Intlungu ephantsi kunye nentlungu ye-pelvic ziphakathi kweengxaki eziqhelekileyo ezenzeka ngexesha lokukhulelwa-ukuba ukhulelwe kwaye uhlangabezana nale mpawu, funda, awuyedwa! Phantse kwisiqingatha sabasetyhini abakhulelweyo baya kukhalaza ngeempawu ezibuhlungu eziphantsi. Utshintsho lwamaziko omzimba wakho ngexesha lokukhulelwa lunomdla, kwaye ezo zinguqu zemizimba zingenza iintlungu ezingalindelekanga kunye nobunzima nemisebenzi ebonakalayo eqhelekileyo.
Ngokuchasene neenkolelo eziqhelekileyo, intlungu emva koko ayikho ingxaki emva kokukhulelwa. Enyanisweni, iziganeko zentlungu emva kokukhulelwa zihamba malunga neeveki ezingama-18-24. Nangona ubunzima obongezelelweyo bomntwana okhulayo luyinxalenye enkulu yokuba kutheni abafazi abakhulelweyo bahlakulele le mpawu, akusiyo kuphela isizathu. Isisombululo esiyinkimbinkimbi seenguqu ze-physiologic yomzimba sinokufaka isandla ekuphuhliseni iimpawu ezingaphantsi kwemva.
Physiologic Changes
Kukho utshintsho oluthile lwe-physiologic olwenzeka kumzimba okhulelweyo ongachaza ithuba lokunyuka kwentlungu. Into ephawulekayo yintlawulo yesisindo eyenzekayo ngexesha lokukhulelwa okuqhelekileyo ngama-25-35 iipounds, ubuncinane ubuncinci bobutyebi obunzima obwenzeka kwindawo yesisu. Ukuguquka kwesisindo kufana nokutshintsha i-posture yomgudu kwaye utshintshe isikhulu somzimba wakho.
Inguqu enkulu yesibini eyenzekayo i-hormonal. Ezi nqanaba ze-hormone eziphakanyisiweyo zikhulisa ukuxhamla kwamalungu kunye nemigqa emzimbeni.
Enye yale mi hormone ebalulekileyo, ebizwa ngokuba yi-relaxin, iboniswe ukuba ibonisane kunye neempawu zentlungu. Izifundo ziye zafumanisa ukuba abafazi abanamazinga aphezulu okuphumula bavame ukuba neentlungu ezibuhlungu kakhulu.
Ukuchonga i-Back Pain ngexesha lokukhulelwa
Ukwenza ukuxilongwa kweentlungu emva kokukhulelwa kungancinci kwinqanaba elijongene nomntwana okhulayo.
Ngenxa yezi nkxalabo, oogqirha bahlala bexhala kakhulu kwiimvavanyo zokucinga ngomama okhulelwe. Indlela efanelekileyo yokufumanisa iimpawu zentlungu emva kokuba uthathe imbali echanekileyo yeempawu aze enze uvavanyo olupheleleyo ukuvavanya ukusebenza kweentlungu zomgulane, izigulana, kunye neentsholongwane. Ukuhlolwa kwe-X-ray kugwenywa ngexesha lokukhula komntwana, kunye nomntwana osemngciphekweni omkhulu phakathi kweeveki eziyi-8 ukuya ku-15 zophuhliso. I-Fluoroscopy kunye ne-CT izicatshulwa zisoloko ziphephelwa ngokupheleleyo ngenxa yokungena kwiqondo eliphezulu kwi-fetus.
Ukucinga nge-MRI kungenziwa ngokukhuselekileyo ngexesha lokukhulelwa, kodwa kunye ne-MRIs igwenywa ngezinye izinto ezinokubangela ukulimala kumntwana okhulayo. Nangona i-MRI ithathwa njengolu vavanyo olukhuselekileyo olufumanekayo kwiintlungu zentlungu kumfazi okhulelweyo, kukho iingxaki zeengcali ekuphuhliseni iinkqubo zokuhlola kunye nokukhutshwa kweqondo lokushisa. I-MRIs ihlukahluka ngobukhulu bemagnet, kwaye i-MRI encinci yamagnet (1.5 tesla) ayizange iboniswe ukuba ibangela ingozi ngelixa amaninzi amakhulu (3 tesla) angafundwanga.
Izinyango Zonyango
Nangona ukhetho lwezokwelapha lungancinci, kukho iindlela ezikhoyo, kwaye ezinye zinokusebenza:
- Ukuzivocavoca & unyango: Unonophelo olululo luye lwaboniswa ukuba lusebenze kunye neyeza. Ukugcina ukufuduka kunencedo kwaye ukuphumla kombhede kuncike kwimimangaliso. Fumana isifo somzimba endaweni yakho esebenze kunye nabasetyhini abakhulelweyo kwaye banokukunceda ukuphucula ukuhamba kakuhle nokuhamba komgudu.
- Ukuxhaswa kunye neentloko: Ukuxhasa imithwalo, ngakumbi xa uhleli okanye ulala ebusuku, kunokunceda kakhulu. Abafazi abakhulelweyo abaneentlungu ezibuhlungu basoloko befumana ukulala ehlangothini lwabo kunye nomsila wokuxhasa phakathi kwamadolo agubukileyo ukuba abe nococekileyo kakhulu.
- Isicelo se-Ice & Heat: Ubungqina obunqabileyo bobungqina benkxaso-mali bokuxhasa ukusetyenziswa kwabo, kodwa abantu abaninzi bafumana ukukhululeka ngokusebenzisa ityhafu ebandayo okanye ukushisa kwesicelo seentlungu zangemva. Enye yale miqathango ayilona ingcono kunomnye, kwaye abanye abantu bafumana iziphumo ezingcono ngonyango olubandayo ngelixa abanye banokufumana ukukhulula ngokushisa.
- Unyango olongezelelweyo: Abaninzi abasetyhini bafumana ukuxhamla kwezinye iindlela zonyango. Ezi ziquka unyango lwe-chiropractic kunye nokusikwa. Isiluleko esihle kakhulu ukuba awufumani ukukhulula ukuzama enye yalezi zonyango ukuba uyakunceda. Buza ukuba u-massage wakho okanye u-chiropractor unokuqeqeshwa kunye namava athile kunyango lwabasetyhini abakhulelweyo.
- Imithi: Njengoko uyazi ukuba, amayeza ngexesha lokukhulelwa asetyenziswa ngokuqaphela okukhulu. Amachiza asetyenziswe ngexesha lokukhulelwa alinganiswa yinkalo yokuhlengahlengisa ukunceda izigulane kunye noogqirha ukuba baqonde ingozi ebantwini abakhulayo. Esi sibakala sigaba sinceda kwizigulana ezinobungozi kunye neenzuzo zamachiza ahlukeneyo amayeza. I-Tylenol ngokuqhelekileyo ibonwa njengekhuselekile kwaye ilinganiswe Iklasi B. Iimpawu zonyango ezichasayo zineengozi kwaye ziqwalaselwa njengeCandelo C ekukhulelweni kokuqala kunye neCandelo D emva kokukhulelwa. Ezinye izihlunu zokuphucula imithi zikhuselekile ukusebenzisa xa ezinye zifanele zigweme. Iimichiza zonyango kufuneka ziphephe ngokubanzi xa kunokwenzeka. Hlalani nithetha ngokusetyenziswa kwamachiza kunye nogqirha unyanga intlungu yakho kunye nomthinteli wakho.
Ixesha lokubuyisela
Ngelishwa, akukho nto ikulungiselela ngokukhawuleza kwiintlungu ezisezantsi ezenzeka ngexesha lokukhulelwa. Ngenxa yokuba unyango luphelelanga, banokuthatha ixesha lokuqalisa ukusebenza. Ngelixa abantu abaninzi banethemba lokusombulula ngokukhawuleza emva kokuzalwa, inyaniso kukuba isisombululo seentlungu singathatha inyanga okanye emva kwexesha lokuhambisa. Abaninzi abafazi bafumana ukuphuluzwa kwiinyanga ezili-6 zokuhambisa, kodwa ukuya kwisiqingatha sokukhulelwa kwezigulana eziphantsi kwezithintelo zokukhulelwa zingathatha unyaka okanye ixesha elide ukulungiswa ngokupheleleyo kweempawu.
Kubalulekile ukuba uqaphele ukuba kukho ezinye izizathu ezingavamile zeentlungu ezibuhlungu ezingaphelelwanga nje ngokutshintshwa kwezifo zokukhulelwa. Nangona ubuninzi beengxaki zihambelana nomzimba wokukhulelwa, kukho iingxaki kubandakanye ukuhlawula i-disc, i-spondylolisthesis kunye neminye imithombo yentlungu ebuyayo. Ugqirha wakho unokukuhlolisisa ukuba ukhangele iimpawu zezizathu ezingavamile zentlungu emva kokukhulelwa.
Umgca wenyani ukuqonda ukuba iintlungu zentlungu zixhaphake kakhulu, ngokuqhelekileyo zenzeka ngaphambi kokukhulelwa kunokuba abantu bazilindele, kuba ngumphumo weshintsho olunzima kwi-physiological woman's pregnancy, kwaye ngokucwangcisekileyo kuphuculwe ngamanyathelo amachiza alula. Abasetyhini abahlakulela olu hlobo lwentlungu emva kufuneka bafumane izicwangciso ezisebenzelayo ukukhupha iimpawu kuba ingxaki ingasayi kuhamba ngokupheleleyo ngexesha lokukhulelwa kwaye ingathabatha inyanga okanye emva kwexesha ukunikezelwa ngokupheleleyo.
Imithombo:
I-Casagrande D, iGugala Z, i-Clark SM kunye neLindsey RW. Ubunzima Bokubuya Kwangaphambili kunye nePelvic Girdle Ubuhlungu Ekukhulelweni. J Am Acad Orthop Surgery. 2015 Sep; 23 (9): 539-49.