Ngaba ngamanye amaxesha uziva ubunzima obuhlala buhleli esiswini sakho esisezantsi, uzive ngathi kukho into ekucinezelayo? Mhlawumbi uzive ngathi kukho into efana nebhola ephuma kwilungu lobufazi bakho? Ngaba unengxaki yokungakwazi ukuzibamba komchamo, oku kukulahlekelwa ngumchamo xa uhleka, ulila, okanye uthimla? Ezi ziingxaki abafazi abaninzi abajongene nazo buthule, kodwa baneentloni ukuthetha ngazo. Kodwa oku akuyonto wena wedwa onayo. Namhlanje sithetha ngemeko ebizwa ngokuba yiPelvic Organ Prolapse, ebangela ezi mpawu, kunye notyando oluphumelele kakhulu olubizwa ngokuba yiSacrocolpopexy .
Ngamafutshane, yintoni i-prolapse yezitho ze-pelvic?
Khawuthelekelele ukuba amalungu angaphantsi kwesisu sakho, njengesibeleko sakho, isinyi, kunye ne-rectum, akwi-hammock. Le hammock yenziwe ngezinto esizibiza ngokuba yimisipha yomgangatho we-pelvic kunye nezicubu ezinxulumene nazo. Ezi zizinto ezibamba zonke ezi zitho endaweni yazo.
Nangona kunjalo, ngokuhamba kwexesha, ingakumbi emva kokubeleka, ngenxa yokuphakamisa iintsimbi, kwaye njengoko sikhula, ezi zihlunu kunye nezicubu ziqala ukuba buthathaka kwaye zoluleke. Emva koko, ngokungathi ibhedi ye-mesh iyawa, amalungu akuyo nawo aqala ukutyhala ezantsi, oko kukuthi, ukuya kwilungu lobufazi. Oku kubizwa ngokuba yi-pelvic organ prolapse. Olunye unyango loku lutyando olubizwa ngokuba yi-Sacrocolpopexy. Oku kubandakanya ukubuyisela amalungu awileyo phezulu kunye nokusebenzisa i-mesh ekhethekileyo yotyando ukuze azinzise kwindawo yawo echanekileyo.
Ngawaphi amalungu omzimba anokonakala ngolu hlobo?
Le meko yahlulwe yaba ziintlobo ngeentlobo ngokuxhomekeke kwisitho esichaphazelekileyo. Ukuze kube lula ukuyiqonda, makhe sijonge ezi nkcukacha.
| Uhlobo lokuhla | Kalula nje, kwenzeka ntoni? |
|---|---|
| Ukuncipha kwesisu | Isibeleko kunye nomlomo wesibeleko zehla ngelungu lobufazi. Ngamanye amaxesha, zinokuphuma ngokupheleleyo kwilungu lobufazi. |
| Ukuncipha Kwesitho Sangasese Somfazi | Inxalenye ephezulu yesini iyancipha kumntu oye wakhutshwa i-hysterectomy. |
| Ukuqhekeka kwesinyi (iCystocele) | Isinyi sityhalelwa eludongeni olungaphambili lwelungu lobufazi. |
| I-Rectocele | I-rectum ityhalelwa eludongeni olungasemva lwelungu lobufazi. |
| Ukuncipha kwamathumbu amancinci (i-Enterocele) | Amathumbu amancinci atyhala phezulu aye kwinxalenye ephezulu yelungu lobufazi aze ehle. |
Jonga ukuba unazo na ezi mpawu...
Nazi ezinye zezona mpawu zixhaphakileyo zePelvic Organ Prolapse:
- Imbonakalo okanye imvakalelo yento efana neqhuma okanye ibhola ephuma kwilungu lobufazi.
- Intlungu esezantsi kwesisu, oko kuthetha ukuziva ubunzima, uxinzelelo, okanye into ebambeke kwisinqe.
- Umchamo omncinci uvuza ngokuzenzekelayo xa uhleka, ukhohlela, okanye uphakamisa into enzima.
- Ubunzima bokukhupha indle. Ngamanye amaxesha kuvakala ngathi indle ayiphumanga ngokupheleleyo.
- Ubunzima bokufaka izinto ezifana neetamponi kwilungu lobufazi.
- Intlungu ngexesha lokwabelana ngesondo.
Ukuba unenye okanye ngaphezulu kwezi mpawu, kubalulekile ukuthetha nogqirha ngaphandle kokuba neentloni, kuba kukho unyango olusebenzayo loku.
Kutheni oku kusenzeka? Zithini izizathu eziphambili?
Kukho izizathu ezininzi eziphambili zokuba izihlunu zomgangatho we-pelvic zibe buthathaka.
- Ukuzala kwangasese: Ezi zihlunu zingonakaliswa, ingakumbi xa kuzaliswa abantwana abaninzi, xa kuzaliswa umntwana onobunzima obuphezulu, okanye xa kuzaliswa nzima.
- Utyando lwesisu: Ingakumbi izinto ezifana nokususwa kwesibeleko.
- Ukwaluphala: Njengoko sikhula, izihlunu zomzimba ziyabuthathaka ngokwendalo.
- Ukuphakamisa izinto ezinzima rhoqo: Ukuphakamisa izinto ezinzima rhoqo njengeebhakethi zamanzi kunye neesilinda zegesi emsebenzini okanye xa usenza imisebenzi yasekhaya.
- Uxinzelelo oluqhelekileyo kwisisu esisezantsi:Le meko inokubangelwa zizinto ezifana nokukhohlela okungapheliyo, i-asthma, kunye nokuqunjelwa rhoqo.
- Izizathu zofuzo: Abanye abantu bazalwa benezicubu ezibuthathaka, nto leyo ebabeka emngciphekweni omkhulu.
Kulungile, ungayilungisa njani le nto ngolu tyando lweSacrocolpopexy?
I-Sacrocolpopexy yindlela yotyando ephucukileyo kakhulu nephumelelayo kule ngxaki. Ilula kakhulu.
Ugqirha wenza imingxunya embalwa esiswini sakho aze asebenzise ikhamera (i-laparoscope) ukwenza olu tyando. Oku kubizwa ngokuba lutyando lwe-laparoscopic . Ngamanye amaxesha kusetyenziswa neteknoloji yerobhothi koku.
Kule nkqubo, i-mesh ekhethekileyo yotyando incamathiselwa kwinxalenye ephezulu yesini sakho, isinyi, okanye i-rectum ewileyo. Elinye icala le-mesh lincamathiselwa kwithambo elisezantsi kumqolo wakho, i-sacrum. Le mesh isebenza njengebhulorho, itsala onke amalungu akho asezantsi kwaye izinzise kwindawo yawo efanelekileyo.
Ngamanye amaxesha, kuxhomekeke kwimbali yakho yezonyango kunye nezinto ozithandayo, utyando lwe-hysterectomy lunokwenziwa ngexesha elinye nolu tyando. Oku kuphelisa ngokupheleleyo umngcipheko womhlaza wesibeleko.
Uzilungiselela njani ngaphambi kotyando?
Isibhedlele siza kukunika imiyalelo ethile ngaphambi kotyando. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo.
- Uza kucelwa ukuba ungatyi okanye usele emva kobusuku ngaphambi kotyando ngokupheleleyo .
- Ukuba ungumntu otshayayo, kufuneka uyeke ukutshaya emva kweentsuku ezisibhozo ebusuku ngaphambi kotyando.
- Amanye amayeza owasebenzisayo (umz. amayeza okunciphisa igazi) asenokufuna ukuba uyeke ukuwasebenzisa kangangeentsuku ezimbalwa. Thetha nogqirha wakho ngale nto.
- Ungavunyelwa ukusela ulwelo olufana namanzi, iti engenaswekile, okanye ikofu kude kube ziiyure ezimbalwa ngaphambi kotyando.
Indlela olu tyando lwenziwa ngayo inyathelo ngenyathelo
Musa ukoyika utyando. Ukwazi ukuba lwenzeka njani kuya kukunceda woyise uloyiko lwakho.
1. Okokuqala, uza kufakwa phantsi kwe-anesthesia eqhelekileyo . Ngoko awuyi kuva ntlungu kwaye uza kulala ubuthongo obunzulu.
2. Ugqirha uza kwenza imingxunya emincinci emi-4 okanye emi-5, malunga nesentimitha enye ububanzi, esiswini sakho.
3. Emva koko isisu siyafuthwa yigesi yekhabhoni-dayoksayidi. Oku kwenziwa ukuze kuvulwe indawo ngaphakathi yotyando kwaye kubonwe amalungu omzimba ngokucacileyo.
4. Ikhamera (i-laparoscope) kunye nezixhobo zotyando zifakwa ngezi zigcawu zincinci.
5. Ngelixa ebukela imifanekiso evela kwikhamera kwisikrini, ugqirha uncamathisela i-mesh ekhankanyiweyo ngasentla kwelungu lobufazi nakwi-sacrum, ephakamisa ilungu.
6. Ukuba isinyi okanye i-rectum ivuthulukile, nayo iya kulungiswa ngeli xesha.
7. Ekupheleni kotyando, kufakwa ikhamera encinci ukujonga ukuba akukho monakalo na kwisinyi.
8. Ekugqibeleni, zonke izixhobo ziyakhutshwa, igesi esesiswini iyasuswa, kwaye amanxeba amancinci ayavalwa.
Olu tyando ludla ngokuthatha iiyure ezi-2 ukuya kwezi-4 .
Kwenzeka ntoni emva kotyando? Yintoni onokuyilindela ngexesha lokuchacha
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Xa uvuka emva kotyando lokubulala iintlungu, usenokuziva ulele okanye udiniwe. Oku kuqhelekile.
Okulandelayo, uza kuba novavanyo lokuvavanya ukuchama ukuze kubonwe ukuba ungakwazi na ukuchama wedwa. Usenokuba ubune-catheter endaweni yayo ngaphambi kotyando. Ngexesha lovavanyo, iya kususwa kwaye uza kuvavanywa ukuze kubonwe ukuba ungakwazi na ukukhupha isinyi sakho wedwa. Ukuba awukwazi, ungathunyelwa ekhaya une-catheter oza kuyisebenzisa ekhaya kangangeentsuku ezimbalwa. Ungakhathazeki ngaloo nto.
Kuthatha phakathi kweeveki ezi-6 nezi-8 ukuba uphile ngokupheleleyo. Ngeli xesha, kuya kufuneka wenze utshintsho oluthile kwindlela ophila ngayo.
| Yintoni onokuyilindela emva kotyando | Yenza ezi zinto ukuze uphile ngokukhawuleza |
|---|---|
| Intlungu: Kunokubakho ukukruquka kunye nentlungu yesisu kwiintsuku ezimbalwa zokuqala. Sela amayeza okudambisa iintlungu achazwe ngugqirha wakho ngexesha. | Phumla ngokwaneleyo: Kungcono ukuba nomntu onokukunceda, ubuncinane kwiintsuku ezimbalwa zokuqala. |
| Ukuvuvukala kwesisu: Igesi esiswini ngexesha lotyando inokubangela iintlungu kunye nokudumba kwesisu kangangeentsuku ezi-2-3. | Ukuhamba: Ukuhamba kancinci endlwini kunciphisa isitshiso sentliziyo kwaye kuthintela nokuqhekeka kwegazi. |
| Ukuphuma kwegazi kwilungu lobufazi: Usenokuba negazi elincinci okanye ukuphuma kwegazi elimhlophe/elimthubi kangangeeveki ezi-6. Oku kuqhelekile. | Ulwelo nokutya: Sela amanzi amaninzi. Yitya ukutya okulula okufana nee-crackers kunye nesuphu yenkukhu kwiintsuku ezimbalwa zokuqala. Kuphephe ukutya okunamafutha. |
| Ukuqhina: Izithomalalisi zentlungu zinokubangela ukuqhina. Buza ugqirha wakho malunga nokuthatha isithambisi sendle. | Ukuzilolonga ngokuphefumla: Ukuba unikwe isixhobo esibizwa ngokuba yi-incentive spirometer, phefumla nzulu ngaso kanye ngeyure. |
Musa ukwenza ezi zinto ude uphile! (Izinto ekufuneka uziphephe)
Ukuqinisekisa ukuba ixesha lokuchacha liphumelela, kufuneka ulandele le miyalelo.
- Musa ukuhlamba emanzini iiyure ezingama-48 emva kotyando. Emva koko, ungahlamba.
- Kuphephe ukuba semanzini (ukudada, ukuhlala ebhafini) kangangeeveki ezi-4-6.
- Kuphephe ukuphakamisa izinto ezinzima, ukutyhala, okanye ukutsala kangangeeveki ezi-4-6. Musa ukuphakamisa izinto ezinzima ngaphezu kwe-2-3 kg (umz. iibhakethi zamanzi, iingxowa zokuthenga, abantwana abancinci, izilwanyana zasekhaya).
- Kuphephe ukusebenzisa i-vacuum cleaner okanye ukutyhala iingcango ezinzima ngeli xesha.
- Musa ukulala ngesondo ubuncinane iiveki ezi-6. Kwakhona, kuphephe ukusebenzisa ii-tampons kunye ne-douching.
- Ukuba usela amayeza okudambisa iintlungu anamandla achazwe ngugqirha wakho, kuphephe ukuqhuba imoto .
Ingaba olu tyando luphumelele kangakanani? Ngaba kukho naziphi na iingozi?
I-Sacrocolpopexy yinkqubo yotyando enezinga lempumelelo elimalunga ne-90% . Oko kuthetha ukuba iziphumo zilungile kakhulu.
Njengazo zonke iintlobo zotyando, kukho iingozi ezithile. Nangona kunjalo, ithathwa njengenkqubo ekhuselekileyo kakhulu. Ugqirha wakho uza kuxoxa nawe ngale mingcipheko ngaphambi kokuba kwenziwe inkqubo.
Phakathi kweengozi ezinokubakho:
- Ukonakala kwamalungu angqongileyo afana nesinyi kunye namathumbu.
- Ukopha kakhulu.
- Amahlwili egazi.
- Usulelo.
- Iingxaki ezinxulumene ne-mesh esetyenzisiweyo (umz., ukuguguleka kwe-mesh ngokusebenzisa izicwili zesini).
- Ubunzima bokuchama okanye bokukhupha indle.
- Intlungu ngexesha lokwabelana ngesondo.
Ezi ngozi azifumaneki rhoqo, kodwa kubalulekile ukuba uzazi.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Ukuba ufumana naziphi na ezi mpawu ngelixa usekhaya emva kotyando, fowunela ugqirha wakho okanye uye esibhedlele ngokukhawuleza.
- Umkhuhlane ongaphezulu kwama-38 Celsius (100.4 Fahrenheit) okanye ukubanda.
- Ukuba amanxeba abomvu, adumbile, okanye anomphunga ongcolileyo .
- Ukuhlanza okanye isicaphucaphu esingalawulekiyo.
- Ukopha kakhulu kwilungu lobufazi okumanzisa ngaphezu kwephedi enye yokuhlambela ngeyureUkuba ikhona.
- Ukuba uphuma ulwelo olungcolileyo oluphuma kwilungu lobufazi .
- Ukuba unentlungu enzima engenakulawuleka nokuba usebenzisa amayeza.
- Intlungu kunye nokudumba emilenzeni.
- Umchamo onevumba elibi, omnyama ngombala, okanye ovuthayo xa uchama.
Umyalezo Wokuya Ekhaya
- Ukuqhekeka kwamalungu esinqe sisifo esichaphazela abafazi abaninzi, kodwa sinokunyangwa ngempumelelo. Musa ukuba neentloni ngaso.
- I-Sacrocolpopexy lutyando oluphumelele kakhulu nolukhuselekileyo olunokuphucula kakhulu umgangatho wobomi bakho.
- Kuthatha ixesha ukuchacha ngokupheleleyo emva kotyando. Ukulandela imiyalelo kagqirha ngokufanelekileyo kubalulekile ukuze uphile ngokukhawuleza.
- Ukuthintela ukuba le meko ingaphindi ivele, kubaluleke kakhulu ukuphepha ukuphakamisa izinto ezisindayo, ukulawula ubunzima bomzimba, kunye nokuthintela ukuqhina.
- Ukuba uneempawu ezichazwe kweli nqaku, ungathandabuzi ukuthetha nogqirha wakho ukuze akunike unyango olufanelekileyo.
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