Ukwelapha ngokomzimba kungasiza nge-biofeedback
Ukungasebenzi kwamapulisi phansi (PFD) yisimo lapho imisipha emagqabeni engasebenzi khona. Kulesi simo, awukwazi ukuba nokunyakaza kwamathumbu noma unayo kuphela engaphelele ngoba inkontileka yakho yemisipha ye-pelvic esikhundleni sokuphumula. Lesi isimo esinokwelashwa ngosizo lwe-biofeedback kanye nokwelapha ngokomzimba.
I-Muscle Floor Floor
Imisipha ye-pelvic isekela izitho ezihlukahlukene ze-pelvic, kuhlanganise isisindo, isisu, i-rectum, kanye nezitho zozalo zokuzala.
Imisipha ngokwabo nayo ihileleke ekusebenzeni kwe-sphincters yama-urinary ne-anal. Uma isebenza ngendlela evamile, uyakwazi ukulawula ukunyakaza kwakho nesibindi ngokufaka isivumelwano futhi uphumule lezi musipha.
Ukuze izinqubo zokugcoba nokuhlukumezeka zihambe ngokushelelayo, imisipha ehlukahlukene ngaphakathi kwesikhumba kumele idinga ngendlela ehlelekile. Kwezinye izimo, inkontileka yemisipha lapho kufanele iphumule, noma imisipha ingaphumuli ngokwanele ukuze kuhambisane nokunyakaza okuhlelekile. Izinkinga ngemisipha ye-pelvic zingabangela ubunzima be-urinary kanye nokungasebenzi kwamathumbu. I-PFD ihlangene nabesilisa nabesifazane.
Izimpawu Ezihambisana Nesivivinywa Isisindo Sokusebenza
Okulandelayo yizinye izinkinga ezivame ukuhambisana ne-PFD:
- Ifuna ukuba nezinyathelo eziningana zezinyosi ngokuhamba kwesikhathi esifushane.
- Ukungakwazi ukuqedela ukunyakaza kwamathumba.
- Kudingeka njalo ukuvuthwa, ngokuvamile ngokuqala nokuyeka izikhathi eziningi.
- Uphuthumayo lwe-Urinary, isidingo sokuzulazula ngokuzumayo.
- Ukuvuthwa okubuhlungu.
- Ubuhlungu obungachazwanga emhlane wakho ongaphansi.
- Ubuhlungu obuqhubekayo ekhanda lakho, izidalwa zobulili, noma i-rectum.
- Kwabesifazane, ubuhlungu ngesikhathi sokulala.
Izimo ezihambisana nokukhubazeka phansi kwe-pelvic zifaka:
- I-Dyssynergic defecation ( anismus ): Lokhu kunzima ukudlula isikhala ngenxa yezinkinga ezinamathunjwa nezinzwa zomzimba we-pelvic. Kungabangela ukuqunjelwa okungapheli.
- Ukungaziphathi kahle kwe-Fecal : Ukulahlekelwa kokulawula isilonda, okuholela ekuhambeni okungahambisani nendawo.
- Ubuhlungu obuphefumulayo obuphefumulayo : Lolu uhlobo olungapheli lwe-prostatitis, ukuvuvukala kwe-prostate kubantu.
Izimbangela zePelvic Floor Dysfunction
I-PFD ingabangelwa ukulimala emiphakathini nemisipha yendawo ye-pelvic ngokusebenzisa izinto ezifana nokuhlinzwa, ukukhulelwa, nokubeletha kwesisu. Ezimweni eziningi, imbangela yokungasebenzi ayifakazi.
Ukwelashwa Kwesisindo Sokusebenza Kwangasese
I-Biofeedback manje iyindlela yokwelapha ephansi kakhulu. Ngokuvamile kwenziwa ngosizo lomuthi wezokwelapha futhi kuthuthukisa isimo samaphesenti angu-75 weziguli, ngokusho kwe-Cleveland Clinic. Akuyona into engavamile, futhi ngemva kokusebenza nomuthi wezokwelapha, ungakwazi ukusebenzisa i-unit unit ukuze uqhubeke nalolu cwaningo.
Abahlengikazi abaningi bezokwelapha baqaphele lolu hlobo lwezokwelapha. Futhi bangase banikeze amasu okuphumula, ukulula, nokuzivocavoca. Esikhathini esidlule, kwakucatshangwa ukuthi i-PFD izozuzisa ekuzivocavoca ukuqinisa imisipha yomgogodla wezintambo, kodwa lokhu kushintshwe ngokuvumelana ne-biofeedback nokubuyisela emuva, okuyizinga eliphezulu lokuphumelela.
Ezinye izinketho zihlanganisa imithi ene-muscle low dose ephumula.
Ukuhlinzwa kungadingeka ezimweni ezimbi kakhulu.
> Imithombo:
> Izinkinga zesitezi samaPelvic. I-International Foundation yezinkinga zokusebenza kwamathumbu. http://aboutgimotility.org/learn-about-gi-motility/disorders-of-the-pelvic-floor.html.
> Ipelvic Floor Ukungasebenzi. Umtholampilo waseCleveland. https://my.clevelandclinic.org/health/articles/pelvic-floor-dysfunction.
> Wang, et.al. Ukuphazamiseka kwepelvic kanye nekhwalithi yokuphila kwabesifazane abane-self-reporting reportedly irritable syndrome. I- Pharmaceutical Pharmacy & Therapeutics 2010: 31: 424-431.