Ndiani chiremba weUrogynecologist? Ngatitaurei nezvematambudziko aya anosangana nevakadzi!

Wakambonzwa nezve 'urologist' here? Pamwe zita iri inyaya itsva kwauri. Asi ava inyanzvi dzinorapa mamwe ematambudziko ehutano akakosha, uye dzimwe nguva anonetsa muvakadzi. Nhasi, tichataura nezvevanaani, zvavanoita, uye nguva yaungade kuvaona. Usazvidya moyo, tichatsanangura zvese zviri nyore.

Ndiani chiremba wezvemauro uyu?

Zvichitaurwa zviri nyore, chiremba wezvemaurogynecologist chiremba anonyanya kugadzirisa matambudziko epasi pechiuno muvakadzi. Iye zvino ungave uchishamisika kuti pasi pechiuno chii, handiti? Fungidzira kuti mudumbu remuviri wako, pasi pebhureki yako, kune network yakasimba yetsandanyama nematishu anobatanidza, kana rudzi rwepasi. Ndizvo zvatinodaidza kuti pasi pechiuno.

Uriri hwechiuno hunokosha zvikuru. Nekuti hunobata chibereko chako, nhengo dzekubereka dzakadai senhengo yako yemukadzi , uye nhengo dzeweti dzakadai sedundira rako , uye idzi tsandanyama dzechiuno ndidzo dzinodzitsigira. Kufanana nedengu rakasimba rinobata zvinhu zvakawanda, dzinobatsira kuchengetedza nhengo idzi dzakarongeka. Saka, kana tsandanyama dzechiuno idzi dzikashaya simba kana kukuvara, dzinogona kukonzera matambudziko nekushanda kwenhengo idzodzo. Ndipo paunofanira kuona chiremba wezveuropi.

Ndeupi musiyano uripo pakati penyanzvi yezve urologist, gynecologist, uye nyanzvi yezve urogynecologist?

Paunonzwa mazita matatu aya, ungangovhiringidzika zvishoma, handiti? Ungangove uchifunga kuti, "Vese vakafanana, handiti?" Ngatitarisei zvinoitwa nenyanzvi imwe neimwe iyi. Ipapo uchanzwisisa musiyano wacho.

• Nyanzvi yezvedundira: Vanachiremba ava vanonyanya kurapa zvirwere zvehurongwa hweweti . Kureva, matambudziko enhengo dzakadai sedundira, itsvo, ureter, uye urethra. Vanorapa zvirwere zvehurongwa hweweti muvarume nevakadzi. Nyanzvi dzezvedundira dzinorapawo zvirwere zvenhengo dzekubereka dzevarume (semuenzaniso, matambudziko eprostate).

• Chiremba wevakadzi: Chiremba wevakadzi, kana sezvatinowanzovadaidza, chiremba wevakadzi, anorapa zvirwere zvenhengo dzekubereka dzevakadzi . Izvi zvinoreva matambudziko echibereko, mazamu, uye nhengo dzevadzimai (semuenzaniso, kusashanda zvakanaka kwemwedzi, uterine fibroids). Vanotarisawo pahutano hwemazamu. Dzimwe nguva vanorapa mamwe matambudziko akareruka nenhengo dzevakadzi.

• Nyanzvi yezvemaurogynecologist: Zvino tarisai, zita iri rine mazwi ekuti 'uro' (ane chekuita nehurongwa hweweti) uye 'gynecological' (ane chekuita nehurongwa hwekubereka hwevakadzi) mariri, handiti? Izvi zvinoreva kuti nyanzvi idzi dzinorapa zvirwere zvine chekuita nedzimwe nzvimbo dzenyanzvi yezvemaurogynecologist nenyanzvi yezvemaurogynecologist. Kutaura chokwadi,Vanonyanya kubata zvirwere zvinokonzerwa nekushaya simba kana kukuvara kwehudyu hwechiuno, zvinozivikanwa se "Pelvic Floor Disorders." Kufanana nachiremba wevakadzi, vanorapa matambudziko ehudyu hwechiuno ane chekuita nehurongwa hwekubereka hwevakadzi, uye sechiremba wezvedundira, vanorapa matambudziko ane chekuita nedundira kana nzira yeweti, kunyanya ayo ane chekuita nehudyu hwechiuno.

Chimbofunga, dzimwe nguva vanachiremba vaviri kana vatatu vanogona kushanda pamwe chete kurapa dambudziko rako.

Kunyangwe urology negynecology zvave zviri muminda yekurapa kwemakore mazhinji, urogynecology yakazivikanwa seyakasarudzika muna 2011. Saka, urogynecology, kana inozivikanwa zvakanyanya seFemale Pelvic Medicine and Reconstructive Surgery (FPMRS), yakatanga kupa zvitupa kuna vanachiremba muna 2013.

Ndedzipi dzidzo yaunoda kuti uve chiremba wezvemaurogynecologist?

Kuva nyanzvi yakadai hakusi nyore. Mushure mekupedza chikoro chekurapa, kudzidziswa kwechiremba kuti uve chiremba weurgynecologist kunofanirwa kupedzisa kudzidziswa kwekugara mugynecology kana urology. Mamwe mapurogiramu ekudzidzisa anopa mukana wekudzidziswa mune zvese zviri zviviri. Mushure meizvozvo, vanofanirwa kupedzisa kudzidziswa kwekudyidzana mune imwe nyanzvi inonzi Female Pelvic Medicine and Reconstructive Surgery (FPMRS) .

Mushure mekudzidziswa uku kwekudyidzana, vanofanirwawo kupasa bvunzo kuti vave chiremba wezvemauro ane certification yebhodhi.

Zvichitaurwa zviri nyore, mushure mekupedza chikoro chekurapa, unofanirwa kudzidza nekudzidzira kwemakore angangoita manomwe kuti uve chiremba wezvemaurogynecologist. Saka vanhu vane ruzivo rwakawanda munyaya iyi.

Chii chaizvo chinoitwa nenyanzvi yezvemaurogynecologist?

Vanachiremba veUrogynecologists vanoongorora nekurapa matambudziko emudumbu . Kunyangwe matambudziko aya emudumbu achigona kukanganisa varume nevakadzi, vanachiremba veUrogynecologists vanonyanya kurapa matambudziko ane chekuita nezviitiko zvinosangana nevakadzi chete. Semuenzaniso, pamuviri, pakusununguka, uye kuenda kumwedzi zvese zvinhu zvinokonzera matambudziko emudumbu.

Heano mamwe ematambudziko anowanzo batwa ne urogynecologists mu pelvic floor:

• Kutadza kudzora weti: Uku ndiko kusakwanisa kudzora kuyerera kweweti . Kune nzira dzakawanda dzekurapa izvi:
• Kusazvidzora pakuzvidzora: Kurasikirwa neweti kana paine kumanikidzwa kwakanyanya mukati medumbu, senge pakukosora, kuhotsira, kuseka zvinonzwika, kana kusimudza chinhu chinorema.
• 'Kukurudzira Kusazvidzora':Kuda kuita weti kamwe kamwe uye kwakasimba. Dzimwe nguva, unogona kuita weti usati watomhanya kuchimbuzi. Izvi zvinoitika kana wangonzwa kuti unoda kuenda.
• Dundira rinoita basa rakawandisa: Kugara uchizviita (zvichida kamwe chete paawa), kuda kuita weti nekukurumidza. Ungangofanira kumuka kakawanda husiku.

• Kubuda kwenhengo dzechiuno (POP): Izvi zvinoitika kana nhengo imwe kana kupfuura dzechiuno dzichibuda panzvimbo yadzo yakajairika dzopinda munhengo yemukadzi kana pasi pechiuno risina kutsigirwa zvakanaka. Izvi zvakafanana nenzira iyo madziro anodonha uye fenicha inodonha. Nhengo dzinogona kubuda dzinosanganisira dundira (cystocele), chibereko (uterine prolapse), chikamu cherectum (rectocele), uye chikamu chepamusoro chenhengo yemukadzi (vaginal vault prolapse). Dambudziko iri rinogonawo kusanganiswa nematambudziko edundira. Vamwe vanhu vanogona kunzwa sekunge pane chiri kubuda munhengo yemukadzi.

• Kusazvidzora patsvina: Kana tsandanyama dzepasi pechiuno dzikashaya simba, unogona kurasikirwa nekutonga mafambiro etsvina yako wobva wadonhedza tsvina usingazive. Izvi zvinogona kuitika panguva yekufamba kwetsvina kana kuti kungave tsvina shoma. Izvi zvinonzi Kusazvidzora patsvina.

• Kusashanda zvakanaka kwePuruvi: Dambudziko iri rinoitika kana tsandanyama dzepasi pechiuno dzinodzora weti netsvina dzisisakwanise kurongeka zvakanaka. Izvi zvinoreva kuti tsandanyama dzinosimba padzinofanira kunge dzakasimba, uye dzinosimba padzinofanira kunge dzakasununguka. Izvi zvinogona kuita kuti zviomere kuita weti kana tsvina (semuenzaniso, haugone kuita weti kunyangwe uchiedza). Zvinogonawo kukonzera kurwadziwa nekurwadziwa kwechikadzi panguva yebonde.

• Kupwanywa kwenhengo dzesikarudzi: Izvi zvinoitika kana nzira isina kujairika ikaitika pakati penhengo dzesikarudzi nedundira kana rectum, kungave nekuda kwekukuvara (semuenzaniso, panguva yekusununguka, kuvhiyiwa) kana chimwe chirwere. Izvi zvinogona kukonzera kuti weti kana tsvina zvibude munhengo dzesikarudzi.

Zvino pamwe wava kunzwisisa, handiti? Izvi hazvina kunaka, asi hazvina kunaka. Asi yeuka, kune nzira dzekurapa izvi.

Ndezvipi zvinoitwa nenyanzvi dzezvemaurogynecologist pakurapa zvirwere izvi?

Kana chiremba wezvemaurogynecologist angoona dambudziko rako, achakupa mushonga wakakodzera. Hapana mushonga mumwe chete unokodzera zvese. Kurapa kunoenderana nezvinhu zvakawanda, kusanganisira rudzi uye kuoma kwedambudziko rako, zera rako, uye hutano hwako hwese. Heano mamwe emishonga yavanoshandisa:

• Kunyora mishonga: Unogona kupihwa mishonga inobatsira kudzora dundira rako (semuenzaniso, dundira rinoita basa rakawandisa) kana kudzora kufamba kwedumbu (semuenzaniso, kuvimbiwa).
• Kuisa michina:Semuenzaniso, kana uine chirwere chinonzi ``POP'' kana kuti pelvic organ prolapse, unogona kuiswa mudziyo unonzi ``pessary'' . Uyu mudziyo wakaita serin'i kana chimwe chinhu chakagadzirwa nesilicone, rabha, kana purasitiki inopinzwa munhengo yemukadzi. Unobata nhengo dzepelvic panzvimbo yadzo. Uyu mushonga usingashandiswi pakuvhiya.
• Kuvhiyiwa: Dzimwe nguva, kunyanya kana mamwe marapirwo asingashande kana kuti mamiriro acho akaoma, kuvhiyiwa kunogona kudiwa. Izvi zvinosanganisira kuvhiyiwa kwekuvakazve, uko kunodzorera nhengo dzechiuno panzvimbo yadzo yakajairika. Kuvhiyiwa kunogonawo kubatsira nematambudziko ekudzora weti (senge chirauro chekushaya kuzvidzora). Kuvhiyiwa uku kunogona kushandisa matishu ako nemarunda, kana kuisa zvinhu (zvakaita se mesh ) kusimbisa tsandanyama dzepasi pechiuno dzisina simba kana dzakakuvara.
• Maekisesaizi ekusimbisa pasi pechiuno: Pamwe wakambonzwa nezvemaekisesaizi eKegel . Chiremba wezveuropi achakuratidza maitiro ekuaita nemazvo. Maekisesaizi eKegel anosimbisa tsandanyama dzepasi pechiuno. Zvakafanana nekusimudza zvinorema nekuvaka tsandanyama. Dzimwe nguva anogona kushandawo nenyanzvi yezvemuviri kuti vashandise nzira inonzi biofeedback . Biofeedback inokubatsira kuti uzive zvakanyanya kana tsandanyama dzepasi pechiuno dzako dzichisimba uye dzichizorora. Nekuziva uku, unogona kuwana simba rakawanda pamusoro petsandanyama idzi nezviito zvinodzora weti netsvina.
• Kukurudzira shanduko dzinobatsira dzemararamiro: Dzichakubatsira kuona nekuchinja maitiro ako ezuva nezuva ari kukonzera zviratidzo zvako. Izvi zvinogona kusanganisira kuchinja maitiro ako ekudya (semuenzaniso, kuderedza caffeine, chikafu chine munyu), kukubatsira kuderedza huremu, kurega kusvuta, kuwedzera nzira dzekuzorora, kana kuronga rwendo rwekuenda kuchimbuzi kuti uwedzere zvishoma nezvishoma nguva yaunogona "kubata" weti (kudzidzisa dundira).

Sei ndichifanira kuona chiremba weuropathy? / Panguva ipi?

Ungangoda kufunga nezvekuona chiremba weuropathy kana uine zviratidzo zvinotevera:

• Kana ukangoerekana wabuda weti kana tsvina .
• Kana uchinzwa sekuti unoda kuita weti kakawanda kupfuura zvawagara uchiita .
• Kana uchinzwa sekuti unoda kuita weti usati waenda kuchimbuzi , zvinoreva kuti une dambudziko rekusvika kuchimbuzi nenguva.
• Kana uchinzwa kuzara, kurema, kana kumanikidzwa munhengo yako yesikarudzi kana muchiuno (sekunge chimwe chinhu chakanamira mukati).
• YenyuKana uchinzwa sekuti chimwe chinhu chiri kuburuka kana kudonha kubva munhengo yako yemukadzi, kana kuti kana uchinzwa zvakadaro.

Zvakakosha: Usanyara kutaura nezvenyaya idzi. Aya ndiwo matambudziko anogona kusangana nevakadzi vazhinji, uye kune mishonga inoshanda. Haufanire kutambura wega.

Uyewo, kusazvidzora kweweti uye kubuda kwenhengo dzechiuno inyaya dzemunhu mumwe chete kuvanhu vazhinji. Saka, zvinogona kuva zororo guru kuona chiremba, kufanana newe, ane hanyawo nemuviri wemukadzi uye anogona kunzwisisa mamiriro ako ezvinhu. Saka, zvisinei nekuti chikonzero chekuona chiremba chii, hauzonyanyi kutya uye kusagadzikana paunenge wakamirira muimba yekumirira.

Chii chinoitika kana ukaenda kunoona chiremba wezvemauro kekutanga?

Chiitiko chako chinogona kusiyana zvishoma zvichienderana nechikonzero chauri kuonana nachiremba wezvemauro, asi kazhinji, izvi ndizvo zvinoitika:

• Chiremba wezvemaurogynecologist achakuudza nezvenhoroondo yako yese yehutano . Izvi zvinoreva zvinhu zvakaita sezvirwere zvawakamboita, kuvhiyiwa kwawakamboita, mishonga yaunotora, uye kana paine munhu mumhuri mako akambosangana nematambudziko akafanana.
• Vachakubvunza zvakadzama nezvezviratidzo zvako. Izvi zvinoreva kuti zvakatanga riini, kuti zvagara kwenguva yakareba sei, kuti zvinotowedzera kuipa riini, uye kuti zvinokanganisa sei hupenyu hwako (semuenzaniso, kana zvichikanganisa kugona kwako kufamba kana kutora chikamu muzviitiko zvekushamwaridzana).
• Vachaita bvunzo yemuviri . Izvi zvinowanzofanana nebvunzo yechiuno. Vachada kunyatsoongorora nhengo nenyama dziri pasi pechiuno chako, nzvimbo yadzo, uye simba radzo. Vanogonawo kukukumbira kuti uvaratidze nhengo yako yemukadzi kana kuti uite bvunzo.

Zvichibva pane zvinowanikwa muongororo idzi, dzichakurudzira kurapwa kwako, kana kukuudza kuti ndedzipi dzimwe bvunzo dzinodiwa kuti uongorore chirwere (semuenzaniso, bvunzo dzeweti, bvunzo dzakakosha dzakadai se "urodynamic studies").

Mibvunzo ipi yandinofanira kubvunza chiremba wangu weuropathy?

Paunosangana nachiremba wako, usatya kubvunza chero mibvunzo yaunayo. Kana paine chausinganzwisisi, bvunza zvakare. Heano mimwe mibvunzo yaunogona kubvunza:

• Chii chinonyanya kukonzera matambudziko emudumbu mangu?
• Kukuvadzwa kwakadini kwakaitwa pasi pechiuno changu?
• Ndeapi marapirwo amunondipa? Ndezvipi zvakanakira nezvakaipira zveimwe neimwe?
• Ndichawana simba rakawanda sei pasi pechiuno mushure mekurapwa? Ndingatarisira kupora nekukurumidza zvakadii?
• Ndezvipi zvandingaite muhupenyu hwangu hwezuva nezuva kuti ndirambe ndichishanda zvakanaka pasi pechiuno uye kudzivirira matambudziko aya kuti asadzokorore?
• Pamusoro pemishonga iyi, pane zvinhu zvakaita sekurovedza muviri zvandinogona kuita here?

Mharidzo yekupedzisira yekudzokera nayo kumba

Hatifungi zvakanyanya nezvetsandanyama dzinodzora mashandiro emuviri akadai sekuita weti nekubvisa tsvina, handiti? Kana ukaburitsa weti zvausina kumbobvira waita, kana kuti paunonzwa kuzara kwausingazive munhengo yako yesikarudzi, zvinogona kushungurudza, kunyadzisa, uye kuzviparadzanisa nevamwe.

Asi vanachiremba vezvemazino vanonzwisisa izvi zvakanaka. Vane hunyanzvi pakuongorora matambudziko ako emuchiuno uye kuona marapirwo akanakisa ekukubatsira. Vachakuteerera uye vachaedza kuwana mhinduro yakanakira iwe. Vakashanda nevanhu vazhinji vakambosangana nedambudziko rakafanana. Kana uine matambudziko aya, bvunza chiremba wemhuri yako kuti akutumire kuna chiremba wezvemazino, kana kuti unogona kuronga musangano wega.

Yeuka, hapana chikonzero chekuvanza zvinhu izvi wotambura, chinhu chakakosha ndechekutsvaga rubatsiro. Hausi wega!

Urogynecology , Pelvic Floor, Kudzora Urinary, Pelvic Organ Prolapse, Hutano hweVakadzi, POP, Kusazvidzora