Inowanikwa pamwoyo webhanhire repelvic, majoini e sacroiliac anobatanidza mapfupa epelvic kune rumwe rutivi kumusana. Majoini akakosha pakati pepasi nepamusoro pemuviri, anogona kuve chigaro chemarwadzo.

Sacroiliac joints, kana SI majoini, zvinoreva majoini maviri anobatanidza ilium os mupelvis kune sacrum yemuzongoza. Iri pakadzika, pasi pemusana kune kurudyi uye kuruboshwe rwe sacrum, ivo vari munzira bhiriji rinobatanidza musana kumapfupa emakumbo.

Iyo synovial-type joint: ine articular capsule ine fluid. Chimiro chayo chinoshanduka nezera: iyo capsule yakabatana inogadzirwa zvakanaka muvana, yobva yawedzera uye inova fibrosis nekufamba kwemakore. Sezvineiwo, shwashwa rinovhara nzvimbo dzematanho rinova mutete uye rinopotsa ranyangarika mushure memakore makumi manomwe.

Imwe neimwe yakabatana yakakomberedzwa uye yakasimbiswa neakaomesesa network yemukati matsinga kumberi, iyo ventral ligaments, uye kumashure, dorsal ligaments (superficial ligament, iliotranverse ligaments, ilio-transverse sacral ligament, kana iliosacral, interosseous ligament) , uye extrinsic. Pakupedzisira, sangano rimwe nerimwe reSI rinobatanidzwa nemapoka ane simba emasumbu anosanganisira hamstrings (kumashure chiso chehudyu), psoas (anterior face of the hip), iyo iriotibial band (lateral face yehudyu), piriformis (buttock) uye rectus femoris (anterior aspect of the chidya).

Real central pivot, majoini e sacroiliac anogovera huremu hwemuviri pakati pepamusoro nepasi uye anoita basa rekutsigira musana.

Majoini eSI anogona kuita kuomesa nutation uye counter-nutation mafambiro, kunyanya zvichienderana nekufamba kwecoccyx, kana uchikotama kumberi kana kutakura mutoro, semuenzaniso, asi mafambiro aya anoramba ari yakaderera amplitude. Iwo maviri maSI majoini anoenderana kune rimwe nerimwe: kufamba kune rimwe divi kunokonzera kufamba kune rimwe. Kufamba kwavo zvakare kunoenderana neaya eimwe akakosha akabatana muchiuno: iyo pubic symphysis.

Degeneration

Mubatanidzwa unosimbiswa zvakanyanya zuva nezuva, iyo SI yakabatana inzvimbo yakajairika yeosteoarthritis.

Sacroiliac syndrome

Sacroiliac joint syndrome, kana sacroiliac syndrome, inoreva chiitiko chinorwadza chemagetsi. Inoratidza sekurwadziwa kazhinji kune rumwe rutivi muzasi kwemashure, chiuno, groin uye kunyange chidya, kunetseka kugara. Saka inowanzokanganiswa nedambudziko re lumbar kana sciatica.

Zvinhu zvakasiyana zvinogona kuva pamabviro eiyi syndrome:

• kusaenzana kwemakumbo ezasi;
• hyperlodosis (yakanyanyisa arching yemusana);
• kudonha pamagaro;
• kudzokorora mafambiro anosanganisira lumbar region uye pelvis;
• kubereka kwakaoma;
• lumbar sprain;
• kuedza zvakanyanya;
• basa renguva refu richigwesha pamagaro.

Chirwere chinopisa

Majoini eSI anowanzova ekutanga kubatwa muankylosing spondyloarthritis, chirwere chisingaperi chinoputira rheumatic chirwere. Izvi zvinoratidzwa nekurwadziwa mumagaro kunonzi "kuzunungusa", nokuti dzimwe nguva kunokanganisa bhurogi yakarurama, dzimwe nguva kuruboshwe.

Kubatana kweSI inzvimbo inowanzoitika kune dzimwe hutachiona hwepondyloarthropathies, kunyange zvirwere zvinotapukira zvisingawanzoitiki zvakaiswa pasi pezwi rokuti seronegative spondylitis: ankylosing spondylitis, spondylitis inobatanidza ne psoriasis, Reiter's syndrome, zvimwe zvirwere zvinoputika zvegumbo rekudya.

Iyo sacroiliac syndrome inogona kutarisirwa ne physiotherapy, chiropractic. 

Kurapa kwespondyloarthritis chinangwa chekumisa marwadzo, kufambira mberi kwechirwere uye kudzivirira kutanga kweankylosis. Rutsigiro urwu rwakasiyana-siyana, rune:

• analgesic uye anti-inflammatory treatments kuderedza zviratidzo:
• DMARDs kurapa chirwere;
• mishonga yemunharaunda yemajoini anorwadza;
• kushanda kugadzirisa.

Kuongororwa kwekiriniki

Inosanganisira palpation uye mamwe mafambisiro uye miedzo inoshandiswa kuongorora basa rekubatana: tripod maneuver, kuparadzira maneuver kune iriac mapapiro, Gaensen maneuver, etc. Kusavapo kwezviratidzo zvetsinga (chiveve, kupera simba, kuchinjwa kwetendon reflexes) kunoita. zvinokwanisika kusiyanisa sacroiliac syndrome kubva kune lumbosaciatric disorders. Murapi anofanirawo kutarisa kusavapo kwezviratidzo zve systemic (fivha, kukosora, kuneta, nezvimwewo) izvo zvinogona kuperekedza chirwere cherheumatic.

Chiremba imaging bvunzo

Radiography yepelvis uye sacroiliacs ndiyo yekutanga-line bvunzo. 

MRI ye sacroiliacs inobvumira kuti itange kuongorora chirwere chinotapukira kana chinopisa. Inonyanya kukosha pakuongororwa kwespondyloarthritis. Mifananidzo yacho inobva yaratidza kukukurwa.