Kuchiza kwa Mavuto Ophatikizana a Sacroiliac ndi Kulephera

Anthu omwe amadziwa za sacroiliac joint derangement (SIDJ) makamaka makamaka anthu omwe amagwira ntchito m'dera lachidziwitso - nthawi zambiri amaona kuti vutoli ndi "kutsutsana."

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Machiritso Ogwirizana a Sacroiliac

Chifukwa chimodzi chingakhale chakuti kupeza chitsimikizo cholondola kungakhale kosavuta. Mwachidule, kodi ndibwino kugwirizana ndi chithandizo - makamaka chomwe chimapanga kusintha kosatha - pamene simunatsimikizidwe kuti ululu kwenikweni ukuchokera ku SI? Chifukwa china chikhoza kukhala chokhudzana ndi kusowa kwa maphunziro omwe amapangidwa mpaka lero pa njira zothandizira ndi njira zomwe amagwiritsidwa ntchito pochiza SIDJ.

Osati izi zokha, koma madokotala ndi odwala awo omwe ali ndi HIV nthawi zina amatsutsana wina ndi mzake chifukwa cha vutoli (lotchedwa "jenereta zopweteka".) Ambiri a zamankhwala amakhulupiriradi kuti sangathe kuyenda mwamsanga ku SI ndikuti sikuti amachokera ku SIDJ. Koma ngati mumagwiritsa ntchito magulu othandizira ocheza nawo ndi odwala omwe adzipatulira ku mutuwu, mutha kupeza mlingo wamphamvu wa malingaliro osiyana kwambiri.

Pofuna kukuthandizani kusankha zosankha zanu zogwirizana ndi SI, tiyeni tiwone zowonongeka zomwe madokotala ndi odwala amapereka.

Komabe pamapeto pake, kusankha mankhwala sikungakhale kofunika. Mu 2012, Spiker, et. al., adapanga kafukufuku omwe adafalitsidwa mu Umboni-Based Based Spine Care Journal. Kuwongolera poyerekeza opaleshoni ku jekeseni ndi kusakanikirana kwa SI kuphatikizapo kusungidwa. Gulu la Spiker linatsimikizira kuti zambiri mwa maphunzirowa zinapereka mpumulo wopweteka wa 40% mosasamala kanthu ka mankhwala omwe anayesedwa. Mwa kuyankhula kwina, SI derangement yopambana popanda chithandizo chenicheni cha odwala omwe adalandira.

Ndipo Zelle, et. Phunziro lawo "Kusagwirizana kwa Sacroiliac: Kusanthula ndi kuyang'anira," yofalitsidwa mu Sep-Oct 2005 nkhani ya Clinical Journal of Pain inapeza kuti ambiri odwala sacroiliac amamvera mankhwala osagwira ntchito (ie, non-operative).

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Mankhwala

Mofanana ndi mavuto ambiri ambuyo, Tylenol ikhoza kukulimbikitsirani ndi dokotala wanu ngati malo oti muyambe. Ngati Tylenol yochulukirapo sichikuthandizani kuthetsa ululu wanu wa SI, funsani dokotala za anti-inflammatory monga ibuprofen. Izi zikuti, ibuprofen imabwera ndi zotsatira zambiri , ndipo zina zingakhale zoopsa kapena zakupha. Chonde onetsetsani kuti mukudziwa zotsatira zake, komanso kuti mwakambirana nawo dokotala musanamwe mankhwalawa. Chimodzimodzinso ndi Tylenol, makamaka ngati mumamwa kapena muli ndi matenda a chiwindi.

Tylenol ndi ibuprofen amabwera m'madzi apansi pa mawonekedwe apamwamba, ndipo madokotala apamwamba ayenera kukupatsani mankhwalawa.

Kutenga mankhwala opweteka nthawi zambiri kumalimbikitsidwa pamodzi ndi mankhwala ena monga machiritso, kupweteka ndi / kapena kusinthidwa kwa ntchito. Si mankhwala - ndiko komwe kumathandiza kuchepetsa kupweteka kwanu.

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Thandizo la Thupi

Ngakhale dokotala wanu sangaganize kuti mphamvu yanu ya mgwirizano wa SI ikugwirizana, wodwala wanu wathanzi akhoza.

Opaleshoni ya thupi amaphunzitsidwa kugwira ntchito ndi odwala kuti akonze kayendedwe. Kuti mukwaniritse izi, mwinamwake mudzapeza pulogalamu yochitira kunyumba yomwe idzakuthandizani kukhala ndi mphamvu m'mapiko anu, m'chiuno, ndi pachimake. Izi, zowonjezera, zingathandize kukhazikika kwa SI.

Zochita mu pulogalamu yanu ya kunyumba zingakuthandizeninso kuti mukhale osakanikirana. Chifukwa chakuti ziwalo za SI zili mbali zonse za msana wanu, (pa sacrum ndi mafupa a m'chiuno) kuti mukhale ndi mphamvu zofanana komanso zofanana pakati pa minofu kumbali iliyonse ya thupi lanu kukhala chimodzi mwa mafungulo (kuphatikizapo mankhwala othandiza) kuti mulole chophatikizana kuti chibwererenso kumalo ake achilengedwe.

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Sacroiliac Braces

Anthu ambiri amafotokoza zotsatira zabwino pogwiritsa ntchito chikhomo kuti athandize kugwirizanitsa chophatikizana cha sacroiliac. Makamaka madokotala amauza odwalawo kuti amuthandize.

Ochita kafukufuku anawona kusintha kwa minofu ndi zochitika zina zokhudzana ndi mgwirizano wa sacroiliac pamene odwala ankavala lamba wamimba. Anaganiza kuti malaya amtunduwu amathandiza kukhala ndi thanzi labwino, ndipo akhoza kukhala ndi vuto la kupweteka kwa SI. Zina mwazinthu zomwe zinapangidwanso zikuphatikizapo kuchepa kwa quadriceps ntchito (makamaka - rectus femoris) komanso kupititsa patsogolo kusasunthika poyenda. Ofufuzawa akuganiza kuti malamba amtunduwu amawoneka kuti ndi otsika kwambiri, mankhwala odalirika a ululu wopweteka kwambiri wa SI.

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Buku Therapy

Mankhwala othandizira - machiritso ndi manja - ndi mtundu wina wa chithandizo cha sacroiliac joint repringement. Chiropractic ndi mtundu wodziwika bwino kwambiri, koma matenda a kutupa thupi, mankhwala opatsirana, ndi mankhwala opaka misala ndizofunikira, komanso.

Mukapeza mankhwala opatsirana kuchokera kuchipatala kapena osteopath, dokotala akhoza kukoka pamapazi anu kuti athandizire kulumikizana.

Ngati muwona chiropractor ya SI yanu yothandizira, akhoza kukugonani pambali panu ndi mawondo anu apamwamba akuyang'ana pamwamba. Amatha kupanikizika mwamsanga pa fupa la sacrum kuti amuthandize kubwerera kumalo. Ndakhala ndikuchita izi nthawi zambiri, ndipo ndondomeko yanga ndikuti kusintha sikukwanira kupepulidwa kwamuyaya. Izi ndizo chifukwa kuthamanga kwa minofu ndi kufooka kumayambanso vuto; Popanda kayendetsedwe kake ndi kayendedwe ka zochita masewera olimbitsa thupi kuti apangitse mphamvu, mchiuno ndi mbuyo, komanso kusintha, mafupa a SI, angatuluke m'malo mwamsanga mutangotsala pang'ono kupita ku ofesi ya chiropractor yanu.

Njira yochiritsira ndiyo njira ina yothandizira. Koma mchitidwe wokhala misala wopezera machitidwe sungapitirire mpaka kuika mafupa. Monga ndikuonera, gawo lawo lalikulu lochiritsa machiritso a sacroiliac amalumikizana mozungulira kutulutsa mavuto a minofu omwe angakhale akugwirizanitsa nawo mwachilengedwe. Kuchepetsa mimba kungathandizenso kuchuluka kwa kayendetsedwe kake komwe kungakhale kosavuta, kosangalatsa komanso kopindulitsa.

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Zosakaniza za Sacroiliac Joint Injections

Jekeseni mumagulu anu opweteka a sacroiliac angakhale othandiza kwambiri ngati chida chogwiritsira ntchito ngati matenda opatsirana. Kupweteka ndiko pafupi ndi madokotala omwe ali pafupi kwambiri ndi ochita kafukufuku akuyenera kuzindikira kuti ululu umachokera ku SI.

Kufunika kwa jekeseni wa SI ngati mankhwala sikumveka bwino. Spiker, et. Msonkhanowu, mu 2012. "Kuchita opaleshoni yopangira opaleshoni yopangira jekeseni," inafotokozedwa mu Nsanja ya Olonda ya November 2012 ya Evidence-Based Spine Care Journal , yotsiriza kuti ngakhale kuti jekeseni ndi opaleshoni zingathandize odwala kuchepetsa ululu wawo, pazofukufuku zomwe zachitika pakalipano, sangathe kukuwuzani kuti mankhwala awa amathandiza bwino kuposa ena.

Izi ndizosautsa chifukwa pamene mukuyesera kupeza ngati mukupanga foni yanu yeniyeni YAM'MBUYO YOTSATIRA MITU YA NKHANI YAM'MBUYO YOTSATIRA MITU YA NKHANI

Kupenda kwa 2012 kwa kafukufuku amene Hansen analemba, ndi. Al., ndipo inafalitsidwa mu Pain Physician inapeza kuti intraarticular (kutanthawuza mkati mwake) majekeseni a sacroiliac ndi steroid sizinathandize kuthetsa ululu mufupikitsa kapena nthawi yayitali.

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Radiofrequency Denervation

Monga dzina limatanthauzira, kutchulidwa kwa dzuwa ndi njira yomwe imagwiritsira ntchito mpweya wosokoneza ubongo kuti ubweretse mitsempha yomwe imayambitsa kupweteka mu mgwirizano wanu wa sacroiliac. Pofotokoza umboni wosauka, ndemanga yomwe yatchulidwa pazithunzi zapitazo, zomwe adazichita ndi Hansen, et. al. mu 2012 ndipo inafalitsidwa mu Journal of Pain Researc h, inapeza kuti kufotokozera kwapadera kwa ma radio sikunathetseretsa kupweteka kwa sacroiliac.

Koma kuyambira mwezi wa September 2015, mtundu watsopano wa kufotokoza kwadzidzidzi tsopano ukuchitika. Amatchedwa mpweya wotentha. Kusiyana kwake ndikoti mazira a utomoni wotsekemera amachititsa chilondacho kuti chisokoneze mitsempha. (Ma probes pa makinawa athazikika mkati). Kukula kwakukulu kwa thukuta kumapangitsa kuti mwayi wotsekemera ukhale wotsimikizika ndikuthetsa ululu wonse.

Kubwereza kumene tatchula pamwambapa kunapezeketsa bwino kwambiri kutayika kwa mpweya wofiira, poyerekezera ndi kuperewera kwabwino komwe kumagwirizanitsidwa ndi mitundu yowonongeka.

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Sacroiliac Fusion kapena Arthrodesis

Mawu akuti arthrodesis amatanthauza kusokoneza - kudzera mwa opaleshoni - ophatikizidwa. Pankhani iyi, imatanthawuza kusanganikirana kwa mgwirizano wa sacroiliac. Poyamba, opaleshoni ya mgwirizanowu wa SI yakhala yovuta kwambiri, ndipo zotsatira zake zinali zosavuta komanso ziwerengero zapadera. Odwala ambiri amafuna opaleshoni yowonjezereka yokhudzana ndi kusakaniza kwawo kwa SI.

Koma ngakhale kuti opaleshoni ya msana imakhala yosauka kwambiri, kukhala ndi SI kusakanizidwa kungakhale chisankho chovuta kuchita. Chifukwa chake chimabwereranso ku ndondomeko ya matenda.

"Kuvuta kukudziwikiratu kuti ndi gulu la sacroiliac," anatero Carter Beck, MD. Beck ndi dokotala wa opaleshoni wa Montana amene wapanga njira yowonongeka yopangira mgwirizanowu wa SI, malinga ndi iye, ndi wosavuta komanso wothandiza. Dr. Beck akuchenjeza olemba onse ndi odwala kuti atsimikizire kuti ululu ukuchokeradi kuchokera ku SI, osati kuchokera kumadera ena a msana.

Ngakhale njira ya Beck yatsopano ikuwonjezera, kafukufuku wa zamankhwala sayenera kuyankha mafunso onse onena za chitetezo, mphamvu ndi mtundu wa wodwalayo amene angakhale woyenera kwambiri opaleshoni yoperekera kuchipatala.

> Zotsatira:

> Dreyfuss P1, Dreyer SJ, Cole A, Mayo K. Kupweteka kumodzi kwa Sacroiliac. J Am Acad Kupatula Opaleshoni. 2004 Jul-Aug; 12 (4): 255-65. http://www.ncbi.nlm.nih.gov/pubmed/15473677/

Hansen H, Manchikanti L, Simopoulos TT, Christo PJ, Gupta S, Smith HS, Hameed H, Cohen SP. Kusanthula mwatsatanetsatane kachitidwe kachidziwitso kothandiza ma joint joint sacroiliac. Pain Physician. 2012 May-Jun; 15 (3): E247-78. http://www.ncbi.nlm.nih.gov/pubmed/22622913

> Kok-Yuen Ho, Mohamed Abdul Hadi, Koravee Pasutharnchat, ndi Kian-Hian Tan. Kusungunuka kwa chisanu ndi chitayira kuti chisamalidwe cha sacroiliac ululu wamadzimadzi: zaka ziwiri zotsatira kuchokera pa milandu 20. J Pain Res. 2013; 6: 505-511. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706381

> Odette Soisson, Juliane Lube, > Andresa > Germano, Karl-Heinz Hammer, Christoph Josten, Freddy Sichting, Dirk Winkler, Thomas L. Milani, ndi Niels Hammer. François Hug (Mkonzi Wophunzira. PLoS One. 2015; 10 (3): e0116739. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/

> Shaffrey, C., Smith, JS Kulimbitsa mgwirizano wa sacroiliac. Neurosurg Focus. 2013 Jul; 35 (2 Suppl) >: Mkonzi >. > doi >: 10.3171 / 2013.V2.FOCUS13273. http://www.ncbi.nlm.nih.gov/pubmed/23829837

> William Ryan Spiker, Brandon D. Lawrence, Annie L. Raich, Andrea C. Skelly, ndi Darrel S. Brodke. Mankhwala opangira opaleshoni opangira jekeseni omwe amatsimikiziridwa kuti ndi opweteka. Evid Based Based Spine Care J. 2012 Nov; 3 (4): 41-53. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/

> Zelle BA1, Gruen GS, Brown S, George S. Kusagwirizana kwa Sacroiliac pamodzi: kuyesa ndi kuyang'anira. Clin J Pain. 2005 Sep-Oct; 21 (5): 446-55. http://www.ncbi.nlm.nih.gov/pubmed/16093751