Intlungu edibeneyo ye-Sacroiliac-ukhathalelo lwamva

Umdibaniso we-sacroiliac (SIJ) ligama elisetyenziselwa ukuchaza indawo apho i-sacrum kunye namathambo e-iliac ajoyina khona.

• I-sacrum ifumaneka kumqolo wakho. Yenziwe ngama-vertebrae ama-5, okanye amathambo omqolo, adityaniswe kunye.
• Amathambo aliac ngamathambo amabini amakhulu enza i-pelvis yakho. I-sacrum ihleli embindini wamathambo e-iliac.

Eyona njongo iphambili ye-SIJ kukudibanisa umqolo kunye ne-pelvis. Ngenxa yoko, akukho ntshukumo incinci kule ndibano.

Izizathu eziphambili zentlungu ejikeleze i-SIJ zibandakanya:

• Ukukhulelwa. I-pelvis iya banzi ukulungiselela ukuzalwa, yolule iigaments (izihlunu ezomeleleyo, eziguqukayo ezidibanisa ithambo nethambo).
• Iindidi ezahlukeneyo zesifo samathambo.
• Umahluko kubude bemilenze.
• Ukunxiba i-cartilage (umqamelo) phakathi kwamathambo.
• Umonzakalo wempembelelo, njengokufika nzima ezimpundwini.
• Imbali yokuqhekeka kwe-pelvic okanye yokwenzakala.
• Ukuqina kwemisipha.

Nangona iintlungu ze-SIJ zinokubangelwa kukuphazamiseka, olu hlobo lokulimala luhlala lukhula ixesha elide.

Iimpawu zokungasebenzi kakuhle kwe-SIJ zibandakanya:

• Intlungu kumqolo osezantsi, ihlala kuphela kwicala elinye
• Intlungu ye-Hip
• Ukuphazamiseka ngokugoba okanye ukuma emva kokuhlala ixesha elide
• Ukuphuculwa kwintlungu xa ulele phantsi

Ukukunceda ukufumanisa ingxaki ye-SIJ, umboneleli wakho wokhathalelo lwempilo unokuhambisa imilenze yakho kunye nezinqe zijikeleze kwiindawo ezahlukeneyo. Kuya kufuneka ukuba ube ne-x-ray okanye i-CT scan.

Umboneleli wakho unokuncoma la manyathelo kwiintsuku zokuqala okanye iiveki zokuqala emva kokulimala kwakho okanye xa uqala unyango lwentlungu ye-SIJ:

• Phumla. Gcina umsebenzi ubuncinci kwaye uyeke intshukumo okanye umsebenzi owenza mandundu iintlungu.
• Umkhenkce umva wakho ongezantsi okanye iimpundu eziphezulu malunga nemizuzu engama-20 ukuya kuma-3 amaxesha ngemini. MUSA ukufaka iqhwa ngqo kulusu.
• Sebenzisa iphedi yokufudumeza kwisethingi esezantsi ukunceda ukukhulula izihlunu eziqinileyo kunye nokunciphisa ukukhathazeka.
• Hlikihla izihlunu kumqolo ongezantsi, ezimpundu, nasethangeni.
• Thatha amayeza entlungu njengoko kuyalelwe.

Ngentlungu ungasebenzisa ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), okanye i-acetaminophen (iTylenol). Ungawathenga la mayeza evenkileni ngaphandle kommiselo.

• Thetha nomboneleli wakho ngaphambi kokusebenzisa la mayeza ukuba unesifo sentliziyo, uxinzelelo lwegazi oluphezulu, isifo sezintso, okanye unesilonda esiswini okanye ukopha ngaphakathi ngaphambili.
• Sukuthatha ngaphezulu kwesixa esinconyelwe kwibhotile okanye ngumboneleli wakho.

Ukuba le yingxaki engapheliyo, umboneleli wakho unokumisela inaliti ukunceda ngeentlungu kunye nokudumba. Inaliti inokuphindwa ekuhambeni kwexesha xa kufuneka njalo.

Gcina umsebenzi ubuncinci. Ixesha elingakumbi ukonzakala kuphumle, ngcono. Ukufumana inkxaso ngexesha lomsebenzi, ungasebenzisa ibhanti ye-sacroiliac okanye i-lumbar brace.

Unyango lomzimba yinxalenye ebalulekileyo yenkqubo yokuphilisa. Kuya kunceda ukunciphisa intlungu kunye nokwandisa amandla. Thetha nogqirha wakho okanye ugqirha ngokwasemzimbeni ukuze uzilolonge.

Nanku umzekelo womthambo womqolo wakho osezantsi:

• Lala uthe cwaka ngomqolo ugobe amadolo, iinyawo zithambeke emhlabeni.
• Kancinci, qala ukujikeleza amadolo akho kwicala lasekunene lomzimba wakho. Yima xa uziva iintlungu okanye ungonwabanga.
• Kancinci ujikeleze uye kwicala lasekhohlo lomzimba wakho de uve iintlungu.
• Phumla kwindawo yokuqala.
• Phinda amaxesha ali-10.

Indlela efanelekileyo yokulahla intlungu ye-SIJ kukunamathela kwisicwangciso sokunyamekela. Ngokukhona uphumla, umkhenkce, kwaye wenze imithambo, ngokukhawuleza iimpawu zakho ziya kuphucula okanye ukwenzakala kwakho kuyaphola.

Umboneleli wakho unokufuna ukulandelela ukuba iintlungu azihambi njengoko bekulindelwe. Unokufuna:

• X-reyi okanye uvavanyo lwe-imaging njenge-CT okanye iMRI
• Uvavanyo lwegazi ukunceda ukufumanisa unobangela

Fowunela umnikezeli wakho ukuba unazo ezi zinto zilandelayo:

• Ukuba ndindisholo ngesiquphe okanye ukurhawuzelela kumqolo wakho osezantsi nasemathangeni
• Ubuthathaka okanye ukuba ndindisholo emilenzeni yakho
• Unengxaki yokulawula isisu sakho okanye isinyi
• Ukunyuka ngequbuliso kwentlungu okanye ukungonwabi
• Ukucotha kunokulindelwa
• Ifiva

Intlungu ye-SIJ-yokhathalelo lwasemva kwexesha; Ukungasebenzi kwe-SIJ-ukhathalelo lwasemva kwexesha; Uhlobo lwe-SIJ - ukhathalelo lwasemva kwexesha; I-SIJ subluxation - emva kononophelo; Isifo se-SIJ - ukhathalelo lwamva; Ukudityaniswa kwe-SI ngokudibeneyo

UCohen SP, u-Chen Y, uNeufeld NJ. Intlungu edibeneyo ye-Sacroiliac: uphononongo olubanzi lwe-epidemiology, isifo kunye nonyango. Ingcali Rev Rev Neurother. Ngo-2013; 13 (1): 99-116. IINKCUKACHA: 23253394 www.ncbi.nlm.nih.gov/pubmed/23253394.

UIsake Z, uBrassil ME. Ukungasebenzi kakuhle ngokudibeneyo kwe-Sacroiliac. Ku: UFrontera WR, iSilver JK, uRizzo TD, ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 51.

Indawo yeplacide R, iMazanec DJ. Abaxhasi be-spinal pathology. Ku: I-Steinmetz MP, iBenzel EC, ii-eds. Utyando lwe-Spine lweBenzel. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2017: isahluko 26.

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