Ubuhlungu beGroin

Ubuhlungu be-groin buthinta abesilisa nabesifazane abaningi, kusukela ekuphathekeni kabi kuya ebuhlungwini obukhulu. Lesi simo esivamile kodwa esivame ukungaqondakali kahle sithinta imisebenzi yansuku zonke kanye nezinga lempilo. Ukuqonda izimbangela, izimpawu, kanye nokwelashwa kobuhlungu be-groin kubalulekile kulabo abafuna impumuzo kanye nenhlalakahle ethuthukisiwe.

Kuyini I-Groin Pain?

Ubuhlungu be-groin bubhekisela ekuphatheni kabi noma ukuzwa okungavamile endaweni lapho isisu sihlangana khona nethanga eliphezulu. Le ndawo yobuhlungu be-groin kwabesilisa nabesifazane ingahlanganisa ukugoqa phakathi kwesisu nethanga, ngenhla nje kwalowo mphetho, noma ngaphansi kwaso. Abantu bangase bazwe ubuhlungu be-groin nhlangothi zombili zomzimba wabo, okubangela ubuhlungu be-groin kwesokudla noma kwesokunxele.

Ukuqala kobuhlungu ku-groin kwabesifazane nabesilisa kungase kuhluke. Abanye abantu babhekana nobuhlungu obubukhali obungazelelwe, kuyilapho abanye bebona ukukhula kancane kancane kokungakhululeki. Lokhu kuhlukahluka ekuqaleni ngokuvamile kuncike kumbangela eyinhloko yobuhlungu.

Ukuqonda Izimpawu Zobuhlungu Be-Groin

Ubuhlungu endaweni ye-groin kwabesilisa nabesifazane bungahluka ukusuka kobumnene kuye kobunzima futhi buhluke kumuntu nomuntu. Okulandelayo ezinye izimpawu ezivamile zobuhlungu be-groin:

• Ukuzwa okubukhali, okudonsayo phakathi nomsebenzi womzimba
• Ubuhlungu obuqhubekayo noma ukungakhululeki endaweni ye-groin
• Ubuhlungu obunzima ngokuhamba
• Ubumnene noma ukuvuvukala endaweni ethintekile
• Ukushisa okungapheli noma ukucasuka endaweni ethintekile
• Ubuhlungu bungase buphume e-groin buye kwezinye izingxenye zomzimba, njengesisu esingaphansi noma ngaphezulu kwethanga.
• Imisebenzi ethile nokunyakaza (ukuhamba, ukuzungezisa inqulu, ukukhwehlela, noma ukuthimula) kungase kubangele noma kuqinise ukungakhululeki.
• Ubuhlungu bungase buqhubeke izinsuku ezimbalwa noma ngisho amasonto, kuye ngobunzima bokulimala noma isimo esingaphansi.
• Kwezinye izimo, abantu baba nezinhlungu ezibukhali zokudubula endaweni ye-groin. Lezi zinhlungu zingaba kungazelelwe futhi zibe nzima, ngokuvamile zibambe abantu bengalindele.

Izinkinga ze-Groin Pain

Ubuhlungu be-groin bunomthelela kubantu abaningi futhi bungavela emithonjeni ehlukahlukene. Nazi ezinye zezizathu ezivame kakhulu zobuhlungu be-groin:

• Imisipha Yemisipha: Isizathu esivame kakhulu sobuhlungu be-groin ukucindezeleka emisipha noma imisipha endaweni ye-groin.
• Ukulimala Kwezemidlalo: Abasubathi bajwayele kakhulu ubuhlungu be-groin ngenxa yokunyakaza okuphindaphindiwe kanye nezinguquko ezingazelelwe ekuqondeni kwezemidlalo eminingi. Ukulimala kwe-groin okujwayelekile okuhlobene nezemidlalo kufaka:
  • I-Adductor tendinopathy
  • I-hernia yezemidlalo
  • Izinyembezi ze-Hip labral
• I-Hernias: I-inguinal hernias ingabangela ubuhlungu endaweni ye-groin. Ezimweni ezingavamile, i-hernia eklinyiwe (lapho i-hernia ilahlekelwa ukutholakala kwegazi) ingenzeka, edinga ukunakekelwa kwezokwelapha ngokushesha.
• Izinkinga Ezihlangene Ze-Hip: Izimo ezithinta i-hip joint zingabonakalisa njengobuhlungu be-groin. Lokhu kubandakanya:
  • I-osteoarthritis
  • Ukufakwa kwe-Hip
  • I-Bursitis
• Izinkinga ze-Urological: Izimo ezihlukahlukene ze-urological zingaholela ebuhlungu be-groin, njenge:
  • Izifo ezithinta u-Urinary (Ama-UTI)
  • Amatshe ezinso
  • I-Prostatitis emadodeni
• Izimo ze-Gynecological: Abesifazane bangase bazwe ubuhlungu be-groin ngenxa:
• Ama-cysts ama-ovari
  • endometriosis
  • Isifo sokuvuvukala kwePelvic
• Ukucindezelwa Kwezinzwa: Izimo ezifana ne-sciatica noma i-meralgia paresthetica, lapho izinzwa ezingaphansi komhlane noma i-pelvis zicindezelwa, zingabangela ubuhlungu obuphuma ku-groin.
  • I-Bone Fractures: Kwezinye izimo, ukuphuka kwe-pelvis noma i-hip kungaholela ebuhlungu be-groin.
  • Ukuvuvukala kwe-Lymph Node: Ukutheleleka noma umdlavuza othile kungabangela ama-lymph node avuvukile endaweni ye-groin, okubangela ubuhlungu nokungakhululeki.
  • Ubuhlungu Obubhekiselwe: Ngezinye izikhathi, ubuhlungu obuvela kwezinye izindawo zomzimba, njengomhlane ophansi noma isisu, bungazwakala ku-groin ngenxa yemigudu ehlanganyelwe yezinzwa.

Ukuxilongwa kwe-Groin Pain

Odokotela basebenzisa isu elinezici eziningi ukuhlonza ngokunembile imbangela eyinhloko yokungakhululeki kwe-groin, okuhlanganisa:

• Umlando Wezokwelapha: Inqubo yokuxilonga ngokuvamile iqala ngokuxoxa kahle ngezimpawu zesiguli nomlando wezokwelapha. Udokotela ubuza mayelana nemisebenzi yakamuva yomzimba, ukuqala kobuhlungu, nanoma yiziphi izici eziba zimbi kakhulu noma ezidambisa ukungakhululeki.
• Ukuhlola Umzimba: Udokotela uhlola ngokucophelela indawo ye-groin, ebheka izimpawu zokuthambile, ukuvuvukala, noma okunye okungavamile. Bangase benze izivivinyo ezithile ukuze bahlole amandla emisipha nokuvumelana nezimo. Odokotela bangase futhi bafake umunwe endaweni ye-groin futhi bacele isiguli ukuthi sikhwehlele futhi sithole i-hernia, okungase kube imbangela yobuhlungu be-groin.
• Ukuhlolwa Kwezithombe: Zisiza ukuqinisekisa ukuxilonga futhi zikhiphe izimo ezithile, okuhlanganisa:
• Ama-X-ray: Ama-X-ray ane-angled ahlukene asiza ukukhomba ukuphuka kwamathambo noma okunye ukungahambi kahle kwamathambo okungase kubangele ubuhlungu.
• I-Ultrasound: Lokhu kuhlolwa okungahlanyisi kungathola ukulimala kwezicubu ezithambile, ukwakheka koketshezi, noma i-hernias.
• I-Magnetic Resonance imaging: I-MRI isiza ukukhomba izinyembezi zemisipha noma ze-tendon, ukopha kwangaphakathi, noma ezinye izinkinga zesakhiwo.
• Ukuhlolwa Kwegazi: Isibalo segazi esiphelele (CBC) singasiza ekunqumeni ukuthi ukutheleleka kukhona yini, okungenzeka kubangele noma kubangele ubuhlungu be-groin.

Ukwelashwa kwe-Groin Pain

Ukwelashwa kobuhlungu be-groin ngokuyinhloko kuncike kumbangela kanye nobukhulu bokulimala. Lokhu okulandelayo yizindlela zokwelapha eziyinhloko:

• Indlela ye-RICE: Iphrothokholi ye-RICE iyindlela enconyelwe kabanzi yokuphatha ukulimala kwe-groin, ikakhulukazi lezo ezibandakanya imisipha yemisipha:
  • Ukuphumula: Thola ukuphumula okuningi futhi ugweme ukunyakaza okwandisa ubuhlungu.
  • Iqhwa: Faka i-ice compress noma ama-ice cubes ahlanganiswe ngendwangu endaweni ethintekile imizuzu engu-15-20 njalo emahoreni angu-3-4.
  • Ukucindezela: Sebenzisa amabhandeshi anwebekayo noma izingubo zokucindezela ukuze wehlise ukuvuvukala.
  • Ukuphakama: Phakamisa indawo ethintekile ngaphezu kwezinga lenhliziyo ukuze unciphise ukuvuvukala.
• Imithi: Izinciphisi zobuhlungu ezingaphezu kwe-counter kanye nezidakamizwa ezilwa nokuvuvukala zingasiza ukuphatha ukungakhululeki:
  • Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
  • I-Acetaminophen
• Ukwelapha Ngomzimba: Ekulimaleni okuningi kwe-groin, ukwelapha ngokomzimba kudlala indima ebalulekile ekululameni. I-physiotherapist ingaklama uhlelo olufanelana nokulimala okuthile, okungase kuhlanganise:
  • Ukuzivocavoca kwe-Isometric nokuqinisa umzimba
  • Ukuzivocavoca kwe-Proprioception ukuthuthukisa ukuqwashisa komzimba
  • Ukubuyela kancane kancane emisebenzini eqondene nezemidlalo
• Ukunakekelwa Kwasekhaya Nokulungiswa Kwendlela Yokuphila: Amasu amaningana okunakekela ekhaya angasekela ukululama:
  • Ukusebenzisa izinduku noma into yokuhamba uma kunzima
  • Ukugqoka izikhindi zokucindezela ukuze uthole ukwesekwa
  • Ukugwema imisebenzi ebangela ubuhlungu
  • Ukufaka ukushisa ngemva kokuba ukuvuvukala kokuqala sekuphelile
• Ukuhlinzwa: Ukuhlinzwa akuvamile ukuthi kudingeke ekulimaleni kwe-groin kodwa kungase kudingeke ezimeni ezinzima:
  • Izinkinga zemisipha zeBanga lesi-3 (izinyembezi ezigcwele zemisipha)
  • Ukulimala lapho ama-tendon noma i-ligaments ikhishwe khona ethanjeni
  • I-Hernias edinga ukulungiswa

Uzoyibona Nini Udokotela

Nakuba izimo eziningi zobuhlungu be-groin zingezimbi kakhulu, ezinye izimo zingabonisa isimo esiphuthumayo sezokwelapha. Funa usizo oluphuthumayo uma uzwa ubuhlungu be-groin obuhambisana nanoma yiziphi izimpawu ezilandelayo:

• Ukudabuka noma ukuhlanza
• Fever
• Kungazelelwe, ubuhlungu obukhulu esendeni elilodwa ngaphandle kwesizathu esaziwayo
• Ukuvuvukala okubuhlungu, okubonakalayo ohlangothini olulodwa lwe-scrotum
• Isigaxa esibonakalayo esendeni lakho
• Kungazelelwe, ubuhlungu obukhulu ku-hernia
• Ukuvuvukala noma ukushintsha kombala wesikhumba eduze kwe-hernia

Prevention

Ukuvimbela ubuhlungu be-groin kubalulekile ekugcineni impilo yonke nokugwema ukungakhululeki. Abantu banganciphisa ubungozi babo bokuthuthukisa izinkinga ezihlobene ne-groin ngokusebenzisa amasu athile, afana nalawa:

• Ukufudumala nokuzelula ngendlela efanele ngaphambi kokuzivocavoca umzimba kusiza ukulungisa imisipha ukuze ikwazi ukuvivinya umzimba futhi kunciphise ingozi yokulimala.
• Ukuqina kancane kancane kuyanda lapho uhlanganyela emisebenzini yomzimba noma ukuzivocavoca.
• Ukuzivivinya njalo ukuqinisa imisipha yethanga, ikakhulukazi imisipha yethanga yangaphakathi kanye ne-lateral hip, kungasiza ekuvimbeleni ukulimala kwe-groin.
• Ukugqoka izicathulo ezisekela kahle ezilingana kahle kubalulekile ekuvimbeleni ubuhlungu be-groin.
• Kubalulekile ukuyeka ukuzivocavoca uma uzwa ukuqina noma ubuhlungu enqenqemeni lakho noma ngaphakathi kwethanga lakho.
• Ukugcina isisindo esilinganiselwe kungasiza ekuvimbeleni izimo ezingase ziholele ebuhlungu be-groin, njenge-hernias. 
• Ukuhlala unamanzi ngokwanele kungasiza ekuvimbeleni amatshe ezinso, angabangela ubuhlungu be-groin. Ukwengeza, ukuqinisekisa ukuthi i-vitamin D eyanele kanye nokudla kwe-calcium kunomthelela empilweni yamathambo, okungase kwehlise ingozi yokuphuka okuthile.

Isiphetho

Ubuhlungu be-groin yisimo esiyinkimbinkimbi esingabangelwa yizimbangela ezihlukahlukene futhi sibe nomthelela omkhulu empilweni yansuku zonke. Ukusuka ekucindezelekeni kwemisipha kuya ezimweni ezimbi kakhulu, ukuqonda izimpawu nokufuna usizo lwezokwelapha olufika ngesikhathi kuyizinyathelo ezibalulekile zokulawula nokwelapha ubuhlungu be-groin ngempumelelo. Inhlanganisela yezindlela zokwelapha ezilandelanayo, okuhlanganisa indlela ye-RICE, imithi, kanye ukwelashwa ngokomzimba, ngokuvamile kubonakala kuphumelela ekulawuleni ubuhlungu be-groin. Abantu bangathuthukisa inhlalakahle yabo futhi balondoloze indlela yokuphila ematasa ngokuhlala benolwazi futhi bematasa ngempilo ye-groin.

FAQ sika

1. Buvame kangakanani ubuhlungu be-groin?

Ubuhlungu be-groin yinkinga esabalele ethinta abantu bayo yonke iminyaka nezindlela zokuphila emhlabeni jikelele. Kudlangile kubasubathi, cishe umuntu oyedwa kwabayishumi ovakashela imitholampilo yemithi yezemidlalo ebika ubuhlungu benyonga. Kodwa-ke, kubalulekile ukuqaphela ukuthi ubuhlungu be-groin akubona abasubathi kuphela. Abantu abanamazinga ahlukahlukene okuzivocavoca bangathola ukungakhululeki kwe-groin ngenxa yezimbangela zakho eziningi.

2. Ikuphi igroin?

I-groin yindawo lapho isisu sihlangana khona nethanga elingaphezulu. Lesi sifunda siqukethe izinhlaka ezimbalwa ezibucayi, okuhlanganisa imisipha, imisipha, nezinye izicubu ezingalimala noma zivuvuke.

3. Kungani inyonga yami ibuhlungu ohlangothini olulodwa?

Ubuhlungu be-groin ohlangothini olulodwa bungenzeka ngenxa yezizathu ezihlukahlukene:

• Ukusetshenziswa ngokweqile kwemisipha
• Ukunyakaza okungazelelwe
• Ukulimala okuqondile endaweni
• UHernias
• Izinkinga ze-Hip (ezifana nezinyembezi ze-labral noma i-hip impingement)
• Amatshe ezinso
• Izifo ze-Urinary tract infections (UTIs)
• Ama-cysts ama-ovari (kwabesifazane)
• Ama-lymph node akhulisiwe

4. Indlela yokuqeda ubuhlungu be-groin?

Indlela ephumelela kakhulu yokunciphisa ubuhlungu be-groin incike kumbangela yayo eyinhloko. Kodwa-ke, indlela ye-RICE (ukuphumula, iqhwa, ukucindezelwa, nokuphakama) ibonise ukuthi inenzuzo ezimweni eziningi, ikakhulukazi lezo ezibandakanya ukungezwani kwemisipha.

Amasu engeziwe okusiza ukuqeda ubuhlungu be-groin ahlanganisa:

• Imithi yobuhlungu esezingeni eliphakeme
• Ukuzivocavoca okulula nokuqinisa umzimba
• Ukwelapha ngokomzimba

5. Ingabe ukuhamba kubi ngenxa yokulimala kwenyonga?

Ukuhamba ngokulimala kwe-groin ngokuvamile akubhekwa njengokuyingozi, kodwa ukulalela umzimba wakho nokugwema imisebenzi ebangela ubuhlungu obubukhali kubalulekile. Abantu abaningi bangakwazi ukuhamba nge-groin strain, kodwa izinga elifanele lomsebenzi lincike ebukhulu bokulimala.

UDkt. Jyoti Mohan Tosh

MBBS, MS (Ukuhlinzwa Okujwayelekile), Mch (Urology)
CARE Hospitals, Bhubaneswar

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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