Ngaba uhlala ufuna ukuya kwindlu yangasese? Okanye uziva ngathi isisu sakho asikapheli emva kokuya kwindlu yangasese? Mhlawumbi uthatha ixesha elide ukuzithuma, kodwa akuphumi kakuhle? Ezi ziingxaki abantu abaninzi abanazo, kodwa baneentloni ukuthetha ngazo. Kodwa isizathu sezonyango esibangela ezi ngxaki yimeko esithetha ngayo namhlanje ebizwa ngokuba yi-'Pelvic Floor Dysfunction'.
Ngamafutshane, yintoni i-Pelvic Floor Dysfunction?
Khawuthelekelele ukuba isisu esisezantsi, indawo ephakathi kwamathambo esinqe sakho, ifana nendlu. Ngaphakathi kule ndlu kukho amalungu abalulekileyo afana nesinyi sethu, isibeleko (kwabasetyhini), iprostate (kwamadoda), kunye nerectum. Ngoku le ndlu ifuna isiseko esomeleleyo, kungenjalo onke la malungu anokuwa phantsi. Eso siseko yinto esiyibiza ngokuba yiPelvic Floor Muscles . Olu luthungelwano lwemisipha. Ezi zizinto ezibamba loo malungu endaweni yawo.
Ngokwesiqhelo, xa sichama okanye sikhupha indle, ezi zihlunu ziyaphumla xa kufuneka, kwaye zihlala ziqinile ngamanye amaxesha. Kufana naxa siqinisa izihlunu ezingalweni zethu xa siphakamisa ubunzima, size siziphumze xa sigqibile.
Nangona kunjalo, kumntu one-Pelvic Floor Dysfunction, kwenzeka okwahlukileyo. Xa kufuneka ukhuphe indle okanye uchame, ezi zihlunu ziyaqina endaweni yokuphumla. Kufana nocango oluvaleka nzima endaweni yokuvula. Yiyo loo nto kuvela iingxaki ezininzi.
- Kuba nzima ukuphuma ngokupheleleyo endle.
- Nasemva kokuba ndiye kwindlu yangasese, ndisaziva ngathi isisu sam sigcwele.
- Ngamanye amaxesha, umchamo okanye ilindle lingavuza ngaphandle kokuba wena ungazi.
Kwabasetyhini, le meko inokubangela iintlungu ngexesha lokwabelana ngesondo. Kwabesilisa, inokubangela nokungasebenzi kakuhle kwe-erectile.
Ngaba nawe unazo ezi mpawu? Masibone...
Kukho iimpawu ezininzi eziqhelekileyo ezinokukunceda uchonge le meko. Jonga ukuze ubone ukuba ukhe wadibana nenye okanye ezingaphezulu kwezi.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Ukuya endlwini yangasese rhoqo | Ngenxa yokuba isinyi asiphumi ngokupheleleyo, kuya kufuneka uphinde uchame emva kwexesha elithile. |
| Ukuma nokuqala kwakhona xa uchama | Ngenxa yokuba izihlunu aziphumli kakuhle, umchamo awuphumi rhoqo kodwa uphuma ngamaxesha athile. |
| Ukuzibhokoxa okanye ukutyhala ukuze ukhuphe indle | Ngenxa yokuba izihlunu ziqinile, kufuneka usebenzise amandla angaphezu kwaqhelekileyo ukuze uphume endle. |
| Ukutshintsha izikhundla ukuze kubekho indle | Abanye abantu kufuneka bazame ukuphuma ebhedini ngokutshintsha indlela abahleli ngayo kwindlu yangasese (umz. ukugoba phambili) okanye ngokucinezela izandla zabo kufutshane nelungu lobufazi/i-scrotum. |
| Ukuqhinwa | Olu luphawu oluqhelekileyo. Uphando lubonisa ukuba malunga nesiqingatha sabantu abanesifo sokuqhinwa okungapheliyo banale meko ibizwa ngokuba yi-'Pelvic Floor Dysfunction'. |
| Ukuvuza komchamo okanye ilindle | Ukungakwazi ukuzibamba komchamo/indle (ukuvuza komchamo okanye ilindle ngokungaziyo xa ukhohlela, uhleka, okanye uphakamisa izinto ezinzima). |
| Intlungu esiswini esisezantsi, kwindawo yesini, okanye kwi-rectum | Ngenxa yokuba izihlunu zihlala zixinene, iintlungu ezihlala ixesha elide zinokwenzeka kwezo ndawo ngaphandle kwesizathu esicacileyo. |
| Intlungu yomqolo ngaphandle kwesizathu | Izihlunu zomgangatho we-pelvic zidibene nezihlunu ezikumqolo ongezantsi, ngoko ke ingxaki kwenye indawo inokuchaphazela enye. |
Kutheni le meko isenzeka?
Nangona unobangela ochanekileyo woku ungakafunyanwa, kukho izinto ezininzi ekucingelwa ukuba zinegalelo kule meko.
- Ukulimala kwindawo ye-pelvic: Izinto ezifana nengozi yemoto okanye ukuwa kwindawo ephakamileyo zingonakalisa izihlunu kule ndawo.
- Ukukhulelwa nokubeleka: Ezi zihlunu zinokolulwa kakhulu kwaye zonakale, ingakumbi ngexesha lokuzala okunzima (umz., ukusebenzisa i-forceps okanye i-vacuum).
- Utyando lwePelvic: Le meko inokwenzeka emva kotyando olufana notyando lwe-hysterectomy okanye i-prostatectomy.
- Ukuzikhandla rhoqo xa usiya kwigumbi lokuhlambela: Ukuzikhandla rhoqo ngenxa yokuqunjelwa ixesha elide kunokwenza ezi zihlunu zisebenze nzima kakhulu.
- Ukwaluphala: Njengoko sikhula, ezi zihlunu, njengezinye izihlunu emzimbeni, ngokwemvelo ziqala ukuba buthathaka.
- Uxinzelelo kunye nokuxhalaba: Musa ukumangaliswa, uxinzelelo lunokubangela ukuba siqinise izihlunu zomzimba wethu singazi nokuba siqaphele. Oku kunokuchaphazela nezihlunu zomgangatho we-pelvic.
- Iingxaki zezicubu ezidityanisiweyo: Ezinye izifo ezichaphazela izicubu zomzimba zinokubangela ukuba ezi zihlunu zibe buthathaka.
Ngaba oku kungabhidaniswa nesinye isifo?
Ewe, ngokuqinisekileyo. Iimpawu zePelvic Floor Dysfunction ziyafana nezezinye iimeko ezininzi, ngoko ke ngamanye amaxesha zinokungaqondwa kakuhle.
- I-Interstitial Cystitis: Le yimeko ebangela iintlungu kwisinyi nakwindawo ye-pelvic. Le ntlungu inokubangela ukuba izihlunu ze-pelvic ziqine. Ngoko ke, kunokwenzeka ukuba ube nezi meko zombini ngaxeshanye.
- I-Irritable Bowel Syndrome (IBS): Imeko ebangela iimpawu ezifana neentlungu zesisu, ukuqhinwa, okanye urhudo. Ezi mpawu zifana kakhulu nePelvic Floor Dysfunction.
- Ukuqhawuka Kwamalungu Esitho Sangasese Somzimba (i-POP): Xa izihlunu zomgangatho we-pelvic zibuthathaka, amalungu anjengesibeleko kunye nesinyi aqala ukwehla aze aphume nge-vaginal. Ezi meko zimbini zihlala zihlobene.
- I-Prostatitis: Usulelo okanye ukudumba kwe-prostate gland kumadoda. Intlungu kunye nobunzima bokuchama zifana kakhulu ne-Pelvic Floor Dysfunction.
- Izifo ze-rectal: Iintlungu ezibangelwa ziimeko ezifana nokuqhekeka kwe-rectal okanye i-fistula zinokubangela ukuqina kwemisipha yomgangatho we-pelvic.
Kungoko ke kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha malunga neempawu zakho ukuze kuchongwe unobangela ochanekileyo kwaye kuqalwe unyango olufanelekileyo.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha wakho, baza kuqala bakubuze ngeempawu zakho. Umzekelo:
- Ufuna ukukhupha indle?
- Ngaba uziva ungenanto kwaphela emva kokuba ugqibile ukuchama?
- Uya kwindlu yangasese kangaphi ngemini?
- Ukuba ungumfazi, ungabuza nangokuzala nokuba kukho na iintlungu ngexesha lokwabelana ngesondo.
Emva koko, kuya kwenziwa uvavanyo lomzimba. Apha, ugqirha uza kujonga izihlunu zakho zomgangatho we-pelvic ngesandla ukuze abone ukuba ziqinile, ziqinile, okanye zibuthathaka.
Ngamanye amaxesha, uvavanyo olukhethekileyo lunokucetyiswa ukuqinisekisa ngakumbi imeko.
| Igama lovavanyo | Wenza ntoni ngale nto? |
|---|---|
| I-Manometry ye-Anorectal | Uvavanyo olulinganisa indlela ezisebenza ngayo izihlunu ezijikeleze i-anus (sphincters). Uxinzelelo oluthotywa yizihlunu ngexesha lokuphuma kwesisu luyalinganiswa. Rhoqo, uvavanyo olubizwa ngokuba yi -Electromyography (EMG) lwenziwa ukujonga ukulungelelaniswa kwezihlunu. |
| I-Proctogram yokuNgcakaza | Uvavanyo olufana ne-X-ray ukuze ubone ukuba uyakwazi na ukuqalisa intshukumo yamathumbu kwaye ukhuphe amathumbu akho ngokupheleleyo. Oku kunceda ukubona indlela amalungu akho angaphakathi asebenza ngayo xa unentshukumo yamathumbu. |
| I-Urodynamics | Olu vavanyo lwenziwa ukuba unengxaki yokuchama. Lulinganisa amandla akho okukhupha umchamo kwisinyi sakho. Lunokubona izinto ezifana nomchamo obuthathaka kunye nokuchama okwethutyana. |
Kaloku, zeziphi iindlela zonyango zoku ngoku?
Ezi zezona ndaba zimnandi. Ukungasebenzi kakuhle kwePelvic Floor yimeko enokunyangeka ngaphandle kotyando . Kukho iindlela ezahlukeneyo zonyango.
- Unyango lomzimba lomgangatho wePelvic:Olu lolona nyango lubalulekileyo nolusebenzayo. Ingcali yezonyango eqeqeshwe ngokukodwa iya kuchonga ukuba zeziphi izihlunu onazo eziqinileyo. Emva koko, kukho imithambo ekhethekileyo eya kukunceda uphumze ezo zihlunu kwaye uphucule ukulungelelaniswa kwazo.
- I-Biofeedback: Oku kusenokuvakala kutsha kancinci, kodwa ngenene kulula kakhulu. Ingcali yezonyango incamathisela ii-sensors emzimbeni wakho kwaye ikubonise kwisikrini xa uziqinisa kwaye uphumza izihlunu zakho, njengokuba ujonge esipilini. Emva koko ufunda indlela yokulawula izihlunu zakho. Le ndlela ifunyenwe isebenza ngaphezu kwe-75%.
- Amayeza: Ukuba unesisu, ugqirha wakho angacebisa amayeza afana nezithambisi-situlo. Kodwa ungaze uwasebenzise ngaphandle kwengcebiso kagqirha.
- Iindlela Zokuphumla: Izinto ezifana nokucamngca, i-yoga, ukuhlamba okushushu, kunye ne-acupuncture zinokunceda ekunciphiseni ukuqina kwemisipha ye-pelvic.
- Iinaliti zeTrigger Point: Ukuba ezinye iindlela zonyango aziphumeleli, ingcali yokulawula iintlungu inokufaka inaliti encinci ye-anesthetic kwizihlunu eziqinileyo ukuze ziphumle.
Izinto onokuzenza ukuphucula le meko
Oku akuyonto eza kuba ngcono ngemini enye. Kodwa eyona nto ibalulekileyo kukuhlala uzama ungayeki. Usenokungawuboni umahluko omkhulu kangangeenyanga ezimbalwa emva kokuqala unyango. Kodwa abantu abaninzi abalandela imiyalelo enikwe ngugqirha wabo kunye nonyango lomzimba, bayachacha ngokuhamba kwexesha.
Okwangoku, qaphela ezi zinto:
- Ungaphoswa ziintlanganiso zakho zonyango kunye nonyango lomzimba: Ukuba awuzithathi amayeza akho kwaye awuzilolongi, iimpawu zakho zinokuba mandundu kwaye inkqubo yokuphiliswa iya kulibaziseka.
- Ziphephe izinto ezibeka uxinzelelo okanye iintlungu kwindawo ye-pelvic: Ukuzilolonga okufana nokuphakamisa izinto ezinzima kunye nokutsiba okuqhubekayo kunokunyusa ukuqina kwezi zihlunu. Buza ugqirha wakho okanye ingcali yezonyango ukuba zeziphi izinto ezifanelekileyo nezingafanelekanga kuwe.
- Sela amanzi amaninzi kwaye utye ukutya okunesondlo: Ukusela iiglasi zamanzi ezingaphezu kwe-8 ngosuku kunokunceda ukuthintela ukuqhina. Kwakhona, abanye abantu banokuziva behluthi xa besitya ukutya okunefayibha eninzi. Ukuba uziva ungakhululekanga, hlala kude nokutya okunjalo okwethutyana. Nxibelelana nogqirha wakho malunga nokutya okufanelekileyo kuwe.
Ukungasebenzi kakuhle komgangatho wePelvic yimeko eqhelekileyo, kodwa abantu abaninzi baneentloni zokuthetha ngobunzima babo bokuya kwigumbi lokuhlambela. Kodwa khumbula, ukuthetha nogqirha wakho ngayo linyathelo lokuqala nelibalulekileyo ekuchacheni kwakho. Okukhona ukhululekile kwaye uthembekile malunga neengxaki zakho, kokukhona unyango lwakho luya kuba nempumelelo.
Umyalezo Wokuya Ekhaya
- Ukungasebenzi kakuhle kwemisipha yePelvic Floor yingxaki yemisipha, ayisiyonto yokuba neentloni ngayo. Ingalawulwa kakuhle ngonyango.
- Ukuba uneempawu ezifana nentlungu esezantsi kwesisu, ukuqhinwa, okanye ubunzima bokuchama, musa ukuzityeshela.
- Soloko ubona ugqirha ukuze ufumane isifo esifanelekileyo kwaye ufumane unyango olufanelekileyo. Musa ukwenza izigqibo ngokusekelwe kuqikelelo.
- Unyango ludla ngokubandakanya unyango lomzimba kunye notshintsho kwindlela yokuphila. Utyando alufuneki rhoqo.
- Kuthatha ixesha ukuphiliswa, ngoko ke yiba nomonde kwaye uqhubeke nonyango ngaphandle kokuyeka.

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