Uzizwa sengathi izitho zakho ze-pelvic ziyehlile? Ake sixoxe nge-Pelvic Organ Prolapse (POP)!

Ingabe ngezinye izikhathi uzizwa usinda, ucindezelekile, noma uzizwa sengathi kukhona okuphuma esithweni sakho sangasese? Noma ingabe uyawubona umehluko uma uchama noma ukhipha indle? Lezi akuzona izinto ongazinaki nje. Namuhla sizokhuluma ngesimo esithinta abesifazane abaningi, kodwa ngezinye izikhathi bayasifihla ngoba benamahloni. Lokhu kubizwa ngokuthi i-Pelvic Organ Prolapse (POP) .

Kuyini i-Pelvic Organ Prolapse (POP)? Masiqonde kalula!

Kulungile, ake sibone ukuthi lokhu kuyini. I-Pelvic Organ Prolapse , kafushane nje, izitho ezisesinqeni sakho se-pelvic, okungukuthi, i-(Vagina) , (Umbungu) , (Isinyi) , (I-Rectum) (izitho ezifana ne-anus) zehliswa ezindaweni zazo ezijwayelekile. Cabanga nje, lezi zitho ezisesiswini sakho esingezansi ziphakanyiswe phezulu njengenethi. Le nethi yilokho esikubiza ngokuthi i-Pelvic Floor . Yakhiwe yimisipha, imisipha, kanye nezicubu. Le Pelvic Floor ifana ne-cradle ebamba lezi zitho phezulu kusukela ngaphansi.

Manje, uma ngesizathu esithile imisipha ephansi kwe-pelvic iba buthakathaka, kufana nokuthi i-mesh isikhululekile, futhi izitho ezizibambe azikwazi ukuhlala endaweni yazo. Yilapho lezi zitho ziqala khona ukwehla, noma isitho sangasese sowesifazane siqala ukulenga eceleni. Lesi simo singavela ngezizathu ezifana nangemva kokubeletha noma njengoba ukhula.

Ezimweni ezincane ze-POP, isitho singase siphume kancane kuphela. Kodwa ezimweni ezimbi kakhulu, isitho singase siphume ngokuphelele esithweni sangasese sowesifazane, njengesimila. Abantu abanalesi simo bavame ukuchaza umuzwa wokugcwala, ukucindezeleka, noma okuthile okuphuma esithweni sangasese sowesifazane. Izimpawu eziqondile ozizwayo kanye nobunzima besimo kuzonquma ukuthi hlobo luni lwe-POP onalo.

Into engcono kakhulu ukuthi, kukhona ukwelashwa kwalokhu. Kukhona ukwelashwa okungekona ukuhlinzwa kanye nokwelashwa kokuhlinzwa. Udokotela wakho uzohlola isimo sakho futhi axoxe nawe ukuthi yiziphi izindlela zokwelapha ezikulungele.

Yiziphi izinhlobo ezahlukene zama-POP?

Uhlobo lwe-POP onalo luncike ekutheni kukuphi phansi kwe-pelvic yakho lapho kukhona ubuthakathaka khona, nokuthi yiziphi izitho zomzimba ezithinteka yilobo buthakathaka. Ake sibheke ezinye zezinhlobo eziyinhloko:

• Ukuqhekeka kodonga lwesitho sangasese sowesifazane sangaphambili (Isinye Esiwile / I-Cystocele): Lokhu kwenzeka lapho imisipha yephansi lesitho sangasese sowesifazane esingaphezu kwesitho sangasese sowesifazane iba buthaka, okubangela ukuba isitho sakho sesinye sehle futhi siphume singene esitho sangasese sowesifazane. Lokhu kubizwa ngokuthi i-cystocele . Lolu uhlobo lwe-POP oluvame kakhulu olubonwa abantu abaningi.
• I-Urethrocele: Lokhu kwenzeka ngenxa yobuthakathaka bemisipha yephansi le-pelvic (urethra).Isinye (urethra) siyehliswa. Ngokuvamile, uma isinyi sehliswa, i-urethra nayo ingahliswa kanye naso.
• Ukwehla kodonga lwesitho sangasese sowesifazane (i-Rectocele): Lapha, i-rectum ivelela odongeni lwangemuva lwesitho sangasese sowesifazane ngenxa yobuthakathaka bemisipha yephansi lesitho sangasese sowesifazane phakathi kwesitho sangasese sowesifazane kanye ne-rectum .
• I-Enterocele: Uma imisipha engaphakathi kwe-pelvic iba buthaka, amathumbu akho amancane angaphuma angene odongeni lwangemuva noma engxenyeni engenhla yesitho sangasese sowesifazane.
• Ukuwa kwesibeletho (Isibeletho Esiwile): Uma phansi kwesinqe kuba buthaka, isibeletho singawela phansi singene esithweni sangasese sowesifazane.
• Ukwehla kwesidoda esivalweni sesitho sangasese sowesifazane: Lokhu kuvame kakhulu kwabesifazane abaye bakhishwa isisu. Lapho imisipha yephansi lesitho sangasese sowesifazane iba buthaka, ingxenye engenhla yesitho sangasese sowesifazane (ebizwa ngokuthi isitho sangasese sowesifazane) ingawela esithweni sangasese sowesifazane.

Ingabe lesi simo sivame kangakanani? Ingabe lokhu kuyinto okufanele ube namahloni ngayo?

Eqinisweni, izibalo zisikisela ukuthi phakathi kuka-3% no-11% wabesifazane bazobhekana nalesi simo. Cishe u-37% wabesifazane abanezinkinga zephansi le-pelvic (kufaka phakathi i-POP) baphakathi kweminyaka engu-60 no-79. Abangaphezu kwengxenye bangaphezu kweminyaka engu-80. (Qaphela: igama elithi "ngaphezu kwengxenye" ​​kulo musho liyigama lesiTamil. Kufanele libe "iningi" noma "ngaphezu kwengxenye". Ngizokulungisa lokho.) ... abangaphezu kwengxenye bangaphezu kweminyaka engu-80.

Kodwa kunzima ukusho ukuthi bangaki abantu abathintekile, ngoba abantu abaningi abafuni ukwelashwa ngalokhu. Abantu abaningi abafuni ukwelashwa ngoba banamahloni noma banamahloni okukhuluma ngezinkinga zabo zesitho sangasese sobulili. Kodwa into ebaluleke kakhulu okudingeka uyazi ukuthi awuwedwa. Abantu abaningi babhekana nalezi zinhlobo ze-POPs.

Ziyini izimpawu ze-POP?

Uphawu oluvame kakhulu umuzwa wokuthi kukhona okuphuma esithweni sangasese sowesifazane, njengebhola, noma kukhona okubhajwe kuso. Ngaphezu kwalokho, kungase kube nezinye izimpawu ezifana nalezi:

• Umuzwa wokugcwala, isisindo, noma ingcindezi ngaphakathi kwesitho sangasese sowesifazane.
• Ukuzwa ukugcwala, ukucindezeleka, noma ubuhlungu esiswini esingezansi noma endaweni yesinqe.
• Ukuzwa ubuhlungu noma ukungakhululeki ngesikhathi socansi (i-Dyspareunia) .
• Ushintsho endleleni ochama ngayo futhi okhipha ngayo indle.

Izimpawu ozibonayo zizoncika ekutheni i-prolapse ivele kuphi. Uma ungakwazi ukuchaza lezi zimpawu kudokotela wakho ngokucacile, uzokwazi ukubona kangcono ukuthi iphansi lakho le-pelvic libuthakathaka kuphi.

Abantu abaningi batshela odokotela babo ngezimpawu zabo kuphela uma benenkinga yokuchama noma yokuphuma endlini yangasese, noma lapho ucansi luba buhlungu. Le miphumela emibi ivame kakhulu kuma-POP. Lezi zimpawu zifaka:

• Ungase uvuza umchamo omncane ngengozi uma ukhwehlela, uhleka, noma uvivinya umzimba.(Ukungakwazi ukuzibamba kokucindezeleka).
• Umuzwa ovamile wokudinga ukuchama, noma umuzwa wokuthi isinyi sigcwele.
• Ukuqunjelwa, noma ukungakwazi ukulawula ukuhamba kwamathumbu.

Kungani i-POP ivela? Ziyini izimbangela?

Kunezizathu eziningi ezenza ukuthi iphansi lakho le-pelvic libe buthaka. Ngokuvamile, lokhu kwenzeka lapho imisipha, imisipha, kanye nezicubu eziphansi le-pelvic yakho zeluleke kakhulu. Kungenzeka futhi ngoba imisipha ayisebenzi kahle ngenxa yokungasebenzi kahle.

Noma yiziphi izici ezilandelayo zingandisa ingozi yakho yokuthola i-POP:

• Ukubeletha ngesitho sangasese sowesifazane: Lena imbangela eyinhloko ye-POP. Ukubeletha kaningi ngesitho sangasese sowesifazane, amawele noma amawele amathathu, ukuba nomntwana omkhulu (i-Fetal Macrosomia) , kanye nokubeletha kusetshenziswa izinto ezifana ne -forceps noma i-vacuum konke kuyizici ezingenza buthaka imisipha yephansi le-pelvic . Cabanga ukuthi kucindezelwa kangakanani kuleyo ndawo ngesikhathi sokubeletha.
• Ukuguga: Njengoba siguga, imisipha yethu ilahlekelwa amandla. Esinye isizathu ukwehla kwe-hormone i-estrogen . Uma udlula esikhathini sokunqamuka kokuya esikhathini, umzimba wakho ukhiqiza i-estrogen encane. Lokhu kungenza buthaka izicubu ezixhumanisayo ezisekela phansi kwe-pelvic yakho.
• Ukukhuluphala ngokweqile/Ukukhuluphala ngokweqile: Ucwaningo lubonise ukuthi abantu abakhuluphele ngokweqile, okungukuthi, abakhuluphele ngokweqile, banamathuba amaningi okuthuthukisa i-POP kunalabo abasesigabeni sesisindo esinempilo.
• Ukucindezeleka isikhathi eside emgodini wesisu: Ukucindezeleka okuqhubekayo emisipheni yephansi le-pelvic kungayenza buthaka. Izinto ezifana nokuqunjelwa isikhathi eside , ukukhwehlela isikhathi eside , kanye nokuphakamisa izinto ezisindayo njalo kwandisa ingozi yokuthola i-POP.
• Umlando womndeni: Ucwaningo lusaqhubeka mayelana nokuthi i-POP inethonya yini ku-genetic, kodwa kungenzeka ukuthi uzuze i -pelvic floor ebuthakathaka njengefa.
• Izifo zezicubu ezixhumeneyo: Abantu abanezimo ezifana ne -Ehlers-Danlos syndrome , i-Marfan syndrome , noma i-Joint Hypermobility Syndrome basengozini yokuthola i-POP.

Yiziphi izinkinga ezingaba khona nge-POP?

I-Pelvic Organ Prolapse yisimo esingajabulisi esingathinta ikhwalithi yempilo yakho. Ngaphezu kokulahlekelwa ukulawula isinyi sakho namathumbu, nazi ezinye izinkinga ezingase zenzeke ngenxa ye-POP:

• Ukutheleleka: Uma ungakwazi ukuchama kahle ngenxa yokuncipha kokuphuma komchamo, umchamo wakho ungabuyela emuva ungene e-urethra noma ezinso. Lokhu kungabangela ukutheleleka kwe-Urinary Tract Infections (UTIs).(ukutheleleka komgudu womchamo) noma ukutheleleka kwezinso kungenzeka.
• Ukulimala Kwezinso: Ezimweni ezimbi kakhulu, ukutheleleka isikhathi eside kanye nokuvinjelwa kokugeleza komchamo kungabangela ukulimala kwezinso.
• Ukucindezeleka Kwemizwa: I-POP ingaphazamisa impilo yakho yansuku zonke futhi ithinte inhlalakahle yakho yengqondo. Ungase uzizwe unamahloni okukhuluma ngayo, okungabangela ukucindezeleka okwengeziwe.

Udokotela uyixilonga kanjani i-POP?

Uma ubona udokotela, bazoqala bakubuze ngezimpawu zakho bese benza ukuhlolwa kwe-pelvic . Phakathi nalokhu kuhlolwa, udokotela angase akucele ukuthi ukhwehlele, futhi angase ahlole ukuthi unesifo sokuwa okungakanani uma uphumule futhi uma uzikhandla. Bangase bakuhlole nalapho ulele phansi noma umile. Ezimweni eziningi, ukuhlolwa kwe-pelvic kungasiza ekunqumeni ukuthi une-POP.

Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo:

• Ukuhlolwa kokusebenza kwephansi le-pelvic: Lokhu kuhlolwa kuvumela udokotela wakho ukuthi abone ukuthi imisipha nemisipha ephansi le-pelvic yakho iqine kangakanani. Lokhu kungase kuhilele ukwenza ukunyakaza okuthile, ukuqinisa nokuphumuza imisipha, njll.
• Ukuhlolwa kokusebenza kwesinye: Lokhu kuhlolwa kungasiza ekuhloleni izinkinga zomchamo ezivame kakhulu nge-POP. Lokhu kungafaka phakathi ukuhlolwa okubizwa ngokuthi i-cystoscopy , lapho udokotela ebheka khona ngaphakathi kwesinye sakho kanye ne-urethra. Bangase futhi benze ukuhlolwa kwe-urodynamics ukuze babone ukuthi isinye sakho kanye ne-urethra yakho zibamba futhi zikhipha umchamo kahle kangakanani.
• Izinqubo zokuthatha izithombe: Lezi zivivinyo zingabheka ngaphakathi kwe-pelvic cavity yakho. Udokotela wakho angase akucele ukuthi kwenziwe i-ultrasound noma i-MRI ukuze kutholakale ukuthi i-prolapse yakho ingakanani ngempela. Kodwa-ke, lezi zivivinyo zokuthatha izithombe zivame ukusetshenziswa kuphela ezimweni eziyinkimbinkimbi kakhulu.

Ingabe zikhona izigaba ze-POP?

Yebo, ikhona indlela yokuhlukanisa i-POP. Ibizwa ngokuthi uhlelo lwe-Pelvic Organ Prolapse Quantification (POP-Q) . Luhlela izitho zakho zesitho sangasese sowesifazane ngokusekelwe ekutheni zehle kangakanani uma kuqhathaniswa ne -hymen yakho (ulwelwesi oluvala umgodi wesitho sangasese sowesifazane).

Lesi sikali sisuka ku-zero siye ku-4:

• Isigaba Zero: Lokhu kusho ukuthi izitho zakho zomzimba azikanyakaziswa nganoma iyiphi indlela.
• Isigaba Sokuqala: Ukuncipha kokuzala kuncane. Ipenisi okungenani isentimitha elilodwa ngaphezu kwe-hymen yakho.
• Isigaba Sesibili: Kulesi sigaba, ukuqubuka kwesisu kuphakathi nendawo. Isitho singaphansi kwe-1 cm ukusuka ku -hymen (okungukuthi, i-hymen(1 cm ukusuka phezulu kuya phansi).
• Isigaba Sesithathu: Kulesi sigaba, i-prolapse iba nzima kakhulu. Isitho singaphezu kwesentimitha elilodwa ngaphansi kwe-hymen , kodwa i-prolapse ayikaphumi ngokuphelele esithweni sangasese sowesifazane.
• Isigaba Sesine: Lokhu kusho ukuthi une-prolapse ephelele. I-prolapse ephelele uhlobo olubi kakhulu. Kulesi simo, isitho esiphumile siphume ngokuphelele esithweni sangasese sowesifazane.

Cabanga ngakho, ungase ube nezigaba ezahlukene ze-POP ezithweni ezahlukene ngesikhathi esisodwa. Isibonelo, ungase ube nesigaba sesithathu sokuphuma kwesinyi kanye nesigaba sokuqala sokuphuma kwesibeletho.

Yiziphi izindlela zokwelapha i-POP?

Uhlelo lokwelashwa olutholayo luzoncika ekutheni i-prolapse inzima kangakanani, ukuthi itholakala kuphi, nokuthi izimpawu zakho zikuthinta kangakanani. Kukhona kokubili ukwelashwa okungahlinzwa kanye nokwelashwa kokuhlinzwa. Isibonelo, uma i-prolapse incane futhi ingakukhathazi kakhulu, ungase ungadingi ukwelashwa. Udokotela wakho uzoxoxa nawe ngazo zonke lezi zindlela zokwelapha futhi akusize unqume ukuthi iyiphi engcono kakhulu kuwe.

Ukwelashwa Okungahlinzwa

Ukwelashwa okungenakuhlinzwa kugxila kakhulu ekukusizeni ukulawula izimpawu zakho nokuthuthukisa ikhwalithi yempilo yakho. Kuye ngokuthi isimo sakho sibucayi kangakanani, imiphumela yalokhu kwelashwa ingase ingabi phakade. Kodwa-ke, abantu abaningi bakhetha izinketho ezingezona ezokuhlinzwa noma banqume ukuthi le ndlela ilungele bona.

Ukwelashwa kwe-POP okungeyona eyokuhlinzwa kuhlanganisa:

• I-Vaginal Pessary: ​​​​Lena idivayisi ekhishwayo eyenziwe nge-silicone. Udokotela angayifaka esithweni sakho sangasese sowesifazane ayibambe endaweni lapho kukhona khona isitho esiphansi. Kufana nokusekelwa okuncane kwaleso sitho.
• Ukuzivocavoca phansi kwe-pelvic (ukuzivocavoca kwe-Kegel): Lokhu ukuzivocavoca okuqinisa phansi kwe-pelvic yakho. Udokotela wakho angakudlulisela kuchwepheshe we-pelvic floor ( Urogynecologist ), ongahlola amandla emisipha yakho mathupha futhi akunikeze ukuzivocavoca okuthile ukuze aqinise leyo misipha. Kubaluleke kakhulu ukwenza lokhu (ukuzivocavoca kwe-Kegel) ngendlela efanele.

Ukwelashwa Kokuhlinzwa

Uma izimpawu zakho zingathuthuki ngokwelashwa okujwayelekile, noma uma udokotela wakho ecabanga ukuthi ukuhlinzwa kuzothuthukisa ikhwalithi yempilo yakho, khona-ke ukuhlinzwa kungaba yindlela ongakhetha kuyo. Kodwa-ke , kubalulekile ukuxoxa ngezingozi nezinzuzo zokuhlinzwa nodokotela wakho.

Kunezindlela eziningana ezahlukene udokotela ohlinzayo angazikhetha ukulungisa isimo se-POP. Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa: ukuhlinzwa okuphazamisayo kanye nokuhlinzwa okuvuselelayo.(Ukuhlinzwa kabusha).

Ukuhlinzwa okususa ukungcola kuhilela ukunciphisa imbobo yesitho sakho sangasese sowesifazane. Lokhu kuzovimba ipenisi ukuthi ingaphumi. Kodwa-ke, lokhu kungabangela ukulahlekelwa ikhono lokwenza ucansi ngesitho sangasese sowesifazane.

• I-Colpocleisis iwukuhlinzwa okuqeda ukuvuvukala . Ifinyeza isitho sangasese sowesifazane. Ivimbela noma yiziphi izitho ukuthi zingaphumi emzimbeni. Lena inketho enhle uma unganamandla ngokwanele ngokomzimba ukuba wenze ukuhlinzwa okwakha kabusha , futhi uma ungasafuni ukuya ocansini ngesitho sangasese sowesifazane.

Ukuhlinzwa kabusha kuhilela ukulungisa izindawo ezibuthakathaka zephansi lakho le-pelvic nokubuyisela izitho ezithweni zazo ezijwayelekile.

• I-Sacrocolpopexy inqubo yokuhlinzwa esetshenziselwa ukwelapha i-uterine prolapse kanye ne-vault prolapse yesitho sangasese sowesifazane . Ihilela ukusebenzisa i- mesh (uhlobo lwe-mesh) ukuxhuma isitho sangasese sowesifazane nomsipha ongaphansi komhlane wakho. Lokhu kuvame ukwenziwa nge-laparoscopically (ukuhlinzwa kwe-keyhole) ngokusika okuncane esiswini sakho.
• Inqubo ebizwa ngokuthi i-sacrohysteropexy nayo isetshenziselwa ukwelapha ukwehla kwesibeletho. Udokotela wakho uzonamathisela i- mesh yokuhlinzwa emlonyeni wesibeletho sakho kanye nesitho sangasese sowesifazane, bese eyinamathisela emhlane wakho ongezansi. Lokhu kuzoletha isibeletho phezulu lapho sikhona.
• I-Colporrhaphy inqubo yokuhlinzwa yokwelapha ukuwohloka kodonga lwesitho sangasese sowesifazane ngaphambili kanye/noma ngemuva . Le nqubo yenziwa ngesitho sangasese sowesifazane. Udokotela uzoqinisa izindonga zesitho sangasese sowesifazane ngokuthunga okuncibilikayo, okuzohlinzeka ngokusekelwa okungcono kwesinye kanye ne-rectum.
• Ukulungiswa kwe-Uterosacral noma i-sacrospinous ligament inqubo esebenzisa izicubu zakho ukwelapha isibeletho esiphumile noma i-vacuum vault . Le nqubo yenziwa futhi ngesitho sangasese sowesifazane (esifana ne -colporrhaphy ). Kule nqubo, udokotela unamathisela ingxenye engenhla yesitho sangasese sowesifazane ku-ligament noma imisipha e-pelvic cavity yakho nge-sutures encibilikayo. Lolu hlobo lokuhlinzwa ngezinye izikhathi lubizwa ngokuthi ukulungiswa kwezicubu zomdabu .

Kunini lapho kudingeka khona ukuhlinzwa?

Akukho sigaba esithile lapho kudingeka khona ukuhlinzwa ukuze welaphe i-POP. Kuncike ezicini ezifana nokuthi izimpawu zakho zithinta kanjani impilo yakho nokuthi uhlela ukuba nezingane ezengeziwe. Kodwa-ke, ngokuvamile, uma unesigaba sesithathu noma sesine sokwehla kwesisindo, ukuhlinzwa kungenzeka kakhulu ukuthi kudingeke.

Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngazo zonke izindlela zokwelapha. Thola umbono omuhle wokuthi uzoncoma yini ukuhlinzwa noma kufanele uzame izindlela ezingezona ezokuhlinzwa kuqala.

Ingabe ukwelashwa kwe-POP kuyaphola ngokuphelele? Ingabe lokho okuncishisiwe kungabuyiselwa phezulu?

Yebo, lesi simo singalungiswa ngokwelashwa. Ezimweni ezincane ze-POP, ungaqinisa imisipha yakho ukuze ikwazi ukubamba izitho zakho ezindaweni zazo ezifanele. Ukuhlinzwa okwakha kabusha kuqinisa ubuthakathaka ezindongeni zakho ze-pelvic ukuze izitho zakho zibuyele ezindaweni zazo zokuqala.

Ezimweni ezimbi kakhulu, kungadingeka ucindezele isitho esivelelayo sibuyele ngaphakathi, ikakhulukazi uma uphuma isisu noma ukhipha umchamo. Kodwa-ke, lokhu kuyisixazululo sesikhashana nje. Uma ukwehla kwesitho sakho se-pelvic kukubi kangaka, kufanele nakanjani ubone udokotela ukuze uthole ukwelashwa.

Yini esingayenza ukuze sivimbele ukwakheka kwe-POP?

Kunezici eziningi ezingaba nomthelela ekuthuthukisweni kwe-POP esingenakuzilawula. Kodwa-ke, unganciphisa le ngozi ngokwamukela imikhuba ethile yezempilo.

• Yenza izivivinyo zansuku zonke zephansi le-pelvic (izivivinyo ze-Kegel): Ukulawula imisipha phansi kwe-pelvic yakho kunikeza ukwesekwa okuqinile kwezitho zakho zomzimba.
• Gcina isisindo esinempilo: Khuluma nodokotela wakho ngokuthi isisindo esinempilo siyini kuwe.
• Vimbela ukuqunjelwa: Ukuqunjelwa isikhathi eside kungabeka ingcindezi engadingekile emisipheni yakho yephansi le-pelvic . Ukudla ukudla okune-fiber eningi nokuphuza amanzi amaningi kungasiza ekuvimbeleni ukuqunjelwa.
• Ungabhemi: Ukubhema kungabangela ukukhwehlela okungapheli. Lokhu kungafaka ingcindezi engadingekile esiswini sakho futhi kungacindezela imisipha yakho yaphansi kwe-pelvic .
• Vikela phansi kwe-pelvic yakho lapho uphakamisa: Cela usizo lapho uphakamisa izinto ezisindayo. Uma uphakamisa wedwa, hlala phansi ugobile izinqe namadolo akho kanye nomhlane wakho uqonde ngangokunokwenzeka. Ungawujikisi umzimba wakho lapho uphakamisa. Ukuma kahle komzimba kungasiza ekuvimbeleni ukulimala emhlane wakho ongezansi futhi kuvikele phansi kwe-pelvic yakho.

Yini ongayilindela uma unesifo se-POP?

Umbono wakho uncike ezintweni eziningana. Lokhu kufaka phakathi ukuthi isimila sikuphi, sibi kangakanani, izimpawu zakho ziyini, nokuthi yiziphi izindlela zokwelapha onazo. Cabanga ngokucophelela ngalokho okulindele ekwelashweni. Khuluma nodokotela wakho ngezinzuzo kanye nokubi kwenketho ngayinye yokwelashwa. Xoxa ngokuthi ukwelashwa kungakusiza kanjani ukuthi uphile impilo ekhululekile kakhudlwana.

Okuwukuphela kwento okufanele uyikhumbule ukuthi i-Pelvic Organ Prolapse iyelapheka, futhi akudingeki uphile nalokhu kungakhululeki. Cela usizo kudokotela wakho futhi umvumele akhulume nawe ngezinketho zakho. Iningi labantu abane- Pelvic Organ Prolapse lithola impumuzo ezimpawini zabo ngokwelashwa.

Ngingayibona nini udokotela?

Bona udokotela uma unezimpawu zokuwa kwephansi le-pelvic . Izimpawu zingase zihlanganise:

• Uma uzizwa ucindezelekile noma ugcwele endaweni yakho yesinqe.
• Uma uzizwa ungakhululekile ngesikhathi socansi.
• Uma kuzwakala sengathi kukhona okuphuma esithweni sangasese sowesifazane.
• Uma ungakwazi ukulawula ukuhamba kwakho kwamathumbu noma uqunjelwe.
• Uma uvuza umchamo (ungazi), noma uma uzizwa sengathi udinga ukuchama njalo.

Ukuwa kwezitho zesitho zesitho akusona ingozi empilweni, kodwa akuyona into okufanele uyamukele njengengxenye yokuphila. Kungabangela izimpawu ezingakuvimbela ukuthi uphile impilo yakho engcono kakhulu futhi wenze izinto ozithandayo. Yazi ukuthi awuwedwa, futhi ukungasebenzi kahle kwesitho sesitho sangasese sowesifazane kuvame kakhulu kwabesifazane. Uma usola ukuthi unesitho sesitho sangasese sowesifazane esibuthakathaka, ungabi namahloni okukhuluma nodokotela wakho. Bangancoma ukwelashwa, amadivayisi ezokwelapha, ngisho nezinguquko zendlela yokuphila ezingalungisa ukuwa futhi zithuthukise ikhwalithi yokuphila kwakho.

Ekugcineni, kufanele ngikutshele (Umyalezo Wokuya Ekhaya)

Ngakho-ke, nakuba i-Pelvic Organ Prolapse (POP) iyisimo esingathinta abesifazane futhi singaba sibi kancane, kufanele ukhumbule ukuthi kunezindlela zokwelapha eziphumelelayo .

• Ungabi namahloni: Uma unalezi zimpawu, ungabi namahloni noma wesabe ukukhuluma nodokotela ngazo. Lokhu kuyinto eyenzeka kubantu abaningi.
• Yazi izimbangela: Kubalulekile ukuqaphela izici ezibangela ukwenzeka kwe-POP (njengokubeletha, ukuguga, ukukhuluphala).
• Ukuvimbela kubalulekile: Ukwenza izivivinyo zeKegel , ukugcina isisindo esinempilo, nokugwema ukuqunjelwa kunganciphisa ingozi yalesi simo.
• Kunezindlela zokwelapha ezahlukene: Kunezindlela zokwelapha ezahlukene, kusukela ekwelashweni okungenakho ukuhlinzwa (i-pessary, ukuvivinya umzimba) kuya ekuhlinzweni, kuye ngesimo sakho.
• Funa iseluleko sezokwelapha: Ukuze uthole ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe, qiniseka ukuthi ubona udokotela futhi uthole iseluleko.

Nakekela umzimba wakho. Uma uzwa noma yiluphi ushintsho noma ukungakhululeki, kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngaphandle kokusishaya indiva.

Ukuwohloka kwezitho zesitho se - pelvic, i-POP, impilo yabesifazane, ukuwohloka kwesibeletho, ukuwohloka kwesinye isitho, izivivinyo zephansi le-pelvic, izivivinyo ze-Kegel