Ingabe nawe uzwa ubuhlungu be-pelvic? Ingabe kungaba ukuphuka kwe-pelvic?

O, ingabe nawe uzizwa ubuhlungu noma ukungakhululeki okhalweni noma ezinqeni zakho? Ngezinye izikhathi, ukuwa okungalindelekile noma ingozi enkulu kungalimaza i-pelvis yethu, okungukuthi, amathambo e-hip kanye nesistimu yamathambo ehambisanayo. Namuhla, sizoxoxa ngokuthi ukuphuka kwe-pelvic, noma njengoba odokotela bekubiza kanjalo, "ukuphuka kwe-pelvic", kuyini, kwenzekani uma kwenzeka, nokuthi ungakwelapha kanjani. Ungesabi, kubaluleke kakhulu ukuqaphela lokhu.

Kuyini ukuphuka kwe-pelvic? Ake sikuqonde kalula.

Kalula nje, ukuphuka kwe-pelvic kuwukuphuka kwelinye noma ngaphezulu kwamathambo akha i-pelvis yakho. I-pelvis yakho itholakala ngaphansi kwe-buttock yakho, phakathi kwamathambo akho e-hip. Amanye ala ma-pelvis angaphuka amancane, kanti amanye angaba yingozi kakhulu. Kuya ngokuthi ukulimala kwenzeke kanjani nokuthi ukuphuka kwenzeke kuphi.

Uhlobo luni lwamathambo i-pelvis yethu eyenziwe ngalo?

Ungase uzibuze ukuthi le pelvis iyithambo elilodwa nje. Cha, iyiqoqo lamathambo amaningana. Ifana nendandatho eqinile. Ibizwa nangokuthi "indandatho yepelvic". Bheka la mathambo:

• I-Sacrum: Leli yithambo elikhulu, elinobunjwa obungunxantathu phansi komgogodla wakho.
• I-Coccyx: Njengoba sonke sazi, lokhu kubizwa nangokuthi "ithambo lomsila". Itholakala ngaphansi kwe-sacrum.
• Amathambo enqulu: Lawa akhiwe izingxenye ezintathu eziyinhloko:
• `Ilium` (ingxenye engenhla, eyisicaba yethambo le-pelvic)
• `Ischium` (ingxenye engezansi nengemuva ye-pelvis ecindezela phansi lapho sihleli)
• `I-Pubis` (ingxenye engaphambili kwe-pelvis)

Wonke la mathambo ayahlangana ukuze akhe indandatho yakho yesinqe. Lesi yisakhiwo esiqinile kakhulu. Futhi, ngaphakathi kwalokhu lapho kuvikelwe khona imizwa eminingi ebalulekile, imithambo yegazi kanye nezitho zangaphakathi zokuzala, njengesinyi, ingxenye engezansi yomgudu wokugaya ukudla. Akukhona lokho kuphela, kodwa imisipha eminingi emilenzeni yakho inamathele kulesi sinqe. Yingakho singahamba, sigijime futhi sigxume.

Yiziphi izinhlobo zokuphuka kwe-pelvic ezikhona?

Njengoba i-pelvis iyiqoqo lamathambo, kunezinhlobo eziningi zokuphuka kwe-pelvis. Ngaphezu kwalokho, noma yikuphi ukuphuka kungahlukaniswa ngezinhlobo eziningana ngokusekelwe endleleni okwenzeka ngayo. Ake sibheke lokho:

• Ukuqhekeka Okuvaliwe noma Okuvulekile/Okuhlanganisiwe: Uma ithambo liphukile kodwa isikhumba esizungezile singonakali, okusho ukuthi akukho nxeba elibonakalayo, libizwa ngokuthi ukuqhekeka okuvaliwe . Kodwa-ke, uma ingxenye yethambo eliphukile iphukile esikhumbeni, kuqhekeka okuvulekile (okubizwa nangokuthi 'Ukuqhekeka Okuhlanganisiwe'). Lokhu kuyingozi kakhulu, njengoba kunethuba elikhulu lokutheleleka.
• Ukuphuka Okuphelele: Kulokhu, ithambo lihlukana ngokuphelele libe yizicucu ezimbili.
• Ukuphuka Okuphukile: Yilapho izingcezu ezimbili zethambo sezisukile lapho zaphuka khona, zishiya isikhala phakathi kwazo.
• Ukuqhekeka Okuyingxenye: Kulesi simo, ithambo aliphuki ngokuphelele, njengokuqhekeka.
• Ukuqhekeka Kokucindezeleka: Lokhu futhi kuyimifantu emincane emathanjeni. Kungavela nakubasubathi abahlale bengaphansi kohlobo olufanayo lokucindezeleka.

Ngaphezu kwalezi zinhlobo ezivamile zokuphuka, ukuphuka kwesinqe nakho kuhlukaniswa ngokuthi `okuzinzile` noma `okungazinzile` :

• Ukuphuka Kwesinqe Esiqinile: Lokhu kuwukuphuka okuvame ukwenzeka endaweni eyodwa kuphela esinqeni, futhi izingcezu zamathambo aphukile azisuswa (zishintshwa). Lezi zinhlobo zokuphuka okuzinzile zivame ukubangelwa izehlakalo ezingathinteki kakhulu, njengokuwa okuncane noma ingozi yokugijima.
• Ukuphuka Kwe-Pelvic Okungazinzile: Lokhu kuwukuphuka kwe-pelvic okungase kwenzeke ezindaweni ezimbili noma ngaphezulu, futhi amathambo aphukile angase asuswe. Lokhu kuphuka kuvame ukubangelwa yizehlakalo ezithinta kakhulu, njengengozi enkulu yemoto. Kubi kakhulu ngoba kungalimaza nezitho zangaphakathi.

Ngaphezu kwalokhu, kukhona olunye uhlobo olukhethekile, olubizwa ngokuthi "i-Avulsion Fracture" . Lokhu kwenzeka lapho i-tendon noma i-ligament enamathele ethanjeni idabuka, okubangela ukuba ingxenye encane yethambo iphume. Lokhu kungenzeka lapho kudlalwa imidlalo.

Ubani othinteka kakhulu yilokhu kuphuka kwe-pelvic?

Eqinisweni, noma ubani wanoma yimuphi ubudala angaba nokuphuka kwenqulu. Kodwa-ke, ukuphuka kwenqulu okuncane kuvame kakhulu kubantu abadala. Lokhu kungenxa yokuthi banamathuba amaningi okuthola izimo ezibuthakathaka ngamathambo, njenge-osteoporosis, njengoba bekhula.

Kodwa-ke, ukuphuka okukhulu kwe-pelvic kuvame kakhulu entsheni eneminyaka ephakathi kwengu-15 nengu-28. Leli qembu leminyaka livame kakhulu ukuba nezingozi. Amadoda angaphansi kweminyaka engu-35 anamathuba amaningi okuphathwa yilesi simo, kanti abesifazane abangaphezu kweminyaka engu-35 banamathuba amaningi okuphathwa yiso.

Kuvame kangakanani ukuphuka kwe-pelvic?

Empeleni, ukuphuka kwe-pelvic akuvamile kangako. Kubangela cishe u-3% wabo bonke abantu abadala abaphukayo. Esikhathini esiningi, lokhu kwenzeka ngenxa yengozi enkulu. Cabanga ngakho njengengozi yemoto noma ukuwa usuka endaweni ephakeme.

Ziyini izimpawu zokuphuka kwe-pelvic?

Izimpawu zincike ekutheni ukuphuka kuncane noma kukhulu kangakanani. Nazi ezinye zezimpawu ezivamile:

• Ubuhlungu embotsheni, esinqeni, kanye/noma emhlane ongezansi.
• Ubuhlungu buyanda lapho uhamba noma ushukumisa imilenze.
• Ukuzwa umuzwa wokuqaqamba noma wokuhlaba endaweni yesinqe noma emilenzeni.
• Ubuhlungu besisu.
• Ubunzima bokuchama.
• Ubunzima bokuhamba noma ukuma.

Okubalulekile: Uma unezinye zalezi zimpawu, ikakhulukazi ngemva kwengozi, qiniseka ukuthi ubona udokotela.

Yini ebangela lokhu kuphuka kwe-pelvic?

Ukuphuka kwe-pelvic kungenzeka ngezizathu eziningana eziyinhloko:

1. Izehlakalo ezithinta kakhulu: Njengoba kushiwo ngaphambili, i-pelvis iyisimiso samathambo esiqinile kakhulu. Ngakho-ke, cishe izophuka uma kukhona umthelela omkhulu. Izibonelo:

• Izingozi zezimoto nezithuthuthu.
• Ukuwa kusuka ezindaweni eziphakeme (njengokusuka esihlahleni, esakhiweni).

Lezi zinhlobo zezehlakalo zivame ukuholela ekuqhekekeni kwe-pelvic okungazinzile nokungathi sína.

2. Izifo ezenza amathambo abe buthaka: Uma unezifo ezifana ne-osteoporosis, ezenza amathambo akho abe mancane futhi abe buthaka, ngisho nento encane kakhulu ingabangela ukuphuka kwesinqe. Lokhu kungenzeka ngisho nalapho wenza umsebenzi wakho ojwayelekile, noma ngisho noma ushelela futhi uwe. Esikhathini esiningi, lokhu kuphuka kuzinzile.

3. Imisebenzi yezemidlalo: Lokhu akuvamile kangako, kodwa uma udlala eminye imidlalo, ungathola i-'Avulsion Fracture' okukhulunywe ngayo ngaphambilini. Lokhu kwenzeka lapho imisipha ihlukana nethambo, okwenza ucezu lwethambo luphume nalo. Lokhu kuvame ukuba ukwaphuka okuzinzile.

Ukuthola kanjani lokhu, dokotela?

Ukuze wazi ngokuqinisekile ukuthi uphuke i-pelvic, kuzodingeka nakanjani wenze i-X-ray. Ngaphezu kwalokho, udokotela wakho angenza nezinye izivivinyo uma efuna ukwazi okwengeziwe ngohlobo lokulimala.

Yiziphi lezo zivivinyo?

• I-X-ray: Lokhu kusetshenziselwa ukuthatha izithombe zamathambo. Lokhu kubalulekile ukuthola ukuthi ukuphuka kwe-pelvis kukuphi, kuyingozi kangakanani, nokuthi kufanele kuphathwe kanjani.
• I-CT Scan (i-Computed Tomography): Lokhu kuhilela ukuthatha ama-X-ray amaningi kusuka kuma-engeli ahlukene nokusebenzisa ikhompyutha ukudala izithombe ezinemininingwane. Lokhu kungaveza izithombe ezicacile kakhulu kune-X-ray evamile. Udokotela wakho angase akuyalele lokhu ukuze afunde kabanzi ngokuphuka kwe-pelvic yakho nokubona ukuthi kukhona yini okunye ukulimala okuhlobene nakho.
• I-MRI (I-Magnetic Resonance Imaging): Lokhu kusebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukudala izithombe ezinemininingwane yezitho zakho namathambo. Udokotela wakho angenza lokhu futhi uma i-X-ray noma i-CT scan inganikezi ulwazi olwanele.

Ilashwa kanjani? Ingabe wonke umuntu udinga ukuhlinzwa?

Ukwelashwa kokuphuka kwe-pelvic kuncike ezintweni eziningana:

• Ukuthi ukuphuka kwakho kuncane noma kubi kangakanani.
• Iphethini kanye nohlobo lokuphuka.
• Ukuthi izingcezu zamathambo eziphukile zihambe ibanga elingakanani (zisusiwe yini).
• Impilo yakho iyonke nokuthi ngabe kukhona yini okunye ukulimala onakho.

Ukuphuka okuncane nokuzinzile, okusho ukuthi izingcezu zamathambo azisuswanga, ngokuvamile azidingi ukuhlinzwa. Ezimweni ezinjalo, okulandelayo ukwelashwa:

• Ukuphumula: Udokotela wakho uzokutshela ukuthi uphumule ngangokunokwenzeka. Lokhu ngeke kufake ingcindezi eyengeziwe ethanjeni eliphukile futhi kuzosiza ukuthi liphole ngokushesha.
• Izinsiza zokuhamba: Kuye ngokuthi uphuke kuphi, ungase utshelwe ukuthi usebenzise izinduku zokusikela, i-walker, noma isihlalo sabakhubazekile. Lokhu kuzokusiza ukuthi wehlise isisindo emilenzeni yakho. Kuzodingeka uzisebenzise cishe izinyanga ezintathu, noma kuze kube yilapho i-pelvis yakho isipholile ngokuphelele.
• Imithi: Udokotela wakho uzokunikeza imithi yokusiza ukunciphisa ubuhlungu. Bangase bakunike nemithi yokunciphisa ukujiya kwegazi ukuze banciphise ingozi yokujiya kwegazi emithanjeni yemilenze yakho kanye ne-pelvis.

Ukuphuka kwe-pelvic okubi kakhulu noma okungazinzile kuvame ukudinga ukuhlinzwa okukodwa noma ngaphezulu. Kunezinhlobo eziningana zokuhlinzwa:

• Ukuqina Kwangaphandle: Kulokhu, kwenziwa imihuzuko emincane esikhumbeni nasemisipheni ukuze kuqiniswe indawo yakho ye-pelvic, bese kufakwa izinduku zensimbi noma izikulufo emathanjeni. Lezi zinduku nezikulufo ziphuma esikhumbeni futhi zinamathele ezingodweni ezingaphandle komzimba. Lokhu kusebenza njengohlaka, okusiza ukubamba amathambo aphukile aze aphole.
• Ukudonswa Kwamathambo: Lolu uhlelo lwe-pulley olungaphandle komzimba. Lusiza ekuqondiseni izingcezu zamathambo eziphukile. Udokotela ohlinzayo ufaka izingcezu zensimbi ethanjeni lakho noma ethanjeni lesifuba. Izisindo zibekwa kulezi zingcezu bese udokotela ohlinzayo edonsa umlenze wakho. Lokhu kubangela ukuthi izingcezu zamathambo eziphukile ze-pelvic zibuyele esimweni sazo esijwayelekile.
• Ukunciphisa Okuvulekile Nokulungiswa Kwangaphakathi (i-ORIF): Kulokhu kuhlinzwa, izingcezu zamathambo e-pelvic ezisusiwe ziqale zibuyiselwe esimweni sazo esijwayelekile. Ngemuva kwalokho, izingcezu zihlanganiswa futhi ziboshwe ngezikulufo noma ngamapuleti ensimbi ngaphandle kwethambo.

Umuntu oye waphuka kakhulu esinqeni engozini enkulu uvame ukuba nezinye izinkinga zangaphakathi. Lokhu kuzodingeka futhi kwelashwe. Kuleso simo, ukuphulukiswa kokuphuka kwesinqe kuzoncika ekutheni lezo ezinye izinkinga zelapheka kanjani ngempumelelo.

Ingabe ukuphuka kwe-pelvic kungazipholisa ngokwako?

Ukuphuka kwe-pelvic okuncane nokuzinzile kuvame ukuphola ngaphandle kokungenelela kwezokwelapha, njengokuhlinzwa. Kodwa-ke, noma ngabe uphuke kancane, kufanele unciphise ingcindezi e-pelvis nasemilenzeni yakho futhi uthole ukuphumula okwanele ukuze kusize ukuthi iphole kahle. Uma ucabanga ukuthi uphuke kancane, kubalulekile ukubona udokotela ngokushesha okukhulu.

Kuthatha isikhathi esingakanani ukuthi ukuphuka kwe-pelvic kuphole?

Ngokuvamile kuthatha amasonto angaba ngu-8 kuya kwangu-12 ukuthi ukuphuka kwe-pelvic kuphole ngokuphelele. Ukuphuka okukhulu kakhulu, ikakhulukazi uma unezinye izinkinga noma izinkinga zezokwelapha, kungathatha isikhathi eside.

Yiziphi izici eziyingozi zokuphuka kwe-pelvic?

Kunezici eziningana ezingabangela ukuphuka kwe-pelvic:

• Ukuba ne-osteoporosis: Abantu abanalesi sifo basengozini enkulu yokuphuka kwe-hip.
• Ukuwa njalo: Ikakhulukazi kubantu abadala, uma bewa njalo, banamathuba amaningi okuphuka amathambo abo esinqeni.
• Ukudlala imidlalo ethile: Njengoba kushiwo ngaphambili, abantu abadlala imidlalo ethile bangahlushwa yi-'Avulsion Fracture'.

Yini esingayenza ukuze sivimbele ukuphuka kwe-pelvic?

Kuye ngeminyaka yakho nendlela ophila ngayo, kunezinto eziningana ongazizama ukuvimbela ukuphuka kwesinqe:

• Sebenzisa i-walking aid uma usengozini enkulu yokuwa: Ukusebenzisa induku noma i-walker kungasiza ekuvimbeleni ukuwa.
• Shayela ngokuphepha: Izingozi zezimoto ezithinta kakhulu ziyimbangela ehamba phambili yokuphuka kwemisipha yethanga. Shayela ngokuphepha njalo, lalela imithetho yomgwaqo, futhi ugweme iziphazamiso ngenkathi ushayela.
• Landela imiyalelo yokuphepha lapho usebenzisa izitebhisi: Uma usebenzisa izitebhisi, qiniseka ukuthi zenziwe kahle nangokuphephile. Njalo hlola ukuthi izitebhisi zisesimweni esizinzile ngaphambi kokuzisebenzisa.
• Uma udlala imidlalo, zelula kahle bese wenza izivivinyo zokulungisa umzimba: Ukuze unciphise ingozi yokuphuka kwemisipha okubangelwa ukudabuka kwemisipha, fudumala kahle ngaphambi kwemisebenzi bese wenza izivivinyo zokulungisa umzimba eziqondene nezemidlalo.

Iyini iphrojekthi yokuphuka kwe-pelvic?

Lokhu kuncike ebunzimeni kanye nohlobo lokulimala. Ukuphuka okuncane kwe-pelvic okuzinzile kuvame ukuphola kahle ngokwelashwa futhi kuphele ngaphandle kwezinkinga zesikhathi eside.

Kodwa-ke, ukuphuka kwe-pelvic okunzima nokungazinzile okubangelwa ukulimala okukhulu, njengezingozi zezimoto, kungaholela ezinkingeni ezifana nokopha ngokweqile, ukulimala kwezitho ezizungezile, kanye nemizwa. Uma lokhu kulimala okuhambisana nakho kwelashwa ngempumelelo, ukuphuka kwe-pelvic kuvame ukuphola kahle.

Ingabe ukuphuka kwe-pelvic kungaba yingozi empilweni?

Yebo, ngezinye izikhathi. Ukuphuka kwe-pelvic okungazinzile nokuyinkimbinkimbi okubangelwa ukulimala okukhulu, njengengozi yemoto noma ukuwa kusuka ekuphakameni okukhulu, kungalimaza izitho zomzimba, imizwa, kanye nemithambo yegazi ezungeze indawo yakho ye-pelvic. Lokhu kulimala kungaholela ekuhlulekeni kwezitho zomzimba, ukopha ngokweqile, kanye nokutheleleka. Lezi kungaba yizimo ezisongela impilo. Yingakho kubalulekile ukufuna usizo lwezokwelapha ngokushesha.

Ingabe ukuphuka kwe-pelvic kungabangela izinkinga?

Ukuphuka kwe-pelvic okukhulu nokungazinzile kungenzeka kakhulu ukuthi kubangele izinkinga kunokuphuka okuncane. Lezi zinkinga zivame ukwenzeka ngenxa yomonakalo wemizwa kanye/noma izitho zomzimba okubangelwa ukuphuka kwe-pelvic. Izinkinga zokuphuka kwe-pelvic zifaka:

• Ubuhlungu obungapheli
• Ukukhubazeka kokuhamba
• Ukungasebenzi kahle kocansi
• Ukugoba kwegazi emithanjeni ejulile (i-Deep Vein Thrombosis - DVT)

Kufanele ngimbone nini udokotela?

Uma unezimpawu zokuphuka kwe-pelvic, njengobuhlungu endaweni ye-pelvic kanye nobunzima bokuhamba noma ukuma, shayela udokotela wakho ngokushesha, noma uye esibhedlela esiseduze.

Uma usuvele utholakale ukuthi unesifo sokuphuka kwe-pelvic, futhi uba nezimpawu ezintsha noma ezikhathazayo, qiniseka ukuthi uthintana nodokotela wakho.

Yini okufanele ngiyibuze udokotela wami?

Uma uphuke i-pelvic, kungaba usizo ukubuza udokotela wakho le mibuzo:

• Hlobo luni lokuphuka enginalo?
• Yimaphi amathambo asesinqeni sami athintekile?
• Lubukeka kanjani uhlelo lwami lokwelashwa?
• Kuzothatha isikhathi esingakanani ukuthi ukuphuka kwami ​​​​kuphole?
• Ngingabuyela nini emisebenzini evamile?

Khumbula, noma ngabe i-pelvis yakho iyisakhiwo samathambo esiqinile, ingaphuka. Ukuphuka kwe-pelvis kubuhlungu, ngakho-ke udinga usizo ngokushesha. Ngenxa yokuthi i-pelvis yakho ivikela imizwa eminingi ebalulekile, imithambo yegazi, kanye nezitho zomzimba, udokotela wakho uzofuna ukuqinisekisa ukuthi ukuphuka akubanga nezinye ukulimala kwangaphakathi. Uma ukhathazekile nge-osteoporosis, khuluma nodokotela wakho ngalokho futhi.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu ngokuphuka kwe-pelvic namuhla, akunjalo? Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:

• Ukuphuka kwesinqe akuyona into okufanele ithathwe kalula. Kungenzeka ngokuwa okuncane, noma kungaba yingozi enkulu.
• Uma uzwa izimpawu ezifana nobuhlungu embotsheni, ezinqeni, noma emhlane, noma ubunzima bokuhamba , ikakhulukazi ngemva kwengozi, funa iseluleko sezokwelapha ngokushesha.
• Ukwelashwa kuncike ohlotsheni lokuphuka. Kungaphola ngokuphumula nokusekelwa, noma kungadinga ukuhlinzwa.
• Ukuphumula okufanele kanye nokuzivocavoca umzimba njengoba kunqunywe udokotela kubaluleke kakhulu ukuze ululame ngokushesha.
• Uma kunezici eziyingozi (ubudala, i-osteoporosis, ukuwa njalo), kuwukuhlakanipha ukuzazi futhi uthathe izinyathelo zokuvimbela.

Ungesabi, kodwa ungakushayi indiva. Uyazi kahle umzimba wakho. Uma uzizwa into engavamile, kungcono ngaso sonke isikhathi ukubona udokotela ukuze akunike iseluleko.

Ukuphuka kwe - pelvic, ukwaphuka, i-hip, i-pelvis, izingozi, impilo yamathambo