Ingabe isinyi sakho sizwakala sengathi siphansi? Ake sixoxe nge-Cystocele!

Ingabe ngezinye izikhathi uzizwa ugcwele, usinda, noma uzizwa sengathi kukhona okuphuma esithweni sakho sangasese? Noma uvame ukudinga ukuchama, kodwa kuzwakale sengathi akukho okuphumayo? Lezi akuzona nje izinto ezingahleliwe. Ungase ube nesimo esibizwa ngokuthi i-cystocele. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe nangokulula namuhla.

Iyini ngempela i-cystocele?

Kalula nje, i-cystocele iwukuphuma kwesinyi sakho lapho sitholakala khona singene esithweni sangasese sowesifazane . Cabanga ngakho, izitho zethu zibanjwe yimisipha nemisipha. Ziyanwebeka futhi zinciphe njengezintambo zerabha. Ngakho-ke, uma le misipha nemisipha ezungeze isinyi sakho iba buthakathaka noma inwebeka, isinyi asikwazi ukuhlala endaweni yaso evamile. Yilapho isinyi siqala ukushelela phansi, okusho ukuthi singene esithweni sangasese sowesifazane. Yilokhu esikubiza ngokuthi i-cystocele. Lesi yisimo esingesesigaba esikhulu sokuwa kwezitho zesitho se-pelvic. Abanye abantu bakubiza nangokuthi "isinyi siyawa" noma "isinyi sinjenge-hernia." Konke lokhu kusho into efanayo.

Zikhona yini izinhlobo ze-cystocele? Ziyini?

Yebo, kunezinhlobo ezintathu eziyinhloko ze-cystocele, kuye ngobukhulu be-cystocele, okungukuthi, ukuthi yehle kangakanani esinyini. Odokotela bakubiza lokhu ngokuthi "ibanga."

• Ibanga 1 - Okuncane: Lesi yisigaba esiphansi kakhulu . Lapha, isinyi sehliswa kancane singene esithweni sangasese sowesifazane . Ungase ungakuboni lokhu.
• Ibanga 2 - Eliphakathi: Lesi yisigaba esiphakathi . Lapha, isinye siphansi sifika embotsheni yesitho sangasese sowesifazane, futhi singase siphume kancane.
• Ibanga lesi-3 - Okukhulu: Lesi yisigaba esinzima kakhulu . Lapha, isinyi singabonakala siphuma ngokuphelele emngxunyeni wesitho sangasese sowesifazane.

Lesi sigaba sinquma uhlobo lwezimpawu kanye nendlela yokwelashwa.

Lesi simo singaba sibi kangakanani?

Kuncike kakhulu ebangeni le-cystocele yakho. Isibonelo, uma kuyi- cystocele encane njenge-Grade 1 , ungase uzizwe ungakhululekile noma usinda kancane. Noma ungase uvuza umchamo omncane uma uhleka noma ukhwehlela (lokhu kubizwa ngokuthi ukungalawuleki komchamo). Kodwa uma kuyi-cystocele ye-Grade 3,Uma kuyisimo esibi njenge-prolapse, kuyinto okufanele uyikhathazeke. Ngoba, uma isinye siphansi kakhulu, ungase ungakwazi ukuchama kahle. Isinye singase singaphumi ngokuphelele. Uma lokhu kwenzeka, kunethuba elikhulu lokuthola izifo zomgudu womchamo (UTIs). Ngezinye izikhathi, uma lesi simo siqhubeka, singalimaza ngisho nezinso. Yingakho kunconywa ukuthi ufune iseluleko sezokwelapha ngokushesha uma unezimpawu.

Ingabe lesi simo esibizwa ngokuthi i-cystocele sivamile?

Yebo, ngempela. I-Cystocele yisimo esithinta abesifazane abaningi. Ngokusho kochwepheshe bezokwelapha, cishe abesifazane abangu-50% bazobhekana nohlobo oluthile lwe-cystocele ngesikhathi esithile empilweni yabo. Lokhu kusho ukuthi awuwedwa. Abantu abaningi babhekana nalesi simo.

Ingabe nawe une-cystocele? Ziyini izimpawu?

Manje ake sibone ukuthi unazo yini lezi zimpawu. Akuwona wonke umuntu onezimpawu ezifanayo. Kodwa-ke, kunezimpawu ezivamile:

• Ukuzwa noma ukubona into ethile ephuma emngxunyeni wesitho sangasese sowesifazane. Abanye abantu bathi "into efana nebhola inamathele."
• Umuzwa wokugcwala, ukusinda, noma ubuhlungu endaweni yesinqe. Lo muzwa ungaba mubi kakhulu lapho umi, uphakamisa, noma ukhwehlela. Lokhu kungakhululeki kungase kube kubi kakhulu njengoba usuku luqhubeka kanye nakusihlwa.
• Ukudinga ukuchama kaningi kunokujwayelekile.
• Umuzwa wokuthi isinyi asikaphumi ngokuphelele lapho uchama. Ungase uzizwe udinga ukuchama futhi ngemva kwesikhashana.
• Ukutheleleka njalo kwe-urinary tract (UTIs).
• Ubunzima bokufaka imikhiqizo yokuya esikhathini efana nama-tampon noma izinkomishi zokuya esikhathini esithweni sangasese sowesifazane.

Uma unesinye noma ngaphezulu salezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela bese uhlolwa.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Njengoba sesixoxile ngaphambili, ama-cystocele abangelwa ubuthakathaka noma ukwelulwa kwemisipha nemisipha ebamba isinyi endaweni yayo. Kunezizathu eziningana ezenza le misipha ibe buthakathaka.

• Ukubeletha ngesitho sangasese sowesifazane: Ngesikhathi sokubeletha okuvamile, kuba nokucindezeleka okukhulu kanye nokwelula imisipha yesitho sangasese sowesifazane. Lo mphumela unganda ngezinto ezifana nosayizi womntwana kanye nesikhathi esithathayo ukubeletha. Le ngozi iphakeme kulabo abazale izingane eziningi ngesitho sangasese sowesifazane.
• Umlando womndeni: Uma isihlobo esiseduze sowesifazane, njengomama wakho, udadewenu, noma umshana wakho, sike saba ne-cystocele, nawe ungase ube sengozini yokuba nayo.
• Ukukhuluphala ngokweqile :Le ngozi iphakeme kubantu abakhuluphele kakhulu (odokotela bachaza lokhu ngokuthi bane-Body Mass Index (BMI) engaphezu kuka-30). Lokhu kungenxa yokuthi isisindo esengeziwe sibeka ingcindezi engapheli emisipheni ye-pelvic.
• Ukususwa kwesibeletho : Abanye besifazane bangase babe nalesi simo ngemva kokususwa kwesibeletho, njengoba isibeletho sisiza futhi ukusekela izitho zangasese.
• Ukwehla kwe-estrogen : I-estrogen iyi-hormone yabesifazane. Isiza ukugcina imisipha ezungeze isitho sangasese sowesifazane iqinile. Njengoba ukhula, ikakhulukazi ngemva kokunqamuka kokuya esikhathini , amazinga e-estrogen emzimbeni ayancipha. Lesi futhi esinye sezizathu ezenza imisipha ibe buthaka futhi kube nama-cystoceles.
• Ukuphakamisa okunzima njalo noma umsebenzi onzima.
• Ukukhwehlela isikhathi eside (isib. ngenxa yezifo ezifana ne-asthma, i-bronchitis).
• Ukuqunjelwa isikhathi eside kanye nokuzikhandla lapho uya endlini yangasese.

Ubani okungenzeka kakhulu ukuthi athinteke yilesi simo?

Nakuba noma ubani wanoma yimuphi ubudala one-vagina angakha i-cystocele, abanye abantu basengozini enkulu.

• Njengoba ukhula: Ingozi iyanda njengoba imisipha ye-pelvic iba buthaka ngokwemvelo njengoba ukhula.
• Kulabo ababelethe ngesitho sangasese sowesifazane.
• Labo abaye bahlinzwa endaweni yesinqe noma esibelethweni (isib. i-Hysterectomy).
• Kulabo abakhuluphele ngokweqile.
• Kulabo abaye baba nalesi simo emndenini wabo.

Yiziphi izinkinga ezingaba khona ze-cystocele?

I-cystocele ngokuvamile ayisongeli impilo, kodwa uma ingelashwa, ezinye izinkinga zingavela.

• Ukugcinwa komchamo: Isinyi esiphansi singabangela ukuthi i-urethra iqine, futhi ungase ungakwazi ukukhipha ngokuphelele isinyi sakho uma uchama.
• Ukulimala kwezinso: Umchamo osele esinyeni ungabangela ukuthi umchamo ugeleze emuva (ngokusebenzisa ama-ureter), okufaka ingcindezi ezinso, okungazilimaza ekugcineni. Lesi yisimo esibi kakhulu.
• Ukutheleleka njalo komgudu womchamo.

Yingakho sithi, uma unezimpawu, ungabi namahloni noma wesabe, kodwa bona udokotela.

Odokotela bakuthola kanjani lokhu?

Udokotela kuphela ongasho ngokuqinisekile ukuthi une-cystocele. Ngokuvamile, udokotela wezifo zabesifazane noma udokotela wezifo zomchamo uthola lesi simo. Udokotela uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Ngemuva kwalokho bazokwenza ukuhlolwa ngokomzimba. Phakathi nalokhu kuhlolwa, bazohlola isitho sakho sangasese sowesifazane ukuze babone ukuthi isinyi sakho siphumile yini nokuthi sesiphumile kangakanani. Ungase ucelwe ukuba ukhwehlele noma uchame kancane ukuze ubone ukuthi sesiphumile kangakanani. Ngezinye izikhathi, ukuhlolwa okulandelayo kungenziwa ukuqinisekisa isimo:

• Ukuhlolwa kwe-Urodynamic: Lokhu kuhlola ikhono lesinyi sakho lokubamba nokukhulula umchamo.
• I-Cystoscopy: Kulokhu, ithubhu elide, elincane, elifana nepensela (i-cystoscope) elinekhamera enamathiselwe lidlula e-urethra liye kwesinye. Lokhu kungasetshenziswa ukuhlola noma yikuphi ukukhubazeka, ukuvaleka, izimila, noma amatshe ngaphakathi kwe-urethra kanye nesinye.

Ungakwazi yini ukuzihlolela lokhu?

Udokotela kuphela ongenza ukuxilongwa okunembile. Kodwa-ke, abanye besifazane banomuzwa wokuthi bangafaka okuthile ngesitho sabo sangasese sowesifazane. Uma unezimpawu ze-cystocele, qiniseka ukuthi ubona udokotela. Ungazihlolisisi.

Iphathwa kanjani i-cystocele?

Ukwelashwa kuncike ebunzimeni be-cystocele yakho. I-cystocele encane (yebanga 1): Uma ungazizwa ubuhlungu obukhulu, ungase ungadingi ukwelashwa okukhethekile. Kodwa-ke, kubalulekile ukugwema imisebenzi efana nokuphakamisa okunzima nokuzikhandla, njengoba lokhu kungenza isimo sibe sibi kakhulu. Ezinye izinketho zokwelapha ezincane zifaka:

• Gcina isisindo esinempilo esikufanele. Khuluma nodokotela ngalokhu bese uthola iseluleko.
• Ukwelashwa kokufaka esikhundleni se-estrogen: Lokhu kungaba usizo, ikakhulukazi kulabo abanamazinga aphansi e-estrogen ngemva kokunqamuka kokuya esikhathini. Kunganikezwa njengokhilimu noma njengephilisi.
• Ukuzivocavoca nge-Kegel: Lokhu kuyinto ebaluleke kakhulu. Lokhu kuzivocavoca kuqinisa imisipha yakho yaphansi kwe-pelvic. Okusho ukuthi, imisipha ezungeze i-urethra, isitho sangasese sowesifazane, kanye ne-anus. Uma le misipha iqinile, iyasiza ekulawuleni ukuwohloka kwesinyi. Buza udokotela wakho noma isazi se-physiotherapist ukuthi akunike indlela efanele yokwenza lokhu kuzivocavoca.
• Idivayisi ye-pessary:Lesi yisixhobo esinjengendandatho esenziwe ngerabha noma i-silicone. Sifakwa esithweni sangasese sowesifazane futhi sisiza ekusunduzeni isinye phezulu nokusibamba endaweni yaso. Lesi yisisombululo sesikhashana. Abanye abantu bangasisebenzisa uma bengenakukwazi noma bengafuni ukuhlinzwa.

I-Cystocele Ephakathi Noma Enzima (Ibanga lesi-2 noma lesi-3): Uma ukwelashwa okungenhla kungasizi, kungase kudingeke ukuhlinzwa .

Kuthiwani uma kudingeka ukuhlinzwa?

Ukuhlinzwa okuyinhloko kwe-cystocele enzima kubizwa ngokuthi i-anterior colporrhaphy . Kulokhu, udokotela ohlinzayo ubuyisela isinyi esiphundukile endaweni yaso futhi aqinise imisipha odongeni olungaphambili lwesitho sangasese sowesifazane esisibamba endaweni yaso. Ngezinye izikhathi, i-mesh ekhethekile ingasetshenziswa ukuqinisa izicubu ezibuthakathaka. Kodwa-ke, kunemibono ehlukene mayelana nokusetshenziswa kwale mesh, ngakho khuluma nodokotela wakho ngaphambi kokwenza isinqumo. Ukuhlinzwa kwe-Cystocele ngokuvamile akuyona inqubo enkulu. Ngokuvamile inqubo yokulaliswa esibhedlela evumela ukuthi uye ekhaya ngalolo suku. Kungathatha izinyanga eziningana ukuze ululame ngokugcwele. Uma ungasafuni ukuya ocansini, kunezinye izinketho zokuhlinzwa ezivala, zifinyeze, futhi zimise i-prolapse. Uma kungesona isinyi kuphela, kodwa futhi nesibeletho, ingxenye engenhla yesitho sangasese sowesifazane (kulabo abasuswe isibeletho sabo, lokhu kubizwa ngokuthi i-apex), noma i-rectum nayo iphundukile, udokotela uzokuchazela ngezinye izindlela zokuhlinzwa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uma une-cystocele engathi sína edinga ukuhlinzwa, ungase uqale ukuzwa impumuzo ethile ngokushesha ngemva kokuhlinzwa. Kodwa-ke, kungathatha amasonto amaningana kuya ezinyangeni eziningana ukuze ululame ngokugcwele futhi ubuyele emisebenzini evamile. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.

Ingabe zikhona izindlela zokuvimbela lesi simo?

Ezinye izinto eziyingozi esingenakuzilawula, njengomlando womndeni noma ukuguga. Kodwa-ke, kunezinto esingazilawula. Zinganciphisa ingozi yokuthola lesi simo.

• Gcina isisindo esinempilo esikufanele. Xhumana nodokotela noma isazi sokudla ukuze uthole iseluleko ngalokhu.
• Gwema ukuqunjelwa. Yidla ukudla okucebile nge-fiber (imifino, izithelo, ubhontshisi, okusanhlamvu okuphelele). Phuza amanzi amaningi usuku lonke. Vivinya umzimba njalo. Lezi zinto zingasiza ekunciphiseni ukuqunjelwa. Ngemuva kwalokho ngeke kudingeke uzikhandle uma uya endlini yangasese.
• Vikela imisipha yakho yaphansi kwe-pelvic lapho uphakamisa izinto ezisindayo. Ungaphakamisi izinto ezisindayo wedwa. Uma uphakamisa into esindayo, sebenzisa ukuma okufanele: gobisa amadolo akho nezinqe, gcina umhlane wakho uqondile, bese wehlisa ukuze uphakamise into. Ungaphenduki ngenkathi uphakamisa into.
• Yenza izivivinyo zeKegel njalo. Kungcono ukuqala ukwenza lezi zivivinyo ngesikhathi sokukhulelwa. Kubalulekile ukuqhubeka nokwenza lezi zivivinyo ngemva kokubeletha.
• Uma ubhema, yeka.Ukukhwehlela okungapheli okubangelwa ukubhema kucindezela imisipha ye-pelvic.

Yini okufanele uyikhumbule uma une-cystocele?

Uma udokotela ekutshela ukuthi une-cystocele, ungakhathazeki. Ingaphathwa.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo nokwenza izinguquko ezidingekayo endleleni yakho yokuphila.

Yiziphi izinto okungafanele ngizenze?

Uma une-cystocele, kungcono ukugwema lezi zinto:

• Ukuphakamisa izinsimbi kanye nanoma yimuphi umsebenzi ocindezela imisipha ye-pelvic. Isibonelo, ukuzivocavoca okunzima, umsebenzi ocindezela isisu.
• Ungakushayi indiva ukukhwehlela okungapheli. Uma ukhwehlela okungapheli, njenge-bronchitis, thola ukwelashwa ngendlela efanele. Ukukhwehlela kubeka ingcindezi engapheli emisipheni ye-pelvic.
• Gwema noma uyeke ukubhema.
• Ungahlali ngendlela ebangela ukuqunjelwa. Ungacindezeli uma uya endlini yangasese.

Ngingayibona nini udokotela?

Uma unezimpawu ze-cystocele, ikakhulukazi uma ziphazamisa impilo yakho yansuku zonke nomsebenzi, qiniseka ukuthi ubona udokotela. Ungabi namahloni noma uhlehlise.

Kunini lapho kudingeka uye ekamelweni lezimo eziphuthumayo?

Uma unezimpawu ze-cystocele futhi ungakwazi nhlobo ukuchama , okungukuthi, uma umchamo wakho uvaliwe, hamba uye ekamelweni lezimo eziphuthumayo esibhedlela esiseduze nawe ngokushesha. Lokhu kuyinto okungafanele uyibambezele.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma uya kudokotela, ungakhohlwa ukubuza noma yimiphi imibuzo onayo. Nansi eminye imibuzo ongayibuza:

• "Dokotela, ngingabona kanjani ngempela ukuthi ngine-cystocele?"
• "Uma ngingenayo i-cystocele, ingabe kukhona esinye isimo esibangela lezi zimpawu?"
• "Udokotela ungincoma luphi uhlobo lokwelashwa?"
• "Ngingakwazi yini ukulawula lesi simo ngaphandle kokuhlinzwa?"
• "Kungenzeka yini ukuthi ngiphinde ngibe nalesi simo ngemva kokwelashwa?"
• "Yimiphi imisebenzi nokunyakaza okufanele ngiyigweme noma ngingayenzi?"
• "Ngingaya ocansini uma ngine-cystocele? Ingabe kuzodala izinkinga?"
• "Ingabe kufanele ngibone udokotela wezifo zabesifazane noma udokotela womchamo?"

Kubaluleke kakhulu ukubuza imibuzo efana nalena nokuqonda kangcono isimo sakho.

Ingabe "i-Prolapsed bladder" kanye ne-"Cystocele" ziyinto efanayo?

Cha, lawa amagama amabili esimo esifanayo. Igama elithi "prolapsed bladder" limane nje liyigama le-cystocele. Ngakho ungadideki ngakho.

Ekugcineni, Umyalezo Wokuya Ekhaya

I-cystocele ayivamisile ukusongela impilo. Kodwa-ke, ingakubangela amahloni, ukungakhululeki, kanye nokucindezeleka. Ungavumeli ukuthi ikuvimbele ekuphileni impilo yakho ngenjabulo nangokunethezeka.

Khumbula, awuwedwa. Kunezindlela zokwelapha lesi simo. Uma unezimpawu ze-cystocele futhi zithinta impilo yakho, bona udokotela ngaphandle kokungabaza. Uzobuyekeza izimpawu zakho nomlando wezokwelapha futhi akuncomele ukwelashwa okufanele kakhulu. Lokhu kuzokusiza nakanjani uzizwe ungcono futhi kuthuthukise ikhwalithi yempilo yakho.

Nakekela umzimba wakho. Ngoba impilo iyingcebo enkulu kunazo zonke!