I-pubic symphysis ilunga elihlanganisa amathambo enqulu amabili, noma amathambo e-iliac, ngaphambili kwe-pelvis (1).

Isikhundla. Njengoba itholakala ngaphezu kwezitho zangasese nangaphambi kwesinye, i-pubic symphysis yakha ilunga langaphambili lamathambo amabili okhalo. Kanye ne-sacrum, lawa mathambo akha ibhande le-pelvic elakha uhlaka lwamathambo e-pelvis. Amathambo e-hip angamathambo alinganayo axhunywe ndawonye ngemuva nge-sacrum futhi ngaphambili yi-pubic symphysis. Ithambo ngalinye le-oxal lakhiwe amathambo amathathu ahlanganiswe ndawonye: i-ilium, ingxenye engenhla yethambo le-coxal, i-ischium, ingxenye engezansi nangemuva, kanye ne-pubis, ingxenye engezansi nangaphambili (2).

Ukwakheka. I-pubic symphysis iyijoyinti elingahambi kahle elakhiwe:

• i-fibrocartilaginous interpubic ligament, ephakathi nendawo ye-pubic symphysis, eyenziwe ngemigodi ehlangene;
• i-interpubic cartilaginous ligament, etholakala ohlangothini ngalunye phakathi kwe-interpubic fibrocartilaginous ligament kanye ne-pubic bone;
• yemisipha ephakeme nangaphansi ehlanganisa i-pubic symphysis kanye ne-pubic bone.

Indima yokudonsa okushaqisayo. Ukuma nokwakheka kwe-pubic symphysis kuyinika indima yokumunca ukushaqeka ngokuzivumelanisa nezingcindezi ezihlukene zokushuba, ezicindezelayo nezigundiwe okungenzeka ukuthi i-pelvis idlule kuzo (3).

Umsebenzi ngesikhathi sokubeletha. Ngesikhathi sokubeletha, i-pubic symphysis idlala indima ebalulekile ngenxa yokuguquguquka kwayo okuvumela ukuvuleka okukhulu kwe-pelvis nokudlula kalula kwengane. 

I-pubic symphysis kanye nezakhiwo ezizungezile ze-anatomical, njengamathambo e-pubic, zingathinteka yizimo ze-rheumatic, ezithathelwanayo, eziwohlokayo noma ezibuhlungu (4).

Ukukhubazeka kwe-pelvic nokuphuka. Okungavamile, ukuphuka kwe-pelvis kungabandakanya i-pubic symphysis. Imvamisa zibangelwa ukuhlukumezeka okunodlame okungadala ikakhulukazi ukuhlukana kwe-symphyseal. Lokhu kokugcina kuhambisana nokugudluzwa kwe-hemi-pelvis ngokuphathelene nenye.

I-ankylosing spondylitis. Okuthinta amalunga e-vertebrae, futhi ikakhulukazi amalunga e-sacroiliac, lesi sifo sokuvuvukala kwe-rheumatic singathinta ne-pubic symphysis (4).

kwamathambo. Le pathology ihlanganisa ukulahlekelwa ukuminyana kwamathambo okuvame ukutholakala kubantu abaneminyaka engaphezu kuka-60. Igqamisa ubuthakathaka bamathambo futhi ikhuthaze izikweletu. (5)

I-dystrophy yamathambo. Le pathology ihlanganisa ukukhula okungavamile noma ukulungiswa kabusha kwezicubu zamathambo futhi ihlanganisa izifo eziningi. Esinye sezifo ezivame kakhulu, i-Paget's disease (6) sibangela ukucinana kwamathambo kanye nokuguqulwa, okuholela ebuhlungu. Ngokuqondene ne-algodystrophy, ihambisana nokubukeka kobuhlungu kanye / noma ukuqina okulandela ukuhlukumezeka (ukuphuka, ukuhlinzwa, njll.).

Ukwelashwa kwezokwelapha. Ngokuya nge-pathology etholwe, izidakamizwa ezithile zingase zibekwe ukunciphisa ubuhlungu.

Ukwelashwa kwamathambo. Kuye ngohlobo lokuphuka, ukwelashwa kwamathambo kungase kusetshenziswe.

Ukwelashwa kokuhlinzwa. Ngokuya nge-pathology nokuziphendukela kwayo, kungahlinzwa.

Ukwelashwa ngokomzimba. Ukwelashwa ngokomzimba, ngokusebenzisa izinhlelo ezithile zokuzivocavoca, kungabekwa njenge-physiotherapy noma i-physiotherapy.

Ukuhlolwa komzimba. Okokuqala, kwenziwa ukuhlolwa komzimba ukubona ukunyakaza okubuhlungu nembangela yobuhlungu.

Ukuhlolwa kwezithombe zezokwelapha. Ngokuya nge-pathology esolwayo noma efakazelwe, ukuhlolwa okwengeziwe kungenziwa njenge-X-ray, i-ultrasound, i-CT scan, i-MRI, i-scintigraphy noma i-bone densitometry.

Ukuhlaziywa kwezokwelapha. Ukuze ubone izifo ezithile, ukuhlaziywa kwegazi noma komchamo kungenziwa, ngokwesibonelo, isilinganiso se-phosphorus noma i-calcium.

Kwenzeka ikakhulukazi kubagijimi, i-pubalgia, eyaziwa ngokuthi i-athletic, ibonakala ikakhulukazi ngobuhlungu ku-pubic symphysis.