Ingabe ngezinye izikhathi uzizwa sengathi kukhona okuphuma esithweni sakho sangasese, njengobunzima noma ingcindezi? Noma uzizwa ungakhululekile lapho uhleli, njengokungathi uhleli ebholeni elincane? Kungenzeka ukuthi uwena wedwa ohlushwa yilezi zinto. Lesi simo singenzeka kwabesifazane abaningi. Ngakho-ke namuhla sikhuluma ngokuhlinzwa okungaba yisisombululo salokhu.
Kalula nje, iyini i-Colporrhaphy?
I-Colporrhaphy inqubo yokuhlinzwa yokulungisa ubuthakathaka ezindongeni zesitho sakho sangasese sowesifazane. Ivame ukwenziwa njengokwelashwa kwesimo esibizwa ngokuthi i-pelvic organ prolapse (POP).
Cabanga nje, uma udonga endlini yethu luba buthakathaka, luzogoba ngaphakathi, njengokuzama ukusunduza izinto ngaphandle. Izitho ezingaphakathi kwe-pelvis yakho, njengesinyi, isibeletho, kanye ne-rectum, zibanjwa yizindonga zesitho sakho sangasese sowesifazane kanye nemisipha ezizungezile. Ngokuhamba kwesikhathi, ikakhulukazi ngemva kokubeletha futhi njengoba ukhula, le misipha nezicubu ziyabuthaka. Khona-ke lezo zitho ziqala ukwehla, noma zicindezeleke zingene esitho sangasese sowesifazane. Yilokho esikubiza ngokuthi `(Pelvic Organ Prolapse - POP)`.
Ukuhlinzwa kwe-Colporrhaphy kusebenza ngokuqinisa imisipha nezicubu ezibuthakathaka nokubuyisela isitho esiphansi endaweni yaso yokuqala.
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa kwe-colporrhaphy:
Kuye ngenkinga yakho, udokotela wakho angase anqume ukwenza olunye lwalezi zinhlobo ezimbili, noma mhlawumbe zombili ndawonye.
| Uhlobo lokuhlinzwa | Kwenzekani nje |
|---|---|
| Ukulungiswa kodonga lwangaphambili (i-Anterior Colporrhaphy) (Kubizwa nangokuthi ukulungiswa kwe-cystocele) | Uma udonga oluphakathi kwesinyi sakho nesitho sangasese sowesifazane luba buthaka, isinyi sehlela odongeni lwangaphambili lwesitho sangasese sowesifazane. Lokhu kuhlinzwa kuqinisa lolo donga lwangaphambili futhi kubuyisela isinyi endaweni yaso efanele. |
| Ukulungiswa kodonga lwangemuva (Posterior Colporrhaphy) (Kubizwa nangokuthi ukulungiswa kwe-Rectocele) | Uma udonga oluphakathi kwe-rectum yakho nesitho sangasese sowesifazane luba buthaka, i-rectum iwela odongeni lwangemuva lwesitho sangasese sowesifazane. Lokhu kuhlinzwa kusebenza ukuqinisa lolo donga lwangemuva nokubuyisela i-rectum endaweni yayo. |
Ingabe lokhu ukuhlinzwa okukhulu? Ubani okudingayo lokhu?
Yebo, i-colporrhaphy iwukuhlinzwa okukhulu . Kodwa kulula kakhulu futhi kunesikhathi esifushane sokululama kunokuhlinzwa kwesisu, ngoba kwenziwa ngokuphelele ngesitho sangasese sowesifazane.
Akuwona wonke umuntu odinga lokhu kuhlinzwa. Udokotela wakho uzobheka izici eziningana ngaphambi kokuncoma lokhu.
Ngokuvamile, uzobhekwa njengofanelekile kulolu hlinzeko uma:
- Uma ezinye izindlela zokwelapha zingasebenzi: Ngaphambi kokucabangela ukuhlinzwa, udokotela wakho angase ancome ezinye izindlela zokwelapha ezilula. Isibonelo, ukuzivocavoca kwemisipha yephansi le-pelvic (ama-Kegel), amadivayisi afana nama-pessary, noma ukwelashwa ngama-hormone. Uma lokhu kungazisizi izimpawu zakho, ukuhlinzwa kungaba yisinyathelo esilandelayo.
- Uma izimpawu ziphazamisa impilo yakho: Abanye abantu abazizwa bengakhululekile ngisho nalesi simo "(POP)". Kodwa uma uvame ukuba nobunzima bokulawula umchamo noma indle yakho, uma unezinhlungu ngesikhathi socansi, uma lezi zinto zenza impilo yakho yansuku zonke ingakhululeki, ukuhlinzwa kungaqeda lokhu kungakhululeki.
- Uma ungahleli ukuba nezingane ezengeziwe: Leli iphuzu elibaluleke kakhulu. Uma uthola omunye umntwana ngemva kokuhlinzwa kwemisipha, imisipha elungisiwe izophinde ibe buthaka, okwandisa ingozi yokuthi inkinga ibuye. Ngakho-ke, kungcono ukwenza lokhu kuhlinzwa uma ucabanga ukuthi umndeni wakho uphelele.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ngemva kokuvuma ukuhlinzwa, udokotela uzokuchazela zonke izinzuzo, izinkinga kanye nezingozi.
Ngaphambi kokuhlinzwa
Udokotela wakho uzokwenza lezi zinto:
- Khuluma ngokucophelela ngomlando wakho wezokwelapha ophelele kanye nezimpawu.
- Ukuhlolwa kwe-pelvic ngesandla kwenziwa kabili ukuze kutholakale ukuthi ubuthakathaka bukuphi nokuthi yiziphi izitho eziphansi.
- Ngezinye izikhathi, uma kudingeka, bangase ba-ode into efana ne-MRI scan ukuze kuhlolwe isimo semisipha, kodwa lokho akudingeki ngaso sonke isikhathi.
- Ama-antibiotic anikezwa ngosuku lokuhlinzwa ukuze kuncishiswe ingozi yokutheleleka.
- Uma usuqedile ukuya esikhathini, ungase ucelwe ukuthi usebenzise ukhilimu oqukethe i-hormone ethi "(estrogen)" ukuze uqinise izicubu zesitho sangasese sowesifazane futhi wenze ukuhlinzwa kube lula.
Ngesikhathi sokuhlinzwa
Lokhu kuhlinzwa kuvame ukuthatha imizuzu engama-30 kuya ehoreni noma ngaphezulu, kuye ngobukhulu bendawo okufanele ilungiswe.
1. I-Anesthesia: I-Anesthesia inikezwa ukuze ungezwa ubuhlungu. Kungaba "i-anesthesia ejwayelekile", ekwenza ulale ngokuphelele, noma "i-anesthesia yesifunda", eqeda ubuhlungu emhlane ongezansi kuphela.
2. Ukulungiselela: Imilenze yakho izobekwa ezisekelweni ezikhethekile ukuze uzizwe ukhululekile ngokuhlinzwa. Kuzofakwa i-catheter ukuze kukhishwe umchamo wakho.
3. Ukuhlinzwa: Udokotela wenza ukusika okuncane ngesitho sangasese sowesifazane bese eya endaweni lapho kukhona khona imisipha nezicubu ezibuthakathaka. Ngemuva kwalokho, izicubu eziqinile ziyahlanganiswa bese indawo iqiniswa ngokuthunga okuncibilikayo . Ekugcineni, ukusika kuyavalwa.
Yini ongayilindela ngemva kokuhlinzwa?
Kuye ngohlobo lokuhlinzwa, kungadingeka ukuthi uye ekhaya ngalolo suku noma uhlale esibhedlela ubusuku bonke.
Izinto okufanele uzilindele ngemva kokuhlinzwa:
- Ungafaka iphakethe elincane ngaphakathi kwesitho sangasese sowesifazane ukuze umunce ukopha emahoreni okuqala angu-24.
- I-catheter isuswa zingakapheli izinsuku ezimbili noma ezimbili.
- Izithambisi zendle zinikezwa ukuvimbela ingcindezi emithungweni nokwenza kube lula ukudlula kwendle.
- Ungase ube namabala amancane noma uketshezi olukhilimu oluphuma esithweni sakho sangasese sowesifazane amasonto ambalwa. Lokhu kuvamile njengoba izithungo ezingaphakathi zincibilika.
- Kungase kube nobuhlungu endaweni yesitho sangasese sowesifazane, obuzophela kancane kancane phakathi kwamasonto angu-4-6.
Isikhathi sokululama nezinto okufanele uziqaphele
Kungathatha izinyanga ezifika kwezingu-3 ukululama ngokuphelele. Phakathi nalesi sikhathi, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Khumbula, udinga ukunikeza umzimba wakho isikhathi sokululama. Ungasheshi.
Izinto okufanele zilandelwe:
- Amasonto ayi-6-8: Gwema ukuphakamisa izinto ezisindayo (ezingaphezu kwama-2-3 kg), ukuvivinya umzimba okunzima, ukuya ocansini, ukusebenzisa ama-tampon, ukusula umzimba, nokugeza ebhavini. Geza.
- Amasonto ayisithupha: Gwema ukuzikhandla ngesikhathi sokuhamba kwamathumbu. Thatha umuthi njengoba nje udokotela wakho ekuyalele.
- Ngemva kwamasonto ama-3-4: Ungaqala ukwenza imisebenzi evamile njengokuhamba ngezinyawo nokushayela. Uma umsebenzi wakho ungewona onzima ngokomzimba, ungase ukwazi ukuya emsebenzini. Xoxa ngalokhu nodokotela wakho.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Inzuzo enkulu ukuthi uzokhululeka ekungakhululekeni okutholayo ngenxa yesimo `(POP)`. Futhi, lokhu kungenziwa ngendlela elula, ngaphandle kokuhlinzwa okukhulu okuhilela ukusika isisu. Ngemva kokuhlinzwa, ungaba nokuphila okuvamile kocansi.
Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile, kodwa azivamile.
- Ukopha ngokweqile.
- Ukusabela ekubulaweni yizinzwa.
- Ukutheleleka kwenxeba.
- Ukutheleleka komgudu womchamo (UTIs).
- Ukuqunjelwa.
- Ubuhlungu ngesikhathi socansi.
Udokotela wakho uzokuchazela konke lokhu kahle. Mbuze nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Colporrhaphy iwukuhlinzwa kokuqinisa izindonga zesitho sangasese sowesifazane ezibuthakathaka nokubuyisela izitho eziphansi endaweni yazo efanele.
- Lokhu kuhlinzwa kunconywa kuphela uma unezimpawu eziphazamisa impilo yakho futhi ezingenakulawulwa ngezinye izindlela zokwelapha ezilula.
- Kuthatha izinyanga eziningana ukululama ngokuphelele ngemva kokuhlinzwa. Phakathi nalesi sikhathi, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela.
- Uma unalolu hlobo lokungakhululeki, ungabi namahloni noma wesabe ukubona udokotela ofanelekayo bese ukhuluma naye. Kunezindlela zokwelapha ezisebenzayo zalokhu.
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