Ingabe ngezinye izikhathi uzizwa usinda esithweni sakho sangasese sowesifazane, umuzwa wokuthi kukhona okwehlayo, noma umuzwa omncane ofana nebhola? Abanye besifazane bangase bazizwe lokhu, ikakhulukazi ngemva kokuba nezingane noma njengoba bekhula. Lesi simo singenza kube nzima ukwenza imisebenzi yansuku zonke. Ngakho-ke namuhla, ake sixoxe ngokuhlinzwa okungaba yisisombululo esihle kulokhu.
Kuyini i-Colporrhaphy? Masiyiqonde kalula.
I-Colporrhaphy inqubo yokuhlinzwa yokulungisa ubuthakathaka ezindongeni zesitho sakho sangasese sowesifazane. Kuyindlela yokwelapha isimo esibizwa ngokuthi i-Pelvic Organ Prolapse (POP) . Cabanga ngale ndlela: izitho ezingaphakathi kwesinqe sethu, njengesinyi kanye ne-rectum, zibanjwe yimisipha nezicubu ezindongeni zesitho sangasese sowesifazane. Kufana nodonga oluhlukanisa igumbi.
Manje, lapho lezi zindonga ziba buthaka ngokuguga, ngenxa yokubeletha, noma ngenxa yokuphakamisa okunzima, izitho ziqala ukwehla noma ukugoba zingene esithweni sangasese sowesifazane. Yilokho esikubiza ngokuthi 'i-Pelvic Organ Prolapse (POP)'.
Ngakho-ke, lokho okwenziwa ukuhlinzwa kwe-colporrhaphy ukuqinisa leyo misipha nezicubu ezibuthakathaka nokubuyisela izitho ezibuyele esimweni sazo sokuqala.
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa kwe-colporrhaphy:
Lokhu kuhlinzwa kuhlukaniswe kakhulu izingxenye ezimbili. Ngezinye izikhathi udokotela wakho angase anqume ukwenza ingxenye eyodwa noma zombili ndawonye, kuye ngesidingo.
| Uhlobo Lokuhlinzwa | Incazelo Elula |
|---|---|
| I-Colporrhaphy Yangaphambili (Ukulungiswa Kwe-Cystocele) | Lokhu kwenziwa uma udonga lwangaphambili lwesitho sakho sangasese sowesifazane lubuthakathaka. Ngemva kwalolu donga kukhona isitho sangasese sowesifazane. Uma udonga lubuthakathaka, isitho sangasese sowesifazane siyehla singene esitho sangasese sowesifazane sowesifazane. Lokhu kuhlinzwa kusebenza ukuqinisa lolo donga lwangaphambili futhi. |
| I-Colporrhaphy Yangemuva (Ukulungiswa Kwe-Rectocele) | Lokhu kwenziwa ngodonga lwangemuva lwesitho sakho sangasese sowesifazane.Uma buthaka. Ngemuva kwalolu donga kukhona indunu. Uma udonga lubuthakathaka, indunu iyehla bese ingena esithweni sangasese sowesifazane. Lokhu kuhlinzwa kuqinisa lolo donga lwangemuva. |
Ingabe lokhu ukuhlinzwa okukhulu?
Yebo, i-colporrhaphy ibhekwa njengokuhlinzwa okukhulu . Kodwa inenzuzo. Esikhathini esiningi, lokhu kuhlinzwa kwenziwa ngesitho sangasese sowesifazane. Lokho kusho ukuthi asikho isidingo sokusika isisu. Ngakho-ke, inezinkinga ezimbalwa futhi ingaphola ngokushesha kunokuhlinzwa kwesisu.
Kungani ungadinga lokhu kwelashwa?
Uma izimpawu ezibangelwa yi-POP ziphazamisa kakhulu impilo yakho yansuku zonke, kufanele ucabangele lokhu kuhlinzwa.
- Ukungakwazi ukuzibamba ngomchamo ukulahlekelwa umchamo ngokungenhloso uma ukhwehlela, uhleka, noma uphakamisa izinto ezisindayo.
- Ubunzima bokukhipha indle.
- Ubuhlungu ngesikhathi socansi.
Lezi zinto zingenza kube nzima ukuphila impilo ejabulisayo. Ukuhlinzwa kwe-colporrhaphy kungakusiza ukunqoba lobu buthakathaka, kuqede izimpawu, futhi uphile impilo ekhululekile futhi.
Into ebalulekile ukuthi akudingeki uhlupheke wedwa ngalezi zinhlobo zokungakhululeki. Kunezindlela zokwelapha ezinhle zalokhu.
Ubani ofanele lolu hlinzo?
Lokhu kuhlinzwa akukhuthazwa wonke umuntu. Ukuthi ungumuntu ofanele yini kulokhu kuhlinzwa kuncike ezintweni eziningana.
- Uma ezinye izindlela zokwelapha zingasebenzi: Kunezindlela zokwelapha ezingadingi ukuhlinzwa zalesi simo. Kuzanywa kuqala izivivinyo zokuqinisa imisipha ye-pelvic (ama-Kegel), amadivayisi esitho sangasese sowesifazane (ama-pessary), kanye nokwelashwa ngama-hormone. Uma lokhu kungaziqedi izimpawu zakho, ukuhlinzwa kungacatshangelwa okulandelayo.
- Uma izimpawu zakho zinzima: Abanye abantu abane-POP abazizwa bengakhululekile kangako. Kulabo bantu, ingozi yokuhlinzwa ayifanele. Kodwa uma kuyisiphazamiso esikhulu empilweni yakho yansuku zonke, ukuhlinzwa kungaba yisisombululo esingcono kakhulu.
- Uma ungahleli ukuba nezingane ezengeziwe: Uma unenye ingane ngemva kwalokhu kuhlinzwa, ingcindezi ngesikhathi sokukhulelwa nokubeletha ingenza buthaka izindawo ezilungisiwe futhi. Ngakho-ke, odokotela bavame ukweluleka ukuthi kungcono ukwenza lokhu kuhlinzwa uma ucabanga ukuthi umndeni uphelele.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ngaphambi kokuhlinzwa
Udokotela wakho uzokwenza lezi zinto ngaphambi kokuhlinzwa:
- Xoxa ngezimpawu zakho kanye nomlando wezokwelapha: Uma wazi kahle ukuthi yiziphi izinkinga onazo, kulula ngodokotela ukunquma ukuthi uzozilungisa kuphi ngesikhathi sokuhlinzwa.
- Wenza ukuhlolwa ngokomzimba:Ukuhlolwa kwe-pelvic ngesandla kwenziwa kabili ukuze kuhlolwe noma yiziphi izindawo ezibuthakathaka kanye nobukhulu obuqondile bokuwohloka kwemisipha.
- Ukuhlolwa kuzo-odwa uma kudingeka: Isikhathi esiningi, akukho ukuhlolwa okwengeziwe okudingekayo. Kodwa-ke, ngezinye izikhathi ungase ucelwe ukuthi wenze okuthile okufana ne-MRI scan ukuze uhlole kangcono isimo semisipha.
- Imithi yokuvimbela ukutheleleka: Unganikwa umuthi wokulwa namagciwane ozowuthatha ngosuku lokuhlinzwa.
- Uma usuqedile ukuya esikhathini: Ungase unikezwe ukhilimu oqukethe i-hormone i-estrogen ukuze uwusebenzise esithweni sakho sangasese. Lokhu kuzoqinisa izicubu ezindongeni zesitho sangasese, okwenza ukuhlinzwa kube lula.
Ngesikhathi sokuhlinzwa
Ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa.
1. I-Anesthesia: Kusetshenziswa "i-anesthesia ejwayelekile", ekwenza ulale ngokuphelele, noma "i-anesthesia yesifunda", eqeda ubuhlungu esiswini esingezansi kuphela.
2. Ukulungiselela: Uzolaliswa embhedeni okhethekile ukuze ukuhlinzwa kube lula. Kuzofakwa ipayipi (i-catheter) ukuze kukhishwe umchamo wakho.
3. Ukuhlinzwa: Udokotela uzosebenzisa i-speculum ukuhlola isitho sangasese sowesifazane. Uzobe esesika udonga lwesitho sangasese sowesifazane ukuze abone noma yimiphi imisipha nezicubu ezibuthakathaka.
4. Ukulungisa: Okulandelayo, izicubu eziqinile ziyahlanganiswa bese izindawo ziqiniswa kusetshenziswa imithungo encibilikayo.
5. Ukuthungwa: Ekugcineni, ukusikwa okwenziwe odongeni lwesitho sangasese sowesifazane kuvalwe ngezithungo ezincibilikayo.
Lokhu kuhlinzwa ngokuvamile kungathatha noma yikuphi kusukela kumaminithi angu-30 kuya ehoreni noma ngaphezulu , kuye ngokuthi ukulungiswa kuzokwenzeka kangakanani.
Ngemva kokuhlinzwa kanye nesikhathi sokululama
Ngemva kokuhlinzwa
Kuye ngohlobo lokuhlinzwa, ungase ukwazi ukuya ekhaya ngalolo suku noma uhlale esibhedlela ubusuku bonke.
- Ngemva kokuhlinzwa, iphakethe lingafakwa ngaphakathi kwesitho sangasese sowesifazane ukuze limunce noma yikuphi ukuphuma kwegazi. Lizosuswa cishe emahoreni angama-24.
- I-catheter ivame ukususwa ngosuku olulodwa kuya kwezimbili.
- Ukuze ugweme ukukhandleka ngesikhathi sokuhamba kwamathumbu, ungase welulekwe ukuthi uthathe isithambisi sendle isikhashana.
- Ungase uthole ukuphuma kwegazi esithweni sangasese sowesifazane izinsuku ezimbalwa ngemva kokuhlinzwa kanye nokukhishwa okukhilimu amasonto ambalwa. Lokhu kuvamile njengoba imithungo engaphakathi incibilika.
- Kungase kube nobuhlungu obuthile esithweni sangasese sowesifazane amasonto angu-4-6.
Nakekela lezi zinto ngesikhathi sokululama
Kungathatha izinyanga ezifika kwezingu-3 ukuphulukiswa ngokuphelele. Phakathi nalesi sikhathi, udokotela wakho uzokunikeza le miyalelo:
- Ungaphakamisi izinsimbi ezisinda ngaphezu kwamakhilogremu angu-2-3.
- Gwema ukuvivinya umzimba okunzima (ukugoba, ukuphakamisa izinsimbi).
- Ungakhandleki kakhulu lapho ukhipha indle.
- Gwema ukuya ocansini amasonto angu-6-8.
- Gwema ukuphuma ebhavini bese ugeza.
- Gwema ukusebenzisa ama-tampon noma i-douching.
Ngokuvamile phakathi kwamasonto amathathu kuya kwamane uzokwazi ukuhamba ngezinyawo, ukushayela, nokubuyela emsebenzini uma umsebenzi wakho ungakhandleki kakhulu.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Izinzuzo:
- Kuqeda izimpawu ze-POP.
- Njengoba isisu singasikiwe, ungalulama ngokushesha.
- Ngemva kokululama, ungaqhubeka nokuphila kwakho okuvamile kocansi.
Izingozi:
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa azivamile.
- Ukuqunjelwa
- Ukopha ngokweqile
- Ubuhlungu ngesikhathi socansi
- Ukutheleleka kwenxeba
- Ukutheleleka komgudu womchamo (UTIs)
Khuluma nodokotela wakho ngokukhululekile ngalokhu bese ubuza noma yimiphi imibuzo onayo.
Umlayezo Wokuya Nawe Ekhaya
- Akudingeki uhlupheke wedwa ngenxa yokungakhululeki okubangelwa ukuvaleka kwesitho sangasese sowesifazane (i-POP). I-Colporrhaphy iyindlela yokwelapha ephumelela kakhulu kulokhu.
- Akuwona wonke umuntu ozodinga lokhu kuhlinzwa ngokushesha. Kubalulekile ukuzama ukwelashwa okungekona ukuhlinzwa kuqala.
- Uma unquma ukuhlinzwa, khuluma nodokotela wakho ngokucophelela ngezinzuzo , amaphutha kanye nezingozi.
- Ukulandela imiyalelo enikezwe ngemva kokuhlinzwa kubaluleke kakhulu ukuze ululame ngokushesha nangokuphumelelayo.
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