txheem
- Perineum: ib qho tseem ceeb cov leeg los tiv thaiv
- Rehabilitation ntawm perineum: cov lus pom zoo
- Perineum thiab perineal rehabilitation: peb nyob qhov twg?
- Perineum: ib leeg rau lub suab
- Perineum: peb muab tso rau ntawm so
- Thaum lub perineal rehabilitation yog qhov tseem ceeb
- Cov kws kho mob tshwj xeeb hauv perineum rehabilitation
- Peb txoj hauv kev los tsim cov leeg hauv tsev
Perineum: ib qho tseem ceeb cov leeg los tiv thaiv
Lub perineum yog ib txheej ntawm cov leeg uas tsim ib lub hammock, nruab nrab ntawm lub pubis thiab lub hauv paus ntawm tus txha nraub qaum. Cov leeg nqaij no txhawb nqa lub plab me me thiab cov kabmob xws li zais zis, tsev menyuam, thiab qhov quav. Lub perineum pab tswj cov zis thiab qhov quav. Cov Anglo-Saxons hu nws lub "pelvic pem teb" rau "pelvic pem teb”, Thiab nws yeej muaj lub luag haujlwm hauv pem teb, yog li nws qhov tseem ceeb! Sab hauv, lub perineum yog tsim los ntawm cov txheej txheem sib txawv ntawm cov leeg, hu ua dav hlau. Ntawm lawv yog cov levator ani leeg, uas koom nrog hauv plab hnyuv continence thiab plays lub luag haujlwm tseem ceeb hauv pelvic statics. Pubo-coccygeal nqaij yog ib tug muaj zog tus neeg sawv cev ntawm txhawb nqa pelvic viscera, qhov quav, qhov chaw mos, uterus. Los ntawm kev xav ntawm kev sib deev, nws tso cai rau a nce siab.
Rehabilitation ntawm perineum: cov lus pom zoo
Perineum thiab perineal rehabilitation: peb nyob qhov twg?
Nyob rau lub Kaum Ob Hlis 2015, cov lus pom zoo tshiab ntawm cov kws kho mob gynecologist (CNGOF) tau muaj txiaj ntsig ntawm lub foob pob (mini)! “ Perineal rehabilitation rau cov poj niam uas tsis muaj tsos mob (incontinence) ntawm 3 lub hlis yog tsis pom zoo. […] Tsis muaj kev tshawb fawb tau soj ntsuam kev kho mob ntawm perineum nrog lub hom phiaj tiv thaiv kev tso zis lossis qhov quav hauv lub sijhawm nruab nrab lossis ntev ”, nco ntsoov cov kws tshaj lij no. Rau Anne Battut, tus kws yug menyuam: "Thaum CNGOF hais tias:" Nws tsis pom zoo kom ua ... ", nws txhais tau hais tias cov kev tshawb fawb tsis tau pom tias ua qhov kev nqis tes no txo cov kev pheej hmoo. Tab sis nws tsis yog txwv tsis pub ua li ntawd! Heev qhov tsis sib xws. Rau National College of Midwives ntawm Fabkis, muaj ob lub ntsiab lus kom paub qhov txawv: kev kawm perineal thiab perineal rehabilitation. Leej twg yog cov poj niam uas paub txog cov xwm txheej uas tuaj yeem tsim kev puas tsuaj lossis muaj txiaj ntsig zoo rau perineum? Los yog cov uas paub yuav ua li cas khaws nws nyob rau hauv ib hnub? Cov poj niam yuav tsum muaj kev paub zoo txog qhov no ntawm lub cev. " Rau lub sijhawm tam sim no thiab txij li xyoo 1985, kev kho mob perineal rehabilitation (kwv yees li 10 zaug) yog tag nrho los ntawm Social Security, rau txhua tus poj niam, tom qab yug menyuam.
Perineum: ib leeg rau lub suab
Tam sim no postnatal mus ntsib nrog gynecologist los yog midwife, nyob rau hauv rau mus rau yim lub lis piam tom qab yug me nyuam, tus kws tshaj lij yuav soj ntsuam peb perineum. Nws yog qhov ua tau tias nws tsis pom muaj qhov tsis txaus ntseeg. Nws tseem yuav tau resonated nrog contraction ce ua tom tsev, ua ntej rov pib ua kis las. Ib tug tuaj yeem, txij hnub tom qab yug menyuam, xyaum "dag hauv siab kev tshoov siab"Raws li tau hais los ntawm Dr. Bernadette de Gasquet, kws kho mob thiab tus kws qhia yoga, tus kws sau ntawv "Périnée: cia peb tso tseg kev tua neeg", luam tawm los ntawm Marabout. Nws yog hais txog exhaling tag nrho: thaum lub ntsws tsis muaj dab tsi, koj yuav tsum hle koj lub qhov ntswg thiab ua txuj tias koj ua pa, tab sis tsis ua li ntawd. Lub plab yog hollow. Qhov kev tawm dag zog no yuav tsum tau ua ob lossis peb zaug ua ke kom hnov lub plab thiab perineum nce. Koj yuav tsum tsis txhob tos kom xyaum cov kev txhawb zog no. Cov menyuam mos yug tshiab yuav hnov qhov hnyav hauv plab thaum sawv ntsug, zoo li lub cev tsis muaj kev txhawb nqa ntxiv lawm.
Perineum: peb muab tso rau ntawm so
Hauv lub ntiaj teb zoo tagnrho, nyob rau lub hli tom qab yug me nyuam, yuav tsum tau siv sij hawm ntau dua pw tsaug zog dua li sawv hauv 24 teev. Qhov no tiv thaiv kev mob ntxiv ntawm cov leeg hauv plab pelvic. Nws yog qhov opposite uas lub zej zog imposes rau niam! Peb txuas ntxiv yug me nyuam hauv gynecological txoj hauj lwm (tsis zoo rau perineum) thiab peb raug yuam kom sawv sai li sai tau los saib xyuas tus menyuam mos (thiab mus yuav khoom!). Thaum nws yuav siv nyob hauv txaj thiab tau txais kev pab. Lwm qhov teeb meem yog cem quav tom qab yug me nyuam, uas yog nquag thiab ua phem heev rau hauv pem teb pelvic. Nws yog ib qho tseem ceeb tsis txhob cia cem quav, thiab tsis txhob "thawb". Thaum peb nyob hauv chav dej, kom lub qhov hnyav ntawm lub perineum, peb tso ib phau ntawv txhais lus lossis ib kauj ruam hauv qab peb txhais taw. Peb tsis txhob nyob ntev dhau ntawm lub rooj thiab peb mus qhov ntawd sai li sai tau thaum peb xav tias xav tau.
Thaum lub perineal rehabilitation yog qhov tseem ceeb
Tom qab yug me nyuam, Muaj peb pawg ntawm cov poj niam: 30% tsis muaj teeb meem, thiab 70% ntxiv rau hauv ob pawg. "Nyob rau hauv kwv yees li 40% ntawm cov neeg mob, tom qab yug me nyuam, peb pom tias cov leeg ntawm perineum yog me ntsis distended. Tej zaum yuav muaj suab nrov ntawm qhov chaw mos (thaum sib deev) thiab incontinence ( tso zis, qhov quav lossis roj). Nyob rau hauv cov ntaub ntawv no, ntxiv rau tus kheej ce uas koj tau ua nyob rau hauv tsev, pib ib tug rehabilitation ntawm tus nqi ntawm 10 mus rau 15 zaug, nrog ib tug kws ”, qhia Alain Bourcier, perineologist. Electrostimulation, los yog biofeedback, yog kev cob qhia nrog lub sijhawm ntawm kev so thiab so, siv electrodes los yog ib qho kev sojntsuam tso rau hauv qhov chaw mos. Qhov kev cob qhia no txawm li cas los xij me ntsis txwv thiab tsis tso cai rau koj kom paub qhov tob ntawm ntau theem ntawm perineum. Dominique Trinh Dinh, tus kws yug menyuam, tau tsim kho kev kho mob hu ua CMP (Knowledge and Control of the Perineum). Nws yog hais txog kev pom thiab cog lus ntawm cov leeg no. Kev tawm dag zog yuav tsum tau txuas ntxiv tom tsev txhua hnub.
Cov kws kho mob tshwj xeeb hauv perineum rehabilitation
Kawg, tab sis tsis kawg, Hauv 30% ntawm cov poj niam, kev puas tsuaj rau perineum yog qhov tseem ceeb heev. Lub incontinence yog tam sim no thiab tej zaum yuav muaj prolapse (qhovntsej thiaj tsis mob). Hauv qhov no, tus neeg mob raug xa mus rau a kev ntsuam xyuas perineal nyob rau hauv ib lub chaw tshwj xeeb, qhov chaw kuaj X-ray, kev tshawb nrhiav urodynamic thiab ultrasound yuav raug ua. Yog tias koj muaj kev txhawj xeeb, hu rau tus kws kho mob lub cev lossis tus kws yug menyuam tshwj xeeb hauv perineal pathology. Tus naj npawb ntawm kev sib tham yuav raug ntsuas raws li qhov xav tau. Qhov no perineal rehabilitation Nws yog ib qho tseem ceeb kom rov ua kom lub suab nrov thiab tiv thaiv cov teeb meem tsis zoo thaum lub sij hawm cev xeeb tub. Yog tias cov tsos mob tshwm sim txawm tias ua tib zoo saib xyuas nrog cov kws kho mob tsim nyog, kev phais yuav tsum tau txiav txim siab. Nws muaj peev xwm tau txais txiaj ntsig los ntawm kev cog qoob loo ntawm suburethral sling, ntawm TVT lossis TOT hom. Tsim nyog raws li "kev phais tsawg kawg nkaus", nws suav nrog kev tso, nyob rau hauv cov tshuaj loog hauv zos, ib daim nplaum rau tus kheej ntawm qib ntawm cov urethral sphincter. Nws pab kom tsis txhob tso zis tawm ntawm kev tawm dag zog, thiab tsis tiv thaiv kev muaj menyuam tom qab. Thaum lub perineum zoo toned, peb tuaj yeem rov qab mus ua si.
Peb txoj hauv kev los tsim cov leeg hauv tsev
Geisha pob
suav tias yog cov khoom ua si sib deev, geisha npas tuaj yeem pab kho kom rov zoo. Cov no yog cov spheres, feem ntau yog ob tus lej, txuas los ntawm ib txoj xov, kom muab tso rau hauv qhov chaw mos. Lawv tuaj yeem yog qhov sib txawv, cov duab thiab cov khoom siv (silicone, yas, thiab lwm yam). Lawv tau ntxig nrog me ntsis lubricating gel thiab tuaj yeem hnav thaum nruab hnub. Nws yuav ua rau lub perineum ntawm cov neeg uas tsis xav tau kev kho mob nruj me ntsis hais lus.
Qhov chaw mos cones
Cov khoom siv no hnyav kwv yees li 30 g thiab haum rau hauv qhov chaw mos. Nws yog nruab nrog ib txoj hlua zoo ib yam li tampon. Cov duab sib txawv thiab qhov hnyav ua rau nws tuaj yeem hloov kho qhov kev tawm dag zog raws li lub peev xwm ntawm lub plab hauv plab. Ua tsaug rau ib tug natural mechanism, qhov chaw mos cones zoo meej perineal rehabilitation ce. Ib tug yuav tsum sim tuav cov luj no thaum sawv ntsug.
Perineum qoj ib ce
Muaj cov khoom siv neuromuscular electrostimulation uas pab txhawb lub perineum hauv tsev. Lub 8 electrodes muab tso rau sab saum toj ntawm tus ncej puab thiab sib sau tag nrho cov leeg ntawm lub plab mog. Piv txwv li: Innovo, 3 qhov ntau thiab tsawg (S, M, L), € 399, hauv khw muag tshuaj; Ib feem them rov qab los ntawm Health Insurance nyob rau hauv qhov xwm txheej ntawm daim ntawv kho mob.