Vuto lalikulu kwa anthu ambiri ndi ululu wa msana womwe wakhala ukupitilira kwa nthawi yayitali. Nthawi zina, ngakhale atamwa mankhwala ochulukirapo bwanji komanso physiotherapy, zimaoneka ngati palibe mpumulo. Koma kodi mukudziwa, si ululu wonse wa msana womwe umayamba chifukwa cha vuto la msana? Mwina chifukwa cha ululu wanu ndi chotsika pang'ono kumbuyo, m'malo olumikizirana mafupa komwe msana wanu umalumikizana ndi fupa lanu la m'chiuno. Timatcha izi kuti Sacroiliac Joint kapena SI Joint.
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Nchifukwa chiyani kupweteka kwa mafupa a SI kumakhala kovuta kuzindikira?
Mwachidule, ziwalo za SI ndi ziwalo ziwiri zolimba kwambiri zomwe zimalumikiza gawo la pansi la msana wathu (lomwe timalitcha kuti sacrum) ndi fupa la m'chiuno (ilium). Pakati pa 15% ndi 30% ya anthu omwe amavutika ndi ululu wosatha wa msana, chifukwa chachikulu cha ululu ndi vuto la chimodzi kapena zonse ziwiri za ziwalo za SI.
Koma kuzindikira izi kungakhale kovuta pang'ono kwa inu komanso nthawi zina kwa madokotala. Chifukwa chake n'chakuti ngakhale kuti chiwalochi ndi chimodzi mwa zazikulu kwambiri m'thupi lathu, chili mkati kwambiri m'chiuno. Chifukwa chake, dokotala sangathe kuzindikira vuto m'chiwalochi akamakuyang'anani mwakuthupi. Komanso, ngakhale mayeso monga X-ray nthawi zina amakhala ovuta kuwamvetsa bwino.
Chinthu china n'chakuti zizindikiro za ululu wa mafupa a SI zimafanana kwambiri ndi matenda ena, monga sciatica kapena hip arthritis, kotero zingakhale zovuta kudziwa chomwe chimayambitsa.
Dokotala nthawi zambiri amaphatikiza zotsatira za mayeso angapo kuti atsimikizire kuti pali vuto la SI joint. Mayeso ambiriwa amatha kuchitikira ku ofesi ya dokotala.
Mayeso Akuthupi Ochitidwa ndi Dokotala
Choyamba, dokotala wanu adzakufunsani za mbiri yanu yachipatala ndikukupatsani mayeso athunthu. Kaimidwe kanu ndi momwe mukuyendera zimaganiziridwanso panthawiyi. Kenako, mayeso angapo apadera amachitidwa kuti aone komwe kupweteka kukuchokera komanso momwe chiwalo cha SI chikuyendera bwino. Mayeso amodzi kapena awiri mwa awa okha sadzapangitsa kuti munthu adziwe matenda. Vuto ndi chiwalo cha SI limakayikiridwa pokhapokha ngati mayeso atatu aliwonse ali ndi kachilombo.
Gome ili m'munsimu likuwonetsa mayeso ena ofala omwe amachitidwa pachifukwa ichi.
| Dzina la Mayeso | Mwachidule, zomwe mumachita |
|---|---|
| Mayeso a Gaenslen | Mumagona chafufumimba patebulo, bondo limodzi litawerama molunjika pachifuwa chanu ndikulikakamiza pansi, pomwe mwendo winawo utatambasulidwa molunjika ndikulikakamiza pansi patebulo. |
| Mayeso a Patrick kapena Mayeso a FABER | Mukagona chagada, mukupemphedwa kuti muyike bondo la mwendo wopweteka pamwamba pa bondo la mbali inayo. Kenako, dokotalayo nthawi yomweyo amakankhira bondo lopindika ndi chiuno chotsutsana. |
| Mayeso Okhudza Kupsinjika kwa Pelvic | Umatembenuzidwa chammbali ndipo umayikidwa chagada, uku ukugwiritsa ntchito mphamvu yotsika ku fupa lapamwamba la chiuno. Izi zimaika mphamvu pa cholumikizira cha SI. |
| Mayeso a Thigh Thrust | Mukagona chagada, dokotala adzapinda mawondo anu ndi chiuno chanu kufika madigiri 90 ndikuyika mphamvu pansi pa ntchafu yanu. |
| Mayeso a Flamingo | Amakupemphani kuti muime pa mwendo wopweteka wokha ndikudumpha pang'ono pa mwendowo. Amaona ngati ululuwo ukuwonjezeka. |
Musachite mantha mukamachita mayeso awa.
Pa nthawi ya mayesowa, mungamve kusasangalala kapena kupweteka pamene dokotala akuwerama ndikukankhira miyendo ndi chiuno chanu mbali zosiyanasiyana. Izi ndi zachilendo. Mayesowa amachitika kuti agwiritse ntchito dala mphamvu pang'ono pa cholumikizira cha SI kuti atsimikizire kuti ululu wanu ukuchokera ku cholumikiziracho. Choncho uzani dokotala wanu zomwe mukumva.
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Kuwonjezera pa kuyezetsa thupi, dokotala wanu angakulangizeni kuti mujambule kuti mupeze chithunzi chomveka bwino cha mkati mwa msana wanu ndi chiuno chanu.
- X-ray: X-ray ingathandize kuona ngati pali kusintha kulikonse, kusweka kwa mafupa, kapena matenda a nyamakazi mu SI joint.
- Kujambula kwa CT (Computed Tomography): Iyi ndi njira yoyesera yamphamvu kwambiri kuposa X-ray. Kujambula kwa CT kumatha kuwona mafupa olumikizana ndi ozungulira mwatsatanetsatane kuposa X-ray.
- Kujambula kwa MRI (Magnetic Resonance Imaging): MRI nthawi zambiri imagwiritsidwa ntchito pofufuza zomwe zimayambitsa kupweteka kwa mafupa a SI, m'malo mozindikira. Tangoganizirani, ululu wanu ukhoza kuchitika chifukwa cha kuphulika kwa disc kapena vuto lina la minofu yofewa. MRI ingakuthandizeni kukhala otsimikiza 100% kuti mulibe matenda ena omwe amayambitsa zizindikiro zofanana ndi kupweteka kwa mafupa a SI.
Jakisoni Wodziwitsa Matenda
Ngati, pambuyo pa mayeso ena onse, sizikudziwikabe ngati cholumikizira cha SI ndicho chimayambitsa kupweteka, pali mayeso olondola kwambiri omwe madokotala adzagwiritsa ntchito. Ndiko kuti, kubaya mankhwala opangitsa dzanzi mwachindunji mu cholumikizira cha SI.
Izi sizichitika mopepuka. Dokotala amagwiritsa ntchito X-ray kapena ultrasound scan kuti atsimikizire kuti singano yalowa bwino pamalo olumikizirana mafupa.
Tangoganizirani ngati ululu wanu wakale unatha nthawi yomweyo mutalandira jakisoni uyu? Kodi zimenezo zikusonyeza chiyani? Choyambitsa ululuwu ndi vuto la 100% ndi SI joint.
Iyi ndi njira yoyezera matenda , ndipo nthawi zina imagwiritsidwa ntchito ngati chithandizo chakanthawi ikaperekedwa ndi mankhwala a steroid. Chifukwa chakuti imakhala ndi zoopsa zochepa (monga matenda) kuposa mayeso ena, madokotala amalangiza izi pokhapokha ngati pali zovuta kwambiri.
Choncho, ngati inunso mukumva kupweteka kosaneneka m'munsi mwa msana kapena m'chiuno, musanyalanyaze. Mukapita kwa dokotala woyenerera ndikupeza mayeso oyenera, mutha kupeza chifukwa chenicheni ndikupeza chithandizo choyenera.
Uthenga Wopita Nawo Kunyumba
- Choyambitsa ululu wosatha m'munsi mwa msana ndi matako mwina sichingakhale vuto la msana wanu wokha, koma vuto la cholumikizira chanu cha sacroiliac (SI).
- Popeza kupeza vutoli n'kovuta kwambiri, dokotala wanu adzachita mayeso osiyanasiyana omwe angathandize kudziwa chomwe chimayambitsa ululu.
- Ma scan, monga X-ray, CT scan, kapena MRIs, angathandize kuzindikira vutoli ndikuchotsa matenda ena.
- Mayeso abwino kwambiri otsimikizira matendawa ndi jakisoni wa mankhwala ochepetsa ululu m'malo olumikizirana mafupa.
- Ngati muli ndi zizindikiro izi, musadzichiritse nokha, koma onani dokotala wanu kuti akupatseni chithandizo choyenera komanso kuti akupatseni njira yolondola yochizira.
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