Author/Editor     Premru-Sršen, Tanja
Title     Vpliv nosečnosti na mišično-skeletni sistem
Translated title     Influence of pregnancy on the musculoskeletal system
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 44, št. Suppl 3
Publication year     2005
Volume     str. 91-5
Language     slo
Abstract     Raised levels of hormones, especially relaxin, during pregnancy cause increased ligament laxity and softening of the cartilage. Posture in a pregnant women is changed because of the growing uterus. Progressive lumbar lordosis occurs shifts the centre of gravity back over the lower extremities, leading to development of anterior flexion of the neck and slumping of the shoulders. Ligament laxity can cause a widening and increased motion of the symphysis and increased motion of the sacroiliac joints that lead to the destabilization of the pelvic ring. Increased motion of the pelvic joints with progressive lumbar lordosis and growing uterus could cause problems, with low back pain and pubic pain with radiation to the groin and buttocks. Similar problems are present in case of osteonecrosis of the femoral head and transient osteoporosis of the hip, conditions which may have poor outcome, so it is very important to differentiate these conditions from more benign pathology.
Summary     Povečana raven nekaterih hormonov, predvsem relaksina, v nosečnosti povzroči ohlapnost vezi in mehčanje hrustanca. Telesna drža nosečnice se zaradi rastoče maternice spremeni. V križno-ledvenem delu hrbtenice se razvije lordoza s premikom težišča telesa navzad, kar vodi v razvoj lordoze v vratnem delu hrbtenice s sprednjo fleksijo vratu in spuščanjem ramen. Ohlapnost vezi ima lahko za posledico razmik in večjo gibljivost sramnih kosti in povečano gibljivost sakroiliakalnih sklepov, kar destabilizira medenični obroč. Povečana gibljivost medeničnih sklepov s progresivno lordozo križno-ledvenega dela hrbtenice in rastoča maternica lahko povzročajo težave z bolečinami v spodnjem delu hrbtenice in v sramnici z izžarevanjem v dimlje in stegna. Podobne težave se pojavijo tudi pri osteonekrozi glave stegnenice in prehodni osteoporozi kolka, ki jih moramo zaradi slabe napovedi razlikovati od težav zaradi destabilizacije medeničnega obroča.
Descriptors     LOW BACK PAIN
FEMUR HEAD NECROSIS
OSTEOPOROSIS
MUSCLE CRAMP
OSTEONECROSIS