Ngaba uvakalelwa ngathi kukho iqamza elingaqhelekanga kwilungu lobufazi? Masithethe ngeRectocele!

Njengabafazi, sihlala sineengxaki zempilo ezinzima okanye ezibangela iintloni ukuthetha ngazo. Umxholo esiza kuthetha ngawo namhlanje usenokuba ngomnye wazo. Ngaba ngamanye amaxesha uziva ubunzima obungaqhelekanga, ukugcwala, okanye imvakalelo efana neqamza ephuma kwisini sakho? Ngaba uziva ngathi isisu sakho asikakhuphi ngokupheleleyo emva kokuya kwindlu yangasese? Eli nqaku liza kuba libaluleke kakhulu kuwe. Ungoyiki, masithethe ngale nto ngokukhululekileyo.

Kalula nje, yintoni iRectocele?

Kulungile, masiyibeke ngokulula le nto. I-Rectocele yimeko apho izihlunu kunye nezicubu eziphakathi kwe-rectum yakho (isiphelo samathumbu akho amakhulu) kunye ne-vagina yakho ziba buthathaka, nto leyo ebangela ukuba inxalenye ye-rectum yakho iphume ngodonga olungasemva lwe-vagina yakho. Ifana nendawo ebuthathaka eludongeni oluphakathi kwamagumbi amabini kwaye ivuvukala. Oku kukwabizwa ngokuba yi-posterior vagina wall prolapse.

Ngokwesiqhelo, izihlunu ezikwi-pelvic floor yethu zibamba amalungu ethu afana nesibeleko, isinyi, i-vagina, kunye ne-rectum endaweni yazo. Kufana nenethi ebamba la malungu phezulu. Ekuhambeni kwexesha, xa la malungu ebuthathaka ngenxa yezinto ezifana nokuzala, la malungu aqala ukuwa aze awele phezu komnye nomnye. Le meko idla ngokubizwa ngokuba yi -Pelvic Organ Prolapse (POP) . I-Rectocele lolunye uhlobo lwe-POP condition.

Esi asisosifo esisongela ubomi. Nangona kunjalo, sinokuba yingxaki enkulu kunye nokucaphukisa kubomi bemihla ngemihla. Kodwa eyona nto ilungileyo kukuba kukho unyango olusebenzayo loku.

Ziziphi iimpawu onokuzifumana xa une-rectocele?

Ayingabo bonke abantu abafumana iimpawu. Ngamanye amaxesha usenokungaziva ungonwabanga nokuba unale meko. Kodwa ukuba iimpawu ziyenzeka, ziba yingxaki kwaye ziphazamisa kunokuba zibe yintlungu.

Jonga itheyibhile engezantsi ukuze ubone ukuba unazo na ezi mpawu.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ungabi nazintloni uze udibane nogqirha wosapho lwakho okanye ingcali yezifo zabesifazane ukuze nithethe ngayo.

Kutheni oku kusenzeka? Zithini izinto ezikuchaphazelayo?

Isizathu esiphambili soku kukuba buthathaka kwemisipha yomgangatho we-pelvic esixoxe ngayo ngaphambili. Kukho izizathu ezininzi zokuba ezi misipha zibe buthathaka.

• Ukukhulelwa okuphindaphindiweyo kunye nokuzala:Xa unabantwana abaninzi, ingakumbi abangaphezu kwesihlanu, izihlunu zakho ze-pelvic ziyawohloka kancinci kancinci. Esi sesinye sezizathu zokuba ezi meko zazixhaphakile ngemihla yoomama noomakhulu bethu.
• Ukubeleka kwilungu lobufazi: Kukho umngcipheko omkhulu wokonakala okanye ubuthathaka kwezi zihlunu ngexesha lokubeleka kwilungu lobufazi. Oku kuyinyani ngakumbi ukuba kusetyenziswe i-forceps okanye i-vacuum ukuzala umntwana, ukuba ilungu lobufazi likrazukile, okanye ukuba kwenziwe i-episiotomy (ukusika phakathi kwelungu lobufazi kunye ne-anus).
• Ukwaluphala: Njengazo zonke izihlunu emzimbeni wethu, ezi zihlunu ngokwemvelo ziyathamba njengoko sikhula. Utshintsho lweehomoni emva kokuya exesheni lunokubangela ukuba ezi zihlunu ziphelelwe bukuqina.
• Ukutyeba kakhulu: Njengoko utyeba kakhulu, ubunzima obongezelelweyo bubeka uxinzelelo olukhulu kwimisipha yakho yomgangatho we-pelvic, nto leyo enokuyenza buthathaka.
• Ukuqhina okungapheliyo: Ukuzibhokoxa rhoqo ukuze uphume ebhedini kubeka uxinzelelo olukhulu kwimisipha yomgangatho we-pelvic. Ukuzibhokoxa ngokuhamba kwexesha yeyona nto ibangela ukuba le misipha ibe buthathaka.

Ukongeza kwezi zizathu ziphambili, ukuba nesifo esifana nokukhwehlela okungapheliyo okanye i-bronchitis, okanye ukuphakamisa iintsimbi rhoqo nako kunokunyusa le ngozi.

Ugqirha uyazi njani ukuba oku kunjalo?

Ugqirha wezifo zabesifazane unokuhlala efumanisa le meko ngokubuza ngeempawu zakho aze enze uvavanyo lomzimba.

• Uvavanyo lwe-pelvic: Ugqirha uza kuhlola i-vagina yakho ukuze abone ukuba akukho prolapse na. Banokuvavanya namandla emisipha ye-pelvic yakho.
• Ukuxelela izihlunu ukuba ziqine: Ungaziqinisa izihlunu ze-pelvic, ngokungathi umisa ukuhamba komchamo, uze uzixelele ukuba ziphumle kwakhona.
• Ukucela ukutyhalwa: Ungacela ukutyhalwa ngokucinezela isisu ngokungathi ukhupha isisu. Oku kuya kwenza ukuba ukwehla kwamathumbu kubonakale ngakumbi.

Emva kolu vavanyo, ugqirha wakho angakunika `inqanaba` okanye `inqanaba` ngokuxhomekeke kubunzima beRectocele yakho.

Kunqabile kakhulu, unokucelwa ukuba wenze i-ultrasound ye-transvaginal ukuze ujonge amathumbu amancinci awileyo (i-enterocele). Ungacetyiswa nokuba wenze uvavanyo olukhethekileyo lwe-X-ray okanye lwe-MRI olubizwa ngokuba yi-defecography ukuze ujonge utshintsho kwi-rectum yakho ngexesha lokuhamba kwamathumbu.

Zithini iindlela zonyango zoku?

Unyango loku luxhomekeke kubukhali beempawu zakho. Unyango olungelulo utyando ludla ngokuvavanywa kuqala.

Ulawulo olungelulo utyando

• Ukuzilolonga phantsi kwePelvic: Ezi zizinto esizibiza ngokuba ziiKegels(Uqheliso lweKegel). Olu qheliso lunokunceda ekuqiniseni izihlunu ezibuthathaka. Kungcono ukufunda ngqo indlela yokwenza olu qheliso kwingcali ye-physiotherapist efumene uqeqesho olukhethekileyo kweli candelo.
• Ukuthintela ukuqhina: Kubaluleke kakhulu ukunciphisa ukuqhina. Ukuze wenze oku, ugqirha wakho uya kukuxelela ukuba utye ukutya okuninzi okunefayibha (iimbotyi, imifuno eluhlaza, ibroccoli, iibhanana, irayisi emdaka) kwaye usele amanzi amaninzi imini yonke. Usenokucebisa nesithambisi sendle.
• I-Vaginal Pessary: ​​Esi sisixhobo esisuswayo esinokufakwa kwisini. Sixhasa amalungu angaphantsi. Kukho iintlobo ezahlukeneyo ze-'pessaries' onokuthi uzifake kwaye uzisuse xa kufuneka.

Utyando

Ukuba unyango olulula olungasentla aluzincedi iimpawu zakho, okanye ukuba iintlungu zakho zomqolo zinzima, utyando lolona khetho lulandelayo. Ugqirha wakho uza kuxoxa nawe ngale nto ilandelayo ngaphambi kokuba agqibe ekubeni loluphi utyando olukufaneleyo:

• Ubudala bakho kunye nempilo yakho iyonke.
• Ubunzima bokwehla.
• Ngaba ulindele abantwana abaninzi kwixesha elizayo?
• Nokuba ufuna ukuqhubeka nokwenza isondo ngesini (kuba ezinye iindlela zotyando, ezifana ne-'colpocleisis', ziyayivala isini).

Olona tyando luqhelekileyo lwe-rectocele yi- posterior colporrhaphy . Kule nkqubo, ugqirha ohlinzayo ususa izicwili ezonakeleyo nezibuthathaka aze athunge izicwili eziphilileyo kunye. Oku kudala inkxaso entsha neyomeleleyo. Ngenxa yokuba olu tyando ludla ngokwenziwa ngelungu lobufazi, akukho silonda sibonakalayo.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Xa undwendwela ugqirha, ungafumanisa kuluncedo ukubuza le mibuzo ilandelayo:

• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo ukuze ndinciphise iimpawu zam?
• Ndingayithintela njani le meko yeRectocele ukuba ingabi mandundu?
• Ndingenza ntoni ukuthintela ezinye iinxalenye ze-pelvic prolapse?
• Ungandicebisa ukuba ndityandwe? Ukuba kunjalo, zithini iingozi?
• Ingakanani izinga lempumelelo yohlobo lotyando olucebisayo?
• Ngaba olu nyango luza kuchaphazela ubomi bam besondo okanye amandla am okukhulelwa?

Eminye imibuzo embalwa abantu abaninzi abanayo

Kuza kwenzeka ntoni ukuba ayinyangwa?

Ukuba ayinyangwa kwaye ingatshintshwanga indlela yokuphila, iRectocele inokuba mandundu ngokuhamba kwexesha. Iimpawu zinokuba mandundu kwaye zichaphazele ubomi bemihla ngemihla nangakumbi.

Ngaba oku kungathintelwa ukuba kwenzeke?

Kusenokungabi lula ukuyithintela ngokupheleleyo. Kodwa zininzi izinto onokuzenza ukunciphisa umngcipheko wakho. Ukwenza umthambo weKegel rhoqo, ukuphepha ukuqhinwa (ukutya ukutya okunefayibha eninzi kunye nokusela amanzi amaninzi), kunye nokulawula ubunzima bakho zezona zinto zilungileyo onokuzenza.

Ngaba isitulo singanamathela ngaphakathi kwi-rectocele?

Ewe, kunokwenzeka. Ukuba i-prolapse inzima, indle inokunamathela ngaphakathi kwingxowa eyenzekileyo. Emva koko indle ayizukuphuma lula.

Kulapho kufuneka "uqinise" (uqinise ngomnwe wakho). Ukuba wenza oku, kubaluleke kakhulu ukuhlamba izandla zakho kakuhle ngesepha namanzi ngaphambi kokufaka umnwe wakho kwilungu lobufazi. Kungenjalo, unokufumana iintsholongwane. Ukuba kufuneka ukhululeke ngale ndlela, qiniseka ukuba uthetha nogqirha wakho ngayo kwaye ufumane unyango.

Ngaba iRectocele yiHernia?

Oku kufana ne-hernia. Oko kukuthi, i-rectum iphuma iye kwi-vagina (i-herniates). Nangona kunjalo, ngokwezonyango, i-Rectocele ayibalwa njenge-hernia, kodwa njengohlobo lwe-pelvic organ prolapse.

Kuqhelekile ukuba neentloni kwaye uzive uneentloni ngale meko. Kodwa khumbula, awuwedwa. Kukho unyango olufanelekileyo loku. Okufuneka ukwenze kukuthetha nogqirha ngayo. Abantu abaninzi banokuyilawula ngonyango lomzimba kunye notshintsho kwindlela yokuphila. Ukuba imeko imbi kakhulu, utyando lunokuba lunyango olupheleleyo.