Ili pamtima pa lamba wamchiuno, malo olumikizira sacroiliac amalumikiza mafupa a m'chiuno mbali zonse mpaka msana. Mafungulo ofunikira pakati pa thupi lakumunsi ndi kumtunda, atha kukhala pampando wowawa.

Magulu a sacroiliac, kapena ma SI, amatanthauza malo awiri omwe amalumikiza ilium os m'chiuno ndi sacrum ya msana. Ili mkati, pansi pa msana kumanja ndi kumanzere kwa sacrum, ali m'njira mlatho wolumikiza msana ndi mafupa a miyendo.

Ndi cholumikizira chamtundu wa synovial: chili ndi kapisozi kophatikizana kamakhala ndimadzimadzi. Kapangidwe kake kamasintha ndi msinkhu: kapisozi yolumikizana imapangidwa bwino mwa ana, kenako imakhuthala ndikukhala fibrosis pazaka zambiri. Mosiyana ndi izi, karoti yomwe imaphimba mawonekedwe ake imakhala yocheperako ndipo imatha kutha zaka 70.

Mgwirizano uliwonse umazunguliridwa ndikulimbikitsidwa ndi mitsempha yovuta kwambiri kutsogolo, mitsempha yam'mimba, ndi kumbuyo, mitsempha yotsekemera (mitsempha yopanda malire, mitsempha yotchedwa iliotranverse ligament, ilio-transverse sacral ligament, kapena iliosacral, interosseous ligament), ndi wakunja. Pomaliza, cholumikizira chilichonse cha SI chimalumikizidwa ndimagulu amphamvu amphongo kuphatikiza ma hamstrings (nkhope yakumbuyo kwa ntchafu), psoas (nkhope yakutsogolo ya ntchafu), iliotibial band (nkhope yotsatira ya ntchafu), piriformis (matako) ndi rectus femoris (mbali yakutsogolo ya ntchafu).

Pivot wapakati weniweni, malo am'magazi amagawa kulemera kwa thupi pakati pamwamba ndi pansi ndikusewera msana.

Zilumikizidwe za SI zimatha kupanga mayendedwe ovuta a mtedza ndi mtedza, makamaka kutengera kayendedwe ka coccyx, ikamakhota kutsogolo kapena kunyamula katundu, mwachitsanzo, koma mayendedwe awa amakhalabe otsika kwambiri. Magulu awiri a SI amadalirana: kuyenda mbali imodzi kumapangitsa kuyenda mbali inayo. Kusunthika kwawo kumadaliranso zamagulu ena ofunikira m'chiuno: pubic symphysis.

Kusintha

Mgwirizano womwe umapanikizika tsiku ndi tsiku, olowa SI ndi malo wamba ofooka kwa mafupa.

Matenda a Sacroiliac

Matenda olowa nawo a Sacroiliac, kapena matenda a sacroiliac, amatanthauza chinthu chopweteka kwambiri. Amawonekera ngati kupweteka nthawi zambiri mbali imodzi kumunsi kumbuyo, matako, kubuula komanso ntchafu, kuvuta kukhala. Nthawi zambiri amalakwitsa chifukwa cha vuto lumbar kapena sciatica.

Zinthu zosiyanasiyana zitha kukhala chiyambi cha matendawa:

• kusalinganika kwamiyendo yakumunsi;
• hyperlodosis (arching kwambiri kumbuyo);
• kugwa matako;
• mayendedwe obwerezabwereza okhudza lumbar dera ndi chiuno;
• kubereka kovuta;
• kuphulika kwa lumbar;
• khama kwambiri;
• ntchito yayitali atakhazikika matako.

Matenda otupa

Magulu a SI nthawi zambiri amakhala oyamba kukhudzidwa ndi ankylosing spondyloarthritis, matenda opatsirana a rheumatic. Izi zimawonetsedwa ndikumva kupweteka m'matako kotchedwa "rocking", chifukwa nthawi zina kumakhudza matako oyenera, nthawi zina kumanzere.

Mgwirizano wa SI ndimalo omwe amapezeka pafupipafupi ma spondyloarthropathies, ngakhale matenda opatsirana omwe amapezeka pansi pa mawu akuti seronegative spondylitis: ankylosing spondylitis, spondylitis yokhudzana ndi psoriasis, Reiter's syndrome, matenda ena otupa am'mimba.

Matenda a sacroiliac amatha kuyang'aniridwa ndi physiotherapy, chiropractic. 

Chithandizo cha spondyloarthritis chimafuna kuletsa ululu, kukula kwa matendawa ndikupewa kuyambika kwa ankylosis. Thandizo ili ndilophatikiza, ndi:

• mankhwala a analgesic ndi anti-inflammatory kuti athetse zizindikiro:
• DMARDs kuchiza matenda;
• mankhwala am'deralo a mafupa opweteka;
• kukonzanso magwiridwe antchito.

Kuyesedwa kwachipatala

Zimaphatikizapo kugwedeza ndi mayesero ena omwe amagwiritsidwa ntchito poyesa ntchito ya mgwirizano: maulendo atatu, kufalikira kwa mapiko a iliac, kuyendetsa kwa Gaensen, ndi zina zotero. ndizotheka kusiyanitsa matenda a sacroiliac kuchokera ku zovuta za lumbosaciatric. Dokotala amayeneranso kuwonetsetsa kuti kulibe zizindikiro zamatenda (malungo, chifuwa, kutopa, ndi zina zambiri) zomwe zimatha kutsagana ndi matenda a rheumatic.

Mayeso azachipatala

Mafilimu a pelvis ndi sacroiliacs ndi mayeso oyamba. 

MRI ya sacroiliacs imalola kuti iwunikire msanga matenda opatsirana kapena otupa. Ndikofunika kwambiri pakupeza spondyloarthritis. Zithunzizo ziwonetsa kukokoloka.