ʻEha mau kou ʻāpana ʻūhā? E kamaʻilio kākou e pili ana i ka Osteitis Pubis!

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha ʻē ma kou ʻāpana groin a i ʻole ka ʻōpū haʻahaʻa i ka wā e holo ana, e piʻi ana i nā alapiʻi, a i ʻole ke kū wale ʻana? Ua kamaʻāina paha kēia ʻike iā ʻoe, ʻoiai inā he mea pāʻani ʻoe. ʻO kekahi kumu paha o kēia ʻeha he maʻi i kapa ʻia ʻo Osteitis Pubis. Akā, mai hopohopo, ʻaʻole ia he mea koʻikoʻi. E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi e hiki i nā mea a pau ke hoʻomaopopo.

He aha ka Osteitis Pubis?

I ka ʻōlelo maʻalahi, ʻo Osteitis Pubis kahi mumū, ʻo ia hoʻi, ka pehu ʻana o kahi hui ma waenakonu o ko mākou pelvis. Kapa mākou i kēia hui ma ke ʻano lapaʻau ʻo Pubic Symphysis . ʻO kēia kahi e pili ai nā ʻaoʻao ʻākau a me ka hema o ko mākou papahele pelvic ma waenakonu. E noʻonoʻo, he nui nā mea, e like me ko mākou mau ʻiʻo ʻōpū a me nā ʻiʻo ʻūhā, e pili ana a puni kēia hui. No laila, ke pehu kēia hui, loaʻa ka ʻeha.

ʻO ka mea maʻamau, ʻo kēia kūlana ke kumu o ka hoʻohana nui ʻana/ke kaumaha mai nā neʻe hou ʻana. ʻO ka poʻe e pāʻani ana i nā haʻuki e pili ana i ka holo ʻana, ke kīkē ʻana, a i ʻole nā ​​​​loli koke i ke kuhikuhi (e like me ka pôpeku a i ʻole ka hockey) ʻoi aku ka nui o ka loaʻa ʻana o kēia kūlana. Eia nō naʻe, hiki nō hoʻi ke hana i nā poʻe ʻaʻole he mea pāʻani.

He aha nā hōʻailona?

ʻO ka hōʻailona nui a maopopo loa o Osteitis Pubis ka ʻeha. Hiki ke ʻike ʻia kēia ʻeha ma nā ʻano like ʻole. I kekahi manawa ua like ia me ka ʻeha palupalu ʻoiai ke noho wale nei. Hoʻonui ʻia kēia ʻeha i ka wā e neʻe ai a hoʻoikaika kino paha.

E nānā pono kākou i kēia mau hōʻailona ma ka papa ma lalo nei.

He ʻeha nui loa kēia a no kekahi poʻe, loli ke ʻano o ko lākou hele ʻana. I ka hoʻāʻo ʻana e hōʻoluʻolu i ka ʻeha, hiki i ka hele wāwae ke lilo i hele wāwae .

He aha ke kumu o kēia?

ʻO ke kumu nui o kēia, e like me kaʻu i ʻōlelo ai ma mua, ʻo ke kaomi mau ma ka ʻāpana pelvic. He mea maʻamau kēia i nā mea pāʻani.

• Haʻuki: Hiki ke hana ʻia kēia kūlana ma muli o ke kaomi i kau ʻia ma luna o nā hono pelvic, nā ʻiʻo pili, a me nā ʻiʻo i ka wā o nā haʻuki e like me ka pôpeku, hockey, tennis, a me ka holo lōʻihi.
• ʻOki kino: He mea kākaʻikahi loa, hiki ke ʻike ʻia kēia mau hōʻailona ma hope o ke ʻoki kino ma ka ʻāpana pelvic.
• Hānau Keiki: Eia kekahi, hiki i kekahi mau wahine ke loaʻa i kēia maʻi ma hope o ka hānau ʻana. Eia nō naʻe, ʻoi aku ka liʻiliʻi o kēia mau hihia ʻelua ma mua o nā mea e pili ana i nā haʻuki.

Pehea e hana ʻia ai ka hōʻailona?

No laila, ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a pehea i hoʻomaka ai ka ʻeha. A laila, e hoʻāʻo ʻo ia e kāpae i nā kūlana olakino ʻē aʻe.

A laila, e hana ʻia kahi hoʻokolohua kino. Pili kēia i ka nānā ʻana i kou pelvis a me ka ʻōpū haʻahaʻa, e hoʻopili ana i kekahi mau neʻe a me nā kaomi e ʻike ai inā he ʻeha. Aia kekahi mau hoʻokolohua kūikawā no kēia.

• Hoʻāʻo Puna Pubic: E kaomi mālie ke kauka i kou pelvis mai ke alo, ma luna pono o ka iwi pubic. Inā he ʻeha ʻoi, he hōʻailona paha ia o kēia mumū.
• Hoʻāʻo Kaomi ʻAoʻao: Pili kēia i ke kaomi ʻana i nā iwi ʻūhā mai nā ʻaoʻao ʻelua. Inā he ʻeha, ʻo ia hoʻi ua paʻa ʻole a pehu paha ka hono medial.
• Hoʻāʻo FABER:Maanei, ua kūlou kou wāwae i ke ʻano he kiʻi '4' a nānā ʻia. Inā hōʻeha kēia neʻe ʻana i ke alo o ka pelvis, he hōʻailona nō hoʻi ia o Osteitis Pubis.

Nā Hoʻāʻo Kiʻi

Ma hope o ka hoʻokolokolo kino, hana ʻia nā hoʻokolohua kiʻi e hōʻoia i ka hōʻailona a loiloi pololei i ke kūlana o loko.

• X-ray: Hiki i kēia ke nānā i nā mea e like me nā loli i nā iwi, ka hoʻonui ʻana o nā hono, a me ka ʻoʻoleʻa o ka iwi.
• MRI (Magnetic Resonance Imaging): ʻO ke ala maikaʻi loa e ʻike ai i kēia kūlana me kahi scan MRI. Hiki iā ia ke ʻike maopopo i nā mea i ʻike ʻole ʻia ma kahi X-ray, e like me ka pehu mua ʻana o nā iwi a me nā ʻiʻo, a me ka hōʻiliʻili ʻana o ka wai i loko o ke hono.
• CT (Computed Tomography) Scan: Kōkua kēia i ka loaʻa ʻana o kahi kiʻi kikoʻī loa o nā iwi. Hoʻohana ʻia ia inā paʻakikī ka hana ʻana i kahi MRI a inā pono ka ʻike hou aku.
• ʻIwi Scan: He mea maʻalahi loa kēia hoʻāʻo i ka ʻike ʻana i nā pilikia i loko o nā iwi i hoʻokumu ʻia e nā kūlana e like me ka maʻi, ka trauma, a i ʻole ke kanesa.

Pehea e mālama ʻia ai?

ʻO ka nūhou maikaʻi loa hiki iaʻu ke hāʻawi aku iā ʻoe, ʻo ia ka hiki ke ho'ōla loa ʻia ka Osteitis Pubis me ka manawa a me ka mālama kūpono.

Hiki i kahi mea hoʻōla kino i aʻo ʻia ke kōkua iā ʻoe e hoʻoikaika i kou mau ʻiʻo e pale aku i ka hōʻeha hou ʻana. Ke hāʻawi kāu kauka a me ka mea hoʻōla kino iā ʻoe i ka ʻae, hiki iā ʻoe ke hoʻomaka hou i kāu mau hana haʻuki. Hiki i kēia ke lawe i kekahi mau pule a i 3-6 mau mahina.

ʻO ka mea maʻamau, hana ʻia kēia mau mea no kēia:

• E hoʻopili hou i ka wela a me ka hau i ka wahi ʻeha.
• Ke kaupalena ʻana i ka hana kino.
• E hoʻomaha loa mai nā haʻuki a hiki i ka hoʻomaikaʻi ʻana o ka ʻeha.
• ʻO ka lawe ʻana i nā lāʻau ʻeha e like me Ibuprofen, Naproxen, a me Acetaminophen e like me ke kuhikuhi a kāu kauka.

Inā ʻaʻole kōkua kēia mau mea, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi inikini steroid e hōʻemi i ka pehu. Hiki iā lākou ke paipai i kahi lāʻau lapaʻau non-invasive i kapa ʻia ʻo Extracorporeal Shock Wave Therapy (ESWT).

Āhea e pono ai ke ʻoki kino?

ʻOiai ʻaʻole pono ka hapa nui o ka poʻe i ke ʻoki ʻana, hiki ke noʻonoʻo ʻia ke ʻoki ʻana i nā hihia aʻe:

• Inā ʻoi aku ka lōʻihi o ka ʻeha ma mua o 6 mau mahina.
• Inā nui loa ka ʻeha e neʻe ai.
• Inā ʻaʻole hiki iā ʻoe ke komo i nā hana haʻuki.

I kēia manawa, nui nā kauka e hana i kēia ʻoki kino me ka hoʻohana ʻana i kahi ʻano hana minimally invasive.ʻO ke ʻano kēia, ma kahi o ka hana ʻana i kahi ʻoki nui, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela (endoscope) ma o kekahi mau lua liʻiliʻi a ua wehe ʻia ka ʻiʻo pehu. ʻO ka hopena, ua emi ka manawa ho'ōla a emi ka ʻeha.

Pehea e pale aku ai i kēia kūlana?

Inā pilikia ʻoe i kēia maʻi, hiki iā ʻoe ke hana i nā hana e pale aku ai. ʻO ka hoʻoikaika ʻana i nā ʻiʻo ma ka ʻāpana pelvic a me ka hoʻonui ʻana i ka maʻalahi hiki ke hōʻemi i ka pilikia o nā ʻeha haʻuki.

Eia kekahi mau hoʻomaʻamaʻa e kōkua i kēia:

• Hoʻoikaika i nā ʻiʻo o nā pūhaka a me nā ʻūhā (hip adductors).
• Hoʻoikaika i nā ʻiʻo o ke kua haʻahaʻa.
• Hoʻoikaika i nā ʻiʻo o ka ʻōpū.
• Hoʻoikaika i nā ʻiʻo hamstring a me nā quadriceps.
• Ke kīkoʻo ʻana.
• ʻAuʻau ʻana.

Inā ʻoe e hana pū me kahi mea hoʻomaʻamaʻa a mea hoʻoponopono kino paha, hiki iā ʻoe ke loaʻa ke alakaʻi ʻana i nā hoʻomaʻamaʻa kūpono e pale aku ai i kēia kūlana.