Ingabe ngezinye izikhathi uzwa ubuhlungu obungavamile esiswini sakho esingezansi, kuzo zombili izinhlangothi ze-groin yakho? Ikakhulukazi ngesikhathi sokukhulelwa, noma uma ungumuntu ovame ukudlala imidlalo, ungase ujwayelene kakhulu nalobu buhlungu. Ingabe lobu buhlungu bubonakala bukhula uma uhamba, uvuka embhedeni, noma uhlukanisa imilenze yakho? Nakuba abantu abaningi becabanga ukuthi lokhu kuyinto evamile, ngezinye izikhathi imbangela iyinkinga yelungu elincane emzimbeni wethu esingakhulumi kakhulu ngalo. Namuhla sikhuluma ngaleli lungu elibizwa ngokuthi 'i-Pubic Symphysis', elenza umsebenzi omuhle wokugcina i-pelvis yethu izinzile, kodwa lingacasula kakhulu lapho kuvela inkinga.
Kalula nje, iyini le Pubic Symphysis?
Cabanga ukuthi i-pelvis yethu ifana nendandatho. Le ndandatho yakhiwe ngamathambo amaningana amakhulu. Ngakho-ke, ngaphambili kwale ndandatho ye-pelvis, lapho kuhlangana khona ithambo lesokudla nethambo lesobunxele, kukhona ilunga elikhethekile elibizwa ngokuthi i-Pubic Symphysis .
Manje ungase ucabange ukuthi leli yilunga elihamba kakhulu, njengedolo noma indololwane. Kodwa akunjalo. Alihambi kakhulu. Njengebhuloho elixhumanisa amabhange amabili, umsebenzi oyinhloko waleli lunga ukubamba amathambo amabili e-pelvic ndawonye ngokuqinile nokugcina i-pelvis izinzile. Kodwa futhi inokuguquguquka okuncane kokumunca ukushaqeka okwenzeka ngesikhathi sokunyakaza njengalapho sihamba futhi sigijima. Ngakho-ke yize singacabangi kakhulu ngaleli lunga, kubaluleke kakhulu ekulinganiseni komzimba wethu.
Yimiphi imisebenzi eyinhloko yaleli lunga?
Ake sibone ukuthi leli lungu elincane libaluleke kangakanani emzimbeni wethu.
- Ukugcina i-pelvis izinzile: Lena yinto ebaluleke kakhulu. Leli lunga lixhumanisa amathambo e-pubic ohlangothini lwesobunxele nolwesokudla lwe-pelvis futhi liwagcine eqinile.
- Ukumuncwa Kokwethuka: Uma sihamba, sigijima, noma sigxuma, imizimba yethu izwa ukushaqeka. Leli lunga lisiza ekumunceni lokho kushaqeka futhi linciphise ukudluliselwa kwalo ezingxenyeni ezingaphezulu zomzimba.
- Ukusatshalaliswa kwesisindo somzimba: Isisindo somzimba wethu ongaphezulu sidlula ethangeni ngaphambi kokuba sidlule emilenzeni siye phansi. Ngakho-ke leli lunga lisiza ukusabalalisa leso sisindo ngokulinganayo phakathi kwemilenze.
- Ukusiza ekubelethweni: Leli yikhono elimangalisayo kakhulu laleli lunga. Ngasekupheleni kokukhulelwa, leli lunga liyaxega futhi libanzi ngenxa yethonya lama-hormone. Lokhu kwenzeka ukuze kuvuleke isikhala sokuba i-pelvis iphume kalula kumntwana ngesikhathi sokubeletha. Lokhu kuyinto eyenzeka ngokwemvelo.
Likuphi leli joyinti futhi lenziwe ngani?
I-pubic symphysis joint itholakala phansi kwe-pelvis yethu, phakathi nendawo nangaphambili. Iphambi kwesinye nangaphezu kwezitho zethu zobulili.
Leli lunga aliwona nje amathambo amabili ahlanganiswe ndawonye. Lidinga ukuqina nokuguquguquka ngezinga elithile. Yingakho lakhiwe izingxenye eziningana ezikhethekile.
| Ingxenye yejoyinti | Incazelo elula |
|---|---|
| Idiski ye-fibrocartilage | Lena yingxenye eyinhloko phakathi kwamathambo amabili. Kufana 'nesithambisi sokushaqeka' emotweni. Luhlobo lwe-cartilage olunemicu eqinile kakhulu. Lwenziwe kakhulu ngephrotheni ebizwa ngokuthi (i-Collagen) . Yilokhu okuvumela ilunga ukuthi limunce ukushaqeka. |
| Ukugqoka i-hyaline cartilage | Idiski ye-fibrocartilage okukhulunywe ngayo ngenhla imbozwe nhlangothi zombili, okungukuthi, imikhawulo yamathambo amabili esinqeni, uhlobo lwe-cartilage ebushelelezi. Lokhu kusebenza ekuvikeleni imikhawulo yamathambo. |
| Ama-Ligaments | Lonke leli lunga liboshwe ndawonye yizakhiwo eziqinile ezifana nentambo ezibizwa ngokuthi ama-ligaments. La ma-ligaments avimbela ilunga ukuba linyakaze kakhulu, lingasheleli, futhi aligcine lizinzile. |
Yiziphi izimo ezithinta i-Pubic Symphysis?
Ngokuvamile asinalo ulwazi ngaleli lunga. Kodwa kwezinye izimo, lingabangela izinkinga nobuhlungu. Igama elivamile lezimo ezinjalo yi -Symphysis Pubis Dysfunction (SPD) . Kunezimo eziningana eziyinhloko ngaphansi kwalokhu.
Ukukhulelwa kuyimbangela eyinhloko ye-SPD. I-hormone ebizwa ngokuthi i-Relaxin, ekhishwa ngesikhathi sokukhulelwa, ibangela ukuba amalunga omzimba, ikakhulukazi amalunga esinqe, aphumule. Nakuba lokhu kusiza ekubelethweni, ngezinye izikhathi uma lokhu kuphumula kuba ngokweqile, amalunga angaba angazinzile futhi abe buhlungu.
Ngaphezu kwalokho, abasubathi abadlala imidlalo efana nebhola lezinyawo ne-hockey, abashintsha indlela ngokuzumayo, futhi abagijima ngokushesha, nabo bangathola ukulimala okuhlobene nalokhu.
| Isimo sezokwelapha | Kwenzekani ngalokhu? |
|---|---|
| I-Pubic Diastasis | Lokhu kusho ukuthi ilunga liba banzi ngaphezu kwesentimitha elilodwa (1 cm). Lokhu kuvame ukwenzeka ngesikhathi sokukhulelwa noma sokubeletha. Lokhu kungabangela ukungazinzile kwe-pelvic kanye nobuhlungu obukhulu. |
| I-Osteitis Pubis | Lokhu ukuvuvukala kwamathambo amalunga nawazungezile, ngaphandle kokutheleleka. Lokhu kuvamile phakathi kwabadlali. Ukuvivinya umzimba ngokweqile kanye nokunyakaza okuphindaphindiwe kungaba yizimbangela eziyinhloko . |
| Ezinye izifo zamathambo namalunga | I-osteoarthritis , i-osteoporosis , ukwaphuka kwamathambo, nezinye izimo kungathinta leli lunga. |
Wazi kanjani ukuthi kunenkinga? Ziyini izimpawu?
Uma kunenkinga nge-pubic symphysis, izimpawu eziyinhloko ubuhlungu kanye nokungazinzi kwe-pelvic. Lobuhlungu bungavela ngezindlela eziningi. Abanye abantu bazwa ubuhlungu obukhulu phakathi kwesisu sabo esingezansi. Kwabanye, ubuhlungu bungasakazeka phansi kwe-groin yabo, phansi emathangeni abo angaphakathi, phansi esiswini sabo sonke, ezinqeni zabo, nangemuva kwabo.
Qaphela lezi zimpawu:
- Ubuhlungu lapho uhamba: Ubuhlungu esinqeni noma esiswini esingezansi lapho uhamba, ikakhulukazi lapho ukhuphuka izitebhisi. Abanye abantu bezwa noma bezwa umsindo 'wokuchofoza' lapho behamba.
- Ubunzima bokuma ngomlenze owodwa: Ubuhlungu obukhulu lapho uzama ukuma ngomlenze owodwa, njengalapho ugqoka ingubo.
- Ubunzima bokuphenduka embhedeni: Ubuhlungu buyanda lapho uzama ukuphenduka ngakolunye uhlangothi lombhede ngenkathi ulele ebusuku.
- Ubunzima bokuhlukanisa imilenze:Ubuhlungu obukhulu uma kufanele uhlukanise imilenze yakho, njengalapho uphuma emotweni.
- Ukuqina kwesisu: Ukungakwazi ukugoba noma ukuqondisa imilenze yakho njengangaphambili, kanye nokuzwa ulahlekelwa ukuguquguquka endaweni yesisu.
- Umsindo wokugaya lapho unyakaza: Umuzwa "wokuntuleka kokuthambisa" lapho unyakaza i-pelvis, umsindo wokugaya.
Uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukubona udokotela wakho ukuze akunike iseluleko, kunokuba uzilahle njengezivamile. Udokotela uzokuxilonga futhi, uma kudingeka, akuthumelele ukuhlolwa okufana ne-X-ray, ukuze athole imbangela eqondile.
Ngakho-ke, singaligcina kanjani leli lungu liphilile?
Asikwazi ukulawula izinto ezifana nokushintsha kwama-hormone ngesikhathi sokukhulelwa. Kodwa-ke, kunezinto ezimbalwa esingazenza ukunciphisa izingozi kanye nokulimala kwaleli lunga.
- Ukuqinisa phansi kwe-pelvic kanye nemisipha yesisu: Lena yinto ebaluleke kakhulu. Uma imisipha ezungeze i-pelvic iqinile, inikeza indawo enhle yamalunga. Kunezivivinyo ezikhethekile (izivivinyo ze-pelvic floor kanye nokuqinisa ingaphakathi) ezisiza ngalokhu. Ungathola iseluleko kudokotela we-physiotherapist ngalokhu.
- Gqoka izicathulo ezifanele: Kubaluleke kakhulu ukugqoka izicathulo ezikhululekile ezifanela izinyawo zakho. Lokhu kuzonciphisa ukushaqeka emzimbeni wakho lapho uhamba.
- Indlela yokuzivocavoca: Ungaqali ukwenza izivivinyo ezinzima ngesikhathi esisodwa. Qala kancane kancane ukuzivocavoca. Zifudumeze kahle ngaphambi kokuzivocavoca.
- Indawo yokuzivocavoca: Gwema ukugijima nokugxuma ezindaweni eziqinile, njengokhonkolo, ngangokunokwenzeka. Ukuzivocavoca endaweni ethambile, eyisicaba, njengensimu enotshani, kungcono emalungeni akho.
Nakuba sivame ukucabanga ngamalunga amakhulu emizimbeni yethu, njengamadolo namahlombe ethu, manje usuyaqonda ukuthi amalunga amancane, angahambi kahle njenge-Pubic Symphysis abaluleke kangakanani ekusebenzeni kahle kwemizimba yethu. Ngakho-ke, ungazinaki lezi zimpawu zobuhlungu obuvela emzimbeni wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-symphysis ye-pubic iyilungu elibaluleke kakhulu, kodwa elingashukumi, elixhumanisa amathambo amabili angaphambili e-pelvis yethu.
- Izinkinga ngaleli lunga (i-Symphysis Pubis Dysfunction - SPD) zingabangela ubuhlungu besisu esingezansi kanye nemisipha ngesikhathi sokukhulelwa kanye nangesikhathi sokudlala imidlalo.
- Uma unezimpawu ezifana nomsindo 'wokuchofoza' lapho uhamba, ubuhlungu bezinsini, ubunzima bokuphenduka embhedeni, kanye nokungakwazi ukuhlukanisa imilenze yakho, ungakushayi indiva.
- Uma unezimpawu ezinjengalezi,Bona udokotela wakho ngokushesha bese ucela iseluleko esifanele sezokwelapha. Gwema ukuzelapha.
- Ukuzivocavoca phansi kwe-pelvic kanye nokulandela indlela yokuphila enempilo kunganciphisa umonakalo kuleli lunga.
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