Ngaba nawe unayo le ngxaki? Makhe sithethe ngeRectocele!

Ngaba ngamanye amaxesha uziva ubunzima okanye ukugcwala kwisini sakho? Okanye uziva ngathi unobunzima bokuphuma ebhedini okanye awukagqibi ngokupheleleyo? Ezi zinokuba ziimpawu zemeko efunyanwa ngabafazi abaninzi ngamanye amaxesha, kodwa abafuni ukuthetha ngayo. Namhlanje sithetha ngemeko ebizwa ngokuba yiRectocele, ebangela ukungonwabi okunjalo.

Yintoni iRectocele? Masifumanise ngokulula!

Ngamafutshane, i-rectocele yimeko apho izicubu eziphakathi kwe-rectum yakho kunye ne-vagina ziba buthathaka, nto leyo ebangela ukuba i-rectum iphume iye eludongeni olungasemva lwe-vagina yakho. Oku ngamanye amaxesha kubizwa ngokuba yi-posterior vaginal wall prolapse. Cinga ngayo, kukho inkqubo enamandla yemisipha enceda ukugcina amalungu angaphakathi kwesisu sakho, njengesibeleko sakho, isinyi, kunye ne-rectum, kwindawo yawo efanelekileyo. Oku sikubiza ngokuba ngumgangatho we-pelvic . Kufana nomgangatho wendlu. Ngoko ke, xa ezi zihlunu zomgangatho we-pelvic zibuthathaka, la malungu aqala ukugoba aze ajikeleze.

I-Rectocele luhlobo lwe -pelvic organ prolapse (POP) . Ihlala isenzeka kunye nezinye iimeko ze-pelvic organ prolapse, ezifana ne-uterine prolapse okanye i-bladder ewileyo. Ayisongeli ubomi, kodwa inokuphazamisa ubomi bakho bemihla ngemihla, okanye umgangatho wobomi. Iindaba ezimnandi zezokuba kukho iindlela ezahlukeneyo zonyango ezikhoyo .

Zithini iimpawu ze-rectocele?

Ayingabo bonke abantu abane-rectocele abaya kuba neempawu ezinkulu, kodwa abanye abantu banokufumana ezi mpawu zilandelayo:

• Usenokuziva ukudumba okuthambileyo eludongeni olungasemva lwelungu lakho lobufazi. Ngamanye amaxesha unokuziva oku nawe.
• Nokuba emva kokukhupha indle, uziva ngathi i-rectum yakho ayikaphumi ngokupheleleyo. Kuvakala ngathi kusekho okunye okuncinci.
• Ukuze uphume ebhedini, kufuneka ucinezele ukuvulwa kwesisu sakho ngeminwe yakho. Oku kubizwa ngokuba yi -'splinting' . Akukhululeki kancinci, kodwa abanye abantu kufuneka bakwenze oko.
• Ukungakwazi ukuzibamba yindle kukuvuza kwendle ngokungazikhetheliyo. Oku kunokuba yinto engathandekiyo kakhulu.
• Ukuziva ukhululekile kwaye ungabi nakuqina kwizihlunu zesini.
• Intlungu ngexesha lokwabelana ngesondo (i-dyspareunia).
• Ukuziva uxinezelekile okanye ukugcwala kwi-rectum okanye kwi-vaginal, ngokungathi kukho into ebambekileyo.
• Ungxamiseko lwendle kukufuna ngequbuliso ukuya ngasese amaxesha amaninzi ngemini.

Ezi mpawu zihlala zibangela ingxaki kunokuba zibe yintlungu. Nangona kunjalo, ukuba ucinga ukuba unayo, kungcono ukuthetha nogqirha wakho wezifo zabesifazane okanye umboneleli wakho wezempilo oyintloko.

Kutheni iRectocele isenzeka? Zithini izizathu?

Eyona sizathu sokuba ne-rectocele, njengoko benditshilo ngaphambili, kukuba buthathaka kwemisipha yakho yomgangatho we-pelvic. Kukho izinto ezininzi ezinokuchaphazela oku. Jonga ukuba kukho na enye kwezi isebenzayo kuwe:

• Ukukhulelwa rhoqo kunye nokuzala: Ukuba nabantwana abaninzi, ingakumbi abangaphezu kwesihlanu (ukulingana okuphezulu), kunokwenza buthathaka izihlunu zomgangatho we-pelvic ngokuhamba kwexesha.
• Ukubeleka kwesini: Ngexesha lokubeleka eliqhelekileyo, kukho umngcipheko wokonakala okanye ukuba buthathaka komgangatho wesinqe. Lo mngcipheko uphezulu ngakumbi ukuba umntwana ubelekwe kusetyenziswa i-forceps, i-vacuum delivery, i-vaginal krazuke, okanye i-episiotomy, oku kukusika okuncinci okwenziwe kwisini ukuze kube mkhulu.
• Ukwaluphala: Njengazo zonke izihlunu emizimbeni yethu, umgangatho we-pelvic uba buthathaka ngokuhamba kwexesha. Ingakumbi ngotshintsho lweehomoni emva kokuya exesheni, izihlunu ezikule ndawo zinokungaqini kangako.
• Ukutyeba kakhulu: Njengoko ubunzima bomzimba busanda, kubeka nje uxinzelelo olongezelelekileyo kwimisipha yomgangatho we-pelvic.
• Ukuqunjelwa okungapheliyo: Ukuzibhokoxa rhoqo ukuze uphume isisu kubeka uxinzelelo olukhulu kwimisipha yomgangatho we-pelvic. Cinga ngako njengokuphakamisa ubunzima obunzima ngalo lonke ixesha.

Kubalulekile: Ukongeza koku, ukukhwehlela okungapheliyo, iimeko ezifana ne-bronchitis, okanye ukuphakamisa izinto ezinzima rhoqo nako kunokuchaphazela oku.

Oogqirha bayibona njani le nto?

Iingcali zezifo zabesifazane zihlala zifumanisa le meko ngokubuza ngeempawu zakho nokwenza uvavanyo lwe-pelvic . Zingajonga nokuba akukho nakuphi na ukurhawuzelelwa ngaphakathi kwilungu lobufazi kunye namandla emisipha yakho yomgangatho we-pelvic.

Khawucinge nje, ugqirha ukuxelela ukuba uqinise kwaye uphumze izihlunu zakho zomgangatho we-pelvic ngokungathi ubambe umchamo. Okanye, ukuxelela ukuba ubeke uxinzelelo esiswini sakho ngokungathi usebenzisa intshukumo yokuhambisa isisu. Ukuba wenza oku, uya kuyibona ngokucacileyo i-prolapse.

Emva kolu vavanyo lwe-pelvic, ugqirha angasebenzisa isikali sokulinganisa okanye sokulinganisa ukwahlula i-rectocele, kuxhomekeke kubukhali bayo, oko kukuthi, ukuba ihambe kangakanani.

Kwiimeko ezingaqhelekanga, unokucelwa ukuba wenze i-ultrasound ye-transvaginal ukuze ujonge ukuba amathumbu amancinci awileyo (i-enterocele). Ungacelwa nokuba wenze i-X-ray ekhethekileyo, enokubonisa utshintsho kwi-rectum yakho xa unentshukumo yamathumbu.Uvavanyo lwe-MRI olubizwa ngokuba yi-defecography nalo lunokwenziwa. Oku kunokunceda ekuqinisekiseni ukuba i-rectocele inzima kangakanani na.

Iphathwa njani iRectocele?

Oogqirha badla ngokuzama kuqala unyango olungenalo utyando , ingakumbi ukuba une-rectocele encinci, ethambileyo. Nangona kunjalo, ukuba iphantsi kancinci kwaye inzima ngakumbi, ugqirha wakho unokucebisa utyando.

Ulawulo olungelulo utyando

Ezi ndlela ziquka:

• Ukuzivocavoca phantsi kwepelvic: Oku kukwabizwa ngokuba yiKegel exercises . Olu qeqesho lunokuqinisa izihlunu zomgangatho wepelvic. Ingcali yezonyango yomzimba egxile kunyango lomgangatho wepelvic ingakukhokela kakuhle kule nkalo.
• Ukuthintela ukuqhinwa nokudumba: Ugqirha wakho uza kukuxelela ukuba utye ukutya okuninzi okunefayibha eninzi, usele amanzi amaninzi, kwaye angakuxelela nokuba usebenzise isithambisi sendle.
• Ipessary yesisu: Esi sisixhobo esifana nesangqa esifakwa kwisini kwaye sisetyenziselwa ukuxhasa amalungu esini asezantsi. Singasuswa nangaliphi na ixesha.

Utyando

Ukuba unyango olulula olukhankanyiweyo apha ngasentla aluzithomalalisi iimpawu zakho, ukhetho olulandelayo lutyando. Wena nogqirha wakho niza kuxoxa ngezi zinto zilandelayo ukuze nigqibe ukuba loluphi utyando olulungele nina:

• Ubudala bakho kunye nempilo yakho ngokubanzi.
• Hayi indlela eyoyikeka ngayo ihlazo lakho.
• Ngaba ulindele abantwana abaninzi?
• Nokuba ufuna ukulala ngesondo nge-vaginal (kuba ezinye iindlela zotyando zolu hlobo lokuthotywa, umzekelo, utyando olubizwa ngokuba yi-colpocleisis, luvala i-vaginal).

Utyando oluqhelekileyo lwe-rectocele yi -posterior colporrhaphy . Kule meko, ugqirha ususa izicubu ezonakeleyo ezingaxhasi amalungu esinqe aze adibanise izicubu eziphilileyo. Oku kunika amandla angakumbi.

Uninzi lwexesha, utyando lwe-rectocele lwenziwa nge-vagina, ngoko ke akukho zikrweqe zangaphandle.

Ndifanele ndimbone nini ugqirha?

Ukuba iimpawu zakho ziya zisiba mandundu, okanye ukuba akubonakali ngathi uya kuba ngcono ngenxa yonyango olunikiweyo, qiniseka ukuba uxelele ugqirha wakho.

Kungakunceda nokuba ubuze ugqirha wakho imibuzo efana nale:

• Zeziphi iinguqu endinokuzitshintsha kwindlela endiphila ngayo ukuze ndinciphise iimpawu zam?
• Ndingenza ntoni ukuze ndithintele ukuba i-rectocele yam ingaqhubeki nokuba mandundu?
• Ndingenza ntoni ukuthintela ezinye iintlobo zokuwa kwamalungu esinqe?
• Ungacebisa utyando? Ukuba kunjalo, zithini iingozi zalo?
• Ingakanani izinga lempumelelo yohlobo lotyando olucebisayo?
• Ngaba olu nyango luza kuba nefuthe kubomi bam besondo okanye amathuba am okukhulelwa kwakhona?

Buza le mibuzo uze ucacise yonke into esengqondweni yakho.

Ngaba i-rectocele ingathintelwa?

Akusoloko kusenzeka ukuthintela ukubola kwesitho sangasese somqolo okanye esinye isitho sangasese somqolo. Nangona kunjalo, zininzi izinto onokuzenza ukunceda ukugcina umgangatho wakho wesisu uqinile. Iindlela ezininzi zokulawula ezifanayo kumntu onesisu somqolo nazo zingasetyenziswa ukunciphisa lo mngcipheko. Umzekelo, ukwenza umthambo wesisu rhoqo nokuphepha ukuqhina .

Ndingalindela ntoni ukuba oku kunjalo?

Iziphumo zakho ziya kuxhomekeka kwiimpawu zakho kunye nobunzima bokuhla kwesisu. Abantu abaninzi abaye benza utyando lwe-rectocele bafumana isiqabu kwiimpawu zabo emva kotyando.

Thetha nogqirha wakho ukuze ufumane indlela imeko yakho eza kusabela ngayo kunyango olucetyiswayo kuwe.

Kwenzeka ntoni ukuba i-rectocele ayinyangwa?

Ukuba ayinyangwa kwaye ingatshintshwanga indlela yokuphila, i-rectocele inokuba mandundu. Ekuhambeni kwexesha, iimpawu zakho zinokuba mandundu kwaye zichaphazele ubomi bakho bemihla ngemihla nangakumbi.

Ngaba isitulo singanamathela ngaphakathi kwi-rectocele?

Ewe. Ukuba i-prolapse inzima, indle inokubhajwa epokothweni efana neyo eyenziwe yi-rectocele. Emva koko indle ayizukuphuma lula.

Cinga ngale ndlela: Ngamanye amaxesha kusenokufuneka 'uvule' ukuze ukhuphe indle, oko kuthetha ukuba kufuneka ufake umnwe wakho kwilungu lobufazi lakho uze ucinezele iRectoseal ukuze utyhale indle iphume. Ukuba wenza oku, kubaluleke kakhulu ukuhlamba izandla zakho kakuhle ngesepha namanzi ngaphambi kokuba ufake umnwe wakho kwilungu lobufazi lakho. Ngaphandle koko, unokungenisa iintsholongwane.

Ukuba kufuneka usebenzise iminwe yakho ukuze ukhululeke, qiniseka ukuba uthetha nogqirha malunga nonyango.

Ngaba iRectocele yiHernia?

I-rectocele yi-hernia apho i-rectum yakho iphuma khona (i-herniates) eludongeni lwelungu lakho lobufazi, njenge -hernia . Nangona kunjalo, oogqirha bahlula i-rectocele njenge-prolapse yelungu le-pelvic, kungekhona i-hernia.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

Ukuba ne-rectocele akulunganga kwaye kunokuba neentloni ngamanye amaxesha. Kodwa eyona nto ilungileyo kukuba iyanyangeka.Olu nyango lunokukunceda ukuba uphinde ulawule amalungu omzimba wakho aziva ngathi akasakwazi ukulawula. Okufuneka ukwenze kukucela uncedo kugqirha wakho. Abantu abaninzi banokuyilawula le meko ngonyango lomzimba kunye notshintsho kwindlela yokuphila. Ukuba imeko imbi kakhulu, ugqirha wakho unokucebisa notyando olunokunceda.

Ngoko ke, ukuba unengxaki enjalo, ungoyiki ukuthetha ngayo. Bona ugqirha ngoko nangoko uze ufumane ingcebiso. Impilo-ntle yakho ibaluleke kakhulu kuwe!

` I-Rectocele, i-rectal prolapse, i-vaginal prolapse, i-pelvic organ prolapse, i-constipation, ukuzala, umgangatho we-pelvic