Diastasis recti ma hope o haawi: symptoms, lapaʻau, kiʻi

No ka wahine, ka mea nani mea like nui like ola, ai kekahi illnesses i i ole maikaʻi kanawai ma ka helehelena, e lawe mai i ka hailona o io Emotions ka maikaʻi ke keka. Kekahi o ka loa kaʻawaʻawa loa diagnoses i hiki lohe i kekahi wahine ma hope o ka nahunahu hanau - he diastasis recti. Kēia pilikia hiki iaʻano me ka nui loa luku aku i ka oaeouee? O opiopio makuwahine. No ia mea, ia mea e pono ke delve i loko o kona mahele.

Ke ae pā o ka pilikia

Ua haawiia i na kumuhana like diastasis recti ma hope o haawi, e pono ke kūʻai 'ana i kumumanaʻo i keia mea he' ano like complication. Women undergoing ka nahunahu hanau, e like me kaʻike, i ka hola 40% o ka hihia.

'Ana i ka diastasis mea wale no keia, e like me ka palena manawa no ka laina keʻokeʻo o ka abdomen. Aloha kau, ka mea ma lalo o ka kekahi puʻe iloko o ka nahunahu hanau rectus e ulu ma ke kaʻawale. I kekahi manawa, mamao loa mamao ke hiki mai i ka 10 knm, eia nae ke kūmau mea 0.5-2 knm, kēia pilikia ua pili i ka perinatal wā, mea, mea loa pili, a hoʻomōhala i ka mea i loko o ka luna.

Pehea eʻike diastasis

Ke anoe o ka abdominal nāʻiʻo, i hookuu e hoʻomōhala ana i loko o ke kāʻei kua o ka hāpai keiki, a i kekahi 'hope 2-3 mahina ma hope o ka hanau ana. A hiki aku ka mea, he loli o ka maʻamau kāʻei kua, connective'aʻaʻa lilo hou friable, e like me ka mea i pono, e hana i ka pono keia no ka nōhie haʻawina.

Diastasis recti hoailona Ua puni hoʻi: mua o nā mea a pau ia mea nui mea hoʻonani kina pili me ka protrusion o ka abdomen. 'Oiai, he mea hihia i ka wa a na wahine ke alakai i kaʻeleu ola ma hope o ka hānau, a me ke kāpae'ōlelo i ka io hou. Ma keia moku'āina diastasis recti na hoailona i ike, a hiki ole ia, akā, ka mea e Hawaiʻi, oiaiʻike makaʻole koe.

Ka mea e ua ulu a kaʻawale lākou na nāʻiʻo, e hoike discomfort, he manao o ka naau i loko o ka abdomen, like hoʻi me belching, constipation a me ka pilikia e hele. Inā ka mea, pela ka hana ana mākou i e hana me ka diastasis nui, ka mea i pono, e noonoo i ke kēia mea - he kina, e 'ai pono i ka hai ooieoeiiaeuiuo kāna hana. Ka mea, e:

- ka ho'ēmiʻana o ka contractility o na nāʻiʻo o ka abdominal paia;

- atrophy o ka abdominal nāʻiʻo;

- aponeuroses kona a me ka thinning;

- mama hana abdominals.

Like pili ana i ke 'ano o ka eha, ka mea e oko me ka nui loa e like me ka lōʻihi like' ole o ke kaua, a ma ka ikaika.

Anatomia anterior abdominal pa

Diastasis recti ma hope o haawi - mea he maʻi ia e lilo akaka ka hoʻokumu paʻaʻana o ka 'ole o ka abdominal paia aʻo wale nō ma hope. Ua ua ike ia ma na aoao a elua o ka keʻokeʻo laina i hui kaulua rectus lelo i loko o ka pilipaa pahu (oia o ekolu ka laulāʻaoʻao Muscle a me ka tendon sprains, ka mea, hoi aponeurosis).

'Ana keʻokeʻo laina iho hoʻomaka ma ka xiphoid kaʻina hana o ka sternum, a kŰlń ao i ka pubic symphysis. I mea, kēia hui aponevrizm ka laula nāʻiʻo o ka abdomen. Ke akea luna (2-2.5 knm) keʻokeʻo laina ua tapered i loko o kona haʻahaʻa. Ma ka hihia o connective'aʻaʻa (aponevrizm) mai ka hoʻomaopop 'ana i ka nawaliwali ma muli o ka loaa i haawi e hoʻomōhala diastasis wahie.

diagnosing

He aha ka mea e lawe i ka hooholo diastasis recti ma hope o haawi? Na hoailona e lawe ana i ka eha, hiki keʻikeʻia ka nui o hope, no laila, e kali no ia mea,ʻaʻole pono. E kuhikuhi i nä mea pono, e hoʻolohe i ka hapa o ka peritoneal pa, a ua aia Midway ma waena o ka xiphoid kaʻina hana o ka sternum a me ka piko.

E like me keia, e kōkua i ka hooiaioia hōʻike, i mea ole paʻakikī e hana i kou mau: e pono e moe iho, a me na wawae e e kaomi ai i ka papahele a me nā wāwae kūlou ma na kuli. Next, i hoʻokahi lima ma lalo o kona poʻo, a me ka mea 'ē aʻe ma luna o kou'ōpū, a e ia no laila, i kēlā me kēia manamana lima hoʻonoho p ÷ haku i ka laina keʻokeʻo ma ka umbilicus. Ka wā a pau e hana, e mea pono e loa hoʻonānea i ka opu, a laila, i ka pahee neʻeʻana plunge i ka manamana lima ma ia ia.

Ma hope o ia, na poohiwi, a me ka pahu e hookiekie like i ka panina kino no ka ahakanaka. ʻO kekahi mea e hana - mea e hoʻomaka e neʻe i kou fingertips ma ke keʻokeʻo laina. Pela oe e imi i ka medial kae o ka pololei na nāʻiʻo, haha aku i ko lakou hoa pāonioni (ina kekahi), e like me ke ana kona laula.

Diastasis recti ma hope o haawi hiki ke maheleia i loko o ka papa kuhikuhi kahua o ka hoʻonaʻauao ekolu:

- mua: wehewehe aku ma ka divergence ma waena o 5 a me 7 knm;

- lua: 'o ia hoʻi oi ma mua o 7 knm mamao loa;

- ke kolu o ke kahua me ka noʻonoʻo i ka diastase nui, a inevitably hiki aku ai i ka saggy'ōpū.

I mea e ho okumu i kekahi akamai prognosis o ka maʻi, he pono e Loiloi i ka ano o ka abdominal pa pākahi.

Pehea e hana Muscle discrepancy

Diastasis recti ma hope o haawi - ia mea he mea pilikia, no laila, kāpae'ōlelo ia, ke puhi i ke kulana e 'Aeʻa, he mea hiki ole. Ka mea, keʻae i ka manaʻo i ka palena manawa, aole ia i hele ma luna o lākou iho, a mau i holopono nō me ka lapaau.

Inā ka mea, o ka euanelio mea i kēiaʻano o ka waiū a hiki i ka mai, e like me ka hana i ka manaʻo mea,ʻaʻole e mau ana. Aia i emi drastic ano o ka hana maikaʻiʻole o ka like diastasis recti ia pilikia. Hoʻokō '- kekahi o na aoao loa ka hoʻokō e counteract i ka mea hoʻonāwaliwali maoli nō meʻoki kino. Kauka paipai aku i nā mea maʻi loaa ke alanui, i ka mea a ka maʻi i loko o kona uuku.

Akā, he lākou o nā kino, a aʻo noaia me he okoa E e wae wale ma ka hoao ana i kumu aʻo ka mea, e lawe i ka mooolelo a pau na ano kanaka o ka ua hoomanawanui ka ano i ka postnatal wā. It E e möakäka hou ia, e hana i ka makemake pākōlea ia wale nō ka wā o ka diastasis mea i loko o ka loiloi mua ke kahua. A laila e kaomi koke e hooikaika a aeo e e neutralized.

Inā mākou i ka hana me ka holomua o ke kahua o ka mamao, ka mea i ano e manaʻo e pili ana i ka hana. Ka pahuhopu o kaʻoki kino mea, e hoʻopau i ka diastase a me ka hoʻoikaika 'ana i qualitative o ka pilikia wahi.

Diastasis recti: hoʻokō ', hōʻike manaʻo

Inā ka mea, hiki mai i ka aku o ka connective'aʻaʻa i loaʻa i loko o ka PalekanaEND_LINK kaʻina, ke hoʻokō 'e e haawiia mai kūikawā noonoo. Ua i loko o ka wā mua ma hope o ka nahunahu hanau, na wahine hiki ke hoolawaia ma e hana i kekahi mauʻano o physical haʻawina. Kēia i ke, no kekahi laʻana, no laila,-kapa popoki ka kulou, i ka manao o ka i mea e hooikaika i ka ahakanaka. O kēia hiki ke huli no hoi me Kegel kino. Noonoo ana ua unuhi i ka kuapo o na poohiwi, kūpaʻa moe a me abdominal hanu. Inā ua ku paa ma ka manao o ke kauka (a me ka pono ke kumukuai o ka hana ana), ka loa maikaʻi wā no ka hoʻomaka 'ana o ke aʻo, e ia ma hope o 6 pule. Aia o kekahi kēia lākiō i e e ia i loko o ka wā no ia i ka pilikia e like me diastasis recti ma hope o haawi: cesarean pauku (ina mea ai) e hāʻawi mai i ka 'ole o nā'aʻaʻa. Nolaila, i ka wa a ua haawi hiki ke komo wale ma hope o 10-12 pule mai ka lā mai o ka helehelena o ke keiki i loko o ke ao nei.

Anei oe i ka postpartum diastasis recti? He aha ka mea a pehea e hana i kēia pathology? E pane i kēia mau nīnau, oe e hoʻolohe i ka manaʻo o ka poʻe e hoʻohana i kekahi mau iaoia o ka lapaau. Inā e hoʻokolokolo i ka manao o na wahine,ʻalo me ka like pilikia, ka mea hiki ke manao ia ma ka hapanui o na hihia i ka likeʻole o loko o ka uku hale lio ma ka hoʻokō '. Importantly, maiʻaʻole e molowa, a hana nā mea a pau i ke ala 'oe makemake. Like no ka nui loa hoopii, e hiki ke hoihoi i ka maʻamau moku'āina ua increasingly hoʻohana he endoscopicʻano hana i ua pinepine ae la oia hoao kona laulā. Ma kekahi ano, e like me ka pilikia me diastasis recti ma hope o haawi, lapaʻau komo ai kupono wale. Nolaila, kekahi o ka papa kuhikuhi hana - loaʻa ke kauka maikai.

Nui hiʻona o ka physiotherapy

A o ka poe wahine i ka maka ia i kaʻawaʻawa loaʻike, me diastasis recti ma hope o haawi, me ka hiki ke haawi aku i ka mea maikaʻi hopena ina ke kaʻina hele pololei. Mua o nā mea a pau i loko o ka lumi papa, ua pono, e hoʻolohe ana i kou hanu. Nui ka wā lawelawe kēlā me kēia no ka hoʻokō 'ana i loko o ke alo o kekahi mana ana o ka pono, e pū i ka'ōpū. No keia, e hiki mai ana ma ka maoli alanui, he mea hiki, e lawe lima i ke keiki ka. Ma keia hihia, ka mea, ua hoʻohana 'ia hohonu transverse abdominal nāʻiʻo, a hoopuni ae i ka torso, a hana e like me ka corset.

He ma kupono haawe ana ma luna o kēia 'ia paha o nāʻiʻo hiki e ka opu i lalo, a ma ka mea ia manawa hoomalu iho i ke spine. Like no me ka mea hanu, ia mea e pono ke waiho i ka pono 'ana i kūpono, ina transverse nāʻiʻo hana i ka hana o ka'eleweka. ʻO kekahi mea e hana - mea e lawe i ka hanu nui ma kou ihu, pela inflating ka abdomen, a hoʻopiha i kou maʻiʻaʻai me ka lewa. Ke exhalation E e hana ma ka waha, a ma ka manawa o ka lukuia, ke manao wale i nāʻiʻo ne e hala loa i luna. He keia kulana o ka lonikū nāʻiʻo a me ka pono e mālama i ka ikaika aʻo. No ka poe i mea e hopohopo nei e pili ana i ke kahe ana o "Diastasis rectus abdominis - pehea e wehe E'ō", like 'ana i kūpono i loa pili.

'ano o nā hana

I mea e loaʻa i ka hoʻokō hopena ma luna o nīnūnē e like me diastasis recti ma hope o haawi, i mea i loko o ka holomua ke kahua,ʻoki lāʻau lapaʻau lapaau.

He nui na ano o kaʻoki kino i i hoʻohana i ke kālā no lapaau e neutralize i ka hoʻopilikia o ke keʻokeʻo laina.

- Nenatyazhnaya ea, a hooikaika, i ka hei prosthesis. Me ka hei i ka kemikala mea, a paa ma na kihi, paʻa uhi pilikia ciia. E like me ka hopena, he mea hala loa he hoihoi 'kaʻina: ka connective'aʻaʻa ulu i loko o ka upena (1-1.5 mahina), ma ia ho okumu i ka hoʻokahi-apana anatomical eiiieaena. Over manawa ia i ikaika a me ka hana connective'aʻaʻa 'ole (2 mm o kona mānoanoa), i mea ole makau o ka oi ma mua o appreciable haawe ana.

- hoʻopilikia ea kūloko nā'aʻaʻa. Ma keia hihia, ke surgeon hana i nā hale a iloko olaila no ka'aʻaʻa o ka anterior abdominal pa.

I ka mea he laau lapaau i like hana hiki ke hana e like me ka hamama i ka hana, a me ka hoʻohana 'ana i ka endoscopic i kūpono (meʻoki). It E e kaulana i endoscopic hernia? Aiiio - o kekahi o nā kiʻina hana safest loa pono, a, e hoʻopau i kēia maʻi like diastasis recti ma hope o haawi. Lapaʻau hana ma ka hoʻohana 'ana i kēiaʻano hana i ka helu o nā pepeiaohao nui pono:

- loaʻa nō i hiki scars;

- i ka pilikia o ka recurrence o ka maʻi ua hoemi ia a hiki i ka palena iki (i oi aku 1%);

- hoʻopulapula au mea nui pōkole ma mua i loko o ka hihia o ka hamama hana;

- ka mea, aohe eha.

Ke alo aku o kēia ipu i loko o ka haukapilaʻo a me nā keʻena lāʻau lapaʻau e leie aku oe e hana i kēia mau hana a me ka pae kiʻekiʻe o ka pololei. No laila, i loko o ke kaua e kū'ē i kēia pilikia me diastasis recti ma hope o haawi, o ka hana - kekahi o ka loa ka hoʻokō pāʻoihana.

Ke loaa au ma hope oʻoki kino

Inā kēiaʻano o ka hana maikaʻiʻole o connective'aʻaʻa aku me hoʻopilikia ea, ua noonoo, ka mea i pono, e kamailio e pili ana i ka wā lōʻihi o ka hoʻopulapulaʻana ma hope oʻoki kino. I keia manawa, na wahine i pololei ole, e hoala mai i kekahi mea kaumaha ia ma mua 10 kg. Eia hou, i ka malama ekolu o ke ola mua ma e i ke komo i loko o haʻuki, o ka papa, i loko o ka mehana palapala. E hana i kēia, he piha ninaninau paipai i ka pilikia e like me diastasis recti, hoʻokō ', a, o ka papa, kukakuka pu me ka palapala hōʻoia no kauka. I ke kumukuai o ka noonoo o ka mea e no ka nui wā o ka manawa ua incapacitated i ka hoʻomanawanui.

Akā, inā e hoʻouku pono diastasis hoʻohana i ka minimally invasive kaʻina hana, he wahine hiki ke kiʻi mai o ka moe me ka pilikia i ka lā mua. Eia naʻe, no ka pono e komo ai kūikawā lole wili, a e i ke ola no ka mahina. Kekahi lono maikaʻi o ia ma hope o minimally invasiveʻoki kino ua 'ae' o ka hoʻomanawanui, e haʻalele i ka haukapila i ka ia la ae. Manaʻo e pili ana i ikaika physical haʻawina ua paipaiʻia ma hope o 14 mau lā, mai ka lā mai o ka hana. Akā, ma hope o 4-5 pule oe hiki hoʻi i ka maʻamau ola.

Nā Papahana O Ka hooponopono hou a me ka Kāohi

Inā mākou pono hoike nīnūnē e like me diastasis recti ma hope o haawi, lapaʻau, hōʻike manaʻo e pili ana i ka mea a me ka hiki hopena, a laila, ua hiki ke kikoo aku i ka poe noonoo ole ka hopena: ina e hiki i kēiaʻike, ka maikaʻi, e pale aku. Nā Usenet neia manawa, ua nui na memo mai ka wahine no e pili ana i kēia pukana. No laila, a hiki i hāpai keiki (a me ka maikaʻi o nā mea a pau i ia mea) e e haawiia kino, e hooikaika i ka diaphragm, ka hohonu hoʻi nāʻiʻo, a pau abdominal nāʻiʻo a me ka pelvic kahua hahi nāʻiʻo. Ka hopena e e loaʻa a pau e pono ke kūʻai '-abdominal puʻe, e like me ka stabilize i ka lumbar spine.

I ka huli 'ana no ka pane ana i ka ninau: "? Diastasis rectus abdominis, pehea e hoʻomaʻemaʻe" (Reviews hoʻopaʻa i kēia), ia mea nui,ʻaʻole e hoʻopoina e pili ana i ua mau kino i hoʻomōhala i ka elasticity, a kohoʻia o ka anterior abdominal pa. Kekahi mea nui eiiieaena - he aeie neʻe, i ka hooikaika ana ia ma luna o nā nāʻiʻo o ka pelvic papahele, a, ma ka huli, lawelawe 'ana me ke kākoʻo hui, a ua ālai' kā lākou pohupani hale i loko o ka hanana o ka mahuahua ke kūʻai '-abdominal puʻe.

Pela, ke pono ala e pale divergence o nāʻiʻo - Ua regular hoounauna mamua i ka hāpai keiki. He nui nenoai e kaumaha pono a me ka maluhia kino e hiki hoʻoikaika i ka ABS a me ka pale aku i ka mea hoʻonāwaliwali maoli nō o connective nā'aʻaʻa. Akā, inā he inoʻike nō e i ka hookoia, alaila, hana ole o ka manao, i ka pilina paʻa aʻo ma hope o haawi a me ke akamai malama kauka, e kōkua i ka neutralize i ka pilikia.