Nzira yekudzidzisazve perineum?

Perineum: tsandanyama yakakosha kudzivirira

Iyo perineum seti yemhasuru dzinoumba hammock, pakati pe pubis uye hwaro hwemusana. Iri mhasuru bhendi rinotsigira diki pelvis uye nhengo dzakaita sedundira, chibereko, uye rectum. Iyo perineum inobatsira kuchengetedza urinary uye anal continence. MaAnglo-Saxons anoidana iyo "pelvic floor" ye "pelvic uriri”, Uye ine basa iri repasi, saka kukosha kwayo! Mukati, perineum inoumbwa nezvikamu zvakasiyana zvetsandanyama, zvinonzi ndege. Pakati pavo pane levator ani muscle, iyo inotora chikamu mukugadzika continence uye inoita basa rakakosha mu pelvic statics. Iyo pubo-coccygeal tsandanyama inhengo ine simba ye kutsigirwa kwepelvic viscera, rectum, vagina, chibereko. Kubva pakuona kwepabonde, inobvumira a kufara kwakawedzera.

Kugadziriswa kwe perineum: mazano

Perineum uye perineal rehabilitation: tiri kupi?

Muna Zvita 2015, kurudziro nyowani dzevana gynecologists (CNGOF) yakave nemhedzisiro ye (mini) bhomba! “ Perineal rehabilitation muvakadzi vasina zviratidzo (incontinence) pamwedzi 3 hazvikurudzirwi. […] Hapana ongororo yakaongorora kudzoreredzwa kweperineum nechinangwa chekudzivirira weti kana kusazvibata kwetsvina munguva yepakati kana kureba ”, cherechedzai nyanzvi idzi. Kuna Anne Battut, nyamukuta: “Kana CNGOF ichiti:” Hazvikurudzirwe kuita… “, zvinoreva kuti zvidzidzo hazvina kuratidza kuti kuita chiitiko ichi kunoderedza njodzi. Asi hazvirambidzwe kuita kudaro! Zvakatopesana. Kune National College of Midwives yeFrance, pane zvinhu zviviri zvekusiyanisa: perineal dzidzo uye perineal rehabilitation. Ndivanaani vakadzi vanoziva mamiriro ezvinhu anogona kukuvadza kana kubatsira kune perineum? Kana kuti vaya vanoziva kuichengeta zuva nezuva? Vakadzi vanofanirwa kuve neruzivo rwakanaka rwechikamu ichi cheanatomy ”. Parizvino uye kubvira 1985, perineal rehabilitation (inenge gumi masesheni) inofukidzwa zvizere neSocial Security, yevakadzi vese, mushure mekusununguka.

Perineum: tsandanyama kune toni

ikozvino kushanya mushure mekusununguka nachiremba wechikadzi kana nyamukuta, mukati memavhiki matanhatu kusvika masere mushure mekusununguka, nyanzvi ichaongorora perineum yedu. Zvinokwanisika kuti haioni chero anomalies. Zvichiri kufanira kunzwisiswa nazvo contraction exercises kuita kumba, usati watangazve chero chiitiko chemitambo. Munhu anogona, kubva pazuva rekuzvarwa, kudzidzira "kufuridzirwa kwechipfuva chenhema"Sekurairwa naDr. Bernadette de Gasquet, chiremba uye mudzidzisi weyoga, munyori we" Périnée: ngatimise kuponda ", rakabudiswa naMarabout. Ndezvekufema zvakazara: kana mapapu asina chinhu, unofanirwa kudzvanya mhino dzako uye kuita kunge uri kutora mweya, asi usingaite. Dumbu rine mhango. Ichi chiitwa chinofanirwa kuitwa kaviri kana katatu mumutsara kuti unzwe madumbu uye perineum ichikwira. Iwe haufanirwe kumirira kudzidzira izvi zvinosimbisa. Vacheche vachangoberekwa vanganzwa kunzwa kuremerwa mudumbu kana vakamira, sokunge mitezo haichatsigirwi.

Perineum: tinoiisa pakuzorora

Munyika yakanaka, mumwedzi unotevera kusununguka, nguva yakawanda inofanira kupedzwa wakarara pane kumira kwemaawa 24. Izvi zvinodzivirira kuwedzera kupararira kwetsandanyama dzepelvic. Zvakapesana chaizvo izvo nzanga inomanikidza vanaamai! Isu tinoramba tichibereka munzvimbo yegynecological (yakaipa kune perineum) uye tinomanikidzwa kusimuka nokukurumidza sezvinobvira kutarisira mwana achangoberekwa (uye kuenda kunotenga!). Kunyange zvazvo zvaizotora gara pamubhedha uye ubatsirwe. Rimwe dambudziko ndere postpartum constipation, iyo inowanzoitika uye inokuvadza zvikuru pasi pechiuno. Zvakakosha kuti usarega kuvimbiswa kuchipinda, uye usambo "sundira". Patinenge tiri muimba yekugezera, kuti tireruke uremu pane perineum, tinoisa duramazwi kana nhanho pasi petsoka dzedu. Tinodzivisa kugara kwenguva refu pachigaro uye tinoenda ikoko nokukurumidza patinonzwa kudiwa.

Apo perineal rehabilitation inokosha

Mushure mekusununguka. Kune mapoka matatu evakadzi: 30% havana dambudziko, uye vasara makumi manomwe muzana vanowira mumapoka maviri. "Mune 40% yezviitiko, pakushanya mushure mekusununguka, tinoona kuti tsandanyama dze perineum dzakatambanudzwa zvishoma. Panogona kunge paine ruzha rwemhepo yemukadzi (panguva yebonde) uye kusazvibata (weti, musana kana gasi). Muchiitiko ichi, mukuwedzera kune maekisesaizi ega awakaita kumba, tanga kudzoreredza, pamwero wegumi kusvika gumi nemashanu masesheni, uine nyanzvi ", anopa zano Alain Bourcier, perineologist. Electrostimulation, kana biofeedback, kudzidzira nezvikamu zvekuzorora uye kuzorora, uchishandisa maelectrodes kana probe inoiswa mukati memukadzi. Kudzidziswa uku kwakangogumira uye hakukubvumidze kuti uzive zvakadzama matanho akasiyana e perineum. Dominique Trinh Dinh, nyamukuta, akagadzira chirongwa chekuvandudza chinonzi CMP (Knowledge and Control of the Perineum). Ndezvekuona uye kubata iyi seti yemamhasuru. Maekisesaizi anofanira kupfuuridzirwa kumba mazuva ose.

Varapi vane hunyanzvi mukudzoreredza perineum

Kugumisira asi kusiri kupedzisira, mu 30% yevakadzi, kukanganisa kwe perineum kwakakosha zvikuru. Kusagadzikana kuripo uye panogona kunge paine prolapse (kudzika kwenhengo). Muchiitiko ichi, murwere anotumirwa kune a perineal assessment mune imwe nzvimbo yakasarudzika, uko kuongororwa kweX-ray, kuongorora urodynamic uye ultrasound ichaitwa. Kana muchinetseka, bvunzai physiotherapist kana nyamukuta anoshanda neperineal pathology. Nhamba yezvikamu zvichaongororwa maererano nezvinodiwa. Izvi perineal rehabilitation kwakakosha kudzoreredza toni uye kudzivirira kusagadzikana kusawedzera panguva yekuenda kumwedzi. Kana zviratidzo zvikaramba zviripo pasinei nekunyatsogadziriswa nevashandi vehutano vane ruzivo, kuvhiyiwa kunofanira kufungwa. Zvinokwanisika kubatsirwa kubva pakusimwa kwe suburethral sling, yeTVT kana kuti TOT mhando. Inokodzera se "minimally invasive kuvhiyiwa", inosanganisira kuisa, pasi peanesthesia yemunharaunda, tambo yekuzvinamira padanho reurethral sphincter. Inobatsira kumisa kubuda kweweti pakushanda nesimba, uye haidzivisi kuita vamwe vana mushure. Kamwe perineum yakanyatso kurira, tinogona kudzokera kumutambo.

Nzira nhatu dzekuvaka tsandanyama kumba

Geisha mabhora

Inofungidzirwa sematoyi epabonde, mabhora egeisha anogona kubatsira nekudzoreredza. Aya mabhora, kazhinji maviri munhamba, akabatanidzwa neshinda, kuti apinzwe musikarudzi. Inogona kuva yehukuru hwakasiyana, maumbirwo uye zvinhu (silicone, plastiki, nezvimwewo). Ivo vanoiswa nekashoma gel uye vanogona kupfekwa mukati mezuva. Ichamutsa perineum yeavo vasingade kudzoreredzwa nekutaura chaiko.

Vaginal cones

Chishandiso ichi chinorema 30 g uye chinokwana mukati memukadzi. Yakagadzirwa netambo yakafanana neye tampon. Maumbirwo akasiyana uye huremu hunoita kuti zvikwanise kugadzirisa maekisesaizi zvichienderana nekugona kwepelvic pasi. Nekuda kwemaitiro echisikigo, iyo vaginal cones yakakwana perineal rehabilitation maekisesaizi. Munhu anofanira kuedza kubata masimbi aya akamira.

Perineum fitness

Kune neuromuscular electrostimulation zvishandiso zvinobatsira kusimbisa perineum kumba. Iwo maelectrode masere akaiswa pamusoro pezvidya anobvumirana uye anobatanidza mhasuru dzese dzepelvic floor. Muenzaniso: Innovo, 8 saizi (S, M, L), € 3, muma pharmacy; kudzoserwa zvishoma neHealth Inishuwarenzi kana paine gwaro rekurapa.