Ubuhlungu be-Tailbone

Ubuhlungu be-tailbone bungaba isicefe, okwenza imisebenzi yansuku zonke efana nokuhlala noma ukuma ungakhululekile. Lesi simo esivamile sithinta ithambo elincane elingaphansi komgogodla, okubangela ukungakhululeki nokunciphisa ukuhamba. Kunezizathu ezihlukahlukene zobuhlungu be-tailbone, kusukela ekulimazeni kuya ezimweni zezokwelapha. Ake sihlole izimbangela zobuhlungu be-tailbone, izimpawu zayo, kanye nezinkinga ezingaba khona. Sizophinde sixoxe ngezinketho zokwelapha ubuhlungu be-tailbone kanye nezindlela zokukhulula ubuhlungu be-tailbone ukusiza ukuphatha ukungakhululeki. 

Iyini i-Tailbone Pain? 

Ubuhlungu ku-tailbone, ngokwezokwelapha okwaziwa ngokuthi i-coccydynia, ukungakhululeki noma ubuhlungu obuzwayo ku-coccyx. I-coccyx iyithambo elincane elingunxantathu elisendaweni yomgogodla. I-coccyx, evame ukubizwa ngokuthi i-tailbone, idlala indima ebalulekile ekusekeleni isisindo somzimba lapho ihlezi futhi iyindawo yokunamathisela yemisipha ehlukahlukene, imisipha, nemisipha. 

Ubuhlungu be-tailbone ngokuvamile bubekwe endaweni ehlangene ye-sacrococcygeal futhi ngokuvamile ichazwa ngokuthi "ukudonsa" noma "ukusika" ukuzwa. Abantu abaningi babika ububele lapho indawo ithintwa. 

Izimbangela Nezingozi Zobuhlungu Bomsila 

Ubuhlungu be-tailbone bungaba nezimbangela ezihlukahlukene kanye nezici eziyingozi. Lokhu kubandakanya: 

• Ukuhlukumezeka Kwangaphandle: Ngokuvamile kubangelwa ukuwa okubuyela emuva. Lokhu kungaholela ekulimazeni, ukuhlakazeka, noma ukuphuka kwe-coccyx. 
• Ukuhlukumezeka Kwangaphakathi: I-coccyx isengozini yokulimala ngesikhathi sokulethwa okuyinkimbinkimbi noma ngezinsimbi. 
• Ukulimala Okuphindaphindiwe: Imisebenzi efana nokuhamba ngebhayisikili nokugwedla, ehlanganisa ukuncika emuva naphambili, ingacindezela izicubu ezizungeze ithambo lomsila. 
• Ukuhlala Okude: Izindawo eziqinile noma ezingakhululekile zingabeka ukucindezela ngokweqile ku-coccyx futhi kubangele ubuhlungu be-tailbone uma uhlezi. 
• Ubulili: Abesifazane banamathuba aphindwe kahlanu okuba nobuhlungu be-tailbone kunabesilisa. 
• ukukhulelwa kanye Nokuzalwa: Ushintsho lwamahomoni lungathambisa indawo ephakathi komsila kanye ne-sacrum, okungase ngezinye izikhathi kuholele ekunwetshweni ngokweqile kwemisipha nemigqa ezungeze ithambo lomsila. 
• isisindo: Ukukhuluphala ngokweqile kudala ingcindezi eyengeziwe ku-coccyx, okungabangela ukuthi incike emuva. Ngokuphambene, ukuba nesisindo esingaphansi kungase kuholele ekuncipheni kancane ezinqeni, okubangela ukuba ithambo lomsila lihlikihle imisipha nemisipha. 
• Ezinye Izinto: Lokhu kungase kuhlanganise ukuma okungalungile, i-hypermobility ehlangene, kanye nesifo esiwohlokayo sokujoyina noma i-disc.

Izimpawu ze-Tailbone Pain 

Ubuhlungu be-tailbone bungabonakala ngezindlela ezihlukahlukene, njenge: 

• Ubuhlungu nobumnene: Ibonakala ngaphansi komgogodla, eduze nendawo ephezulu yezinqe. 
• Ubuhlungu Ku-Tailbone Lapho Uhlezi: Kuvame ukuba kubi kakhulu phakathi nesikhathi eside sokuhlala noma sokuma. 
• Ubuhlungu ngenkathi ushintsha: Ubuhlungu bungase buqine uma uncike emuva ngenkathi uhlezi noma ushintsha usuka ehlezi uye endaweni yokuma. 
• Ukungakhululeki ngesikhathi sokunyakaza kwamathumbu: Abanye abantu bakuthola kungakhululeki kakhulu lapho bephuma amathumbu noma benza ucansi. 
• Ezinye izimpawu zingafaka: 
  • Ukuvuvukala endaweni ye-tailbone 
  • Ukuhlungu obusemhlane kanye ne-sciatica 
  • Umuzwa wokuba ndikindiki noma ukuzwa ukushoshozela ezingalweni, imilenze, noma igroin 
  • Kunzima ukulala 
  • Ukucindezeleka nokukhathazeka 
  • Izinkinga zamathumbu noma esinyeni 
  • Isisindo esibonakalayo endaweni ye-tailbone 

Izinkinga 

Ubuhlungu be-tailbone, nakuba ngokuvamile bulawuleka, bungabangela izingozi zempilo uma bungelashwa noma buba buhlala isikhathi eside. Lokhu kungase kuhlanganise: 

• I-Chronic Pain Syndrome: Lesi simo singathinta kakhulu izinga lempilo yomuntu, sithinte imisebenzi yansuku zonke njengokuma noma ukuhlala isikhathi eside. 
• Ukungasebenzi Kwe-Pelvic Floor: I-pelvic floor muscle complex, enamathela eduze kwethambo lomsila, ingase ithinteke, okuholela ebuhlungu ngesikhathi socansi, ukuhluleka komchamo, kanye nokungahambi kahle ngesikhathi sokunyakaza kwamathumbu. 

Sifo 

Izinyathelo yilezi: 

• Umlando Womuntu Siqu: Udokotela wakho ubuza nganoma yikuphi ukulimala okudlule noma ukuhlukumezeka endaweni ye-tailbone (ukuwa noma okuhlangenwe nakho okunzima kokubeletha). Baphinde babuze ngesimo kanye nobude bezimpawu. 
• Ukuhlolwa Komzimba: Bahlola isikhumba esizungeze ithambo lomsila ukuze bathole izimpawu zokutheleleka, ama-pilonidal cysts, noma ama-hemorrhoids. Bangase benze i-palpation yangaphandle ukuze bahlole ukuzwela kwendawo phezu kwe-coccyx. 
• Uphenyo Lweradiological: 
  • I-X-ray ivame ukusetshenziselwa ukuqinisekisa ukwenzeka kokuphuka noma ukuhlukaniswa komsila. 
  • Ama-X-ray anamandla, athathwe kukho kokubili izindawo zokuhlala nokuma, angaba usizo ekuhloleni ukuhamba kwe-coccygeal nokuhlonza okungavamile okungase kugejwe kuma-radiographs avamile. 
  • I-CT Scan noma i-MRI: Lokhu kuhlola kungaveza ukuphuka, amathumba, nokunye ukungahambi kahle kwesakhiwo. 
  • I-Coccygeal Discogram: Lesi sithombe sibandakanya ukujova umehluko kanye nezinzwa zendawo endaweni ye-sacrococcygeal. 

Ukwelashwa Kwe-Tailbone Pain 

Indlela yokwelapha ubuhlungu be-tailbone incike kumbangela nobukhulu bayo. 

• Amakhambi Asekhaya: Lezi zihlanganisa:  
  • Ukuthatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ukunciphisa ubuhlungu nokuvuvukala 
  • Ukuhlala phezu komcamelo wedonathi noma umcamelo wejeli omise okwe-wedge ukuze unciphise ingcindezi kuthambo lomsila 
  • Faka amaphakethe ashisayo noma abandayo emhlane ophansi imizuzu engama-20 kuye kwengama-30 izikhathi ezimbalwa nsuku zonke. 
  • Ukugeza okugeza okushisayo kungasiza futhi ukuphumula imisipha futhi kudambise ukungakhululeki. 
  • Kulabo abazwa ubuhlungu ngesikhathi sokunyakaza kwamathumbu, izithambisa indle zingase zibe usizo.
• Ukwelashwa Ngaphandle Kokuhlinzwa: Lokhu kungafaka: 
• I-Coccygeal nerve blocks (imithi yokujova i-numbing kanye ne-steroids) ukunciphisa ubuhlungu nokuvuvukala. 
• Ukwelashwa kwe-Massage 
• Ukwelapha ngokomzimba ukuthuthukisa ukuma nokwelula imisipha 
• I-acupuncture 
• Ukuvusa izinzwa kagesi ka-Transcutaneous (Tens) 
• Ukwelashwa Kokuhlinzwa: 
  • Zisetshenziswa uma ezinye izindlela zokwelapha zehlulekile. Kubandakanya i-coccygectomy eyingxenye noma ephelele (ukususwa kwengxenye noma yonke i-coccyx). 

Ngesikhathi sokubona udokotela 

Ukufuna usizo lwezokwelapha kubalulekile kwezinye izimo, njenge: 

• Uma ubuhlungu buqhubeka isikhathi esingaphezu kwamasonto ambalwa naphezu kokuzama izindlela zokwelapha zokuzinakekela 
• Uma abantu beba nezimpawu ezengeziwe njengobuhlungu kwezinye izindawo zomzimba, njengezinqe, iqolo, noma isisu. 
• Uma kunomkhuhlane ophezulu, ikakhulukazi lowo ofinyelela ku-39.4 degrees Celsius noma ngaphezulu, uhlangene nobuhlungu bethambo lomsila 

Prevention 

Kunezinyathelo ezimbalwa abantu abangazithatha ukuze banciphise ubungozi babo. Lokhu kubandakanya: 

• Gcina ukuma okuhle, ikakhulukazi uma uhlezi isikhathi eside. 
• Ukusebenzisa i-coccyx cushion eklanywe ngokukhethekile noma ukuhlala ebholeni lokuzivocavoca 
• Thatha ikhefu njalo futhi ugweme ukuhlala ezindaweni eziqinile. 
• Ukugqoka izingubo ezikhululekile endaweni engezansi kanye nendawo engemuva 
• Ukuzibandakanya ekuzilolongeni kwe-pelvic floor, ikakhulukazi ngesikhathi sokukhulelwa, ukuqinisa imisipha esekela i-tailbone 
• Ukunciphisa amathuba okuwa ngephutha ngokufaka ama-railing ezitebhisini nokuqinisekisa ukukhanya okuhle 

Isiphetho 

Ubuhlungu be-tailbone bungaba nomthelela omkhulu empilweni yansuku zonke, okwenza imisebenzi elula efana nokuhlala ungakhululekile. Ngokulandela amathiphu nezeluleko ezinikeziwe, abantu abaningi bangathola ukukhululeka futhi bathuthukise izinga labo lempilo. Khumbula, uma ubuhlungu buqhubeka noma buba bubi nakakhulu, funa usizo lwezokwelapha. Ngendlela efanele, izimo eziningi zobuhlungu be-tailbone zingaphathwa ngempumelelo, okuvumela abantu ukuba babuyele emisebenzini yabo evamile ngokunethezeka okukhulu. 

Imibuzo Evame Ukubuzwa 

1. Yini ebangela ubuhlungu be-tailbone ngaphandle kokulimala? 

Ukuhlala isikhathi eside, ikakhulukazi ezindaweni eziqinile, kudala ukucindezela ngokweqile ku-coccyx, okuholela ekuphatheni kabi. Ukuma okungekuhle nokukhuluphala ngokweqile noma ukukhuluphala ngokweqile nakho kungaba nomthelela ebuhlungu bethambo lomsila. Kwezinye izimo, ukukhulelwa nokubeletha kungase kubangele ubuhlungu be-tailbone ngenxa yezinguquko ze-hormonal kanye nokucindezela okwengeziwe endaweni ye-pelvic. 

2. Ingabe ukuhamba kuhle kubuhlungu bethambo lomsila? 

Ukuhamba kungazuzisa ubuhlungu be-tailbone njengoba kukhuthaza ukujikeleza kwegazi futhi kusiza ukukhulula ukungezwani emisipha ezungeze i-coccyx. 

3. Ingabe kufanele ngikhathazeke uma umsila wami ubuhlungu? 

Ezimweni eziningi, ubuhlungu be-tailbone akuyona imbangela yokukhathazeka okukhulu futhi ngokuvamile kuthuthukiswa ngamakhambi asekhaya nokuphumula. Nokho, uma ubuhlungu buqhubeka isikhathi esingaphezu kwamasonto ambalwa, buhambisana nezimpawu nezimpawu ezifana nokuba ndikindiki noma ukushoshozela emilenzeni, noma kuphazamisa imisebenzi yansuku zonke, kuyatuseka ukuthi ufune usizo lwezokwelapha. 

4. Yini okufanele ngiyigweme uma umsila wami ubuhlungu? 

Gwema ukuhlala isikhathi eside ukuze udambise ubuhlungu be-tailbone, ikakhulukazi ezindaweni eziqinile. Gwema ukugqoka izingubo ezimpintshayo ezansi naphansi nomhlane. Kungcono futhi ukugwema imisebenzi ebeka ingcindezi eqondile ku-tailbone, njengokuhamba ngebhayisikili noma ukugwedla kuze kuphele ubuhlungu. Futhi, zama ukungalali ngesisu sakho, okungase kubangele ukungakhululeki. 

5. Yikuphi ukudla okusiza ubuhlungu be-tailbone? 

Nakuba kungekho ukudla okuqondile kobuhlungu be-tailbone, ukudla okuthile kungasiza ekunciphiseni ukuvuvukala futhi kukhuthaze impilo yonke yamathambo. Imikhiqizo yobisi, Ama-acids ama-Omega-3, nemifino eluhlaza enamahlamvu ilungele impilo yamathambo. Ukwengeza, ukuqinisekisa ukudla okwanele kwamavithamini B6, B12, no-D kungazuzisa impilo yamathambo nokuphathwa kobuhlungu. 

6. Kufanele ngilale kanjani ukuze ngiqede ubuhlungu bethambo lomsila? 

Ukuze udambise ubuhlungu bomsila ngenkathi ulele, zama ukulala ngohlangothi ngomcamelo omncane phakathi kwamadolo akho ukuze ugcine izinqulu zakho ziqondile. Ngaphandle kwalokho, ukulala ngomhlane ngomcamelo wedge ngaphansi kwamadolo kungasiza ukuphumuza iqolo lakho eliphansi kanye nomsila. Gwema ukulala ngesisu. Lokhu kungalimaza ijika lemvelo lomgogodla wakho futhi kwandise ubuhlungu bethambo lomsila. Ukusebenzisa umatilasi oqinile kanye nemicamelo esekelayo kungagcina ukuhleleka okufanele komgogodla ngesikhathi sokulala. 

UDkt. Sohael Mohammed Khan

I-MBBS, i-MS (i-Orthopaedics), iDiploma (Ukuvuselelwa komgogodla)
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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