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Nsogbu nke akpịrị ịkpọ nkụ

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Symphysis pubis dysfunction (SPD) bu nke amara dika pubis symphysis dysfunction maobu lightning crotch but onodo na ebute ngahari nke pubic symphysis, onye Ike bu anterior maobu lateral nakwa ahu ufu n'ihi misalignment nke pelvis. Nke na adikari n'afo IME nakwa omumu NWA, achoputara ya n'umunwaanyi do IME ruru 1in 300 mana ufodu na akwu na odi elu dika 1 in 50.,[1]h[Tinye edensibịa].[2]

A na-ejikọta SPD na mgbu eriri pelvic ma na-ejikarị aha ndị ahụ eme ihe.

Mgbaàmà[dezie | dezie ebe o si]

Isi mgbaàmà na-abụkarị ihe mgbu ma ọ bụ ahụ erughị ala na mpaghara pelvic, na-abụtụrụ na nkwonkwo dị n'ihu pelvis (pubic symphysis). Ụfọdụ ndị na-arịa ọrịa na-akọ na ha nwere ike ịnụ ma na-enwe mmetụta nke pubic symphysis na / ma ọ bụ sacroiliac, na-agbanye ma ọ bụ na-apụta na-abanye ma na-apụ ka ha na-aga ma ọ bụ gbanwee ọnọdụ. Ndị na-arịa ọrịa na-enwekarị ihe mgbu n'azụ ala, úkwù, ọkpụkpụ azụ, afọ ala, na ụkwụ. Ike nke ihe mgbu ahụ nwere ike ịdị site na obere obi erughị ala ruo ihe mgbu siri ike nke na-emetụta ihe omume ndị a na-eme kwa ụbọchị, ezinụlọ, ndụ mmekọrịta na ọrụ, na ụra.[3] Enwere njikọ n'etiti SPD na ịda mbà n'obi n'ihi nsogbu ahụike metụtara ya.[4][5] Ndị na-arịa ọrịa nwere ike ịga ije n'akụkụ na n'akụkụ ma nwee nsogbu ịrịgo steepụ, nsogbu na Ntọrọ ụkwụ na adduction, ihe mgbu mgbe ha na-arụ ọrụ ibu, ihe isi ike ịrụ ọrụ kwa ụbọchị, na ihe isi ike iguzo ọtọ.[2][4]

Nnyocha[dezie | dezie ebe o si]

A na-emekarị nchọpụta site na mgbaàmà, akụkọ ihe mere eme, na nyocha ahụike naanị. Mgbe ime gasịrị, a na-eji MRI scans, X-ray na ultrasound scanning eme ihe mgbe ụfọdụ. Ndị ọrịa na-ebu ụzọ kọọrọ onye na-amụ nwa, onye na-ahụ maka ọkpụkpụ, onye na'ahụ maka ịmụ nwa, onye dọkịta, onye na - physiotherapist ma ọ bụ onye na-arịa Ọrịa ọkpụkpụ. Mgbe ị hụrụ onye ọrụ ahụike, ndị ọrịa kwesịrị ịtụ anya ịnata nyocha ahụike zuru oke iji wepụ nsogbu azụ ndị ọzọ, dị ka diski prolapsed ma ọ bụ pelvic na ma ọ bụ pubis nkwonkwo mislignment, ma ọ bụ ọnọdụ ndị ọzọ dị ka iliopsoas muscle spasms, ọrịa urinary tract na Braxton Hicks contractions.

A na-ezere radiation na-enweghị isi site na foto ahụike n'oge ime ime, yabụ n'ọtụtụ ọnọdụ nyocha ahụike na akụkọ ihe mere eme na-ewere zuru ezu iji zoo aka na ọgwụgwọ ahụike.

Ọgwụgwọ[dezie | dezie ebe o si]

Ọgwụgwọ na-ekwe nkwa maka nsogbu na-adịghị ala ala ma ọ bụ nke na-adịghị arụ ọrụ mgbe a mụrụ ya bụ prolotherapy.[6] Ọgwụgwọ ndị ọzọ gụnyere iji mkpara ogwe aka, ngwaọrụ nkwado pelvic na enyemaka mgbu a tụrụ aro. Ihe ka ọtụtụ n'ime nsogbu ga-edozi n'onwe ha mgbe a mụsịrị ha.[7] E nwere ọmụmụ ihe abụọ na-egosi mbelata nke ihe mgbu na dysfunction na nlekọta chiropractic.[8]

Ndị na-agwọ ọrịa - ọkachasị ndị ọkachamara na ọgwụgwọ anụ ahụ n'ala pelvic - nwere ike inye aka na usoro mgbu, nye ọgwụgwọ aka iji belata nkụchi ahụ metụtara, ma jikwaa usoro mmega ahụ.

Ọ bụ ezie na a na-akọ na ọtụtụ ọrịa metụtara ime ime ga-edozi mgbe amuchara, nchọpụta na ọgwụgwọ doro anya ka kwesịrị ekwesị iji mee ka nkasi obi na ọrụ dị mma ma hụ na ọ ga-agbake nke ọma.

Nsogbu na-adịte aka nwere ike ịmalite na-enweghị nlekọta kwesịrị ekwesị. Nnyocha mgbe amuchara nwa n'ọnọdụ nke SPD metụtara ime nwere ike ịgụnye foto radiologic, nyocha site n'aka ọkachamara dịka orthopedist ma ọ bụ physiatrist, ọgwụgwọ anụ ahụ na-aga n'ihu, na nyocha maka nsogbu ọ bụla dị n'okpuru ma ọ bụ metụtara ya.

  1. ↑ Murkoff (31 May 2016). What to Expect when You're Expecting. ISBN 9780761187486. 
  2. ↑ Symphysis Pubis Dysfunction (SPD) in Pregnancy.
  3. ↑ The Pelvic Partnership. www.pelvicpartnership.org.uk. Archived from the original on 2002-09-29.
  4. ↑ 4.0 4.1 (2018) Pregnancy Related Pelvic Girdle Pain For mothers to be and new mothers. Pelvic Obstetric and Gynaecological Physiotherapy. 
  5. ↑ Jain (July 2006). "Symphysis pubis dysfunction: a practical approach to management". The Obstetrician & Gynaecologist 8 (3): 153–158. DOI:10.1576/toag.8.3.153.27250. 
  6. ↑ Hauser (7 July 2016). "A Systematic Review of Dextrose Prolotherapy for Chronic Musculoskeletal Pain". Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders 9: 139–159. DOI:10.4137/CMAMD.S39160. PMID 27429562. 
  7. ↑ Antenatal care (NICE clinical guideline 62). Royal College of Obstetricians & Gynaecologists. Archived from the original on 2022-01-19. Retrieved on 2024-05-19.
  8. ↑ Howell (June 2012). "Pregnancy-related symphysis pubis dysfunction management and postpartum rehabilitation: two case reports.". The Journal of the Canadian Chiropractic Association 56 (2): 102–11. PMID 22675223. 
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