Izihlunu zePelvic Floor & Trigger Points

intshayelelo

Ummandla we-pelvic womzimba unemisebenzi emininzi ebalulekileyo ekusebenzeni kunye nomamkeli. Izihlunu ezahlukeneyo ezijikeleze i i-pelvis nceda ukubonelela ngozinzo kumbindi womzimba, vumela ukujikeleza kwi- intliziyo kwi-cardiovascular system, ukuxhasa amalungu okuzala kunye nesisu, kunye nokunye okuninzi okufunwa ngumzimba. Izihlunu ezahlukeneyo zamalungu e-pelvic zikwavumela ukuhamba kwe-hip kunye nokusebenza kwiindawo ezisezantsi zomzimba. Xa ukulimala okubuhlungu okanye imisebenzi engaqhelekanga iqala ukuchaphazela imisipha yomgangatho we-pelvic, imiba eyahlukeneyo inokuchaphazela ukusebenza kwendawo ye-pelvic kwaye ibangele. iingxaki kulawulo lwesinyi kumzimba wendoda nowenkazana. Uninzi lwale miba luhambelana namanqaku e-trigger ajikeleze okanye kwizihlunu zomgangatho we-pelvic ezinokuchaphazela indlela amalungu abalulekileyo asebenza ngayo emzimbeni. Inqaku lanamhlanje livavanya izihlunu zomgangatho we-pelvic, ukuba amanqaku e-trigger anxibelelana njani neentlungu ze-pelvic, kunye nokulawula iintlungu ze-pelvic zinxulunyaniswa namanqaku e-trigger. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezininzi kwiimpawu zomzimba ezisezantsi, ezifana nonyango lweentlungu ze-pelvic ezinxulumene namanqaku okuqalisa, ukunceda abantu abajongene neempawu zentlungu kunye nemisipha yomgangatho we-pelvic kufuphi kunye nokujikeleza i-pelvis. Siyazikhuthaza kwaye siyazixabisa izigulana ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuxilongo lwabo, ngakumbi xa kufanelekile. Siyaqonda ukuba imfundo sisisombululo esihle kakhulu sokubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana. UDkt Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

Ziziphi izihlunu zoMgangatho wePelvic?

 

Ngaba ukhe wahlangabezana nemiba yesinyi ehlala ikwenza ukuba uye kwigumbi lokuhlambela? Ngaba ukhe wajongana neecramps ezinzima ezifana neentlungu ze-sciatica? Okanye ngaba kubuhlungu xa uhleli phantsi? Uninzi lwale miba luhambelana neentlungu zemisipha ezinxulumene neentlungu ze-trigger point kunye nezihlunu zomgangatho we-pelvic. I imisipha yomqolo yindawo eyodwa ye-anatomical yomzimba kunye nokulingana koxinzelelo olwahlukeneyo (i-visceral, i-muscular, okanye i-liquid) edlala indima ebalulekileyo kumazantsi omzimba. Izihlunu zomgangatho we-pelvic zinamacandelo amane ahlukeneyo kodwa zineendawo ezahlukeneyo kunye nemisebenzi ukuvumela ukusebenza kakuhle komzimba. Amacandelo amane omgangatho we-pelvic aquka:

• Ngaphambili okanye kumchamo (isinyi)
• Phakathi okanye amalungu angasese (isibeleko kubasetyhini, i-prostate emadodeni)
• Ngasemva okanye ngaphambili (i-anus, i-anal cavity, kunye ne-rectum)
• I-peritoneal (i-endopelvic fascia kunye ne-perineal membrane)

Eminye yemisebenzi eyenziwa yimisipha ye-pelvic evumela umzimba ukuba wenze ngokufanelekileyo ibandakanya ukunyanzeliswa okufanelekileyo komsebenzi wesondo, ukuvumela ukuphefumla kwizitho zesisu, ukugcina izenzo zolwelo lomzimba njengokuya kwindlu yangasese, kunye nokugcina ukuma kakuhle ngokusebenza kunye ne-thoracolumbar kunye Iikholamu ze-lumbosacral zomqolo. Uphando lutyhila ukuba imithambo-luvo yokuzimela yomqolo, ebandakanya uvelwano kunye ne-parasympathetic, inceda ukubonelela ngamacandelo angasemva kunye nangaphambili kwi-pelvic floor. Xa izinto eziphazamisayo zichaphazela imisipha yomgangatho we-pelvic, kunokukhokelela kwimiba ehambelanayo malunga namanqaku okuqalisa kwimisipha ye-pelvic.

 

Amanqaku e-Trigger anxulumana njani neentlungu zePelvic?

Umgangatho we-pelvic unamacandelo amane ahlukeneyo okuvumela izihlunu ukuba zisebenze ngokufanelekileyo xa izinto ezibuhlungu ziqala ukucela iimpawu ezinjengeentlungu ezinokuchaphazela ukusebenza kwe-pelvic kumzimba wendoda kunye nowesifazana, ngaloo ndlela ukuphuhlisa intlungu ye-trigger point ehambelana nentlungu ye-pelvic. Kumzimba wesetyhini, i-trigger points ecaleni kwe-bulbospongiosus muscle (inxalenye yemisipha yomgangatho we-pelvic) inokubangela intlungu ebuhlungu kwingingqi ye-perineal. Ngokwahlukileyo, kumzimba wendoda, amanqaku aqalayo ecaleni kwendawo ye-retroscrotal anokubangela ukungonwabi ngelixa ehleli nkqo. Ngokutsho kwencwadi ethi, "Intlungu ye-Myofascial kunye nokungasebenzi kakuhle," ebhalwe nguDkt. Janet G. Travell, MD, yathi abantu abaninzi abajongene neentlungu zentlungu kunye nemisipha yabo ye-pelvic bahlala bekhalaza malunga nokuziva intlungu ebuhlungu kwindawo yabo. indawo kwaye unokufumana iintshukumo ezibuhlungu xa usiya kwindlu yangasese.

 

Uphando lutyhila ukuba i-myofascial trigger points iphuhlisa "i-muscle contraction knots" yemisipha yomgangatho we-pelvic, inokuchongwa kwizigulane ezininzi ezinesifo se-pelvic syndrome (i-urological, colorectal, kunye ne-gynecological), kwaye idibene neendawo zokubangela. Amanqaku e-Trigger akhohlisayo xa kuxilonga apho intlungu ikhoyo ukususela ekubeni i-myofascial pain syndrome ilingisa ezinye iimeko ezingapheliyo zemisipha ejikelezayo, ebangela intlungu echazwe. Izifundo ezongezelelweyo zityhila ukuba indawo kunye nobukhulu bentlungu ye-pelvic ye-pelvic ye-myofascial yayinxulunyaniswa kakhulu kunye neempawu zeentlungu ze-pelvic ezinokuchaphazela zombini amadoda kunye nabasetyhini abaneemeko ezahlukeneyo. Xa oogqirha beqonda ukuba izigulane zabo zijongene nazo amanqaku e-trigger ahambelana neentlungu ze-pelvic emva koviwo, baqulunqa isicwangciso sonyango kwaye basebenze kunye nezinye iingcali zokulawula amanqaku okuqalisa kunye nokunciphisa intlungu kwingingqi ye-pelvic.

 

---

ImiSebenzi emi-3 ephezulu yoMgangatho wePelvic-Ividiyo

Ngaba uye wajongana nemiba yomchamo eyenza kube nzima ukuya kwindlu yangasese? Ngaba unengxaki yokufumana indawo ekhululekileyo xa uhleli phantsi? Okanye ngaba uziva iintlungu eziphuma ezantsi empundu nasemlenzeni wakho? Iintlungu ze-pelvic ngumcimbi oqhelekileyo onokuthi uchaphazele amadoda kunye nabasetyhini abanokubangela iimpawu ezahlukeneyo zentlungu ezihambelana neendawo zokubangela kunye nezihlunu zomgangatho we-pelvic. Xa amanqaku e-trigger echaphazela imisipha yomgangatho we-pelvic, inokukhokelela kwiintlungu ezigqithisiweyo ezidibanisa neentlungu ze-pelvic kwiindawo ezisezantsi zomzimba. Izinto ezininzi zinokuchaphazela i-pelvis, njengemiba echaphazela inkqubo yokugaya, ukuzala, okanye umchamo, ukuxhatshazwa kwimisipha ye-pelvic ejikelezileyo ebangela ukuba babe buthathaka okanye imiba ehambelanayo kwi-hips kunye ne-back back. Amanqaku e-trigger anxulumene neentlungu ze-pelvic anokuba nzima. Sekunjalo, banokunyangeka ngeendlela ezahlukeneyo zonyango ezinokunciphisa intlungu kunye nokunceda ukuqinisa ezo zihlunu ezibuthathaka kwingingqi ye-pelvic. Ividiyo engentla ibonisa ezinye iindlela ezintathu zokuzilolonga ezinokuthi zincede ukuxhasa izihlunu ze-pelvic kunye nokunciphisa amanqaku okubangela ukuba abuyele kwindawo ye-pelvic yomzimba ophantsi.

---

Ukulawula Intlungu yePelvic eNxulunyaniswe namanqaku e-Trigger

 

Unyango oluhlukeneyo lunokulawula intlungu ehambelana namanqaku e-trigger ngokusebenzisa unyango oluninzi olunokunciphisa iimpawu ezinjengeentlungu kunye nemisipha yomgangatho we-pelvic. Unyango oluninzi, njengonyango lwe-trigger point kunye nokuqeqeshwa kwezihlunu, lunokunceda ukunciphisa intlungu ecaleni kwemisipha ye-pelvic kunye nokubuyisela ukusebenza kwamathumbu kwindawo ye-pelvic. Uphando lutyhila ukuba oogqirha babonelela ngoluhlu lweeprothokholi ezenzelwe ukuqinisa imisipha yomgangatho we-pelvic kunye namaqela ahlukeneyo emisipha ejikeleze indawo ye-pelvic ngelixa uphucula umsebenzi. Nangona kunjalo, unyango lodwa lunokuhamba kuphela ngoku, njengoko abantu kufuneka bathathe amanyathelo okulungisa ukuqinisekisa ukuba amanqaku e-trigger awabuyi kwixesha elizayo. Iintshukumo ezinje ngokulungisa ukuzilolonga okugxininise kumqolo osezantsi, esinqeni, nakwi-pelvis kunye nokutya ukutya okutyebileyo kwefiber kunokunciphisa iintlungu ze-pelvic. Oku kuvumela umntu ukuba abuyisele ukuhamba kwakhe kwesiqingatha esisezantsi. 

 

isiphelo

Isihlunu somgangatho we-pelvic sinamacandelo amane ahlukeneyo aya kwenza ukuba umzimba usebenze ngokufanelekileyo onemisebenzi eyahlukeneyo kwimizimba yamadoda nabasetyhini. Izihlunu zomgangatho we-pelvic zinemisebenzi emininzi ebalulekileyo ebonelela ngokuzinza komkhosi kumbindi womzimba, ukuvumela ukujikeleza kwenkqubo ye-cardiovascular system, kwaye, okona kubaluleke kakhulu, ukuxhasa amalungu okuzala kunye nesisu. Xa imiba ichaphazela imisipha yomgangatho we-pelvic, inokukhokelela kwintlungu ye-pelvic ehambelana namanqaku e-trigger anokuphazamisa abaninzi ukuya kwindlu yangasese okanye ukuphazamisa ukusebenza ngokwesondo. Yonke into ayilahlekanga, njengoko iindlela ezahlukeneyo zonyango zinokunciphisa intlungu kwaye zomeleze imisipha ye-pelvic kumzimba ophantsi. Oku kuvumela ukushukumiseka okusezantsi komzimba ukubuyela kumamkeli kwaye kuthintela imiba engeyomfuneko ukuba iphinde yenzeke.

 

Ucaphulo

Bordoni, Bruno, et al. "I-Anatomy, isisu kunye nePelvis, uMgangatho wePelvic." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 18 July 2022, www.ncbi.nlm.nih.gov/books/NBK482200/.

UMarques, uAndrea, kunye nabanye. "Isimo soQeqesho lwe-Pelvic Floor Muscle for Women." Ijenali yeCanadian Urological Association = Ijenali De L'Association Des Urologues Du Canada, uMbutho wezoNyango waseKhanada, Disemba 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2997838/.

Meister, Melanie R, et al. "I-Pelvic Floor Myofascial Pain Severity kunye ne-Pelvic Floor Disorder Symptom Symptom Bother: Ngaba kukho ukuNxibelelana?" Ijenali yaseMelika yee-Obstetrics kunye ne-Gynecology, ILayibrari yeSizwe yezeMithi yase-US, ngo-Septemba 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6732028/.

UMoldwin, uRobert M, kunye noJennifer Yonaitis Fariello. "IiMyofascial Trigger Points of the Pelvic Floor: Imibutho kunye ne-Urological Pain Syndromes kunye neSicwangciso soNyango olubandakanya unyango lwe-Injection." Iingxelo zangoku zeUrology, Ilayibrari yeSizwe yaseMelika yoNyango, Okthobha 2013, yentshutshiso.ncbi.nlm.nih.gov/23943509/.

URaizada, uVaruna, kunye noRavinder K Mittal. "I-Pelvic Floor Anatomy kunye ne-Applied Physiology." Iiklinikhi zeGastroenterology zaseMntla Melika, ILayibrari yeSizwe yezeMithi yase-US, ngo-Septemba 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2617789/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 2:Iindawo ezisezantsi. Williams & Wilkins, ngo-1999.

isikhanyeli