Isimboli sokuqala se-Ankylosing Spondylitis
I-Sacroiliitis, ukuvuvukala kumalungu e-sacroiliac, sisisifo esibalulekileyo seendlela ezininzi ze-arthritis evuthayo kwaye ngokuqhelekileyo okokuqala kukuziwayo kwezi zifo.
I-Osteoarthritis (cinga ukugqithisa kunye nokuqhaqhazela, kunokuba ukuvuvukala, kumalungu,) ukuxhatshazwa, ukuchithwa kwangaphambili, kunye neminye imiba engummiselo yimiqathango engabangela intlungu ye-sacroiliac.
I-Sacroiliitis ibangela intlungu kwindawo enye, kodwa ngendlela eyahlukileyo.
Intlungu enxulumene ne-sacroiliitis, kunye neenguqu ezidibeneyo ezingabonwa kwi-MRI zihlobene ne-arthritis engapheliyo emthonjeni . Unokucinga ngombahluko phakathi kwe-sacroiliitis kunye neengxaki ezicwangcisiweyo ngale ndlela: I-Sacroiliitis ivela kwinkqubo yangaphakathi eyenziwa ngabanye abantu kunye nabanye; Iimbangela ze-SI zintlungu ezihlangeneyo zibangelwa yimibutho yangaphandle kunye / okanye ye-biomechanical enokuchaphazela indawo.
I-arthritis isifo esiyingozi esingapheliyo ibizwa ngokuba yi-spondylitis. Njengophawu lweklinikhi, i-sacroiliitis inendima enkulu ekufumaneni i-spondylitis.
Iimpawu
I-Sacroiliitis idla ngokuba yintlungu ephantsi kumqolo okanye amanqabana aphucula umsebenzi. Ingasenokuchaphazela yonke indawo yesiphelo sakho esingaphantsi ukusuka kwindawo ye-groin (s), yonke indlela ukuya ezinyaweni zakho.
Ubuhlungu obuvela kwi-sacroiliitis buya kuba bubi kakhulu ebusuku okanye kusasa, kwaye lukhuni ngokuma, ngokunjalo.
Intlungu edibeneyo inokuthi ibe yimbi ngakumbi xa unesisindo esingaphezulu komlenze owodwa kunomnye. Ukunyuka kwezitepsi, ukuhamba ngeendima ezinkulu, kunye nokusebenza nezinye izinto ezithwala ubunzima obangela ukuba intlungu ibe nzima.
Iimpawu ze-sacroiliitis zivame ukuvela ekuqaleni kwe- spondylitis (AS,) njengobungqina balo kwi-MRI.
Ukuba unentlungu kunye kunye ne-SI kunye kunye / okanye i-MRI yakho ibonisa iintlobo ezithile zeenguqu ezidibeneyo, oku kungachaza ukuba kutheni amajoyina akho e-sacroiliac ithenda (ukuba, ngokwenene unayo AS).
Qaphela ukuba i-AS iyona hlobo oluqhelekileyo lwe-spondylitis, kodwa i-arthritis engapheliyo i-inflammatory ithatha nezinye iifom. Ngamanye amaxesha i-sacroiliitis iphakathi kweempawu kwezinye iifomu kwaye ngamanye amaxesha ayinjalo.
Ukuxilongwa
Ukufumana i-sacroiliitis, ugqirha wakho unokuyalela i-x-ray, i- MRI okanye i- CT . Unokuphinde ulayishe iimvavanyo zebhanki ukuze afumene ukuba usulelo luyimbangela. I- x-ray ibonisa oko kwenzekayo emathanjeni akho, okwenza kube yinto efanelekileyo yokulandela utshintsho kwi-pelvic yakho kunye namathambo omgulane njengoko eso sifo siqhubeka.
Kwiminyaka emininzi, i-x-ray yayisisigxina kuphela sokuvavanya esetyenziselwa ukuxilonga i-sacroiliitis (kunye ne-spondylitis). Kodwa ingxaki ngokusebenzisa i-x-ray, nokuba kunjalo, kuthatha ixesha elide (iminyaka) ubungqina bemo ukuba bubonwe.
Ngoku kutshanje, izakhono ze-MRI ziye zaphuhliswa kwaze kwaba ngolu hlobo apho zingaba luncedo kwinkqubo yokuxilonga. Ezi zixhobo zivumela oogqirha ukuba babone ukuvuvukala okusebenzayo okubangela ukutshintsha kwethambo (emva koko kuthathwa ngama-ray-ray.) Ngenxa yesi sizathu, ukusetyenziswa kwe-MRI, kwimeko ethile, ikhupha kakhulu ixesha elithatha ukuba izigulane zifumane ukuxilongwa ngokuchanekileyo kweentlungu zabo ezihlangeneyo ze-SI.
Ukuba ekuqaleni ugqirha ugxeka i-spondylitis, unokuyalela ukuba i-MRI yenziwe ngamacandelo akhethekileyo okubizwa ngokuba yi-short tau inversion recovery (STIR). Olunye uhlobo oluqhelekileyo lwe-MRI ye-sacroiliitis yi-gadolinium T1 MRI. Ukuba unayo i-gadolinium test, uzakufuna ukufaka ijoyi yerayisi.
I-CT scan ingaba luncedo ekufumaneni i-spondylitis. Kodwa, ii-MRIs ezikhethekileyo zihlala zibonisa ukuba luncedo kakhulu kuzo zonke izikhetho zokucinga.
Unyango
Injongo ephambili yokunyanga kwe-sacroiliitis, kunye ne-axial sponylitis (ye-sacroiliitis yinto enye), kukukunceda ukuphucula umgangatho wobomi obunaphakade ngokulawula ukuvutha kunye neempawu ezibangelwayo.
Kungadinga indlela ephakathi kwezifundo ezahlukeneyo, kunye ne-rheumatologist yakho njengonxibelelwano oyintloko.
Kwinkqubo yokufezekisa oku, uya kufumana ukukwazi ukwenza imisebenzi yakho yemihla ngemihla, kunye nokuthatha inxaxheba kuluntu, kuphucula. Esinye isiphumo esibalulekileyo sonyango sithintela umonakalo okwakhiwa kwintsebenzo.
Kuzo ziphelo, ugqirha wakho unokunikezela ngamachiza , ukuxuba, ukuxuba ama- injection , i- corticosteroid injections , i-DMARD okanye i-TNF-alpha blockers, kunye neyeza zonyango. Ngonyango lwangokwenyama, uya kufumana inkqubo yohambo olulungele ngqo kuwe olubandakanya ukunweba, ukuqiniswa kunye nokuzilolonga. Ugqirha wakho angaphinda akhombise iinkqubo ezinjenge-radiofrequency denence okanye ukuvuselela ugesi ukulawula intlungu. Ukuphandabuza akunqabile.
> Imithombo:
> Bollow M, Braun J, Hamm B., Sacroiliitis: uphawu olubalulekileyo lwe-spondyloarthropathies. 1. Iinkalo zekliniki. Rofo. 1997 Feb; 166 (2): 95-100.
> Elyan, M. MD, Asim Khan, M., MD. I-Spondyloarthropathies: Ukuhlaziywa kwi-Diagnosis kunye noTyirha. UBM Medica. Inethiwekhi yeMisculoskeletal.
> Sacroiliitis. I-CHORUS Hypertext Hypertext of Radiology. Kugcine ukuhlaziywa: 1 Septemba 2006.
> van der Heijde, D., ukuhlaziywa kwe-2016 yeengcebiso ze-ASAS-EULAR zokulawula i-spacyloarthritis ye-axial. Iziganeko zeeRheumatic Diseases. Jan. 2017. http://ard.bmj.com/content/early/2017/01/13/annrheumdis-2016-210770