Sacroiliitis

Joints dze sacroiliac dzinobatanidza pelvis nemuzongoza wepasi. Aya majoini maviri akagadzirwa nemuviri wemuviri uri pamusoro petailbone, inozivikanwa se sacrum, uye chikamu chepamusoro che pelvis, chinozivikanwa se ilium. Majoini e sacroiliac anotsigira uremu hwemuviri wepamusoro kana uchitsika.

Sacroiliitis (say-kroe-il-e-I-tis) chirwere chinorwadza chinotapura imwe kana ese majoini e sacroiliac. Aya majoini anogara uko muzongoza wepasi ne pelvis zvinosangana. Sacroiliitis inogona kukonzera kurwadziwa nekukora mumabvi kana kumusana wepasi, uye kurwadziwa kungadzikira gumbo rimwe kana ese maviri. Kumira kana kugara kwenguva yakareba kana kukwira matanho kunogona kuita kuti kurwadziwa kuwedzere.

Sacroiliitis inogona kuoma kuongororwa. Inogona kukanganiswa nemamwe makonzo ekurwadziwa kwepasi kumusana. Yakabatana nechikwata chezvirwere zvinokonzera kuzvimba kwe arthritis yemuzongoza. Kurapa kunogona kusanganisira physiotherapy nemishonga.

Kurwadziwa kwe sacroiliitis kunowanzoitika mudumbu nekumashure. Kunogona kukanganisawo makumbo, chuno nekunyange tsoka. Kurwadziwa kunogona kuvandudza nekuita zvemitambo. Zvinotevera zvinogona kuita kuti kurwadziwa kwe sacroiliitis kuwedzere kuipa:

• Kurara kana kugara kwenguva yakareba.
• Kumira kwenguva yakareba.
• Kuve nehuremu hukuru pagumbo rimwe kupfuura rimwe.
• Kukwira matanho.
• Kumhanya.
• Kuita matanho makuru pakuenda mberi.

Zvikonzero zvematambudziko ejoini ye sacroiliac zvinosanganisira:

• Kukuvadzwa. Kukanganisa kamwe kamwe, sekungwara nemotokari kana kuwira, kunogona kukuvadza majoini e sacroiliac.
• Arthritis. Arthritis yekukuvara, inozivikanwawo se osteoarthritis, inogona kuitika mu majoini e sacroiliac. Saka rudzi rwe arthritis runokanganisa musana, rinozivikanwa se ankylosing spondylitis.
• Pamuviri. Majoini e sacroiliac anovandudzwa uye anozunza pakuzvarwa. Kurema kwakawedzerwa uye nzira yakachinja yekufamba panguva yepamuviri zvinogona kumanikidza majoini aya.
• Hutachiona. Zvisingawanzoitika, joini ye sacroiliac inogona kuzara nehutachiona.

Zvimwe zvipatadzo zvinogona kuwedzera njodzi yekuzvimba mumajoini e sacroiliac.

Marudzi anokonzera kuzvimba kwe arthritis, akadai seankylosing spondylitis nepsoriatic arthritis, anogona kuwedzera njodzi ye sacroiliitis. Zvirwere zvekuzvimba zvemukati, kusanganisira Crohn's disease ne ulcerative colitis, zvinogona zvakare kuwedzera njodzi.

Kuchinja kunoitika mumuviri panguva yekuzvitakura nekuberekwa kunogonawo kumanikidza majoini e sacroiliac uye kukonzera kurwadziwa nekuzvimba.

'Pakuongororwa kwemuviri, mushandi wehutano angadzvanya pahuma nemabvi kuti awane marwadzo. Kusimudza makumbo munzvimbo dzakasiyana-siyana zvinonyanya kukanganisa majoini e sacroiliac. Kuongororwa kwemifananidzo X-ray yepelvis inogona kuratidza zviratidzo zvekukuvara kwe sacroiliac joint. MRI inogona kuratidza kana kukuvara kuri mugumisiro weankylosing spondylitis. Mishonga inodonhedza Kana kuisa mushonga unodonhedza mu sacroiliac joint kuchimisa marwadzo, zvinoratidza kuti dambudziko riri mu sacroiliac joint. Rumwe ruzivo CT scan MRI Ultrasound X-ray Ratidza rumwe ruzivo rwakabatana'

Corticosteroids inogona kuiswa zvakananga mujoini ye sacroiliac kuderedza kuzvimba nekukuvadza. Dzimwe nguva, mushandi wehutano anoisa mushonga unodonhedza mujoini kubatsira kuita kuongororwa. Kurapwa kunotsamira pazviratidzo nechinokonzeresa sacroiliitis. Kuwedzera uye kusimbisa maekisesaizi uye nonsteroidal antiinflammatory pain relievers aunogona kuwana pasina chinyorwa kazhinji ndiwo kurapwa kwekutanga kunoshandiswa.

Zvichienderana nechinokonzeresa kurwadziwa, izvi zvinogona kusanganisira:

• Zvinoderedza kurwadziwa. Nonsteroidal antiinflammatory pain relievers aunogona kuwana pasina chinyorwa anosanganisira ibuprofen (Advil, Motrin IB, nezvimwewo) uye naproxen sodium (Aleve). Kana izvi zvisina kupa zororo rakakwana, mushandi wehutano anogona kunyora mushonga unowedzera kurwadziwa.
• Muscle relaxers. Mishonga yakadai se cyclobenzaprine (Amrix) inogona kubatsira kuderedza kuomarara kwemhasuru kunowanzoenda pamwe chete ne sacroiliitis.
• Biologics. Mishonga yeBiologic inorapira mamiriro akawanda e autoimmune. Interleukin-17 (IL-17) inhibitors anosanganisira secukinumab (Cosentyx) uye ixekizumab (Taltz). Tumor necrosis factor (TNF) inhibitors anosanganisira etanercept (Enbrel), adalimumab (Humira), infliximab (Remicade) uye golimumab (Simponi).

Marudzi ese maviri ebiologics anoshandiswa kubvisa sacroiliitis.

• Mishonga inochinja chirwere (DMARDs). DMARDs imishonga inoderedza kuzvimba, kunzi kuzvimba, nekukuvadza. Vamwe vanoronga uye vanovhara enzyme inonzi Janus kinase (JAK). JAK inhibitors anosanganisira tofacitinib (Xeljanz) uye upadacitinib (Rinvoq).

Biologics. Mishonga yeBiologic inorapira mamiriro akawanda e autoimmune. Interleukin-17 (IL-17) inhibitors anosanganisira secukinumab (Cosentyx) uye ixekizumab (Taltz). Tumor necrosis factor (TNF) inhibitors anosanganisira etanercept (Enbrel), adalimumab (Humira), infliximab (Remicade) uye golimumab (Simponi).

Marudzi ese maviri ebiologics anoshandiswa kubvisa sacroiliitis.

Mushandi wehutano, akadai semurapi wemumuviri, anogona kudzidzisa maekisesaizi ekufamba uye ekunyanya. Aya maekisesaizi akagadzirirwa kuderedza kurwadziwa uye kuchengeta musana wakadzika nemabvi zvakanyanya. Kuwedzera maekisesaizi kunobatsira kudzivirira majoini uye kuvandudza hunhu.

Kana nzira dzakasiyana dzisina kubvisa kurwadziwa, mushandi wehutano anogona kukurudzira:

• Mishonga inoiswa mujoini. Corticosteroids inogona kuiswa mujoini kuderedza kuzvimba nekukuvadza. Unogona kuwana chete kuiswa kwejoini mashoma pagore nekuti steroids inogona kusimbisa mapfupa nemitsipa iri pedyo.
• Radiofrequency denervation. Simba reRadiofrequency rinogona kukuvadza kana kuparadza tsinga inokonzeresa kurwadziwa.
• Electrical stimulation. Kuisa electrical stimulator mumusana wakadzika kunogona kubatsira kuderedza kurwadziwa kunokonzerwa ne sacroiliitis.
• Joint fusion. Kunyangwe kuvhiya kusina kushandiswa kazhinji kurapa sacroiliitis, kusanganisa mapfupa maviri pamwe chete nemidziyo yemhepo dzimwe nguva kunogona kubvisa kurwadziwa kwe sacroiliitis.