Ukuqonda iLevator Ani Syndrome

Umxholo

• Ukuphazamiseka kumgangatho wepelvic
• Iimpawu
• Intlungu
• Iingxaki zomchamo kunye namathumbu
• Iingxaki zesini
• Oonobangela
• Uxilongo
• Unyango lwasekhaya
• Isikwere esinzulu
• Uyavuya umntwana
• Imilenze inyuse udonga
• Olunye unyango
• Imbonakalo

Ushwankathelo

I-Levator ani syndrome luhlobo lokungasebenzi komgangatho weplavic. Oko kuthetha ukuba izihlunu zomgangatho we-pelvic zixinene kakhulu. Umgangatho we-pelvic uxhasa i-rectum, bladder, kunye ne-urethra. Kwabasetyhini, ikwaxhasa isibeleko kunye nelungu lobufazi.

I-levator ani syndrome ixhaphake kakhulu kubafazi. Uphawu lwayo oluphambili kukuhlala uqaqanjelwa rhoqo okanye kubuhlungu kwitheyibhuli ebangelwe kukudumba kwesihlunu se-levator ani, esikufutshane ne-anus. I-Levator ani syndrome inamanye amagama, kubandakanya:

• iintlungu ezingapheliyo
• proctalgia engapheliyo
• Ispim sokuvuza
• Uxinzelelo lwe-pelvic myalgia
• isifo sepiriformis
• isifo se-puborectalis

Ukuphazamiseka kumgangatho wepelvic

Ukuphazamiseka kumgangatho wepelvic kwenzeka xa izihlunu zingasebenzi ngokuchanekileyo. Zivela kwiingxaki ezimbini. Nokuba izihlunu zomgangatho we-pelvic zikhululekile kakhulu okanye ziqinile kakhulu.

Imisipha yomgangatho wepelvic ekhululeke kakhulu kunokubangela ukuba amalungu e-pelvic aqhume. I-bladder engaxhaswanga ingakhokelela ekungangeni komchamo. Kwaye kwabasetyhini, umlomo wesibeleko okanye isibeleko sinokuwela kwilungu lobufazi. Oku kunokubangela iintlungu zangasemva, iingxaki zokuchama okanye ukuhamba kwamathumbu, kunye nokuziphatha okubi.

Imisipha yomgangatho wepelvic exinene kakhulu inokubangela ukungasebenzi komgangatho weplavic. Oku kunokubangela iingxaki ngokugcina okanye ukukhupha amathumbu, kunye nentlungu ye-pelvic, ulwalamano olubuhlungu, okanye ukungasebenzi kakuhle kwe-erectile.

Iimpawu

Iimpawu ze-levator ani syndrome zinokuqhubeka kwaye zichaphazele umgangatho wobomi. Uninzi lwabantu abanesi sifo ubuncinci kwezi mpawu zilandelayo, ukuba ayizizo zonke.

Intlungu

Abantu abanesi sifo banokufumana iintlungu zangasese ezingahambelani nokuhamba kwamathumbu. Isenokuba mfutshane, okanye ingeza idlule, ihlala iiyure ezininzi okanye iintsuku. Intlungu inokungeniswa okanye yenziwe mandundu ngokuhlala okanye ukulala. Inokukuvusa ebuthongweni. Intlungu ihlala iphezulu kwi-rectum. Elinye icala, ihlala isekhohlo, inokuziva ithenda ngakumbi kunelinye.

Unokufumana kwakhona iintlungu ezisezantsi ezinokuthi zisasaze kwi-groin okanye emathangeni. Emadodeni, iintlungu zinokusasazeka kwiprostate, kumasende, nakwincam yelungu lobudoda kunye ne-urethra.

Iingxaki zomchamo kunye namathumbu

Unokufumana ukuqunjelwa, iingxaki zokudlula kokuhamba kwamathumbu, okanye unomdla wokuzidlula. Unokuba nemvakalelo yokuba awukagqibi ukuba nentshukumo yamathumbu. Iimpawu ezongezelelweyo zingabandakanya:

• ukudumba
• kufuneka uchame rhoqo, ngokungxamisekileyo, okanye ngaphandle kokukwazi ukuqala ukuhamba
• intlungu yesinyi okanye iintlungu xa uchama
• ukungabikho komchamo

Iingxaki zesini

ILevator ani syndrome inokubangela iintlungu ngaphambi, ngexesha, okanye emva kokulalana kwabasetyhini. Emadodeni, le meko inokubangela ukuphuma okubuhlungu, ukuphuma kwangaphambi kwexesha, okanye ukungasebenzi kakuhle emzimbeni.

Oonobangela

Oyena nobangela welevator ani syndrome awaziwa. Inokudibana nayo nayiphi na kwezi zinto zilandelayo:

• ungachami okanye ugqithe isitulo xa ufuna njalo
• ukuncipha kwilungu lobufazi (atrophy) okanye iintlungu kwi-vulva (vulvodynia)
• ukuqhubeka nokwabelana ngesondo nangona kubuhlungu
• ukwenzakala kumgangatho we-pelvic kuqhaqho okanye ukwenzakala, kubandakanya ukuphathwa gadalala ngokwesondo
• ukuba nolunye uhlobo lweentlungu ezinganyangekiyo zangasese, kubandakanya isifo samathumbu esinganyangekiyo, i-endometriosis, okanye i-cystitis yangaphakathi

Uxilongo

Ukuchonga i-levator ani syndrome kudla ngokubizwa ngokuba “kukuxilongwa kokungabandakanywa.” Kungenxa yokuba oogqirha kufuneka bavavanye ukukhupha ezinye iingxaki ezinokubangela iimpawu ngaphambi kokufumanisa i-levator ani syndrome. Emadodeni, i-levator ani syndrome ihlala ichongiwe njenge-prostatitis.

Ngovavanyo olululo kunye nonyango, abantu abane-levator ani syndrome banokufumana isiqabu.

Unyango lwasekhaya

Thetha nogqirha wakho malunga nokuncitshiswa kwentlungu ekhawuntareni enokukunceda.

Abantu abaninzi bafumana intuthuzelo kwibhafu ye-sitz. Ukuthatha enye:

• Thoba i-anus emanzini ashushu (hayi ashushu) ngokuqhekeza okanye ngokuhlala kwisitya ngaphezulu kwesitya sangasese.
• Qhubeka ucwina imizuzu eli-10 ukuya kweli-15.
• Pat ngokwakho owomileyo emva kokuhlamba. Kuphephe ukuzihlikihla womile ngetawuli, enokucaphukisa loo ndawo.

Unokuzama le mithambo ukukhulula izihlunu zomgangatho weplastiki.

Isikwere esinzulu

1. Yima nemilenze yakho isasazeke ngokubanzi kunesinqe sakho. Bambelela kwinto ezinzileyo.
2. Zijonge phantsi de ube uziva wolule ngemilenze yakho.
3. Bamba imizuzwana engama-30 xa uphefumla nzulu.
4. Phinda kahlanu ngemini.

Uyavuya umntwana

1. Lala ngomqolo ebhedini yakho okanye emethini phantsi.
2. Gobisa amadolo akho kwaye uphakamise iinyawo zakho ukuya eluphahleni.
3. Bamba umphandle weenyawo zakho okanye amaqatha ngezandla zakho.
4. Hlukanisa ngobumnene imilenze yakho ibanzi kunesinqe sakho.
5. Bamba imizuzwana engama-30 xa uphefumla nzulu.
6. Phinda amaxesha ama-3 ukuya kwezi-5 ngalo lonke usuku.

Imilenze inyuse udonga

1. Hlala ezinqeni zakho malunga nee-intshi ezi-5 ukuya kwezi-6 ukusuka eludongeni.
2. Lala phantsi, kwaye ujike imilenze yakho phezulu ukuze izithende zakho zihlale phezulu eludongeni. Gcina imilenze yakho ikhululekile.
3. Ukuba ikhululekile ngakumbi, vumela imilenze yakho iwele emacaleni ukuze uzive wolulekile emathangeni akho angaphakathi.
4. Gxila ekuphefumlweni kwakho. Hlala kule ndawo imizuzu emi-3 ukuya kwemi-5.

Ukuzilolonga kukaKegel nako kunokunceda. Funda iingcebiso zoqeqesho lukaKegel.

Olunye unyango

Unyango lwasekhaya alunakwanela ukulawula imeko yakho. Ugqirha wakho angathetha nawe ngalo naluphi na unyango kwezi levator ani syndrome:

• unyango lomzimba, kubandakanya ukuthambisa, ubushushu, kunye ne-biofeedback, kunye nonyango oluqeqeshwe kukungasebenzi kakuhle komgangatho we-pelvic
• amayeza okuphumza izihlunu okanye amayeza eentlungu, afana ne-gabapentin (Neurontin) kunye ne-pregabalin (Lyrica)
• inaliti yenqaku lokubangela, elinokuba ne-corticosteroid okanye i-botulinum toxin (Botox)
• ukutshiza
• ukuvuselela imithambo-luvo
• unyango ngesondo

I-Tricyclic antidepressants akufuneki isetyenziswe, njengoko inokwenza mandundu amathumbu kunye neempawu zesinyi.

Imbonakalo

Ngokuchongwa ngokuchanekileyo kunye nonyango, abantu abane-levator ani syndrome banokufumana ukukhululeka kwiimpawu ezingathandekiyo.