Ukwaphulwa kweS Sacral

Kubantu abadala, ukuqaqanjelwa rhoqo ngasemva kunokujika ibe yi-a ukwaphuka kwesakral. Zivame ukwenzeka kubantu abangaphezu kweminyaka engama-60 rhoqo ngenxa yokuba kukho iqondo lokulahleka kwamathambo. I-Sacral fractures ayifuni ukuba yinto yokuqala oogqirha abacinga ngayo xa iimpawu zentlungu ephantsi zibonakalisa. Amaxesha amaninzi awacholwa kwi-X-reyi kwaye mhlawumbi awafunyaniswanga kwangoko ngokwaneleyo ukuba athathe amanyathelo okanye angafunyaniswanga kwaphela. Nangona kunjalo, zixhaphakile.

Isalfure

The sacrum imile njengonxantathu kwaye inamacandelo amahlanu adityaniswe kwithambo elinye elikhulu. Ihlala kwisiseko somqolo, phakathi kweehafu ezimbini ze-pelvis, idibanisa umqolo ukuya kwisiqingatha esisezantsi somzimba. Uzinzisa umzimba xa uhamba, uhleli, okanye umile. Imithambo-luvo kumqolo ongezantsi ilawula amathumbu isinyi kwaye inika imvakalelo kummandla.

• Iidimples ezimbini ezinokubonwa kwimiqolo yabantu kulapho i i-sacrum idibanisa i-hipbones okanye i-joint sacroiliac.
• Inqaku apho umqolo ophantsi ujoyina i-sacrum unokuhlakulela ukungahambi kakuhle, ukuxhatshazwa, kunye neentlungu.
• Le ndawo ifumana uxinzelelo lokugoba, ukujija, ukufikelela, ukuphakamisa, ukuthwala ngexesha lemisebenzi yomzimba okanye ukuhlala ixesha elide.

Ukwaphulwa kweS Sacral

Uninzi lwezahlulo zesacral zibangelwa kukwenzakala, njengokutyibilika, ukuwa, kunye neengozi zemoto. Ukuqhekeka koxinzelelo olwenzeka ngaphandle kokulimala okuthile kubizwa ngokuba ukungonelanga ukwaphuka.

Iindidi zeSacral Fractures

• Ukuqhekeka kwamandla aphantsi ngokuqhelekileyo kwenzeka kubantu abadala abanamathambo abuthathaka ngenxa ye-osteoporosis.
• Umntu uthatha into ethile, ahlale nzima ngempundu, aphakamise into enzima ngendlela engafanelekanga, okanye azibhokoxe ngokugqithisileyo kumsebenzi othile womzimba.
• Emva koko iintlungu eziqhubekayo zomqolo okanye ezimpundu ziqala ukuvela.
• Iintlungu zihlala zigxile kumqolo ongezantsi, esinqeni, nakwimpundu.
• Kungaphezulu kokuphumelela ngasemva.
• Umntu uya kugqirha, kwaye i-X-ray iyalelwa.
• Amaxesha amaninzi, ezi fractures ziphosakele kwi-X-reyi.
• Ugqirha unokuxilonga i-sprain, kodwa iimpawu zentlungu aziphuculi.
• Ngamanye amaxesha kungabikho sizathu sicacileyo sentlungu.
• Inokuthi iqondwe ngokungalunganga njengokwaphuka komqolo osezantsi okanye usulelo lwendlela yomchamo.

• Ukuqhekeka kwamandla aphezulu zibangelwa kukwenzakala kwaye zixhaphake kakhulu kulutsha.
• Umntu ugcina ukwenzakala kwingozi yemoto, uwile ukusuka kwindawo ephakamileyo, okanye ufumana ukwenzakala kwezemidlalo.
• Iphumela kwiintlungu eziqatha.
• Ibhinqa elisandul 'ukuba nomntwana kwaye liye lalahlekelwa yithambo ngenxa yokukhulelwa linokufumana ukuphulwa kwengcinezelo ye-sacral.

Ukuqondwa

Ezona zizathu zixhaphakileyo zeentlungu ezisezantsi ziquka:

• Ukuma okungafanelekanga rhoqo.
• Ubuthathaka bemisipha okanye ukuqina.
• Uxinzelelo lweLigament.
• Ukudumba okudibeneyo.
• A cyonidal cyst okanye ukuqhekeka kompundu kunokubangela iintlungu.

Kubantu abaye baya kugqirha kwaye bafumana i-X-reyi ebonisa ukuba akukho kwaphuka, kwaye akukho phuculo emva kweentsuku ezi-5 ukuya kwezi-7, kuyacetyiswa ukuba kucwangciswe enye idinga kwaye ucele i-CAT scan okanye i-MRI, esebenzayo kakhulu. ekufumaneni i-sacral fracture.

impatho

Unyango lubandakanya ukuphumla kwethambo kodwa lisasebenza ngokukhuselekileyo kwiimeko ezininzi.

• Amayeza amiselwe ukukhulula intlungu.
• Uninzi lwabantu lufunyaniswe luqhuba kakuhle ngamayeza achasene nokudumba, amayeza endalo, kunye iipatches ze-lidocaine.
• Abantu abadala banokucetyiswa ukuba basebenzise umntu ohambahambayo ngexesha lonyango / inkqubo yokuphilisa.
• Ngokuxhomekeke kubukhulu, iintonga zinokucetyiswa.
• Ukuzilolonga rhoqo akukhuthazwa, kodwa ukuphumla kombhede kakhulu nako akukhuthazwa.
• Ukuphumla kakhulu kunokungavumeli ukulimala ukuba kuphole ngokuchanekileyo, kubangele ukulimala, kunye / okanye kubangele ukulimala okutsha.
• I-Chiropractic kunye nonyango lomzimba alukhuthazwa ukuba uvumele i-sacrum iphilise ngokwemvelo.
• Emva kokuba intlungu iyancipha, i-chiropractic kunye nonyango lomzimba lunokuphunyezwa ukuze kugcinwe i-agility kunye nokuguquguquka kunye nokuqinisa i-pelvic kunye nemisipha engundoqo.

Kwezinye iimeko, ukuba ithambo aliphili ngokuchanekileyo okanye enye into, isacroplasty inokucetyiswa. Le yinkqubo encinci ye-invasive efaka i-samente yethambo kwi-fracture. Inika uncedo olukhawulezayo kunye nexesha elide leentlungu kunye nepesenti ephantsi yeengxaki. Kuthathwa njengomngcipheko ophantsi kwaye unokwenziwa yi-radiologist yongenelelo okanye ugqirha otyandwayo.

uthintelo

Ukunciphisa umngcipheko we-sacral fracture, kucetyiswa kakhulu ukugcina amandla ethambo. Oku kubandakanya:

• Ukuba nokutya okunokulinganisela.
• Ukutya ukutya okutyebileyo kwecalcium.
• Ukuthatha izongezelelo ze-calcium kunye ne-vitamin D.
• Uqeqesho lwamandla.
• Ukuhlolwa rhoqo ukuxinana kwamathambo.

UkuBumbiswa kweBhunga

Ukuhlala Uhlengahlengiso lwesimo

Lungisa Ukuhlala

• Ukuba uvumelekile, hlala kwibhola yokuzilolonga ixesha elifutshane, okanye uzame a hlala phantsi kwedesika. Kukho kwakhona iidesika ze-treadmill kwaye iidesika zebhayisekile.
• Ukuba akukho nanye kwezi zikhetho ezinokwenzeka, zama imithambo yokwenza edesikeni esebenza izihlunu ezingundoqo.

Guqula isitulo

• Zama isitulo somthi esiqinileyo ukuba awukwazi ukusebenzisa ibhola okanye idesika yokuhlala.
• Kuya kwenza umzimba uhlale ngokuthe tye kwaye ukhulise ukuma okufanelekileyo.

Ujikeleze iAlarm

• Seta isibali-xesha ngeyure nganye imizuzu emibini yokuhamba.
• Zama ukuqhubeka uhamba umthambo ezahlukeneyo zolula, okanye uthathe umjikelo ujikeleze isakhiwo.

Ucaphulo

Gibbs, Wende Nocton, kunye no Amish Doshi. "Ukuqhekeka kweSacral kunye neSacroplasty." Iikliniki zeNeuroimaging zaseMntla Melika vol. 29,4 (2019): 515-527. doi:10.1016/j.nic.2019.07.003

Holmes, uMichael WR, et al. "Ukuvavanya uMsebenzi weSisu kunye neSizihlunu esisezantsi ngelixa uSebenza iMizobo eNgxaki kwiBhola eZinzileyo kunye noSihlalo we-Ofisi eDynamic." Imiba yabantu vol. 57,7 (2015): 1149-61. doi:10.1177/0018720815593184

Santolini, Emmanuele et al. "Ukuqhekeka kweSacral: imiba, imingeni, izisombululo." U-EFORT uvule uphononongo vol. 5,5 299-311. 5 Meyi. 2020, doi:10.1302/2058-5241.5.190064