Into ekufuneka yenziwe nguMfazi ngamnye malunga nokuSebenza koMgangatho wePelvic

Umxholo

• Ukwabelana ngesondo okubuhlungu kunokuba luphawu.
• Isizathu asikacaci.
• Ukuxilongwa kakubi yingxaki eqhelekileyo kwabo bane-PFD.
• Pha zi Iindlela zokuyinyanga-kwaye unyango lomzimba yenye yazo.
• Hayi, awuphambani ngokucinga ukuba kukho ingxaki.
• Uphengululo lwe

I-Zosia Mamet inomyalezo olula wabasetyhini kuyo yonke indawo: Intlungu ebuhlungu ye-pelvic ayiqhelekanga. Kwintetho yakhe yeNkomfa yabenzi be-2017 kule veki, i-29-yeminyaka ubudala yavula malunga nemfazwe yakhe yeminyaka emithandathu yokufumana unobangela wento athi waziva ngathi "yeyona UTI imbi emhlabeni." Kuya kuvela ukuba ibiyinto eyahluke kakhulu.

Ukubandezeleka kwintlungu "yempambano yokuchama" kunye neentlungu "ezinganyamezelekiyo ngexesha lokwabelana ngesondo, uMamet uthi waya kubo bonke ogqirha neengcali anokuzifumana ukuze afumane impendulo, kodwa xa iimvavanyo zokuchama, ii-MRIs, kunye ne-ultrasound zonke zabuya zabuya zisiqhelo, oogqirha bakhe baqala ukuthandabuza izikhalazo zakhe kunye nenqanaba lentlungu. Omnye wamfumanisa phosakeleyo ngeSTD waza wamfaka kwisibulali-zintsholongwane; omnye ucebise ukuba "uyageza." (Inkanyezi kaMamet, Amantombazana Umvelisi ongumbhali uLena Dunham naye ukhe wathetha ngomzabalazo wakhe wezempilo nge-endometriosis.)

Emva kokuzama yonke into ukusuka kwiipilisi zentlungu ukuya kwi-hypnosis, uMamet waya kwi-doc yakhe yokuqala yabasetyhini kwaye ekugqibeleni wayifumana impendulo-imeko, wayityhila, yinto eyoyikisayo: i-pelvic floor dysfunction (PFD). Ke, yintoni kanye kanye umgangatho wakho weplavic? Eli gama libhekisela kwiqela lemisipha, i-ligaments, izicubu ezixhamlayo, kunye neentsholongwane ezixhasayo kunye nokunceda amalungu kwindawo yakho ye-pelvic asebenze ngokufanelekileyo. Kwabafazi, amalungu akule mibuzo abhekisa kwisinyi sakho, isibeleko, kwilungu lobufazi, kunye nakwisikali. NgokweKlinikhi yaseCleveland, ukungasebenzi komgangatho we-pelvic kuchazwa njengokungakwazi ukulawula ezo zihlunu zomgangatho we-pelvic ukuze ube nokuhamba kwamathumbu, okanye ngakumbi, abantu abane-PFD bayazisayina ezi zihlunu endaweni yokuziphumza.

Ngelixa uMamet ekugqibeleni eyifumeneyo impendulo (kunye nonyango olululo) emva kweminyaka yokuphazamiseka kotyelelo kunye nokuqonda gwenxa, umzabalazo wakhe ayisiyonto intsha nangona ukungabikho kolwazi malunga nesi sifo, uphononongo lubonisa ukuba omnye kwabasetyhini abathathu uya kuba ne-PFD ebomini, kodwa ilizwe lezempilo labasetyhini lisalugcina ulwazi malunga noku "phantsi kombhoxo," utshilo uRobyn Wilhelm, ingcali yezomzimba eqhuba iziko lonyango lomzimba we-pelvic eArizona. Apha, uWilhelm wabelana ngakumbi malunga nokuba yintoni i-PFD, ukuba ichongwa njani, kunye nento esinokuyenza ukujongana nayo.

Ukwabelana ngesondo okubuhlungu kunokuba luphawu.

Ezona mpawu zixhaphakileyo kukungachazeki kweentlungu zangasese okanye zomqala, kubandakanya iintlungu ezinokubakho xa usabelana ngesondo okanye nge-orgasm, utshilo uWilhelm. Kodwa iintlungu ayisiyiyo kuphela into ebonisa ukuba kukho ingxaki. Ngenxa yendawo yemisipha yomqolo, imeko Kusenokubangela ukungasebenzi kakuhle kwesinyi sakho kunye/okanye izibilini ezikhokelela kumchamo kunye nokungaqhubi kwelindle okanye ukuqhina, utshilo.. (PS Ubusazi ukuba ukuchama kwishawari kunezibonelelo ezimangalisayo ze-pelvic?)

Isizathu asikacaci.

Ukuqwalasela ukuba bangaphi abafazi abachaphazelekayo, unokucinga ukuba oogqirha banesandla kwinto ebangela ukuba i-PFD ibangele. Cinga kwakhona. Ihlabathi lenzululwazi lisazama ukubethelela unobangela othile wokuphazamiseka. Ngelixa enye imbono enkulu ephosakeleyo kukuba sisiphumo sokukhulelwa okanye sokubeleka, akufuneki kwenzeke ukuba umfazi abe semngciphekweni wokuphuhlisa i-PFD, utshilo uWilhelm. Ezinye izizathu ezinokuthi ziphuhle zibandakanya ukwenzakala okubuhlungu, okanye imeko engalunganga. Ngapha koko, iimbaleki zabasetyhini zihlala zichaza iimpawu ezinxulunyaniswa ne-PFD, ezinje ngokungahambelani nomchamo, kodwa isizathu asaziwa, utshilo. Ukufumana oyena nobangela we-PFD kunokuba yinkqubo ende kunye neerhafu yophando kunye novavanyo, kodwa iingcali ezinje ngeepilvic therapists okanye oogqirha abanolwazi kakuhle kwingingqi ye-pelvic, banokwazi ukunika impendulo ethe kratya, utshilo uWilhelm . Nangona kunjalo, unobangela kunye nendlela yempembelelo kusenzima ukuyichaza kwezinye iimeko, ulumkisa.

Ukuxilongwa kakubi yingxaki eqhelekileyo kwabo bane-PFD.

Ngelishwa, iminyaka kaMamet echithwe eshukuma ukusuka kugqirha ukuya kugqirha ngaphandle kweempendulo yingxelo eqhelekileyo-ibonisa oko uWilhelm akubiza ngokuba "kukunqongophala kolwazi kunye nolwazi" kwicandelo lezonyango, zombini indlela yokuxilonga i-PFD kunye nokuba wenze ntoni kubasetyhini abahluphekayo. ukusuka kuyo. "Ngokomndilili, abasetyhini baya kubona iingcali ezintlanu ukuya kwezintandathu ngaphambi kokuba bafunyaniswe ngokuchanekileyo," utshilo. "Ulwazi luye lwaphucuka ngokuthe ngcembe kule minyaka mihlanu idlulileyo, kodwa sisenabafazi abaninzi abahluphekayo bethule okanye bengakwazi ukufumana uncedo abaludingayo."

Pha zi Iindlela zokuyinyanga-kwaye unyango lomzimba yenye yazo.

Ukufumanisa ukuba une-PFD akuthethi kuthi makuziswe entlungwini. Nangona iyeza (umzekelo, i-relaxers muscle) ingasetyenziselwa ukulawula intlungu, i-biofeedback ngokusebenzisa unyango lomzimba lolona nyango lusebenzayo. NgokweKlinikhi yaseCleveland, ubuchwephesha bokunikezela ngonyango buye buphucule ngaphezulu kweepesenti ze-75 yezigulana ezizizamayo. “Unyango lomzimba olwenziwa ngugqirha womzimba we-pelvic unokusebenza kakhulu,” utshilo uWilhelm. Ngelixa izihlunu zomgangatho we-pelvic zijolise kolu nyango, ezinye izihlunu zinokuba negalelo kwintlungu ngokunjalo, ke kukho okungaphezulu koku kunokulala etafileni. Ezinye iindlela uWilhelm azisebenzisayo kunye nezigulane zakhe ziquka unyango lwangaphandle kunye lwangaphakathi, ukukhululwa kwe-myofascial, ukunweba, kunye nokuvuselela umbane.

Hayi, awuphambani ngokucinga ukuba kukho ingxaki.

Abantu ngempazamo bazilahla iimpawu ezihlala zenzeka nge-PFD, ezinjengokungabikho komchamo, njengempembelelo 'yesiqhelo' yokuba neentsana nokukhula, utshilo uWilhelm. Inokuba yinto eqhelekileyo, kodwa akufuneki ijongwe njengeqhelekileyo. Ke, ukuba ucinga ukuba ungomnye waba bafazi, zisindise iminyaka yokubandezeleka okuthe cwaka kwaye uye kugqirha okanye kunyango olugqwesileyo kwi-PFD stat.

Uphengululo lwe