Ngaba i-vaginal yakho ivakala ngathi i-prolapse? (I-Vaginal Prolapse) Makhe sithethe ngale nto!

Ngaba ngamanye amaxesha uziva ubunzima, uxinzelelo, okanye ukutsalwa kwilungu lobufazi bakho? Abanye abantu banokuziva ngathi kukho into ephuma kwilungu lobufazi bakho, okanye ngathi kukho ibhola encinci ehleli phezu kwayo. Le meko inokubangela iintlungu zesisu esisezantsi kunye nomqolo. Esi sisifo esiqhelekileyo esichaphazela abafazi abaninzi. Ngoko ke, masithethe ngaso ngokweenkcukacha namhlanje.

Yintoni iVaginal Prolapse?

Ngamafutshane, i-vaginal prolapse iyenzeka xa inxalenye ephezulu yesini sakho, umphezulu wesini sakho, iwela phantsi kwindawo yayo eqhelekileyo. Uyazi, isini sakho sisakhiwo esifana nomngxuma esidibanisa isibeleko sakho nesini sakho. Xa le nxalenye ingaphezulu yesini sakho ibuthathaka, ilahlekelwa yinkxaso yayo kwizitho ezingaphezulu kwayo, kwaye ezo zitho ziqala ukuwela kwisini sakho. Kulapho uziva ngathi ukwiqhubu okanye into ethile.

I-pelvis yethu inezitho ezininzi ezibalulekileyo, kuquka i-vagina, isibeleko, isinyi, kunye ne-rectum. Zonke ezi zitho zibanjwe yinkqubo yokuxhasa eqinileyo eyenziwe yimisipha kunye nezinye izicubu ezibizwa ngokuba yi-pelvic floor. Kanye njengokuba isambrela sinokubamba izinto xa zijikwa zijonge ezantsi, umgangatho we-pelvic nawo ubamba amalungu ethu phezulu. Nangona kunjalo, ngokuhamba kwexesha, okanye ngezinye izizathu, le nkqubo yokuxhasa inokuba buthathaka. Xa oku kusenzeka, amalungu aqala ukugoba. Oku sikubiza ngokuba yi-prolapse .

Olu hlobo lokuzala lunokuba luluncinci okanye lukhulu. Ukuncipha okuncinci kubizwa ngokuba yi-incomplete prolapse . Kwi-major prolapse, oko kukuthi, i-complete prolapse , ilungu lomzimba linokwehla kakhulu kwaye ngamanye amaxesha lide liphume ngomngxuma welungu lobufazi. Le yimeko embi kakhulu.

Ukuhla kwesisu okuncinci ukuya kokuphakathi kunokubangela iimpawu ezibuhlungu. Ukuhla kwesisu okuncinci ukuya kokuphakathi kusenokungafuneki utyando. Nangona kunjalo, kwiimeko ezinzima, utyando lunokufuneka ukuze kulungiswe.

Ngaba kukho iintlobo ezahlukeneyo ze-prolapse?

Ewe, kuyinyani ukuba amalungu ahlukeneyo kwi-pelvic cavity yethu anokuwohloka. Amagama anikwe le meko ayahluka ngokuxhomekeke kwilungu eliwohloka. Makhe sijonge iintlobo eziphambili:

• Ukuhla kwesisu okanye ukuhla kwesisu: Oku kulapho umphezulu wesisu (i-vaginal vault) uwela khona ungene kwisingxobo sesisu. Le meko idla ngokubonakala kubafazi abaye basuswa isisu.
• Ukuqhekeka kwesibeleko: Kulapho isibeleko singena khona kwisibeleko. Kwezinye iimeko ezinzima, isibeleko sinokuphuma ngomngxuma wesibeleko. Oku kunokuvakala ngathi izicwili zesibeleko ziyakhuhlana kwimpahla.
• Ukuqhekeka kwesinyi (iCystocele): Oku kuxa isinyi sakho sityhala singene kwilungu lobufazi.
• I-Urethrocele: Kule meko, i-urethra, ityhubhu ethwala umchamo kwisinyi, ityhalelwa kwilungu lobufazi.
• I-Rectocele: Inxalenye yokugqibela yamathumbu akho amakhulu, i-rectum, iphuma eludongeni olungasemva lwelungu lakho lobufazi.
• I-Enterocele: Oku kwenzeka xa inxalenye yamathumbu amancinci iphuma iye eludongeni olungasemva lwelungu lobufazi.

Ixhaphake kangakanani i-vaginal prolapse?

Le meko ixhaphake kakhulu kunokuba unokucinga. Ngaphezulu kwesithathu sabasetyhini baya kuba nohlobo oluthile lokuqhekeka kwamalungu omzimba we-pelvic ngaxa lithile ebomini babo. Unamathuba amaninzi okuba nale meko njengoko ukhula, ingakumbi ukuba ubelethe abantwana abaninzi kwisini.

Ndingayazi njani ukuba ndinale meko?

Ngamanye amaxesha usenokungazi nokuba unale meko, ingakumbi ukuba i-prolapse incinci. Kwiimeko ezinjalo, ugqirha wakho unokuyifumana ngexesha lovavanyo lwe-pelvic oluqhelekileyo. Nangona kunjalo, abanye abantu abayiqondi loo nto de izicubu ziphume kwilungu lobufazi. Abanye basenokuva iintlungu okanye ukuziva ngathi kukho into ephezu kwabo.

Ngaba oku kwehla kuya kuchaphazela amanye amalungu omzimba?

Ewe, kungekuphela nje isini, kodwa nezinye izitho ezininzi ezikwisinqe esingaphantsi komhlaba zinokuphuma endaweni yazo. Ngokuxhomekeke kuhlobo lwe-prolapse onayo kunye nobunzima bayo, nezinye izitho ezikufutshane nazo zinokuchaphazeleka. Umzekelo, iingxaki zezintso, i-urethra, kunye ne-rectum zinokwenzeka. Ekubeni le prolapse inokubangela ezinye iingxaki, kubaluleke kakhulu ukubona ugqirha kwaye uhlolwe.

Zithini iimpawu zokurhoxa kwesibeleko?

Iimpawu zale meko zinokwahluka kumntu nomntu. Nazi ezinye zeempawu eziqhelekileyo:

• Ukuziva ugcwele, ubunzima, okanye iintlungu kwindawo yesinqe. Olu luvo lunokwanda njengoko usuku luqhubeka, xa umi, uphakamisa, okanye ukhohlela.
• Intlungu esezantsi komqolo.
• Ukuziva ngathi kukho iqhuma kwilungu lobufazi.
• Ukuziva ngathi kukho into ephumayo kwilungu lobufazi.
• Ukungakwazi ukuzibamba komchamo .
• Usulelo oluqhelekileyo lwendlela yomchamo.
• Ubunzima bokukhupha indle (ukuqunjelwa).
• Ukungakhululeki okanye iintlungu ngexesha lokwabelana ngesondo.
• Ubunzima bokufaka izinto ezifana neetamponi kwilungu lobufazi.

Kuvakala njani xa i-vagina ithotywa?

Ukuba i-prolapse incinci kakhulu, abanye abantu basenokungayiboni nantoni na. Kwiimeko ezinjalo, ugqirha wezifo zabesifazane uya kuyifumana ngexesha lovavanyo oluqhelekileyo. Nangona kunjalo, ukuba iphantsi kakhulu, inokuvakala ngathi yibhola ejingayo kwilungu lobufazi, okanye inokubangela intlungu ngexesha lokuchama okanye ngesondo.

Zithini izizathu zokuqhekeka kwesibeleko se-vaginal?

Njengoko besikhe sathetha ngaphambili, isini sethu sibanjwe yinkqubo yokuxhasa eyenziwe yimisipha kunye nezinye izicubu. Ekuhambeni kwexesha, le nkqubo yokuxhasa iba buthathaka. Kulapho isini siqala ukutyibilika endaweni yaso size siwele phantsi. Kukho izizathu ezininzi eziphambili zoku:

• Ukuzala: Lo mngcipheko uphezulu, ingakumbi ukuba ubelethe izihlandlo ezininzi kwisini, ubeleke ixesha elide, okanye usana olukhulu (olungaphezulu kweekhilogram ezili-9).
• Ukuya exesheni: Ngexesha lokuya exesheni, ama-ovari akho ayayeka ukuvelisa iihomoni ezilawula umjikelo wakho wokuya exesheni wenyanga. I-estrogen yeyona ibalulekileyo kwezi homoni , njengoko inceda ukugcina izihlunu zakho ze-pelvic ziqinile. Xa amanqanaba e-estrogen emzimbeni wakho ehla, izihlunu zakho ze-pelvic ziyabuthathaka kwaye ukubola kunokwenzeka.
• Utyando: Ukuba ukhe wakhutshwa isisu, usengozini enkulu yokuncipha kwesibeleko.
• Ukwaluphala: Umngcipheko wokufumana le meko uyanda njengoko iminyaka ikhula.
• Umsebenzi onzima okanye ukuphakamisa izinto ezinzima: Cinga ngobunzima obuphakanyiswa ngoomama noomakhulu bethu xa besenza imisebenzi yasekhaya, bephethe amanzi, okanye bephakamisa iinkuni ezinkulu xa besiya esitovini somthi. Xa uphakamisa izinto ezinzima ngolo hlobo, izihlunu zakho ze-pelvic zinokuba buthathaka kwaye amalungu akho omzimba angase awe.
• Izinto ezibangelwa lufuzo okanye zemfuza: Inkqubo yokuxhasa isinqe yabanye abantu isenokuba buthathaka kancinci ukususela ekuzalweni.

Ukongeza, eminye imisebenzi kunye neemeko ezibeka uxinzelelo olongezelelweyo kwisisu nazo zinokubangela la mathontsi. Imizekelo:

• Ukungagcini ubunzima bomzimba obusempilweni.
• Ukuphakamisa izinto ezinzima rhoqo.
• Ukuzikhandla kakhulu ngexesha lokuhamba kwamathumbu.
• Ukuba nokukhwehlela okungapheliyo (oku kuqhelekile kubantu abane-asthma okanye izifo zokuphefumla).

Uyibona njani i-prolapse yesini?

Le meko idla ngokuchongwa ngugqirha wezifo zabesifazane. Ugqirha uza kukubuza ngeempawu zakho, ezinje ngentlungu yesinqe kunye nokungakwazi ukuzibamba komchamo. Basenokukubuza nangembali yakho yokuzalwa yangaphambili. Kwiimeko ezininzi, ugqirha unokwazi ukubona ukuba une-prolapse ngexesha lovavanyo lomzimba okanye ngokujonga isini sakho.

Ngamanye amaxesha usenokungabi nazimpawu, kwaye ugqirha uya kuzifumana kuphela ngexesha lovavanyo lwesiqhelo lwe-pelvic.

Ukuba unengxaki yokuchama, ugqirha wakho unokuyalela ezinye iimvavanyo ukujonga ukusebenza kwesinyi sakho. Banokuyalela ne-MRI (Magnetic Resonance Imaging) scan okanye i-pelvic ultrasound ukuze ubone kakuhle amanye amalungu omzimba kwi-pelvic cavity yakho.

Ezi ngxaki zenzeka xa zineminyaka emingaphi?

Ukuqhekeka kwesibeleko kunokwenzeka kakhulu emva kokuya exesheni nasemva kokuzala abantwana abaninzi ngendlela yendalo. Kuxhaphake kakhulu kubasetyhini abangaphezu kweminyaka engama-50, kodwa kunokwenzeka nakweyiphi na iminyaka.

Indlela yokunyanga i-prolapse yesini?

Iindlela zonyango ziyahluka ngokuxhomekeke kubukhulu bokudandatheka kwakho. Ngamanye amaxesha, ugqirha wakho unokugqiba ekubeni akujonge okwethutyana ukuze abone ukuba imeko yakho iba mandundu na.

Kukho iindlela zonyango ezingasebenzisi utyando kunye nezotyando. Xa edala isicwangciso sonyango, ugqirha uya kuthathela ingqalelo izinto ezininzi:

• Impilo yakho ngokubanzi kunye nokuba unayo nayiphi na eminye imigulo enzulu.
• iminyaka yakho.
• Ubunzima bokwehla.
• Ngaba unethemba lokuba nabantwana kwixesha elizayo?
• Nokuba ulindele ukuba wenze isondo sangasese (isondo esingena ngaphakathi) kwixesha elizayo.

Kubaluleke kakhulu ukuthetha ngokukhululekileyo nangokunyaniseka nogqirha wakho ngale micimbi. Ukuba unemibuzo okanye iinkxalabo malunga nolu nyango, thetha nogqirha wakho.

Unyango olungelulo utyando

Ezi zizinto zokuqala omele uzizame. Zisebenza kakuhle kwingxaki yokudakumba okuncinci ukuya kokuphakathi.

• Ukuzilolonga: Kukho imithambo ekhethekileyo enokuqinisa imisipha yomgangatho we-pelvic, le ibizwa ngokuba yi -Kegel exercises . Nantsi indlela yokuyenza: Qinisa imisipha yakho ye-pelvic ngokungathi uzama ukunqanda ukuphuma komchamo. Bamba imizuzwana embalwa uze uyikhulule. Yenza oku malunga nezihlandlo ezili-10 zilandelelana. Ungenza le mithambo malunga nezihlandlo ezine ngemini, kwaye eyona nto ingcono kukuba ungayenza naphi na, nokuba uhleli phantsi.
• Ipessary yesitho sangasese sowesifazane: Esi sisixhobo esihlala sifana neplastiki encinci okanye irabha. Sifakwa ngaphakathi kwisitho sangasese sowesifazane. Sisebenza njengenkxaso kwaye sinceda ukugcina amalungu omzimba esendaweni yawo. Ugqirha wakho uza kukhetha ipessary enobukhulu obufanelekileyo aze ayifake. Ifanele icocwe rhoqo kwaye isuswe ngaphambi kokuba nesondo.

Unyango lotyando

Ukuba i-prolapse inzima, utyando lunokwenziwa ukuze lulungiswe. Nazi ezinye iindlela:

• Ukumiswa kwe-vaginal vault: Oku kuquka ukuncamathisela i-vaginal yakho kwi-ligaments kwi-pelvic cavity enceda ukuyibamba.
• I-Sacrocolpopexy: Kolu tyando, isakhiwo esifana ne-mesh sinamathele kwilungu lobufazi bakho kwaye sinamathele kwithambo lomsila, ithambo elisezantsi kumqolo wakho. Oku kubonelela ngenkxaso engcono kwilungu lobufazi bakho. Olu tyando lwenziwa ngokusikwa okuncinci esiswini sakho, kusetyenziswa indlela yotyando olungenamsebenzi kangako ebizwa ngokuba yi-laparoscopy .
• I-Colpocleisis:Olu tyando lubandakanya ukuthunga nokuvala i-vagina. Enye inzuzo yolu tyando kukuba umngcipheko wokuphinda ubuye unciphe kakhulu. Nangona kunjalo, isondo esingena ngaphakathi asinakwenziwa nge-vagina emva kolu tyando.

Kuza kwenzeka ntoni ukuba oku kwehla akunyangwa?

Ukuba i-vaginal prolapse ayinyangwa, le meko inokuba mandundu. Ukongeza ekunyukeni kwentlungu, inokukhokelela kwizilonda zangasese, usulelo, kunye nomngcipheko wokonakala kwamanye amalungu omzimba kwi-pelvic cavity.

Ngoko ke ukuba unale mpawu, kungcono ukufuna ingcebiso kagqirha ngaphandle kokuba neentloni okanye ukoyika.

Ungayityhala into ngesandla sakho?

Hayi, awunakukwazi ukutyhala isitho sangasese sowesifazane esivele saphuma wedwa. Oku kufanele kunyangwe ngugqirha kuphela. Usenokuziva uphantsi kancinci, kwaye unokufuna ukutyhala kancinci ukuze ukhuphe inkunkuma okanye uchame. Kodwa oku kungokwexeshana kwaye akuyi kuyilungisa ingxaki ngokusisigxina.

Ngaba ukudumba kwesibeleko kungathintelwa?

Nangona kungenakwenzeka rhoqo ukuthintela oku, kukho imikhwa emihle yokuphila onokuyilandela ukunciphisa umngcipheko wokuncipha kwesisu sakho:

• Ukuzilolonga rhoqo (ingakumbi ukuzivocavoca kweKegel ).
• Ukugcina ubunzima bomzimba kunye nokutya okunempilo.
• Ukungatshayi (ukutshaya kunokunyusa ukukhohlela, nto leyo ebeka uxinzelelo phantsi kwe-pelvic).
• Ukusebenzisa indlela echanekileyo yokuma xa uphakamisa iintsimbi.

Zeziphi iindlela zokuphakamisa ezifanelekileyo? Zinceda njani ukuthintela ukuwa?

Xa uphakamisa into enzima, izihlunu zakho zinokusebenza kakhulu. Olu xinzelelo lunokubangela ukuwohloka kwamalungu omzimba we-pelvic. Ngokulandela la macebiso ambalwa, unganciphisa umngcipheko:

• Musa ukuphakamisa izinto ezinzima wedwa: ​​Ukuba kufuneka uphakamise into enemilo engaqhelekanga okanye enzima kakhulu, cela uncedo kumntu othile.
• Jonga iinyawo zakho: Ngaphambi kokuba uphakamise nantoni na, jonga ukuba iinyawo zakho zimile kakuhle emhlabeni.
• Phakamisa ngemilenze yakho: Xa uphakamisa into engaphantsi kwesinqe sakho, gcina umqolo wakho uthe nkqo uze ugobe emadolweni nasemaqakaleni akho. Musa ukugoba phambili esinqeni, gcina amadolo akho ethe nkqo.
• Gcina iinyawo zakho zibanzi: Xa uphakamisa into ethile, gcina iinyawo zakho zibanzi kwaye zimile kakuhle emhlabeni.
• Musa ukujija okanye ukujikajika xa uphakamisa: Qinisekisa ukuba ulungisa amadolo akho kancinci kwaye ngokulinganayo. Musa ukuphakamisa umthwalo ngokujija.
• Hambisa into phambi kokuba uyiphakamise: Ukuba uphakamisa into etafileni, yitsale uyibeke ecaleni kwetafile ukuze ukwazi ukuyibamba kufutshane nomzimba wakho.
• Gcina umthwalo usondele emzimbeni wakho: Goba iingalo zakho, qinisa izihlunu zakho zesisu, kwaye ugcine into oyiphakamisayo ikufutshane nombindi womzimba wakho.
• Ukunciphisa umthwalo kwenziwa ngendlela efanayo nokuwuphakamisa:Ukuze wehlise umthwalo, kufuneka ugcine imilenze yakho yahlukene, uqinise izihlunu zakho zesisu, uze ugobe ezinqeni nasemadolweni.

Ngaba ukubola kwesibeleko kungaphindwa kwakhona?

Ewe, i-prolapse yesini ingaphinda ivele emva konyango. Nangona kunjalo, uninzi lwezicwangciso zonyango ziphumelela kakhulu. Ukuba ukhe waba ne-prolapses ezininzi okanye i-prolapse enzima, ugqirha wakho uza kuthetha nawe malunga neendlela zotyando.

Lithini igama lokugqibela malunga nokuqhekeka kwesisu?

Kwiimeko ezininzi, i-vaginal prolapse inokunyangeka ngempumelelo. Unyango kunye notshintsho kwindlela yokuphila zihlala zisebenza kakuhle. Thetha nogqirha wakho malunga nazo zonke iindlela zakho zonyango kunye nendlela ukhetho ngalunye olunokukuchaphazela ngayo. Ugqirha wakho unokukunceda uphuhlise imikhwa emihle yokuphila eya kunceda ukunciphisa umngcipheko wakho we-vaginal prolapse kwixesha elizayo.

Ndifanele ndimbone nini ugqirha?

Ukuba unenye yezi mpawu zilandelayo, bonana nogqirha ngokukhawuleza:

• Ukuziva ugcwele ngaphakathi kwilungu lobufazi, okanye ukuziva ngathi udlala ibhola.
• Ukuziva ngathi kukho iqhubu okanye into efana neqhina eliphuma kwilungu lobufazi.
• Intlungu emqolo ongezantsi okanye kwindawo ye-pelvic.
• Ukufuna ukuchama rhoqo kunesiqhelo.
• Intlungu ngexesha lokwabelana ngesondo.
• Ukopha okungaqhelekanga kwilungu lobufazi.

Musa ukuvumela iimpawu zokuncipha kwesisu ziphazamise ubomi bakho bemihla ngemihla. Nangona le ingeyona imeko imbi kakhulu, inokubangela iingxaki ukuba ayinyangwa okanye iba mandundu.

Umyalezo Wokuya Ekhaya

Kulungile, masikukhumbuze ngezona ngongoma zibalulekileyo koko sithethe ngako namhlanje.

• Ukuhla kwesisu kukwehla kwesitho sangasese sowesifazane kunye nezinye izitho ezinxulumene noko ngenxa yokuba buthathaka kwemisipha yomgangatho we-pelvic.
• Izizathu eziphambili zoku zingabandakanya ukuzala, ukuyeka ukuya exesheni, ukwaluphala, ukuphakamisa iintsimbi, kunye notyando oluthile.
• Iimpawu zingabandakanya ukuziva into ethile iphuma kwilungu lobufazi, ubunzima, iintlungu zomqolo, kunye neengxaki zomchamo.
• Ukuba uneempawu ezinje, ungabi nantloni okanye ungoyiki, bonana nogqirha.
• Le meko inganyangwa ngempumelelo ngonyango olungenalo utyando olufana noqheliso lweKegel kunye neepessaries, kunye notyando ukuba kuyimfuneko.
• Indlela yokuphila esempilweni kunye nokusebenzisa indlela efanelekileyo yokuma xa uphakamisa iintsimbi kunokunceda ekunciphiseni le ngozi.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba unemibuzo engaphezulu malunga noku, qiniseka ukuba uthethe nogqirha.

Ukuhla kwesisu , Umgangatho wePelvic, Ukuhla kwesisu, Impilo yabasetyhini, Ukuzilolonga kweKegel, iGynecology