Kutheni ndidinga unyango loMgangatho wePelvic?

Ukungasebenzi kwe umgangatho we-pelvic Izihlunu yingxaki exhaphakileyo echaphazela malunga nesinye kwisihlanu sabemi behlabathi. Ngokuqhelekileyo emva kokukhulelwa kunye nokuzalwa komntwana, kunye ne-genetic predisposition, ngokuchasene nemvelaphi yokuphila ngokuhlala, kunye nexesha lokuyeka ukuya exesheni, ezi zihlunu zilahlekelwa ithoni. Ayinakubeka ubomi esichengeni, kodwa iyenza intsonkothe ​​ngakumbi. Ukuba unengxaki yomgangatho we-pelvic, unokucinga ukuba utyando lolona khetho. Kodwa akunjalo. Unyango lomzimba lunokuba lukhetho lonyango lwe-pelvic floor.

Yintoni umgangatho we-pelvic? 

Izihlunu ze-pelvic okanye, njengoko zibizwa ngokuba, izihlunu ezisondeleyo zibalulekile kumzimba. Ezi zihlunu ezisondeleyo zifumaneka kwindawo ye-perineal kwaye iplate ye-muscular yolulelwe phakathi kwe-pubic bone kunye ne-coccyx. Kule hammock ye-muscular ingaqhelekanga kukho amalungu e-pelvic, isinyi, i-rectum, i-prostate gland emadodeni, isibeleko kubasetyhini. 

Umsebenzi oyintloko we-pelvic floor musculature unika inkxaso kunye nenkxaso kwizitho zangaphakathi. Baxhasa amalungu e-pelvic kwindawo eqhelekileyo ye-physiological, banikeze umsebenzi osemgangathweni, kwaye bathathe inxaxheba kwiinkqubo zokuchama kunye ne-defecation. Ukongezelela, izihlunu ezisondeleyo zithatha inxaxheba kumsebenzi we-sphincters ye-urethra kunye ne-rectum. Ezi zihlunu ozisebenzisayo ukubamba umchamo kunye negesi, kubandakanywa naxa usenza umthambo, uhleka okanye uthimla.

I-Pelvic muscle contractions inokulawulwa ngamandla, kodwa ngokuqhelekileyo inkontileka ingazi, ilungelelanisa kunye nezihlunu ezinzulu zesisu kunye ne-diaphragm, kunye nokunceda ukulawula uxinzelelo lwesisu ngexesha lokuzilolonga. Ngokufanelekileyo, uxinzelelo lwe-intraabdominal lulawulwa ngokuzenzekelayo. Ukuba nayiphi na imisipha ye-cortical, kubandakanywa nezihlunu zomgangatho we-pelvic, zibuthathaka okanye zonakaliswe, ulungelelwaniso oluzenzekelayo luphazamiseka. Emva koko, kwiimeko apho uxinzelelo lwe-intraabdominal luyanda, kukho ithuba lokulayisha ngaphezulu komgangatho we-pelvic, uyancipha kwaye uxinzelelo luyancipha. Ukuba oku kwenzeka ngokuphindaphindiweyo, ukunyanzeliswa kwezitho ze-pelvic kwanda ngokuhamba kwexesha, oku kunokukhokelela ekulahlekelweni kwe-bladder okanye ukulawulwa kwamathumbu okanye i-pelvic organ organ prolapse.

Ukuze isebenze njengenxalenye ye-cortex, izihlunu ze-pelvic kufuneka zibe bhetyebhetye, oku kuthetha ukuba abanako kuphela isivumelwano kunye nokubamba uxinzelelo, kodwa baphinde baphumle. Ukuxinezeleka rhoqo kunokubangela ukuba izihlunu zilahlekelwe ukuguquguquka kwaye zibe nzima kakhulu, kwaye ukuqina kwemisipha ye-pelvic ngokuqhelekileyo kudibaniswa nobuthathaka, oku kunokukhokelela ekungangeni komchamo, intlungu ye-pelvic, intlungu kunye nokwabelana ngesondo kunye nobunzima bokuchama.

Kutheni ndingadinga unyango lwe-pelvic floor?

Unyango lomgangatho we-pelvic lubaluleke kakhulu, kuba ukuba umsebenzi womgangatho we-pelvic uphazamisekile, uya kuba nefuthe elikhulu ebomini.

Ukuncipha kwemisipha ye-pelvic floor kukhokelela kwi-gaping ye-vagina xa amathanga esasazeka kwaye xa etyhala. Ngokusebenzisa i-gaping ye-vagina inokungena lula kwintsholongwane, enegalelo ekuphuhlisweni kwe-colpitis kunye ne-vulvovaginitis. I-Gaping i-slit ihlala ikhokelela ekomeni kunye ne-atrophy ye-mucosa ye-vaginal. Konke oku kuchaphazela kakubi ubomi besondo babasetyhini.

Ukomisa kunye ne-atrophy ye-mucosa ye-vaginal kunciphisa uvakalelo lwayo njengendawo ye-erogenous, eyenza kube nzima ukuba umfazi abe ne-orgasm. Iqabane lezesondo nalo alifumani ulonwabo olwaneleyo, kuba i-vagini ebanzi ayiboneleli ngokusondeleyo kwizitho zangasese ngexesha lobudlelwane obusondeleyo. Indoda inokuba nengxaki ye-erectile ngenxa yale nto.

Ukongeza kokuwohloka komgangatho wobudlelwane bezesondo, ngokuhamba kwexesha iimpawu ezingathandekiyo ezifana nokungaphumeleli komchamo xa ukhohlela, ukuhleka, ukutyhala, umsebenzi womzimba, isidingo sokuya kwindlu yangasese rhoqo okanye ngokukhawuleza. Ngokwenzululwazi, kubizwa ngokuba kukungaphumeleli komchamo. Ukongezelela, ukuba imeko yomgangatho we-pelvic iyancipha, kukho ukuphazamiseka kweendonga ze-vagina kunye ne-urethra, i-prolapse ye-uterus, i-prolapse ye-rectum, ukuphulwa kwe-sphincter ye-anus. Akuqhelekanga ukuba i-pelvic organ prolapse ibangele ukuphuhliswa kwentlungu engapheliyo ye-pelvic.

Ukongeza, ezi ziganeko zilandelayo ziya kwenzeka:

• Ukungabikho kweegesi kunye neziqulatho zamathumbu.
• Ubunzima bokukhupha isinyi okanye amathumbu.
• Ukuqhawuka kwamalungu angaphakathi. Kwabasetyhini, kuvakala njengeqhuma kwilungu lobufazi okanye ukuziva ungakhululeki okanye ubunzima. Kumadoda, kubonwa njenge-bulge kwi-rectum okanye umnqweno wokukhupha i-bladder, nangona akukho njongo imfuneko yokwenza njalo.
• Ubuhlungu kwisinyi, emathunjini okanye ngasemva kufutshane nomgangatho we-pelvic xa usenza umthambo we-pelvic floor muscle okanye ngexesha lokwabelana ngesondo.

Indlela yokufumana unyango lomzimba kwi-pelvic floor?

Naluphi na unyango luqala ngokuxilongwa kokuphazamiseka: imeko kunye namandla emisipha ye-pelvic ihlolwe, kuchongwa ukuba kukho iimpawu kunye nokuba zihambelana nokungasebenzi kakuhle komgangatho we-pelvic. Ukuba uxhulumaniso lusekwe, isethi yamanyathelo onyango azimeleyo aphuhliswa ukubuyisela imisipha kunye nezixhobo ze-ligamentous. Ugqirha ukwafundisa isigulana i-Kegel exercises, enokuthi yenziwe ngokuzimeleyo ekhaya ukuqinisa izihlunu ezibuthathaka kunye nokuphumla kwe-spasmed. 

I-Biofeedback

Unyango lwe-Biofeedback lwenziwa kumatshini okhethekileyo. Unyango lwe-Biofeedback lunconywa kunyango lwazo zonke iintlobo zokungaphumeleli komchamo, ukungabikho kwe-fecal, i-vaginal wall prolapse, intlungu engapheliyo ye-pelvic kunye nokuphazamiseka ngokwesondo.

I-Biofeedback luhlobo olunzulu lonyango lwe-pelvic floor lwenziwa rhoqo ngeveki kwindawo yonyango ngabasebenzi bezonyango abaqeqeshwe ngokukodwa ngokudibanisa ne-Kegel exercises ekhaya. Ngethuba lonyango lwe-biofeedback, inzwa ekhethekileyo ifakwe kwi-vagina okanye i-rectum kwaye i-electrodes igxininiswe kwindawo yodonga lwangaphambili lwesisu. Ezi electrode zithatha imiqondiso yombane kwizihlunu. Isigulana kufuneka sifinyeze kwaye sikhulule izihlunu ngokomyalelo kagqirha. Iimpawu zombane ziboniswa kwidispleyi yekhompyutha. Ndiyabulela kule nkqubo, isigulane siyaqonda ukuba yeyiphi imisipha yomgangatho we-pelvic kufuneka ibanjwe 

Uphononongo oluninzi lwezonyango lubonise ukuphucuka okubalulekileyo ekugcinweni komchamo kwizigulana ezinokuphazamiseka kwemithambo-luvo kunye nakwizigulana ezindala. 

Electrostimulation

I-Electrostimulation lolona hlobo oluntsonkothileyo lonyango lwempendulo olujolise ekubuyiseleni izihlunu zomgangatho we-pelvic. Olu nyango lomzimba lujolise ekukhuthazeni izihlunu eziphakamisa i-anus. Xa izihlunu zivuselelwe ngeempembelelo zombane, izihlunu ezisekhohlo kunye ne-contract ye-bladder sphincter, kunye ne-bladder contraction ivinjelwe. Ukuvuselela kombane kunokusetyenziswa kunye nonyango lwempendulo okanye imithambo yeKegel 

I-Electrostimulation yindlela esebenzayo yokunyanga ukungakwazi ukuzibamba komchamo okubangelwa kukuxinezeleka kunye neendlela ezixubeneyo zokungaphumeleli komchamo kunye nobuthathaka bezihlunu zomgangatho we-pelvic. Kwabasetyhini abaphethwe yi-peremptory incontinence, i-electrostimulation inceda ukukhulula isinyi kunye nokunciphisa iqondo lokunciphisa okungalawulwayo kwe-detrusor (i-bladder muscle).

I-Electrostimulation ikwasebenza kakhulu ekunyangeni izigulane ezine-neurogenic urinary disorders. Impembelelo enkulu ifezekiswa ngokudibanisa unyango kunye ne-electrostimulation kunye nonyango lwempendulo. Nangona kunjalo, isiphumo esibalulekileyo senzeka emva kweeveki ezine zonyango, kwaye izigulane kufuneka ziqhubeke nokwenza umthambo weKegel ekhaya.

Uqeqesho lwesinyi 

Le ndlela yonyango idla ngokusetyenziswa ukunyanga abasetyhini abasebenzayo abaneempawu zokungaphumeleli komchamo kunye ne-bladder hypersensitivity, ebizwa ngokuba yingxakeko. Ingundoqo yokuqeqeshwa kwe-bladder kukuba isigulane kufuneka sifunde ukunyamezela iminqweno yobuxoki yokuchama nge-bladder engenanto okanye ezaliswe kakubi kunye nokuchama ngeyure. Uqeqesho lukwabandakanya ukulandelwa kwemithetho ethile malunga nokutya kunye nokuthatha ulwelo. Kusetyenziswa ubuchule obukhethekileyo bokuphumla, obunceda ukuxhathisa nokulibazisa umnqweno wobuxoki. Injongo yoqeqesho kukuba isigulane sinokunyamezela ixesha le-2-3 iiyure phakathi kohambo lokuya kwindlu yangasese.

Ukongeza koku ngasentla, iindlela ezininzi, kunye nophuhliso lwamayeza kunye neteknoloji. Ngoku kukho uhlobo olutsha lwezixhobo – iqonga lokungcangcazela kwe-sonic , isitulo somgangatho we-pelvic. Iqonga layo le-sonic vibration liyakwazi ukuvuselela izihlunu eziwohlokileyo, linike ulawulo lwemisipha epheleleyo kunye nokwelula. Inempembelelo enkulu ekuthinteleni nasekuphuculeni ukungeniswa kwe-urinary tract, ukuchama, ukungabikho komchamo, kunye ne-benign prostatic hyperplasia.