Kubonakala sengathi konke sekuphelile - izinyanga eziyisishiyagalolunye, ukukhulelwa futhi ukuhlala esibhedlela. Futhi manje ungakwazi ukuqhakazila ngokuphelele ekungenakulinganiselwe okugcwele injabulo engenamkhawulo nenjabulo yoba umama nezingane zakho ezincane, ezingenakuzivikela. Yebo, kwakungekho lapho ... Ngezinye izikhathi kwenzeka ukuthi phakathi kwezinkinga ezimnandi ezinganeni ezisanda kuzalwa, kanye nezinkinga ezincane eziphoqelekile, "kunezinkinga", kunesinye inkathazo, ihlanganisa impilo egcwele imibala emisha, - ukungabikho komzimba ngemuva kokubeletha.
Into esemqoka kuleso simo akuyona ukubeka ikhala lakho futhi uqonde ukuthi konke kulungiswa. Ngaphandle kwalokho kufanele uvumele izinto zihambe ngokwazo, zibe namahloni futhi uthule ngecala lakho elibucayi. Nakhu kuyadingeka ukuba wenze! Uma lokhu kuba lula: awusiye wedwa, emhlabeni jikelele abesifazane abangaphezu kwezigidi ezingu-200 bahlukunyezwa.
Kuyini ukungahambisani nomzimba?
I-incontinence yinkinga yezinkinga ezibonakala ngokugqashuka komugqa wokuzikhandla. Umthamo wokuhamba kanye nemvamisa yawo kungase kuhluke: kusuka kwamathonsi ambalwa kuya kwezinsuku ezimbili ngaphambi kokuvuza okuqhubekayo.
Kunezinhlobo ezehlukene zalesi sifo, kepha ukungabi nokuzizwa ngemuva kokubeletha kuvame ukucindezeleka, ngamanye amazwi, ukungahambisani nokucindezeleka kwamagciwane, okungukuthi, ukuphuma komchamo kwenzeka uma ingcindezi eshisayo ikhula ngaphezu kwengcindezi ku-urethra (urethra).
Isizathu esiyinhloko salesi sifo ubuthakathaka bomzimba obuvimbela ukuphuma kulesi sifo (sphincter). Ngokuvamile kuvulwa kuphela uma uvakashela indlu yangasese, ngezinye izikhathi kusemthethweni ocindezelekile.
Ukugcizelela ukungahambisani kwamagciwane kubonakala ekusebenzeni izenzo ezivame kakhulu nokunyakaza okudinga ukungezwani kwemisipha. Noma yikuphi ukungezwani emisipha yomzimba kungabangela ukuvuza okungazimele.
Ngakho-ke, kunezigaba ezintathu zokungabikho komzimba:
- Izimpawu ezincane zokungabi namagciwane okuvuthwa kwe-urinary azigcini ngokuzikhandla ngokomzimba;
- ukusho okungenakuzikhethela komchamo ngesikhathi sokukhwehlela, ukuklolodela, ukuhleka, ukuhamba okusheshayo);
- ukuvuthwa okunamandla okungahambi kahle ngokushintsha kwesikhundla somzimba noma ngisho nasesimweni sokulala).
Izimbangela zokungabikho komzimba ngemuva kokubeletha
Isizathu esiyinhloko sokungabikho kwamagciwane emayeni omama kunesisindo esiqinile, ukulahleka kokuqina, ukwehlisa amandla ngisho nokugoqa imisipha yomzimba ngesikhathi sokukhulelwa nokubeletha. Ukukhushulwa kwalesi simo kwenzeka ngokubeletha okunzima futhi okude isikhathi eside, ikakhulukazi uma ingane ikhululekile, okuyinto, edlula emgodini wokuzalwa, iphoqa kakhulu izicubu ezincane. Ngenxa yenguquko engxenyeni phakathi kwesinye nesisu, ukusebenza okujwayelekile komgudu wokuvuthwa kuphazamiseka.
Ukulimala ukuthi owesifazane ekubelethweni kokuthola ngesikhathi sokubeletha - izikhala ezikhona kanye nokuzibandakanya, kwandisa amathuba enkinga yalolu hlobo. Eqenjini eliyingozi, kukhona ukulingana nabesifazane.
Ngokuvamile, ukungahambisani nokuvuthwa kwe-urinary ngemuva kokubeletha kungabuye kuhambisane nomkhuhlane, ubuhlungu ngesikhathi sokuvuthwa, ukuphuma komchamo we-urbid noma umchamo ngephunga elimnandi kakhulu. Konke lokhu kubufakazi bokutheleleka kwamagciwane, futhi kudinga ukwelashwa ngokushesha.
Ukwelashwa kokungahambisani nomzimba ngemuva kokubeletha
Ukwelashwa okuqaphayo
Uma ukungenwa kwe-urinary, abesifazane banconywa ukuba benze izivivinyo zemisipha ye-perineum. Ziyisisekelo sokwelashwa okulindelekile. Le ndlela yokwelapha yendabuko ayinasidingo futhi ayiqinisekisi ukuphulukiswa okungu-100%, ukuthuthukiswa okusheshayo kwesimo nokuqina komphumela omuhle.
Kukholelwa ukuthi ukuqhuba kahle umzimba ngokomzimba emva kwamaviki ayisishiyagalombili kungathuthukisa isimo ngokukhulisa ukuphikiswa kwe-urethra, okudalwe ngenxa yokuvinjelwa okungaqondakali kwemisipha ye-perineum. Ukuzivocavoca kuyinkimbinkimbi yokuphambana okufushane nokude kwe-muscle, okuphakamisa i-anus. Ngokuya ngesimo sokuqala semisipha, isiguli sinikezwa umzimba ngamunye wokungahambisani nomzimba.
Ngokuzivocavoca okuvamile, izinkinga zokungathembeki kumele zihambe ngemva kwezinyanga ezintathu. Uma, ngenkathi eqa endaweni ngemuva kwalesi sikhathi, umchamo ukhululiwe, kubalulekile ukuxhumana nodokotela futhi, okuzokwenza kube khona amanye amaqhinga okulashwa.
Umphumela omkhulu kulo mphumela wokugcina ungaba ukuhlanganiswa kokuzivocavoca nokuvuselela kagesi. Njengokunye kokuzivocavoca ukuqinisa imisipha ye-pelvic floor, inkambo ngayinye yokwelapha ngezigaxa zangasese ingasetshenziswa, kodwa ngenxa yemiphumela emibi (i-colpitis, ukuphuma kwamagciwane, ukungakhululeki), ukusetshenziswa kwabo kunciphile.
Imithi
Ngokungahambisani nomzimba ngemuva kokubeletha, ukwelashwa kwemithi akuyona into engathandeki, ngokungabikho kwezidakamizwa ngaphandle kwemiphumela emibi.
Ukwelashwa kokusebenza
Iphumelela kakhulu futhi isiqiniseko ukuthi umphumela ohlala njalo yizo izindlela zokubuyisela umsebenzi wokuchama. Phakathi kokusebenza kule ndawo kukhona:
- uretrocystocervicolexia - umsebenzi wokuqinisa nokulungisa ukuxhumeka kwe-pubic-bubble, esesikhundleni esivamile sigcina i-urethra nentanyeni yesisu. Kungenziwa ngokusebenzisa i-laparoscopic noma evulekile;
- Ukuhlinzwa okuyi-sling (loop) kuyindlela elula yokubuyisela imisebenzi ye-urethra. Ukusebenzisa indlela yamahhala ye-loop yenza kube lula ukwakha izinsiza ezengeziwe ze-urethra. Ukutshalaliswa kwe-sling kwenziwa nge-cut in the vagina kanye nama-punctures amabili esikhumba ezindaweni ezingagcini kanye nezinsizwa ezingaphansi kwe-anesthesia yendawo. Ukusebenza kwe-high-tech kuthatha imizuzu engu-30, kuyilapho esibhedlela - usuku olungu-1. Njengoba kutholakale kahle ukucindezeleka kwamanzi okugaya, ukuphumelela kwalendlela kufinyelela ku-96%.
Izincomo zokunciphisa isimo
Ukuze unciphise kalula lesi sifo, kunconywa ukwenza lokhu okulandelayo:
- iya endlini yangasese ngehora, ngaphandle kokukhipha umchamo (qala ngekhefu lehora eli-1, kancane kancane ulethe kufika emahoreni amathathu);
- landela isihlalo, ungavumeli ukuqotshwa;
- shiya ukubhema;
- ukuqapha isisindo njalo, ungavumeli ukukhuluphala;
- ubuyekeze ukudla ekuqondeni kwemikhiqizo engacasuli isisu;
- Phuza usuku okungenani ama-1.5 amalitha amanzi, okuzoqinisekisa ukuthi umchamo ujwayelekile, futhi ngeke ucasule isisu;
- Yenza izivivinyo ze-Kegel, ngokungabikho kwezifo ezivuthayo zezifo zofuzo;
- Sebenzisa amabhasikidi akhethekile aphefumulayo avimbela ukuvuza nokunciphisa iphunga.