Ngaba nawe uva iintlungu eziqatha kwi-anus nakwi-vaginal? Isenokuba ibangelwa yi-(Levator Ani Syndrome)!

Ngaba ngamanye amaxesha uziva intlungu engaqhelekanga, engathandekiyo, ukuxinana, okanye ukuziva ngathi kukho into etyhala ngaphakathi kwimpundu yakho (kulapho sikhupha khona inkunkuma, akunjalo?) okanye kwilungu lobufazi, okanye nakwisisu sakho esisezantsi? Mhlawumbi uneentloni zokuxelela nabani na ngale nto, awuneentloni zokuthetha ngezinto ezinjalo? Kodwa oku akuwedwa, kunokwenzeka kwabanye abantu. Ngoko ke ungoyiki. Namhlanje, masithethe ngale meko, enegama elingaqhelekanga, elibizwa ngokuba yi-`(Levator Ani Syndrome)`, ngokweenkcukacha.

Yintoni i-`(Levator Ani Syndrome)`? Ngamafutshane nje...

Ngamafutshane, i-`(Levator Ani Syndrome)` yimeko ebangelwa kukuxinana okanye ukuqina kwemisipha ye-`(levator ani)` esezantsi kwe-pelvic floor yethu (oko kukuthi, ukuqokelelwa kwemisipha kunye nezicubu ezinceda ukugcina amalungu abalulekileyo esiswini sethu, njengesibeleko kunye nesinyi, ekuweni, yiyo loo nto siyibiza ngokuba yi-pelvic floor). Le misipha ye-`(levator ani)` ifumaneka ngeenxa zonke kwi-anus kunye ne-vagina yethu. Khawuthelekelele, le misipha igubungela ezantsi kwe-pelvic cavity njengenethi.

Le misipha ye-`(levator ani)` yenza izinto ezininzi ezibalulekileyo emzimbeni wethu. Umzekelo, isebenza njengoxhaso lwamalungu akwisinqe, kwaye ikwasinceda silawule ukuhamba kwamathumbu ethu. Ngoko ke xa le misipha iqina kwaye ixinene ngequbuliso, kulapho ke iqala khona intlungu. Oku ngamanye amaxesha kubizwa ngokuba yi-`(pelvic floor myalgia)`, `(pelvic floor myofascial pain)`, okanye `(pelvic floor muscle spasm)`.

Into ebalulekileyo kukuba esi sifo (iLevator Ani Syndrome) asisosifo esiyingozi nesisongela ubomi . Nangona kunjalo, intlungu ehambisana naso inzima kancinci, kwaye ukuba ayinyangwa ngokufanelekileyo, ayizukuphila yodwa. Njengathi sonke, xa sinengxaki enxulumene namalungu ethu angasese, kusenza sizive sineentloni kwaye sineentloni ukuthetha nabani na, akunjalo? Kodwa mandikuxelele, kukho unyango olufanelekileyo loku. Ugqirha unokuxilonga esi sifo, anciphise ukuqaqamba kwemisipha ozivayo, aze anike isiqabu.

Ngoko ke zithini iimpawu zeLevator Ani Syndrome?

Uphawu oluqhelekileyo lwale meko yintlungu ebuhlungu okanye uxinzelelo oluncinci, olubuhlungu kwindawo engaphantsi kwesisu, kwilungu lobufazi, okanye kwi-pelvic (ezantsi kwesisu). Le ntlungu noxinzelelo lunokuchazwa ngolu hlobo:

• Ukwabelana ngesondo kunokuba buhlungu.
• Kusenokuvakala ngathi uhleli ebholeni, okanye ngathi kukho ibhola enamathele ngaphakathi kwimpundu yakho. Khawucinge nje, akukhululeki, ngathi kukho into engaphakathi.
• Le ntlungu inokuvakala ngakumbi xa uhleli kwindawo enye ixesha elide. Umzekelo, ukuba ungumntu osebenza ngokuqhubekayo ehleli kwisitulo seofisi, okanye ukuba uhamba iiyure ezininzi ngebhasi okanye ngololiwe njengathi eSri Lanka, le ntlungu isenokubonakala kwaye ikhule.
• Usenokuziva iintlungu zithomalala kancinci xa umi okanye uhamba.
• Intlungu inokuhlala iiyure ezininzi, kwaye inokuba nzima ngakumbi ngequbuliso.

Ngamanye amaxesha le ntlungu iqala kusasa ize ibe mandundu njengoko imini iqhubeka. Kwabanye, intlungu ingasasazeka iye ezimpundu (ewe, ezimpundu zakho) okanye emathangeni angaphezulu. Okucaphukisayo kukuba ngamanye amaxesha le ntlungu iqala xa ulele ubuthongo, kwaye inokuba qatha kangangokuba ikuvuse.

Kutheni sifumana `(Levator Ani Syndrome)`? Zithini izizathu?

Enyanisweni, oogqirha abakafumani isizathu sokuba le "levator ani" iqine ngolu hlobo. Oko kuthetha ukuba abakayazi imbangela echanekileyo okwangoku . Nangona kunjalo, uphando lufumanise ukuba imisebenzi ethile inokubangela okanye ibenze babe mandundu aba baxinezeleke kakhulu. Ezinye zezi zinto ziquka:

• Uhambo olude ngemoto: Oku kusenokuba kungenxa yokuba kufuneka uhlale ixesha elide.
• Uxinzelelo: Ewe, ungamangaliswa, uxinzelelo esiluvayo lunokuchaphazela neengxaki zomzimba ezinje.
• Ukwabelana ngesondo: Abanye abantu banokuva iintlungu emva koku.
• Ukuzikhupha: Ngamanye amaxesha ukuxinezeleka ngexesha lokuhamba kwamathumbu nako kungaba yimbangela.

Ezi zizinto endizicingayo ngoku. Nangona kunjalo, ungaba nale meko ngaphandle kwezi zinto.

Ugqirha uyifumana njani ngokuchanekileyo iLevator Ani Syndrome?

Akukho vavanyo lukhethekileyo, olunye olunokuchongwa ukuze kufunyaniswe esi sifo (iLevator Ani Syndrome). Oko kuthetha ukuba awunakuthi ngoko nangoko, "Owu, esi sisifo," ngovavanyo lwegazi okanye ngeskeni.

Xa ubona ugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko, baza kwenza uvavanyo lomzimba. Oku kuhlala kubandakanya uvavanyo lwedijithali lwe-rectal (olubizwa ngokuba yi-DRE) kunye novavanyo lwe-pelvic. Ngexesha lezi zilingo, ugqirha unokuziva ukuba kukho ukuqina okanye ukuthamba kwimisipha ye-levator ani. Nangona ezi zilingo zinokubonakala zingakhululekanga, zibalulekile ekuxilongeni imeko.

Kubalulekile: Ukuba unale mpawu, ungabi nantloni uye kugqirha. Uza kukunceda.

Kaloku, zeziphi iindlela zonyango zoku?

Ngethamsanqa, kukho iindlela ezahlukeneyo zonyango zale meko (Levator Ani Syndrome). Uphando lubonise ukuba ezi ndlela zonyango zinokunika isiqabu esihle.

• Unyango lwe-biofeedback:Olu luhlobo lonyango olukhethekileyo. Lubandakanya ukukufundisa ukulawula nokuphumza izihlunu ezithile emzimbeni wakho (kule meko, isihlunu se-levator ani). Ingcali yezonyango isebenzisa iisensa ezikhethekileyo kunye nevidiyo ukukubukela uxinezelekile kwaye uphumze izihlunu. (Cinga ngathi ubamba iimpundu zakho ukuze umoya ungaphumi). Ingcali yezonyango iyaphendula kuwe kwaye ikunceda uphucule ukulungelelaniswa kwezihlunu zakho. Oku kukuvumela ukuba uziqhelise ukuphumza izihlunu ngononophelo.

• Ukuvuselelwa kwe-electrogalvanic: Kolu nyango, ugqirha ufaka isixhobo esincinci (iprobe) kwi-rectum yakho. Esi sixhobo sinikezela ngombane othambileyo kakhulu ukuze kuphumzwe izihlunu ezijikeleze i-rectum yakho. Oku akubuhlungu.

• Iziphumzi zemisipha: La ngamayeza amiselwe ngugqirha. La mayeza anokunceda ekunciphiseni ukuqaqamba kwemisipha kunye nokuqina kwayo. Amanye amayeza aqhelekileyo asetyenziswa kwi-levator ani syndrome yi-methocarbamol (usenokuba ukhe weva ngayo phantsi kwegama lophawu iRobaxin®), i-diazepam (ekwaziwa ngokuba yiValium®), kunye ne-cyclobenzaprine (efumaneka phantsi kwegama lophawu iFlexmid® okanye iFlexeril®). Ungaze uwathathe la mayeza ngaphandle kwengcebiso kagqirha.

• Unyango lokukhulula imisipha: Olu luhlobo lonyango lokuphulula. Apha, iindawo ezibangela ukudumba kwimisipha ye-levator ani ziyachongwa kwaye kusetyenziswa isixhobo esikhethekileyo ukuphulula ezo ndawo.

• Unyango lomzimba phantsi kwepelvic: Olu lonyango olubaluleke kakhulu. Ingcali yonyango lomzimba iya kukunceda ngomgangatho wakho wepelvic. , ifundisa ezinye iindlela zokolula izihlunu ze-pelvis kunye nomgangatho we-pelvis. Ukwenza ezi mithambo ngokuchanekileyo kunokunceda ukukhulula izihlunu kunye nokunciphisa iintlungu.

• Ukuhlamba umzimba: Le yinto elula kakhulu. Ungayenza ekhaya. Ibandakanya ukuhlala esityeni esingaphantsi kwamanzi afudumeleyo malunga nemizuzu eli-15-20. Ubushushu bunceda ekuphumzeni izihlunu ze-levator ani. Ungayenza kabini okanye kathathu ngemini.

Kwenzeka ntoni emva konyango? Ngaba luza kubakho unyango?

Kwabaninzi abantu, xa zidityaniswe namayeza kunye nonyango lomzimba, njengoko bekutshiwo ngaphambili, iimpawu ziyancipha kakhulu. Ngoko ke kukho ithemba. Nangona kunjalo, ungalindeli ukukhululeka kwangoko kunyango. Kuthatha ixesha elithile ukuze uzive ungcono.

Ngugqirha onjani endifanele ndimfumane xa imeko inje?

Ukuba unale mpawu, ungafuna ukubona ugqirha wakho wosapho (ugqirha oqhelekileyo - `PCP`) kuqala. Uza kukuhlola aze akuthumele kwingcali ukuba kuyimfuneko.

Amaxesha amaninzi, ezi meko zinyangwa nge:

• Iingcali zesisu:Kuba ezi mpawu zinxulumene ne-rectum.
• Iingcali zezifo zabesifazane: Ingakumbi ukuba abafazi baneempawu zesini.
• Oogqirha botyando lwe-Coloral Ectopic: Aba banyanga izifo ezinxulumene ne-rectum kunye ne-colon .

Ugqirha wakho wosapho uza kugqiba ukuba yeyiphi ingcali efanelekileyo kuwe aze akuthumelele.

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ukuba iimpawu zakho ziyabuya okanye ziya ziba mandundu ngelixa uselashwa, qiniseka ukuba uxelela ugqirha wakho. Kwakhona, ukuba ubona naziphi na iimpawu ezintsha, ezinje ngokopha emqolo, okanye nayiphi na intlungu entsha emqolo okanye kwisini sakho, kufuneka uxelele ugqirha wakho ngoko nangoko.

Yintoni umahluko phakathi kwe-`(Levator Ani Syndrome)` kunye ne-`(Proctalgia Fugax)`?

Zombini ezi ziimeko ezibangela iintlungu kwi-anus, kodwa kukho umahluko omncinci.

Intlungu kwi-`(Proctalgia Fugax)` ibukhali kakhulu, ifika ngequbuliso, kwaye idla ngokunyamalala kwimizuzu engama-20 . Ivakala ngathi kukuhlatywa ngemela, ngathi kukho into ebambeke emqaleni wakho, okanye ngathi yintlungu ebukhali.

Nangona kunjalo, nangona intlungu ye-`(Levator Ani Syndrome)` ngamanye amaxesha inokuba bukhali, idla ngokuba yintlungu efanayo ebuhlungu, ebuhlungu, neyinciphisayo eyayikhankanyiwe ngaphambili. Le ntlungu inokuza idlule, okanye ihlale iiyure ezininzi ngexesha.

Ngaba iLevator Ani Syndrome ingavela ngenxa yee-hemorrhoids?

Hayi, ii-hemorrhoids azibangeli i-levator ani syndrome. Ii-hemorrhoids zizinto ezahluke ngokupheleleyo. Ii-hemorrhoids zimithambo yegazi evuvukileyo ngaphakathi okanye ngaphandle kwe-anus. Rhoqo, le mithambo yegazi ixinezelekile xa uphakamisa into enzima okanye uxinzelela ngamandla ngelixa uhambisa isisu.

Kodwa i-`(Levator Ani Syndrome)` ibangelwa kukuxinana kwezihlunu. Njengoko besitshilo ngaphambili, unobangela ochanekileyo awukaziwa. Ngoko ke musani ukubhidanisa ezi zimbini.

Umyalezo obalulekileyo onokuwuthatha ekhaya

Ukuba unale meko, usenokuba uneentlungu ezingapheliyo kwi-anus nakwi-vaginal. Oku kungenxa yokuba umsipha we-levator ani okufutshane ne-anus yakho uyaqina kwaye uxinene, nto leyo ebangela iintlungu kwi-anus nakwi-vaginal.

Kodwa, eyona nto ibalulekileyo kukuba, kukho unyango olufanelekileyo loku . Oogqirha banokukunika isiqabu ngezinto ezifana namayeza kunye nonyango lomzimba. Usenokuziva usoyika kancinci, uneentloni, okanye ungakhululekanga ukuthetha nogqirha ngezi mpawu. Yinto eqhelekileyo leyo. Kodwa ugqirha uya kuziqonda iimvakalelo zakho. Uya kumamela ngononophelo into oyithethayo.

Ngoko ke, ukuba unengxaki efana nale, nceda ungabambeleli uye kugqirha. Uza kukunceda aze akunike unyango olufanelekileyo lokunciphisa iimpawu zakho. Awuwedwa!

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