Abinda Ya Kamata Kowace Mace Ta Sani Game Da Rashin Dabarun Pelvic Floor

Wadatacce

• Jima'i mai zafi na iya zama alama.
• Har yanzu ba a san dalilin ba.
• Misdiagnosis matsala ce ta gama gari ga waɗanda ke da PFD.
• Akwai su ne hanyoyin da za a bi da shi-da farfajiyar jiki na ɗaya daga cikinsu.
• A'a, ba mahaukaci bane don tunanin akwai matsala.
• Bita don

Zosia Mamet yana da saƙo mai sauƙi ga mata a ko'ina: Ƙaunar ciwon ƙwanƙwasa ba al'ada ba ne. A cikin jawabinta na Taron MAKERS na 2017 a wannan makon, 'yar shekaru 29 ta buɗe game da yaƙin ta na shekaru shida don nemo musabbabin abin da ta ce yana jin kamar "mafi munin UTI a duniya." Ya juya, wani abu ne daban daban.

Da yake fama da "mitar fitsarin mahaukaci" da "rashin jurewa" azaba yayin jima'i, Mamet ta ce ta je ga kowane likita da ƙwararriyar da za ta iya gano amsar, amma lokacin gwajin fitsari, MRIs, da matsanancin sauti duk sun dawo daidai, likitocin ta sun fara shakkun koke-kokenta da matakin zafi. Wani ya yi mata kuskuren kamuwa da cutar STD kuma ya sanya mata maganin rigakafi; wata shawara tace "ta haukace." (Tauraruwar Mamet, 'Yan mata Marubuciya-producer Lena Dunham ita ma ta yi magana game da gwagwarmayar lafiyarta tare da endometriosis.)

Bayan ta gwada komai daga masu rage radadin ciwo zuwa hypnosis, Mamet ta tafi doc na mata na farko kuma a ƙarshe ta sami amsa-yanayin, ta bayyana, wannan abin mamaki ne gama gari: lalacewar ƙasan pelvic (PFD). Don haka, menene ainihin ƙashin ƙasan ku? Kalmar tana nufin ƙungiyar tsokoki, jijiyoyi, kayan haɗin gwiwa, da jijiyoyin da ke goyan baya da taimakawa gabobin da ke cikin yankin ku na ƙashin ƙugu. Ga mata, gabobin da ke cikin tambayoyi suna nufin mafitsara, mahaifa, farji, da duburar ku. A cewar Cibiyar Kula da Lafiya ta Cleveland, an bayyana tabarbarewar ƙwanƙwasa a matsayin rashin iya sarrafa waɗannan tsokoki don samun motsin hanji, ko kuma musamman, mutanen da ke da PFD suna kwangilar waɗannan tsokoki maimakon shakatawa.

Yayin da Mamet ta ƙarshe ta sami amsarta (da kuma maganin da ya dace) bayan shekaru da yawa na rashin jin daɗi na ziyarar likitoci da rashin ganewar asali, gwagwarmayarta ba sabon abu ba ne. Duk da rashin sani game da wannan cuta, bincike ya nuna cewa daya cikin uku mata za su fuskanci PFD a cikin su. rayuwa, amma duniyar lafiyar mata har yanzu tana riƙe da bayanai game da wannan "a ƙarƙashin rugar," in ji Robyn Wilhelm, likitan kwantar da hankali wanda ke gudanar da cibiyar kula da lafiyar jiki a yankin Arizona. Anan, Wilhelm yayi ƙarin bayani game da ainihin abin da PFD yake, yadda aka gano ta, da abin da za mu iya yi don magance shi.

Jima'i mai zafi na iya zama alama.

Alamun farko da aka fi sani da su shine rashin jin daɗin ƙashin ƙugu ko maƙogwaro, wanda ya haɗa da yiwuwar jin zafi tare da jima’i ko inzali, ”in ji Wilhelm. Amma ciwo ba shine kawai alamar cewa akwai matsala ba. Hakanan zai iya haifar da rashin aiki na mafitsara da/ko hanjin ku wanda ke haifar da yoyon fitsari da rashin natsuwa ko maƙarƙashiya, in ji ta. Yikes.

Har yanzu ba a san dalilin ba.

La'akari da yawan mata da abin ya shafa, kuna iya tunanin likitoci suna da abin da ke haifar da PFD. Ka sake tunani. Duniyar kimiyya har yanzu tana ƙoƙarin murƙushe takamaiman dalilin cutar. Yayin da wata babbar fahimta ita ce sakamakon ciki ko haihuwa, kuma ba dole ba ne mace ta kasance cikin hadarin bunkasa PFD, in ji Wilhelm. Sauran dalilan da za ta iya haɓakawa sun haɗa da raunin rauni, ko ma matsanancin matsayi. Bugu da ƙari, 'yan wasan mata sukan ba da rahoton alamun alaƙa da PFD, kamar rashin fitsari, amma ba a san dalilin ba, in ji ta. Gano tushen PFD ɗinku na iya zama mai tsawo, tsarin biyan haraji na bincike da gwaje-gwaje, amma ƙwararru kamar masu ilimin motsa jiki na jiki ko likitocin da ke da ƙwarewa a yankin ƙashin ƙugu, na iya bayar da ƙarin tabbatacciyar amsa, in ji Wilhelm . Ko da har yanzu, hanyar dalili da tasiri har yanzu yana da wuyar tantancewa a wasu lokuta, in ji ta.

Misdiagnosis matsala ce ta gama gari ga waɗanda ke da PFD.

Abin baƙin cikin shine, shekarun Mamet da suka shuɗe daga likita zuwa likita ba tare da amsoshi ba labari ne na yau da kullun-yana nuna abin da Wilhelm ya kira "rashin sani da sani" a fagen likitanci, duka don yadda za a tantance PFD da abin da za a yi wa matan da ke shan wahala daga gare ta. "A matsakaita, mata za su ga ƙwararru biyar zuwa shida kafin a tantance su daidai," in ji ta. "Ayyukan wayar da kan jama'a sun inganta a cikin shekaru biyar ko fiye da suka gabata, amma har yanzu muna da mata da yawa suna shan wahala a shiru ko kuma ba za su iya samun taimakon da suke bukata ba."

Akwai su ne hanyoyin da za a bi da shi-da farfajiyar jiki na ɗaya daga cikinsu.

Samun ganewar asali tare da PFD ba yana nufin ƙaddamar da ciwo na tsawon rayuwa ba. Duk da yake ana iya amfani da magani (misali, masu shakatawa na tsoka) don sarrafa ciwo, biofeedback ta hanyar maganin jiki shine magani mafi mahimmanci. A cewar Cleveland Clinic, dabarar rashin aikin tiyata tana ba da haɓaka ga fiye da kashi 75 na marasa lafiya da ke gwada ta. Wilhelm ya ce "Jiyya ta jiki da mai ilimin hanyoyin kwantar da hankali na pelvic ke yi na iya yin tasiri sosai." Yayin da tsokar ƙasan ƙashin ƙugu ke mai da hankali ga wannan jiyya, sauran tsokoki na iya ba da gudummawa ga ciwon kuma, don haka akwai ƙarin wannan fiye da kwance kan tebur. Sauran fasahohin da Wilhelm ke amfani da su tare da majinyata sun haɗa da farfaɗarwar waje da na ciki, sakin myofascial, shimfiɗa, da ƙarfafa wutar lantarki.

A'a, ba mahaukaci bane don tunanin akwai matsala.

Wilhelm ya ce "Mutane suna kuskuren watsi da alamun cutar da ke faruwa da PFD, kamar rashin fitsari, a matsayin 'al'ada' sakamakon samun jarirai da tsufa," in ji Wilhelm. "Yana iya zama gama gari, amma bai kamata a kalle shi a matsayin al'ada ba." Don haka, idan kuna tunanin kina ɗaya daga cikin waɗannan matan, ku ceci kanku shekaru na wahala shiru kuma ku kai ga likita ko mai ilimin hanyoyin kwantar da hankali wanda ya ƙware a kididdigar PFD.

Bita don