Uninzi lwethu lukhe lwafumana iintlungu zomqolo ngaxa lithile ebomini bethu, akunjalo? Ngamanye amaxesha kuyinto eqhelekileyo, kodwa ngamanye amaxesha kunokubakho esinye isizathu sale ntlungu. Ingakumbi ukuba yintlungu evela kwindawo apho umqolo wakho osezantsi kunye nesinqe sakho kudibana khona, isenokuba yiSacroiliitis. Nangona igama lisenokuvakala lingaqhelekanga, yimeko esifanele siyiqaphele.
Ngamafutshane, yintoni iSacroiliitis?
Cinga ngendawo apho umqolo wakho ongezantsi udibana khona nethambo lakho lesinqe. Ngokuchanekileyo, kukho amalungu amabini adibanisa ithambo elingunxantathu ekupheleni komqolo wethu (sacrum) kunye nomphezulu wethambo lethu lesinqe (ilium). La malungu abizwa ngokuba ngama-sacroiliac joints. La malungu alinganisela ubunzima bemizimba yethu ephezulu neyasezantsi xa sihamba, sijika amanqe ethu, kwaye siphakamisa iintsimbi.
I-Sacroiliitis yimeko apho elinye okanye omabini la malungu evuvukala , okanye evuvukala, ngesizathu esithile. Oku kuvutha kunokubangela iintlungu emqolo wakho ongezantsi, ezinqeni, kwaye ngamanye amaxesha ezantsi emilenzeni yakho.
Ukuba le meko iyenzeka kwilungu elinye kuphela, ibizwa ngokuba yi-Unilateral Sacroiliitis. Ukuba iyenzeka kwilungu ngalinye, ibizwa ngokuba yi-Bilateral Sacroiliitis.
Kubaluleke kakhulu ukubonana nogqirha ukuze kuchongwe unobangela ochanekileyo, endaweni yokucinga nje ukuba yintlungu yomqolo.
Zithini iimpawu zeSacroiliitis?
Intlungu esezantsi komqolo yeyona nto iphambili. Kodwa le ntlungu inokuviwa ngeendlela ezimbalwa ezahlukeneyo. Makhe sijonge ukuba zeziphi ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Ivela phi intlungu | Intlungu emqolo ongezantsi, ezinqeni, nakwindawo yesinqe. Ngamanye amaxesha le ntlungu ingahamba iye ethangeni. |
| Amaxesha apho intlungu ikhula khona | Intlungu iyanda xa usukuma emva kokuba ukwindawo efanayo (uhleli okanye ume) ixesha elide. Intlungu inganda xa ujikeleza izinqe zakho, unyuka izinyuko, okanye ubeka ubunzima obukhulu emlenzeni omnye. |
| Uhlobo lwentlungu | Ngamanye amaxesha intlungu inokuba bukhali, njengemela ekuhlabayo. Ngamanye amaxesha, ingavakala njengentlungu ebuhlungu, engapheliyo, necinezelayo. |
| Ukuqina Kwasekuseni | Olu luphawu olubaluleke kakhulu. Xa uvuka kusasa, ungaziva ukuqina okanye ukuxinana emqolo wakho ongezantsi. Nangona oku kuqina kuya kuphela emva kwexesha elithile kwintlungu eqhelekileyo yomqolo, kwi-Sacroiliitis kunokuhlala ixesha elingaphezu kweyure . |
Zithini izizathu zeSacroiliitis?
Kukho izizathu ezahlukeneyo zoku. Ezona ziphambili zezi.
- Iintlobo zeArthritis: I-Sacroiliitis inokubangelwa yi-arthritis, ebangela ukudumba kwamalungu.
- I-Ankylosing spondylitis: Olu luhlobo lwe-arthritis oluchaphazela amalungu omqolo. I-Sacroiliitis inokuba yenye yeempawu zokuqala zesi sifo.
- Isifo samathambo se-Psoriatic: Esi sisifo samathambo esenzeka kunye ne-psoriasis.
- Ezinye iimeko zokudumba: Le meko inokubangelwa nazezinye izifo ezibangela ukudumba emzimbeni.
- Isifo sikaCrohn
- I-ulcerative colitis
- Ukukhulelwa: Abanye abafazi banokufumana le meko okwethutyana ngenxa yotshintsho emizimbeni yabo ngexesha lokukhulelwa. Oku kungenxa yokuba la malungu aba banzi kwaye akhululeke kancinci ngenxa yempembelelo yamahomoni.
- Usulelo: Kunqabile kakhulu ukuba usulelo lwebhaktheriya, olufana neStaphylococcus aureus, lunokubangela i-sacroiliitis ukuba lungena kula malungu.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha wakho, uza kuqala akubuze ngeempawu zakho. Kubalulekile ukuba uchaze ngokucacileyo indlela ezivakala ngayo iintlungu, xa zisiba mandundu, kunye nento oyenzayo ukuze zibe mandundu.
Emva koko, ugqirha uza kukuhlola.
- Uvavanyo lomzimba: Umqolo wakho, izinqe, kunye nemilenze ziya kuhlolwa. Izinqe zakho kunye nomqolo ziya kugoba kwaye zijijeke ngeendlela ezahlukeneyo. Ungacelwa ukuba ucinezele amalungu ngeminwe yakho.
- Uvavanyo:Ukuqinisekisa isifo, kunokwenziwa ezi mvavanyo zilandelayo:
- Uvavanyo lwe-X-ray
- Iskeni se-CT (Computed Tomography)
- Iskeni se-MRI (Magnetic Resonance Imaging)
- Uvavanyo lwegazi lunokwenziwa ukujonga ezinye izifo okanye ezinye izinto ezinokubangela ukudumba.
Zithini iindlela zonyango zoku?
Eyona nto ingcono kukuba kukho unyango olufanelekileyo lokulawula le meko.
Ulungiso lwenyama
Unyango oluphambili noluqhelekileyo koku lunyango lomzimba . Ingcali yonyango lomzimba iya kukufundisa imithambo kunye nokolula okuqinisa izihlunu ezijikeleze la malungu. Oku kunciphisa uxinzelelo kumalungu kwaye kuzinzise. Olu qheliselo lukwanceda ukwandisa uluhlu lwakho lokushukuma.
Amayeza
Ukulawula iintlungu, ugqirha wakho unokukunika amayeza anjengala:
- Iintlungu: Amayeza angengowe-steroidal anti-inflammatory (NSAIDs) (umz., i-Ibuprofen, i-Naproxen). Kodwa khumbula, akukhuthazwa ukuba uwasebenzise rhoqo la mayeza kangangeentsuku ezingaphezu kwe-10 ngaphandle kokubonisana nogqirha.
- Iziphumzi zemisipha: Ezi zinceda ekunciphiseni iintlungu kunye nokuqina kwemisipha.
- Iinaliti zeSteroid (Corticosteroids): Ngamanye amaxesha, inaliti ingafakwa ngqo kwilungu ukuze kuncitshiswe iintlungu kunye nokudumba ngokukhawuleza.
Ezinye iindlela zonyango kunye notyando
Kunqabile kakhulu, ukuba iintlungu azilawuleki, unyango olufana ne-radiofrequency ablation (RFA) lunokuthathwa ingqalelo, oluthintela imiqondiso yentlungu ukuba ingafikeleli ebuchotsheni ngemithambo-luvo ekwilungu.
Utyando alufane lwenziwe. Utyando lwenziwa kuphela ukuba akukho nyango luphumeleleyo. Oku kuquka ukufaka izikrufu zotyando ukuze kudityaniswe ijoyinti ngokusisigxina (i-joint fusion).
Ndifanele ndimbone nini ugqirha?
Ukuba unentlungu entsha emqolo engapheliyo emva kweveki, qiniseka ukuba ubonana nogqirha. Kwakhona, ukuba sele uthatha unyango kodwa intlungu ibonakala isiya isiba mandundu okanye ukuba unyango alubonakali lukunceda njengangaphambili, xelela ugqirha wakho.
Ukuba ayinyangwa, le ntlungu inokuphazamisana nemisebenzi yakho yemihla ngemihla, ukuhamba, kunye nokulala. Ngoko ke musa ukuyityeshela intlungu.
Umyalezo Wokuya Ekhaya
- I-Sacroiliitis kukudumba kwamalungu adibanisa umqolo wakho namaqatha akho. Oku kubangela iintlungu emqolo ongezantsi, ezinqeni, nasemaqakaleni.
- Ukuba uziva ukuqina komqolo wakho ongezantsi ixesha elingaphezu kweyure emva kokuvuka kusasa, oko kusenokuba luphawu oluphambili lwesi sifo.
- I-arthritis, ukukhulelwa, kunye nezinye izifo zokudumba zinokubangela oku.
- Musa ukuyityeshela intlungu emqolo ongezantsi, bonana nogqirha ukuze ufumane unobangela ochanekileyo.
- Unyango lomzimba lolona nyango luphambili loku. Ukongeza, kukho amayeza kunye nezinye iindlela zonyango.
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