Ukuqonda i-Levator Ani Syndrome

-Delile

• Ukuphazamiseka kwepelvic floor
• Izimpawu
• Ubuhlungu
• Izinkinga zomchamo namathumbu
• Izinkinga zocansi
• Izimbangela
• Ukuxilongwa
• Ukwelashwa kwasekhaya
• Isikwele esijulile
• Jabulisa ingane
• Imilenze inyuse udonga
• Ezinye izindlela zokwelapha
• Umbono

Ukubuka konke

I-Levator ani syndrome uhlobo lokungasebenzi kahle kwe-pelvic floor dysfunction. Lokho kusho ukuthi imisipha yaphansi yomkhaba iqine kakhulu. Iphansi le-pelvic lisekela i-rectum, isinye, ne-urethra. Kwabesifazane, ibuye isekele isibeletho nesitho sangasese sowesifazane.

I-Levator ani syndrome ivame kakhulu kwabesifazane. Uphawu lwayo oluyinhloko ubuhlungu obuhlala njalo noma obuvamisile ku-rectum obubangelwa ukuqhuma esikhaleni se-levator ani, esiseduze ne-anus. I-Levator ani syndrome inamanye amagama amaningi, kufaka phakathi:

• Ubuhlungu obungapheli be-anorectal
• proctalgia engapheli
• i-levator spasm
• ukungezwani kwe-pelvic myalgia
• i-piriformis syndrome
• isifo se-puborectalis

Ukuphazamiseka kwepelvic floor

Ukuphazamiseka kwepelvic floor kwenzeka lapho imisipha ingasebenzi kahle. Zivela ezinkingeni ezimbili. Kuphakathi kokuthi imisipha yangaphansi okhalo ikhululeke kakhulu noma iqine kakhulu.

Imisipha yangaphansi kwe-pelvic ekhululekile kakhulu ingadala ukuqhuma komzimba. Isinye esingasekelwa singaholela ekungangeni komchamo. Futhi kwabesifazane, umlomo wesibeletho noma isibeletho ungangena ocansini. Lokhu kungadala ubuhlungu beqolo, izinkinga ukuchama noma ukunyakaza kwamathumbu, nokuhlangana kabuhlungu.

Imisipha yangaphansi kwe-pelvic eqinile kakhulu ingaholela ekunciphiseni ukungasebenzi kahle kwe-pelvic floor. Lokhu kungadala izinkinga ngokugcina noma ukukhipha amathumbu, kanye nobuhlungu be-pelvic, ukuya ocansini okubuhlungu, noma ukungasebenzi kahle kwe-erectile.

Izimpawu

Izimpawu ze-levator ani syndrome zingaqhubeka futhi zithinte ikhwalithi yakho yokuphila. Iningi labantu abanale nkinga okungenani banezimpawu ezimbalwa ezilandelayo, uma kungezona zonke.

Ubuhlungu

Abantu abanalesi sifo bangathola ubuhlungu be-rectal abuhambisani nokuba nokunyakaza kwamathumbu. Kungaba mfushane, noma kungafika kudlule, kuhlala amahora amaningi noma izinsuku. Ubuhlungu bungalethwa noma benziwe buhlungu ngokuhlala noma ukulala phansi. Kungakuvusa ebuthongweni. Ubuhlungu buvame ukuphakama ku-rectum. Olunye uhlangothi, imvamisa kwesobunxele, lungazizwa luthambile kakhulu kunolunye.

Ungase futhi ube nobuhlungu obuphansi emuva obungasakazekela emgodini noma emathangeni. Emadodeni, ubuhlungu bungasabalala buye endlaleni yendlala, emasendeni, nakuthiphu yepipi kanye nomchamo.

Izinkinga zomchamo namathumbu

Ungahle uhlangabezane nokuqunjelwa, izinkinga zokudlula ukunyakaza kwamathumbu, noma ukuzijwayeza ukuzidlulisa. Ungase futhi ube nomuzwa wokuthi awukaqedi ukuba nokunyakaza kwamathumbu. Izimpawu ezingeziwe zingabandakanya:

• ukuqunjelwa
• odinga ukuchama kaningi, ngokuphuthumayo, noma ngaphandle kokukwazi ukuqala ukugeleza
• ubuhlungu besinye noma ubuhlungu bokuchama
• ukungabambeki komchamo

Izinkinga zocansi

I-Levator ani syndrome nayo ingadala ubuhlungu ngaphambi kocansi, ngesikhathi, noma ngemuva kokuya ocansini kwabesifazane. Emadodeni, lesi simo singadala ukujula okubuhlungu, ukukhishwa ngaphambi kwesikhathi, noma ukungasebenzi kahle kwe-erectile.

Izimbangela

Imbangela ngqo ye-levator ani syndrome ayaziwa. Ingahle ihlobane nanoma ikuphi kokulandelayo:

• ukungachami noma ukudlula indle lapho udinga khona
• ukuncipha kwesitho sangasese sowesifazane (i-atrophy) noma ubuhlungu ku-vulva (vulvodynia)
• ukuqhubeka nobulili noma kubuhlungu
• ukulimala phansi kwe-pelvic kusuka ekuhlinzweni noma ekuhlukumezeni, kufaka phakathi ukuhlukunyezwa ngokocansi
• ukuba nolunye uhlobo lobuhlungu obungapheli be-pelvic, kufaka phakathi i-irritable bowel syndrome, i-endometriosis, noma i-cystitis yangaphakathi

Ukuxilongwa

Ukuhlonza i-levator ani syndrome kuvame ukubizwa ngokuthi "ukuxilongwa kokukhishwa inyumbazane." Lokho kungenxa yokuthi odokotela kufanele bahlole ukukhipha ezinye izinkinga ezingadala izimpawu ngaphambi kokuthola i-levator ani syndrome. Emadodeni, i-levator ani syndrome ivame ukungaqondwa kahle njenge-prostatitis.

Ngokuhlolwa nokwelashwa okulungile, abantu abane-levator ani syndrome bangathola ukukhululeka.

Ukwelashwa kwasekhaya

Khuluma nodokotela wakho mayelana nokuqeda izinhlungu okungathengiswa okungasiza.

Abantu abaningi bathola induduzo ngokugeza kwe-sitz. Ukuthatha okukodwa:

• Cwilisa indunu emanzini afudumele (hhayi ashisayo) ngokuququda noma ngokuhlala esitsheni ngaphezulu kwendishi yangasese.
• Qhubeka ucwilisa imizuzu eyi-10 kuya kwengu-15.
• Pat ngokwakho owomile ngemva kokugeza. Gwema ukuzihlikihla ngomile ngethawula, okungacasula indawo.

Ungazama futhi lokhu kuvivinya umzimba ukukhulula imisipha yangaphansi ye-pelvic.

Isikwele esijulile

1. Yima imilenze yakho isabalele kakhulu kunezinqe zakho. Bamba okuthile okuzinzile.
2. Squat phansi uze uzizwe welule ngemilenze yakho.
3. Bamba imizuzwana engama-30 njengoba uphefumulela phezulu.
4. Phinda kahlanu usuku lonke.

Jabulisa ingane

1. Lala ngomhlane embhedeni wakho noma embhedeni phansi.
2. Gobisa amadolo akho bese uphakamisela izinyawo zakho ophahleni.
3. Bamba ingaphandle lezinyawo zakho noma amaqakala ngezandla zakho.
4. Ngobumnene hlukanisa imilenze yakho ibanzi kunesinqe sakho.
5. Bamba imizuzwana engama-30 njengoba uphefumulela phezulu.
6. Phinda izikhathi ezi-3 ukuya kwezi-5 usuku lonke.

Imilenze inyuse udonga

1. Hlala nezinqulu zakho cishe ngamasentimitha ama-5 kuye kwayi-6 ukusuka odongeni.
2. Lala phansi, uvule imilenze yakho phezulu ukuze izithende zakho zihlale phezulu odongeni. Gcina imilenze yakho ikhululekile.
3. Uma kukhululeke ngokwengeziwe, vumela imilenze yakho iwele ezinhlangothini ukuze uzizwe unwebeka emathangeni akho angaphakathi.
4. Gxila ekuphefumuleni kwakho. Hlala kulesi sikhundla imizuzu emi-3 ukuya kwemi-5.

Ukuzivocavoca kweKegel nakho kungasiza. Funda amathiphu wokuzivocavoca kukaKegel.

Ezinye izindlela zokwelapha

Ukwelashwa kwasekhaya kungenzeka kunganele ukuphatha isimo sakho. Udokotela wakho angakhuluma nawe nganoma yikuphi ukwelashwa kwe-levator ani syndrome:

• ukwelashwa ngokomzimba, kufaka phakathi ukusikhipha umzimba, ukushisa, kanye ne-biofeedback, nodokotela oqeqeshwe ukungasebenzi kahle kwe-pelvic floor
• izidakamizwa zokuphuza imisipha noma imithi yezinhlungu, njenge-gabapentin (Neurontin) ne-pregabalin (i-Lyrica)
• imijovo yephoyinti, okungenzeka ibe ne-corticosteroid noma i-botulinum toxin (Botox)
• ukutshopa
• ukugqugquzela izinzwa
• ukwelashwa ngokocansi

Ama-anti-depressants e-Tricyclic akufanele asetshenziswe, ngoba angakhuphula izimpawu zamathumbu nesinye.

Umbono

Ngokuxilongwa nokwelashwa okulungile, abantu abane-levator ani syndrome bangathola ukukhululeka ezimpawu ezingakhululekile.