wasu kalmomi, ba a samo dalilin dalilin ciwo mai ƙasƙanci ba.
Hypermobile Tail Kone
Da wannan ya ce, hypermobility na coccyx (hypermobility yana nufin hali na kashi zuwa subluxate) shi ne mafi yawan kiwon lafiya binciken da ke hade da raunin kashi kashi. Grgić ya tabbatar da cewa kashi 70 cikin 100 na marasa lafiya tare da coccygodynia sun nuna alamun wucewar motsi na wannan kashi lokacin da aka dauka hasken rana.
Tare da raunuka (kamar yadda aka ambata a sama), sauke caccyx a lokacin motsi da kuma lokacin da m zai iya haifar da hypermobile (da kuma m) coccyx. Ayyuka da jihohi na kasancewa wanda zai sanya ku zuwa kan yin amfani da haɗin gwiwarku ya haɗa da kasancewa mai girma da / ko zaune ga dogon lokaci (ƙaddarawa mai mahimmanci), da bicycle, motar motsa jiki ko hawa (tsada-tsalle a kan rikice-rikice).
A cikin nazarin binciken da aka yi a shekara ta 2014, a cikin littafin Ochsner , masu bincike sun tabbatar da cewa kiba da kasancewar mace suna da hadari guda biyu na mummunan zafi.
Cutar cututtuka na Coccygodynia
Kwayoyin cututtuka na coccygodynia sun hada da rashin tausayi da zafi a gindin spine (wannan shi ne inda kashin coccyx yana samuwa). Zai iya haɗawa da ciwo a cikin ƙananan baya da / ko kwatangwalo. Hakanan zaka iya samuwa ka sami fushin kafar kafafunka, ma.
Coccygodynia tsanani ya bambanta daga mutum zuwa mutum. Girma na damuwa na coccygodynia zai iya zama damuwa a tsawon lokaci.
Kamar yadda na ambata a baya, coccygodynia na iya zama matsala ga rayuwar ku. Zai iya halakar da barci mai kyau na dare kuma ya katse ikonka na gudanar da ayyukan da ake zaune da / ko lankwasawa wajibi ne.
Hakanan zai iya yin kulawa da aikin jiki mai tsanani.
Wannan na nufin abubuwan da kake yi - kuma watakila kai ba tare da izini ba - kamar aiki a kwamfutarka ko tuki na iya zama mai zafi sosai. Gaskiyar ita ce, idan kun sanya nauyin nauyi a kan kashin ku na coccyx, koda kuwa a samanku akwai matashin mai taushi ko kujera, za ku iya ƙara jin zafi. Hakanan zaka iya ganin cewa tashi daga matsayin wuri yana da wahala.
Sanin asali
Doctors sun gano asali coccygodynia ta hanyar shan labarun likita, yin nazarin jiki (wanda ya shafi faɗakarwa a yankin) da kuma ɗaukar rayukan hasken rana da tsayayye. Mafi mahimmanci, likitanku zai tambaye ku ku zauna da / ko ku yi motsa jiki, kuyi ƙoƙarin sake haifar da ciwo da bayyanar cututtuka.
Hada: Sadar da cututtuka ga likitanku
An gano magungunan coccygodynia ta hanyar allura. A wannan yanayin, an yi amfani da cututtuka na gida a cikin wani wuri ko wurare a cikin yankin kashi mai fitarwa daga abin da, bisa ga abin da kake fada game da bayyanar cututtuka da sakamakon bincikenka na jiki, kazalika da hasken rana da yiwuwar MRI (duba ƙasa don ƙarin bayani), likitanku wanda ake zargi da jin zafi yana samo asali.
Bincike kan MRIs
Yawancin lokaci MRI ba'a amfani dashi a tsarin bincike ba. Amma a shekarar 2012, masu bincike na Faransa sun gano cewa MRI zai iya ba da cikakkun bayanai da za a iya amfani dashi don tantance dalilin yunkurin juji mai yalwa. Nazarin su ya nuna cewa lokacin da aka san alamar motsi na coccyx, MRI na iya taimakawa kara kara hoto na abin da ke gudana. Alal misali, a cikin binciken, daga cikin mutane 172 da aka jarraba su, 105 sun nuna coccyx na hannu. Daga cikin waɗannan, mafi yawan sun nuna diski maras kyau; a cikin marasa lafiya 67 da tsararraki (immobile) coccyx, an gano siffofin mahaukaci a kasan kashi, wanda ake kira tip.
Jiyya da Raunin Abin Raɗa
Ba abu mai sauƙi ba don samun jinƙai ga coccygodynia.
Kamar yadda mafi yawan matsalolin spine, aka raba kashi kashi biyu: Mahimmanci (wadanda ba saɓaɓɓu) da kuma m (wanda ake kira invasive). Tiyata don raunin kashi na yashi yana kiransa coccygetectomy. Zai iya zama ko dai dai ko cire duka daga cikin tailbone; wannan tiyata ana adana yawan lokuta lokacin da aka gwada duk wani abu ba tare da nasara ba. Kullum magana, sakamakon yana kasancewa matsakaici a mafi kyau, kuma ta hanyar yin aikin tiyata, za ku ci gaba da hadarin fuskantar matsalolin.
Mahimmancin magani na jijiyoyin wutsiya sun hada da hutawa, magani, irin su NSAIDs (musamman ma a farkon), zaune a kan wani matashi tare da rami da aka yanke daga tsakiya (wanda ake kira jokingly "mai kwantar da hankali"), acupuncture da farfasa jiki. Da zarar kun kasance a cikin lokaci na ciwo, magani na jiki zai iya haɗawa da hannayenku a kan hanyoyin da za a kara sassauci daga bene - musamman ma levator ani tsoka, wanda zai iya sakin kullin katirmin ƙwayar idan an makale.
Masu binciken da aka ambata a sama da binciken da aka yi a shekara ta 2014 a cikin littafin Ochsner ya ce tsarin kulawa da yawa na kulawa da magani yana nuna aiki mafi kyau. Har ila yau, sun ce ba magani ba ne game da 90% na lokaci.
Shafukan : Tsarin Farko na jiki
Kwararka na iya bayar da shawarar samun maganin steroid , ko allurar rigakafi na gida, don taimaka maka magance zafi. (Acupuncture iya taimakawa tare da wannan, kazalika). Wani lokaci ana amfani da tsarin kula da ciwo mai raɗaɗi da ake amfani da shi azaman rashawa na radiofrequency don coccygodynia, amma ba a ba da shawarar ba tukuna.
Sources:
Grgić V. [Coccygodynia: Etiology, pathogenesis, siffofi na asibiti, ganewar asali da farfadowa]. Lijec Vjesn. 2012 Janairu, 134 (1-2): 49-55. http://www.ncbi.nlm.nih.gov/pubmed/22519253
Lirette, L., MD. Coccydynia: An Bayani game da Anatomy, Etiology, da Kula da Coccyx Pain Ochsner J. Spring 2014. Samun shiga: Yuni 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963058/
Maigne JY, Pigeau I, Roger B. Maɗaukaki bayyanar hotunan samfurori a cikin mahaifa mai haɗari mai haɗari. Eur Spine J. 2012 Oktoba; 21 (10): 2097-104. Doi: 10.1007 / s00586-012-2202-6. Epub 2012 Feb 22. http://www.ncbi.nlm.nih.gov/pubmed/22354690
Moore, K., Dalley, A. Clinically Oriented Anatomy. Cin biyar. Edition. Lippincott, Williams & Wilkins. 2006. Baltimore. Pool-Goudz.
Patijn J, Janssen M, Hayek S, Mekhail N, Van Zundert J, van Kleef M. Coccygodynia. Pain Pract. 2010 Nov-Dec, 10 (6): 554-9. Doi: 10.1111 / j.1533-2500.2010.00404.x. Afub 2010 Sat 6.
Vacarro, A. Spine: Sanin Ilimi a Orthopedics. Elsevier Mosby 2005. Philadelphia, PA.