Ingcaciso elula yeColpocleisis: utyando lokunciphisa amalungu esinqe

Ngamanye amaxesha, xa sikhula, ingakumbi koomama noomakhulu bethu, enye yezinto ezibangela ukungakhululeki kukuba amalungu anjengesibeleko kunye nesinyi ayehla kancinci. Oku kunokuba yinto ecaphukisayo xa uhamba okanye usebenza. Ngokwezonyango, sibiza oku ngokuba yiPelvic Organ Prolapse (POP). Namhlanje, sithetha ngotyando oluphumeleleyo nolulula lokunyanga le meko. Olu lutyando lweColpocleisis.

Ngamafutshane, yintoni iColpocleisis?

Ukuze siqonde oku, masiqale sijonge i-pelvic organ prolapse (POP). Cinga ngako, inxalenye esezantsi yesisu sethu (i-pelvis) kulapho amalungu ethu abalulekileyo afana nesibeleko, isini, isinyi, kunye ne-rectum akhoyo khona. La malungu abanjwe yindawo yinethiwekhi yemisipha kunye nezicubu ezibizwa ngokuba yi-pelvic floor. Njengoko sikhula, nasemva kokuba nabantwana abaninzi, la malungu anokuba buthathaka. Emva koko la malungu anokuwa, kwaye ngamanye amaxesha ade aphume kwi-vagina.

I-Colpocleisis yinkqubo yotyando apho ilungu eliqhekekileyo libuyiselwa emzimbeni kwaye iindonga zelungu lobufazi zithungwa kunye ukuze zingaphumi kwakhona. Olu lunyango olusebenzayo kakhulu kwi-POP.

Kukho iintlobo ezimbini zotyando lwe-POP, akunjalo?

Ewe, kukho iintlobo ezimbini eziphambili zotyando. I-Colpocleisis yenye yezi zimbini. Makhe sibone ukuba yintoni umahluko phakathi kwezi zimbini.

Ngaba kukho naluphi na uhlobo lotyando lwe-colpocleisis?

Ewe, zimbini iintlobo eziphambili. Ugqirha wakho uya kugqiba ukuba loluphi uhlobo olufanelekileyo kuwe.

• I-Total Colpocleisis: Kule meko, iindonga zangaphambili nangasemva zelungu lobufazi zithungwe ngokupheleleyo. Ilungu lobufazi lifutshane.
• I-Partial/Le Fort colpocleisis: Oku kuquka nokusika i-vagina. Nangona kunjalo, kushiyelwa imingxunya emibini emincinci ukuze kuphume ulwelo esibelekweni. Le ndlela ilungele abo bangakhange basuswe isibeleko.

Ngubani olungele olu tyando?

Utyando lweColpocleisis alulungelanga wonke umntu. Lufaneleke ngakumbi kwabo banezizathu ezithile.

• Kwabo bangasenalo ithemba lokuba nesondo: Eli linqaku elibaluleke kakhulu. Emva kotyando, isini siba sifutshane kakhulu ukuba singabelana ngesondo. Ke ngoko, olu tyando luqwalaselwa kubafazi abangenalo ithemba lokuba nobomi besondo. Oku kufuneka kuqondwe kakuhle ngaphambi kotyando.
• Kwabo bangakwaziyo ukunyamezela ezinye iintlobo zotyando ezinkulu: Olu lukhetho oluhle kakhulu kubantu abadala abanezinye iingxaki zempilo ezifana nesifo sentliziyo, isifo seswekile, okanye abangakwaziyo ukunyamezela iiyure zotyando lwe-anesthesia. Olu lutyando olukhawulezayo nolungaxinzeleliyo kangako.
• Kwabo bamalungu omzimba aphantsi kakhulu ukuba angalawulwa zezinye iindlela zonyango: Ngamanye amaxesha, umthambo womgangatho we-pelvic (ii-Kegel exercises) okanye ii-vaginal pessaries zinokunceda ukulawula imeko. Nangona kunjalo, ukuba amalungu omzimba aphume ngokupheleleyo kwi-vaginal, utyando lolona sisombululo silungileyo.

Kwenzeka ntoni ngaphambi kotyando?

Ngaphambi kokuba wenze olu tyando, ugqirha uza kuhlola impilo yakho ngononophelo.

Uvavanyo lwempilo

• Kuye kwenziwa uvavanyo lwegazi oluninzi.
• Uvavanyo lwe-EKG luza kwenziwa ukuze kubonwe ukuba kukho ingxaki yentliziyo na.
• Imbali yakho epheleleyo yezonyango iya kukuxelela ngamayeza owasebenzisayo.
• Buza ukuba kukho na ingxaki yokuchama okanye yokuphuma kwendle.
• Baza kukubuza ngeempawu zakho (ingaba uziva ngathi kukho into ephumayo kwilungu lobufazi bakho, ngaba kukho intlungu, ngaba kukho ukopha, njl.njl.).

Uvavanyo olusisiseko olunokufuneka

Ekubeni uvavanyo lwesitho sangasese sowesifazane lungenakuqhutywa emva kotyando lwe-colpocleis, uvavanyo lwenziwa ukujonga naziphi na izinto ezinobungozi ezifana nomhlaza womlomo wesibeleko okanye umhlaza wesibeleko.

• I-Pap smear
• Uvavanyo lwesuntswana elincinci lesicubu esiphuma kwisibeleko (i-Endometrial biopsy)
• I-ultrasound ye-transvaginal

Uvavanyo olufana nolu: Ngamanye amaxesha, ukuba kukho umngcipheko womhlaza wesibeleko, ugqirha unokucebisa ukuba kususwe isisu kunye nolu tyando.

Kwenzeka ntoni ngexesha lotyando?

Akukho nto inokubangela ixhala. Olu tyando luthatha malunga neyure enye kuphela .

1. Uza kunikwa i-anesthesia epheleleyo (ukuyenza buthathaka imvakalelo yakho) okanye i-anesthesia yengingqi (ukuyenza buthathaka ulusu lwakho) ukuze ungeva ntlungu.

2. Kufakwa i-catheter ukuze kukhutshwe umchamo ngexesha lotyando.

3. Iikawusi ezikhethekileyo (iisokisi zokuxinzelela) zinxitywa ukuthintela ukuqhekeka kwegazi emilenzeni.

4. Ugqirha ususa ulwelwesi oluncinci ngaphakathi kwilungu lobufazi, athunge iindonga zelungu lobufazi kunye ngemisonto enyibilikayo.

Emva kotyando, umngxuma welungu lobufazi uba mncinci kwaye ilungu lobufazi liba mfutshane, kodwa akukho tshintsho kwinkangeleko yangaphandle.

Kwenzeka ntoni emva kotyando?

Usenokukwazi ukuya ekhaya ngokuhlwa okufanayo notyando lwakho, okanye kusenokufuneka uhlale esibhedlele ubusuku bonke. Zisa umntu oza kukuqhubela ekhaya. Ugqirha uza kukucela ukuba ubuye emva kweeveki ezimbini ukuya kwezine.

Nazi izinto onokuzilindela ngexesha lokuchacha:

• Ukopha kancinci kwilungu lobufazi kunye nentlungu: Oku kuya kuphela kwisithuba seveki. Ungasela amayeza okudambisa iintlungu amiselwe ngugqirha wakho ngenxa yentlungu.
• Ukukhupha okumthubi: Ungakhathazeki ngale nto. Le yinto ephumayo xa umsonto onyibilikayo ofakwe ngaphakathi unyibilika. Uya kuphola ngokupheleleyo kwiiveki ezi-6-8.
• Ukugcinwa komchamo: Kusenokuba nzima kancinci ekuqaleni, kodwa imeko iya kuphucuka kancinci kancinci.
• Ukuqhinwa: Ugqirha wakho uza kukucebisa ukuba usebenzise amayeza aza kukunceda ukhuphe indle ngokulula okwethutyana.

Ziziphi iingenelo kunye neengozi zalo tyando?

Kuthatha ixesha elingakanani ukuphiliswa?

Kungathatha malunga neeveki ezi-6 ukuphiliswa ngokupheleleyo.

• Iiveki ezimbini zokuqala: Uza kuziva udiniwe kwaye ubuhlungu. Phumla ngokwaneleyo.
• Emva kweeveki ezimbalwa: Uya kukwazi ukuqhubeka nemisebenzi eqhelekileyo efana nokuhamba ngeenyawo nokuqhuba.
• Emva kweeveki ezi-6: Ungaqala ukuya emsebenzini.

Kuphephe ukuphakamisa iintsimbi okanye ukwenza umthambo onzima ngeli xesha. Kuya kuba luncedo ukuzisa nokugcina izinto ezifunekayo ekhaya ngaphambi kotyando.

Kuphantsi kweziphi iimeko apho kufuneka ubone ugqirha ngokukhawuleza?

Ukuba ufumana naziphi na kwezi mpawu zilandelayo ngexesha lokuchacha kwakho, oko kungaba luphawu losulelo okanye enye ingxaki. Ngoko ke thetha nogqirha wakho ngoko nangoko .

• Ifiva
• Intlungu ebuhlungu yesisu
• Ubunzima bokuchama
• Ukuphuma kwamanzi kwilungu lobufazi okunuka kakubi
• Ukuba intlungu evela kwinxeba iya isiba mandundu
• Ukopha okugqithisileyo okuvela enxebeni okanye ukopha okungapheliyo

I-Colpocleisis lutyando oluhle kakhulu oluzisa isiqabu esikhulu kwaye lwenza ubomi bube lula kubantu abaninzi abanesifo se-POP. Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho uze wenze isigqibo esikufaneleyo.