Sei Ndichida Pelvic Floor Therapy?

Dysfunction ye pelvic pasi tsandanyama idambudziko rakapararira rinobata chikamu chimwe muzvishanu chehuwandu hwevanhu pasi rose. Kazhinji mushure mekuita pamuviri uye kubereka, neine genetic predisposition, pakatarisana nemashure emararamiro ekugara, uyewo panguva yekuenda kumwedzi, idzi tsandanyama dzinorasikirwa nenzwi. Haisi kuisa upenyu panjodzi, asi inoita kuti ive yakaoma zvikuru. Kana iwe uchitambura nematambudziko epelvic floor, unogona kufunga kuti kuvhiyiwa ndiyo yega sarudzo. Asi hazvisi. Physical therapy inogona zvakare kuve yepelvic floor kurapwa sarudzo.

Chii chinonzi pelvic floor? 

Mitsipa yepelvic kana, sezvavanodanwawo, mhasuru dzepedyo dzakakosha kumuviri. Idzi tsandanyama dzepedyo dziri munzvimbo yeperineal uye iplate ine tsandanyama yakatambanudzwa pakati pe pubic bone uye coccyx. Pane iyi yakasarudzika muscular hammock inowanikwa pelvic nhengo, dundira, rectum, prostate gland muvarume, chibereko muvakadzi. 

Basa guru repilvic floor musculature rinopa rubatsiro uye kutsigira nhengo dzomukati. Vanotsigira nhengo dzepelvic munzvimbo yakajairika yemuviri, vanopa basa remhando yepamusoro, uye kutora chikamu mukuita weti uye kuita tsvina. Mukuwedzera, mhasuru dzepedyo dzinotora chikamu mubasa re sphincters ye urethra uye rectum. Aya ndiwo mamhasuru aunoshandisa kudzivirira weti uye gasi, kusanganisira paunenge uchisimbisa muviri, kuseka kana kuhotsira.

Pelvic floor muscle contractions inogona kudzorwa nesimba, asi kazhinji inobatana nekusaziva, inoenderana neyakadzama mudumbu uye musana tsandanyama uye diaphragm, uye kubatsira kudzora mudumbu kumanikidzwa panguva yekurovedza muviri. Nenzira yakanaka, intraabdominal pressure inodzorwa otomatiki. Kana imwe yemhasuru dzecortical, kusanganisira mhasuru dzepelvic pasi, dzisina simba kana kukuvadzwa, otomatiki kurongeka kunokanganiswa. Zvino, mumamiriro ezvinhu apo intraabdominal pressure inowedzera, pane mukana wekuremedza pasi pechiuno, inopera uye kudzvinyirira kunoderera. Kana izvi zvikaitika kakawanda, kuomerwa kwenhengo dzepelvic kunowedzera nekufamba kwenguva, izvo zvinogona kutungamirira mukurasikirwa kwedundira kana ura kana kuti pelvic organ prolapse.

Kuti ishande sechikamu che cortex, pelvic floor tsandanyama dzinofanirwa kuchinjika, zvichireva kuti havangogone kubvumirana chete uye kubata kushushikana, asiwo kuzorora. Kukakavadzana nguva dzose kunogona kuita kuti tsandanyama dzishaye simba uye dzive dzakaoma zvikuru, uye kuoma kwetsandanyama yepelvic kunowanzobatanidzwa nekushaya simba, izvo zvinogona kutungamirira kune weti incontinence, kurwadziwa kwepelvic, kurwadziwa nekusangana, uye kunetseka kuita weti.

Sei ndaizoda pelvic floor therapy?

Kurapa kwepelinha kunokosha zvikuru, nokuti kana basa repavhu rakakanganiswa, rinenge rine simba guru muupenyu.

Kupera simba kwetsandanyama dzepelvic kunotungamirira kumukadzi wakatsemuka kana zvidya zvapararira uye pakusunda. Kuburikidza negaping vagina inogona kupinda nyore nyore hutachiona, iyo inobatsira pakukura kwecolpitis uye vulvovaginitis. Gaping iyo slit kazhinji inotungamira mukuoma uye atrophy yevaginal mucosa. Zvose izvi zvinokanganisa hupenyu hwevakadzi hwepabonde.

Kuoma uye atrophy yevaginal mucosa inoderedza kunzwisiswa kwayo senzvimbo ine erogenous, izvo zvinoita kuti zviome kuti mukadzi ave nehutu. Mudiwa wepabonde zvakare haawane mufaro wakakwana, nekuti bonde rakafara haripi hukama hwepedyo nenhengo panguva yehukama. Murume anogona kunge ane dambudziko re erectile nekuda kweizvi.

Pamusoro pekuderera kwehutano hwehukama hwepabonde, nekufamba kwenguva zviratidzo zvisingafadzi zvakadai seweti incontinence pakukosora, kuseka, kusunda, kuita zvemuviri, kudiwa kwekuenda kuchimbuzi kazhinji kana nekukurumidza kuitika. Sainzi, inonzi stress urinary incontinence. Kupfuurirazve, kana mamiriro epasi pechiuno akawedzera, kune kuparara kwemadziro evhavha uye urethra, kupera kwechibereko, kubuda kwe rectum, kukanganisa kwe sphincter ye anus. Hazvishamisi kuti pelvic organ prolapse ikonzere kukura kwekurwadziwa kwepelvic.

Mukuwedzera, zvinotevera zviitiko zvichaitika:

• Incontinence yemagasi uye mukati memukati.
• Kutadza kuburitsa dundira kana ura.
• Kuputika kwenhengo dzomukati. Muvakadzi, inonzwa sebundu mukati memukadzi kana kunzwa kusagadzikana kana kuremerwa. Muvarume, inoonekwa sebulge mu rectum kana chido chekubvisa dundira, kunyange zvazvo pasina chinangwa chinodiwa kuita kudaro.
• Marwadzo mudundira, ura kana musana pedyo nepelvic floor area paunenge uchiita maekisesaizi etsandanyama yepelvic kana pakusangana pabonde.

Nzira yekuwana sei pelvic floor physical therapy?

Chero kurapwa kunotanga nekuongororwa kwekuvhiringidza: mamiriro uye simba remakumbo emakumbo emakumbo anoongororwa, zvinotaridzirwa kana pane zviratidzo uye kana zvakabatana nekusagadzikana kwepelinha. Kana iyo yekubatanidza ikasimbiswa, seti yematanho ega ega ekurapa anogadzirwa kuti adzorere tsandanyama uye ligamentous zvishandiso. Chiremba anodzidzisawo murwere maekisesaizi eKegel, ayo anogona kuitwa akazvimiririra kumba kuti asimbise tsandanyama dzisina simba uye kuzorora dzakatsikirirwa. 

Biofeedback

Biofeedback therapy inoitwa pamushini unokosha. Biofeedback therapy inokurudzirwa kurapa marudzi ese eweti incontinence, fecal incontinence, vaginal wall prolapse, chronic pelvic pain uye kusagadzikana kwepabonde.

Biofeedback inzira yakasimba yekurapa kwepelvic floor therapy iyo inoitwa vhiki nevhiki munzvimbo yekurapa nevanorapa vakanyatsodzidziswa pamwe chete neKegel maekisesaizi kumba. Munguva yekurapa kwebiofeedback, sensor yakakosha inopinzwa mukati memukadzi kana rectum uye ma electrode anonamirwa kunzvimbo yeanterior abdominal wall. Aya ma electrode anotora zviratidzo zvemagetsi kubva mumasuru. Murwere anofanira kubatirana uye kuzorodza tsandanyama pakuraira kwachiremba. Zviratidzo zvemagetsi zvinoratidzwa pakombiyuta. Nekuda kwechirongwa ichi, murwere anonzwisisa kuti ndeapi mamhasuru epilvic pasi anoda kubatwa 

Zvidzidzo zvakawanda zvekurapa zvakaratidza kuvandudzwa kukuru mukuchengetedza urinary kune varwere vane chirwere chetsinga pamwe nevarwere vakura. 

Electrostimulation

Electrostimulation ndiyo yakanyanya kuomesesa mhando yemhinduro yekurapa ine chinangwa chekudzoreredza pelvic pasi tsandanyama. Kurapa kwemuviri uku kunonangana nekukurudzira mamhasuru anosimudza anus. Kana tsandanyama dzichikurudzirwa nemagetsi, tsandanyama dzekuruboshwe uye dundira sphincter contract, uye kutundira kwedundira kunodzivirirwa. Kukurudzira magetsi kunogona kushandiswa pamwe chete nemhinduro yekurapa kana Kegel maekisesaizi 

Electrostimulation inzira inoshanda yekurapa tension-induced weti incontinence uye misanganiswa yeweti incontinence uye kupera simba kwetsandanyama dzepelvic. Kune vakadzi vanotambura ne peremptory incontinence, electrostimulation inobatsira kuzorodza dundira uye kuderedza dhigirii rekusadzora kubatwa kwe detrusor (dundira tsandanyama).

Electrostimulation inoshandawo zvakanyanya mukurapa varwere vane neurogenic weti kusagadzikana. Mhedzisiro huru inowanikwa nekubatanidza kurapwa ne electrostimulation uye mhinduro yekurapa. Nekudaro, chiitiko chakakosha chinoitika mushure memavhiki mashoma ekurapwa, uye varwere vanofanirwa kuramba vachiita Kegel maekisesaizi kumba.

Kudzidzira dundira 

Iyi nzira yekurapa inonyanya kushandiswa kurapa vakadzi vanoshingaira vane zviratidzo zveurinary incontinence uye dundira hypersensitivity, iyo inonzi kukurumidza. Chinokosha chekudzidzisa dundira ndechokuti murwere anofanira kudzidza kushivirira zvishuvo zvenhema zvekuita weti nedundira risina chinhu kana kuti risina kunyatsozadzwa uye kuita weti neawa. Kudzidzira kunosanganisirawo kutevera mimwe mitemo pakudya uye kunwa mvura. Imwe nzira yekuzorora yakakosha inoshandiswa, iyo inobatsira kutsungirira uye kunonoka chido chenhema. Chinangwa chekudzidziswa ndechekuti murwere anogona kushivirira nguva ye2-3 maawa pakati penzendo kuenda kuchimbuzi.

Pamusoro pezviri pamusoro apa, nzira dzinoverengeka, nekuvandudzwa kwemishonga uye tekinoroji. Parizvino kune mhando itsva yemidziyo – sonic vibration chikuva , inova chigaro chepelvic floor. Yayo sonic vibration chikuva inokwanisa kudzoreredza tsandanyama dzakadzikira, ichipa yakazara tsandanyama kutonga uye kutambanudza. Iine simba guru pakudzivirira nekuvandudza urinary tract infiltration, weti, weti incontinence, uye benign prostatic hyperplasia.