Mmega ahụ Kegel

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Mmega ahụ Kegel, amakwa ya dika pelvic floor exercise nke ana eme mgbe Nile Maka contraction na relaxing nke muscle eji nwere mmeputa otu n'ime pelvic floor, oge ufodo ana akpo ya kegel muscles. A na eme ya otutu ugboro n'ugbochi , otuto oge na elekere mana ona ano otu maobu onwa ato eji run was oru ya.[1]

Mmega ahụ Kegel na-ezube ime ka uru ahụ dị n'ala sie ike.[2] Mkpụrụ ndụ ndị a nwere ọtụtụ ọrụ n'ime ahụ mmadụ. N'ime ụmụ nwanyị, ha na-ahụ maka ijide eriri afọ, na-egbochi nchekasị nsị (karịsịa mgbe amuchara), prolapse nke akụkụ ahụ nwanyị na akpa nwa.[3] N'ime ụmụ nwoke, uru ahụ ndị a na-ahụ maka nsị, nsị, na ejaculation. [4][3] E nwere ọtụtụ ngwaọrụ iji nyere aka na mmega ahụ ndị a, ọ bụ ezie na ọmụmụ ihe dị iche iche na-arụrịta ụka banyere ịdị irè nke ngwaọrụ dị iche iche ma e jiri ya tụnyere mmega ahụ ọdịnala.[5]

Usoro nke ọrụ[dezie | dezie ebe o si]

Mmega ahụ Kegel na-ezube imeziwanye ụda uru ahụ site n'ịkwado uru ahụ pubococcygeus nke ala pelvic. Kegel bụ mmega ahụ a ma ama maka ụmụ nwanyị dị ime ime kwadebe ala pelvic maka nrụgide ahụike nke oge ime na ịmụ nwa.  Ndị ndụmọdụ dị iche iche na-atụ aro mmega ahụ Kegel maka ịgwọ prolapse nke akụkụ ahụ nwanyị [6] na igbochi prolapse akpa nwa [7] n'ime ụmụ nwanyị na maka ịgwọ mgbu prostate na ọzịza sitere na benign prostatic hyperplasia (BPH) na prostatitis n'ime ndị ikom.  Mmega ahụ Kegel nwere ike ịnwe uru n'ịgwọ ọrịa urinary incontinence na ụmụ nwoke na ụmụ nwanyị.[8] Mmega ahụ Kegel nwekwara ike ịbawanye afọ ojuju mmekọahụ, na-enye ụmụ nwanyị ohere imezu mpako ma na-enyere ụmụ nwoke aka ibelata ejaculation n'oge.[4] Ọtụtụ ihe ndị Kegel na-eme gụnyere ijide mamịrị na izere nsị. Imepụtaghachi ụdị ọrụ uru ahụ a nwere ike ime ka uru ahụ Kegel sie ike. Enwere ike iji omume nke ibelata ma ọ bụ ịkwụsị nsị dị ka ule nke usoro mmega ahụ ziri ezi. [9][10]

Ihe ndị mejupụtara levator ani (pelvic diaphragm), ya bụ pubococcygeus, puborectalis na iliococcygeus.[11] N'ihi ya, mmega ahụ n'ala pelvic na-agụnye ihe niile na-ebuli elu karịa naanị pubococcygeus. Mmega ahụ n'ala pelvic nwere ike inye aka n'ọnọdụ nke enweghị ike ịba n'ahụ na ọnọdụ prolapse nke akụkụ pelvic dịka prolapse.[12]

Mmetụta ahụike[dezie | dezie ebe o si]

Ụmụ nwanyị[dezie | dezie ebe o si]

Ihe ndị dị ka ime ime, ịmụ nwa, ịka nká, na ibubiga ibu ókè na-emekarị ka uru ahụ dị n'ahụ ghara ịdị ike.[13] Enwere ike nyochaa nke a site na nyocha dijitalụ nke nrụgide akụkụ ahụ nwanyị ma ọ bụ iji Kegel perineometer. Mmega ahụ Kegel bara uru n'inweghachi ike nke ala pelvic n'ọnọdụ ndị dị otú ahụ.[14]

Enwere ike ibelata mgbaàmà nke prolapse na ịdị njọ ya site na mmega ahụ n'ala pelvic.[15][10] Enwere ike imeziwanye ịdị irè site na nzaghachi banyere otu esi eme mmega ahụ.[16]

Ụmụ nwoke[dezie | dezie ebe o si]

Mmega ahụ Kegel nwere ike ịzụ uru ahụ perineal site n'ịbawanye ikuku oxygen na ike nke uru ahụ.[17] Aha uru ahụ perineal bụ: ischiocavernosus (eguzo), bulbocavernosus (ejaculation), sphincter mpụga nke anus, sphincter urethral striated, transverse perineal, levator nke prostate, na puborectalis.[18]

A na-akọwa ejaculation n'oge dị ka mgbe ejaculation nwoke na-eme mgbe ihe na-erughị otu nkeji nke ịbanye.[19] Mkpụrụ ahụ perineal na-etinye aka na ejaculation mgbe ha na-emetụta n'amaghị ama.[17] Ọkpụkpụ ischiocavernosus na-ahụ maka erection nwoke, na uru bulbocavernosis na-ahụkarị ejaculation. Site n'ịgbasa uru ahụ perineal na Kegel na-emega ahụ mgbe niile, ike na njikwa nke uru ahụ ndị a na-abawanye, ikekwe na-enyere aka izere ejaculation n'oge.[2][20]

Enweghị ike ịba mmiri[dezie | dezie ebe o si]

Enwere ike itinye mmega ahụ n'ala pelvic (ọzụzụ uru ahụ) n'usoro ọgwụgwọ na-adịghị mma maka ụmụ nwanyị na-Enweghị ike ịba mamịrị.[21] E nwere ihe akaebe na biofeedback nwere ike ịba uru ọzọ mgbe ejiri ya na ọzụzụ nke pelvic floor muscle (PFMT). [22] Enweghị ihe akaebe doro anya na ịkụzi mmega ahụ n'ala pelvic na-agbanwe ihe ize ndụ nke nrụgide nke nsị n'ime ụmụ nwoke na-enwe ọnọdụ a mgbe prostatectomy gasịrị.[23]

N'ime ụmụ nwanyị dị ime, PFMT tupu amụọ nwa nwere ike inyere aka igbochi nsị n'oge ime ime na ihe ruru ọnwa isii mgbe amuchara mana maka ụmụ nwanyị dị afọ ime ndị nwere nsogbu, ọ bụghị ihe doro anya ma ọ bụrụ na PFMT tupu a mụọ nwa na-enyere aka belata mgbaàmà.[18]

Enweghị ike ịba n'ahụ[dezie | dezie ebe o si]

N'oge ime, ọ bụghị ihe doro anya ma PFMT tupu amụọ nwa ọ na-enyere aka igbochi ma ọ bụ gwọọ ọrịa enweghị ike ịba n'ahụ.[18]

Ngwá ọrụ na-eme ka ọ dị nro[dezie | dezie ebe o si]

Ngwaọrụ ụfọdụ, ndị a na-ere maka ụmụ nwanyị, bụ maka mmega ahụ nke ala pelvic na iji melite ụda nke uru ahụ pubococcygeal ma ọ bụ uru ahụ nke akụkụ ahụ nwanyị.

Ka ọ na-erule afọ 2013, ọ nweghị ihe akaebe na ime mmega ahụ n'ala pelvic na arọ na-arụ ọrụ nke ọma karịa ime mmega nke Kegel na-enweghị arọ; enwere ihe ize ndụ ka ukwuu na arọ, n'ihi na a na-ewebata ihe si mba ọzọ n'ime akụkụ ahụ nwanyị.[24][5]

  • A Kegel exerciser
    Onye na-eme ihe omume Kegel
  • Jade eggs (or Yoni eggs) have been marketed for use in vaginal weightlifting.
    Na-ereNnụnụ Jade (nke m bụNnụnụ a na-akpọ Yoni) maka iji ya na ibu ibu.
  • Ben wa balls
    Ben wa bọọlụ
  1. ↑ Pelvic floor muscle training exercises. MedlinePlus (10 October 2018). Archived from the original on 28 July 2016. Retrieved on 14 May 2020.
  2. ↑ Pelvic floor muscle training exercises: MedlinePlus Medical Encyclopedia (en). medlineplus.gov. Archived from the original on 2016-07-28. Retrieved on 2019-02-26. “Pelvic floor muscle training exercises are a series of exercises designed to strengthen the muscles of the pelvic floor.”
  3. ↑ Pelvic floor muscle training exercises: MedlinePlus Medical Encyclopedia. medlineplus.gov. Archived from the original on 2016-07-28. Retrieved on 2017-12-02.
  4. ↑ 4.0 4.1 La Pera (1996). "A new treatment for premature ejaculation: the rehabilitation of the pelvic floor". Journal of Sex & Marital Therapy 22 (1): 22–6. DOI:10.1080/00926239608405302. PMID 8699493.  Kpọpụta njehie: Invalid <ref> tag; name "autogenerated22" defined multiple times with different content
  5. ↑ 5.0 5.1 A randomised controlled trial of the PelvicToner Device in female stress urinary incontinence. BJUI.org. Archived from the original on 2011-09-27. Retrieved on 2011-09-02."A randomised controlled trial of the PelvicToner Device in female stress urinary incontinence". BJUI.org. Archived from the original on 2011-09-27. Retrieved 2011-09-02. Kpọpụta njehie: Invalid <ref> tag; name "bjui.org" defined multiple times with different content
  6. ↑ September 2, 2011 (2011-02-09). Vaginal Prolapse. eMedicineHealth. Archived from the original on 2006-07-21. Retrieved on 2011-09-02.
  7. ↑ MedlinePlus Medical Encyclopedia: Uterine prolapse. Nlm.nih.gov (2011-08-29). Archived from the original on 2001-08-20. Retrieved on 2011-09-02.
  8. ↑ MedlinePlus Medical Encyclopedia: Kegel exercises. Nlm.nih.gov (2011-08-29). Archived from the original on 2001-06-17. Retrieved on 2011-09-02.
  9. ↑ Kenway, M., and Goh, J. (2009). Inside Out: The Essential Women's Guide to Pelvic Support.
  10. ↑ 10.0 10.1 "Cystocele (Prolapsed Bladder) | NIDDK", National Institute of Diabetes and Digestive and Kidney Diseases. Retrieved on 2017-12-02."Cystocele (Prolapsed Bladder) | NIDDK". National Institute of Diabetes and Digestive and Kidney Diseases. Archived from the original on 2017-10-04. Retrieved 2017-12-02. Kpọpụta njehie: Invalid <ref> tag; name ":0" defined multiple times with different content
  11. ↑ Gowda (2022). "Anatomy, Abdomen and Pelvis, Levator Ani Muscle", StatPearls. StatPearls Publishing. Retrieved on 11 May 2022. 
  12. ↑ Bø (2006). "Can pelvic floor muscle training prevent and treat pelvic organ prolapse?". Acta Obstet Gynecol Scand 85 (3): 263–8. DOI:10.1080/00016340500486800. PMID 16553172. 
  13. ↑ Services. "Pelvic floor". Retrieved on 2018-02-21.
  14. ↑ Mentor (2022-10-15). Kegel Exercises – Pelvic Floor Muscles Strengthening (en-US). Physiomentor. Archived from the original on 2022-10-15. Retrieved on 2022-10-16.
  15. ↑ (2011) "Conservative prevention and management of pelvic organ prolapse in women". Cochrane Database Syst Rev 12 (12): CD003882. DOI:10.1002/14651858.CD003882.pub4. PMID 22161382. 
  16. ↑ Herderschee (6 July 2011). "Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women.". The Cochrane Database of Systematic Reviews (7): CD009252. DOI:10.1002/14651858.CD009252. PMID 21735442. 
  17. ↑ 17.0 17.1 Puppo (January 2016). "Comprehensive review of the anatomy and physiology of male ejaculation: Premature ejaculation is not a disease: Anatomy and Physiology of Ejaculation". Clinical Anatomy 29 (1): 111–119. DOI:10.1002/ca.22655. PMID 26457680. Puppo, Vincenzo; Puppo, Giulia (January 2016). "Comprehensive review of the anatomy and physiology of male ejaculation: Premature ejaculation is not a disease: Anatomy and Physiology of Ejaculation". Clinical Anatomy. 29 (1): 111–119. doi:10.1002/ca.22655. PMID 26457680. S2CID 9213013. Kpọpụta njehie: Invalid <ref> tag; name ":2" defined multiple times with different content
  18. ↑ 18.0 18.1 18.2 Woodley (6 May 2020). "Pelvic floor muscle training for preventing and treating urinary and fecal incontinence in antenatal and postnatal women.". The Cochrane Database of Systematic Reviews 5 (3): CD007471. DOI:10.1002/14651858.CD007471.pub4. PMID 32378735. Woodley, SJ; Lawrenson, P; Boyle, R; Cody, JD; Mørkved, S; Kernohan, A; Hay-Smith, EJC (6 May 2020). "Pelvic floor muscle training for preventing and treating urinary and fecal incontinence in antenatal and postnatal women". The Cochrane Database of Systematic Reviews. 5 (3): CD007471. doi:10.1002/14651858.CD007471.pub4. PMC 7203602. PMID 32378735. Kpọpụta njehie: Invalid <ref> tag; name "Woodley2020" defined multiple times with different content
  19. ↑ (2011) in Goldstein: Encyclopedia of child behavior and development. [New York]: Springer. ISBN 9780387790619. OCLC 704395400. 
  20. ↑ Puppo (April 2008). "T09-P-13 The importance of the Kegel exercises for the erection of the male and female erectile organs (male and female penis)". Sexologies 17: S136. DOI:10.1016/s1158-1360(08)72894-9. ISSN 1158-1360. 
  21. ↑ Dumoulin (2018-10-04). "Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women". The Cochrane Database of Systematic Reviews 2018 (10): CD005654. DOI:10.1002/14651858.CD005654.pub4. ISSN 1469-493X. PMID 30288727. 
  22. ↑ (6 July 2011) "Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women.". The Cochrane Database of Systematic Reviews (7): CD009252. DOI:10.1002/14651858.CD009252. PMID 21735442. 
  23. ↑ Anderson (2015-01-20). "Conservative management for postprostatectomy urinary incontinence". The Cochrane Database of Systematic Reviews 1 (1): CD001843. DOI:10.1002/14651858.CD001843.pub5. ISSN 1469-493X. PMID 25602133. 
  24. ↑ Herbison (8 July 2013). "Weighted vaginal cones for urinary incontinence". The Cochrane Database of Systematic Reviews 2013 (7): CD002114. DOI:10.1002/14651858.CD002114.pub2. PMID 23836411. 
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