Ubuhlungu obuhlangene be-Sacroiliac - ukunakekelwa ngemuva

Ijoyini le-sacroiliac (SIJ) igama elisetshenziselwa ukuchaza indawo lapho i-sacrum namathambo e-iliac ajoyina khona.

• I-sacrum isezansi komgogodla wakho. Yenziwe ngama-vertebrae ama-5, noma amathambo omgogodla, ahlanganiswe ndawonye.
• Amathambo e-iliac amathambo amabili amakhulu akha i-pelvis yakho. I-sacrum ihlala phakathi kwamathambo e-iliac.

Inhloso enkulu ye-SIJ ukuxhuma umgogodla kanye ne-pelvis. Ngenxa yalokhu, kunokunyakaza okuncane kakhulu kulelijoyinti.

Izizathu ezinkulu zobuhlungu obuzungeze i-SIJ zifaka:

• Ukukhulelwa. I-pelvis iyanweba ukulungiselela ukuzalwa, yelule imisipha (izicubu eziqinile nezishintshashintshayo ezixhumanisa ithambo nethambo).
• Izinhlobo ezahlukene zesifo samathambo.
• Umehluko kubude bomlenze.
• Ukugqoka uqwanga (umqamelo) phakathi kwamathambo.
• Ukuhlukumezeka okuvela kumthelela, njengokufika kanzima ezinqeni.
• Umlando wokuphuka noma ukulimala kwe-pelvic.
• Ukuqina kwemisipha.

Yize ubuhlungu be-SIJ bungabangelwa ukuhlukumezeka, lolu hlobo lokulimala luvame ukukhula isikhathi eside.

Izimpawu zokungasebenzi kahle kwe-SIJ zifaka:

• Ubuhlungu emhlane ongezansi, imvamisa kuphela ohlangothini olulodwa
• Ubuhlungu be-Hip
• Ukungaphatheki kahle ngokugoba noma ukuma ngemuva kokuhlala isikhathi eside
• Ukwenza ngcono izinhlungu lapho ulele phansi

Ukusiza ukuxilonga inkinga ye-SIJ, umhlinzeki wakho wezokunakekelwa kwempilo angahambisa imilenze yakho nezinqulu azungeze izikhundla ezahlukahlukene. Ungadinga futhi ukuthi ube nama-x-ray noma i-CT scan.

Umhlinzeki wakho angancoma lezi zinyathelo ezinsukwini ezimbalwa zokuqala noma amasonto ngemuva kokulimala kwakho noma lapho uqala ukwelashwa kobuhlungu be-SIJ:

• Phumula. Gcina umsebenzi ubuncane futhi umise ukunyakaza noma umsebenzi owenza izinhlungu zibe zimbi kakhulu.
• Faka iqhwa emhlane noma ezinqeni ezingaphezulu cishe imizuzu engama-20 izikhathi ezi-2 kuya kwezi-3 ngosuku. UNGALIFAKI ngqo iqhwa esikhunjeni.
• Sebenzisa iphedi yokufudumeza kusethingi ephansi ukusiza ukukhulula imisipha eqinile nokuqeda ubuhlungu.
• Massage imisipha engemuva engezansi, ezinqeni, nasethangeni.
• Thatha imithi yezinhlungu njengokuyalelwa.

Ngobuhlungu, ungasebenzisa ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), noma i-acetaminophen (iTylenol). Ungathenga le mithi esitolo ngaphandle kwencwadi kadokotela.

• Khuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, noma uke waba nezilonda esiswini noma ukopha ngaphakathi esikhathini esedlule.
• UNGATHATHI ngaphezu kwenani elinconywe ebhodleleni noma ngumhlinzeki wakho.

Uma le kuyinkinga engapheli, umhlinzeki wakho angahle anikeze umjovo wokusiza ngobuhlungu nokuvuvukala. Umjovo ungaphindwa ngokuhamba kwesikhathi uma kudingeka.

Gcina umsebenzi ubuncane. Isikhathi esithe xaxa lapho ukulimala kunokuphumula, kuba ngcono. Ukusekelwa ngesikhathi somsebenzi, ungasebenzisa ibhande le-sacroiliac noma i-lumbar brace.

Ukwelashwa ngokomzimba kuyingxenye ebalulekile yenqubo yokwelashwa. Kuzosiza ukuqeda izinhlungu futhi kwandise amandla. Khuluma nodokotela wakho noma owelapha ngokomzimba ukuze uvivinye umzimba.

Nasi isibonelo sokuzivocavoca komhlane wakho ophansi:

• Lala ufulathele ngomhlane uguqe ngamadolo izinyawo ziwele phansi.
• Kancane kancane, qala ukushintshanisa amadolo akho ohlangothini olungakwesokudla lomzimba wakho. Yima lapho uzwa ubuhlungu noma ukungaphatheki kahle.
• Kancane ujikeleze ubheke ohlangothini lwesobunxele lomzimba wakho uze uzwe ubuhlungu.
• Phumula endaweni yokuqala.
• Phinda izikhathi eziyishumi.

Indlela engcono kakhulu yokususa ubuhlungu be-SIJ ukunamathela kuhlelo lokunakekelwa. Lapho uphumula ngokwengeziwe, uqhwaqhwa futhi uzivocavoca umzimba, izimpawu zakho zizothuthuka ngokushesha noma ukulimala kwakho kuzolulama.

Umhlinzeki wakho angadinga ukulandelela uma ubuhlungu bungapheli njengoba bekulindelekile. Ungahle udinge:

• Ukuhlolwa kwe-X-ray noma i-imaging njenge-CT noma i-MRI
• Ukuhlolwa kwegazi ukusiza ukuthola imbangela

Shayela umhlinzeki wakho uma unokunye kwalokhu okulandelayo:

• Ukuba ndikindiki okungazelelwe noma ukuncinza emhlane wakho ophansi nasezinqeni
• Ubuthakathaka noma ukuba ndikindiki emilenzeni yakho
• Unenkinga yokulawula isisu sakho noma isinye
• Ukwanda okungazelelwe kwezinhlungu noma ukungakhululeki
• Ukuphulukiswa kancane kunokulindelekile
• Imfiva

Ubuhlungu be-SIJ - ukunakekelwa ngemuva; Ukungasebenzi kwe-SIJ - ukunakekelwa kwangemuva; Uhlobo lwe-SIJ - ukunakekelwa ngemuva; I-SIJ subluxation - ukunakekelwa ngemuva; I-SIJ syndrome - ukunakekelwa ngemuva; I-SI joint - ukunakekelwa kwangemuva

UCohen SP, Chen Y, Neufeld NJ. Ubuhlungu obuhlangene be-Sacroiliac: ukubuyekezwa okuphelele kwe-epidemiology, ukuxilongwa nokwelashwa. Isazi uMfu Neurother. 2013; 13 (1): 99-116. I-PMID: 23253394 www.ncbi.nlm.nih.gov/pubmed/23253394.

U-Isaac Z, uBrassil ME. Ukungasebenzi ngokuhlanganyela kwe-Sacroiliac. Ku: Frontera WR, iSilver JK, uRizzo TD, ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 51.

Placide R, Mazanec DJ. Ama-Masqueraders we-pathology yomgogodla. Ku: Ilungu lePhalamende laseSteinmetz, iBenzel EC, ama-eds. Ukuhlinzwa Komgogodla weBenzel. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 26.

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