Kusungirirwa kwepelvic kusagadzikana kakawanda kunowanzobatana nepamuviri, zvichiitika kana pakuberekwa kana mushure mokuberekwa. Uturu hwepelvic muhutombwe hunogona kuenderana nehutanda hwemapundwe (girvin girdle inoreva mapfupa anoumba mapepa) kana ligament yakanyanyisa.
Kunyange zvazvo chikonzero chezviputi izvi zvisingazivikanwi zvachose, vatsvakurudzi vanofungidzira kuti zvine chokuita nehomoni inonzi relaxin.
Iyi hormone inobvumira mapfupa emapfupa kuti ashanduke zvakakwana kuti awane nzira yemwana. Kazhinji, mapfupa emapfupa anenge asinganyatsofambi. Zvisinei, kubatana kwepadvic kusagadzikana kunogona kuita kuti vasiye kuenzaniswa. Kusagadzikana kunogona kukonzerwa nekukuvara panguva yekuberekwa.
Zviratidzo zveUpfungwa Hwakadzikama Hwakakwana:
Uturu hwepelvic pamuviri kana mushure mekuberekwa kunogona kupa nenzira ipi neipi inotevera:
- Kutambudzika kwakadzoka shure
- Kubvisa kurwadziwa
- Marwadzo anonaya kusvika kumucheka kana muhudyu
- Marwadzo ari kuipa kana kuputika kana kukwira kubva pasi pasi
- Pain when climbing stairs
Kutsvakurudza kunoratidza kuti vazhinji vanenge 25% yevakadzi vane pamuviri vanotambura kurwadziwa kwepachivi. Kune vanenge 7 muzana yevakadzi ava, marwadzo ekubatana kwepachevic kusagadzikana kunopfuvura mushure mekusununguka.
Kuongorora Tsvina Yakagadzikana Yakakwana
Kana iwe unenge uchifungidzira kuti kupisa kwepilvic kusagadzikana kuri kukonzera kurwadziwa kwako kweplavic, unogona kutarisira chimwe chezvipi zvinotevera pahofisi yechiremba wako:
- Izwi remashoko . Chiremba wako angabvunza kana iwe uine marwadzo mune dzimwe mabasa kana iwe wakambotambura kurwadziwa kwepamberi, uye chii chinoderedza marwadzo ako.
- Nhengo yezvikamu zveputivi . Chiremba wako angasundira pa pubic yako kana sacroiliac joints kuti uone kana iri nyoro.
- Manual muscle test . Chiremba wako angasundira pamakumbo ako uye akukumbira kuti usaramba, kuyera simba rako uye kuongorora marwadzo ako.
- Passive range of motion . Chiremba wako angangotarisa kuti aone kana iwe uine kukwana muhudyu yako kana kuti kurwadziwa panguva yekufamba.
Kurapa Pelvic Kuzvibata Kwakakwana:
Usashamisika kana chiremba wako akakutumira iwe kumuviri wechiremba (PT). A PT anonyanya kukoshesa hutano hwevakadzi vanogona kukudzidzisai maitiro ekusimudzira maitiro kuti musimbise misi inopoteredza mapepa enyu. Iwe unogona kurongerwa bhanhire rinotsigira, kana PT inogona kutora mapepa ako kuti uwedzere kumira mukati memabasa. Iwe unogona kubvunzwa kuti urege kushanduka kunowedzera dambudziko, rakadai sekumapapu, kusimudza zvinorema kana kukwira makwidza. NSAIDs inogona kunyorwa zvakare, kuti udzivise marwadzo ako.
Pelvic Mafungiro Akabatana Maitiro
Vazhinji vakadzi vanorarama zvakanaka kubva pakurwadziwa kwepachiviche panguva yekuzvitakura. Munenge ma7% yevakadzi, zvisinei, kurwadziwa kwepachivi kunopfuurira mushure mokuberekwa. Mune vamwe vakadzi, kurwadziwa kwepelvic kunogona kudzoka panguva yekuzvitakura kwavo, zvisinei nokuti nguva yakawanda inopfuura.
Kune vakawanda, chirongwa chekurapa kwepanyama uye kutsigira kunamatira kuchaita mano ekudzora kurwadziwa kwepachivi panguva uye shure kwekuita pamuviri. Muzhinji, yekutanga yepilvic joint instability inoratidzwa, zviri nani mugumisiro.
Sources:
Cook Chad, Massa Lisa, Harm-Ernandes Ingrid et al. Kupindira kweKutsvaga uye Kuongorora Kuona Kwepelvic Girdle Kuchengetwa Kwepfupa. May 2007. 30: 4 pp 252-258
Mitchell DA, Esler DM. Pelvic Instability - Painful Pelvic Girdle muKubata. Australian Physician Physician. 2009 Jun; 38 (6): 409-10
National Pain Foundation. Chipfevic Pain: Zvinokonzera. http://www.nationalpainfoundation.org/articles/717/causes?PHPSESSID=fdd14ca5f9533763da35ceecf20d33e1