Symphysis na pubic shine haɗin gwiwa da ke haɗuwa da ƙasusuwan hips biyu, ko ƙasusuwan iliac, a gaban ƙashin ƙugu (1).

Matsayi. Yana sama da al'aura da gaban mafitsara, pubic symphysis yana haifar da haɗin gwiwa na baya na kasusuwan hip guda biyu. Tare da sacrum, waɗannan ƙasusuwan suna samar da abin ɗamara na ƙashin ƙugu wanda ya zama kwarangwal na ƙashin ƙugu. Kasusuwan hips ƙasusuwa ne masu ma'ana waɗanda aka haɗa tare a baya ta sacrum kuma a gaba ta hanyar symphysis na pubic. Kowane kashi na oxal yana da ƙasusuwa guda uku waɗanda aka haɗa su tare: ilium, ɓangaren sama na kashin coxal, ischium, ɓangaren ƙasa da na baya, da pubis, ƙasa da gaba (2).

Structure. Ƙungiyar symphysis ita ce haɗin haɗin wayar hannu mara kyau wanda ya ƙunshi:

• wani fibrocartilaginous interpubic ligament, wanda yake a tsakiyar tsakiyar symphysis na pubic, wanda ya ƙunshi cavities na haɗin gwiwa;
• ligament interpubic cartilaginous ligament, located a kowane gefe tsakanin interpubic fibrocartilaginous ligament da pubic kashi;
• na maɗaukakiyar jijiyoyi masu girma da na ƙasa waɗanda ke rufe ƙwanƙwasa symphysis da ƙashin ƙuruciya.

Rawar absorber rawar. Matsayi da tsari na symphysis na pubic suna ba shi rawar tsotsewa ta hanyar daidaitawa daban-daban na juzu'i, matsawa da damuwa wanda ƙashin ƙugu zai iya jurewa (3).

Aiki a lokacin haihuwa. A lokacin haihuwa, pubic symphysis yana taka muhimmiyar rawa godiya ga sassaucin ra'ayi wanda ke ba da damar buɗewa mafi girma na ƙashin ƙugu da sauƙi na jariri. 

Alamun sinadarai da ke kewaye da sifofin jikin jiki, kamar ƙasusuwan ƙasusuwa, na iya shafar yanayin rheumatic, kamuwa da cuta, ɓarna ko asalin rauni (4).

Nakasar ƙashin ƙugu da karaya. Yawancin lokaci, karaya a cikin ƙashin ƙugu na iya haɗawa da symphysis na pubic. Sau da yawa suna faruwa saboda mummunan rauni wanda zai iya haifar da rikice-rikice na symphyseal musamman. Ƙarshen ya yi daidai da ƙaura na hemi-pelvis game da ɗayan.

Ankylosing spondylitis. Yana shafar haɗin gwiwa na vertebrae, kuma musamman ma'auni na sacroiliac, wannan cututtukan cututtuka na rheumatic kuma zai iya rinjayar pubic symphysis (4).

osteoporosis. Wannan ilimin cututtuka ya ƙunshi asarar ƙarancin kashi wanda yawanci ana samun shi a cikin mutanen da suka wuce shekaru 60. Yana ƙarfafa ƙasusuwa kuma yana inganta lissafin kuɗi. (5)

Dystrophy na kashi. Wannan ilimin cututtuka ya ƙunshi ci gaba mara kyau ko gyaran ƙwayar kashi kuma ya haɗa da cututtuka da yawa. Ɗayan da aka fi sani da cutar Paget (6) yana haifar da raguwar kashi da nakasawa, yana haifar da ciwo. Amma ga algodystrophy, ya dace da bayyanar zafi da / ko taurin bayan rauni (karya, tiyata, da dai sauransu).

Maganin lafiya. Dangane da cututtukan da aka gano, ana iya ba da wasu magunguna don rage zafi.

Maganin Orthopedic. Dangane da nau'in karaya, ana iya aiwatar da maganin orthopedic.

Magungunan tiyata. Dangane da ilimin halittar jiki da juyin halittarsa, ana iya yin tiyata.

Jiyya ta jiki. Magunguna na jiki, ta hanyar shirye -shiryen motsa jiki na musamman, za a iya ba da izini kamar aikin motsa jiki ko motsa jiki.

Binciken jiki. Na farko, ana yin gwajin jiki don gano motsi mai raɗaɗi da sanadin ciwon.

Binciken hoto na likita. Dangane da abin da ake zargi ko tabbatar da ilimin cututtuka, ana iya yin ƙarin gwaje-gwaje kamar X-ray, duban dan tayi, CT scan, MRI, scintigraphy ko densitometry na kashi.

Binciken likita. Don gano wasu cututtukan cuta, ana iya yin nazarin jini ko fitsari kamar, misali, sashi na phosphorus ko alli.

Yafi faruwa a cikin 'yan wasa, pubalgia, wanda aka sani da wasan motsa jiki, yana bayyana musamman ta jin zafi a cikin ƙwannafi.