Sacral Plexus Rundown

The plexus lumbosacral waxa uu ku yaalaa gidaarka danbe ee miskaha yar, oo ku xigta lafaha lumbar. plexus waa shabakad neerfayaasha is-goysyada ah oo wadaaga xididdada, laamaha, iyo shaqooyinka. Sacral plexus waa shabakad ka soo baxda qaybta hoose ee lafdhabarta. plexus-ku wuxuu markaa isku dhejiyaa muruqa weyn ee psoas wuxuuna ka soo baxaa miskaha. Dareemayaashani waxay bixiyaan kontoroolka dhaqdhaqaaqa waxayna helaan macluumaadka dareenka qaybo ka mid ah miskaha iyo lugaha. Calaamadaha xanuunka dareemaha sacral, kabuubyo, ama dareemo kale iyo xanuun ayaa keeni kara dhaawac, gaar ahaan haddii xididdada neerfaha la isku cadaadiyo, qallafsan yihiin, xoqaan, iyo xanaaqaan. Tani waxay keeni kartaa calaamado sida dhabar xanuun, xanuunka dhabarka iyo dhinacyada lugaha, arrimaha dareenka ee saameeya gumaarka iyo barida, iyo dhibaatooyinka kaadiheysta ama mindhicirka. Dhaawaca Caafimaadka Chiropractic iyo Rugta Daawaynta Shaqada waxay horumarin kartaa qorshe daawayn oo shakhsi ah si loo yareeyo calaamadaha, sii daayo dareemayaasha, nasiyo muruqyada, iyo soo celinta shaqada.

Sacral Plexus

anatomy

• Xuddunta sacral-ka waxaa sameeyay dareemaha laf-dhabarka lumbar, L4 iyo L5, iyo dareemayaasha sacral S1 iyada oo loo marayo S4.
• Dhowr isku-dhafan oo ka mid ah dareemayaasha laf-dhabarta ayaa isku biira ka dibna waxay u qaybsan yihiin laamaha plexus sacral.
• Qof kastaa wuxuu leeyahay laba sacral plexi - jamac ah plexus - mid ka mid ah dhinaca midigta iyo bidixda oo u eg qaab-dhismeedka iyo shaqada.

Qaabdhismeedka

Waxaa jira dhowr plexi jirka oo dhan. Xuddunta sacral waxay dabooshaa aag ballaaran oo jirka ah marka loo eego dhaqdhaqaaqa dhaqdhaqaaqa iyo shaqada dareemayaasha dareenka.

• Dareemaha laf-dhabarka L4 iyo L5 waxay ka kooban yihiin jirridda lumbosacral, iyo rami hore ee neerfayaasha laf-dhabarka sacral S1, S2, S3, iyo S4 waxay ku biiraan jirridda lumbosacral si ay u sameeyaan plexus sacral.
• hore rami waa laamaha neerfaha ee ku wajahan xagga hore ee xudunta laf dhabarta / hore ee jidhka.
• Heer kasta oo lafdhabarta ah, xididka hore ee mootada iyo xididka dareenka dambe ayaa ku biiraya si ay u sameeyaan dareemaha laf dhabarta.
• Dareemaha laf dhabarta kasta ayaa markaa kala qaybiya xagga hore - hadhka - iyo dambe - dorsal - qayb rami.
• Mid kastaa wuxuu yeelan karaa dhaqdhaqaaq matoor iyo/ama hawlaha dareenka.

The plexus sacral waxay u qaybsantaa dhowr laamood oo neerfaha, oo ay ka mid yihiin:

• Dareemaha gluteal sare - L4, L5, iyo S1.
• Dareemaha gluteal-ka hooseeya - L5, S1, iyo S2.
• The dareemaha nafsadda - waa neerfaha ugu weyn ee sacral plexus iyo mid ka mid ah dareemayaasha ugu weyn ee jirka - L4, L5, S1, S2, iyo S3
• The Dareemaha fibularka caadiga ah - L4 iyada oo loo marayo S2, iyo dareemayaasha tibial - L4 ilaa S3 waa laamo ka mid ah dareemaha sciatic.
• Dareemaha maqaarka ee femoral-ka dambe - S1, S2, iyo S3.
• Dareemaha Pudendal - S2, S3, iyo S4.
• Dareemaha muruqyada femoris quadratus waxaa sameeyay L4, L5, iyo S1.
• Dareemaha muruqyada internus obturator - L5, S1, iyo S2.
• Dareemaha muruqa piriformis - S1 iyo S2.

function

Xuddunta sacral waxay leedahay hawlo la taaban karo oo la taaban karo oo dhan miskaha iyo lugaha. Laamaha ayaa bixiya kicinta dareemayaasha dhowr muruq. Laamaha dareemayaasha sacral plexus waxay sidoo kale helaan farriimaha dareenka ee maqaarka, kala-goysyada, iyo qaababka miskaha iyo lugaha.

motor

Dareemaha xuubka sacral-ka ayaa calaamado ka hela maskaxda oo hoos u socota tiirka laf dhabarta, oo ka baxa laamaha dareemayaasha matoorka sacral plexus si ay u kiciyaan murqaha iyo dhaqdhaqaaqa. Dareemaha xuubka sacral plexus waxaa ka mid ah:

Dareemaha Gluteal ee Sare

• Dareemkani wuxuu bixiyaa kicinta gluteus minimus, gluteus medius, iyo tensor fascia lata, kuwaas oo ah muruq caawiya inay sinta ka fogeeyaan xarunta dhexe ee jidhka.

Dareemaha Gluteal Inferior

• Dareemkani wuxuu bixiyaa kicinta gluteus maximus, muruqa weyn ee u dhaqdhaqaaqa sinta.

Cilmiga Sciatic

• Dareemaha sciatica wuxuu leeyahay qayb tibial ah iyo qayb fibular ah oo caadi ah, kuwaas oo leh hawlaha dhaqdhaqaaqa iyo dareenka.
• Qaybta tibial waxay kicisaa qaybta gudaha ee bowdada waxayna kicisaa murqaha dhabarka lugta iyo cidhifka cagta.
• Qaybta fibular ee caadiga ah ee dareemaha sciatica waxay kicisaa oo dhaqaajisaa bowdada iyo jilibka.
• Dareemaha fibularku waxa ay kiciyaan murqaha hore iyo dhinacyada lugaha waxayna fidiyaan suulasha si ay u toosiyaan.

Dareemaha Pudendal

• Dareemaha pudendal waxa kale oo uu leeyahay hawlo dareen oo kiciya murqaha xuubka kaadi mareenka si uu u xakameeyo kaadida iyo murqaha xuubka futada si loo xakameeyo saxarada.
• Dareemaha quadratus femoris waxay kicisaa muruqa si ay u dhaqaajiso bowdada.
• Dareemaha muruqa internus obturator waxa ay kicisaa muruqa si uu u rogo miskaha oo uu u xasiliyo jidhka marka uu socdo.
• Dareemka muruqa piriformis wuxuu kiciyaa muruqa si uu bowdada uga fogeeyo jirka.

xaaladaha

Sacral plexus, ama meelaha plexus-ka, waxaa saameeya cudur, dhaawac halis ah, ama kansar. Sababtoo ah shabakada dareemayaasha waxay leedahay laamo iyo qaybo badan, calaamaduhu waxay noqon karaan kuwo jahawareer ah. Shakhsiyaadka waxaa laga yaabaa inay dareemaan luminta ama xanuunka gobollada miskaha iyo lugta, oo leh ama aan lahayn daciifnimo muruqa. Xaaladaha saameeya plexus sacral waxaa ka mid ah:

Dhaawaca

• Dhaawaca naxdinta leh ee miskaha ayaa kala bixin kara, jeexjeexi kara, ama waxyeelo gaarsiin kara neerfaha sacral plexus.
• Dhiigbaxu wuxuu barari karaa oo cadaadin karaa neerfaha, taasoo keenta cillad.

Neuropathy

• Naafanimada neerfaha waxay saameyn kartaa plexus sacral ama qaybo ka mid ah.
• Neuropathy wuxuu ka iman karaa:
• Diabetes
• Vitamin B12 yaraanta
• Daawooyinka qaarkood - daawooyinka kiimikaad
• Sunta sida rasaasta
• Alcohol
• Cudurrada dheef-shiid kiimikaadka

Caabuqa

• Caabuqa laf dhabarta ama gobolka miskaha wuxuu ku fidi karaa neerfaha sacral plexus ama soo saari karaa nabar, taasoo keenta calaamadaha daciifnimada dareemayaasha, xanuunka, jilicsanaanta, iyo dareenka agagaarka gobolka cudurka qaba.

Kansarka

• Kansarka ka soo baxa miskaha ama ku faafa miskaha oo meel kale ka yimid ayaa isku cadaadi kara ama caabuqin kara dareemayaasha sacral plexus.

Daawaynta Xaalada Caafimaad ee Hoose

Baxnaanintu waxay ku bilaabataa daaweynta xaaladda caafimaad ee hoose ee sababa dhibaatooyinka neerfaha.

• Daaweynta kansarka - qalliin, kiimoterabi, iyo/ama shucaac.
• Dawaynta antibiyootiga caabuqa.
• Daaweynta neerfayaasha ayaa noqon karta mid adag sababtoo ah sababta ayaa laga yaabaa in aan caddayn, shakhsiguna wuxuu isku mar la kulmi karaa dhowr sababood oo neuropathy ah.
• Dhaawaca weyn ee miskaha sida shil baabuur waxay qaadan kartaa bilo, gaar ahaan haddii ay jiraan jajabyo badan oo lafo ah.

Soo-kabashada Matoorka iyo Dareenka

• Dhibaatooyinka dareenku waxay faragelin karaan socodka, istaagida, iyo fadhiga.
• La qabsiga cilladaha dareenka waa qayb muhiim ah oo ka mid ah daaweynta, baxnaaninta, iyo soo kabashada.
• Chiropractic, hoos u dhigid, duugista, iyo daaweynta jireed waxay yareyn kartaa calaamadaha, soo celinta xoogga, shaqada, iyo xakamaynta dhaqdhaqaaqa.

Sirta Sciatica Oo La Shaaciyay

tixraacyada

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