Diastasis recti pashure pakukurukura: zviratidzo, kurapwa, mapikicha

Vakadzi, kunaka kunokosha kufanana utano, saka chero zvirwere kuti hazvina zvazvinoita chitarisiko nani, kuunza yakawanda rekusuwa ari naka pabonde. Chimwe chezvinhu zvisingafadzi diagnoses kuti anogona kunzwa mukadzi pashure kusununguka - a diastasis recti. dambudziko iri inogona kunyatsonanga yekudyidzana Nokutadzira netsika vanaamai vechiduku. Naizvozvo zvakafanira yakawanda yokunyatsoongorora ayo kudzidza.

Musimboti dambudziko

Achitaura nyaya dzakadai diastasis recti pashure wakurukura, zvinokosha kuziva kuti ichi chinhu zvakajairika kuomesa. Women achirapwa kusununguka, zvakadai chirwere iri anenge 40% nyaya.

Chairo diastasis chinhu chimwe, ive kuwedzera chena dzinza mudumbu. Zvichitaurwa zviri nyore, izvozvo pasi mumwe kumanikidzwa pakusununguka rectus chete mukufamba. Dzimwe nguva distancing kure anogona kusvika kusvika masendimita 10, kunyange zvazvo ndeyokuva 0.5-2 cm. Dambudziko iri chokuita perinatal nguva, rinoshanda zvikuru uye anova payo yokumusoro chikamu.

Sei kuziva diastasis

Pakuwedzera abdominal tsandanyama, kazhinji ikabuda pakanyorwa pamuviri uye inova kuoneka pashure 2-3 mwedzi azvarwa. Kana pane kuchinja inowanzotorwa background, connective zvinyama hunowedzera friable, sezvo zvakafanira kuti asike zvinhu zvakafanira kuti Generic basa.

Diastasis recti zviratidzo iri nyore: kutanga zvinokosha zvizorwa kuremara chokuita protrusion ari mudumbu. Kunyange paine zviitiko apo vakadzi vanogona kutungamirira chinoshingaira upenyu pashure pokuberekwa, uye kusateerera akaipa kuchinja. In ichi hurumende diastasis recti zviratidzo zviri pachena uye haagoni kuva, asi zvichaita ichishanduka, apo kuramba asingaoneki.

Chokwadi kuti tsandanyama kunge hadzichatsigirani, zvingaratidza kusagadzikana, kunzwa waziya mudumbu, uyewo belching, kupatirwa nekuoma vachifamba. Kana zvakadaro zvikaitika kuti tinofanira kubata guru diastasis, zvakakodzera inotevera chokwadi - zvakakanganisika kuchaguma anzi dzichipfekeka zvirwere. Ivo:

- rutapudzo of contractility tsandanyama ari abdominal rusvingo;

- atrophy of abdominal tsandanyama;

- aponeuroses Munotatamura uye rive dete;

- easing mabasa abdominals.

Kana hunhu marwadzo, zvinogona kusiyana yekudyidzana sezvo ya kurwisa, uye nesimba.

Anatomy Anterior abdominal rusvingo

Diastasis recti pashure wakurukura - chirwere kuti zvichava zvakajeka chete pashure pokudzidza zvinokosha nemamiriro ose abdominal rusvingo. Zvinozivikanwa kuti kumativi maviri pemitsara chena vari aiwanzopiwa wokushanda rectus akanyudzwa mubhokisi zvakasimba (inoumbwa matatu paupamhi kurutivi tsandanyama uye mudzira sprains, naivowo aponeurosis).

Zvakananga chena mutsetse pachayo rinotanga panguva xiphoid muitiro pamusoro sternum uye asiwo pubic symphysis. Kutaura zvazviri, remubatanidzwa ichi aponevrizm dzakafara tsandanyama ari mudumbu. The yakafara pamusoro (2-2.5 cm) mutsetse machena tapered kwaro yakaderera chikamu. Kana connective zvinyama (aponevrizm) ane yokusafa simba nokuda akagamuchira pakukurukura zvingamuka diastasis mitoro.

diagnosing

Chii chinombodiwa kuti asarudze diastasis recti pashure pakusununguka? Zviratidzo vakatakura marwadzo, anogona kuonekwa zvikuru gare gare, saka kumirira kwavo hakuna zvakakodzera. Kuziva kusiyana vanofanira kuteerera kwemudhuri peritoneal, riri pakati nepakati peguta xiphoid muitiro yacho sternum uye guvhu.

Sezvo izvi zvichabatsira munhu vanopupurirwa bvunzo, zvisina kuoma kuita wako; unofanira pasi, uye tsoka anofanira aimanikidzwa pasi uye makumbo hwakakungwa pamabvi. Next, isa ruoko rumwe pasi pomusoro wake, uye mumwe ari mudumbu mako, uye kuita kuti munwe mumwe akaiswa perpendicular kune chena rwokuyera umbilicus. Kana zvose zvinoitwa, zvakakodzera kuzorora zvakakwana mudumbu, uye ipapo nyoro kufamba vanoshamba munwe naye.

Pashure paizvozvo, pamapendekete uye chipfuva atakure sezvo panguva dzenhoroondo muviri nekuda kwechaunga. Chinotevera chinhu - ndiko kutanga zvinofamba nyore achitevedza chena mutsetse. Saka unogona kuwana medial pamucheto yakarurama tsandanyama, kunzwa kwacho yavo (kana), uyewo kuti kuyera yatambanudzwa.

Diastasis recti pashure wakurukura inogona kukamurwa huru muzvikamu zvitatu:

- kutanga: dzinoratidzwa siyana pakati 5 uye 7 cm;

- wechipiri: kunoreva zvinopfuura 7 masendimita distancing;

- The wechitatu chikuva sechinhu diastase guru uye vanotozvikuvadza kunounza saggy dumbu.

Kuti pave nomazvo fungidziro chirwere zvakafanira kuongorora mamiriro ezvinhu abdominal rusvingo nomumwe.

How kurapa tsandanyama musiyano

pashure wakurukura Diastasis recti - chiri chinetso chakakomba, saka kuiteerera, vachiridza mamiriro ezvinhu kukukurwa, hazvibviri. Chinoratidza pfungwa yokuti kuwedzera haarambi vanopfuudza dzavo uye nguva dzose kufambira mberi pasina kurapwa.

Kana chiri akanaka ndechokuti ichi mhando yokuwana chirwere, sezvo oparesheni Ndezvokukurumidzira haisi nguva dzose. Pane zvishoma zvikuru nzira yokurapa matambudziko akadai diastasis recti. Exercise - imwe yenzira kuti kupikisa kwakaderera pasina pakuvhiya. Vanachiremba vanokurudzira kuti varwere kupora nzira, uyo hosha iri kwayo mucheche.

Asi yakatarwa kurovedza uye kudzidzisa zano yose inofanira kusarudzwa bedzi murayiridzi ruzivo ndiani kufunga zvose munhu zvinoitwa zvikuru kuti murwere munguva postnatal nguva. Zvinofanira akajekesa kuti acharatidza zvinodiwa kuchirapa mugumisiro chete kana diastasis iri kutanga kwekupwanyiwa. Zvadaro Press nokukurumidza kusimbisa uye tatamuka zvichabviswa neutralized.

Kana tine kugadzirisa yepamusoro nzendo nechokure, zvine musoro kufunga pamusoro oparesheni. Chinangwa kuvhiyiwa kuri kubvisa diastase uye Qualitative nokusimbaradza dambudziko nzvimbo.

Diastasis recti: muviri, wongororo

Kana zvaitika kuti mutandavadze pamusoro connective zvinyama yakawanikwa chirwere muitiro, chiitwa inofanira kupiwa vainyatsotarisirwa. Nechekare rokutanga nguva pashure mwana, vakadzi vanogona kutenga kuita mamwe marudzi kurovedza muviri. Izvi zvinogona Somuenzaniso, anonzi katsi kuti mamiriro, chinangwa chiri kusimbisa venhau. Current zvinogona sechinoitika Kegel kurovedza. Nezvemabasa unokweverwa kuna vachishandisa kutenderera pamafudzi, kunofambira mberi ndichinanavira uye abdominal kufema. Kana iwe vimba zvinofungwa vanachiremba (uye mutengo zvakanaka), zvikuru wakakodzera nguva kuti kutanga yokurovedza achava pashure 6 mavhiki. Pane chimwe chinhu chine chokuita kuti zvinofanira kufungwa kana zvakadaro dambudziko sezvo diastasis recti pashure wakurukura: cesarean chikamu (kana zvaitika) rinopa chimiro munyama. Naizvozvo, kana kukurukura kwakadaro kunogona riitwe mavhiki chete pashure 10-12 kubva musi nechitarisiko mwana munyika.

Une postpartum diastasis recti? Chii uye sei kurapa zvokurwara ichi? Kuti tipindure mibvunzo iyi, unofanira kuteerera inofambiswa vaya vaishandisa imwe nzira kurapwa. Kana Paunoongorora maonero vakadzi, nematambudziko akafanana dambudziko, zvinganzi vakagumisa kuti kakawanda musiyano iri pamwero mudanga nokuda muviri. Pazvese, regai kuva simbe uye kuita zvose nenzira yaunoda. Kana zvikuru nguva, unogona kudzorera inowanzotorwa wehurumende iri kuramba akashandisa endoscopic unyanzvi anoramba kuti akaratidza kushanda kwayo. Chero zvazvingava, kwakadaro dambudziko sezvo diastasis recti pashure wakurukura, kurapwa kunosanganisira gona chete. Saka, mumwe mukuru mabasa - kuwana chiremba akanaka.

Zvinokosha zviri physiotherapy

vakadzi vaya vaifanira kutarisana risingafadzi chirwere chakadai diastasis recti pashure wakurukura, muviri anogona kupa migumisiro yakanaka kana muitiro endai nemazvo. Chekutanga mukirasi zvinokosha kuti unyatsoteerera kufema kwako. Zvakakosha apo achiita mumwe kuitwa pamberi chero simba kwebasa kodzero dzinosanganisira mudumbu. Kuti izvi zviitike munhu wechisikigo nzira, zvinokwanisika kutora ruoko wemwana. Muchiitiko chino, zviri kushandiswa dzakadzama transverse abdominal tsandanyama, iyo yakapoteredza mutumbi uye ave corset.

Zviri kuburikidza nomazvo mutoro pamusoro yakatarwa iyi tsandanyama anogona kuita mudumbu sandara uye panguva imwecheteyo kudzivirira nomuzongoza. Sezvo nokuti mweya, zvinokosha kuzviisa pasi zvakakodzera unyanzvi, kunyange transverse tsandanyama aite kushanda erevheta. Chinotevera chinhu - kutora befu kuburikidza mhino yako, saka achiwedzeredza mudumbu uye ichizadza mapapu ako mhepo. The nedzinovengwa zvinofanira kuitwa kubudikidza muromo, uye panguva pokuparadzwa fungidzira kuti tsandanyama kufamba zvichikwira. Zviri chinzvimbo ichi longitudinal tsandanyama uye dzinofanira kuchengetedzwa panguva simba kurovedza. Nokuti vaya vari kunetseka nyaya "Diastasis rectus abdominis - sei kubvisa tatamuka", nzira yakafanana inoshandawo chaizvo.

Mhando remapazi

Kuti zvinobudirira kukanganisa nyaya dzakadai diastasis recti pashure wakurukura, riri azara, kuvhiya kurapwa.

Kune mhando dzakawanda Kuvhiya zvinoshandiswa mukurapa ano kuti neutralize makakatanwa ari chena mutsetse:

- Nenatyazhnaya mapurasitiki, iyo anoshandisa pajira riya prosthesis. With pajira riya rakagadzirwa chakaita zvokugadzirwa zvinhu uye yakatarwa micheto, zvachose akafukidzwa dambudziko wongoramba. Somugumisiro, pane zvikuru inofadza muitiro: asi connective zvinyama inokura pamumbure (1-1.5 months), nokudaro wezvamatongerwe chimwe-chimedu anatomical kunzwisisa. Nokufamba kwenguva anova simba uye anoita connective zvinyama mamiriro (2 mm ukobvu), zvisina kutya kupfuura kuti munhu mutoro.

- kunetsa epurasitiki vemo munyama. Panyaya iyi, chiremba pave maumbirwo ina zvinyama pakati Anterior abdominal rusvingo.

In mushonga ano akavhiyiwa zvakafanana kunogona kuitwa sezvo nzira yakazaruka, uye kushandisa endoscopic nzira (pasina maronda). Zvinofanira kucherechedzwa kuti endoscopic heniya kugadzira - ndiyo imwe zvikuru uye inonyatsobudirira nzira kubvisa chirwere ichi sezvo diastasis recti pashure pakukurukura. Treatment anoitwa nokushandisa unyanzvi ichi ane vanoverengeka chinozikamwa zvinobatsira:

- Hakuna mavanga zvinoonekwa;

- ngozi dzokororo chirwere ipfupi kushoma (kwete kupfuura 1%);

- vapore nguva rakapfupika zvikuru kupfuura nyaya rakavhurika oparesheni;

- hapana marwadzo.

Kuvapo midziyo ano muzvipatara uye makiriniki unokubvumira kuvhiya izvi rurefu azvipire zvakarurama. Saka, pakurwisa dambudziko iri sezvo diastasis recti pashure wakurukura, nokushanda - mumwe inonyatsobudirira mhinduro.

The kupora nguva pashure pokuvhiyiwa

Kana tikaongorora kwakadai Mabatirwo connective zvinyama ndichisveerera sezvo makakatanwa mapurasitiki, zvine musoro kutaura yakareba vapore pashure kuvhiyiwa. Panguva ino, vakadzi vari zvakasimba hazvitenderwi kurera chero zvinhu kunorema kupfuura 10 makirogiramu. Mukuwedzera munguva mitatu yokutanga kupora achafanira kuita zvemitambo, Chokwadi, nounyoro chimiro. Kuti aite izvi, mashoko ane udzame yakarumbidza panguva dambudziko akadai diastasis recti, maekisesaizi, uye, chokwadi, bvunza chiremba anokwanisa. Uyewo munokosha kufunga ndechokuti kwenguva yakawanda munguva murwere incapacitated.

Asi kana kugadzirisa diastasis akashandisa zvishoma invasive muitiro, mumwe mukadzi anogona kumuka pasina dambudziko pazuva rokutanga. Zvisinei, kukosha kupfeka chaiyo bhandeji, izvo zvichaita kuti ararame kwemwedzi. Chimwe akanaka ndechokuti pashure zvishoma invasive Kuvhiya murwere anobvumirwa kusiya kuchipatara zuva rakatevera. Funga chenguva kurovedza muviri inokurudzirwa pashure pemazuva 14 kubva musi kutengeserana. Asi pashure pemavhiki 4-5 unogona kudzokera dzose upenyu.

Nzira kururamiswa uye kudzivirira

Kana isu ukanyatsoongorora nyaya dzakadai diastasis recti pashure wakurukura, kurapwa, wongororo nezvazvo uye pezvingazoitika, ipapo tinogona tigumise nyore: Kana zvichibvira chirwere ichi nani kudzivisa. The forum pane zvakawanda tutsamba vakadzi yainetseka nyaya iyi. Saka, kunyange panguva yepamuviri (yakaisvonaka zvose pauri) anofanira kupiwa muchiitwa kusimbisa diaphragm, pakadzika musana tsandanyama, zvose abdominal tsandanyama uye pelvic uriri tsandanyama. The Zvichaguma kubudirira Zvakanyanya Kunaka Panguva Yepamuviri intra-abdominal kumanikidzwa, uyewo kudzikamisa lumbar nomuzongoza.

Uchitsvaka mhinduro yomubvunzo: "? Diastasis rectus abdominis, sei kuchenesa" (Reviews zvinoratidza ichi), zvinokosha kuti kukanganwa nezvazvo avo Muchiitwa kuva elasticity uye kuchinja kubva Anterior abdominal rusvingo. Chimwe kunzwisisa kukosha - chidhina kufamba, ane achisimbisa zvainoita tsandanyama zviri pelvic pauriri, izvo zvinozoita anoshanda kutsigira nhengo uye chinonditadzisa misha yavo zvinoitirwawo yakawedzera intra-abdominal kumanikidzwa.

Saka, nzira yakanakisisa yokudzivisa siyana pamusoro tsandanyama - nguva dzose muviri asati ava nepamuviri. Pane zvakawanda hurongwa kuti ape inobudirira uye njodzi kurovedza anogona kusimbisa abs uye kudzivisa kwakaderera connective munyama. Asi kana chirwere chakaipa achiri kuchabatsira, ipapo usaora mwoyo, kurovedza yakatsiga pashure pakukurukura uye nomazvo hanya chiremba kuchabatsira neutralize dambudziko.