Izvo Zvinofanira Kuzivikanwa Nemukadzi wese Nezve Pelvic Floor Kusashanda

Zvemukati

• Kurara pabonde kunogona kuva chiratidzo.
• Chikonzero chacho hachisati chanyatsojeka.
• Misdiagnosis idambudziko rakajairika kune avo vane PFD.
• Ikoko vari nzira dzekurapa-uye kurapwa kwemuviri ndechimwe chazvo.
• Kwete, hausi kupenga nekufunga kuti pane dambudziko.
• Ongororo ye

Zosia Mamet ine meseji yakapfava yevakadzi kwese kwese: Kurwadzisa kurwadziwa kwepamuviri hakuna kujairika. Muhurukuro yake ye2017 MAKERS Musangano svondo rino, ane makore makumi maviri nemapfumbamwe akavhura nezvehondo yake yemakore matanhatu kuti awane chikonzero chezvaanonzwa kunge "UTI yakaipa kwazvo pasi rose." Inobuda, yaive chimwe chinhu chakasiyana zvakanyanya.

Kutambura ne "kupenga urinary frequency" uye "kusingatsungiririki" kurwadziwa pabonde, Mamet anoti akaenda kwachiremba wese uye nyanzvi yaaigona kuwana kutsvaga mhinduro, asi pakaongororwa weti, MRIs, uye maasloundound zvakadzoka zvakajairika, vanachiremba vake vakatanga kusava nechokwadi nekunyunyuta kwake uye nhanho yekurwadziwa. Mumwe akamuziva zvisizvo neSTD ndokumuisa pamushonga unorwisa mabhakitiriya; mumwe akataura kuti "ave kupenga." (Mutevedzeri waMamet, Vasikana munyori-mugadziri Lena Dunham anga achitaurawo nezvehutano hwake hwekunetseka neendometriosis.)

Mushure mekuyedza zvese kubva painkillers kusvika hypnosis, Mamet akaenda kune mukadzi wake wekutanga doc uye pakupedzisira akawana mhinduro-mamiriro, akazivisa, izvo zvinokatyamadza zvakajairika: pelvic floor dysfunction (PFD). Saka, chii chaizvo chiri pasi pechiuno chako? Izwi iri rinoreva boka remhasuru, ligaments, connective tissues, uye tsinga dzinotsigira nekubatsira nhengo dziri munzvimbo yepelvic yako kushanda nemazvo. Kune vakadzi, nhengo dziri mumibvunzo dzinoreva dundira rako, chibereko, nyini, uye rectum. Sekureva kweCleveland Clinic, kuderera kwepelinha kunotsanangurwa sekusakwanisa kudzora tsandanyama dzechiuno kuitira kuti ubudise ura, kana kunyanya, vanhu vane PFD vanobata mhasuru idzi pane kuvazorodza.

Kunyangwe Mamet akazowana mhinduro yake (uye kurapwa kwakaringana) mushure memakore ekugumburisa vanachiremba nekuona zvisirizvo, kurwira kwake hakusi kutsva Kunyangwe kushomeka kwekuziva nezvechirwere ichi, zvidzidzo zvinoratidza kuti mumwe pavakadzi vatatu anozoona PFD mune yavo hupenyu hwese, asi nyika yevakadzi yehutano ichiri kuchengeta ruzivo nezve izvi "pasi pegaga," anodaro Robyn Wilhelm, murapi wepanyama anomhanyisa nzvimbo yepelvic floor yekurapa nzvimbo muArizona. Pano, Wilhelm anogovera zvakawanda nezve izvo PFD chaizvo, kuti inoonekwa sei, uye zvatingaite kuti tigadzirise.

Kurara pabonde kunogona kuva chiratidzo.

Zviratidzo zvekutanga zvakajairika marwadzo epamuviri kana ekugwinha, kusanganisira kurwadziwa nekuita bonde, "anodaro Wilhelm. Asi kurwadziwa handicho chega chiratidzo chekuti pane dambudziko. Nekuda kwenzvimbo yemhasuru dzechiuno, mamiriro acho Zvinogonawo kukonzera kusashanda zvakanaka dundira rako uye/kana maura-zvinozoita kuti weti uye fecal incontinence kana kusvira, anodaro... (PS Wanga uchiziva here kuti kukoira uri mushower kune mamwe mabhenefiti anoshamisa?)

Chikonzero chacho hachisati chanyatsojeka.

Uchifunga kuti vangani vakadzi vanobatwa, unogona kufunga kuti vanachiremba vane chekubata pane izvo chaizvo zvinokonzeresa PFD. Funga futi. Iyo sainzi nyika ichiri kuyedza kurovera pasi chaicho chakakonzera kusagadzikana. Nepo imwe huru yekufungidzira isiri iyo ndeye mhedzisiro yekuzvitakura kana kubereka, uye hazvifanirwe kuitika kuti mukadzi ave panjodzi yekuvandudza PFD, anodaro Wilhelm. Zvimwe zvikonzero zvazvinogona kukura zvinosanganisira kukuvara kunorwadza, kana kusagadzikana mamiriro. Uyezve, vatambi vechikadzi vanowanzotaura zviratidzo zvine chekuita nePFD, senge urinary incontinence, asi chikonzero hachizivikanwe, anodaro. Kutsvaga iyo yakakonzera PFD yako inogona kunge iri yakareba, mutero maitiro ekuferefeta uye kuyedza, asi nyanzvi dzakadai sechiuno pelvic Therapists kana vanachiremba vane ruzivo kwazvo mudunhu repelvic, vanogona kukwanisa kupa mhinduro yakajeka, anodaro Wilhelm . Kunyangwe zvakadaro, iyo nzira uye yekukonzeresa nzira ichiri kuoma kuona mune dzimwe nguva, anonyevera.

Misdiagnosis idambudziko rakajairika kune avo vane PFD.

Zvinosuruvarisa, makore aMamet akapedzwa achifamba kubva kuna chiremba kuenda kuna chiremba asina mhinduro inhoroondo yakajairika - zvinoratidza izvo izvo Wilhelm anodana "kushayikwa kwekuziva uye ruzivo" mune zvekurapa, zvese nzira yekuongorora PFD uye zvekuitira vakadzi vanotambura kubva pazviri. "Paavhareji, vanhukadzi vanozoona nyanzvi shanu kusvika kumatanhatu vasati vabatwa nemazvo," anodaro. "Kuziva kwakavandudzika zvishoma mumakore mashanu apfuura kana zvakadaro, asi tichine vakadzi vazhinji vanotambura chinyararire kana kusakwanisa kuwana rubatsiro rwavanoda."

Ikoko vari nzira dzekurapa-uye kurapwa kwemuviri ndechimwe chazvo.

Kuonekwa kuti une PFD hazvireve kuzviisa pasi pehupenyu hwekutambudzika. Nepo mushonga (semuenzaniso, mhasuru inozorodza) inogona kushandiswa kugadzirisa marwadzo, biofeedback kuburikidza nemushonga wepanyama ndiwo mushonga unoshanda kwazvo. Sekureva kweCleveland Clinic, iyo nzira yekuvhiya inopa kuvandudzwa kweanopfuura 75 muzana yevarwere vanoiyedza. "Kurapa kwemumuviri kunoitwa nachiremba wepamuviri kunogona kubatsira zvikuru," anodaro Wilhelm. Nepo tsandanyama dzepelvic dziridzo dzakatariswa kurapwa uku, mamwe mamhasuru anogona kunge achikonzera marwadzo zvakare, saka pane zvakawanda kune izvi pane kurara patafura. Mamwe maitiro anoshandiswa naWilhelm nevarwere vake anosanganisira ekunze uye emukati bhuku rekurapa, kuburitswa kwemyofascial, kutambanudza, uye kukurudzira kwemagetsi.

Kwete, hausi kupenga nekufunga kuti pane dambudziko.

“Vanhu vanorasa zvisizvo zviratidzo zvinowanzoitika nePFD, sekutadza kuita weti, se‘zvakajairika’ zvekuva nevana uye kukura,” anodaro Wilhelm. "Zvinogona kuve zvakajairika, asi hazvifanirwe kuonekwa sezvakanaka." Saka, kana iwe uchifunga kuti uri mumwe wevakadzi ava, zviponese makore ekutambura chinyararire uye tungamira kuna chiremba kana murapi anorapa PFD stat.

Ongororo ye