So wote ɛyaw a emu yɛ den nso wɔ w’asen mu bere a wonyinsɛn no? (Symphysis Pubis Dysfunction - SPD) Momma yɛnka eyi ho asɛm!

Nyinsɛn yɛ osuahu a ɛyɛ nwonwa ma ɛnanom pii, nanso ɛtɔ mmere bi a ebetumi ayɛ nea ɛnyɛ dɛ kakra na ɛyɛ yaw. So wote ɛyaw nso nka wɔ wo yafunu ase, titiriw wɔ w’anim, baabi a asen nnompe abien no hyia no? So ɛyaw yi yɛ kɛse bere a wonam, foro antweri, anaa wosɔre fi mpa so no? Sɛ saa a, ebia wowɔ tebea bi a wɔfrɛ no `Symphysis Pubis Dysfunction` anaa `(SPD)` tiawa. Mma ɛnhaw wo, eyi yɛ biribi a ɛto nnipa pii, na ɛtaa kɔ bere a woawo wo ba no akyi. Momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne saa Symphysis Pubis Dysfunction (SPD) yi?

Sɛ yɛbɛka no tiawa a, `Symphysis Pubis Dysfunction` anaa `(SPD)` kyerɛ ɛyaw ne ɔhaw a ɛwɔ wo yafunu ase, titiriw nkwaa a wo yafunu mu nnompe abien no hyia wɔ w’anim no . Yɛfrɛ saa nkwaa yi `(Pubic Symphysis)`. Eyi yɛ ntini ketewaa bi a ɛka nnompe abien no bom. Ne dwumadi titiriw ne sɛ ɛbɛma wo akyi berɛmo nyinaa ayɛ nea ɛyɛ den. Ɛboa nso ma ɛtwetwe ahodwiriw bere a wɔreyɛ dwumadi ahorow te sɛ mmirikatu ne ahuruhuruw. Nhama a atwa saa nkwaa yi ho ahyia no ma asen nnompe abien no kɔ so tra hɔ.

Nanso nsakrae ahe na ɛba yɛn nipadua mu wɔ nyinsɛn mu, ɛnte saa? Bere a wo ba no nyin wɔ w’awotwaa mu no, saa asen nkwaa yi nso ba nhyɛso kɛse ase. Ɛnyɛ ɛno nko, na mmom nyinsɛn mu no, yɛn nipadua no yɛ hormone bi a wɔfrɛ no ``Relaxin''. Saa hormone yi ma ntini a atwa wo nkwaa ho ahyia no mu yɛ hare kakra na ɛyɛ mmerɛw. Eyi yɛ ade pa ankasa, efisɛ saa a ɛsansan yi boa ma w’asen nkwaa no trɛw yiye bere a worebɛn wo ba no.

Nanso, sɛ saa ntini yi mu yɛ hare dodo a, asen nkwaa no ntumi nnyina kakra. Ɛno kyerɛ sɛ asen nnompe no fi ase keka ne ho kakra sen sɛnea ɛte daa. Eyi ne nea yɛfrɛ no ``spinal disc disease (SPD)''. Ade foforo nti a ɛte saa ne mu duru a ɛboro so a wo nipadua no de reto akokoaa no so no. Sɛ eyinom nyinaa bom a, saa ɛyaw no ba.

Ɛtɔ da bi a nnuruyɛfo frɛ saa tebea yi ``Pelvic Girdle Pain`` (PGP). Ɛno kyerɛ sɛ ɛyaw wɔ asen abɔso mu. Efisɛ ɛnyɛ saa anim nkwaa no nkutoo na ɛyaw yi wɔ hɔ, na mmom wobetumi ate nka wɔ asen no nyinaa.

SPD abu so dɛn?

Saa tebea yi a wɔfrɛ no ``(SPD)`` no abu so wɔ ɛnanom a wɔyem mu ankasa sen sɛnea ebia wubesusuw. Wɔkyerɛ sɛ mmea a wɔyem bɛyɛ baanan biara mu biako benya saa ɔhaw yi. Enti sɛ worete biribi a ɛte sɛɛ nka a, hu sɛ ɛnyɛ wo nko ara.

Dɛn ne SPD ho sɛnkyerɛnne ahorow?

Ɛyaw a wote no betumi ayɛ soronko wɔ onipa biara ho. Ɛsono nso gyina akokoaa no mu duru ne nhyɛso a ɛde ba w’asen so. Mpɛn pii no, bere a worebɛn awo no, akokoaa no mu duru kɔ soro, enti ɛyaw no tumi yɛ kɛse.

Ɛyaw no te dɛn?

Ebia wobɛte nneɛma a ɛte sɛɛ nka:

• Ɔhaw kakra anaa ɛyaw wɔ yafunu no ase anim.
• Wo hipƐte sɛ nea ɛho ayɛ hare, te sɛ nea wɔrewosow no.
• Ɛyaw a ano yɛ den mpofirim wɔ asen no anim anaa akyi, te sɛ nea anyinam abɔ no.
• Ɛyaw a ɛyɛ mmerɛw, ɔhyew, sekan, anaa ɛyaw a ɛyɛ yaw wɔ asen no fã.
• Ɛyaw a ɛkɔ so daa a ɛtrɛw kɔ yafunu no ase, akyi, akyi berɛmo, akyi berɛmo, ne asen mu.

Nneɛma a ɛma ɛyaw yɛ kɛse

Ɛyaw yi betumi ayɛ kɛse denam da biara da dwumadi ahorow bi so. Saa nneɛma yi bi a yentumi nkwati.

• Bere a ɔnam so no
• Bere a wokotow w’anim anaasɛ wote hɔ tẽẽ no
• Bere a woreforo antweri anaa worekɔ fam no
• Bere a ɔretotow na ɔredannan wɔ mpa so no
• Bere a wosɔre fi mpa so no
• Bere a woreforo kar anaasɛ worefi mu no
• Bere a wugyina wo nan biako so anaasɛ woma wo nan biako so no
• Bere a woresɔre afi akongua so no
• Bere a woretrɛw w’asen anaa wo nan mu (sɛ nhwɛso no, bere a woresi kar mu) .

Nsɛnkyerɛnne afoforo a ɛyaw nka ho

Ɛyaw akyi no, sɛnkyerɛnne afoforo betumi aba.

• Ebia ɛbɛyɛ den sɛ wobɛtow nsu anaasɛ wobɛtow wo ho .
• Ebia wobɛte nka sɛ woabrɛ paa a ntease biara nnim.
• Ebia wobɛte "click" anaa "milk milk" nnyigyei bi afi w'asen mu.

Nkɛntɛnso a enya wɔ adwenemyare so

Saa ɛyaw ne ahoyeraw yi nso betumi aka w’adwene mu akwahosan. Ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow ne dadwen nka bere a wuntumi nyɛ wo da biara da dwumadi ahorow anaasɛ ɛyɛ den ma wo sɛ wobɛtra ase sɛnea ɛte daa no. Ɛtɔ mmere bi a eyi betumi ama obi anya awo akyi adwenemhaw. Enti sɛ wowɔ adwenemhaw ho sɛnkyerɛnne bere a woanyinsɛn anaa bere a woawo akokoaa akyi a, ɛho hia sɛ wo ne oduruyɛfo kasa .

So nantew nyɛ papa mma SPD?

Mpɛn pii no, mfaso a ɛwɔ nantew so no boro asiane a ɛwɔ so no so. Nanso, nantew betumi ayɛ den kakra ama obi a ɔwɔ SPD. Sɛ wote ɛyaw a wuntumi nnyina ano bere a wonam , anaasɛ wo sɛnkyerɛnne no mu yɛ den a, ebia ebehia sɛ wohwɛ yiye kɛse wɔ mpɛn dodow a wonam, baabi a wonam, anaa mpaboa a wohyɛ ho. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho.

Dɛn ne nneɛma a ɛde SPD ba?

Sɛnea yɛadi kan aka ho asɛm no, wɔ nyinsɛn mu no, wo nipadua no yɛ hormone bi a wɔfrɛ no ``Relaxin.'' Eyi ma ntini a ɛwɔ nkwaa a ɛka wo benkum ne nifa asen nnompe bom no mu no sare. Saa hormone yi betumi afi ase ayɛ wo nyinsɛn no adapɛn 10 pɛ.

Sɛ ntini no mu yɛ hare a, wɔma nkwaa no tu kɔ akyiri kakra. Saa kankyee a ɛboro so yi ne nea ɛma asen nnompe no tetew bere a akokoaa no rebɛn awo no, na ɛma akokoaa no tumi fi adi.

Saa nsakrae yi na ɛma wotumi fa ɔbea awotwaa mu awo. Nanso ɛtɔ mmere bi a, saa nkwaa yi betumi ayɛ nea entumi nnyina dodo, anaasɛ ebetumi atu wɔ akwan horow a ɛnsɛ sɛ ɛkɔ so. Nea ɛka ho no, mu duru a ɛboro so a wode to w’asen so no ma nkwaa no nhyɛso kɛse. Eyi nyinaa bom de SPD ba.

Hena na ɔwɔ asiane kɛse mu sɛ obenya SPD?

Sɛ woanyinsɛn a, ɛda adi sɛ wobɛte ɛyaw wɔ pubic symphysis no mu. Saa ɛyaw yi betumi aba bere a wɔyem, bere a wɔrewo, ne bere a wɔawo akokoaa no akyi mpo.

Nanso enhia sɛ wunyinsɛn ansa na woanya saa ɛyaw yi.

• Agumadi mu akwanhyia betumi ama asen abubu anaasɛ atutu.
• Bere kɔ so no, ntini a ɛwɔ saa nkwaa yi mu no betumi asɛe (wɔfrɛ eyi ``Osteoarthritis''), a ɛtew mmoa a wɔde ma asen nnompe no so.
• Saa nkwaa yi nso betumi asɛe denam nyarewa ne ɔhyew tebea horow so (e.g., Osteitis Pubis).

Sɛ w’akyi haw bi a atwam anaasɛ woapira w’asen , asiane kɛse wom sɛ wubenya SPD.

Dɛn ne nsɛnnennen a ebetumi afi SPD mu aba?

Mpɛn pii no, SPD mfa nsɛnnennen a emu yɛ den mma. Nanso, ebetumi ayɛ yaw paa, titiriw wɔ nyinsɛn mu ne awo akyi adapɛn. Ebetumi aka w’asetra pa na asiw wo kwan sɛ wobɛyɛ nneɛma a w’ani gye ho no. Nsɛnnennen a ebetumi aba wɔ SPD mu no bi ne:

• Ɛyɛ den sɛ wubegyina hɔ, anantew, anaa wobɛyɛ apɔw-mu-teɛteɛ afoforo.
• Ɛyaw a ɛba bere a obi renya nna mu kyɛfa.
• Ntini mu yare a ɛwɔ wo pubic symphysis mu.
• Awerɛhow, dadwen, anaa adwenemhaw a wobɛte nka wɔ anohyeto ahorow a SPD de ba no ho.

Wobɛyɛ dɛn ahu no yiye sɛ wowɔ SPD? (Nyare a Wɔahu) .

Akwan pii wɔ hɔ a wo duruyɛfo betumi afa so ahu sɛ wowɔ `(Symphysis Pubis Dysfunction)` anaa.

• Wɔbɛhwɛ w’ayaresa ho abakɔsɛm mu ahwɛ sɛ woanyinsɛn anaasɛ woanya akwanhyia a anka ebetumi asɛe wo awotwaa mu ntini no.
• Wɔbɛyɛ nipadua mu nhwehwɛmu de ahwɛ sɛ ɛyaw ne ɔfe bi wɔ hɔ anaa. Ebia oduruyɛfo no nso bɛhwɛ sɛnea ɛnyɛ den sɛ wubetumi atutu w’asen ne w’akyi berɛmo.
• Wobetumi de mfoninitwa nhwehwɛmu te sɛ ultrasound, CT scan, anaa X-ray ahwehwɛ w’asen nkwaa mu bio. Sɛ woanyinsɛn a, wo duruyɛfo bɛkra sɛ wɔnyɛ mfoninitwa nhwehwɛmu a asiane biara nni ho mma wo ne wo ba no.

Ɔkwan bɛn so na wɔsa SPD bere a wɔyem?

Ebia saa asen mu yaw a wote no befi hɔ koraa wɔ asram kakraa bi mu bere a woawo wo ba no.. Sɛ wo nipadua gyae hormone `(Relaxin)` a ɛyɛ a, ntini no mu yɛ den bio, na ɛtew baabi a nkwaa no tumi keka ne ho no so. Enkosi saa bere no, wo duruyɛfo betumi aboa wo ma woadi wo yaw no so na wɔatew nhyɛso a ɛwɔ `(Pubic Symphysis)` nkwaa no so no so. Nneɛma bi a wubetumi apaw ni:

• Nnuru a wɔde kum ɛyaw ne nnuru a ɛko tia ɔyare mmoawa (NSAIDs - nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa) a wɔnom (wɔ nnuruyɛfo afotu nkutoo so, titiriw sɛ wonyinsɛn a).
• Mpaboa a ɛyɛ fɛ a wɔahyɛ no yiye a wɔhyɛ .
• Gyinabea pa a wobɛkɔ so akura mu bere a wogyina hɔ na wote ase no. Ɛno kyerɛ sɛ wobɛma wo mmati akɔ akyi na w’akyi ayɛ tẽẽ.
• Kwati sɛ wobɛtra ase bere tenten .
• Nsukyenee a wɔde gu asen mu a wɔde bɛhyɛ asen no mu.
• Da a wode pillow bɛda wo nkotodwe ntam .
• Nyinsɛn akyi abɔso a wɔhyɛ de boa ma asen no gyina pintinn.
• Sɛ woresi kar no mu a , mia wo nan so .
• Sɔ nneɛma te sɛ acupuncture, aduru a wɔde twitwiw nipadua, apɔw-mu-teɛteɛ, anaa nipadua mu ayaresa hwɛ na ama ɛyaw no so atew na ama woatumi atu mpɔn.

Ebia wo duruyɛfo bɛkamfo apɔw-mu-teɛteɛ ne ntrɛwmu a ɛbɛboa ma woabɔ w’asen ho ban na ama ayɛ den. Ebia eyi bɛka apɔw-mu-teɛteɛ a wɔyɛ wɔ akyi berɛmo mu ho. Kae sɛ, ebia apɔw-mu-teɛteɛ bere a wonyinsɛn no bɛyɛ soronko wɔ apɔw-mu-teɛteɛ a wo duruyɛfo kamfo kyerɛ bere a woanyinsɛn akyi no ho. Apɔw-mu-teɛteɛ a ɛmma wo nkwaa so adwennwen pii te sɛ asuguare ye sen sakre so a wobɛtra anaa apɔw-mu-teɛteɛ a wode bɛsoa wo mu duru.

Ɛho hia nso sɛ wusua sɛnea wobɛtu akɔ baabiara dwoodwoo. Sɛ wote ɛyaw mu a, ɛyɛ ade a ɛfata sɛ wobɛpɛ sɛ wokɔ baabi foforo na ama wo ho atɔ wo. Nanso sɛ woyɛ saa a, ebia wode nhyɛso a ɛho nhia reto nkwaa afoforo so a wunhu mpo. Sɛ nhwɛso no, ɛsɛ sɛ wusua sɛnea wobɛma bag a emu yɛ duru so afi fam, akɔfa abofra ketewa, anaa wobɛkotow. Nneɛma te sɛ wo nipadua a wobɛkyinkyim ne ntɛm dodo betumi ama nneɛma asɛe kɛse. Wo duruyɛfo betumi akyerɛ wo kwan wɔ akwan a wobɛfa so atew ɛyaw so a worensɛe nkwaa afoforo.

Dɛn ne gyinabea a eye sen biara a obi a ɔwɔ SPD betumi ada?

Sɛ wowɔ SPD a, ɛbɛyɛ papa sɛ wobɛda w’afã a wode pillow bɛda wo nkotodwe ne wo nan ase ntam .

So SPD hwehwɛ sɛ wɔda mpa so?

Dabi, mpɛn pii no, ɛho nhia sɛ obi bɛda mpa so wɔ SPD ho. Nnipa dodow no ara tumi di wɔn yaw no so akodu baabi a ɛho nhia sɛ wɔda mpa so.

So wobetumi asiw SPD ano?

Ebia ɛrentumi nyɛ yiye sɛ wobesiw asen mu yaw ano koraa bere a wɔyem no. Nanso wubetumi abɔ w’asen ho ban afi opira ho. Saa afotu yi betumi aboa ma asiane a ɛwɔ hɔ sɛ wubenya SPD no so atew:

• Hyɛ mpaboa a ɛyɛ fɛ a ɛma wo nan gyina yiye.Kwati sɛ wobɛhyɛ mpaboa a enni nnyinaso te sɛ flip-flop.
• Kura mu duru a ɛfata mu wɔ nyinsɛn no nyinaa mu. Sɛ wunnim nea mu duru yɛ apɔwmuden a, bisa wo duruyɛfo.
• Tie wo nipadua no . Sɛ biribi yɛ yaw a, gyae yɛ. Mpia wo ho denneennen dodo.
• Ma w'adwene nsi sɛnea wugyina hɔ ne sɛnea wo nipadua no keka ne ho no so . Kwati sɛ wobɛkyinkyim mpofirim anaasɛ wobɛka wo ho a ɛde nhyɛso ba w’asen so, te sɛ wo a wobɛbɔ wo nan ase.

Sɛ wowɔ SPD a, dɛn na wubetumi ahwɛ kwan?

Ɛyaw a SPD de ba no gu ahorow wɔ onipa biara mu. Bere a ebetumi ayɛ nea ɛnyɛ dɛ koraa wɔ nyinsɛn mu no, nnipa pii bɔ amanneɛ sɛ ɛyaw no ano brɛ ase wɔ awo akyi asram kakraa bi . Sɛ ɛyaw no kɔ so wɔ awo akyi a, kɔ oduruyɛfo nkyɛn kɔhwɛ sɛ nneɛma foforo bi wɔ hɔ a ɛma wo ho yɛ wo yaw anaa. Saa bere yi de, wo ne nea ɔhwɛ wo ansa na woawo no nyɛ adwuma hwehwɛ akwan a wobɛfa so adi ɛyaw no ho dwuma sɛnea ɛbɛyɛ a ɛrensiw wo da biara da asetra kwan.

So SPD kyerɛ sɛ awo abɛn?

Dabi, sɛ wowɔ `(SPD)` anaa `Pelvic Girdle Pain` `(PGP)` a, ɛnkyerɛ sɛ worebɛn awo anaasɛ awo rekɔ so. Hu nsɛnkyerɛnne ankasa a ɛkyerɛ sɛ awo rebɛn.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ w’asen mu yaw no rehaw wo da biara da dwumadi ahorow a, hwɛ hu sɛ wobɛma wo duruyɛfo ahu . Sɛ wowɔ ɔhaw wɔ kankyee a ɛfata te sɛ nantew, antweri a wobɛforo, anaasɛ kar mu a wobɛforo na woafi mu ho a, ebia wo pubic symphysis na ɛde ba. Nanso akwan bi wɔ hɔ a wɔfa so di ɛyaw yi ho dwuma. Wo duruyɛfo no ne wo bɛkasa afa akwan pa a wobɛfa so adi saa ɔhaw yi ho dwuma sɛnea ɛbɛyɛ a wubetumi adi akɔneaba yiye wɔ wo nyinsɛn no bere a aka no mu.

Ɛnyɛ nwonwa sɛ wobɛte asen mu yaw bere a wonyinsɛn no. Nanso sɛ emu yɛ den araa ma wuntumi nyɛ nneɛma a ɛma wo mu duru te sɛ nantew a, ebetumi ayɛ Symphysis Pubis Dysfunction (SPD) ho sɛnkyerɛnne. Asɛmpa no ne sɛ, mpɛn pii no eyi kɔ wɔ awo akyi adapɛn kakraa bi. Nanso ɛmma wo mprempren tebea no nyɛ mmerɛw koraa. Sɛ w’asen mu yaw no mma wuntumi nkɔ baabiara sɛnea ɛsɛ anaasɛ ɛrema wo ho ayɛ wo yaw kɛse a, wo ne nea ɔhwɛ wo ansa na woawo no nkasa. Nneɛma bi wɔ hɔ a wubetumi ayɛ de adi asen mu yaw ho dwuma bere a wonyinsɛn no.

Awiei koraa no, kae eyi (Take-Home Message) .

Okay, enti seesei woanya nteaseɛ pa wɔ deɛ yɛaka ho asɛm (Symphysis Pubis Dysfunction - SPD) no ho. Nneɛma a ɛho hia a ɛsɛ sɛ wokae ni:

• SPD yɛ tebea a nnipa pii betumi anya bere a wɔyem no. Ɛnyɛ wo nko ara.
• Ade titiriw nti a ɛte saa ne asen nkwaa a entumi nnyina esiane nyinsɛn mu nkwaadɔm ne akokoaa no mu duru nti..
• Sɛ ɛyaw no mu yɛ den a, nneɛma te sɛ nantew ne antweri a wɔforo betumi ayɛ den .
• Saa ɛyaw yi taa brɛ ase bere a wɔawo akokoaa no akyi .
• Akwan ahorow wɔ hɔ a wɔfa so siw ɛyaw ano (gyinabea a wɔteɛteɛ, apɔw-mu-teɛteɛ, abɔso a wɔde boa, nnuru a wɔde kum ɛyaw sɛnea oduruyɛfo kyerɛ no).
• Sɛ wote ɛyaw a wuntumi nnyina ano, anaasɛ ɛyɛ den ma wo sɛ wobɛyɛ da biara da dwumadi ahorow a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn . Mma nsuro anaa n’ani nnwu.

Yɛwɔ anidaso sɛ saa nsɛm yi bɛboa wo ma wo nyinsɛn no ayɛ nea ahotɔ wom sɛnea wubetumi!

` SPD, Nyinsɛn, Asen mu Ɛyaw, Symphysis Pubis Dysfunction, Pelvic Girdle Ɛyaw, Nyinsɛn Akwahosan, Awo