Kutheni le nto Ukuya kunyango lomgangatho wePelvic kuguqule ubomi bam

Umxholo

• Kwiinyanga ezimbini kamva, ndandisendleleni eya kwiseshoni yam yokuqala
• Kwiseshoni yam yonyango elandelayo, ugqirha wam wagxininisa into yokuba ndaye ndaphumelela uvavanyo lwam lwe-pelvic
• Iziphumo ebezingalindelekanga ziyinyani
• Unyango lomgangatho wepelvic lunokunceda:
  

Xa ugqirha wam wayigxininisa into yokuba ndaye ndaphumelela uvavanyo lwam lwangasese, ndazibona sele ndilila iinyembezi zovuyo.

Impilo kunye nokuphila kakuhle kuchaphazela ngamnye wethu ngokwahlukileyo. Eli libali lomntu omnye.

Ukuvuma izono: Andizange ndikwazi ukunxiba isitampu ngempumelelo.

Emva kokufumana ixesha lam kwi-13, ndazama ukufaka enye kwaye yabangela ukudubula okubukhali, iintlungu ezibangela ukulila. Umama undixelele ukuba ndingakhathazeki kwaye ndizame kwakhona kamva.

Ndizamile amaxesha amaninzi, kodwa iintlungu bezisoloko zinganyamezeleki, ndiye ndancamathela kwiipads.

Kwiminyaka embalwa kamva, ugqirha wam wokhathalelo oluphambili wazama ukundenza uvavanyo lwe-pelvic kum. Okwangoku azama ukusebenzisa i-speculum, ndakhwaza kabuhlungu. Inokwenzeka njani into yokuba le ntlungu ibe yinto eqhelekileyo? Ngaba kukho into engalunganga ngam? Uye wandiqinisekisa ukuba kulungile kwaye wathi sizakuzama kwakhona kwiminyaka embalwa.

Ndaziva ndophuke kakhulu. Ndifuna ubuncinci ukuba ndikhethe ukulala ngesondo- ukuba nobudlelwane nokusondelelana ngokomzimba.

Ukhathazwe luvavanyo, ndaye ndanomona xa abahlobo babo besebenzisa iitampon ngaphandle kwengxaki. Xa isondo sangena ebomini babo, ndaba nomona ngakumbi.

Ndiyiphephe ngenjongo yokulala ngesondo nangayiphi na indlela enokwenzeka. Ukuba bendisiya kwimihla, bendiya kuqinisekisa ukuba ziyaphela kanye emva kwesidlo sangokuhlwa. Ukuxhalaba ngokusondelelana ngokomzimba kundikhokelele ekuqhawuleni ubudlelwane obunokubakho kuba andifuni kuphinda ndijongane nentlungu yomzimba kwakhona.

Ndaziva ndophuke kakhulu. Ndifuna ubuncinci ukuba ndikhethe ukulala ngesondo- ukuba nobudlelwane nokusondelelana ngokomzimba. Ndizamile iimviwo ezimbalwa ze-pelvic ezingaphumelelanga nge-OB-GYNS, kodwa iintlungu ezibukhali zokudubula ziya kubuya qho.

Oogqirha bandixelele ukuba akukho nto iphosakeleyo ngokwasemzimbeni, kwaye iintlungu zibangelwa luxinzelelo. Bacebisa ukuba ndisele okanye ndisebenzise iyeza lokulwa noxinzelelo ngaphambi kokuba ndizame ukulala naye.

UStephanie Prendergast, umguli womzimba wethambo ongumququzeleli kunye nomphathi weklinikhi we-Pelvic Health & Rehabilitation Center, uthi ngelixa ulwazi ngemicimbi yomgangatho we-pelvic lungasoloko lufikeleleka ngokulula, oogqirha banokuchitha ixesha kwi-Intanethi bejonga ezonyango oolindixesha kunye nokufunda malunga nokuphazamiseka ezahlukeneyo ukuze babenokuphatha ngcono izigulana zabo.

Kungenxa yokuba ekugqibeleni, ukunqongophala kolwazi kunokubangela ukuxilongwa okanye unyango olungalunganga olwenza okubi kunokulungileyo.

"[Xa oogqirha bethetha] izinto ezinje [zibangelwa] lixhala okanye [xelela izigulana] ukuba zisele iwayini, ayisiyonyeliso kuphela, kodwa ndiziva ngathi iyingozi nakwezobuchwephesha, utshilo.

Ngelixa bendingafuni ukuba ndinxile ngalo lonke ixesha ndabelana ngesondo, ndaye ndagqiba kwelokuba ndithathe ingcebiso yabo. Ke ngo-2016, emva kobusuku bokusela, ndazama ukuba neentlobano zesini okokuqala.

Ewe khange iphumelele kwaye iphele ngeenyembezi ezininzi.

Ndazixelela ukuba abantu abaninzi bava iintlungu okokuqala xa besabelana ngesondo- ukuba mhlawumbi iintlungu azibi mbi kwaye bendilusana nje. Ndifuna nje ukuyifunxa kwaye ndijongane nayo.

Kodwa khange ndikwazi ukuzisa ukuzama kwakhona. Ndaziva ndingenathemba.

UChristensen ungenise kwigumbi lokubhalela imodeli ye-pelvis kwaye waqhubeka endibonisa ukuba ziphi zonke izihlunu kwaye apho izinto zingonakala khona.

Kwiinyanga ezimbalwa emva koko, ndaqala ukubona ugqirha othetha ngoxinzelelo ngokubanzi. Ngelixa besisebenza ukunciphisa uxinzelelo lwam olunzulu, icandelo lam elalifuna ubudlelwane obusondeleyo laye lafikelela esiphelweni. Njengokuba bendithetha ngeentlungu zomzimba, bekungabonakali ngathi kuya kuba ngcono.

Malunga neenyanga ezisi-8 kamva, ndadibana nabanye abafazi abancinci ababesokola iintlungu zangasese. Omnye wabasetyhini wakhankanya ukuba wayeqale unyango lwasemzimbeni kwiintlungu zangasese. Andizange ndive oko, kodwa ndikulungele ukuzama nantoni na.

Ukudibana nabanye abayiqondayo into endijongene nayo kwandenza ndazimisela ukuqala ndigxile ekuphatheni lo mbandela.

Kwiinyanga ezimbini kamva, ndandisendleleni eya kwiseshoni yam yokuqala

Andizange ndiyazi into endiyilindeleyo. Ndixelelwe ukuba ndinxibe iimpahla ezintle kwaye ndilindele ukuba ndibekhona ithutyana elingaphezulu kweyure. UKristin Christensen, ingcali yezomzimba (PT) egxile kukuphazamiseka kwethambo lomqolo, wandibuyisela kwigumbi lokubhalela.

Sichithe imizuzu engama-20 yokuqala sithetha ngembali yam. Ndimxelele ukuba ndifuna ukuba nolwalamano olusenyongweni kunye nokukhetha ukulala ngesondo.

Ubuzile ukuba bendikhe ndane-orgasm kwaye ndiphendule ngokushukumisa intloko yam ndineentloni. Ndaziva ndineentloni. Ndizinqamle kude kakhulu kude naloo mzimba womzimba wam ukuba ibingeyonxalenye yam kwakhona.

UChristensen ungenise kwigumbi lokubhalela imodeli ye-pelvis kwaye waqhubeka endibonisa ukuba ziphi zonke izihlunu kwaye apho izinto zingonakala khona. Uye wandiqinisekisa ukuba zombini iintlungu ze-pelvic kunye nokuziva unqanyulwe kwilungu lobufazi kwakuyingxaki eqhelekileyo phakathi kwabafazi, kwaye andindedwa.

Kuqhelekile ukuba abantu basetyhini bazive banqanyulwe kweli lungu lomzimba. Yindawo ebaluleke kakhulu, kwaye iintlungu okanye ukungasebenzi kakuhle kulo mmandla kubonakala kulula ukungahoyi kunokuba kunjalo, ”utshilo uChristensen.

“Uninzi lwabasetyhini aluzange lubone imodeli yomgangatho we-pelvic okanye i-pelvis, kwaye uninzi alwazi nokuba zeziphi izitho esinazo okanye ziphi na. Lihlazo ngokwenene eli kuba umzimba wabasetyhini uyamangalisa kwaye ndicinga ukuba ukuze uyiqonde ngokupheleleyo ingxaki, abaguli kufuneka bayiqonde ngcono imizimba yabo. ”

U-Prendergast uthi ngesiqhelo xa abantu bevela kunyango lomzimba, bakwiyeza ezininzi ezahlukileyo ezichazwe ngoogqirha abohlukeneyo kwaye abasoloko beqinisekile ukuba kutheni bekwezinye zezi meds.

Ngenxa yokuba i-PT inokuchitha ixesha elininzi kunye nezigulana zazo kuninzi koogqirha, bayakwazi ukujonga ukhathalelo lwabo lwangaphambili lwezonyango kwaye babancede babamatanise nomboneleli wezonyango onokulawula kakuhle imeko yezonyango.

Ngamanye amaxesha, inkqubo ye-muscular pelvic ayibangeli ngokwenene intlungu, i-Prendergast ibonisa, kodwa izihlunu zihlala zibandakanyeka ngandlela-thile. "Ngokuqhelekileyo abantu abane- [pelvic floor] syndromes bafumana isiqabu kunyango lomzimba wentloko ngenxa yokubandakanyeka kwamathambo," utshilo.

Injongo yethu yayikukuba ndibe novavanyo lwe-pelvic yi-OB-GYN yam okanye ndikwazi ukunyamezela i-dilator-size size ngaphandle kwentlungu.

Kwintlanganiso yethu yokuqala, uChristensen wandibuza ukuba ndingakulunga na xa ndizama ukwenza uvavanyo lwe-pelvic. (Asingabo bonke abantu basetyhini abenza iimviwo kwithuba labo lokuqala lokuqeshwa. UChristensen undixelela ukuba abanye abantu basetyhini bathatha isigqibo sokulinda kude kube lusuku lwesibini, okanye nolwesithathu, okanye lwesine, ukwenza uviwo-ngakumbi ukuba banembali yokwenzakala okanye abakho ezilungiselelwe ngokwasemphefumlweni.)

Uthembise ukuhamba kancinci kwaye ayeke xa ndiziva ndingonwabanga kakhulu. Ndandisoyika, ndavuma. Ukuba ndiza kujongana nale nto ubuso ngobuso kwaye ndiqale ukuyiphatha, kufuneka ndiyenze le nto.

Ngomnwe wam ngaphakathi kum, uChristensen wakhankanya ukuba izihlunu ezithathu zangaphandle zomqolo kwicala ngalinye zazomelele kwaye ziqinile xa uzichukumisa. Ndandiqinile kwaye ndibuhlungu kuye ukuba ajonge esona sihlunu sinzulu (i-obturator internus). Ekugqibeleni, wajonga ukuba andinakwenza iKegel okanye ndiphumle izihlunu, kwaye andikwazi kwenza njalo.

Ndibuze uChristensen ukuba ngaba oku kuqhelekile kwizigulana.

"Njengokuba uzikhuphile kule ndawo, kunzima kakhulu 'ukufumana' ezi zihlunu ukuze wenze uKegel. Abanye abaguli abaneentlungu zethambo lomqolo baya kuba nakho ukwenza iKegel kuba basebenza ixesha elininzi ngenxa yokoyika iintlungu, kodwa uninzi alunakho ukutyhala, utshilo.

Iseshoni iphelile ngokucebisa ukuba siqale ngesicwangciso sonyango lweeveki ezisi-8 kunye nesindululo sokuba ndithenge iseti yeedilators kwi-Intanethi ukuqhubeka nokusebenza kwizinto ekhaya.

Injongo yethu yayikukuba ndibe novavanyo lwe-pelvic yi-OB-GYN yam okanye ndikwazi ukunyamezela i-dilator-size size ngaphandle kwentlungu. Ewe kunjalo, ukukwazi ukuba neentlobano zesini ngaphandle kweentlungu yeyona njongo iphambili.

Ndaziva ndinethemba xa ndigoduka. Emva kweminyaka yokujongana nale ntlungu, ekugqibeleni ndandisendleleni yokubuyela kwimeko yesiqhelo. Kwaye, ndimthembile uChristensen. Emva kweseshoni enye, wandenza ndaziva ndikhululekile.

Bendingakholelwa ukuba kungafika kungekudala ixesha apho ndinokunxiba itampon.

U-Prendergast uthi ayingombono mhle ukuzama ukunyanga iintlungu zangasese ngokwakho kuba ngamanye amaxesha ungagcina usenza izinto zibe mbi ngakumbi.

Kwiseshoni yam yonyango elandelayo, ugqirha wam wagxininisa into yokuba ndaye ndaphumelela uvavanyo lwam lwe-pelvic

Khange ndiyicinge nokuyicinga de kube lelo xesha. Ngokukhawuleza, ndandilila iinyembezi zovuyo. Andizange ndikholelwe. Andizange ndicinge ukuba uvavanyo lwe-pelvic oluyimpumelelo lunokwenzeka kum.

Ndonwabe kakhulu kukwazi ukuba iintlungu azikho "zonke entlokweni yam."

Yayiyinyani. Bendingathatheli nje kwintlungu. Emva kweminyaka ndibhalwe phantsi ngoogqirha kwaye ndaziyeka ukuba andizokwazi ukuba nolwalamano olusenyongweni endilifunayo, iintlungu zam zaqinisekiswa.

Xa i-dilator ekhuthazwayo ingena, ndiphantse ukuwa ngokujonga ubungakanani obahlukeneyo. Encinci (emalunga neesentimitha ezi-6 ububanzi) yayijongeka inokwenzeka, kodwa ubukhulu obukhulu (malunga ne-intshi ye-1.5 ububanzi) bandinika uxinzelelo olukhulu. Kwakungekho ndlela yokuba le nto yayihamba kwilungu lobufazi bam. Hayi.

Omnye umhlobo wakhankanya ukuba naye uphumile xa ebona i-dilator yakhe iseti emva kokuthatha isigqibo sokuzama ukunyanga yedwa. Ubeke iseti kwelona shelufu iphakamileyo kwigunjana lakhe kwaye wala ukuyijonga kwakhona.

U-Prendergast uthi ayingombono mhle ukuzama ukunyanga iintlungu zangasese ngokwakho kuba ngamanye amaxesha ungagqiba wenze izinto zibe mandundu. "Uninzi lwabasetyhini aluyazi indlela yokusebenzisa [i-dilators], kwaye abazi ukuba basebenzise ixesha elingakanani, kwaye abanalo ukhokelo oluninzi, utshilo.

Kukho izizathu ezahlukileyo zentlungu ye-pelvic ekhokelela kwizicwangciso zonyango ezahlukileyo-izicwangciso ezinokuthi zincede kuphela ingcali.

Ndimalunga nesiqingatha sesicwangciso sam sonyango, kwaye ibe ngamava angaqhelekanga kwaye anyanga kakhulu. Kwimizuzu engama-45, i-PT yam ineminwe kwilungu lobufazi ngelixa sixoxa ngeeholide zethu zamva nje okanye izicwangciso ezizayo zempelaveki.

Buhlobo obusondeleyo, kwaye kubalulekile ukuba uzive ukhululekile nge-PT yakho kuba ukwimeko enjalo yokuba sesichengeni- ngokwasemzimbeni nasengqondweni. Ndifundile ukugqitha kobo bunzima kwaye ndibulela ukuba uChristensen unesakhono esikhethekileyo sokundenza ndizive ndikhululekile mzuzu ndingena egumbini.

Kananjalo wenza umsebenzi omkhulu wokubamba incoko kunye nam kulo lonke unyango. Ngexesha lethu, ndiye ndibandakanyeke kwincoko kangangokuba ndilibale ukuba ndiphi.

“Ndizama ngabom ukukuphazamisa ngexesha lonyango, ukuze ungagxili kakhulu kwiintlungu zonyango. Ngapha koko, ukuthetha ngeeseshoni zethu kuyaqhubekeka nokwakha ubudlelwane obubaluleke kakhulu- kwakha ukuthembana, kukwenza uzive ukhululeke, kwaye kwenza ukuba kube lula ukubuyela kutyelelo olulandelayo ukuze ubengcono, ”utshilo utsho.

UChristensen uhlala egqiba iiseshoni zethu ngokundixelela ukuba ingakanani inkqubela endiyenzayo. Uyandikhuthaza ukuba ndiqhubeke ndisebenza kwizinto ekhaya, nokuba ndifuna ukuthatha kancinci.

Ngelixa undwendwelo luhlala luza kuba nzima, ngoku ndijonga njengexesha lokuphilisa kunye nexesha lokujonga kwikamva.

Ubomi buzele ziimeko ezinzima, kwaye la mava andikhumbuza ukuba ndifuna nje ukuwamkela.

Iziphumo ebezingalindelekanga ziyinyani

Ngoku ngesiquphe ndijonga eli candelo lomzimba wam endiye ndalivalela ngaphandle ixesha elide, kwaye kuvakala ngathi ndifumana inxenye yam endingazange ndiyazi ukuba ikho. Kuphantse kufane nokuvuswa kwesondo okutsha, ekufuneka ndikwamkele, luvakalelo oluhle kakhulu.

Kodwa kwangaxeshanye, bendisoloko ndibetha neendawo ezivaliweyo.

Emva kokoyisa obona buncinane, ndaye ndazithemba kakhulu. UChristensen wayendilumkisile ngolwahluko lobungakanani phakathi kwesixazululi sokuqala kunye nesesibini. Ndivakalelwa ngathi ndingayenza ngokulula le nto yokutsiba, kodwa bendiphazama kakhulu.

Ndakhala ngeentlungu xa ndizama ukufaka ubungakanani obulandelayo ndoyiswa.

Ngoku ndiyazi ukuba le ntlungu ayizukulungiswa ngobusuku, kwaye yinkqubo ecothayo enamahla ndinyuka amaninzi. Kodwa ndiyakholelwa ngokupheleleyo kuChristensen, kwaye ndiyazi ukuba uyakuhlala enam kule ndlela yokubuyela kwimeko yesiqhelo.

Uya kuqinisekisa ukuba ndiyazifezekisa iinjongo zam, nokuba andizikholelwa ngokwam.

Bobabini uChristensen kunye no-Prendergast bakhuthaza abantu ababhinqileyo abafumana naluphi na uhlobo lwentlungu ngexesha lokwabelana ngesondo okanye iintlungu zesisu ngokubanzi ukuba bajonge kunyango lomzimba njengonyango.

Uninzi lwabafazi-kubandakanya nam-bafumana i-PT bebodwa emva kweminyaka yokukhangela isifo okanye unyango lwentlungu yabo. Kwaye ukukhangela i-PT elungileyo kunokuziva kunzima.

Kubantu abafuna uncedo lokufumana umntu, i-Prendergast icebisa ukuba ujonge i-American Physical Therapy Association kunye ne-International Pelvic Pain Society.

Nangona kunjalo, ngenxa yokuba kukho iinkqubo ezimbalwa kuphela ezifundisa i-pelvic floor physiotherapy curricula, kukho uluhlu olubanzi kwiindlela zonyango.

Unyango lomgangatho wepelvic lunokunceda:

• ukungakwazi ukuzibamba
• ubunzima ngokunyakaza kwesisu okanye kokuhamba kwamathumbu
• isini esibuhlungu
• ukuqhina
• iintlungu zangasese
• endometriosis
• lobufazi
• iimpawu zokuyeka ukuya exesheni
• ukukhulelwa kunye nokuba sempilweni nasemva kokubeleka

“Ndingacebisa ukuba abantu batsalele umnxeba iziko kwaye mhlawumbi bacwangcise ixesha lokuqala ukuze babone ukuba uziva njani ngalo. Ndicinga ukuba amaqela enkxaso yesigulana athambekele ekuvaleni amaqela e-Facebook kwaye banokucebisa abantu kwiindawo ezithile zejografi. Ndiyazi ukuba abantu bakubiza [ukuziqhelanisa kwethu] kakhulu kwaye sizama ukubadibanisa nomntu esimthembayo kwingingqi yabo, utshilo u-Prendergast.

Ugxininisa ukuba ngenxa yokuba unamava amabi nge-PT enye, oko akuthethi ukuba kuya kufuneka ulahle yonke into. Qhubeka uzama ababoneleli abahlukeneyo de ufumane ulungiso olulungileyo.

Kuba ngokunyaniseka, unyango lomzimba wangaphambi kobudala sele butshintshe ubomi bam baba ngcono.

Ndiqale ukuya kwimihla ngaphandle koloyiko lokuba kunokwenzeka ukuba sisondele emzimbeni kwixesha elizayo. Okokuqala ngqa, ndinokubona ngekamva elibandakanya iitampon, iimviwo zangasese, kunye neentlobano zesini. Kwaye iziva ikhululekile.

UAllyson Byers ngumbhali ozimeleyo kunye nomhleli osekwe eLos Angeles othanda ukubhala malunga nayo nayiphi na into enxulumene nempilo. Ungabona ngakumbi ngomsebenzi wakhe e www.bashun.com kwaye ulandele kuye Imidiya yokuncokola.