Ukusekelwa kwesibeletho sakho - ake sifunde nge-Uterosacral Ligament?

Esikhathini esiningi, asicabangi kakhulu ngezinye izingxenye zomzimba wethu, akunjalo? Kodwa yonke ingxenye encane idlala indima enkulu. Into eyodwa ebaluleke kakhulu kithina besifazane, kodwa engakhulunywa kakhulu ngayo, yi-Uterosacral Ligament. Ake sixoxe ngayo ngemininingwane ethe xaxa namuhla.

Iyini i-Uterosacral Ligament?

Kalula nje, lokhu kuyibhande lezicubu eliqinile neliqinile elixhumanisa ingxenye engezansi yesibeletho sakho, umlomo wesibeletho, nengxenye ephansi kakhulu yomgogodla wakho, i-sacrum. Cabanga ngakho njengentambo. Kusebenza neminye imisipha nemisipha ukusiza ukubamba izitho ezisesinqeni sakho se-pelvic, ikakhulukazi isibeletho, endaweni yaso. Cabanga nje, ngisho nangemva kokususwa kwesibeletho, odokotela abahlinzayo basebenzisa le ligament ye-uterosacral ukusekela ingxenye engenhla yesitho sangasese sowesifazane. Yingakho kubaluleke kangaka.

Kuphi lokhu?

Lo msipha we-uterosacral ugijima kusukela phambili kuya emuva. Okusho ukuthi, kusukela esibelethweni sakho kuya emgogodleni wakho. Empeleni kunezimbili zalezi zinhlayiya, omunye ngakwesobunxele nomunye ngakwesokudla. I-rectum yakho yehla phakathi kwalezi zinhlayiya ezimbili, kuze kube sendunu yakho.

Kukhulu kangakanani lokhu?

I-ligament ye-uterosacral ivame ukuba ngamasentimitha angu-12 kuya kwangu-14 ubude. Ingangokuphakama kwethini le-Coke. Ingangobubanzi obungamasentimitha angu-0.5. Kodwa-ke, iba banzi kancane lapho ixhuma khona nomlomo wesibeletho.

Kwenziwe ngani lokhu?

Ama-ligamenti avame ukwakhiwa ngezicubu ezixhumeneyo. Iningi lawo liyi-fibrous. Kodwa-ke, ama-ligaments e-uterosacral ahlukile kancane. Awayi-fibrous kangako, afana nolwelwesi oluqinile. Aqukethe nemithambo yegazi kanye nemizwa, ikakhulukazi endaweni ezungeze umlomo wesibeletho.

Uyini umsebenzi we-ligament ye-uterosacral?

Umsebenzi wayo oyinhloko ukuhlinzeka ngokusekelwa kwesibeletho sakho. Isibeletho siyingxenye ebaluleke kakhulu ohlelweni lokuzala lwabesifazane. Ngakho-ke le ligament ye-uterosacral, kanye neminye imisipha endaweni yesinqe, isiza ukugcina konke kusendaweni futhi kungagobeki. Njengezindonga zendlu, lezi yizona ezigcina izitho zangaphakathi zihlelekile.

Yiziphi izinkinga eziyinhloko ezithinta le ligament?

Kunezinkinga ezimbili eziyinhloko ezihlobene nomsipha we-uterosacral. Lezi yizi:

• I-Endometriosis :Lokhu kwenzeka lapho amaseli avame ukugcwala ngaphakathi kwesibeletho sakho (i-endometrium) ekhula kwezinye izindawo.
• Ukwehla kwesitho sangasese sowesifazane : Lokhu kwenzeka lapho izitho zakho zesitho sangasese sowesifazane ziwela endaweni yazo evamile ngoba azisekelwa kahle.

Kuyini i-Endometriosis?

Esimweni esibizwa ngokuthi i-endometriosis, amangqamuzana angaphakathi kwesibeletho sakho, okuthiwa i-endometrium, aqala ukukhula ezindaweni lapho kungafanele khona. Lawa maseli alandela nomjikelezo wakho wokuya esikhathini. Lokho kusho ukuthi ayajiya, ayaphuka, futhi opha njalo ngenyanga. Kodwa-ke, lawa maseli awanayo indlela yokuphuma emzimbeni. Ukuze igazi likwazi ukwakheka futhi libangele ukuvuvukala, izicubu ezibomvu, kanye nama-cysts. Abantu abaningi abane-endometriosis bazwa ubuhlungu kanye nokungazali. I-uterosacral ligament yilapho uhlobo oluthile lwe-endometriosis olubizwa ngokuthi i-deep infiltrating endometriosis luvame kakhulu. Kulesi simo, amangqamuzana e-endometrial atholakala ejulile ngaphansi kwezicubu ezimboze umgodi we-pelvic (peritoneum).

Iphathwa kanjani i-endometriosis ye-ligament ye-uterosacral?

Uma ngikhuluma iqiniso, alikho ikhambi elihlala njalo le-endometriosis okwamanje. Kodwa-ke, odokotela bangakwazi ukulawula izimpawu futhi banciphise ukukhula kwalesi zicubu ze-endometrial. Kunezindlela eziningana zokwelapha:

• Ama-Painkiller : Ukuqeda izimpawu ezincane.
• Ukwelashwa ngamahomoni : Lawula umjikelezo wokuya esikhathini wanyanga zonke noma uyeke ukuya esikhathini .
• Ukuhlinzwa: Susa izimila ze-endometrial noma izicubu zesilonda .
• Ukususwa kwesibeletho: Ukususwa kwesibeletho kanye nama-ovari.

Kuyini i-Vaginal Prolapse?

Ukwehla kwesitho sangasese sowesifazane kwenzeka lapho isitho sakho sangasese sowesifazane, isibeletho, isinyi, noma i-rectum iwela phansi endaweni yaso evamile. Lokhu kuvame ukubangelwa ubuthakathaka noma ukwelula kwemisipha ye-pelvic kanye ne-ligament, okuhlanganisa ne-uterosacral ligament, okunciphisa ukwesekwa.Kwezinye izimo ezinzima, izicubu eziqhekekile zingaphuma ngisho nasesithweni sangasese sowesifazane.

Yiziphi izimbangela zokuncipha kwesisu?

Izizathu eziningana zingathinta lesi simo.

• Ukubeletha: Isenzo sokubeletha, ikakhulukazi ngesitho sangasese sowesifazane.
• Ukususwa kwesisu.
• Ukuguga.
• Phakamisa izinsimbe ezisindayo.
• Ukwanda kwengcindezi esiswini: ngenxa yezinto ezifana nokukhuluphala ngokweqile, ukuzikhandla ngesikhathi sokuhamba kwamathumbu, noma ukukhwehlela okungapheli.
• Izifo zezicubu ezixhumene nofuzo.

Ziyini izimpawu zokuncipha kokuzala kwesitho sangasese sowesifazane?

Bheka ukuthi unanoma yiziphi zalezi zimpawu:

• Ukuzwa ukucindezeleka noma into ethile ephuma esithweni sangasese sowesifazane.
• Ubuhlungu ngesikhathi socansi.
• Izinkinga zokuchama noma zokukhipha indle.

Ingabe le ligament ingabangela ubuhlungu besikhathi eside uma isitho sangasese sowesifazane siphumile?

Yebo, i-uterosacral ligament ingabangela ubuhlungu obungapheli be-pelvic noma ubuhlungu bomhlane . Kodwa lokhu akuvamile kakhulu. Lokhu kungenxa yokuthi i-ligament iyanwebeka kakhulu noma ngabe isibeletho siphansi kancane (ukwehla kwesibeletho okuncane). Lobuhlungu besikhathi eside bungabangela nezinto ezifana nokukhathala, ukucasuka, nokucindezeleka. Ngakho-ke, abanye odokotela esikhathini esidlule babecabanga ukuthi lobu buhlungu be-uterosacral ligament buyinto engokwengqondo.

Indlela yokwelapha i-prolapse yesitho sangasese sowesifazane?

Kunezindlela zokwelapha zokuhlinzwa kanye nezindlela zokwelapha ezingadingi ukuhlinzwa zokunciphisa ukuvuvukala kwesitho sangasese sowesifazane. Uma une-prolapse ngemva kokususwa kwesitho sangasese sowesifazane, udokotela wakho ohlinzayo angenza inqubo ebizwa ngokuthi i-uterosacral ligament suspension . Lokhu kuhilela ukunamathisela i-uterosacral ligament yakho (noma enye i-ligament) phezulu kwesitho sangasese sowesifazane sakho ngokusikwa okuncane (ngokwe-transvaginally).

Ungazivimbela kanjani izinkinga ezihlobene ne-ligament ye-uterosacral?

Njengoba sesixoxile ngaphambili, i-uterosacral ligament iyindawo evamile ye-endometriosis. Okwamanje ayikho indlela eyaziwayo yokuvimbela i-endometriosis. Ngakho-ke, into engcono kakhulu ongayenza ukuxilonga lesi sifo kusenesikhathi. Uma uthola njalo ukuhlolwa kwabesifazane, noma ukuhlolwa kwe-pelvic, ungathola noma yiziphi izinkinga kusenesikhathi. Futhi, i-uterosacral ligament idlala indima enkulu ekusekeleni izitho zakho ze-pelvic. Kubalulekile ukugcina amandla e-pelvic floor yakho njengoba ukhula, ikakhulukazi uma uke wabeletha ngesitho sangasese sowesifazane.

Zama izinto ezifana nokuzivocavoca kwe-Kegel. Futhi, yenza izivivinyo eziqinisa imisipha yakho engaphakathi, njenge-yoga kanye ne-Pilates. Lezi zivivinyo zingakusiza ukulawula umchamo wakho (i-continence yomchamo) futhi uvimbele ukuwohloka komzimba.

Ungathuthukisa impilo yakho ye-pelvic ngokulandela lezi zinyathelo:

• Gwema ukuzikhandla lapho ukhipha indle.
• Phuza izingilazi eziyisithupha kuya kweziyisishiyagalombili zoketshezi olungena-caffeine ngosuku.
• Nciphisa i-caffeine notshwala.
• Gcina isisindo sakho siphilile.
• Uma unesifo sokuqunjelwa esingamahlalakhona, thola ukwelashwa.
• Sebenzisana nodokotela wakho ukuze uyeke ukubhema .
• Sebenzisa ukuma okufanele lapho uphakamisa izinsimbi.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke izinkinga ze-uterosacral ligament esikhulume ngazo namuhla zivamile, kodwa khumbula ukuthi zingelashwa . Uma unezinhlungu ze-pelvic, ingcindezi, noma ezinye izimpawu ezingavamile, qiniseka ukuthi ukhuluma nodokotela wakho. Angachaza zonke izindlela zokwelapha ezingasiza ekulawuleni izimpawu zakho futhi zikunikeze impumuzo yesikhathi eside. Ungesabi, ukukhuluma ngokukhululekile ngalezi zinto kuyisinyathelo sokuqala.

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I-ligament ye-Uterosacral, ukwesekwa kwesibeletho, i-endometriosis, ukuwohloka kwesitho sangasese sowesifazane, impilo yesibeletho, impilo yabesifazane, isibeletho