Kodi katswiri wa Urogynecologist ndi ndani? Tiyeni tikambirane za mavuto apadera awa a akazi!

Kodi mudamvapo za 'urologist'? Mwina dzinali ndi latsopano kwa inu. Koma awa ndi akatswiri omwe amachiritsa mavuto ena ofunikira kwambiri, komanso nthawi zina ovuta, azaumoyo mwa akazi. Lero, tikambirana za iwo, zomwe amachita, komanso nthawi yomwe mungafune kuwaona. Musadandaule, tidzafotokoza zonse mwachidule.

Kodi katswiri wa urogynecologist uyu ndi ndani?

Mwachidule, dokotala wa urogynecologist ndi dokotala yemwe ndi katswiri pa matenda a pansi pa chiuno mwa akazi. Tsopano mwina mukudabwa kuti pansi pa chiuno ndi chiyani, sichoncho? Tangoganizani kuti m'mimba mwanu, pansi pa bra yanu, muli minofu yolimba ndi minofu yolumikizana, kapena mtundu wa pansi. Ndicho chimene timachitcha pansi pa chiuno.

Pansi pa chiuno ichi ndi chofunikira kwambiri. Chifukwa chimasunga chiberekero chanu, ziwalo zoberekera monga nyini yanu , ndi ziwalo za mkodzo monga chikhodzodzo chanu , ndipo ndi minofu ya pansi pa chiuno iyi yomwe imawathandiza. Monga dengu lolimba lomwe limasunga zinthu zambiri, zimathandiza kusunga ziwalo izi bwino. Chifukwa chake, ngati minofu ya pansi pa chiuno iyi yafooka kapena yavulala, ingayambitse mavuto pakugwira ntchito kwa ziwalozo. Pamenepo ndi pomwe muyenera kuwonana ndi dokotala wa urogynecologist.

Kodi pali kusiyana kotani pakati pa dokotala wa urologist, dokotala wa gynecologist, ndi dokotala wa urogynecologist?

Mukamva mayina atatuwa, mungasokonezeke pang'ono, eti? Mwina mukuganiza kuti, "Onse ndi ofanana, eti?" Tiyeni tiwone zomwe akatswiri onsewa amachita. Kenako mudzamvetsa kusiyana kwake.

• Katswiri wa matenda a mkodzo: Madokotala awa makamaka amachiritsa matenda a mkodzo . Ndiko kuti, mavuto a ziwalo monga chikhodzodzo, impso, ureter, ndi urethra. Amachiritsa matenda a mkodzo mwa amuna ndi akazi. Katswiri wa matenda a mkodzo amachiritsanso matenda a mkodzo wa amuna (monga mavuto a prostate).

• Katswiri wa matenda a akazi: Dokotala wa matenda a akazi, kapena monga momwe timawatchulira nthawi zambiri, dokotala wa matenda a akazi, amachiritsa matenda a ziwalo zoberekera za akazi . Izi zikutanthauza mavuto a chiberekero, mazira, ndi nyini (monga kusayenda bwino kwa msambo, uterine fibroids). Amaganiziranso za thanzi la mabere. Nthawi zina amachiritsa mavuto osavuta a mkodzo wa akazi.

• Katswiri wa matenda a mkodzo: Tsopano onani, dzinali lili ndi mawu akuti 'uro' (okhudzana ndi dongosolo la mkodzo) ndi 'gynecological' (okhudzana ndi dongosolo la kubereka la akazi), sichoncho? Izi zikutanthauza kuti akatswiriwa amachiritsa matenda okhudzana ndi magawo ena a dokotala wa mkodzo ndi dokotala wa gynecologist. Kunena zoona,Amadziwa bwino za matenda omwe amabwera chifukwa cha kufooka kapena kuwonongeka kwa pansi pa chiuno, komwe kumadziwika kuti ``Pelvic Floor Disorders``. Monga dokotala wa matenda a akazi, amachiritsa matenda a pansi pa chiuno okhudzana ndi njira yoberekera ya akazi, ndipo monga dokotala wa urologist, amachiritsa mavuto okhudzana ndi chikhodzodzo kapena njira ya mkodzo, makamaka okhudzana ndi pansi pa chiuno.

Tangoganizani, nthawi zina madokotala awiri kapena atatuwa amatha kugwira ntchito limodzi kuti athetse vuto lanu.

Ngakhale kuti urology ndi matenda a akazi akhala akuchipatala kwa zaka zambiri, urogynecology inadziwika ngati yapadera mu 2011. Chifukwa chake, urogynecology, kapena yodziwika bwino kuti Female Pelvic Medicine and Reconstructive Surgery (FPMRS), inayamba kupereka satifiketi kwa madokotala mu 2013.

Kodi ndi maphunziro otani omwe mukufunikira kuti mukhale katswiri wa urogynecologist?

Kukhala katswiri ngati uyu sikophweka. Mukamaliza maphunziro anu ku sukulu ya zachipatala, dokotala wophunzitsidwa kuti akhale katswiri wa urogynecologist ayenera kumaliza maphunziro a urology mu matenda a akazi kapena urology. Mapulogalamu ena ophunzitsira amapereka mwayi wopeza maphunziro onse awiri. Pambuyo pake, ayenera kumaliza maphunziro a fellowship mu specialty yotchedwa Female Pelvic Medicine and Reconstructive Surgery (FPMRS) .

Pambuyo pa maphunziro awa a fellowship, ayeneranso kupasa mayeso kuti akhale dokotala wa urogynecologist wovomerezeka ndi bungwe.

Mwachidule, mukamaliza maphunziro anu azachipatala, muyenera kuphunzira ndikuphunzira kwa zaka pafupifupi zisanu ndi ziwiri kuti mukhale dokotala wa urogynecologist. Chifukwa chake ndi anthu omwe ali ndi chidziwitso chochuluka pankhaniyi.

Kodi dokotala wa urogynecologist amachita chiyani kwenikweni?

Akatswiri a urogynecologists amazindikira ndikuchiza matenda a m'chiuno . Ngakhale kuti matenda a m'chiuno awa amatha kukhudza amuna ndi akazi, akatswiri a urogynecologists makamaka amachiza matenda okhudzana ndi zochitika zomwe zimachitikira akazi okha. Mwachitsanzo, mimba, kubereka, ndi kusamba ndi zinthu zomwe zimayambitsa matenda a m'chiuno.

Nazi zina mwa matenda ofala a pansi pa chiuno omwe madokotala a urogynecologists amachichiza:

• Kulephera kudziletsa mkodzo: Uku ndi kulephera kulamulira kayendedwe ka mkodzo . Pali njira zingapo zochizira izi:
• `Kusadziletsa Kudziletsa`: Kutuluka kwa mkodzo pamene pali kuwonjezeka kwa kuthamanga kwa magazi m'mimba, monga kutsokomola, kuyetsemula, kuseka mokweza, kapena kunyamula chinthu cholemera.
• `Kuletsa Kusadziletsa`:Chilakolako ndi chilakolako champhamvu komanso chadzidzidzi chofuna kukodza. Nthawi zina, mutha kukodza musanathamangire kuchimbudzi. Izi zimachitika mukangomva kuti mukufuna kupita.
• Chikhodzodzo Chochita Kuchuluka Kwambiri: Kuchuluka (mwina kamodzi pa ola limodzi), kufuna kukodza mwachangu. Mungafunike kudzuka kangapo usiku.

• Kutuluka kwa Ziwalo za Pelvic (POP): Izi zimachitika pamene chiwalo chimodzi kapena zingapo za m'chiuno zimatuluka m'malo awo abwinobwino ndikulowa m'chikazi pamene pansi pa chiuno sichikuthandizidwa bwino. Izi zikufanana ndi momwe khoma limagwera ndipo mipando imagwera. Ziwalo zomwe zimatha kutuluka ndi monga chikhodzodzo (cystocele), chiberekero (uterine prolapse), gawo la rectum (rectocele), ndi gawo lapamwamba la nyini (vaginal vault prolapse). Vutoli likhozanso kugwirizanitsidwa ndi mavuto a chikhodzodzo. Anthu ena angamve ngati chinachake chikutuluka m'chikazi.

• Kusadziletsa kwa Chimbudzi: Minofu ya pansi pa chiuno ikafooka, mungalephere kulamulira mayendedwe anu a matumbo ndipo mwangozi mumatuluka ndowe zina. Izi zitha kukhala panthawi yoyenda matumbo kapena ndowe zochepa zamadzimadzi. Izi zimatchedwa Kusadziletsa kwa Chimbudzi.

• Kusagwira Ntchito kwa Pansi pa Chiuno: Vutoli limachitika pamene minofu ya pansi pa chiuno yomwe imayang'anira kukodza ndi kutsekula m'mimba sikungathe kugwirizana bwino. Izi zikutanthauza kuti minofuyo imalimba ikayenera kukhala yolimba, komanso imalimba ikayenera kumasuka. Izi zingapangitse kuti zikhale zovuta kukodza kapena kutsekula m'mimba (mwachitsanzo, simungathe kukodza ngakhale mutayesa). Zingayambitsenso ululu ndi ululu wa m'mimba panthawi yogonana.

• Fistula ya m'mimba: Izi zimachitika pamene njira yolakwika imapangika pakati pa nyini ndi chikhodzodzo kapena rectum, mwina chifukwa cha kuvulala (monga nthawi yobereka, opaleshoni) kapena matenda ena. Izi zingayambitse mkodzo kapena ndowe kulowa m'mimba.

Mwina tsopano mwamvetsa, eti? Izi ndi zovuta zosasangalatsa, koma zosasangalatsa kwambiri. Koma kumbukirani kuti pali njira zochizira izi.

Kodi madokotala a urogynecologist amapereka chithandizo chotani pa matenda awa?

Dokotala wa urogynecologist akangozindikira vuto lanu, adzakupatsani chithandizo choyenera. Palibe chithandizo chimodzi choyenera onse. Chithandizo chimadalira zinthu zambiri, kuphatikizapo mtundu ndi kuopsa kwa vuto lanu, zaka zanu, komanso thanzi lanu lonse. Nazi zina mwa mankhwala omwe amagwiritsa ntchito:

• Kulemba mankhwala: Mungapatsidwe mankhwala oti athandize kulamulira chikhodzodzo chanu (monga, chikhodzodzo chogwira ntchito mopitirira muyeso) kapena oletsa matumbo (monga, kudzimbidwa).
• Kukhazikitsa zida:Mwachitsanzo, ngati muli ndi vuto lotchedwa ``POP'' kapena pelvic organ prolapse, mutha kuyika chipangizo chotchedwa ``pessary'' . Ichi ndi chipangizo chooneka ngati mphete kapena china chopangidwa ndi silicone, rabala, kapena pulasitiki chomwe chimayikidwa mu nyini. Chimasunga ziwalo za m'chiuno m'malo mwake. Ichi ndi chithandizo chosagwiritsa ntchito opaleshoni.
• Maopaleshoni: Nthawi zina, makamaka ngati mankhwala ena sagwira ntchito kapena ngati vutoli ndi lalikulu, opaleshoni ingafunike. Izi zikuphatikizapo opaleshoni yokonzanso ziwalo za m'chiuno, yomwe imabwezeretsa ziwalo za m'chiuno pamalo ake abwinobwino. Opaleshoni ingathandizenso ndi mavuto oletsa mkodzo (monga sling ya kulephera kudziletsa). Maopaleshoni awa angagwiritse ntchito minofu ndi mitsempha yanu, kapena kuyika zinthu (monga mesh ) kuti alimbitse minofu ya pansi pa chiuno yofooka kapena yowonongeka.
• Masewero olimbitsa pansi pa chiuno: Mwina mwamvapo za maseŵero a Kegel . Katswiri wa urogynecologist adzakuwonetsani momwe mungachitire bwino. Maseŵero a Kegel amalimbitsa minofu yanu ya pansi pa chiuno. Zili ngati kunyamula zolemera ndikumanga minofu. Nthawi zina angagwirenso ntchito ndi katswiri wa zamaganizo kuti agwiritse ntchito njira yotchedwa biofeedback . Biofeedback imakuthandizani kudziwa bwino pamene minofu yanu ya pansi pa chiuno ikulimba komanso ikupumula. Ndi chidziwitso ichi, mutha kulamulira minofu ndi zochita izi zomwe zimalamulira kukodza ndi kutuluka chimbudzi.
• Kupereka malingaliro othandiza pakusintha moyo wanu: Adzakuthandizani kuzindikira ndikusintha zizolowezi zanu za tsiku ndi tsiku zomwe zikukupangitsani kukhala ndi zizindikiro. Izi zingaphatikizepo kusintha zizolowezi zanu za kudya (monga kuchepetsa kumwa caffeine, zakudya zokometsera), kukuthandizani kuchepetsa thupi, kusiya kusuta fodya, kuwonjezera njira zopumulira, kapena kukonza nthawi yopita kuchimbudzi kuti muwonjezere pang'onopang'ono nthawi yomwe mungathe "kusunga" mkodzo (kuphunzitsa chikhodzodzo).

N’chifukwa chiyani ndiyenera kupita kwa dokotala wa urogynecologist? / Nthawi yanji?

Mungafune kuganizira zokaonana ndi dokotala wa urogynecologist ngati muli ndi zizindikiro izi:

• Ngati mwangozi mwatulutsa mkodzo kapena ndowe .
• Ngati mukumva ngati mukufunika kukodza pafupipafupi kuposa masiku onse .
• Ngati mukumva ngati mukufunika kukodza musanapite kuchimbudzi , zikutanthauza kuti mukuvutika kufika kuchimbudzi nthawi yake.
• Ngati mukumva kukhuta, kulemera, kapena kupanikizika mu nyini yanu kapena m'chiuno (ngati kuti chinachake chatsekeredwa mkati).
• YanuNgati mukumva ngati chinachake chikutsika kapena chikugwa kuchokera kumaliseche anu, kapena ngati mukumvadi choncho.

Chofunika: Musamachite manyazi kulankhula za mavuto amenewa. Izi ndi matenda omwe akazi ambiri angakumane nawo, ndipo pali mankhwala othandiza. Simuyenera kuvutika nokha.

Komanso, kusadziletsa kwa mkodzo ndi kutsika kwa ziwalo za m'chiuno ndi nkhani zaumwini kwa anthu ambiri. Chifukwa chake, zingakhale zosangalatsa kwambiri kuonana ndi dokotala yemwe, monga inu, amasamalanso za thupi la akazi ndipo amatha kumvetsetsa momwe zinthu zilili. Kenako, mosasamala kanthu za chifukwa chomwe muyenera kukaonana ndi dokotala, simudzamva mantha komanso kusasangalala kwambiri mukamadikira m'chipinda chodikirira.

Kodi chimachitika ndi chiyani mukapita kukaonana ndi dokotala wa urogynecologist koyamba?

Zomwe mwakumana nazo zingasiyane pang'ono kutengera chifukwa chomwe mukuyendera dokotala wa urogynecologist, koma nthawi zambiri, izi ndi zomwe zimachitika:

• Dokotala wa urogynecologist adzakudziwitsani za mbiri yanu yonse ya matenda . Izi zikutanthauza zinthu monga matenda omwe mudadwalapo kale, opaleshoni yomwe mudachitapo, mankhwala omwe mudamwa, komanso ngati pali aliyense m'banja mwanu amene adakumanapo ndi mavuto ofanana.
• Adzakufunsani mwatsatanetsatane za zizindikiro zanu. Izi zikutanthauza nthawi yomwe zinayamba, nthawi yomwe zakhalapo, nthawi yomwe zimakulirakulira, komanso momwe zimakhudzira moyo wanu (monga ngati zimasokoneza luso lanu loyenda kapena kuchita nawo zinthu zina).
• Adzayesa thupi . Izi nthawi zambiri zimakhala zofanana ndi kuyesa m'chiuno. Adzafuna kuyang'anitsitsa ziwalo ndi minofu ya pansi pa chiuno chanu, malo awo, ndi mphamvu zawo. Angakuuzeninso kuti muwawonetse nyini yanu kapena muwayese.

Kutengera ndi zomwe mayesowa apeza, adzakupatsani chithandizo, kapena kukuuzani mayeso ena omwe akufunika kuti mupeze matenda (monga mayeso a mkodzo, mayeso apadera monga `maphunziro a urodynamic`).

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga wa urogynecologist?

Mukakumana ndi dokotala wanu, musaope kufunsa mafunso aliwonse omwe muli nawo. Ngati pali chilichonse chomwe simukumvetsa, funsaninso. Nazi mafunso ena omwe mungafunse:

• Kodi vuto lalikulu la pansi pa chiuno changa ndi chiyani?
• Kodi pansi pa chiuno changa pawonongeka bwanji?
• Kodi ndi mankhwala ati omwe mukundilangiza? Kodi ubwino ndi kuipa kwa mankhwala aliwonse ndi kotani?
• Kodi ndidzapezanso mphamvu zingati m'chiuno mwanga nditalandira chithandizo? Kodi ndingayembekezere kuchira msanga bwanji?
• Kodi ndi kusintha kotani komwe ndingachite pa moyo wanga watsiku ndi tsiku kuti ndisunge ntchito yanga ya pansi pa chiuno ndikuletsa mavutowa kuti asabwerenso?
• Kuwonjezera pa mankhwala amenewa, kodi pali zinthu monga kuchita masewera olimbitsa thupi zomwe ndingachite?

Uthenga womaliza wopita nawo kunyumba

Sitiganizira kwambiri za minofu yomwe imayang'anira ntchito zoyambira za thupi monga kukodza ndi kuchita chimbudzi, sichoncho? Mukatulutsa mkodzo momwe simunachitirepo kale, kapena mukamva kudzaza kosazolowereka mu nyini yanu, zingakhale zokhumudwitsa kwambiri, zochititsa manyazi, komanso zodzipatula pagulu.

Koma akatswiri a urogynecologists amamvetsa bwino izi. Ali ndi luso lozindikira mavuto anu a m'chiuno ndikupeza njira zabwino zoti akuthandizeni. Adzakumverani ndikuyesera kupeza yankho labwino kwambiri kwa inu. Agwira ntchito ndi anthu ambiri omwe adakumanapo ndi zofanana. Ngati muli ndi mavutowa, funsani dokotala wa banja lanu kuti akutumizireni kwa dokotala wa urogynecologist, kapena mutha kupanga nthawi yokumana nokha.

Kumbukirani, palibe chifukwa chobisira zinthu izi ndikuvutika, chofunika kwambiri ndikupeza thandizo. Simuli nokha!

` Urogynecology, Pansi pa Pelvic, Kuwongolera Mkodzo, Kutuluka kwa Ziwalo za Pelvic, Thanzi la Akazi, Kutupa kwa Thupi, Kusadziletsa