Esikhathini esidlule igama kanye nencazelo yesitezi se-pelvic kwakungaziwa ngoba umuthi wawuselemkhuba impela isikhathi sokubeletha senziwa ngokwemvelo, okungukuthi, ukuhlupheka okukhulu futhi, ngenxa yalokho, izinkinga ezinkulu zangemva kokubeletha.
Manje, umuthi usuthuthuke ngokwanele ukuthuthukisa yonke inqubo yokukhulelwa. Ngakho-ke, ngaphambi, ngesikhathi nangemva kwayo kusebenza kakhulu maqondana nokululama, ngenxa yokuqiniswa nokuqina kwento eyaziwa njenge isinqe.
Liyini iphansi le-pelvic futhi kungani kufanele liqiniswe?
Iphansi le-pelvic iqoqo le- imisipha yokusekela ezigcina ukuma okufanele kwesitezi sesisu, kugcinwe kumiswa izitho zaso ezihlukile ezisibumbayo, njengesinye, isibeletho kanye nengxenyeni. Le misipha kufanele iqiniswe ngoba umzuzu wokulethwa ubacindezela kakhulu, kubangele uchungechunge lwezifo.
Ukuba buthakathaka nokulahleka kokuqina kwale misipha kubangela izinkinga zempilo ezingathandeki empilweni yansuku zonke yabesifazane. Lezi zivame ukuba yizinkinga zomgogodla, ukuqhuma, ukungasebenzi kahle kocansi nokungavumelani okuvamile kokuchama noma indle.
Izinzuzo zokuqinisa iphansi le-pelvic
Lapho ibeletha, ingane isuka esibelethweni iye esithweni sangasese ize ifinyelele ngaphandle. Le ndlela idala ukuthi imisipha etholakala phansi esiswini ithinteke. Ngaphezu kwalokho, izinsimbi zomculo ezisetshenziselwa ukubeletha, kanye ne- iziwombe kanye nezinyembezi yizici ezinomthelela nakule misipha.
Yingakho siqinisa lezi zicubu zangaphakathi kuzosiza ukululama okusheshayo ngemuva kokubeletha, kuthatha isikhathi esincane ukubuyisa isimo esikahle sephansi le-pelvic. Kodwa-ke, ukuqiniswa kwalesi sicubu somzimba akufanele kwenziwe kuphela lapho ukhulelwe, ngoba le ndawo kufanele igcinwe isesimweni esihle ukuvimbela izinkinga ezithile ngokuzayo.
Ithoni phansi okhalo kuzokhuthaza:
- Susa noma ugweme ukungalawuleki kubhebhethekiswa isisindo sengane esinyeni ngesikhathi sokukhulelwa.
- Lungiselela abasebenzi uma kwenzeka kwehle izinyembezi (ukugwema ama-episiotomi) ngobuhlungu obuncane ngemuva kokubeletha.
- Khulisa ukujikeleza kwegazi endaweni engunxande, kusiza ukwelapha izinyembezi noma i-episiotomy ngokushesha okukhulu, kunciphise amathuba ama-hemorrhoids.
- Vikela izitho ezithile endaweni, njengesibeletho, isinye, ukuthi zingashiyi indawo yazo (prolapse) ngemuva kokuthola umntwana.
- Buyela emisebenzini yakho ejwayelekile ngemuva kokubeletha ngaphandle kokwesaba ukungakwazi ukuzibamba lapho ukhwehlela, hleka, thimula noma ugxume.
- Khulisa injabulo yezocansi.
Ukuzivocavoca kukaKegel
Enqubeni ende yezinyanga eziyi-9 zokukhulelwa kuyalulekwa ngaso sonke isikhathi ukukwenza ukuvivinya umzimba ngoba lokhu kuzosiza ukwenza ngcono umzuzu wokulethwa kepha, ngaphezu kwalokho, kuzothuthukisa ukuqiniswa kwephansi le-pelvic. Okunye kokuzivocavoca okubaluleke kakhulu kwemisipha yesitho sangasese sowesifazane ukuze uphakamise yilezi Ukuzivocavoca kukaKegel.
Lezi zivivinyo zenziwa nguDkt. Arnold Kegel ukuze qinisekisa futhi uxazulule izinkinga ezidalwe ngemuva kokubeletha ngokuqondene nesitezi se-pelvic. Ngalesi sizathu, uKegel wahlela uchungechunge lokuzivocavoca ukuqinisa imisipha yangaphakathi yesisu esingezansi.
Lokhu kusekelwe ikakhulukazi kufayela le- ukusikwa nokuphumula kwemisipha ye-pubococci (imisipha yaphansi). Le nqubo kumele iphindaphindwe futhi yansukuzonke ukuze kwandiswe amandla nokumelana kwalezi zicubu, ngaleyo ndlela kugwenywe ukungabambeki komchamo nezinye izinkinga ezihlobene nalokhu esesikushilo ngaphambili.
Ngaphambi kokuqala lezi zivivinyo, kungakuhle ukuthi wazi le ndawo ngokusebenzisa i- ukusikhipha ngomlomo. Lokhu kubhucungwa kunenzuzo yokunciphisa ukuhlukumezeka okuphelele ngemuva kokubeletha (ama-episotomies) futhi, ngaphezu kwalokho, kuyasiza ukulungisa izicubu ezizungeze isinye, ukuzelula, ukuzithambisa nokwandisa ukuqina kwazo.
Nge-perineal massage owesifazane angayizwa le misipha yangaphansi okhalo isiza ukuzijwayeza umuzwa wokwelula kule ndawo. Ngakho-ke, imisipha ekhona izolawulwa kakhulu, kuvunyelwe i- ukuphumula okukhulu ngesikhathi sokubeletha.
Ngokuqondene ne Ukuzivocavoca kukaKegel, kukhona okungu-4 okungenziwa ngezikhundla ezahlukahlukene; ukulala phansi, ukuma, ukuhlala noma ukuhamba ngisho nokuhamba. Ukuqala, uzoqala ngokuphindaphinda okungu-10 kokuvivinya ngakunye, amahlandla ama-4 ngosuku, nakwezinye izigaba, khuphuka uze ufinyelele ekuphindaphindeni okungama-50, izikhathi ezine ngosuku.
Lapho wenza izivivinyo zeKegel, kufanele ube ne- isinye esingenalutho ngokuphelele ukuvikela ukutheleleka umchamo. Ngaphezu kwalokho, akufanele uzizwe noma uqaphele ukukhathala noma ubuhlungu beqolo, uma kunjalo, izivivinyo azenziwa kahle.
Ngakolunye uhlangothi, lezi zivivinyo kufanele zigxile emisipheni yaphansi ye-pelvic futhi hhayi ukuthola imisipha yesisu, amathanga, noma izinqe. Lezi zivivinyo ezi-4 yilezi:
- Yenza inkontileka neqembu lezicubu bese ubamba imizuzwana emi-5. Sengathi sifuna ukuchama futhi siyakubamba ngoba ayikho indlu yokugezela eduzane.
- Yenza isivumelwano futhi uphumule iqembu lemisipha ngokushesha okukhulu. Lapha sizobona ukuthi isisu sikhukhumala kanjani lapho sisebenza futhi siphela lapho siziphumulele.
- Yenza isivumelwano seqembu lemisipha ngezikhathi, bese ubaphumuza ngalezo zikhathi ezifanayo. Phumula ngokuphelele imisipha.
- Inkontileka futhi uphumule amasongo amise okwamagagasi. Okokuqala iringi ezungeze i-urethra, bese kuthi leyo ezungeze isitho sangasese sowesifazane, bese kuthi ekugcineni, leyo ezungeze ingquza.