I-SI Joint Pain Cain Causes and Treatments
Umhlanganiso we-sacroiliac (okufingqiwe 'okuhlangene' kwe-SI) kuhlanganiswe okuqinile, okunamandla okusemkhawulweni womgogodla kanye nesikhumba. Ngokuvamile lapho sicabanga ngamalungu, sicabanga ngamadolo, amaqhwa, namahlombe-amajoyina enza ukuba athumele. I-joint sacroiliac ayihambisani kakhulu, kodwa kubalulekile ukudlulisela umthwalo womzimba wakho ongaphezulu emzimbeni wakho ophansi.
Yini Ebangelwa Ubuhlungu Bokuhlangana Kwama-SI?
Ubuhlungu obuhlangene be-SI kaningi kuvame ukuvuvukala okuhlangene ngenxa yomsebenzi ophindaphindiwe noma wokusebenzisa ngokweqile. Abantu bavame ukubhebhetheka ukuvuvukala kwe-SI njenge-sacroilitis. Ezinye izimbangela zezinhlungu ezihlangene ze-SI zibandakanya i-arthritis ye-SI joint, ukutheleleka kokubambisana, noma i-ligament izimpande zamagundane azungeze ukujoyina. Kunezimo eziningana zesistimu kuhlanganise ne- ankylosing spondylitis , gout , ne- calcium pyrophosphate isifo sokudonswa kwe-dihydrate .
Izimpawu ze-SI Joint Pain
Ubuhlungu obuhlangene be-sacroiliac kungaba inkinga enzima yokuthola izizathu ezimbalwa:
- Ukuhlangana kwe-SI akulula noma kusetshenziswe kalula
- Izivivinyo zokuhlolwa akufanele zihlukanise nje ukuhlanganiswa kwe-SI
- Izifundo (ama-X-ray, i-MRIs, i- CAT Scans , i- Bone Scans ) ngokuvamile evamile
- Ezinye izinkinga eziningana ( ubuhlungu emuva , i- sciatica , i- hip arthritis , njll) kungabangela izimpawu ezifanayo
Ukubona ukungafani okuvamile kwe-SI kuqala ngokuqonda izimpawu, ukuhlolwa ngokucophelela, kanye nokuhlolwa kwamanye ama-imaging.
Ukuzama ukuzwa ukuhlanganiswa kwe-SI kungaba nzima, kodwa ubuhlungu nobubele emhlane ongezansi / phezulu kunezici zobuhlungu obuhlangene be-SI. Izivivinyo ezithile zingabeka ingcindezi phakathi kokujoyina futhi zingabonisa inkinga kuleso sifunda. Isivivinyo esisodwa, esibizwa ngokuthi ukuhlolwa kwe-FABER, senziwa ngokulala phansi, ukuguquguqula umlenze, ukuthatha umlenze, nokushintshanisa umlenze.
Le ndlela ibeka ukucindezela ngokuqondile ngaphesheya kwe-joint sacroiliac .
Uma ukuxilongwa kusacacile, umjovo ohlangene no-SI ungasiza ekunqumeni umthombo wobuhlungu. Kule nqubo, i-anesthetic ejojelwe ifakwe kwisilwane se-SI. Uma umjovo uyanciphisa izimpawu, khona-ke ukuhlolwa kuyinto enhle yokuhlanganiswa kwe-sacroiliac njengomthombo wenkinga. Lokhu kuhlolwa kungenziwa ngokuhlanganyela nomjovo we-cortisone ukwelashwa kwezinkinga ezihlangene ze-SI.
I-SI Joint Treatments
Ukuvuvukala okuhlangene kwe-Sacroiliac kuvame ukusabela kahle emitholampilo elula.
- Ukuphumula: Isinyathelo sokuqala ekwelapheni ukugwema imisebenzi ebangela izimpawu. Kwabadlali, lokhu kungase kusho ukugwema umdlalo wabo ukuvumela ukuvuvukala kwehle.
- Imithi Yokuvimbela Ukuvuvukala: Imithi elwa nokuvuvukala ingasiza ekunciphiseni ukuvuvukala. Kubalulekile ukuqonda ukuthi imishanguzo elwa nokuvuvukala ayinikezwa njengemithi ebuhlungu, kodwa kunalokho ukunciphisa ukuvuvukala. Ngakho-ke, ukuyeka imishanguzo ngaphambi kokuba udokotela wakho akutshele ukuthi umise kungavimbela ukwelashwa okuphelele. Ngisho noma ubuhlungu buphela, izakhiwo eziphikisanayo zale mithi kungenzeka zisasebenza.
- Ukwelashwa Kwemvelo: Ukwelashwa ngokwemvelo ngokuvamile kuyindlela yokwelapha ewusizo. Uchwepheshe wezokwelapha angasiza ukuqinisa imisipha ehlangene ne-SI ehlangene futhi ephansi emuva futhi usize ukwandisa ukuguquguquka kokuzungezile. Bangase bazame izindlela ezibandakanya ukuvuselela kwe- ultrasound nokugesi ukulawula ubuhlungu nokuvuvukala.
Uma ubuhlungu obuhlangene be-SI buphikelela naphezu kwalezi zelashwa, umjovo we-cortisone kuhlangene ungasebenza. Umjovo we-cortisone unikeza imishanguzo enamandla kakhulu yokulwa nokuvuvukala ngqo ekuhlanganyeleni kwe-sacroiliac ngokwayo. Ngenxa yokuthi ukuhlangana kwe-SI kujulile emzimbeni kunamalungu amaningi, ukujova kwe-cortisone kuvame ukunikezwa ngaphansi kwe-x-ray isiqondiso esibhedlela.
Ukuhlinzwa akudingeki ukuba ubuhlungu obuhlangene be-SI bube khona kodwa kungenziwa. Ukuhlinzwa okuvame kakhulu ukuhlanganiswa okuhlangene kwe-SI ukusimamisa unomphela ukujoyina ukuze kungabi khona ukunyakaza ekuhlanganyeleni kwe-SI.
Imithombo:
UDreyfuss SJ, et al. "Ubuhlungu obuhlangene be-Sacroiliac" J Am Acad Orthop Surg July / Agasti 2004; 12: 255-265.