Chifukwa Chake Kupita Pelvic Floor Therapy Kusintha Moyo Wanga

Zamkati

• Patatha miyezi iwiri, ndinali paulendo wopita kumsonkhano wanga woyamba
• Munthawi yanga yotsatira yothandizira, adokotala adatsimikiza kuti ndidamuyesa koyamba m'chiuno
• Zotsatira zam'malingaliro zilinso zenizeni
• Thandizo la pelvic pansi lingathandize:
  

Wothandizira anga atagogomezera kuti ndidamuyesa koyamba m'chiuno, ndidadzipeza ndikulira misozi yachisangalalo.

Thanzi ndi thanzi zimakhudza aliyense wa ife mosiyanasiyana. Iyi ndi nkhani ya munthu m'modzi.

Kuulula: Sindinakwanitse kuvala tampon.

Nditatha kusamba ndili ndi zaka 13, ndinayesa kulowetsa imodzi ndipo zinandipweteka kwambiri. Mayi anga anandiuza kuti ndisadandaule ndikuyesanso nthawi ina.

Ndinayeseranso kangapo, koma ululu nthawi zonse unkakhala wosapiririka, chifukwa chake ndimangomatira pamapadi.

Zaka zingapo pambuyo pake, dokotala wanga woyang'anira wamkulu adayesa kundipima m'chiuno. Nthawi yomwe adayesa kugwiritsa ntchito speculum, ndidakuwa ndikumva kuwawa. Kodi zowawa zoterezi zitha kukhala zachilendo bwanji? Kodi panali china chilichonse cholakwika ndi ine? Ananditsimikizira kuti zinali bwino ndipo anati tidzayesanso zaka zingapo.

Ndinadzimva wosweka kwambiri. Ndinkafuna kuti osachepera ndikhale ndi mwayi wogonana - kukhala pachibwenzi ndi chibwenzi.

Nditakhumudwa ndimayeso, ndidayamba kuchita nsanje pomwe anzanga amatha kugwiritsa ntchito tampon popanda zovuta. Pamene kugonana kunalowa m'miyoyo yawo, ndinayamba kuchitira nsanje.

Ndidapewa dala kugonana mwanjira iliyonse. Ngati ndimapita masiku, ndimkaonetsetsa kuti atha nthawi yachakudya. Kuda nkhawa kwakukhudzana ndi thupi kwanditsogolera kutha maubale omwe angakhalepo chifukwa sindinkafunanso kuthana ndi ululu wamthupi uja.

Ndinadzimva wosweka kwambiri. Ndinkafuna kuti ndisakhale ndi mwayi wogonana - kukhala pachibwenzi ndi chibwenzi. Ndinayesa mayeso angapo osapambana m'chiuno ndi OB-GYNS, koma ululu wowawitsa kwambiri umabweranso nthawi iliyonse.

Madokotala anandiuza kuti palibe cholakwika mwakuthupi, ndipo ululu umachokera ku nkhawa. Anandiuza kuti ndimwe kapena ndimwe mankhwala othana ndi nkhawa ndisanayese kugonana.

Stephanie Prendergast, wothandizira m'chiuno yemwe ndi woyambitsa komanso woyang'anira chipatala cha Pelvic Health & Rehabilitation Center, akuti ngakhale zambiri zazomwe zimachitika m'chiuno sizimapezeka mosavuta, madokotala amatha nthawi yayitali akuyang'ana zachipatala magazini ndikuphunzira zamavuto osiyanasiyana kuti athe kuchiza odwala awo.

Chifukwa pamapeto pake, kusadziwa zambiri kumatha kuyambitsa matenda kapena mankhwala olakwika omwe amawononga kwambiri kuposa zabwino.

"[Madokotala akamanena] zinthu monga [zimayambitsidwa] ndi nkhawa kapena [amauza odwala] kuti amwe vinyo, sizonyansa zokha, koma ndimamvanso ngati ndizovulaza mwaukadaulo," akutero.

Ngakhale sindinkafuna kuti ndizimwa nthawi zonse ndikamagonana, ndinaganiza zomvera malangizo awo. Chifukwa chake mu 2016, nditamwa usiku umodzi, ndinayesa kugonana kwanthawi yoyamba.

Inde, sizinapambane ndipo zinathera ndi misozi yambiri.

Ndinadziuza ndekha kuti anthu ambiri amamva zowawa nthawi yoyamba yogonana - kuti mwina kupweteka sikunali koipa ndipo ndimangokhala khanda. Ndimangofunika kuyiyamwa ndikuchita nayo.

Koma sindinathe kubweretsa ndekha kuti ndiyesenso. Ndinadzimva wopanda chiyembekezo.

Christensen adabweretsa m'chipinda choyeserera ngati m'chiuno ndipo adandiwonetsa komwe kuli minofu yonse komanso komwe zinthu zingasokonekere.

Patapita miyezi ingapo, ndinayamba kuwona wothandizira olankhula za nkhawa zambiri. Pomwe timagwira ntchito kuti ndichepetse nkhawa zanga, gawo langa lomwe limafuna ubale wapamtima lidatha. Momwe ndimayankhulira zowawa zathupi, sizimawoneka kuti zikuyenda bwino.

Pafupifupi miyezi 8 pambuyo pake, ndinakumana ndi atsikana ena awiri omwe anali ndi ululu wam'mimba. M'modzi mwa azimayiwo adati adayamba kulandira chithandizo chakumva kupweteka kwa m'chiuno. Ndinali ndisanamvepo za izi, koma ndinali wofunitsitsa kuyesa chilichonse.

Kukumana ndi ena omwe amamvetsetsa mavuto anga kunandipangitsa kuti ndiyambe kuyesetsa kuthetsa vutoli.

Patatha miyezi iwiri, ndinali paulendo wopita kumsonkhano wanga woyamba

Sindinadziwe zomwe ndingayembekezere. Anandiuza kuti ndizivala zovala zabwino ndikuyembekezera kuti ndidzapitilira ola limodzi. Kristin Christensen, wochiritsa thupi (PT) yemwe amachita ntchito zamatenda am'mimba, kenako adandibwezera kuchipinda choyeserera.

Tidakhala mphindi 20 zoyambirira tikulankhula za mbiri yanga. Ndidamuuza kuti ndikufuna kukhala pachibwenzi komanso kusankha zogonana.

Adafunsa ngati ndidakhala ndi vuto linalake ndipo ndidamuyankha ndikupukusa mutu wamanyazi. Ndinachita manyazi kwambiri. Ndidadzichotsa ndekha kutali ndi gawo lakuthupi langa lomwe silinali gawo langa.

Christensen adabweretsa m'chipinda choyeserera ngati m'chiuno ndipo adandiwonetsa komwe kuli minofu yonse komanso komwe zinthu zingasokonekere. Ananditsimikizira kuti kupweteka kwa m'chiuno ndikumverera kuti kwatuluka kumaliseche kwanu kunali vuto lofala pakati pa akazi, ndipo sindinali ndekha.

“Zimakhala zachilendo kuti azimayi azimva kuti achotsedwa ku gawo ili la thupi. Ndi gawo lamunthu kwambiri, ndipo kupweteka kapena kusowa ntchito m'dera lino zikuwoneka ngati zosavuta kunyalanyaza kuposa kuthana nazo, "atero a Christensen.

"Amayi ambiri sanawonepo mawonekedwe am'chiuno kapena m'chiuno, ndipo ambiri sadziwa ngakhale ziwalo zomwe tili nazo kapena komwe ali. Izi ndi zamanyazi kwambiri chifukwa thupi lachikazi ndilodabwitsa ndipo ndikuganiza kuti kuti amvetsetse vutoli, odwala ayenera kumvetsetsa bwino momwe zimakhalira. ”

Prendergast akuti nthawi zambiri anthu akamabwera kudzalandira chithandizo chamankhwala, amakhala ndi mankhwala osiyanasiyana omwe adalamulidwa ndi madotolo osiyanasiyana ndipo samatsimikiziranso nthawi zonse kuti ali ndi ena mwa mankhwalawa.

Chifukwa chakuti PT imatha kuthera nthawi yochulukirapo ndi odwala awo kuposa madotolo ambiri, amatha kuyang'ana chithandizo chamankhwala omwe adachitapo kale ndikuwathandiza kuti awaphatikize ndi othandizira azachipatala omwe amatha kuyendetsa bwino mbali zachipatala.

Nthawi zina, minyewa yam'mimba siimayambitsa kupweteka, Prendergast akuti, koma minofu nthawi zambiri imakhudzidwa mwanjira ina. "Nthawi zambiri anthu omwe ali ndi ziwalo [m'chiuno] amapeza mpumulo chifukwa chothandizidwa ndi mafupa," akutero.

Cholinga chathu chinali choti ndiyesedwe m'chiuno ndi OB-GYN wanga kapena kuti ndizitha kupirira kachipangizo kakang'ono kosapweteka pang'ono.

Pamsonkhano wathu woyamba, Christensen adandifunsa ngati ndingakhale bwino kuyesa mayeso m'chiuno. (Sikuti ndi akazi onse omwe amalemba mayeso pa nthawi yawo yoyamba. Christensen amandiuza kuti azimayi ena amasankha kudikirira mpaka ulendo wachiwiri, kapena wachitatu, kapena wachinayi, kuti adzachite mayeso - makamaka ngati ali ndi vuto lowopsa kapena ayi okonzekereratu.)

Anandilonjeza kuti ndipita pang'onopang'ono ndikusiya ngati ndikumva kuwawa kwambiri. Mantha, ndinavomera. Ngati ndikanakumana ndi izi ndikuyamba kuzichitira, ndimayenera kuchita izi.

Ndili ndi chala chake mkati mwanga, Christensen ananena kuti akatumba am'mimba mwa chiuno mbali zonse anali olimba komanso otakasuka akawakhudza. Ndinali womangika kwambiri ndipo ndimamva kuwawa kuti ayang'ane minofu yakuya kwambiri (obturator internus). Pomaliza, adayang'ana kuti aone ngati ndingathe kuchita Kegel kapena kupumula minofu, ndipo sindinathe kutero.

Ndinafunsa Christensen ngati izi zinali zofala pakati pa odwala.

"Popeza udadzichotsa wekha kudera lino, ndizovuta kwambiri 'kupeza' minofu imeneyi kuti upange Kegel. Odwala ena omwe amamva kupweteka m'chiuno amatha kuchita Kegel chifukwa amatenga nthawi yayitali chifukwa choopa kupweteka, koma ambiri sangathe kukankha, "akutero.

Gawoli linatha ndikumuuza kuti tiyambe ndi njira yothandizira masabata a 8 limodzi ndi malingaliro oti ndigule seti ya dilators pa intaneti kuti ndipitirize kugwira ntchito kunyumba.

Cholinga chathu chinali choti ndiyesedwe m'chiuno ndi OB-GYN wanga kapena kuti ndizitha kupirira kachipangizo kakang'ono kosapweteka pang'ono. Ndipo zowonadi, kutha kugona popanda ululu uliwonse ndiye cholinga chachikulu kwambiri.

Ndidakhala ndi chiyembekezo popita kunyumba. Pambuyo pazaka zambiri zothana ndi zowawa izi, pamapeto pake ndinali panjira yopita kuchipatala. Kuphatikiza apo, ndimadalira Christensen. Pambuyo pagawo limodzi, adandipangitsa kukhala womasuka.

Sindinakhulupirire kuti posachedwa pakhoza kubwera nthawi yomwe nditha kuvala tampon.

Prendergast akuti sichabwinobwino kuyesera kuchiza ululu wam'mimba nokha chifukwa nthawi zina mumatha kukulitsa zinthu.

Munthawi yanga yotsatira yothandizira, adokotala adatsimikiza kuti ndidamuyesa koyamba m'chiuno

Ndinali ndisanaganizirepo za izi mpaka nthawiyo. Mwadzidzidzi, ndinali kulira misozi yachisangalalo. Sindinakhulupirire. Sindinaganizepo kuti mayeso oyenerera m'chiuno angandichitikire.

Ndinali wokondwa kwambiri kudziwa kuti ululu sunali "wonse m'mutu mwanga."

Zinali zenizeni. Sikuti ndimangoganizira zowawa zokha. Pambuyo pazaka zambiri kulembedwa ndi madotolo ndikudzisiya ndekha kuti sindingathe kukhala ndiubwenzi wapamtima womwe ndimafuna, ululu wanga udatsimikizika.

Pamene dilator yovomerezeka idalowa, ndidatsala pang'ono kugwa ndikungoyang'ana kukula kwake. Kanthu kakang'ono (pafupifupi .6 mainchesi m'lifupi) kankawoneka kotheka kwambiri, koma kukula kwakukulu (pafupifupi 1.5 mainchesi mulifupi) kunandipatsa nkhawa zambiri. Panalibe chifukwa chomwe chinthucho chimapita kumaliseche kwanga. Ayi.

Mnzake wina adatinso kuti adatulukanso m'mutu pomwe adamuwona dilator atasankha kuyesera yekha chithandizo chamankhwala. Anayika pashelefu wapamwamba kwambiri m'chipinda chake ndipo anakana kuyang'ananso.

Prendergast akuti sichabwinobwino kuyesa kudzichitira nokha ululu wam'mimba chifukwa nthawi zina mutha kukulitsa zinthu. "Amayi ambiri sadziwa kugwiritsa ntchito [zotsekemera], ndipo sadziwa kuti azigwiritsa ntchito nthawi yayitali bwanji, ndipo alibe chitsogozo chochuluka," akutero.

Pali zifukwa zosiyanasiyana zopwetekera m'mimba zomwe zimabweretsa mapulani osiyanasiyana - mapulani omwe ndi akatswiri okha omwe angathandize kuwongolera.

Ndili pafupi theka la njira yanga yothandizira, ndipo zakhala zachilendo komanso zothandiza kwambiri. Kwa mphindi 45, PT wanga ali ndi zala zake kumaliseche kwanga pamene tikukambirana tchuthi chathu chaposachedwa kapena mapulani omwe akubwera kumapeto kwa sabata.

Ndiubwenzi wapamtima kwambiri, ndipo ndikofunikira kuti mukhale omasuka ndi PT yanu popeza muli pachiwopsezo chotere - mwakuthupi komanso mwamaganizidwe. Ndaphunzira kuthana ndi zovuta zoyambirirazo ndipo ndikuthokoza kuti Christensen ali ndi kuthekera kwapadera kopangitsa kuti ndikhale womasuka ndikangolowa mchipinda.

Amagwiranso ntchito yayikulu pokambirana ndi ine nthawi yonse yamankhwalawa. Nthawi yathuyi, ndimakhala ndikucheza kwambiri mpaka kuiwala komwe ndili.

"Ndimayesetsa mwadala kuti ndikusokonezeni munthawi ya chithandizo, kuti musaganize kwambiri zowawa za mankhwalawa. Kuphatikiza apo, kuyankhula pagawo lathu kumalimbitsabe ubale womwe uli wofunikira kwambiri - kumapangitsa kuti anthu azikukhulupirirani, kukupangitsani kuti muzimva bwino, komanso kumakupangitsani kuti mudzabwererenso kudzacheza kwanu kuti mudzakhale bwino, ”adatero. akuti.

Christensen nthawi zonse amaliza magawo athu ndikundiuza momwe ndikupitira patsogolo. Amandilimbikitsa kuti ndizigwirabe ntchito zapakhomo, ngakhale ndikufunika kuzichedwetsa.

Ngakhale kuti maulendo nthawi zonse amakhala ovuta, ndimayang'ana ngati nthawi yachiritso komanso nthawi yoyang'ana mtsogolo.

Moyo uli wodzaza ndi zovuta nthawi, ndipo izi zikundikumbutsa kuti ndikungofunika kuzikumbatira.

Zotsatira zam'malingaliro zilinso zenizeni

Tsopano ndikufufuza mwadzidzidzi gawo ili la thupi langa lomwe ndatsekereza kwanthawi yayitali, ndipo zikuwoneka ngati ndikupeza gawo lina la ine lomwe sindimadziwa kuti lilipo. Ziri ngati kukhala ndikudzutsidwa kwatsopano, komwe ndiyenera kuvomereza, ndikumverera kokongola kwambiri.

Koma nthawi yomweyo, ndakhala ndikumenyanso pamsewu.

Nditapambana tating'onoting'ono, ndinadzidalira mopitirira muyeso. Christensen anali atandichenjeza za kusiyana kukula pakati pa dilator yoyamba ndi yachiwiri. Ndinkaona ngati ndingadumphe mosavuta, koma ndinali nditalakwitsa kwambiri.

Ndinalira ndikumva kuwawa pamene ndimayesa kuyika kukula kotsatira ndikugonjetsedwa.

Tsopano ndikudziwa kuti kupweteka uku sikungakonzedwe usiku umodzi, ndipo ndi njira yocheperako yokhala ndi zovuta zambiri. Koma ndimakhulupirira kwathunthu Christensen, ndipo ndikudziwa kuti akhala nane nthawi zonse pamsewu wopezera bwino.

Aonetsetsa kuti ndikwaniritsa zolinga zanga, ngakhale sindimakhulupirira ndekha.

Onse a Christensen ndi Prendergast amalimbikitsa azimayi omwe akumva ululu wamtundu uliwonse panthawi yogonana kapena kupweteka kwa m'chiuno makamaka kuti ayang'ane chithandizo chamankhwala ngati chithandizo.

Amayi ambiri - kuphatikiza ndi ine - amapeza PT pawokha patatha zaka zambiri akufufuza matenda kapena chithandizo cha zowawa zawo. Ndipo kufunafuna PT yabwino kumatha kumva kukhala kovuta.

Kwa anthu omwe akufuna thandizo kuti apeze wina, Prendergast amalimbikitsa kuti muwone American Physical Therapy Association ndi International Pelvic Pain Society.

Komabe, chifukwa pali mapulogalamu ochepa okha omwe amaphunzitsa ma curricula a m'chiuno, pali njira zosiyanasiyana zamankhwala.

Thandizo la pelvic pansi lingathandize:

• kusadziletsa
• kuvutika ndi chikhodzodzo kapena matumbo
• kugonana kowawa
• kudzimbidwa
• kupweteka kwa m'chiuno
• endometriosis
• nyini
• kusintha kwa kusamba
• mimba ndi ukhondo pambuyo pobereka

“Ndikulangiza kuti anthu aziyimbira foni malowa ndipo mwina akonze nthawi yoyamba kuti awone momwe mukumvera. Ndimaganiziranso kuti magulu othandizira odwala amakhala atatseka magulu a Facebook ndipo amatha kulangiza anthu m'malo ena. Ndikudziwa kuti anthu amatcha [machitidwe athu] kwambiri ndipo timayesetsa kuwapanga awiriwa ndi munthu amene timamukhulupirira mdera lawo, "akutero a Prendergast.

Amatsindika kuti chifukwa choti simukumana ndi vuto limodzi ndi PT imodzi, sizitanthauza kuti muyenera kusiya zonsezo. Pitilizani kuyesa othandizira osiyanasiyana mpaka mutapeza zoyenera.

Chifukwa moona mtima, chithandizo cham'mimba chakumaso chasintha kale moyo wanga kukhala wabwinoko.

Ndayamba kupita masiku osawopa kuthekera koti kukondana kudzakutsogolo. Kwa nthawi yoyamba nthawi zonse, ndimatha kuwona zamtsogolo zomwe zimaphatikizapo ma tampon, mayeso amchiuno, komanso kugonana. Ndipo zimamasulidwa kwambiri.

Allyson Byers ndi wolemba komanso wolemba pawokha ku Los Angeles yemwe amakonda kulemba chilichonse chokhudzana ndi thanzi. Mutha kuwona zambiri za ntchito yake ku www.udakshalim.com ndipo mumutsatire iye malo ochezera.