So worete ɛyaw wɔ wo akyi berɛmo no mu? Eyi betumi ayɛ Pubic Symphysis!

So woate ɛyaw anaa ɔhaw bi a ɛyɛ nwonwa nka wɔ wo srɛ mu, kyerɛ sɛ, wo srɛ mu pɛn? Ebia wote nnyigyei a ɛrebɔ kakra bere a wonam anaa wodan kɔ nkyɛn no? Ɛnnɛ yɛrebɛka nkwaa bi a ɛwɔ yɛn nipadua mu a yɛnka ho asɛm pii ho asɛm, nanso ɛho hia paa. Wɔfrɛ no `Pubic Symphysis`. Ɛwom sɛ edin no yɛ nwonwa kakra de, nanso saa beae yi yɛ adwuma a ɛho hia paa wɔ yɛn nipadua mu.

Dɛn ne saa `Pubic Symphysis` yi? Momma yɛnte ase tiawa.

Okay, afei momma yɛnhwɛ nea saa `Pubic Symphysis` yi yɛ. Sɛ yɛbɛka no tiawa a, eyi ne nkwaa a wo hwene nnompe abien, kyerɛ sɛ, w’asen nnompe abien no ka bom wɔ anim. Bere a wo nsateaa ne wo nkotodwe tu pii no, saa `Pubic Symphysis` nkwaa yi nkeka ne ho saa. N’adwuma titiriw ne sɛ ɛbɛkura wo nifa ne benkum akyi nnompe mu. Nanso, ɛyɛ nkankyee nketenkete bi. Saa kankyee ahorow yi boa ma wo kyekyɛ wo nipadua a ɛwɔ soro no mu duru pɛpɛɛpɛ wɔ wo akyi berɛmo no so. Wɔ nyinsɛn mu no, saa nkwaa yi kankan kɔ soro kɛse mpo. Saa bere no, saa nkwaa yi yɛ nea ɛyɛ mmerɛw, efisɛ ɛsɛ sɛ ɛboa ma akyi nnompe no trɛw kakra na ama ayɛ mmerɛw ama akokoaa no sɛ obepue.

Enti dɛn ne ade titiriw a ɛwɔ saa `Pubic Symphysis` yi ho?

Pubic Symphysis nkwaa no yɛ ade a ɛho hia yiye. Ɛka wo nifa ne benkum akyi nnompe bom, na ɛma wo hwene mu yɛ den a ebetumi aboa wo nipadua mu duru. Ɛboa wo nso ma wotrɛw wo ho bere a worewo awo no. Ɛyɛ saa nkwaa yi nti na akyi berɛmo nnompe mmienu no yɛ pɛ pɛpɛɛpɛ te sɛ nea worehwɛ ahwehwɛ mu. Wo akyi nnompe no bom, na ɛkyekyɛ wo soro nipadua mu duru mu wɔ wo nan ne wo nan ntam. Pubic Symphysis nkwaa no tumi tu bɛyɛ milimita 2 na ɛkyinkyini bɛyɛ digrii 1. Saa kankyee yi ne nea ɛma wo hwene tumi twetwe ahodwiriw a ɛba bere a wonam na wutu mmirika no. Saa nkwaa yi ho hia titiriw sɛ woanyinsɛn a. Bere a worebɛn awo no, saa nkwaa yi yɛ nea ɛyɛ mmerɛw yiye. Afei akyi berɛmo nnompe no trɛw, na ɛma ɛyɛ mmerɛw ma akokoaa no sɛ obefi awo kwan no mu aba.

Ɛhe na saa `Pubic Symphysis` yi wɔ?

Wo pubic symphysis no wɔ wo pelvis ase, baabi a w’asen benkum dompe no hyia w’asen nifa dompe no. Saa nkwaa yi trɛw bɛyɛ milimita 3 kosi 5 wɔ anim sen akyi. Ɛsan nso wɔ wo akisikuru anim, wo clitoris atifi wɔ mmea mu, na ɛwɔ wo barima no atifi wɔ mmarima mu. Ntini bi a ɛwɔ wo yafunu ne w’asen mu no ntini bata ntini ahorow a ɛwɔ pubic symphysis no ho. Nhwɛsoɔ:

• Ntini a ɛwɔ w’asen ntini mu (titiriw gracilis ntini no).
• Ntini a ɛwɔ wo yafunu afã horow (`obliquus externus`) no ntini.
• Wo rectus abdominis ntini no ntini.

Saa nkitahodi ahorow yi ma ahoɔden foforo ne ahoɔden foforo kɔ baabi a ɛwɔ akyi berɛmo no mu.

Dɛn na wɔde na ɛyɛ `Pubic Symphysis` no?

Wo pubic symphysis no yɛ ntini ahorow abien ne ntini anan. Eyinom na ɛma akyi berɛmo nnompe no bom, nanso ɛyɛ nea ɛyɛ mmerɛw nso. Saa nkwaa yi yɛ nea ɛyɛ mmerɛw sen nkwaa a ɛwɔ wo ti nhwi mu no, nanso ɛnyɛ nea ɛyɛ mmerɛw sɛ nkwaa te sɛ wo nsateaa. Momma yɛnhwɛ n’afã atitiriw no:

• Fibrocartilage disk: Wɔde nhama a wɔfrɛ no Type I collagen na ɛyɛ eyi kɛse. Saa collagen yi ne nea ɛma ntini a ɛka bom te sɛ nnompe , honam ani, ntini, ne nkwaa yɛ den. Saa fibrocartilage disk yi wɔ wo pubic symphysis nkwaa no so sɛ disk a ɛyɛ den na ɛyɛ fibrous. Nhama ne ntini ahorow no bata saa disk yi ho, na ɛboa ma ɛkɔ so tra baabi.

• Hyaline cartilage coating: Hyaline cartilage no mu dodow no ara yɛ Type II collagen. Eyi ne ade titiriw a wɔde yɛ cartilage. Saa hyaline cartilage yi kata wo pelvic nnompe no ano. Saa fibrocartilage disc a yɛadi kan aka ho asɛm no te hyaline cartilage a ɛwɔ wo benkum so pelvic bone ne hyaline cartilage a ɛwɔ wo nifa pelvic bone no ntam. Ɛte sɛ sandwich.

• Nhama a ɛka bom: Nhama ahorow anan na ɛbata fibrocartilage disc yi ho, na ɛmma ɛnhwe ase anaasɛ ɛnhinhim dodo. Saa ntini ahorow yi ne: awotwaa mu ntini a ɛwɔ soro, awotwaa mu ntini a ɛwɔ fam, awotwaa mu ntini a ɛwɔ anim, ne akyi ntini a ɛwɔ akyi.

Dɛn ne nyarewa ne ɔhaw ahorow a ɛka `Pubic Symphysis`?

Symphysis Pubis Dysfunction, anaa SPD, yɛ asɛmfua a wɔde frɛ sɛnkyerɛnne ahorow a wɔaboaboa ano a nsakrae a ɛba wo pubic symphysis mu de ba. Mpɛn pii no, nyinsɛn na ɛde SPD ba.Wɔ nyinsɛn mu no, nsakrae a ɛba nkwaadɔm mu no ma ntini a ɛkura `Pubic Symphysis` (pubic symphysis) no mu no gyae. Saa ntini a ɛyɛ mmerɛw yi ma nkwaa no yɛ mmerɛw. Saa nsakrae yi ne nea ɛma akyi berɛmo nnompe no tetew bere a akokoaa no fi adi bere a ɔrewo no. Nanso, ɛtɔ mmere bi a nsakrae yi betumi ayɛ yaw. Ɛnyɛ nyinsɛn nko, na mmom tebea afoforo betumi ama nsakrae aba wo `Pubic Symphysis` (pubic symphysis) mu:

• Nkwaa a ɛtwetwe ne nea ɛtwetwe: Pubic symphysis no trɛw kakra bere a wotrɛw wo nan mu no. Ɛtɔ mmere bi a, sɛ woredi agumadi anaa woteɛteɛ w’apɔw mu a, nkwaa no betumi atrɛw dodo, na ama akyi berɛmo nnompe no atutu anaasɛ ayɛ mmerɛw bere a ɛsan ba biako no.

• Nyarewa ne ɔhaw ahorow a ɛma nipadua no yɛ adwuma: Sɛ obi mu duru boro so na ɔyɛ kɛse mmoroso a , ɛde nhyɛso kɛse ba awotwaa no so, na ɛma ɛyɛ mmerɛw sɛ ebepira . Nyarewa bi betumi ama nkwaa no atrɛw (e.g., renal osteodystrophy) anaasɛ ama calcium akɔto nkwaa no mu (e.g., ochronosis).

• Nkwaa mu nyarewa: Bere kɔ so no, ntini a ɛwɔ nkwaa no mu no brɛ ase na nea ɛboa nkwaa no tumi so tew. Wɔfrɛ eyi nnompe mu yare .

• Nyarewa: Mmoawa te sɛ Staph ne Strep tumi tow hyɛ nkwaa no so na ɛma ɛyɛ hyew.

• Ɔfe: Ɔfe a ɛtaa ka pubic symphysis ne Osteitis Pubis. Eyi betumi afi opira, ɔyare mmoawa, nyinsɛn, nnompe mu yare, anaa oprehyɛn mu aba.

Dɛn ne sɛnkyerɛnne a ɛtaa ba wɔ tebea bi a ɛka `Pubic Symphysis` ho?

Ɛgyina ɔhaw a ɛka wo `Pubic Symphysis` nkwaa no so no, ebia wobɛte ɛyaw a ano yɛ den nka wɔ wo akyi berɛmo no mu. Ɛtɔ da bi a, ɛyaw yi betumi ayɛ te sɛ nea ɛretrɛw wɔ wo yafunu, w’asen, ne w’akyi nyinaa. Sɛ ɛyɛ den ma wo sɛ wobɛyɛ kankyee bi a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ wowɔ ɔhaw bi wɔ wo `Pubic Symphysis` no ho. Nsɛnkyerɛnne no bi ni:

• Nsakrae a ɛyera wɔ wo srɛ mu.
• Nnyigyei anaa nkate a ɛyam bere a woretutu akyi berɛmo no.
• Ɛyaw wɔ akyi berɛmo no anim anaa asen no mu fã.
• Ɛyaw anaa "clicking" nnyigyei bere a worekɔ.
• Ɛyaw a ɛba asen no mu bere a worebɔ mmɔden sɛ wubetu mmirika, abɔ wo nan, obegyina, anaa wobɛtra ase no.
• Ɛyaw bere a woredan nipadua no anaasɛ woretwe wo nsa akɔfa biribi no.

Sɛ wowɔ saa nsɛnkyerɛnne yi a, wo duruyɛfo betumi aboa wo ma woahu sɛ nea ɛde ba no yɛ ɔhaw a ɛwɔ `Pubic Symphysis` no ho anaa.

Dɛn ne sɔhwɛ ahorow a wɔtaa yɛ de hwɛ `Pubic Symphysis` akwahosan?

Mpɛn pii no, wo duruyɛfo no bɛfa w’aduruyɛ ho abakɔsɛm, ayɛ nipadua mu nhwehwɛmu, ahwɛ sɛnea wo pelvic ntini ne nkwaa no mu yɛ den na ɛyɛ den, na wanya adwene wɔ wo `pubic symphysis` tebea ho. Mpɛn pii no, eyi dɔɔso. Nanso, ɛntaa nsi koraa sɛ oduruyɛfo betumi ayɛ `mogya nhwehwɛmu` anaa `mfonini`. Sɛ wonyinsɛn a, wo duruyɛfo bɛkamfo mfoniniyɛ mu nhwehwɛmu a ahobammɔ wom a ɛrempira `fetus` nkutoo.

Dɛn ne ayaresa a wɔtaa de sa `Pubic Symphysis`?

Wo duruyɛfo bɛboa wo ma woadi ɛyaw a opira a ɛba wo pubic symphysis so no ho dwuma kosi sɛ ɛbɛsa.

• Sɛ obi nya ahomegye pii a, ɛma nipadua no nya bere de sa yare.
• Nnuru a wɔde kum ɛyaw te sɛ NSAID (nnuru a ɛnyɛ steroid a wɔde ko tia ɔyare mmoawa), nsukyenee a wɔde gu so, ne nneɛma a wɔde yɛ ɔhyew a wɔde di dwuma no betumi aboa ma ɛyaw aba. Nanso, sɛ woanyinsɛn a, mfa nneɛma a ɛma ɔhyew nhyɛ wo yafunu ase.
• Ebia ɛbɛboa nso sɛ wobɛkɔ ntini ne nnompe ho ɔbenfo te sɛ apɔw-mu-teɛteɛ ho ɔyaresafo anaa apɔw-mu-teɛteɛ ho oduruyɛfo nkyɛn. Wobetumi ama wo ayaresa ne apɔw-mu-teɛteɛ de aboa ma wo akyi berɛmo no agyina na ayɛ den kosi sɛ wo nkwaa no bɛsa.

Kae sɛ, ayaresa a eye sen biara a wɔde bɛma wo no begyina nea ɛde wo yaw no so, enti wo ne wo duruyɛfo nkasa mfa akwan horow a wubetumi apaw ho.

Mɛyɛ dɛn ama me `Pubic Symphysis` no anya apɔwmuden?

Ɔkwan a eye sen biara a wobɛfa so asiw opira ano ne sɛ wobɛkanyan wo nipadua wɔ ɔkwan a ɛremma wo pubic symphysis no so. Ɛboa nso ma woyɛ apɔw-mu-teɛteɛ a ɛhyɛ ntini a atwa wo hwene ho ahyia na ɛboa no den. Ebia wo duruyɛfo bɛkamfo nea edidi so yi akyerɛ wo:

• Apɔw-mu-teɛteɛ a ɛhyɛ ntini a ɛwɔ wo hwene fam, w’akyi mfinimfini ne wo fam, w’asen, w’asen, yafunu, ne wo honam ani afasu mu den (e.g., Kegel apɔw-mu-teɛteɛ ).
• Sɛ wohyɛ mpaboa a ɛyɛ fɛ a ɛfata wo nan a, ɛbɛtew nhyɛso a ɛwɔ wo nkwaa so bere a wonam anaa wutu mmirika no.
• Sɛ woteɛteɛ w’apɔw mu wɔ mmeae a ɛyɛ tratraa a ɛnyɛ den dodo a, ɛbɛtew adwennwen a wode ba wo nkwaa so bere a woretu mmirika wɔ asase a ɛyɛ den so no so.Sɛ woretu mmirika wɔ mmeae a ɛyɛ tratraa a, ɛnyɛ den sɛ wobɛhwe ase na woapira w’awotwaa mu ntini no, na ama akyeakyea anaasɛ ɛbɛbɔ.
• Sɛ worefi apɔw-mu-teɛteɛ nhyehyɛe ase a, fi ase nkakrankakra, sen sɛ wobɛyɛ wo nyinaa. Eyi besiw adwennwen a ɛho nhia ano wɔ ntini ahorow a ensiesiee ne ho mmaa adwuma no so. Sɛ wugye bere de nya nkɔso nkakrankakra denam apɔw-mu-teɛteɛ nhyehyɛe bi so a, ɛbɛboa ma woabɔ wo nkwaa ho ban bere tenten.

Wo ne wo duruyɛfo nkasa mfa apɔw-mu-teɛteɛ a wubetumi ayɛ de asiw opira ano, ne sɛnea wobɛyɛ w’apɔw-mu-teɛteɛ ho nhyehyɛe na ama asiane a ɛwɔ hɔ sɛ wubepira no so atew.

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Yɛtaa susuw nkwaa a ɛho hia sen biara ho sɛ nkotodwe ne nsateaa a ɛyɛ mmerɛw yiye. Nanso, nkwaa te sɛ ` Pubic Symphysis` nso di dwuma titiriw. Saa nkwaa yi boa wo akyi berɛmo no ma ɛtwetwe ahodwiriw a ɛba bere a woretu no. Afei nso, nsakrae a ɛba saa nkwaa yi mu bere a wonyinsɛn no ne nea ɛma wutumi fa ɔbea no awotwaa mu wo. Enti, ɛho hia yiye sɛ wobɛbɔ wo `Pubic Symphysis` ho ban afi opira ho. Sɛ wowɔ ɔhaw anaa ɛyaw bi a ɛfa eyi ho a, nfɛre na kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu. Afei wubetumi akɔ so anya apɔwmuden na wo ho atɔ wo!

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Pubic symphysis, pelvic ɛyaw, nyinsɛn, nkwaa akwahosan, SPD, mmea akwahosan, Sri Lanka akwahosan