Ngaba ngamanye amaxesha uziva intlungu engaqhelekanga kwindawo yakho yangaphakathi okanye kwisisu esisezantsi ngelixa ubaleka, unyuka izinyuko, okanye umile nje? Le nto isenokuba yinto eqhelekileyo kuwe, ingakumbi ukuba ungumgijimi. Esinye isizathu esinokwenzeka sale ntlungu yimeko ebizwa ngokuba yi-Osteitis Pubis. Kodwa ungakhathazeki, ayisiyonto imbi kangako. Masithethe ngale nto ngendlela elula enokuqondwa ngumntu wonke.
Yintoni i-Osteitis Pubis?
Ngamafutshane, i-Osteitis Pubis kukudumba, oko kukuthi, ukudumba, kwelungu eliphakathi kwe-pelvis yethu. Ngokwezonyango sibiza eli lungu ngokuthi yi-Pubic Symphysis . Kulapho amacala asekunene nasekhohlo omgangatho wethu we-pelvis adibene khona embindini. Khawuthelekelele, izinto ezininzi, ezifana nezihlunu zethu zesisu kunye nezihlunu ze-hip, zidibene kulo mbutho. Ngoko ke, xa eli lungu livuvukala, kuvela intlungu.
Le meko idla ngokubangelwa kukusetyenziswa kakhulu/uxinzelelo oluvela kwiintshukumo eziphindaphindayo. Abantu abadlala imidlalo equka ukubaleka, ukukhaba, okanye utshintsho olukhawulezileyo kwicala (njengebhola ekhatywayo okanye ihoki) banamathuba amaninzi okufumana le meko. Nangona kunjalo, inokwenzeka nakubantu abangengabo abadlali.
Zithini iimpawu?
Uphawu oluphambili nolucacileyo lwe-Osteitis Pubis ziintlungu. Le ntlungu inokuvakala ngeendlela ezahlukeneyo. Ngamanye amaxesha ivakala ngathi yintlungu engathandekiyo nokuba uhleli nje. Le ntlungu iyanda xa ushukuma okanye usenza umthambo.
Makhe sijonge ngokusondeleyo ukuba zeziphi ezi mpawu kwitheyibhile engezantsi.
| Uphawu | Inkcazo |
|---|---|
| Intlungu embindini we-pelvis | Intlungu ebonakala iqala kwindawo yempumlo ize isasazeke ngaphandle. |
| Intlungu zesisu | Intlungu embindini wesisu esisezantsi. |
| Intlungu eyandayo xa ishukuma | Iintlungu ziyanda xa ubaleka, ukhaba, okanye utshintsha indlela ngequbuliso. |
| Intlungu ngexesha lemisebenzi yemihla ngemihla | Ukuziva iintlungu xa uhamba, unyuka izinyuko, ukhohlela, okanye ude uthimla. |
| Isandi esithi 'cofa' okanye 'pop' | Ukuva okanye ukuva isandi 'sokuklikha' esivela kwilungu xa ugoba okanye utshintsha indawo. |
Le ntlungu inzima kangangokuba kwabanye abantu, indlela abahamba ngayo iyatshintsha. Ukuze banciphise intlungu, ukuhamba kungaba yindlela yokuhamba nzima .
Yintoni ebangela oku?
Isizathu esiphambili soku, njengoko benditshilo ngaphambili, kukuxinezeleka okungapheliyo kwindawo ye-pelvic. Oku kuqheleke kakhulu kubadlali.
- Imidlalo: Le meko inokwenzeka ngenxa yoxinzelelo olubekwa kumalungu esinqe, kwizicubu ezidityanisiweyo, nakwimisipha ngexesha lemidlalo efana nebhola ekhatywayo, ihoki, ithenisi, kunye nokubaleka umgama omde.
- Utyando: Kunqabile kakhulu, ezi mpawu zinokwenzeka emva kotyando kwindawo ye-pelvic.
- Ukuzala: Kwakhona, abanye abafazi banokuba nale meko emva kokubeleka. Nangona kunjalo, zombini ezi meko azixhaphakanga kangako kunezo zinxulumene nemidlalo.
Yenziwa njani le nto yokuxilonga?
Enyanisweni ukufumanisa le meko kunokuba nzima kancinci kuba kukho ezinye iimeko ezibangela iimpawu ezifanayo (umz., usulelo lomchamo, ukuxinana kwemisipha, i-hernia yezemidlalo).
Ngoko ke xa ubona ugqirha, uza kuqala akubuze ngeempawu zakho kunye nendlela eziqale ngayo iintlungu. Emva koko, uza kuzama ukuthintela ezinye iimeko zempilo.
Okulandelayo, kuya kwenziwa uvavanyo lomzimba. Oku kuquka ukuhlola isinqe sakho kunye nesisu esisezantsi, ukusebenzisa iintshukumo ezithile kunye noxinzelelo ukuze kubonwe ukuba kukho na intlungu. Kukho iimvavanyo ezahlukeneyo ezikhethekileyo zoku.
- Uvavanyo lweNtwasahlobo yePubic: Ugqirha uza kucinezela kancinci i-pelvis yakho ukusuka ngaphambili, ngaphezulu nje kwethambo le-pubic. Ukuba kukho nayiphi na intlungu ebukhali, inokuba luphawu lokuvuvukala.
- Uvavanyo lokucinezelwa kwecala: Oku kuquka ukucudisa amathambo esinqe kumacala omabini. Ukuba kukho intlungu, oko kuthetha ukuba ilungu eliphakathi alizinzanga okanye livuvukele.
- Uvavanyo lwe-FABER:Apha, umlenze wakho ugobile ube yimo efana nomfanekiso '4' kwaye uhlolwe. Ukuba le ntshukumo ibangela intlungu ngaphambili kwe-pelvis, oko kukwaluphawu lwe-Osteitis Pubis.
Uvavanyo lokuFanekisa
Emva kovavanyo lomzimba, kwenziwa uvavanyo lwemifanekiso ukuqinisekisa ukuxilongwa kunye nokuvavanya ngokuchanekileyo imeko yangaphakathi.
- I-X-reyi: Oku kunokujonga izinto ezifana notshintsho emathanjeni, ukwanda kwamalungu, kunye nokuqina kwamathambo.
- I-MRI (Magnetic Resonance Imaging): Eyona ndlela ilungileyo yokuxilonga le meko kukusebenzisa i-MRI scan. Ingabona ngokucacileyo izinto ezingabonakaliyo kwi-X-ray, njengokudumba kwamathambo kunye nezicubu kwangethuba, kunye nokuqokelelana kolwelo kwilungu.
- I-CT (Computed Tomography) Scan: Oku kunceda ukufumana umfanekiso oneenkcukacha ezininzi ngamathambo. Isetyenziswa xa kunzima ukwenza i-MRI okanye ukuba kufuneka kucace ngakumbi.
- I-Bone Scan: Olu vavanyo lunobuthathaka kakhulu ekufumaneni iingxaki emathanjeni ezibangelwa zizifo ezifana nosulelo, ukwenzakala, okanye umhlaza.
Iphathwa njani?
Iindaba ezimnandi endinokukunika zona zezokuba i-Osteitis Pubis inokunyangeka ngokupheleleyo ngexesha nangolawulo olufanelekileyo.
Kwiimeko ezininzi, utyando alufuneki. Unyango olungcono noluqhelekileyo koku kukuphumla kunye nonyango lomzimba .
Ingcali yonyango lomzimba eqeqeshiweyo inokukunceda uqinise izihlunu zakho ukuze uthintele ukwenzakala kwakhona. Nje ukuba ugqirha wakho kunye nengcali yonyango lomzimba bakunike imvume, ungaqhubeka nemisebenzi yakho yezemidlalo. Oku kungathatha naphi na ukusuka kwiiveki ezimbalwa ukuya kwiinyanga ezi-3-6.
Oku kulandelayo kudla ngokwenziwa ngenxa yoku:
- Tshintsha indlela yokufaka ubushushu kunye nomkhenkce kwindawo ebuhlungu.
- Ukunciphisa umsebenzi womzimba.
- Phumla ngokupheleleyo kwimidlalo ide iphucule intlungu.
- Ukusela amayeza okudambisa iintlungu afana ne-Ibuprofen, i-Naproxen, kunye ne-Acetaminophen njengoko kuyalelwe ngugqirha wakho.
Ukuba ezi zinto azincedi, ugqirha wakho angakunika inaliti ye-steroid ukunciphisa ukudumba. Bangacebisa nonyango olungangenisi ntlungu olubizwa ngokuba yi-Extracorporeal Shock Wave Therapy (ESWT).
Kunini apho kufuneka khona utyando?
Nangona uninzi lwabantu lungadingi utyando, utyando lunokuqwalaselwa kwiimeko ezilandelayo:
- Ukuba intlungu ihlala ixesha elingaphezulu kweenyanga ezi-6.
- Ukuba intlungu inzima kakhulu ukuba ingashukunyiswa.
- Ukuba awukwazi ukuzibandakanya kwimisebenzi yezemidlalo.
Ngoku, oogqirha abaninzi benza olu tyando besebenzisa indlela engaphantsi kakhulu kweyonyango.Oku kuthetha ukuba endaweni yokwenza umngxuma omkhulu, ityhubhu encinci enekhamera (i-endoscope) idlula kwimingxunya emininzi emincinci kwaye izicubu ezivuvukileyo ziyasuswa. Oku kubangela ukuba ixesha lokuphola lincinci kwaye iintlungu zincinci.
Ungayiphepha njani le meko?
Ukuba usengozini yokuba nale meko, ungathatha amanyathelo okuthintela oku. Ukuqinisa izihlunu kwindawo ye-pelvic kunye nokwandisa ukuguquguquka kunokunciphisa umngcipheko wokwenzakala kwezemidlalo.
Nazi ezinye iindlela zokuzilolonga eziza kukunceda kule nto:
- Ukuqinisa izihlunu zamathanga kunye namathanga (ii-adductors zesinqe).
- Ukuqinisa izihlunu zomqolo ongezantsi.
- Ukuqinisa izihlunu zesisu.
- Ukuqinisa imisipha ye-hamstring kunye ne-quadriceps.
- Ukuzolula.
- Ukuqubha.
Ukuba usebenza nomqeqeshi okanye ingcali yezonyango, ungafumana ulwalathiso malunga nokuzilolonga okuchanekileyo ukuthintela le meko.
Umyalezo Wokuya Ekhaya
- I-Osteitis I-Pubis kukudumba kwelungu eliphakathi kwe-pelvis. Oku kubangela iintlungu kwindawo ye-groin okanye ezantsi kwesisu.
- Le meko ixhaphakile phakathi kwabadlali, kwaye imbangela ephambili kukuxinezeleka okugqithisileyo kunye neentshukumo eziphindaphindayo.
- Uvavanyo lwezonyango kunye novavanyo lwemifanekiso olufana ne-MRI lubalulekile ekuxilongweni.
- Unyango oluphambili kukuphumla, unyango lomzimba, kunye nokulawula iintlungu. Utyando alufuneki rhoqo.
- Ukuba unentlungu engapheliyo ngolu hlobo, qiniseka ukuba ubona ugqirha ofanelekileyo (ugqirha) kwaye ufumane ukuxilongwa ngokuchanekileyo ngaphambi kokuba uzinyange.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho