{"id":42036,"date":"2017-11-15T10:42:15","date_gmt":"2017-11-15T10:42:15","guid":{"rendered":"https:\/\/webo9.aux.com.esca\/?p=42036"},"modified":"2017-11-15T10:42:15","modified_gmt":"2017-11-15T10:42:15","slug":"el-massatge-perineal","status":"publish","type":"post","link":"https:\/\/webo9.aux.com.es\/ca\/el-massatge-perineal\/","title":{"rendered":"El Massatge perineal"},"content":{"rendered":"[vc_row][vc_column][vc_column_text]El massatge perineal<\/strong> \u00e9s una t\u00e8cnica que es recomana, principalment, en dones embarassades<\/strong> per preparar la musculatura del s\u00f2l pelvi\u00e0 pel moment del part.<\/p>\n

El s\u00f2l pelvi\u00e0 \u00e9s la musculatura que tanca la pelvis per baix. Es pot diferenciar una part anterior o urogenital i una part posterior o anal. I a m\u00e9s a m\u00e9s, es divideix en musculatura superficial i musculatura profunda, sobreposant-se una sobra l\u2019altra. Las funcions del s\u00f2l pelvi\u00e0 es poden dividir en funcions de contin\u00e8ncia (control dels esf\u00ednters), funcions sexuals, funcions reproductives i funcions de suport (mant\u00e9 bufeta, \u00fater, vagina i recte al seu lloc).[\/vc_column_text][vc_single_image image=”42031″ img_size=”full” alignment=”center” style=”vc_box_rounded” css=”.vc_custom_1510741346438{margin-top: 25px !important;margin-bottom: 25px !important;}”][vc_column_text]El massatge perineal \u00e9s una t\u00e8cnica f\u00edsica que es realitza amb l\u2019objectiu de preparar pel part la musculatura i els diferents teixits de la zona p\u00e8lvica. En el moment del part el c\u00f2ctel hormonal ajuden a la dona de forma fisiol\u00f2gica en la dilataci\u00f3 vaginal, \u00e9s a dir, ajuden a la relaxaci\u00f3 de la musculatura del s\u00f2l pelvi\u00e0 per permetre el pas del nad\u00f3 pel canal del part. Tot i aix\u00ed, donar el suport extra del massatge perineal, ens assegura que la musculatura treballi de forma harm\u00f2nica.<\/p>\n

Tamb\u00e9 li podr\u00edem donar una segon funci\u00f3 ja que ajuda a la dona a con\u00e8ixer-se a ella mateixa i a descobrir la seva zona p\u00e8lvica. Aquest fet crec que \u00e9s molt important ja que actualment estem molt desconnectades del nostre cos i, encara m\u00e9s, d\u2019aquesta zona que ha sigut tab\u00fa durant molt temps.<\/p>\n

Part<\/strong><\/h3>\n

Durant el part molts teixits (ossos, articulacions, m\u00fasculs, v\u00edsceres, lligaments, nervis…) s\u2019han de modificar per permetre el pas del nad\u00f3. Aquestes modificacions es fan lentament i coordinant-se unes amb les altres.<\/p>\n

S\u2019han diferenciat tres fases durant el part:<\/p>\n

    \n
  • Fase de dilataci\u00f3<\/u>: Es considera que el part est\u00e0 iniciat en el moment en qu\u00e8 hi ha contraccions cada 5 minuts i el coll de l\u2019\u00fater est\u00e0 dilatat en 2 cm i esborrat un 50%.<\/li>\n
  • Fase d\u2019expulsi\u00f3<\/u>: Aquesta fase va des de la completa dilataci\u00f3 fins a la sortida del futur beb\u00e8.<\/li>\n
  • Fase d\u2019enllumenament<\/u>: Aquest per\u00edode va des de la sortia del nad\u00f3 fins a la sortida de la placenta.<\/li>\n<\/ul>\n

    En el per\u00edode expulsiu \u00e9s quan la pelvis m\u00e9s s\u2019ha d\u2019obrir, a mesura que el nad\u00f3 es va despla\u00e7ant pels diferents plans. Ens hem d\u2019imaginar la vagina com un cilindre amb diferents di\u00e0metres, anomenats di\u00e0metres d\u2019Hodge<\/strong>. Es diferencien el di\u00e0metre superior (del promontori del sacre a la zona alta del pubis), el di\u00e0metre mig (del centre del sacre a la zona mitja del pubis) i el di\u00e0metre inferior (del c\u00f2ccixs a la zona baixa del pubis).<\/p>\n

    En aquesta fase expulsiva el nad\u00f3 s\u2019anir\u00e0 encaixant i descendint desenvolupant diferents moviments de flexi\u00f3-extensi\u00f3 i de rotacions del cos per anar adaptant-se als di\u00e0metres d\u2019Hodge fins a la coronaci\u00f3 i posterior expulsi\u00f3.<\/p>\n

    Com ja he dit, les fluctuacions hormonals ajudaran en tot aquest proc\u00e9s, per\u00f2 tamb\u00e9 \u00e9s important que la futur mama es senti c\u00f2mode i relaxada, controlant les respiracions i el desenvolupament del part alhora que es connecta amb el seu cos i el seu futur fill.<\/p>\n

    \u201cMi principal sensaci\u00f3n con mi primer parto es de desposesi\u00f3n de mi propio cuerpo. Las hormones se dispararon hasta l\u00edmites psicotr\u00f3picos. No era nada consciente, a nivel racional, de lo que pasaba. Las sensaciones eran fuertes, muy fuertes, extremadamente fuertes. No pod\u00eda pensar, no pod\u00eda casi ni respirar. Era mi beb\u00e9 que se abr\u00eda paso a trav\u00e9s de m\u00ed, literalmente. Una imagen completamente horizontal de traspaso. Dol\u00eda, dol\u00eda mucho pero no era sufrimiento, solo era dolor que viene y se va. Y luego… una felicidad que inund\u00f3 toda mi persona y mi entorno.\u201d<\/em> (Parir, n\u00e9ixer y cr\u00e9ixer \u2013 Migjorn, casa de naixements)<\/p>\n

    La t\u00e8cnica<\/strong><\/h3>\n

    El massatge perineal ajuda a la dona en:<\/p>\n

      \n
    • Augmentar l\u2019elasticitat de la musculatura p\u00e8lvica<\/li>\n
    • Afavorir la circulaci\u00f3 sangu\u00ednia a la musculatura del s\u00f2l pelvi\u00e0<\/li>\n
    • Facilitar la relaxaci\u00f3 de la musculatura durant el part<\/li>\n
    • Millorar l\u2019auto-coneixement de la zona<\/li>\n<\/ul>\n

      El massatge perineal es pot iniciar a la setmana 31-33 de gestaci\u00f3 i s\u2019anir\u00e0 augmentant la freq\u00fc\u00e8ncia quan s\u2019aproximi la data del naixement. Consisteix en la introducci\u00f3 de dos dits a nivell vaginal i realitzar tra\u00e7os cap al c\u00f2ccixs i cap als laterals seguint la forma de la vagina amb una certa intensitat. No ha de provocar dolor, per\u00f2 s\u2019ha de notar l\u2019estirament. Aix\u00f2 es realitzar\u00e0 durant 5-10 minuts.<\/p>\n

      \u00c9s imprescindible l\u2019\u00fas de lubricant, millor de base aquosa, i guants per preservar la flora vaginal.<\/p>\n

      Malgrat aquestes indicacions, \u00e9s necessari que la t\u00e8cnica sigui ensenyada per un professional. Tamb\u00e9 es recomana que sigui un treball de parella ja que aix\u00ed l\u2019altre membre es pot sentir m\u00e9s part\u00edcip de l\u2019embar\u00e0s i perqu\u00e8 per a la dona pot ser inc\u00f2mode realitzar-se\u2019l, sobretot al final de la gestaci\u00f3.[\/vc_column_text][vc_single_image image=”42032″ img_size=”full” alignment=”center” style=”vc_box_rounded” css=”.vc_custom_1510741386872{margin-top: 25px !important;margin-bottom: 25px !important;}”][vc_column_text]Espero que us hagi agradat el post, i enhorabona a les futures mares.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=”.vc_custom_1506418660312{padding-top: 25px !important;}”][vc_column][vc_column_text]\nAutores<\/p>\n[\/vc_column_text][vc_row_inner][vc_column_inner width=”1\/3″]

      <\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″]\n[\/vc_column_inner][vc_column_inner width=”1\/3″]\n[\/vc_column_inner][\/vc_row_inner][vc_column_text]Si t\u2019ha agradat aquest article, et convidem a que ho comparteixis en las tevas xarxes socials favorites. Ho agra\u00efm sempre![\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"

      [vc_row][vc_column][vc_column_text]El massatge perineal \u00e9s una t\u00e8cnica que es recomana, principalment, en dones embarassades per preparar la musculatura del s\u00f2l pelvi\u00e0 pel moment del part. El s\u00f2l pelvi\u00e0 \u00e9s la musculatura que tanca la pelvis per baix. Es pot diferenciar una part anterior o urogenital i una part posterior o anal. I a m\u00e9s a m\u00e9s, […]<\/p>\n","protected":false},"author":206,"featured_media":42034,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"_joinchat":[],"footnotes":""},"categories":[80,77,81],"tags":[],"class_list":["post-42036","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-massatge-5","category-osteo-i-fisio-uroginecologica-17","category-sol-pelvia-2"],"yoast_head":"\nEl Massatge perineal | Blog Osteo9<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/webo9.aux.com.es\/ca\/el-massatge-perineal\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El Massatge perineal | Blog Osteo9\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column][vc_column_text]El massatge perineal \u00e9s una t\u00e8cnica que es recomana, principalment, en dones embarassades per preparar la musculatura del s\u00f2l pelvi\u00e0 pel moment del part. 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