Ingabe ngezinye izikhathi uzizwa ukuqina okuqhubekayo, ubuhlungu obungacacile, noma umuzwa onzima esiswini sakho esingezansi, ngaphansi nje kwenkinobho yesisu sakho? Noma mhlawumbe uzwa ukungakhululeki noma ubuhlungu ngesikhathi sokuchama noma ukuhamba kwamathumbu? Ungase uthole ngisho nokwenza ucansi kubuhlungu. Sicela ungazinaki lezi zinkinga njengento encane. Kungaba yizimpawu zenkinga eyisisekelo okufanele uyinake. Namuhla, eNirogi Lanka , sizokhuluma ngesimo esaziwa ngokuthi i-Hypertonic Pelvic Floor.
Okokuqala, iyini iphansi le-pelvic?
Ngaphambi kokuthi singene emininingwaneni ye- Hypertonic Pelvic Floor , ake siqale siqonde ukuthi iphansi lakho le-pelvic liyini ngempela. Kalula nje, liyinethiwekhi eyinkimbinkimbi yemisipha nezicubu ezixhumene ezitholakala phansi kwe-pelvic yakho. Cabanga ngalo njengesilingi esinamandla nesisekelayo noma isitsha esibamba futhi sivikele izitho zakho ezibalulekile ze-pelvic.
Ukuze uyibone ngeso lengqondo, yibheke njengesisekelo somzimba wakho, isekela izakhiwo ezibalulekile ezifaka:
- Isinye: Lapho umchamo wakho ugcinwa khona.
- I-Rectum: Ingxenye yokugcina yamathumbu akho lapho kubanjwa khona indle.
- Kwabesifazane: Isibeletho kanye nesitho sangasese sowesifazane .
- Kwabesilisa: Indlala ye-prostate .
Le misipha inamathele phakathi kwethambo lakho le-pubic ngaphambili, ithambo lomsila (i-sacrum) ngemuva, kanye namathambo akho okuhlala ezinhlangothini. Le misipha kanye nemizwa ehambisana nayo inesibopho sokulawula isinyi sakho, ukunyakaza kwamathumbu, kanye nokusebenza kocansi.
Ngakho-ke, iyini i-Hypertonic Pelvic Floor?
Manje njengoba usunokuqonda okuyisisekelo, i- Hypertonic Pelvic Floor yenzeka lapho le misipha ihlala iqinile, isesimweni sokuqaqamba, noma ibambeke ekuqineni okungapheli. Empeleni, imisipha ilahlekelwa ikhono layo lokuphumula nokusebenza ngendlela efanele.
Cabanga ngokubeka isandla sakho sibambene ngesibhakela esiqinile isikhathi eside—ekugcineni, sizoqala ukuqaqamba, ukuqaqamba, nokuzizwa singasasebenzi. Lokhu kufana nalokho okwenzeka phansi kwe-pelvic. Ngenxa yokuthi imisipha ihlala iqinile, ilwela ukuphatha imisebenzi efana nokuchama kanye nokuhamba kwamathumbu. Lokhu kuholela ebuhlungwini obuqhubekayo, noma ubuhlungu obubangelwa imisebenzi ethile njengokusebenzisa indlu yangasese noma ucansi. Kungabangela nobunzima ngokulawula isinyi kanye namathumbu kanye nokungasebenzi kahle kocansi, konke okuthinta kakhulu ikhwalithi yempilo yakho.
Ubani othinteka yi-Hypertonic Pelvic Floor, futhi ivame kangakanani?
Lesi simo singathinta noma ubani , kungakhathaliseki ubulili noma ubudala; ngisho nezingane ngezinye izikhathi zingaba nalezi zimpawu.
Ngokuvamile, ukungasebenzi kahle kwephansi le-pelvic kuvamile kakhulu. Iphansi le-pelvic elinomfutho wegazi ophezulu liwuhlobo oluthile. Ngokuvamile alihlolwa kahle ngoba abantu abaningi bazizwa benamahloni okuxoxa ngalezi zinkinga. Kodwa-ke, ucwaningo lusikisela ukuthi cishe umuntu oyedwa kwabayi-10 angase abhekane nalezi zinkinga, okwenza kube yisimo esivame kakhulu kunalokho ongakucabanga.
I-Hypertonic Pelvic Floor izwakala kanjani? Ziyini izimpawu?
Uphawu oluvame kakhulu olubikwa yiziguli ubuhlungu . Lokhu kungazwakala njengomuzwa osindayo, obuhlungu, noma oshayayo esiswini sakho esingezansi, emhlane ongezansi, noma esifundeni sesinqe. Ngezinye izikhathi ubuhlungu butholakala endaweni ethile (isb., eduze kwesinyi), kanti ngezinye izikhathi buvela ngqo ngesikhathi semisebenzi efana nokusebenzisa indlu yangasese noma ukusondelana ngokocansi.
Ezinye izimpawu zingahlukaniswa kanje:
Izimpawu zomchamo
- Ubuhlungu besinye.
- Ubuhlungu noma umuzwa wokushisa ngesikhathi sokuchama .
- Ukufisa njalo ukuchama (isib. ukuya izikhathi ezingaphezu kuka-8 ngosuku noma ukudinga ukuvuka njalo ebusuku).
- Ubunzima bokuqala umfudlana, umfudlana onqikaza noma oqala ngokuma, noma uzizwe sengathi isinye sakho asikapheli ngokuphelele ngemva kokuqeda.
Izimpawu zamathumbu
- Ubunzima bokuqala ukunyakaza kwamathumbu noma isidingo sokuzikhandla ngokweqile.
- Umuzwa wokuphuma ngokuphelele ngemva kokusebenzisa indlu yangasese.
- Ubuhlungu ngesikhathi noma ngokushesha ngemva kokuhamba kwamathumbu.
- Ubuhlungu lapho kuphuma igesi.
- Ukuqunjelwa , lapho ungakwazi khona ukuhamba ngamathumbu njalo izinsuku eziningana.
Izimpawu zocansi
- Ubuhlungu ngesikhathi noma ngemva kocansi (okuvamile ukubikwa ngabesifazane).
- Ubunzima bokufinyelela ekufikeni kokuvuthwa.
- Kwabesilisa, izimpawu zingase zihlanganise ukungasebenzi kahle kokuchama noma ubuhlungu lapho kuphuma isidoda.
Okubaluleke kakhulu, izimpawu ze- Hypertonic Pelvic Floor zivame ukukhula kancane kancane futhi ziwohloke ngokuhamba kwesikhathi. Ngakho-ke, uma ubhekene nezimpawu ezincane ngisho noma zingatheni, ungazinaki. Kubalulekile ukubonisana nochwepheshe wezempilo noma ukuvakashela isibhedlela sendawo ukuze uthole ukuhlolwa okufanele.
Yini ebangela i-Hypertonic Pelvic Floor?
Ayikho imbangela eyodwa, njengoba ivame ukuba yinkinga eyinkimbinkimbi. Kodwa-ke, izici eziningana eziyingozi zingaba nomthelela ekuthuthukisweni kwayo, okuhlanganisa:
- Ukuhlala ubamba umchamo noma indle: Abanye abantu bahlakulela lo mkhuba kusukela ebuntwaneni, kanti abanye bangenza kanjalo ngenxa yohlobo lomsebenzi wabo (isib. othisha noma abashayeli abangochwepheshe). Ukubamba lokhu njalo kuvimbela imisipha ukuthi iphumule kahle.
- Ukulimala noma ukuhlukumezeka kwesitho sangasese sowesifazane: Ukuhlinzwa kwangaphambilini, ukukhulelwa, ukubeletha (ikakhulukazi ukubeletha okunzima), noma ukuhlukumezeka okuvela ezingozini (njengokuwa) kungalimaza le misipha.
- Ukungasebenzi kahle kwemisipha: Ukuhlala isikhathi eside (ikakhulukazi emsebenzini wekhompyutha), ukuma kabi, ukuhamba okungafanele, noma ukungasebenzi kahle kwamalunga esinqeni kungafaka ukucindezeleka okungavamile kule misipha.
- Ezinye izimo zezempilo ezibuhlungu:
- I-Irritable Bowel Syndrome (IBS)
- I-Endometriosis
- I-Vulvodynia (ubuhlungu obungapheli bezitho zangasese zabesifazane)
- Imifantu yendunu
- I-syndrome yesinye ebuhlungu / i-Interstitial Cystitis
Uma uhlushwa yizimo ezingamahlalakhona, ubuhlungu obuvelayo bungabangela ukuba imisipha yakho yaphansi kwe-pelvic iqine njalo.
- Umlando wokulimala ngokocansi noma ngokomzimba: Ukubhekana nezigameko ezinjalo ezibuhlungu kungabonakala ekucindezelekeni ngokomzimba kuwo wonke umzimba, kufaka phakathi indawo yesinqe.
- Ukucindezeleka, Ukucindezeleka, Nokukhathazeka:Ingqondo nomzimba wakho kuxhumene kakhulu. Uma ungaphansi kwengcindezi enkulu yengqondo, umzimba wakho uyaqina ngokwemvelo, futhi imisipha yakho yephansi le-pelvic ivame ukuphendula ngokuqinisa ngaphandle kokuzithandela.
Ihlolwa kanjani i-Hypertonic Pelvic Floor?
Uma uvakashela udokotela wakho, bazoqala ngokubuza umlando onemininingwane yezimpawu zakho kanye nempilo yakho iyonke. Lokhu kungafaka phakathi imibuzo ebucayi mayelana nokuthi ubuhlungu bakho buqala nini, ukuthi usunesikhathi esingakanani ubhekene nabo, ukuhamba kwakho kwamathumbu, izindlela zokuchama , kanye nempilo yakho yocansi. Nakuba lezi zihloko zingase zizwakale zomuntu siqu noma zingakhululekile, ukuvuleka nokwethembeka kubalulekile ukuze uthole ukuxilongwa okunembile, njengoba kusiza udokotela wakho aqonde uhlobo lwangempela lokungakhululeki kwakho.
Ngemva kwalokhu, udokotela wakho uzokwenza ukuhlolwa ngokomzimba , okungabandakanya:
- Ukuhlolwa kwangaphandle kwesisu sakho nendawo ye-pelvic ukuze kubonwe ukuthi ubamba noma uphumuza kanjani imisipha yakho ye-pelvic.
- Ukuhlolwa kwe-rectal kwedijithali.
- Ukuhlolwa kwesinqe kweziguli zesifazane.
Lezi zivivinyo zivumela udokotela wakho ukuthi abone ukuqina kwemisipha, ukuqaqamba, noma izindawo ezithile zokuthamba.
Ukuze uthole ukucaca okwengeziwe, udokotela wakho angase asikisele ukuhlolwa okukhethekile:
- I-anorectal manometry: I-catheter encane neguquguqukayo ifakwa ku-rectum enebhaluni elincane esicongweni ukuze kulinganiswe ingcindezi kanye nokuhlanganiswa kokufinyela/ukuphumula kwemisipha yakho yendunu neyendunu.
- I-Electromyography (EMG): Lokhu kuhlolwa kulinganisa umsebenzi kagesi wemisipha yakho njengoba ifinyela futhi iphumula kusetshenziswa ama-electrode pad amancane anamathelayo abekwe esikhumbeni.
- I-Defecography: Lokhu kuhlolwa kuhlola indlela okhipha ngayo amathumbu akho. Uzonikezwa i-contrast agent (i-barium paste) ukuze uyifake e-rectum, bese kuthathwa izithombe ze-X-ray ngenkathi usebenzisa indlu yangasese ekhethekile. Kungadingeka ukuthi uthathe umuthi wokuhlanza isisu omnene kusengaphambili ukuqinisekisa ukuthi amathumbu ahlanzekile.
- Ukuhlolwa kwe-Urodynamic: Uchungechunge lwezivivinyo ezenzelwe ukuhlola ukuthi isinyi sakho sigcina futhi sikhipha kanjani umchamo .
Yiziphi izindlela zokwelapha i-Hypertonic Pelvic Floor?
Izindaba ezinhle kakhulu ukuthi lesi simo selapheka kakhulu! Indlela eyinhloko nephumelela kakhulu ukwelashwa ngokomzimba . Udokotela wakho angakudlulisela kuchwepheshe we-Pelvic Floor Physical Therapist, ozokuqondisa ngalezi zindlela ezilandelayo:
- I-Biofeedback: Indlela ephumelelayo esebenzisa izinzwa ezinikeza idatha yesikhathi sangempela ngomsebenzi wemisipha yakho, ezikusiza ukuthi ufunde ukuthi ungawufinyeza kanjani kahle futhi, okubaluleke kakhulu, uphumuze imisipha yakho yaphansi kwe-pelvic.
- Amasu okuphumula: Uzofundiswa izivivinyo zokuphefumula kanye nokuma okuqondile ukusiza ukukhulula ukucindezeleka emisipheni yakho ye-pelvic kanye neyesisu.
- Ukuhlikihla, ukwelula, kanye nokunyakaza kwamalunga: Amasu enziwe ngezandla aklanyelwe ukunciphisa ukuqina kwemisipha okungapheli nokuthuthukisa ukuhamba.
Kuye ngezidingo zakho, udokotela wakho angase futhi ancome:
- Ukwelashwa nge-acupuncture.
- Imithi: Ukulawula ubuhlungu, ukunciphisa ukukhathazeka, noma ukubhekana nezinkinga ezihlobene nokuqunjelwa noma ukuchama njalo.
- Ukuvuselela imizwa: Ukusiza ekulawuleni izimpawu zokungakwazi ukuzibamba komchamo noma amathumbu.
- Imijovo ye-trigger point: Ukusebenzisa ama-corticosteroids noma i-Botox® ukuze kuncishiswe ukuqaqamba kwemisipha okukhulu noma ubuhlungu bendawo.
Udokotela wakho angase futhi axhumanise ukunakekelwa kwakho nabanye ochwepheshe, njengalaba:
- Udokotela Wezifo Zesisu obhekene nezinkinga zokugaya ukudla noma zamathumbu.
- Uchwepheshe we-Colorectal.
- Udokotela Wezifo Zabesifazane wezinkinga zempilo yokuzala.
- Udokotela Wezifo Zomchamo noma Udokotela Wezifo Zomchamo ngezinkinga zempilo yocansi.
- Udokotela Wengqondo ukukusekela ngokucindezeleka noma ngokulimala.
- Uchwepheshe wezokwelapha ngocansi wezinkinga ezihlobene nokusondelana.
Ungayinciphisa kanjani ingozi ye-Hypertonic Pelvic Floor?
Ungathatha izinyathelo zokuvikela impilo yakho ye-pelvic:
- Hlala ukhumbula indlela imisipha yakho ye-pelvic esabela ngayo ekucindezelekeni bese uzijwayeza ukuyiphumuza ngamabomu.
- Prakthiza izindlela zokucabanga, ukuzindla, kanye nokuphumula ukuze uphathe amazinga akho okucindezeleka nsuku zonke ngempumelelo.
- Ngesikhathi sokukhulelwa kanye nangemva kokubeletha , yenza izivivinyo zephansi le-pelvic (izivivinyo ze-Kegel) njengoba kunconywa udokotela wakho noma uchwepheshe wezokwelapha ngokomzimba.
- Yenza i-yoga njalo ukuze usize ekugcineni imisipha iguquguquka futhi iqine.
- Vimbela ukuqunjelwa ngokudla ukudla okune-fiber eningi okucebile ngemifino, izithelo, kanye nemifino eluhlaza, nangokuhlala unamanzi. Gwema ukuzikhandla uma usebenzisa indlu yangasese.
- Uma uzwa ubuhlungu obungapheli esiswini sakho esingezansi noma esifundeni se-pelvic, ungabushayi indiva—funa iseluleko sezokwelapha ngokushesha.
- Uma unomlando wokuhlukumezeka, funa iseluleko sochwepheshe.
- Ungalibali ukusebenzisa indlu yangasese. Uma uzizwa unesifiso sokuchama noma sokuphuma kwesisu, zama ukuya khona ngokushesha ngangokunokwenzeka kunokuba ubambe.
Iyini inhloso ye-Hypertonic Pelvic Floor?
Nasi umyalezo obaluleke kakhulu: I-Hypertonic Pelvic Floor iyisimo esingelapheka. Nakuba ukululama kuthatha isikhathi, isineke, kanye nokungaguquguquki, iziguli eziningi zithola impumuzo enkulu—futhi kwabaningi, ukululama okuphelele—ngokwelashwa okuzinikele. Uma izimpawu zakho ziqhubeka, qhubeka nokusebenzisana eduze nethimba lakho lezempilo, futhi ukhumbule ukuthi iNirogi Lanka ilapha ukuzokusekela uhambo lwakho oluya empilweni.
Kufanele ubonane nini nodokotela?
Uma uzwa ubuhlungu be-pelvic, ubunzima bokuchama , ubuhlungu ngesikhathi sokuhamba kwamathumbu, noma ubuhlungu ngesikhathi sokuya ocansini, ungacabangi ukuthi lezi zimpawu zizophela zodwa. Izimpawu ezinjalo azivamile ukuthuthuka ngaphandle kokungenelela. Ngakho-ke, kubalulekile ukubonisana nochwepheshe wezempilo ngokushesha ukuze uthole ukwelashwa.
Ubuhlungu, umchamoizinkinga, ukukhathazeka ngamathumbu, kanye nokungakhululeki ngokocansi okubangelwa yi-Hypertonic Pelvic Floor kungaba yinto ecindezelayo futhi ngezinye izikhathi ebangela amahloni. Kodwa-ke, ngenhlanhla, lezi zimo zingaphathwa noma zixazululwe kakhulu ngokwelashwa ngokomzimba kanye nezinye izindlela zokwelapha eziqondiwe. Ngokuxoxa ngezimpawu zakho nodokotela wakho kusenesikhathi futhi uqale ukunakekelwa okufanele, ungabuyela empilweni ekhululekile, ejabulisayo, neyanelisayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypertonic Pelvic Floor yisimo lapho imisipha yephansi le-pelvic iqina khona njalo. Lokhu kungaholela ebuhlungwini, ukungasebenzi kahle komchamo kanye namathumbu, kanye nezinkinga zocansi.
- Lesi simo singathinta noma ubani futhi sivame kakhulu kunalokho ongakucabanga.
- Uma unezimpawu, ungabi namahloni noma wesabe; thintana nodokotela. Ukuxilongwa kusenesikhathi kwenza ukwelashwa kube lula kakhulu.
- Ukwelashwa ngokomzimba phansi kwe-pelvic kuyindlela eyinhloko yokwelapha, yize kunezinye izinketho ezitholakalayo.
- Lesi simo singelapheka. Sicela uhlale unethemba.
- Ukugwema izici ezithile eziyingozi kungasiza ekunciphiseni ukwenzeka kwalesi simo.
Uma uneminye imibuzo, sicela ukhulume nodokotela wakho eNirogi Lanka. Sikufisela ukululama okusheshayo!
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Kuyini i-Hypertonic Pelvic Floor?
Iphansi le-pelvic liyingqimba yemisipha esebenza njenge-'hammock' esekela izitho zakho ze-pelvic (isinyi, isibeletho, i-rectum). Isimo 'se-Hypertonic' sisho ukuthi leyo misipha ayikwazi ukuphumula lapho kufanele, ihlala isesimweni sokucindezeleka noma ukuqaqamba okuqhubekayo. Cabanga ngakho njengokuphatha imisipha engalweni yakho esimweni sokugoqana—ekugcineni, iba buhlungu.
💬 Yiziphi izimpawu ezibangelwa ukucindezelwa kwemisipha?
Lokhu kungathinta kokubili abesifazane nabesilisa. Uma imisipha ezungeze isinyi iqinile, ungase uzwe ukuphuthuma noma ubuhlungu ngesikhathi sokuchama. Imisipha eqinile ye-rectal ingaholela ekuqunjelweni nasekucindezelekeni. Ngaphezu kwalokho, abesifazane bangase babe nobuhlungu obukhulu ngesikhathi socansi, kanti amadoda angabika ubuhlungu be-testicular.
💬 Ingabe ukuzivocavoca kweKegel kungasiza?
Lutho neze! Leli yiphutha elivamile. Ukuzivocavoca kwe-Kegel kuklanyelwe ukuqinisa imisipha ebuthakathaka. Njengoba imisipha yakho isivele isesimweni sokucindezeleka okukhulu, ukwenza ama-Kegel kungenza isimo sibe sibi kakhulu. Esikhundleni salokho, udinga i-biofeedback kanye nokwelashwa ngokomzimba okukhethekile kwe-pelvic floor ukuze ufunde ukuthi ungayiphumuza kanjani kahle leyo misipha.
Amagama angukhiye: Ubuhlungu be-pelvic, phansi kwe-pelvic, ukucindezeleka kwemisipha, ukuqunjelwa, ubunzima bomchamo, ubuhlungu bocansi, ukwelashwa ngokomzimba
