I-sacrum yithambo emqolo we-pelvis, phantsi kwe-spine. I-sacrum iyithambo elinjengenhliziyo kwaye kwicala ngalinye lixhomekeke kumathambo angama-al-caca, ngasentla kwi-lumbar spine, nangaphantsi kwi-coccyx (tailbone). Amalungu adibanisa i-sacrum kumathambo e-alacac of pelvis abizwa ngokuba ngama-sacroiliac, okanye ama-SI.
Ukulimala kwi-sacrum akunqabile kwaye kaninzi kunokunyanzelwa.
Ngokukodwa kwindawo yokulimala kakhulu, ukulimala kwe-sacral kudla ngokubambisana kunye nokulimala kakhudlwana kwi-pelvis kunye / okanye esiswini.
Ezibuhlungu
Iingqungquthela ezibuhlungu ze-sacrum ziyakwenzeka ngokubambisana nezinye iintlobo ze-pelvic kunye ne-spinal fractures. Ezi nzakalo zenzeka ngokukhawuleza ngenxa yokulimala okukhulu kwamandla kubandakanya ukuqhuma kweemoto kunye nokuwa okukhulu. Phantse kwisiqingatha sezinto eziphazamisayo ze-sacral fractures zidibene nokulimala kwiimbilini eziphuma kwiindawo ezincinci zomgca wesipelini.
Ukuxinezeleka
Ukuphazamiseka kwengcinezelo ye- sacral kwenzeka kwizigulane ezincinci, ezikhutheleyo, eziqhelekileyo kubonakala kwiimgijimi ezide. Ezi nzakala zihlobene ngokusondeleyo kwi-sacral insufficiency fractures, kodwa ithambo ayisoloko i-osteoporotic. Kunokuba ithambo lingenasempilweni ngokwaneleyo, imisebenzi ilula kakhulu kwi-sacrum yokumelana, kunye neziphumo zokuphazamiseka kwengxaki.
Iimpawu zengcinezelo yokugxininiswa kwe-sacral ngokuqhelekileyo zibandakanya intlungu emva kwentlungu kunye nentlungu kunye nemisebenzi efana nokusebenza. Unyango kufuneka udibanise ukuphumla kwimisebenzi eyenza intlungu. Ngokuqhelekileyo, ngexesha lokuphumla, iimpawu ziya kulungisa. Ukuqalisa kwakhona kwemisebenzi kubalulekile ukukhusela ukuphindaphinda.
Ukungakwazi
I-Sacral engenakwanela i-fracture ivela kwizigulane ezigugile ezine- osteoporosis . Ezi nzakala zingabangelwa kukuwa okanye kungabangelwa yingozi ethile. Izigulane zivame ukukhalaza ngeempawu zentlungu ephantsi kunye nentlungu.
I-Sacral engakwazi ukuwahlula i-fractures ayinakubonwa ngama-x-ray rhoqo kodwa ibonakala ngokubanzi kwi-MRI okanye kwi-CT. Ukunyangwa kwe-sacral ukungakwazi ukuphulwa kweqhekeza ngokuqhelekileyo kukhululeka ngokuphazamiseka kunye nokuphumla kunye nezixhobo zobungqina bokuhamba njengomjeli okanye umhonkco.
Umthombo:
I-Mehta S, i-Auerbach JD, i-Born CT, i-Chin KR. "I-Sacral fractures" J Am Acad Orthop Surg. 2006 Nov; 14 (12): 656-65.