Wake wezwa umama wakho noma ugogo wakho esho into efana nokuthi "isibeletho esiphumile" noma "isibeletho esiphansi"? Ngezinye izikhathi uma lokhu kunzima kancane, kuzwakala sengathi isitho siphuma esithweni sangasese sowesifazane. Lesi yisimo esingakhululekile nesihlazisayo kwabesifazane abaningi. Ngakho-ke, kwenziwa ukuhlinzwa okukhethekile okubizwa ngokuthi i-Colpocleisis ukuze kwelashwe lokhu. Namuhla, sizoxoxa ngalokhu, izinzuzo nezinkinga zako, nakho konke ngendlela elula.
Okokuqala, ake sibone ukuthi kuyini i-Pelvic Organ Prolapse?
Kalula nje, izitho ezingaphakathi kwesikhumba sethu, njengesibeletho, isinyi, kanye ne-rectum, zibanjwe yimisipha nezicubu ezihlanganisiwe. Lokhu sikubiza ngokuthi imisipha yephansi le-pelvic. Ngokuhamba kwesikhathi, ikakhulukazi njengoba sikhula futhi sinezingane eziningana, le misipha iyawohloka kancane kancane.
Cabanga ngakho njengezintambo zesikhwama esisindayo esiguga futhi sinwebeka ngokuhamba kwesikhathi. Lapho le misipha ibuthakathaka, izitho ziqala ukugoba noma ziwe phansi. Lokhu yilokho esikubiza ngokuthi i-pelvic organ prolapse (POP) . Ngezinye izikhathi, uma kuba nzima, izitho zingaphuma esithweni sangasese sowesifazane.
Ngakho-ke kuyini lokhu kuhlinzwa okubizwa ngokuthi i-Colpocleisis?
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa zokwelapha lesi simo sesibeletho. I-Colpocleisis ingenye yazo. Ake sibheke umehluko phakathi kwalezi ezimbili.
| Uhlobo Lwenqubo | Kwenzekani nje? |
|---|---|
| Izinqubo Zokwakha Kabusha | Lokhu kuhilela ukwenza izimbobo esiswini noma esithweni sangasese sowesifazane kanye nokunamathisela kabusha isitho esiphumile. Lokhu ukuhlinzwa okukhulu futhi kungathatha amahora amaningana. |
| Izinqubo Zokuqedwa - isib. i-Colpocleisis | Lokhu akuhileli ukusika isisu. Kudlula ngqo esithweni sangasese sowesifazane bese kuthunga izindonga zesitho sangasese sowesifazane ndawonye.Lokho kusho ukuthi isitho sangasese sowesifazane sivaliwe. Bese isitho esiphansi sibuyela phezulu sihlale ngaphakathi, singakwazi ukwehla futhi. Lokhu kulula kunesinye, futhi kuthatha isikhathi esingaphansi kwehora. |
I-Colpocleisis iyindlela yokuhlinzwa elula futhi ephumelela kakhulu evala isitho sangasese sowesifazane.
Izinhlobo ezimbili zokuhlinzwa kwe-colpocleisis
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa kwe-colposcopy.
1. I-Total Colpocleisis: Kulokhu, izindonga zangaphambili nezangemuva zesitho sangasese sowesifazane zithungwe ndawonye ngokuphelele. Isitho sangasese sowesifazane sicishe sivalwe ngokuphelele.
2. I-Partial/Le Fort Colpocleisis: Lokhu futhi kunciphisa futhi kuvale isitho sangasese sowesifazane. Kodwa-ke, kushiya izikhala ezimbili ezincane ukuze kuphume okuphuma esibelethweni (isibonelo, igazi lokuya esikhathini). Ngakho-ke le ndlela ivame ukufanela umuntu ongakasuswa isibeletho sakhe .
Kunconywa bani lokhu kuhlinzwa?
Lokhu akulona ukuhlinzwa kwawo wonke umuntu. Udokotela wakho uzocabangela izici eziningana ngaphambi kokuncoma lokhu. Lokhu kuhlinzwa kuvame ukufaneleka:
- Kulabo abangenalo ithemba lokwenza ucansi lwesitho sangasese sowesifazane esikhathini esizayo , ngoba isitho sangasese sowesifazane sizoba sifushane kakhulu ngemva kokuhlinzwa kangangokuthi ngeke kwenzeke ukwenza kanjalo.
- Kubantu abanezinye izimo zempilo (isib. isifo senhliziyo) abangakwazi ukubekezelela ukuhlinzwa okukhulu okwakha kabusha. Lokhu kuhlinzwa kulula futhi kunezingozi ezimbalwa.
- Kulabo abancipha kakhulu isibeletho kangangokuthi asinakulawulwa ngezindlela ezilula zokwelapha njengokuzivocavoca kweKegel.
- Lesi yisisombululo esihle kakhulu kwabesifazane asebekhulile, abavame ukuba seminyakeni yabo yama-80 nama-90 .
Kwenzekani ngaphambi kokuhlinzwa?
Uma unquma ukwenza lokhu kuhlinzwa, udokotela uzokuxilonga ngokucophelela ngaphambi kokwenza kanjalo.
Okubaluleke kakhulu: Udokotela wakho uzokhuluma nawe ngokukhululekile ngalokhu kuhlinzwa, ikakhulukazi ngomthelela empilweni yakho yocansi ngemva kokuhlinzwa, kanye nanoma yiziphi izivivinyo ongase ungakwazi ukuzenza esikhathini esizayo. Kubaluleke kakhulu ukuthi uvumelane nakho konke lokhu.
Ungenza lezi zinto ngaphambi kokuhlinzwa:
- Ukuhlolwa kwempilo: Ukuhlolwa kwegazi, i-EKG yokuhlola ukusebenza kwenhliziyo, imibuzo mayelana nemithi oyiphuzayo, njll.
- Ukuhlolwa kokuqala: Njengoba ukuhlolwa kwesitho sangasese sowesifazane kungenziwa ngemva kokuhlinzwa, ukuhlolwa okufana ne-Pap smear, i-endometrial biopsy, kanye ne-transvaginal ultrasound kungenziwa ngaphambi kwenqubo.
- Uma ubhema:Uzocelwa ukuthi uyeke ukubhema okungenani amasonto angu-4-6 ngaphambi kokuhlinzwa, njengoba ukubhema kungalibazisa ukuphola kwenxeba.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, ungase ukwazi ukuya ekhaya ngalolo suku, noma kungase kudingeke uhlale esibhedlela ubusuku bonke. Ungalindela okulandelayo ezinsukwini ezimbalwa zokuqala:
- Ukopha kanye nobuhlungu esithweni sangasese: Lokhu kuzophela phakathi nesonto. Ungaphuza imithi yobuhlungu enqunywe udokotela wakho ngenxa yobuhlungu.
- Ukuphuma koketshezi oluphuzi: Ungakhathazeki. Lokhu kwenzeka lapho izithungo ezincibilikayo ngaphakathi kuwe zincibilika. Lokhu kuzophola ngokuphelele emavikini ayi-6-8.
- Ubunzima bokuchama: Kungaba nzima kancane ekuqaleni. Kungase kudingeke ugqoke i-catheter izinsuku ezimbalwa. Kodwa lokhu kuzolunga ngokuhamba kwesikhathi.
- Ukuqunjelwa: Kungase kudingeke usebenzise imithi yokuhlanza isisu isikhashana.
Isikhathi sokululama: Kungathatha cishe amasonto ayisithupha ukululama ngokugcwele nokubuyela emisebenzini evamile. Phakathi nalesi sikhathi, kufanele ugweme ukuphakamisa izinsimbi noma ukwenza ukuzivocavoca okunzima.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma iyiphi enye, lena inezinzuzo kanye nokungalungi.
| Izinzuzo | Izingozi/Izinkinga |
|---|---|
| Kunezinga eliphezulu kakhulu lempumelelo (phakathi kuka-90% - 100%). Izimpawu ziyanyamalala ngokuphelele. | Izingozi ezivamile zanoma yikuphi ukuhlinzwa (ukuqhekeka kwegazi, izifo, ukopha). |
| Ukuhlinzwa kuthatha isikhathi esincane (cishe ihora). | Kunethuba elincane lokuthola i-stress urinary incontinence (SUI) ngemva kokuhlinzwa. |
| Isikhathi sokululama sifushane. Asikho isidingo sokuhlala esibhedlela isikhathi eside. | Lokhu ukuhlinzwa okungenakuguqulwa . |
| Ingozi yokuphinda ivele iphansi kakhulu. |
Okubalulekile: Ngisho noma ucansi lwesitho sangasese sowesifazane lungasakwazi ukwenzeka, ikhono lokufinyelela esimeni esijwayelekile ngokusebenzisa ukukhuthazwa kwangaphandle (ukukhuthazwa kwe-clitoral) lisengenzeka . Ngakho-ke, kusenethuba lokuba nempilo yocansi enempilo.
Uzobona nini udokotela
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokubuyela ekhaya ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Imfiva.
- Ubuhlungu obukhulu esiswini.
- Ubunzima obandayo bokuchama.
- Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi.
- Uma ubuhlungu obuvela ekusikeni buqhubeka buba bubi kakhulu.
- Uma isilonda siphuma igazi kakhulu noma uma ukuphuma kwegazi kungayeki.
Umlayezo Wokuya Nawe Ekhaya
- I-Colpocleisis iyindlela yokuhlinzwa ephumelela kakhulu futhi ephephile yesibeletho esiphumile (i-POP) kwabesifazane asebekhulile.
- Ngeke ukwazi ukuya ocansini lwesitho sangasese sowesifazane ngemva kwalokhu kuhlinzwa, ngakho-ke kufanele ukhulume nodokotela wakho futhi ucabange kahle ngaphambi kokwenza lesi sinqumo.
- Lokhu kuhlinzwa kulula, kuyashesha, futhi kunesikhathi esifushane sokululama kunezinye izindlela ezinkulu zokuhlinzwa.
- Uma wena noma othile emndenini wakho enalesi simo, ungesabi noma ungabi namahloni. Khuluma ngokukhululekile nodokotela wakho wezifo zabesifazane ngokuthi ngabe lokhu kuhlinzwa kukulungele yini nokuthi yiziphi izinzuzo nezingozi.
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