Ukungazinzi kwamapelvic ngokuvamile kuhlobene nokukhulelwa, okwenzeka noma ngesikhathi sokukhulelwa noma ngemuva kokubeletha. Ubuhlungu be-pelvic ekukhulelweni kungahlotshaniswa nesisindo somkhonto we-pelvic (ibhande elithintekayo libhekisela emathanjeni akha i-pelvic) noma i-ligament laxity.
Ngenkathi imbangela yalezi thambo ezinamalaki aziwa ngokuphelele, abacwaningi bacabanga ukuthi kuhlobene nehomoni ebizwa ngokuthi i-relaxin.
I-hormone ivumela amathambo e-pelvic ukuba ashintshe ngokwanele ukuze enze ingane ibe yindlela. Ngokuvamekile, amathambo ayisifuba ahamba kancane. Noma kunjalo, ukungazinzile kwe-pelvic kungabangela ukuba bayeke ukulungiswa. Ukukhubazeka kungabangela nokulimala ngesikhathi sokubeletha.
Izimpawu Zokukhubazeka Okuhlangene Ngamafilimu:
Ubuhlungu be-pelvic ekukhulelwe noma emva kokubeletha kungabonisa nganoma iyiphi yezindlela ezilandelayo:
- Ubuhlungu obuphansi emuva
- Ubuhlungu besibhakabhaka
- Ubuhlungu obuya endaweni yokugunda noma izintambo
- Ubuhlungu obubi nakakhulu uma kuguqulwa noma kuvuka kusuka endaweni ephansi
- Ubuhlungu lapho ukhuphuka izitebhisi
Ucwaningo lubonisa ukuthi abaningi abangaba ngu-25% abesifazane abakhulelwe bazwa ubuhlungu be-pelvic. Ku-7% kulaba besifazane, ubuhlungu obubangelwa ukungazinzi kwe-pelvic kuqhubeka ngemuva kokubeletha.
Ukuqaphela ukukhubazeka okuhlangene kwamaPelvic
Uma usola ukuthi ukungazinzile kwe-pelvic kubangele ukuhlunguphaza kwakho kwe-pelvic, ungalindela noma yikuphi okulandelayo ehhovisi lakho:
- Umlando womlomo . Udokotela wakho angase abuze ukuthi unesihlungu phakathi kwemisebenzi ethile uma uke wabuzwa ubuhlungu be-pelvic ngaphambili, nokuthi yini eyanciphisa ubuhlungu bakho.
- Ukuhlukaniswa kwamalungu e-pelvic . Udokotela wakho angase aqhubekele ku-pubic yakho noma amalunga we-sacroiliac ukuze abone ukuthi ayethenda.
- Ukuhlolwa kwemisipha yezincwadi . Udokotela wakho angashaya emilenzeni yakho futhi akucele ukuthi umelane, ukukala amandla akho nokuhlola ubuhlungu bakho.
- Uhlobo lokunyakaza oluhambayo . Udokotela wakho angase ahlole ukuze abone ukuthi unemikhawulo ekuhambeni kwakho kwezintambo noma ubuhlungu ngenkathi uhamba.
Ukwelapha Ukukhubazeka Okuhlangene KwamaPelvic:
Ungamangazi uma udokotela wakho ekuthumelela kumthandi wezinto ezibonakalayo (PT). I-PT ekhethekile empilweni yabesifazane ingakufundisa okuyisisekelo sokuzivivinya umzimba ukuze uqinise imisipha ezungeze isikhumba sakho. Ungabhalwa ibhande elisekelayo, noma i-PT ingabamba isifuba sakho sokuqina okuqhubekayo phakathi nemisebenzi. Ungacelwa ukuba ugweme ukunyakaza okwandisa inkinga, njengokuphunga, ukuphakamisa okunzima noma ukunyuka izitebhisi. Ama-NSAID angase abekwe kanjalo, ukulawula ubuhlungu bakho.
Isiphambano Esihlanganisiwe Samafutha Esiphambene
Abaningi besifazane baphilisa kahle ebuhlungu besisu ngesikhathi sokukhulelwa. Ezinganeni ezingaba ngu-7%, noma kunjalo, ubuhlungu be-pelvic bungaphikelela ngemva kokubeletha. Kwabesifazane abathile, ubuhlungu be-pelvic bungabuya ngesikhathi sokukhulelwa kwabo okulandelayo, kungakhathaliseki ukuthi kudlula isikhathi esingakanani.
Kwabaningi, umuthi wokwelashwa ngokomzimba kanye nokuthinta okusekelayo kuzokwenza ubuqili ekulawuleni ubuhlungu be-pelvic ngesikhathi nangemva kokukhulelwa. Ngokuvamile, ukungaqiniseki kokuhlanganiswa kwe-pelvic kutholakala, kungcono umphumela.
Imithombo:
I-Cook Chad, i-Massa Lisa, i-Harm-Ernandes Ingrid et al. Ukwethembeka Nokungqinisisa Ngaphakathi Kwangaphakathi Ukuhlukaniswa Kwezinhlungu Ze-Pelvic Girdle. May 2007. 30: 4 iphe 252-258
UMitchell DA, u-Esler DM. Ukukhubazeka kwama-pelvic - I-Painful Pelvic Girdle ekukhulelweni. I-Australian Family Physician. 2009 Jun; 38 (6): 409-10
I-National Pain Foundation. Ubuhlungu be-pelvic: Izimbangela. http://www.nationalpainfoundation.org/articles/717/causes?PHPSESSID=fdd14ca5f9533763da35ceecf20d33e1