ما هو تدليك البروستاتا وهل له فوائد؟
العلاج بالتدليك طريقة ممتازة لتخفيف الألم والتوتر. ولكن هل يمكن أن تستفيد البروستاتا من التدليك أيضًا؟
وفقًا لطبيب المسالك البولية Petar Bajic ، MD ، فإن تدليك البروستاتا ، الذي يسمى أحيانًا تدليك البروستاتا ، هو علاج تاريخي لا مكان له في ممارسة المسالك البولية الحديثة.
يقول الدكتور باجيك : "في الماضي ، استخدم مقدمو الرعاية الصحية تدليك البروستاتا لعلاج الحالات المزمنة مثل آلام الحوض والتهاب البروستاتا ". إذا لاحظ بعض الناس تحسنًا في أعراضهم ، فربما لا علاقة لذلك بالبروستاتا. على الأرجح ، كانت مشكلتهم هي ضعف قاع الحوض ، وساعد التدليك على إرخاء تلك العضلات ".
يوضح الدكتور باجيك فائدة تدليك البروستاتا وأهمية العلاج الطبيعي لقاع الحوض.
ما هو تدليك البروستاتا؟
الرجال والأشخاص الذين تم تحديدهم من الذكور عند الولادة (AMAB) لديهم بروستاتا تقع أسفل المثانة وأمام المستقيم. البروستاتا هي غدة بحجم حبة الجوز وتنتج معظم السائل في السائل المنوي. عندما تقذف ، تدفع عضلات البروستات هذا السائل إلى الخارج عبر مجرى البول.
يمكن أن يقوم شخص آخر بتدليك البروستاتا ، ولكن يمكنك أيضًا أن تقوم بتدليك البروستاتا بنفسك عن طريق إدخال إصبع في فتحة الشرج والضغط بلطف على البروستاتا وتدليكها برفق ، والتي تكون مثل دائرة مطاطية ناعمة في اتجاه زر بطنك. أمام المستقيم.
النظرية القديمة وراء تدليك البروستاتا هي أنه يساعد في التخلص من السوائل الراكدة وتخفيف أعراض ضعف الانتصاب والقذف المؤلم والتهاب البروستاتا والألم في منطقة الحوض. ولكن هناك حاجة إلى مزيد من البحث في هذه المجالات ، حيث لا يوجد دليل كافٍ حتى الآن لدعم هذه الادعاءات بخلاف الحالات الصغيرة القصصية.
"لا يوجد دليل على أن تدليك البروستاتا يوفر أي فائدة طبية ،" يكرر الدكتور باجيتش. "في الواقع ، لا تحتاج إلى الضغط اليدوي على البروستاتا لإفراز سائل البروستاتا. يمكنك التعبير عن هذا السائل بكفاءة أكبر من خلال القذف ".
لماذا لا توجد فوائد صحية لتدليك البروستاتا؟
غالبًا ما يعاني الأشخاص الذين يسعون للحصول على تدليك البروستاتا لتخفيف الأعراض من آلام في الحوض أو لديهم تاريخ من التهاب البروستاتا. التهاب البروستات هو التهاب أو عدوى تصيب البروستاتا - وعلى الرغم من أنه يمكن أن يكون مؤلمًا ، إلا أنه غالبًا ما يمكن علاجه بالمضادات الحيوية أو العلاجات الأخرى .
أحد الأسباب الأكثر شيوعًا لألم الحوض هو ضعف قاع الحوض ، وهي حالة شائعة مرتبطة بعدم القدرة على الاسترخاء أو تنسيق عضلات قاع الحوض من أجل التبول أو التبرز (المزيد حول ذلك أدناه).
يقول الدكتور باجيك: "أحيانًا يخطئ مقدمو الرعاية الصحية في تشخيص الخلل الوظيفي في قاع الحوض على أنه مشكلة في البروستاتا". "لكن المشكلة الأساسية عادة ما تكون في العضلات التي تدعم الحوض."
كان تدليك البروستاتا أكثر شيوعًا منذ عقود ، كما يقول الدكتور باجيتش. ولكن عندما كان مقدمو الخدمة يقومون بتدليك البروستاتا ، كانوا يقومون عن غير قصد بتدليك عضلات قاع الحوض الداخلية. لهذا السبب تحسنت أعراض الناس مؤقتًا.
مخاطر تدليك البروستاتا
من غير المحتمل أن يوفر تدليك البروستاتا راحة دائمة من الأعراض ولن يحل المشكلات الأساسية التي تسبب لك المشاكل. بالإضافة إلى ذلك ، تتضمن بعض المخاطر المرتبطة بتدليك البروستاتا ما يلي:
إصابة في المستقيم.
ألم أو وجع.
تفاقم حالة البواسير .
ما هو ضعف قاع الحوض؟
يعد ضعف قاع الحوض حالة شائعة تصيب الأشخاص من أي جنس ، ولكن في الرجال المتوافقين مع الجنس والأشخاص من نوع AMAB ، يمكن أن يكون سببًا:
إصابة رضية في منطقة الحوض.
الإفراط في استخدام عضلات الحوض.
جراحة الحوض.
يمكن أيضًا أن تضعف عضلات قاع الحوض بمرور الوقت مع تقدمك في العمر أو زيادة الوزن.
يقول الدكتور باجيك: "أصف الخلل الوظيفي لعضلات قاع الحوض بأنه حصان تشارلي في الحوض". "في أغلب الأحيان ، تكون العضلة مشدودة جدًا وليس لها نطاق الحركة الطبيعي."
إذا كنت تعاني من خلل وظيفي في عضلات قاع الحوض ، فقد تواجه مجموعة واسعة من الأعراض ، بما في ذلك:
صعوبة في التبول أو التبرز.
كثرة الذهاب للحمام .
الإمساك أو الإجهاد.
تسرب البراز أو البول (ويسمى أيضًا سلس البول).
التبول المؤلم .
آلام أسفل الظهر.
ألم مزمن في منطقة الحوض ، بما في ذلك الأعضاء التناسلية أو المستقيم ، مع أو بدون حركة الأمعاء.
العلاج الطبيعي لقاع الحوض: بديل لتدليك البروستاتا
اليوم ، إذا قام مقدم الرعاية الصحية الخاص بك بتشخيص إصابتك بخلل في عضلات قاع الحوض ، فقد يصف لك علاجًا طبيعيًا لقاع الحوض ، والذي يركز على استعادة وظيفة عضلات قاع الحوض.
يتضمن العلاج الطبيعي لقاع الحوض شد وإطالة أشرطة العضلات المتقلصة (المشدودة). بمجرد عودة نطاق حركة تلك العضلات ، يمكنك بناء قوتك عن طريق ممارسة تمارين قاع الحوض .
يقول الدكتور باجيك: "غالبًا ما يرتكب الناس خطأً عندما يقرؤون عن ضعف قاع الحوض هو البدء في ممارسة تمارين كيجل قبل مقابلة معالج فيزيائي". "هذه التمارين لتقوية. لا تمارس تمارين كيجل حتى تتعامل مع أي إصابة أو عضلة متقلصة وتستعيد نطاق حركتك. بعد ذلك ، يمكنك زيادة قوة عضلاتك من خلال تمارين كيجل ".
تتضمن بعض الأسئلة الشائعة حول العلاج الطبيعي لقاع الحوض ما يلي:
من يقوم بإجراء العلاج الطبيعي لقاع الحوض؟
المعالجون الذين يجرون العلاج الطبيعي لقاع الحوض لديهم تدريب متخصص. أنها توفر تقييمًا خارجيًا وداخليًا لنطاق حركتك وقوة عضلاتك وانقباضها. يتضمن التقييم الداخلي إدخال إصبع في المستقيم لتحسس العضلات الداخلية لقاع الحوض. يساعد هذا الاختبار في تحديد مناطق المشكلة.
"لا يقوم جميع المعالجين الفيزيائيين بإجراء فحوصات داخلية ، على الرغم من أنهم جزء مهم من التقييم ،" يلاحظ الدكتور باجيتش. "إذا كنت تبحث عن معالج فيزيائي لقاع الحوض ، فتأكد من قيامه بالتقييمات الداخلية والخارجية."
كم من الوقت يستغرق العلاج الطبيعي لقاع الحوض؟
بمجرد أن يقوم المعالج بتقييم حالتك ، سيضع خطة علاجية من تمارين الإطالة. عادة ما يستمر العلاج من 10 إلى 12 أسبوعًا ، على الرغم من أنه يمكن أن يستمر لفترة أطول. ليس من غير المألوف أن تأخذ كل هذا الوقت لملاحظة التحسن.
هل العلاج الطبيعي لقاع الحوض فعال؟
يقول الدكتور باجيتش إن العلاج الطبيعي لقاع الحوض عادة ما يكون فعالًا للغاية. إذا استمرت الأعراض في الظهور ، فسيقوم مزودك بالبحث عن الحالات الأساسية الأخرى ، مثل العصب المقروص . يمكنهم أيضًا تجربة حقن نقطة الزناد أو العلاج بالارتجاع البيولوجي لتشجيع العضلات على الاسترخاء.
تدليك البروستاتا للتحفيز الجنسي
يمكن أن يكون تدليك البروستاتا محفزًا جنسيًا للبعض وهو ممارسة شائعة بين الرجال الذين يمارسون الجنس مع الرجال . إذا كنت ستحاول تدليك البروستاتا أو أي نوع من الجنس الشرجي ، يوصي الدكتور باجيك باستخدام الكثير من المزلقات لتقليل مخاطر الإصابة.
هناك أيضًا أنواع مختلفة من الملحقات الجنسية المصممة خصيصًا لتحفيز البروستاتا. إذا قررت استخدام واحدة ، تحلى بالصبر ، واستخدم الكثير من المزلقات وتأكد من أن المنتج آمن ولن يعلق في المستقيم.
خلاصة القول من تدليك البروستاتا هو أنه ليس علاجًا فعالًا لمشاكل البروستاتا أو آلام الحوض. لا بأس من استخدامه مع شريك موافق أثناء ممارسة الجنس ، لكن لا تعتمد عليه كعلاج طبي.
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i will never cause pain without
i will not cause pain without
how to not feel pain
the pain worth
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the pain is worth it meaning
the gavel of pain worth
the pain is all worth it
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worth the pain ao3
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worth the pain meaning in hindi
يرجى الابتعاد عن استخدام اللغة الغير لائقة، والتعليقات السلبية سيتم حذفها.