Kungani Ngidinga I-Pelvic Floor Therapy?

Ukungasebenzi kwe i-pelvic floor imisipha iyinkinga esabalele ethinta cishe ingxenye eyodwa kwezinhlanu zabantu bomhlaba. Ngokuvamile ngemva kokukhulelwa nokubeletha, nge-genetic predisposition, ngokumelene nesizinda sendlela yokuphila engenzi lutho, kanye nangesikhathi sokuya esikhathini, le misipha ilahlekelwa ithoni. Ayifaki ukuphila engozini, kodwa ikwenza kube nzima nakakhulu. Uma uhlushwa izinkinga ze-pelvic floor, ungase ucabange ukuthi ukuhlinzwa ukuphela kwendlela. Kodwa akunjalo. Ukwelashwa ngokomzimba kungase futhi kube inketho yokwelashwa phansi kwe-pelvic.

Iyini i-pelvic floor? 

Imisipha ye-pelvic floor noma, njengoba ibizwa nangokuthi, imisipha eseduze ibalulekile emzimbeni. Le misipha esondelene itholakala endaweni ye-perineal futhi iyipuleti yemisipha enwetshiwe phakathi kwethambo le-pubic kanye ne-coccyx. Kule hammock yemisipha engavamile kukhona izitho ze-pelvic, isinye, i-rectum, i-prostate gland emadodeni, isibeletho kwabesifazane. 

Umsebenzi oyinhloko we-pelvic floor musculature uhlinzeka ngokusekela nokusekelwa kwezitho zangaphakathi. Basekela izitho ze-pelvic esimweni esivamile sokuphila, banikeze umsebenzi osezingeni eliphezulu, futhi babambe iqhaza ezinqubweni zokuchama nokuzikhulula. Ngaphezu kwalokho, imisipha esondelene ibamba iqhaza emsebenzini we-sphincters ye-urethra ne-rectum. Lena imisipha oyisebenzisayo ukubamba umchamo negesi, okuhlanganisa lapho uzivocavoca, uhleka noma uthimula.

Ukufinyela kwemisipha ye-Pelvic floor kungalawulwa ngamandla, kodwa ngokuvamile kufinyela ngokungazi, kuxhumanise nemisipha ejulile yesisu neyomhlane kanye ne-diaphragm, futhi kusize ukulawula ukucindezela kwesisu ngesikhathi sokuzivocavoca. Ngokufanelekile, ukucindezela kwe-intraabdominal kulawulwa ngokuzenzakalelayo. Uma noma yimiphi imisipha ye-cortical, kuhlanganise nemisipha ye-pelvic floor, ibuthakathaka noma ilimele, ukusebenzelana okuzenzakalelayo kuphazamiseka. Khona-ke, ezimweni lapho ingcindezi ye-intraabdominal ikhuphuka, kukhona ithuba lokulayisha ngokweqile i-pelvic floor, iba buthaka futhi ingcindezi iyancipha. Uma lokhu kwenzeka ngokuphindaphindiwe, ukucindezelwa kwezitho ze-pelvic kuyanda ngokuhamba kwesikhathi, okungaholela ekulahlekelweni kokulawula isinye noma amathumbu noma ukuqhuma kwesitho se-pelvic.

Ukuze isebenze njengengxenye ye-cortex, imisipha ye-pelvic floor kufanele iguquguquke, okusho ukuthi ayikwazi nje ukugoqa futhi ibambe ukungezwani, kodwa futhi iphumule. Ukuqina okungapheli kungabangela imisipha ukuba ilahlekelwe ukuguquguquka futhi iqine kakhulu, futhi ukuqina kwemisipha ye-pelvic floor ngokuvamile kuhlangene nobuthakathaka, okungaholela ekungakwazini komchamo, ubuhlungu be-pelvic, ubuhlungu bokulala, nobunzima bokuchama.

Kungani ngizodinga ukwelashwa kwe-pelvic floor?

Ukwelashwa kwe-pelvic floor kubaluleke kakhulu, ngoba uma umsebenzi we-pelvic floor uphazamisekile, uzoba nomthelela omkhulu empilweni.

Ukuncipha kwemisipha ye-pelvic floor kuholela esithweni sangasese esivulekile lapho amathanga esakazwa nalapho ephusha. Ngokusebenzisa isitho sangasese sowesifazane esivulekile singangena kalula ukutheleleka, okunomthelela ekuthuthukiseni i-colpitis ne-vulvovaginitis. Ukugebenga komkejana kuvame ukuholela ekomeni kanye nokuwohloka kwe-mucosa yesitho sangasese sowesifazane. Konke lokhu kunomthelela omubi ezimpilweni zocansi zabesifazane.

Ukoma kanye ne-atrophy ye-vaginal mucosa kunciphisa ukuzwela kwayo njengendawo ye-erogenous, okwenza kube nzima ngowesifazane ukuba ne-orgasm. Umlingani wocansi naye akatholi injabulo eyanele, ngoba isitho sangasese esibanzi asihlinzeki ngokusondelana nezitho zangasese ngesikhathi sokusondelana. Indoda ingase ibe nezinkinga zokuqhanyelwa ngenxa yalokhu.

Ngaphezu kokuwohloka kwekhwalithi yobudlelwano bocansi, ngokuhamba kwesikhathi izimpawu ezingemnandi njengokungakwazi ukuzibamba umchamo lapho ukhwehlela, uhleka, uphusha, uvivinya umzimba, isidingo sokuya endlini yangasese njalo noma ngokuphuthumayo. Ngokwesayensi, kubizwa nge-stress urinary incontinence. Ngaphezu kwalokho, uma isimo se-pelvic siba sibi kakhulu, kukhona ukuqhuma kwezindonga ze-vagin kanye ne-urethra, ukuqhuma kwesibeletho, ukukhuphuka kwe-rectum, ukwephulwa kwe-sphincter ye-anus. Akuyona into engavamile ukuthi i-pelvic isitho se-prolapse sibangele ukuthuthukiswa kobuhlungu obungapheli be-pelvic.

Ngaphezu kwalokho, izenzakalo ezilandelayo zizokwenzeka:

• Ukungalawuleki kwamagesi namathumbu.
• Ubunzima bokuthulula esinyeni noma emathunjini.
• Ukuqhuma kwezitho zangaphakathi. Kwabesifazane, kuzwakala njengeqhubu esithweni sangasese noma umuzwa wokungakhululeki noma ubunzima. Emadodeni, kubonakala njengeqhubu ku-rectum noma isifiso sokuthulula isinye, nakuba singekho isidingo sokwenza kanjalo.
• Ubuhlungu esinyeni, emathunjini noma emhlane eduze nendawo ye-pelvic floor lapho ujima imisipha yaphansi noma ngesikhathi socansi.

Ungayithola kanjani ukwelashwa ngokomzimba kwe-pelvic floor?

Noma yikuphi ukwelashwa kuqala ngokuxilongwa kwezifo: isimo namandla emisipha ye-pelvic floor kuyahlolwa, kunqunywa ukuthi zikhona yini izimpawu nokuthi zihlobene yini nokungasebenzi kahle kwe-pelvic floor. Uma uxhumano lusungulwe, isethi yezinyathelo zokwelapha zomuntu ngamunye zenziwa ukuze kubuyiselwe imisipha kanye namadivayisi we-ligamentous. Udokotela uphinde afundise isiguli izivivinyo ze-Kegel, ezingenziwa ngokuzimela ekhaya ukuqinisa imisipha ebuthaka futhi kuphumule labo abadakiwe. 

I-Biofeedback

Ukwelashwa kwe-Biofeedback kwenziwa emshinini okhethekile. Ukwelashwa kwe-Biofeedback kunconywa ekwelapheni kwazo zonke izinhlobo zokungakwazi ukuzibamba umchamo, ukungakwazi ukuzithiba kwe-fecal, i-prolapse yodonga lwesitho sangasese sowesifazane, ubuhlungu be-pelvic obungapheli kanye nokuphazamiseka kocansi.

I-Biofeedback iwuhlobo olujulile lokwelapha phansi kwe-pelvic olwenziwa masonto onke endaweni yezokwelapha ngabasebenzi bezokwelapha abaqeqeshwe ngokukhethekile kuhlanganiswe nokuzivocavoca kwe-Kegel ekhaya. Ngesikhathi sokwelashwa kwe-biofeedback, inzwa ekhethekile ifakwa esithweni sangasese sowesifazane noma e-rectum futhi ama-electrode agxilwe endaweni yodonga lwangaphambili lwesisu. Lawa ma-electrode athatha amasignali kagesi emisipheni. Isiguli kufanele sifinyeze futhi sikhulule imisipha ngokomyalelo kadokotela. Izimpawu zikagesi ziboniswa kusibonisi sekhompyutha. Ngenxa yalolu hlelo, isiguli siyaqonda ukuthi yimiphi imisipha ye-pelvic floor okudingeka inkontileka 

Ucwaningo oluningi lwezokwelapha lubonise ukuthuthuka okuphawulekayo ekugcinweni komchamo ezigulini ezinokuphazamiseka kwezinzwa kanye nasezigulini ezindala. 

I-Electrostimulation

I-Electrostimulation iwuhlobo oluyinkimbinkimbi kakhulu lokwelapha ngempendulo oluhlose ukubuyisela imisipha yaphansi ye-pelvic. Lokhu kwelashwa ngokomzimba kuhlose ukuvuselela imisipha ephakamisa i-anus. Lapho imisipha ishukunyiswa ngamandla kagesi, imisipha yesokunxele kanye ne-sphincter yesinye ifinyela, futhi ukufinyela kwesinye kuyavinjelwa. Ukugqugquzela ugesi kungasetshenziswa kanye nokwelashwa ngempendulo noma ukuzivocavoca kwe-Kegel 

I-Electrostimulation iyindlela ephumelelayo yokwelapha ukungakwazi ukuzibamba komchamo okubangelwa ukungezwani kanye nezinhlobo ezixubile zokungakwazi ukuzithiba komchamo kanye nemisipha yaphansi ye-pelvic ebuthaka. Kwabesifazane abahlushwa i-peremptory incontinence, i-electrostimulation isiza ukukhulula isinye futhi inciphise izinga lokufinyela okungalawuleki kwe-detrusor (imisipha yesinye).

I-Electrostimulation nayo iphumelela kakhulu ekwelapheni iziguli ezine-neurogenic urinary disorders. Umphumela omkhulu kakhulu utholakala ngokuhlanganisa ukwelashwa nge-electrostimulation kanye nokwelashwa kwempendulo. Kodwa-ke, umphumela obalulekile uvela ngemva kwamasonto amane okwelashwa, futhi iziguli kufanele ziqhubeke zenza izivivinyo ze-Kegel ekhaya.

Ukuqeqeshwa kwesinye 

Le ndlela yokwelapha ivame ukusetshenziselwa ukwelapha abesifazane abakhuthele abanezimpawu zokuhluleka komchamo kanye ne-hypersensitivity kwesinye, okuthiwa ukuphuthuma. Ingqikithi yokuqeqeshwa kwesinye iwukuthi isiguli kufanele sifunde ukubekezelela izifiso ezingamanga zokuchama ngesinye esingenalutho noma esingagcwali kahle futhi sichame ngehora. Ukuqeqeshwa kubandakanya nokulandela imithetho ethile mayelana nokudla nokudla okusaketshezi. Kusetshenziswa inqubo ekhethekile yokuphumula, esiza ukubekezelela nokubambezela isifiso samanga. Umgomo wokuqeqeshwa ukuthi isiguli singakwazi ukubekezelela isikhathi samahora angu-2-3 phakathi kohambo oluya endlini yangasese.

Ngaphezu kwalokhu okungenhla, izindlela eziningana, ngokuthuthukiswa kwemithi nobuchwepheshe. Njengamanje kunohlobo olusha lwemishini – isiteji sokudlidliza sonic , okuyisihlalo se-pelvic floor. Inkundla yayo yokudlidliza ye-sonic iyakwazi ukuvuselela imisipha ewohlokile, inikeze ukulawulwa okuphelele kwemisipha nokwelula. Kunomphumela omuhle ekuvimbeleni nasekuthuthukiseni ukungena komgudu womchamo, ukuchama, ukungakwazi ukuzibamba komchamo, kanye ne-benign prostatic hyperplasia.