Iyini i-perineum? Ake sifunde ngale ngxenye encane kodwa ebaluleke kakhulu yomzimba wakho.

Sawubona! Unjani? Namuhla sizokhuluma ngengxenye yomzimba wethu okungenzeka ukuthi asikhulumi kakhulu ngayo, kodwa ibaluleke kakhulu. Yilokhu odokotela abakubiza ngokuthi i-perineum. Kungenzeka ukuthi awukaze uzwe leli gama ngaphambili. Kodwa ungakhathazeki, sizokhuluma ngayo kalula, ngendlela ongayiqonda.

Iyini ngempela i-perineum? Ikuphi?

Kalula nje, i-perineum yakho iyisiqeshana sesikhumba esibucayi phakathi kwezitho zakho zobulili (ukuvulwa kwesitho sakho sobulili kwabesifazane, noma i-scrotum yakho kwabesilisa) kanye ne-anus yakho (lapho sithulula khona indle). Cabanga ngakho njengendawo encane. Lena yingxenye esiyibona ngaphandle.

Kodwa, i-perineum akuyona nje isikhumba esibonakala ngaphandle. Empeleni yindawo engaphansi komgodi wethu wesinqe. Okusho ukuthi, ngaphansi kwaleso sikhumba, ezinye izakhiwo ezibalulekile kanye nemisipha emzimbeni wethu kungokwayo. Ukuze kube sobala, itholakala ngaphansi kwemisipha yephansi lethu lesinqe.

Ngakho-ke, uyabona, akunjalo? Lokhu kungase kubonakale njengendawo encane, kodwa empeleni kuyinto ejulile kakhulu kunalokho.

Kwenzekani ku-perineum? Kungani lokhu kubalulekile kithi?

Le perineum encane iyasiza kakhulu kunalokho ocabanga.

• Ukuze kukhuthazwe ucansi kanye nenjabulo: I-perineum ineziphetho eziningi zemizwa esikhumbeni. Lokhu kusiza ekukhuthazeni ucansi kanye nokusabela. Lokhu kusho ukuthi lena yindawo yomzimba wethu ekhipha umoya ongcolile.
• Ukusekelwa phansi kwe-pelvic: Imisipha ephansi kwe-pelvic yethu yiyo ebamba izinto ezifana nesinye sethu, ingxenye yamathumbu ethu, kanye nezitho zokuzala endaweni yazo. I-perineum inikeza isisekelo esihle kanye nokusekelwa kwale misipha ye-pelvic.
• Ukuchama, ukuthulula indle, kanye nocansi: Izakhiwo ezingaphakathi emizimbeni yethu, e-perineum, ziyasiza kulezi zinqubo.
• Ukubeletha (kwabesifazane): Izakhiwo ezise-perineum yowesifazane ziyamsiza ekubeletheni umntwana ngesitho sangasese sowesifazane. Le ndawo yindawo enwebeka kakhulu ngesikhathi sokubeletha.

Manje usuyaqonda ukubaluleka kwalokhu, akunjalo?

Ake sifunde okwengeziwe ngendawo kanye nesimo se-perineum.

Sithe i-perineum itholakala phakathi kwezitho zangasese kanye ne-anus. Le ngxenye ebonakalayo ihambisana nezakhiwo ezingaphakathi komzimba esingenakuzibona.

Ngaphakathi, i-perineum itholakala ngaphansi komsipha oyinhloko wephansi lethu le-pelvic (umsipha we-levator ani). Iphinde idlulele emathanjeni ethu e-pelvic. Cabanga ngale ndlela:

• Ngaphambili: I-perineum iqala ku-pubic symphysis, okuwukuhlangana phakathi kwamathambo e-pelvic kwesobunxele nakwesokudla, ngaphambili kwe-pelvis yethu.
• Ngemuva: Ukusuka lapho, idlulela yonke indawo kuze kufike ethanjeni lomsila/e-coccyx.
• Ngokwezinhlangothi: Lokhu kudlulela emathanjeni amabili (amathambo e-sitz noma ama-tuberosities e-ischial) ohlangothini lwesokudla nolwesobunxele lwe-pelvis yethu, acindezela phansi lapho sihlala.

Odokotela ngezinye izikhathi baveza imingcele ye-perineum ngesimo sedayimane. Cabanga ngomugqa ocatshangwayo odwetshwe phakathi kwamathambo akho amabili okuhlala. Lo mugqa uhlukanisa idayimane libe onxantathu ababili:

1. Unxantathu we-Urogenital: Yilapho kutholakala khona izitho zangasese, i-urethra, kanye nemisipha ehlobene nayo.

2. Unxantathu wendunu: Yilapho kutholakala khona imbobo yendunu kanye nemisipha ye-sphincter yendunu. Le misipha isiza ukuqinisa nokukhulula indunu ngesikhathi sokuhamba kwamathumbu.

Lapho kuhlangana khona la ma-triangle amabili, kuba nenqwaba yezicubu ezinemisipha ebizwa ngokuthi umzimba we-perineal . Lokhu kudlala indima enkulu ekusekeleni phansi kwe-pelvic. Le ndawo isengozini enkulu yokulimala ngesikhathi sokubeletha.

Ingakanani i-perineum? Yenziwe ngani?

I-perineum yowesifazane ivame ukuba ngamasentimitha angu-3.8 ubude. I-perineum yowesilisa ingaba ngamasentimitha angu-5 noma ibe yinde kancane.

I-perineum inezingqimba eziningana ngaphansi kwesikhumba. Lokhu kufaka phakathi izicubu ezixhumeneyo, izicubu ezinamafutha, imisipha, kanye nolwelwesi . Inzwa ebaluleke kakhulu ebizwa ngokuthi i-pudendal nerve idlula ku-perineum, isakazekela ezindaweni ezifana nezitho zethu zangasese, imisipha yephansi le-pelvic, kanye ne-rectum. Le nethiwekhi eyinkimbinkimbi yemizwa yiyo evumela i-perineum ukuthi isabele ezinzweni zobulili futhi isisize sichame futhi sikhulule indle.

Yiziphi izimo nezifo ezivamile ezithinta i-perineum?

Imbangela eyinhloko yokulimala kwe-perineum ukubeletha . Cishe ama-85% omama ababelethayo bahlushwa ukudabuka kwe-perineum. Kodwa-ke, noma ubani, kungakhathaliseki ubulili, angalimala i-perineum.

Izinto ezithinta kakhulu abesifazane

• Ukubeletha ngesitho sangasese sowesifazane: Njengoba umntwana ephuma esitho sangasese sowesifazane, isitho sangasese sowesifazane kanye ne-perineum kuyanwebeka, ngezinye izikhathi kuyadabula. Esikhathini esiningi, lokhu kuyizinyembezi ezincane eziphola ngokuhamba kwesikhathi. Kodwa-ke, kuye ngobukhulu bokudabuka, kungadingeka ukuthungwa ukuze kulungiswe izicubu. Ukudabuka okukhulu kungalimaza imisipha eseduze yephansi le-pelvic noma imisipha ye-anal. Uma i-perineum idabukile, kungaba nzima ukuchama, ukukhipha indle, noma ukuya ocansini.
• Ukuhlinzwa kwe-episiotomy: Lokhu kwenzeka lapho udokotela noma umbelethisi esika i-perineum ngaphambi kokubeletha ukuze kwandiswe imbobo yesitho sangasese sowesifazane. Lokhu kwakuvamile, kodwa akusenziwa. Ezinye izifundo zibonise ukuthi abanye besifazane abahlinzwa i-episiotomy bangase babe nobuhlungu be-pelvic kanye nokungakwazi ukuzibamba kamuva ekuphileni.

Izinto ezithinta amadoda ngqo

• I-Prostatitis:Uma indlala ye-prostate itheleleka noma ilimele, ingavuvukala futhi ibe buhlungu. Lobuhlungu bungazwakala ezithweni zangasese kanye nase-perineum.
• Ukuhlinzwa: Ngezinye izikhathi odokotela kufanele basike i-perineum ukuze benze ukuhlinzwa kwe-prostate, basuse isimila, noma belaphe ukuqina komchamo.

Izinto ezithinta ubulili bobabili

Izimo ezilandelayo zingavela kokubili kwabesifazane nabesilisa:

• Ukungasebenzi kahle kwephansi le-pelvic: Uma i-perineum yonakele, kunethuba elikhulu lobunzima bokuchama noma ukukhipha indle.
• Ama-cyst noma ama-abscesses e-perineal: Ama-cyst athelelekile angakheka esikhumbeni se-perineum noma ngaphakathi kwe-anus. Lawa avame ukuba bomvu, avuvukele, futhi abuhlungu.
• Ama-Hemorrhoids: Lawa yimithambo evuvukele ngaphakathi noma eduze kwendunu. Angaba ngaphakathi noma ngaphandle. Angabangela ukopha, ukulunywa, noma ubuhlungu ku-perineum.
• Ukuboshwa kwemizwa ye-pudendal: Imizwa ye-pudendal, esikhulume ngayo ekuqaleni, idlula ku-perineum. Uma ilimala futhi ivuvukala, ingabangela ubuhlungu ku-perineum. Lobuhlungu bungaqala ngokuzumayo noma bukhule kancane kancane ngemva kwamasonto noma izinyanga eziningana.
• Ubuhlungu obudluliselwa kwabanye: Ezinye izimo eziqala engxenyeni ethile yomzimba zingabangela ubuhlungu ku-perineum. Isibonelo , i-appendicitis, i-colitis , kanye nezinye izifo zesisu zingabangela ubuhlungu ku-perineum.
• I-Fournier's Gangrene: Lokhu kuyisifo esingavamile kakhulu, esibangelwa amagciwane esibangela ukuba isikhumba sezitho zangasese kanye ne-perineum sife. Sivame kakhulu kwabesilisa abaneminyaka ephakathi kuka-50 no-60 abanesifo sikashukela.
• Ukulimala noma ukuhlukumezeka: Izingozi ezifana nokugibela isithuthuthu, ukugibela ibhayisikili, kanye nokugibela ihhashi kungalimaza i-perineum. Uma ungumgibeli webhayisikili, ukusebenzisa isihlalo sebhayisikili esingenakhala kunganciphisa ingcindezi ku-perineum futhi kunciphise ingozi yokulimala.
• Ukuxhashazwa ngokocansi: I-perineum edabukile noma elimele ingaba uphawu lokuxhashazwa ngokocansi noma ubudlova.

Wazi kanjani ukuthi unenkinga nge-perineum? (Izimpawu)

Uphawu oluyinhloko lokuthi kukhona okungahambi kahle nge-perineum ubuhlungu . Ngemva kokubeletha, ubuhlungu obuhambisana nokudabula i-perineum bungenza kube nzima ukuhamba noma ukuhlala.

Kungase kube nezinye izimpawu, ezingase zibonise inkinga ngemisipha nezitho ezise-perineum noma emgodini we-pelvic ozungezile:

• Ubunzima bokuchama noma ukukhipha indle.
• I-perineum ibuhlungu noma iyaluma.
• Ubuhlungu ngesikhathi socansi noma ngesikhathi sokuchama.
• Amadoda anenkinga yokuthola ukuqina kwenduku.
• Isigaxa, ukubomvu, noma ukuvuvukala kwe-perineum.

Uma unezimpawu ezinjengalezi, kungcono ukubona udokotela bese ucela iseluleko ngaphandle kokuzizwa unamahloni noma ukwesaba.

Ukuhlolwa kokuhlola impilo ye-perineum

Udokotela wakho angenza ukuhlolwa ngokomzimba ukuhlola noma yikuphi ukulimala, ukutheleleka, noma ezinye izimo ku-perineum. Lokhu kuhlolwa kungafaka nokuhlolwa kwe-rectal yedijithali, okungabona noma yikuphi ukukhubazeka.

Ngaphezu kwalokho, izinqubo zokuthwebula izithombe zingabona nezinkinga ku-perineum:

• I-CT Scan: Ingahlola umonakalo ku-perineum emzimbeni.
• I-MRI: Ibonisa ukuthi kukhona yini umonakalo emithanjeni yegazi noma emisipheni e-perineum.
• I-Ultrasound: Ibonisa imithambo yegazi eyonakele ku-perineum.
• I-X-ray enedayi: Lokhu kungasetshenziswa ukubona ukuthi kukhona yini umonakalo ku-urethra, njengoba i-urethra idlula ezicutshini ze-perineum.

Yiziphi izindlela zokwelapha i-perineum?

Uma unesilonda noma udabuke e-perineum yakho, udokotela wakho uzonquma ukuthi idinga ukuthungwa ukuze iphole. Okwamanje, ungenza lezi zinto ukusiza ekunciphiseni ubuhlungu:

• Ukugeza nge-Sitz kanye nokucindezela okufudumele: Ukugeza nge-sitz kuyigeza elingajulile nelifudumele elihlanza futhi lisize i-perineum ukuthi iphole. Yenza lokhu imizuzu emihlanu kuya kweyishumi kabili ngosuku. Ngemva kokugeza, shaya kancane i-perineum yomise kunokuba uyicindezele ngamandla.
• Izibulala-zinhlungu kanye nezifutho zokuqeda izinhlungu: Ukuthatha iziqeda-zinhlungu njengeParacetamol noma i-Ibuprofen , noma ukusebenzisa izifutho zokuqeda izinhlungu, kungasiza ekulawuleni ubuhlungu kuze kube yilapho buphola. Uma une-hemorrhoids, ama-wipe nama-creams nakho kungasiza ekunciphiseni ubuhlungu, ukulunywa, kanye nokuvuvukala ku-perineum.
• Ibhodlela le-Peri: Leli ibhodlela elincane ongaligcwalisa ngamanzi afudumele bese ulisebenzisa ukugeza i-perineum yakho ngemva kokusebenzisa indlu yangasese. Lokhu kuzonciphisa ingozi yokulimala ngokusula ngephepha langasese.
• Ukuvimbela ukuqunjelwa: Ukuzikhandla ngesikhathi sokuhamba kwamathumbu kungandisa ubuhlungu be-perineum. Ukuqunjelwa kungavinjelwa ngokudla ukudla okune-fiber eningi (imifino, izithelo, kanye nemifino) nokuphuza okungenani izingilazi zamanzi eziyisishiyagalombili ngosuku.
• Ukuzivocavoca phansi kwe-pelvic (ukuzivocavoca kwe-Kegel): Lokhu kuzivocavoca kwe-Kegel kuqinisa imisipha yaphansi kwe-pelvic ngemva kokubeletha.Ukwenza kanjalo kungasiza umzimba wakho ukuthi ululame ezintweni ezinjengokuklwebheka nokucindezeleka. Udokotela wakho angakuthumela kuchwepheshe wezokwelapha ngokomzimba ukuze uthole izivivinyo ezithile zephansi le-pelvic. Kodwa khumbula, lezi zivivinyo kufanele zenziwe kuphela ngemva kokulimala ngaphansi kokuqashwa ngudokotela.

Uma kukhona iqhubu elithelelekile, udokotela angase anikeze ama-antibiotic , noma angalisika bese elikhipha amanzi. Kungadingeka nokuhlinzwa uma kukhona ama-hemorrhoids noma umonakalo omkhulu wemizwa e-perineum.

Ingabe ukubhucungwa kusiza ekunciphiseni ukudabuka kwe-perineum ngesikhathi sokubeletha?

Akunakwenzeka ukuvimbela ngokuphelele ukudabuka kwe-perineum, kodwa kuthiwa ukuhlikihla i-perineum ngaphambi nangesikhathi sokubeletha kunganciphisa amathuba okudabuka.

Kufanele ngiqale nini lokhu kubhucungwa? Kufanele ngikwenze kangaki?

Kungumqondo omuhle ukuqala lokhu kuhlikihla kwe-perineum cishe emavikini angu-34 okukhulelwa kwakho.

Beka eceleni cishe imizuzu emihlanu ngesikhathi. Hlela ukwenza lokhu kubhucungwa kathathu kuya kane ngesonto.

Ungawuhlikihla kanjani u-perineum?

Ngaphambi kokwenza lokhu, khetha isikhathi nendawo lapho ungaphumula khona. Ngaphambi kokuba uqale, geza izandla zakho kahle ngensipho emnene. Lokhu kuzosiza ekuvimbeleni amagciwane ukuthi angangeni esithweni sangasese sowesifazane.

• Lala ngomhlane wakho, welula imilenze yakho kabanzi, bese ugoba amadolo akho. Qiniseka ukuthi umhlane wakho usekelwe kahle.
• Faka uwoyela omncane wemvelo (njengamafutha kakhukhunathi, uwoyela womnqumo) noma i-lubricant encibilika emanzini eminweni yakho, esithupheni, kanye nase-perineum.
• Faka esinye sezithupha zakho (ngokuthambisa okuthile) cishe isentimitha noma isentimitha nesigamu esithweni sakho sangasese sowesifazane. Bese ufaka esinye isithupha sakho kancane kancane.
• Cindezela udonga lwangemuva lwesitho sangasese sowesifazane uye endunu ngazo zombili izithupha. Faka ukucindezela okwanele ukuze uzwe ukudonsa okuncane ngaphakathi kwesitho sangasese sowesifazane. Bamba lesi simo umzuzu noma emibili.
• Bese ushukumisa izithupha zakho kancane kancane ngesimo "U". Uzozwa ukudonswa okuthambile.

Uma uzwa ubuhlungu ngenkathi wenza lokhu, yeka. Futhi, kuwumqondo omuhle ukukhuluma nodokotela wakho ngalokhu.

Izinto okudingeka sizikhumbule

I-perineum yakho yindawo ebucayi yesikhumba phakathi kwezitho zakho zangasese kanye ne-anus, kanye nezicubu ezingaphansi ezakha phansi kwesinqe sakho. Kubaluleke kakhulu ekuzinzeni kwesakhiwo se-pelvis yakho.

Kodwa-ke, ungesabi uma i-perineum yakho idabuka ngesikhathi sokubeletha. Ungase udinge ukuthungwa, kodwa ukulimala okuningi kuyaphola ngokuhamba kwesikhathi. Udokotela wakho uzokweluleka ngezindlela zokuphatha ubuhlungu ngenkathi ululama. Kubalulekile ukuqaphela le ngxenye yomzimba wakho nokufuna iseluleko sezokwelapha ngokushesha uma unenkinga. Hlala uphilile!

I- Perineum, impilo ye-pelvic, ukubeletha, ukudabuka kwe-perineal, ukubhucungwa kwe-perineal, impilo yabesifazane, impilo yamadoda