Wake wezwa igama elithi 'Perineum'? Mhlawumbe kudokotela wakho, noma mhlawumbe wezwa ngalo ngesikhathi sokukhulelwa. Empeleni lena yindawo ebaluleke kakhulu futhi ebucayi kakhulu yomzimba wethu, kodwa esingakhulumi kakhulu ngayo. Ngakho-ke, namuhla sizokhuluma ngakho konke kalula nangendlela enobungane. Ngizochaza konke ngendlela ongayiqonda.
Kalula nje, iyini i-perineum?
Kulula kakhulu. Indawo encane, ebucayi yesikhumba phakathi kwezitho zakho zangasese kanye ne-anus yakho ibizwa ngokuthi i-perineum.
- Kwabesifazane: indawo yesikhumba phakathi komgodi wesitho sangasese sowesifazane kanye ne-anus.
- Kumuntu: indawo yesikhumba phakathi kwama-testicles (scrotum) kanye ne-anus.
Kodwa akusona isikhumba kuphela. Ngaphansi kwalesi sikhumba, izakhiwo ezijulile, okuhlanganisa imisipha, izicubu, kanye nemizwa engezansi komgodi wethu wesinqe, nazo zingaphansi kwale ndawo ebizwa ngokuthi i-perineum. Uma sikhuluma iqiniso, lokhu kufana nesisekelo sephansi lethu lesinqe.
Iyini imisebenzi ye-perineum? Kungani ibaluleke kangaka?
Le ndawo encane yenza umsebenzi obaluleke kakhulu emzimbeni wethu.
- Ukukhuthazwa ngokocansi: Isikhumba kule ndawo sigcwele iziphetho zemizwa, okwenza le ndawo ibaluleke kakhulu ekukhuthazweni ngokocansi nasekunelisekeni.
- Ukusekela izitho zangasese: Indawo ye-perineum inikeza isisekelo esiqinile kanye nokusekelwa kwemisipha yaphansi ye-pelvic, okusiza ukubamba izinto ezifana nesinye sakho, i-colon, kanye nezitho zokuzala endaweni yazo.
- Ukulawula ukuchama kanye nokuphuma kwendle: Njengoba imisipha kanye nemizwa ehilelekile enkambisweni yokuchama kanye nokuphuma kwendle kudlula kule ndawo, kuyasiza futhi ekulawuleni lezo zinqubo ngendlela efanele.
- Ukubeletha: Le ndawo ibaluleke kakhulu kwabesifazane, ikakhulukazi ngesikhathi sokubeletha. Le ndawo inwebeka kakhulu lapho umntwana ezalwa.
Ikuphi le ndawo ye-perineum?
Njengoba sishilo ngaphambili, lokhu kutholakala phakathi kwezitho zangasese kanye ne-anus. Kodwa-ke, uma ubheka ngaphakathi emzimbeni, imingcele yawo ihlukile kancane. Ngokwesimo somzimba, lena yindawo ethatha isimo sedayimane.
- Ngaphambili: Kuqala ku-pubic symphysis, lapho amathambo amabili esinqe ehlangana khona ngaphambili.
- Umhlane: Udlulela ethanjeni lomsila/i-coccyx, okuyithambo eliphansi kunawo wonke emhlane wakho.
- Kuzo zombili izinhlangothi: Amathambo amabili esinqeni (amathambo ahlala phansi) acindezela phansi uma uhleli afinyelela emaceleni.
Uma le mingcele emine ihlangana, yakha isimo sedayimane. Uma udweba umugqa phakathi kwale dayimane ngengqondo, uzohlukana ube onxantathu ababili.
1.Unxantathu we-Urogenital: Lena yingxenye engaphambili. Iqukethe izitho zangasese, i-urethra, kanye nemisipha ehlobene nayo.
2. Unxantathu wendunu: Lena yingxenye yangemuva. Le ngxenye iqukethe i-sphincter yendunu , elawula ukuvulwa kwendunu kanye nokuhamba kwendle.
Ephakathi nendawo lapho la ma-triangle amabili ehlangana khona kukhona imisipha eqinile, enemicu ebizwa ngokuthi umzimba we-perineal . Lokhu kubalulekile ekusekeleni phansi kwe-pelvic. Futhi yindawo engase yonakale kakhulu ngesikhathi sokubeletha.
Ngokwesilinganiso, i-perineum yowesifazane ingaba ngamasentimitha angu-1.5 ubude. Eyendoda ingaba ngamasentimitha angu-2 noma ngaphezulu kancane.
Izimo nezinkinga ezivamile ezithinta indawo ye-perineum
Imbangela eyinhloko yomonakalo kule ndawo ukubeletha. Cishe u-85% womama ababelethayo ngokwemvelo babhekana nohlobo oluthile lokudabuka e-perineum. Kodwa-ke, le ndawo ingonakalisa nangezinye izizathu, kungakhathaliseki ubulili.
| Iqembu elithintekile | Isimo kanye nencazelo |
|---|---|
| Izimo ezithile eziqondene nabesifazane | Ukubeletha kwesitho sangasese sowesifazane: I-perineum inganwebeka futhi idabuke njengoba umntwana ephuma esitho sangasese sowesifazane. Izinyembezi eziningi zincane futhi ziyaphola ngokuhamba kwesikhathi. Ezinye izinyembezi ezijulile zingadinga ukuthungwa. Izinyembezi ezinkulu zingalimaza imisipha yephansi le-pelvic noma i-sphincter yendunu . Ukuhlinzwa kwe-episiotomy: Lokhu kuwukusika okuncane okwenziwa udokotela e-perineum ukuze kwandiswe imbobo yesitho sangasese sowesifazane ngaphambi kokubeletha. Nakuba lokhu kwakuvame ukwenziwa esikhathini esidlule, manje kwenziwa kuphela ezimweni ezimbi kakhulu. |
| Izimo ezithile eziqondene nabesilisa | I-Prostatitis: Ukutheleleka noma ukuvuvukala kwendlala ye-prostate kungabangela ubuhlungu endaweni ye-perineum. Ukuhlinzwa:Le ndawo ingadinga ukunqunywa ngesikhathi sokuhlinzwa kwe-prostate, ukususwa kwesimila, njll. |
| Izimo ezivamile kubo bobabili ubulili | Ukungasebenzi kahle kwephansi le-pelvic: Ukulimala kwe-perineum kungabangela ubunzima bokuchama kanye nokuphuma kwendle. Ama-cyst noma ama-abscesses: Ama-cyst athelelekile angakheka kule ndawo. Angaba bomvu, avuvuke futhi abe buhlungu. Ama-Hemorrhoids: Ukuvuvukala kwemithambo e-rectum kungabangela ukulunywa, ubuhlungu, noma ukopha endaweni ye-perineum. Ukuboshwa kwemizwa ye-pudendal: Ukulimala noma ukucindezelwa kwemizwa eyinhloko edlula kule ndawo (imizwa ye-pudendal) kungabangela ubuhlungu obukhulu. Ukulimala nezingozi: Imisebenzi efana nokugibela ibhayisikili, ukugibela isithuthuthu, kanye nokugibela ihhashi ingadala umonakalo kule ndawo. I-Fournier's Gangrene: Lokhu kuyisifo esingavamile kodwa esibi kakhulu esibangelwa amagciwane. Saziwa nangokuthi "isifo sokuncibilika kwenyama," sibangela ukuba isikhumba sezitho zangasese kanye ne-perineum sife. Abantu abanesifo sikashukela basengozini enkulu. Ukuxhashazwa ngokocansi: Izinyembezi endaweni ye-perineum zingaba uphawu lokuxhashazwa ngokocansi. |
Ziyini izimpawu zalezi zinkinga?
Uphawu oluyinhloko lwenkinga e-perineum ubuhlungu . Ikakhulukazi ngemva kokubeletha, ukudabuka kungaba buhlungu kangangokuthi akunakwenzeka ukuhamba noma ukuhlala.
Into ebaluleke kakhulu ukungabunaki ubuhlungu noma ukungakhululeki kule ndawo. Ngisho noma kuyinto encane, kubalulekile ukukhuluma nodokotela wakho ngakho.
Ngaphezu kwalokho, izimpawu ezilandelayo zingase zivele:
- Ubunzima bokuchama noma ukukhipha indle.
- Ubuhlungu noma ukulunywa endaweni ye-perineum.
- Amadoda anenkinga yokuthola ukuqina kwenduku.
- Ubuhlungu lapho uchama noma uya ocansini.
- Iqhubu, ukubomvu, noma ukuvuvukala endaweni ye-perineum.
Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela wakho.
Yiziphi izivivinyo ezenziwayo ukuze kutholakale lezi zimo?
Udokotela wakho uzokwenza ukuhlolwa ngokomzimba kuqala. Phakathi nalesi sikhathi, uzohlola noma yiziphi izilonda, ukudabuka, noma amaqhubu ku-perineum. Ngezinye izikhathi, bangase bafake umunwe ogqokwe igilavu e-rectum yakho ukuze bahlole noma yini engavamile (ukuhlolwa kwe-rectal yedijithali).
Uma inkinga ibonakala ijule kakhulu, ukuhlolwa kwezithombe okufana nalokhu kunganconywa:
- I-CT Scan: Thola umonakalo ezakhiweni ezingaphakathi komzimba.
- I-MRI scan (MRI): Ukuthola umonakalo emisipheni nasemithanjeni yegazi.
- Ukuskena nge-ultrasound: Ukubona umonakalo emithanjeni yegazi.
- I-X-ray esebenzisa idayi ekhethekile: Ukuhlonza umonakalo ku-urethra.
Yiziphi izindlela zokwelapha izinkinga endaweni ye-perineum?
Ukwelashwa kuncike enkingeni onayo. Uma kuwukudabuka okwenzeke ngesikhathi sokubeletha, udokotela wakho uzonquma ukuthi kuyadingeka yini ukuthungwa noma cha, kuye ngobukhulu. Okwamanje, lezi zinto zingasiza ekunciphiseni ubuhlungu nokungakhululeki.
- Ukugeza nge-Sitz kanye nokucindezela okufudumele: Ukugeza nge-sitz kuhilela ukuhlala esitsheni esingajulile samanzi afudumele imizuzu emi-5-10 kabili ngosuku. Lokhu kuhlanza i-perineum, kunciphisa ubuhlungu, futhi kusiza amanxeba ukuba aphole ngokushesha.
- Ama-Painkiller: Ungathatha ama-painkiller njenge-Paracetamol noma i-Ibuprofen njengoba kuqondiswe udokotela wakho. Kukhona futhi nama-spray aqeda ubuhlungu.
- Ibhodlela le-peri: Leli ibhodlela elincane ongaligcwalisa ngamanzi afudumele bese ulifutha ku-perineum ngemva kokusebenzisa indlu yangasese. Lingasetshenziswa ukuhlanza isilonda ngobumnene ngaphandle kokusicasula ngokusisula ngephepha langasese.
- Ukuvimbela ukuqunjelwa: Ukuzikhandla ngesikhathi sokuhamba kwamathumbu kungandisa ubuhlungu. Ngakho-ke, kubaluleke kakhulu ukudla ukudla okune-fiber eningi (izithelo, imifino) nokuphuza okungenani izingilazi zamanzi ezingu-8 ngosuku.
- Ukuzivocavoca kwe-Kegel: Lokhu kuzivocavoca kusiza ukuqinisa imisipha yephansi le-pelvic ngemuva kokubeletha. Kodwa-ke, kufanele nakanjani uthintane nodokotela wakho noma nodokotela we-physiotherapist ngaphambi kokukwenza lokhu uma ulimele.
Uma kukhona ukutheleleka, kunganikezwa ama-antibiotic. Uma kukhona ithumba, kungasikwa inxeba elincane ukuze kukhishwe ubomvu. Ama-hemorrhoids noma umonakalo omkhulu wemizwa kungadinga ukuhlinzwa.
Ingabe ukudabuka kwe-perineum kungavinjelwa ngesikhathi sokubeletha?
Nakuba kungenakwenzeka ukuvimbela ukudabuka okungu-100%, kukhona indlela yokunciphisa amathuba okuba kwenzeke futhi kuncishiswe ubukhali bokudabuka. Lokho ukubhucungwa kwe-perineal .
Kufanele kuqale nini lokhu kubhucungwa?
Kungcono ukuqala lokhu ngemva kwamasonto angama-34 okukhulelwa kwakho.
Kudingeka ukwenze kangaki?
Ukwenza lokhu izinsuku ezingu-3-4 ngesonto, cishe imizuzu emi-5 ngesikhathi, kwanele.
Uyenza kanjani le massage kahle?
Ngaphambi kokwenza lokhu, khetha indawo ethule lapho ungaphumula khona.
1. Okokuqala, geza izandla zakho kahle ngensipho.
2. Ngokusekelwa okuhle emhlane wakho, gobisa imilenze yakho bese uyisakaze kabanzi.
3. Faka uwoyela wemvelo (uwoyela kakhukhunathi, uwoyela womnqumo) noma igrisi esekwe emanzini enconywe udokotela eminweni yakho nasendaweni ye-perineum.
4. Faka isithupha sakho ngobumnene cishe isentimitha noma isentimitha nesigamu esithweni sangasese sowesifazane.
5. Manje cindezela umunwe wakho kancane odongeni lwangemuva lwesitho sangasese sowesifazane, okungukuthi, ngasendunu. Cindezela uze uzizwe welula kancane.
6. Bamba lesi simo umzuzu owodwa noma emibili.
7. Bese, kancane kancane, hambisa isithupha sakho kusukela kolunye uhlangothi kuya kolunye ngesimo sika-'U'. Kufanele uzizwe udonswa kancane.
Lokhu kungase kuzwakale kungathandeki ekuqaleni, kodwa kuzoba lula njengoba usujwayela. Ungakhuluma nodokotela wakho ngalokhu futhi uthole iseluleko esengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- I-perineum yindawo ebaluleke kakhulu, ebucayi etholakala phakathi kwezitho zakho zobulili kanye ne-anus.
- Lokhu kusekela izitho zangasese futhi kubalulekile nasekuchameni, ekukhululeni nasekusebenzeni kocansi.
- Kuvamile ukuthi abesifazane babhekane nomonakalo (izinyembezi) kule ndawo ngesikhathi sokubeletha. Lokhu kuvame ukuphola ngokuzenzekelayo noma ngokuthungwa.
- Ukuhlikihla i-perineal emasontweni okugcina okukhulelwa kungasiza ekunciphiseni umonakalo ngesikhathi sokubeletha.
- Uma uzwa ubuhlungu, ukuvuvukala, ukulunywa, amaqhubu, noma ezinye izinkinga endaweni yakho ye-perineum, ungakushayi indiva bese ubona udokotela wakho ngokushesha.
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