Ngaba ngempazamo uvuza umchamo omncinci xa ukhohlela, uhleka, uthimla, okanye uphakamisa into ethile? Okanye ngaba uziva ubunzima okanye uxinzelelo ngokungathi kukho into ehlayo kwilungu lobufazi? Ezi ziingxaki abanazo abafazi abaninzi, kodwa baneentloni kwaye abakhululeki ukuthetha ngazo kuluntu. Kodwa ubusazi na ukuba kukho iqela leengcali eziqeqeshwe ukunyanga ezi ngxaki? Ezo sizibiza ngokuba 'ziingcali ze-Urogynecologists'.
Ngamafutshane, ngubani lo gqirha wezifo zomchamo?
Ingcali ye-urgynecologist ngugqirha ogxile ekunyangeni iimeko zomgangatho we-pelvic kwabasetyhini. Kulungile, ngoku mhlawumbi uyazibuza ukuba yintoni umgangatho we-pelvic.
Khawuthelekelele ukuba kwisisu sakho esisezantsi, kukho uthungelwano lwezihlunu kunye nezicubu ezinwebekileyo njengomnatha. Olu thungelwano lwezihlunu yilo lubamba amalungu akho okuzala, njengesibeleko sakho, isini, kunye namalungu omchamo, njengesinyi sakho, endaweni. Ngamanye amazwi, luxhaso lwala malungu.
Ngoko ke, ngexesha lokukhulelwa, ukuzala (ingakumbi ngexesha lobufazi), ukuya exesheni, okanye ukwaluphala, ezi zihlunu zomgangatho we-pelvic zinokuba buthathaka okanye zenzakale. Kulapho kuvela khona iingxaki ezikhankanyiweyo apha ngasentla. Ngamaxesha anje apho sidinga uncedo lwe-Urogynecologist.
Yintoni umahluko phakathi kwe-Urologist, Gynecologist kunye ne-Urogynecologist?
La magama mathathu afana kancinci, ngoko ke kunokudida. Makhe sibone ukuba yintoni indima yongcali nganye kwezi. Le theyibhile iza kukwenza ucacelwe kakuhle.
| Ingcali yezonyango (ekhethekileyo) | Yintoni unyango oluphambili? |
|---|---|
| Ingcali yoMchamo | Banyanga izifo zazo zonke iindawo zenkqubo yomchamo, kuquka isinyi, izintso, kunye nomchamo. Banyanga amadoda nabafazi. Ukongeza, ezi ngcali zikwanyanga izifo zenkqubo yokuzala yamadoda. |
| Ingcali yezifo zabesifazane | Zinyanga izifo ezinxulumene nenkqubo yokuzala yabasetyhini, oko kukuthi, isibeleko, ama-ovari, kunye nelungu lobufazi. Zikwajonga nempilo yamabele. Ngamanye amaxesha, zikwanyanga neengxaki ezincinci zenkqubo yomchamo. |
| Ingcali yezifo zomchamo | Ubuchule babo ziimeko ezibangelwa bubuthathaka okanye ukwenzakala kwemisipha yomgangatho we-pelvic kwabasetyhini. Oku kuthetha ukuba banyanga iingxaki ezithile ezisebenza kwicandelo le-gynecology kunye nenkqubo yomchamo. |
I-Urogynecology yaqatshelwa njengonyango olukhethekileyo ngo-2011. Ke ngoko, yintsimi entsha.
Ziziphi iimeko eziphambili ezinyangwa yingcali ye-urologist?
Ezi ngcali zinyanga ikakhulu iingxaki zomgangatho we-pelvic. Makhe sijonge ukuba ziyintoni na.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Ukungakwazi ukuzibamba komchamo | Iimeko ezinje ngokungakwazi ukuzibamba ngenxa yoxinzelelo, ukungakwazi ukuzibamba ngequbuliso, kunye nokuchama rhoqo (isinyi esisebenza kakhulu). |
| Ukuncipha Kwesitho Sesinqe (i-POP) | Xa izihlunu zomngxuma we-pelvic zibuthathaka, amalungu azixhasayo, njengesinyi, isibeleko, i-rectum, okanye i-vagina, ziyehla. Abanye abantu bakwabiza oku ngokuthi "ukuncipha kwesibeleko." |
| Ukungakwazi ukulawula indle (Ukungakwazi ukuzibamba) | Ukushukuma kwamathumbu okungenanjongo ngenxa yobuthathaka bemisipha yomgangatho we-pelvic. |
| Ukungasebenzi kakuhle komgangatho wePelvic | Ukungakwazi ukulungelelanisa kakuhle izihlunu ezilawula ukuchama kunye nokukhupha indle. Oku kunokubangela ubunzima bokuchama/ukukhupha indle, iintlungu zesini, kunye nentlungu ngexesha lokwabelana ngesondo. |
| I-Fistula yeVaginal | Ukuvulwa okungaqhelekanga (indlela) phakathi kwesinyi okanye i-rectum kunye ne-vagina, ngenxa yokwenzakala okanye imeko yempilo. Oku kunokubangela ukuba umchamo okanye ilindle livuze nge-vagina. |
Zinyangwa njani iimeko ezinje?
Ingcali ye-urogynecologist ingacebisa iindlela ezahlukeneyo zonyango ngokuxhomekeke kwimeko yakho.
- Ukunika amayeza: Ukunika amayeza anceda ukulawula isinyi kunye nokulawula ukuhamba kwamathumbu.
- Ukufakwa kwesixhobo: Umzekelo, ukuba kukho imeko ebizwa ngokuba yi-prolapsed organ (POP), isixhobo esenziwe nge-silicone okanye irabha ebizwa ngokuba yi-"Vaginal Pessary" singafakwa kwi-vaginal ukuze sibambe i-prolapsed organ endaweni yayo.
- Utyando: Utyando lokuvuselela lwenziwa ukuze kubuyiselwe ilungu elonakeleyo endaweni yalo. Ngamanye amaxesha kusetyenziswa izicubu zakho, okanye kusetyenziswe inkxaso efana ne-mesh ukuqinisa izihlunu ezibuthathaka.
- Ukufundisa imithambo yomgangatho we-pelvic: Zikufundisa ngqo indlela yokwenza "i-Kegel exercises." Ezi ziqinisa izihlunu zomgangatho we-pelvic. Ngamanye amaxesha, indlela ebizwa ngokuba yi-"Biofeedback" ikwasetyenziswa kunye nogqirha wezonyango.
- Ukucebisa utshintsho kwindlela ophila ngayo: Ukwenza utshintsho oluncinci kwizinto ezifana nendlela otya ngayo kunye nendlela oziva ngayo xa usiya kwindlu yangasese kunokunceda ukulawula iimpawu.
Ndingazi njani ukuba kufuneka ndidibane nogqirha wezifo zomchamo?
Ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, kulungile ukuba ucinge ngokubonana nogqirha wezifo zomchamo. Kubalulekile ukufuna iingcebiso zonyango kunokuba ube neentloni ngezi zinto.
- Ukuba uvuza umchamo okanye ilindle ungaqondanga.
- Ukuba kufuneka uchame rhoqo kunesiqhelo.
- Ukuba unengxaki yokulawula umnqweno wakho wokuchama ude ufike kwindlu yangasese .
- Ukuba uziva uzele, unzima, okanye uxinzelelo kwindawo yakho yesini okanye yesinqe.
- Ukuba uva into ethile isihla kwilungu lobufazi okanye ukuba uva into ethile ibanjwa.
Ezi ntlobo zeengxaki zinokuba nefuthe elikhulu kubuntu bakho. Ngoko ke, ukubona ugqirha ogxile kwimizimba yabasetyhini kunye neemeko zabo ezikhethekileyo kunokuba luncedo kakhulu kuwe, ngokwengqondo nangokomzimba.
Kwenzeka ntoni xa usiya kugqirha okokuqala?
Xa uqala ukuya kugqirha we-urologist, unokulindela oku kulandelayo:
1. Ukuthetha ngeempawu zakho: Ugqirha uza kukubuza ngembali yakho yezonyango. Baza kukubuza ngeempawu zakho, ukuba ziqale nini, ukuba zikho ixesha elingakanani, kunye nendlela ezichaphazela ngayo ubomi bakho bemihla ngemihla.
2. Uvavanyo lomzimba: Uvavanyo lwe-pelvic lwenziwa ukujonga imeko yezitho kunye nezicubu ezikwi-pelvic cavity.
3. Ukucebisa unyango okanye iimvavanyo ezongezelelweyo: Emva kovavanyo, ugqirha uza kukuchazela ukuba zeziphi iindlela zonyango ezilungele imeko yakho. Ngamanye amaxesha, unokucebisa nezinye iimvavanyo ukuze kuchongwe unobangela wesifo.
Ungabuza ugqirha wakho imibuzo efana nale:
- Yintoni enokuba yimbangela yemeko yam?
- Yintoni umonakalo owenzekileyo kumngxunya wam we-pelvic?
- Zeziphi iindlela zonyango ozicebisayo?
- Ndingalindela ukuchacha okungakanani emva konyango?
- Ndingenza ntoni ukuthintela le meko ukuba ingabi mbi ngakumbi?
Xa ungakwazi ukulawula izinto ezisisiseko ezifana nokuchama kunye nokukhupha indle, kunokuba yintloni kakhulu kwaye kuyadanisa. Kodwa ingcali ye-Urogynecologist yingcali enokukunceda ulahle loo ntlungu. Ngoko ke, ukuba unale ngxaki, ungathandabuzi kwaye ucele ugqirha wakho wosapho (ugqirha oyintloko) ukuba akuthumele kwi-Urogynecologist.
Umyalezo Wokuya Ekhaya
- Ingcali ye-urgynecologist ngugqirha ogxile ekunyangeni iingxaki ezibangelwa bubuthathaka kwimisipha yomgangatho we-pelvic kubafazi.
- Ukuba ufumana ukuvuza komchamo xa ukhohlela/uhleka, uzive ngathi isibeleko siphantsi, okanye iingxaki zokulawula umchamo/indle, ungabi neentloni ukufuna ingcebiso kagqirha.
- Kwiimeko ezininzi zeziKukho unyango olusebenzayo olufana namayeza, umthambo, kunye notyando.
- Ezi ziimeko eziqhelekileyo ezifunyanwa ngabafazi abaninzi. Ngoko ke awuwedwa. Ngokubona ugqirha ofanelekileyo, ungaphila ubomi obutofotofo kwakhona.
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