Ngaba uziva ubunzima obungaqhelekanga okanye uxinzelelo kwilungu lobufazi bakho? Isenokuba yi-enterocele!

Ngaba ngamanye amaxesha uziva ubunzima, ukugcwala, okanye uxinzelelo kwilungu lakho lobufazi? Ngaba oku kungakhululeki kuyanda, ingakumbi xa umi, uhleka, okanye ukhohlela? Ukuba kunjalo, oku kunokuba yinto ebalulekileyo kuwe. Namhlanje siza kuthetha ngemeko eqhelekileyo phakathi kwabasetyhini, kodwa abantu abaninzi abazi ngayo. Oko kukuthi i-enterocele, okanye ngokulula, ukuhla kwamathumbu amancinci.

Yintoni i-Enterocele?

Ngamafutshane, i-enterocele yimeko apho inxalenye yamathumbu ethu amancinci ityhala kwindawo ye-pelvic, oko kukuthi, inxalenye ephezulu ye-vagina. Cinga ngayo, amalungu angaphakathi kwesisu sethu kufuneka abe kwindawo yawo efanelekileyo. Ngoko ke eli thumba lincinci lehla kancinci ukusuka apho lifanele ukuba likhona lize lityhale eludongeni lwe-vagina. Oku kukwabizwa ngokuba yi -Small Bowel Prolapse . Olu luhlobo lwe -pelvic organ prolapse olunokwenzeka kwinkqubo yokuzala yabasetyhini.

Ixhaphake kangakanani le meko?

Enyanisweni, kukho abafazi eSri Lanka abaneengxaki zokubola kwamalungu esinqe. Ngokwezinye iinkcukacha ezivela kwihlabathi liphela, ipesenti encinci yabasetyhini (malunga ne-3% - 6%) banokuhlangabezana nale meko. Oku kuqhelekile ngakumbi phakathi kwabasetyhini emva kokuya exesheni , oko kukuthi, abafazi abayeke ukuya exesheni ngenyanga. Kwakhona, ezinye iingxelo zithi kuqhelekile ngakumbi phakathi kwabasetyhini abamhlophe nabaseHispanic. Nangona kunjalo, nabani na unokufumana le meko.

Kutheni i-enterocele isenzeka?

Kulungile, masibone ukuba kutheni oku kusenzeka. Umgangatho wethu we-pelvic wenziwe zimisipha, izicubu ezidibeneyo, kunye nemisipha. Ezi zezona zibamba amalungu ethu njengesibeleko sethu, amathumbu, kunye nelungu lobufazi endaweni. Zixhasa la malungu njengomnatha.

Ngoko ke, ukuba ezi zihlunu kunye nezicubu ziba buthathaka, zoluleke, okanye ngamanye amaxesha zikrazuke, oko kuphakamisa akwenzeki kakuhle. Kulapho ke kuvela khona ezi ngxaki.

Amathumbu ethu amancinci yinxalenye ebalulekileyo yenkqubo yethu yokugaya ukutya. Ngokwesiqhelo, la mathumbu amancinci akwisisu esisezantsi nakwisinqe esingaphezulu, ebanjwe yimisipha kunye nemisipha ekhankanyiweyo apha ngasentla. Kodwa xa ezi zicubu zibuthathaka, amathumbu amancinci ayatyibilika kancinci aze awele kumsantsa ophakathi kwesini kunye ne-rectum. Kulapho uxinzelelo lwenziwa khona eludongeni oluphezulu lwesini.

Enye into kukuba le meko ebizwa ngokuba yi-enterocele ingenzeka yodwa, okanye ingenzeka kunye nezinye izitho zomzimba ze-pelvic. Oko kukuthi:

• Ukuqhekeka kwe-Bladder (i-Bladder prolapse okanye i-Cystocele)
• Ukuhla kwesisu okanye iRectocele (ihernia yerectum ephuma eludongeni olungasemva lwesini)
• I-Urethra prolapse okanye i-Urethrocele
• Ukuncipha kwesisu
• Ukuhla kwesisu

Ngubani osengozini enkulu yokuphuhlisa oku?

Ngoku makhe sibone ukuba ngubani onokuthi ahlangabezane nale meko.

Enye yezona zinto zibalulekileyo kukuyeka ukuya exesheni . Ngexesha nasemva kokuya exesheni, imizimba yethu ivelisa i-estrogen encinci. Le hormone inceda ukugcina izihlunu zomgangatho we-pelvic ziqinile. Ngoko ke xa amanqanaba e-estrogen ehla, ezi zihlunu zinokuba buthathaka. Izifundo zibonisa ukuba ngaphezulu kwesithathu sabasetyhini abaneengxaki zomgangatho we-pelvic baphakathi kweminyaka engama-60 ukuya kwengama-79. Kwaye malunga nesiqingatha bangaphezulu kwama-80.

Ngaphandle koko, kukho ezinye izizathu ezinokwenza buthathaka izihlunu zomgangatho we-pelvic kwaye zibangele i-enterocele:

• Ukukhulelwa nokuzala: Ukuthwala umntwana esibelekweni nokuzala kubeka uxinzelelo olukhulu kwimisipha ye-pelvic. Le ngozi inokwanda ngakumbi ngexesha lokubeletha okunzima, abantwana abakhulu, okanye xa umntwana ezalwa kusetyenziswa izixhobo (i-forceps, i-vacuum).
• Ukukhohlela okungapheliyo: Umzekelo, umntu okhohlela rhoqo, nokuba kungenxa yesifo esifana ne-asthma, i-bronchitis, okanye ukutshaya, ubeka uxinzelelo oluqhubekayo kwimisipha ye-pelvic. Oku kunokwenza buthathaka imisipha.
• Iingxaki zezicubu ezidityanisiweyo: Umzekelo, abantu abaneengxaki zemfuza ezifana ne-Ehlers-Danlos syndrome nabo basengozini kuba izicubu ezidityanisiweyo zomzimba wabo zibuthathaka kunesiqhelo.
• Ukuqhinwa: Ukuba uhlala uqhinwa, kusenokufuneka uzibhokoxe xa usiya kwigumbi lokuhlambela. Oku kubeka uxinzelelo olungeyomfuneko phantsi kwe-pelvic.
• Ukuphakamisa iintsimbi: Lo mngcipheko uphezulu kwabo baphakamisa iintsimbi rhoqo, ingakumbi abo baphakamisa iintsimbi ngendlela engafanelekanga. Kufuneka ulumke ngale nto xa usenza imisebenzi yasekhaya nasemsebenzini.
• Ukutyeba kakhulu: Njengoko ubunzima bomzimba busanda, umthwalo kwimisipha yomgangatho we-pelvic uyanda. Oku kunokwenza buthathaka imisipha ekuhambeni kwexesha.
• Utyando lwePelvic: Emva kotyando, olufana notyando lwe-hysterectomy, izakhiwo ezixhasayo zomgangatho we-pelvic ngamanye amaxesha zinokuba buthathaka.
• Unyango ngemitha kwindawo ye-pelvic: Unyango ngemitha kwindawo ye-pelvic kwiimeko ezifana nomhlaza lunokonakalisa kwaye lwenze buthathaka izicubu.

Zithini iimpawu ze-enterocele?

Abanye abafazi basenokungabi nazo iimpawu konke konke. Oko kukuthi, basenokungayiva loo nto nokuba bane-enterocele. Nangona kunjalo, xa kuvela iimpawu, banokufumana oku kulandelayo:

• Imvakalelo efana nebhola iye yehla isuka ngaphakathi kwilungu lobufazi (Iqhuma ngaphakathi kwilungu lobufazi): Usenokuyibamba ngokwakho.
• Ubunzima bokugqiba ukukhupha isisu: Kungavakala ngathi unobunzima bokukhupha isisu, okanye ngathi awukasiphumi ngokupheleleyo. Abanye abantu banokufuna ukusebenzisa umnwe ukubanceda bakhuphe isisu.
• Uxinzelelo, ubunzima, iintlungu, okanye ukugcwala kwindawo ye-pelvic: Oku kungakhululeki kunokwanda, ingakumbi ngexesha lokwabelana ngesondo, ukuzilolonga, ukuma ixesha elide, okanye ukukhohlela.
• Ukungakwazi ukuzibamba komchamo: Ungavuza umchamo kancinci ngempazamo xa ukhohlela, uhleka, uthimla, okanye uphakamisa into enzima.
• Intlungu yesisu esisezantsi neyomqolo: Le ntlungu isenokubonakala ngathi iyaphela kancinci xa ulele phantsi.

Khawuthelekelele, emva kokusebenza nzima imini yonke, ngokuhlwa, uziva ubunzima kwisini sakho, ngokungathi kukho into ephuma ngaphakathi. Kuvakala ngcono kancinci xa uhleli okanye ulele. Ukuba unamava alolu hlobo, lumka ngalo.

Ungayixilonga njani i-enterocele?

Ukuba unale mpawu, kungcono ukubona ugqirha. Ugqirha wezifo zabesifazane uhlala enyanga ezi ngxaki.

Xa ugqirha wakho ekuxilonga, uza kwenza uvavanyo lwe-pelvic. Ugqirha usenokuva iqhuma elibangelwa kukutyhala kwamathumbu amancinci kwilungu lobufazi. Ugqirha unokukucela ukuba ukhohlele okanye ucinezele phantsi. Iqhuma linokubonakala kwaye livakale ngcono. Banokwenza novavanyo lwe-rectal.

Ukongeza, olunye okanye ngaphezulu kwezi vavanyo zilandelayo lunokwenziwa:

• I-Cystoscopy: Kule nto, kufakwa ityhubhu encinci enekhamera (i-cystoscope) nge-urethra ukuze kuhlolwe isinyi, indawo esikuyo, kunye nendawo esikuyo.
• Uvavanyo lwemifanekiso: I-MRI, i-ultrasound scan, okanye i-CT scan inokwenziwa ukujonga izihlunu zomgangatho we-pelvic kunye nokubona ukuba zeziphi izitho eziye zawa.
• Uvavanyo lwe-Urodynamic: Olu vavanyo lunceda ekufumaneni indlela esebenza ngayo i-bladder kunye nokuba yintoni ebangela ingxaki yokuchama.

Zithini iindlela zonyango zoku?

Iindaba ezimnandi zezokuba kukho unyango lwe-enterocele. Kukho unyango olungenalo utyando nolwe-operesheni. Ugqirha wakho uya kukumisela unyango olungcono ngokusekwe kwiminyaka yakho, impilo yakho iyonke, kunye nohlobo lweempawu zakho.

Kukho iindlela ezintathu eziphambili zonyango:

1. Ukufaka ipessary: ​​Esi sisixhobo esenziwe ngerabha (i-latex) okanye iplastiki (i-silicone) esinokufakwa kwilungu lobufazi. Sisebenza ngokuxhasa izihlunu zomgangatho we-pelvic. Sisebenza njengenkxaso yenxalenye esezantsi yesini. Singasetyenziswa ngelixa ulinde utyando, okanye singasetyenziswa rhoqo kwabo bangenako utyando. Nangona kunjalo, asiyisusi i-enterocele, silawula kuphela iimpawu. Ugqirha wakho uza kukubonisa indlela yokuyifaka, ukuyisusa, nokuyigcina icocekile.

2.Ukuzilolonga phantsi kwepelvic: Oku kukwabizwa ngokuba ziiKegels . Ezi zilolonga ziqinisa izihlunu zomgangatho wepelvic. Ugqirha wakho unokukuthumela kwingcali yephysical therapist. Kukho iingcali zephysical therapist ezigxile ekunyangeni iingxaki zomgangatho wepelvic. Baza kukufundisa indlela yokwenza ezi zilolonga. Basenokusebenzisa neendlela ezifana ne-biofeedback ukukunceda uchonge kwaye uzilolonge izihlunu.

3. Utyando: Ukuba ezinye iindlela azisebenzanga, okanye ukuba imeko imbi kakhulu, utyando lunokufuneka. Utyando lubandakanya ukubuyisela amathumbu amancinci endaweni yawo nokulungisa izicwili ezikrazukileyo. Uninzi lwexesha, olu tyando lwenziwa ngelungu lobufazi, ngaphandle kokwenza umsi omkhulu, njengenkqubo engenakungenelela kakhulu. Ngamanye amaxesha inokwenziwa nangesisu. Ugqirha wakho uya kukuchazela inkqubo yotyando efanelekileyo kuwe.

Ngaba i-enterocele ingathintelwa?

Nangona kungenakuthintelwa ngokupheleleyo, kukho izinto esinokuzenza ukunciphisa umngcipheko wethu. Ezi zinto zinokunceda ekuthinteleni kungekuphela nje i-enterocele, kodwa nezinye iingxaki zomgangatho we-pelvic:

• Yitya ukutya okunefayibha eninzi kwaye usele amanzi amaninzi: Oku kunokunceda ukuthintela ukuqhina. Oku kuya kunciphisa ukuxinana. Faka imifuno eluhlaza, imifuno, iziqhamo, kunye neenkozo ezipheleleyo ekutyeni kwakho.
• Fumana uncedo xa uphakamisa iintsimbi, kwaye uphakamise iintsimbi ngokuchanekileyo: Musa ukuphakamisa iintsimbi ongenakukwazi ukuzithwala wedwa. Ukuba uphakamisa iintsimbi, gcina umqolo wakho uthe nkqo uze ugobe amadolo akho.
• Fikelela okanye ugcine ubunzima obusempilweni: Ukutyeba kakhulu yeyona nto iphambili ebangela oku.
• Nyanga ukukhwehlela okungapheliyo: Ukuba ukhwehlela, fumana unobangela uze uwunyange.
• Ukuba uyatshaya, yeka: Ukutshaya akupheleli nje ekubangeleni ukukhohlela, kodwa kunokonakalisa nezicwili zomzimba.

Ithini ingqikelelo kubantu abane-enterocele? (Ingqikelelo)

Kwiimeko ezininzi, iimpawu zinokulawulwa kakuhle ngonyango olungenalo utyando. Abanye abafazi basenokungadingi naluphi na unyango ukuba abanazo iimpawu. Iingxaki ezinkulu ezivela kwi-enterocele azixhaphakanga, ngoko ke akukho mfuneko yokukhathazeka ngokungeyomfuneko. Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ukuba uneempawu.

Ufanele uye nini kugqirha?

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubona ugqirha:

• Iingxaki zokulawula isinyi.
• Igazi kumchamo.
• Ukuchama kabuhlungu okanye ukuchama rhoqo.
• Ukuqhinwa kakhulu okanye ubunzima bokuphuma kwesisu.
• Ukuba uziva ubunzima obungaqhelekanga, uxinzelelo, okanye iqhubu kwilungu lobufazi bakho.

Musa ukuzityeshela ezi zinto. Ukufumana unyango kwangethuba kunokuthintela imeko ukuba ingabi mandundu.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, ungathandabuzi ukubuza imibuzo esengqondweni yakho. Umzekelo, ungabuza izinto ezinje:

• Kutheni ndiphuhlise le enterocele?
• Yeyiphi indlela yonyango engcono kum?
• Ngaba ndisengozini yokufumana ezinye iingxaki ngenxa yoku?
• Zeziphi iingxaki ekufuneka ndizixhalabise ngazo?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela yam yokuphila emva konyango?

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

Khumbula njengesishwankathelo (Umyalezo Wokuya Ekhaya)

I-Enterocele, okanye i-prolapse yamathumbu amancinci, yimeko edla ngokuvela kubafazi abasele beyekile ukuya exesheni kunye nabasetyhini abaye baba nabantwana abangaphezu komnye. Nangona kunjalo, abantu abaninzi abayi kuba nazimpawu kwaye basenokungadingi unyango.

Nangona kunjalo, ukuba uneempawu ezinje ngobunzima belungu lobufazi, uxinzelelo, okanye ubunzima bokuphuma kwendle, kungcono ukuthetha nogqirha ngayo. Ngokuqhelekileyo, iimpawu zinokulawulwa ngokusebenzisa i-pessary okanye ukwenza umthambo womgangatho we-pelvic njenge-Kegels. Utyando alufuneki rhoqo.

Eyona nto ibalulekileyo kukuqonda ukuba le ayisiyongxaki yakho kuphela kwaye ungoyiki ukucela uncedo. Ugqirha wakho uza kukunceda.

I- Enterocele, ukuhla kwamathumbu amancinci, ukuhla kwamalungu esinqe, isini, impilo yabasetyhini, ukuya exesheni, umthambo weKegel