I-Physiotherapy ye-Urinary Incontinence

-Delile

• 1. Ukuzivocavoca kweKegel
• 2. Ukuzivocavoca ngokweqile
• 3. Izigaxa zesitho sangasese sowesifazane
• 5. Ukuqothula amandla kagesi
• 5. I-Biofeedback
• 6. Isimo esihle sokuhlala
• Ungazi kanjani ukuthi ukwelashwa kunomphumela
• Isikhathi sokwelashwa sokungavumelani nomchamo
• Ukudla kungasiza kanjani

Ku-physiotherapy kunezindlela ezinkulu zokwelashwa zokulawula umchamo, okhonjiswa ngaphambi noma ngemuva kokuhlinzwa.

I-Physiotherapy iqukethe ukuqinisa imisipha yomgogodla ukuvimbela ukulahleka kokuchama kokuzithandela, kepha ukuze kube nomphumela olindelekile, kufanele wenziwe nsuku zonke ekhaya, ngaphezu kokuya emtholampilo okungenani kanye ngesonto.

Ku-physiotherapy ngokungahambisani nomchamo, izivivinyo zeKegel, i-electrostimulation, i-biofeedback kanye nezigaxa zesitho sangasese sowesifazane zingasetshenziswa. Lolu hlobo lwezokwelapha lungakhonjiswa kuwo wonke amacala okungasebenzi, kungaba okuphuthumayo, ukucindezeleka, kwabesilisa, abesifazane, izingane, nangemva kokususwa kwendlala yesinye.

Ngezansi sibonisa ukuthi inqubo ngayinye ingenziwa kanjani.

1. Ukuzivocavoca kweKegel

Ukwenza izivivinyo zeKegel kufanele uqale ukhombe imisipha yangaphansi okhalo: zama nje ukubamba uchame ngenkathi uchama. Uma okungenani unganciphisa inani lomchamo kancane, kusho ukuthi uthola imisipha efanele.

Ukwenza lokhu kuvivinya umzimba, kufanele ukhiphe isinye sakho ngokuchama, bese kufanele ulale ngomhlane wenze lokhu kuncipha izikhathi eziyi-10 zilandelana, bese kufanele uphumule imizuzwana emi-5. Ngemuva kwalokho kufanele kwenziwe okunye okuphindiwe okungu-9 kwalolu chungechunge, kufinyelelwe ekuphikisweni okungu-100.

Ngemuva kwezinsuku ezimbalwa, ibhola lingangezwa phakathi kwemilenze noma amabhande okunwebeka ukusiza ukugcina ukugxila nokwenza lula ukuqedwa kwesethi ephelele kahle.

2. Ukuzivocavoca ngokweqile

Ukuze wenze lokhu kuvivinya umzimba, kufanele uhlale noma ume, futhi usinciphise isisu sakho ngangokunokwenzeka, ngenkathi futhi umunca imisipha yaphansi ye-pelvic. Ngalesi sikhathi sokuzivocavoca, kufanele uphefumule ngokwejwayelekile, kepha ukuze uqinisekise ukuthi imisipha engaphakathi kwesitho sangasese itholakale kahle, ingahlotshaniswa nokusetshenziswa kwe-electrostimulation.

3. Izigaxa zesitho sangasese sowesifazane

Emasontweni ambalwa ngemuva kokukwazi ukwenza izivivinyo zeKegel ngendlela efanele, udokotela we-physiotherapist uzokwazi ukukhombisa ukwethulwa kwama-cones amancane esithweni sangasese, ukuqinisa ngokwengeziwe imisipha yaphansi. Izigaxa zinesisindo esihlukile, futhi kufanele uqale ngokulula kakhulu. Ukuze kutholakale imiphumela emihle kakhulu i-physiotherapist ingakhombisa ukuthi ukuvivinya umzimba kwenziwa ezindaweni ezihlukene, kuhleliwe, kunamanga noma kumile, ngenhloso yokungavumeli ukuthi isigaxa siwele esithweni sangasese.

Ukuzivocavoca kokuqala kufanele kwenziwe nowesifazane elele phansi bese kuthi umfutho wokuzivocavoca ukhuliswe kuze kube yilapho owesifazane ekwazi ukugcina isigaxa ngaphakathi esithweni sangasese okungenani imizuzwana emi-5 simi, bese kuthi lapho senza isikwele, Ngokwesibonelo. Okunye ukuzivocavoca ukufaka isigaxa esithweni sangasese ungasilahli ngenkathi uhamba imizuzu engu-15 kuye kwengu-20.

5. Ukuqothula amandla kagesi

I-Electrostimulation kungenye insiza lapho kufakwa khona idivayisi ngaphakathi esithweni sangasese sowesifazane noma ezungeze ipipi futhi ipipi likhipha isibani sikagesi esikhanyayo, esithwala ngokuphelele esivumelana ne-perineum ngokungazibandakanyi. Ucwaningo lukhombisile ukuthi lokhu akulethi inzuzo enkulu ekwelashweni, kepha kungaba usizo olukhulu kwabesifazane abangazi kahle ukuthi imuphi umsipha abazowungenela, okuyindlela enhle ngezikhathi zokuqala.

5. I-Biofeedback

Ngakho-ke, njengakwi-electrostimulation, ithuluzi elincane kufanele lifakwe esithweni sangasese, lixhunywe kukhompyutha, elizokhiqiza izithombe nemisindo ngesikhathi sokuncipha kwe-perineum. Le divayisi ingaba wusizo kowesifazane ukuthi akwazi ukukhomba imisipha okufanele ayithinte, azi kahle amandla adinga ukuwenza ngesikhathi sokunyakaza ngakunye.

6. Isimo esihle sokuhlala

Kuyingxenye yokwelashwa ukugcina njalo ukuhlala okuhle, ngoba kunengcindezi encane esinqeni se-pelvic, esiza ukwelapha ukungazibambi ngokushesha. Ukuze uhlale ngendlela efanele, umuntu kufanele ahlale njalo phezu kwamathambo amancane wesinqe, ngaphandle kokuwela imilenze, futhi alondoloze ukusikwa okuncane kwesisu. Kulesi sikhundla, imisipha yaphansi ye-pelvic iyaqiniswa ngokwemvelo.

Ungazi kanjani ukuthi ukwelashwa kunomphumela

Ukuze kuqinisekiswe ukuthi ukwelashwa okwenziwayo kunomphumela olindelekile, i-physiotherapist ingasebenzisa i-perineometer (ukuhlolwa kukaWilcoxon) kanye nokuhlolwa lapho kufakwa khona iminwe emibili esithweni sangasese, icelwa ukuthi ithole i-perineum (ukuhlolwa kukaWilcoxon). Ngakho-ke, kuyenzeka ukuthi kuhlolwe ikhono lale misipha lokuthola inkontileka kusukela kuseshini yokuqala.

Isikhathi sokwelashwa sokungavumelani nomchamo

Isikhathi esithathiwe ukwelapha ukungasebenzi kahle komchamo sincike ebangeni lokukhubazeka kwe-perineum nasemizamweni yomuntu yokwenza izivivinyo. Isikhathi esilinganiselwe sokwelashwa siyahlukahluka kusuka ezinyangeni eziyisithupha kuya onyakeni owodwa, futhi cishe emavikini ayisithupha kuye kwayisishiyagalombili kungenzeka ukuthi uqaphele imiphumela yokuqala. Kepha ngemuva kwalesi sikhathi kuyalulekwa ukuqhubeka nokwenza izivivinyo masonto onke, ukuqinisekisa imiphumela isikhathi eside.

Kwezinye izimo, udokotela angancoma ukuhlinzekwa ukwelapha ukungalawuleki, kepha cishe eminyakeni emihlanu, kujwayelekile ukuthi zivele futhi izimpawu ezifanayo, okwenza kudingeke ukuthi ubuyele ekwelashweni ngokomzimba futhi.

Ukudla kungasiza kanjani

Bona ukuthi uphuza kanjani amanzi ngesilinganiso esifanele nokuthi yini enye ongayenza ukuze ukwazi ukulawula i-pee kule vidiyo: