Ingabe nawe uzwa ubuhlungu emhlane wakho ongezansi nasezinqeni? Kungaba yi-Sacroiliitis!

Ingabe uvame ukuba nobuhlungu emhlane wakho ongezansi, noma ezinqeni, futhi ngezinye izikhathi phansi emilenzeni yakho? Esikhathini esiningi sicabanga ukuthi ubuhlungu bomhlane nje, kodwa empeleni bungaba ngenxa yokuvuvukala, noma ukuvuvukala, emalungeni akho e-sacroiliac. Namuhla, sizokhuluma ngesimo esibizwa ngokuthi i-sacroiliitis.

Kalula nje, iyini le sacroiliitis?

Kulungile, ake siqale sibheke ukuthi la malungu e-sacroiliac ayini. Cabanga nje, amalunga e-sacroiliac yilapho kuhlangana khona ingxenye engezansi yomgogodla wethu, ithambo elinobunxantathu (silibiza ngokuthi i-sacrum) , kanye nethambo elikhulu kunawo wonke phezulu kwe-pelvis yethu (silibiza ngokuthi i-ilium) . Lawa amalunga amabili amakhulu nabaluleke kakhulu emzimbeni wethu. Njalo lapho sishukumisa izinqe zethu, lapho sihamba, lapho sigijima, lapho sivuka lapho sihleli

Ngakho-ke, i-Sacroiliitis iwukuba elinye noma womabili la malungu avuvukala ngesizathu esithile, okubangela ukuvuvukala nobuhlungu. Kufana nokuthi uma siklwebheka idolo lethu, liyavuvukala futhi libuhlungu. Lokhu kuvuvukala yikho okubangela ukuba uzizwe ubuhlungu emhlane wakho ongezansi nasemaqakaleni.

Uma unezinhlungu ezingapheli emhlane ongezansi, kungaba ngenxa yezizathu eziningana. Ngakho-ke kungcono ukubona udokotela ukuze uthole ukuthi yini ngempela ebangela lokhu. Ngaleyo ndlela, ungaqala ukwelashwa ngokushesha futhi unciphise ukuphazamiseka kwemisebenzi yakho yansuku zonke.

Ingabe kunezinhlobo ezahlukene zalokhu?

Yebo, kunezindlela eziningana odokotela abazibiza ngazo lesi simo, kuye ngokuthi mangaki amalunga akho athintekile.

• I-Unilateral Sacroiliitis: Lokhu kusho ukuthi linye kuphela ilungu lakho le-sacroiliac elivuvukele.
• I-Bilateral Sacroiliitis: Kulokhu, ukuvuvukala kungenzeka kuwo womabili amalunga ngesikhathi esisodwa.

Sivame kangakanani lesi simo?

Ubuhlungu bomhlane empeleni buvamile. Noma ubani osebenza esihlalweni sehhovisi isikhathi eside, ophakamisa izinsimbi ezisindayo, ongalali kahle, nokunye angathola ubuhlungu bomhlane. Njengoba ubuhlungu bomhlane bungabangelwa izinto eziningi ezahlukene, kunzima ukwazi kahle ukuthi bangaki abantu abane-sacroiliitis. Kodwa-ke, ezinye izifundo ziphakamisa ukuthi abantu abangafika ku-25%, noma cishe oyedwa kwabane, abanobuhlungu bomhlane bangaba ne-sacroiliitis.

Ziyini lezi zimpawu? Ingabe nawe uzizwa ngale ndlela?

Uphawu oluyinhloko noluvame kakhulu lwe-sacroiliitis ubuhlungu emhlane ongezansi. Ungase uzwe lobu buhlungu ngenye yalezi zindlela ezilandelayo:

• Ubuhlungu buyanda uma uhlala endaweni efanayo (uhleli noma umile) isikhathi eside.Cabanga uhleli phambi kwekhompyutha amahora amaningi ngesikhathi, bese uzwa ubuhlungu obukhulu lapho uvuka.
• Ubuhlungu buyanda uma ujika noma ujika inqulu yakho.
• Ubuhlungu bungaba ubuhlungu obuhlabayo obuhlabayo obufika ngokuzumayo , noma bungaba ubuhlungu obungajabulisi obuhlala njalo .
• Lobuhlungu bungaqala emhlane ongezansi bese buqala phansi ezinqeni, ezinqeni, futhi ngezinye izikhathi emathangeni .

Enye into ukuthi abantu abane-sacroiliitis bavame ukuzwa ukuqina kwamalunga abo lapho bevuka ekuseni . Kujwayelekile ukuzwa ukuqina okuncane lapho sivuka ebuthongweni noma ngemva kokuma isikhathi eside. Kodwa-ke, ukuqina okubangelwa yi-sacroiliitis kuvame ukuhlala isikhathi esingaphezu kwehora .

Kungani sithola i-Sacroiliitis? Ziyini izimbangela?

Noma yini engabangela ukuvuvukala emalungeni ethu ingathinta nala malungeni e-sacroiliac futhi ibangele i-sacroiliitis. Imbangela eyinhloko yi -arthritis . Phakathi kwazo:

• I-Ankylosing Spondylitis: Lolu uhlobo lwe-arthritis oluthinta ngqo amalunga omgogodla. I-Sacroiliitis ivame ukuba uphawu lokuqala lwalesi sifo.
• I-Psoriatic Arthritis: Lesi yisifo sesikhumba esibangela i-psoriasis - isimo esibangela isikhumba esinama-scaly, esiqhekekile - kanye ne-arthritis emalungeni.

Ngaphezu kwalezi zinhlobo ze-arthritis, i-sacroiliitis ingabangelwa nezinye izimo ezibangela ukuvuvukala emzimbeni. Isibonelo:

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

Enye inkinga ekhethekile ukuthi abanye besifazane bangaba ne-sacroiliitis ngesikhathi sokukhulelwa . Ngenxa yemiphumela yama-hormone abangela izinguquko emzimbeni ngesikhathi sokukhulelwa, la malunga e-sacroiliac angaba banzi kancane futhi ajikeleze. Nakuba lokhu kuyinto evamile, kungaba buhlungu kwabanye abantu.

Futhi, akuvamile kakhulu, ukutheleleka ngamagciwane , njenge-Staphylococcus aureus, kungabangela i-sacroiliitis uma ingena emalungeni e-sacroiliac.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma lesi simo singelashwa ngokushesha, ubuhlungu bungaphazamisa ikhono lakho lokunyakaza. Cabanga ukuthi kunzima kangakanani uma ungakwazi ukugoba kahle, ukuvuka esihlalweni, noma ukuhamba ngenxa yobuhlungu bomhlane. Futhi, ubuhlungu obungapheli bungabangela ukungalali ebusuku, ukushintshashintsha kwemizwelo, ngisho nezinkinga zempilo yengqondo njengokucindezeleka .

Odokotela bakuthola kanjani lokhu?

Udokotela uzohlola i-sacroiliitis ngokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe. Udokotela uzohlola umhlane wakho, izinqe kanye nemilenze.

Uyabuzwa:

• Sekuyisikhathi esingakanani lobu buhlungu bukhona?
• Yiziphi izinto (isib. ukuhlala, ukuhamba, ukulala) ezenza ubuhlungu bube bubi nakakhulu?
• Bazobuza nangezinye izimo zezokwelapha onazo (isib. isifo samathambo, i-psoriasis). Lonke lolu lwazi luzosiza ekuxilongweni.

Ngemuva kwalokho, udokotela wakho uzokwenza izivivinyo ezithile ukuhlola ububanzi bokunyakaza kwakho, okuwukuthi ungashukumisa kangakanani ilunga ngaphandle kobuhlungu. Kungase kudingeke futhi ukuthi ufake ingcindezi emalungeni akho e-sacroiliac. Uma noma yikuphi ukunyakaza, isikhundla, noma ingcindezi kwandisa ubuhlungu bakho, tshela udokotela wakho .

Hlobo luni lokuhlolwa okwenziwayo ngalokhu?

Udokotela wakho angasebenzisa izivivinyo ezinjengalezi ukuthatha izithombe zamalunga akho e-sacroiliac:

• Ama-X-ray e-pelvis
• I-CT scan (i-Computed Tomography - i-CT scan)
• I-MRI (Umfanekiso Wokuzwakala Kwamagnetic - I-MRI)

Lezi zivivinyo zokuthwebula izithombe zingabona ngokucacile izinto ezifana nokuvuvukala nomonakalo emalungeni. Ngezinye izikhathi, ukuhlolwa kwegazi kwenziwa futhi ukuhlola izimo zokuvuvukala kanye nokutheleleka emzimbeni.

Ngakho-ke, yiziphi izindlela zokwelapha lokhu?

Ukwelashwa ngokomzimba kungenye yezindlela eziyinhloko zokwelapha i-sacroiliitis. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca okuthile kanye nokwelula okuqinisa imisipha ezungeze amalunga akho e-sacroiliac. Uma kwenziwa kahle, lokhu kuzivocavoca kungasiza ekunciphiseni ukucindezeleka kwamalunga akho futhi kuwasize ukuwagcina ezinzile. Lokhu kuzivocavoca kungandisa nobubanzi bokunyakaza kwakho.

Ngaphezu kwalokho, udokotela angase futhi asikisele imithi efana nalokhu:

• Ama-NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala): Lezi yizidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala. Izibonelo zifaka phakathi i-aspirin, i-ibuprofen, ne-naproxen. Kodwa-ke, ungayithathi le mithi izinsuku ezingaphezu kweyishumi ngesikhathi ngaphandle kokubonisana nodokotela.
• Iziphumuli zemisipha: Lena imithi kadokotela esebenza ngokunciphisa ubuhlungu bemisipha futhi ivimbele izimpawu zobuhlungu ezivela emithanjeni ziye ebuchosheni.
• Ama-Corticosteroids: Lawa futhi yimithi enamandla kadokotela enciphisa ukuvuvukala nobuhlungu. Udokotela wakho angakunika nomjovo ngqo esilungwini esibuhlungu. Lokhu kungakunikeza impumuzo esheshayo.

Akuvamile ukuthi kunconywe ukwelashwa okubizwa ngokuthi i-radiofrequency ablation (RFA) ukulawula ubuhlungu. Lokhu kukhubaza unomphela imizwa ethwala izimpawu zobuhlungu ebuchosheni, kumise umuzwa wobuhlungu.

Kungase kudingeke futhi ukuthi ubonane nodokotela wamathambo , udokotela ogxile ezifweni zokuvuvukala.

Ingabe ukuhlinzwa kuzodingeka?

Ukuhlinzwa akuvamile ukudingeka ngenxa ye-sacroiliitis. Udokotela angase acabangele ukuhlinzwa uma ukwelashwa ngokomzimba, eminye imithi, kanye nokwelashwa okufana ne-RFA kungasizi ubuhlungu isikhathi eside. Uma kunjalo, udokotela wakho ohlinzayo angase enze i-joint fusion . Lokhu kuhilela ukufaka izikulufo zokuhlinzwa ukuze abophe ijoint ndawonye unomphela. Udokotela wakho ohlinzayo uzochaza ukuthi hlobo luni lokuhlinzwa oludingayo nokuthi isikhathi sakho sokululama sizoba njani.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Eqinisweni, ayikho indlela eqinisekile yokuvimbela ngokuphelele i-sacroiliitis, njengoba izimo eziyisisekelo, njenge-arthritis, kunzima ukuzilawula.

Noma kunjalo, ungenza okulandelayo ukunciphisa ingozi yakho yokuthola izifo ezifana ne-arthritis:

• Gwema ukusebenzisa imikhiqizo kagwayi.
• Yenza ukuzivocavoca okungenamthelela omkhulu . Izibonelo: ukuhamba, ukubhukuda.
• Landela uhlelo lokudla okunempilo kanye nokuzivocavoca olukufanele.

Ingabe lesi simo sizohlala phakade?

Uma une-sacroiliitis ngenxa yohlobo lwe-arthritis evuvukalayo, umonakalo emalungeni ungase ube unomphela. Kodwa-ke, kulabo abawuthola ngesikhathi sokukhulelwa, ngokuvamile uba ngowesikhashana futhi uvame ukuba ngcono ngemva kokuzalwa komntwana.

Abantu abaningi bangakwazi ukubhekana nesimo esiyisisekelo esibangela i-sacroiliitis ngemithi kanye nokwelashwa ngokomzimba. Uma izimpawu zakho zibuya noma ziba zimbi kakhulu, qiniseka ukuthi utshela udokotela wakho.

Kunini lapho kufanele sifune khona iseluleko sezokwelapha?

Uma unezinhlungu ezintsha emhlane ongezansi, noma uma ubuhlungu buba bubi kakhulu, bona udokotela ngokushesha. Futhi, uma usuvele welashwa i-sacroiliitis, tshela udokotela wakho uma ubuhlungu bakho bubonakala buba bubi kakhulu, noma uma ukwelashwa kwakho kungakusizi kakhulu njengoba kwakunjalo ngaphambili.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Ingabe ngine-sacroiliitis, noma ubuhlungu bamalunga e-sacroiliac nje, noma ingabe kukhona enye imbangela yobuhlungu emhlane?
• Ingabe nginesifo samathambo? Uma kunjalo, hlobo luni lwaso?
• Ingabe ngizodinga ukwelashwa ngokomzimba?
• Uhlobo luni lomuthi engizowuthatha?
• Ingabe ngizodinga ukuhlinzwa?

Ingabe ubuhlungu bamalunga e-Sacroiliac kanye ne-Sacroiliac buyinto efanayo?

Yebo, lokhu kubalulekile. Usengaba nobuhlungu esithweni sakho se-sacroiliac ngaphandle kwe-sacroiliitis. Ubuhlungu obuphansi emhlane buvame kakhulu. Abantu abaningi bazwa ubuhlungu esithweni se-sacroiliac.

Umehluko ukuthi i-sacroiliitis uhlobo lokuvuvukala olutholwe ngokunembile ngudokotela. Uma unobuhlungu obungapheli bodwa ngemva kwesonto, kufanele nakanjani ubone udokotela. Uzokwazi ukukuchazela ukuthi yini ebangela ubuhlungu nokuthi ungabugwema kanjani.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kule ndaba?

I-Sacroiliitis uhlobo lobuhlungu obuphansi emhlane obubangelwa ukuvuvukala kwamalunga lapho umgogodla wethu uxhumana khona nezinqe zethu. Noma yiluphi ubuhlungu buyacasula, ikakhulukazi uma busivimbela ukunyakaza noma ukwenza imisebenzi evamile.

Izindaba ezinhle ukuthi kungakhathaliseki ukuthi iyini imbangela yobuhlungu bakho, udokotela angakusiza ukuthola izindlela zokuphatha izimpawu zakho, njengokwelashwa ngokomzimba. Nakuba ukwelashwa ngokomzimba kungadinga umzamo othile, ungakhohlwa ukugubha noma yikuphi ukuthuthuka okuncane okwenzayo futhi uziqhenye ngemizamo yakho. Ngikufisela ukululama okusheshayo!

i- sacroiliitis, ubuhlungu bomhlane, ubuhlungu benqulu, ukuvuvukala kwamalunga, isifo samathambo, ukwelashwa ngokomzimba, ubuhlungu bamalunga e-sacroiliac