Ukuvuvukala okusebenzayo kwamalungu e-sacroiliac yinto ebalulekileyo ye sacroiliitis kunye ne-spondylitis, ezo zihlobo ze-arthritis evuthayo ezichaphazela umlenze.
Kungathatha iminyaka emininzi ukususela xa uqala ukuphawula iimpawu xa ugqiba ukufumanisa i-spondylitis. Ubude obude besikhathi beminyaka engama-7-8.
Ngoba?
Okokuqala, kubalulekile ukubona ingcali ezifana ne-rheumatologist ngokukhawuleza xa unako xa unempawu zokuvuvukala. I-Rheumatologists iqeqeshelwa ukufumana, ukuxilonga kunye nokuphatha olu hlobo lwesantlungu.
Okwesibini, ezininzi iintlobo zononophelo zonyango, ngokukodwa oogqirha bokunakekelwa kweprayimari, umzabalazo wokubona ubuhlungu obuya kubuhlungu. Oku kubaluleke kakhulu xa kuziwa ukuluhlula kwiintlungu zomva.
Enye into eyenza ukufumanisa i-arthritis ekuvukeleni kunzima kukuba kuthatha ixesha elide ukutshintshwa kwintetho kwi-sacroiliac ngokudibanisa ukubonisa kwi-ray-ray. Ngenhlanhla, iteknoloji entsha ye-MRI yenza kube lula ukubona. Enyanisweni, i-MRIs iyakwazi ukubona iintlobo ezi-4 zokuvuvukala okusebenzayo ezinokuthi zibe khona kwi-spondylitis. Ngezantsi zichazwe.
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EnthesitisI-enthesitis ukuvuvukala kwezicubu ezithambileyo (i-muscle, ligament okanye ithethon) apho ifaka khona ithambo. Inxulumene ne-arthritis kwaye enye yeyona nto impawu eziphambili ze-spondyloarthritis (i-arthritis echaphazela umgudu.)
Oko kwathiwa, i-enthesitis ivakalelwa kwizithende ngamanye amaxesha ngamadolo, nangona ingaholela ekuvupheni nasekunyameni kumzimba ophezulu kunye / okanye i-pelvis, ngokunjalo. I-inthesitis ihambelana nokusabalalisa i-idiopathic skeletal hyperostosis (igama elithi DISH) igama eliyimeko enxulumene nokuguga apho iigin ligamente zilukhuni. Kungenzeka kwakhona kunye nezifo ezifana ne-systemic lupus erythematous okanye i-sarcoidosis.
I-enthesitis ibangela ukuba indawo echaphazelekayo yesikhumba esithambileyo ibe yi-ropey (ebizwa ngokuba yi-fibrosis) kunye / okanye eqinile (ebizwa ngokuba yi-calcification okanye i-ossification). Kungaba nzima kakhulu; Intlungu iyenzeka ikakhulu xa usebenzisa izihlunu zakho kwaye zitsho amathambo akho.
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OsteitisI-Osteitis kukuvuvukala kweethambo ezibangelwa usulelo, ukuguqulwa kwesifo okanye ukuphazamiseka. I-Osteitis iphumela kwi-edema, okanye ukuvuvukala, kwintsipho yesithambo esondeleyo. I-Osteitis inxulumene ne- spondylitis engavumelaniyo .
Iimpawu ze-osteitis ziquka zifana naluphi na uhlobo lokuvuvukala kwaye zibandakanya intlungu, kwaye ngokuphindaphindiweyo kubomvu nokuvuvukala kwesikhumba.
Xa uthetha nge-sacroiliitis kunye ne-spondyloarthritis kunokubaluleka ukuba uqaphele ukuba, okokuqala, iimpawu ze-osteitis kwi-MRI mhlawumbi zibonisa ngokucacileyo ukuba unalo utshintsho lwebony, kwaye okwesibini, kukho inqanaba lokuqala le-osteitis kunye nexesha lokugqibela le-osteitis.
Iimpawu ze-osteitis kumalungu e-sacroiliac ahluke kakhulu kwinqanaba ngalinye. Ewe, kubalulekile ukubamba iimpawu ekuqaleni ukwenzela ukuba unike unyango lwakho ithuba elihle lokusebenzela wena kwaye kukunceda ukulawula intlungu kunye / okanye ukhubazeko.
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CapsulitisI-Capsulitis ukuvuvukala nayiphi na i-capsule yama-anatomiki. Emzimbeni, i-capsule yama-anatomiki isakhiwo, esenziwe ngokubanzi ngamathambo enesibindi, esivala inxalenye okanye inxalenye. Ngokomzekelo, amajoyina amacandelo emva komqolo wamagqabi afakwe kwiifomsula ezibizwa ngokufanelekileyo njengeefowuni ezihlangeneyo . Mhlawumbi ifomu eyaziwayo kakhulu ye-capsulitis yintambo ye-capsulitis, okanye i-shoulder frozen, kodwa emgodleni, amaqumrhu amacandelo achaphazeleka kakhulu kule fomu yokuvuvukala.
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SynovitisI-Synovitis ukuvuvukala nawuphi na umlenze we synovial we-joint. I-Synovial membranes line line-capsules, kunye ne-synovial fluid ukuze unondle i-cartilage kwaye igcobe idibeneyo.
I-Synovitis iyaqheleka kwi-arthritis. Iimpawu zingabandakanya intlungu xa uhambisa inxalenye ethintekileyo kunye nokuvuvukala. Ukuba unesi-synovitis, ugqirha wakho unokucebisa okanye acele i-NSAID ukulawula ukuvuvukala nentlungu.