Ntho e ngoe le e ngoe eo u lokelang ho e tseba ka Sacroilitis [Tataiso e Ntle]

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Ntho e ngoe le e ngoe eo u lokelang ho e tseba ka Sacroilitis [Tataiso e Ntle]

Polelo sacroilitis e sebelisetsoa ho hlalosa mefuta eohle ea ho ruruha e hlahang lenonyong la iliosacral. Bakeng sa ba bangata ba tsejoang e le lefu la ho ruruha pelvic.

Manonyeletso a iliosacral ke manonyeletso a fumanehang ka lehlakoreng le leng la phetoho ea lumbosacral (mokokotlong o ka tlase), 'me a hokahane le noka. Ha e le hantle, ke khokahano lipakeng tsa sacrum le noka. Tataisong ena o tla ithuta ho eketsehileng ka ts'oaetso ena, matšoao a khale, ts'oaetso le, bonyane, hore na e ka phekoloa joang.

 

Keletso e ntle: Botlaaseng ba sengoloa u tla fumana livideo tsa boikoetliso tsa mahala le boitlhakiso bakeng sa ba nang le bohloko ba letheka le pelvic.

 

- Mafapheng a rona a kopaneng a Vondtklinikkene ho Oslo.Lambertseter) le Viken (Molumo oa Eidsvoll og Råholt) baoki ba rona ba na le bokhoni bo ikhethang bo phahameng ba profeshenale tlhahlobong, kalafong le koetlisong ea tokiso ea mahlaba a pelvic. Tobetsa lihokelo kapa mona ho bala haholoanyane ka mafapha a rona.

 

Sengoliloeng sena O tla Ithuta Haholoanyane ka:

  • Anatomy: Mekhahlelo ea Iliosacral e hokae ebile e hokae?

  • Selelekela: Sacroilitis ke eng?

  • Matšoao a Sacroilitis

  • Lisosa tsa Sacroilitis

  • Kalafo ea Sacroilitis

  • Boikoetliso le Koetliso ho Sacroilitis (ho kenyelletsa VIDEO)

 

Anatomy: Metsoako ea Iliosacral e hokae?

Pelvic Anatomy - Photo Wikimedia

Anatomy ea 'mele - Setšoantšo: Wikimedia

Setšoantšong se kaholimo, se nkiloeng ho Wikimedia, re bona kakaretso ea anatomical ea pelvis, sacrum le coccyx. Joalokaha u bona, lesapo la noka le na le ilium, pubis le ischium. Ke khokahano lipakeng tsa ilium le sacrum e fanang ka motheo oa kopanyo ea iliosacral, ke hore sebaka seo ba kopanang ho sona ba babeli. Ho na le le letšehali 'me e mong ka ho le letona. Li boetse li bitsoa manonyello a pelvic.

 

Sacroilitis ke eng?

Sacroilitis hangata e fumanoa e le karolo ea matšoao a maemo a fapaneng a ho ruruha ha mokokotlo. Maloetse ana le maemo ana a arotsoe "spondyloarthropathy", 'me a kenyelletsa maemo a mafu le litlhahlobo tsa rheumatic tse kang:

  • Ankylosing spondylitis (Ankylosing spondylitis)
  • Psoriatic ramatiki
  • Ho itšireletsa mafung

 

Sacroilitis hape e ka ba karolo ea ramatiki e hokahaneng le maemo a fapaneng a kang ulcerative colitis, lefu la Crohn kapa lefu la masapo a manonyeletso a manonyeletso a pelvic. Sacroilitis hape ke lentsoe leo ka linako tse ling le sebelisoang ka mokhoa o ts'oanang le poleloana e amanang le ho se sebetse ho kopaneng ha sacroiliac, hobane mantsoe ana ka bobeli a ka sebelisoa ho hlalosa bohloko bo tsoang kopanong ea sacroiliac (kapa SI e kopaneng).

 

Matšoao a Sacroilitis

Batho ba bangata ba nang le sacroilitis ba tletleba ka bohloko mokokotlong o ka tlase, mabopong le / kapa marameng (1). Ka mokhoa o tloaelehileng, hangata ba tla bolela hore bohloko bo holim'a "lesapo le le leng kapa a mabeli ka lehlakore le leng le le leng la mokokotlo o ka tlase" (anatomically e tsejoang e le PSIS - karolo ea manonyeletso a iliosacral). Mona ho bohlokoa ho bolela hore ke mehato le khatello ea manonyello a pelvic e bakang bohloko bo mpefetseng. Ho feta moo, bohloko hangata bo ka hlalosoa e le:

  • Mahlaseli a mang a tsoang mokokotlong o ka tlase le setulong
  • Ho eketsa bohloko ha u eme u otlolohile nako e telele
  • Bohloko ba lehae holim'a manonyeletso a pelvic
  • Ho notlela ka noka le mokokotlong
  • Bohloko ha u tsamaea
  • Ho bohloko ho tsoha setulong ho ea boemong bo emeng
  • Ho bohloko ho phahamisa maoto u lutse

Mofuta ona oa bohloko hangata o bitsoa "bohloko ba axial". Sena se bolela bohloko ba li-biomechanical bo hlalositsoeng ka ho khetheha sebakeng se le seng - ntle le ho hlahisa ntho efe kapa efe haholo-holo ka leoto kapa ka morao. Ha ho buuoa joalo, bohloko ba pelvic bo ka supa bohloko ho fihla seropeng, empa ha ho mohla bo kileng ba feta lengole.

 

Ho utloisisa bohloko, re tlameha hape ho utloisisa hore na manonyeletso a pelvic a etsa eng. Li fetisetsa meroalo e nyarosang ho tloha lipheletsong tse tlase (maoto) ho ea fihla 'meleng o kaholimo - ka tsela e fapaneng.

 

Sacroilitis: Motsoako oa Pelvic Pain le Matšoao a Mang

Matšoao a tloaelehileng a sacroilitis hangata ke motsoako oa tse latelang:

  • Feberu (boemo bo tlase, 'me maemong a mangata ho batla ho le thata ho e fumana)
  • Ho opeloa ke mokokotlo le bohloko ba pelvic
  • Episodic e bua ka bohloko ho fihla marameng le liropeng
  • Bohloko bo mpefalang ha o lula nako e telele kapa o robala
  • Ho tiea liropeng le mokokotlong, haholoholo kamora ho tsoha hoseng kapa kamora ho lula u khutsitse nako e telele

 

Sacroilitis khahlanong le Pelvic Lock (Iliosacral Joint Dysfunction)

Sacroilitis hape ke lentsoe leo ka linako tse ling le sebelisoang ka tsela e ts'oanang le lentsoe pelvic lock, hobane mantsoe ana ka bobeli a ka sebelisoa ho hlalosa bohloko bo hlahang kopanong ea iliosacral. Li-sacroilitis le ho thiba ha pelvic ke lisosa tse tloaelehileng tsa bohloko ba morao bo tlase, sebaka sa iliosacral le bohloko bo lebisitsoeng ho letheka le lirope.

 

Empa ho na le phapang ea bohlokoa lipakeng tsa maemo ana a mabeli:

Meriana ea bongaka, lentsoe "-it" le sebelisoa e le moelelo oa ho ruruha, 'me sacroilitis e hlalosa ho ruruha ho hlahang lenonyong la iliosacral. Ho ruruha ho ka bakoa ke ho se sebetse hantle ha lenonyeletso la pelvic kapa ho ba le lisosa tse ling joalo ka ha ho boletsoe pejana ho sengoloa (mohlala, ka lebaka la rheumatism).

 

Lisosa tsa Sacroilitis

Ho na le lisosa tse fapaneng tsa sacroilitis. Sacroilitis e ka bakoa ke mathata a tlholeho le sefuba - ka mantsoe a mang haeba ho na le ho se sebetse hantle manonyellong a pelvic kapa haeba bokhoni ba ho tsamaisa pelvis bo senyehile. Ka tlhaho, ho ruruha ho ka bakoa ke mechini e fetotsoeng manonyellong a potileng manonyeletso a iliosacral hape - ka mohlala, mateano a lumbosacral. Lisosa tse tloaelehileng haholo tsa sacroilitis ke tsena:

  • Osteoarthritis ea manonyeletso a pelvic
  • Ho se sebetse ha Mechanical (Pelvic Lock kapa Pelvic Loose)
  • Tlhahlobo ea Rheumatic
  • Likotsi tsa Trauma le Fall (li ka baka ho ruruha ha nakoana ha manonyeletso a pelvic)

 

Lisosa tsa kotsi bakeng sa Sacroilitis

Lintho tse fapaneng li ka baka sacroilitis kapa tsa eketsa kotsi ea ho ba le sacroilitis:

  • Mofuta ofe kapa ofe oa spondyloarthropathy, o kenyeletsang ankylosing spondylitis, ramatiki e amanang le psoriasis le mafu a mang a rheumatological a kang lupus.
  • Degenerative arthritis kapa osteoarthritis ea mokokotlo (osteoarthritis), e lebisang ho senyeheng ha manonyeletso a iliosacral a fetohang ho ruruha le bohloko ba manonyeletso sebakeng se kopaneng sa pelvic.
  • Likotsi tse amang mokokotlo o ka tlase, letheka kapa maraong, joalo ka kotsi ea koloi kapa ho oa.
  • Bokhachane le pelehi ka lebaka la hore noka e pharaletseng mme e otlolla methapo ea sacroiliac nakong ea pelehi (tharollo ea pelvic).
  • Tšoaetso ea motsoako oa iliosacral
  • Osteomyelitis
  • Ts'oaetso ea mosese
  • Endocarditis
  • Tšebeliso ea lithethefatsi tse kenang methapong

 

Haeba mokuli a e-na le bohloko ba pelvic mme a na le a mang a mafu a kaholimo, sena se ka supa sacroilitis.

 

Kalafo ea Sacroilitis

Kalafo ea sacroilitis e tla khethoa ho latela mofuta le ho tiea ha matšoao a mokuli le lisosa tsa sacroilitis. Morero oa kalafo o fetoleloa ho mokuli ka mong. Mohlala, ankylosing spondylitis (ankylosing spondylitis) e ka ba lefu le kopaneng la ho ruruha, ebe kalafo e tlameha ho fetoloa ka nepo. Phekolo ea 'mele hangata e etsoa ke physiotherapist e amoheloang phatlalatsa (ho kenyeletsoa MT) kapa chiropractor. Kalafo ea 'mele e na le tšusumetso e hlakileng ho bohloko ba manonyeletso ba pelvic, asymmetry ea pelvic le ho se sebetse hantle sebakeng sa pelvic (2).

 

Sacroilitis hangata e na le liketso tse peli tsa ho ruruha le ho se sebetse ha mochini. Ka hona, kalafo hangata e na le lithethefatsi tse khahlanong le ho ruruha le kalafo ea 'mele. Re ka thabela ho bona kalafo e kopaneng ea sacroilitis le bohloko ba pelvic: 

  • Lithethefatsi tse khahlanong le ho ruruha (tse khahlanong le ho ruruha) - tse tsoang ho ngaka
  • Phekolo ea 'mele bakeng sa mesifa le manonyeletso (Physiotherapist le chiropractor ea sejoale-joale)
  • Kalafo e kopanetsoeng khahlanong le ho koala pelvic (Chiropractic joint mobilization)
  • Boikoetliso le Koetliso ea Lapeng
  • Maemong a boima haholo, liente tsa cortisone li ka ba tse loketseng

Tips: Ho fetola boemo ba hau ba ho robala ho ka thusa ho kokobetsa bohloko ha u ntse u robetse le ha u tsoha. Bakuli ba bangata ba fumana ho le molemo ho robala ka lehlakore mosamo o behiloe lipakeng tsa maoto ho boloka letheka le le joalo. Ba bang le bona ba tlaleha litholoana tse ntle tsa ho kenya tšebetsong phepo e khahlanong le ho ruruha.

 

E khothalelitsoe ho ithusa khahlano le bohloko ba pelvic

Mokokotlo oa pelvic (Sehokelo se bula fensetereng e ncha ea sebatli)

E ka 'na eaba ua tseba hore batho ba bangata ba amanang le bokhachane ba fumana bohloko ba pelvic? Ho fumana boemo bo botle ba ho robala, ba bangata ba bona ba sebelisa seo hangata se bitsoang mosamo oa pelvic. Mosamo o entsoe ka mokhoa o khethehileng hore o sebelisoe ha o robetse, 'me o bōpehile hore o phutholohe le ho ba bonolo ho o beha sebakeng se nepahetseng bosiu bohle. Ka bobeli sena le se bitsoang coccyx ke litlhahiso tse peli tse tloaelehileng bakeng sa ba nang le bohloko ba pelvic le sacroilitis. Sepheo ke ho fokotsa ho se lumellane le ho halefisoa ke manonyeletso a pelvic.

 

Mehato e meng ea Boithaopo bakeng sa Li-Rheumatists

Li-gloves tse bonolo tsa sootho - Photo Medipaq

Tobetsa setšoantšong ho bala ho eketsehileng ka liatlana tsa khatello.

  • Litsela tsa menoana (mefuta e 'maloa ea rheumatism e ka baka menoana e kobehileng - ka mohlala menoana ea hamore kapa hallux valgus (monoana o motona o kobehileng) - menoana ea menoana e ka thusa ho imolla tsena)
  • Litheipi tse nyane (ba bangata ba nang le ramatiki le bohloko bo sa foleng ba ikutloa ho le bonolo ho ikoetlisa ka li-elastics tse tloaelehileng)
  • Thunye ntlha Balls (Ho ithusa ho sebetsa mesifa letsatsi le letsatsi)
  • Setlolo sa Arnica kapa mocheso o futhumatsang (e ka kokobetsa bohloko ba mesifa le manonyeletso)

 

 

Kalafo ea chiropractic bakeng sa Sacroilitis

Bakeng sa bakuli ba nang le bohloko ba pelvic, ho ka sebelisoa mekhoa e fapaneng ea chiropractic, mme hangata ba nkuoa e le mohato oa pele oa kalafo - hammoho le boikoetliso ba lapeng. Chiropractor ea sejoale-joale e tla qala ho etsa tlhahlobo e phethahetseng ea ts'ebetso. Ebe o tla botsa ka nalane ea hau ea bophelo bo botle, hara tse ling ho fumana hore na ho na le mafu a teng ka nako e le ngoe kapa a mang a sa sebetseng hantle.

 

Morero oa kalafo ea chiropractic bakeng sa bohloko ba pelvic ke ho sebelisa mekhoa e mamelloang hantle ke mokuli, mme e fana ka sephetho se setle ka ho fetisisa. Bakuli ba arabela hamolemo ho lits'ebetso tse fapaneng, ka hona chiropractor e ka sebelisa mekhoa e fapaneng ho folisa bohloko ba mokuli.

 

Ngaka ea morao-rao e phekola mesifa le manonyeletso

Mona ho bohlokoa ho bolela hore chiropractor ea sejoale-joale o na le lisebelisoa tse 'maloa ka lebokoseng la lithulusi, le hore ba li phekola ka mekhoa ea mesifa le liphetoho tse kopaneng. Ntle le moo, sehlopha sena sa basebetsi hangata se na le boiphihlelo bo botle ba kalafo ea leqhubu la khatello le kalafo ea nale. Bonyane ho joalo litleliniki tsa rona tse amanang. Mekhoa ea kalafo e sebelisitsoeng e ka kenyelletsa:

  • Katleho ea Intramuscular
  • Khothaletso e Kopanetsoeng le Tsamaiso e Kopanetsoeng
  • Mekhoa ea ho silila le mesifa
  • Phekolo ea ho hula (Ho sithabela maikutlo)
  • Pheko ea ntlha ea trigger

Ka tloaelo, maemong a mathata a noka, kalafo e kopanetsoeng, kalafo ea mesifa ea gluteal le mekhoa ea ho hula e bohlokoa haholo.

 

Ho sebetsana ka mokhoa o kopanetsoeng khahlanong le bohloko ba pelvic

Ho na le mekhoa e 'meli e akaretsang ea ho qhekella chiropractic bakeng sa mathata a kopaneng a pelvic:

  • Liphetoho tsa setso tsa chiropractic, tse bitsoang hape tšebelisano 'moho kapa HVLA, li fana ka maikutlo ka lebelo le phahameng le matla a tlase.
  • Liphetoho tse khutsitseng / tse nyane hape tse bitsoang ho kopanya hammoho; sututsa ka lebelo le tlase le ka matla a tlase.

Tsoelo-pele ea phetoho ea mofuta ona hangata e lebisa tokollong e utloahalang e bitsoang khopo, e etsahalang ha oksijene, naetrojene le carbon dioxide e baleha lenonyeletso moo e huloang e feta lebelo la ho sisinyeha kahara meeli ea lisele. Tsamaiso ena ea chiropractic e theha "molumo o tloaelehileng" o atisang ho amahanngoa le lits'ebetso tse kopaneng mme o utloahala joalo ka "ho roba makhakhapha".

 

Le ha tlhaloso ena ea "ho tlola" ea lits'ebetso tsa chiropractic e ka fana ka maikutlo a hore sena ha se phutholohe, maikutlo a hlile a lokolla, ka linako tse ling hang hang. Chiropractor e tla batla ho kopanya mekhoa e mengata ea kalafo ho ba le phello e ntle setšoantšong sa bohloko ba mokuli le ts'ebetsong.

 

Mekhoa e meng e Kopanetsoeng ea ho Khothaletsa

Mekhoa e fokolang e matla ea ho kopanya e sebelisa mekhoa e tlase e lumellang lenonyeletso ho lula maemong a ho tsamaea. Mekhoa e meng e bonolo ea chiropractic e kenyelletsa:

  • Mokhoa oa "lerotholi" libencheng tsa chiropractor tse khethehileng: Benche ena e na le likarolo tse 'maloa tse ka buloang ebe li theoha ka nako e ts'oanang le ha chiropractor e sutumelletsa pele, e lumellang matla a khoheli ho kenya letsoho tokisetsong e kopaneng.
  • Sesebelisoa se khethehileng sa phetoho se bitsoang Activator: Sesebelisoa ke sesebelisoa se laetsoeng nakong ea selemo se sebelisoang nakong ea phetoho ho etsa khatello e tlase ea khatello khahlano le libaka tse ikhethileng mokokotlong.
  • Mokhoa oa "pherekano": Ho ferekanya maikutlo ho kenyelletsa tšebeliso ea tafole e entsoeng ka mokhoa o khethehileng e holisang mokokotlo ka bonolo. Ka hona chiropractor e khona ho arola sebaka sa bohloko ha mokokotlo o kobehile ka metsamao ea pompo.

 

Ka bokhutšoane: Sacroilitis hangata e alafshoa ke motswako oa litlhare tse loants'ang le kalafo ea 'mele.

 

Na U Tla Utloa Bohloko ka Nako e Telele ea Popelo?

Re thabela ho u thusa ka tlhahlobo le kalafo ho e 'ngoe ea litleliniki tsa rona tse amanang.

 

Boikoetliso le Koetliso khahlano le Sacroilitis

Lenaneo la boikoetliso le ikoetlisang, matla le koetliso e bonolo ea aerobic cardio hangata ke karolo ea bohlokoa ea mefuta e mengata ea kalafo e sebelisetsoang sacroilitis kapa bohloko ba pelvic. Boikoetliso ba lapeng bo ka laeloa ke setsebi sa hau sa 'mele, chiropractor kapa litsebi tse ling tsa bophelo bo botle.

 

Videong e ka tlase, re u bonts'a litlhahlobo tse 4 tse otlollang lefu la piriformis. Boemo boo mesifa ea piriformis, hammoho le lenonyello la pelvic, e fanang ka khatello le ho teneha methapong ea mahlahahlaha. Boikoetliso bona bo bohlokoa haholo ho uena ea nang le bohloko ba pelvic, kaha bo thusa ho lokolla setulo le ho fana ka motsamao o ntlafetseng oa lenonyello.

 

VIDEO: Likoetliso tse 4 tsa Liaparo tsa Piriformis Syndrome

Eba karolo ea lelapa! Ikutloe u lokolohile ho ingolisa mahala ho mocha oa rona oa Youtube (tlanya mona).

 

Mehloli le Litšupiso:

1. Slobodin et al, 2016. «Acute sacroiliitis». Kliniki ea Rheumatology. 35 (4): 851–856.

2. Alayat et al. 2017. Katleho ea mehato ea physiotherapy bakeng sa ho se sebetse ho kopaneng ha sacroiliac: tlhahlobo e hlophisehileng. J Ther Ther Sci. SepNXX; 2017 (29): 9-1689.

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