Pubic symphysis ndi mfundo yomwe imalumikizana ndi mafupa awiri a m'chiuno, kapena mafupa a iliac, kutsogolo kwa chiuno (1).

malo. Pokhala pamwamba pa maliseche ndi kutsogolo kwa chikhodzodzo, pubic symphysis imapanga kutsogolo kwa mafupa awiri a chiuno. Pamodzi ndi sacrum, mafupawa amapanga lamba wa m'chiuno kupanga mafupa a m'chiuno. Mafupa a m'chiuno ndi mafupa osakanikirana olumikizidwa pamodzi kumbuyo ndi sacrum ndi kutsogolo ndi pubic symphysis. Fupa lililonse la ng'ombe limapangidwa ndi mafupa atatu olumikizidwa pamodzi: ilium, kumtunda kwa fupa la coxal, ischium, kumunsi ndi kumbuyo, komanso pubis, kumunsi ndi kutsogolo (2).

kapangidwe. Pubic symphysis ndi gulu losayenda bwino lomwe limapangidwa ndi:

• fibrocartilaginous interpubic ligament, yomwe ili pakatikati pa pubic symphysis, yopangidwa ndi mapanga olowa;
• interpubic cartilaginous ligament, yomwe ili mbali iliyonse pakati pa interpubic fibrocartilaginous ligament ndi pubic bone;
• Mitsempha yapamwamba komanso yotsika yomwe imaphimba pubic symphysis ndi pubic bone.

Ntchito yochotsa mantha. Maonekedwe ndi mawonekedwe a pubic symphysis amapangitsa kuti pakhale gawo lodzidzimutsa potengera kupsinjika kosiyanasiyana, kukakamira komanso kukameta ubweya komwe chiuno chikhoza kuchitika (3).

Ntchito pa nthawi yobereka. Pa nthawi yobereka, pubic symphysis imagwira ntchito yofunika kwambiri chifukwa cha kusinthasintha kwake komwe kumapangitsa kutsegula kwambiri kwa pelvis komanso kuyenda kosavuta kwa mwana. 

Pubic symphysis ndi mawonekedwe ozungulira a anatomical, monga mafupa a pubic, amatha kukhudzidwa ndi matenda a rheumatic, opatsirana, osokonekera kapena owopsa (4).

Kupunduka kwa chiuno ndi kuthyoka. Nthawi zambiri, kupasuka kwa pelvis kumatha kukhudza pubic symphysis. Nthawi zambiri zimachitika chifukwa cha kuvulala kwamphamvu komwe kumatha kuyambitsa kusagwirizana kwa symphyseal. Chotsatiracho chikufanana ndi kusamuka kwa hemi-pelvis polemekeza winayo.

Ankylosing spondylitis. Kukhudza mafupa a vertebrae, makamaka mafupa a sacroiliac, matenda otupa a rheumatic amathanso kukhudza pubic symphysis (4).

kufooka kwa mafupa. Matendawa amapangitsa kuchepa kwa mafupa omwe amapezeka mwa anthu azaka zopitilira 60. Amakulitsa kufooka kwa mafupa ndikulimbikitsa mabilu. (5)

Bone dystrophy. Matendawa amakhala ndi kukula kwachilendo kapena kukonzanso minofu ya mafupa ndipo kumaphatikizapo matenda ambiri. Chimodzi mwazofala kwambiri, matenda a Paget (6) amachititsa kuti fupa likhale lolimba komanso liwonongeke, zomwe zimayambitsa kupweteka. Ponena za algodystrophy, imafanana ndi mawonekedwe a ululu ndi / kapena kuuma pambuyo povulala (kusweka, opaleshoni, etc.).

Chithandizo chamankhwala. Malingana ndi matenda omwe amapezeka, mankhwala ena amatha kuperekedwa kuti achepetse ululu.

Chithandizo cha mafupa. Malingana ndi mtundu wa fracture, chithandizo cha mafupa chikhoza kukhazikitsidwa.

Chithandizo cha opaleshoni. Malingana ndi ma pathology ndi kusintha kwake, opaleshoni ikhoza kuchitidwa.

Chithandizo chakuthupi. Zithandizo zakuthupi, kudzera m'mapulogalamu ena azolimbitsa thupi, zitha kuperekedwa ngati physiotherapy kapena physiotherapy.

Kuyezetsa thupi. Choyamba, kufufuza kwa thupi kumachitidwa kuti azindikire mayendedwe opweteka komanso chifukwa cha ululu.

Kuyeza kujambula kwachipatala. Kutengera ndi matenda omwe akuganiziridwa kapena otsimikiziridwa, mayeso owonjezera amatha kuchitidwa monga X-ray, ultrasound, CT scan, MRI, scintigraphy kapena bone densitometry.

Kusanthula kwachipatala. Pofuna kuzindikira zovuta zina, kusanthula magazi kapena mkodzo kumatha kuchitika monga, mulingo wa phosphorous kapena calcium.

Zomwe zimachitika makamaka mwa othamanga, pubalgia, yotchedwa athletic, imasonyezedwa makamaka ndi ululu wa pubic symphysis.