Aia ma ka puʻuwai o ke kāʻei pelvic, hoʻohui nā hono sacroiliac i nā iwi pelvic ma nā ʻaoʻao ʻelua i ka iwi kuamoʻo. ʻO nā hono kī ma waena o ke kino lalo a me luna, hiki iā lākou ke noho o ka ʻeha.

ʻO nā hono sacroiliac, a i ʻole nā ​​ami SI, e kuhikuhi i nā hono ʻelua e hoʻopili ana i ka ʻilium os i ke pelvis i ka sacum o ka iwi kuamoʻo. Aia hohonu, ma lalo o ka iwi kuamoʻo i ka ʻākau a me ka hema o ka sakumona, aia lākou ma ke ala ke alahaka e pili ana i ka iwi kuamoʻo i nā iwi o nā wāwae.

He ami synovial-type: loaʻa iā ia kahi capsule articular i loaʻa ka wai. Hoʻololi kona ʻano me ka makahiki: hoʻomohala maikaʻi ʻia ka capsule ami i nā keiki, a laila mānoanoa a lilo i fibrosis i nā makahiki. ʻO ka mea ʻē aʻe, ʻo ka cartilage e uhi ana i nā ʻāpana articular e lahilahi a kokoke e nalo ma hope o 70 mau makahiki.

Hoʻopuni a hoʻoikaika ʻia kēlā me kēia hui e kahi pūnaewele paʻakikī o nā ligament intrinsic i mua, nā ligament ventral, a ma ka hope, nā ligament dorsal (ligament superficial, ligament iliotranverse, ligament Sacal transal, a i ʻole iliosacral, ligament interosseous), a extrinsic. ʻO ka mea hope loa, pili kēlā me kēia hui ʻana ʻo SI i nā hui puʻupuʻu ikaika e like me ka hamstrings (alo hope o ka ʻūhā), ka psoas (alo mua o ka ʻūhā), ka pā iliotibial (alo ʻaoʻao o ka ʻūhā), ka piriformis (buttock) a me ka rectus femoris (ʻaoʻao mua o ka ʻūhā).

ʻO ka pivot waena maoli, hoʻokaʻawale nā ​​hono sacroiliac i ke kaumaha o ke kino ma waena o ka luna a me ka lalo a hoʻokani i ke kuleana o ke kuamoʻo.

Hiki i nā hui SI ke hana i ka nutation paʻakikī a me nā neʻe counter-nutation, i ka hilinaʻi ʻana i ka neʻe ʻana o ka coccyx, ke kūlou ʻana i mua a i ʻole ka hāpai ʻana i kahi ukana, no ka laʻana, akā hoʻomau kēia mau neʻe i ka amplitude haʻahaʻa. Pili ka pili o nā ami SI ʻelua i kekahi me kekahi: neʻe ka neʻe ʻana ma kekahi ʻaoʻao i ka neʻe ʻana o kekahi. Pili kā lākou neʻe ʻana i nā mea o kahi kī kī ʻē aʻe i ka pelvis: ka pubic symphysis.

Hoʻolaha

ʻO kahi hui e koʻikoʻi nui i kēlā me kēia lā, ʻo ka hui SI kahi pūnaewele maʻamau o ka osteoarthritis.

Sacroiliac maʻi

Sacroiliac ami syndrome, a sacroiliac syndrome, pili i kahi ʻenekini mīkini ʻeha. Hōʻike ia i ka ʻeha ma kekahi ʻaoʻao ma ka ʻaoʻao i lalo, ka ʻūhā, ke aʻa a me ka ʻūhā, paʻakikī e noho. No laila kuhihewa pinepine ʻia no kahi pilikia lumbar a i ʻole sciatica.

Hiki i nā kumu ʻokoʻa ke kumu o kēia maʻi.

• ka like ʻole o nā lālā o lalo;
• hyperlodosis (arching berlebihan o ke kua);
• he hāʻule ma ka ʻūhā;
• nā neʻe hou e pili ana i ka lumbar wahi a me ke pelvis;
• hānau hānau paʻakikī;
• he pala lumbar;
• hooikaika nui loa;
• hoʻolōʻihi i ka hana i ka squatting ma ka ʻūhā.

Maʻi maʻi

ʻO nā hono ʻo SI ka mea mua e hoʻopili ʻia i ka ankylosing spondyloarthritis, kahi maʻi rumatika mumū mau. Hōʻike ʻia kēia e ka ʻeha ma nā puʻupuʻu i kapa ʻia ʻo "luliluli", no ka mea i kekahi manawa e hoʻopili ana i ka pupu ʻākau, i kekahi manawa ka hema.

ʻO ka hui pū ʻana ʻo SI kahi wahi pinepine no nā spondyloarthropathies ʻōpala, a ʻo nā maʻi infectious pū kekahi i hui ʻia ma lalo o ka huaʻōlelo spondylitis seronegative:

Hiki ke mālama ʻia ka maʻi sacroiliac e ka physiotherapy, chiropractic. 

Hoʻolālā ka mālama ʻana i ka spondyloarthritis e hōʻoki i ka ʻeha, ka holomua o ka maʻi a pale i ka hoʻomaka ʻana o ka ankylosis. He multidisciplinary kēia kākoʻo, me:

• nā lāʻau analgesic a me anti-inflammatory e hōʻoluʻolu i nā ʻōuli:
• DMARDs e mālama i ka maʻi;
• nā kūloko kūloko no nā hono ʻeha;
• hana hoʻoponopono.

Ka hoʻokolokolo hoʻokolohua

Hoʻokomo ʻia ka palpation a me kekahi maneuvers a me nā hoʻokolohua i hoʻohana ʻia e loiloi i ka hana o ka hui: maneuver tripod, hoʻolaha manuahi i nā ʻēheu iliac, manuahi ʻo Gaensen, a pēlā aku. hiki ke hoʻokaʻawale i ka maʻi sacroiliac mai nā maʻi lumbosaciatric. Pono e ka loio e nānā i ka loaʻa ʻole o nā ʻōnaehana ʻōnaehana (ke kuni, ka pehu, ka luhi, a me nā mea ʻē aʻe) i hiki pū me ka maʻi rumatika.

ʻO nā hoʻokolohua kiʻi olakino

ʻO ka radiology o ka pelvis a me nā sacroiliacs ka nīnau laina mua. 

ʻO ka MRI o nā sacroiliac e ʻae iā ia e loiloi mua i kahi maʻi maʻi a maʻi paha. He mea kūpono ia i ka hōʻailona o spondyloarthritis. E hōʻike nā kiʻi i nā erosions.