حمل میں کمر درد

Ye kya hai

Hamal mein kamar dard (back pain in pregnancy) bohat aam hai aur kisi kharabi ki nishani nahi. Wazan aage barhta hai, hormone se ligament narm ho jate hain, aur pait ke pathe khinch kar kamzor ho jate hain.

Do qismen hoti hain: kamar ke neeche ka dard, aur pelvis ke joron ka dard (pelvic girdle pain), jo peeche kolhe ke joron ya samne pubic haddi par mehsoos hota hai. Dono ka ilaj thora mukhtalif hai.

Alamat

• Kamar ke neeche dard, jo din ke aakhir mein barhta hai
• Kolhe ke joron ya pelvis ke peechle hissay par dard
• Bistar par karwat badalne mein shadeed takleef
• Seerhiyan charhne aur ek taang par wazan dalne par dard
• Pelvis mein kar kar ki awaz ya khisakne ka ehsaas
• Dard kolhe se raan tak phailna
• Der tak khara rehne ya chalne ke baad dard barhna

Wajuhat

• Barhta wazan aur jism ka aage ki taraf jhukao
• Hormone se ligament narm hona, jis se joron ki pakar kam ho jati hai
• Pait ke pathon ka khinch kar kamzor ho jana
• Hamal se pehle bhi kamar dard ki history hona
• Ghar ka bhaari kaam, bartan aur pani ki balti uthana
• Jurwa bachay ya pehle ki hamal mein pelvis ka dard

Kab doctor se milen

Kisi bhi mahine mein aa sakti hain. Warzish shuru karne se pehle apne doctor ya gynaecologist se ijazat lena lazmi hai.

Foran hospital jayen agar pait mein baar baar sakhti ya dard uthe, khoon aaye, pani behay, bukhar ho, ek taraf shadeed dard ho, ya bachay ki harkat kam ho jaye.

Usi din doctor se milen agar peshab mein jalan ke sath kamar dard aur bukhar ho, shadeed sar dard ke sath nazar dhundhli ho ya haath aur chehre par achanak sujan aaye.

Ilaj

Hamal mein ilaj jaan boojh kar halka rakha jata hai. Assessment se kamar ka dard aur pelvis ka dard alag kiye jate hain.

• Haath se therapy (manual therapy), kamar, kolhe aur chuttar ke pathon ka narm kaam, karwat par let kar
• Warzish ki therapy (exercise therapy), chuttar, pait ke gehre pathon aur pelvic floor ka chhota rozana programme
• Uthne, baithne aur chalne ke tareeqe, bina kamar par bojh dale
• Hamal ki support belt, jahan assessment kahe, sirf kaam ke waqt
• Kamar par garam sek, kabhi pait par nahi

Hamal ke doran bijli wali therapy, ultrasound, TENS, dry needling aur hijama istemal nahi kiye jate. Dawa doctor ka kaam hai.

Warzish

Kya karna hai

• Pelvic tilt, char haath pair par ya deewar ke sahare khare ho kar, aahista
• Pelvic floor ki warzish, das bar, din mein teen waqt, saans rokne ke bagair
• Karwat par let kar oopar wali taang uthana, chuttar ke pathon ke liye

Kya nahi karna

• Seedha let kar pait ki warzish karna, jaise crunches ya sit up
• Bhaari wazan uthana, pani ki balti ya bachay ko ek kolhe par uthana
• Ek taang par wazan daal kar khara rehna, ya zameen par uthak baithak karna

Ghar par kya karen

Karwat par soyen, ghutnon ke darmiyan takiya aur pait ke neeche ek chhota takiya rakh kar. Is se kamar aur pelvis dono ko sahara milta hai.

Bistar se uthte waqt pehle karwat len, phir dono taangen sath neeche karen aur haath se sahara le kar uthen. Jhatke se seedha na uthen.

Garam sek sirf kamar par, pandrah minute, kabhi pait par nahi. Garam pani ke tub ya bohat garam pani se bachen.

Kursi par peeth ke peeche chhota takiya rakhen, aur der tak khare hone wala kaam beech beech mein baith kar karen.

Kitna waqt lagta hai

Ilaj se zyada tar aurton ko do se teen hafton mein saaf farq aur chhe hafton mein achi hadd tak control mehsoos hota hai.

Dard hamal ke doran bilkul khatam aam tor par nahi hota, kyunke wazan barhta rehta hai. Imandar maqsad ye hai ke dard paidaish tak qabil-e-bardasht rahe, aur ye zyada tar cases mein ho jata hai. Tafseeli maloomat English page Back Pain in Pregnancy par hai.

Aam sawalat