Ingaba isinyi sakho siyaphela? (Cystocele) - Masifunde ngezizathu, iimpawu kunye nonyango ngokulula

Ngaba ngamanye amaxesha uziva ngathi kukho into ephuma kwisini sakho, okanye uhlala uziva unzima okanye uzele sisisu sakho esisezantsi? Usenokuba neentloni okanye uyoyika ukuthetha ngayo. Kodwa kufuneka wazi ukuba le yimeko echaphazela abafazi abaninzi kwaye inokunyangeka ngempumelelo. Namhlanje, siza kuthetha ngale meko ebizwa ngokuba yi-prolapsed bladder, okanye ngokwezonyango, i-cystocele.

Ngamafutshane, yintoni i-prolapsed bladder (i-Cystocele)?

Khawuthelekelele, amalungu angaphakathi kwindawo yethu ye-pelvic, njengesinyi kunye nesibeleko, abanjwe yindawo yenethiwekhi yemisipha eqinileyo kunye nemisipha, kanye njengesihlalo esishukumayo esixhonywe ngeentambo.

Nangona kunjalo, ngenxa yezizathu ezahlukeneyo ezifana nokuba nabantwana, ukwaluphala, kunye nokuphakamisa izinto ezinzima, ezi zihlunu kunye nemisipha zinokuba buthathaka kwaye zoluleke. Emva koko isinyi asikwazi ukuhlala kwindawo yaso eqhelekileyo. Kancinci kancinci, siqala ukwehla size siwele kwilungu lobufazi. Yiyo loo nto siyibiza ngokuba yi- cystocele okanye isinyi esiwileyo. Olu luhlobo lwe-pelvic organ prolapse, imeko eqhelekileyo apho amalungu akwi-pelvic cavity awela phantsi.

Ngaba kukho amanqanaba ahlukeneyo ale meko?

Ewe, le meko ayifani kuye wonke umntu. Yahlulwe kakhulu yaya kumanqanaba amathathu (amanqanaba). Oku kugqiba ukuba imeko imbi kangakanani na kwaye loluphi unyango olufunekayo.

Ngaba iCystocele yimeko embi kakhulu neyingozi?

Kuxhomekeke kwinqanaba lakho.

• Kwiimeko ezingephi, ungaziva ungakhululekanga. Okanye ngempazamo ungavuza umchamo omncinci xa ukhohlela, uhleka, okanye uphakamisa into ethile. Oku kukwabizwa ngokuba yi-"urinary incontinence."
• Ukuba inzima kakhulu , inokuba yingozi ngakumbi. Ngenxa yokuba isinyi siphantsi, i-urethra ivaliwe, kwaye usenokungakwazi ukuchama kakuhle. Oku kunokukhokelela ekugcinweni komchamo, okunokukhokelela kwiintsholongwane, kwaye ngokuhamba kwexesha, kumonakalo kwizintso.

Ziziphi iimpawu eziqhelekileyo zale meko?

Jonga ukuba unayo na enye okanye ngaphezulu kwezi mpawu:

• Ukuziva okanye ukubona into efana nebhola iphuma kwilungu lobufazi .
• Ukuziva ugcwele, unzima, okanye iintlungu kwindawo yesinqe. Oku kungakhululeki kunokuba mandundu, ingakumbi xa umile, uphakamisa, ukhohlela, okanye njengoko usuku luqhubeka.
• Ukufuna ukuchama rhoqo kunesiqhelo.
• Ukuziva ngathi isinyi asikaphumi ngokupheleleyo xa uchama.
• Ukuvela rhoqo kwezifo zomchamo (UTIs) .
• Ubunzima bokufaka izinto ezifana neetamponi ezisetyenziswa ngexesha lokuya exesheni kwilungu lobufazi.

Kutheni oku kusenzeka? Zithini izizathu eziphambili zoku?

Kukho izizathu ezininzi eziphambili zokuba izihlunu zomgangatho we-pelvic zibe buthathaka.

• Ukuzalwa kwesini: Xa unomntwana, kukho uxinzelelo olukhulu kwizihlunu ze-pelvic, nto leyo enokubangela ukuba zoluleke okanye zibe buthathaka.
• Imbali yosapho: Ukuba umama okanye udadewenu wayenale meko, nawe usemngciphekweni omkhulu wokuba nayo.
• Ukutyeba kakhulu: Xa utyebile kakhulu, oko kuthetha ukuba i-Body Mass Index (BMI) yakho ingaphezulu kwama-30, kusoloko kukho uxinzelelo olongezelelekileyo kwimisipha ye-pelvic.
• Ukususwa kwesibeleko: Ngamanye amaxesha izicubu ezixhasayo zinokuba buthathaka emva kolu tyando.
• Ukuncipha kwe-hormone ye-estrogen:Njengoko ukhula, ingakumbi ngexesha lokuya exesheni, amanqanaba omzimba wakho e-hormone i-estrogen ayancipha. Le hormone inceda ukugcina izihlunu ezijikeleze isini sakho ziqinile. Xa iyancipha, ubuthathaka bemisipha bunokukhawuleza.
• Ukuphakamisa izinto ezisindayo rhoqo kunye nokukhwehlela okungapheliyo: Lo mngcipheko uphezulu nakwabo basebenza kwimisebenzi efuna ukukhwehlela rhoqo okanye abakhwehlela ixesha elide ngenxa yezifo ezifana ne-asthma okanye i-bronchitis.

Ugqirha uyixilonga njani le nto?

Ukuba unezi mpawu, kufuneka ubonane nogqirha wezifo zabesifazane okanye ugqirha womchamo.

Ugqirha uza kukubuza ngeempawu zakho, enze uvavanyo lomzimba, kwaye, ukuba kuyimfuneko, angayalela iimvavanyo ezongezelelweyo ukuqinisekisa imeko.

• Uvavanyo lwe-Urodynamic: Oku kulinganisa amandla esinyi sakho okugcina nokukhupha umchamo.
• I-Cystoscopy: Kule nto, kufakwa ityhubhu ebhityileyo efana nepensile enekhamera eqhotyoshelweyo (i-cystoscope) nge-urethra ukuze kuhlolwe ingaphakathi lesinyi.

Zithini iindlela zonyango zoku?

Iindlela zonyango zixhomekeke kubukhali bemeko yakho, ubudala bakho, kunye nokuba iimpawu zakho zichaphazela kangakanani ubomi bakho bemihla ngemihla.

Unyango lwesifo esincinci

• Utshintsho kwindlela yokuphila: Ukuphepha ukuphakamisa izinto ezisindayo, ukulawula ubunzima bomzimba, kunye nokuthintela ukuqhina (ukutya ukutya okunefayibha eninzi kunye nokusela amanzi amaninzi) kunokunceda ukuthintela imeko ukuba ingabi mandundu.
• Ukuzilolonga kweKegel: Olu lolona nyango lubalulekileyo nolulula. Buza ugqirha wakho okanye ingcali yezonyango ukuba ungayenza njani ngokufanelekileyo le mithambo ukuze uqinise izihlunu zakho ze-pelvic.
• I-Pessary: ​​Esi sisixhobo esincinci esenziwe ngerabha okanye i-silicone esifakwa ngaphakathi kwilungu lobufazi. Siphakamisa isinyi kwaye sincede ekusibambeni endaweni yaso.
• Unyango lokutshintshwa kwe-estrogen: Olu nyango lunokunikwa ukuqinisa izihlunu kwabo bane-estrogen ephantsi emva kokuya exesheni.

Unyango lweemeko eziphakathi/ezinzima

Kunokufuneka utyando kwi-cystoceles ezinzima ezingenakulawulwa ngezinye iindlela zonyango.

I-Anterior colporrhaphy lutyando oluqhelekileyo kule nkqubo. Kule nkqubo, ugqirha ubuyisela isinyi esiqhekekileyo endaweni yaso aze aqinise izihlunu ezibuthathaka kunye nezicubu ezisibambe endaweni yaso. Ngokwesiqhelo ungaya ekhaya ngosuku olunye emva kolu tyando, kwaye ungaphila ngokupheleleyo kwiinyanga ezimbalwa.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ze-cystocele, ingakumbi ukuba ziphazamisana nemisebenzi yakho yemihla ngemihla, bona ugqirha ngokukhawuleza . Musa ukuba neentloni okanye ukoyika. Le yimeko eqhelekileyo kakhulu.