Ingabe nawe unenkinga yokungakhululeki ngendlela exakile ngokuvaleka nobuhlungu esiswini sakho esingezansi? Ake sifunde ngalokhu (Isitezi Se-Hypertonic Pelvic)!

Ingabe ngezinye izikhathi uzizwa ukuqina noma ubuhlungu esiswini sakho esingezansi, okungukuthi, ngaphansi kwe-pelvis yakho? Noma ingabe uzwa ukungakhululeki noma ubuhlungu lapho uchama noma uya endlini yangasese? Mhlawumbe uzwa ngisho nobuhlungu ngesikhathi socansi. Ungazinaki lezi zinto njengezinto ezingahleliwe. Mhlawumbe isizathu salokhu sijule kancane kunalokho ocabanga. Leso yisimo esizokhuluma ngaso namuhla, esibizwa ngokuthi `(Hypertonic Pelvic Floor)`.

Okokuqala, ake sibone, iyini le 'phansi le-pelvic'?

Kulungile, ngaphambi kokuba sikhulume nge-`(Hypertonic Pelvic Floor)`, ake siqonde kancane ngokuthi iyini le 'Pelvic Floor'. Kalula nje, iyiqoqo lemisipha nezicubu ezixhumene esiswini sethu esingezansi, okungukuthi, ngaphakathi kwe-groin. Njengenetha eqinile, noma isitsha esincane, le misipha iyahlangana ukuze iphakamise futhi ivikele izitho ezibaluleke kakhulu esiswini sethu esingezansi.

Cabanga nje, lokhu kufana nephansi lendlu yethu. Lezo zitho zomzimba yilezi:

• Isinye: Indawo lapho umchamo ugcinwa khona.
• I-Rectum: Ingxenye yokugcina ye-anus (i-rectum): Indawo lapho kugcinwa khona indle.
• Kwabesifazane, isibeletho kanye nesitho sangasese sowesifazane .
• Kwabesilisa, indlala ye-prostate .

Imisipha yephansi le-pelvic itholakala phakathi kwethambo le-pubic ngaphambili, i-sacrum ngemuva, kanye namathambo okuhlala kuzo zombili izinhlangothi. Le misipha nezinzwa kusiza ukulawula ukuchama kwethu, ukuphuma kwethu endle, kanye nemisebenzi yocansi.

Ngakho-ke, siyini lesi simo esibizwa ngokuthi `(I-Hypertonic Pelvic Floor)`?

Manje usunombono ocacile wokuthi iyini 'iphansi le-pelvic'. Esimweni esibizwa ngokuthi 'i-Hypertonic Pelvic Floor', imisipha 'yephansi le-pelvic' ihlala iqinile, isesimweni sokuqaqamba, noma ifinyela njalo. Lokhu kusho ukuthi le misipha ayikwazi ukuphumula, ukukhulula, nokusebenza ngendlela evamile.

Cabanga nje, kuthiwani uma ubungabamba isandla sakho ephaketheni isikhathi eside? Ngemva kwesikhashana, isandla sakho besizoqala ukubuhlungu, sizizwe singasasebenzi, futhi yileyo ndlela esiba ngayo. Ngenxa yokuthi le misipha ihlala iqinile, ayikwazi ukulawula imisebenzi yayo kahle, njengokuchama nokuya endlini yangasese. Yingakho ubuhlungu bungaba khona ngaso sonke isikhathi, noma bungaba khona ngemisebenzi ethile (isib. ukuya endlini yangasese, ukuya ocansini). Kungabangela nobunzima bokuchama , ukukhipha indle, kanye nezinkinga zocansi. Lezi zimpawu zingaba nomthelela omkhulu ezingeni lakho lempilo.

Ubani othola lesi simo (i-Hypertonic Pelvic Floor)? Sivame kangakanani?

Lesi simo singokwanoma ubani ngempela., okusho ukuthi kungenzeka kungakhathaliseki ubulili noma ubudala. Ngezinye izikhathi, lesi simo singathinta nezingane ezincane.

Ngokuvamile, ukungasebenzi kahle kwephansi le-pelvic kuvame kakhulu. I-Hypertonic Pelvic Floor ingenye yezinkinga ezinjalo. Esikhathini esiningi, ayibonakali kahle ngoba abantu banamahloni okukhuluma ngayo. Kodwa-ke, ngokusho kwedatha, kuthiwa cishe umuntu oyedwa kwabayishumi angaba nezinkinga ezinjalo. Lokhu kusho ukuthi akuyona into engakaze izwakale.

Kuzwakala kanjani ukuba `(I-Hypertonic Pelvic Floor)`? Ziyini izimpawu?

Uphawu oluyinhloko kubantu abaningi ubuhlungu . Lokhu kungazwakala njengokucindezeleka, ukusinda, noma ukuqina esiswini esingezansi, emhlane ongezansi, noma endaweni yesinqe. Ngezinye izikhathi ubuhlungu buzwakala endaweni eyodwa (isb., esinyeni) noma kuphela ngemisebenzi ethile (isb., ukuya endlini yangasese, ukuya ocansini).

Kukhona nezinye izimpawu. Ake sizichaze:

Izimpawu zomchamo

• Ubuhlungu besinye.
• Ubuhlungu nokusha lapho uchama .
• Ukuchama njalo (izikhathi ezingaphezu kuka-8 ngosuku, ukuvuka ebusuku).
• Ubunzima bokuqala ukuchama , ukuchama ngezikhathi ezithile, noma ukuzizwa sengathi kusekhona umchamo ngemva kokuqeda ukuchama .

Izimpawu zamathumbu

• Ubunzima bokuqala ukuya endlini encane, kuthatha isikhathi eside ukufika lapho.
• Ukuzizwa sengathi isisu sakho asikaphumi ngokuphelele ngisho nangemva kokuya endlini yangasese.
• Ubuhlungu lapho uya endlini yangasese noma ngemva kokuhamba.
• Ukuzwa ubuhlungu ngisho noma ukhipha igesi.
• Ukuqunjelwa kusho ukungakwazi ukuya endlini yangasese ngisho kanye izinsuku eziningana.

Izimpawu zocansi

• Ukuzwa ubuhlungu ngesikhathi socansi nangemva kocansi (lokhu kuthinta abesifazane abaningi).
• Ukungakwazi ukufinyelela i-orgasm.
• Kwabesilisa, kungaba ukungasebenzi kahle kwe-erectile, noma ubuhlungu ngesikhathi sokukhipha isisu.

Into ebaluleke kakhulu ukuthi izimpawu ze-`(Hypertonic Pelvic Floor)` zivame ukukhula kancane futhi zibe zimbi kakhulu ngokuhamba kwesikhathi. Ngakho-ke, uma unezimpawu ezincane njengalezi, ungazithathi kalula. Kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu bese ucela iseluleko.

Yini ebangela lesi simo (i-Hypertonic Pelvic Floor)?

Izizathu zalokhu kunzima ukuzikhomba, futhi ziyinkimbinkimbi kancane. Kodwa-ke, kunezici ezithile eziyingozi ezingaba nomthelela kulesi simo. Lezi yizi:

• Umkhuba wokubambelela kumchamo kanye nendle uma isinzima:Abanye abantu bebelokhu belutha lo mkhuba kusukela ebuntwaneni. Abanye baphoqeleka ukukwenza ngenxa yohlobo lwemisebenzi yabo (isib. othisha, abashayeli bamabhasi) noma indlela yokuphila. Uma behlala becindezelekile kanje, imisipha yabo ayikwazi ukuphumula.
• Ukulimala noma ukulimala kwemisipha yephansi le-pelvic: Le misipha 'yephansi le-pelvic' ingonakalisa ukuhlinzwa okuthile, ukukhulelwa, ukubeletha (ikakhulukazi ukubeletha okunzima), noma ingozi (isib., ukuwa).
• Ukungasebenzi kahle kwemisipha: Ukuhlala endaweni efanayo isikhathi eside (ikakhulukazi kulabo abasebenza kukhompyutha), ukuma okungajwayelekile, ukuhamba okungalungile, kanye nokungalingani kwezinqe nakho kungathinta le misipha.
• Ezinye izimo ezibuhlungu:
• I-Irritable Bowel Syndrome (IBS)
• I-Endometriosis
• I-Vulvodynia (ubuhlungu besikhathi eside ezithweni zangasese zabesifazane)
• Imifantu yendunu
• I-syndrome yesinye ebuhlungu / i-Interstitial Cystitis

Uma unezifo ezinjengalezi, imisipha yephansi le-pelvic ingaqina ngenxa yobuhlungu.

• Ukuxhashazwa ngokocansi noma ngokomzimba: Uma ubhekene nokuhlangenwe nakho okubuhlungu okufana nalokhu, kungaba nemiphumela engokomzimba.
• Ukucindezeleka, Ukucindezeleka, Nokukhathazeka: Lokho esikuzwayo ezingqondweni zethu kuthinta imizimba yethu. Uma singaphansi kokucindezeleka okukhulu, imisipha yethu imane iqine. Kunjalo nangaphansi kwesinqe.

Ihlolwa Kanjani I-Hypertonic Pelvic Floor?

Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho kanye nomlando wakho wezokwelapha. Lokhu kusho ukuthi uqala nini ukuba nobuhlungu, ukuthi usunesikhathi esingakanani ubuzwa, ukuthi usebenzisa kanjani indlu yangasese, ukuthi uchama kanjani, kanye nempilo yakho yocansi. Nakuba lezi kuyizinto ezingakhululekile futhi ezihlazisayo ukukhuluma ngazo, ukuba qotho nokucacile kubalulekile ukuze uthole ukuxilongwa okunembile. Lokhu kuzosiza udokotela ukuthi aqonde ukuthi hlobo luni lokungakhululeki oluzwayo.

Udokotela uzobe esehlola umzimba . Lokhu kungafaka okulandelayo:

• Ukuhlola isisu sakho esingezansi ungaphandle kuzokukhombisa ukuthi uqinisa futhi uphumuze kanjani le misipha 'yephansi le-pelvic'.
• Ukuhlolwa kwe-rectal kwedijithali.
• Uma ungowesifazane, kuhlolwa isisu.

Lezi zivivinyo zingasiza udokotela ukuthola ukuqina kwemisipha kanye nezindawo ezibuhlungu.

Ngezinye izikhathi, ukuhlolwa okukhethekile okufana nalokhu kungenziwa ukuze kutholakale ulwazi olwengeziwe:

• I-manometry ye-anorectal:Kulokhu, kufakwa ipayipi elincane (i-catheter) e-rectum bese kufakwa ibhaluni elincane ekugcineni. Imisipha e-rectum nase-anus iyafinyela futhi iphumule, kanye nengcindezi emisipheni, kuyalinganiswa.
• I-Electromyography (EMG): Lokhu kuhlolwa kulinganisa izimpawu zikagesi ezikhiqizwa yimisipha yakho lapho ifinyela futhi iphumula. Lokhu kwenziwa ngokubeka ama-pads amancane afana nezitika (ama-electrode) esikhumbeni sakho.
• Ukuhlanza amathumbu: Lokhu kuwukuhlolwa kokubona ukuthi uhlanza kanjani amathumbu. Ngenxa yalokhu, kufakwa into ekhethekile (i-barium paste) ebonakala kuma-X-rays efakwa e-rectum yakho bese ucelwa ukuthi uhlale endlini yangasese ekhethekile bese uhlanza amathumbu. Izithombe ze-X-ray zithathwa ngaleso sikhathi. Kuzodingeka uthathe umuthi wokuhlanza amathumbu akho ngaphambi kwalokhu.
• Ukuhlolwa kwe-Urodynamic: Lokhu akulona ukuhlolwa okukodwa, kodwa inhlanganisela yezivivinyo eziningana. Lokhu kubheka indlela ochama ngayo nokuthi isinyi sakho sisebenza kanjani.

Yiziphi izindlela zokwelapha `(I-Hypertonic Pelvic Floor)`?

Izindaba ezinhle ukuthi kukhona ukwelashwa kwalesi simo! Ukwelashwa okuyinhloko nokuphumelela kakhulu ukwelashwa ngokomzimba . Lokhu kwenziwa yi-Pelvic Floor Physical Therapist eqeqeshwe ngokukhethekile ezinkingeni ze-pelvic floor. Bazokwenza izinto ezinjengalezi:

• I-Biofeedback: Lena yindlela emnandi kakhulu. Kulokhu, usebenzisa izinto ezifana nezinzwa ukuqapha ukuthi imisipha yakho isebenza kanjani. Bese uqonda ukuthi ungayiqinisa kanjani futhi uyiphumuze imisipha yakho ngendlela efanele.
• Amasu okuphumula: Kufundiswa izivivinyo zokuphefumula kanye nezindlela ezahlukene zokuma eziphumuza imisipha.
• Ukuhlikihla, ukwelula, kanye nokunyakaza kwamalunga: Lokhu kusiza ekuphumuzeni imisipha eqinile.

Ezinye izindlela zokwelapha udokotela wakho angase azincome zifaka:

• Ukwelashwa nge-acupuncture.
• Imithi: Imithi inganikezwa ukunciphisa ubuhlungu, ukulawula ukukhathazeka, ukwelapha ukuqunjelwa, kanye nokwelapha ukuchama njalo.
• Ukuvuselela imizwa: Lawula ukungakwazi ukuzibamba umchamo noma ukungakwazi ukuzibamba amathumbu.
• Imijovo ye-trigger point: Lokhu kungasebenzisa ama-corticosteroids (uhlobo lwe-steroid) noma i-Botox® ukunciphisa ubuhlungu.

Ngezinye izikhathi udokotela wakho angase afune usizo kwabanye ochwepheshe, njengalaba:

• Udokotela Wesisu: Welapha izinto ezifana nokuqunjelwa.
• Uchwepheshe we-colorectal.
• Udokotela Wezifo Zabesifazane: Ngezinkinga zempilo yokuzala yabesifazane.
• Udokotela Wezifo Zomchamo noma Udokotela Wezifo Zomchamo: Uma unezinkinga zomchamo noma ukungasebenzi kahle kocansi.
• Udokotela Wengqondo: Usizo ngezinkinga zengqondo.
• Uchwepheshe wezocansi: Ngezinkinga zocansi.

Unganciphisa kanjani ingozi yokuthola `(I-Hypertonic Pelvic Floor)`?

Kunezinto eziningana ongazenza wena ukuze unciphise ingozi yalesi simo:

• Yazi ukuthi ungayiqinisa futhi uyiphumuze kanjani imisipha yesisu sakho.
• Prakthiza amasu okucabanga nokuphumula. Lokhu kungasiza ekunciphiseni ukucindezeleka.
• Yenza izivivinyo zephansi le-pelvic (izivivinyo ze-Kegel) ngesikhathi sokukhulelwa nangemva kokubeletha . Buza udokotela wakho noma uchwepheshe wezokwelapha umzimba ngalokhu.
• Le misipha iqina futhi ngokuzivocavoca kwe-yoga.
• Ukuze uvimbele ukuqunjelwa , yidla ukudla okune-fiber eningi (imifino, izithelo, kanye nemifino), phuza amanzi amaningi, futhi ugweme ukuzikhandla uma uya endlini yangasese.
• Uma uzwa ubuhlungu esiswini sakho esingezansi noma endukwini, ungabunaki futhi ufune iseluleko sezokwelapha.
• Uma uke wadlula esimweni esibuhlungu, funa ukwesekwa kwengqondo.
• Ungazibambi isikhathi eside uma udinga ukuchama noma ukuya endlini yangasese. Yanelisa isidingo ngokushesha okukhulu.

Iyini inhloso yalesi simo `(I-Hypertonic Pelvic Floor)`? (I-Outlook)

Lena into ebaluleke kakhulu. I-Hypertonic Pelvic Floor yisimo esingelashwa. Kuthatha isikhathi nesineke. Kodwa abantu abaningi bathola impumuzo cishe ephelele ezimpawini zabo ngokwelashwa, kanti abanye abantu bayalulama ngokuphelele. Uma izimpawu zakho ziqhubeka, udokotela wakho uzokudlulisela komunye uchwepheshe.

Kufanele ngimbone nini udokotela?

Uma unezinhlungu zesisu esingezansi, ubunzima bokuchama , ubuhlungu ngesikhathi sokuhamba kwamathumbu, noma ubuhlungu ngesikhathi socansi, ungalindi nje ukuthi zibe ngcono. Lezi zimpawu ngokuvamile azibi ngcono zodwa. Ngakho-ke, kubalulekile ukubona udokotela futhi uthole ukwelashwa ngokushesha okukhulu.

Ubuhlungu, ukuchama , ukuphuma kwendle, kanye nezinkinga zocansi ezibangelwa yi-`(Hypertonic Pelvic Floor)` akumnandi neze, futhi ngezinye izikhathi kuyahlazisa. Kodwa, ngenhlanhla, lesi simo singalawulwa futhi selashwe ngezinga elikhulu ngokwelashwa ngokomzimba kanye nezinye izindlela zokwelapha. Uma ukhuluma nodokotela wakho ngezimpawu zakho kusenesikhathi futhi uthole ukwelashwa okudingekayo, ungaphila impilo yakho ngokunethezeka nangenjabulo.

Umlayezo Wokuya Nawe Ekhaya

• Iphansi le-pelvic elinomfutho wegazi ophezulu yisimo lapho imisipha yesisu esingezansi ihlala iqinile. Lokhu kungabangela ubuhlungu, ubunzima bokuchama nokuphuma kwendle, kanye nezinkinga zocansi.
• Lokhu kungenzeka kunoma ubani, futhi kuvame kakhulu kunalokho ongase ukucabange.
• Uma unezimpawu, ungabi namahloni noma wesabe, bona udokotela. Uma usheshe uzibone, kuba lula ukuzelapha.
• Ukwelashwa ngokomzimba kuyindlela eyinhloko yokwelapha, kodwa kukhona nezinye izindlela zokwelapha.
• Lesi simo singelapheka. Ngakho-ke ungapheli amandla.
• Ukugwema izici eziyingozi kunganciphisa ukwenzeka kwalesi simo.

Uma uneminye imibuzo mayelana nalokhu, qiniseka ukuthi ukhuluma nodokotela wakho. Ngikufisela impilo enhle!

Ubuhlungu besisu esingezansi , phansi kwesinqe, ukuqina kwemisipha, ukuqunjelwa, ubunzima bomchamo, ubuhlungu bocansi, ukwelashwa ngokomzimba