Symphysis akabereka: zimayambitsa, zizindikiro ndi mankhwala

Mutu wa Nkhani lero - symphysis wangobereka kumene. Kodi muyenera kudziwa za matenda amenewa? achitsikana akabereka maloto kugula nkhungu akale ndi kuchotsa mavuto a. Nthawi zambiri zikuchitikadi choncho, koma izo zimachitika kuti mu nthawi postpartum pali osafunika kusintha kwa thupi ndi kuyambitsa mavuto. Akazi ayamba kudandaula ululu ndi kusapeza mu malo ena obisika. maganizo amenewa akhoza kwambiri pamene kusintha kaimidwe, kudzuka, anatenga masitepe. Pubis mu akazi zitunda kuti sapereka iwo yoyenera (gait akufanana bakha kayendedwe). Zizindikiro izi zikusonyeza kupitirira kwa matenda, monga symphysis obisika.

Lingaliro la symphysis obisika

Anthu ambiri akudziwa za akazi awa polusustave monga symphysis pubis. Iwo amagwirizana ndi chiwonetsero cha simfizita. mafupa awiri m'chiuno ndipo sacrum kupanga mafupa a chiuno fupa akazi. mafupa awa cholukanalukana kudzera symphysis (obisika pawiri) ndi awiri sacral articulation. obisika fupa la mafupa a chiuno njira zinaphatikizidwa-CHIKWANGWANI chichereŵechereŵe ndi mawonekedwe symphysis. Likulu la pawiri izi (articular M'mimbamo) wodzazidwa ndi madzimadzi articular. Obisika symphysis kumalimbitsa Mitsemphayi.

mafupa obisika anasiyanitsidwa ndi mtunda wa 1 cm (ili ponseponse). Pubis mu akazi lili kutsogolo kwa symphysis lapansi. Iwo ali gulu la PAD mafuta ndi akhomere nkongo. Obisika symphysis - izo polusustav ndi osiyanasiyana ka apaulendo. Mitsempha ndi mitsempha pansi symphysis lapansi. Kumbuyo msoko ndi ili chikhodzodzo ndi mkodzo.

Kufotokozera simfizita

Akuwuka pa mimba kapena kutupa postpartum mu lonnom mphambano - ndi symphysis. Pa gestation symphysis ali ndi chuma pokonza kuti mutu wa mwana pobadwa mosavuta chichitike mu mphete mayi m'chiuno. Chifukwa cha kuchuluka bata ndi symphysis akhoza asonkhezere. Nthawi zambiri, ndi symphysis zikadzatha kubadwa, koma nthawi zina ndondomeko izi amayamba kuonekera zambiri pa mimba.

Symphysis - ndi dzina gulu la kusinthika zoipa ndi chisokonezo lonnom olowa. Madokotala komabe angatchedwe symphysis arthropathy, simfioziopatiey, sakroileopatiey pakati. Symphysis atabadwa tikulimbikitsidwa kuyitana ena obisika symphysis kukanika.

chiwonetsero cha matenda

Zizindikiro ambiri ndi zizindikiro simfizita:

• lonnom kupweteka m'malo olumikizirana mafupa, obisika dera m'munsi pamimba.
• kupweteka ululu m'munsi mmbuyo ndi m'chiuno.
• kuwonetseredwa "kudina" poyenda.
• kuyenda gait, ngati "bakha".
• mavuto kuukitsa mwendo molunjika ku malo mosabvuta.
• vuto kusunthira mmwamba masitepe.

Mmene matenda

Symphysis zikadzatha kubadwa kapena pa trimester mimba. Nthawi zina matenda akhoza kugwirizana ndi zoopsa m'chiuno kapena masewera yaitali (othamanga). Ngati nthawi satenga amayesetsa kupewa izi ndondomeko yotupa, izo ndi zotsatira zoipa kwambiri. Mkazi akhoza kusintha gait limapezeka incontinence zimawavuta mawu kugonana.

Mlingo wa pokonza wa symphysis ndi kuwonjezeka mtunda pakati pa mafupa obisika chimatanthauza magulu atatu a kutupa. Mulingo uliwose amakhala ndi fupa zikusiyana:

1. Kuyambira masentimita 0.5 kuti 0,9.
2. Kuyambira masentimita 1 1,9.
3. Kuposa 2 cm.

magwero a chitukuko

Sangathe kunena kuti ndicho chimayambitsa simfizita. Zizindikiro zambiri amasonyeza kuti zinthu ziwiri zomwe kutupa ndi kusiyana kotereku symphysis obisika. Woyamba zochita izi monga kusowa calcium, kotero koyenera kuti thupi la mkazi wapakati. Gwero chachiwiri kungakhale kwambiri katulutsidwe wa relaxin, mtundu wa timadzi anamasulidwa ndi nsengwa ndi n'kuwasanganiza. Iye akhoza kumasuka ndi Mitsemphayi mu lonnom olowa.

Development simfizita akhozanso kukopeka ndi zinthu zotsatirazi:

• cholowa maziko ku nthenda ya amayi dongosolo minofu ndi mafupa (kolajeni akusowa);
• kubadwa angapo;
• ovulalawo mafupa a chiuno;
• kupanga mwana wosabadwa lalikulu (pa 4 kg);
• anafooka moyo;
• kangapo simfizita kumatchula chodabwitsa mu kubadwa m'mbuyomu.

Ululu symphysis ndi

Mawonetseredwe chidwi kwambiri pa simfizita ndi ululu. iwo ndi zina mumamva. akazi ena mimba ngakhale bodza amakhala ovuta. Malo obisika angaoneke ululu zikulilima. Aliyense kayendedwe, atigwira m'chiuno kungachititse kuti ululu. Izi ndi chikoka chachikulu pa kaimidwe wanu.

Ena amayi oyembekezera angapereke kuwawa m'mimba kapena kuoneka mu groin, kumbuyo, crotch, mwendo. Bend kutsogolo kwa akazi amenewa ndi zovuta kuyima pa mwendo umodzi - ndi sangathe. odwala Simfizitom akudwala kovuta kuuka kwa mpando, osatembenukira ku bedi. Ululu anayamba kuchepa pokhapokha mpumulo yaitali. ululu onse akhoza limodzi ndi crunch amphamvu. Ululu kumachitika ndi matumbo kuyenda.

Events kwa matenda

Kafukufuku simfizita njira yapadera: X-ray, yopangidwa tomography ndi maginito malumikizidwe, kusanthula akupanga. Choyamba, dokotala ndikupeza pamene pali symphysis ululu, momwe zakhudzira gait, zimene siteji ya mimba zinachitikadi. The katswiri amaphunzira za kukhalapo kuvulala m'chiuno, kaya ntchito kunachitika, kaya dongosolo minofu ndi mafupa zowawa.

kusanthula ena kulephereka matenda matenda, makamaka njira ya mimba ndi kubereka. Malinga ndi zotsatira za US imawunikidwa mlingo wa divergence mafupa obisika. X-ray atabadwa chingatithandize kudziwa ngati fupa obisika ankatembenukira mmbali kapena m'mwamba. mkazi matenda sakuwupweteka kukaonana ndi dokotala mafupa ndi dokotala thupi.

mankhwala

Kuti tisaletse vuto mu akazi, m'pofunika yomweyo anayamba mankhwala. Rapid achire zotsatira kumabweretsa phwando mankhwala komanso kashiamu ndi magnesium. Pamodzi ndi mankhwala yoikidwiratu physiotherapy. mankhwala amakono kulola mankhwala simfizita pambuyo njira kubadwa bezoperativnym. Popha ululu amayi apakati analimbikitsa kutenga "Paracetamol" ndipo pambuyo pobereka amalola kulandira nonsteroidal mankhwala odana ndi yotupa ndi opiates.

Ngati simfioziopatiya limodzi ndi divergence pang'ono fupa obisika, omasuka matenda pogwiritsa ntchito njira zotsatirazi:

• mwamsanga malire zolimbitsa thupi;
• yofunsira kugona mafupa matiresi;
• phwando calcium, magnesium, ndi mavitamini B;
• tsiku physiotherapy;
• mankhwala chithandizo milandu matenda urogenital.

Kutalika matenda

ambiri akuchita chidwi ndi funso liti motani symphysis akabereka? Nthawi zambiri, zodabwitsazi idzapita pambuyo miyezi 2-3 pambuyo maonekedwe a mwanayo. Nthawi kuvulala sacral, matenda a mafupa ndi zimfundo, wamphamvu kawopsedwe, mahomoni vutoli, vitamini matenda akusowa angayambe nthawi yaitali. Kwa ena amatenga miyezi ingapo kuti chaka kapena kuposa.

Ndondomeko yoperekera zovuta nthawi zina symphysis mitsempha akhoza kuonongeka. Ichi ndi chifukwa zipatso lalikulu. Nthawi zambiri symphysis limapezeka pambuyo maonekedwe mofulumira mwana mu akazi ndi mafupa a chiuno yopapatiza. Zimenezi zingachititse kuti kuvulala kwa chikhodzodzo ndi njira. mavuto amenewa kupitiriza nthawi kuchira zimfundo ndi ovuta kuchiza simfizita wangobereka kumene.

zodzitetezera

Pali mfundo kuthandiza kupweteka kwa suspend chitukuko simfizita:

• si koyenera mu malo wakhala kuponya mwendo umodzi pa ena;
• ataima kufunika wogawana kugawira kulemera ndi miyendo iwiri;
• kali molimba sali oyenera kwa amayi oyembekezera chifukwa atakhala ndi kunama;
• yaitali kuyenda, kapena pokhala ofukula ali osavomerezeka;
• ayenera kupewa malo otsetsereka ndi pamalo okonda ndi masitepe;
• pamaso wotembenukira bedi kumbali inayo, muyenera choyamba kutembenukira mapewa ndi thupi chapamwamba, ndipo pambuyo pake - mafupa a chiuno;
• ayenera kuyang'aniridwa kwa kunenepa;
• zakudya ayenera kukhala wolemera mu kashiamu (zoyenera kugwiritsa ntchito mtedza, nsomba, mkaka, apricots zouma zitsamba);
• kugoletsa nezi yaing'ono idzalimbikitsa yachibadwa kashiamu kuwombola;
• mafupa matiresi adzalola kuti kutenga malo omasuka kugona.

Mimba ayenera kukonzekera, zikuthandizani inu yokonzekera: kuzindikira ndi kuchiza matenda aakulu ndi matenda. Akazi apakati akhale mwamsanga kukhudzana kotheka antenatal chipatala ndi kukhala pa nkhani (kwa miyezi 3). Kukaona azamba-gynecologist akhale mwadongosolo.

A mfundo yofunika kwambiri ndi kupewa simfizita chakudya zakudya. Chakudya ayenera kukhala ndi pang'ono mafuta ndi chakudya. Zakudya ndi bwino kuti achotse ufa, okoma, mafuta ndi zakudya yokazinga. Ndi zofunika kuonjezera kumwa ndi zakudya mkulu mapuloteni (Taphunzira nyama, nyemba, mankhwala lactic acid).

Amayi oyembekezera sayenera nkhawa mantha ndi maganizo. Ngati ndi kotheka, dokotala anu angakupatseni mankhwala kuwala. zonsezi chotani kasamalidwe zomveka ntchito ndi kupewa mavuto.

Bandeji pa symphysis ndi physiotherapy

akazi ambiri pakati amapulumutsidwa ku zowawa ndi thandizo la avale gulu. Izo zikhoza kugulidwa pa mankhwala a. Inasintha kwambiri a mitundu matayala. M'malo mwake, n'zotheka ntchito bandeji zolimba, amenenso chindiletsa zikusiyana zimabwezera kuchepetsa fupa symphysis.

Akugulitsa pali zitsanzo matayala mu mawonekedwe a corset, ndi yoyenera kwambiri siteji ya adanyamula mwana. Mu nthawi ya postpartum, mungathe kugwiritsa ntchito chitsanzo cha Pant zingwe-a. ncafu fasteners amenewa ndi othandiza kwambiri mu symphysis lapansi. Iwo vuto la mafupa a chiuno chitetezo ndi kukonza kuonongeka mafupa. Pali okhwima ndi theka-okhwima nsalu, amayi apakati yabwino kwambiri chachiwiri.

Si chinsinsi kuti mmodzi wa miyeso kuti kuteteza simfizita ndi physiotherapy. Kuyenda motsatizana, kupuma kokoka oyembekezera phindu yekha. 1 ndi 2 na- digiri ya matenda ikukhudza kukhazikitsa ya Zochita wapadera kuti kulimbikitsa m'chiuno ndipo lumbar minofu ndi mafupa. Pano pali chitsanzo kulimbitsa thupi:

• Kuyambira malo - atagona pa nsana wake. Mkazi imakoka mapazi pafupi matako, ndipo kenako kufalikira mawondo ake pambali. Pang'onopang'ono kubwerera kwa malo poyambira. gulu ayenera kubwereza nthawi 6-10.
• Kuchita zotsatirazi imagwiridwa chimodzimodzi kwa woyamba, Koma mkazi wamng'ono wavala pansi phazi ku matako a. Iye pang'onopang'ono aukitsa mafupa a chiuno ndipo kenaka mokoma mu malo. magulu otere zimagwiridwa nthawi 10.
• Kuyambira malo - atagwada. Mkazi apuma manja ake pansi, pansi kumbuyo. Iye amayesetsa kupitiriza mlingo ofanana ndi mutu, pakhosi, mmbuyo ndi mafupa a chiuno. Ndiye, mayi woyembekezera arches kumbuyo kwake, ndipo mutu ndi khosi pansi pansi. Minofu ya ntchafu ndi mavuto pamimba. Zoposa katatu gululi safuna kuti zibwerezedwe.

Dziwani kuti mu gawo lotsiriza simfizita Zochita izi contraindicated.