Ingabe uzwa ubuhlungu ezinqeni zakho? Ake sixoxe nge-Coccydynia!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile ezinqeni zakho, okungukuthi, emhlane ongezansi? Ingabe lobu buhlungu bubonakala bukhula uma uhlala phansi noma usukuma? Khona-ke lokhu kungaba yinto ebalulekile kuwe. Lokhu sikubiza ngokuthi i-coccydynia.

Iyini iCoccydynia? Ikuphi iCoccyx?

I-Coccydynia igama lezokwelapha lobuhlungu ethanjeni elincane ekugcineni kwezinqe elibizwa ngokuthi i-coccyx. Igama elithi 'Coccyx' libhekisela kuleyo coccyx. Igama elithi 'Dynia' lisho ubuhlungu. Kalula nje, i-coccyx yingxenye encane yethambo phansi komgogodla wakho. Yakhiwe ngama-vertebrae amancane amathathu kuya kwamahlanu ahlangene ndawonye. Abanye bathi yithambo elincane elisele lapho lalikhona ngaphambili, njengomsila.

Leli thambo elincane nalo linomsebenzi obalulekile. Cabanga nje, uma uhleli, liyasiza ekusekeleni isisindo somzimba wakho futhi likugcine uzinzile. Futhi, imisipha eminingi, imisipha, nemisipha emzimbeni wethu ixhunywe kuleli thambo elincane. Ngakho-ke, uma kukhona ubuhlungu kule coccyx, kunzima kakhulu ukubuthwala. Kungaphazamisa ikhono lakho lokwenza imisebenzi yansuku zonke futhi ujabulele nokuphila.

Sivame kangakanani lesi simo?

Ubuhlungu be-coccyx empeleni buvamile kakhulu . Abantu abaningi bangabuzwa. Ikakhulukazi, abesifazane banamathuba aphindwe kahlanu okuba nalesi simo kunabesilisa. Futhi, lobu buhlungu buvame kakhulu kubantu abasha nakubantu abadala kunasezinganeni ezincane.

Ziyini izimpawu ze-Coccydynia?

Umuntu one-coccydynia angase abe nezimpawu ezifana nalezi:

• Ungase uzwe ubuhlungu obuhlabayo obubukhali endaweni yesinqe, okungukuthi, ethanjeni le-pubic, noma ubuhlungu obungacacile, obucindezelayo .
• Lobuhlungu bungaba bubi nakakhulu uma usukuma uhleli. Lokhu kuyisibonakaliso esikhulu abantu abaningi abasibikayo.
• Kungase kube nobuhlungu lapho ukhipha indle.
• Ungase uzwe ubuhlungu ngesikhathi socansi.

Zikhona yini ezinye izimpawu ezingase zihambisane nalolu buhlungu?

Yebo, abantu abanobuhlungu be-coccyx ngezinye izikhathi bangase babe nezinye izimpawu ezifana nalezi:

• Ukuhlungu obusemhlane.
• Ubuhlungu be-sciatica bubuhlungu obuzwakala sengathi ugesi uhamba emlenzeni.
• Izinkinga zokulala.
• Ukucindezeleka.
• Ukukhathazeka.

Kungani lokhu kubuhlungu ezinqeni kwenzeka? Ziyini izimbangela?

Kungaba nezizathu eziningana ezenza kube khona lobu buhlungu ku-coccyx. Ake sibheke ezinye zezimbangela eziyinhloko:

• Ukuwa:Cabanga nje ukuthi uwile ngesinqe ngokuzumayo. Ukuwa okunzima kangaka kungalimaza, kuphuke, noma kukhumule i-femur yakho.
• Ukulimala Kokucindezeleka Okuphindaphindayo (RSI): Kuneminye imidlalo, isibonelo, ukugibela ibhayisikili, ukugwedla, njll. Kulokhu, kukhona ukugoba okuqhubekayo phambili nangemuva. Uma uqhubeka wenza ukunyakaza okufanayo, ingcindezi engadingekile ingafakwa ezicutshini ezizungeze amathambo omgogodla, okungabangela ubuhlungu.
• Ukukhulelwa noma ukubeletha: Ngesikhathi sekota yesithathu yokukhulelwa, umzimba wowesifazane ukhipha ama-hormone. Lawa ma-hormone athambisa indawo ephakathi kwe-sacrum kanye ne-sacrum engenhla kwayo. Lokhu kuvumela i-sacrum ukuthi iguquguquke kakhulu ngesikhathi sokubeletha. Lena inqubo yemvelo. Kodwa-ke, kwezinye izimo, lokhu kungabangela imisipha kanye nemisipha ezungeze i-sacrum ukuthi yelule kakhulu kunalokho okufanele. Lokhu kungabangela ubuhlungu obengeziwe. Ukucindezeleka kulezi zicubu ezithambile kungabangela i-sacrum ukuthi ingakwazi ukuzibamba nge-engeli efanele.
• Ukuthwala isisindo esengeziwe: Njengoba isisindo somzimba sanda, kufakwa ingcindezi eyengeziwe ethanjeni le-metatarsal. Lokhu kungabangela ukuthi ithambo le-metatarsal lithambekele emuva, okubangela ubuhlungu.
• Ukungathwali isisindo esanele: Uma ulahlekelwa amafutha endaweni yezinqe, ukugoba kuleyo ndawo kuyancipha. Uma lo mgoba ulahlekile, ithambo le-metatarsal lingathinta ngqo imisipha, imisipha, kanye nemisipha. Lokhu kungabangela ukuvuvukala nobuhlungu.
• Ukuhlala isikhathi eside: Ukuhlala isikhathi eside, ikakhulukazi endaweni eqinile, kungabeka ingcindezi enkulu emsipheni we-sciatic.

Ingabe i-coccyx ingayilimaza ngaphandle kokulimala? Ingabe iyingozi?

Eqinisweni, akuvamile kakhulu , lobu buhlungu ku-coccyx bungaba uphawu lomdlavuza. Okusho ukuthi, kungaba umdlavuza ohlotshaniswa ne-coccyx noma kungaba ubuhlungu obubangelwa umdlavuza osusakazekele emathanjeni (umdlavuza osakazekile). Kodwa lesi yisimo esingavamile kakhulu , ngakho ungakhathazeki.

Nazi ezinye izinhlobo zomdlavuza ezingabangela ubuhlungu emasendeni:

• I-Chordoma
• Umdlavuza we-prostate
• Umdlavuza we-Colorectal (colon)

Uma lobu buhlungu bubangelwa yisimo somdlavuza, kungase kube nezimpawu eziningana ezengeziwe:

• Ukuba ndikindiki noma ukuqaqamba ezingalweni, emilenzeni, noma endaweni yezimbotshana.
• Ubunzima bokuchama noma ukukhipha indle.
• Isigaxa noma ukuvuvukala okubonakala endaweni ezungeze ithambo le-metatarsal.

Odokotela bathola kanjani imbangela yalobu buhlungu?

Uma uya kudokotela, into yokuqala ayenzayo...Kuzothathwa umlando ophelele wezokwelapha. Uzobuzwa ukuthi ngabe wake waba nezingozi, ukuwa, noma izinkinga endaweni yezinqe ngaphambili. Ngemuva kwalokho, udokotela uzohlola indawo ukuze ahlole ukuthi kukhona yini ukwaphuka, amaqhubu, noma izifo ezifana namathumba.

Yiziphi izivivinyo ezingahlonza ngokunembile lesi simo se-coccydynia?

Ukuze ahlole ukuthi ithambo liphukile yini, udokotela wakho angase ancome ukuhlolwa okufana nalokhu:

• Ukuhlolwa kwe-X-ray.
• I-CT scan (CT - i-computed tomography scan).

Uma kukhona izinsolo zokuvuvukala, amathumba, noma izimila, udokotela angase acele ukuhlolwa okufana nalokhu:

• I-MRI scan (i-magnetic resonance imaging).
• Ukuskena kwamathambo.

Uphatha kanjani ubuhlungu be-coccyx?

Ukwelashwa kobuhlungu benqulu kuncike embangela yobuhlungu kanye nobukhulu bokungakhululeki kwakho. Ngezinye izikhathi, izinto ezilula ongazenza ekhaya zingasiza. Kodwa-ke, uma ukwelashwa ekhaya kungasizi, udokotela wakho angase ancome ezinye izindlela zokwelapha ezingadingi ukuhlinzwa noma, ezimweni ezingavamile, ukuhlinzwa.

Yikuphi ukwelashwa okungenziwa ekhaya?

Ezimweni ezingaba ngu-90%, lolu hlobo lobuhlungu lungadambisa ngemithi elula yasekhaya. Ungazama futhi nalezi zinto:

• Thatha i-NSAID (umuthi ongeyona i-steroidal anti-inflammatory) ukuze unciphise ubuhlungu nokuvuvukala . Isibonelo, i-ibuprofen.
• Sebenzisa umcamelo okhethekile (umcamelo wedonathi noma umcamelo wejeli omise okwesikwele) ukuze unciphise ingcindezi emathanjeni e-pubic uma uhleli. Lokhu kungaba imicamelo yejeli emise okwedonathi noma emise okwesikwele enembobo phakathi.
• Geza ngamanzi ashisayo ukuze uphumuze imisipha futhi unciphise ubuhlungu .
• Faka amaphakethe ashisayo noma abandayo emhlane wakho ongezansi imizuzu engama-20-30, izikhathi eziningana ngosuku.
• Uma uzwa ubuhlungu lapho ukhipha indle, thatha izithambisi zendle.

Yiziphi ezinye izindlela zokwelapha ezingezona ezokuhlinzwa ezitholakalayo?

Uma ukwelashwa ekhaya kungasizi, noma uma ubuhlungu buqhubeka, udokotela wakho angase ancome ukwelashwa okungeyona eyokuhlinzwa okufana nalokhu:

• Ukuvinjelwa kwemizwa ye-coccygeal: Lokhu kuhilela ukufaka umjovo oqukethe umuthi oqeda izinhlungu kanye nama-steroid endaweni ukuze kuncishiswe ubuhlungu nokuvuvukala.
• Ukwelashwa ngokubhucunga: Lokhu kuvame ukunikeza impumuzo yesikhashana.
• Ukwelashwa ngokomzimba: Lokhu kuhilela ukuvivinya umzimba nokulungisa ukuma komzimba.
• Ukwelashwa nge-acupuncture.
• Ukwelashwa nge-TENS (transcutaneous electrical nerve stimulation): Lokhu kuhilela ukuthumela ugesi osezingeni eliphansi esikhumbeni ukulawula ubuhlungu.

Ingabe kukhona ukwelashwa kokuhlinzwa?

Akuvamile kakhulu , udokotela angancoma ukuhlinzwa okunje:

• Ukususwa kwengxenye ye-coccyx: Ukususwa kwengxenye ye-coccyx .
• Ukususwa kwe-coccyx ephelele: Ukususwa kwe-coccyx yonke .

Kungathatha izinyanga eziningana ukululama ngemva kokuhlinzwa kwe-coccygectomy. Futhi, noma ngabe ithambo lisusiwe, akukho siqinisekiso sokuthi ubuhlungu buzophela ngokuphelele. Ngenxa yalesi sizathu, odokotela batusa lokhu kuhlinzwa kuphela uma zonke ezinye izindlela zokwelapha zehlulekile.

Ufuna ukwazi ngemithi eyengeziwe?

Ngezinye izikhathi, ikakhulukazi uma i-coccydynia ingapheli, ungase ube nezinye izimpawu ngaphezu kobuhlungu bethambo lakho lomsila. Isibonelo, ukucindezeleka noma ukukhathazeka. Uma unalezi zinkinga, kubalulekile ukuthi zelashwe. Uma ungazinaki lezi zimpawu, zingathinta kabi izinga lakho lokuphila.

Ingabe ubuhlungu be-coccydynia bungavinjelwa?

Eqinisweni, lolu hlobo lobuhlungu benqulu alunakuvinjelwa ngaso sonke isikhathi, njengoba luvame ukwenzeka ngemva kwezingozi noma njengophawu lwesimo sempilo esiyisisekelo.

Noma kunjalo, ungenza izinto ezimbalwa ukuze unciphise le ngozi:

• Gwema ukuhlala isikhathi eside, ikakhulukazi ezindaweni eziqinile.
• Qaphela lapho ugibela ibhayisikili noma wenza eminye imisebenzi engabangela ubuhlungu endaweni yesinqe.

Ungenza futhi lezi zinto ukuze uzivikele ekuweni:

• Gcina phansi kwendlu yakho kanye nezindlela zokuhamba zicacile futhi zingenazo izithiyo.
• Uma kungenzeka, faka izikhonkwane ezitebhisini.
• Zama ukugcina izitebhisi zikhanya kahle.
• Ungabheki ifoni yakho ngenkathi uhamba.

Yini okufanele ngiyilindele ngalobu buhlungu? Kufanele ngibone nini udokotela?

Esikhathini esiningi, lolu hlobo lobuhlungu luzophela ngokwalo zingakapheli izinsuku ezimbalwa, ngokwelashwa okulula kwasekhaya kanye nesineke esincane. Kodwa-ke, uma ukulimala kukhulu kakhulu, kungathatha isikhathi eside ukuphola.

Kodwa-ke, uma ubuhlungu bakho be-coccyx bungapheli nganoma iyiphi indlela futhi buhlala njalo (i-chronic coccydynia) , kungcono ukubona udokotela ukuze akuhlole bese uthola ukuthi imbangela iyini.

Nakuba lobu buhlungu bungaba yinto ecasulayo, ngokuvamile abuyona inkomba yenkinga enkulu yempilo. Kodwa-ke, kufanele nakanjani ubone udokotela uma:

• Uma ubuhlungu ku-coccyx bungapheli ezinsukwini ezimbalwa, noma uma buqhubeka.
• Uma kukhona ubuhlungu obengeziwe kwenye indawo emzimbeni (isib., isinqe, umhlane ongezansi).
• Uma unomkhuhlane ongama-degree Celsius angu-39.4 (103 degrees Fahrenheit) noma ngaphezulu.

Udokotela angakunikeza ukuxilongwa okunembile futhi akusize uthole ukwelashwa okufanele.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kungaba usizo ukuzibuza imibuzo efana nale:

• "Kungani ngibe nobuhlungu obunjalo esiswini sami esingezansi?"
• "Dokotela, ucabanga ukuthi kuzothatha isikhathi esingakanani ukuthi lobu buhlungu bube ngcono?"
• "Yimaphi amaphilisi okudambisa ubuhlungu atholakala ngaphandle kwemithi (OTC) engingawathenga ekhemisi?"
• "Ingabe kukhona uhlobo/uhlobo oluthile lwe-donut cushion oluncomayo?"
• "Ucabanga ukuthi ngizodinga ukuhlinzwa?"
• "Yini enye engingayenza ukuze nginciphise lobu buhlungu?"

Umyalezo Wokugcina Wokuya Nasekhaya

Ubuhlungu be-coccyx, obaziwa nangokuthi i-coccydynia, buvame ukuphela bodwa phakathi nezinsuku ezimbalwa. Kodwa-ke, ngezinye izikhathi bungaba yinkinga. Uma ubuhlungu bethambo lakho lomsila buqhubeke isikhathi esingaphezu kwamasonto ambalwa, noma uma buphazamisa imisebenzi yakho yansuku zonke, kubalulekile ukubona udokotela. Kungcono ukukhuluma nodokotela ukuze ufunde kabanzi ngendlela yokuqeda lobu buhlungu. Ungakhathazeki, ngokwelashwa okufanele, lesi simo singalawulwa.

I- Coccydynia, ubuhlungu bezinqe, ilunga le-sacroiliac, ubuhlungu bomhlane, umgogodla, ubuhlungu, ukwelashwa