Zomwe Muyenera Kudziwa Zokhudza Sacroilitis [Great Guide]

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Zomwe Muyenera Kudziwa Zokhudza Sacroilitis [Great Guide]

Mawu akuti sacroilitis amagwiritsidwa ntchito pofotokoza mitundu yonse ya kutupa komwe kumachitika mgulu la iliosacral. Kwa ambiri omwe amadziwika kuti matenda otupa m'chiuno.

Malumikizano a iliosacral ndi malo opezeka mbali iliyonse ya mphambano ya lumbosacral (m'munsi mwa msana), ndipo amalumikizidwa ndi mafupa a chiuno. Zili, mophweka, kulumikizana pakati pa sacrum ndi chiuno. Mu bukhuli muphunzira zambiri zamatendawa, zizindikilo zakutsogolo, matenda ndi, osachepera, momwe angachiritsidwire.

 

Malangizo abwino: Pansi pa nkhaniyi mupeza makanema olimbitsa thupi aulere ndi zochitika kwa iwo omwe ali ndi ululu wam'mimba ndi m'chiuno.

 

Munkhaniyi Muphunzira Zambiri:

  • Anatomy: Kodi Magulu A Iliosacral Ali Kuti?

  • Kuyamba: Sacroilitis ndi chiyani?

  • Zizindikiro za Sacroilitis

  • Zifukwa za Sacroilitis

  • Chithandizo cha Sacroilitis

  • Zochita ndi Kuphunzitsa ku Sacroilitis (kuphatikiza VIDEO)

 

Anatomy: Kodi Magulu A Iliosacral Ali Kuti?

Pelvic Anatomy - Photo Wikimedia

Thupi la thupi - Chithunzi: Wikimedia

Pachithunzi pamwambapa, chotengedwa kuchokera ku Wikimedia, tikuwona mawonekedwe am'mimbamo, sacrum ndi coccyx. Monga mukuwonera, fupa la m'chiuno limapangidwa ndi ilium, pubis ndi ischium. Ndikulumikizana pakati pa ilium ndi sacrum yomwe imapereka maziko olumikizana ndi iliosacral, mwachitsanzo dera lomwe awiriwa amakumana. Pali wina kumanzere ndipo wina kumanja. Amatchulidwanso kuti mafupa a m'chiuno.

 

Kodi Sacroilitis ndi chiyani?

Sacroilitis nthawi zambiri imadziwika ngati gawo la zizindikiritso zamatenda osiyanasiyana am'mimba msana. Matendawa ndi mikhalidweyi amagawidwa monga "spondyloarthropathy", ndipo amaphatikizanso matenda ndi matenda a rheumatic monga:

  • Ankylosing spondylitis (Ankylosing spondylitis)
  • Psoriatic nyamakazi
  • Matenda a nyamakazi

 

Sacroilitis amathanso kukhala gawo la nyamakazi yolumikizidwa ndimatenda osiyanasiyana monga ulcerative colitis, matenda a Crohn kapena osteoarthritis a malo amchiuno. Sacroilitis ndi liwu lomwe nthawi zina limagwiritsidwanso ntchito mosiyanasiyana ndi mawu oti kukhudzana kwa mgwirizano wa sacroiliac, chifukwa mawu onsewa atha kugwiritsidwa ntchito pofotokozera zowawa zomwe zimachokera mgulu la sacroiliac (kapena SI olowa nawo).

 

Zizindikiro za Sacroilitis

Anthu ambiri omwe ali ndi sacroilitis amadandaula za kupweteka kwakumbuyo, m'chiuno ndi / kapena matako (1). Mwachikhalidwe, nthawi zambiri amatchula kuti ululu umakhala "m'modzi kapena mafupa onse mbali zonse zakumunsi" (anatomically lotchedwa PSIS - gawo la malo ophatikizira a iliosacral). Apa ndikofunikira kunena kuti makamaka kusuntha ndi kupanikizika kwa mafupa amchiuno komwe kumayambitsa kupweteka. Kuphatikiza apo, ululu umatha kufotokozedwa kuti:

  • Ma radiation ena ochokera kumunsi kumbuyo mpaka pampando
  • Kukulitsa ululu mukayimirira mowongoka kwa nthawi yayitali
  • Kupweteka kwanuko pamalumikizidwe amchiuno
  • Kutseka m'chiuno ndi kumbuyo
  • Ululu poyenda
  • Zimapweteketsa kudzuka pomwe udakhala ndikuyimirira
  • Zimapweteka kukweza miyendo pamalo okhala

Mtundu uwu wa zowawa nthawi zambiri umatchedwa "axial pain". Izi zikutanthauza kupweteka kwa biomechanical komwe kumatanthauzidwa makamaka kudera limodzi - popanda kutulutsa chilichonse makamaka pansi pa mwendo kapena kumbuyo. Ndizoti, kupweteka kwa m'chiuno kumatha kutanthauza kupweteka mpaka ntchafu, koma pafupifupi sikadadutsa bondo.

 

Kuti timvetse ululu, tiyeneranso kumvetsetsa zomwe mafupa amchiuno amachita. Amatumiza katundu wodabwitsa kuchokera kumapeto kwenikweni (miyendo) kupita kumtunda - komanso mosemphanitsa.

 

Sacroilitis: Mgwirizano wa Kupweteka kwa Pakhosi ndi Zizindikiro Zina

Zizindikiro zofala kwambiri za sacroilitis nthawi zambiri zimakhala zotsatirazi:

  • Kutentha thupi (kotsika, ndipo nthawi zambiri kumakhala kovuta kuzindikira)
  • Kupweteka kwakumbuyo komanso kupweteka kwa m'chiuno
  • Episodic amatchula zopweteka mpaka matako ndi ntchafu
  • Zowawa zomwe zimawonjezeka mukakhala kwa nthawi yayitali kapena mutagona
  • Kuuma kwa ntchafu ndi kutsikira kumbuyo, makamaka mutadzuka m'mawa kapena mutakhala chete kwa nthawi yayitali

 

Sacroilitis motsutsana ndi Pelvic Lock (Iliosacral Joint Dysfunction)

Sacroilitis ndilo liwu lomwe nthawi zina limagwiritsidwa ntchito mosiyana ndi mawu akuti pelvic lock, chifukwa mawu onsewa angagwiritsidwe ntchito pofotokozera ululu womwe umachokera ku mgwirizano wa iliosacral. Ma sacroilitis ndi kutsekeka kwapakhosi ndizomwe zimayambitsa kupweteka kwakumbuyo, malo omwe ali ndiacacral ndikumapweteka m'matako ndi ntchafu.

 

Koma pali kusiyana kofunikira pakati pazikhalidwe ziwirizi:

Mu mankhwala azachipatala, mawu oti "-it" amagwiritsidwa ntchito ngati kutanthauza kutupa, ndipo sacroilitis potero imafotokoza kutupa komwe kumachitika mgulu iliosacral. Kutupa kumatha kuyambika chifukwa chosagwira ntchito m'chiuno kapena kukhala ndi zifukwa zina monga tanenera kale m'nkhaniyi (mwachitsanzo chifukwa cha rheumatism).

 

Zifukwa za Sacroilitis

Pali zifukwa zingapo za sacroilitis. Sacroilitis imatha kuyambitsidwa ndi zovuta zam'mimba ndi m'chiuno - mwanjira ina ngati kulephera kwa mafupa a chiuno kuli kovuta kapena ngati kuyenda kwa m'chiuno kuli kovuta. Mwachilengedwe, kutupa kumatha kuyambitsidwa ndi makina osinthika amalumikizidwe omwe amalumikizana ndi ziwalo za iliosacral - mwachitsanzo, mphambano ya lumbosacral. Zomwe zimayambitsa sacroilitis ndi izi:

  • Osteoarthritis a mafupa amchiuno
  • Makina Operewera (Kutsekeka Kwa Pelvic kapena Pelvic Loose)
  • Kuzindikira Kwa Rheumatic
  • Zovulala ndi Zovulala (zitha kuyambitsa kutupa kwakanthawi kwamalumikizidwe amchiuno)

 

Zowopsa za Sacroilitis

Zinthu zingapo zimatha kuyambitsa sacroilitis kapena kuonjezera chiopsezo chokhala ndi sacroilitis:

  • Mtundu uliwonse wa spondyloarthropathy, womwe umaphatikizapo ankylosing spondylitis, nyamakazi yokhudzana ndi psoriasis ndi matenda ena a rheumatological monga lupus.
  • Matenda osachiritsika kapena nyamakazi ya msana (osteoarthritis), yomwe imabweretsa kuwonongeka kwa mafupa a iliosacral omwe amatsogolera ku kutupa ndi kupweteka kwa mafupa m'chigawo chophatikizana.
  • Zovulala zomwe zimakhudza msana, chiuno kapena matako, monga ngozi yagalimoto kapena kugwa.
  • Mimba ndi kubereka chifukwa chachiwuno chikukula ndikutambasula mitsempha ya sacroiliac pakubadwa (njira yam'mimba).
  • Matenda a mgwirizano wa iliosacral
  • Osteomyelitis
  • Matenda a mkodzo
  • Endocarditis
  • Kugwiritsa ntchito mankhwala osokoneza bongo

 

Ngati wodwala ali ndi ululu wam'mimba ndipo ali ndi matenda aliwonsewa, izi zitha kutanthauza sacroilitis.

 

Chithandizo cha Sacroilitis

Chithandizo cha sacroilitis chidziwitsidwa kutengera mtundu ndi kuuma kwa zizindikilo zomwe wodwalayo ali nazo, komanso zomwe zimayambitsa sacroilitis. Ndondomeko yamankhwala imasinthidwa ndi wodwalayo. Mwachitsanzo, ankylosing spondylitis (ankylosing spondylitis) amatha kukhala matenda ophatikizana otupa, kenako mankhwalawo ayenera kusinthidwa moyenera. Kuchita masewera olimbitsa thupi nthawi zambiri kumachitidwa ndi physiotherapist wovomerezeka pagulu (kuphatikiza MT) kapena chiropractor. Kuchiza kwakuthupi kumakhudza kwambiri kupweteka kwa m'chiuno, kupweteka kwa m'mimba komanso kusayenda bwino m'chiuno (2).

 

Sacroilitis nthawi zambiri imakhala ndi zotupa komanso kusokonekera kwamakina. Chifukwa chake, chithandizochi nthawi zambiri chimakhala ndi mankhwala osokoneza bongo komanso othandizira. Tikufuna kuwona mankhwala othandizira a sacroilitis ndi ululu wam'mimba: 

  • Anti-inflammatory (anti-inflammatory) mankhwala - kuchokera kwa dokotala
  • Kuchiza Thupi la Minofu ndi Ziwalo (Physiotherapist ndi Modern Chiropractor)
  • Mankhwala ophatikizana motsutsana ndi kutseka kwa m'chiuno (Chiropractic yolimbikitsa)
  • Zochita ndi Kuphunzitsa Kwathu Kwathu
  • Pazovuta kwambiri, jakisoni wa cortisone akhoza kukhala woyenera

Zokuthandizani: Kusintha malo anu ogona kungathandize kuchepetsa ululu mukamagona komanso mukadzuka. Odwala ambiri amawona kuti ndi bwino kugona mmbali ndi pilo pakati pa miyendo yawo kuti azisunga mchiuno mwawo. Ena amanenanso zotsatira zabwino akamagwiritsa ntchito zakudya zotsutsana ndi zotupa.

 

Kudziletsa Kokha Kuthandizira Kwa Rheumatic and Chronic Pain

Magolovesi ofewa ofewa - Photo Medipaq

Dinani chithunzichi kuti muwerenge zambiri zama magolovesi.

  • Zolemba zazala (mitundu ingapo ya rheumatism imatha kuyambitsa zala zopindika - mwachitsanzo zala zam'miyala kapena hallux valgus (chala chachikulu chopindika) - zala zazala zingathandize kuthetsa izi)
  • Matepi ang'onoang'ono (ambiri omwe ali ndi rheumatic and pain ululu amamva kuti ndizosavuta kuphunzitsa ndi ma elastics achikhalidwe)
  • Choyambitsa mfundo Mipira (zothandiza kudzipulumutsa minofu tsiku ndi tsiku)
  • Kirimu wa Arnica kapena kutentha (anthu ambiri amafotokoza zakumva kupweteka ngati agwiritsa ntchito, mwachitsanzo, arnica kirimu kapena chotenthetsera)

- Anthu ambiri amagwiritsa ntchito zonona za arnica kupweteka chifukwa cha kulumikizana kolimba ndi minofu yolimba. Dinani pa chithunzi pamwambapa kuti muwerenge zambiri za momwe mungachitire aliraza itha kuthandizira kuthetsa mavuto anu ena.

 

Chithandizo cha chiropractic cha Sacroilitis

Kwa odwala omwe ali ndi ululu wam'mimba, njira zosiyanasiyana za chiropractic zitha kugwiritsidwa ntchito, ndipo nthawi zambiri zimawerengedwa ngati gawo loyamba pothandizira - kuphatikiza masewera olimbitsa thupi kunyumba. Chiropractor wamakono ayambe kufufuza bwinobwino. Adzafunsanso za mbiri yaumoyo wanu, mwazinthu zina kuti adziwe ngati pali matenda omwe alipo kapena zovuta zina zamankhwala.

 

Cholinga cha chithandizo cha chiropractic cha kupweteka kwa m'chiuno ndikugwiritsa ntchito njira zomwe wodwalayo amalekerera, komanso zomwe zimapereka zotsatira zabwino kwambiri. Odwala amayankha bwino munjira zosiyanasiyana, chifukwa chake chiropractor amatha kugwiritsa ntchito njira zingapo zochizira ululu wa wodwalayo.

 

Chiropractor Wamakono Amagwira Minofu Ndi Ziwalo

Apa ndikofunikira kutchula kuti chiropractor wamakono ali ndi zida zingapo mubokosi lake lazida, ndikuti amathandizira ndimatenda onse amisempha komanso kusintha kwamagulu. Kuphatikiza apo, gulu logwirirali nthawi zambiri limakhala ndi ukadaulo wabwino pakuthandizira mafunde ndi chithandizo cha singano. Zomwe zili choncho zipatala zathu zogwirizana. Njira zochiritsira zomwe mungagwiritse ntchito zikuphatikiza:

  • Katemera wa Intramuscular
  • Kulimbikitsana Kogwirizana ndi Kugwiritsa Ntchito Palimodzi
  • Kutikita ndi Njira Zopangira Misala
  • Samatha mankhwala (Decompression)
  • Choyambitsa mfundo mankhwala

Nthawi zambiri, pakakhala zovuta zam'mimba, kulumikizana molumikizana, chithandizo cha minofu yolimba ndi njira zopendekera ndizofunikira kwambiri.

 

Kugwiritsa ntchito molumikizana pakumva kupweteka kwa m'chiuno

Pali njira ziwiri zomwe zingayambitsire mafupa a chiuno:

  • Kusintha kwachikhalidwe cha chiropractic, komwe kumatchedwanso kugwiritsidwa ntchito molumikizana kapena HVLA, kumapereka chidwi ndi kuthamanga kwambiri komanso mphamvu zochepa.
  • Calmer / kusintha kwakung'ono kotchedwanso kuphatikiza kolowa; kukankha ndi liwiro lotsika komanso mphamvu zochepa.

Kupita patsogolo pakusintha kwamtunduwu nthawi zambiri kumabweretsa kumasulidwa komveka kotchedwa cavitation, zomwe zimachitika pomwe oxygen, nayitrogeni ndi kaboni dayokisaidi zimathawa kulumikizana komwe zidakokedwa kupitirira malire a minofu. Kuwongolera kwa chiropractic kumeneku kumapangitsa "phokoso losokonekera" lomwe nthawi zambiri limalumikizidwa ndi zolumikizana komanso zomwe zimamveka ngati "mukuthyola mafupa".

 

Ngakhale kufotokozera "kusokonekera" kwa mankhwala opatsirana pogwiritsa ntchito chiropractic kumatha kuwonetsa kuti izi ndizovuta, kumverera kumamasulidwa, nthawi zina pafupifupi nthawi yomweyo. Kachiritsira adzafuna kuphatikiza njira zingapo zochiritsira kuti zithandizire kwambiri pazithunzi zowawa za wodwalayo.

 

Njira Zina Zolimbikitsira

Njira zopanda mphamvu zolimbikitsira olumikizirana zimagwiritsa ntchito njira zothamanga kwambiri zomwe zimalola kuti olowa azingokhala osadutsa. Njira zina zofatsa za chiropractic ndizo:

  • Njira ya "dontho" pamabenchi opanga ma chiropractor: Benchiyi ili ndi magawo angapo omwe amatha kulumikizidwa kenako kutsitsidwa nthawi yomweyo pomwe chiropractor imakankhira mtsogolo, yomwe imalola kuti mphamvu yokoka ipangitse kusinthaku.
  • Chida chapadera chosinthira chotchedwa Activator: Chotsitsiracho ndi chida chodzaza kasupe chomwe chimagwiritsidwa ntchito pakusintha kuti pakhale kuthamanga kotsutsana ndi madera ena amphepete.
  • Njira "yosokoneza": Zododometsa zimasokoneza kugwiritsa ntchito tebulo lapadera lomwe limafutukula msana. Katswiri wa tizilombo amatha kupatula malo opweteka pamene msana ukugwedezeka ndikupopera.

 

Mwachidule: Sacroilitis nthawi zambiri amachizidwa ndi mankhwala osakaniza ndi zotupa.

 

Kodi Mukuvutika Ndi Kupweteka Kwanthawi Yaitali?

Ndife okondwa kukuthandizani pakuwunika komanso kuchipatala ku umodzi wa zipatala zathu.

 

Zochita ndi Kuphunzitsa motsutsana ndi Sacroilitis

Pulogalamu yochita zolimbitsa thupi yokhala ndi zolimbitsa thupi, mphamvu komanso masewera olimbitsa thupi a aerobic Cardio nthawi zambiri imakhala gawo lofunikira pamankhwala ambiri omwe amagwiritsidwa ntchito pa sacroilitis kapena kupweteka kwa m'chiuno. Zochita zapakhomo zimatha kuperekedwa ndi physiotherapist, chiropractor kapena akatswiri ena azaumoyo.

 

Mu kanemayu pansipa, tikuwonetsani zolimbitsa thupi za 4 za matenda a piriformis. Mkhalidwe womwe minofu ya piriformis, kuphatikiza ndi chiuno cham'chiuno, imayika kukakamiza komanso kukwiya pamitsempha ya sciatic. Zochita izi ndizofunikira kwambiri kwa inu omwe mukudwala ululu wam'chiuno, chifukwa zimathandizira kumasula mpando ndikupereka mayendedwe olumikizana bwino m'chiuno.

 

VIDEO: Zochita 4 Zovala za Piriformis Syndrome

Khalani gawo la banja! Khalani omasuka kulembetsa kwaulere pa njira yathu ya Youtube (dinani apa).

 

Zotsatira ndi Zolemba:

1. Slobodin Et al, 2016. «Pachimake sacroiliitis». Chipatala cha Rheumatology. 35 (4): 851–856.

2. Alayat et al. 2017. Kuchita bwino kwa ma physiotherapy pamagulu a sacroiliac osagwirizana: kuwunika mwatsatanetsatane. J Phys Ther Sci. 2017 Sep; 29 (9): 1689-1694.

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