Ke ʻike nei ʻoe i kekahi manawa i kahi ʻeha ʻē ma kou ʻōpū haʻahaʻa, ma nā ʻaoʻao ʻelua o kou ʻūhā? ʻOi loa i ka wā hāpai, a inā he kanaka haʻuki pinepine ʻoe, ua kamaʻāina paha ʻoe i kēia ʻeha. Ke hoʻonui nei anei kēia ʻeha i kou hele ʻana, ala aʻe mai kahi moe, a hohola paha i kou mau wāwae? ʻOiai he nui ka poʻe e manaʻo nei he mea maʻamau kēia, i kekahi manawa ʻo ke kumu he pilikia me kahi hui liʻiliʻi i loko o ko mākou kino a mākou e kamaʻilio nui ʻole ai. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia hui i kapa ʻia ʻo 'Pubic Symphysis', kahi e hana maikaʻi ai i ka mālama ʻana i ko mākou pelvis i paʻa, akā hiki ke hoʻonāukiuki loa i ka wā e kū mai ai kahi pilikia.
I ka ʻōlelo maʻalahi, he aha kēia Pubic Symphysis?
E noʻonoʻo ʻoe ua like ko kākou pelvis me ke apo. Hana ʻia kēia apo me kekahi mau iwi nui. No laila, ma ke alo o kēia apo pelvic, kahi e hui ai ka iwi ʻākau a me ka iwi hema, aia kahi hui kūikawā i kapa ʻia ʻo Pubic Symphysis .
I kēia manawa, manaʻo paha ʻoe he hui kēia e neʻe nui ana, e like me ke kuli a i ʻole ke kuʻekuʻe lima. Akā, ʻaʻole. ʻAʻole ia e neʻe nui. E like me ke alahaka e hoʻohui ana i ʻelua mau kapa, ʻo ka hana nui o kēia hui, ʻo ia ke hoʻopaʻa pono i nā iwi pelvic ʻelua a mālama i ke kūpaʻa o ka pelvis. Akā, he ʻano palupalu iki nō hoʻi kona e omo ai i nā haʻalulu e kū mai ana i ka wā o nā neʻe ʻana e like me ka wā e hele ai a holo ai. No laila, ʻoiai ʻaʻole mākou e noʻonoʻo nui i kēia hui, he mea nui loa ia no ke kaulike o ko mākou kino.
He aha nā hana nui o kēia hui?
E nānā kākou i ke koʻikoʻi o kēia ami liʻiliʻi i ko kākou kino.
- Ka mālama ʻana i ke kūpaʻa o ka pelvis: ʻO kēia ka mea nui loa. Hoʻopili kēia hui i nā iwi pubic ma ka ʻaoʻao hema a me ka ʻākau o ka pelvis a mālama iā lākou i ka ikaika.
- Ka Hoʻopili ʻana i ke Kūpilikiʻi: Ke hele mākou, holo, a lele paha, ʻike ko mākou kino i ke kūpilikiʻi. Kōkua kēia hui i ka hoʻopili ʻana i kēlā kūpilikiʻi a hōʻemi i kona laha ʻana i nā ʻāpana o luna o ke kino.
- Ka hoʻokaʻawale ʻana o ke kaumaha o ke kino: Hele ke kaumaha o ko mākou kino luna ma o ka pelvis ma mua o kona hele ʻana ma waena o nā wāwae a hiki i ka honua. No laila, kōkua kēia hui i ka hoʻokaʻawale like ʻana i kēlā kaumaha ma waena o nā wāwae.
- Kōkua i ka hānau keiki ʻana: ʻO kēia ka hiki kupaianaha loa o kēia hui. Ma ka hopena o ka hāpai ʻana, lilo kēia hui i mea palupalu a ākea iki ma muli o ka mana o nā hormones. Hana ʻia kēia e hana i kahi no ka pelvis e puka maʻalahi i waho no ka pēpē i ka wā hānau keiki. He mea kēia e hana maoli ʻia.
Aia ma hea kēia hui a he aha ka mea i hana ʻia ai?
Aia ka hui pubic symphysis ma lalo o ko kākou pelvis, ma waenakonu a ma mua. Aia ia ma mua o ko kākou ʻōpū mimi a ma luna o ko kākou ʻōpū wahine.
ʻAʻole kēia hui he mau iwi ʻelua wale nō i hui pū ʻia. Pono ia e ikaika a palupalu i kekahi ʻano. ʻO ia ke kumu i hana ʻia ai me kekahi mau ʻāpana kūikawā.
| ʻĀpana o ka hui | He wehewehe maʻalahi |
|---|---|
| Disk fibrocartilage | ʻO kēia ka ʻāpana nui ma waena o nā iwi ʻelua. Ua like ia me kahi 'mea hoʻopau haʻalulu' i loko o ke kaʻa. He ʻano cartilage ia me nā olonā ikaika loa. Hana nui ʻia ia me kahi protein i kapa ʻia ʻo (Collagen) . ʻO kēia ka mea e hiki ai i ke ami ke omo i ka haʻalulu. |
| Ka uhi ʻana o ke cartilage hyaline | Ua uhi ʻia ka disc fibrocartilage i ʻōlelo ʻia ma luna ma nā ʻaoʻao ʻelua, ʻo ia hoʻi, nā wēlau o nā iwi pelvic ʻelua, e kekahi ʻano cartilage laumania. Hana kēia e pale i nā wēlau o nā iwi. |
| Nā ligaments | Hoʻopaʻa ʻia kēia hui holoʻokoʻa e nā ʻano kaula ikaika i kapa ʻia ʻo nā ligaments. Mālama kēia mau ligaments i ke hui mai ka neʻe nui ʻana, mai ka paheʻe ʻana, a mālama iā ia i ka paʻa. |
He aha nā kūlana e hoʻopilikia ai i ka Pubic Symphysis?
ʻAʻohe o mākou manaʻo e pili ana i kēia hui. Akā i kekahi mau hihia, hiki iā ia ke hana i nā pilikia a me ka ʻeha. ʻO kahi inoa maʻamau no ia mau kūlana ʻo Symphysis Pubis Dysfunction (SPD) . Aia kekahi mau kūlana nui ma lalo o kēia.
ʻO ka hāpai ʻana ke kumu nui o SPD. ʻO kahi hormone i kapa ʻia ʻo Relaxin, ka mea i hoʻokuʻu ʻia i ka wā hāpai, ke kumu o ka hoʻomaha ʻana o nā hono o ke kino, ʻoiai nā hono pelvic. ʻOiai he kōkua kēia i ka hānau keiki ʻana, i kekahi manawa inā nui loa kēia hoʻomaha ʻana, hiki i ke hono ke lilo i mea paʻa ʻole a ʻeha.
Eia kekahi, ʻo nā mea pāʻani e pāʻani ana i nā haʻuki e like me ka pôpeku a me ka hockey, ka poʻe e hoʻololi koke i ke kuhikuhi, a holo wikiwiki hoʻi, hiki iā lākou ke loaʻa i nā ʻeha e pili ana i kēia.
| Kūlana olakino | He aha ka mea e hana ʻia me kēia? |
|---|---|
| Diastasis lehulehu | ʻO ke ʻano kēia, ua ʻoi aku ka laulā o ke ami ma mua o hoʻokahi kenimika (1 kenimika). Hana pinepine kēia i ka wā hāpai a hānau keiki paha. Hiki i kēia ke hoʻoulu i ka paʻa ʻole o ka pelvic a me ka ʻeha nui. |
| ʻOsteitis Pubis | He mumū kēia o ke hono a me nā iwi a puni, me ka ʻole o ka maʻi. He mea maʻamau kēia i waena o nā mea pāʻani. ʻO ka hoʻoikaika kino nui a me nā neʻe pinepine ʻana paha ke kumu nui . |
| Nā maʻi iwi a me nā hono ʻē aʻe | Hiki i ka Osteoarthritis , osteoporosis , fractures, a me nā kūlana ʻē aʻe ke hoʻopilikia i kēia hui. |
Pehea ʻoe e ʻike ai he pilikia? He aha nā hōʻailona?
Inā he pilikia me ka pubic symphysis, ʻo nā hōʻailona nui ka ʻeha a me ka paʻa ʻole o ka pelvic. Hiki ke loaʻa kēia ʻeha ma nā ʻano he nui. Loaʻa i kekahi poʻe kahi ʻeha ʻoi ma waenakonu o ko lākou ʻōpū lalo. No kekahi poʻe, hiki i ka ʻeha ke pālahalaha i lalo o ko lākou ʻūhā, i lalo o ko lākou ʻūhā i loko, i lalo o ko lākou ʻōpū holoʻokoʻa, i loko o ko lākou mau pūhaka, a i lalo o ko lākou kua.
E makaʻala no kēia mau hōʻailona:
- ʻEha i ka wā e hele ana: ʻEha ma ka ʻūhā a i ʻole ka ʻōpū haʻahaʻa i ka wā e hele ana, ʻoiai i ka wā e piʻi ai i ke alapiʻi. Lohe a manaʻo paha kekahi poʻe i kahi leo 'kāomi' i ka wā e hele ana.
- Paʻakikī ke kū ma kekahi wāwae: ʻEha nui ke kū ma kekahi wāwae, e like me ke komo ʻana i kahi lole.
- Paʻakikī ke huli ʻana ma kahi moe: Hoʻonui ʻia ka ʻeha i ka wā e hoʻāʻo ai e huli ma kēlā ʻaoʻao o ka moe i ka wā e hiamoe ana i ka pō.
- Ka paʻakikī ke hoʻokaʻawale i nā wāwae:ʻEha nui ke pono ʻoe e hoʻoneʻe i kou mau wāwae, e like me ke puka ʻana i waho o ke kaʻa.
- ʻOʻoleʻa ma ka ʻūhā: ʻO ka hiki ʻole ke kūlou a hoʻopololei paha i nā wāwae e like me ma mua, a me ka manaʻo o ka emi ʻana o ka palupalu ma ka ʻāpana ʻūhā.
- He leo wili i ka wā e neʻe ai: He manaʻo "nele i ka lubrication" i ka wā e neʻe ai i ka pelvis, he leo wili.
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui loa ia e ʻike i kāu kauka no ka ʻōlelo aʻo, ma mua o ka hoʻokuke ʻana iā lākou e like me ka mea maʻamau. E nānā ke kauka iā ʻoe a, inā pono, e kuhikuhi iā ʻoe no nā hoʻokolohua e like me nā X-ray, e ʻike i ke kumu pololei.
No laila, pehea lā e mālama ai i kēia ami i ke olakino?
ʻAʻole hiki iā mākou ke kāohi i nā mea e like me nā loli hormonal i ka wā hāpai. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i nā pilikia a me nā ʻeha i kēia hui.
- Hoʻoikaika i ka papahele pelvic a me nā ʻiʻo ʻōpū: ʻO kēia ka mea nui loa. Ke ikaika nā ʻiʻo a puni ka pelvis, hāʻawi lākou i kahi kūpono no ke hono. Aia nā hoʻomaʻamaʻa kūikawā (nā hoʻomaʻamaʻa papahele Pelvic a me ka hoʻoikaika ʻana i ke kumu) e kōkua i kēia. Hiki iā ʻoe ke loaʻa ka ʻōlelo aʻoaʻo mai kahi physiotherapist e pili ana i kēia.
- E ʻaʻahu i nā kāmaʻa kūpono: He mea nui loa ke ʻaʻahu i nā kāmaʻa ʻoluʻolu e kūpono i kou mau wāwae. E hōʻemi kēia i ka haʻalulu i kou kino i ka wā e hele ana.
- ʻAno hoʻoikaika kino: Mai hoʻomaka e hana i nā hoʻoikaika kino paʻakikī i ka manawa hoʻokahi. E hoʻomaka mālie i ka hoʻoikaika kino. E hoʻomehana maikaʻi ma mua o ka hoʻoikaika kino.
- ʻIli hoʻoikaika kino: E pale i ka holo ʻana a me ka lele ʻana ma luna o nā ʻili paʻakikī, e like me ka sima, i ka hiki. ʻOi aku ka maikaʻi o ka hoʻoikaika kino ma luna o kahi ʻili palupalu a pālahalaha, e like me ke kula mauʻu no kou mau hono.
ʻOiai mākou e noʻonoʻo pinepine nei i nā hono nui i loko o ko mākou kino, e like me ko mākou mau kuli a me nā poʻohiwi, ua maopopo paha iā ʻoe i kēia manawa ke koʻikoʻi o nā hono liʻiliʻi, ʻaʻole neʻe iki e like me ka Pubic Symphysis i ka hana pono o ko mākou kino. No laila, mai hoʻowahāwahā i kēia mau hōʻailona o ka ʻeha mai kou kino.
Leka Lawe-Home
- He mea nui loa ka pubic symphysis, akā paʻa ʻole, he hono e hoʻohui ana i nā iwi mua ʻelua o ko kākou pelvis.
- ʻO nā pilikia me kēia hui (Symphysis Pubis Dysfunction - SPD) hiki ke hoʻoulu i ka ʻeha o ka ʻōpū ma lalo a me ka ʻūhā i ka wā hāpai a i ka wā e pāʻani ana i nā haʻuki.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kani 'kaomi' ʻana i ka wā e hele ana, ka ʻeha o ka ʻūhā, ka paʻakikī ke huli ma kahi moe, a i ʻole ka hiki ʻole ke hohola i kou mau wāwae, mai hoʻowahāwahā iā ia.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia,E ʻike koke i kāu kauka a e ʻimi i ke aʻo lapaʻau kūpono. E pale i ka mālama ponoʻī ʻana.
- Hiki i nā hoʻomaʻamaʻa papahele pelvic a me ka hahai ʻana i kahi nohona olakino ke hōʻemi i ka hōʻino ʻana i kēia hui.











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