Zomwe Mkazi Wonse Amayenera Kudziwa Zokhudza Kukanika Pansi pa Pansi

Zamkati

• Kugonana kowawa kungakhale chizindikiro.
• Chifukwa chake sichikudziwikabe.
• Misdiagnosis ndimavuto omwe anthu omwe ali ndi PFD amakhala nawo.
• Apo ndi Njira zochiritsira-ndipo mankhwala ndi imodzi mwa izo.
• Ayi, simisala poganiza kuti pali vuto.
• Onaninso za

Zosia Mamet ali ndi uthenga wosavuta kwa azimayi kulikonse: Zowawa zam'mimba sizachilendo. M'mawu ake a Msonkhano wa 2017 MAKERS sabata ino, wazaka 29 adatsegula za nkhondo yake yazaka zisanu ndi chimodzi kuti apeze chifukwa cha zomwe akunena kuti zimamveka ngati "UTI yoipa kwambiri padziko lapansi." Zinapezeka kuti zinali zosiyana kwambiri.

Amamenyedwa ndi "misala yamikodzo" komanso "osapirira" panthawi yogonana, Mamet akuti amapita kwa dokotala aliyense ndi akatswiri omwe amapeza kuti apeze yankho, koma mayeso amkodzo, MRIs, ndi ma ultrasound onse atabwerera mwakale, madokotala ake adayamba kukayikira madandaulo ake ndi mlingo wa ululu. Wina anamupeza molakwika ndi STD ndikumuika pa maantibayotiki; wina adati "akupenga." (Wolemba nyenyezi wa Mamet, Atsikana Wolemba-wolemba Lena Dunham adanenanso za kulimbana kwake ndi endometriosis.)

Atayesa chilichonse kuyambira ma painkiller mpaka ku hypnosis, Mamet adapita kwa dotolo wake woyamba wamkazi ndipo pamapeto pake adapeza yankho - mkhalidwe, adawulula, zomwe ndizodziwika modabwitsa: kulephera kwa pelvic floor (PFD). Chifukwa chake, malo anu am'chiuno ndi otani? Mawuwa amatanthauza gulu la akatumba, mitsempha, minyewa yolumikizirana, ndi mitsempha yomwe imathandizira ndikuthandizira ziwalo m'chiuno mwanu kuti zizigwira ntchito moyenera. Kwa amayi, ziwalo zomwe zimafunsidwa zimanena za chikhodzodzo, chiberekero, nyini, ndi zotuluka. Malingana ndi Cleveland Clinic, kusokonezeka kwa chiuno kumatanthauzidwa ngati kulephera kulamulira minofu ya m'chiuno kuti ikhale ndi matumbo, kapena makamaka, anthu omwe ali ndi PFD amagwirizanitsa minofuyi m'malo mopumula.

Ngakhale kuti Mamet adapeza yankho lake (ndi chithandizo choyenera) pambuyo pa zaka zambiri zakukhumudwitsa kwa dokotala ndikuzindikira molakwa, kulimbana kwake sikuli kwatsopano. moyo wonse, koma dziko la azimayi limasungabe zidziwitso za izi "pansi pa rug," atero a Robyn Wilhelm, othandizira thupi omwe amayang'anira malo opangira ziwalo ku Arizona. Apa, a Wilhelm amagawana zambiri za zomwe PFD ilidi, momwe imapezekera, ndi zomwe tingachite kuti tichitepo.

Kugonana kowawa kungakhale chizindikiro.

Zizindikiro zodziwika bwino zoyamba ndi ululu wosadziwika bwino wa m'chiuno kapena m'chiuno, kuphatikiza kupweteka komwe kungathe kuchitika pogonana kapena kukomoka, "akutero Wilhelm. Koma kupweteka sikungowonetsa kuti pali vuto. Chifukwa cha malo a minyewa ya m'chiuno, mkhalidwewo. Zingayambitsenso kusagwira bwino kwa chikhodzodzo ndi/kapena matumbo zomwe zimachititsa kuti mkodzo ndi chimbudzi chisadzimbike kapena kudzimbidwa, akutero. Yikes.

Chifukwa chake sichikudziwikabe.

Poganizira kuchuluka kwa amayi omwe akukhudzidwa, mungaganize kuti madokotala ali ndi chothandizira pazomwe zimayambitsa PFD. Ganiziraninso. Dziko la sayansi likuyeserabe kutsimikizira chomwe chimayambitsa vutoli. Ngakhale kuti lingaliro limodzi lalikulu lolakwika ndilakuti ndi zotsatira za mimba kapena kubereka, siziyenera kuchitika kuti mkazi akhale pachiwopsezo chokhala ndi PFD, akutero Wilhelm. Zifukwa zina zomwe zimatha kupangika ndi monga kuvulala koopsa, kapenanso kusakhazikika bwino. Kuphatikiza apo, othamanga achikazi nthawi zambiri amafotokoza zizindikiro zomwe zimagwirizanitsidwa ndi PFD, monga kusadziletsa kwa mkodzo, koma chifukwa chake sichidziwika, akutero. Kupeza gwero la PFD yanu kungakhale njira yayitali, yokhometsa msonkho pakufufuza ndi kuyezetsa, koma akatswiri monga opaleshoni ya mafupa a m'chiuno kapena madotolo omwe amadziwa bwino dera la pelvic, atha kupereka yankho lomveka bwino, akutero Wilhelm. . Ngakhale zili choncho, njira ndi zovuta zake zimakhala zovuta kuzizindikira nthawi zina, amachenjeza.

Misdiagnosis ndimavuto omwe anthu omwe ali ndi PFD amakhala nawo.

Tsoka ilo, zaka za Mamet zomwe adakhala akusuntha kuchokera kwa dokotala kupita kwa dokotala popanda mayankho ndi nkhani yodziwika bwino-zikuwonetsa zomwe Wilhelm amachitcha "kusowa chidziwitso ndi chidziwitso" m'zachipatala, momwe angadziwire PFD komanso zomwe angachitire amayi omwe akuvutika. kuchokera pamenepo. "Pafupipafupi, amayi amawona akatswiri asanu mpaka asanu ndi limodzi asanawazindikire molondola," akutero. "Kuzindikira kwasintha bwino m'zaka zisanu zapitazi, komabe tili ndi azimayi ambiri omwe akuvutika mwakachetechete kapena osatha kupeza thandizo lomwe angafune."

Apo ndi Njira zochiritsira-ndipo mankhwala ndi imodzi mwa izo.

Kupezeka ndi PFD sikutanthauza kuti muzimva kuwawa kwa moyo wanu wonse. Ngakhale mankhwala (mwachitsanzo, opumitsa minofu) atha kugwiritsidwa ntchito kuthana ndi ululu, biofeedback kudzera kuchipatala ndi mankhwala othandiza kwambiri. Malingana ndi Cleveland Clinic, njira yopanda chithandizo imapereka kusintha kwa odwala oposa 75% omwe amayesa. Wilhelm anati: “Machiritso opangidwa ndi dokotala wamankhwala okhudza ziwalo za m’chiuno akhoza kukhala othandiza kwambiri. Ngakhale kuti minofu ya m'chiuno ndiyo cholinga cha mankhwalawa, minofu ina ingathandizenso kupweteka, kotero pali zambiri pa izi kusiyana ndi kugona patebulo. Njira zina zomwe Wilhelm amagwiritsa ntchito ndi odwala ake zimaphatikizapo chithandizo chamankhwala chakunja ndi chamkati, kumasulidwa kwa myofascial, kutambasula, ndi kukondoweza kwamagetsi.

Ayi, simisala poganiza kuti pali vuto.

"Anthu molakwika amataya zizindikilo zomwe zimachitika nthawi zambiri ndi PFD, monga kukodza mkodzo, monga zotsatira 'zabwinobwino zokhala ndi ana ndikukalamba," akutero a Wilhelm. "Zitha kukhala zachilendo, koma siziyenera kuwonedwa ngati zabwinobwino." Chifukwa chake, ngati mukuganiza kuti ndinu m'modzi mwa azimayiwa, dzipulumutseni zaka zowawa mwakachetechete ndikupita kwa a doc kapena othandizira omwe amakhazikika pa PFD stat.

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