Ngaba nawe uziva iintlungu zesinqe? Ngaba kungenxa yokuqhekeka kwesinqe?

Owu, ngaba nawe uziva iintlungu okanye ukungakhululeki esinqeni okanye ezinqeni zakho? Ngamanye amaxesha, ukuwa okungalindelekanga okanye ingozi enkulu kunokonakalisa i-pelvis yethu, oko kukuthi, amathambo esinqe kunye nenkqubo yamathambo ehambelana nayo. Namhlanje, siza kuthetha ngokuba yintoni ukwaphuka kwe-pelvic, okanye njengoko oogqirha bekubiza, "ukuqhekeka kwe-pelvic", kwenzeka ntoni xa kwenzeka, kunye nendlela yokuyiphilisa. Musa ukoyika, kubaluleke kakhulu ukuqaphela oku.

Yintoni ukwaphuka kwe-pelvic? Masiyiqonde ngokulula.

Ngamafutshane, ukwaphuka kwe-pelvic kukuqhekeka kwelinye okanye ngaphezulu kwamathambo enza i-pelvis yakho. I-pelvis yakho ikwindawo engaphantsi kwesisu sakho, phakathi kwamathambo akho esinqe. Ezinye zezi zaphuko ze-pelvis zinokuba zincinci, ngelixa ezinye zinokuba yingozi kakhulu. Kuxhomekeke kwindlela eyenzeke ngayo ingozi kunye nendawo eyenzeke kuyo ukwaphuka.

Yenziwe ngamathambo anjani i-pelvis yethu?

Usenokuba uzibuza ukuba le pelvis yithambo elinye nje. Hayi, yingqokelela yamathambo aliqela. Ifana nendandatho eqinileyo. Ikwabizwa ngokuba yi-"Pelvic Ring". Jonga la mathambo:

• I-Sacrum: Eli lithambo elikhulu, elimile okwesixantathu elisezantsi komqolo wakho.
• I-Coccyx: Njengoko sonke sisazi, oku kukwabizwa ngokuba "yithambo lomsila". Ifumaneka ngaphantsi kwe-sacrum.
• Amathambo esinqe: La enziwe ngamalungu amathathu aphambili:
• `Ilium` (inxalenye ephezulu, esicaba yethambo lesinqe)
• `Ischium` (inxalenye esezantsi nengasemva yepelvis ecinezela umhlaba xa sihleli)
• `I-Pubis` (inxalenye engaphambili kwe-pelvis)

Onke la mathambo ayadibana ukuze enze indandatho yakho ye-pelvic. Esi sisakhiwo esomeleleyo kakhulu. Kwakhona, ngaphakathi kwesi sixhobo apho imithambo-luvo emininzi ebalulekileyo, imithambo yegazi kunye namalungu angaphakathi okuzala, njengesinyi, inxalenye esezantsi yomgudu wokugaya ukutya, akhuselekile. Akupheleli apho, kodwa uninzi lwezihlunu emilenzeni yakho lunamathele kwesi sinyi. Yiyo loo nto sinokuhamba, sibaleke size sitsibe.

Ziziphi iintlobo zezaphuko ze-pelvic ezikhoyo?

Ekubeni i-pelvis iyingqokelela yamathambo, kukho iintlobo ezininzi zokuqhekeka kwe-pelvis. Ukongeza, naluphi na ukwaphuka kunokwahlulwa lube ziintlobo ezahlukeneyo ngokusekelwe kwindlela okwenzeka ngayo. Makhe sijonge oko:

• Ukuqhekeka Okuvaliweyo okanye Okuvulekileyo/Okudibeneyo: Ukuba ithambo laphukile kodwa ulusu olujikelezileyo alonakali, oko kuthetha ukuba akukho nxeba libonakalayo, libizwa ngokuba kukuqhekeka okuvaliweyo . Nangona kunjalo, ukuba iqhekeza lethambo elaphukileyo liqhekekile eluswini, kukuqhekeka okuvulekileyo (okubizwa ngokuba yi-'Compound Fracture'). Oku kuyingozi ngakumbi, njengoko kukho amathuba amakhulu osulelo.
• Ukuqhekeka Okupheleleyo: Kule nto, ithambo lahlukana ngokupheleleyo libe ziingceba ezimbini.
• Ukuqhekeka Kwamathambo Aphukileyo: Kulapho iziqwenga ezibini zethambo zisuka khona apho zaphukile khona, zishiya umsantsa phakathi kwazo.
• Ukuqhekeka Kwamalungu: Kwimeko enjalo, ithambo aliphuki ngokupheleleyo, njengokuqhekeka.
• Ukwaphuka koxinzelelo: Ezi zikwayimikrwelo emincinci emathanjeni. Zinokwenzeka nakubantu abadlala imidlalo abasoloko bephantsi kohlobo olufanayo loxinzelelo.

Ukongeza kwezi ntlobo ziqhelekileyo zokuqhekeka, ukwaphuka kwesinqe kukwahlulwa ngokuba `kuzinzile` okanye `kungazinzanga` :

• Ukuqhekeka kwePelvic okuZinzileyo: Oku kukwaphuka okuhlala kwenzeka kwindawo enye kuphela kwi-pelvis, kwaye iziqwenga zamathambo aphukileyo azisuswanga (zitshintshwa). Olu hlobo lokuqhekeka okuzinzileyo ludla ngokubangelwa ziziganeko ezingasebenzi kakuhle, njengokuwa okuncinci okanye ingozi yokubaleka.
• Ukuqhekeka kwePelvic okungazinzanga: Oku kukwaphuka kwepelvic okunokwenzeka kwiindawo ezimbini nangaphezulu, kwaye amathambo aphukileyo anokukhutshelwa ngaphandle. Oku kwaphuka kudla ngokubangelwa ziziganeko ezichaphazela kakhulu, njengengozi enkulu yemoto. Kubi kakhulu kuba kunokonakalisa amalungu angaphakathi.

Ukongeza koku, kukho olunye uhlobo olukhethekileyo, olubizwa ngokuba yi- "Avulsion Fracture ". Oku kwenzeka xa i-tendon okanye i-ligament enamathele kwithambo ikrazuka, nto leyo ebangela ukuba iqhekeza elincinci lethambo liphume. Oku kunokwenzeka xa kudlalwa imidlalo.

Ngoobani abachaphazeleka kakhulu zezi zifo ze-pelvic?

Enyanisweni, nabani na oneminyaka emininzi unokuba nokuqhekeka kwesinqe. Nangona kunjalo, ukuqhekeka kwesinqe okuncinci kuxhaphake kakhulu kubantu abadala. Oku kungenxa yokuba banamathuba amaninzi okufumana izifo ezibuthathaka ngamathambo, ezifana ne-osteoporosis, njengoko bekhula.

Nangona kunjalo, ukwaphuka okukhulu kwe-pelvic kuxhaphake kakhulu kubantu abaselula abaphakathi kweminyaka eli-15 nengama-28 ubudala. Eli qela leminyaka lisengozini enkulu yokuba neengozi. Amadoda angaphantsi kweminyaka engama-35 ubudala anamathuba amaninzi okufumana esi sifo, ngelixa abafazi abangaphezu kweminyaka engama-35 ubudala benamathuba amaninzi okufumana esi sifo.

Ziqheleke kangakanani iintlungu ze-pelvic?

Enyanisweni, ukwaphuka kwe-pelvic akuqhelekanga kangako. Kumalunga ne-3% yazo zonke ii-fractures kubantu abadala. Uninzi lwexesha, oku kwenzeka ngenxa yengozi enkulu. Cinga ngayo njengengozi yemoto okanye ukuwa kwindawo ephakamileyo.

Zithini iimpawu zokuqhekeka kwe-pelvic?

Iimpawu zixhomekeke ekubeni ukwaphuka kuncinci okanye kukhulu kangakanani. Nazi ezinye zeempawu eziqhelekileyo:

• Intlungu emqolo, esinqeni, nasezantsi komqolo.
• Intlungu iyanda xa uhamba okanye ushukumisa imilenze.
• Ukuva ukurhawuzelela okanye ukurhawuzelela kwindawo yesinqe okanye emilenzeni.
• Intlungu zesisu.
• Ubunzima bokuchama.
• Ubunzima bokuhamba okanye ukuma.

Kubalulekile: Ukuba unayo nayiphi na kwezi mpawu, ingakumbi emva kwengozi, qiniseka ukuba ubona ugqirha.

Yintoni ebangela la maqhuqhuva esinqeni?

Ukuqhekeka kwe-pelvic kunokwenzeka ngezizathu ezininzi eziphambili:

1. Iziganeko ezinempembelelo enkulu: Njengoko bekutshiwo ngaphambili, isinqe sisixokelelwano samathambo esomeleleyo kakhulu. Ke ngoko, kunokwenzeka ukuba siqhekeke ukuba kukho impembelelo ephezulu. Imizekelo:

• Iingozi zeemoto neebhayisekile.
• Ukuwa ukusuka kwindawo ephakamileyo (njengokusuka emthini, kwisakhiwo).

Ezi ntlobo zeziganeko zihlala zibangela ukwaphuka kwe-pelvic okungazinzanga nokunzulu.

2. Izifo ezenza amathambo abe buthathaka: Ukuba unezifo ezifana ne-osteoporosis, ezenza amathambo akho abe buthathaka kwaye abe mancinci, nokuba yinto encinci kakhulu inokubangela ukwaphuka kwesinqe. Oku kunokwenzeka nokuba wenza umsebenzi wakho wesiqhelo, okanye nokuba uyatyibilika uze uwe. Uninzi lwexesha, la maqhekeza ahlala eqinile.

3. Imisebenzi yezemidlalo: Oku akuvamile kangako, kodwa xa udlala eminye imidlalo, ungafumana i-'Avulsion Fracture' ekhankanyiweyo ngaphambili. Oku kwenzeka xa umsipha wemisipha uphuma ethanjeni, nto leyo ebangela ukuba iqhekeza lethambo liphume nalo. Ezi zikwaqhele ukuba zii-fractures ezizinzileyo.

Uyifumana njani le nto, gqirha?

Ukuze wazi ngokuqinisekileyo ukuba uphuke isinqe, kuya kufuneka wenze i-X-ray. Ukongeza, ugqirha wakho angenza nezinye iimvavanyo ukuba ufuna ukwazi ngakumbi ngohlobo lwengozi.

Ziziphi ezo mvavanyo?

• I-X-reyi: Le isetyenziselwa ukuthatha imifanekiso yamathambo. Oku kubalulekile ukuze kufunyanwe ukuba ukwaphuka kwesinqe kukuphi, kunzulu kangakanani, kwaye kufanele kunyangwe njani.
• I-CT Scan (i-Computed Tomography): Oku kuquka ukuthatha ii-X-ray ezininzi kwii-engile ezahlukeneyo nokusebenzisa ikhompyutha ukwenza imifanekiso eneenkcukacha. Oku kunokuvelisa imifanekiso ecacileyo kakhulu kune-X-ray eqhelekileyo. Ugqirha wakho unokuyalela oku ukuze afunde ngakumbi ngokuqhekeka kwe-pelvic yakho kwaye abone ukuba kukho naziphi na ezinye iingozi ezinxulumene nako.
• I-MRI (iMagnetic Resonance Imaging): Oku kusebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukwenza imifanekiso eneenkcukacha zezitho zakho zamalungu kunye namathambo. Ugqirha wakho angakwenza oku ukuba i-X-ray okanye i-CT scan ayiniki lwazi lwaneleyo.

Inyangwa njani? Ngaba wonke umntu uyaludinga utyando?

Unyango lokuphuka kwe-pelvic luxhomekeke kwizinto ezininzi:

• Ukuba ukwaphuka kwakho kuncinci okanye kunzulu kangakanani.
• Ipateni kunye nohlobo lokuqhekeka.
• Ukuba iziqwenga zamathambo eziphukileyo zihambe kangakanani (ngaba ziyasuswa).
• Impilo yakho iyonke kunye nokuba unayo nayiphi na eminye imingcipheko.

Ukwaphuka okuncinci nokuzinzileyo, oko kuthetha ukuba iziqwenga zamathambo azisuswanga, azidingi utyando. Kwiimeko ezinjalo, ezi zilandelayo ziindlela zonyango:

• Ukuphumla: Ugqirha wakho uza kukuxelela ukuba uphumle kangangoko unako. Oku akuyi kubeka uxinzelelo olongezelelweyo kwi-pelvis ephukileyo kwaye kuya kuyinceda iphilise ngokukhawuleza.
• Izixhobo zokuhamba: Ngokuxhomekeke kwindawo owaphuke kuyo, ungaxelelwa ukuba usebenzise iintonga, isixhobo sokuhamba, okanye isitulo esinamavili. Ezi zenzelwe ukukunceda unciphise ubunzima emilenzeni yakho. Kuya kufuneka uzisebenzise kangangeenyanga ezintathu, okanye ude i-pelvis yakho iphile ngokupheleleyo.
• Amayeza: Ugqirha wakho uza kukunika amayeza okunceda ukunciphisa iintlungu. Basenokukunika neyeza lokunciphisa ukugabha kwegazi ukunciphisa umngcipheko wokugabha kwegazi kwimithambo yemilenze yakho kunye ne-pelvis.

Ukuqhekeka kwe-pelvic okunzulu okanye okungazinzanga kudla ngokufuna utyando olunye okanye ngaphezulu. Kukho iintlobo ezahlukeneyo zotyando:

• Ukuqina Kwangaphandle: Kule meko, kwenziwa imingxunya emincinci eluswini nakwimisipha ukuze kuzinziswe indawo yakho ye-pelvic, kwaye iintonga zesinyithi okanye izikrufu zifakwa emathanjeni. Ezi ntonga nezikrufu ziphuma eluswini kwaye zinamathele kwiintsimbi ezingaphandle komzimba. Oku kusebenza njengesakhelo, kunceda ukubamba amathambo aphukileyo endaweni yawo de aphole.
• Ukutsalwa Kwamathambo: Le yinkqubo ye-pulley engaphandle komzimba. Inceda ekubuyiseleni iziqwenga zamathambo eziphukileyo. Ugqirha wotyando ufaka izikhonkwane zesinyithi kwithambo lakho lethanga okanye kwithambo lesifuba. Izisindo zibekwa kwezi zikhonkwane kwaye ugqirha wotyando utsala umlenze wakho. Oku kubangela ukuba iziqwenga zamathambo eziphukileyo ze-pelvic zibuyele kwindawo yazo eqhelekileyo.
• Ukunciphisa Okuvulekileyo Nokulungiswa Kwangaphakathi (i-ORIF): Kolu tyando, iziqwenga zamathambo e-pelvic ezisusiweyo ziqala zibuyiselwe kwindawo yazo eqhelekileyo. Emva koko, iziqwenga zihlanganiswa kwaye ziboshwe ngezikrufu okanye iipleyiti zesinyithi ngaphandle kwethambo.

Umntu oye waphuka kakhulu esinqeni kwingozi enkulu udla ngokuba nezinye iingozi zangaphakathi. Ezi nazo kuya kufuneka zinyangwe. Kwimeko enjalo, ukuphiliswa kwezaphuka zesinqe kuya kuxhomekeka ekubeni ezo zingozi ziphinda ziphiliswe njani ngempumelelo.

Ngaba ukwaphuka kwe-pelvic kungaphola ngokwako?

Ukuphuka kwesisu okuncinci nokuzinzileyo kudla ngokuphola ngaphandle koncedo lwezonyango, njengotyando. Nangona kunjalo, nokuba uphuke kancinci, kufuneka unciphise uxinzelelo kwisisu sakho nakwimilenze kwaye ufumane ukuphumla okwaneleyo ukuze kuncede ziphilise kakuhle. Ukuba ucinga ukuba uphuke kancinci, kubalulekile ukubona ugqirha ngokukhawuleza.

Kuthatha ixesha elingakanani ukuba ukwaphuka kwe-pelvic kuphole?

Ngokwesiqhelo kuthatha malunga neeveki ezisi-8 ukuya kwezili-12 ukuba ukwaphuka kwesinqe kuphole ngokupheleleyo. Ukwaphuka okukhulu ngakumbi, ingakumbi ukuba unezinye iingozi okanye iingxaki zempilo, kunokuthatha ixesha elide.

Ziziphi izinto ezibangela umngcipheko wokuqhekeka kwe-pelvic?

Kukho izinto ezininzi ezinokubangela ukuba i-pelvic fracture iqhekeke:

• Ukuba ne-osteoporosis: Abantu abanesi sifo basengozini enkulu yokuqhekeka kwamalungu esinqe.
• Ukuwa rhoqo: Ingakumbi kubantu abadala, ukuba bawa rhoqo, banokuba sengozini yokuqhekeka amathambo esinqe.
• Ukudlala imidlalo ethile: Njengoko bekutshiwo ngaphambili, abantu abadlala imidlalo ethile banokuba nesifo 'sokuqhekeka kwemisipha'.

Yintoni esinokuyenza ukuthintela ukwaphuka kwe-pelvic?

Ngokuxhomekeke kwiminyaka yakho nendlela ophila ngayo, kukho izinto ezininzi onokuzama ukuthintela ukwaphuka kwesinqe:

• Sebenzisa isixhobo sokuncedisa ukuhamba xa usemngciphekweni omkhulu wokuwa: Ukusebenzisa intonga okanye isixhobo sokuhambahamba kunokunceda ukuthintela ukuwa.
• Qhuba ngokukhuselekileyo: Iingozi zezithuthi ezinobungozi kakhulu zezona zibangela ukwaphuka kwemisipha yesinqe. Qhuba ngokukhuselekileyo rhoqo, thobela imithetho yendlela, kwaye uphephe ukuphazamiseka ngelixa uqhuba.
• Landela imiyalelo yokhuseleko xa usebenzisa iileli: Xa usebenzisa ileli, qiniseka ukuba yenziwe kakuhle nangokukhuselekileyo. Soloko ujonga ukuba ileli ikwindawo ezinzileyo ngaphambi kokuba uyisebenzise.
• Ukuba udlala imidlalo, zolula kakuhle kwaye wenze umthambo wokulungisa umzimba: Ukuze unciphise umngcipheko wokuqhekeka kwemisipha okubangelwa kukukrazuka kwemisipha, fudumala kakuhle ngaphambi kwemisebenzi ethile kwaye wenze umthambo wokulungisa umzimba ohambelana nemidlalo ethile.

Yintoni intelekelelo yokuqhekeka kwe-pelvic?

Oku kuxhomekeke kubukhulu kunye nohlobo lokwenzakala. Ukuqhekeka kwe-pelvic okuncinci nokuzinzileyo kudla ngokuphola kakuhle ngonyango kwaye kuphele ngaphandle kweengxaki ezihlala ixesha elide.

Nangona kunjalo, ukwaphuka kwe-pelvic okunzima nokungazinzi okubangelwa kukwenzakala okukhulu, okufana neengozi zeemoto, kunokukhokelela kwiingxaki ezinje ngokopha kakhulu, ukonakala kwamalungu omzimba angqongileyo, kunye nemithambo-luvo. Ukuba ezi nzakala zihambelanayo zinyangwa ngempumelelo, ukwaphuka kwe-pelvic kudla ngokuphola kakuhle.

Ngaba ukwaphuka kwe-pelvic kungaba yingozi ebomini?

Ewe, ngamanye amaxesha. Ukuqhekeka kwe-pelvic okungazinzanga nokuntsonkothileyo okubangelwa kukwenzakala okukhulu, okufana nengozi yemoto okanye ukuwa ukusuka ekuphakameni okukhulu, kunokonakalisa amalungu omzimba, imithambo-luvo, kunye nemithambo yegazi ejikeleze indawo yakho ye-pelvic. Ezi nzakala zingakhokelela ekungasebenzini kwamalungu omzimba, ukopha kakhulu, kunye nosulelo. Ezi zinokuba ziimeko ezisongela ubomi. Yiyo loo nto kubalulekile ukufuna unyango ngoko nangoko.

Ngaba ukwaphuka kwe-pelvic kunokubangela iingxaki?

Ukuqhekeka kwe-pelvic okunzulu nokungazinziyo kunokubangela iingxaki kunokuba kwaphuke kancinci. Ezi ngxaki zihlala zibangelwa kukonakala kwemithambo-luvo kunye/okanye amalungu omzimba okubangelwa kukuqhekeka kwe-pelvic. Iingxaki zokuqhekeka kwe-pelvic ziquka:

• Intlungu engapheliyo
• Ukuphazamiseka kokuhamba
• Ukungasebenzi kakuhle ngokwesondo
• Ukuqhekeka kwegazi kwimithambo enzulu (iDeep Vein Thrombosis - DVT)

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zokuphuka kwe-pelvic, ezifana nentlungu kwindawo ye-pelvic kunye nobunzima bokuhamba okanye ukuma, fowunela ugqirha wakho ngokukhawuleza, okanye uye kwisibhedlele esikufutshane.

Ukuba sele ufunyenwe ukuba unesifo sokuphuka kwe-pelvic, kwaye ubonakalisa iimpawu ezintsha okanye ezixhalabisayo, qiniseka ukuba unxibelelana nogqirha wakho.

Ndimele ndibuze ntoni kugqirha wam?

Ukuba uphuke isinqe, kunokuba luncedo ukubuza ugqirha wakho le mibuzo:

• Luhlobo luni lokwaphuka endinalo?
• Ngawaphi amathambo akwisinqe sam achaphazelekileyo?
• Isicwangciso sam sonyango sinjani?
• Kuza kuthatha ixesha elingakanani ukuba ukwaphuka kwam kuphole?
• Ndingabuyela nini kwimisebenzi eqhelekileyo?

Khumbula, nangona i-pelvis yakho ilulwakhiwo oluqinileyo lwethambo, inokwaphuka. Ukuphuka kwe-pelvis kubuhlungu, ngoko ke udinga uncedo ngoko nangoko. Ngenxa yokuba i-pelvis yakho ikhusela imithambo-luvo emininzi ebalulekileyo, imithambo yegazi, kunye namalungu omzimba, ugqirha wakho uya kufuna ukuqinisekisa ukuba ukuphuka akubanga naziphi na ezinye iingozi zangaphakathi. Ukuba ukhathazekile nge-osteoporosis, thetha nogqirha wakho ngaloo nto.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngokuqhekeka kwe-pelvic namhlanje, akunjalo? Nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:

• Ukuphuka kwesinqe asinto yokuthatha lula. Kunokwenzeka ngokuwa kancinci, okanye kungaba yingozi enkulu.
• Ukuba ufumana iimpawu ezinje ngentlungu emqolo, esinqeni, okanye emqolo, okanye ubunzima bokuhamba , ingakumbi emva kwengozi, funa ingcebiso kagqirha ngokukhawuleza.
• Unyango luxhomekeke kuhlobo lokwaphuka. Kungaphola ngokuphumla nokuxhaswa, okanye kusenokufuneka utyando.
• Ukuphumla ngokufanelekileyo kunye nokuzilolonga njengoko ugqirha ekuyalele kubaluleke kakhulu ukuze uphile ngokukhawuleza.
• Ukuba kukho izinto ezibangela umngcipheko (ubudala, i-osteoporosis, ukuwa rhoqo), kububulumko ukuzazi kwaye uthathe amanyathelo okuthintela.

Ungoyiki, kodwa ungawutyesheli. Uyayazi kakuhle imizimba yakho. Ukuba uziva into engaqhelekanga, kungcono ukubona ugqirha ukuze akunike icebiso.

Ukwaphuka kwepelvic , ukwaphuka, isinqe, ipelvis, iingozi, impilo yamathambo