Ngaba ngamanye amaxesha uziva ngathi kukho into ehlayo isuka kwisini sakho, njengobunzima okanye uxinzelelo? Okanye uziva ungakhululekanga xa uhleli, ngathi uhleli kwibhola encinci? Usenokuba nguwe wedwa ohlushwa zezi zinto. Le meko inokwenzeka kubafazi abaninzi. Ngoko ke namhlanje sithetha ngotyando olunokuba sisisombululo sale nto.
Kalula nje, yintoni iColporrhaphy?
I-Colporrhaphy yindlela yotyando yokulungisa ubuthathaka kwiindonga zelungu lakho lobufazi. Idla ngokwenziwa njengonyango lwemeko ebizwa ngokuba yi-pelvic organ prolapse (POP).
Khawucinge nje, ukuba udonga endlwini yethu luba buthathaka, luya kugoba ngaphakathi, njengokuzama ukutyhala izinto ngaphandle. Amalungu angaphakathi kwi-pelvis yakho, njengesinyi, isibeleko, kunye ne-rectum, abanjwe ziindonga zelungu lakho langasese kunye nezihlunu ezijikeleze zona. Ekuhambeni kwexesha, ngakumbi emva kokubeleka kwaye njengoko ukhula, ezi zihlunu kunye nezicubu ziyabuthathaka. Emva koko ezo zihlunu ziqala ukuhla, okanye zityhale zingene kwilungu langasese. Yiloo nto siyibiza ngokuba yi-`(Pelvic Organ Prolapse - POP)`.
Utyando lweColporrhaphy lusebenza ngokuqinisa izihlunu kunye nezicubu ezibuthathaka kunye nokubuyisela ilungu eliphantsi kwindawo yalo yokuqala.
Kukho iintlobo ezimbini eziphambili zotyando lwe-colporrhaphy:
Ngokuxhomekeke kwingxaki yakho, ugqirha wakho unokugqiba ekubeni enze enye yezi ntlobo zimbini, okanye mhlawumbi zombini kunye.
| Uhlobo lotyando | Kwenzeka ntoni nje |
|---|---|
| Ukulungiswa kodonga lwangaphambili (i-Anterior Colporrhaphy) (Ikwabizwa ngokuba kukulungiswa kwe-cystocele) | Xa udonga oluphakathi kwesinyi sakho kunye nelungu lobufazi lubuthathaka, isinyi siyawela eludongeni olungaphambili lwesinyi. Olu tyando luqinisa olo donga lungaphambili kwaye lubuyisele isinyi kwindawo yaso efanelekileyo. |
| Ukulungiswa kodonga olungasemva (Posterior Colporrhaphy) (Ikwabizwa ngokuba kukulungiswa kweRectocele) | Xa udonga oluphakathi kwe-rectum yakho kunye ne-vagina lubuthathaka, i-rectum iwela eludongeni olungasemva lwe-vagina. Olu tyando lusebenza ukuqinisa olo donga lungasemva kunye nokubuyisela i-rectum endaweni yayo. |
Ingaba olu lutyando olukhulu? Ngubani oludingayo?
Ewe, i-colporrhaphy lutyando olukhulu . Kodwa ilula kakhulu kwaye inexesha elifutshane lokuchacha kunotyando lwesisu, kuba lwenziwa ngokupheleleyo ngelungu lobufazi.
Asinguye wonke umntu odinga olu tyando. Ugqirha wakho uza kujonga izinto ezininzi ngaphambi kokuba akucebise.
Ngokwesiqhelo, uya kuthathwa njengofanelekileyo kolu tyando ukuba:
- Ukuba ezinye iindlela zonyango azisebenzi: Ngaphambi kokuba ucinge ngotyando, ugqirha wakho unokucebisa ezinye iindlela ezilula zonyango. Umzekelo, ukuzilolonga kwemisipha ye-pelvic floor (iiKegels), izixhobo ezifana neepessaries, okanye unyango lwehomoni. Ukuba ezi azincedi iimpawu zakho, utyando lunokuba linyathelo elilandelayo.
- Ukuba iimpawu ziyaphazamisana nobomi bakho: Abanye abantu abaziva bengonwabanga kangako nangona benale meko "(POP)". Kodwa ukuba uhlala unengxaki yokulawula umchamo okanye isitulo sakho, ukuba unentlungu ngexesha lokwabelana ngesondo, ukuba ezi zinto zenza ubomi bakho bemihla ngemihla bungonwabanga, utyando lunokuphelisa ezi ntlungu.
- Ukuba awucebi ukuba nabantwana abaninzi: Eli linqaku elibaluleke kakhulu. Ukuba unomnye umntwana emva kokuba une-colporrhaphy, izihlunu ezilungisiweyo ziya buthathaka kwakhona, nto leyo eyandisa umngcipheko wokuba ingxaki ibuyele umva. Ke ngoko, kungcono ukwenza olu tyando ukuba ucinga ukuba usapho lwakho luphelele.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Emva kokuba uvumile utyando, ugqirha uza kukuchazela zonke izinto ezilungileyo, iingxaki kunye neengozi.
Ngaphambi kotyando
Ugqirha wakho uza kwenza ezi zinto:
- Thetha ngononophelo ngembali yakho epheleleyo yezonyango kunye neempawu.
- Uvavanyo lwe-pelvic oluqhutywa ngesandla lwenziwa kabini ukuze kuchongwe ngokuchanekileyo ukuba ubuthathaka buphi kwaye zeziphi izitho ezithotyiweyo.
- Ngamanye amaxesha, ukuba kuyimfuneko, banokuyalela into efana ne-MRI scan ukujonga imeko yezihlunu, kodwa oko akusoloko kuyimfuneko.
- Ii-antibiotics zinikwa ngosuku lotyando ukunciphisa umngcipheko wokosuleleka.
- Ukuba sele ugqithile ukuya exesheni, unokucelwa ukuba usebenzise ikhrimu equlethe i-hormone ethi ``(estrogen)'' ukuze wenze izicubu zesini zibe nkulu kwaye kube lula ukwenza utyando.
Ngexesha lotyando
Olu tyando ludla ngokuthatha malunga nemizuzu engama-30 ukuya kwiyure okanye ngaphezulu, kuxhomekeke kubukhulu bendawo eza kulungiswa.
1. I-Anesthesia: I-Anesthesia inikwa ukuze ungeva ntlungu. Isenokuba yi-"general anesthesia"`, ekwenza ulale ngokupheleleyo, okanye i-"regional anesthesia``, ethintela umqolo ongezantsi kuphela.
2. Ukulungiselela: Imilenze yakho iza kubekwa kwizixhaso ezikhethekileyo ukuze uzive ukhululekile xa utyando. Kuza kufakwa i-catheter ukuze kuphume umchamo wakho.
3. Utyando: Ugqirha wenza utyando oluncinci ngelungu lobufazi aze aye kwindawo apho kukho izihlunu kunye nezicubu ezibuthathaka. Emva koko, izicubu ezomeleleyo ziyadityaniswa kwaye indawo iyaqiniswa ngemithungo enyibilikayo . Ekugqibeleni, utyando luyavalwa.
Yintoni onokuyilindela emva kotyando?
Ngokuxhomekeke kuhlobo lotyando, kusenokufuneka uye ekhaya ngaloo mini okanye uhlale esibhedlele ubusuku bonke.
Izinto onokuzilindela emva kotyando:
- Ipakethi encinci ingafakwa ngaphakathi kwilungu lobufazi ukuze kufunxwe ukopha kwiiyure ezingama-24 zokuqala.
- I-catheter isuswa kwisithuba seentsuku enye okanye ezimbini.
- Izithambisi zendle zinikwa ukuthintela uxinzelelo kwizititshi nokwenza kube lula ukudlula kwendle.
- Usenokuba namabala amancinci okanye ukukhupha ulwelo olukhrimu oluphuma kwilungu lobufazi kangangeeveki ezimbalwa. Oku kuqhelekile njengoko imithungo engaphakathi inyibilika.
- Kusenokubakho iintlungu ezithile kwindawo yesini, eziya kuthi kancinci kancinci kwiiveki ezi-4-6.
Ixesha lokuchacha kunye nezinto ekufuneka uzazi
Kungathatha ukuya kuthi ga kwiinyanga ezi-3 ukuba umntu aphile ngokupheleleyo. Ngeli xesha, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
Khumbula, kufuneka unike umzimba wakho ixesha lokuphola. Musa ukuwungxamela.
Izinto ekufuneka zilandelwe:
- Kangangeeveki ezi-6-8: Kuphephe ukuphakamisa izinto ezisindayo (ngaphezulu kwe-2-3 kg), ukwenza umthambo onzima, ukulala nomntu, ukusebenzisa ii-tampon, ukuxubha umzimba, kunye nokuhlamba ebhafini. Hlamba.
- Kangangeeveki ezi-6: Kuphephe ukuzibhokoxa xa uhambisa isisu. Sela amayeza njengoko ugqirha wakho ekuyalele.
- Emva kweeveki ezi-3-4: Ungaqala ukwenza imisebenzi eqhelekileyo efana nokuhamba ngeenyawo nokuqhuba. Ukuba umsebenzi wakho awunzima kakhulu, unokukwazi ukuya emsebenzini. Xoxa ngale nto nogqirha wakho.
Ziziphi iingenelo kunye neengozi zalo tyando?
Inzuzo ephambili kukuba uya kukhululeka kwintlungu oyifumanayo ngenxa yemeko ye-`(POP)`. Kwakhona, oku kungenziwa ngendlela elula, ngaphandle kokwenza utyando olukhulu olubandakanya ukunqunyulwa kwesisu. Emva kotyando, unokuba nobomi obuqhelekileyo besondo.
Njengakuzo zonke iintlobo zotyando, kukho iingozi ezithile, kodwa azixhaphakanga kakhulu.
- Ukopha kakhulu.
- Iimpendulo kwi-anesthesia.
- Usulelo lwenxeba.
- Usulelo lwendlela yomchamo (UTIs).
- Ukuqhinwa.
- Intlungu ngexesha lokwabelana ngesondo.
Ugqirha wakho uza kukuchazela yonke le nto kakuhle. Mbuze ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo.
Umyalezo Wokuya Ekhaya
- I-Colporrhaphy lutyando lokuqinisa iindonga ezibuthathaka zesini kunye nokubuyisela amalungu asezantsi kwindawo yawo efanelekileyo.
- Olu tyando lucetyiswa kuphela ukuba uneempawu eziphazamisa ubomi bakho kwaye azinakulawulwa ngezinye iindlela zonyango ezilula.
- Kuthatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo emva kotyando. Ngeli xesha, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo.
- Ukuba unengxaki enjalo, ungabi nantloni okanye ungoyiki ukubona ugqirha ofanelekileyo uze uthethe naye. Kukho unyango olusebenzayo lokunyanga ezi ngxaki.
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