Yu blad de fil lɛk se i dɔn smɔl? Mek wi tok abaut Cystocele!

Sɔntɛnde yu kin fil se yu ful-ɔp, yu ebi, ɔ yu kin fil lɛk se sɔntin de kɔmɔt na yu vagina? Ɔ bɔku tɛm yu nid fɔ pis, bɔt i kin tan lɛk se natin nɔ de kɔmɔt? Dis nɔto jɔs random tin dɛn. Yu kin gɛt wan sik bak we dɛn kɔl cystocele. Nɔ wɔri, wi go tɔk bɔt dis ditayli ɛn rili simpul wan tide.

Wetin rili na sistosɛl?

Fɔ tɔk am simpul wan, sistosɛl na sɔntin we de kɔmɔt na yu blad frɔm usay i de go insay di vagina . Tink bɔt am, na di mɔsul ɛn ligamɛnt dɛn de ol wi ɔgan dɛn na dɛn ples. Dɛn kin strɛch ɛn kɔntrakt lɛk rɔba band. So, if dis mכsul dεm εn ligament dεm we de rawnd yu blad wik כ strεch, di blad nכ go ebul fכ de na di say we i kin de. na we di blad de bigin fכ slayv dכn, we min se i go insay di vagina. Dis na wetin wi kin kɔl sistosɛl. dis na kכndyushכn we de insay di big kεtכgrεf fכ di pεlvik כgan prolaps. sכm pipul dεn kin kכl am bak "di blad de fכl dכn" כ "di blad lεk hεnia." Ɔl dɛn tin ya min di sem tin.

Yu tink se kayn sistocele de? Wetin na dɛn?

yes, tri men tכp dεm de fכ di sistכs, i dipכnt pan di sayz fכ di sistos, dat na aw fa i dכn dכn di blad. Dɔktɔ dɛn kɔl dis "grɛd."

• Gret 1 - Mild: Dis na di stej we mild pas ɔl . na ya, di blad de כnli sכmtεm dכn insay di vagina . Sɔntɛm yu nɔ go ivin notis dis.
• Gret 2 - Mɔdaret: Dis na di mɔdaret stej . na ya, di blad de dכn te di vagina opin, εn i kin ivin kכmכt sכmtεm.
• Gret 3 - Sivεri: Dis na di stej we siriכs pas ɔl . na ya, yu kin si di blad de kכmכt kכmplit wan frכm di vagina opin.

Dis stej de sho aw di sik de kam ɛn aw fɔ trit am.

Aw siriɔs dis tin kin bi?

I rili dipen pan di gred we yu sistocele gɛt. Fɔ ɛgzampul, if na smɔl sistosel lɛk Gret 1 , yu kin jɔs fil smɔl diskɔmfɔt ɔ yu kin ebi. Ɔ yu kin lik smɔl urine we yu de laf ɔ kɔf (dɛn kɔl dis urinary incontinence). Bɔt if na Gret 3 sistosɛl, .If na siriɔs sik lɛk fɔ prolaps, na sɔntin fɔ wɔri bɔt. Bikɔs, we di blad tu smɔl, yu nɔ go ebul fɔ pis fayn. Sɔntɛm di blad nɔ go ɛmti ɔl. If dis apin, chans de fɔ mek yu gɛt urinary tract infection (UTI). Sɔntɛnde, if dis sik kɔntinyu, i kin ivin pwɛl di kidni dɛm. Na dat mek i fayn fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt sɔm sayn dɛn.

Yu tink se di sik we dɛn kɔl cystocele kɔmɔn?

Yɛs, fɔ tru. Cystocele na wan sik we kin afɛkt bɔku uman dɛn. di mεdikal masta sabi pipul dεm se lεk 50% pan di uman dεm go gεt sכm kayn cystocele na sכm tεm na dεn layf. Dis min se nɔto yu wangren de. Bɔrku pipul kin gɛt dis sik.

Yu gɛt sistosɛl bak? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Naw lɛ wi si if yu gɛt ɛni wan pan dɛn sik ya. Nɔto ɔlman gɛt di sem sayn dɛn. Bɔt sɔm sayn dɛn de we kin apin:

• Fɔ fil ɔ si sɔntin we de kɔmɔt na di vagina opin. Sɔm pipul se "sɔntin lɛk bɔl de stɔp."
• Filin fɔ ful-ɔp, ebi, ɔ pen na di say we yu de na di bɛlɛ. Dis filin kin wɔs we yu tinap, es es ɔp, ɔr de kɔf. Dis diskɔmfɔt kin bɔku bak as di de de go ɛn na ivintɛm.
• Nid fɔ pis bɔku tɛm pas aw i kin pis.
• Wan filin we de sho se di blad nɔ dɔn ɛmti ɔl we yu de pis. Yu kin fil se yu nid fɔ pis bak afta sɔm tɛm.
• Bɔku tɛm we pɔsin kin gɛt urinary tract infection (UTI).
• I nɔ izi fɔ put tin dɛn we pɔsin kin yuz fɔ mek i gɛt bɛlɛ lɛk tampon ɔ kɔp we i kin yuz fɔ mek i gɛt mɔnt insay di vagina.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, di bɛst tin fɔ du na fɔ go to dɔktɔ ɛn chɛk yu.

Wetin mek dis de apin? Wetin na di rizin dɛn?

as wi bin dכn tכk bכt, di sistosεl dεm de kכz bay we di mכsul dεm εn ligament dεm we de ol di blad de wik כ strεch. Bɔku rizin dɛn de we mek dɛn mɔsul ya kin wik.

• di pikin dεm we dεn bכn wit di vagina : we dεn de bכn nכmal pikin, bכku prεshכn de de εn strεch pan di mכsul dεm na di bכdi. dis ifekt kin bכku wit tin dεm lεk di pikin in saiz εn di tεm we i tek fכ bכn. dis risk kin bכku fכ di wan dεm we dεn bכn bכku pikin dεm bay vagina.
• Famili istri: If yu fambul we de nia yu uman lɛk yu mama, sista, ɔ yu sista in pikin dɔn gɛt sistocele, yu kin gɛt am bak.
• Fat :Dis risk kin pasmak fɔ pipul dɛm wae gɛt bɔrku bɔrku bɔdi (dɔktɔ dɛn kin difayn dis as wae gɛt Bɔdi Mas Indeks (BMI) we pas 30). dis na biכs di ekstra wet de put prεshכn kכnstant pan di bכdi mכsul dεm.
• Hysterectomy : sכm uman dεn kin gεt dis kכndyushכn afta dεn dכn hysterectomy, biכs di uterus de εp bak fכ sכpכt di pεlvik כgan dεm.
• di εstrojen we de dכn : εstrojen na uman כmon. I de ɛp fɔ mek di mɔsul dɛn we de rawnd di vagina strɔng. As yu de ol, mɔ afta yu dɔn menopause , di ɛstrojen lɛvɛl na di bɔdi de go dɔŋ. dis na wan pan di rizin dεm bak we mek di mכsul dεm de wik εn di sistosεl dεm de apin.
• Fɔ es ebi ebi ebi tin dɛn ɔltɛm ɔ fɔ wok tranga wan.
• Fɔ gɛt kɔf fɔ lɔng tɛm (e.g. bikɔs ɔf sik dɛn lɛk asma, brɔnkayt).
• Fɔ lɔng tɛm we yu de kɔnstipɛshɔn ɛn strɛs we yu de go tɔylɛt.

Udat dɛn go mɔs afɛkt dis kayn tin?

Pan ɔl we ɛnibɔdi we ol ɛni ej we gɛt vagina kin gɛt cystocele, sɔm pipul dɛn kin gɛt mɔ risk.

• As yu de ol: Di risk de go bifo as di pelvik mכsul dεm de wik nכmal wan wit di ej.
• Fɔ di wan dɛn we dɔn bɔn pikin bay vagina.
• di wan dεm we dεn du כpεrayshכn pan di pεlvik εria כ di uterus (e.g. Hysterectomy).
• Fɔ di wan dɛn we fat pasmak.
• Fɔ di wan dɛn we dɔn gɛt dis sik na dɛn famili.

Wetin na di poshubul komplikashכn dεm we di cystocele kin gεt?

Bɔku tɛm, sistos nɔ kin mek pɔsin in layf de pan denja, bɔt if dɛn nɔ trit am, sɔm prɔblɛm dɛn kin apin.

• Urinary retention: If yu blad go dɔŋ, i kin mek di urethra tayt, ɛn yu nɔ go ebul fɔ ɛmti yu blad ɔlsay we yu de pis.
• di kidni dεm we dεn dכn pwεl: di urine we de rεst na di blad kin mek di urine fכ fכlכ bak (tru di ureter dεm), we de put prεshכn pan di kidni dεm, we kin tεm dεm dεm. Dis na siriɔs kɔndishɔn.
• Infεkshכn dεm na di urinary tract כltεm.

Na dat mek wi se, if yu gɛt sayn, nɔ shem ɔ fred, bɔt go to dɔktɔ.

Aw dɔktɔ dɛn kin no bɔt dis?

Na dɔktɔ nɔmɔ go ebul fɔ no fɔ tru if yu gɛt sistosɛl. Bɔku tɛm, dɔktɔ we de mɛn uman ɔ yurolɔg kin no di sik. De dɔktɔ go aks yu bɔt yu sik ɛn yu mɛdikal histri. Dɔn dɛn go du wan ɛgzam pan dɛn bɔdi. we dεn de du dis egzamin, dεn go egzamin yu vagina fכ si if yu blad dכn prolaps εn aw fa i dכn. Dɛn kin aks yu fɔ kɔf ɔ pis smɔl fɔ si aw fa i dɔn prolaps. Sɔntɛnde, dɛn kin du dɛn tɛst ya fɔ no mɔ bɔt di sik:

• Yurodaynamik tɛst: Dis de tɛst yu blad in ebul fɔ ol ɛn rilis urine.
• Sistoskopi: insay dis, dεn de pas wan lכng, tכn, lεk pensil tכb (cystoscope) we gεt kεmεra we dεn atak tru di urethra εn insay di blad. dis kin yus fכ chεk fכ eni abnכmaliti, blכk, tכmכro, כ ston insay di urethra εn blad.

Yu kin chɛk dis yusɛf?

Na dɔktɔ nɔmɔ go ebul fɔ no di sik kɔrɛkt wan. Bɔt sɔm uman dɛn kin fil lɛk se dɛn kin push sɔntin insay tru dɛn vagina. If yu gɛt sayn dɛn fɔ sistocele, mek shɔ se yu go to dɔktɔ. Nɔ fɔ no yusɛf.

Aw dɛn kin trit wan sistosɛl?

Di tritmɛnt dipen pan di kayn we aw yu sistosel de tranga. Mild (Gred 1) cystocele: If yu nɔr de gɛt ɛni impɔtant diskɔmfɔt, yu nɔ go nid ɛni spɛshal tritmɛnt. Bɔt i impɔtant fɔ avɔyd fɔ du tin dɛn lɛk fɔ es ebi ebi tin ɛn fɔ strɛch, bikɔs dɛn tin ya kin mek di sik wɔs. Ɔda tritmɛnt dɛn we nɔ gɛt wan sik na:

• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu. Tɔk to dɔktɔ bɔt dis ɛn gɛt advays.
• εstrojen riplesmεnt tεrapi: Dis kin εp, spεshal fכ di wan dεm we gεt lכw εstrojen lεvεl afta dεn mεnopos. Dɛn kin gi am as krim ɔ as pil.
• Kegel eksasaiz: Dis na tin we rili impɔtant. Dɛn ɛgzampul ya kin mek yu mɔsul dɛn na yu bɛlɛ strɔng. Dat min se di mכsul dεm we de rawnd di urethra, vagina, εn anus. we dεn mכsul dεm ya strכng, dεn de εp fכ kכntrכl di blad prolaps. Aks yu dɔktɔ ɔ fisiotɛrapist fɔ di kɔrɛkt we fɔ du dɛn ɛgzampul ya.
• Wan tin we dɛn kin yuz fɔ mek tin dɛn we dɛn kɔl pessary:Dis na tin we tan lɛk ring we dɛn mek wit rɔba ɔ silikon. Dɛn kin put am insay di vagina ɛn i kin ɛp fɔ push di blad ɔp ɛn ol am na in ples. Dis na sɔlv fɔ sɔm tɛm. Sɔm pipul dɛn kin yuz dis if dɛn nɔ ebul ɔ dɛn nɔ want fɔ du ɔpreshɔn.

Mɔdaret ɔ Siviɔs (Grɛd 2 ɔ 3) Sistɔsil: If di tritmɛnt dɛn we wi dɔn tɔk bɔt nɔ ɛp, i kin nid fɔ du ɔpreshɔn .

Wetin fɔ du if dɛn nid fɔ du ɔpreshɔn?

di men opareshכn fכ wan siriכs sistosεl dεn kכl am anterior kolporrhaphy . insay dis, di sajin de briŋ di blad we dɔn prolaps bak insay in ples ɛn tayt di mɔsul dɛn na di frɔnt wɔl na di vagina we de ol am na in ples. Sɔntɛnde, dɛn kin yuz spɛshal mɛsh fɔ mek di tisu we wik strɔng. Bɔt difrɛn tin dɛn de we pipul dɛn kin tink bɔt aw fɔ yuz dis mɛsh, so tɔk to yu dɔktɔ bifo yu disayd fɔ du sɔntin. Bɔku tɛm, di ɔpreshɔn we dɛn kin du fɔ mek pɔsin gɛt sik we dɛn kɔl cystocele nɔto big ɔpreshɔn. Bɔku tɛm na ɔutpatient prosidur we de alaw yu fɔ go na os di sem de. I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. If yu nɔ want fɔ du mami ɛn dadi biznɛs igen, ɔda ɔpreshɔn dɛn de we de lɔk, shɔt, ɛn stɔp di prolaps. if nכto di blad nכmכ, bכt di uterus, di כp pat pan di vagina (fכ di wan dεm we dεn dכn pul dεn uterus, dεn kכl dis di εpiks), כ di rεktum dεn tu prolaps, di dכkta go εksplen to yu bכt כda כpεrayshכn dεm.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

If yu gɛt siriɔs cystocele we nid fɔ ɔpreshɔn, yu kin bigin fɔ fil sɔm rilif jɔs afta di ɔpreshɔn. Bɔt i kin tek sɔm wik to sɔm mɔnt fɔ mek i wɛl ɛn go bak to di nɔmal tin dɛn we i bin de du. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

We dɛn de fɔ mek dis tin nɔ apin?

Sɔm risk factor wae wi nɔr kin ebul kɔntrol, lɛk famili histri ɔr ol. Bɔt, tin dɛn de we wi go ebul fɔ kɔntrol. Dɛn kin ridyus di risk fɔ gɛt dis sik.

• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu. Kɔnsul dɔktɔ ɔ pɔsin we sabi bɔt it fɔ advays bɔt dis.
• Nɔ gɛt kɔnstipɛshɔn. It it we gɛt bɔku fayv (vɛjitebul, frut, ligɛm, ɔl gren). Drink bɔku wata ɔl di de. Ɛksesaiz ɔltɛm. Dɛn tin ya kin ɛp fɔ ridyus kɔnstipɛshɔn. Dɔn yu nɔ go nid fɔ strɛs we yu de go na di bafa.
• Protekt yu pelvik fכl mכsul dεm we yu de es ebi ebi tin dεm. Nɔ es ebi ebi tin dɛn yu wan. If yu de es ebi ebi tin, yuz di rayt we fɔ tinap: bɛn yu ni ɛn hip, kip yu bak stret, ɛn put yusɛf dɔŋ fɔ pik di tin. Nɔ twist we yu de es di tin.
• Du Kegel ɛksesaiz ɔltɛm. I bεst fכ stat fכ du dεn εksεsayz dεm ya we yu bεlε. I impɔtant fɔ kɔntinyu fɔ du dɛn ɛgzampul ya afta yu bɔn pikin.
• If yu de smok, stɔp.Krכnik kכf we de kכz fכ smok de put prεshכn pan di pεlvik mכsul dεm.

Wetin yu fɔ mɛmba if yu gɛt sistosɛl?

If dɔktɔ tɛl yu se yu gɛt sistos, nɔ wɔri. Dɛn kin ebul fɔ manej am.

Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn mek di chenj dɛn we yu nid fɔ du na yu layf.

Wetin na di tin dɛn we a nɔ fɔ du?

If yu gɛt sistos, i bɛtɛ fɔ mek yu nɔ de nia dɛn tin ya:

• weit liftin εn eni aktiviti we de put prεshכn pan di pεlvik mכsul dεm. Fɔ ɛgzampul, fɔ ɛksesaiz tranga wan, wok we de put prɛshɔn pan di bɛlɛ.
• Nɔ ignore kɔf we nɔ de dɔn. If yu gɛt kɔf we nɔ de dɔn, lɛk brɔnkayt, mek dɛn trit am fayn. We yu kɔf, i de put prɛshɔn ɔltɛm pan di mɔsul dɛn na di bɛlɛ.
• Nɔ smok ɔ lɛf fɔ smok.
• Nɔ sidɔm di we we go mek yu gɛt kɔnstipɛshɔn. Nɔ strɛs we yu de go na tɔylɛt.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛm fɔ sistocele, mɔ if dɛn de ambɔg yu ɛvride layf ɛn wok, mek shɔ se yu go to dɔktɔ. Nɔ shem ɔ put yusɛf dɔŋ.

Ustɛm yu nid fɔ go na imejensi rum?

If yu gɛt sayn fɔ sistocele ɛn yu nɔ ebul fɔ pis atɔl , dat na if yu urine blok, go na di imejensi rum na di ɔspitul we de nia yu wantɛm wantɛm. Dis na sɔntin we yu nɔ fɔ delay.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ fɔgɛt fɔ aks ɛni kwɛstyɔn we yu gɛt. Na sɔm kwɛstyɔn dɛn we yu kin aks:

• "Dɔkta, aw ɛksaktɔli a go no if a gɛt sistosɛl?"
• "If a nɔ gɛt sistosɛl, yu tink se sɔm ɔda kɔndishɔn de mek a gɛt dɛn sik ya?"
• "Us kayn tritmɛnt di dɔktɔ rikɔmɛnd fɔ mi?"
• "A kin kɔntrol dis kɔndishɔn we a nɔ gɛt ɔpreshɔn?"
• "I posibul fo mi fo divelop dis kondishon bak afta tritment?"
• "Us aktiviti ɛn muvmɛnt dɛn a fɔ avɔyd ɔ nɔ fɔ du?"
• "A kin du mami ɛn dadi biznɛs if a gɛt sistos? I go mek ɛni prɔblɛm?"
• "A fɔ go si dɔktɔ we de mɛn uman ɔ yurolɔg?"

I rili impɔtant fɔ aks kwɛstyɔn dɛn lɛk dis ɛn ɔndastand yu sityueshɔn fayn fayn wan.

"Prolapsed bladder" ɛn "Cystocele" na di sem tin?

Nɔ, dis na tu nem fɔ di sem kɔndishɔn. "Prolapsed bladder" na jכs כda nem fכ wan cystocele. So nɔ kɔnfyus bɔt am.

Fɔ dɔn, wan Mɛsej we dɛn kin kɛr go na os

Sistosel nɔ kin mek pɔsin in layf de pan denja. Bɔt, i kin mek yu shem, nɔ fil fayn, ɛn strɛs. Nɔ mek i stɔp yu fɔ liv yu layf gladi ɛn kɔmfyut.

Mɛmba se nɔto yu wangren de. Tritmɛnt dɛn de fɔ dis sik. If yu gɛt sayn dɛm fɔ cystocele ɛn dɛn de afɛkt yu layf, go to dɔktɔ ɛn nɔr de shem. I go rivyu yu sayn dɛm ɛn yu mɛdikal histri ɛn tɛl yu bɔt di tritmɛnt we fit yu pas ɔl. Dis go mɔs ɛp yu fɔ fil fayn ɛn fɔ mek yu layf bɛtɛ.

Tek kia ɔf yu bɔdi. Na bikɔs wɛlbɔdi biznɛs na di jɛntri we pas ɔl!