Pelvic Floor Muscles & Trigger Points

ziviso

Nzvimbo yepelvic yemuviri ine mabasa mazhinji akakosha pakushanda nemugamuchiri. Minyama yakasiyana-siyana yakapoteredza pelvis kubatsira kupa kugadzikana kune yakakosha yemuviri, bvumira kutenderera kune iyo mwoyo muhurongwa hwemoyo, tsigira nhengo dzekubereka uye dzedumbu, uye zvimwe zvakawanda zvinodiwa nemuviri. Majoini epelvic 'akasiyana-siyana tsandanyama anobvumirawo kufamba kwehudyu uye kushanda kwezasi kwemuviri. Kana kukuvara kwekushungurudza kana zviitiko zvisina kujairika zvichitanga kukanganisa tsandanyama dzepelvic, nyaya dzakasiyana dzinogona kukanganisa kushanda kwenzvimbo yepelvic uye kukonzera. matambudziko mukudzora dundira miviri yomurume nomukadzi. Zvizhinji zvezvinhu izvi zvinoenderana nezvinokonzeresa zvibodzwa zvakatenderedza kana pamhasuru dzepelvic izvo zvinogona kukanganisa mabatiro anoita nhengo dzakakosha mumuviri. Chinyorwa chanhasi chinoongorora tsandanyama dzepelvic pasi, kuti mapoinzi anokonzeresa sei nekurwadziwa kwepelvic, uye kugadzirisa marwadzo epelvic kunobatanidzwa nezvinokonzeresa. Isu tinotumira varwere kune vanopa vane ziviso vanobatanidza maitiro akawanda mumigumo yezasi, sekurapa kwemarwadzo epelvic ane chekuita nezvinokonzeresa, kubatsira vanhu vanobata nezviratidzo zvinorwadza pamwe netsandanyama dzepelvic padyo uye dzakatenderedza pelvis. Tinokurudzira uye tinokoshesa varwere nekuvaendesa kune vatinoshanda navo vekurapa zvinoenderana nekuongorora kwavo, kunyanya kana zvakakodzera. Isu tinonzwisisa kuti dzidzo imhinduro yakanaka yekubvunza vatinopa mibvunzo yakaoma pakukumbira kwemurwere. Dr. Jimenez, DC, anoshandisa ruzivo urwu sebasa rekudzidzisa chete. Disclaimer

Chii chinonzi Pelvic Floor Muscles?

 

Wanga uchisangana nenyaya dzedundira dzinogara dzichikuita kuti uende kuchimbuzi? Wanga uchibata neakakomba macramps anotevedzera sciatica marwadzo? Kana kuti zvinorwadza pawakagara pasi? Zvizhinji zvezvinhu izvi zvinopindirana nekurwadziwa kwemhasuru kwakabatana neinokonzeresa marwadzo padyo netsandanyama dzepelvic. The pelvic uriri tsandanyama inzvimbo yakasarudzika yemuviri yemuviri ine chiyero chezvakasiyana dzvinyiriro (visceral, tsandanyama, kana mvura) inoita basa rakakosha kuzasi kwemuviri. Tsandanyama dzepelvic dzine zvikamu zvina zvakapatsanurwa asi dzine mativi akasiyana nemashandiro anoita kuti muviri ushande zvakanaka. Iwo mana pelvic floor compartments anosanganisira:

• Anterior kana urinary (dundira)
• Medium kana genital (chibereko muvakadzi, prostate muvarume)
• Posterior kana anterior ( anus, anal cavity, uye rectum)
• Peritoneal (endopelvic fascia uye perineal membrane)

Mamwe emabasa ayo mhasuru dzepelinha dzinobvumira muviri kuita nemazvo anosanganisira kukochekerana kwakakodzera kwekuita zvepabonde, kubvumira kufema munhengo dzedumbu, kuchengetedza zviito zvemvura yemuviri sekuenda kuchimbuzi, uye kuchengetedza chimiro chakanaka nekushanda pamwe chete nethoracolumbar uye. lumbosacral columns yemuzongoza. Zvidzidzo zvinoratidza kuti musana weautonomic tsinga, dzinosanganisira kunzwira tsitsi uye parasympathetic, dzinobatsira kupa zvikamu zvemashure uye zvepamberi mumutsipa wepelinha. Kana zvinoshungurudza zvinokanganisa tsandanyama dzepelvic pasi, zvinogona kutungamira kune zvinokonzeresa zvine chekuita nezvinokonzeresa mapoinzi mumhasuru dzepelvic.

 

Mapoinzi eTrigger Anowirirana Sei Nemarwadzo ePelvic?

Iyo pelvic floor ine zvikamu zvina zvakasiyana kubvumira mamhasuru kuti ashande nemazvo kana zvinhu zvinoshungurudza zvinotanga kudaidza marwadzo-sezviratidzo zvinogona kukanganisa kushanda kwepelvic mumuviri wese wechirume neremukadzi, nekudaro kukudziridza marwadzo ekutanga ane chekuita nekurwadziwa kwepelvic. Kumuviri wechikadzi, kukonzeresa mapoinzi pamwe netsandanyama ye bulbospongiosus (chikamu chetsandanyama dzepelvic) zvinogona kukonzera marwadzo munzvimbo yeperineal. Kusiyana neizvi, mumuviri wechirume, kukonzeresa mapoinzi padivi penzvimbo yeretroscrotal kunogona kukonzera kusagadzikana ugere wakatwasuka. Maererano nebhuku racho, "Myofascial Pain and Dysfunction," rakanyorwa naDr. Janet G. Travell, MD, rakataura kuti vanhu vakawanda vari kutarisana nemarwadzo ekuputika pamwe chete nemisungo yavo yepelvic vaiwanzonyunyuta pamusoro pekunzwa kurwadziwa kwepanzvimbo munzvimbo dzavo. nharaunda uye anogona kunzwa ura unorwadza kana uchienda kuchimbuzi.

 

Zvidzidzo zvinoratidza kuti myofascial trigger points inogadzira "muscle contraction knots" yetsandanyama yepilvic floor, inogona kuonekwa kune varwere vakawanda vanotambura nepelvic pain syndrome (urological, colorectal, uye gynecological), uye inosanganiswa ne trigger points. Trigger points inonyengera kana uchiongorora kuti marwadzo aripi kubva myofascial pain syndrome inotevedzera mamwe mamiriro asingaperi emhasuru dzakatenderedza, zvichikonzera marwadzo anotaurwa. Zvimwe zvidzidzo zvinoratidza kuti nzvimbo uye kuoma kwepelvic floor myofascial pain yakanyatsobatanidzwa nezviratidzo zvakasiyana-siyana zvekurwadziwa kwepelvic zvinogona kukanganisa vose varume nevakadzi vane mamiriro akasiyana. Apo vanachiremba vanoziva kuti varwere vavo vari kubata navo trigger points dzakabatana nekurwadziwa kwepelvic mushure mekuongororwa, vanogadzira chirongwa chekurapa uye vanoshanda nedzimwe nyanzvi kuti vatarise zvinokonzeresa mapoinzi uye kuderedza marwadzo munharaunda yepelvic.

 

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Pamusoro 3 Pelvic Floor Exercises- Vhidhiyo

Wanga uchitarisana nenhau dzeweti dzinoita kuti uende kuchimbuzi? Une dambudziko here kuwana nzvimbo yakasununguka paunenge wakagara pasi? Kana kuti unonzwa kurwadziwa kunopenya pasi pegaro rako negumbo? Marwadzo epelvic inyaya yakajairika inogona kubata vese varume nevakadzi iyo inogona kukonzera akasiyana marwadzo zviratidzo zvinoenderana nezvinokonzeresa zvibodzwa padyo netsandanyama dzepelvic. Kana matrigger point akanganisa tsandanyama dzepelvic floor, zvinogona kutungamira kumarwadzo anorehwa anobatana nekurwadziwa kwepelvic muzasi memuviri. Zvinhu zvakawanda zvinogona kukanganisa pelvis, senge nyaya dzinokanganisa kugaya, kubereka, kana weti masisitimu, kukuvara mumhasuru dzakatenderedza pelvic izvo zvinoita kuti dzisasimba kana nyaya dzinoenderana muhudyu nekuzasi. Trigger points dzakabatana nekurwadziwa kwepelvic dzinogona kunge dzakaoma. Zvakadaro, vanogona kurapika nemishonga yakasiyana-siyana inogona kuderedza marwadzo uye kubatsira kusimbisa idzo tsandanyama dzisina simba munharaunda yepelvic. Vhidhiyo iri pamusoro inoratidza mamwe matatu maekisesaizi pasi pepelvic ayo anogona kubatsira kutsigira mhasuru dzepelvic uye kuderedza mapoinzi ekutanga kubva pakuitikazve munzvimbo yepelvic yepasi pemuviri.

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Kugadzirisa Marwadzo ePelvic Akabatana neTrigger Points

 

Kurapa kwakasiyana-siyana kunogona kugadzirisa marwadzo anoenderana neinokonzeresa mapoinzi kuburikidza neakawanda marapirwo anogona kuderedza marwadzo-senge zviratidzo pamwe chete nepilvic floor tsandanyama. Mishonga yakawanda, senge trigger point therapy uye kudzidziswa tsandanyama, inogona kubatsira kuderedza marwadzo pamwe netsandanyama dzepelvic uye kudzosa ura kunharaunda yepelvic. Zvidzidzo zvinoratidza kuti vanachiremba vanopa huwandu hwezvibvumirano zvakagadzirirwa kusimbisa mhasuru dzepelvic uye mapoka akasiyana emhasuru akatenderedza nzvimbo yepelvic achivandudza basa. Nekudaro, kurapwa kwega kunogona kungoenda kure, sezvo vanhu vachifanira kutora matanho ekugadzirisa kuti vaone kuti mapoinzi haadzoke mune ramangwana. Mafambiro akaita sekugadzirisa maekisesaizi anotarisana nechepazasi kumashure, muhudyu, uye pelvis uye kudya fiber-rakapfuma kudya kunogona kuderedza kurwadziwa kwepelvic. Izvi zvinobvumira munhu wacho kuti awane hafu yavo yepasi kufamba kumashure. 

 

mhedziso

Iyo mhasuru yepelvic ine zvikamu zvina zvakakamurwa zvinogonesa kushanda kwemuviri kwakakwana kune mabasa akasiyana mumiviri yechirume neyechikadzi. Mitsipa yepelvic floor ine mabasa mazhinji akakosha anopa kugadzikana kwemugadziri mukati memuviri, anobvumira kutenderera kune yemoyo system, uye, zvakanyanya kukosha, kutsigira kubereka uye nhengo dzedumbu. Kana nyaya dzichikanganisa tsandanyama dzepelvic, zvinogona kukonzera kurwadziwa kwepelvic kwakabatana nemapoinzi anogona kukanganisa vazhinji kuenda kuchimbuzi kana kukanganisa kuita zvepabonde. Zvose hazvina kurasikirwa, sezvo marapirwo akasiyana-siyana anogona kuderedza marwadzo uye kusimbisa mhasuru dzepelvic mumutumbi wezasi. Izvi zvinobvumira kufamba kwakadzika kwemuviri kudzoka kumugadziri uye kudzivirira nyaya dzisina kufanira kuti dzirege kuitika zvakare.

 

References

Bordoni, Bruno, nevamwe. "Anatomy, Dumbu uye Pelvis, Pelvic Floor." Mu: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 18 Chikunguru 2022, www.yori.nlm.nih.gov/books/NBK482200/.

Marques, Andrea, nevamwe. "Mamiriro ePelvic Floor Muscle Training yevakadzi." Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada, Canadian Medical Association, Zvita 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2997838/.

Meister, Melanie R, nevamwe. "Pelvic Floor Myofascial Pain Severity uye Pelvic Floor Disorder Symptom Bother: Pane Kuwirirana?" IAmerican Journal yeObstetrics uye Gynecology, US National Raibhurari yeMishonga, Gunyana 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6732028/.

Moldwin, Robert M, naJennifer Yonaitis Fariello. "Myofascial Trigger Points yePelvic Floor: Kushamwaridzana neUrological Pain Syndromes uye Maitiro Ekurapa Anosanganisira Injection Therapy." Yazvino Urology Mishumo, US National Raibhurari yeMishonga, Gumiguru 2013, pubmed.ncbi.nlm.nih.gov/23943509/.

Raizada, Varuna, uye Ravinder K Mittal. "Pelvic Floor Anatomy uye Applied Physiology." Gastroenterology Clinics yeNorth America, US National Raibhurari yeMishonga, Gunyana 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2617789/.

Travell, JG, nevamwe. Myofascial Pain uye Dysfunction: The Trigger Point Manual: Vol. 2:Kudzika Kunoperera. Williams & Wilkins, 1999.

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