Iningi lethu selike labhekana nobuhlungu bomhlane esikhathini esithile empilweni yethu, akunjalo? Ngezinye izikhathi kuyinto evamile, kodwa ngezinye izikhathi kungase kube nesinye isizathu salobu buhlungu. Ikakhulukazi uma kungubuhlungu obuvela endaweni lapho umhlane wakho ongezansi nezinqe kuhlangana khona, kungaba yi-Sacroiliitis. Nakuba igama lingase lizwakale lingavamile, kuyisimo okufanele sisiqaphele.
Kalula nje, iyini i-Sacroiliitis?
Cabanga ngendawo lapho umgogodla wakho ongezansi uhlangana khona nethambo lakho lesinqe. Ukuze kube sobala, kunezihlanganisi ezimbili ezixhumanisa ithambo elingunxantathu ekugcineni komgogodla wethu (sacrum) kanye nengxenye ephezulu yethambo lethu lesinqe (ilium). Lawa mahlanganisi abizwa ngokuthi amahlanganisi e-sacroiliac. Lawa mahlanganisi alinganisela isisindo semizimba yethu engenhla nengezansi lapho sihamba, sishukumisa izinqe zethu, futhi siphakamisa izinsimbi.
I-Sacroiliitis yisimo lapho elinye noma womabili la malungu evuvukala , noma evuvukala, ngesizathu esithile. Lokhu kuvuvukala kungabangela ubuhlungu emhlane wakho ongezansi, ezinqeni, futhi ngezinye izikhathi phansi emilenzeni yakho.
Uma lesi simo senzeka elungeni elilodwa kuphela, sibizwa ngokuthi i-Unilateral Sacroiliitis. Uma senzeka kuwo womabili amalunga, sibizwa ngokuthi i-Bilateral Sacroiliitis.
Kubaluleke kakhulu ukubonana nodokotela ukuze kutholakale imbangela eqondile, kunokumane ucabange ukuthi ubuhlungu bomhlane.
Ziyini izimpawu ze-Sacroiliitis?
Ubuhlungu obuphansi emhlane yilona uphawu oluyinhloko. Kodwa lobu buhlungu bungazwakala ngezindlela ezimbalwa ezahlukene. Ake sibheke ukuthi ziyini lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu buvelaphi | Ubuhlungu emhlane ongezansi, ezinqeni, kanye nasesinqeni. Ngezinye izikhathi lobu buhlungu bungahamba buye ethangeni. |
| Izikhathi lapho ubuhlungu bukhula khona | Ubuhlungu buyanda uma usukuma ngemuva kokuba sesimweni esifanayo (uhleli noma ume) isikhathi eside. Ubuhlungu bungakhula nalapho ujikeleza izinqe zakho, ukhuphuka izitebhisi, noma ubeka isisindo esiningi emlenzeni owodwa. |
| Uhlobo lobuhlungu | Ngezinye izikhathi ubuhlungu bungaba bukhali, njengokugwazwa ngommese. Ngezinye izikhathi, bungazwakala njengobuhlungu obungajabulisi, obuhlala njalo, obucindezelayo. |
| Ukuqina Kwasekuseni | Lesi uphawu olubaluleke kakhulu. Uma uvuka ekuseni, ungase uzizwe ukuqina noma ukuqina emhlane wakho ongezansi. Nakuba lokhu kuqina kuzophela ngemva kwesikhathi esithile ebuhlungu obujwayelekile bomhlane, ku-Sacroiliitis kungahlala isikhathi esingaphezu kwehora . |
Ziyini izimbangela ze-Sacroiliitis?
Kunezizathu eziningana zalokhu. Eziyinhloko yilezi.
- Izinhlobo ze-Arthritis: I-Sacroiliitis ingabangelwa yi-arthritis, ebangela ukuvuvukala kwamalunga.
- I-Ankylosing spondylitis: Lolu uhlobo lwe-arthritis oluthinta amalunga omgogodla. I-Sacroiliitis ingaba olunye lwezimpawu zokuqala zalesi sifo.
- I-Psoriatic arthritis: Lesi yisimo se-arthritis esenzeka kanye ne-psoriasis.
- Ezinye izimo zokuvuvukala: Lesi simo singabangelwa nezinye izifo ezibangela ukuvuvukala emzimbeni.
- Isifo sikaCrohn
- I-ulcerative colitis
- Ukukhulelwa: Abanye besifazane bangase babe nalesi simo okwesikhashana ngenxa yezinguquko emizimbeni yabo ngesikhathi sokukhulelwa. Lokhu kungenxa yokuthi la malunga aba makhudlwana futhi axegayo ngenxa yethonya lamahomoni.
- Ukutheleleka: Akuvamile kakhulu, ukutheleleka ngamagciwane, njenge-Staphylococcus aureus, kungabangela i-sacroiliitis uma kungena kula malungu.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela wakho, uzoqala akubuze ngezimpawu zakho. Kubaluleke kakhulu ukucacisa ukuthi ubuhlungu buzwakala kanjani, ukuthi bube bubi kangakanani, nokuthi wenzani ukuze bube bubi kakhulu.
Ngemuva kwalokho, udokotela uzokuxilonga.
- Ukuhlolwa komzimba: Umhlane wakho, izinqe, kanye nemilenze kuzohlolwa. Izinqe zakho kanye nomhlane wakho kuzogoba futhi kuphenduke ngezindlela ezahlukene. Ungase futhi ucelwe ukuthi ucindezele amalunga ngeminwe yakho.
- Ukuhlolwa:Ukuqinisekisa lesi sifo, kungenziwa izivivinyo ezilandelayo:
- Ukuhlolwa kwe-X-ray
- Ukuskena kwe-CT (Computed Tomography)
- Isikeni se-MRI (Magnetic Resonance Imaging)
- Ukuhlolwa kwegazi kungenziwa futhi ukuze kuhlolwe ezinye izifo noma ezinye izinto ezingase zibangele ukuvuvukala.
Yiziphi izindlela zokwelapha lokhu?
Into engcono kakhulu ukuthi kunezindlela zokwelapha ezinhle zokulawula lesi simo.
Ukwelashwa Komzimba
Ukwelashwa okuyinhloko nokuvame kakhulu kwalokhu ukwelashwa ngokomzimba . Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca nokwelula okuqinisa imisipha ezungeze la malunga. Lokhu kunciphisa ukucindezeleka emalungeni futhi kuwaqinise. Lokhu kuzivocavoca kusiza futhi ukwandisa ububanzi bokunyakaza kwakho.
Imithi
Ukuze ulawule ubuhlungu, udokotela wakho angase akunike imithi efana nalokhu:
- Iziqeda-zinhlungu: Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) (isib., i-Ibuprofen, i-Naproxen). Kodwa khumbula, akukhuthazwa ukuthi uyithathe njalo izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela.
- Iziphumuli zemisipha: Lokhu kusiza ekunciphiseni ubuhlungu nokuqina kwemisipha.
- Imijovo ye-steroid (i-Corticosteroids): Ngezinye izikhathi, umjovo ungafakwa ngqo emalungeni ukuze kuncishiswe ubuhlungu nokuvuvukala ngokushesha.
Ezinye izindlela zokwelapha kanye nokuhlinzwa
Akuvamile kakhulu, uma ubuhlungu bungaphezu kwamandla, ukwelashwa okufana ne-radiofrequency ablation (RFA) kungacatshangelwa, okuvimbela izimpawu zobuhlungu ukuthi zingafiki ebuchosheni ngemizwa ejoyintini.
Ukuhlinzwa akuvamile ukwenziwa. Ukuhlinzwa kwenziwa kuphela uma kungekho okunye ukwelashwa okuye kwaphumelela. Lokhu kuhilela ukufaka izikulufo zokuhlinzwa ukuze kuxhunywe unomphela ijoyinti (i-joint fusion).
Kufanele ngimbone nini udokotela?
Uma unezinhlungu ezintsha ezingezansi ezingapheli ngemva kwesonto, qiniseka ukuthi ubona udokotela. Futhi, uma usuvele uthatha ukwelashwa kodwa ubuhlungu bubonakala buba bubi kakhulu noma uma ukwelashwa kubonakala kungakusizi kakhulu njengoba kwakunjalo ngaphambili, tshela udokotela wakho.
Uma ungelashwa, lobu buhlungu bungaphazamisa imisebenzi yakho yansuku zonke, ukuhamba, kanye nokulala. Ngakho-ke ungabunaki ubuhlungu.
Umlayezo Wokuya Nawe Ekhaya
- I-Sacroiliitis ukuvuvukala kwamalunga okuhlanganisa umgogodla wakho nezinqe zakho. Lokhu kubangela ubuhlungu emhlane ongezansi, ezinqeni nasezinqeni.
- Uma uzizwa ukuqina emhlane wakho ongezansi isikhathi esingaphezu kwehora ngemva kokuvuka ekuseni, kungaba uphawu oluyinhloko lwalesi sifo.
- Isifo samathambo, ukukhulelwa, nezinye izimo zokuvuvukala kungabangela lokhu.
- Ungabunaki ubuhlungu obuphansi emhlane, bona udokotela ukuze uthole imbangela eqondile.
- Ukwelashwa ngokomzimba kuyindlela eyinhloko yokwelapha lokhu. Ngaphezu kwalokho, kunemithi kanye nezinye izindlela zokwelapha.
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