Konke Okudingeka Ukwazi Ngokunakekela I-Tailbone Ephukile

-Delile

• Izimpawu zamathambo aphukile
• Izimbangela zomsila ophukile
• Ukuxilongwa
• I-tailbone ephukile ne-tailbone elimele
• Izithombe eziphulwe zomsila
• Ukwelashwa kwe-tailbone ephukile
• Ukwelashwa ngokomzimba
• Ama-cushion e-coccygeal
• Imithi
• Ukuhlinzwa kwamathambo omsila okuphukile
• Isikhathi sokutakula somsila ophukile
• Ukuvuselela
• Ukuzivocavoca kwe-tailbone ephukile
• Ukulala ngentambo yomsila ephukile
• Ukuphathwa kobuhlungu
• I-tailbone ephukile enganeni
• I-tailbone ephukile ngesikhathi sokukhulelwa
• Umphumela

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

I-tailbone, noma i-coccyx, yiqembu lamathambo amancane akha ukuphela okuphansi komgogodla wakho. Ngokuya ngomuntu, ithambo lomsila lakhiwe ngama-vertebrae aphakathi kwamathathu kuya kwamahlanu. Leli qoqo elifushane lamathambo liphela endaweni ethambile. Ngaphandle kwesigaba sokuqala, ama-vertebrae ngokuvamile ahlanganiswa ndawonye.

I-coccyx yomuntu igobile ngaphansi, kepha izinga lokugoba liyahluka kuye ngomuntu nomuntu. Uma uhlala phansi, ingxenye yesisindo sakho somzimba esincike ku-coccyx yakho. Ukuphuka noma ukulimala ku-coccyx kungaba buhlungu kakhulu, ikakhulukazi lapho uhlala phansi.

I-tailbone inamathela emsipheni omkhulu we-gluteus maximus, kanye neminye imisipha eminingi kanye nemisipha.

Abesifazane kufanele babe nezinhlungu zethambo kunamadoda, ikakhulukazi ngesikhathi sokukhulelwa nangemva kokukhulelwa.

Usengozini enkulu uma une-osteopenia (ukuwohloka kwamathambo).

Izingozi zezimoto ziyimbangela evamile yokulimala kwe-coccyx.

Izimpawu zamathambo aphukile

Ubuhlungu bomsila uvame ukutholakala endaweni. Izenzo ezingasusa ubuhlungu zifaka:

• ukuhlala isikhathi eside
• ukuncika emuva lapho ngihlezi
• ukuma isikhathi eside
• ukuvuka endaweni yokuhlala
• ukunyakaza kwamathumbu noma ukuchama
• ucansi

Ubuhlungu obuphansi emuva noma ubuhlungu obudonsela emilenzeni kungenzeka, kepha akuvamile. Ungazizwa unesidingo esivamile sokuzikhulula.

Izimbangela zomsila ophukile

Igama lezokwelapha lobuhlungu e-tailbone yi-coccydynia. Kungaba ngenxa yokuhlukaniswa noma ukuphuka okuphelele (ikhefu).

Abantu abaya kudokotela onobuhlungu bethambo kungenzeka babe nokulimala okushaqisayo kwakamuva emathanjeni omsila kusukela ekuweni noma ekuthintekeni. Kepha njengoba abaningi bengaba nobuhlungu ngaphandle kokukhumbula ukulimala. Kwesinye isikhathi ukuhlala ebhentshini elinzima kungaba yimbangela.

ICoccydynia icishe iphindwe kathathu kubantu abakhuluphele ngenxa yesimo se-coccyx maqondana nomgogodla nezinqe. Lapho uhleli phansi, ithambo lakho lomsila nezinqe zakho ezimbili zakha i-tripod esekela isisindo somzimba wakho ongaphezulu.

Kumuntu ozacile noma onesisindo esimaphakathi, i-coccyx ijikeleza ngaphansi komzimba lapho ihleli, ngakho-ke ingakwazi ukusinciphisa kangcono isisindo. Kumuntu osindayo, onezinqe ezinkulu, i-pelvis ne-coccyx zijikeleza kancane lapho uhleli. Lokhu kubeka ingcindezi ethe xaxa esicongweni se-coccyx futhi kuholele kalula ekususeni noma ekuqhekekeni.

Ukuxilongwa

Udokotela wakho uzosebenzisa ukuhlolwa ngokomzimba kanye nama-X-ray ukuthola ubuhlungu bakho bethambo. Kubalulekile ukwazi ukuthi ngabe okunye ngaphandle kokulimala okubuhlungu kubangela ubuhlungu yini.

Ukuze uthole, udokotela wakho uzozwa izicubu ezithambile ezungeze i-coccyx yakho nomgogodla ongezansi (i-sacrum). Bangakwazi ukubona ukukhula okuyisicubu kwethambo elisha, elaziwa ngokuthi i-bone spicule, okungaba umsuka wobuhlungu.

Bazophinde babheke ezinye izimbangela zobuhlungu, njenge-tumor, i-cyst hair hair, noma i-pelvic muscle spasms.

Ekuhloleni okuyindilinga udokotela wakho ubamba i-coccyx phakathi kwesikhombisi nomunwe wesithupha. Ngokuyihambisa, bangabona uma kunokuhamba okuningi noma okuncane kakhulu ku-coccyx. Ububanzi obujwayelekile bokunyakaza ngu. Okungaphezulu kakhulu noma okuncane kakhulu, kungaba uphawu lwenkinga.

I-X-ray yenziwa ezindaweni zombili zokuma nokuhlala. Ukuqhathanisa i-angle ye-coccyx kulezi zindawo ezimbili kusiza udokotela wakho ukuthi anqume izinga lokuhamba.

I-tailbone ephukile ne-tailbone elimele

I-X ray ingabuye iveze ukuthi ngabe ithambo lomsila liphukile noma lilinyaziwe nje. Ukuphuka kuvame ukubonakala ku-X-ray. Yize ukwelashwa kungahle kufane, isikhathi sokululama sinde ngokwaphuka kunesibazi.

Izithombe eziphulwe zomsila

Ukwelashwa kwe-tailbone ephukile

I-tailbone ephukile noma elimele ilashwa ngaphandle kokuhlinzwa. Kuyaphumelela ezimweni. Ukwelashwa ngokomzimba kanye nokusetshenziswa kwama-cushion akhethekile izindlela zokwelashwa ezivame kakhulu futhi eziphumelelayo.

Ezinye izindlela zokwelashwa ezingezona ezokuhlinzwa zihlanganisa:

• ukuvuselelwa phansi kwe-pelvic
• ukuphathwa ngesandla nokubhucungwa
• ukugqugquzela imizwa kagesi
• imijovo ye-steroid
• ukuvimba kwemizwa
• ukugqugquzela umgogodla

Ukwelashwa ngokomzimba

Umelaphi angakusiza ukuthi ufunde izivivinyo ezelula imisipha futhi ziqinise imisipha esekela umgogodla ongezansi. Bangasebenzisa ukubhucungwa noma ukushintsha ukucindezela okushisayo nokubandayo ukunciphisa izinhlungu. Umelaphi wakho angakukhombisa nendlela efanele yokuhlala.

Ama-cushion e-coccygeal

Lawa ngamakhushini aklanyelwe ngokukhethekile asekela izinqe, kepha anengxenye esikiwe yokunciphisa ingcindezi ku-coccyx. Atholakala ku-inthanethi noma ezitolo ngaphandle kwemithi kadokotela. Nayi eminye imiqamelo etholakalayo ongayithenga.

Ama-cushion ayindilinga (ama-donut) aweluleki njengoba efaka ingcindezi eyengeziwe ku-coccyx. Ziwusizo kakhulu ebuhlungu bezinhlayiya.

Imithi

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) anconyelwa ubuhlungu obuhambisana ne-coccyx elimele noma ephukile. Lokhu kufaka phakathi:

• ibuprofen (Advil, Motrin)
• i-acetaminophen noma i-paracetamol (iTylenol)
• i-aspirin (iBayer, i-Ecotrin)
• I-naproxen (Aleve, Naprosyn)

Ukuhlinzwa kwamathambo omsila okuphukile

Ukuhlinzwa akuvame ukusetshenziswa, kepha kungadingeka kubantu abangaphenduli ekwelashweni.

Ukuhlinzwa kungafaka ukususwa okuphelele kwe-coccyx (coccygectomy), noma ukususwa kwesigaba esisodwa noma ngaphezulu. Imiphumela emihle ivela ezinhlotsheni ezimbili zamacala:

• labo abane-hyper-mobility (inkululeko eningi kakhulu yokuhamba) ye-coccyx
• lawo anama-spicule (acijile, ukukhula okusha kwethambo) ku-coccyx

Isikhathi sokutakula somsila ophukile

Isikhathi sokubuyisela esimweni somsila olimele noma ophukile sincike eminyakeni yakho nobukhulu bokulimala. Izingane zilulama ngokushesha ukwedlula abantu abadala, kanti nabantu abasha abasebasha balulama ngokushesha kunasebekhulile.

Isikhathi esimaphakathi sokululama komgogodla olimele singemaviki amane. I-tailbone ephukile noma ephukile ingathatha amasonto ayi-12 ukuphola.

Ukuvuselela

Ukuvuselelwa kuzobandakanya ukwelashwa ngokomzimba, ukuvivinya umzimba ekhaya, futhi mhlawumbe nomcamelo okhethekile wokuhlala.

Ukuzivocavoca kwe-tailbone ephukile

Udokotela wakho noma owelapha ngokomzimba angakunika izivivinyo zokuqinisa imisipha ezungeze i-coccyx. Lokhu kufaka phakathi izicubu zakho zesisu kanye nalezo zaphansi. Ukuzivocavoca kweKegel kusiza ukuqinisa iphansi le-pelvic. Ziwusizo kwabesilisa nabesifazane.

Ukuma okufanele lapho uhleli nakho kungasiza. Hlala ufulathele isihlalo, futhi ugweme ukugoqa. Gcina izinyawo zakho ziyisicaba phansi, usebenzisa incwadi noma olunye usizo uma imilenze yakho ingafinyeleli.

Ukulala ngentambo yomsila ephukile

Ukuze unciphise ubuhlungu bethambo lomsila eliphukile noma elimele, cabanga ukulala:

• kumatilasi oqinile
• ohlangothini lwakho nomcamelo phakathi kwamadolo akho
• emhlane wakho ngomcamelo ngaphansi kwamadolo akho

Ukuphathwa kobuhlungu

Ukuphathwa kobuhlungu kufaka phakathi ukusikhipha umzimba, ukushisa neqhwa, kanye nezidakamizwa ezingezona ukuvuvukala. Ukuhambisana nokuzivocavoca umzimba kwakho nakho kubaluleke kakhulu.

I-tailbone ephukile enganeni

Ukuguquguquka kwamathambo ezingane kunciphisa amathuba okulimala ku-coccyx. Kepha ukulimala ku-coccyx kusesejwayelekile ezinganeni, ngenxa yezinga lomsebenzi wazo kwezemidlalo nasekudlaleni.

Izikhathi zokutakula ziyashesha ezinganeni kunabantu abadala. Ukuhlinzwa kweCoccygeal akuvamile ukuthi kudingeke.

I-tailbone ephukile ngesikhathi sokukhulelwa

Abesifazane basengozini yokuzwa ubuhlungu bethambo kunabesilisa. Okuningi kwalokhu kuhlobene nokukhulelwa nokubeletha. Ukuzuza kwesisindo kanye nezinguquko ezilandelayo ekumeni ngesikhathi sokukhulelwa kwandisa ingozi yokulimala ku-coccyx.

Indawo lapho kukhona khona i-coccyx futhi ikwenza kube lula ukulimala ngesikhathi sokubeletha okunzima, ikakhulukazi okudinga ukusetshenziswa kwezinsimbi zomculo.

Umphumela

I-coccyx ephukile noma elimele ngokuvamile izelapha yodwa. Ukwelashwa ngokomzimba, ukuzivocavoca umzimba, kanye nesigqiki esikhethekile konke kungasiza ekunciphiseni ubuhlungu nokusimama kokululama.

Bheka udokotela wakho uma ubuhlungu bukhulu, noma uma unenkinga ngokunyakaza kwamathumbu noma ukuchama. Ukuhlinzwa kuyadingeka ezimweni ezingaphansi kwamaphesenti ayishumi.