Diastasis recti emva kokubeleka: iimpawu, unyango, iifoto

Kuba namankazana, ubuhle kubaluleke ezempilo, ngoko nayiphi izifo kuba nafuthe engcono kwi yimbonakalo, ndihlisa elininzi mvakalelo besini bubuhle. Enye iSifo kakhulu ezibi kuva umfazi emva zokubeleka - a recti diastasis. Le ngxaki kuba kakhulu ezonakalisa kakhulu ngenqubo koomama abatsha. Ngoko kuyimfuneko ukuba lokuhlolisisa isifundo yayo.

Umongo ngxaki

Ethetha izihloko ezifana diastasis recti emva kokubeleka, kubalulekile ukuqaphela ukuba le kwingxaki eliqhelekileyo. Abafazi bajamelene nokuzala, uyayazi loo nto nama-40% amatyala.

Ngqo diastasis ayikho enye into, njengoko kuthe kwanikezelwa ulwandiso omhlophe umgca esiswini. Ngamafutshane, phantsi koxinzelelo ethile ngexesha rectus lokubeleka bekhula nje ngaphandle. Ngamanye amaxesha Umgama ukuzahlula ungakwazi ukufikelela ukuya kwi-10 cm, nangona norm yi 0.5-2 cm. Le ngxaki enxulumene nexesha osana, oku kunxulumene kakhulu abaphuhlise nayo indawo yayo ephezulu.

Indlela ukuqaphela diastasis

Ukwandiswa izihlunu esiswini, ngokuqhelekileyo senzeka imvelaphi lokukhulelwa luze lube buqapheleke emva kweenyanga 2-3 emva kokuzalwa. Xa kukho utshintsho imvelaphi eziqhelekileyo, kwizicwili uba friable ngakumbi, njengoko kuyimfuneko ukuze adale iimeko eziyimfuneko ukuze umsebenzi oluthile.

Diastasis recti imiqondiso ilula: kuqala of bonke kuyinto siphene ebalulekileyo izithambiso enxulumene Buze ye esiswini. Nangona kukho iimeko xa abafazi ukuphila ubomi obuxakekileyo emva kokuzalwa, kwaye ngoyaba utshintsho ezimbi. Kule diastasis karhulumente imiqondiso recti ezicacileyo kwaye ayikwazi kuba, kodwa kuya ngokwanda, ngoxa ezingabonakaliyo.

Isibakala sokuba izihlunu anisasondelelananga, kunokubonisa ukungakhululeki, imvakalelo ubunzima esiswini, kwakunye belching, ukuqhina kunye nobunzima behamba. Ukuba kunjalo kuyenzeka ukuba kufuneka banyamezele diastasis enkulu, kuyimfuneko ukuba siqwalasele into ilandelayo - isiphako kuya kubangela ukuba ukuphazamiseka esebenzayo libizwe. Zezi:

- wokwehla contractility kwemisipha zodonga esiswini;

- yoma kwemisipha esiswini;

- aponeuroses zolule, hedge;

- imisebenzi Ukudambisa abdominals.

Ngokubhekisele uhlobo iintlungu, oko zinokwahluka kakhulu njengoko ixesha hlaselo, kwaye ngamandla.

Komzimba udonga sobuKristu esiswini

Diastasis recti emva kokubeleka - sisifo iya kucaca kuphela emva kokufunda kwiziseko ubume kodonga esiswini. Yinto eyaziwayo ukuba omabini amacala imigca amhlophe zidityaniswe rectus zifakwe kwibhokisi tight (ibandakanya izihlunu icala kunye imicu komsipha ezintathu ububanzi, bona aponeurosis nabo).

Ngqo line emhlophe ngokwayo iqala inkqubo xiphoid kwentamo kwaye wayengabalibali symphysis zikawonke wonke. Enyanisweni, lo ezimbaxa aponevrizm izihlunu ezibanzi esiswini. Umphezulu ububanzi (2-2.5 cm) umgca ezimhlophe tapered inxalenye yayo asezantsi. Kwimeko kwizicwili (aponevrizm) ine ubuthakathaka ngenxa ezifunyenwe ngethuba ukunikezelwa lisenokuba imithwalo diastasis.

ekuxilongweni

Kufuneka senze ntoni ukuze ukufumanisa diastasis recti emva kokubeleka? Iimpawu bethwele intlungu, angavela kakhulu kamva, ngoko silindele ukuba ayikho imfuneko. Ukuze sibone umahluko kufuneka ingqalelo inxalenye eludongeni peritoneal, nto leyo iqhele tiko phakathi inkqubo xiphoid kwentamo kunye inkaba.

Njengoko oku kuya kunceda uvavanyo eqinisekisiweyo, nto leyo kunzima ukwenza eyakho: kufuneka ulale phantsi, kwaye iinyawo kufuneka amele ukucinezwelwa rhoqo komgangatho kunye nemilenze kruthu emadolweni. Emva koko, beka isandla phantsi kwentloko yakhe, kunye nezinye kwi isisu sakho uze wenze ukuze umnwe ngamnye ibekwe nkqo ukuba abamhlophe umgca umbilicus. Xa konke kwenziwa, kuyimfuneko ukuba bakhululeke ngokupheleleyo esiswini; kwandule ke intshukumo oluthambileyo gxwa ngomnwe kuye.

Emva koko, amagxa kunye isifuba kufuneka phakamisa nje ngexesha imithambo classical ngenxa yesihlwele. Into elandelayo ukuyenza - ukuba uqale ukuhamba zakho zomnwe ecaleni komgca emhlophe. Ngaloo ndlela uya kufumana ngohlangothi medial kwemisipha tye, va ukungavumelani yabo (ukuba ikhona), kwakunye ukuba bungakanani na ububanzi bayo.

emva kokubeleka Diastasis recti lungahlulwa-hlulwa ngezigaba ezithathu eziphambili:

- lokuqala: iphawulwa divergence phakathi cm 5 no-7;

- yesibini: kuthetha ngaphezu kwe-7 ukuzahlula cm;

- Inqanaba lesithathu kugqalwa diastase enkulu baze kukhokelela isisu saggy.

Ukwenzela ukuba udale i ALS bolu sifo kuyimfuneko ukuhlola imeko eludongeni esiswini ngabanye.

Indlela yokuphatha ukungangqinelani kwezihlunu

emva kokubeleka Diastasis recti - iyingxaki enkulu, ngoko ngoyaba oko, kuhanjwa kuqutshwa ukuvuthela imeko ukukhukulisekela, akunakwenzeka. Uqinisekisa ingcamango yokuba ukwandiswa ayilwamkeli ngokwazo babo kwaye zisoloko inkqubela ngaphandle unyango.

Ukuba kukho iindaba ezimnandi kukuba olu hlobo sesichengeni esi sifo, njengoko umsebenzi ungxamisekile akusoloko. Kukho iindlela ngaphantsi kakhulu unyango iingxaki ezifana diastasis recti. Exercise - enye yezona ndlela isebenzayo simelane buthathaka ngaphandle uqhaqho. Oogqirha bacebisa ukuba indlela izigulane ukuchacha, awanikeleyo sifo usaqala.

Kodwa iseti olulandelenayo kunye inkqubo yoqeqesho lonke kufuneka zikhethwe kuphela ngumhlohli abanamava iya kuthathela ingqalelo zonke iimpawu ngamnye imeko isigulana ethile ngexesha xesha kokubeleka. Kufuneka sicacise ukuba liya kusebenzisa umphumo enyangayo ezinqwenelekayo kuphela xa diastasis na isanda. Koko ucinezele ngokukhawuleza ukomeleza luya kuza bangabi namandla.

Ukuba kufuneka bejongene sesihambe somgama, iyavakala ukucinga malunga nokusebenza. Injongo kotyando kukuba ekupheliseni diastase kunye nokomelezwa esemgangathweni kwindawo ingxaki.

Diastasis recti: umthambo, ncomo

Ukuba kwenzeka ukuba yade le kwizicwili eyafumanekayo axilongwe, lo msebenzi kufuneka anikwe ingqwalasela ekhethekileyo. Sele kwixesha lokuqala emva ekubelekeni, unako ukuthenga abafazi ukwenza iintlobo ezithile umzimba. Oku kungenzeka, umzekelo,-ebizwa ngoko ukuma cat kaThixo, injongo yazo kukuba ukomeleza eendaba. Current nayo mazithathwe Kegel. Kucelwa nithathele ingqalelo njengokujikeleza emagxeni, ndawonye zolule, esiswini nokuphefumla. Ukuba sithembela uluvo loogqirha (kwaye ibiza ngokwenza), lelona xesha lifanelekileyo lokwenza ekuqaleni zoqeqesho iya kuba emva kweeveki ezi-6. Kukho enye inkalo ekufuneka ithathelwe ingqalelo xa loo ngxaki recti diastasis emva kokubeleka: uqhaqho (ukuba kwenzeka) inika ubume emzimbeni. Ngoko ke, xa loo kungase makazibandakanye iiveki kuphela emva 10-12 ukususela kumhla yimbonakalo komntwana ehlabathini.

Ingaba unayo Kukudandatheka diastasis recti? Yintoni na nendlela yokuphatha le zokugula? Ukuphendula le mibuzo, kufuneka sinikele ingqalelo ingxelo abo wasebenzisa indlela ethile zonyango. Ukuba uhlola izimvo kwabasetyhini, senze ingxaki efanayo, kunokwenziwa isigqibo ukuba kwiimeko ezininzi umahluko phakathi komlinganiselo ezinzile umthambo. Okubalulekileyo, musa wonqena kwaye wenze konke ngendlela oyifunayo. Njengoko le meko kakhulu ngakumbi, unako ukubuyisela kwimeko yesiqhelo liya kusetyenziswa i ubuchule endoscopic oluye ngokuphindaphindiweyo kwaba ukusebenza kwayo. Kuyo nayiphi na imeko, ukuba loo ngxaki recti diastasis emva kokubeleka, unyango lubandakanya abanobuchule kuphela. Ngoko ke, omnye wemisebenzi eziphambili - ukufumana ugqirha elungileyo.

iimpawu ezibalulekileyo ukuyifundisa

Abo bafazi kwafuneka sikwajamelene diagnosis krakra ezifana diastasis recti emva kokubeleka, umthambo ukunika isiphumo kakuhle ukuba inkqubo uye ngokuchanekileyo. Okokuqala bonke eklasini kuyimfuneko ukunikela ingqalelo indlela ophefumla ngayo. Kubalulekile xa usenza nganye ukuzilolonga phambi nayiphi na intshukumo ngamandla ilungelo ukubandakanya isisu. Ukuze oku kwenzeke ngendlela yemvelo, kunokwenzeka ukuba ngesandla umntwana lowo. Kulo mzekelo, oku kusetyenziswa zinzulu izihlunu ezinqamlezayo esiswini, leyo zingqonge umntla kwaye abe corset.

Kungenxa umthwalo ofanelekileyo kulo iseti izihlunu zingenza esiswini caba kwaye ngexesha elinye ukukhusela kwalapho. Ke lona kanye umoya, kuyimfuneko ukuba bazithobe indlela efanelekileyo, nangona izihlunu ezinqamlezayo enze umsebenzi ikheshi. Into elandelayo ukuyenza - kukuba ukuthatha umoya ngeempumlo zenu, ngaloo ndlela kuma esisu kunye ezizalisa imiphunga yakho xa udibene nomoya. Le Umphunga kufuneka kwenziwa ngomlomo, kwaye ngexesha ugxothwa ukucinga ukuba izihlunu phezulu. Yiyo le sikhundla kwizihlunu longitudinal kwaye kufuneka igcinwe ngethuba uqeqesho lokukhulisa amandla. Kuba abo bachaphazelekayo malunga nomba "Diastasis rectus abdominis - ukususa indlela elula", ubuchule ezifana ezihambelana kakhulu.

iintlobo zemisebenzi

Ukuze ube nefuthe olusebenzayo kwimiba efana recti diastasis emva kokubeleka, leyo ngendlela eliphambili, unyango ngotyando.

Kukho iindidi eziliqela zotyando ezisetyenziswa amayeza mihla Nokwethisa le ukuqina umgca emhlophe:

- Nenatyazhnaya iplastiki, nto leyo zisebenzisa sokwenziwa enemingxuma. Nge umnatha ezenziwe ngezinto ezithambileyo elibekwa emiphethweni, sigqunywa ngokupheleleyo ummandla ingxaki. Ngenxa yoko, kukho kakhulu yinkqubo enika umdla: inyama nokuqina ikhula kumnatha (iinyanga 1-1.5), ngaloo ndlela emenza abe mnye-izivisa ezimbaxa yokwakheka. Ekuhambeni kwexesha kuba womelele kwaye enze isakhiwo nokuqina zomzimba (2 mm ubukhulu), nto leyo woyika ngaphezu komthamo appreciable.

- Tension yeplastiki kwizihlunu zasekuhlaleni. Kulo mzekelo, ugqirha uyila isakhiwo kuqulethe umcu kodonga sobuKristu esiswini.

Xa iyeza yangoku imisebenzi efana inokwenziwa njenge ndlela evulekileyo, kunye nokusebenzisa ubuchule endoscopic (ngaphandle amanxeba). Kufuneka kuqatshelwe ukuba wokulungisa Ithemba endoscopic - yenye yeendlela nelingatyabuli kakhulu ngempumelelo ukuphelisa esi sifo njengoko recti diastasis emva kokubeleka. Treatment eyenziwa ngokusebenzisa le nqubo iye eziluncedo ezininzi ephawulekayo:

- akukho amanxeba abonakalayo;

- umngcipheko ukwenzeka sifo kuyehla kube ubuncinane (hayi ngaphezulu kwe-1%);

- ixesha kwimo imfutshane kakhulu ngakumbi kwimeko yokusebenza evulekileyo;

- akukho ntlungu.

Ubukho izixhobo zale mihla kwizibhedlela kunye neekliniki likuvumela ukuba wenze ezi imisebenzi kunye kwinqanaba eliphezulu ngokuchanileyo. Ngoko ke, ekulweni le ngxaki njengokuba recti diastasis emva kokubeleka, ngokusebenza - enye yezisombululo kakhulu ngempumelelo.

Le sokubuyisa ixesha ekuphulukenwe emva kotyando

Xa siqwalasela olu hlobo lonyango yethishyu nokuqina yade njengotsaleko iplastiki, iyavakala ukuthetha malunga ixesha elide yesiqhelo emva kotyando. Ngeli xesha, amabhinqa zithintelwe ngokungqongqo ukukhulisa naziphi na izinto esindayo kwama-10 kg. Ukongeza ngexesha kwiinyanga ezintathu zokuqala wokuchacha uya kufuneka ukuzibandakanya kwimidlalo, kakade, ekwimo wobulali. Ukuze wenze oku, uviwo oluneenkcukacha ekhuthazwayo ingxaki ezifana diastasis recti, umthambo, yaye, ke, ubonane nogqirha abaqeqeshiweyo. Kwakhona into ekufaneleke ukuba siyicinge kukuba ixesha elininzi isigulane enesiphene esithile.

Kodwa ukuba ukulungisa diastasis wasebenzisa inkqubo kancinane yeli lizwe, umntu obhinqileyo unakho ukufumana nokuphuma ebhedini ngaphandle ingxaki ngosuku lokuqala. Noko ke, imfuneko ukunxiba umhlabelo ezizodwa, apho kuya kufuneka uphile inyanga. Enye iindaba ezimnandi kukuba emva kotyando kancinane invasive isigulane uvumelekile ukuba uphuma esibhedlele ngosuku olulandelayo. Cinga malunga nomsebenzi rhoqo emzimbeni Kunconywa emva kweentsuku ezili-14 ukususela kumhla wo yingisela. Kodwa emva kweeveki 4-5 unako ukubuyela ubomi obuqhelekileyo.

Iindlela wokulungiswa nokuthintelwa

Ukuba sihlolisisa imiba efana recti diastasis emva kokubeleka, unyango, ncomo ngayo kunye neziphumo kunokwenzeka ngenyameko, ngoko sinako bafikelele kwisigqibo elula: ukuba kunokwenzeka oku uphethwe kungcono ukuba siphephe. Ezi foram kukho imiyalezo ezininzi kubafazi achaphazelekayo malunga nalo mba. Ngoko ke, nkqu ngexesha lokukhulelwa (emihle yonke ukuya kuyo) kufuneka banikwe imithambo ukomeleza uvalo, izihlunu enzulu umva, zonke izihlunu esiswini kunye nezihlunu floor zangasese. Umphumo iya kuphunyezwa uxinzelelo kangangoko intra-esiswini, kwakunye ukuzinzisa kwalapho empontshwa.

Xa efuna impendulo mbuzo: "? Diastasis rectus abdominis, ukucoca indlela" (Ukuphonononga ukuqinisekisa oku), kubalulekile ukuba ukulibala ngabo zokuziqeqesha ukuphuhlisa luthambe kunye nezimo eludongeni sobuKristu esiswini. Enye complex ebalulekileyo - a iintshukumo block, ibe kuqinisela phezu izihlunu bomgangatho zangasese, nto leyo, ukhonza ilungu inkxaso kwaye uthintele ukubana lwabo xa kuthe kwakho ukwanda koxinzelelo intra-esiswini.

Ngoko ke, eyona ndlela ifanelekileyo yokuphepha divergence izihlunu - umzimba rhoqo phambi nokukhulelwa. Kukho iindlela ezininzi ezifundisa imisebenzi esebenzayo nekhuselekileyo ezinokuthi komeleza ab nokuthintela buthathaka emzimbeni nokuqina. Kodwa ukuba isifo embi baya kuba negalelo, ngoko musa ukuphelelwa lithemba, uqeqesho ezinzileyo emva kokubeleka nogqirha care ofanelekileyo kuya kunceda Nokwethisa le ngxaki.