Hanyar Farko na Ankylosing Spondylitis
Sacroiliitis, wanda shine ƙonewa a cikin zane-zanen sacroiliac, alama ce mai mahimmanci ta yawancin nau'i na cututtukan flammatory kuma sau da yawa shine farkon da ya san kansa a cikin wadannan cututtuka.
Osteoarthritis (tunanin sawa da hawaye, maimakon kumburi, a gidajen abinci,) cututtuka, ƙaddarar launi, da sauran al'amurra na injiniya wasu daga cikin yanayin da zasu iya haifar da ciwon haɗin gwiwa.
Sacroiliitis yana jawo ciwo a daidai wannan yanki, amma a hanya dabam dabam.
Abun da ke hade da sacroiliitis, tare da canje-canjen haɗin da za'a iya gani a kan MRI yana da alaka da cututtukan ƙwayar ƙwayar cuta a cikin kashin baya . Kuna iya tunanin bambancin dake tsakanin sacroiliitis da magungunan injiniya ta wannan hanyar: Sacroiliitis ta zo ne ta hanyar tsari na ciki wanda wasu ke fuskanta kuma wasu basuyi; Sakamakon motsi na SI haɗin gwiwa saboda dalili ne na waje da / ko kuma abubuwa na halitta wanda zai iya shafar yankin.
Anyi amfani da cututtukan cututtuka na asibiti mai suna spondylitis. A matsayin alamar asibitin, sacroiliitis tana taka muhimmiyar rawa wajen bincikar spondylitis.
Cutar cututtuka
Ana jin jinin Sacroiliitis a matsayin jin zafi mai zurfi a cikin kashin baya ko tsaka-tsalle wanda zai fi dacewa da aiki. Hakanan zai iya rinjayar duk fadin ƙananan ƙarancinku daga yanki (s), duk zuwa ƙasa zuwa ƙafafunku.
Pain daga sacroiliitis yana ci gaba da tsanantawa da dare ko da safe, kuma ya kara tsanantawa tare da tsaye, kazalika.
Abun da za a dauka dangane da shi zai iya zama mummunan lokacin da kake da nauyi akan kafa ɗaya fiye da ɗaya. Matakan hawan hawa, tafiya tare da manyan hanyoyi, da kuma guje wa wasu nauyin nauyin nauyin nauyin da ke sa mummunan ya zama mummunar.
Kwayoyin cututtuka na sacroiliitis sukan kasance sun fara faruwa a farkon kullun spondylitis (AS,) kamar yadda yake shaida akan MRI.
Idan kuna da ciwo a ciki da kuma kewaye da haɗin ku na SI da / ko MRI ya nuna wasu irin canje-canjen haɗin gwiwa, wannan na iya bayyana dalilin da yasa sallanku na ƙarancin zakuyi (idan, hakika kana da AS.)
Ka lura da cewa AS shine mafi yawan kwayoyin spondylitis, amma ƙwayar cututtukan ƙwayoyin ƙwayar cuta mai ɗaukar hoto yana daukar nau'i-nau'i da dama, da. Wani lokaci sacroiliitis yana daga cikin alamar cututtuka a wasu siffofin kuma wasu lokuta ba haka bane.
Sanin asali
Don tantance zubar da jini, likitanku na iya yin umurni da x-ray, MRI ko CT scan . Tana iya umurni gwaje-gwaje na jar don gano idan kamuwa da cuta shine dalilin. Wani x-ray yana nuna abin da ke faruwa a cikin kasusuwa, yana maida shi kayan aiki mai kyau don bin canje-canje a kashin jikinka da kasusuwa kamar yadda cutar ta ci gaba.
Shekaru da dama, x-ray shine kawai gwajin hoton da aka yi amfani dashi don gano zancen sacroiliitis (da spondylitis). Matsalar ta amfani da hasken x, duk da haka, shi ne cewa yana daukan dogon lokaci (shekaru) don shaida na yanayin ya zama na gani.
Kwanan nan, an tsara fasahohin MRI har zuwa inda zasu iya amfani da su a cikin tsarin bincike. Wadannan fasaha sun yarda likitoci su ga mummunan aikin da ke da alhakin canje-canje (wanda daga bisani ya dauka ta hanyar x-haskoki). Saboda wannan dalili, amfani da MRI yana da, a wasu lokuta, daɗaɗɗen lokacin da ya kamata marasa lafiya su samu cikakke ganewar asali game da ciwon haɗin SI.
Idan da wuri a kan likitan likitanku na spondylitis, ta iya yin umurni da MRI da aka yi tare da fasaha na musamman da ake kira sake dawowa (STIR). Wani ƙwararrun mRI na MRI ga sacroiliitis shine gadolinium T1 MRI. Idan kana da jarrabawar gadolinium, za a buƙaci ka yi amfani da allurar rigakafi.
A CT scan zai iya kasancewa mahimmanci a bincikar spondylitis. Amma, ƙwararren MRI na musamman suna tabbatar da mafi yawan samfurori na zane-zane.
Jiyya
Babbar manufa don maganin sacroiliitis, da kuma sponylitis (abin da sacroiliitis shine alamar daya,) shine don taimaka maka wajen bunkasa rai mai tsawo ta hanyar sarrafawa da kumburi da kuma sakamakon alamun bayyanar.
Yana iya buƙatar wata hanya mai mahimmanci, tare da magungunan ku a matsayin mai gudanarwa.
A yayin aiwatar da wannan, za ku iya samun ikon yin ayyukanku na yau da kullum, da kuma shiga harkokin zamantakewa, inganta. Wani muhimmin ma'anar magani shine hana lalacewar tsari daga cigaba.
Ga waɗannan iyakar, likitanku na iya yin bayani game da maganin ciwo mai zafi , masu shakatawa na tsoka, ƙwaƙwalwar corticosteroid , DMARDs ko TNF-alpha blockers, tare da farfadowa na jiki. A fannin jiki, za ku iya samun shirin motsa jiki da aka tsara da ku daidai wanda ya haɗa da ƙaddamarwa, ƙarfafawa da kuma yin aiki. Kwararka zai iya bayar da shawarar hanyoyin da suka dace kamar rediyon rediyo ko ƙarfin lantarki don sarrafa ciwo. Ba'a da shawara sosai a tiyata.
> Sources:
> Bollow M, Braun J, Hamm B., Sacroiliitis: babbar alama ce ta spondyloarthropathies. 1. Yanayin asibiti. Rofo. 1997 Feb 166 (2): 95-100.
> Elyan, M. MD, Asim Khan, M., MD. Spondyloarthropathies: Ɗaukaka kan ganewar asali da farfadowa. UBM Medica. Cibiyar Musculoskeletal.
> Sacroiliitis. CHORUS Haɗin Hidimar Hidima na Radiology. An sabunta: 1 Satumba 2006.
> van der Heijde, D., 2016 sabunta shawarwarin gudanarwa na ASAS-EULAR na spondyloarthritis. Annals na Rheumatic Diseases. Jan. 2017. http://ard.bmj.com/content/early/2017/01/13/annrheumdis-2016-210770