Ukuzivocavoca imithambo yomzimba wePelvic

Umthambo womzimba wePelvic umthambo uthotho lwemithambo eyenzelwe ukomeleza izihlunu zomgangatho we-pelvic.

Ukuqeqeshwa kwemisipha yomgangatho wePelvic kuyacetyiswa ukuba:

• Abasetyhini abanengxaki yokungabikho koxinzelelo kumchamo
• Amadoda ane-urinary stress incontinence emva kotyando lweprostate
• Abantu abane-incecence incecence

Ukuzivocavoca imisipha yomgangatho wepelvic kunokunceda ukomeleza izihlunu phantsi kwesibeleko, isinyi, kunye namathumbu (amathumbu amakhulu). Banokunceda bobabini abesilisa nabasetyhini abaneengxaki zokuvuza komchamo okanye ukulawula amathumbu.

Umthambo woqeqesho lomzimba we-pelvic ufana nokuzenza ngathi kufuneka uchame, emva koko ubambe. Uphumla kwaye uqinise izihlunu ezilawula ukuhamba komchamo. Kubalulekile ukufumana izihlunu ezifanelekileyo ukuze uqinise.

Ngexesha elizayo kufuneka uchame, qalisa ukuhamba emva koko uyeke. Yiva imisipha kwilungu lobufazi, isinyi, okanye umngxuma wakho womelele kwaye unyuke. Le yimisipha yomqolo. Ukuba uziva beqinisiwe, ulwenzile ngokufanelekileyo umthambo. Sukwenza umkhwa ukwenza imithambo qho xa uchama. Nje ukuba uchonge izihlunu ngokufanelekileyo, yenza umthambo ngelixa uhleli, kodwa HAYI xa uchama.

Ukuba awukaqiniseki nokuba uqinisa izihlunu ezifanelekileyo, gcinani engqondweni ukuba zonke izihlunu zomgangatho we-pelvic ziyaphumla kwaye zenze isivumelwano ngaxeshanye. Ngenxa yokuba ezi zihlunu zilawula isinyi, i-rectum, kunye nelungu lobufazi, ezi ngcebiso zilandelayo zinokunceda:

• Abafazi: Faka umnwe kwilungu lakho lobufazi. Qinisa izihlunu ngokungathi ubambe umchamo wakho, emva koko uyeke uhambe. Kufuneka uve ukuba izihlunu ziyaqina kwaye usenyuka uye phezulu.
• Amadoda: Faka umnwe kwi-rectum yakho. Qinisa izihlunu ngokungathi ubambe umchamo wakho, emva koko uyeke uhambe. Kufuneka uve ukuba izihlunu ziyaqina kwaye usenyuka uye phezulu. Ezi zihlunu ezifanayo ubuya kuzomeleza xa uzama ukuzikhusela ekudluliseni igesi.

Kubaluleke kakhulu ukuba ugcine ezi zihlunu zilandelayo zikhululekile ngelixa usenza uqeqesho lomgangatho we-pelvic:

• Isisu
• Amanqatha (ubunzulu, umsipha we-anal sphincter kufuneka wenze isivumelwano)
• Isondo

Umfazi unokuzomeleza ezi zihlunu ngokusebenzisa ikhowuni yelungu lobufazi, sisixhobo esinobunzima esifakwe kwilungu lobufazi. Emva koko uzama ukuqinisa izihlunu zeplavic ukubamba isixhobo endaweni.

Ukuba awuqinisekanga ukuba wenza uqeqesho lwe-pelvic floor ngokuchanekileyo, ungasebenzisa i-biofeedback kunye nokukhuthaza umbane ukunceda ukufumana iqela elichanekileyo lemisipha ukuba lisebenze.

• I-Biofeedback yindlela yokuqiniswa okuqinisekileyo. Ii-electrode zibekwe phezu kwesisu nakwindawo yangasemva. Abanye abanyangi babeka inzwa kwilungu lobufazi kwabasetyhini okanye kwi-anus emadodeni ukuze abeke esweni ukunciphisa izihlunu zomgangatho we-pelvic.
• Ukubek'esweni kuya kubonisa igrafu ebonisa ukuba zeziphi izihlunu ezisebenza kunye neziphumlileyo. Ingcali inokunceda ekufumaneni izihlunu ezifanelekileyo zokwenza umthambo woqeqesho lomzimba we-pelvic.

UKWENZA UQEQESHO LWANGOMPHAKATHI:

Landela la manyathelo:

1. Qala ngokukhupha isinyi sakho.
2. Qinisekisa imisipha yomzimba we-pelvic kwaye ubambe inani le-10.
3. Hlaziya izihlunu ngokupheleleyo ukuya kwi-10.
4. Phinda-phinda kalishumi, amaxesha ama-3 ukuya kwayi-5 ngemini (kusasa, emva kwemini nobusuku).

Unokwenza le mithambo nangaliphi na ixesha kunye nendawo. Uninzi lwabantu luthanda ukwenza imithambo ngelixa ulele phantsi okanye uhleli esitulweni. Emva kweeveki ezi-4 ukuya kwezi-6, uninzi lwabantu luphawula ukuphucuka okuthile. Ingathatha ixesha elide njengeenyanga ezintathu ukubona utshintsho olukhulu.

Emva kweeveki ezimbalwa, unokuzama ukwenza isinqe esinye somgangatho wamathambo ngamaxesha apho unokuvuza khona (umzekelo, ngelixa uphuma esihlalweni).

Isilumkiso: Abanye abantu baziva ngathi banokuyikhawulezisa inkqubela phambili ngokwandisa inani lokuphindaphinda kunye nokuhamba rhoqo kwemithambo. Nangona kunjalo, ukusebenzisa kakhulu kunokuba kunokubangela ukudinwa kwezihlunu kunye nokwandisa ukuvuza komchamo.

Ukuba uziva ungonwabanga esiswini sakho okanye ngasemva ngelixa usenza le mithambo, mhlawumbi ubenza gwenxa. Phefumla ngokunzulu kwaye uphumle umzimba wakho xa usenza le mithambo. Qinisekisa ukuba awuqinisi isisu sakho, ithanga, iimpundu, okanye izihlunu zesifuba.

Xa yenziwe ngendlela eyiyo, umthambo womzimba we-pelvic ubonakalisiwe ukuba uyasebenza kakhulu ekuphuculeni ilizwekazi lokuchama.

Kukho iiphysical therapists eziqeqeshwe ngokukodwa kuqeqesho lwe-pelvic floor muscle. Abantu abaninzi bayaxhamla kunyango olusemthethweni.

Ukuzivocavoca kukaKegel

• I-anatomy yomntu obhinqileyo

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UMagowan BA, uOwen P, uThomson A.Ukungangabikho komchamo kwabasetyhini. Ku: Magowan BA, Owen P, Thomson A, ii-eds. I-Clinical Obstetrics kunye neGynecology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 11.

INewman DK, iBurgio KL. Ukulawulwa okungagungqiyo kokungasebenzi kakuhle komchamo: indlela yokuziphatha kunye nonyango lomgangatho we-pelvic kunye nezixhobo ze-urethral kunye ne-pelvic. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 80.