Ngaba nawe uneentlungu emqolo wakho ongezantsi nasezimpundu? Isenokuba yiSacroiliitis!

Ngaba uhlala unentlungu emqolo wakho ongezantsi, okanye ezimpundu, kwaye ngamanye amaxesha ezantsi kwemilenze yakho? Uninzi lwexesha sicinga ngayo njengentlungu yomqolo nje, kodwa isenokuba ibangelwa kukudumba, okanye ukudumba, kumalungu akho e-sacroiliac. Namhlanje, siza kuthetha ngemeko ebizwa ngokuba yi-sacroiliitis.

Kalula nje, yintoni le sacroiliitis?

Kulungile, masiqale sijonge ukuba zeziphi ezi joints ze-sacroiliac. Khawuthelekelele, iijoints ze-sacroiliac kulapho kudibana khona isiphelo esisezantsi somqolo wethu, ithambo elinomfanekiso onxantathu (silibiza ngokuba yi-sacrum) , kunye nethambo elikhulu phezulu kwi-pelvis yethu (silibiza ngokuba yi-ilium) . La ngamalungu amabini amakhulu nabaluleke kakhulu emzimbeni wethu. Ngalo lonke ixesha sishukumisa izinqe zethu, xa sihamba, xa sibaleka, xa sivuka ekuhlaleni.

Ngoko ke, iSacroiliitis ibangelwa kukudumba kwelinye okanye omabini amalungu ngenxa yesizathu esithile, nto leyo ebangela ukudumba nentlungu. Kufana nokuba xa sikruneka idolo, liyadumba kwaye libuhlungu. Oku kudumba kuko okubangela ukuba uzive iintlungu emqolo wakho ongezantsi nasemaqatheni.

Ukuba unentlungu engapheliyo emqolo ongezantsi, isenokuba ngenxa yezizathu ezahlukeneyo. Ngoko ke kungcono ukubona ugqirha ukuze ufumane ukuba yintoni kanye kanye ebangela oku. Ngale ndlela, ungaqala unyango ngokukhawuleza kwaye unciphise ukuphazamiseka kwimisebenzi yakho yemihla ngemihla.

Ngaba kukho iintlobo ezahlukeneyo zezi?

Ewe, zininzi iindlela oogqirha abazibiza ngayo le meko, kuxhomekeke ekubeni mangaphi amalungu akho achaphazelekileyo.

• I-Unilateral Sacroiliitis: Oku kuthetha ukuba linye kuphela ilungu lakho le-sacroiliac elivuvukileyo.
• I-Bilateral Sacroiliitis: Kule meko, ukudumba kunokwenzeka kumalungu omabini ngaxeshanye.

Ixhaphake kangakanani le meko?

Iintlungu zomqolo ziqhelekile ngokwenene. Nabani na osebenza kwisitulo seofisi ixesha elide, ephakamisa iintsimbi ezinzima, elala kakubi, nokunye okuninzi unokuba neentlungu zomqolo. Ekubeni iintlungu zomqolo zinokubangelwa zizinto ezininzi ezahlukeneyo, kunzima ukwazi ukuba bangaphi abantu abane-sacroiliitis. Nangona kunjalo, ezinye izifundo zibonisa ukuba ukuya kuthi ga kwi-25%, okanye malunga nomnye kwabane, wabantu abaneentlungu zomqolo banokuba ne-sacroiliitis.

Zithini ezi mpawu? Ngaba nawe uvakalelwa ngolu hlobo?

Uphawu oluphambili noluqhelekileyo lwe-sacroiliitis ziintlungu kumqolo ongezantsi. Ungaziva ezi ntlungu ngenye yezi ndlela zilandelayo:

• Intlungu iyanda xa uhlala kwindawo enye (uhleli okanye umile) ixesha elide.Khawuthelekelele uhleli phambi kwekhompyutha iiyure ezininzi ngexesha, uze emva koko uve iintlungu ezibukhali xa uvuka.
• Intlungu iyanda xa ujika okanye ujika isinqe sakho.
• Intlungu inokuba yintlungu ebukhali, ehlabayo efika ngequbuliso , okanye ingaba yintlungu ebuhlungu engaguqukiyo .
• Le ntlungu inokuqala emqolo ongezantsi ize ivele ezinqeni, ezinqeni, kwaye ngamanye amaxesha emathangeni .

Enye into kukuba abantu abane-sacroiliitis badla ngokuziva beqinile emalungeni abo xa bevuka kusasa . Kuqhelekile ukuba lukhuni kancinci xa sivuka ebuthongweni okanye emva kokuma ixesha elide. Nangona kunjalo, ukuqina okubangelwa yi-sacroiliitis kudla ngokuhlala ixesha elingaphezu kweyure .

Kutheni sifumana iSacroiliitis? Zithini izizathu?

Nantoni na enokubangela ukudumba kwamalungu ethu inokuchaphazela la malungu e-sacroiliac kwaye ibangele i-sacroiliitis. Isizathu esiphambili yi -arthritis . Phakathi kwazo:

• I-Ankylosing Spondylitis: Olu luhlobo lwe-arthritis oluchaphazela ngokukodwa amalungu omqolo. I-Sacroiliitis idla ngokuba luphawu lokuqala lwesi sifo.
• Isifo Somhlaza Weengqondo: Esi sisifo solusu esibangela i-psoriasis - imeko ebangela ukuba ulusu lube namaxolo, luqhekeke - kunye ne-arthritis emalungeni.

Ukongeza kwezi ntlobo ze-arthritis, i-sacroiliitis inokubangelwa nazezinye iimeko ezibangela ukudumba emzimbeni. Umzekelo:

• Isifo sikaCrohn
• I-ulcerative colitis
• Isifo samathambo esisabelayo (i-Reiter's syndrome)
• Isifo sikaBehçet

Enye ingxaki ekhethekileyo kukuba abanye abafazi banokuba ne-sacroiliitis ngexesha lokukhulelwa . Ngenxa yemiphumo yeehomoni ezibangela utshintsho emzimbeni ngexesha lokukhulelwa, la malungu e-sacroiliac anokuvuleka kancinci aze ajikeleze. Nangona oku kuqhelekile, kunokuba buhlungu kwabanye abantu.

Kwakhona, kunqabile kakhulu, usulelo lwebhaktheriya , olufana neStaphylococcus aureus, lunokubangela i-sacroiliitis ukuba lungena kumalungu e-sacroiliac.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba le meko ayinyangwa ngokukhawuleza, intlungu ingaphazamisana nokukwazi kwakho ukushukuma. Khawuthelekelele ukuba kunzima kangakanani xa ungakwazi ukugoba kakuhle, ukuvuka esitulweni, okanye ukuhamba ngenxa yentlungu yomqolo. Kwakhona, intlungu engapheliyo inokubangela ukungalali ebusuku, ukutshintsha kweemvakalelo, kwaneengxaki zempilo yengqondo ezifana nokudakumba .

Oogqirha bayixilonga njani le nto?

Ugqirha uza kuxilonga i-sacroiliitis ngokwenza uvavanyo lomzimba kunye novavanyo oluthile lwemifanekiso. Ugqirha uza kuxilonga umqolo wakho, amanqe kunye nemilenze.

Uyabuzwa:

• Kudala kangakanani le ntlungu ikhona?
• Zeziphi izinto (umz., ukuhlala, ukuhamba, ukulala) ezenza intlungu ibe mandundu?
• Baza kukubuza nangezinye iimeko zempilo onazo (umz., isifo samathambo, i-psoriasis). Lonke olu lwazi luya kunceda ekuxilongweni.

Emva koko, ugqirha wakho uza kwenza imithambo yokujonga ukuba ushukuma kangakanani , nto leyo ebonisa ukuba ungalishukumisa kangakanani ilungu ngaphandle kwentlungu. Kusenokufuneka ubeke uxinzelelo kumalungu akho e-sacroiliac. Ukuba kukho intshukumo, indawo, okanye uxinzelelo oluyandisa intlungu yakho, xelela ugqirha wakho .

Luhlobo luni lovavanyo olwenziwayo koku?

Ugqirha wakho angasebenzisa iimvavanyo ezifana nezi ukuthatha imifanekiso yamalungu akho e-sacroiliac:

• Ii-X-reyi zePelvis
• I-CT scan (i-Computed Tomography - i-CT scan)
• I-MRI (Umfanekiso weMagnetic Resonance - i-MRI)

Olu vavanyo lwemifanekiso lunokubona ngokucacileyo izinto ezinje ngokudumba kunye nomonakalo emalungeni. Ngamanye amaxesha, uvavanyo lwegazi lwenziwa ukujonga iimeko zokudumba kunye nosulelo emzimbeni.

Ngoko ke, zeziphi iindlela zonyango zoku?

Unyango lomzimba lolunye lonyango oluphambili lwe-sacroiliitis. Ingcali yonyango lomzimba iya kukufundisa imithambo ethile kunye nokolula okuqinisa izihlunu ezijikeleze amalungu akho e-sacroiliac. Xa zenziwe ngokuchanekileyo, ezi mithambo zinokunceda ukunciphisa uxinzelelo kumalungu akho kwaye ziwancede ahlale eqinile. Ezi mithambo zinokwandisa nomgama wakho wokunyakaza.

Ukongeza, ugqirha angacebisa amayeza anjengala:

• Ii-NSAID (Amayeza Angalwiyo Nee-steroidal Anti-inflammatory): La ngamayeza alwa nokuvuvukala angengawo a-steroidal. Imizekelo ibandakanya i-aspirin, i-ibuprofen, kunye ne-naproxen. Nangona kunjalo, musa ukuthatha la mayeza kangangeentsuku ezingaphezu kweshumi ngexesha ngaphandle kokubonisana nogqirha.
• Iziphumzi zemisipha: La ngamayeza akhutshwa ngugqirha asebenza ngokunciphisa iintlungu zemisipha kwaye athintele imiqondiso yentlungu esuka kwimithambo-luvo iye engqondweni.
• IiCorticosteroids: Ezi zikwangamayeza anamandla kagqirha anciphisa ukudumba kunye nentlungu. Ugqirha wakho angakunika inaliti ngqo kwilungu elibuhlungu. Oku kungakunika isiqabu ngokukhawuleza.

Amaxesha amaninzi, unyango olubizwa ngokuba yi -radiofrequency ablation (RFA) lunokucetyiswa ukulawula iintlungu. Oku kuyayicima imithambo-luvo ethwala imiqondiso yeentlungu eziya engqondweni, kumise ukuziva iintlungu.

Kusenokufuneka ubonane nogqirha wezifo zamathambo , ugqirha ogxile kwizifo ezibangelwa kukudumba.

Ngaba utyando luza kufuneka?

Utyando alufuneki rhoqo kwi-sacroiliitis. Ugqirha angacinga ngotyando ukuba unyango lomzimba, amanye amayeza, kunye nonyango olufana ne-RFA aluncedi kwiintlungu ixesha elide. Ukuba kunjalo, ugqirha wakho angenza i-joint fusion . Oku kubandakanya ukufaka izikrufu zotyando ukuze zibotshelelwe ngokusisigxina. Ugqirha wakho uza kuchaza ukuba loluphi uhlobo lotyando olufunekayo kunye nexesha lakho lokuchacha eliza kuba njani.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?

Enyanisweni, akukho ndlela iqinisekileyo yokuthintela ngokupheleleyo i-sacroiliitis, njengoko iimeko ezisisiseko, ezifana ne-arthritis, kunzima ukuzilawula.

Nangona kunjalo, ungenza oku kulandelayo ukunciphisa umngcipheko wakho wokufumana izifo ezifana ne-arthritis:

• Kuphephe ukusebenzisa iimveliso zecuba.
• Yenza umthambo ongenampembelelo ingako . Imizekelo: ukuhamba, ukudada.
• Landela ukutya okunempilo kunye nesicwangciso sokuzilolonga esikufaneleyo.

Ngaba le meko iya kuhlala ihleli ngonaphakade?

Ukuba une-sacroiliitis ngenxa yohlobo lwe-arthritis evuthayo, umonakalo kumalungu unokuba ngowokusisigxina. Nangona kunjalo, kwabo bayihlakulelayo ngexesha lokukhulelwa, idla ngokuba yeyokwexeshana kwaye idla ngokuba ngcono emva kokuba umntwana ezelwe.

Abantu abaninzi banokuyilawula imeko ebangela i-sacroiliitis ngamayeza kunye nonyango lomzimba. Ukuba iimpawu zakho ziyaphinda zibuye okanye ziyanda, qiniseka ukuba uxelele ugqirha wakho.

Sifanele sifune nini ingcebiso yezonyango?

Ukuba unentlungu entsha emqolo ongezantsi, okanye ukuba intlungu iya isiba mandundu, bona ugqirha ngokukhawuleza. Kwakhona, ukuba sele unyangwa i-sacroiliitis, xelela ugqirha wakho ukuba intlungu yakho ibonakala isiba mandundu, okanye ukuba unyango lwakho alukuncedi njengangaphambili.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, ungabuza imibuzo efana nale:

• Ngaba ndine-sacroiliitis, okanye intlungu yamalungu e-sacroiliac, okanye kukho enye imbangela yentlungu yomqolo?
• Ngaba ndinesifo samathambo? Ukuba kunjalo, loluphi uhlobo lwaso?
• Ngaba ndiza kuyidinga unyango lomzimba?
• Luhlobo luni lweyeza endiza kulithatha?
• Ngaba ndiza kufuna utyando?

Ngaba iSacroiliitis kunye neSacroiliac joint pain ziyafana?

Ewe, oku kubalulekile. Usenokuba nentlungu kwijoyinti yakho ye-sacroiliac ngaphandle kwe-sacroiliitis. Intlungu esezantsi komqolo ixhaphakile kakhulu. Abantu abaninzi bafumana iintlungu kwijoyinti ye-sacroiliac.

Umahluko kukuba i-sacroiliitis luhlobo lokuvuvukala oluye lwachongwa ngokuchanekileyo ngugqirha. Ukuba unentlungu engapheliyo yodwa emva kweveki, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Uya kukwazi ukukuchazela ukuba yintoni ebangela intlungu kunye nendlela yokuyiphepha.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule kweli bali?

I-Sacroiliitis luhlobo lwentlungu emqolo ongezantsi ebangelwa kukudumba kwamalungu apho umqolo wethu udibana khona nezinqe zethu. Nayiphi na intlungu iyacaphukisa, ingakumbi xa isithintela ekushukumeni okanye ekwenzeni imisebenzi eqhelekileyo.

Iindaba ezimnandi zezokuba nokuba yintoni na imbangela yentlungu yakho, ugqirha angakunceda ufumane iindlela zokulawula iimpawu zakho, njengonyango lomzimba. Nangona unyango lomzimba lunokufuna umgudu othile, ungalibali ukubhiyozela naluphi na utshintsho oluncinci olwenzayo kwaye uzingce ngemizamo yakho. Ndikunqwenelela ukuchacha ngokukhawuleza!

i- sacroiliitis, iintlungu zomqolo, iintlungu zesinqe, ukudumba kwamalungu, isifo samathambo, unyango lomzimba, iintlungu zamalungu e-sacroiliac