I-Sacroiliac Joint Surgery: Ikliniki yangasemva

Umsebenzi wamalungu e-SI kukuvumela ukunyakaza kwe-torsional okanye ukujija xa uhambisa imilenze esebenza njengama-levers. Ngaphandle kwamalungu e-sacroiliac kunye ne i-pubic symphysis ngaphambili kwi-pelvis, evumela ezi ntshukumo zichanekileyo, i-pelvis iya kuba kumngcipheko ophezulu wokuphuka. Amalungu e-sacroiliac ahambisa ubunzima bomzimba kunye nawo onke amandla omzimba phantsi kwe-sacrum ukuya ezinqeni nasemilenzeni. Abantu, ngakumbi iimbaleki ezinentlungu kumqolo ongezantsi, isinqe, igroin, okanye umlenze, banokuba nengxaki Ukungasebenzi kakuhle kwe-SIJ/sacroiliac joint. Ugqirha okanye ugqirha unokucebisa utyando oludibeneyo lwe-sacroiliac ukungasebenzi kakuhle kwe-SI kunye neentlungu engasonjululwanga ngonyango lolondolozo.

I-Sacroiliac Joint Surgery

Kukho amaqela amabini e-sacroiliac. Badibanisa amathambo amakhulu e-iliac enza amacala e-pelvis kunye ne-sacrum okanye i-vertebrae enonxantathu phakathi kwamathambo e-iliac kwisiseko somqolo. Intlungu kule ndawo inokuvela kwi-sacroiliitis okanye ukuvuvukala kwe-SI joint, kunye iintlungu ezibhekisiweyo ingabonisa. Ugqirha uya kuqwalasela izizathu ezifana nezi:

• I ngxaki
• Sports
• Izinto ezingaqhelekanga zeBiomechanical
• Ukunxitywa kunye nokukrazula kuxinzelelo lobunzima
• Ukukhulelwa
• Ukungafani kobude bomlenze
• Ukushukuma ngokugqithisileyo
• Iimeko zokuvuvukala kwenkqubo
• Isifo se-degenerative joint
• Scoliosis
• Usulelo, kodwa oku kunqabile.

Sports

Kukho i-pathology yokungasebenzi ngokudibeneyo kwe-sacroiliac kwiimbaleki. Imidlalo efuna ukuphinda-phinda kunye/okanye ukulayishwa kwe-asymmetric equka:

• Ukukhaba
• Ukujiwuzisa
• Ukuphosa
• Ukuma komlenze omnye

Nawuphi na umdlali unokuphuhlisa ukungasebenzi kakuhle kwe-sacroiliac, kodwa eyona misebenzi iphezulu yokuxhaphaka ibandakanya:

• ibhola ekhatywayo
• football
• yomnyazi
• imithambo yomzimba
• Igalufa
• Ukuphakanyiswa kwamandla
• Ukutyibiliza ekhephini
• Inyathelo le-aerobics
• Oomatshini bezinyuko
• Oomatshini be-elliptical

Utyando lweFusion

Utyando alukho kwizigulane ezingaphantsi kweenyanga ezintandathu zentlungu yendawo eqinisekisiweyo okanye ukukhubazeka kunye nezinye izizathu ezikhutshwe ngaphandle. Utyando lukhetho lokugqibela lweentlungu ezidibeneyo ze-SI ngaphandle kokuba yimeko kaxakeka. Oogqirha kunye noogqirha baya kucebisa iindlela zonyango ezingathinteliyo ngaphambi kokucebisa utyando. Iingcebiso zotyando ziza xa iintlungu zinganyamezeleki, kwaye umntu akakwazi ukushukuma okanye ukusebenza.

• I-Sacroiliac joint fusion yinkqubo encinci yokuhlasela ebandakanya i-incision encinci engaphantsi kwee-intshi ezimbini ubude.
• Ngaphantsi kwesikhokelo somfanekiso, ukufakelwa kwe-titanium kufakwe kwi-joint ye-sacroiliac ukubonelela ukuzinza.
• Imingxuma kwi-hardware ivumela ukongeza ithambo okanye ukuba ithambo likhule ngokwendalo ngaphesheya okanye kwindawo yokugcina uzinzo.
• Olu tyando lunokuba sisigulana esingaphandle okanye ubusuku bonke, kuxhomekeke kugqirha okhethayo kunye nohlobo lwenkxaso ekhoyo.

Ixesha lokuBuyisa uTyando

Kubantu abaninzi, ixesha lokubuyisela limalunga neeveki ezintathu ngeentonga.

• Ukulawulwa kweentlungu kuxhomekeke ekubeni izikrufu okanye iibholiti zibandakanyeka; iibholiti zikholisa ukungakhululeki.
• Iintlungu ze-post-op ziyaphela kwiintsuku ezimbalwa okanye iiveki ezimbalwa.
• IFusion ngokwayo ithatha iinyanga ezintandathu okanye ngaphezulu ukuyigqiba.

IiKhetho zoNyango oluGcincisayo

Iindlela zonyango ezilondolozayo zokunciphisa ukuvuvukala ungaquka:

• Chiropractic
• Ulungiso lwenyama
• Ukuthotywa komnqonqo ngaphandle kotyando
• Mayeza
• Injections

Ukuphumla

• Ukuhlala ezinyaweni zakho iintsuku ezimbalwa kunokuncedisa ukunciphisa uxinzelelo kwi-SI joint.
• Ukusebenzisa i-ice okanye i-pad yokufudumeza kumqolo ongezantsi kunye / okanye iimpundu.
• Ukuphulula izihlunu ezijikelezileyo kunokunceda ukuba unobangela obonakalayo kukwenzakala.
• Ugqirha usenokucebisa ukuba kusetyenziswe intonga, intonga yokuhamba, okanye iintonga phantsi kweliso likagqirha.

Mayeza

• Amayeza abandakanya amayeza achasene nokudumba afana ne-ibuprofen, i-naproxen, okanye ezinye iindlela ezichazwe ngugqirha.
• I-acetaminophen inceda ngeentlungu kodwa hayi ukudumba.

Corticosteroids

• Iisteroids zezona zinamandla okuchasa ukudumba.
• Unyango oluqhelekileyo olungaqhawukiyo yi-cortisol steroids, etofwa phantsi kwesikhokelo se-X-reyi.
• Izitofu ziya ngqo kumthombo.
• I-Oral steroids isasazeka kuwo wonke umzimba kodwa inokubangela iziphumo ezingathandekiyo.

I-Chiropractic kunye noNyango loMzimba

• Ngokuxhomekeke kubunzima bemeko, i-chiropractic kunye nonyango lomzimba lunokukwazi ukuqinisa imisipha ejikeleze indawo kunye nokulungelelanisa ukudibanisa.
• I-chiropractor iya kulinganisa i-pelvis ngokusebenzisa i-sacroiliac manipulation kunye nokuhlanganisa.

Ibhanti yenkxaso yeSacroiliac

• Ukunxiba a ibhanti yenkxaso ye-sacroiliac inokunceda ukususa ubunzima belungu kunye nokukhulula iimpawu.
• Isebenza ngokufaka ucinezelo kwi-hip kunye nakwi-joint.

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Umqolo, iHip, kunye neentlungu eziRadiating

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Ucaphulo

Brolinson, P Gunnar, et al. "Ukungasebenzi ngokudibeneyo kweSacroiliac kwiimbaleki." Iingxelo zangoku zamayeza ezemidlalo vol. 2,1 (2003): 47-56. doi:10.1249/00149619-200302000-00009

Molo, Jessica. "Utshintsho olunyanzeliswa ngumthwalo we-Inter-Limb Asymmetries kwi-Dynamic Postural Control kwiZifundo eziphilileyo." Imida kwinzululwazi yengqondo yomntu vol. 16 824730. 11 Mar. 2022, doi:10.3389/fnhum.2022.824730

Ijenali yeHlabathi yoTyando loMnqonqo. (2020 *) "Umbutho weZizwe ngezizwe woPhuculo lwePolisi ye-Spine Surgery 2020 Update-Minimally Invasive Surgical Sacroiliac Joint Fusion (ye-Chronic Sacroiliac Joint Pain): Izibonakaliso ze-Caverage, iMida, kunye neMfuneko yezoNyango." doi.org/10.14444/7156

IiPeebles, uRebecca DO1; UJonas, uChristopher E. YENZA, FAAFP2. I-Sacroiliac Joint Dysfunction kuMgijimi: Ukuxilongwa kunye noLawulo. IiNgxelo zangoku zeMithi yezeMidlalo: 9/10 2017 - Volume 16 - Issue 5 - p 336-342
doi: 10.1249/JSR.0000000000000410