Diastasis recti pambuyo yobereka: zizindikiro, chithandizo, zithunzi

Kwa amayi, kukongola ndi zofunika kwambiri monga thanzi, choncho matenda alionse amene alibe zotsatira bwino maonekedwe, kubweretsa kwambiri za maganizo a kugonana fairer. Mmodzi wa diagnoses zosautsa amene angathe kumva mkazi akabereka - ndi diastasis recti. Vutoli kungakhale ndithu kwambiri kusokoneza chizolowezi cha amayi achichepere. Choncho ndikofunikira wofufuza phunziro ake.

Akamanena za vuto

Ponena za nkhani monga diastasis recti pambuyo yobereka, ndi Dziwani kuti ndi vuto zofala. Akazi akukumana pobereka, monga matenda ndi pafupifupi 40% ya milandu.

Mwachindunji ndi diastasis kanthu kena, monga mbali ya mzere woyera wa pamimba. Mwachidule, pansi kufinya inayake imene rectus pobereka chabe kukula popanda. Nthawi zina distancing mtunda angafikire 10 cm, ngakhale ponseponse ndi 0.5-2 cm. Vutoli chokhudzana ndi nthawi perinatal, ndi zogwirizana kwambiri ndipo akufotokozera mu gawo chapamwamba.

Kodi kuzindikira diastasis

Kukula kwa minofu m'mimba, kawirikawiri akufotokozera mu maziko a mimba ndi kukhala noticeable pambuyo miyezi 2-3 atabadwa. Pamene pali kusintha moyo wabwinobwino, connective minofu umakhala friable, ngati ndikofunikira kuti akonze zinthu zofunika ntchito generic.

Diastasis recti zizindikiro ndi losavuta: woyamba wa zonse tizikumbukira zodzikongoletsera chilema kugwirizana ndi protrusion wa pamimba. Ngakhale pali milandu pamene amai akhoza kukhala ndi moyo wokangalika atabadwa, ndi kunyalanyaza kusintha negative. Mu diastasis izi boma zizindikiro recti ndi yomveka ndiponso sangakhale, koma kusintha, pamene otsala wosaoneka.

chakuti minofu kuti atasintha, zingasonyeze kusapeza, kumverera za kulemera m'mimba, komanso belching, kudzimbidwa ndi zovuta kuyenda. Ngati izo zimachitika kuti ifenso timalimbana ndi diastasis lalikulu, m'pofunika kuganizira mfundo zotsatirazi - chilema udzathera mu kutchulidwa matenda zinchito. Ali:

- kuchepetsa wa contractility a minofu ya khoma m'mimba;

- manja a minofu m'mimba;

- aponeuroses anatambasula ndi kupatulira;

- easing ntchito abdominals.

Pa chikhalidwe cha ululu, mwina kusiyana kwambiri monga nthawi ya kumuukira, ndipo ndi mphamvu.

Kaswili zapambuyo m'mimba khoma

Diastasis recti atatha kubereka - ndi matenda amene idzawonetsedwa pokhapokha kuphunzira ndizosowa kapangidwe ka khoma m'mimba. Amadziwika kuti mbali zonse za mizere yoyera ndi wophatikizidwa rectus unazunguliridwa mu bokosi zolimba (imakhala mbali minofu tendon sprains atatu yotakata, iwonso aponeurosis).

Mwachindunji woyera mzere palokha limayamba pa ndondomeko xiphoid wa sternum ndi chimafikira kwa symphysis obisika. Ndipotu, pawiri izi aponevrizm minofu yotakata pamimba. The lonse pamwamba (2-2.5 cm) woyera mzere ndi tapered mu mbali m'munsi. Pankhani ya connective minofu (aponevrizm) ali ndi kufooka chibadidwe chifukwa analandira pamene yobereka angathe katundu diastasis.

Kupeza Vuto

Kodi zitenga kudziwa diastasis recti atatha kubereka? Zizindikiro kubala ululu, akhoza kuoneka patapita nthawi yaitali, kotero kudikira iwo Sikuti. Kuzindikira kusiyana ayenera kumatsatira mbali ya khoma peritoneal, limene lili Midway pakati pa ndondomeko xiphoid wa sternum ndi m'michombo.

Izi zidzathandiza mayeso a mbiri yabwino, amene si kovuta kuchita nokha ayenera pogona, ndi mapazi ayenera mbamuikha pansi ndi miyendo wopindidwa pa mawondo. Kenako, ikani dzanja limodzi pansi pa mutu wake, ndi wina m'mimba mwako ndi kuzipanga izo kuti aliyense chala pabwino perpendicular kwa mzere woyera mu umbilicus lapansi. Pamene onse zachitika, m'pofunika kwathunthu kumasuka m'mimba, kenako kayendedwe zofewa agwera chala pa iye.

Pambuyo pake, mapewa ndi chifuwa ayenera akweze monga pa Zochita za Agiriki kwa atolankhani. Chinthu chotsatira kuchita - ndi chakuti chindithandize mosavuta pamodzi mzere woyera. Choncho mungapeze m'mphepete medial a minofu molunjika, kumva kusagwirizana awo (ngati), komanso kuyeza m'lifupi.

Diastasis recti atatha kubereka akhoza kugawidwa mu magawo atatu akulu akulu:

- loyamba: yodziwika ndi divergence pakati masentimita 5 ndi 7;

- chachiwiri: sumangotanthauza 7 masentimita distancing;

- Gawo lachitatu ankaona diastase kwambiri ndi zivute zitani kumabweretsa saggy m'mimba.

Kuti akonze madokotala ananena zawo woyenera wa matenda n'kofunika kuti aone mmene mpanda m'mimba payekha.

Kodi kuchitira minofu zikusiyana

Diastasis recti atatha kubereka - ndi vuto lalikulu, kotero zawozo, kuwomba zinthu kutengeka, sikutheka. Imasonyeza lingaliro limene kutambasuka alibe pochitika paokha nthawi zonse patsogolo popanda mankhwala.

Ngati ndi uthenga wabwino kuti mtundu uwu wa kukhudzana ndi matenda, monga ntchito ndi wamsanga si nthawi zonse. Pali njira zochepa kwambiri ya chithandizo cha mavuto monga diastasis recti. Chitani - njira yabwino kwambiri polimbana ndi kufooka popanda opaleshoni. Madokotala amalangiza odwala kuchira njira, amene matenda uli mu Chiyambi chake.

Koma mndandanda wa zokambirana komanso maphunziro chiwembu monga lonse anasankha yekha ndi mlangizi waluso amene kuganizira makhalidwe onse akuyenda chikhalidwe cha makamaka wodwalayo m'nthawi postnatal. Iwo ayenera zikhulupiriro zimene kusonyeza kufunika kwenikweni achire kokha pamene diastasis ali siteji koyamba. Ndiye Press msanga kulimbikitsa ndi Tambasula adzakhala zopanda.

Ngati ifenso timalimbana ndi magawo patsogolo pa mtunda, n'zomveka kuganiza za ntchito. Cholinga cha opaleshoni kuchotsa diastase ndi mtima Mkhalidwe m'dera vuto.

Diastasis recti: thupi, ndemanga

Ngati izo zinachitika kuti anatambasula za minofu connective anapezeka mu ndondomeko matenda thupi ayenera mwapadera. Kale mu nthawi yoyamba pambuyo pobereka, akazi angakwanitse kuchita mitundu zina zolimbitsa thupi. Izi akhoza Mwachitsanzo, otchedwa kaimidwe mphaka, zolinga zomwe ndi kulimbikitsa atolankhani. Current angathe kuonedwa monga Kegel Zochita. Akunena kwa kasinthasintha wa mapewa, malo amodzi anatambasula ndi m'mimba kupuma. Ngati kudalira maganizo a madokotala (ndi bwino ofunika kuchita), nthawi yabwino kwambiri chiyambi cha maphunziro adzakhala pambuyo masabata 6. Pali mbali ina imene iyenera n'komwe pamene vuto monga diastasis recti pambuyo yobereka: cesarean gawo (ngati zinachitika) imapereka dongosolo la zimakhala. Choncho, pamene yobereka akhoza chinkhoswe masabata pambuyo 10-12 kuchokera tsiku maonekedwe a mwana mu dziko.

Kodi muli ndi postpartum diastasis recti? Kodi ndi mmene tiyenera kuchitira kudwala izi? Kuti tiyankhe mafunso amenewa, muyenera khutu ku maganizo a anthu amene anali ndi njira winawake wa mankhwala. Ngati inu kufufuza maganizo a akazi, anakumana ndi vuto lofanana, Ndizachidziwikire kuti nthawi zambiri kusiyana ndi mu mlingo khola ndi thupi. Chofunika, musakhale aulesi ndi kuchita zonse momwe mukufuna. Koma Zikavuta kwambiri, mukhoza kubwezeretsa boma yachibadwa ochuluka ntchito njira endoscopic kuti mobwerezabwereza anasonyeza nchito zake. Mulimonsemo, vuto monga diastasis recti atatha kubereka, mankhwala kumafuna woyenera okha. Motero, chimodzi mwa ntchito yaikulu - kupeza dokotala wabwino.

zinthu zofunika kwambiri pa physiotherapy

Akazi amene anali kukumana ndi matenda ngati zosasangalatsa monga diastasis recti atatha kubereka masewera olimbitsa thupi kupereka zotsatira zabwino ngati njira kupita molondola. Choyamba m'kalasi m'pofunika kulabadira kupuma wanu. Zofunika pamene akuchita aliyense wa kokoka kutsogolo kwa gulu lililonse mphamvu ya kumanja kuchita m'mimba. Zimenezi zichitike mwachibadwa, n'zotheka kutenga dzanja la mwanayo. Pankhaniyi, izo ntchito kuya yopingasa minofu m'mimba, omwe anazungulira torso ndi kumachita monga corset a.

Ndi kupyolera woyenera katundu uyu ya minofu mungapange m'mimba athyathyathya ndipo nthawi yomweyo kuteteza msana. Koma mpweya kwambiri, m'pofunika kugonjera njira yoyenera, ngakhale minofu yopingasa kuchita ntchito ya ndichikepe. Chinthu chotsatira kuchita - ndi kutenga mpweya kwambiri mu mphuno zanu, motero anakokomeza pamimba ndi kudzaza mapapo anu ndi mpweya. The mpweya zizichitidwa kudzera pakamwa, ndi nthawi ya owonongedwa tiyerekeze kuti akatumba amasunthira m'mwamba. Ndi udindo uwu wa minofu kotenga ayenera anakhalabe pa maphunziro mphamvu. Kwa anthu amene ali okhudzidwa nkhani ya "Diastasis rectus abdominis - mmene kuchotsa Tambasula" njira yomweyi ndi zogwirizana kwambiri.

mitundu ya ntchito

Pofuna zimakhudza othandiza pa nkhani monga diastasis recti atatha kubereka, umene uli mu siteji zapamwamba, chithandizo opaleshoni.

Pali mitundu ingapo ya opaleshoni kuti ntchito mankhwala amakono kuti n'chongoletsa mavuto a mzere woyera:

- Nenatyazhnaya pulasitiki, zomwe amagwiritsira ntchito mauna prosthesis. Ndi mauna opangidwa ndi nsalu kupanga ndiponso mulibe m'mbali, zophimbidwa zone vuto. Chifukwa, pali ndithu chidwi ndondomeko: minofu connective Chimakula mu ukonde (miyezi 1-1.5), potero kupanga chimodzi-chidutswa anatomical zovuta. Pa nthawi amakhala amphamvu ndipo amachita connective minofu kapangidwe (2 mm makulidwe), amene si mantha kuposa katundu appreciable.

- mavuto pulasitiki zimakhala m'deralo. Pankhaniyi, dokotalayo amalenga dongosolo ongokhala minofu ya zapambuyo khoma m'mimba.

Mu mankhwala panopa ntchito zofanana angathe kuchitidwa monga njira lotseguka, ndi kugwiritsa ntchito maluso endoscopic (popanda mabala). Tikumbukenso kuti endoscopic chophukacho kukonza - ndi imodzi mwa njira chabwino ndi yabwino kwambiri kuthetsa matenda monga diastasis recti pambuyo pobereka. Chithandizo anachita pogwiritsa ntchito njira imeneyi angapo ubwino lodziwika:

- palibe zipsera zooneka;

- chiopsezo zisadzachitikenso matendawa yafupika osachepera (osapitirira 1%);

- konzanso nthawi ndi lalifupi kwambiri kuposa zinachitikira opareshoni lotseguka;

- palibe ululu.

Kupezeka kwa zipangizo zamakono mu zipatala ndi zipatala amalola kuchita ntchito izi ndi mkulu mlingo molondola. Choncho, polimbana ndi vuto limeneli diastasis recti atatha kubereka, machitidwe - mmodzi wa njira yabwino kwambiri.

Nthawi kuchira pambuyo opaleshoni

Ngati tikambirana mtundu wa mankhwala a connective minofu anatambasula monga mavuto pulasitiki, n'zomveka kuti kulankhula za nthawi yaitali konzanso pambuyo opaleshoni. Panthawi imeneyi, akazi koletsedwa kulera zinthu zonse makilogalamu yolemera kuposa 10. Kuwonjezera pa miyezi itatu kuchira adzayenera kuchita masewera, ndithudi, mu mawonekedwe wofatsa. Kuti tichite zimenezi, tinafotokoza mwatsatanetsatane analimbikitsa pa vuto monga diastasis recti thupi, ndipo, ndithudi, kukaonana ndi dokotala wodziwa bwino. Komanso zothandiza n'chakuti kwa nthawi ndithu nthawi wodwalayo sangathenso.

Koma ngati kukonza diastasis ntchito ndondomeko asang'ambe, mkazi akhoza kudzuka pabedi popanda vuto pa tsiku loyamba. Komabe, kufunika kuvala bandeji wapadera, umene ndi moyo kwa mwezi umodzi. Wina uthenga wabwino ndi kuti pambuyo opaleshoni asang'ambe wodwalayo ali ololedwa kuchoka ku chipatala tsiku lotsatira. Ganizilani ntchito m'thupi kosalekeza bwino pambuyo pa masiku 14 kuchokera tsiku ndikupeleka. Koma pambuyo masabata 4-5 inu mukhoza kubwerera moyo wabwinobwino.

Njira ya kukonzedwa ndi kapewedwe

Ngati ife bwinobwino nkhani monga diastasis recti atatha kubereka, chithandizo, ndemanga za izo ndi zotsatira zotheka, ndiye tikhoza mapeto losavuta: ngati nkotheka matenda izi ndi bwino kupewa. maonekedwe pali mauthenga ambiri akazi nkhawa za nkhani imeneyi. Choncho, ngakhale pa mimba (ndipo koposa zonse kwa izo) ayenera kuperekedwa Zochita kulimbikitsa zakulera, zozama kumbuyo minofu, akatumba onse m'mimba ndi m'chiuno pansi minofu. The chifukwa chikwaniritsidwa mulingo woyenera kwapakati pa-m'mimba kuthamanga, komanso kuti ziziyenda bwino mu lumbar msana.

Pofufuza yankho ku funso lakuti: "? Diastasis rectus abdominis, mmene kuyeretsa" (Reviews akutitsimikizira izi), sibwino kuti asiye Zochita amene amawonetsa elasticity ndi kusinthasintha kwa zapambuyo khoma m'mimba. zofunika zovuta zina - ndi kayendedwe chipika, kumakhudza kulimbitsa pa minofu ya pansi m'chiuno, amene nawonso, akutumikira monga thandizo limba ndiponso kupewa kusamutsidwa awo mu mwambo kuchuluka kwapakati pa-m'mimba kuthamanga.

Choncho njira yabwino kupewa divergence minofu - ndi kuchita masewera olimbitsa thupi isanafike mimba. Pali kachitidwe ambiri kuti kupereka ogwira ndi otetezeka Zochita kuti angalimbitse ABS ndi kuteteza chifooke zimakhala connective. Koma ngati matenda oipa adzakhala kukhudza, ndiye musadandaule, maphunziro khola pambuyo yobereka ndi chisamaliro woyenera dokotala chingatithandize n'chongoletsa vuto.