Unoburitsawo weti shoma netsaona here paunokosora, kuseka, kuhotsira, kana kusimudza chimwe chinhu? Kana kuti unonzwa kurema kana kumanikidzwa sekunge pane chiri kubuda kubva munhengo yemukadzi? Aya ndiwo matambudziko anosangana nevakadzi vazhinji, asi vanonyara zvishoma uye havanzwi zvakanaka kutaura nezvawo munharaunda. Asi waizviziva here kuti kune boka renyanzvi dzakadzidziswa kurapa matambudziko aya akafanana? Ndivo vatinonzi 'Urogynecologists'.
Zvichitaurwa zviri nyore, ndiani uyu chiremba weUrogynecologist?
Chiremba wezvemaurogynecologist chiremba ane hunyanzvi mukurapa zvirwere zvepazasi pechiuno muvakadzi. Zvakanaka, ikozvino ungangove uchishamisika kuti pasi pechiuno chii.
Fungidzira kuti mudumbu rako rezasi, mune network yetsandanyama nematishu akatambanudzwa semambure. Network iyi yetsandanyama ndiyo inobatisa nhengo dzako dzekubereka, dzakadai sechibereko chako, nhengo dzemukadzi, uye nhengo dzeweti, dzakadai sedundira rako, munzvimbo yaro. Nemamwe mashoko, ndiyo inotsigira nhengo idzi.
Saka, panguva yekuzvitakura, kusununguka (kunyanya panguva yekuzvitakura), kuenda kumwedzi, kana kukwegura, tsandanyama idzi dzepasi pechiuno dzinogona kushaya simba kana kukuvara. Ndipo panotanga matambudziko ataurwa pamusoro apa. Dzimwe nguva tinoda rubatsiro rwechiremba weUrogynecologist.
Ndeupi musiyano uripo pakati peUrologist, Gynecologist uye Urogynecologist?
Mazita matatu aya akafanana zvishoma, saka zvinogona kuvhiringidza. Ngationei kuti basa remumwe nemumwe wenyanzvi idzi nderei. Tafura iyi ichajekesa izvi kwauri.
| Nyanzvi yezvekurapa (Nyanzvi) | Ndeipi nzira huru yekurapa? |
|---|---|
| Chiremba wezvedundira | Vanorapa zvirwere zvezvikamu zvese zvehurongwa hweweti, kusanganisira dundira, itsvo, uye urethra. Vanorapa varume nevakadzi. Pamusoro pezvo, nyanzvi idzi dzinorapawo zvirwere zvehurongwa hwekubereka hwevarume. |
| Chiremba weGynecologist | Vanorapa zvirwere zvine chekuita nenhengo dzekubereka dzevakadzi, kureva chibereko, mazai, nenhengo yemukadzi. Vanoongororawo hutano hwemazamu. Dzimwe nguva, vanorapawo zvimwe zvinetso zvidiki zvenhengo yeweti. |
| Chiremba wezvemaurojini | Hunyanzvi hwavo hunokonzerwa nekushaya simba kana kukuvara kwetsandanyama dzepasi pechiuno muvakadzi. Izvi zvinoreva kuti vanorapa matambudziko chaiwo anoshanda kumadzimai evakadzi uye weti. |
Urogynecology yakatozivikanwa seyakasarudzika muna 2011. Saka, inyaya itsva.
Ndezvipi zvirwere zvikuru zvinorapwa nachiremba weurologist?
Nyanzvi idzi dzinonyanya kurapa zvirwere zvepazasi pechiuno. Ngationei kuti chii.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Kutadza kuzvidzora paWeti | Zvirwere zvakaita sekusazvidzora pakuzvimba, kusazvidzora kamwe kamwe, uye kuita weti kakawanda (dundira rinoita basa rakawandisa). |
| Kudonha kwenhengo dzepelvic organ (POP) | Kana tsandanyama dzemudumbu dzikapera simba, nhengo dzinodzitsigira, dzakadai sedundira, chibereko, rectum, kana nhengo yemukadzi, dzinodonha pasi. Vamwe vanhu vanodanawo izvi kuti "uterine prolapse." |
| Kusakwanisa kudzora tsvina (Fecal Incontinence) | Kufamba-famba kwedumbu kusingatarisirwi nekuda kwekushaya simba kwetsandanyama dzepasi pechiuno. |
| Kusashanda zvakanaka kwePelvic Floor | Kusakwanisa kuronga zvakanaka tsandanyama dzinodzora weti netsvina. Izvi zvinogona kukonzera kuoma kwekuita weti/kubvisa tsvina, kurwadziwa kwechikadzi, uye kurwadziwa panguva yebonde. |
| Fistula yeVaginal | Kupinda kwemukati kusina kujairika pakati pedundira kana rectum nemukadzi, nekuda kwekukuvara kana chirwere. Izvi zvinogona kukonzera kuti weti kana tsvina zvibude nepamukadzi. |
Matambudziko akadai anorapwa sei?
Chiremba wezvemaurogynecologist anogona kukupa mazano akasiyana-siyana ekurapa zvichienderana nemamiriro ako ezvinhu.
- Kunyora mishonga: Kupa mishonga inobatsira kudzora dundira uye kudzora kufamba kwedumbu.
- Kuisa mudziyo: Semuenzaniso, kana paine chirwere chinonzi prolapsed organ (POP), mudziyo wakagadzirwa nesilicone kana rabha unonzi ``Vaginal Pessary'' unogona kuiswa munhengo yemukadzi kuti nhengo yemukadzi irambe iri panzvimbo yayo.
- Kuvhiyiwa: Kuvhiyiwa kwekugadzirisa kunoitwa kuti nhengo yakakuvara idzoke panzvimbo yayo. Dzimwe nguva nyama yako inoshandiswa, kana kuti chinhu chakafanana nemesh chinoshandiswa kusimbisa tsandanyama dzisina simba.
- Kudzidzisa maekisesaizi epasi pechiuno: Anokudzidzisa chaizvo maitiro ekuita "maekisesaizi eKegel." Izvi zvinosimbisa tsandanyama dzepasi pechiuno. Dzimwe nguva, nzira inonzi "Biofeedback" inoshandiswawo pamwe chete nachiremba wezvemuviri.
- Kukurudzira shanduko dzemararamiro: Kuchinja zvinhu zvidiki zvakaita sekudya kwako uye nzira dzekuenda kuchimbuzi kunogona kubatsira kudzora zviratidzo.
Ndingaziva sei kana ndichifanira kuona chiremba weUrogynecologist?
Kana uine chimwe chezviratidzo zvinotevera kana kupfuura, zvakanaka kufunga nezvekuona chiremba wezvemajoini. Zvakakosha kutsvaga mazano echiremba pane kunyara nezvinhu izvi.
- Kana uri kubuda weti kana tsvina usingazvizivi.
- Kana uchida kuita weti kakawanda kupfuura zvawagara uchiita.
- Kana uchinetseka kudzora kuda kuita weti kusvika wasvika kuchimbuzi .
- Kana uchinzwa kuzara, kurema, kana kumanikidzwa munhengo yako yesikarudzi kana yehudyu.
- Kana ukanzwa chimwe chinhu chichibuda munhengo yako yesikarudzi kana kuti ukanzwa chimwe chinhu chichibatwa.
Matambudziko akadai anogona kukanganisa hunhu hwako zvakanyanya. Saka, kuona chiremba ane ruzivo nezvemiviri yevakadzi nemamiriro avo akasiyana kunogona kukubatsira zvikuru, mupfungwa nemumuviri.
Chii chinoitika kana ukaenda kunoona chiremba kekutanga?
Paunotanga kuenda kunyanzvi yezve urogynecologist, unogona kutarisira zvinotevera:
1. Kutaura nezvezviratidzo zvako: Chiremba achakubvunza nezvenhoroondo yako yezvekurapa. Achakubvunza nezvezviratidzo zvako, kuti zvakatanga riini, kuti zvagara kwenguva yakareba sei, uye kuti zvinokanganisa sei hupenyu hwako hwezuva nezuva.
2. Kuongororwa kwemuviri: Kuongororwa kwechiuno kunoitwa kuti kuonekwe mamiriro enhengo nematishu ari mudumbu.
3. Kukupa mazano ekurapwa kana mimwe miedzo: Mushure mekuongororwa, chiremba achakutsanangurira nzira dzekurapa dzakanakira chirwere chako. Dzimwe nguva, anogonawo kukupa mimwe miedzo kuti aone chikonzero chaicho chechirwere.
Unogonawo kubvunza chiremba wako mibvunzo yakaita seiyi:
- Chii chingave chiri chikonzero chedambudziko rangu?
- Chii chiri kukonzera kukuvara muhudyu mangu?
- Ndeapi marapirwo amunokurudzira?
- Ndingatarisira kupora kwakadini mushure mekurapwa?
- Ndingaitei kuti mamiriro ezvinhu aya asanyanya kuipa?
Kana usingakwanise kudzora zvinhu zviri nyore sekuita weti nekubvisa tsvina, zvinogona kunyadzisa uye kunyadzisa. Asi chiremba weUrogynecologist inyanzvi inogona kukubatsira kubvisa kusagadzikana ikoko. Saka, kana uine dambudziko iri, usazeza uye bvunza chiremba wemhuri yako (chiremba wehutano hwekutanga) kuti akutumire kuUrogynecologist.
Mharidzo Yekuenda Nayo Kumba
- Chiremba wezvemauro (urologist) chiremba ane hunyanzvi mukurapa matambudziko anokonzerwa nekushaikwa kwesimba mutsandanyama dzepasi pechiuno muvakadzi.
- Kana ukaonawo weti ichibuda kana uchikosora/kuseka, uchinzwa chibereko chadzikira, kana matambudziko ekudzivirira weti/tsvina, usanyara kutsvaga rubatsiro rwechiremba.
- Kune akawanda emamiriro ezvinhu ayaKune mishonga inoshanda yakaita semishonga, maekisesaizi, uye kuvhiyiwa.
- Aya ndiwo matambudziko anowanzoitika kuvakadzi vazhinji. Saka hausi wega. Nekuona chiremba akakodzera, unogona kurarama hupenyu hwakanaka zvakare.
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