Nā mea āpau āu e ʻike ai e pili ana iā Sacroilitis [Alakaʻi Nui]

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Nā mea āpau āu e ʻike ai e pili ana iā Sacroilitis [Alakaʻi Nui]

Hoʻohana ʻia ka huaʻōlelo sacroilitis e wehewehe i nā ʻano laha āpau i loko o ka hui ʻiliosacral. No nā mea he nui i ʻike ʻia ʻo ka maʻi pelvic inflammatory.

ʻO nā hono o ka iliosacral nā hono i waiho ʻia ma kēlā me kēia ʻaoʻao o ka lumbosacral hoʻololi (i ka ʻaoʻao lalo), a pili i ka pelvis. ʻO lākou wale nō, ka pilina ma waena o ka sacum a me ka pelvis. I loko o kēia alakaʻi e aʻo hou ʻoe e pili ana i kēia ʻike, nā ʻōuli ʻōiwi, ka hōʻailona a me ka mea liʻiliʻi, pehea e hiki ai ke mālama ʻia.

 

Manaʻo kōkua maikaʻi: Ma lalo o ka ʻatikala ʻike ʻoe i nā wikiō hoʻoikaika kino me nā hoʻoikaika kino no ka poʻe i ʻeha i ka ʻūhā a me ka ʻeha pelvic.

 

- Ma kā mākou mau keʻena interdisciplinary ma Vondtklinikkene ma Oslo (Lambertseter) a me Viken (Eidsvoll Sound og Råholt) ko mākou mau kauka lapaʻau he kūlana ʻoihana kiʻekiʻe kiʻekiʻe ma ka loiloi, mālama ʻana a me ka hoʻomaʻamaʻa hoʻoponopono ʻana i ka ʻeha pelvic. Kaomi ma nā loulou a i ʻole ʻaneʻi e heluhelu hou e pili ana i kā mākou mau keʻena.

 

Ma kēia ʻatikala e aʻo hou ʻoe e pili ana i:

  • Anatomy: Ma hea a he aha nā Iliosacral Jooint?

  • Hoʻolauna: He aha ka Sacroilitis?

  • Nā ʻōuli o Sacroilitis

  • Nā kumu o Sacroilitis

  • Iapaau ana o Sacroilitis

  • Nā hoʻoikaika a me ka hoʻomaʻamaʻa ʻana ma Sacroilitis (me VIDEO)

 

Anatomy: Aia ma hea nā hui Iliosacral?

Pelvic Anatomy - ʻ Wikimedialelo Wiki

Anatomy Pelvic - Kiʻi: Wikimedia

I ke kiʻi ma luna, i lawe ʻia mai Wikimedia, ʻike mākou i kahi nānā anatomical o ka pelvis, Sacum a me coccyx. E like me kāu e ʻike ai, ʻo ka iwi pūhaka, he ilium, pubis a me ischium. ʻO ia ka pilina ma waena o ka ilium a me ka sacum e hāʻawi i ke kumu no ka hui ʻiliosacral, ʻo ia ka wahi e hui ai nā mea ʻelua. Aia kekahi ma ka hema a hoʻokahi ma ka ʻākau. Kāhea pinepine ʻia lākou nā pelvic ami.

 

He aha ka Sacroilitis?

ʻIke pinepine ʻia ʻo Sacroilitis ma ke ʻano he mahele o nā ʻōuli o nā ʻano rumatika ʻokoʻa ʻokoʻa i ka iwi kuamoʻo. Hoʻohui ʻia kēia mau maʻi a me nā kūlana ma ke ʻano he "spondyloarthropathy", a pākuʻi ʻia i nā mokuʻāina a me nā diagnose rumatika e like me:

  • Ankylosing spondylitis (Ankylosing spondylitis)
  • Psoriatic arthritis
  • Pākuʻi reactive

 

Hiki i ka Sacroilitis ke lilo i ʻāpana o ka arthritis e pili ana i nā ʻano like ʻole e like me ka ulcerative colitis, ka maʻi o Crohn a i ʻole osteoarthritis o nā pelvic ami. ʻO Sacroilitis kekahi manawa i hoʻohana ʻia i kekahi manawa me ka huaʻōlelo ʻo sacroiliac e pili pū ana me ka hana ʻole, no ka mea hiki ke hoʻohana ʻia i nā huaʻōlelo ʻelua e wehewehe i ka ʻeha e hele mai ana mai ka hui sacroiliac (a i ʻole SI hui).

 

Nā ʻōuli o Sacroilitis

ʻO ka hapa nui o ka poʻe me ka sacroilitis e namunamu no ka ʻeha ma ka ʻaoʻao haʻahaʻa, pelvis a me / a i ʻole nā ​​puʻupuʻu (1). ʻO ke ʻano, e ʻōlelo maʻamau lākou aia ka ʻeha ma luna o "hoʻokahi a ʻelua mau iwi paha ma kēlā me kēia ʻaoʻao o ke kua o lalo" (anatomically ʻike ʻia ʻo PSIS - kahi o nā hono iliosacral). Maʻaneʻi he mea nui e haʻi aku he neʻe ʻoi loa ia a me ke kaohi ʻana o nā ami pelvic e hōʻeha i ka ʻehaʻeha. Eia kekahi, hiki ke wehewehe pinepine ʻia ka ʻeha ma ke ʻano:

  • Kekahi radiation mai ka lalo i lalo a i ka noho
  • Hoʻonui i kaʻeha ke kū pololei i kahi manawa lōʻihi
  • ʻEha kūloko ma luna o nā ami pelvic
  • Laka ʻia i ka pelvis a hoʻi i hope
  • ʻEha ke hele wāwae
  • He ʻeha ke ala aʻe mai kahi noho i kahi kūlana kū
  • He ʻeha ke hāpai i nā wāwae i kahi noho

Kāhea ʻia kēia ʻano ʻeha ʻo "axial pain". ʻO kēia ka ʻeha biomechanical e wehewehe mua ʻia i hoʻokahi wahi - me ka ʻole e hoʻomālamalama i kekahi mea i lalo i ka wāwae a i ʻole ke kua. Me kēlā ʻōlelo, hiki i ka ʻeha pelvic ke kuhikuhi i ka ʻeha i lalo i ka ʻūhā, akā aneane ʻaʻole i hala ke kuli.

 

No ka hoʻomaopopo ʻana i ka ʻeha, pono nō mākou e hoʻomaopopo i ka hana a nā pelvic ami. Lawe lākou i nā ukana haʻalulu mai nā ʻaoʻao haʻahaʻa (nā wāwae) i luna i ke kino o luna - a ʻo ka ʻaoʻao ʻē aʻe.

 

Sacroilitis: kahi hui pū ʻana o ka ʻeha Pelvic a me nā ʻōuli ʻē aʻe

ʻO nā ʻōuli maʻamau o sacroilitis ka mea maʻa mau o nā aʻe:

  • Fever (haʻahaʻa-papa, a i nā manawa he nui kokoke hiki ʻole ke ʻike)
  • ʻO ke kaumaha haʻahaʻa a me ka pelvic
  • Ua ʻōlelo ʻo Episodic i ka ʻeha a i lalo i ka ʻūhā a me nā ʻūhā
  • ʻEha e ʻinoʻino ke noho ʻoe no nā wā lōʻihi a huli paha i kahi moe
  • ʻOʻoleʻa i nā ʻūhā a me ke kua i lalo, keu hoʻi ma hope o ke ala ʻana i kakahiaka a ma hope paha o ka noho ʻana no nā kau lōʻihi

 

Sacroilitis vs. Pelvic Lock (Iliosacral Joint Dysfunction)

ʻO Sacroilitis kekahi manawa i hoʻohana ʻia i kekahi manawa me ka hua pelvic lock, no ka mea hiki ke hoʻohana ʻia i nā huaʻōlelo ʻelua e wehewehe i ka ʻeha e pili ana i ka hui ʻiliosacral. ʻO nā sacroilitis ʻelua a me nā pelvic blockage nā kumu maʻamau o ka ʻehaʻeha o ke kua, wahi ʻiliosacral a kuhikuhi ʻia i ka ʻeha i nā puʻupuʻu a me nā ʻūhā.

 

Akā aia kekahi ʻokoʻa nui ma waena o nā ʻano ʻelua:

I ka lāʻau lapaʻau, hoʻohana ʻia ka huaʻōlelo "-it" ma ke ʻano he kuhikuhi i ka puhū, a pēlā ka sacroilitis e wehewehe ai i ka mumū e hiki mai ana i ka hui ʻiliosacral. Hiki ke hoʻoulu ʻia ka mumū e ka hana hewa ʻole i ka pelvic ami a i ʻole nā ​​kumu ʻē aʻe e like me ka mea i ʻōlelo ʻia ma mua i loko o ka ʻatikala (e laʻa ma muli o ka rumatika).

 

Nā kumu o Sacroilitis

Aia kekahi mau kumu like ʻole o ka sacroilitis. Hiki ke kumu ʻia ka Sacroilitis e nā pilikia kūlohelohe me ke pelvis a me ke pelvis - i nā huaʻōlelo ʻē aʻe inā aia kahi hana hewa ʻole i nā hui pelvic a i ʻole inā hōʻino ʻia ka neʻe o ke pelvis. Ma ke ʻano maʻamau, hiki ke hoʻoulu ʻia e ka mechanics i hoʻololi ʻia i nā hono e hoʻopuni pū ana i nā hono iliosacral - e laʻa me ka lumbosacral junction. ʻO nā kumu maʻamau o sacroilitis penei:

  • ʻO Osteoarthritis o nā hui pelvic
  • Nā Hana Hana Mīkini (Pelvic Lock a i ʻole Pelvic Loose)
  • Nā Kānāwai Rheumatic
  • Nā ʻeha a me nā hāʻule hāʻule (hiki ke hoʻoulu i ka manawa o nā pelvic ami)

 

Nā kumu pilikia no Sacroilitis

Hiki i kahi ākea ākea ke kumu i ka sacroilitis a hoʻonui i ka makaʻu o ka hoʻomohala ʻana i ka sacroilitis:

  • ʻO kēlā me kēia ʻano o spondyloarthropathy, e pili pū ana me ka spondylitis ankylosing, ke kuamoʻo e pili ana i ka psoriasis a me nā maʻi rheumatological e like me ka lupus.
  • Degenerative arthritis a i ʻole osteoarthritis o ka iwi kuamoʻo (osteoarthritis), ka mea e alakaʻi ai i ka haki ʻana o nā hono iliosacral a laila hiki aku i ka mumū a me ka ʻeha pū ʻia o ka pelvic ami āpana.
  • Nā ʻeha e hoʻopili ai i ke kua i lalo, ka ʻūhā a i ʻole ka ʻūhā, e like me ka ulia kaʻa a i ʻole ka hāʻule.
  • ʻO ka hāpai a me ka hānau hānau ʻana ma ke ʻano he hopena o ka pelvis e lilo ākea a hoʻonui i nā veins sacroiliac i ka wā hānau (solution pelvic).
  • ʻO ka maʻi o ka hono iliosacral
  • Osteomyelitis
  • Nā maʻi maʻi urinary
  • Endocarditis
  • Hoʻohana o nā lāʻau lapaʻau intravenous

 

Inā loaʻa i ka mea maʻi ka ʻeha pelvic a i kekahi o nā maʻi i luna, hōʻike kēia i ka sacroilitis.

 

Iapaau ana o Sacroilitis

E hoʻoholo ʻia ka lāʻau no sacroilitis ma muli o ke ʻano a me ke koʻikoʻi o nā ʻōuli a ka mea hoʻomanawanui, a me nā kumu ma hope o ka sacroilitis. Hoʻololi ʻia ka papa hana lapaʻau i kēlā me kēia mea maʻi. ʻO kahi laʻana, hiki i ka ankylosing spondylitis (ankylosing spondylitis) ke lilo i maʻi maʻi pūliki, a laila pono e hoʻopili ʻia ka mālama ʻana e like me ia. Hana maʻamau ʻia ka hoʻōla kino e ka physiotherapist i ʻae ʻia e ka lehulehu (me MT) a i ʻole kahi chiropractor. Hoʻonohonoho maikaʻi maikaʻi ʻia ka mālama kino ʻana i ka ʻeha pūhaka pelvic, asymmetry pelvic a me nā hana hewa ʻole i ka pelvic region (2).

 

ʻO Sacroilitis ka mea maʻamau o nā hopena inflammatory a me nā hana hewa mechanical. No laila, ʻo ka hoʻomaʻamaʻa pū kekahi me nā lāʻau anti-inflammatory ʻelua a me ka lāʻau hoʻoikaika kino. Makemake mākou e ʻike i kahi hui o nā lāʻau aʻe no sacroilitis a me nā ʻeha pelvic: 

  • Nā lāʻau lapaʻau anti-inflammatory (anti-inflammatory) - mai ke kauka
  • Hoʻomaʻamaʻa kino no nā mākala a me nā hui (Physiotherapist a me Chiropractor Modern)
  • ʻO ka hana kuʻikahi e pili ana i ka laka pelvic (hoʻākoakoa hui Chiropractic)
  • Hoʻomaʻamaʻa home hoʻomaʻamaʻa a hoʻomaʻamaʻa
  • I nā hihia koʻikoʻi loa, kūpono paha nā injections cortisone

Kōkua: Hiki ke hoʻololi i kou kūlana hiamoe i mea e hōʻoluʻolu ai i ka ʻeha ke hiamoe ʻoe a ke ala ʻoe. ʻO ka hapa nui o nā mea maʻi e ʻoi aku ka maikaʻi o ka hiamoe ʻana me ka ʻaoʻao me kahi uluna i kau ʻia ma waena o ko lākou mau wāwae e mālama pono ai i ko lākou pūhaka. Hōʻike pū kekahi i nā hopena maikaʻi mai ka hoʻokō ʻana he papa ʻaina anti-inflammatory.

 

Manaʻo ʻia ʻo ke kōkua ponoʻī e kūʻē i ka ʻeha pelvic

ʻO ke kuʻi pelvic (Wehe ʻia ka loulou ma kahi puka aniani hou)

Ua ʻike paha ʻoe he nui ka poʻe e pili ana i ka hāpai ʻana e loaʻa i ka ʻeha pelvic? No ka loaʻa ʻana o kahi kūlana moe ergonomic, hoʻohana ka nui o kēia mau mea i ka mea i kapa pinepine ʻia he uluna pelvic. Hoʻolālā kūikawā ʻia ka uluna e hoʻohana ʻia i ka wā e hiamoe ai, a ua hoʻohālikelike ʻia i mea e ʻoluʻolu a maʻalahi hoʻi i ke kūlana kūpono i ka pō. ʻO kēia a me ka mea i kapa ʻia kōkoi ʻelua mau ʻōlelo paipai no ka poʻe i loaʻa i ka ʻeha pelvic a me ka sacroilitis. ʻO ke kumu e hoʻemi i ka misalignment a me ka huhū i nā hui pelvic.

 

ʻO nā ana pono'ī'ē aʻe no nā maʻi rumatika

Nā mīkina lima hoʻoliʻiliʻi sooth - Photo Medipaq

Kaomi aku i ke kiʻi e heluhelu hou aku ai e pili ana i nā mīkina lima paʻa.

  • Nā mea huki wāwae (hiki i kekahi mau ʻano rumatika ke hoʻonā i nā manamana wāwae kūlou - no ka laʻana o nā manamana wāwae a me nā hallux valgus (kūlou nui ʻia nā manamana wāwae) - hiki i nā mea huki ke manamana ke kōkua i kēia mau mea)
  • Nā leki liʻiliʻi (he nui ka poʻe me ka rumatika a me ka ʻeha mau loa e manaʻo ʻoi aku ka maʻalahi o ke hoʻomaʻamaʻa ʻana me nā elastics maʻamau)
  • Kāhea wahi kala (kōkua pilikino e hana i nā musc ma ka lā maʻamau).
  • ʻAlekika holika ole mea hoʻomehana wela (hiki ke hoʻomaha i ka ʻeha ma nā ʻiʻo a me nā hono)

 

 

ʻO ka mālama Chiropractic no Sacroilitis

No nā mea maʻi me ka ʻeha pelvic, hiki ke hoʻohana i nā kaʻina hana chiropractic, a manaʻo pinepine ʻia lākou i ke kaʻina mua i ke kaʻina hana - i hui pū ʻia me nā hoʻoikaika home. E hana mua ka chiropractor o kēia au i kahi hoʻokolokolo pono. E nīnau ʻo ia e pili ana i kāu mōʻaukala olakino, i waena o nā mea ʻē aʻe e ʻike ai inā aia kekahi mau maʻi e noho pū ʻia a i ʻole nā ​​hana hewa mechanical.

 

ʻO ka pahuhopu o ka hoʻomaʻamaʻa chiropractic no ka ʻeha pelvic e hoʻohana i nā kiʻina e ʻae maikaʻi ʻia e ka mea maʻi, a hāʻawi i ka hopena maikaʻi loa. ʻOi aku ka maikaʻi o ka pane ʻana o nā mea maʻi i nā hana ʻokoʻa, no laila hiki i ka chiropractor ke hoʻohana i nā ʻano hana like ʻole e mālama ai i ka ʻeha o ka mea maʻi.

 

Mālama kahi Chiropractor Hou i nā mākala a me nā hui

Maʻaneʻi he mea nui e haʻi aku i kahi chiropractor o kēia manawa he mau pono hana i kāna pahu pahu hana, a mālama lākou me nā ʻenehana muscular ʻelua a me nā hoʻoponopono like. Eia kekahi, he mākaukau maikaʻi kēia hui ʻoihana i ka mālama ʻana i ka nalu kaomi a me ka lapaʻau ʻana o ka nila. Ma ka liʻiliʻi ʻo ia ka hihia ko mākou nā keʻena lapaʻau pili. Makemake nā ʻano hana e hoʻohana i:

  • Hoʻopuka ʻia Intramuscular
  • ʻO Mobilis Joint a me ka Hoʻohui Hoʻohui
  • Nā hana lomilomi a me nā mākala muscular
  • Hoʻoikaika traction (Decompression)
  • ʻĀpilikia lāʻau

ʻO ka maʻamau, i nā hihia pelvic, mālama like ʻana, mālama ʻana i nā mākala gluteal a me nā ʻano traction he mea nui.

 

Hoʻopili pū me ka ʻeha pelvic

ʻElua mau ʻano hana manipika maʻamau no nā pilikia pelvic ami:

  • ʻO nā hoʻoponopono chiropractic kuʻuna, i kapa ʻia ʻo manipulate hui a i ʻole HVLA, hāʻawi i nā impulses me ka wikiwiki a me ka mana haʻahaʻa.
  • Hoʻololi ʻo Calmer / liʻiliʻi i kapa ʻia he mobilization pū; pahu aku me ka wikiwiki haʻahaʻa a me ka ikaika haʻahaʻa.

ʻO ka mua i kēia ʻano hoʻoponopono e alakaʻi maʻamau i kahi hoʻokuʻu lohe ʻia i kāhea ʻia liuliu, i ka wā e pakele ai ka oxygen, nitrogen a me carbon dioxide i ka ami kahi i huki ʻia ai ma mua o ka pae passive o ka neʻe i loko o nā palena o ka mea. Hoʻokumu kēia maneuver chiropractic i ka "cracking sound" maʻamau e pili pinepine ʻia me nā manipulate hui a like ke ʻano ke "haki nā iwi".

 

ʻOiai ʻo kēia wehewehe "haʻihaʻi" o nā manipulate chiropractic hiki ke hāʻawi i ka manaʻo he ʻoluʻolu ʻole kēia, ke hoʻokuʻu nei ka manaʻo, i kekahi manawa kokoke koke. Makemake ka chiropractor e hoʻohui i kekahi mau ʻano hana e loaʻa ka hopena maikaʻi loa ma ke kiʻi ʻeha a me ka hana a ka mea maʻi.

 

Nā Hana Hoʻolālā Hui ʻē aʻe

Hoʻohana nā ʻano hana hoʻoliʻiliʻi liʻiliʻi liʻiliʻi i nā ʻenehana wikiwiki haʻahaʻa e ʻae ai i ka hui e noho i waena o nā pae neʻe passive. ʻO nā ʻenehana ʻoi aku ʻoi aku ka maikaʻi e hoʻopili i nā ʻano hana.

  • ʻO kahi ʻenehana "kulu" ma nā kaukapila chiropractor i hana kūikawā ʻia: Aia kēia keʻena i nā ʻāpana he nui i hiki ke wili ʻia a hoʻohaʻahaʻa ʻia i ka manawa like me ka hoʻopiʻi ʻana o ka chiropractor i mua, kahi e ʻae ai i ka umekaumaha i ka hoʻoponopono hui.
  • ʻO kahi pono hana hoʻoponopono hoʻoponopono ʻia i kapa ʻia he Activator: ʻO ka mea hoʻoulu kahi mea hoʻoili puna i hoʻohana ʻia i ka wā o ka hoʻoponopono ʻana e hana i kahi puʻupuʻu puʻupuʻu haʻahaʻa e kūʻē i nā wahi kikoʻī ma ka ʻiwi.
  • ʻO ke kaʻina hana "flexion distraction": Hoʻopili ka hoʻoliʻiliʻi Flexion i ka hoʻohana ʻana o kahi papa i hoʻonohonoho pono ʻia e hoʻolōʻihi i ka iwi kuamoʻo. Hiki i ka chiropractor ke hoʻokaʻawale i kahi o ka ʻehaʻeha ke kūlou ʻia ka iwi kuamoʻo me nā neʻe ʻana o ka pumping.

 

I ka pōkole: Hoʻomaʻamaʻa pinepine ʻia ka Sacroilitis e ka hui pū ʻana o nā lāʻau anti-inflammatory a me ka lāʻau hoʻoikaika kino.

 

Ke ʻeha nei ʻoe i ka ʻeha pelvic lōʻihi?

Ua hauʻoli mākou e kōkua iā ʻoe me ka loiloi a me ka mālama ʻana ma kekahi o kā mākou nā keʻena lapaʻau pili.

 

Nā hana a me nā hoʻomaʻamaʻa e kūʻē iā Sacroilitis

ʻO kahi papahana hoʻoikaika kino me ka hoʻolōʻihi ʻana i ka hoʻoikaika kino, ka ikaika a me ka hoʻomaʻamaʻa aerobic cardio maʻalahi he mahele nui ia o ka hapanui o nā regimens lapaʻau i hoʻohana ʻia no sacroilitis a i ʻole ʻeha pelvic. Hiki ke kuhikuhi ʻia i nā hana pilikino home e kāu physiotherapist, chiropractor a i ʻole nā ​​loea olakino e pili ana.

 

I loko o ke wikiō ma lalo, hōʻike mākou iā ʻoe i 4 mau hana hoʻoikaika no ka maʻi piriformis. ʻO kahi kūlana kahi o ka mākala piriformis, i hui pū ʻia me ka ami pelvic, e hoʻokau i ke kaomi a me ka huhū ma ke aʻalolo sciatic. Kūpono nui kēia mau hana iā ʻoe e ʻeha i ka ʻeha pelvic, ke kōkua nei lākou e hoʻokuʻu i ka noho a hāʻawi i ka neʻe ʻana o ke pelvic maikaʻi.

 

VIDEO: 4 Haʻawina hoʻoulu no ka Piriformis Syndrome

E lilo i ʻohana! Manaʻo ʻole e kau inoa no ka manuahi ma kā mākou kahawai Youtube (kaomi ma aneʻi).

 

Nā Kumuwaiwai a me nā kūmole:

1. Slobodin et al, 2016. «Acute sacroiliitis». Rheumatology Lapaʻau. 35 (4): 851-856.

2. Alayat et al. 2017. ʻO ka maikaʻi o nā hana physiotherapy no ka sacroiliac hui pū ʻia me disability: kahi ʻōnaehana loiloi. ʻO J Phys Sh Sci. ^ E Ha yM. 2017 Sep; 29 (9): 1689-1694.

Ua makemake ʻoe i kā mākou ʻatikala? Waiho i kahi hōkū