Ingabe ngezinye izikhathi uzizwa sengathi kukhona okuphuma esithweni sakho sangasese, noma uhlala uzizwa usinda noma ugcwele esiswini sakho esingezansi? Ungase ube namahloni noma wesabe ukukhuluma ngakho. Kodwa kufanele wazi ukuthi lesi yisimo esithinta abesifazane abaningi futhi singelashwa ngempumelelo. Namuhla, sizokhuluma ngalesi simo esibizwa ngokuthi i-prolapsed bladder, noma ngokwezokwelapha, i-cystocele.
Kalula nje, iyini i-prolapsed bladder (i-Cystocele)?
Cabanga nje, izitho ezingaphakathi kwendawo yethu yesinqe, njengesinyi kanye nesibeletho, zibanjwe yinethiwekhi yemisipha eqinile kanye nemisipha, njengoba nje isihlalo esinyakazayo silenga ngezintambo.
Kodwa-ke, ngenxa yezizathu ezahlukahlukene njengokuthola abantwana, ukuguga, nokuphakamisa izinsimbi ezisindayo, le misipha kanye nemisipha ingaba buthakathaka futhi inwebeke. Ngemuva kwalokho isinyi asikwazi ukuhlala endaweni yaso evamile. Kancane kancane, siqala ukwehla bese siwela esithweni sangasese sowesifazane. Yingakho sikubiza ngokuthi i- cystocele noma isinyi esiwile. Lolu uhlobo lokuwa kwesitho se-pelvic, isimo esivamile lapho izitho ezisesinqeni se-pelvic ziwela phansi.
Ingabe kukhona amazinga ahlukene alesi simo?
Yebo, lesi simo asifani kuwo wonke umuntu. Sihlukaniswe kakhulu ngamazinga amathathu (amamaki). Lokhu kunquma ukuthi isimo sibi kangakanani nokuthi yiluphi ukwelashwa okudingekayo.
| Ibanga | Incazelo |
|---|---|
| Izinga 1 (Elincane) | Isinyi sehlela kancane esithweni sangasese sowesifazane. Ngokuvamile, kungase kungabi khona zimpawu zangaphandle. |
| Izinga 2 (Eliphakathi) | Isinyi sehle saze safika lapho sibonakala khona kuze kufike emngxunyeni wesitho sangasese sowesifazane noma ngale nje kancane kwaso. |
| Izinga 3 (Elinzima) | Inani elikhulu lesinye liphuma ngomngxuma wesitho sangasese sowesifazane. Lesi yisimo esibi kakhulu. |
Ingabe i-Cystocele iyisimo esibi nesiyingozi?
Kuya ngezinga lakho.
- Ezimweni ezincane, ungase uzizwe ungakhululekile. Noma ungase uvuza umchamo omncane ngengozi uma ukhwehlela, uhleka, noma uphakamisa okuthile. Lokhu kubizwa nangokuthi "ukungakwazi ukuzibamba komchamo."
- Uma kukubi kakhulu , kungaba kubi kakhulu. Ngenxa yokuthi isinyi siyancishiswa, i-urethra ivaliwe, futhi ungase ungakwazi ukuchama kahle. Lokhu kungaholela ekugcinweni komchamo, okungaholela ezifweni futhi, ngokuhamba kwesikhathi, ukulimala kwezinso.
Ngakho-ke, ungazinaki lezi zimpawu. Kungcono ukufuna iseluleko sezokwelapha ngokushesha okukhulu.
Yiziphi izimpawu ezivamile zalesi simo?
Bheka ukuthi unesinye noma ngaphezulu salezi zimpawu:
- Ukuzwa noma ukubona into efana nebhola iphuma esithweni sangasese sowesifazane .
- Umuzwa wokugcwala, ukusinda, noma ubuhlungu endaweni ye-pelvic. Lokhu kungakhululeki kungase kube kubi kakhulu, ikakhulukazi lapho umi, uphakamisa, ukhwehlela, noma njengoba usuku luqhubeka.
- Ukudinga ukuchama kaningi kunokujwayelekile.
- Umuzwa wokuthi isinyi asikakhishwa ngokuphelele lapho uchama.
- Ukwanda kokutheleleka kwe-urinary tract (UTIs) .
- Ubunzima bokufaka izinto ezifana nama-tampon asetshenziswa ngesikhathi sokunqamuka kokuya esikhathini esithweni sangasese sowesifazane.
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko zalokhu?
Kunezizathu eziningana eziyinhloko ezenza imisipha yephansi le-pelvic ibe buthakathaka.
- Ukubeletha ngesitho sangasese sowesifazane: Uma unengane, kuba nokucindezeleka okukhulu emisipheni ye-pelvic, okungabangela ukuthi inwebeke noma ibe buthakathaka.
- Umlando womndeni: Uma umama noma udadewenu enalesi simo, nawe usengozini enkulu yokuba naso.
- Ukukhuluphala ngokweqile: Uma ukhuluphele ngokweqile, okusho ukuthi i-Body Mass Index (BMI) yakho ingaphezu kuka-30, kuhlale kunengcindezi eyengeziwe emisipheni ye-pelvic.
- Ukususwa kwesisu: Ngezinye izikhathi izicubu ezisekelayo zingaba buthakathaka ngemva kwalokhu kuhlinzwa.
- Ukwehla kwe-hormone ye-estrogen:Njengoba ukhula, ikakhulukazi ngesikhathi sokunqamuka kokuya esikhathini, amazinga omzimba wakho e-hormone i-estrogen ayancipha. Le hormone isiza ukugcina imisipha ezungeze isitho sakho sangasese sowesifazane iqinile. Uma yehla, ubuthakathaka bemisipha bungashesha.
- Ukuphakamisa okunzima njalo kanye nokukhwehlela okungapheli: Le ngozi iphakeme nakulabo abasebenza emisebenzini edinga ukuphakamisa okuvamile noma abakhwehlela isikhathi eside ngenxa yezifo ezifana ne-asthma noma i-bronchitis.
Udokotela uhlonza kanjani lokhu?
Uma unalezi zimpawu, kufanele ubonane nodokotela wezifo zabesifazane noma udokotela wezifo zomchamo.
Udokotela uzokubuza ngezimpawu zakho, ahlole umzimba, futhi, uma kudingeka, angase acele ukuhlolwa okwengeziwe ukuqinisekisa isimo.
- Ukuhlolwa kwe-Urodynamic: Lokhu kulinganisa ikhono lesinyi sakho lokubamba nokukhulula umchamo.
- I-Cystoscopy: Kulokhu, kufakwa ithubhu elincane, elifana nepensela elinekhamera enamathiselwe (i-cystoscope) nge-urethra ukuze kuhlolwe ingaphakathi lesinye.
Yiziphi izindlela zokwelapha lokhu?
Izindlela zokwelapha zincike ebunzimeni besimo sakho, ubudala bakho, nokuthi izimpawu zakho zithinta kangakanani impilo yakho yansuku zonke.
Ukwelashwa kwesimo esingesihle
- Izinguquko endleleni yokuphila: Ukugwema ukuphakamisa izinto ezisindayo, ukulawula isisindo somzimba, nokuvimbela ukuqunjelwa (ukudla ukudla okune-fiber eningi nokuphuza amanzi amaningi) kungasiza ekuvimbeleni isimo ukuba singabi sibi kakhulu.
- Ukuzivocavoca kwe-Kegel: Lokhu kuyindlela yokwelapha ebaluleke kakhulu futhi elula kakhulu. Buza udokotela wakho noma uchwepheshe wezokwelapha ukuthi ungakwenza kanjani lokhu kuzivocavoca kahle ukuze uqinise imisipha yakho ye-pelvic.
- I-Pessary: Lena idivayisi encane eyenziwe ngerabha noma i-silicone efakwa ngaphakathi kwesitho sangasese sowesifazane. Iphakamisa isinyi futhi isize ukuyibamba endaweni yayo.
- Ukwelashwa kokufaka esikhundleni se-estrogen: Lokhu kwelashwa kunganikezwa ukuqinisa imisipha kulabo abanamazinga aphansi e-estrogen ngemva kokunqamuka kokuya esikhathini.
Ukwelashwa kwezimo ezimaphakathi/ezinzima
Kungase kudingeke ukuhlinzwa kuma-cystocele aqinile angenakukwazi ukulawulwa ngezinye izindlela zokwelapha.
I-Anterior colporrhaphy iyindlela evamile yokuhlinzwa yalokhu. Kule nqubo, udokotela ohlinzayo ubuyisela isinyi esiphumile endaweni yaso futhi aqinise imisipha nezicubu ezibuthakathaka ezisibamba endaweni yaso. Ngokuvamile ungaya ekhaya ngosuku olufanayo ngemva kwalokhu kuhlinzwa, futhi ungalulama ngokugcwele ezinyangeni ezimbalwa.
Kufanele ngimbone nini udokotela?
Uma unezimpawu ze-cystocele, ikakhulukazi uma ziphazamisa imisebenzi yakho yansuku zonke, bona udokotela ngokushesha . Ungabi namahloni noma wesabe. Lesi yisimo esivame kakhulu.
Isimo Esiphuthumayo: Uma ungakwazi nhlobo ukuchama ngenxa yezimpawu zokuncipha kwesinyi, hamba ngokushesha esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU) .
Umlayezo Wokuya Nawe Ekhaya
- I-Cystocele iyisifo esivame kakhulu kwabesifazane, ngakho-ke ungabi namahloni okukhuluma ngaso.
- Uma unomuzwa wokusinda esiswini sakho esingezansi, umuzwa wokuthi kukhona okuza ngesitho sakho sangasese sowesifazane, noma ubunzima bokuchama, ungakushayi indiva.
- Kunezindlela zokwelapha ezisebenza kahle kakhulu kulokhu. Zombili izindlela zokwelapha ezingahlinzwa (njengokuzivocavoca kwe-Kegel) kanye nokuhlinzwa kungalawula lesi simo ngempumelelo.
- Ukugcina isisindo esinempilo, ukuzivocavoca ngendlela efanele, nokugwema ukuqunjelwa kunganciphisa ingozi yalesi simo.
- Uma unenkinga, bona udokotela womndeni wakho noma udokotela wezifo zabesifazane ngokushesha okukhulu ukuze uthole iseluleko.
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