Ọmịiko

Ọmịiko

Symphysis pubic bụ nkwonkwo na-ejikọta ọkpụkpụ hip abụọ, ma ọ bụ ọkpụkpụ iliac, n'ihu pelvis (1).

Anatomi nke pubic symphysis

ọnọdụ. Dị n'elu akụkụ ahụ na n'ihu eriri afo, pubic symphysis na-etolite nkwonkwo ihu nke ọkpụkpụ hip abụọ. Ya na sacrum, ọkpụkpụ ndị a na-etolite eriri pelvic bụ ọkpụkpụ nke pelvis. Ọkpụkpụ hip bụ ọkpụkpụ symmetrical jikọtara ọnụ na azụ site na sacrum na n'ihu site na pubic symphysis. Ọkpụkpụ oxal ọ bụla bụ ọkpụkpụ atọ gbakọtara ọnụ: ilium, akụkụ elu nke ọkpụkpụ coxal, ischium, akụkụ ala na azụ, yana pubis, akụkụ ala na n'ihu (2).

Structure. The pubic symphysis bụ nkwonkwo mkpanaka na-adịghị mma nke mejupụtara:

  • eriri interpubic fibrocartilaginous, nke dị n'etiti pubic symphysis, nke nwere oghere nkwonkwo;
  • nkwonkwo interpubic cartilaginous, nke dị n'akụkụ nke ọ bụla n'etiti njikọ interpubic fibrocartilaginous na ọkpụkpụ ọkpụkpụ;
  • Njikọ dị elu na nke dị ala na-ekpuchi pubic symphysis na ọkpụkpụ ọkpụkpụ.

Ọrụ nke pubic symphysis

Shock absorber ọrụ. Ọnọdụ na nhazi nke symphysis pubic na-enye ya ọrụ ihe na-awụ akpata oyi n'ahụ site na ime mgbanwe dị iche iche dị iche iche tensile, mkpakọ na nrụgide nke pelvis nwere ike ịnweta (3).

Ọrụ n'oge ịmụ nwa. N'oge a na-amụ nwa, pubic symphysis na-arụ ọrụ dị mkpa n'ihi mgbanwe ya nke na-enye ohere ka oghere nke pelvis dị ukwuu ma dị mfe nke nwa ọhụrụ. 

Symphysis pathologies

Ọkpụkpụ symphysis nke anụ ahụ na akụkụ anụ ahụ gbara ya gburugburu, dị ka ọkpụkpụ anụ ahụ, nwere ike imetụta ọnọdụ nke rheumatic, ọrịa na-efe efe, mmebi ma ọ bụ traumatic sitere (4).

Nrụrụ pelvic na mgbaji. Ọtụtụ mgbe, mgbaji na pelvis nwere ike ịgụnye symphysis pubic. Ha na-abụkarị n'ihi mmerụ ahụ na-eme ihe ike nke nwere ike ịkpata mgbakasị symphyseal. Nke ikpeazụ kwekọrọ na ntugharị nke hemi-pelvis n'ihe gbasara nke ọzọ.

Ankylosing spondylitis. Na-emetụta nkwonkwo nke vertebrae, na karịsịa kpọmkwem nkwonkwo sacroiliac, ọrịa a na-egbuke egbuke na-egbuke egbuke nwekwara ike imetụta pubic symphysis (4).

osteoporosis. Ọrịa a bụ njupụta nke njupụta ọkpụkpụ nke a na -ahụkarị na ndị mmadụ karịa afọ 60. Ọ na -emesi ike ọkpụkpụ ike ma na -akwalite ụgwọ. (5)

Ọkpụkpụ dystrophy. Nke a na-akpata ọrịa bụ mmepe na-adịghị mma ma ọ bụ imegharị anụ ahụ ọkpụkpụ na-agụnye ọtụtụ ọrịa. Otu n'ime ihe ndị a na-ahụkarị, ọrịa Paget (6) na-eme ka ọkpụkpụ ọkpụkpụ na nrụrụ, na-eduga na mgbu. Banyere algodystrophy, ọ dabara na ọdịdị mgbu na / ma ọ bụ isi ike na-eso trauma (mgbaji, ịwa ahụ, wdg).

Ọgwụgwọ Symphysis

Ọgwụgwọ ahụike. Dabere na pathology achọpụtara, enwere ike ịnye ọgwụ ụfọdụ iji belata mgbu.

Ọgwụgwọ Orthopedic. Dabere n'ụdị mgbawa, enwere ike ịme ọgwụgwọ orthopedic.

Ọgwụ ịwa ahụ. Dabere na ọrịa na mmalite ya, enwere ike ịwa ahụ.

Ọgwụgwọ anụ ahụ. A pụrụ ịhazi usoro ọgwụgwọ anụ ahụ, site na mmemme mmega ahụ akọwapụtara dịka physiotherapy ma ọ bụ physiotherapy.

Nyocha Symphysis

Nnyocha ahụ. Nke mbụ, a na -eme nyocha ahụ iji chọpụta mmegharị ahụ na -egbu mgbu na ihe kpatara mgbu ahụ.

Nyocha onyonyo ahụike. Dabere na ihe a na-enyo enyo ma ọ bụ nke a nwapụtara, enwere ike ịme nyocha ndị ọzọ dị ka X-ray, ultrasound, CT scan, MRI, scintigraphy ma ọ bụ densitometry ọkpụkpụ.

Nyocha ọgwụ. Iji chọpụta ọrịa ụfọdụ, enwere ike ime nyocha ọbara ma ọ bụ mmamịrị dịka ọmụmaatụ, usoro onunu ogwu nke phosphorus ma ọ bụ calcium.

Akụkọ ihe mere eme na ihe nnọchianya nke symphysis

Na-emekarị na ndị na-eme egwuregwu, pubalgia, nke a maara dị ka egwuregwu, na-egosipụta karịsịa site na mgbu na pubic symphysis.

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