{"id":418,"date":"2022-05-15T06:01:10","date_gmt":"2022-05-15T06:01:10","guid":{"rendered":"https:\/\/www.vertebres.es\/cs\/?page_id=418"},"modified":"2022-05-15T08:41:48","modified_gmt":"2022-05-15T08:41:48","slug":"suelo-pelvico-2","status":"publish","type":"page","link":"https:\/\/www.vertebres.es\/vl\/suelo-pelvico-2\/","title":{"rendered":"S\u00f2l P\u00e9lvic"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">El s\u00f2l p\u00e8lvic \u00e9s un conjunt de m\u00fasculs i teixits que tanca la cavitat abdominal per la seva banda inferior.<a rel=\"noreferrer noopener\" href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2000.tb10407.x\/abstract;jsessionid=A666183100332CF0FFB9318A09975F76.f03t04\" target=\"_blank\">(1)<\/a>,<a rel=\"noreferrer noopener\" href=\"http:\/\/m.casadellibro.com\/libro-rehabilitacion-del-suelo-pelvico-femenino\/9788498354645\/2218252\" target=\"_blank\">(2)<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D&#8217;una banda, l&#8217;estructura \u00f2ssia est\u00e0 formada pel sacre, el coxis i els iliacs, units entre si per lligaments molt forts i formant articulacions poc m\u00f2bils, que en moments com l&#8217;embar\u00e0s i el part aconsegueixen la seva m\u00e0xima amplitud de moviment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D&#8217;altra banda, l&#8217;estructura tova, coneguda com a s\u00f2l p\u00e8lvic, \u00e9s l&#8217;encarregada de mantenir el recte, la bufeta i l&#8217;\u00fater en la seva posici\u00f3. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"602\" height=\"558\" src=\"https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/pelvis.jpg\" alt=\"\" class=\"wp-image-177\" srcset=\"https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/pelvis.jpg 602w, https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/pelvis-300x278.jpg 300w\" sizes=\"auto, (max-width: 602px) 100vw, 602px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Aquesta musculatura aquesta innervada pel nervi pudendo.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Son moltes les funcions que realitza\u00a0<a rel=\"noreferrer noopener\" href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2000.tb10407.x\/abstract;jsessionid=A666183100332CF0FFB9318A09975F76.f03t04\" target=\"_blank\">(1)<\/a>,<a rel=\"noreferrer noopener\" href=\"http:\/\/m.casadellibro.com\/libro-rehabilitacion-del-suelo-pelvico-femenino\/9788498354645\/2218252\" target=\"_blank\">(2)<\/a>. Com esf\u00ednter: a pesar de que tant l&#8217;uretra com el recte tenen esf\u00ednters propis, la musculatura ajuda per a augmentar la for\u00e7a de tancament.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"635\" height=\"475\" src=\"https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/pelvisligant.png\" alt=\"\" class=\"wp-image-178\" srcset=\"https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/pelvisligant.png 635w, https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/pelvisligant-300x224.png 300w\" sizes=\"auto, (max-width: 635px) 100vw, 635px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\"><li>En el manteniment de l&#8217;est\u00e0tica p\u00e8lvica: aix\u00ed com esmorteir i transmetre les pressions provinents de la zona abdominal, com la tos o el riure.<\/li><li>La inhibici\u00f3 nerviosa del detrusor: ja que la contracci\u00f3 de la musculatura del s\u00f2l p\u00e8lvic provoca la inhibici\u00f3 del detrusor, muscle de la bufeta que es contrau per a miccionar.<\/li><li>Durant el part: per qu\u00e8 fa de gu\u00eda a la rotaci\u00f3 i presentaci\u00f3 de cap del nad\u00f3.<\/li><li>Durant les relacions sexuals: per exemple fent-se durant l&#8217;orgasme la\u00a0<a rel=\"noreferrer noopener\" href=\"http:\/\/www.wikilengua.org\/index.php\/Terminesp:tetanizaci%C3%B3n_(el%C3%A9ctrica)_(2)\" target=\"_blank\">tetanitzaci\u00f3<\/a>\u00a0de la musculatura.<\/li><\/ul>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">El correcte funcionament d&#8217;aquesta estructura, dep\u00e8n tamb\u00e9 d&#8217;altres unitats anat\u00f2miques, la m\u00e9s influent s\u00f3n els abdominals, sent l&#8217;abdominal transvers el que t\u00e9 un paper m\u00e9s important. Fins al punt que una disfunci\u00f3 del s\u00f2l p\u00e8lvic va acompanyada normalment d&#8217;una hipotonia abdominal normalment&nbsp;<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12054180\" target=\"_blank\" rel=\"noreferrer noopener\">(3)<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u00f3n moltes les patologies que poden afectar a aquesta \u00e0rea i es poden classificar amb tren eixos urol\u00f2gic, que engloba a les patologies tant d&#8217;incontin\u00e8ncia com de retenci\u00f3 d&#8217;orina; l&#8217;eix ginecol\u00f2gic, on inclour\u00edem els problemes d&#8217;est\u00e0tica p\u00e8lvica com els prolapse, els problemes sexuals aix\u00ed com la preparaci\u00f3 f\u00edsica al part i la recuperaci\u00f3 postpart; i per va ultimar l&#8217;eix coloproptol\u00f2gic, on inclour\u00edem les incontin\u00e8ncies fecals i el restrenyiment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La poblaci\u00f3 que m\u00e9s risc t\u00e9 s\u00f3n les dones tant despr\u00e9s de donar a llum com en altres moments de la vida com la menopausa. Per\u00f2 les afeccions no solament les sofreixen les dones, els homes despr\u00e9s de les prostactectomies, tamb\u00e9 poden presentar disfuncions.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"wp-block-paragraph\">Els objetius de la fisioter\u00e0pia se basaran en&nbsp;<a href=\"http:\/\/m.casadellibro.com\/libro-rehabilitacion-del-suelo-pelvico-femenino\/9788498354645\/2218252\" target=\"_blank\" rel=\"noreferrer noopener\">(2)<\/a>:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Asegurar la contin\u00e8ncia urin\u00e0ria, aix\u00ed com una frequ\u00e8ncia miccional correcta.<\/li><li>Equilibrar la est\u00e1tica p\u00e9lvica, para evitar sensaciones de pesadez y evitar prolapsos.<\/li><li>En obstetr\u00edcia, tano preparar el cos per a les diferents adaptacions durant la gestaci\u00f3 i el moment del part, com per a la recuperaci\u00f3 postpart, incloent\u00a0<a rel=\"noreferrer noopener\" href=\"http:\/\/www.nlm.nih.gov\/medlineplus\/spanish\/ency\/article\/001602.htm\" target=\"_blank\">la di\u00e0stasi abdominal.<\/a><\/li><li>Tindre una correcta mec\u00e0nica evaquat\u00f2ria, evitant escapaments i estrenyiment.<\/li><\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/www.vertebres.es\/cs\/wp-content\/uploads\/2022\/05\/AT-768x1024.jpg\" alt=\"\" class=\"wp-image-159\" srcset=\"https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/AT-768x1024.jpg 768w, https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/AT-225x300.jpg 225w, https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/AT-1152x1536.jpg 1152w, https:\/\/www.vertebres.es\/vl\/wp-content\/uploads\/2022\/05\/AT.jpg 1200w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/figure>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>El s\u00f2l p\u00e8lvic \u00e9s un conjunt de m\u00fasculs i teixits que tanca la cavitat abdominal per la seva banda inferior.(1),(2) D&#8217;una banda, l&#8217;estructura \u00f2ssia est\u00e0 formada pel sacre,&#46;&#46;&#46;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-418","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.vertebres.es\/vl\/wp-json\/wp\/v2\/pages\/418","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vertebres.es\/vl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.vertebres.es\/vl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.vertebres.es\/vl\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vertebres.es\/vl\/wp-json\/wp\/v2\/comments?post=418"}],"version-history":[{"count":1,"href":"https:\/\/www.vertebres.es\/vl\/wp-json\/wp\/v2\/pages\/418\/revisions"}],"predecessor-version":[{"id":548,"href":"https:\/\/www.vertebres.es\/vl\/wp-json\/wp\/v2\/pages\/418\/revisions\/548"}],"wp:attachment":[{"href":"https:\/\/www.vertebres.es\/vl\/wp-json\/wp\/v2\/media?parent=418"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}