Masifunde ngakumbi nge-Uterine Prolapse. Ngaba nawe unayo le ngxaki?

Ngaba ngamanye amaxesha uziva ubunzima okanye ukugcwala kwisini sakho? Okanye uziva ngathi kukho into ekucinezelayo xa umi okanye uhamba? Abanye abafazi banokuziva ngolu hlobo lokungakhululeki. Namhlanje siza kuthetha ngemeko echaphazela abantu abaninzi, kodwa ngamanye amaxesha ihlazisa kancinci ukuthetha ngayo, ebizwa ngokuba yi-uterine prolapse.

Yintoni i-Uterine Prolapse?

Ngamafutshane, isibeleko esiphumileyo sithetha ukuba isibeleko sakho sehle kancinci ngaphantsi kwendawo esifanele sibe kuyo, sijinga sijonge kwilungu lobufazi. Cinga ngaso njengebhegi encinci. Le bhegi ikwisinqe. Ibanjwe apho yimisipha eqinileyo kunye nemisipha. Ezi zibizwa ngokuba zimisipha yomgangatho we-pelvic . Ekuhambeni kwexesha, okanye xa ezi zihlunu zixhasayo zibuthathaka ngenxa yezinye izizathu, isibeleko silahlekelwa bukuqina kwaso size siqale ukuwa. Oku kunokwenzeka kuye nawuphi na umfazi, kodwa kuqhelekile kubafazi abaye badlula kwixesha lokuya exesheni kwaye baye babeleka izihlandlo ezininzi kwilungu lobufazi.

Ngaba kukho iimeko ezahlukeneyo zoku?

Ewe, oogqirha bahlula oku ngokwamanqanaba ahlukeneyo ngokuxhomekeke kwinqanaba apho isibeleko siye sehla khona. Emva koko kulula ukunyanga.

• Inqanaba lokuQala: Kule nqanaba, isibeleko sinokuba sezantsi kancinci kunenxalenye ephezulu yesini.
• Inqanaba lesiBini: Apha isibeleko sisenokuba sifikelele kwinxalenye esezantsi yesini.
• Inqanaba lesi-3: Isibeleko sibonakala ngaphandle kwelungu lobufazi.
• Inqanaba lesi-4: Eli lelona nqanaba linzima kakhulu. Isibeleko sonke sisenokuba siphume kwilungu lobufazi.

Ngokuchonga amatyala ngale ndlela, kulula ukuba ugqirha agqibe ukuba loluphi uhlobo lonyango olufanelekileyo kuwe.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Njengoko bekutshiwo ngaphambili, oku kunokwenzeka nakubani na, kodwa kwabanye abantu, umngcipheko uphezulu kancinci.

• Kwabo bazale abantwana abangaphezu komnye ngesiqhelo: ingakumbi ukuba umntwana ebenzima okanye ukuba ukuzala bekunzima kancinci.
• Kwabasetyhini abaye bafikelela kwixesha lokuya exesheni: Oku kungenxa yokuba ngeli xesha, i-hormone i-estrogen emzimbeni iyancipha. Le hormone inceda ukugcina izihlunu ze-pelvic ziqinile. Xa iyancipha, izihlunu zinokuba buthathaka.
• Ukuba kukho umntu kusapho lwakhe owakha waba nale meko ngaphambili: Oku kuthetha ukuba kusenokubakho utyekelo lwelifa.
• Kwabo bakhe benza utyando lwe-pelvic ngaphambili.

Kuqheleke kangakanani oku? Ingaba yimeko eyingozi?

Isibeleko esisezantsi yimeko exhaphakileyo kunokuba unokucinga. Umngcipheko uyanda ngokuhamba kweminyaka. Kunokwenzeka kakhulu ukuba kwenzeke nakubafazi abaye bakhulelwa ixesha elide.

Ngoku masibone ukuba oku kuyingozi na. Kwiimeko ezininzi, esi asisosifo esisongela ubomi. Nangona kunjalo, sinokwenza kube nzima ukwenza imisebenzi yemihla ngemihla kwaye uzive ukhululekile. Ngamanye amaxesha, ukuba kukho iimeko ezimbalwa kakhulu (iimeko ezincinci) , ungaphila ngaphandle kweempawu kwaye ungadingi unyango. Nangona kunjalo, ukuba imeko imbi kakhulu, unokuba nobunzima bokuchama kunye nokukhupha indle. Ke ngoko, oku kudla ngokuba yingxaki echaphazela umgangatho wobomi . Oogqirha baqala ukunyanga kuphela xa iimpawu ziqala ukuphazamisa ubomi bakho bemihla ngemihla.

Kuvakala njani xa isibeleko siwohloka? Zithini iimpawu?

Ukuba isibeleko sakho siwile kancinci, usenokungabi nazimpawu. Kodwa njengoko sihla, sinokubangela uxinzelelo kwamanye amalungu akwisinqe - njengesinyi kunye namathumbu. Oku kunokubangela iimpawu ezifana nezi:

• Ukuziva ubunzima, ukugcwala, okanye uxinzelelo kwisinqe. Kusenokuvakala ngathi kukho into efana nebhola kwisini.
• Intlungu yesisu esisezantsi kunye nomqolo.
• Intlungu ngexesha lokwabelana ngesondo.
• Kuvakala ngathi kukho iqhekeza lesicubu sesibeleko eliphuma kwilungu lobufazi. Lisenokuvakala nasesandleni.
• Ubunzima bokufaka izinto ezifana neetamponi kwilungu lobufazi.
• Ukuqhinwa.
• Iingxaki zokuchama:
• Ukuvuza komchamo (ukungakwazi ukuzibamba) – xa uhleka, ukhohlela, okanye uthimla.
• Ukufuna ukuchama rhoqo (ubuninzi bokuchama).
• Isidingo esinamandla sokuchama ngequbuliso (ukukhawuleza komchamo).

Ezi mpawu zinokuba nzima ngakumbi xa umi, uhamba ixesha elide, ukhohlela, okanye uthimla, njengoko amandla adonsela phantsi ebeka uxinzelelo olongezelelweyo kwimisipha ye-pelvic.

Kutheni isibeleko siwohloka ngolu hlobo? Zithini izizathu?

Njengoko besitshilo ngaphambili, isibeleko sibanjwa yimisipha yomgangatho we-pelvic kunye ne-ligaments. Xa ezi zibuthathaka, isibeleko siqala ukwehla. Kukho izizathu ezahlukeneyo zokuba ezi zihlunu zibe buthathaka:

• Ukuya exesheni kubangela ukwehla kwamandla emisipha: Oku kungenxa yokwehla kwehomoni ye-estrogen.
• Ukukhulelwa: Ezi zihlunu ziphantsi koxinzelelo olukhulu ngexesha lokukhulelwa.
• Ukuzala kwasebuhlanti: Ingakumbi ukuba ukhe waba nabantwana abaninzi, okanye ukuba umntwana unobunzima obungaphezulu kwe-4 kg (9 lbs).
• Ukutyeba kakhulu: Xa ubunzima bomzimba busanda, izihlunu ze-pelvic nazo kufuneka zithwale loo bunzima.
• Ukuba nokukhohlela okungapheliyo okanye ukutsala nzima: Lo mngcipheko uphezulu kubantu abanezifo ezifana ne-asthma, okanye abo bahamba rhoqo ngamathumbu aqinileyo.
• Ukuqhinwa okungapheliyo.
• Ukuphakamisa izinto ezinzima ngokuphindaphindiweyo: Ukuphakamisa izinto ezisindayo ngendlela engafanelekanga nako kungaba ngunobangela woku.

Ngaba le meko ingabangela ezinye iingxaki?

Ewe, xa izihlunu zomgangatho we-pelvic zibuthathaka, kungekuphela nje isibeleko kodwa nezinye izitho ezisijikelezileyo zinokuwa kwiindawo zazo eziqhelekileyo. Oku kubizwa ngokuba yi -pelvic organ prolapse .

• I-Cystocele: Kwimeko enjalo, isinyi sehlela kwilungu lobufazi.
• I-Rectocele: Ukuphuma kwenxalenye ye-rectum kwi-vagina.
• I-Enterocele: Ukuphuma kwenxalenye yamathumbu amancinci kwilungu lobufazi.

Oogqirha bayixilonga njani le nto kanye?

Ukuba unezi mpawu, into yokuqala ugqirha aza kuyenza xa ekubona kukukuhlola. Baza kukwenza uvavanyo lwe-pelvic . Ngeli xesha, ugqirha uza kufaka isixhobo esibizwa ngokuba yi-speculum (esikuvumela ukuba ubone ngaphakathi kwilungu lobufazi) kwilungu lobufazi lakho aze ahlole ilungu lobufazi lakho kunye nelungu lesibeleko. Isibeleko siza kwehliswa aze azive naziphi na iziqwenga ngaphakathi kwilungu lobufazi.

Usenokucelwa ukuba ukhohlele, uphefumle nzulu, okanye uzihluze ngokungathi ubambe umchamo wakho. Oku kuya kunceda ugqirha aqonde ukuba izihlunu zakho ze-pelvic zibuthathaka kangakanani.

Zithini iindlela zonyango zoku?

Kukho iindlela ezahlukeneyo zonyango lwe-uterine prolapse. Kukho iindlela zotyando kunye neendlela ezingezizo zotyando. Ugqirha wakho uya kukhetha unyango olukulungeleyo ngokusekwe kubukhali bemeko yakho, impilo yakho iyonke, ubudala bakho, kunye nokuba ufuna ukuba nabantwana abaninzi na. Olu nyango luphumelele kubantu abaninzi.

Iindlela ezingezizo zotyando

• Ukuzilolonga: Kukho imithambo ekhethekileyo ebizwa ngokuba yiKegel exercises . Le mithambo inokuqinisa imisipha yomgangatho we-pelvic. Ukuba imeko ayinzima kakhulu, le mithambo yodwa inokunceda. Ukuzilolonga kweKegel kwenziwa ngolu hlobo: Qinisa imisipha ejikeleze i-vagina ngokungathi ubambe umchamo. Bamba imizuzwana embalwa, uze uphumze imisipha. Yenza oku malunga nezihlandlo ezilishumi zilandelelana. Ungenza lo mthambo malunga nezihlandlo ezine ngosuku, naphi na, nangaliphi na ixesha.
• Ipessary yesisu: Esi sisixhobo esincinci, esimile okwedonathi esenziwe ngerabha okanye iplastiki. Sifakwa kwisini, nokuba sijikeleze okanye singaphantsi komlomo wesibeleko. Sixhasa isibeleko kwaye sincede ukusigcina sisendaweni yaso. Ugqirha uya kufakela ipessary emzimbeni wakho. Nangona kunjalo, kufuneka icocwe rhoqo kwaye isuswe ngaphambi kokuba nesondo.
• Utshintsho kwindlela yokutya kunye nendlela yokuphila:Ngamanye amaxesha olu tshintsho lunokunceda ekunciphiseni iimpawu ezifana nokuqhina. Ukusela amanzi amaninzi kunye nefayibha kunokunceda ekunciphiseni umnqweno wokwenza intshukumo yokuhambisa isisu. Kwakhona, ukugcina ubunzima obusempilweni bomzimba wakho kunokunceda ukunciphisa uxinzelelo kwimisipha yakho yomgangatho we-pelvic xa umi kwaye uhamba.

Iindlela zotyando

• Ukususwa kwesisu kunye nokulungiswa kwe-prolapse: Ngamanye amaxesha oku kunyangwa ngotyando olubizwa ngokuba yi-hysterectomy, olubandakanya ukususwa kwesibeleko sonke. Olu tyando lunokwenziwa nge-vaginal hysterectomy (i-vaginal hysterectomy) okanye ngokusikwa esiswini (i-abdominal hysterectomy). Nangona kunjalo, i-hysterectomy lutyando olukhulu. Emva kokuba isibeleko sisusiwe, awuyi kukwazi ukuphinda ube nabantwana.
• Ukulungiswa kwe-prolapse ngaphandle kokususwa kwesibeleko: Olu tyando lubandakanya ukubuyisela isibeleko kwindawo yaso yokuqala nokusiqinisa. Imisipha ye-pelvic ingadityaniswa kwakhona nenxalenye esezantsi yesibeleko ukuze ihlale ikwindawo yayo. Olu tyando lunokwenziwa nakwilungu lobufazi okanye ngesisu, kuxhomekeke kwindlela esetyenzisiweyo ngugqirha.

Kuza kwenzeka ntoni ukuba awufumani unyango?

Kuxhomekeke kakhulu kubukhali be-prolapse. Ukuba incinci kakhulu kwaye ayinampembelelo ingako kumgangatho wobomi bakho, ugqirha wakho usenokungacebisi unyango. Nangona kunjalo, i-prolapse inokuchaphazela nezinye izitho kwi-pelvis yakho (njengesinyi kunye ne-rectum). Ke ngoko, oogqirha badla ngokucebisa unyango kuphela xa uqala ukuva ubuhlungu ngenxa yesi simo.

Andinakuyityhala na le ntsiba yesibeleko isezantsi phezulu mna?

Hayi, awunakukwazi ukusityhala isibeleko sakho sibuyele phezulu wedwa. Ngugqirha kuphela onokunyanga isibeleko esiphulukeneyo. Ngoko ke musa ukuzama ukwenza nantoni na ngokwakho, kuba oko kungenza imeko ibe mandundu.

Ingathintelwa njani le meko kwaye umngcipheko uncitshiswe?

Asinakuyithintela eminye yemiba, njengokuba nabantwana abaninzi ngokwendalo kunye nokuya exesheni. Nangona kunjalo, kukho izinto esinokuzenza ukunciphisa umngcipheko wokuwa kwesibeleko.

• Gcina ubunzima obusempilweni kwaye uzilolonge rhoqo.
• Gcina izihlunu zakho zomgangatho we-pelvic zomelele ngokwenza umthambo weKegel. Oku kubaluleke kakhulu xa ukhulelwe nasemva kokubeleka.
• Ukuba uyatshaya, yeka. Ukutshaya kunokubangela ukukhohlela okungapheliyo. Kubeka uxinzelelo olungeyomfuneko kwimisipha ye-pelvic.
• Sebenzisa ubuchule obufanelekileyo xa uphakamisa iintsimbi.
• Ukuze uthintele ukuqhinwa, kuphephe ukuzibhokoxa ukuze uphume isisu. Yitya ukutya okunefayibha eninzi kwaye usele amanzi amaninzi.

Cinga ngezi zinto xa uphakamisa iintsimbi

Landela la macebiso ukuze uphephe ukwenzakala kunye nomonakalo kwimisipha yakho ye-pelvic xa uphakamisa iintsimbi:

• Musa ukuphakamisa nantoni na enzima kakhulu okanye enobume obungaqhelekanga ukuba ungayiphakamisa wedwa. Kwakhona, musa ukuphakamisa nantoni na engaphezulu komgangatho wesinqe.
• Ngaphambi kokuba uphakamise nantoni na, qiniseka ukuba iinyawo zakho zimile kakuhle emhlabeni kwaye zizinzile.
• Xa uphakamisa into engaphantsi kwesinqe, gcina umqolo wakho uthe nkqo uze ugobe amadolo akho kunye nezinqe zakho njengoko usezantsi . Gcina amadolo akho ethe nkqo kwaye ungagobi phambili esinqeni.
• Yima ngokuqinileyo emhlabeni, kufutshane nento oza kuyiphakamisa, imilenze yakho ihlukane kancinci.
• Qinisa izihlunu zesisu sakho uze uphakamise ubunzima ngemisipha yemilenze yakho . Yolula amadolo akho ngesantya esifanayo. Musa ukuphakamisa ubunzima ngaxeshanye.
• Yima ngokuthe nkqo, ungajiki umzimba wakho. Soloko ubeke iinyawo zakho phambili xa uphakamisa into.
• Ukuba uphakamisa into etafileni, yitsale uye emaphethelweni etafile uze uyisondeze emzimbeni wakho. Goba amadolo akho uze usondele kwinto leyo. Phakamisa into ngemilenze yakho uze ume.
• Bamba into ephakanyisiweyo kufutshane nomzimba wakho, ugobile iingalo zakho. Gcina izihlunu zakho zesisu ziqinile. Hamba kancinci, uthatha amanyathelo amancinci.
• Xa uthoba into, njengaxa uyiphakamisa, gcina imilenze yakho ithe tye, qinisa izihlunu zakho zesisu, kwaye uyithobe ngokugoba izinqe namadolo akho.

Ngaba oku kungenzeka kwakhona?

Uninzi lwexesha, unyango lwe-uterine prolapse luyaphumelela. Nangona kunjalo, ngamanye amaxesha, le meko inokuphinda ivele. Ingakumbi kwiimeko ezifana nezi:

• Ukuba une -prolapse enzima kakhulu .
• Ukuba utyebile kakhulu .
• Ukuba ungaphantsi kweminyaka engama-60 ubudala .

Ngoko ke, nokuba emva konyango, kubaluleke kakhulu ukulandela iingcebiso zonyango kunye nokuphuhlisa imikhwa emihle yokuphila.

Ngaba kunokwenzeka ukuba uphile ngokupheleleyo kule meko?

Kwiimeko ezininzi, imbonakalo yokuncipha kwesibeleko ilungile kakhulu. Unyango kunye notshintsho kwindlela yokuphila (ukugcina ubunzima obusempilweni, ukuzilolonga) kunokunceda ukuthintela ukuba imeko ingaphindi ibuyele. Ukuba uneenkxalabo malunga noku, thetha nogqirha wakho. Angakunceda uphuhlise isicwangciso sonyango esikusebenzelayo, kunye nokukunceda uphuhlise imikhwa emihle yokuphila ukuthintela ukuba le meko ingaphindi ibuyele kwixesha elizayo.

Ufanele uye nini kugqirha?

Ukuba unayo nayiphi na kwezi mpawu zingezantsi, qiniseka ukuba ubonana nogqirha.

• Ukuba uziva ngathi kukho into ebambeke kwilungu lakho lobufazi okanye ephumayo .
• Ukuba kukho intlungu xa uchama okanye ukhupha indle.
• Ukuba unentlungu engapheliyo yesisu esisezantsi, iintlungu zomqolo, okanye uxinzelelo lwe-pelvic ngaphandle kwesizathu esinye.

Khumbula, isibeleko esiqhekekileyo sisifo esixhaphakileyo phakathi kwabasetyhini abaye baba nabantwana abaninzi ngokwendalo okanye abaye badlula kwixesha lokuya exesheni. Iimpawu zinokwahluka ngokuxhomekeke ekubeni isibeleko siqhekeke kangakanani, kodwa kunokuba nzima kakhulu. Ke ngoko, ukuba uneempawu ezinje ngokuphuma kolwelo oluphuma kwilungu lobufazi okanye ukuziva unzima kwindawo yesinqe, bona ugqirha kwaye ufumane unyango ngaphambi kokuba luchaphazele amanye amalungu omzimba. Emva koko ungafumana isiqabu ngokukhawuleza.

Ngoko ke zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule koku?

Ukuqhekeka kwesibeleko kuxa izihlunu ezibambe isibeleko endaweni yaso zibuthathaka, nto leyo ebangela ukuba siwele kwilungu lobufazi. Oku kuqhelekile kubafazi, ingakumbi emva kokubeleka kunye nokuya exesheni.

• Iimpawu: Ubunzima besini, ukuphuma kwamanzi emzimbeni, ubunzima bokuchama nokuphuma kwendle, kunye nentlungu emqolo.
• Izizathu: Izinto ezinje ngokubeletha, ukuyeka ukuya exesheni, ukutyeba kakhulu, ukukhohlela okungapheliyo okanye ukuqhina, kunye nokuphakamisa izinto ezinzima zonke zinokukuchaphazela.
• Kukho unyango: Ukuzivocavoca ngeKegel, ukufakwa kwepessary, kwaye, ukuba kuyimfuneko, utyando lunokuphelisa le meko ngempumelelo.
• Ingathintelwa: Unganciphisa umngcipheko wakho ngokugcina ubunzima obusempilweni, ukwenza umthambo weKegel, ukuphakamisa iintsimbi ngokuchanekileyo, nokuphepha ukutshaya.
• Ukuba uziva ungakhululekanga: Ngokuqinisekileyo funa ingcebiso kagqirha. Akukho nto unokuba neentloni ngayo okanye uyoyike. Okukhona ufumana unyango ngokukhawuleza, kokukhona ungaphola ngokukhawuleza.

Ukuhla kwesibeleko , Impilo yabasetyhini, Ukuxhasa izihlunu zepelvic, Ukuya exesheni, Ukuzala, Ukuzivocavoca kweKegel