Kodi chikhodzodzo chanu chikumva ngati chatsika? Tiyeni tikambirane za Cystocele!

Kodi nthawi zina mumamva kukhuta, kulemera, kapena kumva ngati chinachake chikutuluka m'maliseche mwanu? Kapena nthawi zambiri mumafunika kukodza, koma mumamva ngati palibe chomwe chikutuluka? Izi si zinthu zosayembekezereka chabe. Mwinanso muli ndi vuto lotchedwa cystocele. Musadandaule, tikambirana izi mwatsatanetsatane komanso mosavuta lero.

Kodi cystocele kwenikweni ndi chiyani?

Mwachidule, cystocele ndi kutuluka kwa chikhodzodzo chanu kuchokera komwe chili mu nyini . Taganizirani izi, ziwalo zathu zimagwiridwa ndi minofu ndi mitsempha. Zimatambasuka ndikufupika ngati mipiringidzo ya rabara. Chifukwa chake, ngati minofu ndi mitsempha iyi yozungulira chikhodzodzo chanu ifooka kapena kutambasuka, chikhodzodzo sichingakhale pamalo ake achizolowezi. Pamenepo ndi pomwe chikhodzodzo chimayamba kutsetsereka pansi, zomwe zikutanthauza kulowa mu nyini. Izi ndi zomwe timatcha cystocele. Imeneyi ndi vuto lomwe lili m'gulu lalikulu la ziwalo za m'chiuno. Anthu ena amatchanso kuti "chikhodzodzo chikugwa" kapena "chikhodzodzo chili ngati hernia." Zonsezi zikutanthauza chinthu chomwecho.

Kodi pali mitundu ya cystocele? Kodi ndi chiyani?

Inde, pali mitundu itatu ikuluikulu ya cystocele, kutengera kukula kwa cystocele, ndiko kuti, kutalika komwe yatsika m'chikhodzodzo. Madokotala amatcha izi "grade."

• Giredi 1 - Yofatsa: Iyi ndi gawo lofatsa kwambiri . Apa, chikhodzodzo chimatsikira pang'ono mu nyini . Simungazindikire izi.
• Giredi 2 - Pakati: Iyi ndi gawo lapakati . Apa, chikhodzodzo chimafika pansi pa nyini, ndipo chingatuluke pang'ono.
• Giredi 3 - Yoopsa: Iyi ndi gawo lovuta kwambiri . Apa, chikhodzodzo chimawoneka chikutuluka kwathunthu kuchokera pa khomo la nyini.

Gawo ili limatsimikizira mtundu wa zizindikiro ndi njira yochizira.

Kodi vutoli lingakhale lalikulu bwanji?

Zimatengera kwambiri giredi ya cystocele yanu. Mwachitsanzo, ngati ndi giredi 1 , mungamve kusasangalala pang'ono kapena kulemera pang'ono. Kapena mungatulutse mkodzo pang'ono mukaseka kapena kutsokomola (izi zimatchedwa kusadziletsa kwa mkodzo). Koma ngati ndi giredi 3 cystocele,Ngati ndi vuto lalikulu monga prolapse, ndi chinthu choyenera kuda nkhawa nacho. Chifukwa, chikhodzodzo chikakhala chotsika kwambiri, simungathe kukodza bwino. Chikhodzodzo sichingatulutse madzi onse. Ngati izi zitachitika, pali mwayi waukulu wopeza matenda a mkodzo (UTIs). Nthawi zina, ngati vutoli likupitirira, likhoza kuwononga impso. Ichi ndichifukwa chake tikukulangizani kuti mukafunse dokotala nthawi yomweyo ngati muli ndi zizindikiro.

Kodi vuto lotchedwa cystocele ndi lofala?

Inde, ndithudi. Cystocele ndi matenda omwe amakhudza akazi ambiri. Malinga ndi akatswiri azachipatala, pafupifupi 50% ya akazi adzakumana ndi mtundu wina wa cystocele nthawi ina m'miyoyo yawo. Izi zikutanthauza kuti simuli nokha. Anthu ambiri amakumana ndi vutoli.

Kodi inunso muli ndi cystocele? Kodi zizindikiro zake ndi ziti?

Tsopano tiyeni tiwone ngati muli ndi zizindikiro izi. Si aliyense amene ali ndi zizindikiro zofanana. Komabe, pali zizindikiro zina zodziwika bwino:

• Kumva kapena kuona chinachake chikutuluka m'mimba. Anthu ena amati "chinthu chonga mpira chamatirira."
• Kumva kukhuta, kulemera, kapena kupweteka m'chiuno. Kumva kumeneku kungakhale koipiraipira mukayimirira, mukunyamula, kapena mukutsokomola. Kusamva bwino kumeneku kungawonjezekenso pamene tsiku likupita komanso madzulo.
• Kufunika kukodza pafupipafupi kuposa masiku onse.
• Kumva ngati chikhodzodzo sichinatuluke konse mukamakodza. Mungafune kukodzanso pakapita kanthawi.
• Kupezeka pafupipafupi kwa matenda opatsirana m'mitsempha ya mkodzo (UTI).
• Kuvuta kuyika zinthu zogwiritsira ntchito msambo monga ma tampons kapena makapu a msambo mu nyini.

Ngati muli ndi chimodzi mwa zizindikiro izi, chinthu chabwino kuchita ndikuwonana ndi dokotala ndikuyesedwa.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Monga tafotokozera kale, ma cystoceles amayamba chifukwa cha kufooka kapena kutambasuka kwa minofu ndi mitsempha yomwe imasunga chikhodzodzo. Pali zifukwa zingapo zomwe minofu imeneyi imatha kufooka.

• Kubereka mwana m'njira yachibadwa: Pa nthawi yobereka mwana mwachibadwa, pamakhala kupanikizika ndi kutambasula minofu ya m'chiuno. Izi zimatha kuchulukira chifukwa cha zinthu monga kukula kwa mwana komanso nthawi yomwe imatenga kuti abereke. Chiwopsezochi chimakhala chachikulu kwa iwo omwe abereka ana ambiri kudzera m'njira yachibadwa yachibadwa.
• Mbiri ya banja: Ngati wachibale wapafupi wachikazi, monga amayi anu, mlongo wanu, kapena mdzukulu wanu, wakhala ndi cystocele, inunso mungakhale pachiwopsezo chotenga matendawa.
• Kunenepa kwambiri :Chiwopsezochi chimakhala chachikulu kwa anthu onenepa kwambiri (madokotala amati izi ndi kukhala ndi Body Mass Index (BMI) yoposa 30). Izi zili choncho chifukwa kulemera kowonjezera kumaika mphamvu pa minofu ya m'chiuno nthawi zonse.
• Kuchotsa mimba : Azimayi ena amatha kukhala ndi vutoli atachotsa mimba, chifukwa chiberekero chimathandizanso kuthandizira ziwalo za m'chiuno.
• Kuchepa kwa estrogen : Estrogen ndi mahomoni achikazi. Amathandiza kuti minofu yozungulira nyini ikhale yolimba. Mukakalamba, makamaka mukatha kusamba , kuchuluka kwa estrogen m'thupi kumachepa. Ichi ndi chimodzi mwa zifukwa zomwe minofu imafooka ndipo ma cystoceles amapangika.
• Kunyamula katundu wolemera pafupipafupi kapena kugwira ntchito yolemetsa.
• Kukhala ndi chifuwa cha nthawi yayitali (monga chifukwa cha matenda monga mphumu, bronchitis).
• Kudzimbidwa kwa nthawi yayitali komanso kutopa kwambiri mukapita kuchimbudzi.

Ndani amene angakhudzidwe kwambiri ndi vutoli?

Ngakhale aliyense wa msinkhu uliwonse wokhala ndi nyini akhoza kukhala ndi cystocele, anthu ena ali pachiwopsezo chachikulu.

• Pamene mukukalamba: Chiopsezo chimawonjezeka pamene minofu ya m'chiuno ikufooka mwachibadwa ndi ukalamba.
• Kwa iwo amene abereka kudzera m'mimba.
• Anthu amene adachitidwa opaleshoni m'chiuno kapena m'chiberekero (monga hysterectomy).
• Kwa iwo omwe ali ndi kunenepa kwambiri.
• Kwa iwo omwe adakumana ndi vutoli m'banja mwawo.

Kodi ndi mavuto ati omwe angayambitse cystocele?

Cystocele nthawi zambiri siimayambitsa imfa, koma ngati sichichiritsidwa, mavuto ena angachitike.

• Kusunga mkodzo: Chikhodzodzo chotsika chingayambitse kuti mkodzo ukhale wolimba, ndipo simungathe kutulutsa mkodzo wonse mukakodza.
• Kuwonongeka kwa impso: Mkodzo wotsala mu chikhodzodzo ungayambitse kuti mkodzo ubwerere m'mbuyo (kudzera m'makodzo), zomwe zimapangitsa kuti impso zivutike, zomwe pamapeto pake zimatha kuziwononga. Ili ndi vuto lalikulu.
• Matenda opatsirana pafupipafupi m'njira ya mkodzo.

Ndicho chifukwa chake timati, ngati muli ndi zizindikiro, musachite manyazi kapena mantha, koma pitani kwa dokotala.

Kodi madokotala amazindikira bwanji izi?

Dokotala yekha ndi amene angadziwe ngati muli ndi cystocele. Nthawi zambiri, dokotala wa matenda a akazi kapena katswiri wa urologist ndiye amazindikira vutoli. Dokotalayo amakufunsani za zizindikiro zanu komanso mbiri yanu yachipatala. Kenako adzakuyesani thupi. Pa nthawi yoyezetsayi, adzayang'ana nyini yanu kuti aone ngati chikhodzodzo chanu chatsika komanso kutalika kwake. Mungapemphedwe kuti mukhosomole kapena kukodza pang'ono kuti aone kutalika kwake. Nthawi zina, mayeso otsatirawa angachitike kuti atsimikizire vutoli:

• Kuyezetsa kwa Urodynamic: Izi zimayesa luso la chikhodzodzo chanu logwira ndikutulutsa mkodzo.
• Cystoscopy: Mu ichi, chubu chachitali, chopyapyala, chofanana ndi pensulo (cystoscope) chokhala ndi kamera yolumikizidwa chimadutsa mu urethra ndikulowa mu chikhodzodzo. Izi zingagwiritsidwe ntchito kuyang'ana zolakwika zilizonse, zotsekeka, zotupa, kapena miyala mkati mwa urethra ndi chikhodzodzo.

Kodi mungadziwonere nokha izi?

Dokotala yekha ndi amene angadziwe matenda molondola. Komabe, akazi ena amaona kuti akhoza kukankhira chinachake kudzera m'maliseche awo. Ngati muli ndi zizindikiro za cystocele, onetsetsani kuti mwaonana ndi dokotala. Musadziyese nokha.

Kodi cystocele imachiritsidwa bwanji?

Chithandizo chimadalira kuopsa kwa cystocele yanu. Cystocele yofatsa (Giredi 1): Ngati simukumva kupweteka kulikonse, simungafunike chithandizo chapadera. Komabe, ndikofunikira kupewa zochita monga kunyamula zinthu zolemera ndi kupsinjika, chifukwa izi zingapangitse vutoli kukhala loipa kwambiri. Njira zina zochiritsira zofatsa ndi izi:

• Khalani ndi kulemera koyenera komwe kumakuyenererani. Lankhulani ndi dokotala za izi ndipo pemphani upangiri.
• Chithandizo chobwezeretsa estrogen: Izi zingakhale zothandiza, makamaka kwa iwo omwe ali ndi estrogen yochepa atasiya kusamba. Zingaperekedwe ngati kirimu kapena ngati piritsi.
• Masewero olimbitsa thupi a Kegel: Ichi ndi chinthu chofunikira kwambiri. Masewero olimbitsa thupi awa amalimbitsa minofu ya pansi pa chiuno chanu. Ndiko kuti, minofu yozungulira mkodzo, nyini, ndi thako. Minofu imeneyi ikalimba, imathandiza kuchepetsa kutuluka kwa chikhodzodzo. Funsani dokotala wanu kapena katswiri wa physiotherapist kuti akuuzeni njira yoyenera yochitira masewerowa.
• Chipangizo cha pessary:Ichi ndi chipangizo chonga mphete chopangidwa ndi rabara kapena silicone. Chimayikidwa mu nyini ndipo chimathandiza kukankhira chikhodzodzo mmwamba ndikuchigwira pamalo ake. Ichi ndi yankho la kanthawi kochepa. Anthu ena angagwiritse ntchito izi ngati sakufuna kapena sakufuna kuchitidwa opaleshoni.

Cystocele Yapakati Kapena Yoopsa (Giredi 2 kapena 3): Ngati mankhwala omwe ali pamwambapa sathandiza, opaleshoni ingafunike.

Nanga bwanji ngati opaleshoni ikufunika?

Opaleshoni yayikulu ya cystocele yoopsa imatchedwa anterior colporrhaphy . Pankhaniyi, dokotala wa opaleshoni amabwezeretsa chikhodzodzo chotuluka m'malo mwake ndikulimbitsa minofu yomwe ili kukhoma lakutsogolo kwa nyini lomwe limachigwira. Nthawi zina, ulusi wapadera ungagwiritsidwe ntchito kulimbitsa minofu yofooka. Komabe, pali malingaliro osiyanasiyana okhudza kugwiritsa ntchito ulusi uwu, choncho lankhulani ndi dokotala musanapange chisankho. Opaleshoni ya cystocele nthawi zambiri si opaleshoni yayikulu. Nthawi zambiri ndi njira yopitira kunja yomwe imakulolani kupita kunyumba tsiku lomwelo. Zingatenge miyezi ingapo kuti muchiritse mokwanira. Ngati simukufunanso kugonana, pali njira zina zochitira opaleshoni zomwe zimatseka, kufupikitsa, ndikuyimitsa kutsika kwa ulusi. Ngati si chikhodzodzo chokha, komanso chiberekero, gawo lapamwamba la nyini (kwa iwo omwe chiberekero chawo chachotsedwa, ichi chimatchedwa apex), kapena rectum nayonso imatuluka, dokotalayo adzakufotokozerani za maopaleshoni ena.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Ngati muli ndi cystocele yoopsa yomwe ikufunika opaleshoni, mungayambe kumva mpumulo mwamsanga mutachita opaleshoni. Komabe, zingatenge milungu ingapo mpaka miyezi ingapo kuti muchiritse bwino ndikubwerera ku zochita zanu zachizolowezi. Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola.

Kodi pali njira zopewera vutoli?

Zinthu zina zomwe sitingathe kuzilamulira, monga mbiri ya banja kapena ukalamba. Komabe, pali zinthu zomwe tingathe kuzilamulira. Zingachepetse chiopsezo chotenga matendawa.

• Khalani ndi kulemera koyenera komwe kungakuyenerereni. Funsani dokotala kapena katswiri wa zakudya kuti akupatseni upangiri pankhaniyi.
• Pewani kudzimbidwa. Idyani zakudya zokhala ndi ulusi wambiri (masamba, zipatso, nyemba, tirigu wonse). Imwani madzi ambiri tsiku lonse. Muzichita masewera olimbitsa thupi nthawi zonse. Zinthu zimenezi zingathandize kuchepetsa kudzimbidwa. Mukatero simudzafunika kuchita zinthu zolemetsa mukapita ku bafa.
• Tetezani minofu yanu ya pansi pa chiuno mukanyamula zinthu zolemera. Musanyamule zinthu zolemera nokha. Ngati mukunyamula chinthu cholemera, khalani bwino: pindani mawondo anu ndi chiuno, sungani msana wanu wowongoka, ndipo dzichepetseni kuti munyamule chinthucho. Musapotoze pamene mukunyamula chinthucho.
• Chitani masewera olimbitsa thupi a Kegel nthawi zonse. Ndi bwino kuyamba kuchita masewera olimbitsa thupi awa panthawi ya mimba. Ndikofunikira kupitiriza kuchita masewera olimbitsa thupi awa mukabereka.
• Ngati mukusuta, siyani.Chifuwa chosatha chomwe chimabwera chifukwa cha kusuta chimakanikizira minofu ya m'chiuno.

Kodi muyenera kukumbukira chiyani ngati muli ndi cystocele?

Ngati dokotala akukuuzani kuti muli ndi cystocele, musadandaule. Itha kuchiritsidwa.

Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola ndikusintha moyo wanu moyenera.

Ndi zinthu ziti zomwe sindiyenera kuchita?

Ngati muli ndi cystocele, ndi bwino kupewa zinthu izi:

• Kunyamula zolemera ndi chilichonse chomwe chimaika mphamvu pa minofu ya m'chiuno. Mwachitsanzo, kuchita masewera olimbitsa thupi okhwima, ntchito yomwe imaika mphamvu pamimba.
• Musanyalanyaze chifuwa chosatha. Ngati muli ndi chifuwa chosatha, monga bronchitis, chilandireni chithandizo choyenera. Kutsokomola kumaika mphamvu minofu ya m'chiuno nthawi zonse.
• Pewani kapena siyani kusuta.
• Osakhala pansi m'njira yomwe ingayambitse kudzimbidwa. Osadzipanikiza popita kuchimbudzi.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati muli ndi zizindikiro za cystocele, makamaka ngati zikusokoneza moyo wanu watsiku ndi tsiku komanso ntchito yanu, onetsetsani kuti mwaonana ndi dokotala. Musachite manyazi kapena kuzengereza.

Kodi ndi liti pamene muyenera kupita ku chipinda chadzidzidzi?

Ngati muli ndi zizindikiro za cystocele ndipo simungathe kukodza konse , kutanthauza kuti, ngati mkodzo wanu watsekedwa, pitani kuchipatala chapafupi nthawi yomweyo. Ichi ndi chinthu chomwe simuyenera kuchedwa.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Mukapita kukaonana ndi dokotala, musaiwale kufunsa mafunso aliwonse omwe muli nawo. Nazi mafunso ena omwe mungafunse:

• "Dokotala, ndingadziwe bwanji ngati ndili ndi cystocele?"
• "Ngati ndilibe cystocele, kodi pali vuto lina lomwe lingayambitse zizindikirozi?"
• "Dokotala amandilangiza chithandizo chamtundu wanji?"
• "Kodi ndingathe kulamulira vutoli popanda opaleshoni?"
• "Kodi n'zotheka kuti ndikhalenso ndi vutoli nditalandira chithandizo?"
• "Ndi zochita ndi mayendedwe ati omwe ndiyenera kupewa kapena osachita?"
• "Kodi ndingathe kugonana ndili ndi cystocele? Kodi izi zingabweretse mavuto aliwonse?"
• "Kodi ndiyenera kupita kwa dokotala wa matenda a akazi kapena dokotala wa urologist?"

Ndikofunikira kwambiri kufunsa mafunso ngati awa kuti mumvetse bwino momwe zinthu zilili.

Kodi "Prolapsed bladder" ndi "Cystocele" ndi chinthu chimodzi?

Ayi, awa ndi mayina awiri a vuto lomwelo. "Prolapsed bladder" ndi dzina lina la cystocele. Choncho musasokonezeke nazo.

Pomaliza, Uthenga Wopita Nawo Kunyumba

Matenda a cystocele nthawi zambiri saika moyo pachiswe. Komabe, amatha kukuchititsani manyazi, kusasangalala, komanso kupsinjika maganizo. Musalole kuti akulepheretseni kukhala moyo wanu mosangalala komanso momasuka.

Kumbukirani, simuli nokha. Pali mankhwala ochizira vutoli. Ngati muli ndi zizindikiro za cystocele ndipo zikukhudza moyo wanu, pitani kwa dokotala mosazengereza. Iye adzawunikanso zizindikiro zanu ndi mbiri yanu yachipatala ndikukupatsani chithandizo choyenera kwambiri kwa inu. Izi zidzakuthandizani kumva bwino ndikukweza moyo wanu.

Samalani thupi lanu. Chifukwa thanzi ndiye chuma chachikulu!