Sacroiliitis
Incamake
Igishamirwa cya sacroiliac gihuza igice cyo hasi cy'umugongo n'ikibero. Aya mashami abiri akorwa n'igice cy'igitugu kiri hejuru y'umunwa w'inyuma, kizwi nka sacrum, n'igice cyo hejuru cy'ikibero, kizwi nka ilium. Igishamirwa cya sacroiliac gishyigikira uburemere bw'igice cyo hejuru cy'umubiri igihe umuntu ahagaze.
Sacroiliitis (say-kroe-il-e-I-tis) ni uburwayi bubabaza bugira ingaruka ku gice kimwe cyangwa ku mpande zombi z'igishamirwa cya sacroiliac. Aya mashami aherereye aho umugongo wo hasi uhura n'ikibero. Sacroiliitis ishobora gutera ububabare n'ubushyuhe mu kibuno cyangwa mu mugongo wo hasi, kandi ububabare bushobora kujya hasi mu gice kimwe cyangwa mu maguru yombi. Guhagarara cyangwa kwicara igihe kirekire cyangwa kuzamuka imirongo bishobora kongera ububabare.
Sacroiliitis ishobora kuba igoranye kuvura. Ishobora kwitiranywa n'izindi mpamvu ziterwa no kubabara umugongo wo hasi. Ihujwe n'indwara zimwe na zimwe ziterwa na arthrite y'umuriro mu mugongo. Ubuvuzi bushobora kuba burimo imyitozo ngororamubiri n'imiti.
Ibimenyetso
Ububabare bwa sacroiliitis akenshi buba mu kibuno no mu mugongo wo hasi. Bushobora kandi kwibasira amaguru, umushumi ndetse n'ibirenge. Ubwo bubabare bushobora kugabanyuka iyo umuntu yigendera. Ibikurikira bishobora kongera ububabare bwa sacroiliitis:
- Kuryama cyangwa kwicara igihe kirekire.
- Guhagarara igihe kirekire.
- Gutwara ibiro byinshi ku kaguru kamwe kurusha akandi.
- Kuzamuka imbaho.
- Gukora siporo yo kwiruka.
- Gutera intambwe nini iyo ugenda.
Impamvu
Impamvu ziterwa n'uburwayi bwa sacroiliac joint zirimo:
- Umuntu yakomerekeye. Igikorwa cyihuse cyane, nko kugongana imodoka cyangwa kugwa, bishobora kwangiza ingingo za sacroiliac.
- Arthritis. Arthritis y'umunaniro, izwi kandi nka osteoarthritis, ishobora kuba mu ngingo za sacroiliac. Ni ko bimeze no kuri arthritis yo mu mugongo, izwi nka ankylosing spondylitis.
- Ububata. Ingingo za sacroiliac ziratuza kandi zikagurumana kugira ngo umwana avuke. Kuremerezwa no guhinduka uburyo bwo kugenda mu gihe cyo gutwita bishobora gukaza izo ngingo.
- Dukurikiye. Gake, ingingo ya sacroiliac ishobora kwandura.
Ingaruka zishobora guteza
Indwara zimwe na zimwe zishobora kongera ibyago byo kubyimba mu mifubiko y'amagufa ya sacroiliac.
Ubwoko bw'indwara z'igicurane, nka ankiloze spondilite na psoriatic arthritis, bishobora kongera ibyago bya sacroiliitis. Indwara z'umwijima, zirimo indwara ya Crohn na ulcerative colitis, nazo zishobora kongera ibyago.
Impinduka zibaho mu mubiri mu gihe cyo gutwita no kubyara nazo zishobora gukaza imitsi ya sacroiliac no gutera ububabare no kubyimba.
Kupima
Mu gupima umubiri, umukozi w’ubuzima ashobora gukanda ku kibuno no ku bwinshi kugira ngo amenye aho ububabare buri. Kugira ngo amavi ajye mu myanya itandukanye bigira ingaruka ku kigongono cya sacroiliac. Ibipimo by’amashusho X-ray y’ikibero ishobora kwerekana ibimenyetso byangirika ku kigongono cya sacroiliac. MRI ishobora kwerekana niba iyangirika ari ingaruka za ankylosing spondylitis. Injuru zituma utababara Niba gushyira imiti ituma utababara mu kigongono cya sacroiliac bigatuma ububabare buhagarara, birashoboka ko ikibazo kiri mu kigongono cya sacroiliac. Amakuru yongeyeho CT scan MRI Ultrasound X-ray Reba amakuru afitanye isano yongeyeho
Uburyo bwo kuvura
Ibiyobyabwenge bya Corticosteroids bishobora gushyirwa mu buryo butaziguye mu ishami rya sacroiliac kugira ngo bigabanye kubyimba no kubabara. Rimwe na rimwe, umukozi wita ku buzima ashyira imiti ibitera ubunebwe mu ishami kugira ngo afashe gupima. Ubuvuzi biterwa n'ibimenyetso n'intandaro ya sacroiliitis. Gukora imyitozo yo kwaguka no gukomera ndetse n'imiti igabanya ububabare idafite imiti igabanya ububabare ushobora kubona utabonye amabwiriza akenshi ni ubuvuzi bwa mbere bukoreshwa. Bitewe n'intandaro y'ububabare, ibi bishobora kuba birimo: - Imiti igabanya ububabare. Imiti igabanya ububabare idafite imiti igabanya ububabare ushobora kubona utabonye amabwiriza irimo ibuprofen (Advil, Motrin IB, izindi) na naproxen sodium (Aleve). Niba ibi bitatanga impumuro ihagije, umukozi wita ku buzima ashobora kwandika imiti ikomeye igabanya ububabare. - Imiti igabanya imikaya. Imiti nka cyclobenzaprine (Amrix) ishobora gufasha kugabanya imikaya ikunda kujyana na sacroiliitis. - Biologics. Imiti ya Biologic ivura indwara nyinshi zifata umubiri. Abakoresha interleukin-17 (IL-17) barimo secukinumab (Cosentyx) na ixekizumab (Taltz). Abakoresha tumor necrosis factor (TNF) barimo etanercept (Enbrel), adalimumab (Humira), infliximab (Remicade) na golimumab (Simponi). Ubwoko bwombi bwa biologics bukoreshwa mu kugabanya sacroiliitis. - Imiti igabanya indwara (DMARDs). DMARDs ni imiti igabanya kubyimba, bizwi nko gutwika, no kubabara. Bamwe bagamije no guhagarika enzyme yitwa Janus kinase (JAK). Abakoresha JAK barimo tofacitinib (Xeljanz) na upadacitinib (Rinvoq). Biologics. Imiti ya Biologic ivura indwara nyinshi zifata umubiri. Abakoresha interleukin-17 (IL-17) barimo secukinumab (Cosentyx) na ixekizumab (Taltz). Abakoresha tumor necrosis factor (TNF) barimo etanercept (Enbrel), adalimumab (Humira), infliximab (Remicade) na golimumab (Simponi). Ubwoko bwombi bwa biologics bukoreshwa mu kugabanya sacroiliitis. Umukozi wita ku buzima, nka therapist wita ku mubiri, ashobora kwigisha imyitozo yo kugenda no kwaguka. Iyi myitozo igizweho kugabanya ububabare no gutuma umugongo wo hasi n'amavi byoroshye. Imiti ikomeza imikaya ifasha kurinda ingingo no kunoza imyanya. Niba ubundi buryo butarakuyeho ububabare, umukozi wita ku buzima ashobora kugutekereza: - Urashobora gushyira imiti mu ishami. Corticosteroids ishobora gushyirwa mu ishami kugira ngo igabanye kubyimba no kubabara. Urashobora kubona gusa inshinge nke mu ishami buri mwaka kuko steroids ishobora kugabanya amagufa n'imitsi ibiri hafi. - Radiofrequency denervation. Ingufu za Radiofrequency zishobora kwangiza cyangwa kurimbura umutima utera ububabare. - Gukangurira amashanyarazi. Gushyira umukangura amashanyarazi mu mugongo wo hasi bishobora gufasha kugabanya ububabare buterwa na sacroiliitis. - Guswera ingingo. Nubwo kubaga bitakoreshejwe kenshi mu kuvura sacroiliitis, guhuza amagufa abiri hamwe n'ibikoresho bya metal rimwe na rimwe bishobora kugabanya ububabare bwa sacroiliitis.
Kwitegura guhura na muganga
Ushobora gutangira ubona umuvuzi wawe usanzwe. Ushobora koherezwa kwa muganga w’inzobere mu gufata mu magufa n’ingingo, uzwi nka rheumatologist, cyangwa umuganga w’abaganga. Ibyo ushobora gukora: Fata umuntu wo mu muryango wawe cyangwa inshuti, niba bishoboka. Umuntu uri kumwe nawe ashobora kugufasha kwibuka amakuru wabonye. Tekereza ku rutonde rwa: Ibimenyetso byawe n’igihe byatangiye. Amakuru y’ingenzi, harimo impinduka mu buzima bw’ubuheruka niba hari umuntu wo mu muryango wawe ufite ibimenyetso nk’ibyawe. Imiti yose, vitamine cyangwa ibindi byuzuza ufashe, harimo n’umwanya. Ibibazo byo kubaza umuvuzi wawe. Ku kibazo cya sacroiliitis, ibibazo byo kubaza birimo: Ni iki gishobora kuba cyateye ibimenyetso byanjye? Ni iki kindi gishobora kuba cyabiteye? Ni ibizamini ibihe nkenewe? Ese uburwayi bwanjye bushobora kuba bw’igihe gito cyangwa bw’igihe kirekire? Ni iki kivura cyiza? Nshobora gutegeka iki kibazo hamwe n’ibindi bibazo byanjye by’ubuzima? Hariho amabwiriza nkwiye gukurikiza? Ndagomba kubona umuganga w’inzobere? Hariho ibitabo cyangwa ibindi bikoresho byacapwe nshobora kugira? Ni ibihe byubuyobozi bya interineti usaba? Baza ibindi bibazo ufite. Ibyo utegereje ku muganga wawe Umuvuzi wawe ashobora kukubaza ibibazo, nka: Ese ibimenyetso byawe byakomeje cyangwa rimwe na rimwe? Aho ububabare buri? Bukaze gute? Hari ikintu cyatuma ububabare bugabanuka? Hari ikintu cyabongerera? Na Mayo Clinic Staff
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.