Sacroiliitis

Izibopho ze-sacroiliac zihlanganisa i-pelvis kanye nohlangothi oluphansi lwesibeletho. Lezi zibopho ezimbili zenziwe ngesakhiwo esiqinile esiphezulu komsila, esaziwa ngokuthi yi-sacrum, kanye nengxenye engaphezulu ye-pelvis, ebizwa ngokuthi yi-ilium. Izibopho ze-sacroiliac zisekela isisindo somzimba ophezulu uma umuntu emi.

I-Sacroiliitis (say-kroe-il-e-I-tis) yisimo sobuhlungu esithinta enye noma zomabili izibopho ze-sacroiliac. Lezi zibopho zihlala lapho uhlangothi oluphansi lwesibeletho ne-pelvis zihlangana khona. I-Sacroiliitis ingabangela ubuhlungu nokuqina emathangeni noma ngemuva, futhi ubuhlungu bungase buyehlele emilenzeni enye noma zomabili. Ukuma noma ukuhlala isikhathi eside noma ukukhuphuka izitebhisi kungenza ubuhlungu bube sibi kakhulu.

I-Sacroiliitis ingaba nzima ukuyiqonda. Ingaphambaniswa nezinye izimbangela zobuhlungu ohlangothini oluphansi lwesibeletho. Iye yahlotshaniswa neqembu lezimpawu ezibangela i-arthritis yokuqina yomgogodla. Ukwelashwa kungase kuhilele ukuqeqeshwa komzimba kanye nezinambuzane.

Ubuhlungu be-sacroiliitis buvamise kakhulu emizileni nasemuhlane ophansi. Bungathinta futhi imilenze, iminwe yasemadolweni, ngisho nezinyawo. Ubuhlungu bungathuthuka ngokunyakaza. Okulandelayo kungenza ubuhlungu be-sacroiliitis bube buhlungu kakhulu:

• Ukulala noma ukuhlala isikhathi eside.
• Ukuma isikhathi eside.
• Ukuba sisindayo kakhulu kweyodwa kunengxenye.
• Ukukhuphuka izitebhisi.
• Ukugijima.
• Ukuthatha izinyathelo ezinkulu lapho uya phambili.

Izimbangela zezinkinga ezihlangene ne-sacroiliac joint zihlanganisa:

• Ukulimala. Ukuthinta okungazelelwe, njengengozi yemoto noma ukuwa, kungalimaza i-sacroiliac joints.
• Ukuvuvukala kwamajoinyi. Ukuvuvukala kwamajoinyi okuqhelekile, okwaziwa nangokuthi yi-osteoarthritis, kungenzeka kuma-sacroiliac joints. Kungenzeka futhi uhlobo lokuvuvukala kwamajoinyi oluthinta umgogodla, olukwaziwa ngokuthi yi-ankylosing spondylitis.
• Ukukhulelwa. Ama-sacroiliac joints aphumula futhi alokhude ukuze kube lula ukubeletha. Isisindo esengeziwe nendlela yokuphila eguqukile ngesikhathi sokukhulelwa zingacindezela la ma-joints.
• Ukutheleleka. Ngokungavamile, i-sacroiliac joint ingatheleleka.

Izimo ezithile zingandisa ingozi yokubeleka kwama-sacroiliac joints.

Fomu eziphefumula zo-arthritis, njenge-ankylosing spondylitis ne-psoriatic arthritis, zingandisa ingozi ye-sacroiliitis. Izifo ezivuvukalayo zezisu, kufaka phakathi i-Crohn's disease ne-ulcerative colitis, nazo zingandisa ingozi.

Ukushintsha okwenzeka emzimbeni ngesikhathi sokukhulelwa nokubeletha nakho kungacindezela ama-sacroiliac joints futhi kubangele ubuhlungu nokubeleka.

Ngesikhathi sokuxilongwa komzimba, umhlinzeki wezinsizakalo zezempilo angacindezela emathangeni nasemahlombe ukuthola ubuhlungu. Ukuhambisa imilenze ezindaweni ezahlukene ngobumnene kuqina izintambo ze-sacroiliac. Izivivinyo zezithombe I-X-ray yepelvis ingabonisa izimpawu zomonakalo ohlangothini lwe-sacroiliac. I-MRI ingabonisa ukuthi umonakalo ubangelwa yi-ankylosing spondylitis. Izithombe eziqeda ubuhlungu Uma ukubeka imithi eqeda ubuhlungu ehlangothini le-sacroiliac kuyeka ubuhlungu, kungenzeka ukuthi inkinga isehlangothini le-sacroiliac. Olunye Ulwazi I-CT scan I-MRI I-Ultrasound I-X-ray Khombisa olunye ulwazi oluhlobene

Ama-corticosteroids angafakwa ngqo ejoyini ye-sacroiliac ukuze kunciphisa ukukhuluphala nobuhlungu. Ngezinye izikhathi, umhlinzeki wezinsizakalo zezempilo ufakela imithi yokunciphisa ubuhlungu ejoyini ukuze usize ekwenzeni ukuxilongwa. Ukwelashwa kuncike ezimpahleni nasimbangelweni we-sacroiliitis. Ukuqiniswa nokuqeqeshwa kwamandla kanye nezinhlungu ezingelona i-anti-inflammatory ongazithola ngaphandle kwesikripthi ngokuvamile yizindlela zokuqala zokwelapha ezisetshenziswayo. Ngokuya ngesizathu sobuhlungu, lokhu kungafaka: Ama-Pain relievers. Izilulu zokunciphisa ubuhlungu ezingelona i-anti-inflammatory ongazithola ngaphandle kwesikripthi zihlanganisa i-ibuprofen (Advil, Motrin IB, nabanye) ne-naproxen sodium (Aleve). Uma lokhu kungakuniki impumuzo eyanele, umhlinzeki wezinsizakalo zezempilo angase anikeze i-pain reliever eqinile. Ama-Muscle relaxers. Imithi enjenge-cyclobenzaprine (Amrix) ingasiza ekuqedeni ukubamba kwemisipha okuvamise ukuba khona ne-sacroiliitis. Ama-Biologics. Imithi ye-Biologic iwelapha izimo eziningi ze-autoimmune. Abaqedi be-Interleukin-17 (IL-17) bahlanganisa i-secukinumab (Cosentyx) ne-ixekizumab (Taltz). Abaqedi be-Tumor necrosis factor (TNF) bahlanganisa i-etanercept (Enbrel), i-adalimumab (Humira), i-infliximab (Remicade) ne-golimumab (Simponi). Zombili izinhlobo ze-biologics zisetshenziswa ekuqedeni i-sacroiliitis. Ama-Disease-modifying antirheumatic drugs (DMARDs). Ama-DMARDs yimithi eyancipha ukukhuluphala, okwaziwa ngokuthi ukutheleleka, nobuhlungu. Amanye aqondisa futhi avivinye i-enzyme ebizwa nge-Janus kinase (JAK). Abaqedi be-JAK bahlanganisa i-tofacitinib (Xeljanz) ne-upadacitinib (Rinvoq). Ama-Biologics. Imithi ye-Biologic iwelapha izimo eziningi ze-autoimmune. Abaqedi be-Interleukin-17 (IL-17) bahlanganisa i-secukinumab (Cosentyx) ne-ixekizumab (Taltz). Abaqedi be-Tumor necrosis factor (TNF) bahlanganisa i-etanercept (Enbrel), i-adalimumab (Humira), i-infliximab (Remicade) ne-golimumab (Simponi). Zombili izinhlobo ze-biologics zisetshenziswa ekuqedeni i-sacroiliitis. Umhlinzeki wezinsizakalo zezempilo, njengomhlengikazi wezemidlalo, angafundisa imisebenzi yokunyakaza nokuqiniswa. Le misebenzi yenzelwe ukuqeda ubuhlungu nokuqinisisa umhlane ophansi nama-hips. Imisebenzi yokuqina ikusiza ukuvikela amajoyini nokuthuthukisa isimo somzimba. Uma ezinye izindlela zingakayiqedi inhlungu, umhlinzeki wezinsizakalo zezempilo angase aphakamise: Ukudubula ejoyini. Ama-corticosteroids angafakwa ejoyini ukuze kunciphisa ukukhuluphala nobuhlungu. Ungathola kuphela ukugxilwa kwamajoyini ambalwa ngonyaka ngoba ama-steroids angonakalisa amathambo nezicubu eziseduze. I-Radiofrequency denervation. Amandla e-Radiofrequency angalimaza noma abhubhise inzwa ebangela ubuhlungu. I-Electrical stimulation. Ukufaka i-electrical stimulator e-spine ephansi kungasiza ekuqedeni ubuhlungu obubangelwa yi-sacroiliitis. I-Joint fusion. Nakuba ukucutshungulwa kungasetshenziswa kancane ekuwelapheni i-sacroiliitis, ukuhlanganisa amathambo amabili ndawonye nge-hardware yensimbi ngezinye izikhathi kungasiza ekuqedeni ubuhlungu be-sacroiliitis.