So woate asɛmfua ‘Perineum’ pɛn? Ebia efi wo duruyɛfo hɔ, anaasɛ ebia wotee ho asɛm bere a wonyinsɛn no. Eyi yɛ yɛn nipadua no fã a ɛho hia yiye na ɛyɛ mmerɛw yiye ankasa, nanso yɛnka ho asɛm pii. Enti, ɛnnɛ yɛbɛka ne nyinaa ho asɛm a ɛnyɛ den koraa na yɛwɔ adamfofa kwan so. Mebɛkyerɛkyerɛ biribiara mu wɔ ɔkwan a wobɛtumi ate aseɛ so.
Sɛ yɛbɛka no tiawa a, dɛn ne perineum no?
Ɛyɛ mmerɛw yiye. Wɔfrɛ honam ani fã ketewaa a ɛyɛ mmerɛw a ɛda w’akyi berɛmo ne w’akyi berɛmo ntam no sɛ perineum.
- Wɔ ɔbea mu: honam ani fã a ɛda ɔbea awotwaa no ano ne akyi berɛmo ntam.
- Wɔ ɔbarima mu: honam ani fã a ɛda awotwaa (scrotum) ne akyi berɛmo ntam.
Nanso ɛnyɛ honam ani hwɛbea nkutoo. Wɔ saa honam ani hwɛbea yi ase no, nneɛma a emu dɔ a ntini, ntini, ne ntini a ɛwɔ yɛn akyi berɛmo no ase ka ho no nso yɛ beae yi a wɔfrɛ no perineum no dea. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyi te sɛ yɛn akyi berɛmo no fapem.
Dɛn ne dwumadi ahorow a ɛwɔ perineum no mu? Dɛn nti na ɛho hia saa?
Saa beae ketewaa yi yɛ adwuma a ɛho hia paa wɔ yɛn nipadua mu.
- Ɔbarima ne ɔbea nna mu nkanyan: Ntini ahorow a ɛwɔ saa beae yi no ayɛ ma, na ɛma saa beae yi ho hia yiye ma nna mu nkanyan ne abotɔyam.
- Akwaa a ɛwɔ akyi berɛmo no mu a wɔboa: Perineum no ma fapem a ɛyɛ den na ɛboa akyi berɛmo no mu ntini, na ɛboa ma nneɛma te sɛ wo akisikuru, wo dwensɔtwaa, ne awo akwaa no kɔ so tra hɔ.
- Nsu ne nsu a wɔtow gu so: Esiane sɛ ntini ne ntini a ɛka ho wɔ nsu a wɔtow ne nsu a wɔtow gu mu no fa saa beae yi nti, ɛboa nso ma wodi saa nneɛma no so yiye.
- Awo: Saa beae yi ho hia kɛse ma mmea, titiriw bere a wɔrewo awotwaa mu no. Saa beae yi trɛw kɛse bere a wɔawo akokoaa no.
Ɛhe na saa perineum beae yi wɔ?
Sɛnea yɛadi kan aka no, eyi wɔ ɔbarima ne ɔbea nna ne akyi berɛmo ntam. Nanso, sɛ wohwɛ nipadua no mu a, ɛsono n’ahye kakra. Wɔ nipadua mu no, eyi yɛ beae a ɛyɛ sɛ daimond.
- Anteriorly: Efi ase wɔ pubic symphysis, baabi a pelvic nnompe abien no hyia wɔ anim no.
- Akyi: Ɛtrɛw kɔ dua dompe/coccyx a ɛyɛ dompe a ɛba fam sen biara wɔ w’akyi no so.
- Wɔ afã abien no nyinaa: Nnompe abien a ɛwɔ akyi (sit bones) a ɛpiapia kɔ fam bere a wote ase no trɛw kɔ nkyɛnkyɛn.
Sɛ ahye anan yi bom a, ɛyɛ daimond nsɛso. Sɛ wode w’adwene twetwe nsensanee bi fa saa daimond yi mfinimfini a, ɛbɛkyekyɛ ayɛ ahinanan abien.
1. 1. Nnipa a wɔte saa.Urogenital triangle: Eyi ne ɔfã a ɛwɔ anim no. Ɛwɔ ɔbarima ne ɔbea nna ho akwaa, urethra, ne ntini a ɛfa ho.
2. Anal triangle: Eyi ne akyi fã no. Saa ɔfã yi na ɛwɔ anal sphincter a ɛhwɛ sɛnea akyi berɛmo no bue ne sɛnea nsu no fa so no.
Wɔ mfinimfini baabi a ahinanan abien yi hyia no, ntini bi a ɛyɛ den na ɛyɛ nhama a wɔfrɛ no perineal body . Eyi ho hia ma akyi berɛmo no a wɔboa. Ɛno nso ne beae a ɛda adi kɛse sɛ ɛbɛsɛe bere a wɔrewo no.
Sɛ wɔkyekyem pɛpɛɛpɛ a, ɔbea bi akyi berɛmo tenten bɛyɛ nsateakwaa 1.5. Ɔbarima de yɛ nsateakwaa 2 anaa nea ɛboro saa kakra.
Tebea horow a ɛtaa ba ne ɔhaw ahorow a ɛka perineum beae no
Nea ɛde ɔsɛe ba beae yi titiriw ne awo. Ɛnanom a wɔwo no mu bɛyɛ 85% fi awosu mu nya nusu bi wɔ perineum no mu. Nanso, nneɛma afoforo nso betumi asɛe beae yi, a ɔbarima anaa ɔbea mfa ho.
| Ɔfã a ɛka no | Gyinabea ne nkyerɛkyerɛmu |
|---|---|
| Tebea horow a ɛfa mmea ho pɔtee | Awo a wɔde ma wɔ ɔbea no awotwaa mu: Perineum no betumi atrɛw na atetew bere a akokoaa no fi ɔbea no awotwaa mu ba no. Nusu dodow no ara yɛ nketenkete na bere kɔ so no, ɛsa. Ebia nusu a emu dɔ bi behia sɛ wɔpam. Nusu a emu yɛ den betumi asɛe akyi berɛmo mu ntini anaa akyi berɛmo no. Episiotomy: Eyi yɛ ade ketewaa bi a oduruyɛfo bi twa wɔ akyi berɛmo no mu de ma ɔbea no awotwaa no mu kwan kɛse ansa na wawo. Ɛwom sɛ na wɔtaa yɛ eyi bere bi a atwam de, nanso mprempren wɔyɛ no wɔ tebea horow a emu yɛ den mu nkutoo. |
| Tebea horow a ɛfa mmarima ho pɔtee | Prostatitis: Prostate gland no mu ɔyare mmoawa anaasɛ ɛho ahon betumi ama obi ate ɛyaw wɔ perineum no mu. Sɛɛgyiri:Ebia ɛho behia sɛ wotwa saa beae yi bere a wɔreyɛ prostate oprehyɛn, wɔreyi akisikuru, ne nea ɛkeka ho no. |
| Tebea horow a ɛtaa ba mmarima ne mmea nyinaa so | Pelvic floor dysfunction: Sɛ perineum no sɛe a, ebetumi ama ayɛ den sɛ wobɛtow nsu na watu. Nkwammoaa anaa akisikuru: Nkisikuru a ɔyare no wɔ no betumi ayɛ wɔ saa beae yi. Ebetumi ayɛ kɔkɔɔ, ahonhon, na ayɛ yaw. Hemorrhoids: Sɛ ntini a ɛwɔ akyi berɛmo no mu no hohoro a, ebetumi ama obi ayɛ no yaw, ayɛ no yaw, anaasɛ mogya atu wɔ akyi berɛmo no mu. Pudendal nerve entrapment: Ntini titiriw a ɛfa saa beae yi (pudendal nerve) a ɛsɛe anaasɛ ɛhyɛ no betumi ama obi ate ɛyaw kɛse. Opira ne akwanhyia: Dwumadi ahorow te sɛ sakre, moto, ne apɔnkɔ so tra betumi asɛe beae yi. Fournier’s Gangrene: Eyi yɛ ɔyare mmoawa a ɛntaa nsi nanso emu yɛ den. Wɔsan frɛ no "honam a ɛma ɛyɛ mmerɛw," ɛma honam ani awotwaa ne akyi berɛmo wu. Nnipa a wɔwɔ asikreyare no wɔ asiane kɛse mu. Nna mu ayayade: Nusu a ɛwɔ perineum no mu no betumi ayɛ nna mu ayayade ho sɛnkyerɛnne. |
Dɛn ne ɔhaw ahorow yi ho sɛnkyerɛnne?
Ɔhaw bi a ɛwɔ perineum no mu ho sɛnkyerɛnne titiriw ne ɛyaw . Titiriw wɔ awo akyi no, nusu betumi ayɛ yaw araa ma ɛrentumi nyɛ yiye sɛ ɔbɛnantew anaa ɔbɛtra ase.
Ade a ɛho hia sen biara ne sɛ worenbu w’ani ngu ɛyaw anaa ɔhaw biara a ɛwɔ saa beae yi so. Sɛ ɛyɛ biribi ketewaa bi mpo a, ɛho hia sɛ wo ne wo duruyɛfo kasa fa ho.
Nea ɛka ho no, sɛnkyerɛnne ahorow a edidi so yi nso betumi ada adi:
- Ɛyɛ den sɛ wobɛtow nsu anaasɛ wobɛtow wo ho.
- Ɛyaw anaa ɛyaw wɔ perineum no fã hɔ.
- Ɛyɛ den ma mmarima sɛ wobenya ɔbarima ne ɔbea nna.
- Ɛyaw bere a woretow nsu anaasɛ wo ne obi reda.
- Akuru, kɔkɔɔ, anaa ɔfe a ɛwɔ perineum no fã.
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, akyinnye biara nni ho sɛ kɔ wo duruyɛfo nkyɛn.
Nhwehwɛmu bɛn na wɔyɛ de hu tebea horow yi?
Wo duruyɛfo no bedi kan ayɛ nipadua mu nhwehwɛmu. Saa bere yi mu no, wɔbɛhwɛ sɛ akuru, nusu, anaa akuru biara wɔ perineum no mu anaa. Ɛtɔ da bi a, wobetumi nso de nsateaa a wɔde nsateaa ahyɛ wo akyi berɛmo mu de ahwɛ sɛ biribiara a ɛyɛ soronko (digyital nhwehwɛmu a wɔde yɛ akyi berɛmo).
Sɛ ɛte sɛ nea ɔhaw no mu dɔ a, ebia wɔbɛkamfo mfoninitwa sɔhwɛ ahorow te sɛ eyinom akyerɛ:
- CT Scan: Hu nneɛma a asɛe wɔ nipadua no mu.
- MRI scan (MRI): Sɛnea ɛbɛyɛ a wobehu sɛ ntini ne mogya ntini asɛe.
- Ultrasound scan: Sɛnea ɛbɛyɛ a wubehu sɛ mogya ntini asɛe.
- X-ray a wɔde aduru titiriw bi di dwuma: Sɛnea ɛbɛyɛ a wobehu sɛnea nsu a ɛkɔ nsu mu no asɛe.
Dɛn ne ayaresa ahorow a wɔde sa ɔhaw ahorow a ɛwɔ perineum no fã no?
Ayaresa no gyina ɔhaw a wowɔ no so. Sɛ ɛyɛ tetew a ɛbae bere a worewo a, wo duruyɛfo no besi gyinae sɛ ebia ɛho hia sɛ wɔpam anaasɛ ɛnte saa, a egyina ne kɛse so. Saa bere yi de, saa nneɛma yi betumi aboa ma ɛyaw ne ahometew so atew.
- Sitz aguaree ne compresses a ɛyɛ hyew: Sitz bath hwehwɛ sɛ wobɛtra nsu a ɛyɛ hyew a ɛnyɛ den mu simma 5-10 mprenu da biara. Eyi ma akuru no ho tew, ɛtew ɛyaw so, na ɛboa ma akuru no sa ntɛmntɛm.
- Nnuru a wɔde kum ɛyaw: Wubetumi anom nnuru a wɔde kum ɛyaw te sɛ Paracetamol anaa Ibuprofen sɛnea wo duruyɛfo akyerɛ wo no. Nnuru a wɔde petepete ɛyaw so nso wɔ hɔ.
- Peri-bottle: Eyi yɛ toa ketewa bi a wubetumi de nsu a ɛyɛ hyew ahyɛ mu ma na wode apete perineum no so bere a wode tiafi adi dwuma awie no. Wobetumi de eyi asiesie kuru no brɛoo a wɔrenhyɛ no abufuw bio denam tiafi krataa a wɔde bɛpopa so.
- Akisikuru a wobesiw ano: Sɛ woyɛ den bere a worekɔ dwensɔtwaa mu a, ebetumi ama ɛyaw no ayɛ kɛse. Enti, ɛho hia yiye sɛ wudi nnuan a ahoɔdennuru pii wom (nnuaba, nhabannuru) na anyɛ yiye koraa no, wonom nsu nkuruwa 8 da biara.
- Kegel apɔw-mu-teɛteɛ: Saa apɔw-mu-teɛteɛ yi boa ma ɛhyɛ akyi berɛmo mu ntini ahorow mu den wɔ awo akyi. Nanso, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo nkyɛn ansa na woayɛ eyinom sɛ woapira a.
Sɛ ɔyare mmoawa bi wɔ hɔ a, wobetumi de nnuru a ekum ɔyare mmoawa ama. Sɛ akisikuru bi wɔ hɔ a, wobetumi atwa ketewaa bi na ama akisikuru no akɔ. Ebia akisikuru a emu yɛ den anaa ntini a asɛe no behia oprehyɛn.
So wobetumi asiw perineal tearing ano bere a wɔrewo no?
Ɛwom sɛ ɛrentumi nyɛ yiye sɛ wobesiw nusu ano 100% de, nanso ɔkwan bi wɔ hɔ a wɔbɛfa so atew sɛnea ebetumi aba sɛ ɛbɛba no so na wɔatew sɛnea nusu no mu yɛ den no so. Ɛno ne perineal massage a wɔde twitwiw nipadua no .
Bere bɛn na ɛsɛ sɛ wofi ase saa aduru yi?
Ɛyɛ papa sɛ wubefi eyi ase bere a woanyinsɛn no bɛyɛ adapɛn 34 akyi.
Mpɛn ahe na ɛsɛ sɛ woyɛ?
Sɛ wobɛyɛ no nnafua 3-4 dapɛn biara, bɛyɛ simma 5 wɔ bere koro mu a, ɛdɔɔso.
Wobɛyɛ dɛn ayɛ saa aduru yi yiye?
Ansa na wobɛyɛ eyi no, paw baabi a ɛhɔ yɛ dinn a wubetumi agye w’ahome.
1. Nea edi kan no, fa samina hohoro wo nsa yiye.
2. Sɛ wode w’akyi gyina yiye a, kotow wo nan na trɛw mu ma ɛtrɛw.
3. Fa abɔde mu ngo (akutu ngo, ngodua ngo) anaa srade a wɔde nsu ayɛ a oduruyɛfo kamfo kyerɛ sɛ wode gu wo nsateaa ne wo nsateaa mu.
4. Fa wo nsateaa bɛyɛ nsateakwaa biako anaa nsateakwaa biako ne fã hyɛ ɔbea awotwaa no mu brɛoo.
5. Afei mia wo nsateaa no brɛoo wɔ ɔbea awotwaa no akyi ɔfasu no so, kyerɛ sɛ, kɔ akyi berɛmo no so. Mia so kosi sɛ wobɛte nka sɛ woatrɛw kakra.
6. Fa saa gyinabea yi mu simma biako anaa abien.
7. Afei, brɛoo paa, fa wo nsateaa fi ɔfã biako kɔ ɔfã foforo wɔ ‘U’ nsusuwii mu. Ɛsɛ sɛ wote nka sɛ wɔretwe wo brɛoo.
Ebia eyi bɛte nka sɛ ɛyɛ fɛre kakra mfiase no, nanso ɛbɛyɛ mmerɛw bere a wosua no. Wubetumi nso ne wo duruyɛfo akasa afa eyi ho na woanya afotu pii.
Nkrasɛm a Wɔde Kɔ Fie
- Perineum yɛ beae a ɛho hia yiye, ɛyɛ mmerɛw a ɛwɔ w’akyi berɛmo ne w’akyi berɛmo ntam.
- Eyi boa akyi berɛmo akwaa ahorow no na ɛho hia nso ma nsu a wɔtow, nsu a wɔtow gu, ne nna mu dwumadi.
- Ɛtaa ba sɛ mmea nya ɔsɛe (nusu) wɔ beae yi bere a wɔrewo. Eyinom taa sa wɔn yare wɔ wɔn ho anaasɛ wɔde nhama a wɔde kyekyere wɔn ho.
- Perineal a wɔde twitwiw nipadua no mu wɔ nyinsɛn no adapɛn a etwa to no mu no betumi ama nneɛma a ɛsɛe bere a wɔrewo no ayɛ ketewaa bi.
- Sɛ wote ɛyaw biara, wo ho wosow, wo ho yɛ wo yaw, wo ho yɛ wo akisikuru, anaa nneɛma afoforo a ɛnteɛ wɔ wo perineum no fã a, mmu w’ani ngu so na kɔ wo duruyɛfo nkyɛn ntɛm ara.
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