Diastasis recti emva kokubeletha: izimpawu, ukwelashwa, izithombe

Ukuze abesifazane, ubuhle egazini kubaluleke njengokugwema impilo, ngakho iyiphi izifo ukuthi azinamphumela kangcono ukubukeka, alethe okuningi yokuthonywa imizwelo engakhi wobulili bubuhle. Omunye izifo ezingemnandi neze ukuthi ungezwa owesifazane ngemuva kokubeletha - a recti diastasis. Le nkinga ingase iqonde kakhulu konakalisa esimisweni omama abasebasha. Ngakho-ke kuyadingeka lokumba cwaningo yayo.

Ingqikithi inkinga

Ebhekisela izihloko ezifana diastasis recti emva kokubeletha, kuyafaneleka ukuthi lena inkinga lalivamile. Abesifazane othola nokubeletha, kokutshelwa ngokukhubazeka kwengane cishe u-40% amacala.

Ngqo diastasis akulutho, njengoba ezinwetshiwe umugqa elimhlophe esiswini. Kalula nje, yingoba kwengcindezi ethile ngesikhathi rectus nokubeletha nje nihlukane. Ngezinye izikhathi ibanga distancing ongafinyelela afinyelela ku-10 cm, nakuba kuyinsakavukela kuyinto 0.5-2 cm. Le nkinga lihlobene isikhathi perinatal, lubalulekile kakhulu futhi eba ke engxenyeni engenhla.

Indlela ukuqaphela diastasis

Ukwanda imisipha besisu, ngokuvamile eba ngemuva ekhulelwe kanti iba lubonakale ngemuva kwezinyanga 2-3 emva kokuzalwa. Uma kukhona ushintsho ngemuva evamile, ezicutshini iba friable xaxa, njengoba kubalulekile ukudala izimo ezidingekayo ukuze umsebenzi ejwayelekile.

Diastasis recti izimpawu ulula: Kwekucala nje, kuba isici esibalulekile yezimonyo elihlobene ne-protrusion esiswini. Nakuba zikhona izimo lapho abesifazane kungaholela ukuphila okumatasa emva kokubelethwa, futhi ukuziba izinguquko ezimbi. Kulesi diastasis isimo izimpawu recti zicacile futhi akukwazi, kodwa kuyoba nokuguquguquka, kodwa ngesikhathi esifanayo ongabonakali.

Iqiniso lokuthi imisipha usukhulile ngaphandle, kungase kubonise ukungakhululeki, umuzwa ukusinda esiswini, kanye ne-belching, ukuqunjelwa kanye kanzima. Uma-ke kunjalo kwenzeka ukuthi kumele abhekane nge diastasis ezinkulu, kubalulekile ukuba sicabangele iqiniso ezilandelayo - isici kuyophumela ohlotsheni liphinyiselwe iziyaluyalu sokusebenza. Ziyakwazi:

- wokwehla contractility kwemisipha odongeni kwamathumbu;

- yoma kwemisipha besisu;

- aponeuroses esisuka futhi thinning;

- ubuhlungu imisebenzi abdominals.

Ngokuqondene nohlobo ubuhlungu, kungase kuhluke kakhulu njengoba isikhathi ukuhlasela, futhi ngenkani.

Anatomy anterior udonga besisu

Diastasis recti emva kokubeletha - yisifo kuyokhanya kuphela ngemuva kokufunda izisekelo isakhiwo odongeni kwamathumbu. Kuyaziwa ukuthi nhlangothi zombili imigca ezimhlophe zibhangqwe rectus ebiyelwe ibhokisi Friend eyaziwa (lakhiwe ngemalunga lamatsatfu ezibanzi ohlangothini muscle umsipha Ukwenyela, nabo aponeurosis).

Ngqo umugqa omhlophe ngokwayo liqala inqubo xiphoid we sternum luqhubeke kuze symphysis pubic. Empeleni, lokhu kwakwakhe aponevrizm imisipha ezibanzi esiswini. Phezulu ububanzi (2-2.5 cm) umugqa omhlophe tapered ngokwengxenye yayo aphansi. Endabeni ezicutshini (aponevrizm) ine sibangela ubuthakathaka ngenxa wathola ngesikhathi sokubeletha angagcina diastasis imithwalo.

ekuxilongweni

Yini edingekayo ukuze unqume diastasis recti emva kokubeletha? Izimpawu sithwele ubuhlungu, ingavela kamuva kakhulu, ngakho ngizilindele akudingekile. Ukukhomba umehluko kudingeka sinake ingxenye yodonga peritoneal, esemgwaqweni iphakathi inqubo xiphoid we sternum kanye inkaba.

Njengoba lokhu kuzosiza ukuhlolwa eqinisekisiwe, engesiyo kunzima ukwenza eyakho: udinga uyolala phansi, izinyawo kufanele bezama phansi kanye imilenze bent emadolweni. Okulandelayo, beka isandla esisodwa phansi kwekhanda lakhe, futhi omunye esiswini futhi kwenze kube ukuze umunwe ngamunye isebangeni perpendicular umugqa mhlophe umbilicus. Lapho wonke kwenziwa, kubalulekile ukuba uphumule esiswini ngokuphelele, bese ukuhamba esithambile eziphonsa umunwe ngaye.

Ngemva kwalokho, emahlombe nesifuba akhonze njengoba ngesikhathi umzimba classical ngenxa yesixuku. Into elandelayo ukwenza - ukuba uqale ukunyakaza kalula agudle emhlophe. Ngakho ungathola onqenqemeni medial kwemisipha iqonde, uzizwa ukungavumelani kwabo (uma ikhona), kanye ukukala ububanzi.

Diastasis recti emva kokubeletha zingahlukaniswa izigaba ezintathu:

- lokuqala: elinesimo kwehlukana phakathi 5 futhi 7 cm;

- yesibili: lusho okungaphezu kokugwema 7 cm distancing;

- Isigaba sesithathu kuthathwa njengesibikezelo esiyiso diastase omkhulu futhi nakanjani kuholela esiswini saggy.

Ukuze udale Izibikezelo afanele isifo kuyadingeka ukuhlola isimo odongeni kwamathumbu ngamunye.

Indlela esiphatha ngayo imisipha iphutha

Diastasis recti emva kokubeletha - ke kodwa kuyinkinga enkulu, ngakho izoliziba, beshaya isimo ukukhukhuleka, akunakwenzeka. Liqinisekisa embonweni wokuthi isandiso aluphumeleli bebodwa futhi njalo ethuthuka ngaphandle kokwelashwa.

Uma kuba Izindaba ezinhle ukuthi lolu hlobo ukuchayeka ngokwemvelo kulesi sifo, njengoba lo msebenzi ophuthumayo ngaso sonke isikhathi. Kukhona izindlela kancane emibi nokwelashwa kwezinkinga ezifana diastasis recti. Ukuzivocavoca - enye yezindlela eziphumelela kakhulu ukuba simelane buthakathaka ngaphandle ukuhlinzwa. Odokotela batusa ukuba iziguli yokutakula endleleni, esikuye isifo isakhasa.

Kodwa iqoqo ukuzilolonga kanye lohlelo lokuqeqesha ezinikwa sisonke Kufanele kukhethwe kuphela ofundisa abanolwazi abayoba ikhumbule zonke izici ngazinye nesimo sesiguli othile ngesikhathi nangemuva kokuzalwa komntwana. Kumele sicacise ukuthi uyosebenzisa wayefisa nomphumela oqabulayo kuphela lapho diastasis ungaphakathi esigabeni sokuqala. Bese ucindezela ngokushesha ukuze ziqinise futhi elula uzobe neutralized.

Uma sinalo ukubhekana izigaba eziseqophelweni ibanga, kunengqondo ukucabanga mayelana nokusebenza. Umgomo ukuhlinzwa ukushabalalisa diastase kanye nokuqinisa qualitative kwendawo inkinga.

Diastasis recti: umsebenzi, ukubuyekezwa

Uma kwenzeka ukuthi esisuka we ezicutshini itholwe inqubo zokuxilonga, ekusebenziseni kufanele inikwe ukuqashelwa okukhethekile. Kakade esikhathini sokuqala ngemuva kokubeletha, abesifazane bangase bakwazi ukwenza izinhlobo ezithile umzimba. Lokhu kungenzeka, isibonelo, okuthiwa ukuma cat, injongo okuyinto ukuqinisa cindezela. Yamanje Ungase futhi abhekwe njengendoda Kegel umzimba. Okumele kuqashelwe ukujikeleza emahlombe, static esisuka futhi besisu ukuphefumula. Uma sincike umbono odokotela (futhi Asizisoli ukwenza), inkathi evumayo kakhulu kuqale ukuqeqeshwa kuyoba ngemva kwamasonto 6. Kunesinye futhi isici okufanele kunakwe lapho inkinga ezifana diastasis recti emva kokubeletha: kwesigaba cesarean (uma kwenzeka) kunikeza uhlaka kwezicubu. Ngakho-ke, lapho ukulethwa ezinjalo kungenziwa waziphatha amasonto kuphela emva 10-12 kusukela ngosuku ukubukeka ingane ezweni.

Ingabe unayo kwangemva kokubeletha diastasis recti? Kuyini futhi kanjani ukuba aphathe lesi zokugula? Ukuze siphendule le mibuzo, kufanele sinake impendulo ababeyisebenzisa indlela ethile yokwelashwa. Uma uhlola ukubukwa abesifazane, ebhekene nenkinga efanayo, kumele kuphetfwe ukuthi ezimweni eziningi umehluko nje izinga ezinzile umsebenzi. Okubalulekile, musa ubuvila wenze konke ngendlela ofuna. Ngokuqondene Ezimweni ezimbi kakhulu, ungakwazi ukubuyisela esimweni esejwayelekile is ngokwethukela kusetshenziswa i inqubo endoscopic oye wazibonakalisa ukusebenza yayo ngokuphindaphindiwe. Kunoma ikuphi, inkinga ezifana diastasis recti emva kokubeletha, yokwelapha ihilela abanekhono kuphela. Ngakho-ke, omunye imisebenzi esemqoka - ukuthola udokotela omuhle.

izici ezibalulekile Physiotherapy

Labo besifazane okwadingeka babhekane nenye kokutshelwa ngokukhubazeka kwengane ezingemnandi njengoba diastasis recti emva kokubeletha, ukuzivocavoca kungakujabulisa ukunikeza kube nomphumela omuhle kakhulu uma inqubo uhambe kahle. Okokuqala ekilasini kuyadingeka ukuba banake uphefumulele phezulu. Okubalulekile lapho enza ngamunye ukuzilolonga phambi noma iyiphi inhlangano amandla ilungelo ukubandakanya esiswini. Ukuze lokhu kwenzeke ngendlela engokwemvelo, kungenzeka ukuthatha ingane ngesandla. Kulokhu, it is ezisetshenziswa ejulile transverse imisipha besisu, okuyinto azungeze esifubeni futhi abe corset.

Kungenxa umthwalo abanekhono kule sethi imisipha ungenza flat esiswini futhi ngesikhathi esifanayo ukuvikela yomgogodla. Njengoba ngoba wona kanye umoya, kubalulekile ukuba bazithobe inqubo efanele, Nokho imisipha transverse enze umsebenzi ikheshi. Into elandelayo ukwenza - ukuba sengidonsa umoya lomhlanga ekhaleni lakho, ngaleyo ndlela enza ihaba esiswini bese ugcwalisa amaphapho akho ngomoya. I umoya okufanele kwenziwe ngomlomo, futhi ngesikhathi monakalo sicabange ukuthi imisipha ukuhambisa phezulu. Kuyinto lesi sikhundla kwemisipha longitudinal futhi kufanele kugcinwe phakathi ukuqeqeshwa amandla. Ukuze labo abakhathalela ngayo ngempikiswano "Diastasis rectus abdominis - indlela ukususa elula", amasu afanayo ehambisana kakhulu.

izinhlobo imisebenzi

Ukuze sinomthelela ngempumelelo ezindabeni ezifana diastasis recti emva kokubeletha, elisetendeni Usuqhubekile, impatho kuhlinzwa.

Kunezinhlobo eziningana ukuhlinzwa ukuthi kusetshenziswa imithi yesimanje iwukudambisa isimo esishubile umugqa omhlophe:

- Nenatyazhnaya plastic, okuyinto aqashe sokwenziwa anezikhala. Nge anezikhala eyenziwe zokwenziwa impahla kanye omiswe emaphethelweni, ihlanganiswa ngokuphelele inkinga zone. Ngenxa yalokho, kukhona ngempela inqubo ezithakazelisayo: the ezicutshini liyakhula libe inetha (izinyanga 1-1.5), kanjalo zakha isimiso esisodwa-oyinkimbinkimbi yokwakheka. Ngokuhamba kwesikhathi, lokhu kuba namandla futhi enza zezinzwa ukwakheka kwezicubu (2 mm ukujiya), okuyinto akesabi ezingaphezu kuka umthwalo appreciable.

- Tension plastic kwezicubu wendawo. Kulokhu, lo dokotela kudala isakhiwo ehlanganisa izicubu we anterior udonga besisu.

Esikhathini imithi zamanje imisebenzi efanayo engenziwa njenge ndlela evulekile, futhi basebenzisa amathekhiniki endoscopic (ngaphandle ukusikeka). Kufanele kuqashelwe ukuthi endoscopic hernia ukulungisa - ingenye yezindlela ephephile futhi ephumelela kunazo ukuqeda lesi sifo njengoba diastasis recti ngemuva kokubeletha. Ukwelashwa eyenziwa lokusebenzisa leli su has eziningi eziwusizo esiphawulekayo:

- azikho izibazi ezibonakalayo;

- ingozi Ukuphinda sifo kuyehla kube sezingeni eliphansi (hhayi ngaphezulu kuka-1%);

- isikhathi nokuvuselelwa sifushane kuka esimweni eyohlinzwa evulekile;

- akukho ubuhlungu.

Ukuba khona imishini yesimanje e ezibhedlela nasemitholampilo ikuvumela ukuba enze le misebenzi nge ezingeni eliphakeme lokunemba. Ngakho-ke, ekulweni le nkinga njengoba diastasis recti emva kokubeletha, ukusebenza - omunye izixazululo ephumelela kunazo.

Isikhathi yokutakula emva kokuhlinzwa

Uma sicabangela lokhu uhlobo ukwelashwa sezicubu zezinzwa ngilulekela njengoba ukungezwani plastic, kunengqondo ukukhuluma mayelana inkathi ende nokuvuselelwa ngemva kokuhlinzwa. Ngalesi sikhathi, abesifazane avinjelwa ngokuqinile ukukhulisa yiziphi izinto ngoyisiwula kusinda kunakho 10 kg. Ngaphezu kwalokho ezinyangeni zokuqala ezintathu yokutakula kuyodingeka sihlanganyele emidlalweni Yiqiniso, ifomu omnene. Ukuze wenze lokhu, uthole ukucwaningwa okuningiliziwe etuswa inkinga ezifana diastasis recti, umsebenzi, futhi-ke, ubonane Udokotela onguchwepheshe. Futhi ukuzicabangela ngezinga elifanayo iqiniso lokuthi isikhathi eside isiguli ehlatshwa.

Kodwa uma ukulungisa diastasis wasebenzisa inqubo kancane koda, owesifazane ungathola embhedeni ngaphandle inkinga ngosuku lokuqala. Nokho, isidingo ukugqoka ngebhandeshi elikhethekile, okuyinto kuyodingeka ukuba siphinde siphile isikhathi esingangenyanga. Enye Izindaba ezinhle ukuthi ngemva kokuhlinzwa kancane koda isiguli uvunyelwe ukushiya esibhedlela ngosuku olulandelayo. Cabanga umsebenzi bomzimba Kunconywa emva kwezinsuku ezingu-14 kusukela ngosuku kuthengiselana. Kodwa ngemva kwamasonto 4-5 ungabuyela ukuphila okuvamile.

Izindlela ukulungiswa kanye nokuvinjelwa

Uma sihlola ngokucophelela nezindaba ezifana diastasis recti emva kokubeletha, ukwelashwa, ukubuyekezwa ngakho nangemiphumela engaba, singasijabulela bafinyelele esiphethweni elula: uma kungenzeka lokhu uphethwe kungcono ukugwema. I izinkundla kunemiyalezo eziningi kusukela abesifazane ukhathazekile mayelana nalolu daba. Ngakho-ke, ngisho nalapho ngikhulelwe (futhi okuhle kunakho konke kuwo) kufanele banikelwe imisetjenzana ukuqinisa diaphragm, imisipha emuva ezijulile, zonke izicubu besisu futhi imisipha floor kwezitho zangasese. Umphumela kuyofezwa elilungile ingcindezi naphakathi-besisu, kanye ekulinganiseni emgogodleni lumbar.

Befuna impendulo yombuzo: "? Diastasis rectus abdominis, indlela ukuhlanza" (Izibuyekezo uqinisekise lesi), kubalulekile ukuba singakhohlwa ngalabo umzimba ukuthi ukuthuthukisa kuyaqina nokuvumelana nezimo we anterior udonga besisu. Enye eziyinkimbinkimbi ezibalulekile - a ukunyakaza block, kunomphumela oluqinisayo ku imisipha floor kwezitho zangasese, okuyinto yena, ukhonza njengomPristi isitho ukwesekwa iphinde ivimbele ukuhamba yabo uma kwenzeka waqinisa naphakathi-besisu.

Ngakho, indlela engcono kakhulu yokugwema kwehlukana imisipha - kuyinto umzimba njalo ngaphambi kokukhulelwa. Kukhona izinhlelo eziningi ezinikeza umzimba ngempumelelo futhi iphephile ukuthi singaqinisa ABS futhi kuvimbele buthakathaka kwezicubu zezinzwa. Kodwa uma kungatholakali ngokushesha ukuthi uphethwe ezimbi namanje kuyowuthonya ke ungalilahli ithemba, ukuqeqeshwa esigculisayo esibhedlela kulandela ukulethwa nodokotela Usizo lwezempilo olunikezwa kuzosiza iwukudambisa inkinga.