Inkinga enkulu kubantu abaningi ubuhlungu bomhlane obekulokhu kuqhubeka isikhathi eside. Ngezinye izikhathi, kungakhathaliseki ukuthi bathatha imithi engakanani kanye ne-physiotherapy abayenzayo, kubonakala sengathi akukho mpumuzo. Kodwa bewazi, akuzona zonke izinhlungu zomhlane okumele zibangelwe inkinga emgogodleni. Mhlawumbe imbangela yobuhlungu bakho iphansi kancane emhlane, emalungeni lapho umgogodla wakho uxhumana khona nethambo lakho lesinqe. Lokhu sikubiza ngokuthi i-Sacroiliac Joint noma i-SI Joint.
Kungani kunzima kangaka ukuxilonga ubuhlungu bamalunga e-SI?
Kalula nje, amalunga e-SI angamalunga amabili aqinile kakhulu axhumanisa ingxenye engezansi yomgogodla wethu (esiyibiza ngokuthi i-sacrum) kanye nethambo lesinqe (i-ilium). Phakathi kwabantu abangu-15% no-30% abahlushwa ubuhlungu obungapheli emhlane, imbangela eyinhloko yobuhlungu yinkinga ngelinye noma womabili la malunga e-SI.
Kodwa ukuxilonga lokhu kungaba yinselele kuwe futhi ngezinye izikhathi ngisho nakodokotela. Isizathu ukuthi nakuba leli lunga lingelinye lamakhulu emzimbeni wethu, litholakala kakhulu endaweni yesinqe. Ngakho-ke, udokotela angase angakwazi ukubona inkinga kuleli lunga lapho ekuhlola ngokomzimba. Futhi, ngisho nokuhlolwa okufana ne-X-ray ngezinye izikhathi kungaba nzima ukuthola isithombe esicacile salo.
Enye into ukuthi izimpawu zobuhlungu bamalunga e-SI zifana kakhulu nezinye izimo, njenge-sciatica noma i-hip arthritis, ngakho kungaba nzima ukuthola imbangela eqondile.
Udokotela uvame ukuhlanganisa imiphumela yokuhlolwa okuningana ukuqinisekisa ukuthi kukhona ukungasebenzi kahle kwamalunga e-SI. Iningi lalezi zivivinyo lingenziwa ehhovisi likadokotela.
Ukuhlolwa Komzimba Okwenziwa Udokotela
Okokuqala, udokotela wakho uzokubuza ngomlando wakho wezokwelapha futhi akunikeze ukuhlolwa okuphelele. Ukuma kwakho nendlela ohamba ngayo nakho kuyacatshangelwa phakathi nalesi sikhathi. Ngemuva kwalokho, kwenziwa izivivinyo eziningana ezikhethekile ukuze kubonakale ukuthi ubuhlungu buvelaphi nokuthi ijoyinti le-SI lihamba kahle kangakanani. Ukuhlolwa okukodwa noma okubili kwalokhu kuphela ngeke kuholele ekuxilongweni. Inkinga ngejoyinti le-SI isolwa kuphela uma okungenani izivivinyo ezintathu ziqinisekisa ukuthi kukhona okungahambi kahle.
Ithebula elingezansi libala ezinye zezivivinyo ezivamile ezenzelwe le njongo.
| Igama Lokuhlolwa | Kalula nje, lokho okwenzayo |
|---|---|
| Ukuhlolwa kukaGaenslen | Wenziwa ulale ubheke phezulu etafuleni, idolo elilodwa ligobile ngasesifubeni sakho bese licindezelwa phansi, kanti omunye umlenze weluliwe uqonde phezulu bese ucindezelwa phansi etafuleni. |
| Ukuhlolwa kukaPatrick noma ukuhlolwa kukaFABER | Ngesikhathi ulele ngomhlane, ucelwa ukuba ubeke iqakala lomlenze obuhlungu phezu kwedolo kolunye uhlangothi. Ngemuva kwalokho, udokotela ucindezela ngasikhathi sinye idolo eligobile kanye ne-hip eliphambene. |
| Ukuhlolwa Kokucindezelwa Kwe-Pelvic | Ujikiswa ngohlangothi bese ubekwa ngomhlane, ucindezela phansi ethanjeni eliphezulu lesinqe. Lokhu kucindezela ijoyinti le-SI. |
| Ukuhlolwa Kokucindezelwa Kwethanga | Ngesikhathi ulele ngomhlane, udokotela uzogoba amadolo akho nezinqe zakho kufike kuma-degree angu-90 bese ecindezela phansi ethangeni lakho. |
| Ukuhlolwa kweFlamingo | Bakucela ukuthi ume ngomlenze obuhlungu kuphela bese ugxuma kancane kulowo mlenze. Babona ukuthi ubuhlungu buyanda yini. |
Ungesabi lapho wenza lezi zivivinyo.
Phakathi nalezi zivivinyo, ungase uzizwe ungakhululekile noma ubuhlungu njengoba udokotela egoba futhi ecindezela imilenze yakho nezinqe ngezindlela ezahlukene. Lokhu kuvamile. Lezi zivivinyo zenziwa ukuze kufakwe ngamabomu ingcindezi encane esihlanganyelweni se-SI ukuqinisekisa ukuthi ubuhlungu bakho buvela kulelo lunga. Ngakho-ke tshela udokotela wakho ukuthi uzizwa kanjani ngqo.
Indima yokuhlolwa kwezithombe
Ngaphezu kokuhlolwa ngokomzimba, udokotela wakho angase akuncome ukuthi uhlolwe ukuze kutholakale isithombe esicacile sengaphakathi lomhlane wakho kanye nendawo yakho yesinqe.
- I-X-ray: I-X-ray ingasiza ekuboneni ukuthi kukhona yini izinguquko, ukwaphuka, noma izimo ze-arthritis esigxotsheni se-SI.
- I-CT Scan (i-Computed Tomography): Lokhu ukuhlolwa okunamandla kakhulu kune-X-ray. I-CT scan ingabheka amathambo amalunga nawazungezile ngokuningiliziwe kakhulu kune-X-ray can.
- I-MRI Scan (I-Magnetic Resonance Imaging): I-MRI ivame ukusetshenziselwa ukususa ezinye izimbangela zobuhlungu bamalunga e-SI, kunokuba ihlolwe. Cabanga nje, ubuhlungu bakho bungabangelwa ukuqhekeka kwediski noma enye inkinga yezicubu ezithambile. I-MRI ingakusiza ukuthi uqiniseke ngokuphelele ukuthi awunazo ezinye izimo ezibangela izimpawu ezifana nobuhlungu bamalunga e-SI.
Umjovo Wokuxilonga
Uma, ngemva kwazo zonke ezinye izivivinyo, kungacaci ukuthi ijoyinti le-SI liyimbangela yobuhlungu, kukhona ukuhlolwa okunembile kakhulu odokotela abazogcina bephendukele kukho. Okungukuthi, ukufaka umuthi oqeda izinhlungu ngqo ejoyintini le-SI.
Lokhu akwenziwa kalula. Udokotela usebenzisa i-X-ray noma i-ultrasound scan ukuqinisekisa ukuthi inaliti ingena ngqo esilungwini.
Cabanga nje uma ubuhlungu bakho obukade ubuzwa bunganyamalala ngokushesha ngemva kokuthola lo mjovo? Lokho kufakazelani? Imbangela yobuhlungu iyinkinga eyi-100% ejoyintini le-SI.
Lokhu ukuhlolwa kokuxilonga , futhi ngezinye izikhathi kusetshenziswa njengokwelashwa kwesikhashana uma kunikezwa ngemithi ye-steroid. Ngenxa yokuthi inezingozi ezimbalwa (njengokutheleleka) kunezinye izivivinyo, odokotela batusa kuphela ezimweni ezimbi kakhulu.
Ngakho-ke, uma nawe uzwa ubuhlungu obungachazeki emhlane wakho ongezansi noma endaweni yesinqe, ungabushayi indiva. Ngokubona udokotela ofanelekayo nokuhlolwa okufanele, ungathola imbangela eqondile futhi uthole ukwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- Imbangela yobuhlungu obungapheli emhlane wakho ongezansi nasemaqakaleni kungenzeka kungabi yinkinga ngomgogodla wakho uqobo, kodwa inkinga ngejoyinti lakho le-sacroiliac (SI).
- Ngenxa yokuthi ukuhlonza lesi simo kuyinkimbinkimbi kakhulu, udokotela wakho uzokwenza izivivinyo eziningana ezahlukene zomzimba ezizosiza ekutholeni imbangela yobuhlungu.
- Ama-scan, njenge-X-ray, i-CT scan, noma i-MRI, angasiza ekuxilongeni lesi simo futhi asuse ezinye izimo.
- Ukuhlolwa okungcono kakhulu kokuqinisekisa ukuthi lesi sifo sikhona ngempela ukujova umuthi oqeda izinhlungu emalungeni.
- Uma unalezi zimpawu, ungazinyangi, kodwa qiniseka ukuthi ubonana nodokotela wakho ukuze uthole ukuxilongwa okunembile kanye nohlelo lokwelashwa.
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