Ngaba ngamanye amaxesha ukhe uve iintlungu ezingaqhelekanga esiswini sakho esisezantsi, kumacala omabini e-groin yakho? Ingakumbi ngexesha lokukhulelwa, okanye ukuba ungumntu othanda ezemidlalo rhoqo, usenokuba uqhelene kakhulu nale ntlungu. Ngaba le ntlungu ibonakala iyanda xa uhamba, uphuma ebhedini, okanye usasaza imilenze yakho? Nangona abantu abaninzi becinga ukuba oku kuqhelekile, ngamanye amaxesha unobangela yingxaki yelungu elincinci emzimbeni wethu esingathethi kakhulu ngalo. Namhlanje sithetha ngale lungu elibizwa ngokuba yi-'Pubic Symphysis', elenza umsebenzi omhle wokugcina i-pelvis yethu izinzile, kodwa linokuba yinto ecaphukisayo xa kuvela ingxaki.
Kalula nje, yintoni le Pubic Symphysis?
Khawuthelekelele ukuba i-pelvis yethu ifana neringi. Le ringi yenziwe ngamathambo amakhulu aliqela. Ngoko ke, ngaphambili kwale ringi ye-pelvis, apho ithambo lasekunene nethambo lasekhohlo zidibana khona, kukho ilungu elikhethekileyo elibizwa ngokuba yi-Pubic Symphysis .
Ngoku ungacinga ukuba eli lilungu elihamba kakhulu, njengedolo okanye ingqiniba. Kodwa akunjalo. Alihambi kakhulu. Njengebhulorho edibanisa iibhanki ezimbini, umsebenzi ophambili wale lungu kukugcina amathambo amabini e-pelvic kunye ngokuqinileyo nokugcina i-pelvis izinzile. Kodwa ikwanokuguquguquka okuncinci kokufunxa ukungcangcazela okwenzeka ngexesha lokuhamba njengaxa sihamba kwaye sibaleka. Ngoko ke nangona singacingi kakhulu ngale lungu, libaluleke kakhulu kwibhalansi yomzimba wethu.
Zithini imisebenzi ephambili yale joint?
Makhe sibone ukuba eli lungu lincinci libaluleke kangakanani emzimbeni wethu.
- Ukugcina i-pelvis izinzile: Le yeyona nto ibalulekileyo. Eli lungu lidibanisa amathambo e-pubic kwicala lasekhohlo nelasekunene le-pelvis kwaye liwagcina eqinile.
- Ukufunxwa Komothuko: Xa sihamba, sibaleka, okanye sitsiba, imizimba yethu ifumana umothuko. Eli lungu linceda ukufunxa loo mothuko kwaye linciphise ukudluliselwa kwawo kwiindawo eziphezulu zomzimba.
- Ukusasazwa kobunzima bomzimba: Ubunzima bomzimba wethu ongaphezulu budlula kwi-pelvis ngaphambi kokuba budlule emilenzeni buye emhlabeni. Ngoko ke eli lungu linceda ukusasaza ubunzima ngokulinganayo phakathi kwemilenze.
- Ukunceda ekubelekeni: Le yeyona nto imangalisayo kweli lungu. Ngasekupheleni kokukhulelwa, eli lungu liyakhululeka kwaye libanzi ngenxa yempembelelo yeehomoni. Oku kwenzeka ukuze i-pelvis iphume lula kumntwana ngexesha lokuzala. Le yinto eyenzekayo ngokwendalo.
Iphi le joyinti kwaye yenziwe ngantoni?
I-pubic symphysis joint ikwizantsi le-pelvis yethu, phambi kombindi. Iphambi kwesinyi sethu nangaphezulu kwezangasese zethu.
Eli lungu alingomathambo amabini nje kuphela adityanisiweyo. Kufuneka libe namandla kwaye liguquguquke ngandlela ithile. Yiyo loo nto lenziwe ngamacandelo aliqela akhethekileyo.
| Inxalenye yelungu | Ingcaciso elula |
|---|---|
| Idiski ye-fibrocartilage | Le yeyona nxalenye iphambili phakathi kwamathambo amabini. Ifana 'nesithambisi sokufunxa' emotweni. Luhlobo lwe-cartilage enemicu enamandla kakhulu. Yenziwe kakhulu ngeproteni ebizwa ngokuba yi- (Collagen) . Yile nto evumela ilungu ukuba lifunxe ukufunxa ukufunxa. |
| Ugqubuthelo lwe-Hyaline cartilage | Idiski ye-fibrocartilage ekhankanyiweyo apha ngasentla igqunywe macala omabini, oko kukuthi, iziphelo zamathambo amabini e-pelvic, luhlobo lwe-cartilage egudileyo. Oku kusebenza ekukhuseleni iziphelo zamathambo. |
| Iiligamenti | Lonke eli lungu libotshelelwe ndawonye zizakhiwo eziqinileyo ezifana neentambo ezibizwa ngokuba zii-ligaments. Ezi ligaments zithintela ilungu ukuba lingashukumi kakhulu, lingatyibiliki, kwaye ziligcina lizinzile. |
Ziziphi iimeko ezichaphazela i-Pubic Symphysis?
Sidla ngokungazi nto ngale lungu. Kodwa kwezinye iimeko, inokubangela iingxaki kunye nentlungu. Igama eliqhelekileyo leemeko ezinjalo yiSymphysis Pubis Dysfunction (SPD) . Kukho iimeko ezininzi eziphambili phantsi kwale ngxaki.
Ukukhulelwa yeyona nto ibangela i-SPD. Ihomoni ebizwa ngokuba yiRelaxin, ekhutshwa ngexesha lokukhulelwa, ibangela ukuba amalungu omzimba, ingakumbi amalungu esinqe, aphumle. Nangona oku kunceda ekubelekeni, ngamanye amaxesha ukuba oku kuphumla kuba kugqithisile, amalungu anokuba mandundu kwaye abe buhlungu.
Ukongeza, abadlali bezemidlalo abadlala imidlalo efana nebhola ekhatywayo kunye nehoki, abatshintsha indlela ngequbuliso, kwaye ababaleka ngokukhawuleza, nabo banokufumana ukwenzakala okunxulumene noku.
| Imeko yezonyango | Kwenzeka ntoni ngale nto? |
|---|---|
| I-Diastasis yasePublic | Oku kuthetha ukuba ilungu liba banzi ngaphezu kwesentimitha enye (1 cm). Oku kwenzeka rhoqo ngexesha lokukhulelwa okanye lokubeleka. Oku kunokubangela ukungazinzi kwe-pelvic kunye nentlungu eqatha. |
| I-Osteitis Pubis | Oku kukudumba kwamathambo adibeneyo nawajikelezileyo, ngaphandle kosulelo. Oku kuqhelekile phakathi kwabadlali. Ukuzilolonga kakhulu kunye neentshukumo eziphindaphindayo zinokuba zezona zinto ziphambili . |
| Ezinye izifo zamathambo namalungu | I-Osteoarthritis , i-osteoporosis , ukwaphuka kwamalungu, kunye nezinye iimeko nazo zinokuchaphazela eli lungu. |
Wazi njani ukuba kukho ingxaki? Zithini iimpawu zayo?
Ukuba kukho ingxaki nge-pubic symphysis, iimpawu eziphambili ziintlungu kunye nokungazinzi kwe-pelvic. Le ntlungu inokuvela ngeendlela ezininzi. Abanye abantu bafumana iintlungu ezibukhali phakathi kwesisu sabo esisezantsi. Kwabanye, iintlungu zinokuphuma ziye emqolo, ziye emathangeni angaphakathi, ziye ezantsi esiswini sonke, ziye ezinqeni, nasemva.
Lumka kwezi mpawu:
- Intlungu xa uhamba: Intlungu emqolo okanye ezantsi kwesisu xa uhamba, ingakumbi xa unyuka izinyuko. Abanye abantu beva okanye beva isandi 'sokunqakraza' xa behamba.
- Ubunzima bokuma ngomlenze omnye: Intlungu eqatha xa uzama ukuma ngomlenze omnye, njengaxa unxiba ilokhwe.
- Ubunzima bokujika ebhedini: Intlungu iyanda xa uzama ukujika kwelinye icala lebhedi ngelixa ulele ebusuku.
- Ubunzima bokuhlukanisa imilenze:Intlungu ebukhali xa kufuneka uthuthe imilenze yakho, njengaxa uphuma emotweni.
- Ukuqina kwemisipha: Ukungakwazi ukugoba okanye ukolula imilenze yakho njengangaphambili, kunye nokuziva ungenaso isiqabu kwindawo yemisipha.
- Isandi sokusila xa ushukuma: Imvakalelo "yokungabikho kokuthambisa" xa ushukuma isinqe, isandi sokusila.
Ukuba uneempawu ezinje, kubaluleke kakhulu ukubona ugqirha wakho ukuze akunike iingcebiso, endaweni yokuzithatha njengento eqhelekileyo. Ugqirha uza kukuhlola aze, ukuba kuyimfuneko, akuthumelele iimvavanyo ezifana ne-X-ray, ukuze kufunyanwe unobangela ochanekileyo.
Ngoko ke, singaligcina njani eli lungu liphilile?
Asinakulawula izinto ezifana notshintsho lweehomoni ngexesha lokukhulelwa. Nangona kunjalo, kukho izinto ezimbalwa esinokuzenza ukunciphisa iingozi kunye nokwenzakala kweli lungu.
- Ukuqinisa umgangatho we-pelvic kunye nemisipha yesisu: Le yeyona nto ibalulekileyo. Xa izihlunu ezijikeleze i-pelvic ziqinile, zibonelela ngendawo elungileyo yelungu. Kukho imithambo ekhethekileyo (imithambo yomgangatho we-pelvic kunye nokuqinisa i-core) enceda koku. Ungafumana iingcebiso kwingcali ye-physiotherapist malunga noku.
- Nxiba izihlangu ezifanelekileyo: Kubaluleke kakhulu ukunxiba izihlangu ezikhululekileyo ezifanela iinyawo zakho. Oku kuya kunciphisa ukothuka emzimbeni wakho xa uhamba.
- Indlela yokuzilolonga: Musa ukuqala ukwenza imithambo enzima ngaxeshanye. Yehlisa umthambo kancinci kancinci. Zifudumeze kakuhle ngaphambi kokuba uzilolonge.
- Umphezulu womthambo: Kuphephe ukubaleka nokutsiba kwiindawo eziqinileyo, ezifana nesamente, kangangoko unako. Ukuzilolonga kumphezulu othambileyo, othe tyaba, njengentsimi enengca, kungcono kumalungu akho.
Nangona sihlala sicinga ngamalungu amakhulu emizimbeni yethu, njengamadolo namagxa ethu, ngoku ungaqonda ukubaluleka kwamalungu amancinci, angashukumiyo njenge-Pubic Symphysis ekusebenzeni kakuhle kwemizimba yethu. Ngoko ke, musa ukuyityeshela le miqondiso yentlungu evela emzimbeni wakho.
Umyalezo Wokuya Ekhaya
- I-symphysis ye-pubic lilungu elibaluleke kakhulu, kodwa elingashukumiyo, elidibanisa amathambo amabini angaphambili e-pelvis yethu.
- Iingxaki ngale lungu (Symphysis Pubis Dysfunction - SPD) zinokubangela iintlungu zesisu esisezantsi kunye nemisipha ngexesha lokukhulelwa nangexesha lokudlala imidlalo.
- Ukuba uneempawu ezifana nesandi 'sokunqakraza' xa uhamba, iintlungu zemiphunga, ubunzima bokujika ebhedini, kunye nokungakwazi ukunweba imilenze yakho, musa ukusityeshela.
- Ukuba uneempawu ezinje,Bona ugqirha wakho ngoko nangoko uze ufumane icebiso elifanelekileyo lezonyango. Kuphephe ukuzinyanga.
- Ukuzilolonga phantsi kwe-pelvic kunye nokulandela indlela yokuphila esempilweni kunokunciphisa umonakalo kweli lungu.
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