Ngaba wakha waba nesisu esibuhlungu okanye uzive ugcwele emva kotyando lwesisu, nokuba sekudlule iminyaka? Ngamanye amaxesha isizathu soku sisenokungabi yile nto ucinga ngayo. Namhlanje sithetha ngemeko ebizwa ngokuba yi-'adhesions' abantu abaninzi abangayiqondiyo, kodwa edla ngokwenzeka emva kotyando.
Zithini ezi zinto zinamathelayo esiswini?
Ngamafutshane, ezi ziingcingo zezicubu ezidityanisiweyo phakathi kwamalungu angaphakathi kwesisu sakho. Kanye njengokuba inxeba lenzeka xa ulusu lwethu lonzakele, le yingcingo edityanisiweyo njengoko inxeba liphola ngaphakathi kwesisu, ingakumbi emva kotyando. Ezi zincamathelo zinokubangela ukuba amalungu angaphakathi kwesisu anamathele kunye.
Ezi zincamathelo zihlala zenzeka phakathi kwezihibe zamathumbu akho amancinci. Zingakheka phakathi kwesinye isitho esiswini sakho nodonga lwesisu.
Xa sisithi amalungu angaphakathi esiswini sethu, ucinge ngale nto:
- Inkqubo yokugaya ukutya (isisu, amathumbu)
- Amalungu enkqubo yokuzala yabasetyhini
- Izintso
- Isibindi
- I-Pancreas
- Ispleen
Ukunamathelana kunokwenziwa phakathi kwala malungu. Kunokwenzeka nokuba kwenzeke ngenxa yokuphathwa kwamalungu ngexesha lotyando. Enyanisweni, le yinxalenye yendalo yenkqubo yokuphiliswa komzimba.
Zixhaphake kangakanani ezi zinto zokuncamathela?
Ezi mpawu zokunamathela zezona ziphumo zixhaphakileyo zotyando lwesisu. Enyanisweni, uninzi lwabantu abaye benza utyando lwesisu bahlakulela ezi mpawu zokunamathela. Kodwa iindaba ezimnandi zezokuba uninzi lwabantu alunazo iimpawu kwaye aludingi nyango.
Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba ezi zinto zinamathelayo zezona zibangela ukuvaleka kwamathumbu amancinci. Ukuvaleka kwamathumbu amancinci yimeko enzima efuna unyango olungxamisekileyo.
Ziziphi iimpawu ezibakho xa kukho ukunamathelana?
Uninzi lwexesha, ukunamathela akubonisi zimpawu. Kodwa ngamanye amaxesha, oku kunamathela kunokubangela ukuba amathumbu ethu ajijeke aze avaleke, njengombhobho wamanzi. Oku kunokwenzeka emva nje kotyando okanye emva kweminyaka. Xa amathumbu evalekile ngale ndlela, ukutya, ulwelo, umoya, kunye nenkunkuma azikwazi ukudlula.
Emva koko unokubona iimpawu ezifana nezi:
| Uphawu | Inkcazo |
|---|---|
| Intlungu yesisu esibuhlungu | Intlungu engathethekiyo nenganyamezelekiyo ngequbuliso. |
| Ukuqaqamba kwesisu | Kubuhlungu ngathi isisu sam siyakrazulwa. |
| Ukudumba | Isisu sivakala sidumbile kwaye siqinile. |
| Isicaphucaphu nokuhlanza | Ukucaphuka rhoqo kunye nokuhlanza. |
| Akukho gesi okanye isitulo esidlulayo | Ukungakwazi ukuphuma umoya okanye ukuya kwindawo yokulahla inkunkuma. Oku kukwabizwa ngokuba kukuqhinwa. |
Ukuba unayo nayiphi na kwezi mpawu, musa ukuchitha ixesha kwaye yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. Le yimeko engxamisekileyo enokuba yingozi ebomini.
Kutheni le nto ezi zinto zinamathelayo zenzeka? Zithini izizathu?
Xa izicubu ezingaphakathi esiswini zonakele, umzimba wethu uqala ukusiphilisa. Njengenxalenye yale nkqubo yokuphiliswa, ezi zicubu zinamathelayo, okanye izikhonkwane, ziyakhiwa.
Eyona nto ibangela ukunamathelana sisisu. Utyando lubangela i-75% yazo zonke izifo zokunamathelana ezifunyanisiweyo. Ukongeza, zinokubangelwa nayiyo nayiphi na ingozi, isifo, okanye unyango olubangela ukudumba ngaphakathi esiswini.
Ezinye izizathu zezi:
- Usulelo lwesisu okanye isinqe.
- I-Appendicitis.
- Isifo sikaCrohn.
- I-Endometriosis.
- Isifo sokudumba kwepelvic (PID).
- Unyango lwemitha esiswini ngenxa yomhlaza.
- I-Peritoneal dialysis yindlela yonyango lokungasebenzi kakuhle kwezintso.
Ngubani osengozini enkulu yokuphuhlisa ezi zinto?
Eyona ngozi inkulu ikwabo baye benza utyando lwesisu, ingakumbi:
- Utyando oluvulekileyo (iLaparotomy): Olu lutyando olwenziwa ngokusikwa okukhulu esiswini. Abantu abangaphezu kwama-90% abenza olu hlobo lotyando bahlakulela ukunamathela.
- Utyando lweLaparoscopic:Ekubeni oku kuquka ukwenza imingxunya emincinci emininzi, umngcipheko wokunamathela uphantsi kancinci.
- Utyando olwenziwe kwicandelo elisezantsi lenkqubo yokugaya ukutya (ikholoni, i-rectum).
- Ukuba ukhe wenza utyando lwesisu izihlandlo ezininzi.
- Utyando olungxamisekileyo.
Ziziphi iingxaki ezinokubakho ngenxa yokunamathela?
Uninzi lwexesha, ukunamathela akubangeli ngxaki, kodwa ukuba kuyenzeka, kunokuba yingozi kakhulu.
- Ukuvaleka kwamathumbu amancinci: Izicwili ezixineneyo zinokubangela ukuba amathumbu ajijeke aze avaleke. Ukuba azinyangwa ngokukhawuleza, kunokukhula usulelo olukhulu olubizwa ngokuba yi-peritonitis, olunokuba yingozi ebomini.
- Iintlungu ezingapheliyo: Ukuncamathela kuthintela amalungu omzimba ukuba angashukumi ngokukhululekileyo, nto leyo enokubangela iintlungu ezingapheliyo esiswini okanye kwisinqe.
- Ukungazali: Ukunamathela kunokuthintela ukudibana kweqanda kunye nesidoda. Ukuba ukunamathelana kwenzeka ngaphakathi kwesibeleko, iqanda elivundisiweyo (i-embryo) alinakufakwa esibelekweni. Oku kunamathelana okwenzeka ngaphakathi kwesibeleko kukwabizwa ngokuba yi-Asherman's syndrome .
Ugqirha uyifumana njani le nto?
Ugqirha wakho uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Ugqirha wakho unokurhanela ukuba kukho ukunamathela, ingakumbi ukuba ukhe waba neentlungu zesisu kwaye watyandwa isisu ngaphambili.
Into ebalulekileyo kukuba ezi adhesion azinakubonwa ngokuthe ngqo kwi-X-ray okanye kwi-CT scans. Nangona kunjalo, ukuba ezi adhesion zibangele ukuvaleka kwamathumbu, zinokufunyanwa kwezi scans.
- Ii-X-reyi kunye nee-CT scan: Ezi zinokubonisa ukuvaleka kwamathumbu amancinci. I-CT scan inokunceda ekufumaneni ubukhali bokuvaleka kwamathumbu.
- I-Hysterosalpingogram (HSG): Olu vavanyo lwenzelwa ukujonga ukuba akukho zithintelo kwisibeleko okanye kwiityhubhu ze-fallopian.
Ekugqibeleni, eyona ndlela yokwazi ngokuqinisekileyo ngokupheleleyo ukuba une-adhesions kukwenza utyando.
Ngaba kufuneka ndiyinyange le nto?
Ukunamathela okuninzi akubonakali kwaye akufuneki unyango.
Kukho nenye into. Ukuba unotyando lokususa izibophelelo, lunokubangela ukuba kubekho izibophelelo ezintsha. Esi sisigqibo esinobuzaza kakhulu. Ugqirha wotyando angasika aze ahlukanise izicwili ezibambekileyo. Kodwa xa utyando lugqityiwe, akukho ndlela yokuthintela izicwili ukuba zinganamatheli kwakhona.
Ngoko ke, ugqirha wakho uza kucebisa utyando kuphela xa kukho ingxaki enkulu yezonyango, njengokuvaleka kwamathumbu. Kwakhona, ukuba ukunamathela kwenza kube nzima ukuba nabantwana, kuya kwenziwa utyando lokususa ukunamathela.
Ngaba ezi zinto ziqhotyoshelweyo ziya kuze ziphele? Ngaba azinakuphepheka?
Ezinye izibophelelo zinokuphila ngokwazo ngokuhamba kwexesha. Ngaphandle kokuba zibangela iingxaki, oogqirha abadli ngokuzisusa.
Nangona kunjalo, nangona kukho umngcipheko wokuba i-adhesion iqhubeke, ngamanye amaxesha utyando luyimfuneko. Ugqirha wakho uza kukuchazela izinto ezilungileyo nezingalunganga ngotyando, kuxhomekeke kwiimpawu zakho.
Akukho nto wena okanye ugqirha wakho onokuyenza ukuthintela ukunamathela. Nangona kunjalo, utyando lwe-laparoscopic lunomngcipheko omncinci wokunamathela kuba imingxunya mincinci. Yiyo loo nto oogqirha abaninzi ngoku bekhetha utyando lwe-laparoscopic kunotyando oluvulekileyo.
Umyalezo Wokuya Ekhaya
- Ukunamathela esiswini kuqhelekile kwaye kuqhelekile emva kotyando lwesisu. Kubantu abaninzi, akuzibangeli ngxaki.
- Nangona kunjalo, ukuba ufumana iimpawu ezifana nentlungu eqatha yesisu, ukuhlanza, ukudumba, okanye ubunzima bokuphuma igesi okanye isitulo, isenokuba kukuvaleka kwamathumbu. Le yimeko engxamisekileyo kwaye kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngoko nangoko.
- Utyando lokususa ukunamathela lunokubangela ukuba kubekho ukunamathela okutsha. Ke ngoko, ukuba utyando luyimfuneko okanye alufuneki yinto ekufuneka uyixoxe nogqirha wakho uze wenze isigqibo.
- Utyando lwe-laparoscopic lunokunciphisa kancinci umngcipheko wokunamathela kunotyando oluvulekileyo (i-laparotomy).
- Ukuba unentlungu engachazekiyo emva kotyando lwesisu, thetha nogqirha wakho ngayo.
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