Yu de gɛt pen na yu bɛlɛ eria? Dis kin bi di Pubic Symphysis!

Yu dɔn ɛva fil wan strenj pen ɔ diskɔmfɔt na yu bɛlɛ eria, dat na yu groin? Sɔntɛm yu kin yɛri smɔl klik sawnd we yu de waka ɔ tɔn to di sayd? Tide wi go tɔk bɔt wan jɔyn na wi bɔdi we wi nɔ de tɔk bɔt bɔku, bɔt i rili impɔtant. Dɛn kɔl am `Pubic Symphysis`. Pan ɔl we di nem strenj smɔl, dis ples de du wan rili impɔtant wok na wi bɔdi.

Wetin na dis `Pubic Symphysis`? Lɛ wi ɔndastand am simpul wan.

Okay, naw mek wi si wetin dis `Pubic Symphysis` bi. Fɔ tɔk am simpul wan, dis na di jɔyn usay yu tu pelvik bon dɛn, dat na yu tu hip bon dɛn, de jɔyn togɛda bifo. pan tap we yu εlbo εn kכn dεm de muv bכku, dis `Pubic Symphysis` jכint nכ de muv so. di men wok we i de du na fכ ol yu rayt εn lεft bכdi bon dεm na in ples. Bɔt, i kin mek sɔm smɔl smɔl muvmɛnt dɛn. dis muvmεnt dεm de εp fכ sheb di wet fכ yu כp bכdi ivin akɔdin to yu bכdi. we uman bεlε, di muvmεnt dεm na dis jכint de inkrεs mכr. da tεm de, dis jכint de fכm, biכs i nid fכ εp di bכdi bכn dεm fכ wayd sכmtεm fכ mek i izi fכ di pikin fכ kכmכt.

So wetin na di men tin bɔt dis `Pubic Symphysis`?

di Pubic Symphysis joyn de du wan tin we rili impɔtant. i de kכnekt yu rayt εn lεft bכdi bon dεm togeda, we de mek wan strכng bכdi we kin sכpכt yu bכdi in wet. I de ɛp yu bak fɔ strɛch we yu de bɔn pikin. na biכs fכ dis jכint di tu bכdi bכn dεm na di sem lεk se yu de luk tru miro. yu bכdi bon dεm de kam togεda, we de sheb di wet fכ yu כp bכdi bitwin yu leg dεm εn yu fut dεm. di Pubic Symphysis joyn kin muv lεk 2 milimita εn i kin rota lεk 1 digri. dis muvmεnt na di wan we de alaw yu bכdi fכ abzכp di shכk dεm we de apin we yu de waka εn rכn. Dis jɔyn impɔtant mɔ if yu gɛt bɛlɛ. As yu de kam nia fɔ bɔn pikin, dis jɔyn kin rili chenj. afta dat di bכdi bon dεm de wayd, we de mek i izi fכ di pikin kכmכt tru di bכn kanal.

Usay dis `Pubic Symphysis` de?

yu pubic symphysis de na di bכtכm pat pan yu bכdi, usay yu lεft hip bon de mit yu rayt hip bon. dis joyn de wayd lεk 3 to 5 milimita na di fכnt pas di bak. i de bak bifo yu blad, oba yu klitoris pan uman, εn oba yu penis pan man. di tεndon dεm fכ sכm mכsul dεm na yu bכdi εn di tכŋ dεm de atak di ligament dεm na di pubic symphysis. Fɔ ɛgzampul:

• di tεndon dεm na yu thigh mכsul dεm (especially di gracilis mכsul dεm).
• di tεndon dεm na di mכsul dεm na di sayd dεm na yu bכdi (`obliquus externus`).
• Di tεndon na yu rεktus abdominis mכsul.

dis kכnεkshכn dεm de gi כda trεnk εn stεbiliti to di pεlvik εria.

Wetin dɛn mek di `Pubic Symphysis` wit?

yu pubic symphysis de mek wit tu kayn katilej εn fכ ligament dεm. dis na di tin dεm we de mek di bכdi bכn dεm tכgeda, bכt dεn kin fleksibul bak. dis joyn de fleksibul pas di joyn dεm na yu sכkul, bכt i nכ de fleksibul pas joyn dεm lεk yu εlbo. Lɛ wi tek wan luk pan in men pat dɛn:

• Fibrocartilage disk: Dɛn kin mek dis mɔ wit fayv dɛn we dɛn kɔl Tayp I kolagen . dis kayn kolagen na in de gi di kכnektiv tisu dεm lεk bon dεm , skin, tεndon dεm, εn jכint dεm dεn strכng strכkchכ. dis fibrokatilaj disk de na yu pubic symphysis joyn lεk wan strכng, fibrous disk. di ligament dεm εn di tεndon dεm de atak dis disk, we de εp fכ kip am na in ples.

• di hyaline cartilage coating: di hyaline cartilage de mek am mכst wit Tayp II kolagen. Dis na di men tin we de insay di katilej. dis hyaline cartilage de kכba di εnd dεm fכ yu pelvik bon dεm. da fibrocartilage disk we wi bin dכn tכk bכt de sidon bitwin di hyaline cartilage na yu lεft pelvik bon εn di hyaline cartilage na yu rayt pelvic bon. I tan lɛk sanwij.

• di ligament kכnektכ dεm: fכ tכp ligament dεm de atak dis fibrocartilage disk, we de mek i nכ de slayv כ muv tu mכch. dis ligament dεm na: di supεriכr pubic ligament, di infεriכs pubic ligament, di anterior pubic ligament, εn di posita pubic ligament.

Wetin na di sik ɛn dizayd dɛm wae de afɛkt di `Pubic Symphysis`?

Symphysis Pubis Dysfunction, ɔ SPD, na wan jɛnɛral wɔd fɔ wan kɔlekɛshɔn fɔ di simptom dɛm we kin kam bikɔs ɔf chenj dɛm na yu pubis symphysis. Bɔku tɛm, na we uman gɛt bɛlɛ kin kam wit SPD.we uman bεlε, di כmon chenj dεm de mek di ligament dεm we de ol di `Pubic Symphysis` (pubic symphysis) tכgeda fכ lכs. dis we di ligament dεm de lכs de mek di jכint fכ fleksibul mכr. dis fleksibiliti na in de alaw di bכdi bon dεm fכ muv apat as di pikin de kכmכt we i de bכn. Bɔt sɔntɛnde, dɛn chenj ya kin mek wi fil pen. nכto bεlε nכmכ, bכt כda kכndyushכn dεm kin mek chenj dεm na yu `Pubic Symphysis` (pubic symphysis):

• di joyn jam εn dislokeshכn: di pubic symphysis de wayd sכmtεm we yu spre yu leg dεm apat. Sɔntɛnde, we yu de ple spɔt ɔ ɛksesaiz, di jɔyn kin tu wayd, we kin mek di bɔdi na di bɔdi kin kɔmɔt ɔ jam we dɛn kam bak togɛda.

• Metabolic diseases and disorders: We yu gɛt bɔku bɔku bɔdi ɛn yu fat, dat kin mek yu gɛt mɔ prɛshɔn pan di pubic symphysis, we kin mek i izi fɔ mek yu gɛt injury . sכm sik dεm kin mek di jכint big (e.g., renal osteodystrophy) כ mek di kalsiכm dεposit insay di joyn (e.g., ochronosis).

• Joyn sik dεm: As tεm de go, di katilej de west εn di sכpכt fכ di joyn kin dכn. Dɛn kɔl dis Ɔstiɔ-arayt .

• Infεkshכn: Baktri dεm lεk Staph εn Strep kin atak di jכint εn mek i inflam.

• inflameshn: di mכst kכmכn inflammatory kכndyushכn we de afekt di pubic symphysis na Osteitis Pubis. Dis kin bi bikɔs i wund, i gɛt infekshɔn, i gɛt bɛlɛ, ɔstiɔ-arayt, ɔ ɔpreshɔn.

Wetin na di kɔmɔn simptom dɛm fɔ wan kɔndishɔn we de afɛkt di `Pubic Symphysis`?

dipכnt pan di prכblεm we de afekt yu `Pubic Symphysis` jכint, yu kin fil shap pen na yu pεlvik εria. Sɔmtɛm dis pen kin fil lɛk se i de skata ɔlsay na yu bɛlɛ, yu hip, ɛn bak. If yu si am se i nɔ izi fɔ du sɔm muvmɛnt, i kin bi sayn fɔ se yu gɛt prɔblɛm wit yu `Pubic Symphysis`. Na sɔm pan di sayn dɛm wae de sho se yu gɛt dis sik:

• Lɔs fɔ fleksibiliti na yu groin eria.
• Wan sawnd ɔ sɛns we de grind we yu de muv di bɛlɛ.
• Pen na di frɔnt pat na di bɔdi ɔ na di insay say na di shɔl.
• Pen ɔ "klik" sawnd we yu de waka.
• Pen na di groin eria we yu de tray fɔ rɔn, kik, tinap, ɔ sidɔm.
• Pen we yu de tɔn di bɔdi ɔ yu es yu an fɔ pik sɔntin.

If yu gɛt dɛn sik ya, yu dɔktɔ kin ɛp yu fɔ no if di kɔz na prɔblɛm wit di `Pubic Symphysis`.

Wetin na di kכmכn tεst dεm we dεn kin du fכ chεk di hεlth fכ di `Pubic Symphysis`?

Tipikli, yu dכkta go tek yu mεdikal histri, du fכshal εgzam, chεk aw yu pεlvik mכsul dεm εn jכint dεm strכng εn stebul, εn gεt wan aydia fכ di kכndishכn fכ yu `pubic symphysis`. Bɔku tɛm, dis kin du fɔ am. Bɔt, na smɔl tɛm nɔmɔ, dɔktɔ kin du `blɔd tɛst` ɔ `imajin`. if yu bεlε, yu dכkta go כnli rεkomεnd sef imej tεst dεm we nכ go du di `fetus`.

Wetin na di kɔmɔn tritmɛnt fɔ `Pubic Symphysis`?

Yu dɔktɔ go ɛp yu fɔ manej di pen we yu gɛt we yu wund yu pubic symphysis te i wɛl.

• We yu rɛst mɔ, dat kin mek di bɔdi gɛt tɛm fɔ wɛl.
• If yu tek mɛrɛsin fɔ mɛn pen lɛk NSAID (non-steroidal anti-inflammatory drugs), put ays pak, ɛn yuz ɔt pad kin ɛp fɔ mek yu fil pen. Bɔt if yu gɛt bɛlɛ, nɔ put ɔt pad na yu bɛlɛ we de dɔŋ.
• I kin fayn bak fɔ go to pɔsin we sabi bɔt mɔsul ɛn skel, lɛk pɔsin we de mɛn yu bɔdi ɔ we de mɛn yu kayrɔprakt. Dɛn kin gi tritmɛnt ɛn ɛksesaiz fɔ ɛp fɔ stebul ɛn strɔng yu bɛlɛ eria te yu jɔyn wɛl.

Mɛmba se di bɛst tritmɛnt fɔ yu go dipen pan wetin mek yu de fil pen, so tɔk to yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du.

Aw a go kip mi `Pubic Symphysis` wɛlbɔdi?

Di bɛst we fɔ mek yu nɔ gɛt injury na fɔ muv yu bɔdi di we we nɔ go put strɛs pan yu pubic symphysis. I kin ɛp bak fɔ du ɛksɛsayz dɛn we de mek di mɔsul dɛn we de rawnd yu bɔdi ɛn sɔpɔt yu bɔdi strɔng. Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:

• du εksεsayz dεm we de mek di mכsul dεm na yu bכdi, mid εn lכw bכk, hip, bכtכk, bεlε, εn vagina wכl dεm strכng (e.g., Kegel εksεsayz ).
• If yu wɛr fayn sus we fit yu fut, dat go mek yu jɔyn dɛn nɔ gɛt bɔku prɛshɔn we yu de waka ɔ rɔn.
• If yu du ɛksɛsayz na flat say we nɔ tu at, dat go mek yu nɔ gɛt bɔku strɛs we yu de put pan yu jɔyn dɛn we yu de rɔn na grɔn we at.We yu de rɔn pan flat say, yu nɔ kin fɔdɔm ɛn wund yu pubic symphysis, we kin mek i twist ɔ pinch.
• We yu bigin fɔ du ɛksɛsayz, stat smɔl smɔl, pas fɔ du ɔl wetin yu ebul fɔ du. Dis go mek dɛn nɔ gɛt strɛs we nɔ nid fɔ de pan di mɔsul dɛn we nɔ rɛdi fɔ di wok. If yu tek yu tɛm fɔ go bifo smɔl smɔl tru ɛksesaiz program, dat go ɛp fɔ protɛkt yu jɔyn dɛn as tɛm de go.

Tɔk to yu dɔktɔ bɔt us ɛksesaiz yu kin du fɔ mek yu nɔ gɛt injury, ɛn aw fɔ plan yu wokɔt fɔ ridyus yu risk fɔ injuri.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Bɔku tɛm wi kin tink bɔt di jɔyn dɛn we impɔtant pas ɔl na di ni ɛn ɛlb, we kin rili fleksibul. כltu, jכyn dεm lεk di ` Pubic Symphysis` dεn tu de ple wan rili imכtant rol. dis joyn de εp yu bכdi fכ abzכp di shכk dεm we de apin we yu de muv. כlso, di chenj dεm we de apin na dis jכint we yu bεlε na in de alaw yu fכ bכn bay vagina. So, i rili impɔtant fɔ protɛkt yu `Pubic Symphysis` frɔm injury. If yu gɛt ɛni prɔblɛm ɔ pen we gɛt fɔ du wit dis, nɔ shem ɛn go to dɔktɔ fɔ advays. Dɔn yu kin gɛt wɛlbɔdi ɛn wɛl!

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Pubic symphysis, pelvic pen, bεlε, joyn hεlth, SPD, uman dεm hεlth, Sri Lankan hεlth