Indlela yokufundisa kabusha i-perineum?

I-Perineum: umsipha obalulekile okufanele uwuvikele

I-perineum iyisethi yemisipha eyakha i-hammock, phakathi kwe-pubis nesisekelo somgogodla. Leli bhande lemisipha lisekela i-pelvis encane nezitho ezifana nesinye, isibeletho, kanye ne-rectum. I-perineum isiza ukugcina umchamo kanye ne-anal continence. Ama-Anglo-Saxons ayibiza ngokuthi “i-pelvic floor” okusho ukuthi “isinqe”, Futhi inalo ngempela indima yephansi, ngakho-ke ukubaluleka kwayo! Ngaphakathi, i-perineum yakhiwe izingqimba ezihlukahlukene zemisipha, ezibizwa ngokuthi izindiza. Phakathi kwazo kukhona i-levator ani muscle, ebamba iqhaza ekugayeni ukudla futhi idlala indima ebalulekile kuma-pelvic statics. Imisipha ye-pubo-coccygeal iyi-ejenti enamandla ukwesekwa kwe-pelvic viscera, i-rectum, i-vagina, isibeletho. Ngokombono wezocansi, kuvumela a injabulo eyengeziwe.

Ukuvuselelwa kwe-perineum: izincomo

I-Perineum ne-perineal rehabilitation: sikuphi?

NgoDisemba 2015, izincomo ezintsha ze-gynecologists (CNGOF) zaba nomthelela webhomu (mini)! “ Ukuvuselelwa kwe-Perineal kwabesifazane abangenazo izimpawu (i-incontinence) ezinyangeni ezi-3 akukhuthazwa. […] Alukho ucwaningo oluye lwahlola ukuvuselelwa kwe-perineum ngenhloso yokuvimbela ukungakwazi ukuzibamba komchamo noma indunu esikhathini esimaphakathi noma eside ”, phawula laba chwepheshe. Ku-Anne Battut, umbelethisi: “Lapho i-CNGOF ithi:” Akunconywa ukwenza … “, kusho ukuthi ucwaningo aluzange lubonise ukuthi ukwenza lesi senzo kunciphisa ubungozi. Kodwa akunqatshelwe ukwenza kanjalo! Ngokuphambene nalokho. EKholeji Likazwelonke Lababelethisi baseFrance, kunezici ezimbili okufanele zihlukanise: imfundo ye-perineal kanye nokuvuselelwa kwe-perineal. Obani abesifazane abaqaphela izimo ezingaba yingozi noma zibe wusizo ku-perineum? Noma labo abakwaziyo ukuyigcina nsuku zonke? Abesifazane kufanele babe nolwazi olungcono ngale ngxenye ye-anatomy ”. Okwamanje futhi kusukela ngo-1985, ukuvuselelwa kwe-perineal (cishe amaseshini ayi-10) kumbozwe ngokugcwele yi-Social Security, kubo bonke abesifazane, ngemva kokubeletha.

I-Perineum: ithoni yemisipha

Manje ukuvakasha kwangemva kokubeletha nodokotela wezifo zabesifazane noma umbelethisi, emasontweni ayisithupha kuya kwayisishiyagalombili ngemva kokubeletha, uchwepheshe uzohlola i-perineum yethu. Kungenzeka ukuthi ayiboni noma yikuphi ukuphazamiseka. Kusazomele kuxhunyanwe nayo izivivinyo zokufinyeza ukwenza ekhaya, ngaphambi kokuqalisa kabusha noma yimuphi umsebenzi wezemidlalo. Umuntu angakwazi, kusukela ngosuku lwangemva kokubeletha, azilolonge “ugqozi lwesifuba samanga”Njengoba kwelulekwa uDkt. Bernadette de Gasquet, udokotela kanye nothisha we-yoga, umbhali we-“ Périnée: asinqande isibhicongo ”, eshicilelwe nguMarabout. Kumayelana nokukhipha umoya ngokugcwele: lapho amaphaphu engenalutho, kufanele ucindezele ikhala lakho futhi wenze sengathi udonsa umoya, kodwa ungakwenzanga lokho. Isisu singenalutho. Lo msebenzi kufanele wenziwe kabili noma kathathu ngokulandelana ukuze uzwe izisu kanye ne-perineum ikhuphuka. Akufanele ulinde ukuze usebenzise lezi ziqinisi. Izingane ezisanda kuzalwa zingase zizwe ubuhlungu esiswini lapho zimile, njengokungathi izitho azisasekelwa.

I-Perineum: siyibeka ekuphumuleni

Emhlabeni ophelele, enyangeni elandela ukubeletha, isikhathi esiningi kufanele sisetshenziswe ulele kunokuma phakathi nenkathi yamahora angu-24. Lokhu kuvimbela ukukhula okuqhubekayo kwemisipha ye-pelvic floor. Kuphambene ncamashí nomphakathi ophoqelela omama! Siyaqhubeka nokubeletha endaweni ye-gynecological (okubi ku-perineum) futhi siphoqeleka ukuba sime ngokushesha ukuze sinakekele umntwana osanda kuzalwa (futhi uyothenga!). Ngenkathi kuzothatha hlala embhedeni uthole usizo. Enye inkinga ukuqunjelwa kwangemva kokubeletha, okuvamile futhi okuyingozi kakhulu esinqeni. Kubalulekile ukuthi ungavumeli ukuqunjelwa kungene, futhi ungalokothi "uphushe". Uma sisendlini yokugezela, ukuze sinciphise isisindo ku-perineum, sibeka isichazamazwi noma isinyathelo ngaphansi kwezinyawo zethu. Siyakugwema ukuhlala isikhathi eside esihlalweni futhi siya lapho ngokushesha lapho sizwa isidingo.

Lapho ukuvuselelwa kwe-perineal kubalulekile

Ngemva kokubeletha, Kunamaqembu amathathu abesifazane: 30% abanayo inkinga, futhi 70% asele aba ngamaqembu amabili. “Ezimweni ezingaba ngu-40%, ngesikhathi sokuvakasha kwangemva kokubeletha, siqaphela ukuthi izicubu ze-perineum zinyakazekile. Kungase kube nemisindo yomoya esithweni sangasese sowesifazane (ngesikhathi socansi) kanye nokungakwazi ukuzithiba (umchamo, indunu noma igesi). Kulokhu, ngaphezu kokuzivocavoca komuntu siqu okwenzile ekhaya, qala ukuvuselelwa, ngesilinganiso sezikhathi eziyi-10 kuye kweziyi-15, nochwepheshe ”, kweluleka u-Alain Bourcier, udokotela wamazinyo. I-Electrostimulation, noma i-biofeedback, iwukuqeqeshwa ngeziqephu zokuphumula nokuphumula, kusetshenziswa ama-electrode noma uphenyo olufakwe esithweni sangasese sowesifazane. Lokhu kuqeqeshwa nokho kulinganiselwe futhi akukuvumeli ukuthi wazi ngokujulile izigaba ezihlukene ze-perineum. U-Dominique Trinh Dinh, umbelethisi, usesungule ukuvuselelwa okubizwa nge-CMP (Ulwazi Nokulawula I-Perineum). Imayelana nokubona ngeso lengqondo kanye nokufinyeza le sethi yemisipha. Ukuzivocavoca kufanele kuqhutshekwe ekhaya nsuku zonke.

Abasebenzi abasebenza ngokukhethekile ekuvuseleleni i-perineum

Okokugcina, kwabesifazane abangu-30%, ukulimala kwe-perineum kubaluleke kakhulu. I-incontinence ikhona futhi kungase kube ne-prolapse (ukwehla kwezitho). Kulokhu, isiguli sithunyelwa a ukuhlolwa kwe-perineal esikhungweni esikhethekile, lapho kuzokwenziwa khona ukuhlolwa kwe-X-ray, ukuhlolwa kwe-urodynamic kanye ne-ultrasound. Uma ukhathazekile, thintana ne-physiotherapist noma umbelethisi onguchwepheshe be-perineal pathology. Inani lamaseshini lizohlolwa ngokwezidingo. Lokhu ukuvuselelwa kwe-perineal kubalulekile ukubuyisela ithoni futhi uvimbele ukuphazamiseka ukuthi kungabi kubi ngesikhathi sokunqamuka kokuya esikhathini. Uma izimpawu ziqhubeka naphezu kokuvuselelwa ngokucophelela nochwepheshe bezempilo abaqeqeshiwe, ukuhlinzwa kufanele kucatshangelwe. Kungenzeka ukuzuza ekufakweni kwe-suburethral sling, yohlobo lwe-TVT noma lwe-TOT. Ifaneleka njengokuthi "ukuhlinzwa okuncane kakhulu", kuhilela ukubeka, ngaphansi kwe-anesthesia yendawo, umcu wokuzinamathisela ezingeni le-urethral sphincter. Kuyasiza ukumisa ukuvuza komchamo lapho uzikhandla, futhi akuvimbeli ukuba nezinye izingane ngemva kwalokho. Uma i-perineum ithoniswe kahle, singabuyela kwezemidlalo.

Izindlela ezintathu zokwakha imisipha ekhaya

Amabhola e-Geisha

Kubhekwa njengamathoyizi ocansi, amabhola e-geisha angasiza ekuvuseleleni. Lezi yizimbulunga, ngokuvamile ezimbili ngenombolo, ezixhunywe ngomucu, ukuze zifakwe esithweni sangasese. Zingaba ngobukhulu obuhlukene, ubujamo kanye nezinto zokwakha (i-silicone, ipulasitiki, njll.). Zifakwa ngejeli elincane lokugcoba futhi zingagqokwa emini. Izovusa i-perineum yalabo abangakudingi ukuvuselelwa ngokuqondile.

Izigaxa zesitho sangasese sowesifazane

Lesi sisetshenziswa sinesisindo esingama-30 g futhi singena esithweni sangasese. Ifakwe intambo efana neye-tampon. Ukwakheka okuhlukene nezisindo kwenza kube nokwenzeka ukujwayela izivivinyo ngokuya ngomthamo wephansi le-pelvic. Ngenxa yomshini wemvelo, izigaxa zesitho sangasese sowesifazane sangasese sowesifazane zisebenza kahle kakhulu. Umuntu kufanele azame ukubamba lezi zinsimbi ngenkathi emile.

Ukuqina kwe-Perineum

Kukhona amadivaysi e-neuromuscular electrostimulation asiza ukuqinisa i-perineum ekhaya. Ama-electrode angu-8 abekwe phezulu emathangeni ayafinyela futhi ahlanganise yonke imisipha ye-pelvic floor. Isibonelo: I-Innovo, osayizi abangu-3 (S, M, L), € 399, emakhemisi; ibuyiselwe kancane Umshwalense Wezempilo uma kwenzeka unikezwa incwadi kadokotela.