Kuphatikizika kwa mavalasi nthawi zambiri kumakhala ndi mimba, pochitika mwina panthawi yomwe ali ndi pakati kapena pakabereka. Kupweteka kwa majeremusi pa mimba kumakhudzana ndi mitsempha yamimba ya mimba (chipewa cha mimba chimatanthawuza mafupa omwe amapanga pelvic) kapena ligament laxity.
Ngakhale chifukwa cha matiski amenewa ndi osadziwika bwino, ofufuza amaganiza kuti zimakhudzana ndi hormone yotchedwa relaxin.
Hormone iyi imalola mafupa apachifupa kusuntha mokwanira kuti apange njira ya mwana. Kawirikawiri, mafupa a m'mimba mwachisawawa amasuntha. Komabe, kusasinthasintha kwapachiwalo kungachititse kuti asasinthe. Kukhala wochenjera kungayambitsenso chifukwa chovulazidwa panthawi yobereka.
Zizindikiro za Kusungunuka Pamodzi:
Kupweteka kwa majeremusi pathupi kapena pakabereka kungathe kupereka njira izi:
- Kupweteka kwakumbuyo kwenikweni
- Kupweteka kwapachika
- Ululu umene umatuluka kumphuno kapena m'chiuno
- Ululu umene umakhala woipitsitsa pamene ukugwedeza kapena kuwuka kuchokera pansi
- Ululu wokwera masitepe
Kafukufuku amasonyeza kuti pafupifupi 25 peresenti ya amayi omwe ali ndi pakati amakhala ndi ululu wam'mimba. Kwa azimayi 7 peresenti ya amayiwa, kupweteka kwa kusemphana kwa mimba kumapitirira pakabereka.
Kuzindikira Kusasuntha Pamodzi Pamodzi
Ngati mukuganiza kuti kusasunthika kwa pakhosi kumayambitsa ululu wanu wamkati, mukhoza kuyembekezera zotsatirazi pa ofesi yanu:
- Mbiri yomveka . Dokotala wanu angakufunseni ngati muli ndi ululu pazinthu zina ngati munayamba mwadzidzidzidwapo, ndipo chimachepetsa ululu wanu.
- Kugawanika kwa ziwalo za m'mimba . Dokotala wanu akhoza kukankhira pa pubic kapena zidutswa za sacroiliac kuti awone ngati ali achifundo.
- Kuyesa kupweteka kwa minofu . Dokotala wanu akhoza kukupanizani pa miyendo yanu ndi kukupemphani kuti mukanize, kuti muyese mphamvu zanu ndi kuyesa ululu wanu.
- Zosasinthasintha . Dokotala wanu angayang'ane kuti muwone ngati muli ndi zolephera m'chuuno lanu kapena kupweteka pamene mukuyenda.
Kuchiza Kukhazikika Kwambiri Pamodzi:
Musadabwe ngati dokotala wanu akutumiza kwa wodwalayo (PT). A PT amene amadziwika bwino za thanzi la amayi akhoza kukuphunzitsani zoyenera kuchita zolimbitsa thupi kuti likhale ndi minofu yozungulira pakhosi lanu. Mutha kulembedwa belt yothandizira, kapena PT ingagwiritse ntchito phokoso lanu kuti likhale lolimba pazochitika. Mutha kupemphedwa kuti mupewe kusuntha komwe kumawonjezera vuto, monga kupuma, kutukula katundu kapena masitepe. NSAID zingathenso kulangizidwa, kuti muchepetse ululu wanu.
Kuthamanga kwapakati pazitsulo
Amayi ambiri amatha kupweteka kwambiri chifukwa cha ululu wa mimba. Pa amayi asanu ndi awiri (7%), kupweteka kwa mtima kumapitirirabe atabereka. Kwa amayi ena, kupweteka kwapakhosi kungabwerere panthawi yomwe ali ndi mimba yotsatira, mosasamala kuti nthawi yayitali ikupita.
Kwa ambiri, njira yothandizira thupi komanso kuthandizira kumathandiza kuti muzitha kupweteka ululu pamimba komanso mutatenga mimba. Kawirikawiri, kusasunthika kwapachiyambi kwa thupi kumatengedwa, zimakhala bwino.
Zotsatira:
Cook Chad, Massa Lisa, Harm-Ernandes Ingrid et al. Kuwongolera Kudalirika ndi Kuzindikira Kuwona Kwachizungu Girdle Kupweteka Kwala. May 2007. 30: 4 pp 252-258
Mitchell DA, Esler DM. Kusungunuka kwapelvic - Wopweteka Wopanga Pelvic mu Mimba. Physician Family Australia. 2009 Jun; 38 (6): 409-10
National Pain Foundation. Kupweteka kwapala: Zifukwa. http://www.nationalpainfoundation.org/articles/717/kayala?PHPSESSID=fdd14ca5f9533763da35ceecf20d33e1