Ululu wokhazikika m'chiuno mwanu? Tiyeni tikambirane za Osteitis Pubis!

Kodi nthawi zina mumamva kupweteka kwachilendo m'mimba mwanu kapena m'mimba mwanu mukamathamanga, kukwera masitepe, kapena kungoyimirira? Mwina izi ndi zomwe mukudziwa, makamaka ngati ndinu wothamanga. Chimodzi mwazomwe zimayambitsa ululuwu ndi matenda otchedwa Osteitis Pubis. Koma musadandaule, nthawi zambiri sizovuta. Tiyeni tikambirane za izi m'njira yosavuta yomwe aliyense angamvetse.

Kodi Osteitis Pubis ndi chiyani?

Mwachidule, Osteitis Pubis ndi kutupa, kutanthauza kutupa, kwa cholumikizira pakati pa chiuno chathu. Malinga ndi madokotala, cholumikizira ichi timachitcha Pubic Symphysis . Apa ndi pomwe mbali zakumanja ndi zakumanzere za pansi pa chiuno chathu zimalumikizana pakati. Tangoganizirani, zinthu zambiri, monga minofu yathu ya m'mimba ndi minofu ya m'chiuno, zimalumikizana mozungulira cholumikizira ichi. Chifukwa chake, cholumikizira ichi chikatupa, ululu umachitika.

Vutoli nthawi zambiri limayamba chifukwa cha kugwiritsa ntchito mopitirira muyeso/kupsinjika maganizo chifukwa cha kuyenda mobwerezabwereza. Anthu omwe amachita masewera omwe amaphatikizapo kuthamanga, kukankha, kapena kusintha mwadzidzidzi njira (monga mpira kapena hockey) ali ndi mwayi waukulu wopeza vutoli. Komabe, limathanso kuchitika kwa anthu omwe si othamanga.

Kodi zizindikiro zake ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha Osteitis Pubis ndi ululu. Ululu uwu ukhoza kumveka m'njira zosiyanasiyana. Nthawi zina umamveka ngati ululu wosasangalatsa ngakhale mutakhala pansi. Ululuwu umawonjezeka mukasuntha kapena kuchita masewera olimbitsa thupi.

Tiyeni tiwone bwinobwino zizindikiro izi zomwe zili mu tebulo ili m'munsimu.

Ululu uwu ndi woopsa kwambiri moti kwa anthu ena, njira yawo yoyendera imasintha. Pofuna kuchepetsa ululu, kuyenda kungakhale njira yovutirapo .

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Kodi n’chiyani chimayambitsa izi?

Chifukwa chachikulu cha izi, monga ndanenera kale, ndi kupanikizika kosalekeza m'chiuno. Izi zimachitika makamaka kwa othamanga.

• Masewera: Matendawa angachitike chifukwa cha kupanikizika komwe kumachitika pa ziwalo za m'chiuno, minofu yolumikizana, ndi minofu panthawi yamasewera monga mpira, hockey, tenisi, ndi kuthamanga mtunda wautali.
• Opaleshoni: Nthawi zambiri, zizindikirozi zimatha kuchitika mutachita opaleshoni m'chiuno.
• Kubereka: Komanso, akazi ena amatha kukhala ndi vutoli akabereka. Komabe, milandu yonseyi si yofala kwambiri poyerekeza ndi yomwe imachitika pamasewera.

Kodi matenda amachitika bwanji?

Kuzindikira vutoli kungakhale kovuta chifukwa pali matenda ena omwe amayambitsa zizindikiro zomwezo (monga matenda a mkodzo, kupsinjika kwa minofu, hernia yamasewera).

Choncho mukapita kwa dokotala, choyamba adzakufunsani za zizindikiro zanu ndi momwe ululu unayambira. Kenako, adzayesa kuchotsa matenda ena.

Kenako, adzayesedwa thupi. Izi zikuphatikizapo kufufuza chiuno chanu ndi mimba yanu ya pansi, kugwiritsa ntchito mayendedwe ena ndi kupanikizika kuti muwone ngati pali kupweteka kulikonse. Pali mayeso angapo apadera a izi.

• Mayeso a Pubic Spring: Dokotala adzakukanikiza pang'onopang'ono pa chiuno chanu kuchokera kutsogolo, pamwamba pa fupa la pubic. Ngati pali ululu waukulu, ukhoza kukhala chizindikiro cha kutupa kumeneku.
• Kuyesa Kupsinjika Kwa M'mbali: Izi zimaphatikizapo kufinya mafupa a m'chiuno kuchokera mbali zonse ziwiri. Ngati pali ululu, zikutanthauza kuti cholumikizira chapakati sichikhazikika kapena chatupa.
• Mayeso a FABER:Apa, mwendo wanu wapindika kukhala ngati '4' ndipo wayang'aniridwa. Ngati kuyenda kumeneku kukupangitsani kupweteka kutsogolo kwa chiuno, chimenechonso ndi chizindikiro cha Osteitis Pubis.

Mayeso Ojambula

Pambuyo poyesedwa thupi, mayeso ojambulira zithunzi amachitidwa kuti atsimikizire matendawa ndikuwunika molondola momwe alili mkati.

• X-ray: Izi zitha kuyang'ana zinthu monga kusintha kwa mafupa, kukula kwa mafupa, komanso kuuma kwa mafupa.
• MRI (Magnetic Resonance Imaging): Njira yabwino yodziwira vutoli ndi kugwiritsa ntchito MRI scan. Imatha kuwona bwino zinthu zomwe sizikuwoneka pa X-ray, monga kutupa koyambirira kwa mafupa ndi minofu, komanso kudziunjikira kwa madzi m'malo olumikizirana mafupa.
• Kujambula kwa CT (Computed Tomography): Izi zimathandiza kupeza chithunzi chatsatanetsatane cha mafupa. Chimagwiritsidwa ntchito ngati MRI ikuvuta kuchita kapena ngati pakufunika kumveka bwino.
• Kujambula Mafupa: Kuyeza kumeneku ndi kofunika kwambiri pozindikira mavuto m'mafupa omwe amayamba chifukwa cha matenda monga matenda, kuvulala, kapena khansa.

Kodi chimachiritsidwa bwanji?

Nkhani yabwino kwambiri yomwe ndingakuuzeni ndi yakuti Osteitis Pubis imatha kuchiritsidwa kwathunthu ndi nthawi komanso chisamaliro choyenera.

Nthawi zambiri, opaleshoni si yofunikira. Chithandizo chabwino komanso chokhazikika cha izi ndi kupuma ndi physiotherapy .

Katswiri wodziwa bwino ntchito ya physiotherapy angakuthandizeni kulimbitsa minofu yanu kuti musavulalenso. Dokotala wanu ndi katswiri wodziwa bwino ntchito ya physiotherapy akakupatsani chilolezo, mutha kuyambiranso masewera anu. Izi zitha kutenga milungu ingapo mpaka miyezi itatu kapena isanu ndi umodzi.

Izi nthawi zambiri zimachitika pa izi:

• Sinthani kutentha ndi ayezi pamalo opweteka.
• Kuchepetsa zochita zolimbitsa thupi.
• Pumulani kwathunthu ku masewera mpaka ululu utachepa.
• Kumwa mankhwala ochepetsa ululu monga Ibuprofen, Naproxen, ndi Acetaminophen monga momwe dokotala wanu wanenera.

Ngati zinthuzi sizikuthandiza, dokotala wanu angakupatseni jakisoni wa steroid kuti achepetse kutupa. Angakulimbikitseninso chithandizo chosavulaza chotchedwa Extracorporeal Shock Wave Therapy (ESWT).

Kodi opaleshoni imafunika liti?

Ngakhale kuti anthu ambiri safunika opaleshoni, opaleshoni ingaganizidwe pazochitika zotsatirazi:

• Ngati ululuwo umatenga miyezi yoposa 6.
• Ngati ululu ndi wovuta kwambiri kusuntha.
• Ngati simungathe kuchita masewera olimbitsa thupi.

Masiku ano, madokotala ambiri amachita opaleshoniyi pogwiritsa ntchito njira yochepetsera kuvulala.Izi zikutanthauza kuti m'malo mopanga chotupa chachikulu, chubu chopyapyala chokhala ndi kamera (endoscope) chimadutsa m'mabowo angapo ang'onoang'ono ndipo minofu yotupayo imachotsedwa. Izi zimapangitsa kuti nthawi yochira ichepe komanso ululu uchepe.

Kodi tingapewe bwanji vutoli?

Ngati muli pachiwopsezo cha vutoli, mutha kuchitapo kanthu kuti mupewe. Kulimbitsa minofu m'chiuno ndi kuwonjezera kusinthasintha kungachepetse chiopsezo cha kuvulala pamasewera.

Nazi masewera olimbitsa thupi omwe angathandize pa izi:

• Kulimbitsa minofu ya m'chiuno ndi ntchafu (zowonjezera chiuno).
• Kulimbitsa minofu ya msana.
• Kulimbitsa minofu ya m'mimba.
• Kulimbitsa minofu ya hamstring ndi quadriceps.
• Kutambasula.
• Kusambira.

Ngati mukugwira ntchito ndi mphunzitsi kapena katswiri wa masewera olimbitsa thupi, mutha kupeza malangizo a masewera olimbitsa thupi oyenera kuti mupewe vutoli.