Isibonakaliso Sokuqala Sase-Spondylitis Yoku-Ankylosing
I-Sacroiliitis, ukuvuvukala okuhlangene namalungu e-sacroiliac, isifo esibalulekile sezinhlobo eziningana ze-arthritis evuvukalayo futhi ngokuvamile yiyokuqala ukuzibonakalisa kulezi zifo.
I-osteoarthritis (cabanga ukugqoka nokuphumula, esikhundleni sokuvuvukala, kumalungu,) ukuhlukumezeka, ukungalungiswa kokuthunyelwe kwangasese, nezinye izinkinga zemishini ezinye zezimo ezingabangela ubuhlungu obuhlangene be-sacroiliac.
I-Sacroiliitis ibangela ubuhlungu endaweni efanayo, kodwa ngendlela ehluke kakhulu.
Ubuhlungu obuhlobene ne-sacroiliitis, kanye nezinguquko ezihlangene ezingabhekwa kwi-MRI zihlobene nesifo samathambo esingapheli emgodini . Ungase ucabange umehluko phakathi kwe-sacroiliitis kanye nezimbangela zamandla ngale ndlela: I-Sacroiliitis ivela ngenqubo yangaphakathi abanye abantu ababhekana nayo kanti abanye abakwenzi; izimbangela zamakhambi ezihlangene ze-SI zibangelwa amandla angaphandle kanye / noma ama-biomechanical angathinta indawo.
I-arthritis yomgogodla yokuvuvukala engapheli nayo ibizwa nangokuthi i-spondylitis. Njengesibonakaliso somtholampilo, i-sacroiliitis idlala indima enkulu ekuhloleni i-spondylitis.
Izimpawu
I-sacroiliitis ivame ukuzwa ubuhlungu obunzima emhlane noma ematheni aphansi okuthola kangcono ngomsebenzi. Kungase futhi kuthinte wonke umkhathi wesiphetho sakho esingaphansi ukusuka endaweni yokugaya, noma yiyo yonke indlela eya ezinyaweni zakho.
Ubuhlungu obuvela ku-sacroiliitis buba bubi kakhulu ebusuku noma ekuseni, futhi bukhuni nokuma, futhi.
Ubuhlungu obuhlobene obufanayo bungenziwa bubi nakakhulu uma unesisindo esingaphezu komlenze owodwa kunomunye. Izitebhisi zokukhuphuka, ukuhamba ngezinyathelo ezinkulu, nokugijima ezinye izinto ezithinta isisindo ezenza ubuhlungu bubi nakakhulu.
Izimpawu ze-sacroiliitis zivame ukuba khona ekuqaleni kwe- ankylosing spondylitis (AS,) njengobufakazi bayo kuMRI.
Uma unesihlungu ngaphakathi nokuzungeza i-SI yakho kanye / noma i-MRI yakho ibonisa izinhlobo ezithile zokushintshaniswa okuhlangene, lokhu kungase kuchaze ukuthi kungani amalunga akho e-sacroiliac ithenda (uma, ngempela une-AS.)
Qaphela ukuthi i-AS iyilona uhlobo oluvame kakhulu lwe-spondylitis, kodwa isifo samathambo esingapheli sithatha izinhlobo eziningi, futhi. Ngezinye izikhathi i-sacroiliitis ingenye yezimpawu kwezinye izinhlobo futhi ngezinye izikhathi ayikho.
Ukuxilongwa
Ukuze uhlolisise i-sacroiliitis, udokotela wakho angalawula i-x ray, i- MRI noma i- CT scan . Angase futhi ahlele izivivinyo zamalebhu ukuze athole ukuthi ukutheleleka kuyimbangela. I- x-ray ikhombisa ukuthi kwenzekani emathanjeni akho, okwenza kube ithuluzi elihle lokulandela izinguquko emathanjeni akho omzimba kanye nomgogodla njengoba lesi sifo siqhubeka.
Kwaphela amashumi eminyaka, i-x-rayi yodwa yokuhlolwa kwe-imaging esetshenziselwa ukuxilonga i-sacroiliitis (ne-spondylitis). Inkinga ngokusebenzisa i-x-ray, noma kunjalo, kuthatha isikhathi eside (iminyaka) ngobufakazi besimo sokubonakala.
Muva nje, amasu e-MRI asungulwe kuze kube yilapho angasiza khona inqubo yokuxilonga. Lezi zindlela zivumela odokotela ukuba babone ukuvuvukala okusebenzayo okubangela ukuguqulwa kwethambo (kamuva kuthathwa ngama-ray-ray.) Ngenxa yalesi sizathu, ukusetshenziswa kwe-MRI kuye, kwezinye izimo, kuchitha isikhathi esithathayo ukuze iziguli zithole ukuxilongwa okunembile kobuhlungu babo obuhlangene be-SI.
Uma kusengaphambili udokotela wakho osolwa nge-spondylitis, angase alandise i-MRI eyenziwe ngenqubo ekhethekile ebizwa ngokuthi i-short tau inversion recovery (STIR). Enye indlela ejwayelekile ye-MRI ye-sacroiliitis yi-gadolinium T1 MRI. Uma unesidingo se-gadolinium, kuzodingeka ujobe umjovo.
I-scan ye-CT ingaba yinto ewusizo ekuhloleni i-spondylitis. Kodwa, i-MRIs ekhethekile ivame ukufakazela ukuthi iyona ewusizo kakhulu kuzo zonke izinketho zokubona izithombe.
Ukwelapha
Umgomo omkhulu wokwelashwa kwe-sacroiliitis, kanye ne-axial sponylitis (ye-sacroiliitis iyisibonakaliso esisodwa,) ukukusiza ukuba uhlakulele ikhwalithi yesikhathi eside yokuphila ngokulawula kokubili ukuvuvukala nezibonakaliso eziphumela.
Kungadinga indlela ehlukene yezifundo, ne-rheumatologist yakho njengomxhumanisi oyinhloko.
Njengenqubo yokwenza lokhu, cishe uzothola ikhono lakho lokufeza imisebenzi yakho yansuku zonke, kanye nokubamba iqhaza emphakathini, ngcono. Omunye umphumela obalulekile wezokwelapha uvimbela ukulimala kwesakhiwo ukuqhubeka.
Kuzo zonke iziphetho, udokotela wakho angase anikeze imithi yokuphuza ubuhlungu, ukuphumula kwemizimba, ama- corticosteroid injection , i-DMARD noma i-TNF-alpha blockers, kanye nokwelapha ngokomzimba. Ngokwelashwa ngokomzimba, cishe uzothola uhlelo lokuzivocavoca olulungele wena olufaka ukulula, ukuqinisa nokuzivocavoca umzimba. Udokotela wakho angase akhombise izinqubo ezifana nokuchazwa kwe-radiofrequency noma ukuvuselela kagesi ukulawula ubuhlungu. Ukuhlinzwa akuvamile ukuphakanyiswa.
> Imithombo:
> Bollow M, Braun J, Hamm B., Sacroiliitis: uphawu olubalulekile lwe-spondyloarthropathies. 1. Izici zokwelapha. Rofo. 1997 Feb; 166 (2): 95-100.
> Elyan, M. MD, Asim Khan, M., MD. I-Spondyloarthropathies: Buyekeza ku-Diagnosis and Therapy. UBM Medica. Network Musculoskeletal.
> Sacroiliitis. I-CHORUS Hypertext Yokubambisana Ye-Radiology. Kugcine ukubuyekezwa: 1 kuNhlangulana 2006.
> van der Heijde, D., 2016 ukubuyekezwa kwezincomo zokuphathwa kwe-ASAS-EULAR nge-axial spondyloarthritis. Ama-Annal of the Rheumatic Diseases. Jan. 2017. http://ard.bmj.com/content/early/2017/01/13/annrheumdis-2016-210770