Naupai lai hian i hip area-ah pawh natna nasa tak i nei em? (Symphysis Pubis Dysfunction - SPD) Hemi chungchang hi han sawi ila!

Naupai hi nu tam tak tan chuan thil mak tak a ni a, mahse a chang chuan a nuam lo deuh a, a hrehawm deuh thei bawk. I pum hnuai lam, a bik takin hmalam, hip ruh pahnih inzawmna hmunah pawh na i nei em? He natna hi i kal lai te, stairs i chhoh hian emaw, khum atanga i thawh hian a zual em? Chutiang a nih chuan `Symphysis Pubis Dysfunction` emaw, a tawi zawngin `(SPD)` emaw tih natna i nei thei. Lungngai suh, hei hi mi tam tak chunga thil thleng a ni a, i naute i neih hnuah a bo tlangpui. Hemi chungchang hi chipchiar zawkin han sawi ila.

He Symphysis Pubis Dysfunction (SPD) hi eng nge ni?

A awlsam zawngin, `Symphysis Pubis Dysfunction` emaw `(SPD)` tih hian i pum hnuai lam natna leh nuam lo tihna a ni a, a bik takin hmalam ruh pahnih inzawmna hmun ruh (joint ) a ni He joint hi `(Pubic Symphysis)` kan ti a. Hei hi ruh pahnih inzawmkhawmtu cartilage te tak te a ni. A hna ber chu i pelvis zawng zawng a stable reng a ni. Run leh zuang ang chi thil tih laiin shock te chu a absorb thei bawk. He joint chhehvela ligament te hian hip ruh pahnih chu a hmunah a vawng reng thin.

Mahse naupai lai hian kan taksaah hian engzat nge inthlak danglamna a thleng thin, a dik em? I naute chu i pum chhunga a lo seilian chhoh zel chuan he hip joint pawh hi pressure nasa tak hnuaiah a awm bawk. Chu mai pawh ni lovin naupai lai hian kan taksa hian hormone ``Relaxin'' tih a siam chhuak thin. He hormone hian i ruh vel a ligament te chu a tizau deuh a, a ti flexible deuh bawk. Hei hi a takah chuan thil tha tak a ni a, a chhan chu he loosening hian i naute neih hnaih deuh deuh hian i hip joint chu a tizau tha hle a ni.

Mahse, he ligament hi a lo chhuak lutuk chuan hip joint chu a nghet lo deuh thin. Chu chu hip ruhte chu a pangngai aia tlem a che tan tihna a ni. Hei hi ``spinal disc disease (SPD)'' kan tih chu a ni. Hei hi a chhan dang chu i taksain naute nena a taksa rihna a tihpun vang a ni. Heng zawng zawng hi a lo inzawm khawm chuan chu hrehawmna chu a lo thleng ta a ni.

A chang chuan doctor te chuan he natna hi ``Pelvic Girdle Pain`` (PGP) an ti thin. Chu chu hip girdle-a natna tihna a ni. A chhan chu he natna hi chu hmalam ruh (front joint)-ah chauh a awm lo va, hip area zawng zawngah hriat theih a ni.

SPD hi engtiang chiahin nge a awm?

He natna ``(SPD)`` an tih hi a takah chuan i ngaihtuah aiin nu naupai zingah a tam zawk a ni. Hmeichhe naupai pali zinga pakhat velin he harsatna hi an tawk dawn niin an sawi. Chuvangin hetiang thil hi i hre ve a nih chuan nangmah chauh i ni lo tih hria ang che.

SPD natna lan chhuah dan chu engte nge ni?

I natna chu mi tin a inang lo thei. Naute rih zawng leh i hip-a pressure a pek dan azirin a danglam bawk. Vawi tam tak chu nau neih hun i hnaih deuh deuh chuan naute rihna a pung a, chuvangin a na chu a zual thei a ni.

Eng ang nge a natna chu?

Hetiang thil hi i hre mai thei:

• Pum hnuai lam hmalam hawi tlem emaw, na emaw a awm .
• I hipA hlim hmel hle a, a nghing ang maiin a lang.
• Hip hmalam emaw hnunglam emawa natna rang tak, na tak , lightning-in a rawn nuai ang maia natna.
• Hip area-a rilru hahna, kang, hliam emaw, natna emaw.
• Natna awm reng, pum hnuai lam, hnungzang, groin, perineum, leh kekawrte thlenga darh .

Natna tipungtu thil

He natna hi nitin thil engemaw tih hian a tizual thei a ni. Chung thil thenkhat chu kan pumpelh theih loh.

• Kal lai chuan
• Hma lam pan emaw, ding taka thut emaw hian
• Stairs atanga chho emaw chhuk emaw hian
• Khumah a tossing leh turn lai chuan
• Khum atanga i thawh chuan
• Lirthei chhunga luh leh chhuah hunah
• Ke pakhata ding emaw, ke pakhat chawi emaw hian
• Chair atanga a tho chuan
• I kekawrte emaw i ke emaw i inthen darh hunah (entir nan, car atanga i chhuah dawnin) .

Natna bakah symptom dang

Natna bakah hian symptom dang a awm thei bawk.

• Zun leh ek chhuah harsatna a awm thei .
• Chhan awm lovin i chau hle mai thei .
• I hip atang hian "click" emaw "milk milk" emaw ri i hre mai thei.

Rilru hriselna a nghawng dan

He natna leh lungawi lohna hian i rilru hriselna a nghawng thei bawk. Nitin hna i thawh theih loh lai emaw, nun pangngai nun harsat lai emawa lungngaihna leh lungkhamna i neih hi thil pangngai a ni. Hei hian a chang chuan postpartum depression a thlen thei bawk. Chuvangin naupai lai emaw, naute i neih hnu emawa lungngaihna chhinchhiahna i neih chuan doctor nena inbiakna neih a pawimawh .

SPD tan chuan kea kal hi a tha lo em ni?

Kea kal hlawkna hian a hlauhawmna a tluk pha tlangpui. Mahse, SPD vei tan chuan kea kal hi a harsa deuh thei. I kal laiin tuar theih loh khawpa natna i neih chuan , a nih loh leh i natna lan chhuah dan a zual chuan, i kal fo dan, i kalna hmun, a nih loh leh i pheikhawk i hak danah fimkhur zawk a ngai mai thei. Hemi chungchang hi Doctor nen sawipui a tha.

SPD awm chhante chu engte nge ni?

Kan sawi tawh ang khan naupai lai hian i taksa hian hormone ``Relaxin'' tih a siam chhuak thin a, hei hian i hip veilam leh dinglam ruh inzawmkhawmtu joint-a ligament te chu a tizau thin. He hormone hi i naupai atanga kar 10 atang khan a lo piang tan thei a ni.

Ligament te a lo chhuah chuan joint chu tlem a che lehzual turin a phalsak a ni. He extra movement hian naute pian hnaih deuha hip ruh te chu a inthen tir a, naute chhuahna tur hmun a siamsak a ni.

Heng inthlak danglamna te hian vaginal hmanga nau neih theihna a siam a ni. Mahse a chang chuan he ruh hi a nghet lo lutuk thei a, a nih loh leh a kal loh tur angin a che thei bawk. Chu bakah, i hip-a i rit lutuk hian ruh (joint)-ah pressure a pe tam zawk bawk. Heng zawng zawng hi a inzawm khawm chuan SPD a thlen thin.

Tute nge SPD vei theihna chance sang zawk?

Naupai i nih chuan pubic symphysis-ah natna i nei tam zawk. He natna hi naupai lai te, nau neih lai te, naute pian hnuah pawh a awm thei a ni.

Mahse he natna hi i tawn tur chuan naupai a ngai lo.

• Sports accident hian hip a ti chhe thei a, a tikehsawm thei bawk.
• Hun a kal zel a, he ruh chhunga cartilage hi a chhe thei a (hei hi ``Osteoarthritis'' an ti a), chu chuan hip ruhte thlawpna a tihtlem phah a ni.
• He ruh hi natna hrik leh inflammatory condition (e.g., Osteitis Pubis) vang pawhin a chhe thei bawk.

I hnungzang lama harsatna awm tawh emaw, hip injury i neih tawh emaw chuan SPD vei theihna i nei sang zawk.

SPD avanga harsatna awm thei te chu engte nge ni?

A tlangpuiin SPD hian harsatna lian tham a thlen lo. Mahse, a na thei hle a, a bik takin naupai lai leh nau neih hnu kar engemaw zat chhungin a na thei hle. I nunphung a nghawng thei a, i thil tih nuam tih tur a tikhawlo thei bawk. SPD natna avanga harsatna awm thei thenkhat chu:

• Ding harsa , kea kal, taksa tihchakna dang tih harsa.
• Mipat hmeichhiatna hman laia natna .
• I pubic symphysis ah hian arthritis a awm.
• SPD-in a thlen theih lohna chungchangah lungngaihna, lungkhamna emaw, lungngaihna emaw .

Engtin nge SPD i vei tih chiang taka i hriat theih ang? (Diagnosis) tih a ni.

I doctor-in `(Symphysis Pubis Dysfunction)` i neih leh neih loh a hriat theih dan kawng hrang hrang a awm.

• I medical history chu naupai i nih leh nih loh enfiah a ni ang a, pubic symphysis tichhe thei accident i tawk em tih enfiah a ni ang .
• Physics exam neih a ni ang a, a na leh a hring a awm leh awm loh enfiah a ni ang. Doctor chuan i hip leh spine awlsam taka i tihchet theih dan pawh a enfiah thei bawk.
• I hip joint hi imaging test hmangin ultrasound, CT scan, X-ray hmangin enfiah leh theih a ni. Naupai i nih chuan i doctor chuan nang leh i naute tana him tur imaging test a ti ang.

Naupai lai hian SPD hi engtin nge enkawl a nih?

He hip natna i neih hi i naute i neih hnu thla engemaw zat chhungin a bo vek mai thei.. I taksain hormone `(Relaxin)` a siam chhuah tawh loh chuan ligament te chu a nghet leh a, chu chuan ruh chhunga chetna (range of motion) a tihtlem phah a ni. Chumi hma chuan i doctor chuan i natna a enkawl thei ang che a, `(Pubic Symphysis)` joint-a pressure a tihziaawm thei bawk. Hengte hi duhthlan tur thenkhat chu a ni:

• Painkiller leh anti-inflammatory drugs (NSAIDs - nonsteroidal anti-inflammatory drugs) ei (damdawi lam thurawn chauh, a bik takin naupai tan).
• Kekawrte nuam tak, cushion tha tak tak ha .
• Ding leh thut laiin posture tha tak neih . Chu chu i kekawrte hnunglam leh i hnungzang dinglam hawia dah tihna a ni.
• Hun rei tak thut loh tur .
• Hip area-ah ice pack hnawih .
• I khup inkar ah pillow dahin mut a .
• Hips stabilize na tur pregnancy support belt vuah .
• Car atanga i chhuah dawn chuan i ke chu press khawm la .
• Acupuncture, massage therapy, chiropractic care, emaw physical therapy ang chi thil te hi enchhin la, natna tihziaawmna tur leh mobility tihchangtlun nan.

I doctor chuan i hips venhim leh tihngheh nan exercise leh stretch te a rawt thei ang. Hei hian pelvic floor exercise te pawh a huam thei. Naupai laiin exercise hi naupai hnua i doctor-in exercise a rawt nen a danglam thei tih hre reng ang che. I ruh (joint)-a stress tlem zawk dahna exercise, tui chawi te hi cycle khalh emaw, weight-bearing exercise emaw aiin a tha zawk.

Hrisel taka kal dan zir a pawimawh bawk. Natna i neih lai hian a tihziaawm nan che danglam duh hi thil pangngai a ni. Mahse, chutianga i tih chuan, i hriat loh pawhin ruh dangte chungah a ṭûl lo taka stress i siam mai thei. Entîr nân, bag rit tak chu lei aṭanga chawi chhuah dân te, naupang tê tê lak chhuah dân te, a nih loh leh inbeng dân te i zir a ngai a ni. I taksa tihher leh tihher thuai ang chi thilte hian thil a tichhe zual thei a ni. I doctor chuan ruh dang tichhe lovin natna tihziaawm dan tur a kaihruai thei che a ni.

SPD vei tan chuan mut theihna tur position tha ber chu eng nge ni?

SPD i neih chuan i khup leh ke hnuai lam inkarah pillow dahin i sir lamah mut a tha ber .

SPD hian khumah chawlh a ngai em?

Ni lo, SPD tan chuan khumah chawlh a ngai lo tlangpui. Mi tam zawk chuan khumah chawlh hahdam ngai lo khawpin an natna chu an thunun thei a ni.

SPD hi ven theih a ni em?

Naupai lai hian hip natna hi pumpelh kim theih a ni lo mai thei. Mahse i hip area chu hliam lakah i humhim thei a ni. Heng tips te hian SPD i vei theihna tur a tihziaawm thei a ni:

• I ke nghet tak pe thei tur pheikhawk nuam tak ha rawh .Kekawrte thlawpna nei lo, flip-flop ang chi hak loh tur.
• Naupai chhung zawngin taksa rihna hrisel tak vawng reng tur a ni . I taksa rihna hrisel chu eng nge ni tih i hriat chian loh chuan i doctor zawt la.
• I taksa chu ngaithla rawh . Thil engemaw a na a nih chuan ti tawh suh. Nangmah in nawr na lutuk suh.
• I dinhmun leh i taksa che dan te ngaihtuah la . Twisting movement rang tak emaw, i hips-a pressure siamtu movement emaw, squat ang chi te chu pumpelh rawh.

SPD i neih chuan eng nge i beisei theih ang?

SPD natna hi mi hrang hrangah a inang lo. Naupai laiin a nuam lo hle thei a, mahse mi tam tak chuan nau neih hnu thla engemaw zat chhungin a natna chu a reh tih an sawi . Nau i pai hnu pawha natna a la chhunzawm zel a nih chuan doctor pan la, i rilru hahna thlentu thil dang a awm leh awm loh en rawh. Chutih lai chuan, i nau neih hmaa enkawltu nen thawk ho la, i nitin nunah a tibuai loh nan natna hi i enkawl dan tur zawng rawh.

SPD hian nau neih a hnai tawh tihna em ni?

No. `(SPD)` emaw `Pelvic Girdle Pain` `(PGP)` emaw neih hian nau neih hnaih tawh emaw, nau neih a kal zel tihna a ni lo. Labour a hnaih tawh tih chhinchhiahna dik tak chu hre reng ang che .

Engtikah nge doctor i hmuh ang?

I hip natna hian nitin hnathawh a tibuai a nih chuan i doctor hnenah hriattir ngei ang che . Kea kal, stairs chhoh, car chhunga luh leh chhuah ang chi chetna pangngaia harsatna i neih chuan i pubic symphysis hi a chhan a ni thei. Mahse he natna hi enkawl dan tur a awm. I naupai chhung zawngin i kal kual tha zawk theih nan he natna hi i enkawl dan tur tha ber berte i doctor chuan a sawipui ang che.

Naupai lai hian hip natna hi thil mak a ni lo. Mahse a nasat em avangin kea kal ang chi weight-bearing movement i tih theih loh chuan Symphysis Pubis Dysfunction (SPD) chhinchhiahna a ni thei. Thu lawmawm tak chu hei hi nau a pai hnu kar tlemte chhungin a bo tlangpui. Mahse tuna i dinhmun hi a ti awlsam lo. I hip natna hian a pangngaia i che thei lo emaw, i rilru a ti na hle a nih chuan i prenatal care provider nen inbia ang che. Naupai lai hian hip natna enkawl nan thil tih theih a awm.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan kan sawi thin (Symphysis Pubis Dysfunction - SPD) kha i hrethiam zawk tawh ang. Hriat reng tur pawimawh thenkhat chu hetiang hi a ni:

• SPD hi naupai laiin mi tam takin an tawn theih a ni . Nangmah chauh i ni lo.
• Hei hi a chhan ber chu naupai hormone leh naute rihna avanga hip joint a nghet lo vang a ni..
• A natna a nasat chuan kea kal leh stairs chhoh ang chi thilte chu a harsa thei hle .
• He natna hi naute pian hnuah a reh fo thin .
• Natna thunun dan chi hrang hrang a awm (posture correction, exercise, support belt, doctor-in a tih angin painkillers).
• Tuar theih loh khawpa natna i neih chuan, emaw, nitin hna thawh harsa i tih chuan doctor pan ngei ngei tur a ni . Hlauthawng leh mualpho suh.

He thu hian i naupai chu a nuam thei ang bera siam turin a puih che kan beisei!

` SPD, Naupai, Hip Pain, Symphysis Pubis Dysfunction, Pelvic Girdle Na, Naupai hriselna, Nau neih