Ubuhlungu obuphansi emuva futhi ubuhlungu be-pelvic buphakathi kwezinkinga ezivame kakhulu ezenzeka ngesikhathi sokukhulelwa-uma ukhulelwe futhi uhlangabezana nalezi zimpawu, funda, awunabo! Cishe ingxenye yengxenye yabesifazane abakhulelwe bayomkhononda ngezibonakaliso ezibuhlungu ezibuhlungu emuva. Izinguquko ezitholakalayo emzimbeni wakho ngesikhathi ukhulelwe ziyinkimbinkimbi, futhi lezi zinguquko ze-physiologic zingabangela ubuhlungu obungalindelekile nobunzima ngemisebenzi ebonakalayo evamile.
Ngokuphambene nenkolelo evamile, ubuhlungu emuva abuyona inkinga kamuva ekukhulelwe. Eqinisweni, izigameko zokubuyiselwa emuva emuva kokukhulelwa ziqala cishe amasonto angu-18-24. Ngenkathi isisindo esingeziwe se-fetus esathuthuka yisakhi esikhulu sokuthi kungani abesifazane abakhulelwe bekhuphula lezi zimpawu, akusiyo kuphela isizathu. Isakhiwo esiyinkimbinkimbi sezinguquko ze-physiologic zomzimba zingabangela ekuthuthukiseni izimpawu eziphansi ezingemuva.
Izinguquko zePhysiologic
Kunezinguquko eziningana ze-physiologic ezenzeka emzimbeni okhulelwe ongachaza amathuba okwandisa ubuhlungu bokubuyela emuva. Okuphawulekayo yiyona inzuzo yesisindo eyenzeka ngesikhathi sokukhulelwa okungama-25-35 amakhilogremu, okungenani isigamu salokho kuzuza kwesisindo okwenzeka esifundeni sesisu. Isisindo sishintsha futhi sishintsha ukuhamba komgogodla futhi sishintsha isikhungo somzimba wakho.
Inguquko enkulu yesibili eyenzeka yi-hormonal. La mazinga e-hormone aphakanyiswayo akhulisa ukuxhuma kwamajoyini nemigudu emzimbeni.
Elinye lala ma-hormone abalulekile, okuthiwa i-relaxin, likhonjisiwe ukuze lihlobanise nezimpawu zokubuhlungu emuva. Ucwaningo luye lwabona ukuthi abesifazane abanamazinga aphezulu okuphumula bavame ukuzwa ubuhlungu obukhulu kakhulu emuva.
Ukuhlonza Ubuhlungu Emuva Ngesikhathi Sokukhulelwa
Ukwenza ukutholakala kobuhlungu emuva emuva kokukhulelwa kungalinganiselwe ngezinga elithile engozini kumntwana okhulayo.
Ngenxa yalezi zinto ezikhathazayo, odokotela bavame ukukhathazeka kakhulu ngokucubungula ukuhlolwa kumama okhulelwe. Indlela engcono kakhulu yokuxilonga izimpawu zobuhlungu bamuva emuva ngokuthatha umlando ngokucophelela wezimpawu bese wenza ukuhlolwa okuphelele ukuhlola ukusebenza kwemisipha yomgogodla, amajoyini, kanye nezinzwa. Ukuhlolwa kwe-X-ray kugwenywe ngesikhathi sokuthuthukiswa komntwana, kanti ingane isengozini enkulu phakathi kwamaviki ayisishiyagalombili kuya ku-8 okuthuthukiswa. Izifo ze-Fluoroscopy ne-CT zivame ukugwema ngokuphelele ngenxa yezinga eliphakeme lokungena emntwaneni.
Ukucabanga nge-MRI kungenziwa ngokuphepha ngesikhathi sokukhulelwa, kodwa ngisho nama-MRIs agwenywe ngezinye izinkinga zokulimala emntwaneni osathuthuka. Ngenkathi i-MRI ibhekwa njengesivivinyo esiphephile kunazo zonke esitholakalayo ngenxa yobuhlungu bomhlane kumuntu okhulelwe, kukhona ukukhathazeka kwemvelo ekuthuthukiseni izinhlelo zokuhlola kanye nokushisa okushisa. I-MRIs ihlukahluka ngobukhulu be-magnet, futhi i-MRIs encane yamagnet (1.5 tesla) ayibonwanga ukuthi ibangela ukulimala kuyilapho amamitha amakhulu (3 tesla) engakafundiwe.
Izinketho zokwelapha
Ngenkathi izinketho zokwelashwa zingalinganiselwe, kunezinketho ezitholakalayo, kanti ezinye zingasebenza:
- Ukuzivocavoca & Ukwelashwa: Ukwelashwa okuphumelela kakhulu kuye kwaboniswa ukuthi kuyindlela yokuzivocavoca kanye nokwelapha. Ukugcina ukunyakaza kunenzuzo futhi ukuphumula kombhede kuvama ukukhuphula izimpawu. Thola umhlinzeki wengqondo endaweni yakho osebenza nabesifazane abakhulelwe futhi angasiza ukukhuthaza ukuhamba kahle nokuhamba komgogodla.
- Usekela & Amapulangwe: Ukusekela imilenze, ikakhulu uma uhlezi noma ulala ebusuku, kungaba usizo kakhulu. Abesifazane abakhulelwe abanezinhlungu zasemuva ngokuvamile bathola ukulala eceleni kwabo ngomcamelo wokusekela phakathi kwamadolo aguqe ukuze kube lula kakhulu.
- Isicelo se-Ice & Heat: Ubufakazi obunqunyiwe besayensi buzosekela ukusetshenziswa kwabo, kodwa abantu abaningi bathola ukuphumula ngokusebenzisa ukwelashwa okubandayo noma ukushisa kwesicelo sobuhlungu emuva. Enye yalezi zindlela akuzona kangcono kunomunye, kanti abanye abantu bathola imiphumela engcono ngokuphathwa okubandayo kanti abanye bangathola ukukhululeka ngokushisa.
- Ukwelashwa Okuphelele: Abesifazane abaningi bathola ukuphumula kwezinye izindlela zokwelashwa. Lezi zihlanganisa ukwelashwa kwe-chiropractic nokusikhipha. Iseluleko esingcono kakhulu uma ungatholi impumuzo yokuzama enye yalezi zokwelapha ukuze ubone ukuthi ikusiza yini. Buza ukuthi ngabe umuthi wakho we-massage noma isifo se-chiropractor unokuqeqeshwa okuqondile kanye nesipiliyoni ngokuphathwa kwabesifazane abakhulelwe.
- Imithi: Njengoba kungenzeka wazi, imithi ngesikhathi ukhulelwe isetshenziswa ngokuqapha okukhulu. Imithi esetshenziselwa ukukhulelwa ilinganiswa ngesilinganiso sokuhlukanisa iziguli ukusiza iziguli nodokotela ukuba baqonde ingozi engenzeka kumntwana okhulayo. Lesi sigaba sokwahlukanisa siwusizo ezigulini ezinesisindo nezinzuzo zemithi ehlukene yokwelashwa. I-Tylenol ngokuvamile ibhekwa njengephephile futhi ilinganiswe I-Class B. Imithi ephikisanayo yokuvuvukala inezinye izingozi futhi ibhekwa njengeClass C ekukhulelweni kokuqala kanye neClass D ekukhulelweni kwesikhathi esizayo. Ezinye izidakamizwa zokuphumula eziphephile ziphephile ukusebenzisa kanti ezinye kufanele zigweme. Imithi yokwelapha i-narcotic kufanele igwenywe uma kungenzeka. Xoxa ngaso sonke isikhathi ngemithi yokusebenzisa imithi kokubili nodokotela ophuza ubuhlungu bakho emuva kanye nodokotela wakho wezifo.
Isikhathi sokubuyisela
Ngeshwa, akuvamile ukulungisa okusheshayo ukuhlupheka okuphansi emuva okwenzeka ngesikhathi sokukhulelwa. Ngenxa yokuthi ukwelashwa kunciphile, bangathatha isikhathi sokusebenza. Ngenkathi abantu abaningi benethemba lokuxazulula okusheshayo ngemva kokuzalwa, iqiniso liwukuthi ukuxazulula ubuhlungu kungathatha izinyanga noma emva kokubeletha. Abesifazane abaningi bathola ukuphumula ezinyangeni ezingu-6 zokubeletha, kepha kuze kube yingxenye yesiguli seziguli ezikhulile ezihambisana nokukhulelwa zingathatha unyaka noma ngaphezulu ukuxazulula okuphelele izimpawu.
Kubalulekile ukuqaphela ukuthi kunezinye izimbangela ezingavamile zokubuhlungu emuva okungekho nje okushiwo izinguquko ze-physiologic zokukhulelwa. Nakuba iningi lezinkinga lihlobene ne-physiology yokukhulelwa, kunezinkinga ezibandakanya ama-disniations, i-spondylolisthesis, neminye imithombo yokuhlunguphaza emuva okungenzeka. Udokotela wakho angakuhlola ukuthi ubheke izibonakaliso zezimbangela ezingavamile zokubuhlungu emuva emuva kokukhulelwa.
Okubalulekile ukuqonda ukuthi ubuhlungu bokubuyela emuva buvame kakhulu, buvame ukuvela ekuqaleni kokukhulelwa kunokuba abantu bangalindela, kungumphumela wesitatimende esiyinkimbinkimbi sezinguquko kumzimba wokubeletha wesifazane okhulelwe, futhi ngokujwayelekile kuthuthukiswa ngezinyathelo ezithile zokwelashwa ezilula. Abesifazane abahlakulela lolu hlobo lobuhlungu bezintambo kufanele bathole amasu abasebenzelayo ekunciphiseni izimpawu ngoba inkinga ingase ingahambi ngokuphelele ngesikhathi sokukhulelwa futhi ingathatha izinyanga noma isikhathi eside emva kokuba ukulethwa kuxazululwe ngokugcwele.
Imithombo:
I-Casagrande D, i-Gugala Z, i-Clark SM, ne-Lindsey RW. Ubuhlungu Bokubuyela Ebusweni Kanye Nesigqila Samaviki Esibelethweni Ubuhlungu Ekukhulelweni. J Am Acad Orthop Surg. 2015 Sep; 23 (9): 539-49.