Sacroiliitis - ndichiyani? Sacroiliitis: zizindikiro zimayambitsa, chithandizo

Back ululu - chodabwitsa osati osangalatsa kwambiri, ndipo nthawi zina zowopsa. Nthawi zambiri kusapeza uyu anakumana ndi osati okalamba, komanso aang'ono. Pamene ululu kumbuyo m'munsi akhoza matenda sacroiliitis. Ndi chiyani icho? Chotero anaitana kugonjetsedwa sacroiliac zimfundo ndi kutupa mu izo.

Kapangidwe ka sacroiliac olowa

olowa Ichi ndi pa mphambano za mafupa a chiuno ndi msana anthu. Motero iwo amakhala katundu wolemera kwambiriyo, mmene onse apeza malo amodzi. Sacroiliac olowa zikuphatikizapo sacral fupa, iliac, olowa kapisozi ndi Mitsemphayi. Ndi dongosolo lino amapereka mphamvu zoyenera ndi zoyendayenda, amene amagwira ntchito yofunika kwambiri mu zodabwitsa cushioning zimene zimachitika pamene ikuyenda. Kumbuyo ndi interosseous mitsempha winanso wosonyeza sacroiliac olowa. Tikumbukenso ndi gulu lina la Mitsemphayi kuti kugwirizana mafupa a chiuno kwa msana: ndi sacro-bugornaya, sacrospinous, iliopsoas. Mwachindunji sali limodzi koma sacroiliitis (chimene tatchulazi) kawirikawiri zimakhudza Mitsemphayi izi.

mitundu ya matenda

Timauza wa yatsoka ndi zinthu zingapo zochititsa khalidwe amatha kusiyanitsa matenda amenewa mitundu. The oyamba - ndi purulent sacroiliitis. Amatchedwanso si yeniyeni. Kusiyanitsa sacroiliitis ndi exacerbations, pachimake ndi subacute. Ngati matenda unachokera mwachindunji mu olowa, akhoza kukhala sacroiliitis amgwirizano. Ndi chikhalidwe wokongola oopsa. Amasonkhana yambiri mafinya, amene angalowe mu ngalande vertebral kapena M'mimbamo ena. Mtundu yotsatira ya matenda - ndi matenda-matupi awo sagwirizana sacroiliitis. Ndi chiyani icho? kutupa otere limodzi ndi matenda autoimmune. mtundu umodzi wokha wa sacroiliitis ndi sekondale ku diagnoses monga chindoko, TB. gulu lina zikuphatikizapo limanena kuti si a matenda chiyambi.

digiri ya sacroiliitis

Gawo loyamba la matenda yodziwika ndi mawonekedwe wofatsa zizindikiro matenda. ululu anasonyeza pang'ono, kawirikawiri zimachitika kusapeza mu m'munsi kumbuyo. Nthawi zina kusamva anamva mu Achilles tendon m'deralo. Mu ndime yachiwiri atuluka ululu kwa matako ndi ntchafu. olowa sayenda penapake zochepa, zambiri kupindika zoni lumbar. Nthawi zambiri, zinthu izi ndi khalidwe la chikhalidwe monga sacroiliitis amgwirizano. Ngati iliac fupa ndi sacrum kwambiri kuponderezedwa kayendedwe, osauka sciatica, pali omangana minofu, ndiye ife tikhoza kulankhula za gawo lachitatu la matenda.

Zimayambitsa waukulu sacroiliitis

The yotupa ndondomeko mu olowa angayambe pamene nambala ya zinthu. akatundu olemera - woyamba. Izi zingaoneke woyembekezera, onyamula zinthu zolemera, ntchito amangokhala. mikwingwirima yosiyanasiyana ndi kuvulala amathanso hule chitukuko cha matenda. Komanso sacroiliitis amapezeka mu kukhalapo kwa matenda opatsirana (chifuwa chachikulu, brucellosis). Pankhaniyi, iye akhoza kukhala ndi mtundu aakulu. matenda olowa bwino zimayamba ndi magulu ena mabakiteriya. Iwo akhoza kulowa M'mimbamo kwa mtsinje wa magazi, monga kupezeka kwa pachilonda ndi fupa lothyoka anapeza tizilombo pa sing'anga ozungulira pamwamba pake. Infection n'zotheka kwa oyandikana matenda fupa sacrum, mafupa a chiuno. Chifukwa china chitukuko cha sacroiliitis - neoplastic ndondomeko.

The matenda chithunzi cha sacroiliitis matenda

Zizindikiro za matenda imagwira kwambiri. Komabe, woyamba ndi mkulu pakati pawo - Timatha cha ululu m'munsi kumbuyo. Dziwani kuti nthawi zambiri kusapeza anamuona pa mfundo zotumphukira. Ngati inu akanikizire m'chigawo cha kutanthauzira ululu, izo zizingowonjezereka. Tidzapeze ndi kuwonongeka kwa motalika mu ubwenzi kapena kukhala pansi, pamene anawoloka miyendo ndi atigwira. Pali milandu pamene ululu amapereka ku matako dera ntchafu. Komanso sacroiliitis zizindikiro mwina ndi: kutopa, wofatsa (otsika kalasi) kutentha. Pali zizindikiro zina za matendawa. Nthawi zambiri ndondomeko yotupa zimakhudza mfundo oyandikana ndi Mitsemphayi. Nthawi zambiri amavutika ndi maso. Masomphenya chatsitsa ndinasintha, chifunga, maso madzi angaoneke kukhala womvera. N'zochititsa chidwi kuti ambiri anakhudzidwa chiwalo chimodzi pamaso. Mukhozanso kusunga kudwala a dongosolo mtima: kupuma ndi zovuta, n'zotheka arrhythmia. Sacroiliitis kawirikawiri zimabweretsa kulephera m'mapapo.

matenda opatsirana olowa

Kwambiri omveka matenda chithunzi ali purulent sacroiliitis. Kodi izo ndi zimene ali mbali yaikulu? Choyamba yogwira yotupa ndondomeko amayambitsa kupweteka lakuthwa mu olowa. Iwo kumatheka ndi zovuta kapena kuchita kayendedwe iliyonse. Thupi kutentha ndi chinawonjezeka (kwa 38 ° C). Izi ntchito ndi maselo bakiteriya, amene kuchulukana mu malo ya sacroiliac olowa. Mukhozanso penyani abscesses ku matako a. Iwo amaoneka chifukwa kudzikundikira mafinya kuti akhoza kutuluka ndi kuyenderera mu minofu ozungulira. tizilombo kwambiri zimayambitsa ndi zizindikiro za kuledzera monga mutu, amaika thukuta, kupweteka m'malo olumikizirana mafupa, kutentha thupi. Komabe, TB (ndi brucellosis) musataye ngati yowala chithunzi matenda: ululu si anasonyeza, kutentha thupi limatuluka pang'ono.

Kodi matenda sacroiliitis

Mu chochitika mwa zizindikiro zazikulu (ululu m'dera m'munsi kumbuyo) makamaka ndikofunikira kuti akonze kwa zamafupa-traumatologist. Ndikatha kumfunsafunsa, amawaika angapo kufufuza ndipo amatsogolera pa X-ray bwino. Ndi izo, inu mukhoza kuwona contours chisindikizo fupa, osasamba ndipo amaona ya olowa, pamaso pa erosions, malo olowa kuchepetsa. Nthawi zambiri ntchito chapamwamba kwambiri. Izi zimathandiza udzakhalire zotupa yotupa, kuona kusintha chotupa cha. Pofuna kudziwa ntchito za ndondomeko yotupa, kuchita mayeso magazi. Nthawi zambiri, maselo oyera kuchuluka nthawi 2 kapena zambiri, ndalama erythrocyte sedimentation amadziwikanso kuchuluka (wachiwiri ndi wachitatu digiri ya matenda).

sacroiliitis chithandizo

Chithandizo cha matenda umalimbana kuchotsa zoyambitsazo. Ngati sacroiliitis chikwiyire TB, zinandipangitsa chithandizo cha matenda chachikulu. Zoikidwa ndi wapadera mankhwala odana ndi bakiteriya, zomwe kuchita tizilombo toyambitsa matenda. Komanso, mankhwala osokoneza bongo ndi kuchotsedwa ndi yotupa ululu. Kubwezeretsa olowa sayenda zolimbitsa zothandiza kwambiri. dokotala anu mwina mankhwala zolimbitsa thupi mankhwala, njira ya kutikita, paraffin mankhwala electrophoresis. Pamaso pa purulent formations angafunike opaleshoni.

Ankylosing spondylitis. chithandizo

Matendawa amatha chidwi ndi msana ndi sacroiliac mafupa. Monga ulamuliro, ali Inde aakulu. Pakuti ankylosing spondylitis amakhala ndi zizindikiro chotero: zazing'ono kupweteka msana (pa siteji oyambirira), stiffness pambuyo zokagona. Monga sacroiliitis madigiri 2, matenda kenako amayamba kupeza zizindikiro kwambiri: ululu mu thako, m'chiuno, pansi mwendo. Zizindikiro zokhudza zonse monga kuchuluka kutopa, kutuluka thukuta, iritis. Chifukwa chenicheni cha matenda si okhazikika. Akukhulupirira kuti udindo ndithu ankaimba ndi zinthu zachilengedwe. Ankylosing spondylitis limabweretsa matenda autoimmune (ie, ndi chitetezo kuukira anthu thupi mwini zimakhala, kuchititsa kugonjetsedwa awo). Matendawa imagwiridwa ndi X-ray bwinobwino mayesero choyezera, mtima ziyenera. Ankylosing spondylitis mankhwala motere: kulandira mankhwala odana ndi yotupa, thupi.