Created at:1/16/2025
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I-Sacroiliitis iwukuvuvukala kwelinye noma womabili ama-sacroiliac joints, axhuma umgogodla wakho ongaphansi ne-pelvis yakho. La ma-joints asebenza njengabambeki beshoki, asize ekuthuthukiseni isisindo esisuka emzimbeni wakho ophezulu siye emilenzeni yakho uma uhamba noma uthuthuka.
Lesi simo singabangela ubuhlungu obukhulu emhlane ongaphansi nasemahlombe okuthi bube bukhulu uma uhleli noma unyuka izitebhisi. Nakuba i-sacroiliitis ingaba buhlungu futhi iphazamise ukuphila kwansuku zonke, ukuqonda izimpawu zakho kanye nezinketho zokwelashwa kungakusiza ukuthi uphathe lesi simo ngempumelelo futhi uthole impumuzo.
I-Sacroiliitis ivela uma ama-sacroiliac joints evuvukala futhi ekhathazeka. Ama-sacroiliac joints akho abekwe lapho i-sacrum yakho (ithambo elingumthombo olusekupheleni komgogodla wakho) ihlangana nawo amathambo akho e-iliac (ingxenye ye-pelvis yakho).
Le ma-joints ngokuvamile anawo ukunyakaza okuncane kakhulu, kodwa adlala indima ebalulekile ekusekeleni isisindo somzimba wakho. Uma ukuvuvukala kuvela, ama-joints angabaqine, buhlungu, futhi abuthakathaka uma uba khona. Lesi simo singathinta elinye i-joint (unilateral) noma womabili ama-joints (bilateral).
I-Sacroiliitis ingaba yi-acute (ukuqala okungazelelwe) noma i-chronic (ihlala isikhathi eside). Abanye abantu bahlangabezana nezehlakalo eziya neziya, kanti abanye babhekana nezimpawu eziqhubekayo ezidinga ukuphathwa okuqhubekayo.
Isimpawu esivame kakhulu yubuhlungu emhlane wakho ongaphansi nasemahlombe okuthi kuzwakale njengokuhlungu okujulile noma ukugoqa okukhulu. Lobu buhlungu ngokuvamile buthinta ohlangothini olulodwa ngaphezu kolunye, yize lungase lube ngamabili.
Nawa ama-symptom aphambili ongahlangabezana nawo:
Ubuhlungu bungase buhluke kusukela ekuhluphekeni okuncane kuya ezimeni ezinzima, ezibulalayo. Abanye abantu bayichaza njengokubuhlungu okuqhubekayo, kanti abanye babhekana nobuhlungu obukhulu, obukhulu obuza futhi buhambe usuku lonke.
Kwezinye izimo, ungase ube nokuqabuka, ikakhulukazi uma i-sacroiliitis ibangelwa ukutheleleka. Lokhu akukuvamile kodwa kudinga ukunakekelwa kwezokwelapha ngokushesha.
Abanye abantu abane-sacroiliitis baphuthuma ubuhlungu kwezinye izindawo, njengokugabha, i-hip, noma ngisho nasemuva oluphezulu. Lokhu kwenzeka ngoba umzimba wakho ungase uhlanganise ijoyinti ebuhlungu ngokushintsha indlela ohambayo futhi ukuma ngayo.
I-Sacroiliitis ingathuthuka ngezizathu eziningi ezahlukene, kusukela ekuhluphekeni komzimba kuya ezimweni zokuziphatha komzimba. Ukuqonda ukuthi yini engase ibe yimbangela yezimpawu zakho kungasiza ukuqondisa indlela yokwelapha efanele kakhulu.
Izimbangela ezivamile kakhulu zihlanganisa:
Ukukhulelwa kuyimbangela evamile ngoba izinguquko ze-hormonal ziqina ama-ligaments asezungeze ama-sacroiliac joints, okubenza babe sengozini yokutheleleka nokulimala.
Ngokungavamile, i-sacroiliitis ingabangelwa izimo ezinjenge-osteomyelitis (ukutheleleka kwamathambo), i-tuberculosis ethinta umgogodla, noma ezinye izifo zekhanda ezisakazekela emathanbeni. Lezi zimbangela azivamile kakhulu kodwa zingadinga izindlela zokwelapha ezikhethekile.
Abanye abantu bathuthukisa i-sacroiliitis njengengxenye yesimo esiphuthumayo esithinta amahlanganisi amaningi emzimbeni. Lokhu kuvame ukubonwa ezimweni ezinjenge-reactive arthritis noma njengengxenye ye-inflammatory bowel disease.
Kufanele ubheke umhlinzeki wezempilo uma uhlushwa ubuhlungu obungapheli emuva ophansi noma emathangeni oluhlala izinsuku ezimbalwa noma oluphazamisa kakhulu imisebenzi yakho yansuku zonke. Ukubheka kwasekuqaleni kungasiza ekutholeni imbangela yangempela nokuvimbela isimo ekubeni libi.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlushwa ubushushu kanye nobuhlungu emuva, njengoba lokhu kungabonisa ukutheleleka. Kufanele ubheke udokotela ngokushesha uma uthuthukisa ukungathuthuki, ukukhahlela, noma ubuthakathaka ezinyaweni zakho, njengoba lezi zibonakaliso zingase zibonise ukuhileleka kwezinzwa.
Hlela isikhathi sokubona udokotela wakho uma ubuhlungu bakho bukhulu kangangokuba bukuvusa ebusuku, bungapheli ngokuphumula nangamayeza angaphezu kokuthengwa, noma buqhubeka bukhula naphezu kwezinyathelo zokunakekela kwakho. Ungalindi uma ubuhlungu bukuvimbela ekwenzeni imisebenzi yakho yansuku zonke efana nokuhamba, ukuhlala, noma ukusebenza.
Izinto eziningi zingandisa amathuba akho okuthola i-sacroiliitis, yize ukuba nezinto ezingozi akusho ukuthi uzoyithola le meko. Ukuqonda lezi zinto ezingozi kungakusiza ukuthi uthathe izinyathelo zokuvimbela lapho kungenzeka.
Izinto ezingozi eziyinhloko zihlanganisa:
Ukukhulelwa kufanele kuphawulwe ngokukhethekile ngoba izinguquko ze-hormonal ngesikhathi sokukhulelwa zikhulula ngokwemvelo ama-ligaments asezindaweni ze-sacroiliac. Lokhu kwenza abesifazane abakhulelwe babe sengozini enkulu yokuthola i-sacroiliitis, ikakhulukazi ezigabeni zokugcina zokukhulelwa.
Abantu abanezimisebenzi ezithile noma izinto abazithandayo ezihilela ukugoba okuphindaphindayo, ukuphakamisa, noma ukujikeleza kungenzeka babe sengozini enkulu. Lokhu kuhlanganisa imisebenzi efana nomsebenzi wokwakha, ukuba yisondo, noma imisebenzi efana negoli noma ithenisi ezihilela ukunyakaza okujikelezayo.
Ukuba nomlando wezifo zokutheleleka kwesistimu yomchamo, ikakhulukazi kwabesifazane, ngezinye izikhathi kungadala ukusabalala kwezifo kubanzi ze-sacroiliac, yize lokhu kungavamile.
Nakuba i-sacroiliitis ivame ukuphathwa kalula ngokwelashwa okufanele, izimo ezingaphathwe noma ezinzima zingabangela ubunzima obuningi obuningi obunokuthinta ikhwalithi yokuphila kwakho kanye nokuhamba kwakho.
Ubunzima obuvamile bufaka phakathi:
I-sacroiliitis ehlala njalo ingathinta kakhulu ikhono lakho lokusebenza, ukuzivocavoca, nokuhlanganyela emisebenzini oyithandayo. Ubuhlungu obuhlala njalo bungabangela ukuguquka kokunyakaza kwakho, okungafaka uxinzelelo olwengeziwe kwamanye amajoinyi namisipha.
Ezimweni ezingavamile, ikakhulukazi lapho i-sacroiliitis ibangelwa ukutheleleka, kungenzeka kube khona ubunzima obukhulu. Lokhu kungafaka ukusabalala kokutheleleka kwezinye izingxenye zomzimba noma ukuthuthukiswa kwama-abscesses eduze komjovo othoniwe.
Abantu abanezimpawu zokuvuvukala kwama-arthritis bangase babe nobunzima ngaphezu kwamajoinyi e-sacroiliac, kufaka phakathi ukuvuvukala kwamehlo, inhliziyo, noma ezinye izitho. Kodwa-ke, lobunzima buhlobene kakhulu nesimo esiyimbangela kunesi-sacroiliitis ngokwayo.
Nakuba ungakwazi ukuvimbela zonke izimo ze-sacroiliitis, ikakhulukazi lezo ezihlobene nezimpawu zofuzo noma izifo ze-autoimmune, kunezinyathelo eziningi ongazithatha ukuze unciphise ingozi yakho futhi uvikele amajoinyi akho e-sacroiliac.
Ukugcina isimo esihle somzimba usuku lonke kusiza ekuthambiseni ukucindezeleka ezingxangxangeni zakho ze-sacroiliac. Uma uhleli, gcina izinyawo zakho zicindezele phansi futhi uqaphele ukungagobhozi. Uma uphakamisa izinto, sebenzisa amasu omzimba afanele ngokugoba amadolo akho nokugcina umhlane wakho uqondile.
Ukuzivocavoca njalo okuqinisa imisipha yakho ephakathi nokwenza kube lula ukuqina kungasiza ekusekeleni umhlane wakho ophansi ne-pelvis. Gxila emisebenzini engayikubeki ukucindezela okukhulu ezingxangxangeni zakho, njengokubhukuda, ukuhamba, noma i-yoga ebushelelezi.
Uma ukhulelwe, ukugqoka ibhande lokubeletha elisekela nokuqaphela imisebenzi ehilela ukuphakamisa okukhulu noma ukugoqa kungasiza ekuvikeleni izingxangxangeni zakho ze-sacroiliac ngalesi sikhathi esibuhlungu.
Ukuphatha isisindo sakho ngaphakathi kobubanzi obuphilile kunciphisa ukucindezeleka ezingxangxangeni zakho ze-sacroiliac. Isisindo esengeziwe sibeka ukucindezela okwengeziwe kulezi zingxangxangeni ezithwala isisindo, okungenzeka kukhulise ukuvuvukala nobuhlungu.
Uma unesimo esibuhlungu esiyisisekelo njengobulwelwe be-inflammatory bowel noma i-psoriasis, ukusebenzisana nodokotela wakho ukuze uphathe lezi zimo ngokuphumelelayo kungasiza ekuthambiseni ingozi yakho yokuthuthukisa i-sacroiliitis.
Ukuxilongwa kwe-sacroiliitis kuvame ukubandakanya ukuxubana kokuhlolwa komzimba, ukubuyekezwa komlando wezokwelapha, namaviki wokufanekisa. Udokotela wakho uzoqala ngokubuza ngezimpawu zakho, ukuthi zaqala nini, nokuthi yini eyenza zibe ngcono noma zimbi.
Phakathi kokuhlolwa komzimba, udokotela wakho uzoqhuba amaviki athile ukuhlola izingxangxangeni zakho ze-sacroiliac. Lokhu kungafaka i-Patrick's test, lapho ubeka khona ikhanda lakho emadolweni aphikisanayo ngenkathi ulele, noma i-Gaenslen's test, ehilela ukwandisa i-hip yakho ngenkathi ulele eceleni.
Udokotela wakho uzobuye ahlole ukubuthakathaka ngokucindezela ezindaweni ezithile ezizungezile umhlane wakho ophansi ne-pelvis. Bangase bakucela ukuba wenze izinyathelo ezithile ukubona ukuthi yiziphi izikhundla ezibangela noma ezikhulula ubuhlungu bakho.
Izithombe ze-X-ray zivame ukuba yizona zokuqala uku-odolwa, nakuba zingase zingabonisi izimpawu zokuqala ze-sacroiliitis. Ukushintsha kwamaqebelengwane kungathatha izinyanga noma iminyaka ukuvela ezithombeni ze-X-ray, ngakho-ke udokotela wakho angase akukhuthaze ukuthi wenze ezinye izivivinyo uma izithombe ze-X-ray zibonakala zilungile.
I-MRI scan inamandla kakhulu futhi ingabona ukuvuvukala nokushintsha okuqala kwamaqebelengwane e-sacroiliac angabonakali ezithombeni ze-X-ray. Lokhu kwenza i-MRI ibe usizo kakhulu ekuxilongeni i-sacroiliitis ezingxenyeni zayo zokuqala.
I-CT scan ingase isetshenziswe kwezinye izimo ukuthola umbono ocacile wendlela amathambo ahlelwe ngayo, nakuba ingavamile ukudingeka ekuxilongeni i-sacroiliitis.
Izivivinyo zegazi zingasiza ekutholeni izimpawu zokuvuvukala nokukhipha ezinye izimo. Udokotela wakho angase ahlole izimpawu ezifana ne-ESR (erythrocyte sedimentation rate) noma i-CRP (C-reactive protein) ukuhlola amazinga okuvuvukala.
Uma udokotela wakho engabaza ukuthi kukhona isimo sesifo esibangelwa ukungasebenzi kahle kwesistimu yokuzikhusela emzimbeni, angase ahlole izimpawu ezithile ezifana ne-HLA-B27 noma i-rheumatoid factor. Lezi zivivinyo zisiza ekuqondeni ukuthi i-sacroiliitis yakho ingxenye yesimo esikhulu se-arthritis esivuvukalayo.
Ukuphathwa kwe-sacroiliitis kugxile ekunciphiseni ukuvuvukala, ukuphatha ubuhlungu, nokuthuthukisa umsebenzi wakho kanye nekhwalithi yokuphila. Indlela ethile ethathelwa isinyathelo ixhomeke esizathwini esiyimbangela, ezingeni lobuhlungu bakho, nendlela ophendula ngayo ekuphanguleni okuhlukene.
Abantu abaningi baqala ngokwelashwa okuqondile okuhlanganisa imithi kanye ne-physical therapy. Udokotela wakho ngokuvamile uzokukhuthaza ukuthi uqale ngezinketho ezingenasiphepho futhi uqhubekele ekuphanguleni okukhulu uma kudingeka.
Imithi engalwi nokuvuvukala (NSAIDs) efana ne-ibuprofen noma i-naproxen ngokuvamile iyona yokwelapha yokuqala. Le mithi isisiza ekuthambiseni kokubili ukuvuvukala nobuhlungu kwamaqebelengwane e-sacroiliac.
Ezimweni ezinzima kakhulu, udokotela wakho angase alotshe imithi enamandla yokulwa nokuvuvukala noma imithi yokunciphisa ukucindezeleka kwemisipha ukuze usize ukuphatha ubuhlungu nokunciphisa ukucindezeleka kwemisipha eduze kwamaqakala athintekayo.
Uma i-sacroiliitis ihlobene nesimo somzimba esizenza ngokwalo, ungase udinga imithi yokuguqula isifo se-antirheumatic (DMARDs) noma imithi ephilayo ukuze ulungise inqubo yokuqala yokuqala.
Ukwelashwa ngokwenyama kudlala indima ebalulekile ekuphatheni i-sacroiliitis ngokuthuthukisa ukuqina, ukuqinisa imisipha yokusekela, nokukufundisa indlela efanele yokusebenza komzimba. Uchwepheshe wezokwelapha angaklama uhlelo oluthile lokuzivocavoca oluhambelana nezidingo zakho nemikhawulo.
Ukuzivocavoca okuqina kwemisipha yakho ye-hip flexors, hamstrings, kanye nohlangothi oluphansi lungasiza ekuqedeni ubunzima nokwenza kube lula ukuhamba. Ukuzivocavoca okuqinisa isikhungo sakho ne-glutes kunikeza ukusekela kangcono kwamaqakala akho e-sacroiliac.
Uchwepheshe wakho wezokwelapha angase futhi asebenzise amasu afana nokwelashwa ngesandla, ukwelashwa okushisa nokubanda, noma i-ultrasound ukuze usize ukunciphisa ubuhlungu nokuvuvukala.
Uma ukwelashwa okuqondile kungakuniki impumuzo eyanele, udokotela wakho angase akukhuthaze ukudubula kwe-corticosteroid ngqo e-sacroiliac joint. Lezi zidubuli zingakunika impumuzo enkulu yokuhlungu izinyanga eziningi.
Ezimweni ezingapheli, ezinzima ezingaphenduli ekwelapheni okunye, i-radiofrequency ablation ingacatshangelwa. Le nqubo isebenzisa ukushisa ukuvimba imiyalezo yezinzwa ethatha imiyalezo yokuhlungu kusuka e-sacroiliac joint.
Ezimeni ezingavamile lapho ukwelashwa okunye kusilele khona futhi isimo siwathinta kakhulu impilo yakho, ukuxuba okuhlinzayo kwe-sacroiliac joint kungacatshangelwa. Lokhu kuvame ukugcinelwa izimo ezinzima kakhulu, ezingaphenduli ekwelapheni.
Ukwelapha ekhaya kungaba nempumelelo enkulu ekulawuleni izimpawu zesakroiliitis nokusiza ekuphulukiseni kwakho. Ukuthola ibhalansi efanele phakathi kokupumula nomsebenzi olula kuyisihluthulelo, kusetshenziswa nezindlela zokulawula ubuhlungu ezisebenza kuwe.
Ukubekela uqandayo endaweni ebuhlungu imizuzu engu-15-20 izikhathi eziningi ngosuku kungasiza ekuthambiseni ukuvuvukala, ikakhulukazi ngesikhathi se-flare-ups. Ukwelapha ngokushisa, njengokugeza amanzi afudumele noma ama-heating pads, kungasiza ekuphumuleni imisipha eqinile nokuthuthukisa ukujikeleza kwegazi.
Ukuzivocavoca okuthambile kungasiza ekuqondeni ukuqina nokunciphisa ubunzima. Gxila ekuzolula okufaka i-hip flexors, hamstrings, nemisipha ye-piriformis, engathinta umsebenzi we-sacroiliac joint.
Gwema imisebenzi eyenza ubuhlungu bakho bube bukhulu, njengokuhlala isikhathi eside noma ukuzivocavoca okukhulu. Esikhundleni salokho, zama imisebenzi engathinti kakhulu njokubhukuda, ukuhamba, noma ukuqeqesha ngebhayisikili ukuze ugcine amazinga akho okufaneleka ngaphandle kokwenza izimpawu zakho zibe zimbi.
Qaphela isimo sakho sokulala bese ucabanga ngokusebenzisa i-pillow phakathi kwamadolo uma ulala eceleni. Lokhu kungasiza ekuqondeni ukulingana okuhle nokunciphisa ukucindezela kuma-sacroiliac joints akho.
Yenza isimo esifanele somzimba usuku lonke, ikakhulukazi uma uhlala isikhathi eside. Thatha ama-breaks avamile ukuze ume uhambe, bese ucabanga ngokusebenzisa izesekeli ze-ergonomic uma usebenza etafuleni.
Imithi yokunciphisa ubuhlungu ethengiswa ngaphandle kokubhalwa kwelayisensi njenge-ibuprofen noma i-acetaminophen ingasiza ekulawuleni ubuhlungu nokuvuvukala. Landela imiyalo yephakheji futhi ungadluli amanani acatshangelwe.
Izindlela zokuphumula njengokuphefumula okujulile, ukucamngca, noma i-yoga ethambile zingasiza ekulawuleni ukucindezeleka nokukhathazeka okuvamise ukuba khona ezimweni zobuhlungu obuhlala isikhathi eside.
Gcina idayari yobuhlungu ukuze uqaphele izimpawu zakho futhi ubone izindlela noma izinto ezibangela ubuhlungu. Ulwazi lolu lungaba lubalulekile kumhlinzeki wakho wezempilo ekuhleni uhlelo lwakho lokwelapha.
Ukulungiselela isikhathi sakho sokuya kudokotela kungakusiza uthole okuningi kakhulu ekuhambeleni kwakho futhi unikeze umhlinzeki wakho wezinsizakalo zempilo ulwazi oluyimfuneko ukuze akusize ngokuphumelelayo.
Ngaphambi kokubonisana kwakho, bhala incazelo eningiliziwe yezimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zimbi, nokuthi zithinta kanjani imisebenzi yakho yansuku zonke. Chaza ngokucacile indawo nohlobo lobuhlungu obuhlupheka ngabo.
Yenza uhlu lwawo wonke amayeza owathatha, kufaka phakathi amayeza athengiswa ngaphandle komthetho, izithasiselo, nezinongo zomzimba. Phawula futhi noma yikuphi ukwelashwa osele uzame nokuthi kusebenze kangcono kangakanani.
Lungiselela uhlu lwemibuzo yokubuza udokotela wakho ngesikhathi sokubonisana kwakho. Cabanga ukubuza ngesizathu esingaba khona sezimpawu zakho, ukuthi yiziphi izivivinyo ezidingekayo, nokuthi yiziphi izinketho zokwelapha ezitholakalayo.
Buza ngesikhathi esilindelwe sokuthuthuka, izimpawu zokuqapha, nokuthi kufanele ulandelele nini. Ungangabazi ukucela incazelo uma ungaqondi lutho.
Buza ngokuguqulwa kwesitayela sokuphila okungasiza, njengokuzivocavoca okuqondile, ukulinganiselwa kwemisebenzi, noma ukulungiswa kwe-ergonomic ongakwenza ekhaya noma emsebenzini.
Letha noma yimaphi amarekhodi ezempilo wangaphambili, izifundo zokwenza izithombe, noma imiphumela yokuhlolwa ehlobene nobuhlungu bakho emuva. Uma usuke ubona abanye abahlinzeki bezinsizakalo zempilo ngalesi simo, letha imibiko yabo nezincomo.
Cabanga ukuletha ilungu lomndeni noma umngani ekuhambeleni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngesikhathi sokuvakasha kwakho.
I-Sacroiliitis iyimo elilawulekayo, ngokwelashwa okulungile nokunakekela kwakho, akudingeki ukuba likhawulele ikhono lakho lokuphila impilo esebenzayo, ezele ukwaneliseka. Ikhona ukusebenzisana nomhlinzeki wakho wezinsizakalo zempilo ukuze uthole imbangela eyingqayizivele futhi uthuthukise uhlelo lokwelapha olufanele.
Ukuxilongwa kwasekuqaleni nokuphathwa kungasiza ukuvimbela isimo ukuthi singabi sibi futhi kunciphisa ingozi yakho yokuthuthukisa izinkinga. Abantu abaningi abane-sacroiliitis bangazuza ngokuthuthuka okukhulu kwemizimba yabo ngokwelashwa okuqondile njengokwelashwa ngemithi, ukuqeqeshwa komzimba, nokuguqulwa kwesitayela sokuphila.
Khumbula ukuthi ukuphatha i-sacroiliitis kuvame ukuba inqubo eyenzeka kancane kancane edinga isineke nokuzinikela. Zibophezele ohlelweni lwakho lokwelashwa, xhumana ngokukhululekile neqembu lakho lokunakekelwa kwezempilo, futhi ungangabazi ukucela usizo uma ulikhona.
Izigaba ezilula ze-sacroiliitis, ikakhulukazi lezo ezihambisana nokukhulelwa noma ukulimala okuncane, zingase zithuthuke zodwa ngokuphumula nokunakekelwa okuqondile. Noma kunjalo, izimo ezihlobene ne-arthritis yokuqabula noma ezinye izimo eziyisisekelo zivame ukudinga ukwelashwa okuqhubekayo ukuze kuphathwe izimpawu futhi kuvinjelwe ukuqhubeka.
Cha, i-sacroiliitis ne-sciatica izimo ezahlukene, yize ngezinye izikhathi zingadida ngoba zombili zingabangela ubuhlungu ohlangothini oluphansi lomhlane noluhlangothi lwezinyawo. I-Sciatica ihilela ukuvuvukala komthambo we-sciatic, kuyilapho i-sacroiliitis iwukuvuvukala kwejoyinti ye-sacroiliac. Noma kunjalo, i-sacroiliitis eqinile ngezinye izikhathi ingavuvukala imithambo yezinzwa eseduze futhi ibe nezimpawu ezifana ne-sciatica.
Yebo, ukuqeqeshwa okufanele kuyasiza kakhulu kubantu abaningi abane-sacroiliitis. Imisebenzi engenamthelela njengokubhukuda, ukuhamba, kanye nokuzivocavoca okuqondile kokwelula kungasiza ekuthuthukiseni ukuqina nokuqinisa imisipha yokusekela. Noma kunjalo, kufanele ugweme imisebenzi enomthelela omkhulu kanye nokuzivocavoca okwenza ubuhlungu bakho bube sibi. Sebenza nodokotela wezokwelapha ukuze wenze uhlelo lokuzivocavoca olukhulu.
Isikhathi sokuphulukisa sihluka kuye ngesizathu esiyimbangela kanye nobunzima besimo sakho. Izimo ezibukhali ezingelwe ukulimala noma ukukhulelwa zingase ziqhubeke kahle ezinyangeni ezimbalwa noma ezimbalwa ngokwelashwa okufanele. Izimo ezingamahlalakhona ezihlobene nokuvuvukala kwama-arthritis zingadinga ukuphathwa okuqhubekayo, nakuba izimpawu zivame ukuphathwa kahle ngokwelashwa okufanele.
Ngokwelashwa okufanele, abantu abaningi abane-sacroiliitis ababhekene nomonakalo ophakade. Noma kunjalo, izimo ezinzima, ezingalashwanga zingase zihole ekubunjweni kwe-joint noma ebuhlungwini obuhlala njalo. Kungakho ukuxilongwa kwasekuqaleni nokuphathwa kubalulekile. Ukulandela uhlelo lwakho lokwelashwa nokugcina ukuxhumana okuvamile nodokotela wakho kungasiza ekunciphiseni izinkinga.