Ukuvuvukala okuqinile kwamalungu e-sacroiliac kuyisici esibalulekile se-sacroiliitis ne-spondylitis, okuyizinhlobo ze-arthritis evuthayo ezithinta umgogodla.
Kungathatha iminyaka eminingi kusukela lapho uqala ukubona izimpawu uma ekugcineni uthola ukuxilongwa kwe-spondylitis. Ubude besikhathi obude buyiminyaka engu-7-8.
Kungani?
Okokuqala, kubalulekile ukubona isazi njengesi-rheumatologist ngokushesha uma unakho uma unezimpawu zokuvuvukala ezisebenzayo. Ama-Rheumatologists aqeqeshwe ukuthola, ukuxilonga nokuphatha lolu hlobo lobuhlungu emuva.
Okwesibili, izinhlobo eziningi zabanikezeli bezempilo, ikakhulukazi odokotela bokunakekelwa okuyinhloko, ukulwa nobuhlungu bokubuyela emuva. Lokhu ikakhulu uma kuziwa ekuhlukaniseni ubuhlungu obuvela emuva.
Enye into eyenza ukuthola ukuxilongwa kwe-arthritis evuvukalayo kunzima ukuthi kungathatha isikhathi eside ukushintshwa kokutshela emzimbeni wakho we-sacroiliac ukuze uboniswe kuma-x-ray. Ngenhlanhla, ubuchwepheshe obusha be-MRI kwenza kube lula ukubona. Eqinisweni, i-MRIs ingaveza izinhlobo ezine zokuvuvukala okusebenzayo okungenzeka kube khona ku-spondylitis. Ngezansi kukhona izincazelo.
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UkwelashwaI-enthesitis ukuvuvukala kwezicubu ezithambile (imisipha, ligament noma ithethoni) lapho ifaka khona ithambo. Ihlotshaniswa ne-arthritis futhi ingenye yezibonakaliso eziyinhloko ze-spondyloarthritis (i-arthritis echaphazela umgogodla.)
Lokho kusho ukuthi i-enthesitis ivame ukuzwa ezithende futhi ngezinye izikhathi amadolo, nakuba angabangela ukuvuvukala nokuhlushwa emzimbeni ongaphezulu kanye / noma isikhumba. I-enthesitis ihlobene nokusabalalisa i-idiopathic skeletal hyperostosis (igama lesi-DISH) eliyisimo esihlobene nokuguga lapho izintambo zomgogodla zikhuni khona. Kungase kwenzeke kanye nezifo ezifana ne-systemic lupus erythematous noma i-sarcoidosis.
I-enthesitis ngokuvamile idala indawo ethintekile yezicubu ezithambile ukuba zibe yi-ropey (ebizwa ngokuthi i-fibrosis) kanye / noma eqinile (ebizwa ngokuthi i-calcification noma i-ossification). Kungaba buhlungu kakhulu; ubuhlungu buyenzeka ngokuyinhloko uma usebenzisa imisipha yakho futhi badonsa amathambo akho.
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OsteitisI-Osteitis ukuvuvukala kwamathambo amathambo abangelwa ukutheleleka, izinguquko ezishintshayo noma ukuhlukunyezwa. I-Osteitis iholela ku-edema, noma ukuvuvukala, komgudu wamathambo oseduze. I-Osteitis ihlotshaniswa ne- ankylosing spondylitis .
Izimpawu ze-osteitis zihlanganisa zifana nanoma yiluphi uhlobo lokuvuvukala futhi zifaka ubuhlungu, futhi ngezikhathi ezithile kubomvu nokuvuvukala kwesikhumba esiphezulu.
Uma ukhuluma nge-sacroiliitis ne-spondyloarthritis kungase kubalulekile ukuphawula ukuthi, okokuqala, izimpawu ze-osteitis kwi-MRI kungenzeka ngokucacile zibonisa ukuthi unayo izinguquko zebony, futhi lesibili, kunesigaba sokuqala se-osteitis nesigaba se-osteitis sekwephuzile.
Izici ze-osteitis ezinhlangeni ze-sacroiliac zihluke kakhulu esigabeni ngasinye. Yiqiniso, kubalulekile ukubamba izimpawu kusenesikhathi ukuze unikeze ukwelashwa kwakho ithuba elingcono kakhulu lokusebenzela wena futhi likusize ukuphatha ubuhlungu kanye / noma ukukhubazeka.
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I-CapsulitisI-Capsulitis ukuvuvukala kwanoma iyiphi i-capsule ye-anatomical. Emzimbeni, i-capsule ye-anatomiki isakhiwo, ngokuvamile esenziwe ngezicubu ezinamafutha, esivala ingxenye noma izingxenye. Isibonelo, izingxenyana zezinhlangothi ezingemuva kwekholomu yomgogodla zifakwe emaqenjini awaziwa kahle njengezikhondomu ezihlangene . Mhlawumbe uhlobo oludumile kakhulu lwe-capsulitis luhambisana ne-capsulitis, noma ihlombe elifriziwe, kodwa emgodleni, amajoyina ama-facet ayithinteka kakhulu leli fomu lokuvuvukala.
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SynovitisI-Synovitis ukuvuvukala kwanoma yiluphi ulwelwesi lwe-synovial lwe-joint. Ama-synovial line membranes line capsules joint, bese uthumela amanzi e-synovial ukondla u-cartilage futhi ugcobe okuhlangene.
I-Synovitis ivame ukugula i-arthritis. Izimpawu zingafaka ubuhlungu uma uhambisa ingxenye ethintekile nokuvuvukala. Uma une-synovitis, udokotela wakho angase asikisele noma anike ama-NSAID ukulawula ukuvuvukala nobuhlungu.