Ngaba ngamanye amaxesha uziva ubunzima, uxinzelelo, okanye into efana naleyo kwilungu lakho lobufazi? Ngaba oku kungakhululeki kuya kuba mandundu xa ume ixesha elide, ukhohlela, okanye uphakamisa into enzima? Abafazi abaninzi baneentloni okanye bayoyika ukuthetha ngezi zinto. Kodwa le ayisiyongxaki yakho kuphela. Namhlanje sithetha ngemeko ebizwa ngokuba yi-enterocele, echaphazela abafazi abaninzi kodwa akuthethwa kakhulu ngayo.
Yintoni i-Enterocele? Masiyiqonde ngokulula.
Ngamafutshane, i-enterocele yimeko apho amathumbu amancinci , akwisisu sethu, ehla aye kwindawo ye-pelvic, etyhala eludongeni oluphezulu lwelungu lobufazi. Oku kukwabizwa ngokuba yi-small bowel prolapse.
Khawucinge nje ukuba umgangatho okumgangatho ophezulu wendlu yethu ubuya kuba buthathaka, into efanayo ibiya kwenzeka apha. Xa inkqubo yokuxhasa izihlunu kunye nezicubu kwindawo yethu ye-pelvic ibuthathaka, amalungu angaphezulu kwayo aqala ukuwa. Oku kungabizwa ngokuba luhlobo lokuqhekeka kwamalungu e-pelvic kubafazi.
Kutheni oku kusenzeka? Zeziphi izinto ezandisa umngcipheko?
Umqolo wethu we-pelvic ufana ne-mesh eqinileyo. Le mesh yenziwe yimisipha, izicubu ezidibeneyo, kunye ne-ligaments. Ezi zezona zinto zibamba amalungu ethu njengesibeleko sethu, isinyi, kunye namathumbu endaweni yawo. Ezi ngxaki zenzeka xa le nkqubo yokuxhasa iba buthathaka, yoluliwe, okanye ikrazukile ngezizathu ezahlukeneyo.
Makhe sibone ukuba zeziphi izizathu eziphambili zoku kwitheyibhile engezantsi.
| Into Engumngcipheko | Indlela echaphazela ngayo |
|---|---|
| Ukukhulelwa kunye nokuzala | Ngexesha lokubeleka, izihlunu zomgangatho we-pelvic ziphantsi koxinzelelo olukhulu, nto leyo enokubangela ukuba zibe buthathaka. |
| Ukuya exesheni | Njengoko sikhula, ingakumbi emva kokuya exesheni, i-hormone ye-estrogen iyancipha, nto leyo ebangela ukuba amandla emisipha kunye nokuguquguquka kwemisipha kunciphe. |
| Ukukhwehlela ixesha elide | Ukukhohlela rhoqo ngenxa yezifo ezifana ne-asthma okanye ukutshaya kunokubangela uxinzelelo kwisisu esisezantsi. |
| Ukuqhinwa rhoqo | Ukuzikhandla rhoqo xa uhambisa amathumbu kungonakalisa izihlunu zomgangatho we-pelvic. |
| Ukuphakamisa iintsimbi ngendlela engafanelekanga | Ukuphakamisa rhoqo, ingakumbi xa ume ngendlela engafanelekanga, kubeka uxinzelelo emgangathweni we-pelvic. |
| Ukutyeba kakhulu | Njengoko ubunzima bomzimba busanda, uxinzelelo luhlala lubekwa kwimisipha exhasa loo bunzima. |
| Utyando lwe-pelvic | Le ngozi inokwanda emva kotyando olufana nokususwa kwesibeleko. |
| Ezinye izifo zemfuza | Iimeko ezifana ne-Ehlers-Danlos syndrome ezenza buthathaka izicubu ezidityanisiweyo. |
Okubalulekileyo kukuba, abanye abantu abane-enterocele banokuba nezinye izitho eziphumayo. Umzekelo, i-cystocele, i-rectocele, okanye i-uterine prolapse. Ungakhathazeki, akufuneki ube nazo zonke ezi zinto. Kodwa kulungile ukwazi ukuba zinokuzalana.
Ngaba nam ndinale meko? Zithini iimpawu?
Okumangalisayo kukuba abanye abafazi abanale meko ababonisi zimpawu . Kodwa ukuba iimpawu ziyavela, zingabonakala ngolu hlobo.
- Ubunzima okanye uxinzelelo esiswini esisezantsi nakwilungu lobufazi:Kusenokuvakala ngathi kukho into efana nebhola ngaphakathi kwilungu lobufazi. Oku kunokuba kubi ngakumbi xa umile okanye ukhohlela.
- Ukuva iqhuma kwilungu lobufazi: Ngamanye amaxesha unokuziva okanye uve into efana neqhuma ngaphakathi kwilungu lobufazi.
- Ubunzima bokukhupha indle: Ukuziva ngathi isitulo asikakhutshwa ngokupheleleyo.
- Intlungu yomqolo: Ukuba le ntlungu yomqolo, ingakumbi ukuba ithomalaliswa kukulala phantsi, isenokuba inxulumene nale meko.
- Ukungakwazi ukuzibamba komchamo: Ungaphosisa ungavuzanga umchamo omncinci xa ukhohlela, uhleka, okanye uthimla.
- Ubunzima ngexesha lokwabelana ngesondo: Usenokuziva iintlungu okanye uxinzelelo ngexesha lokwabelana ngesondo.
Uyifumana njani le nto, Gqirha?
Xa uxelela ugqirha wakho ngolu hlobo lokungakhululeki, into yokuqala aza kuyenza ugqirha wakho kukuxilonga kakuhle. Oku kuya kuquka uvavanyo lwe-pelvic . Ngexesha lovavanyo, ugqirha uza kukucela ukuba ukhohlele okanye ucinezele kancinci. Emva koko, inxalenye esezantsi inokuvakala ngcono, ukuze imeko ifunyanwe ngokuchanekileyo.
Ukongeza, ugqirha unokucebisa ezinye iimvavanyo ezininzi ukuba kuyimfuneko.
- Uvavanyo lwemifanekiso: Usenokucelwa ukuba wenze i -MRI , i-ultrasound , okanye i-CT scan ukuze ubone ngokucacileyo imeko yemisipha kunye namalungu omgangatho we-pelvic.
- I-Cystoscopy: Olu vavanyo lusebenzisa ityhubhu encinci enekhamera ukujonga ingaphakathi lesinyi nokubona indawo yaso.
- Uvavanyo lwe-Urodynamic: Uthotho lweemvavanyo ezikhethekileyo ezikhangela unobangela wokusebenza kwesinyi kunye neengxaki zokuchama.
Zithini iindlela zonyango zoku? Ngaba wonke umntu udinga utyando?
Enye yezinto abantu abaninzi abayoyikayo kukuba baya kufuna utyando na. Iindaba ezimnandi zezokuba ayinguye wonke umntu oya kufuna utyando. Unyango luxhomekeke kwiminyaka yakho, impilo, kunye nobunzima beempawu zakho. Abantu abaninzi abangenazo iimpawu abayi kufuna naluphi na unyango.
| Iindlela eziphambili zonyango | |
|---|---|
| Unyango olungelulo utyando | |
| IPessary | Esi sisixhobo esincinci esenziwe ngerabha okanye i-silicone esifakwa kwisini. Senzelwe ukuxhasa amalungu angaphantsi. Senzelwe ukuba sisuswe kwaye sitshintshwe. Esi sisisombululo esilungileyo kwabo balinde utyando okanye abangafuni utyando. |
| Ukuzilolonga phantsi kwepelvic | Ezi zibizwa ngokuba ziiKegel exercises . Ziqinisa izihlunu kumgangatho we-pelvic yakho. Ungafunda indlela yokuzenza ngokufanelekileyo kwi-physiotherapist. Ngamanye amaxesha, iindlela ezifana ne-biofeedback zingasetyenziswa ukuqinisekisa ukuba uzenza ngokuchanekileyo. |
| Unyango lotyando | |
| Utyando lokulungisa | Kuphela xa ezinye iindlela ziye zasilela okanye imeko imbi kakhulu apho ugqirha angacinga ngotyando. Olu tyando lubandakanya ukubuyisela amathumbu awileyo endaweni yawo kunye nokulungisa naziphi na izicwili ezikrazukileyo okanye ezikrazukileyo. Uninzi lwexesha, olu lutyando olungenabungozi kangako olwenziwa ngelungu lobufazi. |
Singenza ntoni ukuthintela oku?
Kukho izinto ezimbalwa ezilula esinokuzenza ukunciphisa amathuba okuba le ngxaki ivele.
- Yitya ukutya okutyebileyo kwifayibha: Yitya izinto ezifana nemifuno, iziqhamo, iimbotyi, kunye neenkozo ezipheleleyo, kwaye usele amanzi amaninzi ukuthintela ukuqhinwa.
- Lumka xa uphakamisa: Ukuba uphakamisa into enzima, cela uncedo komnye umntu. Phakamisa ngamadolo akho agobile, hayi ngomqolo wakho ogobileyo.
- Gcina ubunzima obusempilweni: Ukutyeba kakhulu kubeka uxinzelelo olungeyomfuneko phantsi kwe-pelvic.
- Fumana unyango lokukhwehlela: Ukuba ukhwehlela okungapheliyo, bona ugqirha ukuze ufumane unobangela ochanekileyo kwaye ufumane unyango.
- Kuphephe ukutshaya: Ukutshaya akupheleli nje ekubangeleni ukukhohlela kodwa kunciphisa nempilo yezicubu zomzimba.
Kunini apho kungcono ukubona ugqirha?
Eyona nto ibalulekileyo kukuthetha nogqirha ngale ntlungu, ungabi nantloni okanye uloyiko. Oku kuqhelekile kwaye kunokunyangeka.
Ukuba unezi mpawu zilandelayo, bona ugqirha wakho ngoko nangoko:
- Ukuba awukwazi ukulawula umchamo wakho.
- Ukuba kukho igazi kumchamo.
- Ukuba unentlungu xa uchama okanye udinga ukuchama rhoqo.
- Ukuba unesiphene esikhulu okanye ubunzima bokukhupha indle.
Xa uthetha nogqirha ngengxaki efana nale, buza yonke imibuzo onayo. Buza imibuzo efana nale, "Kutheni ndifumene oku?", "Yeyiphi eyona ndlela ilungileyo yonyango kum?", "Ngaba kukho ezinye izinto endifanele ndizilumkele?" ukuze ndiqonde ngcono imeko yakho.
Umyalezo Wokuya Ekhaya
- I-Enterocele yimeko apho amathumbu amancinci ehla aye kwilungu lobufazi ngenxa yobuthathaka bemisipha yomgangatho we-pelvic.
- Esi asisosifo sinzima esoyikwayo. Abafazi abaninzi basenokungabonakalisi zimpawu.
- Kwiimeko ezininzi, unyango olulula, olungelulo utyando (i-pessary, i-Kegel exercises) lunokulawula ngempumelelo iimpawu.
- Ukuba unentlungu esezantsi kwesisu, uxinzelelo, okanye ezinye iingxaki, ungabi nantloni okanye ungoyiki ukuthetha nogqirha wakho ngayo. Okukhona ufuna ingcebiso ngokukhawuleza, kokukhona izisombululo ziya kuba lula.
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