Ukuthini i-Cystocele? Izimpawu, Izimbangela, & Ukwelashwa

I-cystocele kwenzeka lapho i-bladder yakho iwa phansi bese icindezela odongeni oluphambi lwe-vagina yakho. Lokhu kwenzeka ngoba imisipha namalungu alungiselela i-bladder yakho ayebuthakathaka noma ayeluleke isikhathi eside.

Cabanga ngakho njengoba i-hammock ilahlekelwe amandla athile. Imisipha yakho ye-pelvic floor isebenza njenge-hammock ehambisana nezinye izitho zakho, futhi uma ibuthakathaka, i-bladder yakho ingashintsha esimweni sayo esijwayelekile. Lokhu kuyinto evamile kakhulu, ikakhulukazi kubesifazane abazalile noma abaqale i-menopause.

Zithini izimpawu ze-cystocele?

Abesifazane abaningi abane-cystocele ephansi abanawo noma yimiphi impawu. Uma izimpawu zivele, zivame ukuvela kancane kancane futhi zingazizwa njengocindezelo noma ukungakhululeki endaweni yakho ye-pelvic.

Nazi izimpawu ezivame kakhulu ongazibona:

• Ukuzizwa kokugcwalisa, ukucindezela, noma ubuhlungu e-pelvis yakho noma esiswini sakho esisezantsi
• Ukukhula noma okuthile okuphuma e-vagina yakho ongakubona noma ukukuzwa
• Ukukhuluphala kokukhulula i-bladder yakho ngokuphelele
• Ukuya e-toilet njalo noma ukuthanda ukuya e-toilet ngokushesha
• Ukukhuluphala ngesikhathi sokuya ocansini
• Ubuhlungu obungezantsi emuva obukhulu uma ukuma isikhathi eside
• Izimpawu ezizwa zibi ekupheleni kosuku noma ngemuva kokuzivocavoca

Ezimweni ezinzima, ungase ube nezimpawu ezengeziwe. Lokhu kuhlanganisa i-stress incontinence lapho ukhulula khona amanzi uma ukhwehlela, ukhwehlela, noma uqeqesha. Abesifazane abathile bayaphawula ukutheleleka kwe-bladder okuphindaphindayo ngoba i-bladder ayikhululi ngokuphelele.

Akukuvamile, i-cystocele enzima ingabangela i-bladder ukuba ikhule ngaphandle kokuvuleka kwe-vagina. Lokhu kungenza ukuhamba kungabi nakhululeko futhi kungabangela ukuvuvukala noma amaqhubu ethishu ephumayo. Khumbula, izimpawu zingase zihluke kakhulu kumuntu ngamunye, futhi ukuba nezimpawu ezilula akusho ukuthi isimo sakho sizoba sibi.

Ziyini izinhlobo ze-cystocele?

Odokotela bahlukanisa i-cystocele emazingeni ahlukene ngokusekelwe ekutheni i-bladder yakho iye yawa kangakanani. Ukuqonda la mazinga kusiza ekutholeni indlela yokwelapha engcono kakhulu yesimo sakho esithile.

I-Grade 1 cystocele iyifomu elithambile kakhulu. I-bladder yakho iwa kancane kuphela engxenyeni engenhla ye-vagina yakho. Abesifazane abaningi abaneli leli zinga abanazo izimpawu futhi bangase bangazi ukuthi banalo.

I-Grade 2 imele ukwehla okumaphakathi. I-bladder yakho iye yawa ngokwanele ukufinyelela ekupheleni kwe-vagina yakho. Ungase uqale ukubona izimpawu ezifana nocindezelo lwe-pelvic noma ukukhuluphala kokukhulula i-bladder yakho ngokuphelele.

I-Grade 3 inzima kakhulu. I-bladder yakho ikhula ngaphandle kokuvuleka kwe-vagina yakho. Lokhu kuvame ukubangela izimpawu ezibonakalayo futhi kungadingeka ukwelashwa ukuthuthukisa ikhwalithi yokuphila kwakho.

I-Grade 4 iyifomu elibi kakhulu. I-bladder yakho iphuma ngaphandle kwe-vagina yakho. Lokhu kungabangela ukungakhululeki okukhulu futhi kuvame ukudinga ukungenelela kwezokwelapha.

Yini ebangela i-cystocele?

I-cystocele ithuthukiswa lapho amalungu asekelayo phakathi kwe-bladder yakho nodonga lwe-vagina ebuthakathaka noma eqa. Lokhu kuqina kuvame ukwenzeka kancane kancane ngokuhamba kwesikhathi ngenxa yezinto ezihlukahlukene ezibeka uxinzelelo emiphakathini yakho ye-pelvic floor.

Izimbangela ezivame kakhulu zihlanganisa:

• Ukubeletha, ikakhulukazi ukubeletha kwe-vaginal noma umsebenzi omude
• Ubudala nokubuyeka komzimba kwamalungu ngokuhamba kwesikhathi
• I-menopause nokunciphisa kwe-estrogen okuthinta amandla ethishu
• Ukukwehlela okuqhubekayo okuvela ezimweni ezifana ne-asthma noma ukubhema
• Ukuphakamisa izinto ezisindayo noma ukucindezela njalo
• Ukubambezeleka okuqhubekayo nokucindezela okuphindaphindayo ngesikhathi sokuya e-toilet
• Ukuba sisindayo, okubekela uxinzelelo olukhulu ezithweni ze-pelvic
• Ukuhlinzwa kwangaphambili kwe-pelvic noma esiswini

Abesifazane abathile bazalwa bebenamalungu oxhumano abuthakathaka ngokwemvelo, okubenza babe sengozini enkulu ye-cystocele. Leli gama elivela ezintweni zofuzo lingase liqhubeke emindenini, ngakho ungase ube sengozini enkulu uma umama wakho noma odadewenu behlushwe yi-pelvic organ prolapse.

Ngezinye izikhathi, ukulimala okukhulu endaweni ye-pelvic noma izifo ezithile ze-connective tissue zingase zifake isandla ekukhuleni kwe-cystocele. Imisebenzi ephindaphindayo eya ekuqinisweni kokucindezela kwesisu, njengokuphakamisa izinto ezisindayo noma ukubambezeleka okuqhubekayo, ingase futhi ikhulise inqubo yokuqina ngokuhamba kwesikhathi.

Nini kufanele ubona udokotela nge-cystocele?

Kufanele uhlele i-aphoyintimenti nodokotela wakho uma ubona noma yikuphi ukukhula okungavamile endaweni yakho ye-vagina noma uhlushwa yocindezelo oluqhubekayo lwe-pelvic. Ukubheka kusenesikhathi kungasiza ekuvimbeni izimpawu ezingabi bibi futhi kuthuthukise izinketho zakho zokwelapha.

Ungalindi ukufuna ukunakekelwa kwezokwelapha uma uhlushwa yindlela yokukhulula i-bladder yakho ngokuphelele noma ukuba ne-bladder infections njalo. Lezi zimpawu zingabangela izinkinga ezinzima kakhulu uma zingalashwa.

Xhumana nodokotela wakho ngokushesha uma uthuthukisa izimpawu ezinzima. Lokhu kuhlanganisa ukukhula okukhulu okuphuma e-vagina yakho, ubuhlungu obukhulu be-pelvic, noma ukungakwazi ngokuphelele ukuya e-toilet. Kufanele futhi ufuna ukunakekelwa ngokushesha uma ubona ukuphuma kwegazi noma amaqhubu ethishu ephumayo.

Ngisho noma izimpawu zakho zibonakala zithambile, kufanele uzixoxe nodokotela wakho ngesikhathi sokuvakasha okujwayelekile. Bangahlola isimo sakho futhi banikeze izindlela zokuvikela ukuvimbela ukukhula kwalo.

Ziyini izinto ezingase zikwenze ube sengozini ye-cystocele?

Izinto eziningi zingase zikwenze ube sengozini enkulu yokuthuthukisa i-cystocele. Ukuqonda lezi zinto ezingase zikwenze ube sengozini kungakusiza ekuthatheni izinyathelo zokuvikela nokukwazi nini kufanele uqaphele kakhulu ngezimpawu.

Izinto ezibaluleke kakhulu ezingase zikwenze ube sengozini zihlanganisa:

• Ukuba ubelethe, ikakhulukazi ukubeletha okuningi kwe-vaginal
• Ukuba uneminyaka engaphezu kuka-50
• Ukuqala i-menopause
• Ukuba nomlando womndeni we-pelvic organ prolapse
• Ukuba sisindayo noma ukukhuluphala
• Ukuba ne-constipation njalo
• Ukubhema noma ukuba nezimo ze-lung ezibangela ukukwehlela njalo
• Ukwenza umsebenzi onzima womzimba noma ukuphakamisa izinto ezisindayo
• Ukuba uhlinzwe i-hysterectomy

Ezinye izinto ezingase zikwenze ube sengozini awukwazi ukuzishintsha, njengobudala bakho noma umlando womndeni. Noma kunjalo, eziningi zilawulwa wena. Ukugcina isisindo esinempilo, ukwelapha i-constipation, nokugwema ukuphakamisa izinto ezisindayo konke kungasiza ekuqedeni ingozi yakho.

Izimo ezithile zezokwelapha futhi zikhulise ingozi. Lokhu kuhlanganisa izifo ze-connective tissue ezifana ne-Ehlers-Danlos syndrome, ethinta amandla ethishu kulo lonke umzimba wakho. Izimo eziqhubekayo ezikhulise uxinzelelo lwesisu, njenge-chronic obstructive pulmonary disease, zingase futhi zifake isandla ekukhuleni kwe-cystocele ngokuhamba kwesikhathi.

Ziyini izinkinga ezingase zenzeke ngenxa ye-cystocele?

Abesifazane abaningi abane-cystocele abanawo ubunzima obukhulu, ikakhulukazi ngezimo ezilula. Noma kunjalo, kubalulekile ukuqonda ukuthi yini engase iyenzeke uma isimo siqhubeka noma singalashwa.

Izinkinga ezivame kakhulu ongazibhekana nazo zihlanganisa:

• Ukutheleleka kwe-urinary tract okuphindaphindayo ngenxa yokukhulula i-bladder okungaphelele
• I-stress incontinence noma ukukhuluphala kokulawula ukukhulula amanzi
• Ukungakwazi ngokuphelele ukukhulula i-bladder yakho
• Izinkinga ze-kidney ezivela emanzini ahambayo
• Amaqhubu noma amaqhubu ethishu ephumayo
• Ukusebenza okubi kocansi noma ukungakhululeki ngesikhathi sokuya ocansini
• Ukukhuluphala kokukhulula izinto eziswini uma ezinye izitho nazo zithinteka

Ezimweni ezinzima, ungase uthuthukise okuthiwa yi-urinary retention. Lokhu kusho ukuthi awukwazi ukukhulula i-bladder yakho ngokuphelele noma konke, okungabangela izinkinga ezinzima ze-kidney uma kungalashwa ngokushesha.

Ngezinye izikhathi, i-cystocele enzima ingabangela ukulimala kwethishu lapho i-bladder iphuma khona ngaphandle komzimba. Le thishu evezwe ingase ivuvukele, itheleleke, noma ibe namaqhubu. Izindaba ezinhle ukuthi lezi zinkinga ezinzima zingavikeleka ngokunakekelwa kwezokwelapha okufanele nokwelashwa.

I-cystocele ingavikeleka kanjani?

Nakuba ungakwazi ukuvimba zonke izimo ze-cystocele, ikakhulukazi lezo ezihlobene nobudala noma izinto zofuzo, izinto eziningi ezingase zikwenze ube sengozini zilawulwa wena. Ukuthatha izinyathelo zokuvikela kunganciphisa kakhulu amathuba akho okuthuthukisa leli simo noma ukuqeda ukukhula kwalo.

Nazi izindlela zokuvikela eziphumelelayo kakhulu:

• Qeqesha imisipha yakho ye-pelvic floor njalo ukuyiqinisa
• Gcina isisindo esinempilo ukuqeda uxinzelelo ezithweni zakho ze-pelvic
• Welapha i-constipation ngokushesha futhi ugcine imikhuba emihle yesisu
• Gwema ukuphakamisa izinto ezisindayo, noma sebenzisa izindlela ezifanele zokuphakamisa uma kudingeka
• Yekela ukubhema ukuqeda ukukwehlela okuqhubekayo
• Hlala usebenza ngokomzimba ngokuzivocavoca okuphansi
• Cabanga nge-hormone therapy ngesikhathi se-menopause uma kunconywa udokotela wakho

Ukuqeqesha imisipha ye-pelvic floor kubaluleke kakhulu. Lokhu kuhlanganisa ukucindezela nokuphumula imisipha yakho ye-pelvic floor njalo. Uma kwenziwa kahle futhi njalo, kungaqinisa kakhulu imisipha esekela i-bladder yakho nezinye izitho ze-pelvic.

Uma ukhulelwe noma uhlela ukukhulelwa, xoxa ngokuqeqesha imisipha ye-pelvic floor nodokotela wakho. Ukuqala le miqeqesho kusenesikhathi nokuqhubeka nayo ngemuva kokubeletha kungasiza ekuvimbeni noma ekuqedeni i-pelvic organ prolapse kamuva ekuphileni.

I-cystocele ibonakala kanjani?

Udokotela wakho ngokuvamile angabona i-cystocele ngokuhlola ngokomzimba nokuxoxa ngezimpawu zakho. Inqubo ilula futhi ngokuvamile ayidingi ukuhlolwa okungakhululeki noma okungena emzimbeni.

Ngesikhathi se-aphoyintimenti yakho, umhlinzeki wakho wezokunakekelwa kwezempilo uzokubuza ngezimpawu zakho, umlando wezokwelapha, nanoma yiziphi izinto ezingase zifake isandla ekuqinisweni kwe-pelvic organ. Bazofuna ukwazi ngokukhulelwa kwakho, ukubeletha, nanoma yimiphi imisebenzi engase icindezele i-pelvic floor yakho.

Ukuhlola ngokomzimba kuhlanganisa ukuhlolwa kwe-pelvic lapho udokotela wakho azobona khona noma yikuphi ukukhula kwe-bladder odongeni lwe-vagina. Bangase bakucela ukuba ucindezele noma ukhwehlele ngesikhathi sokuhlola ukuze babone ukuthi i-bladder ihamba kangakanani. Lokhu kubasiza ekutholeni izinga le-cystocele yakho.

Ngezinye izikhathi kudingeka ukuhlolwa okuqhubekayo ukuze uthole isithombe esiphelele. Lokhu kungase kuhlanganise ukuhlolwa kwamathumbu ukuhlola ukutheleleka, ukuhlolwa kokusebenza kwe-bladder ukuze ubone ukuthi ukhulula i-bladder yakho kangcono kangakanani, noma ukuhlolwa kwezithombe ezifana ne-ultrasound uma udokotela wakho edinga ulwazi oluqondile ngezitho zakho ze-pelvic.

Ukuphathwa kwe-cystocele kuyini?

Ukuphathwa kwe-cystocele kuncike ekuthini izimpawu zakho zinzima kangakanani nokuthi isimo siyakuthinta kangakanani impilo yakho yansuku zonke. Izimo eziningi ezilula azidingi ukwelashwa ngaphandle kokubuka nokushintsha indlela yokuphila.

Ukuphathwa okuqondile kuvame ukuzama kuqala futhi kungase kube nemiphumela emihle kakhulu:

• Ukuqeqesha imisipha ye-pelvic floor (Kegels) ukuqinisa imisipha esekelayo
• Ukufaka i-Pessary - idivayisi esuswayo esekela i-bladder yakho
• I-Estrogen therapy ukuthuthukisa amandla ethishu ngemuva kwe-menopause
• Ukunciphisa isisindo uma usisindayo
• Ukugwema imisebenzi ecindezela i-pelvic floor yakho
• Ukwelapha izimo eziqhubekayo ezifana ne-constipation noma ukukwehlela okuqhubekayo

I-pessary ngokuvamile iyindlela enhle kakhulu kwabesifazane abafuna ukugwema ukuhlinzwa. Le divayisi encane, eguquguqukayo ifakwa e-vagina yakho futhi ibeke i-bladder yakho esimweni sayo esijwayelekile. Abesifazane abaningi bathola i-pessaries iphumelela kakhulu futhi ikhululekile uma ifakwe kahle.

Ukuhlinzwa kungase kunconywe uma ukwelashwa okuqondile kungasizi noma uma unezimpawu ezinzima. Indlela evamile yokwelapha ukuhlinzwa ihlanganisa ukulungisa udonga oluqine phakathi kwe-bladder yakho ne-vagina. Lokhu ngokuvamile kungenziwa ngezindlela ezincane zokungenelela ngezikhathi ezimfushane zokubuyela emsebenzini.

Ezimweni ezithile, udokotela wakho angase ancome ukusebenzisa i-mesh noma i-graft material ukuhlinzeka ngokusekela okwengeziwe. Noma kunjalo, le ndlela idinga ukucabangelwa ngokucophelela kwezinzuzo nezingozi, okuzokuxoxwa ngokuphelele nawe udokotela wakho.

Indlela yokuphatha i-cystocele ekhaya?

Kunezinto eziningi ongazenza ekhaya ukuze ulawule izimpawu ze-cystocele futhi uvikele isimo ekubeni sibi. Lezi zindlela zokunakekela zisebenza kangcono uma zihlanganiswa nokuphathwa kwezokwelapha nokuqondiswa udokotela wakho.

Ukuqeqesha imisipha ye-pelvic floor njalo kuyithuluzi lakho elikhulu kunazo zonke. Zama ukuqeqesha imisipha ye-pelvic floor kathathu ngosuku, ugcine ukucindezela ngesikhathi esingu-3 kuya ku-5. Kancane kancane sebenza ukuze ugcine imizuzwana engu-10 njengoba imisipha yakho iqinile.

Ukulawula imikhuba yakho ye-toilet kungasiza kakhulu. Zama ukuya e-toilet njalo kunokulinda kuze kube yilapho i-bladder yakho izizwa igcwele kakhulu. Uma uya e-toilet, thatha isikhathi sakho futhi zama ukukhulula i-bladder yakho ngokuphelele. Ungase uthole ukuthi kusiza ukugoba phambili ngesikhathi uya e-toilet noma ucindezela kancane phezulu ekukhuleni.

Ukushintsha indlela yokuphila kungenza umehluko omkhulu ezingeni lakho lokukhululeka. Gwema ukuphakamisa izinto ezisindayo, futhi uma kufanele uphakamise okuthile, sebenzisa imilenze yakho kunokuba usebenzise umhlane wakho. Welapha i-constipation ngokushesha ngokudla okwanele okunokhuni namanzi. Uma ubhema, ukuyeka kuzokwehlisa ukukwehlela okuqhubekayo okungenza isimo sakho sibe sibi.

Qaphela imisebenzi eyenza izimpawu zakho zibe zimbi. Abesifazane abaningi baphawula ukungakhululeki okukhulu ngemuva kokuma isikhathi eside noma ukwenza umsebenzi onzima. Cabanga ngokushintshela ekugembuleni noma ekuhambeni esikhundleni sokuqhuba noma ukuqhuma.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kuzokusiza ukuthi uthole okuningi kakhulu ekuvakasheni kwakho futhi kuqinisekise ukuthi udokotela wakho unelonke ulwazi oluyimfuneko ukukusiza. Qala ngokubhala izimpawu zakho nokuthi wazibona nini kuqala.

Gcina idayari yezimpawu izinsuku ezimbalwa ngaphambi kwe-aphoyintimenti yakho. Qaphela ukuthi izimpawu ziyabi kakhulu noma zilungile, yimiphi imisebenzi ebonakala iyibangela, nokuthi zikuthinta kanjani imisebenzi yakho yansuku zonke. Lolu lwazi lusiza udokotela wakho ukuqonda ubunzima besimo sakho.

Yenza uhlu lwawo wonke amaphilisi owathathayo, kuhlanganise namaphilisi angaphezu kokuthengiswa ngaphandle kwelayisensi kanye nezinye izinto. Futhi, bhala umlando wakho wezokwelapha, kuhlanganise ukukhulelwa konke, ukuhlinzwa, kanye nezimo eziqhubekayo. Udokotela wakho uzofuna ukwazi nganoma yimuphi umlando womndeni we-pelvic organ prolapse.

Lungiselela imibuzo yokubuza udokotela wakho. Ungase ufune ukwazi ngezinketho zokwelapha, ukuthi yini okufanele uyilinde uma ungalapha isimo, noma indlela yokulivimbela ukuba libi kakhulu. Unganqikazi ukubuza noma yini ekukhathazayo.

Cabanga ngokuletha umngani othembekile noma ilungu lomndeni e-aphoyintimenti yakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukusekela ngokomzwelo ngesikhathi esingase sizizwe sengxoxo ebuhlungu.

Iyini into ebaluleke kakhulu nge-cystocele?

I-cystocele iyisimo esivamile esithinta abesifazane abaningi, ikakhulukazi ngemuva kokubeletha ne-menopause. Nakuba kungase kukhathaze ukuthola, izimo eziningi ziyalawuleka ngokunakekelwa okufanele futhi azithinti kakhulu ikhwalithi yokuphila kwakho.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi unezinketho eziningi zokwelapha ezitholakalayo. Kusukela ekuqeqeshweni okulula kwemisipha ye-pelvic floor kuya kwi-pessaries kuya ekulungiseni ukuhlinzwa, cishe njalo kunesixazululo esingasiza ekuthuthukiseni izimpawu zakho nokukhululeka.

Ukungenelela kusenesikhathi kuvame ukuletha imiphumela emihle. Uma ubona izimpawu, ungalindi ukuxoxa nazo nomhlinzeki wakho wezokunakekelwa kwezempilo. Abesifazane abaningi bathola ukuthi ukushintsha okulula kwesitayela sokuphila nemiqeqesho kungavimbela isimo sabo ekubeni sibi.

Khumbula ukuthi ukuba ne-cystocele akubonisi lutho oluphosakele olukwenzile. Iyisiphetho semvelo soxinzelelo nezinguquko umzimba wakho uhlushwe zona ngokuhamba kwesikhathi. Ngokunakekelwa okufanele nokwelashwa, abesifazane abaningi abane-cystocele baqhubeka bephila impilo egcwele, esebenzayo, nekhululekile.

Imibuzo evame ukubuzwa nge-cystocele

Ingase iphele yodwa i-cystocele?

I-cystocele elula ayipheli ngokuphelele yodwa, kodwa ngokuvamile ayibi kakhulu. Ngokuqeqeshwa okuqhubekayo kwemisipha ye-pelvic floor nokushintsha indlela yokuphila, ngokuvamile ungavimba ukukhula nokuphatha izimpawu ngokuphumelelayo. Noma kunjalo, izimo ezimaphakathi kuya kwezinzima ngokuvamile zidinga uhlobo oluthile lokwelapha ukuthuthukisa izimpawu.

Ingabe ukuhlinzwa kudingeka njalo nge-cystocele?

Cha, ukuhlinzwa akudingeki njalo. Abesifazane abaningi balawula i-cystocele yabo ngokuphumelelayo ngokwelashwa okuqondile njengokuqeqesha imisipha ye-pelvic floor, i-pessaries, noma ukushintsha indlela yokuphila. Ukuhlinzwa ngokuvamile kucabangelwa kuphela uma ukwelashwa okuqondile kungasizi noma uma izimpawu zithinta kakhulu ikhwalithi yokuphila kwakho.

Ngingase ngiye ocansini ngine-cystocele?

Yebo, abesifazane abaningi abane-cystocele bangaya ocansini. Ezinye izikhundla zingase zibe khululekile kunezinye, futhi ukusebenzisa i-lubrication kungasiza. Uma uhlushwa ubuhlungu noma ukungakhululeki, xoxa nodokotela wakho ngezinketho zokwelapha ezingase zithuthukise ukukhululeka kwakho ngesikhathi sokuya ocansini.

Ingabe i-cystocele izonginciphisa amathuba okubeletha?

I-cystocele ngokuvamile ayinciphi amathuba akho okubeletha. Noma kunjalo, ukukhulelwa nokubeletha ngezinye izikhathi kungenza i-cystocele ekhona ibe sibi. Uma uhlela ukukhulelwa, xoxa nesimo sakho nodokotela wakho ukuze uthuthukise uhlelo lokuphathwa oluhle kakhulu.

Kuthatha isikhathi esingakanani ukuqeqesha imisipha ye-pelvic floor ukuze kusize nge-cystocele?

Abesifazane abaningi baqala ukubona ukuthuthuka kwezimpawu phakathi kwamasonto angu-6 kuya kwangu-8 okuqeqeshwa okuqhubekayo kwemisipha ye-pelvic floor. Noma kunjalo, kungathatha izinyanga ezingu-3 kuya kwezi-6 ukubona izinzuzo eziphelele. Okubalulekile ukwenza imiqeqesho ngendlela efanele futhi njalo, ngokufanele ngaphansi kokunqondiswa komqeqeshi we-pelvic floor.