An sabunta ta ƙarshe 18/03/2022 ta Dakunan shan magani - Kiwon Lafiyar Jama'a

Duk abin da ya kamata ku sani Game da Sacroilitis [Babbar Jagora]

Ana amfani da kalmar sacroilitis don bayyana nau'ikan kumburi da ke faruwa a cikin haɗin gwiwa na iliosacral. Ga mutane da yawa da aka sani da cutar kumburin ciki.

Jointsungiyoyin iliosacral sune haɗin gwiwa waɗanda ke kan kowane gefe na sauyawar lumbosacral (a cikin ƙananan kashin baya), kuma waɗanda ke da alaƙa da ƙashin ƙugu. Su ne, a sauƙaƙe, haɗi tsakanin sacrum da ƙashin ƙugu. A cikin wannan jagorar zaku sami ƙarin sani game da wannan ganewar asali, alamomin gargajiya, ganewar asali kuma, ba ƙarami ba, yadda za'a iya magance shi.

Kyakkyawan bayani: A ƙasan labarin za ku sami bidiyon motsa jiki kyauta tare da motsa jiki ga waɗanda ke fama da ciwon hip da ƙugu.

- A sassan mu daban-daban a Vondtklinikkene a Oslo (Lambert kujeruda Viken (Sautin Eidsvoll og Dannye itace) Ma'aikatan likitancinmu suna da ƙwarewa na musamman a cikin kima, jiyya da kuma horar da gyaran gyare-gyare na ciwon pelvic. Danna links ko ta don karanta ƙarin game da sassan mu.

A cikin Wannan Labari Za Ku Koyi Youari Game da:

• Yanayin jiki: Ina kuma menene Hadin gwiwar Iliosacral?

• Gabatarwa: Menene Sacroilitis?

• Kwayar cutar Sacroilitis

• Dalilin Cutar Sacroilitis

• Jiyya na Sacroilitis

• Darasi da horo a Sacroilitis (ya hada da VIDEO)

Yanayin jiki: Ina Hadin gwiwar Iliosacral?

Jikin jikin Pelvic - Hoto: Wikimedia

A cikin hoton da ke sama, an ɗauko daga Wikimedia, za mu ga bayyananniyar siffar ƙashin ƙugu, sacrum da coccyx. Kamar yadda kake gani, ƙashin ƙugu ya ƙunshi ilium, pubis da ischium. Haɗin juna ne tsakanin ilium da sacrum wanda ke ba da tushen haɗin haɗin iliosacral, watau yankin da su biyun suka haɗu. Akwai wanda ke hagu dayan kuma a dama. Hakanan galibi ana kiransu haɗin gwiwa.

Menene Sacroilitis?

Sacroilitis ana gano shi sau da yawa azaman ɓangare na alamun alamun yanayi daban-daban masu saurin kumburi a cikin kashin baya. Wadannan cututtukan da yanayin an hada su a matsayin "spondyloarthropathy", kuma sun hada da jihohin cututtuka da kuma cututtukan cututtukan zuciya kamar:

• Ciwon mara baya (Ankylosing spondylitis)

• Psoriatic amosanin gabbai

• Magungunan arthritis

Sacroilitis na iya kasancewa wani ɓangare na cututtukan cututtukan zuciya da ke da alaƙa da yanayi daban-daban kamar ulcerative colitis, cutar Crohn ko osteoarthritis na ɗakunan mahaifa. Sacroilitis wani lokaci ne wanda ake amfani dashi sau da yawa tare da kalmar rashin haɗin haɗin haɗin sacroiliac, saboda ana iya amfani da waɗannan kalmomin ta hanyar fasaha don bayyana ciwo wanda ya fito daga haɗin sacroiliac (ko SI haɗin gwiwa).

Kwayar cutar Sacroilitis

Mafi yawan mutane masu cutar sacroilitis suna korafin jin zafi a ƙashin baya, ƙashin ƙugu da / ko gindi (1). A dabi'ance, galibi za su ambaci cewa ciwon yana kan "ƙashi ɗaya ko biyu a kowane gefen ƙananan baya" (wanda aka sani da suna PSIS - ɓangaren haɗin gwiwar iliosacral). Anan yana da mahimmanci a ambaci cewa musamman ƙungiyoyi da matsawa na gabobin pelvic suna haifar da matsanancin zafi. Bugu da ƙari kuma, sau da yawa ana iya bayyana ciwon azaman:

• Wasu radiation daga ƙananan baya zuwa cikin wurin zama

• Painara zafi yayin tsayawa tsaye na dogon lokaci

• Ciwo na cikin gida akan ɗakunan mahaifar

• Kullewa a ƙashin ƙugu da baya

• Jin zafi lokacin tafiya

• Yana ciwo tashi daga zaune zuwa inda yake tsaye

• Yana zafi don ɗaga ƙafa a wurin zama

Irin wannan ciwo yawanci ana kiransa "ciwon axial". Wannan yana nufin ciwo na halitta wanda aka fassara shi da wuri guda - ba tare da haskaka komai ba musamman kafa ko sama. Da wannan aka ce, ciwon mara na iya nuna zafi zuwa cinya, amma kusan bai wuce gwiwa ba.

Don fahimtar ciwo, dole ne mu fahimci abin da haɗin gwal yake yi. Suna watsa lodi daga ƙananan raƙuman kafa (ƙafa) zuwa sama sama - kuma akasin haka.

Sacroilitis: Haɗuwa da Ciwon Pelvic da Sauran Alamun

Mafi yawan alamun bayyanar cututtuka na sacroilitis yawanci haɗuwa ne da waɗannan masu zuwa:

• Zazzaɓi (ƙarancin daraja, kuma a cikin lamura da yawa kusan ba zai yiwu a iya gano su ba)

• Backananan ciwon baya da ƙashin ƙugu

• Episodic ya ambaci ciwo har zuwa gwatso da cinyoyi

• Ciwon da ke taɓar da hankali yayin zama na dogon lokaci ko juyawa a gado

• Tiarfafawa a cinyoyi da ƙananan baya, musamman bayan tashi da safe ko bayan zaune tsawon lokaci

Sacroilitis da Pelvic Lock (Iliosacral Hadin gwiwa Dysfunction)

Sacroilitis wani lokaci ne wanda ake amfani dashi sau da yawa tare da kalmar kulle ƙugu, saboda ana iya amfani da kalmomin duka ta hanyar fasaha don bayyana ciwo wanda ya fito daga haɗin haɗin iliosacral. Dukkanin sacroilitis da toshewar gabobi sune dalilai na yau da kullun na rashin jin ciwo, yankin iliosacral da kuma nuna ciwo ga gindi da cinya.

Amma akwai muhimmin bambanci tsakanin yanayin biyu:

A likitancin asibiti, ana amfani da kalmar "-it" azaman abin nuni ga kumburi, kuma sacroilitis haka yana bayanin kumburi da ke faruwa a cikin haɗin mahaifa. Za'a iya haifar da kumburin ta rashin aiki a cikin haɗin gwiwa ko kuma yana da wasu dalilai kamar yadda aka ambata a baya a cikin labarin (misali saboda rheumatism).

Dalilin Cutar Sacroilitis

Akwai dalilai daban-daban da yawa na sacroilitis. Sacroilitis na iya haifar da matsaloli na asali tare da ƙashin ƙugu da ƙashin ƙugu - a wasu kalmomin idan akwai lahani a cikin ɗakunan kugu ko kuma idan ikon iya motsa ƙugu ya lalace. A dabi'a, ana iya haifar da ƙonewa ta hanyar musanya injiniyoyi a cikin ɗakunan mahaɗan da ke kewaye da haɗin mahaɗan kuma - misali, mahaɗan lumbosacral. Sanadin mafi yawan sanadin sacroilitis shine:

• Osteoarthritis na haɗin gwiwa

• Rashin aikin inji (Kullin Pelvic ko Pelvic Loose)

• Ciwon Rheumatic Diagnoses

• Raunin rauni da Fall (na iya haifar da kumburin wucin gwaiwa na ɗan lokaci)

Abubuwan haɗari ga Sacroilitis

Yawancin dalilai masu yawa na iya haifar da sacroilitis ko ƙara haɗarin haɓaka sacroilitis:

• Duk wani nau'i na spondyloarthropathy, wanda ya hada da ankylosing spondylitis, amosanin gabbai hade da psoriasis da sauran cututtukan rheumatological kamar lupus.
• Magungunan cututtukan zuciya ko osteoarthritis na kashin baya (osteoarthritis), wanda ke haifar da lalacewar haɗin haɗin iliosacral wanda sai ya zama kumburi da ciwon haɗin gwiwa a cikin yankin haɗin haɗin pelvic.
• Raunukan da suka shafi ƙananan baya, ƙugu ko gindi, kamar haɗarin mota ko faɗuwa.
• Ciki da haihuwa sakamakon ƙashin ƙugu ya faɗo kuma ya shimfiɗa jijiyoyin ɗauke da jijiyoyi yayin haihuwa (maganin pelvic).
• Kamuwa da cuta na haɗin haɗin iliosacral
• Osteomyelitis
• Cututtukan fitsari
• Ciwon ciki
• Amfani da magungunan cikin jini

Idan mai haƙuri yana da ciwo na pelvic kuma yana da ɗayan cututtukan da ke sama, wannan na iya nuna sacroilitis.

Jiyya na Sacroilitis

Za a ƙayyade jiyya don sacroilitis dangane da nau'in da tsananin alamun alamun marasa lafiya da mahimman abubuwan da ke haifar da sacroilitis. Ta haka ne aka tsara tsarin maganin ga mai haƙuri. Misali, ankylosing spondylitis (ankylosing spondylitis) na iya zama wata cuta ta hadin gwiwa mai haifar da kumburi, sannan kuma dole ne a daidaita maganin yadda ya kamata. Jiki na yau da kullun ana yin shi ta hanyar likitan ilimin likita wanda ya yarda da shi (ciki har da MT) ko malamin chiropractor. Yin magani na jiki yana da kyakkyawan sakamako a rubuce game da ciwon haɗin gwiwa na pelvic, asymmetry pelvic da rashin aiki a cikin yankin ƙashin ƙugu2).

Sacroilitis yawanci ya ƙunshi duka halayen kumburi da rashin aiki na inji. Sabili da haka, jiyya kuma yawanci ta ƙunshi duka magungunan anti-inflammatory da magungunan jiki. Muna son ganin hadewar wadannan magungunan don cutar sankarar bargo da kuma ciwan mara: 

• Anti-inflammatory (anti-inflammatory) kwayoyi - daga likita

• Jiyya na jiki don tsokoki da haɗin gwiwa (Physiotherapist and Modern Chiropractor)

• Hadin gwiwa tare da kulle ƙugu (haɗin gwiwar haɗin gwiwar Chiropractic)

• Darasi na Gida da Al'adu Na Musamman

• A cikin yanayi mai tsananin gaske, allurar cortisone na iya dacewa

tips: Canza yanayin bacci zai iya taimakawa jin zafi yayin da kuke bacci da kuma lokacin da kuka farka. Yawancin marasa lafiya suna ganin ya fi kyau su yi bacci a kaikaice tare da sanya matashin kai tsakanin ƙafafunsu don kiyaye kwankwaso ko da. Sauran kuma suna ba da rahoton kyakkyawan sakamako daga aiwatarwa maganin rage kumburi.

Shawarar Taimakon Kai akan ciwon ƙashin ƙugu

Matashin ƙashin ƙugu (Haɗin yana buɗewa a cikin sabon taga mai bincike)

Kuna iya sanin cewa mutane da yawa dangane da juna biyu suna samun ciwon ƙashin ƙugu? Don samun ƙarin matsayi na barci ergonomic, yawancin waɗannan suna amfani da abin da ake kira matashin pelvic sau da yawa. An kera matashin matashin ne musamman don amfani da shi lokacin barci, kuma an yi shi da siffa ta yadda zai ji daɗi da sauƙi a same shi a daidai lokacin da dare. Duk wannan da abin da ake kira coccyx Shawarwari ne guda biyu na kowa ga waɗanda ke fama da ciwon pelvic da sacroilitis. Manufar ita ce don rage rashin daidaituwa da fushi ga haɗin gwiwar pelvic.

Sauran Matakan Kai ga masu Rheumatists

• matsawa surutu (kamar safa mai matse jiki wanda ke taimakawa wajen kara yaduwar jini ga tsokoki masu ciwo ko takamammen safofin hannu na matsawa na musamman da rheumatic bayyanar cututtuka a hannun)

Latsa hoton don karantawa game da safar hannu.

• 'Yan yatsun kafa (nau'ikan cututtukan rheumatism da yawa na iya haifar da lankwashe yatsun kafa - misali yatsun hammata ko hallux valgus (lanƙwasa babban yatsa) - masu bugun yatsu na iya taimaka wajan taimakawa wadannan)
• Taananan kaset (da yawa tare da rheumatic da zafi na yau da kullun suna jin cewa ya fi sauƙi horo tare da al'ada elastics)
• Trigger batu Bukukuwa (taimakon kai don aiki da tsokoki a kullum)
• Arnica kirim ko kwandishan mai zafi (zai iya kawar da zafi a cikin tsokoki da haɗin gwiwa)

Maganin chiropractic don Sacroilitis

Ga marasa lafiya da ke fama da ciwon ƙugu, ana iya amfani da hanyoyi daban-daban na maganin chiropractic, kuma galibi ana ɗaukarsu a matsayin mataki na farko a cikin tsarin jiyya - a haɗe da ayyukan gida. Masanin chiropractor na zamani zai fara yin cikakken bincike na aiki. Sannan zai yi tambaya game da tarihin lafiyarku, a tsakanin sauran abubuwa don gano ko akwai cututtukan da ke rayuwa tare ko wasu matsaloli na injuna.

Manufar maganin chiropractic don ciwo na pelvic shine a yi amfani da hanyoyin da mai haƙuri zai iya jurewa, kuma hakan yana samar da kyakkyawan sakamako. Marasa lafiya sun fi dacewa da matakai daban-daban, don haka malamin chiropractor na iya amfani da dabaru daban-daban don magance ciwon mara lafiya.

Chiropractor na zamani yana Kula da tsokoki da haɗin gwiwa

Anan yana da mahimmanci a ambaci cewa masanin chiropractor na zamani yana da kayan aiki da yawa a cikin akwatin kayan aikin sa, kuma suna kulawa da dabarun muscular da gyaran haɗin gwiwa. Bugu da ƙari, wannan ƙungiyar masu sana'a galibi suna da ƙwarewar ƙwarewa a cikin kulawar motsi da kuma maganin allura. Akalla haka lamarin yake asibitocinmu masu alaƙa. Hanyoyin magani da ake amfani dasu suna son haɗawa da:

• Acupuncture Intramuscular Acupuncture

• Hadin gwiwa tare da Magungunan hadin gwiwa

• Massage da fasaha na Muscular

• Ctionunƙarar jiyya (Ragewa)

• Trigger batu far

A yadda aka saba, a cikin matsalolin pelvic, haɗin gwiwa, maganin jijiyoyin ciki da dabarun gogewa suna da mahimmanci.

Yin magudi tare da ciwon mara

Akwai dabarun magudi na yau da kullun don matsalolin haɗin gwiwa:

• Canje-canje na gargajiya na gargajiya, wanda ake kira magudi na haɗin gwiwa ko HVLA, suna ba da buƙatu tare da babban gudu da ƙarancin ƙarfi.

• Kwantar da hankali / ƙaramin gyara da ake kira haɗin gwiwa; dirka tare da ƙananan gudu da ƙananan ƙarfi.

Ci gaban wannan nau'in daidaitawar yakan haifar da sakin da ake ji wanda ake kira cavitation, wanda ke faruwa a lokacin da iskar oxygen, nitrogen da carbon dioxide suka tsere daga haɗin gwiwa inda aka ja shi sama da mataki na motsi a cikin iyakokin ƙwayar. Wannan maganin na chiropractic yana haifar da "sautin fashewa" wanda ake danganta shi da hadewar mahadi kuma wannan yana kama da "karyewar wuyan hannu".

Kodayake wannan bayanin "karyawa" na magudi na chiropractic na iya ba da ra'ayi cewa wannan ba shi da dadi, jin daɗin gaske yana da 'yanci, wani lokacin kusan haka. Mai chiropractor zai so ya haɗu da hanyoyin magani da yawa don samun kyakkyawan sakamako akan hoton ciwo da aikin mai haƙuri.

Sauran hanyoyin hadin gwiwa

Methodsananan hanyoyin haɗin haɗin gwiwa masu ƙarfi suna amfani da ƙananan fasahohi waɗanda ke ba mahaɗin damar kasancewa cikin matakan motsi. Techniquesarin hanyoyin fasahar chiropractic sun haɗa da:

• Dabarar "digo" kan keɓaɓɓun benchi na musamman Wannan bencin ya ƙunshi sassa da yawa waɗanda za'a iya ɓarkewa sannan a saukar da su a lokaci guda kamar yadda chiropractor ya ci gaba, wanda zai ba da ƙarfin nauyi don ba da gudummawa ga haɗin haɗin gwiwa.
• Kayan aiki na musamman wanda ake kira Activator: Mai kunnawa kayan aiki ne da aka ɗora a bazara da aka yi amfani da su yayin aikin daidaitawa don ƙirƙirar bugun jini mara ƙarfi a kan takamaiman yankuna tare da kashin baya.
• Dabarar "juya hankali" Distraarɓar da hankali na motsa jiki ya haɗa da amfani da tebur na musamman wanda ya shimfiɗa kashin baya a hankali. Hakanan malamin chiropractor zai iya keɓance yankin na ciwo yayin da kashin baya ke lankwasa tare da motsa motsi.

A takaice: Sacroilitis yawanci ana magance shi ta hanyar haɗuwa da magungunan ƙwayoyin cuta da ƙwarewar jiki.

Shin Kana fama da Ciwon Ciwon Mara?

Muna farin cikin taimaka muku da kimantawa da magani a ɗayan asibitocinmu masu alaƙa.

Darasi da Horarwa akan cutar Sacroilitis

Shirye-shiryen motsa jiki tare da motsa jiki na motsa jiki, ƙarfi da horo mai sauƙi na motsa jiki yawanci shine muhimmin ɓangare na yawancin tsarin kulawa da ake amfani dashi don sacroilitis ko zafi na pelvic. Aikin gida na al'ada za'a iya tsara shi ta likitan ku, chiropractor ko wasu ƙwararrun likitocin da suka dace.

A cikin bidiyon da ke ƙasa, muna nuna muku ayyukan motsa jiki na 4 don cutar piriformis. Yanayin da tsokar piriformis, a haɗe tare da haɗin ƙashin ƙugu, yana sanya matsi da haushi akan jijiyar sciatic. Wadannan darussan suna da matukar dacewa a gare ku da ke fama da ciwon ƙugu, yayin da suke taimakawa sassauta wurin zama da samar da haɗin gwiwa na haɗin gwiwa.

BATSA: Darasi Na 4 Na Cutsi don Cutar Piriformis

Kasance cikin yan uwa! Feel kyauta don biyan kuɗi kyauta akan tashar Youtube dinmu (latsa nan).

Sources da Bayani:

1. Slobodin et al, 2016. «M sacroiliitis». Rheumatology na asibiti. 35 (4): 851–856.

2. Alayat et al. 2017. Amfani da aikin likita don maganin rashin haɗin haɗin sacroiliac: nazari na yau da kullun. J Phys Ther Sci. 2017 Sep; 29 (9): 1689-1694.