Wadanda suka san sanadiyyar hadin gwiwa (SIDJ) - musamman ma mutanen da suke aiki a duniyar likita - suna daukar maganin wannan matsala "mai kawo rigima".
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Hadin Jima'i na SacroiliacƊaya daga cikin dalilai na iya zama cewa samun cikakkiyar ganewar asali zai iya zamawa. A wasu kalmomi, yana da mahimmanci don yarda da magani - musamman ma wanda ke sa canje-canje - idan ba a tabbatar da cewa ciwo yana zuwa daga haɗin SI ba? Wani dalili na iya kasancewa da alaka da rashin karatu da aka yi don kwanan nan a kan hanyoyin kwantar da hankula da hanyoyin da ake amfani dashi don magance SIDJ.
Ba wai kawai ba, amma likitoci da SI masu haɗin gwiwa suna wasu lokuta da rashin daidaituwa da juna game da matsalar matsalar (da ake kira "mahalarta mai zafi"). Yawancin kwararrun likitoci sun gaskanta cewa babu wata motsi a SI da kuma cewa ba shine tushen ciwo a SIDJ ba. Amma idan kun lura da kungiyoyin kafofin watsa labarun da ke gudana tare da marasa lafiya wanda aka keɓe ga wannan batu, za ku iya samun karfi daga ra'ayi daban.
Don taimaka maka ka fitar da zaɓuɓɓukanka na SI ƙarancin haɗin gwiwa, bari mu sake duba magunguna da likitoci da masu kwantar da hankali suka bayar.
A ƙarshe, duk da haka, zabar magani bazai da mahimmanci. A 2012, Spiker, et. al., ya gudanar da nazari na nazarin da aka wallafa a cikin Shafin Farfesa na Shaidar Evidence. Binciken idan aka kwatanta da tiyata zuwa injections da hada haɗin SI tare da haɗuwa. Kungiyar Spiker ta kammala cewa mafi yawan binciken sun bada rahotanni 40% na jin zafi ko da kuwa an gwada gwajin. A wasu kalmomi, SI derangement inganta ingantacce daga ainihin hanyoyin kwantar da hankali marasa lafiya.
Kuma Zelle, et. al a cikin nazarin su "Hadaddiyar hadin gwiwar Sacroiliac: kimantawa da gudanarwa," wanda aka wallafa a cikin littafin Satin-Oct 2005 na Clinical Journal of Pain ya gano cewa mafi yawancin marasa lafiya na sacroiliac sun amsa maganin mazan jiya (watau, marasa aiki).
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MagungunaKamar yadda yawancin matsalolin baya, Tylenol zai iya ba da shawara ga likitan ku a matsayin wuri don farawa. Idan magunan Tylenol ba ta da tasiri a cikin sauƙaƙe da ciwon haɗin SI ɗinka, tambayi likitanka game da wani mai ƙin kumburi irin su ibuprofen. Wannan ya ce, ibuprofen ya zo da illa mai yawa , kuma wasu daga cikinsu suna da matukar tsanani ko ma muni. Da fatan a tabbata ka san abin da sakamakon illa ne, kuma ka tattauna da likitanka kafin ka ɗauki wannan magani. Haka yake daidai ga Tylenol, musamman idan kun sha ko kuna da kowane nau'in hanta.
Tylenol da ibuprofen sun zo a cikin ƙananan canji a cikin tsari na kan-da-counter, kuma mafi girma asibitoci ya kamata likita ya rubuta su a gare ku.
Ana amfani da shan magani mai mahimmanci tare da sauran jiyya kamar farjin jiki, gyare-gyare da / ko gyaran aikin. Ba magani bane - akwai can don taimakawa rage matakan jin zafi.
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Jiki na jikiDuk da yake likitanku bazai gaskanta da yunkurin motsi na SI ɗinku ba, mai yiwuwa likitan ku.
Masu horar da jiki sun horar da su don yin aiki tare da marasa lafiya don inganta motsi. A karshen wannan, zamu iya samun tsarin motsa jiki na gida wanda zai taimake ku ci gaba da ƙarfin ku a kwaskwarima, hips, da kuma ainihin ku. Wannan, ta biyun, na iya taimakawa wajen daidaita haɗin SI.
Ayyukan a cikin gidanka na iya taimaka maka wajen inganta ma'aunin muscle. Saboda haɗin SI yana a gefe ɗaya na kashin ka, (a cikin sautin da kasusuwa) don samun daidaitattun daidaito da haɓaka a tsakanin tsokoki a kowane bangare na jikinka na iya kasancewa ɗaya daga cikin maɓallan (tare da farfadowa na jarrabawa) don barin haɗin gwiwa don koma baya a cikin daidaitaccen yanayi.
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Braces na SacroiliacMutane da yawa suna nuna sakamako masu kyau ta hanyar amfani da takalmin gyaran kafa don taimakawa wajen tabbatar da haɗin gwiwa. Musamman ma, ƙwararrun ƙwararrun ƙwararru ne da shawarar likita don marasa lafiya.
Masu bincike sun auna canji a cikin tsoka da sauran ayyukan da suka danganci haɗin haɗin sacroiliac yayin da marasa lafiya suka yi belin belt. Sun kammala cewa belts na pelvic sun inganta yanayin rayuwar lafiyar, kuma yana da alhakin rage rage ciwon SI. Wasu daga cikin ingantaccen lura sun hada da rage yawan aiki na quadriceps (musamman - mata na mace) da mafi kyau matsakaicin matsakaici yayin tafiya. Masu bincike sun nuna cewa belts na pelvic za a iya la'akari da shi azaman ƙananan haɗari, magani mai mahimmanci ga SI haɗin gwiwa.
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Farin FarkoManufar farfadowa - warkar da hannayensu - wani nau'i ne na kulawa don tsararren haɗin gwiwa na sacroiliac. Chiropractic shi ne mafi yawan sanannun irin, amma cututtuka, magani na jiki, da kuma wanzura farfadowa ne zaɓuɓɓuka zažužžukan, kazalika.
Lokacin da kake samun farfadowa daga magungunan likitancin jiki ko osteopath, mai aiki na iya cirewa a ɗaya daga cikin kafafunka don taimakawa wajen haɗin gwiwa.
Idan ka ga wani chiropractor don haɗin SI ɗinka, mai yiwuwa kana iya kwance a gefenka tare da durƙusa na gwiwa da kuma kasa zuwa kafa na sama. Zai iya sanya matsa lamba mai sauri a kan kashi na kashin don taimakawa ya dawo cikin wuri. Na yi wannan sau da yawa, kuma manufarta ita ce daidaitawa bai isa ba don jin dadi na dindindin. Wannan kuwa shi ne saboda cikewar tsoka da rauni kuma wani abu ne na matsalar; ba tare da motsa jiki da motsa jiki da aka tsara don samar da mahimmanci, hanzari da baya ba, da kuma sassauci, kasusuwa na SI, zai iya fita daga wuri ba da daɗewa ba bayan da ka bar ofishin ku na chiropractor.
Massage far ne wani nau'i na manual far. Amma fasalin magungunan warkarwa na aikin ba ya kara zuwa kasuwa. Kamar yadda na gan shi, yawancin rawar da suke takawa wajen warkar da zubar da jini ta jiki da ke tattare da yaduwar tsohuwar ƙwayar tsohuwar ƙwayar cuta wadda zata iya kiyaye haɗin gwiwa daga ainihin daidaitawa kanta. Massage ma yana iya ƙara yawan nauyin motsi a gaba ɗaya wanda zai iya zama mai sauki, karin dadi da karin kayan aiki.
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Hadin Jima'i na SacroiliacRigar da kai a cikin hadin gwiwar sacroiliac mai raɗaɗi zai iya zama mafi amfani a matsayin kayan aikin bincike kamar yadda ake ba da magani na jin zafi. Injection yana kusa da masu aikin likita mafi kyau kuma masu bincike sun gane cewa zafi yana fitowa daga SI.
Amfanin magungunan SI a matsayin magani bai zama cikakke ba. Spiker, et. al., a cikin bita na shekara ta 2012 "Magungunan magani da ake yi wa allurar rigakafi - tabbatar da ciwon haɗarin sacroiliac na kullum," wanda aka buga a cikin watan Nuwambar 2012 na Binciken Bayar da Bayanin Labaran Evidence , ya ƙaddara cewa duk da cewa injections da surgeries zasu iya taimakawa marasa lafiya su rage jinƙan su, a kan nazarin da aka yi har yanzu, ba za su iya gaya maka wanene daga cikin wadannan jiyya zai yi aiki fiye da sauran ba.
Wannan abin takaici ne saboda lokacin da kake ƙoƙarin gane idan har abada fuska da haɗin gwiwa na SI zai zama mafi kyawun zaɓi don sake farfado da rayuwarka ta dā, irin wannan bayanin zai iya samuwa.
A 2012 nazarin nazarin da Hansen ya yi, et. al., kuma aka buga a cikin Wutar Likita ya gano cewa magungunan (ma'anar a cikin haɗin gwiwa) safarar sacroiliac tare da steroids ba su da tasiri a cikin sauƙaƙe jin zafi a takaice ko tsawon lokaci.
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Radiofrequency TsanantawaKamar yadda sunan yana nuna, ladaran rediyo yana da hanyar da take amfani da rediyon rediyo don kawar da jijiyar da ke haifar da ciwo a cikin hadin gwiwar ka. Bayyana shaidar rashin lafiya, nazarin da aka ambata akan zane na baya, wanda Hansen ya yi, kuma. al. a 2012 kuma an buga shi a cikin Journal of Pain Researc h, ya gano cewa yin amfani da rediyo na yau da kullum ba shi da tasiri don jin daɗin ciwo na sacroiliac.
Amma tun watan Satumba na 2015, sabon tsarin rediyon rediyon yanzu yana faruwa. Ana kiransa radiofrequency sanyaya. Bambanci shi ne cewa sanyaya rediyo yana kara girman launi kafin a kawar da jijiya. (A bincike akan na'ura an sanyaya su cikin gida.) Girman launi ya fi girma damar samun cikakken haɗin haɗin gwiwa kuma ta haka yana kawar da dukan ciwo.
Binciken da aka ambata a sama ya samo cikakkiyar digiri na tasiri don rediyo radiofrequency sanyaya, idan aka kwatanta da rashin talaucin da ke hade da nau'in al'ada.
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Fusion Sacropiliac ko ArthrodesisKalmar arthrodesis tana nufin haɓaka - ta hanyar tiyata - haɗin gwiwa. A wannan yanayin, yana nufin fuska na hadin gwiwa na sacroiliac. A tarihi, tiyata a kan haɗin SI ya kasance mai rikitarwa, tare da sakamakon rashin talauci da kuma yawan ƙima. Mutane da yawa marasa lafiya sun buƙaci ƙarin likita masu dangantaka da SI fusion.
Amma ko da tare da tilasta tayar da ƙwaƙwalwar ƙwallon ƙafa a kan tashi, da ciwon SI fuska zai iya zama babban shawarar da za a yi. Dalili yana komawa ga tsarin ganewar asali.
"Matsalar ita ce gano cewa shine haɗin da ake yi na sacroiliac," in ji Carter Beck, MD. Beck shi ne likitan likitan Montana wanda ya ci gaba da aiwatar da hanyar da ba ta da kishi ga fuska da haɗin SI wanda, a cewarsa, yana da sauki a kan mai haƙuri, lafiya da tasiri. Dokta Beck yayi gargadi ga masu aiki da marasa lafiya don tabbatar da cewa ciwon yana fitowa daga SI, kuma ba daga wani yanki na spine ba.
Duk da yake sabon tsarin Beck yana jin daɗi, bincike na likita bai riga ya amsa tambayoyin da suka shafi aminci, tasiri da kuma irin wanda zai dace ya dace da tiyata ba.
> Sources:
> Dreyfuss P1, Dreyer SJ, Cole A, Mayo K. Sacroiliac haɗin gwiwa. J Am Acad Orthop Surg. 2004 Jul-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. Binciken na yau da kullum game da tasirin maganin saƙo na sacroiliac. Likita mai zafi. 2012 Mayu-Jun; 15 (3): E247-78. http://www.ncbi.nlm.nih.gov/pubmed/22622913
> Kok-Yuen Ho, Mohammed Abdul Hadi, Koravee Pasutharnchat, da Kian-Hian Tan. Sakamakon rediyo na rediyo don magance cututtuka na sacroiliac: sakamakon shekaru biyu daga lambobi 20. J Pain Res. 2013; 6: 505-511. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706381
> Odette Soisson, Juliane Lube, > Andresa > Germano, Karl-Heinz Hammer, Christoph Josten, Freddy Sichting, Dirk Winkler, Thomas L. Milani, da Niels Hammer. François Hug (Jagorar Nazarin.) Pelvic Belt Effects a kan Pelvic Morphometry, Ayyukan Muscle da Zaman Jiki a Marasa lafiya tare da Sadaukar Jakadancin Sacroiliac. PLoS Daya. 2015; 10 (3): e0116739. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/
> Shaffrey, C., Smith, JS Karfafawa na haɗin zanen sacroiliac. Neurosurg Gabatarwa. 2013 Jul; 35 (2 Suppl) >: Editorial >. > doi >: 10.3171 / 2013.V2.FOCUS13273. http://www.ncbi.nlm.nih.gov/pubmed/23829837
> William Ryan Spiker, Brandon D. Lawrence, Annie L. Raich, Andrea C. Skelly, da Darrel S. Brodke. Masiya da maganin rigakafi don allura - ya tabbatar da ciwo mai tsanani na sinadarin sacroiliac. Shafin Farko Na Gaskiya J. 2012 Nov; 3 (4): 41-53. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/
> Zelle BA1, Gruen GS, Brown S, George S. Sacroiliac haɗin gwiwa: kimantawa da kuma gudanarwa. Clin J Pain. 2005 Sep-Oct; 21 (5): 446-55. http://www.ncbi.nlm.nih.gov/pubmed/16093751