Ngaba ngamanye amaxesha uziva ubunzima kwisini sakho, uzive ngathi kukho into eyehlayo, okanye uzive ngathi yibhola encinci? Abanye abafazi banokuziva oku, ingakumbi emva kokuba nabantwana okanye njengoko bekhula. Le meko inokwenza kube nzima ukwenza imisebenzi yemihla ngemihla. Ngoko ke namhlanje, masithethe ngotyando olunokuba sisisombululo esihle koku.
Yintoni iColporrhaphy? Masiyiqonde ngokulula.
I-Colporrhaphy yinkqubo yotyando yokulungisa ubuthathaka kwiindonga zelungu lakho lobufazi. Lunyango lwemeko ebizwa ngokuba yiPelvic Organ Prolapse (POP) . Cinga ngale ndlela: amalungu angaphakathi kwilungu lethu lobufazi, njengesinyi kunye ne-rectum, abanjwe yimisipha kunye nezicubu ezikwiindonga zelungu lobufazi. Kufana nodonga olwahlula igumbi.
Ngoku, xa ezi ndonga zibuthathaka ngenxa yokwaluphala, ngenxa yokuzala, okanye ngenxa yokuphakama okunzima, amalungu omzimba aqala ukwehla okanye ukugoba angene kwilungu lobufazi. Yiloo nto siyibiza ngokuba yi-'Pelvic Organ Prolapse (POP)'.
Ngoko ke, into eyenziwa lutyando lwe-colporrhaphy kukuqinisa ezo zihlunu kunye nezicubu ezibuthathaka nokubuyisela amalungu abuyele kwindawo yawo yokuqala.
Kukho iintlobo ezimbini eziphambili zotyando lwe-colporrhaphy:
Olu tyando lwahlulwe kabini. Ngamanye amaxesha ugqirha wakho unokugqiba ekubeni enze enye okanye zombini ezi nxalenye kunye, kuxhomekeke kwimfuneko.
| Uhlobo lotyando | Ingcaciso elula |
|---|---|
| I-Colporrhaphy Yangaphambili (Ukulungiswa kweCystocele) | Oku kwenziwa xa udonga olungaphambili lwesitho sakho sangasese somfazi lubuthathaka. Emva kolu donga kukho isinyi. Xa udonga lubuthathaka, isinyi siyehla size sityhalele kwisitho sangasese somfazi. Olu tyando lusebenza ukuqinisa olo donga lungaphambili kwakhona. |
| I-Posterior Colporrhaphy (Ukulungiswa kweRectocele) | Oku kwenziwa ludonga olungasemva lwelungu lakho lobufazi.Xa ibuthathaka. Emva kolu donga kukho i-anus. Xa udonga lubuthathaka, i-anus iyehla ize ityhale ingene kwilungu lobufazi. Olu tyando luqinisa olo donga lwangasemva. |
Ingaba olu lutyando olukhulu?
Ewe, i-colporrhaphy ithathwa njengotyando olukhulu . Kodwa inenzuzo. Uninzi lwexesha, olu tyando lwenziwa nge-vagina. Oko kuthetha ukuba akukho mfuneko yokusikwa kwesisu. Ke ngoko, ineengxaki ezimbalwa kwaye inokuphola ngokukhawuleza kunotyando lwesisu.
Kutheni ungalufuna olu nyango?
Ukuba iimpawu ezibangelwa yi-POP ziphazamisa kakhulu ubomi bakho bemihla ngemihla, kuya kufuneka ucinge ngolu tyando.
- Ukungakwazi ukuzibamba komchamo kukulahlekelwa ngumchamo ngokungeyomfuneko xa ukhohlela, uhleka, okanye uphakamisa izinto ezinzima.
- Ubunzima bokukhupha indle.
- Intlungu ngexesha lokwabelana ngesondo.
Ezi zinto zinokwenza kube nzima ukuphila ubomi obonwabisayo. Utyando lwe-Colporrhaphy lunokukunceda woyise obu buthathaka, uphelise iimpawu, kwaye uphile ubomi obutofotofo kwakhona.
Into ebalulekileyo kukuba akufuneki ubandezeleke wedwa ngenxa yezi ngxaki. Kukho unyango olufanelekileyo loku.
Ngubani ofanelekileyo kolu tyando?
Olu tyando alukhuthazwa ngumntu wonke. Ukuba ungumntu ofanelekileyo kolu tyando kuxhomekeke kwizinto ezininzi.
- Ukuba ezinye iindlela zonyango azisebenzi: Kukho iindlela zonyango ezingezizo ezotyando zale meko. Kuzanywa kuqala iindlela zokuqinisa izihlunu zepelvic (iiKegels), izixhobo zesini (iipessaries), kunye nonyango lweehomoni. Ukuba ezi aziziphelisi iimpawu zakho, utyando lunokuthathwa njengolulandelayo.
- Ukuba iimpawu zakho zinzima: Abanye abantu abane-POP abaziva bengonwabanga kangako. Kwabo bantu, umngcipheko wotyando awufanelekanga. Kodwa ukuba luphazamiseko olukhulu kubomi bakho bemihla ngemihla, utyando lusenokuba sesona sisombululo silungileyo.
- Ukuba awucebi ukuba nabantwana abaninzi: Ukuba unomnye umntwana emva kolu tyando, uxinzelelo ngexesha lokukhulelwa nokuzala lunokunciphisa amandla okulungiswa kwakhona. Ke ngoko, oogqirha badla ngokucebisa ukuba kungcono ukwenza olu tyando ukuba ucinga ukuba usapho luphelele.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ngaphambi kotyando
Ugqirha wakho uza kwenza ezi zinto ngaphambi kotyando:
- Xoxa ngeempawu zakho kunye nembali yakho yezonyango: Xa usazi kakuhle ukuba zeziphi iingxaki onazo, kulula ukuba ugqirha agqibe ukuba uza kuzilungisa phi ngexesha lotyando.
- Wenza uvavanyo lomzimba:Uvavanyo lwe-pelvic oluqhutywa ngesandla luqhutywa kabini ukujonga iindawo ezibuthathaka kunye nobungakanani obuchanekileyo bokuhla kwesinqe.
- Uvavanyo luya ku-odolwa ukuba kuyimfuneko: Ixesha elininzi, akukho mfuneko yovavanyo olongezelelweyo. Nangona kunjalo, ngamanye amaxesha unokucelwa ukuba wenze into efana ne-MRI scan ukuze uvavanye ngcono imeko yezihlunu.
- Amayeza okuthintela usulelo: Usenokunikwa i-antibiotic ukuze uyithathe ngosuku lotyando.
- Ukuba sele ugqithile exesheni: Usenokunikwa ikhrimu equlethe i-hormone ye-estrogen ukuze uyithambise kwilungu lakho lobufazi. Oku kuya kwenza izicubu ezikwiindonga zesini zibe lukhuni, nto leyo eya kwenza utyando lube lula.
Ngexesha lotyando
Awuyi kuva ntlungu ngexesha lotyando.
1. I-Anesthesia: Kusetyenziswa "i-anesthesia eqhelekileyo", ekwenza ulale ngokupheleleyo, okanye "i-anesthesia yengingqi", evala kuphela isisu esisezantsi.
2. Ukulungiselela: Uza kulaliswa ebhedini ekhethekileyo ukuze utyando lube lula. Kuza kufakwa ityhubhu (i-catheter) ukuze kukhutshwe umchamo wakho.
3. Utyando: Ugqirha uza kusebenzisa i-speculum ukuhlola i-vaginal. Emva koko uza kwenza umngxuma omncinci kakhulu eludongeni lwe-vaginal ukuze abone naziphi na izihlunu kunye nezicubu ezibuthathaka.
4. Ukulungiswa: Okulandelayo, izicubu ezomeleleyo ziyahlanganiswa kwaye iindawo ziyaqiniswa kusetyenziswa imithungo enyibilikayo.
5. Ukuthungwa: Okokugqibela, ukusika okwenziwe eludongeni lwesitho sangasese sowesifazane kuvalwe ngezititshi ezinyibilikayo.
Olu tyando ludla ngokuthatha naphi na ukusuka kwimizuzu engama-30 ukuya kwiyure okanye ngaphezulu , kuxhomekeke kubungakanani bokulungiswa.
Emva kotyando kunye nexesha lokululama
Emva kotyando
Ngokuxhomekeke kuhlobo lotyando, unokukwazi ukuya ekhaya ngaloo mini okanye uhlale esibhedlele ubusuku bonke.
- Emva kotyando, ipakethi ingafakwa ngaphakathi kwilungu lobufazi ukuze kufunxwe nakuphi na ukopha. Iya kususwa kwiiyure ezingama-24.
- I-catheter idla ngokususwa kwiintsuku ezimbini okanye ngaphezulu.
- Ukuze ungatsali nzima ngexesha lokuhamba kwamathumbu, ungacetyiswa ukuba uthathe isithambisi sendle okwethutyana.
- Usenokuba nokukhupha igazi kwilungu lobufazi kangangeentsuku ezimbalwa emva kotyando kunye nokukhupha okukhrimu kangangeeveki ezimbalwa. Oku kuqhelekile njengoko imithungo engaphakathi inyibilika.
- Kunokubakho iintlungu ezithile kwisini kangangeeveki ezi-4-6.
Zikhathalele ezi zinto ngexesha lokuchacha
Kungathatha ukuya kuthi ga kwiinyanga ezi-3 ukuphiliswa ngokupheleleyo. Ngeli xesha, ugqirha wakho uza kukunika le miyalelo:
- Musa ukuphakamisa ubunzima obungaphezulu kweekhilogram ezi-2-3.
- Kuphephe ukwenza umthambo onzima (ukuquleka, ukuphakamisa iintsimbi).
- Musa ukuzibhokoxa kakhulu xa ukhupha inkunkuma.
- Kuphephe ukulala ngesondo iiveki ezi-6-8.
- Kuphephe ukuphuma ebhafini uye kuhlamba.
- Kuphephe ukusebenzisa ii-tampons okanye i-douching.
Ngokwesiqhelo kwiiveki ezi-3-4 uya kukwazi ukuhamba ngeenyawo, ukuqhuba, nokubuyela emsebenzini ukuba umsebenzi wakho awunzima kakhulu.
Ziziphi iingenelo kunye neengozi zalo tyando?
Iingenelo:
- Iphelisa iimpawu ze-POP.
- Ekubeni isisu singanqunyulwanga, ungaphila ngokukhawuleza.
- Emva kokuchacha, ungaqhubeka nobomi bakho besondo obuqhelekileyo.
Iingozi:
Njengalo naluphi na utyando, kukho iingozi ezithile, kodwa azifane zenzeke.
- Ukuqhinwa
- Ukopha kakhulu
- Intlungu ngexesha lokwabelana ngesondo
- Usulelo lwenxeba
- Usulelo lwendlela yomchamo (UTIs)
Thetha ngokukhululekileyo nogqirha wakho ngale nto uze ubuze nayiphi na imibuzo onayo.
Umyalezo Wokuya Ekhaya
- Akunyanzelekanga ukuba uhlupheke wedwa ngenxa yokungakhululeki okubangelwa kukuncipha kwesisu (i-POP). I-Colporrhaphy lunyango olusebenzayo kakhulu koku.
- Akuyena wonke umntu oza kuyidinga le nkqubo ngoko nangoko. Kubalulekile ukuzama unyango olungelulo utyando kuqala.
- Ukuba ugqiba ekubeni wenze utyando, thetha nogqirha wakho ngononophelo malunga neenzuzo , iingxaki kunye neengozi.
- Ukulandela imiyalelo enikiweyo emva kotyando kubaluleke kakhulu ukuze uphile ngokukhawuleza nangendlela ephumelelayo.
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