Abo baziyo malunga ne-sacroiliac kunye ne-SIDJ-ngokukodwa, abantu abasebenza kwindawo yonyango yeqhelekileyo - bahlala bejonga unyango le ngxaki "njengengxabano."
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I-Sacroiliac Joint TreatmentsEsinye isizathu sinokuthi ukufumana ukuxilongwa ngokuchanekileyo kunokuba nzima. Ngamanye amazwi, ingaba yinto efanelekileyo ukuvuma unyango - ingakumbi enye eyenza utshintsho olusigxina - xa ungaqinisekanga ukuba intlungu empeleni ivela kwi-SI? Esinye isizathu sinokuthi sihambelane nokungabikho kwezifundo ezenziwe ukuza kuthi zithandwe kunye neenkqubo ezisetyenziselwa ukwelapha i-SIDJ.
Akunjalo kuphela, kodwa oogqirha kunye nezigulane zabo ezihlangeneyo ze-SI ngamanye amaxesha ziphikisana nomnye umthombo wengxaki (ebizwa ngokuba yi "generator generator".) Abaninzi abaqeqeshi bezokwelapha bakholelwa ngokwenene ukuba akukho nto inokuthi inokuthi yenzeke kwi-SI kwaye akuyena umthombo weentlungu kwi-SIDJ. Kodwa ukuba uyaphazamisa amaqela aseburhulumenteni asebenzayo kunye nezigulane ezinikezelwe kwesi sihloko, uya kuba neqondo elinamandla lokujonga indawo eyahlukileyo.
Ukukunceda ukhethe izikhetho zakho ze-SI zokungasebenzi ngokubambisana, masihlole kwakhona unyango oluqhelekileyo olunikezwa oogqirha kunye nabagqirha.
Ekugqibeleni, ukhetho lwenyango aluvumelekanga. Ngo-2012, iSpiker, kunye. al., uqhube uphononongo lweengxelo ezishicilelwe kwiNgcaciso ye-Spine Care Care Journal. Uphononongo oluqhathaniswa nokuhlinzwa kwiijokelelo kunye nokuhlanganiswa kwe-SI yokudibanisa. Iqela likaSpiker lagqiba ukuba ezininzi zezifundo zaxela u-40% intlungu yesiphumo kungakhathaliseki unyango olwenziwe. Ngamanye amazwi, i-SI irhwaphulo iphuculwe ngokuzimeleyo kwimiba echanekileyo yezigulane ezenzekayo.
UZelle, kunye. ngokufunda kwabo "Ukungasebenzi ngokubambisana kwe-Sacroiliac: ukuvandlakanywa nokuphathwa," papashwe kwimiba ye- Clinical Journal of Pain ka -Sept-Okthoba 2005 efumene ukuba izigulane ezininzi ze-sacroiliac ziphendula ngokuzithengayo (oko kukuthi, ukungasebenzi).
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AmachizaNjengoko zininzi iintlobo zeengxaki zangemva , iTylenol inokucetyiswa kuwe ngugqirha wakho njengendawo yokuqala. Ukuba i-Tylenol engaphezu kwe-counter isingasebenzi ekunciphiseni ubuhlungu bakho obufanayo, buza ugqirha wakho malunga ne-anti-inflammatory efana ne-ibuprofen. Oko kwathiwa, ibuprofen iza nemiphumo emininzi enokubakho, kwaye ezinye zazo zinokuba zibi kakhulu okanye zibulale. Nceda qiniseka ukuba uyazi ukuba zeziphi iziphumo zecala, kwaye ukuba uxoxe ngazo kunye nogqirha wakho ngaphambi kokuba uthathe le nkunkuma. Kuyafana neTylenol, ingakumbi xa uphuza okanye unayo nayiphi na isifo sesibindi.
I-Tylenol kunye ne-ibuprofen ziza kumanani aphantsi kwifom ye-counter-counter, kwaye i-dose ephezulu kufuneka ugqirha wakho akunikezele.
Ukuthabatha imithi yesifo kudla ngokucetyiswa kunye nezinye iindlela zonyango ezifana neyonyango, ukuchithwa kunye / okanye ukuguqulwa komsebenzi. Akuyiyo yonyango - yilapho inokunceda ukunciphisa amanqanaba akho entlungu.
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Ulungiso lwenyamaNgelixa ugqirha wakho engakholelwa kwintsebenzo yokuhamba kwe-SI yakho, unokuthi ugqirha wakho wenyama unako.
Abagqirha bezobugcisa baqeqeshwa ukuba basebenze nezigulana ukulungiselela ukunyusa. Ukuze ufeze oko, uya kufumana inkqubo yovavanyo lwekhaya eya kukunceda uhlakulele amandla kwi-pelvis yakho, emacaleni, nangundoqo. Oku, kunokunceda ukuzinzisa ukuhlanganyela kwakho kwe-SI.
Ukuzivocavoca kwiprogram yakho yasekhaya inokukunceda ukuba uhlakulele ukulinganiswa kwemisipha. Ngenxa yokuba izilwanyana ze-SI zifumaneka ngaphesheya kwintlambo yakho, (kwi sacrum kunye namathambo omlenze) ukufumana amandla alinganayo kunye nokuguquguquka phakathi kwemisipha kwicala ngalinye lomzimba lingaba linye lezitshixo (kunye neyeza lonyango) ukuvumela ukudibanisa ukubuyela emva kokungqinelana kwendalo.
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Braces SacacAbantu abaninzi babika iziphumo ezilungileyo usebenzisa i-brace ukuze bancede ukuzinzisa ukudibanisa kwe-sacroiliac. Ngokukodwa, ibhande le-pelvic livame ukukhuthazwa oogqirha kwizigulane zabo.
Abaphandi balinganisela utshintsho kwimisipha kunye neminye imisebenzi ehambelana ne-sacroiliac kunye xa izigulane zimbethe ibhande le-pelvic. Baphetha ukuba iibhande ze-pelvic ziphucula umgangatho wobomi obunxulumene nempilo, kwaye i noxanduva lokunciphisa intlungu ye-SI. Ezinye zezinto eziphuculwayo zibandakanya umsebenzi wehla we-quadriceps (ngokukodwa-i-rectus femoris) kunye nokulungelelaniswa kwimeko yokuhamba emva kokuhamba. Abaphandi bacetyisa ukuba amabhande e-pelvic angathathwa njengengozi ephantsi, unyango oluchanekileyo lweentlungu ezihlangeneyo ze-SI.
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Uncedo lweNcwadiUnyango olusetyenziswayo - ukuphilisa ngezandla - lunye uhlobo lwenyango ye-sacroiliac edibeneyo. I-Chiropractic yinto eyaziwayo kakhulu, kodwa u-osteopathy, unyango lwezonyango, kunye nokunyanga ukunyanga ukuxilongwa, ziyakwazi ukukhetha.
Xa ufumana unyango olusisigxina kwi-physicist or osteopath, ugqirha unokutsala enye yemilenze yakho ukuze uncede ulungelelanise idibeneyo.
Ukuba ubona i-chiropractor ye-SI ehlangene nayo, unokuthi ulale ngecala lakho kunye neendolo zakho eziphambili kunye nomgca wakho ongaphantsi. Unako ukubeka ingcinezelo ngokukhawuleza kwi-sacrum bone ukuze uncede ubuyele endaweni. Ndenze le nto ngokuphindaphindiweyo, kwaye umboniso wam kukuba ukulungiswa akukwaneli ukufumana uncedo oluhlala ixesha elide. Oku kungenxa yokuba uxinzelelo lwemisipha kunye nobuthathaka luyinxalenye yenkinga; ngaphandle kwenkqubo yokuhamba kunye nenkqubo yokuzilolonga eyenzelwe ukuphuhlisa ingundoqo, amandla e-hip kunye namandla okubuya, kunye nokuguquguquka, amathambo e-SI kunye, kuya kuvela ngaphandle kwithuba emva kwekhefu lakho kwiofisi ye-chiropractor.
Ulwaphulo lwe-Massage lulunye uhlobo lwonyango olusesikweni. Kodwa ubuchule bokuxilisa ubuchwephesha abuqhubi kwi-bone setting. Njengoko ndiyibona, enkulu indima yabo ekuphulukiseni ukungasebenzi kwe-sacroiliac idibeneyo ijikeleza ngokukhulula ukuxhatshazwa kwemizimba engapheliyo engayigcina inxulunyaniso ngokuzimela ngokuzimela. Ukudibanisa kunganokwandisa uluhlu lwesigqibo ngokubanzi olwenza ukuba lusebenzise lula, lunandi kwaye luvelise ngakumbi.
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I-Sacroiliac Joint InjectionsUmjola kwintlangano yakho ye-sacroiliac ebuhlungu ingaba luncedo njengethuluzi lokuxilonga kunokuba unyango lwentlungu. Injection ngento esondeleyo yoogqirha kunye nabaphandi kufuneka babone ngokucacileyo ukuba iintlungu zivela kwi-SI.
Ixabiso le-injection ye-SI njengonyango alucaci. Spiker, kunye. ngo-2012, ngohlolo luka-2012 "Ukunyanga okuxhatshazwayo kunye nokunyangwa kwe-injection ye-injection-incordable syroac joint pain," epapashwe ngoNovemba ka-2012 ka- Evidence-based Based Spine Care Journal , iphetha ngokuthi nangona iilito kunye nokuhlinzwa kunokunceda izigulane zinciphise iintlungu, ezisekelwe kwizifundo ezenziwe ngoku kude, abanakukuxelela ukuba zeziphi unyango zisebenza kangcono kunabanye.
Oku kuyilusizi kuba xa uzama ukufumanisa ukuba ukudibanisa isigxina sakho se-SI kuya kuba yindlela ekhethekileyo yokubuyisela umgangatho wakho wobomi bokuqala, loo ngcaciso ingafumaneka ngokufanelekileyo.
Ukuhlaziywa kwe-2012 kweengxelo ezenziwe nguHansen, kunye. al., kwaye yanyatheliswa kwi- Pain Physician ibonwe ukuba intraarticular (intsingiselo yangaphakathi) i-sacroiliac injections kunye ne-steroids ayinakuphumelela ekunciphiseni ubuhlungu ngexesha elifutshane okanye elide.
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IDadioofrequency DenptionNjengoko igama lithetha, ukuchithwa kwe-radiofrequency yinkqubo esebenzisa i-radiofrequency ukukhubaza i-nerve eyenza intlungu ibe yintlangano yakho ye-sacroiliac. Ukukhankanya ubungqina obuthathaka, ukuhlaziywa okukhankanywe kwisilayidi esidlulileyo, okwenziwa nguHansen, et. al. ngo-2012 kwaye yapapashwa kwi- Journal of Pain Researc h, yafumanisa ukuba ukuchithwa kwee-radiofrequency eziqhelekileyo kwakungenako ukuphucula intlungu ye-sacroiliac.
Kodwa ngoSeptemba 2015, uhlobo olutsha lokubonakaliswa kwe-radiofrequency ngoku kwimeko. Kubizwa ngokuba yi-radiofrequency. Ukwahlukana kukuba i-radiofrequency ecolile ikhulisa isilonda ngaphambi kokukhubaza intshontsho. (Iiprojekti kumatshini zikhohliwe ngaphakathi.) Ubukhulu bezilonda zesilonda bwandisa ithuba lokumelana ngokupheleleyo kunye kunye nokunciphisa yonke intlungu.
Ukuhlaziywa okukhankanywe ngentla kufumaneke iqondo elifanelekileyo lokusebenza kwe-radiofrequency ekhuhlileyo, xa kuthelekiswa nokusebenza kakuhle kwezinto eziqhelekileyo ezinxulumene neentlobo eziqhelekileyo.
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I-Sacroiliac Fusion okanye i-ArthrodesisIgama elithi arthrodesis libhekisela ekungagcinweni-ngokusetyenziswa ngophando - ngokubambisana. Kule meko, ibhekisela ekuhlanganiseni ukuhlanganiswa kwe-sacroiliac. Ngokomlando, ukuhlinzwa kwintsebenziswano ye-SI kuye kwinkimbinkimbi kakhulu, kunye neziphumo ezimbi kunye namazinga aphezulu enkcazo. Izigulane ezininzi zidinga utyando olongezelelweyo olunxulumene ne-SI fusion.
Kodwa nangona utyando olusenyakatho lwangaphantsi, ukuba ne-SI fusion kungasenza isigqibo esinzima. Isizathu sibuyela kwinkqubo yokuxilongwa.
"Ubunzima bubona ukuba yi -joint sacroiliac," kusho uCarter Beck, MD. U-Beck ungumgqirha wase-Montana oye wavelisa inkqubo encinci ye-invasive yokufakela idibaniselwano ye-SI, ngokutsho kwakhe, kulula kumguli, ukhuselekileyo kwaye uyasebenza. UDkt. Beck uxwayisa ababini nezigulane ukuba baqiniseke ukuba intlungu ivela kwi-SI, kwaye ingekho kwenye indawo yomgudu.
Nangona inkqubo entsha ye-Beck izandile ithembisa, uphando lwezokwelapha alukwazi ukuphendula yonke imibuzo malunga nokukhusela, ukuphumelela kunye nohlobo lwesigulane oza kulungeleka ngokunyanzeliswayo.
> Imithombo:
> Dreyfuss P1, Dreyer SJ, Cole A, intlungu kaMayo K. Sacroiliac. J Am Acad Orthop Surgery. 2004 Julayi-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. Uvavanyo oluchanekileyo lwendlela yokwelapha yokwenziwa kwamanyathelo okuhlanganyelwa kwe-sacroiliac. Ugqirha wezinhlungu. 2012 ngoMeyi-Juni; 15 (3): E247-78. http://www.ncbi.nlm.nih.gov/pubmed/22622913
> Kok-Yuen Ho, Mohamed Abdul Hadi, Koravee Pasutharnchat, kunye no-Kian-Hian Tan. Ukuchithwa kwe-radiofrequency ukuchithwa kwonyango lwe-sacroiliac intlungu edibeneyo: iminyaka emibili iphuma kwiziganeko ezingama-20. J Pain Res. 2013; 6: 505-511. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706381
> Odette Soisson, uJuliane Lube, > Andresa > Germano, Karl-Heinz Hammer, uChristoph Josten, uFreddy Sichting, uWillk Winkler, uTombert L. Milani kunye neNiels Hammer. UFrançois Hug (uMhleli wezeMfundo.) Iimpembelelo zeBelvic kwi-Morphometry yamaPelvic, Umsebenzi weMisipha kunye nokuLungiswa koBulunga kwizigulane kunye ne-Sacroiliac Joint Dysfunction. PLoS One. 2015; 10 (3): e0116739. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/
> Shaffrey, C., Smith, JS Ukuzinza kwe-joint sacroiliac. Neurosurg Focus. 2013 Jul; 35 (2 Suppl) >: Ukuhlela >. > iphoni >: 10.3171 / 2013.V2.FOCUS13273. http://www.ncbi.nlm.nih.gov/pubmed/23829837
> UWilliam Ryan Spiker, uBrandon D. Lawrence, uAnnie L. Raich, uAndrea C. Skelly noDarrel S. Brodke. Unyango olwenziwe ngokugqithisileyo nolwenyango lwe-injection-oluqinisekisiweyo lwentlungu ehlanganisiweyo ye-sacroiliac. Evid Based Based Spine Care J. 2012 Nov; 3 (4): 41-53. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/
> Zelle BA1, GS Gruen, Brown Brown, George S. Sacroiliac kunye nokusebenza kakubi: ukuhlola nokuphathwa. Iiklinikhi J Pain. 2005 Sep-Oct; 21 (5): 446-55. http://www.ncbi.nlm.nih.gov/pubmed/16093751