Ngaba nawe unengxaki engaqhelekanga yokuxinana kunye nentlungu esiswini sakho esisezantsi? Masifunde ngale nto (umgangatho we-Hypertonic Pelvic)!

Ngaba ngamanye amaxesha uziva uxinezelekile okanye intlungu esiswini sakho esisezantsi, oko kukuthi, ngaphantsi kwe-pelvis yakho? Okanye ngaba uziva ungakhululekanga okanye iintlungu xa uchama okanye usiya kwindlu yangasese? Mhlawumbi uziva neentlungu ngexesha lokwabelana ngesondo. Musa ukuzithatha ezi zinto njengezinto nje ezingacwangciswanga. Mhlawumbi isizathu sale nto sinzulu kancinci kunokuba ucinga. Leyo yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yi-`(Hypertonic Pelvic Floor)`.

Okokuqala, masibone, yintoni le 'mgangatho we-pelvic'?

Kulungile, ngaphambi kokuba sithethe nge-`(Hypertonic Pelvic Floor)`, masiqonde kancinci malunga nokuba yintoni le 'Pelvic Floor'. Ngamafutshane, yingqokelela yezihlunu kunye nezicubu ezinxibelelanayo kwisisu sethu esisezantsi, oko kukuthi, ngaphakathi kwe-groin. Njengenethi eqinileyo, okanye isitya esincinci, ezi zihlunu ziyadibana ukuze ziphakamise kwaye zikhusele amalungu abalulekileyo kwisisu sethu esisezantsi.

Khawucinge nje, oku kufana nomgangatho wendlu yethu. Ezo organ zezi:

• Isinyi: Indawo apho umchamo ugcinwa khona.
• Ingxolo: Inxalenye yokugqibela yempundu (ingxolo): Indawo apho kugcinwa khona ilindle.
• Kwabasetyhini, isibeleko kunye nelungu lobufazi .
• Kumadoda, i-prostate gland .

Izihlunu zomgangatho we-pelvic ziphakathi kwethambo le-pubic ngaphambili, i-sacrum ngasemva, kunye namathambo okuhlala macala omabini. Ezi zihlunu kunye nemithambo-luvo zinceda ekulawuleni ukuchama kwethu, ukuphuma kwethu kwisisu, kunye nemisebenzi yethu yesondo.

Ngoko ke, yintoni le meko ibizwa ngokuba yi-`(Hypertonic Pelvic Floor)`?

Ngoku unombono ocacileyo wokuba yintoni 'umgangatho we-pelvic'. Kwimeko ebizwa ngokuba yi-"Hypertonic Pelvic Floor", izihlunu 'zomgangatho we-pelvic' zihlala zixinene, zikwimeko yokuxinana, okanye zixinene rhoqo. Oku kuthetha ukuba ezi zihlunu azikwazi ukuphumla, ukukhulula, nokusebenza ngokuqhelekileyo.

Khawucinge nje, kuthekani ukuba ubunokubeka isandla sakho epokothweni ixesha elide? Emva kwexesha elithile, isandla sakho besiqala ukuqaqamba, sivakale singenamsebenzi, kwaye yiloo nto kunjalo. Ngenxa yokuba ezi zihlunu zihlala ziqinile, azikwazi ukulawula imisebenzi yazo ngokufanelekileyo, njengokuchama nokuya kwindlu yangasese. Yiyo loo nto intlungu inokubakho ngalo lonke ixesha, okanye inokubakho ngemisebenzi ethile (umz., ukuya kwindlu yangasese, ukwenza isondo). Inokubangela ubunzima bokuchama , ukukhupha indle, kunye neengxaki zesondo. Ezi mpawu zinokuba nefuthe elikhulu kumgangatho wobomi bakho.

Ngubani ofumana le meko (iHypertonic Pelvic Floor)? Ixhaphake kangakanani?

Le meko ifanelekile nakubani na., oko kuthetha ukuba ingenzeka nokuba isini okanye ubudala bunjani. Ngamanye amaxesha, le meko inokuchaphazela nabantwana abancinci.

Ngokubanzi, ukungasebenzi kakuhle komgangatho we-pelvic kuxhaphake kakhulu. I-Hypertonic Pelvic Floor yenye yeengxaki ezinjalo. Uninzi lwexesha, ayibonwa kakuhle kuba abantu baneentloni zokuthetha ngayo. Nangona kunjalo, ngokwedatha, kuthiwa malunga nomntu omnye kwabalishumi unokuba neengxaki ezinjalo. Oku kuthetha ukuba asinto ingaziwayo.

Kuvakala njani ukuba `(Hypertonic Pelvic Floor)`? Zithini iimpawu?

Uphawu oluphambili kubantu abaninzi yintlungu . Oku kunokuvakala ngathi luxinzelelo, ubunzima, okanye ukuxinana esiswini esisezantsi, emqolo osezantsi, okanye emathangeni. Ngamanye amaxesha intlungu ivakala kwindawo enye (umz., esinyini) okanye kuphela ngemisebenzi ethile (umz., ukuya kwindlu yangasese, ukwenza isondo).

Zikhona nezinye iimpawu. Masizihlalutye:

Iimpawu zomchamo

• Intlungu yesinyi.
• Intlungu nokutsha xa uchama .
• Ukuchama rhoqo (ngaphezu kwezihlandlo ezisi-8 ngemini, ukuvuka ebusuku).
• Ubunzima bokuqala ukuchama , ukuchama rhoqo, okanye ukuziva ngathi kusekho umchamo emva kokuba ugqibile ukuchama .

Iimpawu zamathumbu

• Ubunzima bokuqala ukuya kwindlu yangasese, kuthatha ixesha elide ukuya apho.
• Uvakalelwa kukuba isisu sakho asikaphumi ngokupheleleyo emva kokuba uye kwindlu yangasese.
• Intlungu xa usiya kwindlu yangasese okanye emva kokuhamba.
• Ukuziva intlungu nokuba ukhupha igesi.
• Ukuqhinwa kuthetha ukungakwazi ukuya kwindlu yangasese nokuba kube kanye kangangeentsuku ezininzi.

Iimpawu zesondo

• Ukuva iintlungu ngexesha nasemva kokwabelana ngesondo (oku kuchaphazela abafazi abaninzi).
• Ukungakwazi ukufikelela kwi-orgasm.
• Kumadoda, inokuba kukungasebenzi kakuhle kwe-erectile, okanye intlungu ngexesha lokukhupha i-ejaculation.

Eyona nto ibalulekileyo kukuba iimpawu ze-`(Hypertonic Pelvic Floor)` zihlala zikhula kancinci kwaye ziba mandundu ngokuhamba kwexesha. Ke ngoko, ukuba uneempawu ezincinci ezifana nale, musa ukuzityeshela. Kubaluleke kakhulu ukubona ugqirha ngokukhawuleza kwaye ufumane ingcebiso.

Yintoni ebangela le meko (iHypertonic Pelvic Floor)?

Izizathu zoku kunzima ukuzichaza, kwaye zintsonkothile. Nangona kunjalo, kukho ezinye izinto ezinokubangela le meko. Nazi:

• Umkhwa wokuzibamba umchamo kunye nendle xa inzima:Abanye abantu bebesoloko belulo mkhwa kwasebuntwaneni. Abanye banyanzelwa ukuba bawenze ngenxa yemisebenzi yabo (umz. ootitshala, abaqhubi beebhasi) okanye indlela yokuphila. Xa behlala bexinezelekile ngolu hlobo, izihlunu zabo azikwazi ukuphumla.
• Ukulimala okanye umonakalo kwimisipha yomgangatho we-pelvic: Le misipha 'yomgangatho we-pelvic' ingonakalisa ngenxa yotyando oluthile, ukukhulelwa, ukuzala (ingakumbi ukuzala okunzima), okanye ingozi (umz., ukuwa).
• Ukungasebenzi kakuhle kwemisipha: Ukuhlala kwindawo enye ixesha elide (ingakumbi kwabo basebenza kwikhompyutha), ukungaziphathi kakuhle, ukuhamba ngendlela engafanelekanga, kunye nokungalingani kwemisipha nako kunokuchaphazela ezi zihlunu.
• Ezinye iimeko ezibuhlungu:
• Isifo samathumbu esirhawuzelelwayo (IBS)
• I-Endometriosis
• I-Vulvodynia (intlungu ehlala ixesha elide kwizitho zangasese zabasetyhini)
• Iimfantu zempundu
• Isifo sesinye esibuhlungu / i-Interstitial Cystitis

Xa unezifo ezinje, izihlunu zomgangatho we-pelvic zinokuqina ngenxa yentlungu.

• Ukuxhatshazwa ngokwesondo okanye ngokwasemzimbeni: Xa ujongene namava abuhlungu anje, kunokuba nemiphumo emzimbeni.
• Uxinzelelo, Uxinzelelo, kunye neNgxaki: Oko sikuvayo engqondweni zethu kuchaphazela imizimba yethu. Xa siphantsi koxinzelelo olukhulu, izihlunu zethu ziyaqina. Kunjalo nangomgangatho we-pelvic.

Ufunyaniswa Njani Umgangatho We-Hypertonic Pelvic?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho kunye nembali yakho yezonyango. Oku kuthetha ukuba uqala nini ukuba neentlungu, ixesha elide kangakanani na, indlela oyisebenzisa ngayo indlu yangasese, indlela ochama ngayo , kunye nobomi bakho besondo. Nangona ezi zizinto ezingakhululekanga nezihlazisayo ukuthetha ngazo, ukunyaniseka nokucaca kubalulekile ukuze ufumane uxilongo oluchanekileyo. Oku kuya kunceda ugqirha aqonde ukuba loluphi uhlobo lokungonwabi oluhlangabezana nalo.

Ugqirha uya kwenza uvavanyo lomzimba . Oku kungabandakanya oku kulandelayo:

• Ukujonga isisu sakho esisezantsi ungaphandle kuza kukubonisa indlela oziqinisa kwaye uziphumze ngayo ezi zihlunu 'zomgangatho we-pelvic'.
• Uvavanyo lwedijithali lwerectal.
• Ukuba ungumfazi, thatha uvavanyo lwesinqe.

Olu vavanyo lunokunceda ugqirha ukuba afumane ukuqina kwemisipha kunye neendawo ezibuhlungu.

Ngamanye amaxesha, iimvavanyo ezikhethekileyo ezifana nezi zinokwenziwa ukuze kufunyanwe ulwazi oluthe kratya:

• I-manometry ye-anorectal:Kule nto, kufakwa umbhobho omncinci (i-catheter) kwi-rectum kwaye ibhaluni encinci ekupheleni iyavuthelwa. Izihlunu ezikwi-rectum nakwi-anus ziyancitshiswa kwaye ziphumle, kunye noxinzelelo kwimisipha, ziyalinganiswa.
• I-Electromyography (EMG): Olu vavanyo lulinganisa imiqondiso yombane eveliswa zizihlunu zakho xa zifinyela kwaye ziphumla. Oku kwenziwa ngokubeka ii-pads ezincinci ezifana nezitikha (ii-electrodes) eluswini lwakho.
• Ukucoca amathumbu: Olu luvavanyo lokujonga indlela ozikhupha ngayo indle. Ngenxa yesi sizathu, kufakwa into ekhethekileyo (i-barium paste) ebonakalayo kwi-X-rays kwi-rectum yakho kwaye ucelwa ukuba uhlale kwindlu yangasese ekhethekileyo uze uzikhuphele indle. Imifanekiso ye-X-ray ithathwa ngelo xesha. Kuya kufuneka uthathe amayeza okucoca amathumbu akho ngaphambi kokuba wenze oku.
• Uvavanyo lwe-Urodynamic: Olu asilovavanyo olunye, kodwa ludibaniso lwezilingo ezininzi. Ezi zijonga indlela ochama ngayo kunye nendlela esebenza ngayo i-bladder yakho.

Ziziphi iindlela zonyango ze-`(Hypertonic Pelvic Floor)`?

Iindaba ezimnandi zezokuba kukho unyango lwale meko! Unyango oluphambili nolusebenzayo kunyango lomzimba . Oku kwenziwa yiPelvic Floor Physical Therapist eqeqeshwe ngokukodwa kwimiba yomgangatho we-pelvic. Baza kwenza izinto ezinje:

• I-Biofeedback: Le yindlela entle kakhulu. Kule ndlela, usebenzisa izinto ezifana neesensa ukujonga indlela ezisebenza ngayo izihlunu zakho. Emva koko uyaqonda indlela yokuziqinisa kakuhle nokukhulula izihlunu zakho.
• Iindlela zokuphumla: Kufundiswa imithambo yokuphefumla kunye neendlela ezahlukeneyo zokuma eziphumza izihlunu.
• Ukuphulula, ukolula, kunye nokushukuma kwamalungu: Oku kunceda ukuphumza izihlunu eziqinileyo.

Ezinye iindlela zonyango ugqirha wakho anokuzicebisa ziquka:

• Unyango lokuxubha nge-acupuncture.
• Amayeza: Amayeza anokunikwa ukunciphisa iintlungu, ukulawula ixhala, ukunyanga ukuqhinwa, kunye nokunyanga ukuchama rhoqo.
• Ukuvuselela imithambo-luvo: Lawula ukungakwazi ukuzibamba komchamo okanye ukungakwazi ukuzibamba kwamathumbu.
• Iinaliti zeTrigger point: Oku kungasebenzisa ii-corticosteroids (uhlobo lwe-steroid) okanye iBotox® ukunciphisa iintlungu.

Ngamanye amaxesha ugqirha wakho unokufuna uncedo nakwezinye iingcali, ezinje:

• Ingcali yeGastroenterologist: Inyanga izinto ezifana nokuqhinwa.
• Ingcali ye-colorectal.
• Ingcali yezifo zabasetyhini: Ngeengxaki zempilo yokuzala kwabasetyhini.
• Ingcali ye-Urologist okanye i-Urogynecologist: Kwiingxaki zomchamo okanye ukungasebenzi kakuhle ngokwesondo.
• Ingcali yezengqondo: Uncedo ngeengxaki zengqondo.
• Ingcali yezesondo: Ngeengxaki zesondo.

Ungayinciphisa njani ingozi yokuba `(iHypertonic Pelvic Floor)`?

Kukho izinto ezininzi onokuzenza wena ukuze unciphise umngcipheko wale meko:

• Yazi indlela yokuqinisa nokukhulula izihlunu zakho zesisu.
• Ziqhelise iindlela zokuzikisa ingqondo kunye nokuphumla. Ezi zinokunceda ekunciphiseni uxinzelelo.
• Yenza umthambo womgangatho we-pelvic (ii-Kegel exercises) ngexesha lokukhulelwa nasemva kokubeleka . Buza ugqirha wakho okanye ingcali yezonyango ngale nto.
• Ezi zihlunu ziqina ngakumbi ngokwenza umthambo weyoga.
• Ukuze uthintele ukuqhinwa , yitya ukutya okunefayibha eninzi (imifuno, iziqhamo, kunye neembotyi), sela amanzi amaninzi, kwaye uphephe ukuxinwa xa usiya kwindlu yangasese.
• Ukuba unentlungu esiswini okanye kwi-rectum, musa ukuyityeshela kwaye funa ingcebiso kagqirha.
• Ukuba ukhe wadlula kumava abuhlungu, funa inkxaso yengqondo.
• Musa ukuzibamba ixesha elide xa ufuna ukuchama okanye ukuya kwindlu yangasese. Yanelisa loo mfuno ngokukhawuleza.

Injani imeko ye-`(Hypertonic Pelvic Floor)`? (Outlook)

Le yeyona nto ibalulekileyo. I-Hypertonic Pelvic Floor yimeko enokunyangeka. Kuthatha ixesha nomonde. Kodwa uninzi lwabantu lufumana isiqabu esipheleleyo kwiimpawu zabo ngonyango, kwaye abanye abantu bayaphila ngokupheleleyo. Ukuba iimpawu zakho ziyaqhubeka, ugqirha wakho uza kukuthumela kwenye ingcali.

Ndifanele ndimbone nini ugqirha?

Ukuba unentlungu esezantsi kwesisu, ubunzima bokuchama , iintlungu ngexesha lokuhamba kwamathumbu, okanye iintlungu ngexesha lokwabelana ngesondo, musa ukulinda nje ukuba ziphile. Ezi mpawu azihlali ziphila zodwa. Ke ngoko, kubalulekile ukubona ugqirha kwaye ufumane unyango ngokukhawuleza.

Intlungu, ukuchama , ukuphuma kwesisu, kunye neengxaki zesondo ezibangelwa yi-`(Hypertonic Pelvic Floor)` azikhululekanga ngokwenene, kwaye ngamanye amaxesha ziyabangela iintloni. Kodwa, ngethamsanqa, le meko inokulawulwa kwaye inyangeke kakhulu ngonyango lomzimba kunye nolunye unyango. Ukuba uthetha nogqirha wakho malunga neempawu zakho kwangethuba kwaye ufumane unyango olufunekayo, ungaphila ubomi bakho kamnandi kwaye wonwabile.

Umyalezo Wokuya Ekhaya

• Umgangatho we-pelvic oxineneyo yimeko apho izihlunu zesisu esisezantsi zihlala zixinene. Oku kunokubangela iintlungu, ubunzima bokuchama kunye nokukhupha indle, kunye neengxaki zesondo.
• Oku kunokwenzeka nakubani na, kwaye kuqheleke kakhulu kunokuba unokucinga.
• Ukuba uneempawu, ungabi nantloni okanye ungoyiki, bona ugqirha. Okukhona uziqonda ngokukhawuleza, kokukhona kulula ukuzinyanga.
• Unyango lomzimba lolona nyango luphambili, kodwa kukho nezinye iindlela zonyango.
• Le meko inokunyangeka. Ngoko ke musa ukuphelelwa lithemba.
• Ukuphepha izinto ezinobungozi kunokunciphisa ukwenzeka kwale meko.

Ukuba unemibuzo engaphezulu malunga noku, qiniseka ukuba uthethe nogqirha wakho. Ndikunqwenelela impilo entle!

Intlungu yesisu esisezantsi , umgangatho we-pelvic, ukuqina kwemisipha, ukuqhina, ubunzima bomchamo, iintlungu zesondo, unyango lomzimba