Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile endaweni yakho yangaphakathi noma esiswini esingezansi ngenkathi ugijima, ukhuphuka izitebhisi, noma ngisho umi nje? Lokhu okuhlangenwe nakho cishe kujwayelekile kuwe, ikakhulukazi uma ungumsubathi. Esinye isizathu esingaba khona salobu buhlungu yisimo esibizwa ngokuthi i-Osteitis Pubis. Kodwa ungakhathazeki, ngokuvamile akubi kakhulu. Ake sixoxe ngalokhu ngendlela elula wonke umuntu angayiqonda.
Kuyini i-Osteitis Pubis?
Kalula nje, i-Osteitis Pubis ukuvuvukala, okungukuthi, ukuvuvukala, kwelunga eliphakathi kwethanga lethu. Ngokwezokwelapha leli lunga silibiza ngokuthi i-Pubic Symphysis . Yilapho izinhlangothi zesokudla nesobunxele zephansi lethu lethanga zixhumene khona phakathi. Cabanga nje, izinto eziningi, njengemisipha yethu yesisu nemisipha yethanga, zixhumene kulo lunga. Ngakho-ke, lapho leli lunga livuvukala, kuvela ubuhlungu.
Lesi simo sivame ukubangelwa ukusetshenziswa ngokweqile/ukucindezeleka okuvela emizileni ephindaphindayo. Abantu abadlala imidlalo ehilela ukugijima, ukukhahlela, noma ukushintsha okuzumayo endleleni (njengebhola noma i-hockey) banamathuba amaningi okuthola lesi simo. Kodwa-ke, singase senzeke nakubantu abangebona abasubathi.
Ziyini izimpawu?
Uphawu oluyinhloko nolusobala kakhulu lwe-Osteitis Pubis ubuhlungu. Lobuhlungu bungazwakala ngezindlela ezahlukene. Ngezinye izikhathi buzwakala njengobuhlungu obungajabulisi ngisho nalapho uhleli nje. Lobuhlungu buyanda lapho unyakaza noma uvivinya umzimba.
Ake sibheke kabanzi ukuthi ziyini lezi zimpawu kuthebula elingezansi.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu phakathi kwe-pelvis | Ubuhlungu obubonakala buqala endaweni yembobo bese busakazekela ngaphandle. |
| Ubuhlungu besisu | Ubuhlungu phakathi kwesisu esingezansi. |
| Ubuhlungu obukhula ngokunyakaza | Ubuhlungu obandayo lapho ugijima, ukhahlela, noma ushintsha izinkomba ngokuzumayo. |
| Ubuhlungu ngesikhathi semisebenzi yansuku zonke | Ukuzwa ubuhlungu lapho uhamba, ukhuphuka izitebhisi, ukhwehlela, noma ngisho nokuthimula. |
| Umsindo 'wokuchofoza' noma 'wokuvela' | Ukuzwa noma ukuzwa umsindo 'wokuchofoza' ovela esilungwini lapho ugoba noma ushintsha izikhundla. |
Lobuhlungu bukhulu kangangokuthi kwabanye abantu, indlela abahamba ngayo iyashintsha. Ukuze kuzanywe ukuqeda ubuhlungu, ukuhamba kungaba yindlela yokuhamba kancane .
Yini ebangela lokhu?
Isizathu esiyinhloko salokhu, njengoba ngishilo ngaphambili, ukucindezeleka okuqhubekayo endaweni ye-pelvic. Lokhu kuvame kakhulu kubadlali.
- Ezemidlalo: Lesi simo singabangelwa ukucindezeleka okubekwa emalungeni e-pelvic, ezicutshini ezixhumanisayo, kanye nemisipha ngesikhathi semidlalo efana nebhola, i-hockey, ithenisi, kanye nokugijima ibanga elide.
- Ukuhlinzwa: Akuvamile kakhulu, lezi zimpawu zingase zivele ngemva kokuhlinzwa endaweni ye-pelvic.
- Ukubeletha: Futhi, abanye besifazane bangase babe nalesi simo ngemva kokubeletha. Kodwa-ke, zombili lezi zimo azivamile kakhulu kunalezo eziphathelene nezemidlalo.
Kwenziwa kanjani ukuxilongwa?
Empeleni ukuhlonza lesi simo kungaba nzima ngoba kunezinye izimo ezibangela izimpawu ezifanayo (isib. ukutheleleka komgudu womchamo, ukucindezeleka kwemisipha, i-hernia yezemidlalo).
Ngakho-ke uma ubona udokotela, uzoqala ngokukubuza ngezimpawu zakho nokuthi ubuhlungu buqale kanjani. Ngemuva kwalokho, uzozama ukuqeda ezinye izimo zezokwelapha.
Okulandelayo, kuzokwenziwa ukuhlolwa ngokomzimba. Lokhu kuhilela ukuhlola i-pelvis yakho kanye nesisu esingezansi, ukusebenzisa ukunyakaza okuthile kanye nokucindezela ukuze kubonakale ukuthi kukhona yini ubuhlungu. Kunezivivinyo eziningana ezikhethekile zalokhu.
- Ukuhlolwa Kwentwasahlobo Yokuhlushwa Kwesisu: Udokotela uzocindezela kancane i-pelvis yakho kusukela ngaphambili, ngaphezu nje kwethambo lesisu. Uma kukhona ubuhlungu obubukhali, kungaba uphawu lwalokhu kuvuvukala.
- Ukuhlolwa Kokucindezela Kwaseceleni: Lokhu kuhilela ukucindezela amathambo esinqeni kuzo zombili izinhlangothi. Uma kukhona ubuhlungu, kusho ukuthi ilunga eliphakathi alizinzile noma livuvukele.
- Ukuhlolwa kwe-FABER:Lapha, umlenze wakho ugobile waba yisimo esingu-'4' futhi uhlolwe. Uma lokhu kunyakaza kubangela ubuhlungu ngaphambili kwe-pelvis, lokho futhi kuyisibonakaliso se-Osteitis Pubis.
Ukuhlolwa Kwezithombe
Ngemva kokuhlolwa ngokomzimba, kwenziwa izivivinyo zezithombe ukuqinisekisa ukuxilongwa nokuhlola ngokunembile isimo sangaphakathi.
- I-X-ray: Lokhu kungabheka izinto ezifana noshintsho emathanjeni, ukwandiswa kwamalunga, kanye nokuba lukhuni kwamathambo.
- I-MRI (Magnetic Resonance Imaging): Indlela engcono kakhulu yokuxilonga lesi simo ukusebenzisa i-MRI scan. Ingabona ngokucacile izinto ezingabonakali ku-X-ray, njengokuvuvukala kwamathambo nezicubu zakuqala, kanye nokuqongelela koketshezi emalungeni.
- I-CT (Computed Tomography) Scan: Lokhu kusiza ukuthola isithombe esinemininingwane eminingi samathambo. Sisetshenziswa uma i-MRI kunzima ukuyenza noma uma kudingeka ukucaca okwengeziwe.
- Ukuskena Kwamathambo: Lokhu kuhlolwa kubucayi kakhulu ekutholeni izinkinga emathanjeni ezibangelwa izimo ezifana nokutheleleka, ukulimala, noma umdlavuza.
Iphathwa kanjani?
Izindaba ezinhle kakhulu engingakunika zona ukuthi i-Osteitis Pubis ingelapheka ngokuphelele ngesikhathi nangokuphathwa okufanele.
Ezimweni eziningi, ukuhlinzwa akudingeki. Ukwelashwa okungcono kakhulu nokujwayelekile kwalokhu ukuphumula nokwelashwa ngokomzimba .
Udokotela wezokwelapha ngokomzimba oqeqeshiwe angakusiza uqinise imisipha yakho ukuze uvimbele ukulimala kabusha. Uma udokotela wakho kanye nodokotela wezokwelapha ngokomzimba sebekunike imvume, ungaqhubeka nemisebenzi yakho yezemidlalo. Lokhu kungathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni ezi-3-6.
Lokhu okulandelayo kuvame ukwenziwa ngalokhu:
- Faka ukushisa kanye neqhwa endaweni ebuhlungu ngokushintshana.
- Ukunciphisa umsebenzi womzimba.
- Phumula ngokuphelele kwezemidlalo kuze kube yilapho ubuhlungu buqala ukuthuthuka.
- Ukuthatha imithi yokubulala izinhlungu efana ne-Ibuprofen, i-Naproxen, ne-Acetaminophen njengoba kuqondiswe udokotela wakho.
Uma lezi zinto zingasizi, udokotela wakho angakunika umjovo we-steroid ukunciphisa ukuvuvukala. Bangase futhi batuse ukwelashwa okungangenisi umkhuhlane okubizwa ngokuthi i-Extracorporeal Shock Wave Therapy (ESWT).
Kunini lapho kudingeka khona ukuhlinzwa?
Nakuba abantu abaningi bengadingi ukuhlinzwa, ukuhlinzwa kungacatshangelwa ezimweni ezilandelayo:
- Uma ubuhlungu buhlala isikhathi esingaphezu kwezinyanga eziyisithupha.
- Uma ubuhlungu bukhulu kakhulu ukuba bunganyakaziswa.
- Uma ungakwazi ukuzibandakanya kwezemidlalo.
Manje, odokotela abaningi benza lokhu kuhlinzwa besebenzisa indlela engadingi ukungenelela okukhulu.Lokhu kusho ukuthi esikhundleni sokwenza i-incision enkulu, ipayipi elincane elinekhamera (i-endoscope) lidlula ezimbobeni eziningana ezincane bese kususwa izicubu ezivuvukele. Lokhu kuphumela esikhathini esincane sokuphulukiswa kanye nobuhlungu obuncane.
Ungakugwema kanjani lesi simo?
Uma usengozini yalesi simo, ungathatha izinyathelo zokusivimbela. Ukuqinisa imisipha endaweni ye-pelvic nokwandisa ukuguquguquka kunganciphisa ingozi yokulimala kwezemidlalo.
Nazi ezinye izivivinyo ezizosiza ngalokhu:
- Ukuqinisa imisipha yezinqe namathanga (ama-adductors ezinqeni).
- Ukuqinisa imisipha yomhlane ongezansi.
- Ukuqinisa imisipha yesisu.
- Ukuqinisa imisipha ye-hamstring kanye ne-quadriceps.
- Ukuzelula.
- Ukubhukuda.
Uma usebenza nomqeqeshi noma uchwepheshe wezokwelapha ngokomzimba, ungathola isiqondiso mayelana nokuzivocavoca okufanele ukuvimbela lesi simo.
Umlayezo Wokuya Nawe Ekhaya
- I-Osteitis I-Pubis ukuvuvukala kwelunga eliphakathi kwe-pelvis. Lokhu kubangela ubuhlungu endaweni ye-groin noma esiswini esingezansi.
- Lesi simo sivamile phakathi kwabadlali, futhi imbangela eyinhloko ukucindezela ngokweqile kanye nokunyakaza okuphindaphindiwe.
- Ukuhlolwa kwezokwelapha kanye nokuhlolwa kwezithombe njenge-MRI kubalulekile ekuxilongweni.
- Ukwelashwa okuyinhloko ukuphumula, ukwelashwa ngokomzimba, kanye nokulawula ubuhlungu. Ukuhlinzwa akudingeki njalo.
- Uma unezinhlungu ezingapheli kanje, qiniseka ukuthi ubona udokotela oqeqeshiwe (udokotela) bese uthola ukuxilongwa okunembile ngaphambi kokuzelapha.
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