Ngaba isinyi sakho sivakala ngathi siphantsi? Masithethe ngeCystocele!

Ngaba ngamanye amaxesha uziva uzele, unzima, okanye uzive ngathi kukho into ephumayo kwilungu lakho lobufazi? Okanye uhlala ufuna ukuchama, kodwa uzive ngathi akukho nto iphumayo? Ezi ayizozinto nje ezingaqhelekanga. Usenokuba unemeko ebizwa ngokuba yi-cystocele. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha nangokulula namhlanje.

Yintoni kanye kanye i-cystocele?

Ngamafutshane, i-cystocele kukuphuma kwesinyi sakho apho sikhoyo kwilungu lobufazi . Cinga ngayo, amalungu ethu abanjwe zimisipha kunye nemisipha. Ayanda aze anciphe njengeebhanti zerabha. Ngoko ke, ukuba ezi zihlunu kunye nemisipha ejikeleze isinyi sakho iba buthathaka okanye yolulwe, isinyi asinakuhlala kwindawo yaso eqhelekileyo. Kulapho isinyi siqala ukutyibilika ezantsi, oko kuthetha ukungena kwilungu lobufazi. Oku sikubiza ngokuba yi-cystocele. Le yimeko ekwiqela elikhulu le-pelvic organ prolapse. Abanye abantu bakubiza nangokuthi "isinyi siyawa" okanye "isinyi sinjenge-hernia." Zonke ezi zinto zithetha into enye.

Ngaba kukho iintlobo ze-cystocele? Zithini ezo?

Ewe, kukho iintlobo ezintathu eziphambili ze-cystocele, kuxhomekeke kubukhulu be-cystocele, oko kukuthi, ukuba yehle kangakanani kwisinyi. Oogqirha bathi oku "kuluhlu."

• Ibanga 1 - Eli linqanaba eliphantsi kakhulu . Apha, isinyi sithotywa kancinci singene kwilungu lobufazi . Usenokungakuqapheli oku.
• Ibanga lesi-2 - Eli linqanaba eliphakathi . Apha, isinyi sisezantsi ukuya emngxunyeni welungu lobufazi, kwaye sinokuphuma kancinci.
• Ibanga lesi-3 - Eli linqanaba elinzima kakhulu . Apha, isinyi sinokubonakala siphuma ngokupheleleyo kumngxuma welungu lobufazi.

Eli nqanaba lichaza uhlobo lweempawu kunye nendlela yokunyanga.

Ingaba le meko inokuba nzulu kangakanani?

Kuxhomekeke kakhulu kwinqanaba le-cystocele yakho. Umzekelo, ukuba yi- cystocele encinci efana ne-Grade 1 , ungaziva ungonwabanga okanye ubunzima. Okanye ungavuza umchamo omncinci xa uhleka okanye ukhohlela (oku kubizwa ngokuba yi-urinary incontinence). Kodwa ukuba yi-cystocele ye-Grade 3,Ukuba yimeko enzima efana ne-prolapse, yinto ekufuneka uyixhalabele. Kuba, xa isinyi siphantsi kakhulu, usenokungakwazi ukuchama kakuhle. Isinyi sisenokungaphumi ngokupheleleyo. Ukuba oku kuyenzeka, kukho amathuba aphezulu okufumana usulelo lwendlela yomchamo (UTIs). Ngamanye amaxesha, ukuba le meko iyaqhubeka, inokonakalisa nezintso. Yiyo loo nto kucetyiswa ukuba ufune iingcebiso zonyango ngokukhawuleza ukuba uneempawu.

Ingaba imeko ebizwa ngokuba yi-cystocele ixhaphakile?

Ewe, ngenene. I-Cystocele yimeko echaphazela abafazi abaninzi. Ngokutsho kweengcali zonyango, malunga nama-50% abafazi baya kuba nohlobo oluthile lwe-cystocele ngaxa lithile ebomini babo. Oku kuthetha ukuba awuwedwa. Abantu abaninzi baya kuba nale meko.

Ngaba nawe unayo i-cystocele? Zithini iimpawu?

Ngoku makhe sibone ukuba unayo na kwezi mpawu. Asinguye wonke umntu oneempawu ezifanayo. Nangona kunjalo, kukho ezinye iimpawu eziqhelekileyo:

• Ukuziva okanye ukubona into ephuma emngxunyeni welungu lobufazi. Abanye abantu bathi "into efana nebhola ibambekile."
• Ukuziva ugcwele, ubunzima, okanye iintlungu kwindawo yesinqe. Olu luvo lunokuba mandundu xa umi, uphakamisa, okanye ukhohlela. Olu buhlungu lunokwanda njengoko imini iqhubeka nangokuhlwa.
• Ukufuna ukuchama rhoqo kunesiqhelo.
• Ukuziva ngathi isinyi asikaphumi ngokupheleleyo xa uchama. Usenokuziva ufuna ukuchama kwakhona emva kwexesha elithile.
• Ukuvela rhoqo kwezifo zomchamo (UTIs).
• Ubunzima bokufaka izinto zokuya exesheni ezifana neetamponi okanye iikomityi zokuya exesheni kwilungu lobufazi.

Ukuba unenye okanye ngaphezulu kwezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha uze uhlolwe.

Kutheni oku kusenzeka? Zithini izizathu?

Njengoko besikhe sathetha ngaphambili, ii-cystoceles zibangelwa kukungabi namandla okanye ukolulwa kwezihlunu kunye nemisipha ebamba isinyi endaweni yazo. Kukho izizathu ezininzi zokuba ezi zihlunu zibe buthathaka.

• Ukuzalwa kwesini: Ngexesha lokubeleka okuqhelekileyo, kukho uxinzelelo olukhulu kunye nokuzolula kwimisipha yesisu. Esi siphumo sinokunyuka ngenxa yezinto ezifana nobukhulu bomntwana kunye nexesha elithathayo ukuzala. Lo mngcipheko uphezulu kwabo bazale abantwana abaninzi ngesini.
• Imbali yosapho: Ukuba isalamane esisondeleyo esibhinqileyo, njengomama wakho, udadewenu, okanye umtshana wakho, sikhe saba ne-cystocele, nawe usenokuba sengozini yokuba nayo.
• Ukutyeba kakhulu :Lo mngcipheko uphezulu kubantu abatyebe kakhulu (oogqirha bachaza oku ngokuba ne-Body Mass Index (BMI) engaphezulu kwama-30). Oku kungenxa yokuba ubunzima obongezelelweyo bubeka uxinzelelo oluqhubekayo kwimisipha ye-pelvic.
• Ukususwa kwesibeleko : Abanye abafazi banokuba nale meko emva kokususwa kwesibeleko, njengoko isibeleko sikwanceda ekuxhaseni amalungu esinqe.
• Ukuncipha kwe-estrogen : I-estrogen yi-hormone yabasetyhini. Inceda ukugcina izihlunu ezijikeleze isini ziqinile. Njengoko ukhula, ingakumbi emva kokuya exesheni , amanqanaba e-estrogen emzimbeni ayehla. Esi sisizathu sokuba izihlunu zibe buthathaka kwaye kubekho ii-cystoceles.
• Ukuphakamisa izinto ezinzima rhoqo okanye umsebenzi onzima.
• Ukuba nokukhohlela ixesha elide (umz. ngenxa yezifo ezifana ne-asthma, i-bronchitis).
• Ukuqhinwa ixesha elide kunye nokuxinana xa usiya kwindlu yangasese.

Ngubani onokuthi achaphazeleke kakhulu yile meko?

Nangona nabani na oneminyaka emininzi onelungu lobufazi enokuba ne-cystocele, abanye abantu basengozini enkulu.

• Njengoko ukhula: Umngcipheko uyanda njengoko izihlunu ze-pelvic zisiba buthathaka ngokwendalo xa ukhula.
• Kwabo bazale ngesini.
• Abo baye benza utyando kwindawo yesinqe okanye kwisibeleko (umz. iHysterectomy).
• Kwabo batyebe kakhulu.
• Kwabo babenale meko kwiintsapho zabo.

Ziziphi iingxaki ezinokubakho ze-cystocele?

I-cystocele ayisongeli ubomi, kodwa ukuba ayinyangwa, ezinye iingxaki zinokubakho.

• Ukugcinwa komchamo: Isinyi esisezantsi sinokubangela ukuba i-urethra iqine, kwaye usenokungakwazi ukukhupha yonke into kwisinyi sakho xa uchama.
• Ukonakala kwezintso: Umchamo osele kwisinyi unokubangela ukuba umchamo ubuyele umva (udlule kwii-ureters), nto leyo enokubangela uxinzelelo kwizintso, nto leyo enokuzenzakalisa ekugqibeleni. Le yimeko embi kakhulu.
• Usulelo oluqhelekileyo lwendlela yomchamo.

Yiyo loo nto sisithi, ukuba uneempawu, ungabi nantloni okanye ungoyiki, kodwa bonana nogqirha.

Oogqirha bayixilonga njani le nto?

Ngugqirha kuphela onokuqinisekisa ukuba une-cystocele. Ngokwesiqhelo, ugqirha wezifo zabesifazane okanye ugqirha wezifo zomchamo uya kuxilonga esi sifo. Ugqirha uya kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Emva koko baya kwenza uvavanyo lomzimba. Ngeli xesha lovavanyo, baya kuhlola ubufazi bakho ukuze babone ukuba isinyi sakho siye saphela na kwaye sihambe kangakanani na. Ungacelwa ukuba ukhohlele okanye uchame kancinci ukuze ubone ukuba siye saphela kangakanani na. Ngamanye amaxesha, ezi mvavanyo zilandelayo zinokwenziwa ukuqinisekisa ngakumbi imeko:

• Uvavanyo lwe-Urodynamic: Olu vavanyo luvavanya amandla esinyi sakho okugcina nokukhupha umchamo.
• I-Cystoscopy: Kule nto, ityhubhu ende, ebhityileyo, efana nepensile (i-cystoscope) enekhamera eqhotyoshelweyo idluliselwa kwi-urethra iye kwisinye. Oku kungasetyenziselwa ukujonga naziphi na iingxaki, ukuvaleka, iithumba, okanye amatye ngaphakathi kwi-urethra nakwisinye.

Ungazijonga ngokwakho oku?

Ngugqirha kuphela onokwenza uxilongo oluchanekileyo. Nangona kunjalo, abanye abafazi baziva ngathi banokufaka into ethile ngaphakathi kwilungu labo lobufazi. Ukuba uneempawu ze-cystocele, qiniseka ukuba ubona ugqirha. Musa ukuzixilonga.

Iphathwa njani i-cystocele?

Unyango luxhomekeke kubukhali be-cystocele yakho. I-cystocele ethambileyo (yeBanga loku-1): Ukuba awuziva buhlungu kangako, usenokungadingi naluphi na unyango olukhethekileyo. Nangona kunjalo, kubalulekile ukuphepha imisebenzi efana nokuphakamisa izinto ezisindayo kunye nokuzikhandla, njengoko oku kunokwenza imeko ibe mandundu. Ezinye iindlela zonyango ezithambileyo ziquka:

• Gcina ubunzima obusempilweni obukufaneleyo. Thetha nogqirha ngale nto uze ufumane ingcebiso.
• Unyango lokutshintshwa kwe-estrogen: Oku kunokuba luncedo, ingakumbi kwabo banamanqanaba aphantsi e-estrogen emva kokuya exesheni. Kunganikwa njengekhrimu okanye njengepilisi.
• Imithambo yeKegel: Le yinto ebaluleke kakhulu. Le mithambo yomeleza imisipha yakho yomgangatho we-pelvic. Oko kukuthi, imisipha ejikeleze i-urethra, i-vagina, kunye ne-anus. Xa le misipha iqinile, inceda ekulawuleni ukuhla kwesinyi. Buza ugqirha wakho okanye ingcali ye-physiotherapist ukuba akunike indlela echanekileyo yokwenza le mithambo.
• Isixhobo sepessary:Esi sisixhobo esifana nesangqa esenziwe ngerabha okanye i-silicone. Sifakwa kwisini kwaye sinceda ekutyhaleni isinyi phezulu nokusibamba endaweni yaso. Esi sisisombululo sexeshana. Abanye abantu banokusisebenzisa esi sixhobo ukuba abanakukwazi okanye abafuni ukwenza utyando.

I-Cystocele ephakathi okanye enzima (iBanga lesi-2 okanye lesi-3): Ukuba unyango olungentla aluncedi, utyando lunokufuneka.

Kuthekani ukuba kufuneka utyando?

Utyando oluphambili lwe-cystocele enzima lubizwa ngokuba yi-anterior colporrhaphy . Kule nto, ugqirha ubuyisela isinyi esiqhekekileyo endaweni yaso aze aqinise izihlunu ezikudonga olungaphambili lwesini oluyibamba endaweni yaso. Ngamanye amaxesha, i-mesh ekhethekileyo ingasetyenziselwa ukuqinisa izicubu ezibuthathaka. Nangona kunjalo, kukho izimvo ezahlukeneyo malunga nokusetyenziswa kwale mesh, ngoko thetha nogqirha wakho ngaphambi kokuba wenze isigqibo. Utyando lwe-Cystocele ludla ngokuba lutyando olukhulu. Ludla ngokuba yinkqubo yokulaliswa ngaphandle ekuvumela ukuba uye ekhaya ngaloo mini inye. Kungathatha iinyanga ezininzi ukuba uphile ngokupheleleyo. Ukuba awusafuni ukulala nomntu, kukho ezinye iindlela zotyando ezivala, zifinyeze, kwaye ziyeke i-prolapse. Ukuba kungekuphela nje kwesinyi, kodwa nakwisibeleko, inxalenye ephezulu yesini (kwabo basuswe isibeleko sabo, oku kubizwa ngokuba yi-apex), okanye i-rectum nayo i-prolapse, ugqirha uya kukuchazela ngezinye iindlela zotyando.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Ukuba une-cystocele enzima efuna utyando, unokuqala ukuziva ukhululekile emva nje kotyando. Nangona kunjalo, kungathatha iiveki ezininzi ukuya kwiinyanga ezininzi ukuba uphile ngokupheleleyo kwaye ubuyele kwimisebenzi yakho yesiqhelo. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Ngaba zikho iindlela zokuthintela le meko?

Ezinye izinto ezibangela umngcipheko esingenakuzilawula, njengembali yosapho okanye ukwaluphala. Nangona kunjalo, kukho izinto esinokuzilawula. Zinokunciphisa umngcipheko wokufumana le meko.

• Gcina ubunzima obusempilweni obukufaneleyo. Nxibelelana nogqirha okanye ingcali yesondlo ukuze ufumane ingcebiso ngale nto.
• Kuphephe ukuqhina. Yitya ukutya okutyebileyo kwi-fiber (imifuno, iziqhamo, iimbotyi, iinkozo ezipheleleyo). Sela amanzi amaninzi imini yonke. Zilolonge rhoqo. Ezi zinto zinokunceda ekunciphiseni ukuqhina. Emva koko akuyi kufuneka uzibhokoxe xa usiya kwigumbi lokuhlambela.
• Khusela izihlunu zakho zomgangatho we-pelvic xa uphakamisa izinto ezinzima. Musa ukuphakamisa izinto ezinzima wedwa. Ukuba uphakamisa into enzima, sebenzisa indlela efanelekileyo yokuma: goba amadolo akho kunye nezinqe, gcina umqolo wakho uthe nkqo, uze uzithobe ukuze uphakamise into. Musa ukujikajika ngelixa uphakamisa into.
• Yenza umthambo weKegel rhoqo. Kungcono ukuqala ukwenza lo mthambo ngexesha lokukhulelwa. Kubalulekile ukuqhubeka nokwenza lo mthambo emva kokubeleka.
• Ukuba uyatshaya, yeka.Ukukhohlela okungapheliyo okubangelwa kukutshaya kubeka uxinzelelo kwimisipha ye-pelvic.

Yintoni omele uyikhumbule ukuba une-cystocele?

Ukuba ugqirha ukuxelela ukuba une-cystocele, ungakhathazeki. Ingalawuleka.

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo nokwenza utshintsho olufunekayo kwindlela ophila ngayo.

Zeziphi izinto endingafanele ndizenze?

Ukuba une-cystocele, kungcono ukuba ungazenzi ezi zinto zilandelayo:

• Ukuphakamisa iintsimbi kunye nayo nayiphi na imisebenzi ebeka uxinzelelo kwimisipha ye-pelvic. Umzekelo, umthambo onzima, umsebenzi obeka uxinzelelo esiswini.
• Musa ukuyityeshela ikhwehlela engapheliyo. Ukuba ukhwehlela rhoqo, njenge-bronchitis, yifumane inyango efanelekileyo. Ukukhwehlela kubeka uxinzelelo oluqhubekayo kwimisipha ye-pelvic.
• Kuphephe okanye uyeke ukutshaya.
• Musa ukuhlala ngendlela ebangela ukuqhinwa. Musa ukuzibhokoxa xa usiya kwindlu yangasese.

Ndifanele ndibonane nogqirha nini?

Ukuba uneempawu ze-cystocele, ingakumbi ukuba ziphazamisana nobomi bakho bemihla ngemihla nomsebenzi wakho, qiniseka ukuba ubona ugqirha. Musa ukuba neentloni okanye uphoxeke.

Kufuneka uye nini kwigumbi likaxakeka?

Ukuba uneempawu ze-cystocele kwaye awukwazi ukuchama konke konke , oko kukuthi, ukuba umchamo wakho uvaliwe, yiya kwigumbi likaxakeka lesibhedlele esikufutshane nawe ngoko nangoko. Le yinto ongafanele uyilibazise.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa usiya kugqirha, ungalibali ukubuza nayiphi na imibuzo onayo. Nazi ezinye zemibuzo onokuyibuza:

• "Gqirha, ndingayazi njani ukuba ndine-cystocele?"
• "Ukuba andinayo i-cystocele, ngaba kukho enye imeko ebangela ezi mpawu?"
• "Ugqirha undicebisa ukuba ndinyangwe ngoluphi uhlobo lonyango?"
• "Ndingakwazi na ukulawula le meko ngaphandle kotyando?"
• "Ingaba kunokwenzeka ukuba ndiphinde ndibe nale meko emva konyango?"
• "Zeziphi izinto endimele ndiziphephe okanye ndingazithandi?"
• "Ndingalala nomntu onesifo sentliziyo? Ngaba loo nto ingabangela iingxaki?"
• "Ndingaya kubona ugqirha wezifo zabesifazane okanye ingcali yomgudu womchamo?"

Kubaluleke kakhulu ukubuza imibuzo efana nale ukuze uqonde ngcono imeko yakho.

Ngaba "i-Prolapsed bladder" kunye ne "Cystocele" ziyafana?

Hayi, la ngamagama amabini achaza imeko efanayo. Igama elithi "prolapsed bladder" ligama nje elithetha i-cystocele. Ngoko ke musa ukudideka ngayo.

Ekugqibeleni, umyalezo wokubuyela ekhaya

I-cystocele ayisoloko isongela ubomi. Nangona kunjalo, inokubangela iintloni, ukungakhululeki, kunye noxinzelelo. Musa ukuyivumela ukuba ikuthintele ekubeni uphile ubomi bakho ngolonwabo nangokukhululeka.

Khumbula, awuwedwa. Kukho unyango lwesi sifo. Ukuba uneempawu ze-cystocele kwaye zichaphazela ubomi bakho, bona ugqirha ngaphandle kokuthandabuza. Uza kujonga iimpawu zakho kunye nembali yezonyango aze akucebise ngolona nyango lufanelekileyo kuwe. Oku kuya kukunceda uzive ungcono kwaye kuphucule umgangatho wobomi bakho.

Lumka umzimba wakho. Kuba impilo yeyona nto ibalulekileyo!