Okufanele Wonke Umuntu Owesifazane Akwazi Ngokungasebenzi Kwe-Pelvic Floor

-Delile

• Ubulili obubuhlungu bungaba uphawu.
• Imbangela ayikacaci.
• I-Misdiagnosis iyinkinga evamile kulabo abane-PFD.
• Lapho kukhona izindlela zokwelapha-futhi ukwelashwa ngokomzimba kungenye yazo.
• Cha, awuhlanyi ngokucabanga ukuthi kunenkinga.
• Buyekeza kwe-

UZosia Mamet unomyalezo olula kwabesifazane kuyo yonke indawo: Ukuhlunguphazwa kwezitho zangasese akuyona into ejwayelekile. Enkulumweni yakhe ye-2017 MAKERS Conference kuleli sonto, oneminyaka engu-29 uvule ngempi yakhe yeminyaka eyisithupha ukuthola imbangela yalokho athi uzizwe "eyi-UTI embi kakhulu emhlabeni." Kuvela ukuthi, bekuhluke kakhulu.

Ukuhlushwa yizinhlungu "ezingasile zomchamo" kanye nobuhlungu "obungabekezeleleki" ngesikhathi socansi, uMamet uthi waya kubo bonke odokotela kanye nochwepheshe angabathola ukuthola impendulo, kepha lapho ukuhlolwa komchamo, ama-MRIs, kanye ne-ultrasound konke kubuya njengokujwayelekile, odokotela bakhe baqala ukungabaza izikhalazo zakhe nezinga lobuhlungu. Omunye wamthola kabi nge-STD wamfaka kumuthi wokubulala amagciwane; omunye wasikisela ukuthi "uyahlanya." (Inkanyezi kaMamet, Amantombazane Umkhiqizi wombhali u-Lena Dunham naye ukhulume kakhulu ngomzabalazo wakhe wezempilo ne-endometriosis.)

Ngemuva kokuzama yonke into kusuka kumaphilisi ezinhlungu kuya kwi-hypnosis, uMamet waya kudokhumende wakhe wokuqala wesifazane ekugcineni wagcina etholile impendulo-isimo, waveza, lokho kuvame ngokushaqisayo: ukungasebenzi kahle kwe-pelvic floor (PFD). Ngakho-ke, siyini ngempela i-pelvic floor yakho? Leli gama libhekisela eqenjini lemisipha, imisipha, izicubu ezixhunyiwe, nezinzwa ezisekela nezisiza izitho ezisendaweni yakho okhalo zisebenze kahle. Kwabesifazane, izitho ezikuleyo mibuzo zibhekisa esinyeni sakho, isibeletho, isitho sangasese sowesifazane, kanye nengxenyeni yakho. Ngokusho komtholampilo waseCleveland, ukungasebenzi kahle kwe-pelvic kuchazwa njengokwehluleka ukulawula leyo misipha yangaphansi kwe-pelvic ukuze kube nokuhamba kwamathumbu, noma ikakhulukazi, abantu abane-PFD bathola le misipha esikhundleni sokuyiphumuza.

Nakuba uMamet ekugcineni eyitholile impendulo yakhe (kanye nokwelashwa okufanele) ngemva kweminyaka eminingi ekhungathekile evakashela udokotela futhi engazange axilongwe, umzabalazo wakhe awumusha. Naphezu kokuntula ulwazi ngalesi sifo, ucwaningo lubonisa ukuthi owesifazane oyedwa kwabathathu uzoba ne-PFD empilweni yakhe. isikhathi sokuphila, kepha umhlaba wezempilo wabesifazane usalugcina ulwazi ngalokhu "ngaphansi kombhoxo," kusho uRobyn Wilhelm, owelapha ngokomzimba ophethe isikhungo sokwelashwa kwezitho zomzimba e-Arizona. Lapha, u-Wilhelm wabelana kabanzi ngokuthi iyini ngempela i-PFD, ukuthi itholakala kanjani, nokuthi yini esingayenza ukuze sibhekane nayo.

Ubulili obubuhlungu bungaba uphawu.

Izimpawu zokuqala ezivame kakhulu ubuhlungu be-pelvic noma i-groin engachazeki, kufaka phakathi nobuhlungu obukhona ngokuya ocansini noma nge-orgasm, "kusho uWilhelm. Kodwa ubuhlungu akuyona kuphela inkomba yokuthi kunenkinga. Ngenxa yendawo yemisipha yangaphansi, isimo futhi kungadala ukusebenza okungafanele kwesinye sakho kanye / noma amathumbu aholele ekugwemeni komchamo noma ukungcola noma ukuqunjelwa, uthi. Yikes. (PS Ubuwazi ukuthi ukuchama eshaweni kunezinzuzo ezithile zomphimbo ezimangazayo?)

Imbangela ayikacaci.

Uma ucabanga ukuthi bangaki abesifazane abathintekayo, ungacabanga ukuthi odokotela banesibambo sokuthi yini ngempela ebangela iPFD. Cabanga futhi. Umhlaba wesayensi usazama ukubethela imbangela ethile yalesi sifo. Nakuba omunye umbono oyiphutha omkhulu uwukuthi kuwumphumela wokukhulelwa noma ukubeletha, akumele kwenzeke ukuze owesifazane abe sengozini yokuthola i-PFD, kusho uWilhelm. Ezinye izizathu ezingakhula zibandakanya ukulimala okubuhlungu, noma ukuma kabi. Futhi, abagijimi besifazane bavame ukubika izimpawu ezihambisana ne-PFD, njengokungasebenzi kahle komchamo, kepha isizathu asaziwa, usho kanjalo. Ukuthola imbangela eyinhloko ye-PFD yakho kungaba inqubo ende, ekhokhisayo yokuphenya nokuhlola, kepha ongoti abanjengabahlinzeki bomzimba be-pelvic noma odokotela abazi kahle esifundeni se-pelvic, bangakwazi ukunikeza impendulo ecacile, kusho uWilhelm . Noma kunjalo, imbangela nomphumela wendlela kusenzima ukunquma kwezinye izimo, uyaxwayisa.

I-Misdiagnosis iyinkinga evamile kulabo abane-PFD.

Ngeshwa, iminyaka kaMamet ayichitha esuka kudokotela eya kudokotela ngaphandle kwezimpendulo iyindaba evamile-kuyinkomba yalokho uWilhelm akubiza ngokuthi "ukuntuleka kokuqwashisa nolwazi" emkhakheni wezokwelapha, kokubili ukuthi ungayixilonga kanjani i-PFD nokuthi yini okufanele uyenze kwabesifazane abahluphekayo. kuwo. "Ngokwesilinganiso, abesifazane bazobona ochwepheshe abahlanu kuya kwabayisithupha ngaphambi kokutholakala ngokunembile," usho kanje. "Ukuqwashisa kuthuthuke kancane kule minyaka emihlanu edlule, kodwa sisenabesifazane abaningi abahlupheka buthule noma abangakwazi ukuthola usizo abaludingayo."

Lapho kukhona izindlela zokwelapha-futhi ukwelashwa ngokomzimba kungenye yazo.

Ukutholakala une-PFD akusho ukuzithoba ebuhlungwini obuningi. Ngenkathi umuthi (isb., Ukuphumuza imisipha) ungasetshenziswa ukuphatha izinhlungu, i-biofeedback ngokwelashwa ngokomzimba iyindlela yokwelashwa esebenza kakhulu. Ngokusho kweCleveland Clinic, le ndlela yokungahlinzeki inikeza ukuthuthuka kwamaphesenti angaphezu kwama-75 eziguli ezizamayo. "Ukwelashwa ngokomzimba okwenziwa ngumelaphi womzimba okhandlayo kungasebenza kakhulu," kusho uWilhelm. Ngenkathi imisipha yangaphansi kwe-pelvic kungukugxila kwalokhu kwelashwa, eminye imisipha ingaba nomthelela ebuhlungwini futhi, ngakho-ke kukhona okuningi kulokhu kunokulala etafuleni. Amanye amasu uWilhelm awasebenzisayo neziguli zakhe ahlanganisa ukwelapha okwenziwa ngesandla kwangaphandle nangaphakathi, ukukhululwa kwe-myofascial, ukwelula, kanye nokuvuselela ugesi.

Cha, awuhlanyi ngokucabanga ukuthi kunenkinga.

"Abantu benza iphutha lokulahla izimpawu ezivame ukwenzeka nge-PFD, njengokungasebenzi kahle komchamo, njengemiphumela 'ejwayelekile' yokuba nezingane nokukhula," kusho uWilhelm. "Kungaba yinto ejwayelekile, kodwa akumele ibhekwe njengokujwayelekile." Ngakho-ke, uma ucabanga ukuthi ungomunye walaba besifazane, zisindise iminyaka yokuhlupheka buthule futhi uye kudokotela noma umelaphi ogxile kwizibalo ze-PFD.

Buyekeza kwe-