Ingabe nawe unezinkinga ezifana nobuhlungu besisu esingezansi kanye nokuqunjelwa? Ake sixoxe ngokungasebenzi kahle kwe-Pelvic Floor!

Ingabe uvame ukudinga ukuya endlini yangasese? Noma uzizwa sengathi isisu sakho asikapheli nhlobo ngemva kokuya endlini yangasese? Mhlawumbe uthatha isikhathi eside ukukhipha indle, kodwa ayiphumi kahle? Lezi yizinkinga abantu abaningi abanazo, kodwa banamahloni okuzikhuluma. Kodwa isizathu sezokwelapha salokhu kungakhululeki yisimo esikhuluma ngaso namuhla esibizwa ngokuthi 'Ukungasebenzi Kahle Kwesitho Sangasese Se-Pelvic'.

Kalula nje, kuyini ukungasebenzi kahle kwe-Pelvic Floor?

Cabanga ukuthi isisu esingezansi, indawo ephakathi kwamathambo akho enqulwini, ifana nendlu. Ngaphakathi kwale ndlu kunezitho ezibaluleke kakhulu njengesinye sethu, isibeletho (kwabesifazane), i-prostate (kwabesilisa), kanye ne-rectum. Manje le ndlu idinga isisekelo esiqinile, ngaphandle kwalokho zonke lezi zitho zingawa phansi. Leso sisekelo yilokho esikubiza ngokuthi i-Pelvic Floor Muscles . Lena inethiwekhi yemisipha. Yilezi ezibamba lezo zitho endaweni yazo.

Ngokuvamile, uma sichama noma sikhipha indle, le misipha iyaphumula uma kudingeka, futhi ihlala iqinile ngezinye izikhathi. Kufana nalapho siqinisa imisipha ezingalweni zethu lapho siphakamisa isisindo, bese siyiphumuza lapho sesiqedile.

Kodwa-ke, kumuntu one-Pelvic Floor Dysfunction, kwenzeka okuphambene nalokho. Uma udinga ukukhipha indle noma ukuchama, le misipha iyaqina esikhundleni sokuphumula. Kufana nomnyango ovaleka kakhulu esikhundleni sokuvuleka. Yingakho kuvela izinkinga eziningi.

• Kuba nzima ukuphuma indle ngokuphelele.
• Ngisho nangemva kokuya endlini yangasese, ngisazizwa sengathi isisu sami sigcwele.
• Ngezinye izikhathi, umchamo noma indle ingavuza ngaphandle kokuthi uqaphele.

Kwabesifazane, lesi simo singadala ubuhlungu ngesikhathi socansi. Kwabesilisa, singadala nokungasebenzi kahle kwe-erectile.

Ingabe nawe unazo lezi zimpawu? Ake sibone...

Kunezimpawu eziningana ezivamile ezingakusiza ukuthi ubone lesi simo. Bheka ukuthi uke wabhekana yini nesinye noma ngaphezulu kwalezi.

Kungani lesi simo senzeka?

Nakuba imbangela eqondile yalokhu ingakatholakali, kunezici eziningana okucatshangwa ukuthi zinegalelo kulesi simo.

• Ukulimala endaweni ye-pelvic: Izinto ezifana nengozi yemoto noma ukuwa usuka endaweni ephakeme zingalimaza imisipha kule ndawo.
• Ukukhulelwa Nokubeletha: Le misipha inganwebeka kakhulu futhi yonakale, ikakhulukazi ngesikhathi sokubeletha okunzima (isib., ukusebenzisa i-forceps noma i-vacuum).
• Ukuhlinzwa Kwesinqe: Lesi simo singavela ngemva kokuhlinzwa okufana nokuhlinzwa kwesisu noma ukuhlinzwa kwe-prostate.
• Ukuzikhandla njalo lapho uya endlini yangasese: Ukuzikhandla njalo ngenxa yokuqunjelwa isikhathi eside kungenza le misipha isebenze kakhulu.
• Ukuguga: Njengoba siguga, le misipha, njengeminye imisipha emzimbeni, iqala ukuba buthaka ngokwemvelo.
• Ukucindezeleka Nokukhathazeka: Ungamangali, ukucindezeleka kungasibangela ukuba siqinise imisipha yomzimba wethu singaqapheli. Lokhu kungathinta nemisipha yaphansi kwe-pelvic.
• Izinkinga zezicubu ezixhumene: Ezinye izimo zezokwelapha ezithinta izicubu zomzimba nazo zingabangela ukuba le misipha ibe buthaka.

Ingabe lokhu kungadidaniswa nesinye isifo?

Yebo, nakanjani. Izimpawu zokungasebenzi kahle kwe-Pelvic Floor zifana nezezinye izimo eziningi, ngakho ngezinye izikhathi zingase zingaqondwa kabi.

• I-Interstitial Cystitis: Lesi yisimo esibangela ubuhlungu esinyeni kanye nendawo ye-pelvic. Lobuhlungu bungabangela ukuba imisipha ye-pelvic iqine. Ngakho-ke, kungenzeka ukuthi ube nazo zombili lezi zimo ngesikhathi esisodwa.
• I-Irritable Bowel Syndrome (IBS): Isimo esibangela izimpawu ezifana nobuhlungu besisu, ukuqunjelwa, noma isifo sohudo. Lezi zimpawu zifana kakhulu ne-Pelvic Floor Dysfunction.
• Ukuwohloka Kwezitho Zesitho Sesitho Sangasese Sowesifazane (i-POP): Lapho imisipha yephansi lesisu iba buthaka, izitho ezifana nesibeletho kanye nesinye ziqala ukwehla futhi ziphume ngesitho sangasese sowesifazane. Lezi zimo ezimbili zivame ukuhlobene.
• I-Prostatitis: Ukutheleleka noma ukuvuvukala kwendlala ye-prostate emadodeni. Ubuhlungu nobunzima bokuchama kufana kakhulu nokungasebenzi kahle kwe-Pelvic Floor.
• Izifo ze-rectum: Ubuhlungu obubangelwa yizimo ezifana nokuqhekeka kwe-rectum noma i-fistula bungabangela nokuqina kwemisipha yephansi le-pelvic.

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela wakho, bazoqala bakubuze ngezimpawu zakho. Isibonelo:

• Ufuna ukuzikhulula?
• Ingabe uzizwa ungenalutho ngokuphelele ngemva kokuqeda ukuchama?
• Uya kangaki endlini yangasese ngosuku?
• Uma ungowesifazane, ungabuza nangokuzala nokuthi kukhona yini ubuhlungu ngesikhathi socansi.

Ngemuva kwalokho, kuzohlolwa umzimba. Lapha, udokotela uzohlola imisipha yakho yaphansi kwe-pelvic ngesandla ukuze abone ukuthi iqine kangakanani, iqinile noma ibuthakathaka.

Ngezinye izikhathi, ukuhlolwa okukhethekile kunganconywa ukuqinisekisa isimo.

Nokho, yiziphi izindlela zokwelapha lokhu manje?

Lezi yizindaba ezinhle kakhulu. Ukungasebenzi kahle kwe-Pelvic Floor kuyisimo esivame ukwelashwa ngaphandle kokuhlinzwa . Kunezindlela eziningana zokwelapha.

• Ukwelashwa Komzimba Kwephansi Le-Pelvic:Lokhu ukwelashwa okubaluleke kakhulu futhi okuphumelelayo. Uchwepheshe wezokwelapha ngokomzimba oqeqeshwe ngokukhethekile uzobona ukuthi yimiphi imisipha onayo eqinile. Bese kuba nokuzivocavoca okukhethekile okuzokusiza uphumule leyo misipha futhi uthuthukise ukuhlangana kwayo.
• I-Biofeedback: Lokhu kungase kuzwakale kusha kancane, kodwa empeleni kulula kakhulu. Uchwepheshe wezokwelapha umzimba unamathisela izinzwa emzimbeni wakho futhi akubonise kusikrini lapho uqinisa futhi uphumuza imisipha yakho, njengokubuka esibukweni. Ube usufunda ukulawula imisipha yakho. Le ndlela itholakale isebenza kahle ngaphezu kuka-75%.
• Imithi: Uma uqunjelwa, udokotela wakho angase akuncomele imithi efana nemithi yokuthambisa indle. Kodwa ungalokothi uyisebenzise ngaphandle kweseluleko sikadokotela.
• Izindlela Zokuphumula: Izinto ezifana nokuzindla, i-yoga, ukugeza okushisayo, kanye ne-acupuncture kungasiza ekunciphiseni ukuqina kwemisipha ye-pelvic.
• Imijovo Yezinhlayiya Ze-Trigger: Uma ezinye izindlela zokwelapha zingaphumeleli, uchwepheshe wokuphatha ubuhlungu angase afake inaliti encane ye-anesthetic emisipheni eqinile ukuze ayiphumuze.

Izinto ongazenza ukuze uthuthukise lesi simo

Lokhu akuyona into ezolulama ngobusuku obubodwa. Kodwa into ebaluleke kakhulu ukuqhubeka uzama futhi ungayeki. Ungase ungaboni umehluko omkhulu izinyanga ezimbalwa ngemva kokuqala ukwelashwa. Kodwa abantu abaningi abalandela imiyalelo enikezwe udokotela wabo kanye nochwepheshe wezokwelapha ngokomzimba, baba ngcono ngokuhamba kwesikhathi.

Okwamanje, qaphela lezi zinto:

• Ungaphuthelwa yimithi yakho kanye nezikhathi zokwelashwa ngokomzimba: Uma ungayithathi imithi yakho futhi ungayivivinyi, izimpawu zakho zingase zibe zimbi kakhulu futhi inqubo yokuphulukiswa izobambezeleka.
• Gwema imisebenzi ebeka ingcindezi noma ubuhlungu endaweni ye-pelvic: Ukuzivocavoca okufana nokuphakamisa okunzima kanye nokugxuma okuqhubekayo kungandisa ukuqina kwale misipha. Buza udokotela wakho noma uchwepheshe wezokwelapha ukuthi yimiphi imisebenzi efanele nengafaneleki kuwe.
• Phuza amanzi amaningi futhi udle ukudla okulinganiselayo: Ukuphuza izingilazi zamanzi ezingaphezu kuka-8 ngosuku kungasiza ekuvimbeleni ukuqunjelwa. Futhi, abanye abantu bangase bazizwe besuthi kakhulu lapho bedla ukudla okune-fiber ephezulu. Uma uzizwa ungakhululekile, gwema ukudla okunjalo isikhashana. Xhumana nodokotela wakho mayelana nokudla okufanele wena.

Ukungasebenzi kahle kwe-Pelvic Floor kuyisimo esivamile, kodwa abantu abaningi banamahloni okukhuluma ngobunzima babo bokuya endlini yangasese. Kodwa khumbula, ukukhuluma nodokotela wakho ngakho kuyisinyathelo sokuqala nesibaluleke kakhulu sokululama kwakho. Uma ukhuluma ngokukhululekile nangokuthembekile ngezinkinga zakho, ukwelashwa kwakho kuzophumelela kakhulu.