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孕婦腰背痛成因
 

孕婦腰背痛成因

腰痠背痛經常困擾孕婦,而且更隨懷孕周期延長而加劇,若果忽視痛症可持續至產後。很多媽媽都以為這情況可不治而瘉便掉以輕心,最終可能引致嚴重脊骨毛病,要花更長時間醫治。

形成疼痛原因包括懷孕期體重增加、腹直肌分離及荷爾蒙變化等。子宮重量隨胎齡增長而增加,致使身體重心前移,令孕婦習慣「托住條腰」走路,使盆骨更為過度向前傾。為保持身體平衡,上身會向後傾,久而久之脊骨承受的壓力大增,導致背部肌肉過勞,引發腰痛。妊娠期間胎兒發育要充足鈣、磷等營養素,若膳食中攝取量不足,亦可造成孕婦骨質軟化脫鈣而令腰痛。

腰椎間盤凸出

隨着子宮內胎兒日漸長大,身體負重增加,腹部腹直肌即前腹肌肉也會被擠開。腹直肌長時間分離及鬆弛會增加腰背壓力,容易拉傷及勞損,最嚴重時可能終身腰痛。

腰背痛問題未必會在生產後消失,有可能持續至產後半年或以上,後遺症包括肌肉抽搐及脊椎移位等,需要進行脊科或物理治療。小部分患者嚴重時可引致失禁,需要接受手術。如腰背痛持續及惡化、雙腳麻痹乏力、打噴嚏或大小便時出現腰背盆骨痛,應盡早接受詳細檢查,因有可能是腰椎間盤凸出,壓着神經線。

 

脊醫及物理治療師何應輝

何應輝脊醫 DR. HO YING FAI, CHRIS

資料來源: 星島日報

選文來自: 香港E大夫 / 醫大夫

 

 

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