Ingabe nawe uzwa ubuhlungu embotsheni yakho? Kungaba yi-Osteitis Pubis!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungachazeki noma ukungakhululeki embotsheni yakho noma esiswini esingezansi? Cabanga ngakho, uma lobu buhlungu buvela lapho ugijima, ugxuma, noma uhamba nje ngendlela evamile, kuyinto okufanele ukhathazeke ngayo. Lokhu kungaba yisimo esibizwa ngokuthi i-Osteitis Pubis, njengoba odokotela besibiza kanjalo. Igama lingase lizwakale njengento enkulu, kodwa ake sixoxe ngakho kalula, kulungile?

Kuyini i-Osteitis Pubis?

Kalula nje, i-osteitis pubis ukuvuvukala kwe -pubic symphysis , ilunga elingaphambili kwe-pelvis yakho lapho amathambo akho e-pubic angakwesobunxele nangakwesokudla ahlangana khona. Ngokukhethekile, ilunga liyavuvukala, libe bomvu, futhi libe buhlungu. Lokhu kungabangela ubuhlungu nokuvuvukala embotsheni nasesiswini esingezansi.

Lolu uhlobo lwesimo esibizwa ngokuthi i-symphysis pubis dysfunction . Kuvame ukwenzeka lapho i-hip, i-pelvis, kanye nendawo ye-groin kusetshenziswa njalo emisebenzini ephindaphindwayo. Kungenzeka kakhulu ukuthi ube nalesi simo uma ungumsubathi, ukhulelwe, usanda kubeletha, noma uke wahlinzwa esiswini.

Ukwelashwa okungcono kakhulu kwalokhu ukuphumula. Lokhu kusho ukuyeka ezemidlalo nemisebenzi enzima izinyanga ezimbalwa. Abanye abantu bangadinga ukuhlinzwa uma ilunga lonakele kakhulu noma uma ezinye izindlela zokwelapha zingasizi.

Ubani othinteka kakhulu yi-Osteitis Pubis?

Noma ubani angaba nokuvuvukala kwe-pubic symphysis. Kodwa-ke, kuvame kakhulu kubantu abakhuthele, ikakhulukazi abadlali . Lokhu kungenxa yokuthi basebenzisa ingaphakathi labo kanye nezinqe zabo ukwenza izinto ezinjengokujika, ukukhahlela, nokushintsha indlela ngokushesha. Cabanga ngemidlalo efana nale:

• Ibhola Lezinyawo
• Ihokhi
• Ukugijima i-marathon
• Ibhola lomnqakiswano
• Umbukiso wezokulwa

Abantu abadlala le midlalo basengozini enkulu yokuthola lesi simo. Futhi, njengoba ngishilo ngaphambili, uma ukhulelwe, usanda kuthola umntwana, noma uke wahlinzwa esiswini , usengozini enkulu yokuthola i-Osteitis Pubis.

Ngakho-ke, lokhu kuvame kangakanani?

Eqinisweni, i-Osteitis Pubis iyisimo esingavamile . Ngokusho kodokotela, sibangela ngaphansi kuka-15% wazo zonke izimo zobuhlungu be-groin. Lokhu kusho ukuthi akubona bonke ubuhlungu be-groin obubangelwa yi-Osteitis Pubis.

Lokhu kwenzani emzimbeni? Ukusho ngqo...

Ngokuvamile, uma sisonta, sigoba, futhi sihambahamba, i-pelvis yethu kanye ne-pubic symphysis joint kuhamba kalula. Yilapho amathambo ethu amabili e-pubic ahlangana khona. Imisipha ezungeze leli lunga ilibamba endaweni yalo, ukuze amathambo e-pelvis angahambi kakhulu.

Uma une-Osteitis Pubis, i-cartilage kuleli lunga iyalimala futhi ivuvuke . Lokhu kubangela ubuhlungu nobunzima lapho uhamba futhi uhambahamba.

Ziyini izimpawu? Ukubona kanjani lokhu?

Umuntu one-Osteitis Pubis angase abe nezimpawu ezifana nalezi:

• Ubuhlungu esinqeni noma esiswini esingezansi: Lokhu kungaba ubuhlungu obungapheli, obungajabulisi, noma kungaba ukuqaqamba okwenzeka lapho uhamba noma uhamba.
• Ubuhlungu emisipheni yethanga langaphakathi: Uma sikhuluma iqiniso, ubuhlungu emisipheni engaphakathi komlenze.
• Ubunzima bokuhamba ngendlela evamile.
• Ukuzwa ukuqina nokucindezeleka ngaphezu kwe-pelvis.
• Ukuvuvukala.
• Ubuhlungu endaweni noma eduze kwendawo yokuzala.

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukubona udokotela.

Kungani i-Osteitis Pubis ikhula? Ziyini izimbangela?

Kunezizathu eziningana eziyinhloko ezenza lesi simo senzeke:

1. Ukudlala imidlalo: Njengoba ngishilo ngaphambili, ukulimala okuhlobene nemidlalo kuyimbangela eyinhloko yalokhu. Uma abasubathi besebenzisa imisipha nezicubu ngendlela ebeka ingcindezi esithweni se-pubic symphysis, leli lungu lingavuvukala. Cabanga ngomdlali webhola okhahlela ngendlela efanayo nsuku zonke. Kungakanani ukucindezeleka okufakwa esithweni sakhe sangasese?

2. Ukukhulelwa: Lesi simo singase senzeke ngesikhathi sokukhulelwa noma uma uzwa izinhlungu zokubeletha ezinde. Abanye abantu nabo bahlakulela lesi simo ngemva kokubeletha. Lokhu kungenxa yokuthi ngesikhathi sokukhulelwa, amalunga ayakhululeka ngenxa yezinguquko zamahomoni emzimbeni, futhi isisindo somntwana sibeka ingcindezi eyengeziwe ethangeni.

3. Ukuhlinzwa: I-Osteitis I-Pubis ingenzeka futhi njengomphumela ongemuhle kwezinye izihlinzeko, ikakhulukazi ngemva kokuhlinzwa komchamo okubandakanya isisu noma imbobo. Uma uzwa lolu hlobo lobuhlungu ngemva kokuhlinzwa, udokotela wakho angase enze nokuhlolwa okwengeziwe ukuhlola ukutheleleka. I-Osteomyelitis , okuyisifo samathambo, inezimpawu ezifanayo.

4. Ezinye izimo zempilo: Lokhu kungabangelwa nanoma yikuphi ukuphazamiseka noma isimo sempilo esithinta ukuhamba kwakho noma ukuhlangana kwezinqe zakho kanye ne-pelvis. Isibonelo,I-Cam-type femoroacetabular impingement (FAI), eyaziwa nangokuthi i-hip impingement ngabanye, yisimo esibeka abantu abanalesi simo engozini enkulu yokuthola i-Osteitis Pubis ngenxa yezinguquko endleleni i-hip ehamba ngayo.

Odokotela bakuthola kanjani lokhu?

Udokotela wakho uzokuhlola i-Osteitis Pubis ngokuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe . Uzokubuza ngezimpawu zakho futhi ahlole indawo yakho yezinsini ukuthola izimpawu zokuvuvukala.

Ngaphezu kwalokho, ungase ucelwe ukuthi wenze okukodwa noma ngaphezulu kwalokhu kuhlolwa kwezithombe okulandelayo ukuze uthathe izithombe ze-pubic symphysis joint yakho:

• Ama-X-ray
• I-MRI (i-magnetic resonance imaging)
• I-CT scan (CT - i-computed tomography scan)

Lezi zivivinyo ziyindlela kuphela yokubona ukuthi yini engalungile ngejoyinti.

Iyini indlela yokwelapha? Lokhu kungelapheka kanjani?

Ukwelashwa okuyinhloko nokuphumelela kakhulu kwe-Osteitis Pubis ukuphumula . Bese, kancane kancane, ubuyela kancane kancane emisebenzini yakho yangaphambilini. Ngale ndlela, ukuqala kancane kancane ukuzilolonga ngeke kunciphise amandla akho, futhi ungandisa umsebenzi wakho ngokuphepha nangaphandle kobuhlungu.

Into ebaluleke kakhulu ukugwema ngokuphelele umsebenzi olimazile i-pubic symphysis joint yakho. Lokhu kuzonikeza ijoint isikhathi sokululama.

Lokhu kuphumula kubalulekile, ikakhulukazi uma kubangelwe umdlalo noma omunye umsebenzi womzimba. Abantu abaningi kufanele bahlale kude nomdlalo wabo ngokuphelele cishe izinyanga eziyisithupha.

Udokotela wakho angakudlulisela ekwelashweni ngokomzimba . Ukwelashwa ngokomzimba kungasiza ekuqiniseni imisipha ezungeze ithambo lakho le-pubic futhi kulinikeze ukwesekwa okungcono. Udokotela wezokwelapha ngokomzimba angakusiza futhi ukuthi ubone futhi ulungise noma yiziphi izindlela zokunyakaza ezinephutha ebezibangela ukucindezeleka emalungeni akho ngokuhamba kwesikhathi.

Ungasebenzisa ama-NSAID athengiswa ngaphandle kwemithi kadokotela (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) ukuze unciphise ubuhlungu nokuvuvukala. Kodwa-ke, kungcono ukukhuluma nodokotela ngaphambi kokuthatha le mithi izinsuku ezingaphezu kweshumi.

Ezinye izifundo zithole ukuthi ukwelashwa okufana nemijovo ye-corticosteroid kanye ne-prolotherapy kunganciphisa ukuvuvukala okubangelwa yi-Osteitis Pubis. Kodwa-ke, ochwepheshe abakaqiniseki ukuthi lokhu kusebenza kahle kangakanani. Ngakho-ke, khuluma nodokotela wakho ngezimpawu zakho bese ubona ukuthi lokhu kwelashwa kulungile yini kuwe.

Ukuhlinzwa kwe-Osteitis Pubis

Ukuhlinzwa akuvamile ukudingeka kulesi simo. Kodwa-ke, uma izimpawu zakho zingathuthuki ngemva kokuphumula okungenani izinyanga eziyisithupha kanye nezinye izindlela zokwelapha ezijwayelekile, udokotela wakho angase akuncomele ukuhlinzwa ukuze kulungiswe i-pubic symphysis joint.

Izinhlobo ezimbili eziyinhloko zokuhlinzwa ukulungisa i-cartilage emalungeni, noma ukuqinisa imisipha esiswini esingezansi ngokuhlinzwa. Udokotela wakho ohlinzayo uzochaza ukuthi yikuphi ukuhlinzwa ozokwenziwa nokuthi yini ongayilindela. Iningi labantu lithatha cishe izinyanga ezine kuya kweziyisithupha ukululama kulokhu kuhlinzwa.

Uphila kanjani nezimpawu? Uzilawula kanjani?

Indlela engcono kakhulu yokuphatha izimpawu ze-Osteitis Pubis ukugwema imisebenzi eyimbangela . Ukucindezela kakhulu i-pubic symphysis joint yakho kungenza izimpawu zibe zimbi kakhulu futhi kwandise isikhathi sokululama.

Gwema umsebenzi onzima womzimba. Buza udokotela wakho noma uchwepheshe wezokwelapha mayelana nezinhlobo zokuzivocavoca ongakwenza ngokuphepha kuze kube yilapho ilunga lakho liphola.

Kuthatha isikhathi esingakanani ukuphulukiswa?

I-Osteitis Pubis ithatha izinyanga eziningana ukuze ilulame. Iningi labadlali liyakwazi ukubuyela emdlalweni wabo ngaphandle kwezimpawu zingakapheli izinyanga ezintathu kuya kweziyisithupha kusukela beqale ukwelashwa.

Ukuvimbela kanjani lokhu ukuthi kungenzeki? (Ukuvimbela)

Indlela engcono kakhulu yokuvimbela lokhu ukugwema ukucindezela ngokweqile i-pubic symphysis joint yakho.

Uma udlala imidlalo noma wenza eminye imisebenzi yomzimba, cabanga ngalezi zinto:

• Gqoka imishini yokuphepha efanele.
• Uma uzwa ubuhlungu ngesikhathi noma ngemva komsebenzi womzimba, ungacabangi ukuthi, "Lokhu kuzophela ngemva kokudlala."
• Ngemva kokusebenza kanzima , nikeza umzimba wakho isikhathi sokuphumula nokululama.
• Ngaphambi kokudlala imidlalo noma ukuzivocavoca , fudumeza futhi welule imisipha yakho.
• Ngaphezu komdlalo wakho, qhubeka nohlelo lokuqinisa nokuqeqesha oluhlelwe kahle.
• Phola bese welula imisipha yakho ngemva kokuzivocavoca umzimba.

Yini okufanele ngiyilindele uma ngine-Osteitis Pubis?

Ungalindela ukululama ngokuphelele kwi-Osteitis Pubis.

Kuzothatha isikhathi ukuthi i-pubic symphysis yakho iphole, kodwa uzokwazi ukubuyela kuyo yonke imisebenzi yakho evamile kanye nemidlalo. Ngisho noma uhlinzwa, i-Osteitis Pubis ngeke ibe nomthelela wesikhathi eside ekhonweni lakho lokuhamba, ukunyakaza, noma ukwenza izinto ozijabulelayo.

Ingabe kufanele ngihlale emsebenzini/esikoleni ngize ngilulame?

Uma ungaqhubeka nomsebenzi wakho noma imfundo yakho ngaphandle kokufaka noma yikuphi ukucindezela okwengeziwe esithweni sakho se-pubic symphysis, kungase kungadingeki ukuthi uphuthelwe umsebenzi noma isikole. Kodwa-ke, uma isimo sakho sibangelwa ukunyakaza okuphindaphindiwe emsebenzini, khuluma nodokotela wakho ngezindawo ongazisebenzisa.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi izimpawu endaweni yakho yembobo noma eduze kwayo, bona udokotela ngokushesha okukhulu . Izimpawu ze-Osteitis Pubis zifana nezezinye izimo eziningana ezithinta imbobo. Ngakho-ke, kubalulekile ukubona udokotela ngokushesha okukhulu ukuze kutholakale imbangela yobuhlungu bakho nokuvuvukala. Lokhu kuzosiza udokotela wakho ukuthi akhiphe ezinye izimo, njenge- hernia yezemidlalo noma ukutheleleka kwamathambo okuyingozi okubizwa ngokuthi i-osteomyelitis .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela, ungabuza imibuzo efana nale:

• Ingabe ngine-Osteitis Pubis, noma kukhona enye inkinga?
• Kufanele ngigweme ukudlala imidlalo isikhathi esingakanani?
• Hlobo luni lokuhlolwa kwezithombe okuzodingeka ngilwenze?
• Ingabe ngizodinga ukuhlinzwa?

I-Osteitis Pubis yisifo esilula kakhulu ukwelapha . Ingxenye enzima kakhulu kubantu abaningi ukuhlala kude nemidlalo nemisebenzi abayijabulelayo ngenkathi bephulukiswa. Nakuba kungase kube nzima ukuhlala kude nomdlalo noma umsebenzi owuthandayo izinyanga ezimbalwa, kubalulekile ukunikeza umzimba wakho isikhathi osidingayo ukuze ululame.

Uma ijoyinti lakho le-pubic symphysis selipholile futhi izimpawu zakho sezithuthukile, uzokwazi ukubuyela enkundleni, e-ice rink, noma enkundleni ngaphandle kwezinkinga zesikhathi eside.

Umlayezo Wokuya Nawe Ekhaya

Ngakho-ke, nakuba i-Osteitis Pubis iyisimo esibuhlungu esenzeka endaweni yesisu, akuyona into okufanele uyesabe .

• Lokhu kuvame ukuthinta abadlali, omama abakhulelwe, kanye nalabo abaye bahlinzwa.
• Ukwelashwa okuyinhloko ukuphumula. Ngaphezu kwalokho, ukwelashwa ngokomzimba kanye nemithi yokubulala izinhlungu kuyasiza.
• Ukuhlinzwa akuvamile.
• Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu nokuphumula kahle uze ululame.
• Ngokwelashwa okufanele, ungalulama ngokugcwele futhi ubuyele empilweni yakho evamile kanye nemisebenzi yakho.

Ngakho-ke, uma unalezi zimpawu, bona udokotela ngokushesha bese uthola iseluleko. Silulama ngokushesha!

I- Osteitis Pubis, Ubuhlungu Besisu, Ubuhlungu Besisu Esingezansi, Ukulimala Kwezemidlalo, Ukukhulelwa, Ubuhlungu Besinqe, I-Osteoarthritis