Ngezinye izikhathi, ngokweminyaka, ikakhulukazi komama nogogo bethu, okunye kokungakhululeki okuhambisana nakho ukuthi izitho ezifana nesibeletho kanye nesinye ziyehla kancane. Lokhu kungaba yinto ecasulayo kakhulu lapho uhamba noma usebenza. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-Pelvic Organ Prolapse (POP). Namuhla, sikhuluma ngokuhlinzwa okuphumelelayo nokulula ukwelapha lesi simo. Lokho ukuhlinzwa kwe-Colpocleisis.
Kalula nje, iyini i-Colpocleisis?
Ukuze siqonde lokhu, ake siqale sibheke i-pelvic organ prolapse (POP). Cabanga ngakho, ingxenye engezansi yesisu sethu (i-pelvis) yilapho kutholakala khona izitho zethu ezibalulekile njengesibeletho, isitho sangasese sowesifazane, isinyi, kanye ne-rectum. Lezi zitho zibanjwe endaweni yazo yinethiwekhi yemisipha nezicubu ezibizwa ngokuthi i-pelvic floor. Njengoba sikhula, futhi ngemva kokuba nezingane eziningana, lezi zitho zingaba buthaka. Khona-ke lezo zitho zingawa phansi, futhi ngezinye izikhathi zize ziphume ngisho nasesithweni sangasese sowesifazane.
I-Colpocleisis inqubo yokuhlinzwa lapho isitho esiphumile sibuyiselwa emzimbeni bese izindonga zesitho sangasese sowesifazane zithungwa ndawonye ukuze kuvinjelwe ukuthi singaphinde siphume. Lokhu kuyindlela yokwelapha ephumelela kakhulu ye-POP.
Kunezinhlobo ezimbili zokuhlinzwa kwe-POP, akunjalo?
Yebo, kunezinhlobo ezimbili eziyinhloko zokuhlinzwa. I-Colpocleisis ingenye yalezi ezimbili. Ake sibone ukuthi umehluko uyini phakathi kwalezi ezimbili.
| Uhlobo lokuhlinzwa | Incazelo elula |
|---|---|
| Izinqubo zokwakha kabusha | Lokhu kuhilela ukwenza i-incision esiswini noma esithweni sangasese sowesifazane bese kufakwa isitho esiphansi endaweni lapho sasikhona khona. Lokhu kuhlinzwa kungathatha amahora amaningana. |
| Izinqubo zokususa | Lokhu kuyi -Colpocleisis . Kulokhu, isisu asinqunywa. Isitho esiphansi sifakwa ngaphakathi, bese isitho sangasese sowesifazane sivalwa. Lokhu kushesha kakhulu (cishe ihora), futhi kunezinkinga ezimbalwa. |
Zikhona yini izinhlobo zokuhlinzwa kwe-colpocleisis?
Yebo, kunezinhlobo ezimbili eziyinhloko. Udokotela wakho uzonquma ukuthi yiluphi uhlobo olukufanele.
- I-Total Colpocleisis: Kulokhu, izindonga zangaphambili nezangemuva zesitho sangasese sowesifazane zithungwe ndawonye ngokuphelele. Isitho sangasese sowesifazane sifinyeziwe.
- I-Partial/Le Fort colpocleisis: Lokhu kuhilela nokusika isitho sangasese sowesifazane. Kodwa-ke, kushiywa izikhala ezimbili ezincane ukuze uketshezi luphume esibelethweni. Le ndlela ilungele labo abangakasuswa isibeletho sabo.
Ubani lo kuhlinzwa ofaneleka kakhulu?
Ukuhlinzwa kwe-Colpocleisis akuwona wonke umuntu. Kufaneleka kakhulu kulabo abanezizathu ezithile.
- Kulabo abangasenalo ithemba lokwenza ucansi: Leli iphuzu elibaluleke kakhulu. Ngemva kokuhlinzwa, isitho sangasese sowesifazane siba sifushane kakhulu ukuba singalala nomuntu. Ngakho-ke, lokhu kuhlinzwa kucatshangelwa abesifazane abangasenalo ithemba lokuba nempilo yocansi. Lokhu kufanele kuqondwe kahle ngaphambi kokuhlinzwa.
- Kulabo abangakwazi ukubekezelela ezinye izinhlinzeko ezinkulu: Lena inketho enhle kubantu asebekhulile abanezinye izinkinga zempilo njengesifo senhliziyo, isifo sikashukela, noma abangakwazi ukubekezelela amahora amaningi okuhlinzwa. Lokhu ukuhlinzwa okusheshayo nokungacindezeli kakhulu.
- Kulabo abanezitho zomzimba eziphansi kakhulu ukuba zingalawulwa ngezinye izindlela zokwelapha: Ngezinye izikhathi, ukuzivocavoca phansi kwe-pelvic (ukuzivocavoca kwe-Kegel) noma i-vaginal pessaries kungasiza ekulawuleni lesi simo. Kodwa-ke, uma izitho zomzimba sezivele ngokuphelele esithweni sangasese sangasese, ukuhlinzwa kuyisisombululo esingcono kakhulu.
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuba wenze lokhu kuhlinzwa, udokotela uzohlola impilo yakho ngokucophelela.
Ukuhlolwa kwempilo
- Kuhlolwa igazi kaningana.
- Kuzokwenziwa ukuhlolwa kwe-EKG ukuze kubonakale ukuthi kukhona yini isifo senhliziyo.
- Umlando wakho wezokwelapha ophelele uzokutshela ngemithi oyiphuzayo.
- Buza ukuthi kukhona yini ubunzima bokuchama noma indle.
- Bazokubuza ngezimpawu zakho (ingabe kuzwakala sengathi kukhona okuphuma esithweni sakho sangasese, ingabe kukhona ubuhlungu, ingabe kukhona ukopha, njll.).
Okubalulekile: Uma ubhema , udokotela wakho uzokweluleka ukuthi uyeke okungenani amasonto angu-4-6 ngaphambi kokuhlinzwa, njengoba ukubhema kubambezela kakhulu ukuphola kwenxeba.
Ukuhlolwa okuyisisekelo okungadingeka
Njengoba ukuhlolwa kwesitho sangasese sowesifazane kungenziwa ngemva kokuhlinzwa kwe-colpocleis, ukuhlolwa kwenziwa ukuze kuhlolwe noma yiziphi izinto eziyingozi njengomdlavuza wesibeletho noma umdlavuza wesibeletho. Ngenxa yalokhu,
- I-Pap smear
- Ukuhlolwa kwengxenye encane yezicubu ezivela esibelethweni (i-Endometrial biopsy)
- I-ultrasound ye-transvaginal
Ukuhlolwa okufana nalokhu: Ngezinye izikhathi, uma kukhona ingozi yomdlavuza wesibeletho, udokotela angase ancome ukususwa kwesibeletho kanye nalokhu kuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Akukho okufanele ukhathazeke ngakho. Lokhu kuhlinzwa kuthatha cishe ihora elilodwa kuphela .
1. Uzonikezwa umuthi wokubulala izinzwa ojwayelekile (i-analgesia) noma umuthi wokubulala izinzwa wendawo (i-anesthesia yesifunda) ukuze ungezwa ubuhlungu.
2. Kufakwa i-catheter ukuze kukhishwe umchamo ngesikhathi sokuhlinzwa.
3. Kugqokwa amasokisi akhethekile (amasokisi okucindezela) ukuvimbela ukuqhekeka kwegazi emilenzeni.
4. Udokotela ususa ulwelwesi oluncane ngaphakathi kwesitho sangasese sowesifazane, athunge izindonga zesitho sangasese sowesifazane ndawonye ngemicu encibilikayo.
Ngemva kokuhlinzwa, imbobo yesitho sangasese sowesifazane iba ncane kanti isitho sangasese sowesifazane siba mfushane, kodwa akukho shintsho ekubukekeni kwangaphandle.
Kwenzekani ngemva kokuhlinzwa?
Ungase ukwazi ukuya ekhaya kusihlwa esifanayo nokuhlinzwa kwakho, noma kungase kudingeke uhlale esibhedlela ubusuku bonke. Letha othile ozokuhambisa ekhaya ngemoto. Udokotela uzokucela ukuthi ubuye cishe emavikini amabili kuya kwamane.
Lezi yizinto ongazilindela ngokuvamile ngesikhathi sokululama:
- Ukopha kanye nobuhlungu esithweni sangasese: Lokhu kuzophela phakathi nesonto. Ungaphuza imithi yobuhlungu enqunywe udokotela wakho ngenxa yobuhlungu.
- Ukuphuma koketshezi oluphuzi: Ungakhathazeki ngalokhu. Lokhu kuyinto ephumayo lapho intambo encibilikayo efakwe ngaphakathi incibilika. Izophola ngokuphelele emavikini ayi-6-8.
- Ukugcinwa komchamo: Kungaba nzima kancane ekuqaleni, kodwa isimo sizothuthuka kancane kancane.
- Ukuqunjelwa: Udokotela wakho uzokweluleka ukuthi usebenzise imithi ezokusiza ukuthi ukhiphe indle kalula isikhashana.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
| Izinzuzo | Izingozi |
|---|---|
| Kunezinga eliphezulu kakhulu lempumelelo (90% - 100%). Izimpawu ze-POP ziyanyamalala ngokuphelele. | Izingozi ezivamile zanoma yikuphi ukuhlinzwa (ukuqhekeka kwegazi, ukutheleleka, ukopha) zingase zibe zincane kakhulu. |
| Ukuhlinzwa kuthatha isikhathi esifushane futhi akukhathazi kakhulu emzimbeni. | Abanye abantu bangase babe nokungakwazi ukuzibamba komchamo okubangelwa ukucindezeleka (SUI) ngemva kokuhlinzwa, lapho bevuza khona umchamo omncane lapho behleka noma bekhwehlela. |
| Ingozi yokuphindaphinda kwe-POP iphansi kakhulu. | Ingozi yakho inqunywa impilo yakho iyonke, hhayi iminyaka yakho. |
Into ebaluleke kakhulu ukuthi ukuhlinzwa kwe-colpocleisis akunakulungiseka. Ngakho-ke, kufanele wenze isinqumo ngemuva kokuqonda ngokucophelela zonke izinzuzo nezingozi nokuxoxa ngaso nodokotela wakho.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kungathatha cishe amasonto ayisithupha ukuphulukiswa ngokuphelele.
- Amaviki amabili okuqala: Uzozizwa ukhathele futhi udabukile. Phumula ngokwanele.
- Ngemva kwamasonto ambalwa: Uzokwazi ukuqhubeka nemisebenzi evamile njengokuhamba ngezinyawo nokushayela.
- Ngemva kwamasonto ayi-6: Ungaqala ukuya emsebenzini.
Gwema ukuphakamisa izinsimbi noma ukwenza ukuzivocavoca okunzima phakathi nalesi sikhathi. Kuzoba usizo ukuletha nokugcina izinto ezidingekayo ekhaya ngaphambi kokuhlinzwa.
Kukuziphi izimo lapho udinga ukubonana nodokotela ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngesikhathi sokululama kwakho, kungaba uphawu lokutheleleka noma enye inkinga. Ngakho-ke khuluma nodokotela wakho ngokushesha .
- Imfiva
- Ubuhlungu obukhulu besisu
- Ubunzima bokuchama
- Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi
- Uma ubuhlungu obuvela esilondeni buba bubi kakhulu
- Ukopha ngokweqile okuvela enxebeni noma ukopha okungapheli
I-Colpocleisis iyindlela yokuhlinzwa enhle kakhulu eletha impumuzo enkulu futhi yenza impilo ibe lula kubantu abaningi abahlushwa yi-POP. Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho bese wenza isinqumo esikufanele kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Colpocleisis iyindlela yokuhlinzwa ephumelelayo, esheshayo, futhi engenazinkinga eziningi yokunciphisa ukusabalala kwezitho ze-pelvic (POP).
- Lokhu kufaneleka kakhulu kwabesifazane abangasafuni ukuya ocansini futhi abangakwazi ukubekezelela ukuhlinzwa okukhulu.
- Ngemva kokuhlinzwa, ngeke ukwazi ukwenza ucansi lwesitho sangasese sowesifazane, futhi ngeke ukwazi ukwenza izivivinyo ezithile zezokwelapha, njenge-Pap smear. Kubalulekile ukukwazi lokhu kusenesikhathi.
- Isikhathi sokululama sivame ukuthatha cishe amasonto ayisithupha, futhi kubalulekile ukuphumula kahle nokugwema ukuphakamisa izinto ezisindayo phakathi nalesi sikhathi.
- Uma uqaphela izimpawu eziyisixwayiso ezifana nomkhuhlane, ubuhlungu obukhulu, noma ukuphuma kwegazi ngokweqile esilondeni, bheka udokotela wakho ngokushesha.
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