Ngubani ingcali ye-Urogynecologist? Makhe sithethe ngezi ngxaki zikhethekileyo zabasetyhini!

Ngaba wakha weva 'nge-urogynecologist'? Mhlawumbi eli gama litsha kuwe. Kodwa aba ziingcali ezinyanga ezinye zezona ngxaki zempilo zibalulekileyo, kwaye ngamanye amaxesha zinobuthathaka, kubasetyhini. Namhlanje, siza kuthetha ngokuba bangoobani, benza ntoni, kwaye nini apho unokufuna ukubabona khona. Ungakhathazeki, siza kuchaza yonke into ngokulula.

Ngubani lo gqirha wezifo zomchamo?

Ngamafutshane, ingcali ye-urogynecologist ngugqirha ogxile kwizifo zomgangatho we-pelvic kwabasetyhini. Ngoku usenokuba uzibuza ukuba yintoni umgangatho we-pelvic, akunjalo? Khawuthelekelele ukuba kwindawo esezantsi yesisu somzimba wakho, ngaphantsi kwebra yakho, kukho uthungelwano oluqinileyo lwezihlunu kunye nezicubu ezinxibelelanayo, okanye uhlobo oluthile lomgangatho. Yiloo nto siyibiza ngokuba ngumgangatho we-pelvic.

Lo mgangatho we-pelvic ubaluleke kakhulu. Kuba ubamba isibeleko sakho, amalungu okuzala njengelungu lakho lobufazi , kunye namalungu omchamo njengesinyi sakho , kwaye zezi zihlunu ze-pelvic ezizixhasayo. Njengebhasikithi eqinileyo ebamba izinto ezininzi, zinceda ukugcina la malungu ehlelekile. Ngoko ke, ukuba ezi zihlunu ze-pelvic ziba buthathaka okanye zonzakele, zinokubangela iingxaki ekusebenzeni kwala malungu. Kulapho ke kufuneka ubonane nogqirha we-urologist.

Yintoni umahluko phakathi kwengcali ye-urologist, ingcali ye-gynecologist, kunye nengcali ye-urologist?

Xa usiva la magama mathathu, usenokudideka kancinci, akunjalo? Usenokuba ucinga, "Zonke ziyafana, akunjalo?" Makhe sijonge oko kwenziwa yingcali nganye kwezi. Emva koko uya kuqonda umahluko.

• Ingcali ye-Urologist: Aba gqirha banyanga kakhulu izifo zenkqubo yomchamo . Oko kukuthi, iingxaki zamalungu anjengesinyi, izintso, ii-ureters, kunye ne-urethra. Banyanga izifo zenkqubo yomchamo kumadoda nakubafazi. Iingcali ze-Urologist zikwanyanga izifo zenkqubo yokuzala yamadoda (umz. iingxaki ze-prostate).

• Ingcali yezifo zabasetyhini: Ingcali yezifo zabasetyhini, okanye njengoko sihlala sibabiza njalo, ingcali yezifo zabasetyhini, inyanga izifo zenkqubo yokuzala yabasetyhini . Oko kuthetha iingxaki zesibeleko, ama-ovari, kunye ne-vagina (umz., ukungahambi kakuhle kwexesha lokuya exesheni, ii-fibroids zesibeleko). Zikwagxila kwimpilo yamabele. Ngamanye amaxesha zinyanga ezinye iingxaki ezilula zenkqubo yomchamo yabasetyhini.

• Ingcali yezifo zomchamo: Jonga ngoku, eli gama linamagama athi 'uro' (anxulumene nenkqubo yomchamo) kunye nelithi 'gynecological' (anxulumene nenkqubo yokuzala yabasetyhini) kulo, akunjalo? Oku kuthetha ukuba ezi ngcali zonyango zinyanga iimeko ezinxulumene neendawo ezithile zogqirha wezifo zomchamo kunye nogqirha wezifo zabesifazane. Ukuchaneka,Baziingcali kwiimeko ezibangelwa kukungabi namandla okanye ukonakala komgangatho we-pelvic, ezaziwa ngokuba yi-"Pelvic Floor Disorders." Njengogqirha wezifo zabesifazane, banyanga iingxaki zomgangatho we-pelvic ezinxulumene nenkqubo yokuzala yabasetyhini, kwaye njengogqirha we-urologist, banyanga iingxaki ezinxulumene nesinyi okanye indlela yomchamo, ingakumbi ezo zinxulumene nomgangatho we-pelvic.

Khawucinge nje, ngamanye amaxesha oogqirha ababini okanye abathathu banokusebenzisana ukunyanga ingxaki yakho.

Nangona i-urology kunye ne-gynecology bezisoloko zingummandla wezonyango kangangeminyaka emininzi, i-urogynecology yaqatshelwa njengonyango olukhethekileyo ngo-2011. Ngenxa yoko, i-urogynecology, okanye eyaziwa ngokuba yi-Female Pelvic Medicine and Reconstructive Surgery (FPMRS), yaqala ukubonelela ngesatifikethi koogqirha ngo-2013.

Luhlobo luni lwemfundo olufunekayo ukuze ube yingcali ye-urgynecologist?

Ukuba yingcali efana nale akulula. Emva kokugqiba kwisikolo sezonyango, uqeqesho lukagqirha ukuze ube yingcali ye-urogynecologist kufuneka lugqibe uqeqesho lokuhlala kwi-gynecology okanye kwi-urology. Ezinye iinkqubo zoqeqesho zibonelela ngethuba lokufumana uqeqesho kuzo zombini. Emva koko, kufuneka bagqibe uqeqesho lwe-fellowship kwi-specialty ebizwa ngokuba yi -Female Pelvic Medicine and Reconstructive Surgery (FPMRS) .

Emva kolu qeqesho lobudlelwane, kufuneka baphumelele novavanyo ukuze babe yingcali ye-urogynecologist eqinisekisiweyo yibhodi.

Ngamafutshane, emva kokugqiba izifundo zobugqirha, kufuneka ufunde kwaye uqeqeshe iminyaka esixhenxe ukuze ube yingcali yezifo zomchamo. Ngoko ke ngabantu abanolwazi oluninzi kweli candelo.

Yintoni kanye kanye eyenziwa yingcali ye-urologist?

Iingcali ze-Urogynecologists zixilonga kwaye zinyange iingxaki zomgangatho we-pelvic . Nangona ezi ngxaki zomgangatho we-pelvic zinokuchaphazela amadoda nabafazi, iingcali ze-urogynecologists zinyanga ikakhulu iimeko ezinxulumene namava angaqhelekanga kubafazi. Umzekelo, ukukhulelwa, ukuzala, kunye nokuya exesheni zonke zizinto ezibangela umngcipheko wokufumana iingxaki zomgangatho we-pelvic.

Nazi ezinye zeengxaki eziqhelekileyo zomgangatho we-pelvic ezinyangwa ziingcali ze-urogynecologists:

• Ukungakwazi ukuzibamba komchamo: Oku kukungakwazi ukulawula ukuhamba komchamo . Kukho iindlela ezahlukeneyo zokunyanga oku:
• Ukungakwazi ukuzibamba: Ukulahlekelwa ngumchamo xa kukho uxinzelelo oluphezulu esiswini, njengaxa ukhohlela, uthimla, uhleka kakhulu, okanye uphakamisa into enzima.
• `Ukukhuthaza Ukungakwazi Ukulawula Umlomo`:Umnqweno kukufuna ukuchama ngequbuliso. Ngamanye amaxesha, ungachama ngaphambi kokuba ubalekele kwindlu yangasese. Oku kwenzeka kwangoko xa uziva ngathi kufuneka uye.
• Isinyi esisebenza kakhulu: Ukuchama rhoqo (mhlawumbi kanye ngeyure), ukungxamiseka kokuchama. Kusenokufuneka uvuke amaxesha amaninzi ebusuku.

• I-Pelvic Organ Prolapse (POP): Oku kwenzeka xa ilungu elinye okanye ngaphezulu le-pelvic liphuma kwindawo yalo eqhelekileyo lize lingene kwilungu lobufazi xa umgangatho we-pelvic ungaxhaswanga kakuhle. Oku kufana nendlela udonga oludilikayo ngayo kwaye ifenitshala iwele. Amalungu anokuqhekeka aquka isinyi (cystocele), isibeleko (uterine prolapse), inxalenye ye-rectum (rectocele), kunye nenxalenye ephezulu yelungu lobufazi (vaginal vault prolapse). Le meko inokunxulunyaniswa neengxaki zesinyi. Abanye abantu banokuziva ngathi kukho into ephuma kwilungu lobufazi.

• Ukungakwazi ukuzibamba: Xa izihlunu zomgangatho we-pelvic ziba buthathaka, ungalahlekelwa kukulawula ukuhamba kwamathumbu akho kwaye ungaqondanga uvuza indle ethile. Oku kusenokuba ngexesha lokuhamba kwamathumbu okanye isenokuba yindle encinci engamanzi. Oku kubizwa ngokuba yi-Fecal Incontinence.

• Ukungasebenzi kakuhle komgangatho wePelvic: Le meko yenzeka xa izihlunu zomgangatho wepelvic ezilawula ukuchama kunye nokuphuma kwendle zingakwazi ukuhambelana kakuhle. Oku kuthetha ukuba izihlunu ziyaqina xa kufuneka ziqine, kwaye ziyaqina xa kufuneka zikhululekile. Oku kunokwenza kube nzima ukuchama okanye ukuphuma kwendle (umzekelo, awukwazi ukuchama nokuba uzama). Inokubangela intlungu kunye nentlungu kwilungu lobufazi ngexesha lokwabelana ngesondo.

• I-Vaginal Fistulas: Oku kwenzeka xa kwakheka indlela engaqhelekanga phakathi kwelungu lobufazi kunye nesinye okanye i-rectum, nokuba kungenxa yokwenzakala (umz., ngexesha lokubeleka, utyando) okanye enye imeko yempilo. Oku kunokubangela ukuba umchamo okanye ilindle livuzele kwilungu lobufazi.

Mhlawumbi ngoku uyaqonda, akunjalo? Ezi ziingxaki ezingakhululekanga, kodwa ezingakhululekanga kakhulu. Kodwa khumbula, kukho iindlela zokunyanga oku.

Ziziphi iindlela zonyango ezinikezelwa ziingcali ze-urogynecologists kwezi meko?

Nje ukuba ugqirha we-urogynecologist ayifumanise imeko yakho, uza kukunika unyango olufanelekileyo. Akukho nyango lufanayo. Unyango luxhomekeke kwizinto ezininzi, kuquka uhlobo kunye nobunzima bemeko yakho, ubudala bakho, kunye nempilo yakho ngokubanzi. Nazi ezinye zeendlela zonyango abazisebenzisayo:

• Ukunika amayeza: Unganikwa amayeza okunceda ukulawula isinyi sakho (umz., kwisinyi esisebenza kakhulu) okanye ukulawula ukuhamba kwamathumbu (umz., ekuqhineni).
• Ukufakwa kwezixhobo:Umzekelo, ukuba unesifo esibizwa ngokuba yi-"POP" okanye i-pelvic organ prolapse, ungafakelwa isixhobo esibizwa ngokuba yi-"pessary" . Esi sisixhobo esimile okwesangqa okanye esinye esenziwe nge-silicone, irabha, okanye iplastiki esifakwa kwilungu lobufazi. Sibamba amalungu e-pelvic endaweni yawo. Olu lunyango olungelulo utyando.
• Utyando: Ngamanye amaxesha, ingakumbi ukuba ezinye iindlela zonyango azisebenzi okanye ukuba imeko inzima, utyando lunokufuneka. Oku kubandakanya utyando lokwakha ngokutsha, olubuyisela amalungu e-pelvic kwizikhundla zawo eziqhelekileyo. Utyando lunokunceda nakwiingxaki zokulawula umchamo (ezifana nesilingi sokungakwazi ukuzibamba ngenxa yoxinzelelo). Olu tyando lunokusebenzisa izicubu zakho kunye nemisipha, okanye ufake izinto (ezifana ne -mesh ) ukuqinisa izihlunu zomgangatho we-pelvic ezibuthathaka okanye ezonakeleyo.
• Ukuzilolonga ngokuqinisa umgangatho we-pelvic: Mhlawumbi ukhe weva ngee -Kegel exercises . Ingcali ye-urogynecologist iza kukubonisa indlela yokuzenza ngokufanelekileyo. Ukuzilolonga nge-Kegel kuyaqinisa izihlunu zakho zomgangatho we-pelvic. Kufana nokuphakamisa iintsimbi nokwakha izihlunu. Ngamanye amaxesha banokusebenzisana nogqirha wezonyango ukuze basebenzise indlela ebizwa ngokuba yi-biofeedback . I-Biofeedback ikunceda ukuba uqaphele ngakumbi xa izihlunu zakho zomgangatho we-pelvic ziqina kwaye ziphumla. Ngolu lwazi, unokufumana ulawulo olungakumbi kwezi zihlunu kunye nezenzo ezilawula ukuchama kunye nokuphuma kwesisu.
• Ukucebisa utshintsho oluluncedo kwindlela yokuphila: Baza kukunceda uchonge kwaye utshintshe imikhwa yakho yemihla ngemihla enegalelo kwiimpawu zakho. Oku kungabandakanya ukutshintsha imikhwa yakho yokutya (umz., ukunciphisa i-caffeine, ukutya okuneziqholo), ukukunceda unciphise umzimba, ukuyeka ukutshaya, ukongeza iindlela zokuphumla, okanye ukuhlela uhambo oluya kwindlu yangasese ukuze unyuse kancinci ixesha onokulibamba ngalo umchamo (uqeqesho lwesinyi).

Kutheni ndifanele ndibone ingcali ye-urogenic? / Ngaliphi ixesha?

Usenokufuna ukuqwalasela ukubona i-urologist ukuba unezi mpawu zilandelayo:

• Ukuba ngempazamo uvuza umchamo okanye ilindle .
• Ukuba uziva ngathi kufuneka uchame rhoqo kunesiqhelo .
• Ukuba uziva ngathi kufuneka uchame ngaphambi kokuba uye kwindlu yangasese , oko kuthetha ukuba unobunzima bokufika kwindlu yangasese ngexesha.
• Ukuba uziva uzele, ubunzima, okanye uxinzelelo kwilungu lakho lobufazi okanye kwindawo ye-pelvic (njengokungathi kukho into ebambeke ngaphakathi).
• EyakhoUkuba uziva ngathi kukho into eyehlayo okanye ewayo kwilungu lakho lobufazi, okanye ukuba uziva into enjalo ngokwenene.

Kubalulekile: Musa ukuba namahloni okuthetha ngezi ngxaki. Ezi ziimeko ezinokwenzeka kubafazi abaninzi, kwaye kukho unyango olusebenzayo kuzo. Akunyanzelekanga ukuba uhlupheke wedwa.

Kwakhona, ukungakwazi ukuzibamba komchamo kunye nokuwa kwamalungu esinqe ziingxaki zobuqu kubantu abaninzi. Ngoko ke, kunokuba luncedo kakhulu ukubona ugqirha, njengawe, oxhalabele inkqubo yomzimba yabasetyhini kwaye onokuyiqonda imeko yakho. Emva koko, nokuba siyintoni na isizathu sokubona ugqirha, uya kuziva ungoyiki kwaye ungakhululekanga ngelixa ulinde kwigumbi lokulinda.

Kwenzeka ntoni xa usiya kugqirha wezifo zomchamo okokuqala?

Amava akho anokwahluka kancinci ngokuxhomekeke kwisizathu sokuba ubonane nogqirha we-urogynecologist, kodwa kwiimeko ezininzi, ezi zizinto ezenzekayo:

• Ingcali ye-urgynecologist iza kuthetha nawe ngembali yakho epheleleyo yezonyango . Oku kuthetha izinto ezifana nezifo zangaphambili, utyando owakha walwenza, amayeza owasebenzisayo, kunye nokuba kukho nabani na kusapho lwakho okhe waba neengxaki ezifanayo.
• Baza kukubuza ngokweenkcukacha ngeempawu zakho. Oku kuthetha ukuba ziqale nini, ixesha elingakanani zikhona, ukuba zisiba mandundu nini, kunye nendlela ezichaphazela ngayo ubomi bakho (umz., nokuba ziyakuphazamisa na ukuhamba kwakho okanye ukuthatha inxaxheba kwimisebenzi yoluntu).
• Baza kwenza uvavanyo lomzimba . Oku kudla ngokufana novavanyo lwe-pelvic. Baza kufuna ukujonga ngokusondeleyo amalungu kunye nezicubu ezikwi-pelvic ground yakho, indawo ezikuyo, kunye namandla azo. Basenokukucela ukuba ubabonise isini sakho okanye wenze uvavanyo.

Ngokusekelwe koko kufunyenwe zezi mvavanyo, ziya kukucebisa unyango, okanye zikuxelele ukuba zeziphi ezinye iimvavanyo ezifunekayo ukuze kufunyanwe isifo (umz., iimvavanyo zomchamo, iimvavanyo ezikhethekileyo ezifana nezifundo ze-urodynamic).

Ziziphi imibuzo endifanele ndiyibuze ingcali yam ye-urgynecologist?

Xa udibana nogqirha wakho, ungoyiki ukubuza nayiphi na imibuzo onayo. Ukuba kukho into ongayiqondiyo, buza kwakhona. Nazi ezinye zemibuzo onokuyibuza:

• Yintoni enokubangela iingxaki zomgangatho we-pelvic yam?
• Ingakanani umonakalo owenziweyo phantsi kwe-pelvic yam?
• Zeziphi iindlela zonyango ondicebisa zona? Zithini izinto ezilungileyo nezingalunganga ngazo?
• Ndiza kuphinda ndifumane amandla angakanani phantsi kwe-pelvic emva konyango? Ndingalindela ukuba ndiphinde ndiphile ngokukhawuleza kangakanani?
• Zeziphi iinguqu endinokuzenza kubomi bam bemihla ngemihla ukuze ndigcine umgangatho wam we-pelvic usebenza kakuhle kwaye ndithintele ezi ngxaki ukuba zingaphindi zenzeke?
• Ukongeza kwezi ndlela zonyango, ngaba zikhona izinto ezinje ngokuzilolonga endinokuzenza?

Umyalezo wokugqibela oya ekhaya

Asicingi kakhulu ngemisipha elawula imisebenzi yomzimba esisiseko efana nokuchama kunye nokukhupha indle, akunjalo? Xa uvuza umchamo ngendlela ongazange wenze ngayo ngaphambili, okanye xa uziva uzele kakhulu kwisini sakho, kunokuba yinto ecaphukisayo, ehlazisayo, kwaye ikwenze ube wedwa.

Kodwa iingcali ze-urogynecologists ziyakuqonda oku kakuhle. Zinobuchule ekuxilongeni iingxaki zakho zomgangatho we-pelvic kunye nokuchonga unyango olufanelekileyo olunokukunceda. Ziya kukuphulaphula kwaye zizame ukufumana isisombululo esifanelekileyo kuwe. Zisebenze nabantu abaninzi abaye baba namava afanayo. Ukuba unale ngxaki, cela ugqirha wakho wosapho ukuba akuthumele kwi-urogynecologist, okanye ungenza idinga nawe.

Khumbula, akukho mfuneko yokufihla ezi zinto uze ubandezeleke, eyona nto ibalulekileyo kukufumana uncedo. Awuwedwa!

I- Urogynecology, Umgangatho wePelvic, Ulawulo lomchamo, Ukuqhekeka kwamalungu ePelvic, Impilo yabasetyhini, i-POP, Ukungakwazi ukuzibamba