Uphi umhlanganiso ongaphambili? Ukwahlukana nokuphuka kwendibano ye-pubic

Ukuzala komntwana kubangele ubunzima obunzima ukuba umzimba wesibhambano kufuneka uzinyamezele. Utshintsho oluthile olubonakalayo alufuneki ukuba lufunwe ngeenkcazelo, kodwa ngamanye amaxesha ezinye iinguqu ezithile kumzimba womama ozayo ziza kubangela uxhalaba. Enye yale miba enomdla, ekufuneka iqwalaselwe ngokukhethekileyo, iyinqaku elibhaliweyo. Kuphi i- pubic symphysis, zeziphi izizathu zokubonakala kwentlungu kwindawo yakhe kunye nendlela yokujongana ngayo nayo, bonke abesetyhini abakhulelweyo kufuneka bazi.

Pubic Symphysis

Ubude obude, owaziwa nangokuthi yi-pubic symphysis, ngamathambo amabini ehlangeneyo, axhunyiwe ngethambo elincinci-lugxobhozo lugxobhozo. Itholakala phambi kwesibhanqa ngaphezu kwezaziso zangaphandle kwaye ifakwe kumathambo e-pelvic ngama -ligaments elastic.

Umzimba wowesifazane ngexesha lokubeleka lixhomekeke kwienguqu zokukhawuleza ezichaphazela ukulinganisela kwe-hormonal yakhe. Umphumo weempembelelo ze-hormone ezifana neprogesterone kunye nokuphumla, kukunciphisa zonke iigaments. Ukuthetha okufanayo, apho iisisu zogqagqabha zikhona, nazo ziba ngaphantsi. Ngokuqhelekileyo oku kukhokelela ekuhambeni okungenangqondo kokuhamba kwe-pubic symphysis.

Ngethuba lokukhulelwa, iinjongo zala ma hormone kukunyusa ukuguquguquka kwamalungu kunye nesakhiwo sesehlo, esilungiselela izifundo eziqhutyelwe. Okwangoku, ukungasebenzi kwe-pubic symphysis ayinqabile kwizigulane kwaye kudinga inyathelo elikhawulezayo.

Ukungahambisani nokuchazwa kwe-pubic

Ukubonakala kwendawo phakathi kwamathambo e-bony kuthiwa ukungafani. Ukuxilongwa okunjalo kufuneka kuqinisekiswe ngesiseko sezikhalazo ezichazwe ngumfazi okhulelweyo. Phakathi kweempawu zivame ukubonakaliswa:

Intlungu kwiphondo ye-pubic, engaphendulwa ngeentlungu ezingathandekiyo ezantsi, "ukudonsa" umlenze kunye nokuhluma;

- intlungu ngokukhawuleza ngexesha lokunyamezela (ukujika ukusuka ecaleni ukuya kwelinye icala, ukunyuka kwamanyathelo, njl);

- kukho ukuchithwa okuqhelekileyo kwamalungu ngexesha lokuhamba kwentambo;

Uxinzelelo olubuhlungu kwisifo se- pubic.

Ukufumana idatha echanekileyo yokuxilonga, kufuneka ufumane i-ultrasound ye-joint kunye neMRI. Ezi zilandelayo ziza kunceda ukufumana ubungakanani kunye nobubanzi bokungafani, okuya kufinyelela kwelinye lamanqanaba amathathu:

• 1 - ububanzi buyi-5-9 mm;
• 2 - ububanzi buyi-10-20 mm;
• 3 - ububanzi ngaphezu kwe-20 mm.

Iimbangela ze-pubic symphysis

Ukuthetha okufanayo ngexesha lokukhulelwa kusongelwa ngenxa yokungasebenzi kwemetabolism nokungabikho kwe vithamini D. Ngokomzekelo, i-hormone eveliswa yi-grey pathyroid ibandakanyeka kumgaqo we-phosphorus-calcium metabolism emzimbeni. Kwimeko yokunqongophala kweendleko ze-calcium, ezifunekayo ekuphuhliseni ngokupheleleyo kunye nokukhula komntwana, umzimba uqala ukukrazula imveliso efunekayo kwiivenkile zomama. Umthombo omkhulu we-calcium kwixesha elizayo umntwana uya kuba ngamazinyo namathambo omama. Izifo zesisu kunye nesifo sikashukela sinokusebenza njengezizathu zokunqongophala kwe-calcium. Ngako oko, i-vitamin D ichaphazela kakhulu ukutshatyalaliswa ngumzimba we-calcium engenayo.

Ukungafani kwendibano ye-pubic iqala ukuphuhlisa ixesha elide ngaphambi kokuzalwa komntwana. Nangona kunjalo, umphumo wama-hormone kunye nesisindo se-fetus sinomdla ekubonakalisweni kwezi zimpawu zingentla kuphela kwi-II okanye III ye-trimester. Ngokuqhelekileyo, iimpawu ze-pathology ezikhulayo azibonelelwa ngokufanelekileyo kwaye zibhekiswe kwi-osteochondrosis yazo, i-radiculitis, isongelo lokupheliswa kokukhulelwa.

Ukuxilongwa ngokukhawuleza kubaluleke kakhulu. Kuya kunceda ngexesha lokuthabatha amanyathelo afunekayo kunyango, ukuthintela iziphumo ezimbi ngokunikezelwa kwemvelo okanye ukutyelela kwicandelo le-caesarean.

Unyango lokwahlukana

Ngokuqhelekileyo, xa kukho ukungafani kwamathambo, akukho mingcipheko efunekayo. Emva kokunikezelwa ngempumelelo, ukuguquguquka, ukuqina kunye nokunyaniseka kwe-pubic symphysis kuya kuxhomekeka ekuhlaleni ngendlela engokwemvelo.

Iingcebiso ezivela kumathambo-gynecologists ekunciphiseni umthwalo ogqithiseleyo kumalungu kunye nemigudu zibandakanya:

- egqoke i-bandage;

- ukwenza umzimba wokuzivocavoca;

- ukutyunjwa kwezidakamizwa zokwelapha ezifunekayo (i-magnesium, i-calcium, iivithamini, ngakumbi iqela leB).

I-parturient kufuneka ixelele abagqithisi malunga nobukho bentsholongwane ngaphambi kokuqala komsebenzi.

Ukungafani, okuye kwadlula kwinqanaba elingathí sina, lugqityiwe nokuqhekeka kwee-lonnoe. Ukuze ugweme ukusasazeka kwamathambo, oogqirha banconywa ngokunyanisekileyo ukuba banciphise umqhubi wemoto, bekhetha ukulala ekuphumleni.

Ukuqhekeka kwe-pubic symphysis

Ukuba ukungafani kwamathambo kugcinwa ngokukodwa ngexesha lokugaya, ukuyeka ukungenakwenzeka ngexesha lokuzalwa. Phakathi kweentlobo zemirhubhe, kukho ubudlova kunye nokuzenzekelayo. Umva wokugqibela uvela kwimeko yokusebenza ngokukhawuleza. Isizathu sokubonakala kobugonyamelo ngokuqhelekileyo sibizwa ngokuba sisetyenziselwa iinzame ezongezelelweyo kwi-extraction of the fetus, ukuhlukana kwincwadi yokuzalwa. Ukongezelela, ukufakwa kwesandla kwisigxina se-uterine kumaxesha amaninzi kuyona nto ibonakalayo ekuqhekekeni okubonakalayo kwendibano ye-pubic.

Unyango lwe-pubic symphysis

Xa kwenzeka ukuphuka, isigulane sidinga ukuphumla kwebala lokulala. Ummandla womxube we-hip uxhomekeke ekubanjweni okuqinileyo. Eyona nto inokusebenzisa le bhanki eluhlaza. Emuva kombhede, kufuneka ufake i-scales uze unamathisele iibhloko kwi-pelvis. Iiphelo ze-bandage kufuneka ziboshwe kwiimithi zokhuni, eziboshwe ngeentambo. Ngeebhloko kwaye udlulise iintambo zedata, kwaye ekupheleni kwayo kuyimfuneko ukuxhoma umthwalo, ukuqala ngeesililogram kunye nokwandisa kancane ukuya kwi-10 kg.

Ngenxa yokuqaphela kwangaphambili ukuphuka, ukubuyiswa kwendibano ye-pubic kwenzeka kwiiveki ezingama-2-3. Kwimeko yokuphuza unyango, ibhanji isetyenziswe ubuncinane inyanga 1. Ngokuqhelekileyo kule njongo, amabhanji asetyenziswa kwinqanawa efana nesando. Imijikelo yayo ifakwe kwiindlela ezide. Amathambo amaPelvic aqala ukuguquka ngenxa yesisindo somzimba. Isikhathi sokubuyiselwa xa uhlala kwi-hammock kuyafana.

Imisebenzi ye-musculoskeal ye-pelvis ihlaziywe ngokupheleleyo kunye nendlela yokwelapha elibazisekile. Ngenkcazelo engaphindileyo yokuphambuka, inqubo yokuvuvukala kwezicubu ezinomdla igalelo ekuhlanganiseni nzima kunye nokuvuselela ixesha elide.