Ngaba uziva ngathi amalungu akho esinqe awile? Masithethe ngePelvic Organ Prolapse (POP)!

Ngaba ngamanye amaxesha uziva ubunzima, uxinzelelo, okanye uzive ngathi kukho into ephuma kwilungu lobufazi bakho? Okanye ngaba uyawubona umahluko xa uchama okanye ukhupha indle? Ezi asizozinto onokuzityeshela nje. Namhlanje siza kuthetha ngemeko echaphazela abafazi abaninzi, kodwa ngamanye amaxesha bayayifihla kuba beneentloni. Oku kubizwa ngokuba yiPelvic Organ Prolapse (POP) .

Yintoni iPelvic Organ Prolapse (POP)? Masiyiqonde ngokulula!

Kulungile, masibone ukuba yintoni le. I-Pelvic Organ Prolapse , ngokulula, zizinto ezikwisinqe sakho se-pelvic, oko kukuthi, (iVagina) , (isibeleko) , (isinyi) , (i-Rectum) (izitho ezifana ne-anus) ezithotywayo kwiindawo zazo eziqhelekileyo. Khawucinge nje, ezi zitho zisesiswini sakho esisezantsi zibanjwe phezulu njengenethi. Le nethi yinto esiyibiza ngokuba yi-Pelvic Floor . Yenziwe zimisipha, ii-ligaments, kunye nezicubu. Le Pelvic Floor ifana ne-cradle ebamba la malungu phezulu ukusuka ngaphantsi.

Ngoku, ukuba ngesizathu esithile izihlunu kumgangatho we-pelvic ziba buthathaka, kuba ngathi i-mesh ikhululekile, kwaye amalungu azibambe azikwazi ukuhlala endaweni yazo. Kulapho la malungu eqala khona ukuwa, okanye i-vagina iqala ukuxhoma ecaleni. Le meko inokwenzeka ngezizathu ezifana nasemva kokubeleka okanye njengoko ukhula.

Kwiimeko ezincinci ze-POP, ilungu lisenokuphuma kancinci. Kodwa kwiimeko ezinzima ngakumbi, ilungu lisenokuphuma ngokupheleleyo kwilungu lobufazi, njengethumba. Abantu abanale meko badla ngokuchaza imvakalelo yokugcwala, uxinzelelo, okanye into ephuma kwilungu lobufazi. Iimpawu ezichanekileyo ozifumanayo kunye nobunzima bemeko ziya kugqiba ukuba loluphi uhlobo lwe-POP onayo.

Eyona nto ilungileyo kukuba, kukho unyango loku. Kukho unyango olungenalo utyando kunye nonyango lotyando. Ugqirha wakho uza kuvavanya imeko yakho aze axoxe nawe ukuba zeziphi iindlela zonyango ezikulungeleyo.

Ziziphi iintlobo ezahlukeneyo ze-POPs?

Uhlobo lwe-POP onayo luxhomekeke ekubeni buthathaka buphi na phantsi kwe-pelvic yakho, kwaye zeziphi izitho ezichaphazeleka bubuthathaka obo. Makhe sijonge ezinye zezona ntlobo ziphambili:

• Ukuqhekeka kodonga lwe-vaginal ngaphambili (I-Dropped Bladder / i-Cystocele): Oku kuxa izihlunu zomgangatho we-pelvic ezingaphezulu kwe-vaginal yakho zibuthathaka, nto leyo ebangela ukuba i-bladder yakho iwele phantsi ize iphume iye kwi-vaginal yakho. Oku kubizwa ngokuba yi-cystocele . Olu lolona hlobo luqhelekileyo lwe-POP olubonwa ngabantu abaninzi.
• I-Urethrocele: Oku kwenzeka ngenxa yobuthathaka bemisipha yomgangatho we-pelvic (urethra).Inye (urethra) iyehliswa. Rhoqo, xa isinyi sihlisiwe, i-urethra nayo inokwehliswa kunye nayo.
• Ukuqhekeka kodonga lwe-vaginal olungasemva (i-Rectocele): Apha, i-rectum iphuma isiya eludongeni olungasemva lwe-vaginal ngenxa yobuthathaka bemisipha yomgangatho we-pelvic phakathi kwe-vaginal kunye ne -rectum .
• I-Enterocele: Xa izihlunu ezikwisinqe se-pelvic zibuthathaka, amathumbu akho amancinci anokuphuma aye eludongeni olungasemva okanye kwinxalenye ephezulu yesini.
• Ukuqhekeka kwesibeleko (i-Dropped Uterus): Xa umgangatho we-pelvic ubuthathaka, isibeleko sinokuwela phantsi siye kwilungu lobufazi.
• Ukuqhekeka kwe-vaginal vault: Oku kuxhaphake kakhulu kubafazi abaye banqunyulwa i-hysterectomy. Xa izihlunu zomgangatho we-pelvic zibuthathaka, inxalenye engentla ye-vaginal (ebizwa ngokuba yi-vaginal vault) ingawela kwi-vaginal.

Ixhaphake kangakanani le meko? Ngaba le yinto yokuhlazeka?

Enyanisweni, izibalo zibonisa ukuba phakathi kwe-3% kunye ne-11% yabasetyhini baya kuba nale meko. Malunga ne-37% yabasetyhini abaneengxaki zomgangatho we-pelvic (kuquka ne-POP) baphakathi kweminyaka engama-60 kunye ne-79. Ngaphezulu kwesiqingatha bangaphezulu kwe-80. (Qaphela: "ngaphezulu kwesiqingatha" kwesi sivakalisi ligama lesiTamil. Lifanele libe "uninzi" okanye "ngaphezulu kwesiqingatha". Ndiza kuyilungisa loo nto.) ... ngaphezulu kwesiqingatha bangaphezulu kwe-80.

Kodwa kunzima ukutsho ngokuthe ngqo ukuba bangaphi abantu abachaphazelekileyo, kuba abantu abaninzi abafuni unyango ngenxa yoku. Abantu abaninzi abafuni unyango kuba beneentloni okanye beneentloni zokuthetha ngeengxaki zabo zesini. Kodwa eyona nto ibalulekileyo ekufuneka uyazi kukuba awuwedwa. Abantu abaninzi banamava alolu hlobo lwe-POPs.

Zithini iimpawu ze-POP?

Uphawu oluqhelekileyo kukuziva ngathi kukho into ephuma kwilungu lobufazi, njengebhola, okanye into ebambeke kuyo. Ukongeza, kunokubakho nezinye iimpawu ezifana nezi:

• Ukuziva uzele, ubunzima, okanye uxinzelelo ngaphakathi kwilungu lobufazi.
• Ukuziva uzele, uxinzelelo, okanye intlungu esiswini esisezantsi okanye kwindawo ye-pelvic.
• Ukuva iintlungu okanye ukungakhululeki ngexesha lokwabelana ngesondo (iDyspareunia) .
• Utshintsho kwindlela ochama ngayo nokhupha ngayo inkunkuma.

Iimpawu ozifumanayo ziya kuxhomekeka apho i-prolapse ivele khona. Ukuba unokuzichaza ngokucacileyo ezi mpawu kugqirha wakho, uya kukwazi ukubona ngcono apho umgangatho wakho we-pelvic ubuthathaka khona.

Abantu abaninzi baxelela oogqirha babo ngeempawu zabo kuphela xa benengxaki yokuchama okanye yokukhupha indle, okanye xa isondo siba buhlungu. Ezi ziphumo bezingalindelekanga ziqhelekile kwi-POPs. Ezi mpawu ziquka:

• Usenokuvuza kancinci ngengozi xa ukhohlela, uhleka, okanye uzilolonga.(Ukungakwazi ukuzibamba ngenxa yoxinzelelo).
• Ukuziva rhoqo ufuna ukuchama, okanye ukuziva ngathi isinyi sigcwele.
• Ukuqhinwa, okanye ukungakwazi ukulawula ukuhamba kwamathumbu.

Kutheni i-POP isenzeka? Zithini izizathu?

Zininzi izizathu zokuba umgangatho wakho we-pelvic unokuba buthathaka. Oku kwenzeka rhoqo xa izihlunu, imisipha, kunye nezicubu ezikwi -pelvic floor yakho zoluliwe kakhulu. Oku kunokwenzeka nokuba izihlunu azisebenzi kakuhle ngenxa yokungasetyenziswa.

Nayiphi na kwezi zinto zilandelayo inokunyusa umngcipheko wakho wokuba ne-POP:

• Ukubeleka kwisini: Le yeyona nto ibangela i-POP. Ukubeleka izihlandlo ezininzi kwisini, amawele okanye amawele amathathu, ukuba nomntwana omkhulu (i-Fetal Macrosomia) , kunye nokubeleka kusetyenziswa izixhobo ezifana ne -forceps okanye i-vacuum zonke ezi zinto zinokwenza buthathaka izihlunu zomgangatho we-pelvic . Khawucinge ukuba ingakanani ingcinezelo ebekwa kuloo ndawo ngexesha lokubeleka.
• Ukwaluphala: Njengoko sikhula, izihlunu zethu ziyaphelelwa ngamandla. Esinye sezizathu kukuncipha kwehomoni ye- estrogen . Xa udlula kwixesha lokuya exesheni, umzimba wakho uvelisa i-estrogen encinci. Oku kunokwenza buthathaka izicubu ezinxibelelanayo ezixhasa umgangatho wakho we-pelvic .
• Ukutyeba/Ukutyeba kakhulu: Izifundo zibonise ukuba abantu abatyebe kakhulu, oko kukuthi, abatyebe kakhulu, banamathuba amaninzi okufumana i-POP kunabo bakwizinga eliphilileyo lobunzima.
• Uxinzelelo olude kwisisu: Uxinzelelo oluqhubekayo kwimisipha yomgangatho we-pelvic lunokubangela ukuba buthathaka. Izinto ezifana nokuqunjelwa ixesha elide , ukukhohlela ixesha elide , kunye nokuphakamisa izinto ezinzima rhoqo kwandisa umngcipheko wokufumana i-POP.
• Imbali yosapho: Uphando lusaqhubeka malunga nokuba i-POP inefuthe kwimfuza na, kodwa kusenokwenzeka ukuba usenokuba uzuze ilifa lomgangatho we-pelvic obuthathaka.
• Izifo zezicubu ezidityanisiweyo: Abantu abaneemeko ezifana ne -Ehlers-Danlos syndrome , i-Marfan syndrome , okanye i-Joint Hypermobility Syndrome basengozini yokuhlaselwa yi-POP.

Ziziphi iingxaki ezinokubakho ze-POP?

I-Pelvic Organ Prolapse yimeko engathandekiyo enokuchaphazela umgangatho wobomi bakho. Ukongeza ekulahlekelweni kulawulo lwesinyi sakho kunye namathumbu, nazi ezinye iingxaki ezinokubakho ngenxa ye-POP:

• Iintsholongwane: Ukuba awukwazi ukuchama kakuhle ngenxa yokuwa, umchamo wakho unokubuyela kwi-urethra okanye kwizintso. Oku kunokubangela izifo zomchamo (UTIs).(usulelo lomchamo) okanye usulelo lwezintso lunokubakho.
• Ukonakala Kwezintso: Kwiimeko ezinzima, usulelo oluhlala ixesha elide kunye nokuvaleka komchamo kunokubangela umonakalo kwizintso.
• Uxinzelelo lweemvakalelo: I-POP inokuphazamisa ubomi bakho bemihla ngemihla kwaye ichaphazele impilo-ntle yakho yengqondo. Usenokuziva uneentloni ukuthetha ngayo, nto leyo enokubangela uxinzelelo olongezelelekileyo.

Ugqirha uyixilonga njani i-POP?

Xa ubona ugqirha, baza kuqala bakubuze ngeempawu zakho baze emva koko benze uvavanyo lwe-pelvic . Ngeli xesha lovavanyo, ugqirha angakucela ukuba ukhohlele, kwaye banokujonga ukuba unesifo sokuwa xa uphumle kwaye xa uzibhokoxa. Banokukuhlola ngelixa ulele phantsi okanye umi ngeenyawo. Kwiimeko ezininzi, uvavanyo lwe-pelvic lunokunceda ekuqinisekiseni ukuba unayo na i-POP.

Ukongeza, ezi mvavanyo zilandelayo zinokwenziwa:

• Uvavanyo lokusebenza komgangatho we-pelvic: Olu vavanyo luvumela ugqirha wakho ukuba abone ukuba ziqine kangakanani izihlunu kunye nemisipha ekumgangatho we-pelvic yakho. Oku kunokubandakanya ukwenza iintshukumo ezithile, ukuqinisa kunye nokukhulula izihlunu, njl.
• Uvavanyo lokusebenza kwesinyi: Olu vavanyo lunokunceda ukujonga iingxaki zomchamo eziqhelekileyo kwi-POP. Oku kungabandakanya uvavanyo olubizwa ngokuba yi-cystoscopy , apho ugqirha ejonga ngaphakathi kwesinyi sakho nakwi-urethra. Banokwenza uvavanyo lwe-urodynamics ukubona ukuba isinyi sakho kunye ne-urethra yakho zibamba kwaye zikhupha umchamo kakuhle kangakanani.
• Iinkqubo zokuthatha imifanekiso: Ezi mvavanyo zinokujonga ngaphakathi kwi-pelvic cavity yakho. Ugqirha wakho unokuyalela i-ultrasound okanye i-MRI yomgangatho we-pelvic ukuze kuchongwe ubungakanani obuchanekileyo be-prolapse yakho. Nangona kunjalo, ezi mvavanyo zokuthatha imifanekiso zihlala zisetyenziswa kuphela kwiimeko ezinzima ngakumbi.

Ngaba kukho izigaba ze-POP?

Ewe, ikho indlela yokwahlulahlula i-POP. Ibizwa ngokuba yinkqubo yePelvic Organ Prolapse Quantification (POP-Q) . Ihlela amalungu akho esinqeni ngokusekelwe ekubeni ehle kangakanani xa kuthelekiswa ne -hymen yakho (i-membrane ejikeleze umngxuma welungu lobufazi bakho).

Esi sikali siqala kwi-zero ukuya kwi-4:

• Isigaba seZero: Oku kuthetha ukuba amalungu akho omzimba awashukumi nangayiphi na indlela.
• Inqanaba Lokuqala: I-prolapse incinci. Ipenisi ingaphezulu kwesentimitha enye ngaphezu kwe-hymen yakho.
• Inqanaba lesiBini: Kweli nqanaba, i-prolapse iphakathi. Isitho singaphantsi kwe-1 sentimitha ukusuka kwi -hymen (oko kukuthi, i-hymen(1 cm ukusuka phezulu ukuya ezantsi).
• Inqanaba lesithathu: Kweli nqanaba, i-prolapse inzima. Isitho singaphezulu kwe-1 sentimitha ngaphantsi kwe-hymen , kodwa i-prolapse ayikaphumi ngokupheleleyo kwilungu lobufazi.
• Inqanaba lesine: Oku kuthetha ukuba une-prolapse epheleleyo. I-prolapse epheleleyo lolona hlobo lunzima kakhulu. Kwimeko enjalo, ilungu eliphumayo liphume ngokupheleleyo kwilungu lobufazi.

Cinga ngayo, usenokuba nezigaba ezahlukeneyo ze-POP kwizitho ezahlukeneyo ngaxeshanye. Umzekelo, usenokuba nesigaba sesithathu se-bladder prolapse kunye nesigaba sokuqala se-uterine prolapse.

Ziziphi iindlela zonyango ze-POP?

Isicwangciso sonyango osifumanayo siya kuxhomekeka ekubeni i-prolapse inzima kangakanani, ikwindawo enjani, kwaye iimpawu zakho zikuchaphazela kangakanani. Kukho unyango olungelulo utyando nolwenziweyo. Umzekelo, ukuba i-prolapse incinci kwaye ayikukhathazi kakhulu, usenokungadingi unyango. Ugqirha wakho uza kuxoxa nawe ngazo zonke ezi ndlela zonyango aze akuncede ugqibe ukuba loluphi olulungele wena.

Unyango olungelulo utyando

Unyango olungelulo utyando lugxila kakhulu ekukuncedeni ukulawula iimpawu zakho kunye nokuphucula umgangatho wobomi bakho. Ngokuxhomekeke kubukhali bemeko yakho, iziphumo zolu nyango zisenokungabi zezokuhlala zihleli. Nangona kunjalo, abantu abaninzi bakhetha iindlela ezingezizo zotyando okanye bagqibe kwelokuba le ndlela ilungele bona.

Unyango lwe-POP olungelulo utyando luquka:

• I-Vaginal Pessary: ​​Esi sisixhobo esisuswayo esenziwe nge-silicone. Ugqirha angasifaka kwisini sakho aze asibambe endaweni apho kukho isitho esisezantsi. Sifana nenkxaso encinci yeso sitho.
• Ukuzilolonga phantsi kwepelvic (ukuzivocavoca kweKegel): Le yimithambo eqinisa umgangatho wakho wepelvic . Ugqirha wakho angakuthumela kwingcali yomgangatho wepelvic ( Urogynecologist ), enokuvavanya amandla emisipha yakho nganye kwaye ayinike umthambo othile wokuqinisa loo misipha. Kubaluleke kakhulu ukwenza oku (ukuzivocavoca kweKegel) ngokuchanekileyo.

Unyango lotyando

Ukuba iimpawu zakho aziphucuki ngonyango oluqhelekileyo, okanye ukuba ugqirha wakho ucinga ukuba utyando luya kuphucula umgangatho wobomi bakho, ngoko utyando lunokuba lukhetho. Nangona kunjalo , kubalulekile ukuxoxa ngeengozi kunye neenzuzo zotyando nogqirha wakho.

Kukho iindlela ezahlukeneyo ugqirha anokuzikhetha ukulungisa imeko ye-POP. Kukho iintlobo ezimbini eziphambili zotyando: utyando olungasebenziyo kunye notyando oluHlaziyiweyo.(Utyando lokwakha ngokutsha).

Utyando oluthintelayo lubandakanya ukucuthwa komngxuma welungu lobufazi lakho. Oku kuya kuyithintela ilungu lobufazi ukuba lingaphumi. Nangona kunjalo, oku kunokubangela ukuba ungabi nakho ukwabelana ngesondo ngelungu lobufazi.

• I-Colpocleisis lutyando olutshabalalisayo . Lufinyeza i-vagina. Luthintela naziphi na izitho ukuba zingaphumi emzimbeni. Olu lukhetho olufanelekileyo ukuba awunamandla ngokwaneleyo emzimbeni ukuba wenze utyando lokwakha kwakhona , kwaye ukuba awusafuni ukulala ngesondo nge-vagina.

Utyando lokuvuselela umzimba lubandakanya ukulungisa iindawo ezibuthathaka zomgangatho wakho we-pelvic kunye nokubuyisela amalungu omzimba kwindawo yawo eqhelekileyo.

• I-Sacrocolpopexy yinkqubo yotyando esetyenziselwa ukunyanga i-uterine prolapse kunye ne-vault prolapse ye-vaginal vault . Ibandakanya ukusebenzisa i- mesh (uhlobo lwe-mesh) ukudibanisa i-vagina yakho kwi-ligament esezantsi komqolo wakho. Oku kudla ngokwenziwa nge-laparoscopically (utyando lwe-keyhole) ngokusebenzisa imingxunya embalwa esiswini sakho.
• Inkqubo ebizwa ngokuba yi-sacrohysteropexy ikwasetyenziselwa ukunyanga ukubola kwesibeleko. Ugqirha wakho uza kuncamathisela i- mesh yotyando kumlomo wesibeleko nakwilungu lobufazi, aze ayincamathisele emqolo wakho ongezantsi. Oku kuya kunyusa isibeleko siye apho sikhoyo.
• I-Colporrhaphy yinkqubo yotyando yokunyanga ukubola kodonga lwe-vaginal ngaphambili okanye emva . Le nkqubo yenziwa nge-vaginal yakho. Ugqirha uza kuqinisa udonga lwe-vaginal yakho ngezititshi ezinyibilikayo, eziza kubonelela ngenkxaso engcono kwisinyi sakho kunye ne-rectum.
• Ukulungiswa kwe-Uterosacral okanye i-sacrospinous ligament yinkqubo esebenzisa izicubu zakho ukunyanga isibeleko esiphumileyo okanye i-vault yesibeleko . Le nkqubo yenziwa nakwi-vagina (efana ne -colporrhaphy ). Kule nkqubo, ugqirha unamathelisa inxalenye ephezulu yesibeleko sakho kwi-ligament okanye kwimisipha ekwi-pelvic cavity yakho nge-sutures enyibilikayo. Olu hlobo lotyando ngamanye amaxesha lubizwa ngokuba yi-native tissue repair .

Kunini apho kufuneka khona utyando?

Akukho nqanaba lithile apho kufuneka khona utyando ukuze kunyangwe i-POP. Kuxhomekeke kwizinto ezifana nendlela iimpawu zakho ezichaphazela ngayo ubomi bakho kunye nokuba uceba ukuba nabantwana abaninzi na. Nangona kunjalo, ngokubanzi, ukuba unenqanaba lesithathu okanye lesine lokuncipha kwenqanaba, utyando lunokwenzeka ukuba lufuneke.

Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngazo zonke iindlela zonyango. Fumana umbono olungileyo wokuba uza kucebisa na utyando okanye kufuneka uzame iindlela ezingezizo ezotyando kuqala.

Ngaba unyango lwe-POP luyaphola ngokupheleleyo? Ngaba oko kuncitshisiweyo kungabuyiselwa phezulu?

Ewe, le meko inokuguqulwa ngonyango. Kwiimeko ezincinci ze-POP, unokuqinisa izihlunu zakho ukuze zikwazi ukubamba amalungu akho kwiindawo zawo ezifanelekileyo. Utyando lokuvuselela luqinisa ubuthathaka kwiindonga zakho ze-pelvic ukuze amalungu akho abuyele kwiindawo zawo zokuqala.

Kwiimeko ezinzima ngakumbi, kunokufuneka utyhale ilungu eliphumayo libuyele ngaphakathi, ingakumbi xa uphuma isisu okanye uchama. Nangona kunjalo, esi sisisombululo sexeshana nje. Ukuba ukuhla kwesitho sakho se-pelvic kukhulu kangaka, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze ufumane unyango.

Yintoni esinokuyenza ukuthintela ukwakheka kwe-POP?

Zininzi izinto ezinokubangela uphuhliso lwe-POP esingenakuzilawula. Nangona kunjalo, ungayinciphisa le ngozi ngokwamkela imikhwa ethile yempilo.

• Yenza umthambo womgangatho we-pelvic yonke imihla (uqheliso lweKegel): Ukulawula izihlunu emgangathweni we-pelvic kunika inkxaso enamandla kumalungu akho omzimba.
• Gcina ubunzima obusempilweni: Thetha nogqirha wakho malunga nokuba ubunzima obusempilweni buyintoni kuwe.
• Khusela ukuqhina: Ukuqhina ixesha elide kunokubangela uxinzelelo olungeyomfuneko kwimisipha yakho yomgangatho we-pelvic . Ukutya ukutya okune-fiber eninzi kunye nokusela amanzi amaninzi kunokunceda ekuthinteleni ukuqhina.
• Musa ukutshaya: Ukutshaya kunokubangela ukukhwehlela okungapheliyo. Oku kunokubangela uxinzelelo olungeyomfuneko kwisisu sakho kwaye kunokubangela uxinzelelo kwimisipha yakho yomgangatho we-pelvic .
• Khusela umgangatho wakho we-pelvic xa uphakamisa: Cela uncedo xa uphakamisa izinto ezinzima. Xa uphakamisa wedwa, qutha ugobile izinqe namadolo kwaye umqolo wakho uthe tye kangangoko unako. Musa ukujika umzimba wakho xa uphakamisa. Ukuma kakuhle komzimba kunokunceda ukuthintela ukwenzakala komqolo wakho ongezantsi kwaye kukhusele umgangatho wakho we-pelvic .

Yintoni omawuyilindele xa uphila nesifo se-POP?

Imbono yakho ixhomekeke kwizinto ezininzi. Ezi ziquka apho ithumba likhona, ukuba libi kangakanani, zithini iimpawu zakho, kunye neendlela zonyango onazo. Cinga ngononophelo malunga noko ukulindeleyo kunyango. Thetha nogqirha wakho malunga neenzuzo kunye neengxaki zokhetho ngalunye lonyango. Xoxa ngendlela unyango olunokukunceda ngayo uphile ubomi obutofotofo ngakumbi.

Into ekufuneka uyikhumbule kukuba iPelvic Organ Prolapse iyanyangeka, kwaye akufuneki uhlale nale ntlungu. Cela uncedo kugqirha wakho uze umvumele athethe nawe malunga neendlela onokukhetha kuzo. Uninzi lwabantu abanePelvic Organ Prolapse bafumana isiqabu kwiimpawu zabo ngonyango.

Ndifanele ndibonane nogqirha nini?

Bona ugqirha ukuba uneempawu zokuwa komgangatho we-pelvic . Iimpawu zingabandakanya:

• Ukuba uziva uxinezelekile okanye ugcwele kwindawo yakho yesinqe.
• Ukuba uziva ungakhululekanga ngexesha lokwabelana ngesondo.
• Ukuba kuvakala ngathi kukho into ephuma kwilungu lobufazi.
• Ukuba awukwazi ukulawula ukuhamba kwakho kwamathumbu okanye unesifo sokuqhinwa.
• Ukuba uvuza umchamo (ungaqondi), okanye ukuba uziva ngathi kufuneka uchame rhoqo.

Ukuwa kwesitho sangasese sowesifazane akusongeli ubomi, kodwa akuyonto omele uyamkele njengenxalenye yobomi. Kunokubangela iimpawu ezinokukuthintela ukuba uphile ubomi bakho obuhle kwaye wenze izinto ozithandayo. Yazi ukuba awuwedwa, kwaye ukungasebenzi kakuhle kwesitho sangasese somfazi kuxhaphake kakhulu phakathi kwabasetyhini. Ukuba ukrokrela ukuba une- pelvic floor ebuthathaka, ungabi nazintloni zokuthetha nogqirha wakho. Banokucebisa unyango, izixhobo zonyango, kwanotshintsho kwindlela yokuphila olunokulungisa i-prolapse kwaye luphucule umgangatho wobomi bakho.

Okokugqibela, kufuneka ndikuxelele (Umyalezo Wokuya Ekhaya)

Ngoko ke, nangona iPelvic Organ Prolapse (POP) yimeko enokuchaphazela abafazi kwaye inokuba yingxaki kancinci, ngokuqinisekileyo kufuneka ukhumbule ukuba kukho unyango olusebenzayo lokuyinyanga.

• Musa ukuba neentloni: Ukuba unale mpawu, musa ukuba neentloni okanye ungoyiki ukuthetha nogqirha ngazo. Le yinto eyenzeka kubantu abaninzi.
• Yazi izizathu: Kubalulekile ukuzazi izinto ezibangela ukuba kubekho i-POP (ezifana nokuzala, ukwaluphala, ukutyeba).
• Ukuthintela kubalulekile: Ukwenza umthambo weKegel , ukugcina ubunzima obusempilweni, kunye nokuphepha ukuqhina kwesisu kunokunciphisa umngcipheko wale meko.
• Kukho iindlela zonyango ezahlukeneyo: Kukho iindlela ezahlukeneyo zonyango, ukusuka kunyango olungelulo utyando (i-pessary, imithambo) ukuya kutyando, kuxhomekeke kwimeko yakho.
• Funa ingcebiso kagqirha: Ukuze ufumane ukuba loluphi unyango olukulungeleyo, qiniseka ukuba ubona ugqirha kwaye ufumane ingcebiso.

Lumka umzimba wakho. Ukuba uziva naluphi na utshintsho okanye ukungakhululeki, bubulumko ukufuna ingcebiso kagqirha ngaphandle kokuyityeshela.

Ukuqhekeka kwamalungu esinqe , i-POP, impilo yabasetyhini, ukuqhekeka kwesibeleko, ukuqhekeka kwesinyi, umthambo womgangatho we-pelvic, umthambo weKegel