Sacroiliac marwadzo akabatana - mushure mekuchengetwa

Mubatanidzwa we sacroiliac (SIJ) izwi rinoshandiswa kutsanangura nzvimbo inobatana iyo sacrum nemapfupa ariac.

• Iyo sacrum iri pazasi pemuzongoza wako. Iyo inoumbwa ne5 vertebrae, kana backbones, ayo akabatanidzwa pamwechete.
• Aya mapfupa ariac ndiwo mapfupa mahombe maviri anogadzira chiuno chako. Iyo sacrum inogara pakati pemapfupa ariac.

Chinangwa chikuru cheSIJ ndechekubatanidza musana uye pelvis. Nekuda kweizvozvo, pane kufamba kushoma pane ino mubatanidzwa.

Zvikonzero zvikuru zvekutambudzika kwakapoteredza SIJ zvinosanganisira:

• Kubata. Chiuno chinokura kugadzirira kuberekwa, kutambanudza mitsipa (yakasimba, inochinja nyama inobatanidza bone ne bhonzo).
• Mhando dzakasiyana dzeArthritis.
• Musiyano muhurefu hwemakumbo.
• Kupfeka kure necartilage (cushion) pakati pemapfupa.
• Kushungurudzika kubva mukukanganisa, sekumhara zvakaoma kumatako.
• Nhoroondo yekutyoka kwepelvic kana kukuvara.
• Kuomesa tsandanyama.

Kunyange zvazvo kurwadziwa kweSIJ kunogona kukonzerwa nekushungurudzika, rudzi urwu rwekukuvara runowanzoitika kwenguva yakareba.

Zviratidzo zveSIJ kusagadzikana zvinosanganisira:

• Marwadzo muzasi kumashure, kazhinji chete kune rumwe rutivi
• Kurwadziwa muhudyu
• Kusagadzikana nekukotama kana kumira mushure mekugara kwenguva refu
• Kuvandudza kurwadziwa kana kurara pasi

Kuti ubatsire kuongorora dambudziko reSJJ, mutapi wako wehutano anogona kutamisa makumbo ako nehudyu kutenderera munzvimbo dzakasiyana. Iwe unogona zvakare kuda kuve ne-x-ray kana CT scan.

Wako mupi anogona kukurudzira aya matanho kwemazuva mashoma ekutanga kana vhiki mushure mekukuvara kwako kana kana uchitanga kurapwa kwekutambudzika kweSIJ:

• Zorora. Chengetedza chiitiko kune chidiki uye mira kufamba kana chiitiko chinowedzera kurwadziwa.
• Ice chando chako chepazasi kana chepamusoro matako kwemaminitsi makumi maviri 2 kusvika katatu pazuva. Usashandise chando chakanangana neganda.
• Shandisa pombi yekupisa pane yakadzika marongero kubatsira kubatsira kusunungura mhasuru dzakasimba uye kubvisa kusuruvara.
• Massage mhasuru muzasi musana, magaro, uye chidya.
• Tora mishonga inorwadza sekurairwa.

Mukurwadziwa, unogona kushandisa ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kana acetaminophen (Tylenol). Unogona kutenga mishonga iyi muchitoro pasina mushonga.

• Taura nemupi wako usati washandisa iyi mishonga kana uine chirwere chemwoyo, kuwedzerwa kweropa, chirwere cheitsvo, kana kunge uine maronda emudumbu kana kubuda mukati mukati munguva yakapfuura.
• Usatore zvinopfuura huwandu hwakakurudzirwa pabhodhoro kana nemupi wako.

Kana iri dambudziko risingaperi, mupi wako anogona kupa jekiseni kubatsira kurwadziwa uye kuzvimba. Iyo jekiseni inogona kudzokororwa nekufamba kwenguva kana zvichidikanwa.

Chengetedza chiitiko kushoma. Iyo yakawanda nguva iyo kukuvara kune zororo, zvirinani. Kuti uwane rutsigiro panguva yechiitiko, unogona kushandisa bhanhire re sacroiliac kana lumbar brace.

Kurapa kwepanyama chikamu chakakosha chegadziriro. Ichabatsira kubvisa marwadzo uye kuwedzera simba. Taura nachiremba wako kana chiremba wepanyama wezviitwa zvekudzidzira.

Heino muenzaniso wekurovedza muviri wezasi kwako kumashure:

• Rara wakarara kumusana nemabvi ako akakotama uye tsoka dzakatsetseka pasi.
• Zvishoma nezvishoma, tanga kutenderera mabvi ako kurudyi rwemuviri wako. Mira kana iwe uchinzwa kurwadziwa kana kusagadzikana.
• Zvishoma nezvishoma tenderera kumashure uchienda kuruboshwe rwemuviri wako kusvikira iwe uchinzwa kurwadziwa.
• Zorora munzvimbo yekutanga.
• Dzokorora kagumi.

Nzira yakanakisa yekubvisa marwadzo eSIJ ndeyekuomerera kuchirongwa chekutarisira. Paunonyanya kuzorora, kuita chando, uye kuita maekisesaizi, anokurumidza zviratidzo zvako zvinozovandudza kana kukuvara kwako kuchapora.

Wako mupi angangoda kuteedzera kana marwadzo asiri kuenda sezvaitarisirwa. Ungangoda:

• X-rays kana imaging bvunzo senge CT kana MRI
• Kuongororwa kweropa kubatsira kuongorora chinokonzera

Fonera mupiki wako kana iwe uine chero chinotevera:

• Kamwe kamwe chiveve kana kugwinha muzasi yako kumashure uye chiuno
• Kushaya simba kana chiveve mumakumbo ako
• Une matambudziko ekudzora ura hwako kana dundira
• Kamwe kamwe-kamwe kuwedzera mukurwadziwa kana kusagadzikana
• Inononoka kupfuura kutarisirwa kupora
• Kupindwa nechando

SIJ kurwadziwa - aftercare; SIJ kusagadzikana - aftercare; Kushungurudzika kweSIJ - aftercare; SIJ subluxation - mushure mekutarisirwa; SIJ chirwere - aftercare; SI yakabatana - aftercare

Cohen SP, Chen Y, Neufeld NJ. Sacroiliac marwadzo akabatana: yakazara kuongororwa kweepidemiology, kuongororwa uye kurapwa. Nyanzvi Rev Neurother. 2013; 13 (1): 99-116. PMID: 23253394 www.ncbi.nlm.nih.gov/pubmed/23253394.

Isaac Z, Brassil INI. Sacroiliac mubatanidzwa kusagadzikana. Mune: Frontera WR, Sirivha JK, Rizzo TD, eds. Zvakakosha zvePhysical Medicine uye Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: chits. 51.

Placide R, Mazanec DJ. Masqueraders ehutano hwepelinha. Mune: Steinmetz MP, Benzel EC, eds. Benzel's Spine Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 26.

• Kudzoka Pain