Isikhokelo esiBanzi sokuBuyisa kwi-Osteitis Pubis Injury

Iimbaleki kunye nabantu abakhutheleyo ngokomzimba abathatha inxaxheba kwimisebenzi, ukuzivocavoca, kunye nemidlalo ebandakanya ukukhaba, ukujikeleza, kunye / okanye ukuguqula izikhombisi-ndlela banokuhlakulela ukulimala kwe-pelvis ngokugqithiseleyo kwe-pubic symphysis / i-joint phambi kwe-pelvis eyaziwa ngokuba yi-osteitis pubis. Ngaba ukuqaphela iimpawu kunye nezizathu uncedo kunyango kunye nokuthintela?

I-Osteitis Pubis Ukwenzakala

I-Osteitis pubis kukudumba kwelungu elidibanisa amathambo e-pelvic, okubizwa ngokuba yi-pelvic symphysis, kunye nezakhiwo ezijikelezayo. I-pubic symphysis lilungu eliphambi nangaphantsi kwesinyi. Ibamba amacala amabini e-pelvis kunye ngaphambili. I-pubis symphysis inentshukumo encinci kakhulu, kodwa xa uxinzelelo olungaqhelekanga okanye oluqhubekayo lubekwe kwindawo edibeneyo, i-groin kunye neentlungu ze-pelvic zinokubonakala. Ukulimala kwe-osteitis pubis kukulimala okuqhelekileyo okuxhaphakileyo kubantu abasebenzayo kunye nabadlali kodwa kunokwenzeka ngenxa yokwenzakala ngokomzimba, ukukhulelwa kunye / okanye ukuzala.

iimpawu

Olona phawu luxhaphakileyo ziintlungu kumphambili we-pelvis. Intlungu idla ngokuvakala embindini, kodwa elinye icala linokuba buhlungu ngakumbi kunelinye. Iintlungu zikholisa ukuphuma/zinwenwela ngaphandle. Ezinye iimpawu kunye neempawu ziquka: (UPatrick Gomella, uPatrick Mufarrij. 2017)

• Iintlungu ezisezantsi zesisu kumbindi we-pelvis
• Ukukhawulela
• Ubuthathaka be-Hip kunye / okanye umlenze
• Unzima ukunyuka izitebhisi
• Iintlungu xa uhamba, ubaleka, kunye/okanye utshintsha ulwalathiso
• Ukucofa okanye ukuphuma kwezandi ngokushukuma okanye xa ushukuma umkhomba-ndlela
• Iintlungu xa ulele phantsi ngecala
• Iintlungu xa uthimla okanye ukhohlela

I-Osteitis pubis inokudideka kunye nezinye iingozi, kubandakanywa i-groin strain / groin pull, i-hernia inguinal ngqo, i-neuralgia ye-ilioinguinal, okanye i-pelvic stress fracture.

Izizathu

Ukulimala kwe-osteitis pubis ngokuqhelekileyo kwenzeka xa i-symphysis edibeneyo ibonakaliswe ngokugqithiseleyo, ukuqhubeka, ukunyanzeliswa kolwalathiso kunye nokusetyenziswa ngokugqithiseleyo kwemisipha ye-hip kunye nomlenze. Izizathu ziquka: (UPatrick Gomella, uPatrick Mufarrij. 2017)

• Imidlalo yemidlalo
• Ukusebenzisa
• Ukukhulelwa kunye nokuzalwa komntwana
• Ukwenzakala kwePelvic njengokuwa kakhulu

Ukuqondwa

Ukulimala kufunyenwe ngokusekelwe kuvavanyo lomzimba kunye neemvavanyo zokucinga. Ezinye iimvavanyo zingasetyenziselwa ukulawula ezinye izizathu ezinokwenzeka.

• Uvavanyo lomzimba luya kubandakanya ukuguqulwa kwe-hip ukubeka uxinzelelo kwi-rectus abdominis trunk muscle kunye namaqela e-adductor emathangeni.
• Ubuhlungu ngexesha lokukhwabanisa luphawu oluqhelekileyo lwemeko.
• Abantu ngabanye banokucelwa ukuba bahambe ukuze bajonge izitenxo kwiipatheni zokuhamba okanye babone ukuba iimpawu zenzeka ngeentshukumo ezithile.

1. Ii-X-reyi ziya kubonakalisa izitenxo ezidityanisiweyo kunye nesifo sokuqina kwemithambo-luvo/ukujiya kwe-pubic symphysis.
2. I-Magnetic resonance imaging - I-MRI inokubonakalisa ukuvutha kwamathambo okuhlangeneyo kunye nokujikelezayo.
3. Ezinye iimeko aziyi kubonisa zimpawu zokulimala kwi-X-ray okanye i-MRI.

impatho

Unyango olusebenzayo lunokuthatha iinyanga ezininzi okanye ngaphezulu. Ngenxa yokuba ukudumba kungoyena nobangela weempawu, unyango luya kubandakanya: (UTricia Beatty. 2012)

Ukuphumla

• Ivumela ukudumba okuqatha kuthobe.
• Ngexesha lokubuyisela, ukulala phantsi ngasemva kunokucetyiswa ukunciphisa intlungu.

Izicelo zoMkhenkce kunye noBushushu

• Iipaki zeqhwa zinceda ukunciphisa ukuvuvukala.
• Ubushushu bunceda ukuthomalalisa iintlungu emva kokudumba kokuqala kwehlile.

Ulungiso lwenyama

• Unyango lomzimba lunokuba luncedo kakhulu ekunyangeni imeko ukunceda ukubuyisela amandla kunye nokuguquguquka. (U-Alessio Giai Via, et al., 2019)

Anti-ukudumba Amayeza

• I-over-the-counter nonsteroidal anti-inflammatory medication - ii-NSAID ezifana ne-ibuprofen kunye ne-naproxen zinokunciphisa intlungu kunye nokuvutha.

Izixhobo zokuhamba ezincedisayo

• Ukuba iimpawu zinzima, iintonga okanye intonga inokucetyiswa ukunciphisa uxinzelelo i-pelvis.

ICortisone

• Kubekho iinzame zokunyanga imeko ngeenaliti ze-cortisone, kodwa ubungqina obuxhasa ukusetyenziswa kwayo bulinganiselwe kwaye bufuna uphando olongezelelweyo. (U-Alessio Giai Via, et al., 2019)

Prognosis

Nje ukuba ufunyaniswe, i-prognosis yokuchacha ngokupheleleyo ilungile kodwa inokuthatha ixesha. Abanye abantu kunokuthatha iinyanga ezintandathu nangaphezulu ukubuyela kwinqanaba lokwenzakala kwangaphambili, kodwa uninzi lubuyela malunga neenyanga ezintathu. Ukuba unyango olulondolozayo luyasilela ukunika isiqabu emva kweenyanga ezintandathu, utyando lunokucetyiswa. (UMichael Dirkx, uChristopher Vitale. 2023)

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Ukulimala kwezemidlalo Ukubuyiswa

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Ucaphulo

Gomella, P., & Mufarrij, P. (2017). I-Osteitis pubis: Unobangela onqabileyo weentlungu ze-suprapubic. Uphononongo kwi-urology, i-19 (3), i-156-163. doi.org/10.3909/riu0767

UBeatty T. (2012). I-Osteitis pubis kwiimbaleki. Iingxelo zangoku zamayeza ezemidlalo, i-11 (2), i-96-98. doi.org/10.1249/JSR.0b013e318249c32b

Via, AG, Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Ukulawulwa kwe-osteitis pubis kubadlali: ukuvuselelwa kunye nokubuyela kuqeqesho - ukuphononongwa kweencwadi zamva nje. Vula ukufikelela kwijenali yamayeza ezemidlalo, 10, 1–10. doi.org/10.2147/OAJSM.S155077

Dirkx M, Vitale C. Osteitis Pubis. [Ihlaziywe 2022 Dec 11]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK556168/