Uzizwa unesisindo noma ingcindezi engavamile esithweni sakho sangasese sowesifazane? Kungaba yi-enterocele!

Ingabe ngezinye izikhathi uzizwa usinda, ugcwele, noma ucindezelekile esithweni sakho sangasese? Ingabe lokhu kungakhululeki kuyanda, ikakhulukazi uma umi, uhleka, noma ukhwehlela? Uma kunjalo, lokhu kungaba yinto ebalulekile kuwe. Namuhla sizokhuluma ngesimo esivame kakhulu kwabesifazane, kodwa abantu abaningi abazi ngaso. Lokho kuyi-enterocele, noma kalula nje, amathumbu amancane aphumile.

Kuyini i-Enterocele?

Kalula nje, i-enterocele yisimo lapho ingxenye yamathumbu ethu amancane isunduzela endaweni yesitho sangasese sowesifazane, okungukuthi, engxenyeni engenhla yesitho sangasese sowesifazane. Cabanga ngakho, izitho ezingaphakathi kwesisu sethu kufanele zibe sezindaweni zazo ezifanele. Ngakho-ke leli thumba elincane lehla kancane lapho kufanele libe khona bese lisunduza odongeni lwesitho sangasese sowesifazane. Lokhu kubizwa nangokuthi i-Small Bowel Prolapse . Lolu uhlobo lwe- pelvic organ prolapse olungenzeka ohlelweni lokuzala lwabesifazane.

Sivame kangakanani lesi simo?

Eqinisweni, kunabesifazane eSri Lanka abanezinkinga zokuncipha kwezitho zomzimba. Ngokusho kwedatha ethile evela emhlabeni, iphesenti elincane labesifazane (cishe u-3% - 6%) lingase libe nalesi simo. Lokhu kuvame kakhulu phakathi kwabesifazane ngemva kokunqamuka kokuya esikhathini , okungukuthi, abesifazane abayeke ukuya esikhathini nyanga zonke. Futhi, eminye imibiko ithi kuvame kakhulu phakathi kwabesifazane abamhlophe nabaseHispanic. Kodwa-ke, noma ubani angabhekana nalesi simo.

Kungani i-enterocele ikhula?

Kulungile, manje ake sibone ukuthi kungani lokhu kwenzeka. Iphansi lethu le-pelvic lakhiwe yimisipha, izicubu ezixhumanisayo, kanye nemisipha. Yilezi ezibamba izitho zethu njengesibeletho sethu, amathumbu, kanye nesitho sangasese sowesifazane. Zisekela lezi zitho njengenethi.

Ngakho-ke, uma le misipha nezicubu ziba buthakathaka, zeluleke, noma ngezinye izikhathi ziklebhuke, lokho kuphakamisa akwenzeki kahle. Yilapho-ke kuvela khona lezi zinkinga.

Amathumbu ethu amancane ayingxenye ebalulekile yesimiso sethu sokugaya ukudla. Ngokuvamile, la mathumbu amancane atholakala esiswini esingezansi kanye nasesinqeni esingaphezulu, ebanjwe yimisipha nemisipha okukhulunywe ngayo ngenhla. Kodwa lapho lezi zicubu zibuthakathaka, amathumbu amancane ayawa kancane kancane bese ewela esikhaleni esiphakathi kwesitho sangasese sowesifazane kanye ne-rectum. Yilapho ukucindezeleka kwakheka khona odongeni olungaphezulu lwesitho sangasese sowesifazane.

Enye into ukuthi lesi simo esibizwa ngokuthi i-enterocele singavela sodwa, noma singavela kanye nezinye izitho zomzimba we-pelvic. Okungukuthi:

• Ukwehla kwe-bladder (ukwehla kwe-bladder noma i-Cystocele)
• Ukwehla kwesibeletho noma i-Rectocele (i-hernia yesibeletho ephuma odongeni lwangemuva lwesitho sangasese sowesifazane)
• Ukwehla kwe-Urethra noma i-Urethrocele
• Ukwehla kwesibeletho
• Ukwehla kwesitho sangasese sowesifazane

Ubani osengozini enkulu yokuthuthukisa lokhu?

Manje ake sibone ukuthi ubani ongase abhekane nalesi simo.

Enye yezinto ezibaluleke kakhulu ukunqamuka kokuya esikhathini . Ngesikhathi sokunqamuka kokuya esikhathini nangemva kokunqamuka kokuya esikhathini, imizimba yethu ikhiqiza i-estrogen encane. Le hormone isiza ukugcina imisipha yephansi le-pelvic iqinile. Ngakho-ke lapho amazinga e-estrogen ehla, le misipha ingaba buthaka. Izifundo zibonisa ukuthi abesifazane abangaphezu kwengxenye yesithathu abanezinkinga zephansi le-pelvic baphakathi kweminyaka engama-60 no-79. Futhi cishe ingxenye yabo ingaphezu kweminyaka engama-80.

Ngaphandle kwalokho, kunezinye izizathu ezingaba buthakathaka imisipha yephansi le-pelvic futhi zibangele i-enterocele:

• Ukukhulelwa Nokubeletha: Ukuthwala umntwana esibelethweni nokubeletha kubeka ingcindezi enkulu emisipheni ye-pelvic. Le ngozi inganda ikakhulukazi ngesikhathi sokubeletha okunzima, izingane ezinkulu, noma lapho umntwana ezalwa kusetshenziswa amathuluzi (i-forceps, i-vacuum).
• Ukukhwehlela okuqhubekayo: Isibonelo, umuntu okhwehlela njalo, kungakhathaliseki ukuthi ngenxa yesifo esifana ne-asthma, i-bronchitis, noma ukubhema, ucindezela imisipha ye-pelvic njalo. Lokhu kungenza imisipha ibe buthaka.
• Izinkinga zezicubu ezixhumeneyo: Isibonelo, abantu abanezimo zofuzo ezifana ne-Ehlers-Danlos syndrome nabo basengozini ngoba izicubu ezixhumeneyo zomzimba wabo zibuthakathaka kunezivamile.
• Ukuqunjelwa: Uma uqunjelwa njalo, kungase kudingeke ukuthi uzikhandle uma uya endlini yokugezela. Lokhu kubeka nengcindezi engadingekile phansi kwe-pelvic.
• Ukuphakamisa izinsimbi: Le ngozi iphezulu kulabo abaphakamisa izinsimbi njalo, ikakhulukazi labo abaphakamisa izinsimbi ngendlela engafanele. Kudingeka uqaphele ngalokhu lapho wenza imisebenzi yasekhaya nasemsebenzini.
• Ukukhuluphala: Njengoba isisindo somzimba sikhula, umthwalo emisipheni yephansi le-pelvic uyanda. Lokhu kungenza imisipha ibe buthaka ngokuhamba kwesikhathi.
• Ukuhlinzwa Kwesinqe: Ngemva kokuhlinzwa, njengokususwa kwesibeletho, izakhiwo ezisekelayo zesinqe se-pelvic ngezinye izikhathi zingaba buthaka.
• Ukwelashwa ngemisebe endaweni ye-pelvic: Ukwelashwa ngemisebe endaweni ye-pelvic yezimo ezifana nomdlavuza nakho kungalimaza futhi kunciphise izicubu.

Ziyini izimpawu ze-enterocele?

Abanye besifazane bangase bangabi nazimpawu nhlobo. Okusho ukuthi, bangase bangezwa ngisho noma bene-enterocele. Kodwa-ke, uma izimpawu zivela, bangase babhekane nalokhu okulandelayo:

• Kuvele umuzwa ofana nebhola ngaphakathi kwesitho sangasese sowesifazane (Ukuqhuma ngaphakathi kwesitho sangasese sowesifazane): Ungase uzitholele wona.
• Ubunzima bokuqeda ukunyakaza kobunye: Kungase kuzwakale sengathi unobunzima bokuphuma kwendle, noma sengathi awukayidluli ngokuphelele. Abanye abantu kungadingeka basebenzise umunwe ukuze ubasize baphume ukunyakaza kobunye.
• Ukucindezeleka, ukusinda, ubuhlungu, noma ukugcwala endaweni ye-pelvic: Lokhu kungakhululeki kunganda, ikakhulukazi ngesikhathi socansi, ukuzivocavoca, ukuma isikhathi eside, noma ukukhwehlela.
• Ukungakwazi ukuzibamba ngomchamo: Ungavuza umchamo omncane ungahlosile uma ukhwehlela, uhleka, uthimula, noma uphakamisa into esindayo.
• Ubuhlungu besisu esingezansi kanye nomhlane: Lobuhlungu bungase bubonakale buncipha kancane uma ulele phansi.

Cabanga nje, ngemva kokusebenza kanzima usuku lonke, kusihlwa, uzizwa usinda esithweni sakho sangasese sowesifazane, njengokungathi kukhona okuphuma ngaphakathi. Kuzwakala kungcono kancane uma uhleli noma ulele phansi. Uma unalolu hlobo lolwazi, qaphela ngakho.

Ungayixilonga kanjani i-enterocele?

Uma unalezi zimpawu, kungcono ukubona udokotela. Udokotela wezifo zabesifazane ngokuvamile nguye owelapha lezi zifo.

Uma udokotela wakho ekuxilonga, uzokwenza ukuhlolwa kwe-pelvic. Udokotela angase ezwe iqhubu elibangelwa ukusunduza kwamathumbu amancane esithweni sangasese sowesifazane. Udokotela angase akucele ukuthi ukhwehlele noma ucindezele phansi. Iqhubu lingabonakala bese lizwakala lingcono. Bangase futhi benze ukuhlolwa kwe-rectal.

Ngaphezu kwalokho, ukuhlolwa okulandelayo kungenziwa okukodwa noma ngaphezulu:

• I-Cystoscopy: Kulokhu, kufakwa ipayipi elincane elinekhamera (i-cystoscope) nge-urethra ukuze kuhlolwe isinyi, indawo yaso, kanye nendawo yaso.
• Ukuhlolwa kwezithombe: Kungenziwa i-MRI, i-ultrasound scan, noma i-CT scan ukuze kubhekwe imisipha yephansi le-pelvic nokubona ukuthi yiziphi izitho eziye zawa.
• Ukuhlolwa kwe-Urodynamic: Lokhu kuhlolwa kusiza ekunqumeni ukuthi isinyi sisebenza kanjani nokuthi yini ebangela inkinga yokuchama.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi kunezindlela zokwelapha i-enterocele. Kukhona izindlela zokwelapha ezingahlinzwa kanye nezindlela zokwelapha ezihlinzwayo. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe ngokusekelwe eminyakeni yakho, impilo yakho iyonke, kanye nohlobo lwezimpawu zakho.

Kunezindlela ezintathu eziyinhloko zokwelapha:

1. Ukufaka i-pessary: ​​​​Lena idivayisi eyenziwe ngerabha (i-latex) noma ipulasitiki (i-silicone) engafakwa esithweni sangasese sowesifazane. Isebenza ngokusekela imisipha yephansi le-pelvic. Isebenza njengokusekela ingxenye engezansi yesitho sangasese sowesifazane. Ingasetshenziswa ngenkathi ilinde ukuhlinzwa, noma ingasetshenziswa njalo kulabo abangakwazi ukuhlinzwa. Kodwa-ke, ayisusi i-enterocele, ilawula kuphela izimpawu. Udokotela wakho uzokukhombisa ukuthi ungayifaka kanjani, uyisuse, futhi uyigcine ihlanzekile.

2.Ukuzivocavoca phansi kwe-pelvic: Lokhu kubizwa nangokuthi ama-Kegel . Lokhu kuzivocavoca kuqinisa imisipha ye-pelvic floor. Udokotela wakho angakuthumela kuchwepheshe wezokwelapha ngokomzimba. Kukhona abelaphi bezokwelapha ngokomzimba abangochwepheshe ekwelapheni izinkinga ze-pelvic floor. Bazokufundisa ukuthi ungakwenza kanjani lokhu kuzivocavoca. Bangase basebenzise amasu anjenge-biofeedback ukukusiza ukuthi ubone futhi uvivinye imisipha.

3. Ukuhlinzwa: Uma ezinye izindlela zingasebenzi, noma uma isimo sibi kakhulu, ukuhlinzwa kungadingeka. Ukuhlinzwa kuhilela ukubuyisela amathumbu amancane endaweni yawo nokulungisa izicubu ezidabukile. Esikhathini esiningi, lokhu kuhlinzwa kwenziwa ngesitho sangasese sowesifazane, ngaphandle kokwenza ukusikwa okukhulu, njengenqubo engangenisi kakhulu. Ngezinye izikhathi kungenziwa nangesisu. Udokotela wakho uzochaza inqubo yokuhlinzwa engcono kakhulu kuwe.

Ingabe i-enterocele ingavinjelwa?

Nakuba kungavinjelwe ngokuphelele, kunezinto esingazenza ukuze sinciphise ingozi yethu. Lezi zinto zingasiza ekuvimbeleni hhayi nje kuphela i-enterocele, kodwa nezinye izinkinga zephansi le-pelvic:

• Yidla ukudla okune-fiber eningi futhi uphuze amanzi amaningi: Lokhu kungasiza ekuvimbeleni ukuqunjelwa. Lokhu kuzonciphisa ukucindezeleka. Faka imifino, imifino, izithelo, kanye nokolweni ophelele ekudleni kwakho.
• Thola usizo lapho uphakamisa izisindo, futhi uphakamise izisindo ngendlela efanele: Ungaphakamisi izisindo ongeke ukwazi ukuzisingatha wedwa. Uma uphakamisa isisindo, gcina umhlane wakho uqondile bese ugoba amadolo akho.
• Finyelela noma ugcine isisindo esinempilo: Ukukhuluphala ngokweqile kuyisici esikhulu esiyingozi salokhu.
• Yelapha ukukhwehlela okungapheli: Uma ukhwehlela, thola imbangela bese uyelapha.
• Uma ubhema, yeka: Ukubhema akugcini nje ngokubangela ukukhwehlela, kodwa kungalimaza nezicubu.

Iyini i-prognosis kubantu abane-enterocele? (Isibikezelo)

Ezimweni eziningi, izimpawu zingalawulwa kahle ngokwelashwa okungewona ukuhlinzwa. Abanye besifazane bangase bangadingi ukwelashwa uma bengenazo izimpawu. Izinkinga ezinkulu ezivela ku-enterocele azivamile, ngakho-ke asikho isidingo sokukhathazeka ngokungadingekile. Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha uma unezimpawu.

Kufanele ubonane nini nodokotela?

Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Izinkinga zokulawula isinyi.
• Igazi emchameni.
• Ukuchama okubuhlungu noma ukuchama njalo.
• Ukuqunjelwa okukhulu noma ubunzima bokuhamba kwamathumbu.
• Uma uzizwa unesisindo esingavamile, ukucindezeleka, noma iqhubu esithweni sakho sangasese sowesifazane.

Ungazinaki lezi zinto. Ukuthola ukwelashwa kusenesikhathi kungavimbela isimo ukuba singabi sibi kakhulu.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungangabazi ukubuza imibuzo esengqondweni yakho. Isibonelo, ungabuza izinto ezifana nalezi:

• Kungani ngakha le enterocele?
• Iyiphi indlela yokwelapha engcono kakhulu kimi?
• Ingabe ngisengozini yokuthola ezinye izinkinga ngenxa yalokhu?
• Yiziphi izinkinga okufanele ngikhathazeke ngazo?
• Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila ngemva kokwelashwa?

Kubaluleke kakhulu ukubuza imibuzo efana nalena nokuqonda kangcono isimo sakho.

Khumbula njengesifinyezo (Umyalezo Wokuya Ekhaya)

I-Enterocele, noma ukwehla kwamathumbu amancane, yisimo esivame ukwenzeka kwabesifazane asebedlulile esikhathini sokuya esikhathini kanye nabesifazane abaye baba nezingane ezingaphezu kweyodwa. Kodwa-ke, abantu abaningi ngeke babe nezimpawu futhi bangase bangadingi ukwelashwa.

Kodwa-ke, uma unezimpawu ezifana nobunzima besitho sangasese sowesifazane, ingcindezi, noma ubunzima bokuphuma kwendle, kungcono ukukhuluma nodokotela ngakho. Ngokuvamile, izimpawu zingalawulwa ngokusebenzisa i-pessary noma ukwenza izivivinyo zephansi le-pelvic njenge-Kegels. Ukuhlinzwa akuvamile ukwenziwa.

Into ebaluleke kakhulu ukuqonda ukuthi lokhu akuyona inkinga yakho kuphela futhi ungesabi ukucela usizo. Udokotela wakho uzokusiza.

I- Enterocele, ukuwohloka kwamathumbu amancane, ukuwohloka kwezitho zesitho sangasese, isitho sangasese sowesifazane, impilo yabesifazane, ukunqamuka kokuya esikhathini, izivivinyo zeKegel