Ukwelashwa kwe-Sacroiliac Paint Pain kanye nokusebenza kabi

Labo abakwaziyo nge-sacroiliac joint derangement (i-SIDJ) - ikakhulukazi, abantu abasebenza endaweni ejwayelekile yezokwelapha - ngokuvamile babheka ukwelashwa kwalenkinga ngokuthi "ingxabano."

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Ukwelashwa Okuhlangene Kwe-Sacroiliac

Esinye isizathu kungase kube ukuthi ukuthola i-diagnostic enembile kungenakwenzeka. Ngamanye amazwi, ingabe umqondo omuhle ukuvuma ukwelashwa - ikakhulukazi okwenza ushintsho oluhlala njalo - uma ungaqiniseki ukuthi ubuhlungu empeleni buvela ekuhlanganyeleni kwe-SI? Esinye isizathu singase sihlobene nokuntuleka kwezifundo ezenziwe kuze kube yimanje ezindleleni zokwelashwa ezivamile kanye nezinqubo ezisetshenziselwa ukwelapha i-SIDJ.

Akukhona lokho kuphela, kodwa odokotela kanye neziguli zabo ezihlangene ze-SI ngezinye izikhathi ziphikisana omunye nomunye mayelana nomthombo wenkinga (ebizwa ngokuthi "i-generator yobuhlungu".) Ochwepheshe abaningi bezokwelapha bakholelwa ngempela ukuthi akukho ukunyakaza okungenzeka ku-SI nokuthi akuwona umthombo wobuhlungu ku-SIDJ. Kodwa uma uphazamisa amaqembu omphakathi wezenhlalo agijima neziguli ezizinikezele kule ndaba, cishe uzothola umthamo oqinile wephuzu elihlukile kakhulu lokubuka.

Ukuze sikusize ukhethe izinketho zakho zokungasebenzi kokuhlanganyela kwe-SI, ake sibuyekeze izifo ezivamile ezinikezwa odokotela nabahlinzeki.

Ekugcineni, ukukhetha ukwelashwa kungabalulekile. Ngo-2012, i-Spiker, et. i-al., yenze ukubuyekezwa kwezifundo ezishicilelwe ku- Evidence-Based Spine Care Journal. Ukubuyekezwa kuqhathanisa ukuhlinzwa kumjovo kanye nokuhlanganiswa kokuhlanganiswa kwe-SI ukulungiswa. Ithimba likaSpiker liphelile ukuthi iningi lezifundo libike ukukhululeka kobuhlungu obungama-40% kungakhathaliseki ukwelashwa okuvivinywe. Ngamanye amazwi, ukuhlukunyezwa kwe-SI kuthuthukiswe ngokuzimela ngaphandle kweziguli ezithintekayo.

Futhi uZelle, et. ku-study yabo "Ukungasebenzi okuhlangene kwe-Sacroiliac: ukuhlolwa nokuphathwa," enyatheliswa ku-Sept-Oct 2005 inkinga ye- Clinical Journal of Pain ithola ukuthi iziguli eziningi ze-sacroiliac zithatha ukwelashwa okungaqondakali (okungukuthi, okungewona osebenzayo).

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Imithi

Njengezinhlobo eziningi zezinkinga zangemuva , iTylenol inganconywa kuwe udokotela wakho njengendawo yokuqala. Uma i-Tylenol engaphezu kweyakho engasebenzi ekunciphiseni ubuhlungu bakho obuhlangene be-SI, cela udokotela wakho mayelana nokulwa nokuvuvukala okufana ne-ibuprofen. Lokho kusho ukuthi ibuprofen inemiphumela emibi eminingi engase ibe khona, kanti ezinye zazo zingabi kakhulu noma zibulale. Sicela uqiniseke ukuthi uyazi ukuthi yini imiphumela emibi, futhi ukuthi uxoxisane nale nodokotela wakho ngaphambi kokuthatha lesi sidakamizwa. Kunjalo nakuTylenol, ikakhulu uma uphuza noma unesifo sobindi.

U-Tylenol no-ibuprofen bafika emithini ephansi efonini, kanti futhi amazinga aphezulu kufanele udokotela wakho abanikezele wona.

Ukuthatha imithi yobuhlungu kuvame ukuphakanyiswa kanye nezinye izifo ezifana nokwelashwa ngokomzimba, ukukhwabanisa kanye / noma ukuguqulwa komsebenzi. Akuwona ukwelashwa - kukhona lapho ukusiza ukunciphisa amazinga akho obuhlungu.

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Ukwelashwa Kwemvelo

Ngenkathi udokotela wakho engase angakholelwa ekutheni umthamo we-SI uhlangene, umthambo wakho wenyama angase.

Abahlinzeki bezemvelo baqeqeshwe ukuba basebenze neziguli ekwandiseni ukunyakaza. Ukuze wenze kanjalo, cishe uzothola uhlelo lokuzivocavoca ekhaya oluzokusiza ukuba uthuthukise amandla esikhwameni sakho, emaceleni nasekwenzeni. Lokhu, kungakusiza, kungasiza ekuqiniseni ukuhlanganyela kwakho kwe-SI.

Ukuzivocavoca ohlelweni lwakho lwasekhaya kungakusiza futhi ukuthuthukisa ukulinganisela kwemisipha. Ngenxa yokuthi izixhumanisi ze-SI zitholakala nganoma iyiphi ingxenye yomgogodla wakho, (e-sacrum namathambo ase-hip) ukuthola amandla afanayo nokushintshashintsha phakathi kwemisipha ohlangothini ngalunye lomzimba wakho kungaba yinye yezihluthulelo (kanye nokwelashwa okubhaliwe) ukuze uvumele ukujoyina ukubuyela emuva ekuqondaneni kwayo kwemvelo.

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Braces Sacroiliac

Abantu abaningi babika imiphumela emihle besebenzisa i-brace ukuze basize ukuqiniswa okuhlangene okuhlangene kwe-sacroiliac. Ikakhulukazi, ibhande le-pelvic livame ukuphakanyiswa odokotela iziguli zabo.

Abacwaningi balinganisa lolu shintsho emisipha kanye neminye imisebenzi ehlobene nokuhlanganiswa kwe-sacroiliac lapho iziguli zigqoka ibhande lomzimba. Baphetha ngokuthi amabhande e-pelvic athuthukisa ikhwalithi yokuphila ehlobene nempilo, futhi kungenzeka ukuthi unesibopho sokunciphisa ubuhlungu obuhlangene be-SI. Ezinye zezinguquko ziphawulwe zibandakanya umsebenzi we-quadriceps wehle (ikakhulukazi - i-rectus femoris) kanye nokuhamba kahle kwe-postural ngenkathi behamba. Abacwaningi basikisela ukuthi amabhande ezinhlanzi angabhekwa njengengozi ephansi, ukwelashwa okungabizi kahle kwe-SI jointly pain.

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I-Manual Therapy

Imithi yokwelashwa - ukuphulukiswa ngezandla - enye uhlobo lwezokwelapha kwe-sacroiliac joint derangement. I-Chiropractic yilona uhlobo oludume kakhulu, kodwa ukwelashwa ngokweqile, ukwelashwa ngokomzimba, kanye nokwelapha ukubhula kuyizinketho ezisebenzayo, futhi.

Uma uthola ukwelapha okuvela emthonjeni wezokwelapha noma i-osteopath, udokotela angadonsela kwenye yemilenze yakho ukuze asize ngokuqondile ukuhlanganyela.

Uma ubona isifo se-chiropractor ngokuhlanganyela kwakho kwe-SI, kungenzeka ukuthi ulale ngecala lakho ngempondo yakho ephezulu futhi ugobe ngezansi phezulu. Angase abeke ukucindezela okusheshayo esitokisini lesifuba ukusiza libuyele endaweni. Ngiye ngakwenza lokhu izikhathi eziningi, futhi umbono wami wukuthi ukulungiswa akwanele ukusizwa okuhlala njalo. Lokhu kungenxa yokuthi ukungezwani kwemisipha nokubuthakathaka nakho kuyinkinga yenkinga; ngaphandle kokuhamba okuhambisana nohlelo lokuzivocavoca olwenzelwe ukuthuthukisa umgogodla, amandla we-hip kanye nesimo sangemuva, kanye nokuguquguquka, amathambo we-SI ehlangene, cishe ngeke aphinde avele endaweni ngemuva kokuphuma kwehhovisi lakho le-chiropractor.

I-massage therapy enye indlela yokwelashwa kwebhuku. Kodwa ukukhubazeka kobuchwepheshe be-massage akungeneli ekusetshenzisweni kwethambo. Njengoba ngikubona, iningi leqhaza labo ekuphulukiseni ukungasebenzi okuhlangene kwe-sacroiliac kuhlose ukukhipha ukuhlukunyezwa komzimba okungapheli okungase kugcine ukuhlangana okuvela ngokwemvelo ngokuzivuselela ngokwakho. Ukubhuka kungabuye kwandise ukunyakaza kokujwayelekile okungawenza kube lula ukwenza okulula, kumnandi futhi kukhiqize ngokwengeziwe.

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Ama-injection ehlangene e-Sacroiliac

Umjovo ohlangothini lwakho olubuhlungu lwe-sacroiliac lungase lube usizo kakhulu njengethuluzi lokuxilonga kunjengokwelashwa kosizo lwezinhlungu. Ukujula kuqondene nabasebenzi abaseduze kakhulu abahlengikazi nabacwaningi kumele baqonde ngokucacile ukuthi ubuhlungu buvela ngempela ehlanganisweni ye-SI.

Inani le-injection ye-SI njengokwelashwa akuyona ecacile. I-Spiker, et. ku-2012, ukubuyekezwa kwabo ngo-2012 "Ukwelapha okuhlinzekwa ngokuhlinzekwa nge-injection yokuhlinzekwa ngomjovo, okushicilelwe ngo-November 2012 ngo-November 2012 we- Evidence-Based Spine Care Journal , uphetha ngokuthi nakuba ukujova nokuhlinzwa kungasiza iziguli ukuba zinciphise ubuhlungu bazo, ngokusekelwe ezifundweni ezenziwe kuze kube manje, abakwazi ukukutshela ukuthi iyiphi yalezi zokwelapha ezisebenza kangcono kunezinye.

Lokhu kuyadabukisa ngoba uma uzama ukuthola ukuthi ukuxuba ngokugcwele ukuhlanganyela kwakho kwe-SI kuyoba yindlela enhle kakhulu yokubuyisela ikhwalithi yakho yangaphambili yokuphila, lolo lwazi lungangena kalula.

Ukubuyekezwa kwe-2012 kwezifundo ezenziwe nguHansen, et. i-al., futhi yanyatheliswa ku- Physician Pain ithola ukuthi i-intraarticular (okusho ngaphakathi kwe-joint joint) i-sacroiliac injection ne-steroids ayiphumelelanga ekunciphiseni ubuhlungu esikhathini esifushane noma eside.

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Ukukhishwa kwe-Radiofrequency

Njengoba igama lisho ukuthi, ukuchithwa kwe-radiofrequency kuyinkqubo esebenzisa i-radiofrequency ukukhubaza isisindo esibangela ubuhlungu ekuhlanganyeleni kwakho kwe-sacroiliac. Echaza ubufakazi obubi, ukubuyekezwa okukhulunywe ngaye kusilayidi sangaphambilini, okwenziwe nguHansen, et. al. ngo-2012 futhi yanyatheliswa kuyi- Journal of Pain Researc h, ithole ukuthi ukuchithwa kwe-radiofrequency evamile akuzange kuphumelele ekusizeni ubuhlungu be-sacroiliac.

Kodwa kusukela ngoSeptemba 2015, uhlobo olusha lokuchithwa kwe-radiofrequency manje selendaweni. Ibizwa ngokuthi i-radiofrequency ehlile. Umehluko wukuthi i-radiofrequency ekhulile ikhulisa lesi sifo ngaphambi kokukhubaza inzwa. (I-probes emshinini ikhulile ngaphakathi.) Ubukhulu be-lesion obukhulu bukhulisa ithuba lokugodla ngokuphelele ukujoyina futhi ngaleyo ndlela kukhululeke konke ubuhlungu.

Ukubuyekezwa okukhulunywe ngaye ngenhla kuthole izinga elihle lokuphumelela kwe-radiofrequency ehlile, uma kuqhathaniswa nokusebenza okungalungile okuhambisana nezinhlobo ezijwayelekile.

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I-Sacroiliac Fusion noma i-Arthrodesis

Igama elithi arthrodesis libhekisela kokungasebenzi - ngokuhlinzwa - okuhlangene. Kulesi simo, libhekisela ekuhlanganyeleni kwe-joint sacroiliac. Ngokomlando, ukuhlinzekwa kokuhlanganiswa kwe-SI kuye kwaba yinkimbinkimbi kakhulu, kunemiphumela emibi kanye namazinga aphezulu okucindezeleka. Iziguli eziningi zidinga ukuhlinzekwa okungeziwe okuhlobene nokuhlanganiswa kwabo kwe-SI.

Kodwa ngisho nokuhlinzwa okwenziwe umgogodla okwenyuka kancane, ukuqubuka kwe-SI kungaba yisinqumo esiyinkimbinkimbi sokwenza. Isizathu sibuyela kwinkqubo yokuxilongwa.

"Kunzima ukukhomba ukuthi yi -joint sacroiliac," kusho uCarter Beck, MD. U-Beck ungudokotela ohlinzayo waseMontana oye wahlakulela inqubo encane yokumangalisa ukuhlanganiswa kwe-SI, okusho kuye, kulula kumguli, ephephile futhi esebenzayo. UDkt. Beck uxwayisa bobabili odokotela neziguli ukuqinisekisa ukuthi ubuhlungu buvela ngempela eSi, hhayi eminye indawo yomgogodla.

Ngenkathi inqubo entsha kaBenk izwakalisa ukuthembisa, ucwaningo lwezokwelapha alukaphenduli yonke imibuzo mayelana nokuphepha, ukusebenza kahle kanye nohlobo lwesiguli okuzofanelekela ngokukhethekile ukuhlinzwa okungeyona inhlekelele ye-Sacroiliac.

> Imithombo:

> U-Dreyfuss P1, uDreyer SJ, Cole A, ubuhlungu obuhlangene be-Mayo K. Sacroiliac. J Am Acad Orthop Surg. 2004 Jul-Aug; 12 (4): 255-65. http://www.ncbi.nlm.nih.gov/pubmed/15473677/

> Hansen H, Manchikanti L, Simopoulos TT, Christo PJ, Gupta S, Smith HS, Hameed H, Cohen SP. Ukuhlolwa okuhlelekile kokusebenza kokwelashwa kokungenelela kokuhlanganyela kwe-sacroiliac. Udokotela Wezinhlungu. 2012 May-Jun; 15 (3): E247-78. http://www.ncbi.nlm.nih.gov/pubmed/22622913

> Kok-Yuen Ho, Mohamed Abdul Hadi, Koravee Pasutharnchat, noKian-Hian Tan. Ukuchithwa kwe-radiofrequency ekhohliwe ukwelashwa ubuhlungu obuhlangene be-sacroiliac: imiphumela eminyaka emibili kusuka kumacala angu-20. J Pain Res. 2013; 6: 505-511. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706381

> Odette Soisson, Juliane Lube, > Andresa > Germano, Karl-Heinz Hammer, Christoph Josten, Freddy Sichting, Dirk Winkler, Thomas L. Milani kanye noNiels Hammer. UFrançois Hug (Umhleli Wezemfundo.) Ama-Belt Effects kwi-Morphometry yama-pelvic, Umsebenzi we-Muscle nokulingana komzimba kulabo abagulayo abane-Sacroiliac Dysfunction. PLoS One. 2015; 10 (3): e0116739. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/

> Shaffrey, C., Smith, JS Ukuqiniswa komhlangano we-sacroiliac. I-Neurosurg Focus. 2013 Jul; 35 (2 Suppl) >: Ukuhlela >. > doi >: 10.3171 / 2013.V2.FOCUS13273. http://www.ncbi.nlm.nih.gov/pubmed/23829837

> UWilliam Ryan Spiker, uBrandon D. Lawrence, u-Annie L. Raich, u-Andrea C. Skelly noDarrel S. Brodke. Ukwelapha okuhlinzekwa ngokuphambene nokukhipha umjovo we-injection-okuqinisekisiwe okuyi-sacroiliac okuhlangene okuqinisekisiwe. Evid Based Based Spine Care J. 2012 Nov; 3 (4): 41-53. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/

> Zelle BA1, Gruen GS, Brown S, George S. Ukungasebenzi okuhlangene kwe-sacroiliac: ukuhlolwa nokuphathwa. I-Clin J Pain. 2005 Sep-Oct; 21 (5): 446-55. http://www.ncbi.nlm.nih.gov/pubmed/16093751