Kasancewa a tsakiyar ɗamarar ƙashin ƙugu, haɗin gwiwar sacroiliac yana haɗa ƙasusuwan ƙashi a kowane gefe zuwa kashin baya. Maɓallan maɓalli tsakanin ƙananan da babba, suna iya zama wurin zama na ciwo.

Haɗin sacroiliac, ko haɗin SI, yana nufin haɗin gwiwa biyu da ke haɗa ilium os a cikin ƙashin ƙugu zuwa sacrum na kashin baya. Kasancewa mai zurfi, a kasan kashin baya zuwa dama da hagu na sacrum, suna cikin hanyar gadar da ke haɗa kashin baya zuwa ƙasusuwan ƙafafu.

Yana da haɗin gwiwa irin na synovial: yana da capsule articular mai ɗauke da ruwa. Tsarinsa yana canzawa da shekaru: capsule na haɗin gwiwa yana haɓaka sosai a cikin yara, sannan yayi kauri kuma ya zama fibrosis tsawon shekaru. Sabanin haka, guringuntsi da ke rufe fuskokin kasusuwa ya zama na bakin ciki kuma kusan ya ɓace bayan shekaru 70.

Kowane haɗin gwiwa yana kewaye kuma yana ƙarfafawa ta hanyar hadaddun cibiyar sadarwa na jijiyoyin ciki a gaba, jijiyoyin jijiyoyin jini, da kuma a baya, jijiyoyin dorsal (ligament na sama, ligiotusverse ligaments, ilio-transverse sacral ligament, ko iliosacral, interosseous ligament), da na waje. A ƙarshe, kowane haɗin gwiwa na SI yana da alaƙa da ƙungiyoyin tsoka masu ƙarfi waɗanda suka haɗa da hamstrings (fuskar cinya ta baya), psoas (gaban cinya), ƙungiyar iliotibial (fuskar cinya ta gefe), piriformis (buttock) da rectus femoris (gaban cinya).

Hakikanin tsakiya na tsakiya, haɗin gwiwar sacroiliac suna rarraba nauyin jiki tsakanin sama da ƙasa kuma suna taka rawa don tallafawa kashin baya.

Haɗin SI na iya haifar da hadaddiyar ƙoshin abinci da ƙoshin ƙoshin abinci, musamman dangane da motsi na coccyx, lokacin lanƙwasa gaba ko ɗaukar kaya, alal misali, amma waɗannan ƙungiyoyin suna da ƙarancin girma. Hanyoyin SI guda biyu suna dogaro da juna: motsi a gefe ɗaya yana haifar da motsi a ɗayan. Har ila yau motsin su ya dogara da na wani mahimmin haɗin gwiwa a cikin ƙashin ƙugu: ɗan tausayawa.

Degeneration

Haɗin gwiwa wanda ke da matukar damuwa a kullun, haɗin gwiwar SI shine wurin da aka saba da osteoarthritis.

Ciwon Sacroiliac

Ciwon haɗin gwiwa na Sacroiliac, ko ciwon sacroiliac, yana nufin sabon abu na inji mai raɗaɗi. Yana bayyana azaman zafi sau da yawa a gefe ɗaya a cikin ƙananan baya, gindi, gindi har ma da cinya, wahalar zama. Saboda haka sau da yawa ana kuskure don matsalar lumbar ko sciatica.

Abubuwa daban -daban na iya kasancewa a asalin wannan ciwo:

• rashin daidaituwa na ƙananan ƙafa;
• hyperlodosis (wuce kima na baya);
• faduwa akan gindi;
• maimaita motsi da ya shafi yankin lumbar da ƙashin ƙugu;
• haihuwa mai wuya;
• wani rauni na lumbar;
• kokarin da ya wuce kima;
• tsawaita aikin tsugunawa a gindi.

Ciwon kumburi

Haɗin SI galibi galibi shine farkon wanda za a shafa a cikin ankylosing spondyloarthritis, cuta mai kumburi mai kumburi. Ana nuna wannan ta zafi a gindin da ake kira "rocking", saboda wani lokacin yana shafar gindin dama, wani lokacin hagu.

Haɗin gwiwa na SI shima wuri ne mai yawan gaske don sauran cututtukan spondyloarthropathies mai kumburi, har ma da cututtuka masu saurin kamuwa da cuta waɗanda aka haɗa a ƙarƙashin kalmar seronegative spondylitis: ankylosing spondylitis, spondylitis hade da psoriasis, ciwon Reiter, wasu cututtukan kumburi na narkewar abinci.

Za a iya sarrafa ciwon sacroiliac ta hanyar ilimin motsa jiki, chiropractic. 

Jiyya na spondyloarthritis yana nufin dakatar da jin zafi, ci gaban cutar da hana farawar ankylosis. Wannan tallafin yana da bangarori da yawa, tare da:

• analgesic da anti-mai kumburi jiyya don taimakawa bayyanar cututtuka:
• DMARDs don magance cutar;
• jiyya na gida don haɗin gwiwa mai raɗaɗi;
• gyaran aiki.

Binciken asibiti

Ya haɗa da taɓarɓarewa da wasu motsa jiki da gwaje -gwajen da aka yi amfani da su don kimanta aikin haɗin gwiwa: motsawar motsi, shimfida motsi zuwa fuka -fukan iliac, motsi na Gaensen, da dai sauransu Rashin alamun cututtukan jijiyoyin jiki (numbness, asarar ƙarfi, gyare -gyaren jijiyoyin jijiyoyi) yana sawa yana yiwuwa a bambanta cututtukan sacroiliac daga cututtukan lumbosaciatric. Dole ne mai yin aikin ya duba rashin alamun tsarin (zazzabi, tari, gajiya, da sauransu) waɗanda ke iya haɗawa da cututtukan rheumatic.

Gwajin hoton likitanci

Rediyo na ƙashin ƙugu da sacroiliacs shine gwajin layi na farko. 

MRI na sacroiliacs yana ba shi damar fara kimanta cutar mai kumburi ko kumburi. Yana da amfani musamman a cikin ganewar asali na spondyloarthritis. Hotunan za su nuna zaizayar ƙasa.