Ingabe nawe unalezi zinkinga zesisu esingezansi? Ake sixoxe ngokungasebenzi kahle kwe-Pelvic Floor

Ukuzizwa sengathi awukayikhiphi ngokuphelele indle yakho uma uya endlini yangasese, kufanele uye endlini yangasese njalo, noma ube nobunzima bokukhipha indle... Kanye nalokhu, izinhlungu zomhlane kanye nobuhlungu besisu esingezansi obuvela ngaphandle kwesizathu... Lokhu kungaba izimpawu zenkinga yempilo abantu abaningi abangafuni ukukhuluma ngayo, kodwa empeleni kuvame kakhulu. Namuhla sikhuluma ngesimo esibizwa ngokuthi ubuthakathaka bemisipha ye-pelvic floor, noma i-Pelvic Floor Dysfunction . Ungakhathazeki, lesi yisimo abantu abaningi abanaso futhi esingelashwa.

Okokuqala, iyini i-Pelvic Floor?

Kalula nje, iphansi le-pelvic liyisimiso semisipha esisekela izitho ezisesiswini sakho esingezansi. Cabanga ngaso njenge-mesh eqinile yemisipha, njengesitsha.

Kwabesifazane, lolu hlelo lwemisipha lunikeza ukwesekwa okuhle ezithweni ezifana nesibeletho, isinyi kanye nekholoni . Kwabesilisa, lunikeza ukwesekwa kwesinye kanye nekholoni. Silawula ukuchama kanye nokuphuma kwendle, futhi lolu hlelo lwemisipha lubaluleke kakhulu kithi ekusebenzeni kocansi.

Ngakho-ke, uma lesi simiso semisipha singasebenzi kahle, okungukuthi, uma siqinile kakhulu noma sikhululekile kakhulu, kuvela isimo esibizwa ngokuthi i-Pelvic Floor Dysfunction.

Yiziphi izimpawu zokungasebenzi kahle kwe-Pelvic Floor?

Izimpawu zalesi simo zingase zihluke kumuntu nomuntu. Kodwa kunezinye izimpawu ezivamile. Ake sibheke ithebula. Ngaleyo ndlela kulula ukuyiqonda.

Into ebaluleke kakhulu ukuthi, ungacabangi nje ukuthi unalesi simo ngoba nje unesinye noma ezimbili zalezi zimpawu. Kodwa uma unezinkinga ezinjalo, kungcono kakhulu ukubona udokotela bese uthola iseluleko.

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Kungani lesi simo senzeka?

Kunezizathu eziningana ezingathinta lokhu. Ngezinye izikhathi, esinye noma ngaphezulu salezi zizathu ziyahlangana ukuze zidale lesi simo.

• Ukukhulelwa Nokubeletha: Lesi yisona sizathu esiyinhloko esibonakala kwabesifazane. Ngesikhathi sokukhulelwa, isisindo somntwana kanye nesikhathi sokubeletha kubeka ingcindezi enkulu kulezi misipha. Ngisho noma umntwana ebelethwe ngokuhlinzwa, lezi misipha zingathinteka ngesikhathi sokukhulelwa uqobo.
• Ukuguga: Njengoba ukhula, le misipha, njengeminye imisipha emzimbeni, ingaba buthakathaka kancane.
• Ukukhuluphala ngokweqile/Ukukhuluphala ngokweqile: Njengoba isisindo somzimba sikhula, ingcindezi emisipheni yesisu nayo iyanda.
• Ukulimala kwesisu esingezansi: Uma ingozi ibangela umonakalo emathanjeni e-pelvic.
• Ukuhlinzwa kwesisu: Ukusebenza kwale misipha kungase kuthinteke ngemva kokuhlinzwa okuthile.
• Imikhuba emibi: Imikhuba efana nokuzikhandla njalo endlini yangasese kanye nokubamba umchamo isikhathi eside nayo ingaba nemiphumela yesikhathi eside.
• Izifo zesimiso sezinzwa: Njengoba imisipha ilawulwa yizinzwa, abantu abanezifo zesimiso sezinzwa njengesifo sikaParkinson nabo bangase babe nale nkinga.

Ukuthola kanjani lokhu, Dokotela?

Uma uvakashela udokotela, uzoqala ngokukubuza imibuzo embalwa ukuze aqonde kangcono izimpawu zakho. Ngemuva kwalokho, bangenza ukuhlolwa ngokomzimba ukuhlola ukusebenza kwemisipha yakho. Uma kudingeka, bangase batuse nokuhlolwa okuthile ukuze kuqinisekiswe isimo, njengokuthi:

• Ukuhlolwa kwama-electrode: Ama-electrode abekwa esikhumbeni sesisu esingezansi ukuze kulinganiswe ukuthi imisipha ifinyela kahle futhi iphumule kangakanani.
• I-Anal Manometry: Ukuhlolwa okulinganisa ingcindezi kanye nokusebenza kwemisipha ngaphakathi naseduze kwe-anus ngokufaka ipayipi elincane kakhulu nge-anus.
• I-Proctogram Yokukhipha Indle: Kunikezwa uketshezi olukhethekile (i-enema) olungabonakala ku-X-ray, futhi imisipha esebenza ngesikhathi sokuphuma kwendle ibonwa kuvidiyo ye-X-ray.
• Ukuhlolwa kwe-Uroflow: Ukuhlolwa okukala isivinini kanye nenani lokugeleza komchamo uma uchama ukuze kubonakale ukuthi isinyi sakho siphuma kahle kangakanani.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi kunezindlela zokwelapha eziphumelela kakhulu zalesi simo. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe ngokusekelwe ohlotsheni kanye nobukhali bezimpawu zakho.

Nazi ezinye izindlela zokwelapha ezivame ukusetshenziswa.

• Ukwelashwa Komzimba: Lokhu ukwelashwa okubaluleke kakhulu futhi okuphumelelayo. Uchwepheshe wezokwelapha ngokomzimba oqeqeshwe ngokukhethekile uzokufundisa indlela yokuqinisa, ukulawula, kanye nokukhulula le misipha. Bazokufundisa indlela yokwenza izinto ezifana nokuzivocavoca kweKegel.
• Imithi: Udokotela wakho angase akunike imithi yokuphumula imisipha noma eminye imithi kuye ngezimpawu zakho.
• Izinguquko zendlela yokuphila:
• Ukugwema ukuthinta indlu yangasese.
• Ukujwayela ukuphumula imisipha yakho ngezinto ezinjengokuzivocavoca i-yoga nokugeza ngamanzi ashisayo.
• Ukulawula ukuqunjelwa ngokushintsha indlela odla ngayo.
• Ukuhlinzwa: Kwezinye izimo, ikakhulukazi ezimweni zokuncipha kwezicubu, ukuhlinzwa kungadingeka. Kodwa-ke, lokhu kwenziwa kuphela uma ezinye izindlela zokwelapha zingaphumelelanga.

Kuyini Ukuzivocavoca kweKegel?

Lokhu kungenye yezivivinyo ezinhle kakhulu ongazenza ekhaya. Kuqinisa imisipha yephansi le-pelvic.

1. Okokuqala, udinga ukuthola imisipha efanele. Cabanga ukuthi uyama ukuyochama. Lena imisipha eqina.

2. Manje bamba leyo misipha iqine cishe imizuzwana emi-5. Ungabambeli umoya wakho kulesi sigaba, vele uphefumule ngendlela evamile.

3. Bese uphumuza imisipha ngokuphelele cishe imizuzwana emi-5.

4. Yenza lokhu izikhathi ezingu-3-4 ngosuku, cishe izikhathi ezingu-10-15 ngesikhathi.

Kulabo abanethemba lokukhulelwa nabesifazane abakhulelwe, ukwenza lezi zivivinyo kuzosiza nasekuvimbeleni le nkinga ukuthi ingenzeki esikhathini esizayo.