Francesco Callipo<\/a>, un fizioterapeut specializat \u00een reabilitarea podelei pelvine. <\/p>\nS\u0103 \u00eencepem!<\/p>\n
Cistita post-coital\u0103: ce leg\u0103tur\u0103 are cu podeaua pelvian\u0103?<\/h2>\n
Majoritatea femeilor care sufer\u0103 de cistit\u0103 post-coital\u0103 nu \u0219tiu ce este podeaua pelvian\u0103 \u0219i\/sau ce rol poate juca aceasta.
\n„Nimeni nu mi-a vorbit vreodat\u0103 despre podeaua pelvian\u0103<\/em>” este r\u0103spunsul pe care \u00eel primim cel mai des de la persoanele care ne scriu pentru a g\u0103si o solu\u021bie.<\/p>\nAst\u0103zi dorim s\u0103 facem pu\u021bin\u0103 lumin\u0103 \u0219i s\u0103 ne baz\u0103m pe Dr. Callipo pentru a v\u0103 oferi informa\u021biile corecte despre rolul podelei pelvine \u0219i leg\u0103tura pe care o poate avea cu cistita.<\/p>\n
At\u00e2t de multe femei ne contacteaz\u0103 \u00een fiecare zi \u00een leg\u0103tur\u0103 cu aceea\u0219i problem\u0103: cistita dup\u0103 actul sexual. Este un fenomen larg r\u0103sp\u00e2ndit care determin\u0103 multe femei s\u0103 se team\u0103 de momentele intime sau, mai r\u0103u, s\u0103 se ab\u021bin\u0103 de la actul sexual. Care este leg\u0103tura dintre cistita postcoital\u0103 \u0219i podeaua pelvian\u0103? <\/h3>\n
Ah, aici atac unul dintre pipponi mei teoretici, dar u\u0219or de \u00een\u021beles.
\nUnul dintre cele mai clare exemple pentru a \u00een\u021belege c\u0103 avem de-a face cu o disfunc\u021bie a podelei pelvine sunt infec\u021biile recurente.
\nAcest aspect le prive\u0219te mai mult pe femei \u0219i sunt destul de sigur c\u0103 termenul cel mai folosit, \u0219i \u00eendr\u0103znesc s\u0103 spun abuzat, este cistita.
\nAcum, permite\u021bi-mi s\u0103 fiu clar, acest lucru nu \u00eenseamn\u0103 c\u0103 termenul cistit\u0103 este folosit gre\u0219it, dar nu este \u00eentotdeauna at\u00e2t de clar.
\nF\u0103r\u0103 a intra \u00een detalii terminologice, cu termenul cistit\u0103 majoritatea oamenilor asociaz\u0103 \u00een mod obi\u0219nuit o serie \u00eentreag\u0103 de afec\u021biuni, cum ar fi: „Fac pipi des, nu pot \u00eentotdeauna s\u0103 m\u0103 golesc corect, m\u0103 arde \u00een timpul sau dup\u0103 pipi, am dureri sau arsuri spontane la nivel perineal” \u0219i alte lucruri similare.
\nPentru a rezuma c\u00e2t mai bine o imagine care v\u0103 poate fi util\u0103, s\u0103 \u00eencepem cu conceptul c\u0103 cistita poate fi \u00eemp\u0103r\u021bit\u0103 \u00eentr-un mod simplificat \u00een dou\u0103 categorii: bacterian\u0103 \u0219i abacterian\u0103.<\/p>\n
Atunci c\u00e2nd cistita este bacterian\u0103, acest lucru este confirmat de pozitivitatea unei investiga\u021bii de laborator (fie c\u0103 este vorba, de exemplu, de o urinocultur\u0103 sau de un tampon pozitiv): dar cum ajung aceste bacterii \u00een vagin sau \u00een vezic\u0103?
\nSimplu, lu\u00e2nd \u00eentotdeauna \u00een considerare termenii generali ai acestei explica\u021bii, care nu poate fi niciodat\u0103 at\u00e2t de specific\u0103 \u00eenc\u00e2t s\u0103 includ\u0103 totul \u0219i s\u0103 \u00eenlocuiasc\u0103 calitatea pe care o poate oferi o evaluare cu un* profesionist specializat \u00een ceea ce prive\u0219te \u00eencadrarea simptomelor, cu excep\u021bia cazului \u00een care a existat o transmitere sexual\u0103, aceste bacterii tind s\u0103 ajung\u0103 dintr-un intestin care func\u021bioneaz\u0103 prost. Acum, imagina\u021bi-v\u0103 intestinul ca o \u00eentindere infinit\u0103 acoperit\u0103 cu miliarde de bacterii care reprezint\u0103 flora bacterian\u0103 foarte faimoas\u0103. Atunci c\u00e2nd un intestin func\u021bioneaz\u0103 prost, aceast\u0103 armat\u0103 de ap\u0103rare, care ne ajut\u0103 \u0219i la absorb\u021bia nutrien\u021bilor \u0219i la multe alte lucruri la nivel metabolic, \u00eencepe s\u0103 se modifice, favoriz\u00e2nd reducerea acelei p\u0103r\u021bi a bacteriilor care ne este favorabil\u0103 \u0219i predispun\u00e2nd proliferarea acelor bacterii rele, care, \u00een func\u021bie de gustul lor, \u00eencep s\u0103 migreze c\u0103tre alte \u021besuturi ale corpului, ajung\u00e2nd chiar \u00een vagin sau vezic\u0103. Aici avem infec\u021bie bacterian\u0103 \u0219i cistit\u0103. <\/p>\n
Deci, ce este cistita abacterian\u0103? Cistita abacterian\u0103 este acea afec\u021biune prin care „fac mult pipi, m\u0103 arde” \u0219i, a\u0219a cum am spus mai devreme, cauza nu este prezen\u021ba unei infec\u021bii, ci o disfunc\u021bie a podelei pelvine care, \u00een starea sa de suferin\u021b\u0103, particip\u0103 la perceperea unei serii de simptome practic suprapuse peste cele ale unei cistite bacteriene. <\/p>\n
Exist\u0103 simptome\/semne, \u00een afar\u0103 de cistita post-coital\u0103, la care o femeie poate fi atent\u0103 pentru a presupune prezen\u021ba unei disfunc\u021bii a podelei pelvine?<\/h3>\n
Bine\u00een\u021beles c\u0103 da, \u0219i le repet\u0103m \u00een mod constant prin intermediul activit\u0103\u021bilor noastre online \u0219i sociale, @ilovepelvicfloor pe IG dac\u0103 nu le urm\u0103ri\u021bi \u00eenc\u0103.
\nAt\u00e2ta timp c\u00e2t exist\u0103 \u00eenc\u0103 cel pu\u021bin o femeie \u00een cea\u021ba confuziei care adesea ne prinde \u0219i nu ne las\u0103 s\u0103 g\u0103sim calea cea bun\u0103 c\u0103tre rezolvare.<\/p>\n
Pe scurt: frecven\u021b\u0103 modificat\u0103 a urin\u0103rii (aproximativ la fiecare 2-3 ore) \u0219i a fecalelor (de la dou\u0103 ori pe zi la dou\u0103 ori pe s\u0103pt\u0103m\u00e2n\u0103), dificult\u0103\u021bi \u00een golirea vezicii urinare \u0219i\/sau a fecalelor, dificult\u0103\u021bi \u00een re\u021binerea voluntar\u0103 a pipiului \u0219i a cacaului, dureri \u00een timpul actului sexual, dureri pelvine (adesea prezente \u00een timpul menstrua\u021biei).
\nAcestea sunt clopotele principale \u0219i, de\u0219i \u00eent\u00e2lnite pe calea cuiva, sugereaz\u0103 o evaluare de specialitate.<\/p>\n
Cum are loc reabilitarea plan\u0219eului pelvin \u0219i c\u00e2t dureaz\u0103 \u00een medie?<\/h3>\n
Un curs de reabilitare implic\u0103 mai \u00eent\u00e2i o evaluare, care trebuie s\u0103 dureze cel pu\u021bin 90 de minute pentru a avea o baz\u0103 calitativ\u0103.
\nCursul, dup\u0103 cum v\u0103 pute\u021bi imagina, este subiectiv: depinde de starea, de complian\u021ba (capacitatea de a se adapta \u0219i de a r\u0103spunde la indica\u021biile terapeutice) pacientului \u0219i de r\u0103spunsul fiziologic al \u021besuturilor \u0219i organelor la tratament.
\nLa fel cum pentru S. a fost nevoie doar de o programare lunar\u0103 timp de 5 luni pentru a relua o activitate de penetrare f\u0103r\u0103 probleme, pentru G. a fost nevoie de 8 program\u0103ri \u00een decurs de 3 luni pentru a-\u0219i rec\u0103p\u0103ta capacitatea de a-\u0219i re\u021bine urina pe care o pierdea la \u0219coal\u0103 \u00een timpul activit\u0103\u021bii sale profesionale.<\/p>\n
Variabilitatea acestor tratamente este, de asemenea, legat\u0103 de caracteristicile practicianului: un exemplu este managementul durerii pelvine cronice, pentru care practicianul cu o formare adecvat\u0103 are, de asemenea, posibilitatea de a defini baza unei PNE (Pain Neuroscience Education) pentru a defini \u00eempreun\u0103 cu pacientul baza unei strategii comportamentale care vizeaz\u0103 gestionarea proces\u0103rii durerii la nivelul sistemului nervos central.<\/p>\n
\u00cen cele din urm\u0103, nu este at\u00e2t de important c\u00e2t de mult dureaz\u0103 un curs de reabilitare, ci c\u00e2t de mult mai specializat este profesionistul de referin\u021b\u0103, pentru a face un tratament mai eficient, integrat \u0219i multisistemic. M\u0103 voi opri cu cuvintele mari, dar a\u021bi \u00een\u021beles ideea, nu?<\/p>\n
Cum se poate evita regresul odat\u0103 ce reabilitarea podelei pelvine a fost finalizat\u0103?<\/h3>\n
R\u0103spuns uscat: eficien\u021ba unui program de reabilitare se m\u0103soar\u0103 \u00een func\u021bie de nivelul de con\u0219tientizare a propriului plan\u0219eu pelvin, a propriului corp \u0219i a stilului de via\u021b\u0103 pe care trebuie s\u0103 \u00eel adopte pentru a fi \u00een cea mai bun\u0103 stare de s\u0103n\u0103tate.
\nDac\u0103 alege\u021bi profesionistul potrivit \u0219i lucra\u021bi bine pe parcurs, rezultatele vor dura.<\/p>\n
<\/p>\n
\u00cei mul\u021bumim Dr. Callipo pentru timpul \u0219i contribu\u021bia sa valoroas\u0103. Dr. Francesco Callipo prime\u0219te \u00een Salerno \u0219i Battipaglia. Urm\u0103ri\u021bi profilul s\u0103u Instagram pentru informa\u021bii suplimentare (@ilovepelvicfloor). <\/p>\n","protected":false},"excerpt":{"rendered":"
Prieten, Cistita dup\u0103 actul sexual este mai frecvent\u0103 dec\u00e2t a\u021bi putea crede. Cu toate acestea, se vorbe\u0219te pu\u021bin despre una dintre principalele cauze: o disfunc\u021bie a podelei pelvine. De aceea, ast\u0103zi dorim s\u0103 clarific\u0103m o dat\u0103 pentru totdeauna corela\u021bia dintre cistit\u0103 \u0219i podeaua pelvian\u0103. Vom face acest lucru \u00eentr-un mod special, cu ajutorul unui profesionist […]<\/p>\n","protected":false},"author":4,"featured_media":46036,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1047],"tags":[1051],"class_list":["post-46035","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-magazin","tag-cauze"],"acf":[],"yoast_head":"\n
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