Ngokuvamile omama abasha bathola "i-diastase" lapho bevakashela udokotela. Ngaphansi kwalesi sifo kuqondwa ukuhlukana kwemisipha ye-rectus abdominis. Cabanga ngokuhlukumeza ngokuningiliziwe, thola ukuthi kungani i-diastasis iqala emva kokubeletha, uhlobo luni lokugula nokuthi luyingozi kangakanani.
I-Diastasis - Izimbangela
Uma i-diastase ye-rectus abdominis iqala, ingxenye engakwesokudla nengakwesobunxele yesisu isahlukana nendawo ephakathi kwezingqikithi ezahlukene ukusuka emgqeni omhlophe. Uma ukubeletha kwenzeka, lokhu kubangelwa ukukhula okusheshayo kwe-fetus, okufaka ingcindezi emgqeni wangaphakathi lwesisu. Kukhona ukunwetshwa kwezicubu ezixhunyiwe, okuvela kuwo umgca omhlophe wesisu. Ngemuva kokuvela kwengane, ifomu lokucindezeleka elincane kule ndawo, elinganqunywa ngokubonakalayo.
Isici sesibili esiholela ekuthuthukiseni i-diastasis esikhathini sokuhamba kwesikhathi yisikhathi sokuvimbela i-hormone ukuphumula ezikhathini ezizayo, okwandisa ukuqina nokunethezeka kwezinhlaka zomzimba. Ngakho umzimba wenza izigxobo namajoyina ngaphezulu, ukusiza owesifazane ukuba abelethe lula. Noma kunjalo, imisipha yomzimba ingabandakanyeka kule nqubo, yingakho i-pathology iqala.
I-Diastasis - i-degree
Ngemva kokuthola, ngenxa yalokho okushiwo yi-diastasis emva kwezinhlobo, ngabe yikuphi ukukhubazeka, kubalulekile ukutshela futhi mayelana nezinhlobo zezifo. Kuncike ekutheni ukuhlukana kwemisipha yesisu emva kokubeletha kubonakala kanjani, odokotela banikeze ama-degree amathathu wesifo. Kule nkinga, ibanga eliphakathi kwemiphetho yesigamu esinxeleni nesakwesokudla se-rectus abdominis muscle kulinganiselwa ngqo. Ukuhlukanisa:
- I-degree eli-2 - 2-5 cm, ngezigaba zokuqala, kufika ku-2 cm, ukukhubazeka akubonakali ukubona, kutholakala kuphela lapho kutholakala kwesisu;
- I-degree 2 - 5-7 cm, lesi sigaba senqubo yokugulisa isifo sihambisana nokukhukhumeza kwesisu, ikakhulukazi engxenyeni yayo engezansi; ukuqaphela lezo zinguquko, abesifazane baya kudokotela;
- I-3 degree - engaphezu kuka-7 cm, kukhona ukungafani kwemisipha ngesikhathi esisodwa odongeni eliphezulu nangaphansi kwesisu, isimo sezinguquko zesisu - siba sikhululekile, sikhula ngobukhulu, kungenzeka sikhule umlando wakhe.
Ingabe kukhona ukungafani okuncane phakathi komshini emva kokubeletha?
Ukutshela mayelana ne-diastasis emva kokubeletha, uhlobo luni lokugula, odokotela bakhombisa isimo semvelo sokuthuthukiswa kwayo. Bonke abesifazane abakhulelwe banesilinganiso esithile se-diastasis ngesikhathi esiphezulu, ku- 3rd trimester . Ngakho-ke, izenzakalo ezisele zale disorder zingagcinwa esikhathini sokuqala se-postpartum. Ngokuvamile, ukungafani ngokomzimba phakathi kwemisipha yomshini kungakhonjwa amasonto ayisithupha kuya kwangu-8 emva kokubeletha. Kwesinye icala, izinguquko ezinjalo ziphawulwe futhi unyaka ngemva kokuvela kwengane. Noma kunjalo, ibanga alidluli u-2 cm.
Indlela yokunquma i-diastasis ngemuva kokubeletha?
Abesifazane abaye bazwa nokuphulwa okunjalo, njenge-diastasis ngemuva kokubeletha, indlela yokuqaphela ngayo akuyazi ngaso sonke isikhathi. Ukuze uhlolisise ukwephulwa, ukuthatha ukuba khona kwayo, odokotela batusa ukuqhuba ukuhlolwa okulula. Zisekelwe ekusebenzeni umzimba othile:
- Balala emilenzeni yabo, imilenze iguqa ngamadolo. Kancane kancane uphakamise ikhanda namahlombe ngokushelela, ngenkathi ugcina isikhunta esimweni esicindezelwe esifubeni. Ngemva kokubeka isandla phakathi kwe-midline yesisu, kancane ngaphezu kwenkaba, iminwe izama ukuphosa ngaphakathi, kulinganisa ibanga phakathi kwemisipha.
- Ngemva kokubeka emuva, imilenze iqondisa emgodini. Phakamisa kuqala, ekuphakameni kwe-10 cm ukusuka phansi. Iminwe ibekwa esiswini phakathi komugqa ophakathi, uzama ukuyifaka ngaphakathi.
Kulesi simo, udinga ukulalela imizwa yakho - ingabe kukhona ubuhlungu, ukudonsa ukuzwa okungenakukhathazeka endaweni ye-symphysis ye-pubic. Ngesikhathi kwenziwa ukuhlolwa okuchazwe ngenhla, udinga ukuqapha ngokucophelela indawo yokugoma. Uma kunokuvuvukala okuncane, umkhumbi, lokhu kubonisa i-diastase. Khona-ke ukubonisana kwezokwelapha kuyadingeka.
Indlela yokuqeda i-diastasis ngemuva kokubeletha?
Ngemva kokukwazi ukuzikhethela ngokwayo i-diastasis ngemuva kokubeletha, okufanele ukwenze ngemuva kokuba lawo maMama ngokuvamile angazi. I-diastase ye-rectus imisipha yomzimba ngemuva kokubeletha, okuthatha isikhathi eside ukuphatha, ibuye iqiniseke ngesikhathi sokuhlolwa kokuvimbela ngemuva kokubeletha. Kulesi simo, izindlela ezimbili zokwelapha ziyakwazi: ezizimele futhi eziqine kakhulu. Iyokuqala isetshenziswe ku-1 degree of impairment, lapho i-pathology ibonakaliswa kancane futhi ingaqedwa ngokuqinisa imisipha ngosizo lokuzivocavoca umzimba. Ukwelapha okunjalo kuyisikhathi eside futhi kuthatha ngezinye izikhathi unyaka owodwa.
Ukwelapha okukhulu kunomsebenzi wokwenza umsebenzi wokuhlinzwa. Esikhathini sayo, izakhiwo ze-muscle zihlanganiswa ndawonye, zisuse isikhala esivele sikhona. Le ndlela isetshenziselwa ukuphazamiseka okukhulu, okuhambisana nokuthuthukiswa kwe- hernia - ukunyakaza kwesisu esiswini. Ukusebenza kwenziwa ngaphansi kwe-anesthesia jikelele , kuthatha amahora amabili.
Zingaki i-diastases emva kokuzalwa?
Njengoba efunde nge-diastasis esebenzayo ngemuva kokuzalwa kwangempela, ngabe yiluphi uhlobo lwesifo, omama banesithakazelo ukuthi isikhathi sokuthola inqubo siyini. Ubude besikhatsi lapho kunokwenzeka khona ukuqeda i-diastasis yezidumbu zomzimba emva kokubeletha kuxhomeke ekungenikeni kokuphazamiseka. Ngakho-ke, i-degree elula ngokuvamile ihanjiswa ngokuzimela ngezinyanga eziyi-1,5-3. 2 no-3, i-diastase idinga ukuzivocavoca umzimba, futhi ngezinye izikhathi ngisho nokungenelela okuhlinzekwayo. Ngesikhathi esifanayo, yonke inqubo yokutakula ingathatha kusukela ezinyangeni ezingu-5 kuya ku-1 unyaka.
Ukuzivocavoca kwe-diastasia ngemuva kokubeletha
Ukuzivocavoca nge-diastase, okunconywe udokotela, kudinga ukuqaliswa okunembile nokuhlelekile. Kuphela kule nkinga kungenzeka ukufezekisa umphumela kanye nokuqeda i-pathology. Lapho inkimbinkimbi yenzeka izikhathi ezintathu ngesonto, umphumela wokuqala ubonakala ngemva kwezinyanga ezingu-1.5-2. Ekhuluma ngendlela yokususa i-diastase ngemuva kokuzalwa, odokotela babiza lokhu okulandelayo:
- Ukucindezela. Njengoba esecabanga ukuthi amanga, imilenze iyagoqa emadolweni, futhi izinyawo zicindezelwa phansi. Ngaphansi kwesihenqo, ithawula ihanjiswa, ithathe isiphetho sayo bese uwela izingalo ezigobile emaceleni phambi kwakho. Ngesikhathi bexhumisa, baphakamisa ikhanda kanye nebhande lehlombe, kuyilapho isihluthu sicindezelwa ngethawula. Buyela esimweni sokuqala. Phinda ukuvivinya umzimba izikhathi ezingu-10-15.
- Ikhulu. Ukulala phansi, eguqa ngamadolo, cindezela izinyawo zakhe kanye nesinqe ngokuqinile phansi. Amandla abekwe eceleni kwesiqu, izintende zibheke phansi. Ngesikhathi bexhuma, baphakamisa kanyekanye amakhanda abo kanye namahlombe ngezandla zabo kusukela phansi. Ihlehlisiwe esikhundleni semasekhondi ambalwa, bese ubuyela ekuqaleni. Phinda izikhathi ezingu-10.
- Ukubopha imilenze. Ukuzivocavoca kwenziwa ngesimo esivelele phansi. Ukugoba okunye futhi uqondise imilenze, ulayishe izinyawo ebusweni. Phinda izikhathi ezingu-15 ngomlenze ngamunye.
- Ibhuloho. Ukuhlelwa phansi phansi endaweni ehlelekile, izandla phezu komzimba, ukuguqa ngamadolo. Izinyawo zilula kancane kunezintambo. Uma uphuma, phakamisa isikhumba phezulu, kuyilapho ukukhipha amandla kunciphisa. Phinda izikhathi ezingu-10.
Ngiyakwazi yini ukupompa umshini ngesikhathi se-diastase?
I-Diastasis yemisipha yama-rectus i-contraindication yokwenza izivivinyo ezijulile kumaphephandaba . Ukunyakaza okuphindaphindiwe kwe-body up and down kungakwandisa isimo futhi kuholele ekuhlukeni okukhulu kwezakhiwo ze-muscular zodonga lwangaphakathi lomzimba. Ukuzivocavoca okunjalo kuvunyelwe ukwenza okuningi ngezinga eliphansi lokuphazanyiswa - ibanga phakathi kwemisipha ayidluli ku-2 cm.
I-Diastasis ngemuva kokubeletha - indlela yokuhlanza isisu?
Lapho i-diastasis yemisipha yomzimba ivela esikhathini sokuhamba kwesikhathi, odokotela batusa ukugwema ekusebenziseni izivivinyo ezijwayelekile. Kulesi simo, umama kufanele agweme kokubili ukuzikhandla okwesikhashana, ukuthambekela okubukhali. Qala ukukhipha isisu esiswini ngemuva kokubeletha kwababelethi avunyelwe ezinyangeni ezingu-2-3. Ngalesi sikhathi, lesi sibeletho sibuyiselwe kancane, izingxenye zangaphakathi zizokwazi ukuchithwa.
Diastasis emva kokubeletha - ukuhlinzwa
Ngaphambi kokwelapha i-diastasis ngemva kokubeletha, odokotela banquma ukuthi isifo siyini. Uhlobo lomthelela wezokwelapha lusekelwe ngqo kulokhu. Ngakho-ke, i-diastase ye-rectus emathunjini omzimba ngemuva kwe-3rd degree ukuzalwa idinga ukungenelela okuhlinzekwayo. Uma kungenakho i-hernia, ukususwa kwe-endoscopic okuhlukile kuyenziwa. Ngokuzibandakanya ezincane esiswini, udokotela ohlinzayo udonsa izakhiwo zomzimba ezihambisana nomugqa wonke omhlophe. Isikhathi sokubuyisela emuva sokubuyisela sihilela ukugqoka indwangu yokucindezela. Uma kukhona i-hernia yomugqa omhlophe, okokuqala ihlulwa.