Yintoni i-perineum? Masifunde ngale nxalenye incinci kodwa ibaluleke kakhulu yomzimba wakho.

Molo! Unjani? Namhlanje siza kuthetha ngelungu lomzimba wethu esinokuthi singathethi kakhulu ngalo, kodwa libaluleke kakhulu. Le yindlela oogqirha abalibiza ngayo i-perineum. Usenokuba awuzange ulive eli gama ngaphambili. Kodwa ungakhathazeki, siza kuthetha ngalo ngokulula, ngendlela onokuyiqonda.

Yintoni kanye kanye iperineum? Iphi?

Ngamafutshane, i-perineum yakho ngumcu obonakalayo wesikhumba phakathi kwezitho zakho zangasese (ukuvulwa kwelungu lobufazi kubafazi, okanye i-scrotum yakho kumadoda) kunye ne-anus yakho (apho sithulula khona). Cinga ngayo njengendawo encinci. Le yindawo esiyibonayo ngaphandle.

Kodwa, i-perineum ayilulo nje ulusu olubonakalayo ngaphandle. Enyanisweni yindawo engaphantsi komngxuma wethu we-pelvic. Oko kukuthi, phantsi kolu lusu, ezinye izakhiwo ezibalulekileyo kunye nezihlunu emzimbeni wethu zezalo. Ngokuchanekileyo, ifumaneka phantsi kwezihlunu zomgangatho wethu we-pelvic.

Ngoko ke, uyabona, akunjalo? Le ingabonakala ngathi yindawo encinci, kodwa eneneni yinto enzulu kakhulu kunoko.

Kwenzeka ntoni kwi-perineum? Kutheni oku kubalulekile kuthi?

Le perineum incinci inceda ngezinto ezininzi kunokuba ucinga.

• Ukuvuselela nolonwabo ngokwesondo: I-perineum ineziphelo ezininzi zemithambo-luvo eluswini. Ezi zinceda ekuvuseleleni nasekuphenduleni ngokwesondo. Oku kuthetha ukuba le yindawo yomzimba wethu ephumayo.
• Inkxaso yomgangatho wepelvic: Izihlunu ezikwi-pelvic floor yethu zezona zibamba izinto ezifana nesinyi sethu, inxalenye ye-colon yethu, kunye namalungu okuzala endaweni yazo. I-perineum inika isiseko esihle kunye nenkxaso yezi zihlunu zomgangatho wepelvic.
• Ukuchama, ukukhupha indle, kunye nokwabelana ngesondo: Izakhiwo ezingaphakathi emizimbeni yethu, kwi-perineum, ziyanceda kwezi nkqubo.
• Ukuzala (kwabasetyhini): Izakhiwo ezikwi-perineum yomfazi zimnceda ukuba azale umntwana ngesini. Le ndawo yeyona ndawo ilula kakhulu ngexesha lokuzala.

Ngoku uyayiqonda intsingiselo yoku, akunjalo?

Masifunde okungakumbi ngendawo kunye nokuma kwe-perineum.

Sithe i-perineum iphakathi kwezitho zangasese kunye ne-anus. Le nxalenye ebonakalayo ihambelana nezakhiwo ezingaphakathi emzimbeni esingenakuzibona.

Ngaphakathi, i-perineum ifumaneka phantsi komsipha oyintloko womgangatho wethu we-pelvic (umsipha we-levator ani). Ikwadlula namathambo ethu e-pelvic. Cinga ngale ndlela:

• Ngaphambili: I-perineum iqala kwi-pubic symphysis, i-joint phakathi kwamathambo e-pelvic asekhohlo nasekunene, ngaphambili kwe-pelvis yethu.
• Ngasemva: Ukusuka apho, idlulela kwithambo lomsila/i-coccyx.
• Ngokwecala: Oku kufikelela kumathambo amabini (amathambo e-sitz okanye i-ischial tuberosities) kwicala lasekunene nelasekhohlo le-pelvis yethu, acinezelwa emhlabeni xa sihleli.

Ngamanye amaxesha oogqirha bachaza imida ye-perineum njengemilo yedayimani. Khawucinge ngomgca ocingelwayo odwetshwe phakathi kwamathambo akho amabini ahleliyo. Lo mgca wahlula idayimani ibe ziinxantathu ezimbini:

1. Unxantathu we-Urogenital: Kulapho kufumaneka khona amalungu esini, i-urethra, kunye nemisipha enxulumene nayo.

2. Unxantathu wempundu: Kulapho kufumaneka khona umngxuma wempundu kunye nemisipha ye-sphincter yempundu. Ezi misipha zinceda ukuqinisa nokukhulula impundu ngexesha lokuhamba kwamathumbu.

Apho ezi nxantathu zimbini zidibana khona, kukho inqwaba yezicubu ezine-fibrous-muscular ebizwa ngokuba yi-perineal body . Oku kudlala indima enkulu ekuxhaseni umgangatho we-pelvic. Le ndawo isengozini enkulu yokwenzakala ngexesha lokubeleka.

Inkulu kangakanani iperineum? Yenziwe ngantoni?

I-perineum yomfazi idla ngokuba malunga ne-1.5 intshi (3.8 intshi). I-perineum yendoda ingaba ziisentimitha ezi-5 okanye ibe nde kancinci.

I-perineum ineengqimba ezininzi phantsi kolusu. Ezi ziquka izicubu ezidityanisiweyo, izicubu ezinamafutha, imisipha, kunye nee-membranes . I-nerve ebaluleke kakhulu ebizwa ngokuba yi-pudendal nerve idlula kwi-perineum, isasazeka kwiindawo ezifana nezalamane zethu, imisipha yomgangatho we-pelvic, kunye ne-rectum. Olu thungelwano luyinkimbinkimbi lwemithambo-luvo yilo oluvumela i-perineum ukuba iphendule kwiimvakalelo zesondo kwaye isincede sichame kwaye sikhuphe inkunkuma.

Ziziphi iimeko nezifo eziqhelekileyo ezichaphazela i-perineum?

Eyona nto ibangela ukwenzakala kwe-perineum kukuzala . Malunga nama-85% oomama abazala ngesini bava ukukrazuka kwe-perineum. Nangona kunjalo, nabani na, nokuba ungowasiphi na isini, unokufumana ukwenzakala kwe-perineum.

Izinto ezichaphazela kakhulu abafazi

• Ukubeleka kwesini: Njengoko umntwana ephuma kwisini, isini kunye ne-perineum ziyanwebeka, ngamanye amaxesha ziyakrazuka. Uninzi lwexesha, ezi ziinyembezi ezincinci eziphola ngokuhamba kwexesha. Nangona kunjalo, kuxhomekeke kubukhulu bokrazuko, kunokufuneka ukuthungwa ukulungisa izicubu. Iinyembezi ezinkulu zingonakalisa izihlunu zomgangatho we-pelvic ezikufutshane okanye izihlunu ze-anal. Xa i-perineum ikrazukile, kunokuba nzima ukuchama, ukukhupha indle, okanye ukwabelana ngesondo.
• Utyando lwe-episiotomy: Oku kwenzeka xa ugqirha okanye umbelethisi esika kancinci i-perineum ngaphambi kokuba azalwe ukuze kwandiswe umngxuma welungu lobufazi. Oku bekuqhelekile, kodwa akusenziwa. Ezinye izifundo zibonise ukuba abanye abafazi abatyando lwe-episiotomy banokufumana iintlungu ze-pelvic kunye nokungakwazi ukuzibamba kamva ebomini.

Izinto ezichaphazela amadoda ngokukodwa

• I-Prostatitis:Ukuba i-prostate gland isulelekile okanye yenzakele, inokudumba kwaye ibe buhlungu. Le ntlungu inokuvakala kwizitho zangasese nakwi-perineum.
• Utyando: Ngamanye amaxesha oogqirha kufuneka banqumle i-perineum ukuze benze utyando lwe-prostate, basuse ithumba, okanye banyange i-urethral stricture.

Izinto ezichaphazela zombini izini

Ezi meko zilandelayo zinokwenzeka kubasetyhini nakumadoda:

• Ukungasebenzi kakuhle komgangatho we-pelvic: Ukuba i-perineum yonakele, kukho ithuba elikhulu lokuba kube nzima ukuchama okanye ukukhupha indle.
• Ii-cysts okanye amathumba e-perineal: Ii-cysts ezinentsholongwane zinokwakheka eluswini lwe-perineum okanye ngaphakathi kwi-anus. Ezi zihlala zibomvu, zidumbile, kwaye zibuhlungu.
• IiHemorrhoids: Ezi ziimithambo ezivuvukileyo ngaphakathi okanye ezijikeleze i-anus. Zingaba ngaphakathi okanye ngaphandle. Zingabangela ukopha, ukurhawuzelela, okanye iintlungu kwi-perineum.
• Ukuvalelwa kwemithambo-luvo ye-Pudendal: Imithambo-luvo ye-pudendal, esixoxe ngayo ngaphambili, idlula kwi-perineum. Ukuba yenzakele kwaye ivuvuke, inokubangela iintlungu kwi-perineum. Le ntlungu ingaqala ngequbuliso okanye ikhule kancinci kancinci kwiiveki okanye kwiinyanga ezimbalwa.
• Intlungu ebhekiselweyo: Ezinye iimeko eziqala kwenye inxalenye yomzimba zinokubangela iintlungu kwi-perineum. Umzekelo , i-appendicitis, i-colitis , kunye nezinye izifo zesisu zinokubangela iintlungu kwi-perineum.
• I-Fournier's Gangrene: Olu luhlobo losulelo olungaqhelekanga, olubangelwa yintsholongwane olubangela ukuba ulusu lwezitho zangasese kunye ne-perineum lufe. Luxhaphake kakhulu kumadoda aphakathi kweminyaka engama-50 ukuya kwengama-60 anesifo seswekile.
• Ukwenzakala okanye ukwenzakala: Iingozi ezifana nokukhwela ibhayisekile, ukukhwela ibhayisekile, kunye nokukhwela ihashe zingonakalisa iperineum. Ukuba ungumkhweli webhayisekile, ukusebenzisa isihlalo sebhayisekile esingenampumlo kunokunciphisa uxinzelelo kwiperineum kwaye kunciphise umngcipheko wokwenzakala.
• Ukuxhatshazwa ngokwesondo: I-perineum ekrazukileyo okanye eyonzakeleyo ingaba luphawu lokuxhatshazwa ngokwesondo okanye ubundlobongela.

Uyazi njani ukuba unengxaki nge-perineum? (Iimpawu)

Uphawu oluphambili lokuba kukho into engalunganga kwi-perineum yintlungu . Emva kokubeleka, intlungu ehambisana nokukrazula i-perineum inokwenza kube nzima ukuhamba okanye ukuhlala.

Kunokubakho nezinye iimpawu, ezinokubonisa ingxaki ngezihlunu kunye namalungu omzimba kwi-perineum okanye kwindawo ejikelezileyo ye-pelvic:

• Ubunzima bokuchama okanye bokukhupha indle.
• I-perineum ibuhlungu okanye iyarhawuzelela.
• Intlungu ngexesha lokwabelana ngesondo okanye xa uchama.
• Amadoda anengxaki yokufumana ukuqina komzimba.
• Iqhuma, ukuba bomvu, okanye ukudumba kwi-perineum.

Ukuba uneempawu ezinje, kungcono ukubona ugqirha uze ufumane ingcebiso ngaphandle kokuba neentloni okanye uloyiko.

Uvavanyo lokujonga impilo ye-perineum

Ugqirha wakho angenza uvavanyo lomzimba ukujonga naziphi na izinto ezenzekileyo, usulelo, okanye ezinye iimeko kwi-perineum. Olu vavanyo lungabandakanya novavanyo lwedijithali lwe-rectal, olunokufumanisa naziphi na izinto ezingaqhelekanga.

Ukongeza, iinkqubo zokuthatha imifanekiso zinokuchonga iingxaki kwi-perineum:

• I-CT Scan: Ingajonga ukuba akukho monakalo kwi-perineum emzimbeni.
• I-MRI: Ibonisa ukuba kukho umonakalo kwimithambo yegazi okanye kwimisipha ekwi-perineum.
• I-Ultrasound: Ibonisa imithambo yegazi eyonakeleyo kwi-perineum.
• I-X-ray enedayi: Oku kungasetyenziselwa ukubona ukuba kukho umonakalo kwi-urethra, njengoko i-urethra idlula kwizicubu ze-perineum.

Ziziphi iindlela zonyango lwe-perineum?

Ukuba unenxeba okanye ukrazukile kwi-perineum yakho, ugqirha wakho uya kugqiba ukuba ifuna ukuthungwa ukuze iphole. Okwangoku, ungenza ezi zinto ukunceda ukunciphisa iintlungu:

• Iibhafu zeSitz kunye neecompress ezifudumeleyo: Iibhafu zeSitz yindlela yokuntywilisela iperineum emanzini anganzulu, afudumeleyo ukunceda ukuyicoca nokuyiphilisa. Yenza oku imizuzu emihlanu ukuya kwelishumi kabini ngemini. Emva kokuhlamba, yibambe kancinci iperineum yomise endaweni yokuyichukumisa ngamandla.
• Izitshizi zentlungu kunye nezitshizi zokudambisa iintlungu: Ukusela izitshizi zentlungu ezifana neParacetamol okanye i-Ibuprofen , okanye ukusebenzisa izitshizi zokunciphisa iintlungu, kunokunceda ukulawula iintlungu ide iphole. Ukuba une-hemorrhoids, ii-wipes kunye neekhrimu zinokunceda ekunciphiseni iintlungu, ukurhawuzelela, kunye nokudumba kwi-perineum.
• Ibhotile yePeri: Le yibhotile encinci onokuyizalisa ngamanzi afudumeleyo uze uyisebenzisele ukuhlamba iperineum yakho emva kokusebenzisa indlu yangasese. Oku kuya kunciphisa umngcipheko wokwenzakala ngenxa yokusula ngephepha lendlu yangasese.
• Ukuthintela ukuqhina: Ukuziqinisa ngexesha lokuhamba kwamathumbu kunokunyusa iintlungu ze-perineum. Ukuqhina kungathintelwa ngokutya ukutya okunefayibha eninzi (imifuno, iziqhamo, kunye neembotyi) kunye nokusela ubuncinane iiglasi ezisibhozo zamanzi ngosuku.
• Ukuzilolonga phantsi kwepelvic (ukuzivocavoca kweKegel): Ezi zilolonga zeKegel ziqinisa izihlunu zomgangatho wepelvic emva kokubeleka.Ukwenza njalo kunokunceda umzimba wakho uphile emva kwezinto ezinje ngokukrweleka kunye noxinzelelo. Ugqirha wakho unokukuthumela kwingcali yezonyango ukuze wenze umthambo othile womgangatho we-pelvic. Kodwa khumbula, olu qheliselo kufuneka lwenziwe kuphela emva kokwenzakala phantsi kweliso likagqirha.

Ukuba kukho iqhuma elisulelekileyo, ugqirha angakunika amayeza okubulala iintsholongwane , okanye angalisika aze alikhuphe amanzi. Utyando lunokufuneka ukuba kubekho ii-hemorrhoids okanye umonakalo omkhulu wemithambo-luvo kwi-perineum.

Ngaba ukuphulula kunceda ekunciphiseni ukukrazuka kweperineum ngexesha lokubeleka?

Akunakwenzeka ukuthintela ngokupheleleyo ukukrazuka kwe-perineum, kodwa kuthiwa ukuhlikihla i-perineum ngaphambi nangexesha lokubeletha kunokunciphisa amathuba okukrazuka.

Ndingayiqala nini le massage? Ndingayenza kangaphi?

Kungumbono olungileyo ukuqala le perineum massage malunga neeveki ezingama-34 zokukhulelwa kwakho.

Beka ecaleni malunga nemizuzu emihlanu ngexesha. Cwangcisa ukwenza le massage kathathu ukuya kane ngeveki.

Ungayihlikihla njani i-perineum?

Ngaphambi kokuba wenze oku, khetha ixesha nendawo apho unokuphumla khona. Ngaphambi kokuba uqale, hlamba izandla zakho kakuhle ngesepha ethambileyo. Oku kuya kunceda ukuthintela iintsholongwane ukuba zingangeni kwilungu lobufazi.

• Lala ngomqolo wakho, yolula imilenze yakho, uze ugobe amadolo akho. Qinisekisa ukuba umqolo wakho uxhaswe kakuhle.
• Thambisa ioyile yendalo encinci (njengeoyile yekhokhonathi, ioyile yomnquma) okanye i-lubricant enyibilikayo emanzini kwiminwe yakho, ubhontsi, kunye ne-perineum.
• Faka esinye sezithupha zakho (kunye nokuthambisa okuthile) malunga ne-intshi enye okanye isentimitha enye enesiqingatha kwisini sakho. Emva koko faka esinye isithupha sakho kancinci kancinci.
• Cinezela udonga olungasemva lwesitho sangasese somfazi ukuya kwimpundu ngazo zombini iithupha. Faka uxinzelelo olwaneleyo ukuze uve ukutsalwa okuncinci ngaphakathi kwesitho sangasese somfazi. Bamba le ndawo umzuzu okanye emibini.
• Emva koko shukumisa ubhontsi wakho kancinci kancinci ube yi-"U". Uza kuziva utsalwa kancinci.

Ukuba uziva iintlungu ngelixa usenza oku, yeka. Kwakhona, licebo elihle ukuthetha nogqirha wakho ngale nto.

Izinto ekufuneka sizikhumbule

I-perineum yakho yindawo ethambileyo yesikhumba phakathi kwezitho zakho zangasese kunye ne-anus, kunye nezicubu ezingaphantsi ezenza umgangatho womngxuma wakho we-pelvic. Ibaluleke kakhulu ekuzinzeni kwesakhiwo se-pelvis yakho.

Nangona kunjalo, musa ukoyika ukuba i-perineum yakho iyakrazuka ngexesha lokubeleka. Usenokufuna ukuthungwa, kodwa uninzi lwezinxeba luyaphola ngokuhamba kwexesha. Ugqirha wakho uza kukucebisa ngeendlela zokulawula iintlungu ngelixa uphola. Kubalulekile ukuba uqaphele eli candelo lomzimba wakho kwaye ufune iingcebiso zonyango ngokukhawuleza ukuba uneengxaki. Hlala usempilweni!

I- Perineum, impilo ye-pelvic, ukuzala, ukukrazula kwe-perineal, ukuphululwa kwe-perineal, impilo yabasetyhini, impilo yamadoda