Ngaba wakha weva igama elithi 'Perineum'? Mhlawumbi kugqirha wakho, okanye mhlawumbi weva ngalo ngexesha lokukhulelwa. Le yindawo ebaluleke kakhulu kwaye inobuthathaka emzimbeni wethu, kodwa esingathethi kakhulu ngayo. Ngoko ke, namhlanje siza kuthetha ngayo yonke into ngokulula nangendlela enobuhlobo. Ndiza kuchaza yonke into ngendlela onokuyiqonda.
Kalula nje, yintoni i-perineum?
Kulula kakhulu. Indawo encinci nebuthathaka yesikhumba phakathi kwezitho zakho zangasese kunye ne-anus yakho ibizwa ngokuba yi-perineum.
- Kumfazi: indawo yesikhumba phakathi komnyango wesini kunye ne-anus.
- Kwindoda: indawo yesikhumba phakathi kwamasende (i-scrotum) kunye ne-anus.
Kodwa akusiyo nje ulusu. Ngaphantsi kolu lusu, izakhiwo ezinzulu, kuquka izihlunu, izicubu, kunye nemithambo-luvo ezantsi komngxuma wethu we-pelvic, nazo zezale ndawo ibizwa ngokuba yi-perineum. Ngokuchanekileyo, oku kufana nesiseko somgangatho wethu we-pelvic.
Zithini imisebenzi ye-perineum? Kutheni ibaluleke kangaka?
Le ndawo incinci yenza umsebenzi obaluleke kakhulu emzimbeni wethu.
- Ukuvuselela ngokwesondo: Ulusu olukule ndawo luzele ziziphelo zemithambo-luvo, nto leyo eyenza le ndawo ibaluleke kakhulu ekuvuseleleni ngokwesondo nasekunelisekeni.
- Ukuxhasa amalungu omzimba esinqeni: Indawo yeperineum inika isiseko esomeleleyo kunye nenkxaso yezihlunu zomgangatho wesinqe, ezinceda ekubambeni izinto ezifana nesinyi sakho, ikholoni, kunye namalungu okuzala endaweni yazo.
- Ulawulo lokuchama kunye nokuphuma kwesisu: Ekubeni izihlunu kunye nemithambo-luvo ebandakanyekayo kwinkqubo yokuchama kunye nokuphuma kwesisu idlula kule ndawo, ikwanceda ukulawula ngokufanelekileyo ezo nkqubo.
- Ukuzala: Le ndawo ibaluleke kakhulu kubasetyhini, ingakumbi ngexesha lokubeleka. Le ndawo inwebeka kakhulu xa umntwana ezalwa.
Iphi le ndawo yeperineum?
Njengoko besitshilo ngaphambili, oku kuphakathi kwezitho zangasese kunye ne-anus. Nangona kunjalo, ukuba ujonga ngaphakathi emzimbeni, imida yayo yahlukile kancinci. Ngokwe-anatomic, le yindawo ethatha imo yedayimani.
- Ngaphambili: Iqala kwi-pubic symphysis, apho amathambo amabini esinqe adibana khona ngaphambili.
- Umqolo: Ufikelela kwithambo lomsila/i-coccyx, elilelona thambo lisezantsi emqolo wakho.
- Kumacala omabini: Amathambo amabini esinqe (amathambo ahleliyo) acinezelwa phantsi xa uhleli afikelela emacaleni.
Xa le mida mine idibana, yenza imo yedayimani. Ukuba udweba umgca ngengqondo embindini wale dayimani, uya kwahlulwa ube ziinxantathu ezimbini.
1.Unxantathu we-Urogenital: Le yinxalenye engaphambili. Iqulethe amalungu esini, i-urethra, kunye nezihlunu ezinxulumene nayo.
2. Unxantathu wempundu: Le yinxalenye engasemva. Le nxalenye iqulethe i- anal sphincter, elawula ukuvulwa kwempundu kunye nokuhamba kwendle.
Embindini apho ezi nxantathu zimbini zidibana khona kukho isihlunu esiqinileyo nesinamaqhina esibizwa ngokuba yi-perineal body . Oku kubalulekile ekuxhaseni umgangatho we-pelvic. Kwakhona yindawo enokonakala kakhulu ngexesha lokubeleka.
Ngokomyinge, iperineum yomfazi imalunga ne-1.5 intshi ubude. Eyendoda imalunga ne-2 intshi nangaphezulu kancinci.
Iimeko eziqhelekileyo kunye neengxaki ezichaphazela indawo ye-perineum
Eyona nto ibangela umonakalo kule ndawo kukuzala. Malunga nama-85% oomama abazalayo ngokwendalo bafumana uhlobo oluthile lokukrazuka kwi-perineum. Nangona kunjalo, le ndawo inokonakala nangezinye izizathu, nokuba isini sithini.
| Iqela elichaphazelekayo | Isimo kunye nenkcazo |
|---|---|
| Iimeko ezithile kubafazi | Ukubeleka kwesini: I-perineum inokweluka ize ikrazuke njengoko umntwana ephuma kwisini. Uninzi lwezikhalo zincinci kwaye ziyaphola ngokuhamba kwexesha. Ezinye iinyembezi ezinzulu zinokufuna ukuthungwa. Iinyembezi eziqatha zingonakalisa izihlunu zomgangatho we-pelvic okanye i- anal sphincter. I-episiotomy: Olu luqhekezo oluncinci olwenziwe ngugqirha kwi-perineum ukuze kwandiswe umngxuma welungu lobufazi ngaphambi kokuba kuzalwe. Nangona oku kwakuqhele ukwenziwa ngaphambili, ngoku kwenziwa kuphela kwiimeko ezigqithisileyo. |
| Iimeko ezithile kumadoda | I-Prostatitis: Usulelo okanye ukudumba kwe-prostate gland kunokubangela iintlungu kwindawo ye-perineum. Utyando:Le ndawo ingadinga ukunqunyulwa ngexesha lotyando lweprostate, ukususwa kwethumba, njl. |
| Iimeko eziqhelekileyo kuzo zombini izini | Ukungasebenzi kakuhle komgangatho we-pelvic: Ukonakala kwe-perineum kunokubangela ubunzima bokuchama kunye nokukhupha indle. IiCysts okanye amathumba: IiCysts ezinentsholongwane zinokwenzeka kule ndawo. Zinokuba bomvu, zidumbe, kwaye zibe buhlungu. IiHemorrhoids: Ukudumba kwemithambo ekwi-rectum kunokubangela ukurhawuzelelwa, iintlungu, okanye ukopha kwindawo ye-perineum. Ukuvalelwa kwemithambo-luvo ye-Pudendal: Ukonakala okanye ukucinezelwa kwemithambo-luvo ephambili edlula kule ndawo (imithambo-luvo ye-pudendal) kunokubangela iintlungu eziqatha. Ukulimala neengozi: Imisebenzi efana nokukhwela ibhayisekile, ukukhwela isithuthuthu, kunye nokukhwela ihashe inokubangela umonakalo kule ndawo. I-Fournier's Gangrene: Olu lusulelo olungaqhelekanga kodwa olunzima olubangelwa yintsholongwane. Lukwaziwa nangokuthi "isifo sokunyibilika kwenyama," lubangela ukuba ulusu lwezitho zangasese kunye ne-perineum lufe. Abantu abanesifo seswekile basengozini enkulu. Ukuxhatshazwa ngokwesondo: Iinyembezi kwindawo yeperineum zingaba luphawu lokuxhatshazwa ngokwesondo. |
Zithini iimpawu zezi ngxaki?
Uphawu oluphambili lwengxaki kwi-perineum ziintlungu . Ingakumbi emva kokubeleka, ukukrazuka kunokuba buhlungu kangangokuba akunakwenzeka ukuhamba okanye ukuhlala phantsi.
Eyona nto ibalulekileyo kukungaze uyityeshele nayiphi na intlungu okanye ukungonwabi kule ndawo. Nokuba yinto encinci, kubalulekile ukuthetha nogqirha wakho ngayo.
Ukongeza, ezi mpawu zilandelayo zinokuvela:
- Ubunzima bokuchama okanye bokukhupha indle.
- Ubuhlungu okanye ukurhawuzelela kwindawo yeperineum.
- Amadoda anengxaki yokufikelela kwinqanaba lokuma.
- Intlungu xa uchama okanye xa ulala nomntu.
- Iqhubu, ubomvu, okanye ukudumba kwindawo yeperineum.
Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubona ugqirha wakho.
Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe ezi meko?
Ugqirha wakho uza kuqala enze uvavanyo lomzimba. Ngeli xesha, uza kujonga naziphi na izilonda, ukukrazuka, okanye amaqhuma kwi-perineum. Ngamanye amaxesha, banokufaka umnwe ogqunywe ngeglavu kwi-rectum yakho ukujonga nantoni na engaqhelekanga (uvavanyo lwe-digital rectal).
Ukuba ingxaki ibonakala inzulu, uvavanyo lomfanekiso olufana nolu lunokucetyiswa:
- I-CT Scan: Ukufumanisa umonakalo kwizakhiwo ezingaphakathi emzimbeni.
- I-MRI scan (MRI): Ukuchonga umonakalo kwimisipha nakwimithambo yegazi.
- I-ultrasound scan: Ukubona umonakalo kwimithambo yegazi.
- I-X-reyi esebenzisa idayi ekhethekileyo: Ukuchonga umonakalo kwi-urethra.
Ziziphi iindlela zonyango zeengxaki kwindawo ye-perineum?
Unyango luxhomekeke kwingxaki onayo. Ukuba kukukrazuka okwenzeke ngexesha lokubeleka, ugqirha wakho uya kugqiba ukuba ngaba kufuneka uthungwe okanye akunjalo, kuxhomekeke kubukhulu. Okwangoku, ezi zinto zinokunceda ukunciphisa iintlungu kunye nokungonwabi.
- Iibhafu ze-Sitz kunye nee-compress ezifudumeleyo: Ibhafu ye-sitz ibandakanya ukuhlala esityeni esingenamanzi afudumeleyo imizuzu emi-5 ukuya kweli-10 kabini ngemini. Oku kucoca i-perineum, kunciphisa iintlungu, kwaye kunceda amanxeba aphole ngokukhawuleza.
- Iipilisi zokunciphisa iintlungu: Ungathatha iipilisi zokunciphisa iintlungu ezifana neParacetamol okanye i-Ibuprofen njengoko ugqirha wakho ekuyalele. Kukwakho neepilisi zokunciphisa iintlungu.
- Ibhotile yePeri: Le yibhotile encinci onokuyizalisa ngamanzi afudumeleyo uze uyitshize kwiperineum emva kokusebenzisa indlu yangasese. Le ingasetyenziswa ukucoca inxeba ngobunono ngaphandle kokulicaphukisa ngakumbi ngokulisula ngephepha lendlu yangasese.
- Ukuthintela ukuqhina: Ukuzikhandla ngexesha lokuhamba kwamathumbu kunokunyusa iintlungu. Ngoko ke, kubaluleke kakhulu ukutya ukutya okunefayibha eninzi (iziqhamo, imifuno) kwaye usele ubuncinane iiglasi ezisi-8 zamanzi ngosuku.
- Ukuzilolonga ngeKegel: Olu qheliselo lunceda ekuqiniseni izihlunu zomgangatho we-pelvic emva kokubeleka. Nangona kunjalo, ngokuqinisekileyo kufuneka udibane nogqirha wakho okanye ingcali ye-physiotherapist ngaphambi kokuba wenze oku ukuba wenzakele.
Ukuba kukho usulelo, amayeza okubulala iintsholongwane anganikwa. Ukuba kukho ithumba, kungenziwa umngxuma omncinci ukuze kukhutshwe ubovu. Iihemorrhoids ezinkulu okanye umonakalo wemithambo-luvo ungadinga utyando.
Ngaba ukukrazuka kwe-perineum kungathintelwa ngexesha lokubeleka?
Nangona kungenakwenzeka ukuthintela ukukrazuka ngokupheleleyo, kukho indlela yokunciphisa amathuba okuba kwenzeke oku kunye nokunciphisa ubukhali bokukrazuka. Oko kukuhlikihla i-perineal massage .
Le massage ifanele iqale nini?
Kungcono ukuqala oku emva kweeveki ezingama-34 zokukhulelwa kwakho.
Kufuneka uyenze kangaphi loo nto?
Ukukwenza oku iintsuku ezi-3-4 ngeveki, malunga nemizuzu emi-5 ngexesha, kwanele.
Uyenza njani le massage ngokufanelekileyo?
Ngaphambi kokuba wenze oku, khetha indawo ezolileyo apho unokuphumla khona.
1. Okokuqala, hlamba izandla zakho kakuhle ngesepha.
2. Ukuxhasa umqolo wakho kakuhle, goba imilenze yakho uze uyisasaze ngokubanzi.
3. Thambisa ioyile yendalo (ioyile yekhokhonathi, ioyile yomnquma) okanye ioyile esekwe emanzini ecetyiswe ngugqirha kwiminwe yakho nakwindawo engaphantsi komqolo.
4. Faka ubhontsi wakho ngobunono malunga ne-intshi enye okanye isentimitha enye enesiqingatha kwilungu lobufazi.
5. Ngoku cinezela umnwe wakho kancinci eludongeni olungasemva lwelungu lobufazi, oko kukuthi, ukuya kwimpundu. Cinezela ude uzive ulula kancinci.
6. Bamba le ndawo umzuzu okanye emibini.
7. Emva koko, kancinci kancinci, hambisa ubhontsi wakho ukusuka kwelinye icala ukuya kwelinye ngendlela ethi 'U'. Ufanele uzive utsalwa kancinci.
Oku kusenokuvakala kungathandeki ekuqaleni, kodwa kuya kuba lula njengoko uqhele. Ungathetha nogqirha wakho ngale nto uze ufumane iingcebiso ezingakumbi.
Umyalezo Wokuya Ekhaya
- I-perineum yindawo ebaluleke kakhulu nebuthathaka ephakathi kwezitho zakho zangasese kunye ne-anus.
- Oku kuxhasa amalungu esinqe kwaye kubalulekile nakwindlela yokuchama, yokukhupha indle, kunye nokusebenza ngokwesondo.
- Kuqhelekile ukuba abafazi bave umonakalo (iinyembezi) kule ndawo ngexesha lokubeleka. Ezi zihlandlo zihlala ziphiliswa ngokuzenzekelayo okanye ngokuthungwa.
- Ukuphulula i-perineal kwiiveki zokugqibela zokukhulelwa kunokunciphisa umonakalo ngexesha lokubeleka.
- Ukuba ufumana nayiphi na intlungu, ukudumba, ukurhawuzelelwa, amaqhuma, okanye ezinye izinto ezingaqhelekanga kwindawo yakho yeperineum, musa ukuyityeshela loo nto kwaye ubone ugqirha wakho ngoko nangoko.
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