Abesifazane abaningi, ikakhulukazi ngemva kokuba nezingane, bayanqikaza ukukhuluma ngezinguquko endaweni yabo yesitho sangasese sowesifazane. Kungenzeka ukuthi uke wabhekana nezinto ezifana nomuzwa wokuqina endaweni, ukungakhululeki ngesikhathi socansi, noma ubuhlungu obuvela ezibazini zokubeletha. Lezi yizinto ezivamile, kodwa into ebalulekile ukwazi ukuthi kunezixazululo. Yilokho kanye esikhuluma ngakho kulesi sihloko.
Kalula nje, iyini i-Perineoplasty?
I-Perineoplasty inqubo yokuhlinzwa evuselela indawo ephakathi kwesitho sakho sangasese sowesifazane kanye ne-anus, ebizwa ngokuthi i- perineum , kanye nezingxenye zangaphandle zesitho sangasese sowesifazane (i-vulva). Umsebenzi oyinhloko we-perineum ukuhlinzeka ngokusekelwa kwezitho zesimiso sethu sokuzala kanye nemisipha yephansi lesinqe.
Cabanga, isibonelo, ngokubeletha, ukwehla kwesisindo ngokuzumayo, noma ingozi engalimaza le ndawo. Khona-ke isikhumba esizungeze umgodi wesitho sangasese sowesifazane singakhululeka futhi sinwebeke. Umgomo wokuhlinzwa kwe-perineoplasty ukuqinisa nokuqinisa indawo ye-perineum, ukunciphisa umgodi wesitho sangasese sowesifazane, nokulungisa isikhumba esikhululekile, esinamanxeba, noma esonakele. Lokhu kungabuyisela ukusebenza komzimba wakho kanye nenduduzo, futhi kuthuthukise ukubukeka kwaleyo ndawo.
Kungani umuntu engathanda ukwenza i-perineoplasty?
Abantu abaningi basebenzisa lolu hlinzeko ngenxa yezinkinga ezibangelwa isikhumba esivulekile esizungeze umgodi wesitho sangasese sowesifazane. Lokhu kungaholela ekunciphiseni ukwaneliseka ngesikhathi socansi noma ukungabi nandaba. Kwezinye izimo, ukulimala kwemisipha kungaholela nasekungakwazi ukuzibamba.
Bheka ithebula elingezansi ukuze uthole izizathu eziyinhloko zokusebenzisa lolu hlinzeko.
| Isizathu | Incazelo elula |
|---|---|
| Isikhumba esixegayo esizungeze isitho sangasese sowesifazane | Isikhumba esizungeze imbobo yesitho sangasese sowesifazane singase sikhululeke, sibonakale sikhulu, noma sihlale sivulekile. |
| Izicubu zesibazi | Ubuhlungu kanye nokungakhululeki okubangelwa ukudabuka kwesitho sangasese sowesifazane noma izibazi ezivela ekuhlinzweni kwe-episiotomy ngesikhathi sokubeletha. |
| Ukwaneliseka ngokocansi okunciphile | Ukuncipha kwemizwa ngesikhathi socansi ngenxa yokukhululeka komgodi wesitho sangasese sowesifazane. |
| Izinkinga zengqondo | Ukuzizwa uphansi ekuzihlonipheni kanye nokwehla kwesifiso sobulili. |
| Ubuhlungu nokungakhululeki | Ukuvuvukala njalo, ubuhlungu, noma ukungakhululeki eduze kwesitho sangasese sowesifazane. |
| Ukuchama/ukukhipha indle okungalawulwa | Ukuvuza umchamo omncane noma indle uma ukhwehlela noma uhleka. |
Le ndawo ye-perineum ingonakala kanjani?
Imbangela eyinhloko yomonakalo kule ndawo ukubeletha. Ngesikhathi sokubeletha okuvamile, imbobo yesitho sangasese sowesifazane iyanwebeka ngokwemvelo ukuze umntwana aphume. Ngokuqhubeka nokubeletha, lembobo ingase ikhululeke futhi inwebeke.
Uma isitho sangasese sowesifazane sidabukile kakhulu ngesikhathi sokubeletha, noma uma kwenziwa i-episiotomy , kunengozi enkulu yokuthi inxeba lizophola ngezicubu zesilonda noma ukuthi imisipha ngeke iphole kahle. Lezi zicubu zesilonda zingabangela ukungakhululeki nokulahlekelwa umuzwa.
Ngaphandle kwalokho, kunezinye izizathu eziningana zokuthi kungani le ndawo ingonakala:
- Ukwanda noma ukwehla okukhulu kwesisindo ngokuzumayo.
- Kuvele ingozi noma ukulimala.
- Imisebenzi ehilela ukuzikhandla njalo, njengokugibela ihhashi.
- Ukuzivocavoca noma ezemidlalo okunzima.
- Ezinye izifo zabesifazane.
- Izici zofuzo ezivela ku-fuzo.
- Ukuguga.
Ingabe lokhu kuhlinzwa kuyayiqinisa ngempela imbongolo?
Yebo, ukuhlinzwa kwe-perineoplasty kusiza ukuqinisa imbobo yakho yesitho sangasese sowesifazane . Kodwa-ke, akuthinti ingxenye engaphakathi yesitho sangasese sowesifazane, okuyi-vaginal canal. Uma udinga ukuyiqinisa, kuzodingeka wenze olunye ukuhlinzwa, njenge-vaginoplasty.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kwenziwa udokotela wezifo zabesifazane. Khuluma nodokotela wakho ngokukhululekile ngezimpawu zakho nokuthi yini oyilindele ekuhlinzweni. Angaphendula noma yimiphi imibuzo ongase ube nayo mayelana nokuhlinzwa futhi achaze izingozi nezinzuzo.
Ukuhlinzwa kwenziwa ngaphansi kwe -anesthesia yendawo noma i-anesthesia ejwayelekile, kuye ngesimo sakho. Ngesikhathi sokuhlinzwa, udokotela wenza ukusika okuncane okufana no-V noma okufana nedayimane emngxunyeni wesitho sangasese sowesifazane. Ngemuva kwalokho, isikhumba noma izicubu zesilonda esingaphezulu ziyasuswa bese kulungiswa izingqimba zemisipha engaphansi. Ekugcineni, ukusika kuvalwa kusetshenziswa uhlobo lwe-suture encibilikayo. Ukuhlinzwa kuvame ukuthatha cishe ihora . Ungaphumula isikhashana ngemva kokuhlinzwa bese uya ekhaya. Ukuhlala esibhedlela akuvamile kakhulu.
Yini ongayilindela ngemva kokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, udinga ukunikeza umzimba wakho isikhathi sokululama ngemva kokuhlinzwa kwe-perineoplasty. Ungalindela ukuvuvukala nobuhlungu ezinsukwini ezimbalwa zokuqala. Odokotela batusa ukusebenzisa iqhwa nokuthatha imithi yobuhlungu ukuze kusize ekulawuleni lobu buhlungu. Futhi, ukuhlala ebhavini lamanzi afudumele (i-sitz bath) kungasiza ekunciphiseni ubuhlungu emavikini ambalwa okuqala.
Udokotela wakho cishe uzokunikeza iseluleko esilandelayo:
- Ungafaki lutho esithweni sangasese sowesifazane amasonto ayisithupha . Gwema ukusebenzisa ama-tampon nokwenza ucansi.
- Nciphisa imisebenzi enzima okungenani amasonto amane . Ukuphakamisa okunzima noma ukuzivocavoca okunzima akukhuthazwa ngalesi sikhathi.
- Ukuze uvimbele ukuqunjelwa , phuza amanzi amaningi futhi udle ukudla okune-fiber eningi (izithelo, imifino). Uma kudingeka, ungathatha isithambisi sendle njengoba kunqunywe udokotela wakho.
- Uma unesifo sokopha esithweni sangasese sowesifazane, gqoka i-sanitary pad.
- Gcina indawo yokusikwa ihlanzekile futhi yomile .
- Izithungo zizoncibilika zodwa emavikini ambalwa.
Uma usululame ngokuphelele, odokotela abaningi batusa ukwenza izivivinyo zeKegel ukuze uqinise imisipha kuleyo ndawo.
Izinzuzo kanye nezingozi ezingaba khona zokuhlinzwa kwe-perineoplasty
Njenganoma yini, lokhu kuhlinzwa kunezinzuzo zako kanye nezingozi ezithile.
| Izinzuzo | Ububi/Izingozi |
|---|---|
| Ukwaneliseka ngokocansi okuthuthukisiwe. | Ukungafinyeleli umphumela olindelekile (ukuqina). |
| Ukuzethemba okwandisiwe. | Ubuhlungu ngesikhathi socansi (i-Dyspareunia). |
| Umgodi wesitho sangasese sowesifazane ubuyela kusayizi wawo wangaphambi kokubeletha. | Ukutheleleka endaweni yokuhlinzwa. |
| Ukususwa noma ukulungiswa kwezicubu zesilonda. | Ukuqunjelwa. |
| Ikhambi lokungakwazi ukuzibamba umchamo. | Ukopha okuvela endaweni yokuhlinzwa. |
Okubaluleke kakhulu, lokhu kuhlinzwa akukhuthazwa uma uhlela ukuba nezingane ezengeziwe. Kungcono ukucabangela lokhu ngemva kokuba usunezingane, njengoba indawo ingase yonakale futhi ngesikhathi sokubeletha esikhathini esizayo.
Futhi, lokhu kuhlinzwa akwenziwa uma kukhona izimo ezilandelayo:
- Uma ukhulelwe.
- Uma unomdlavuza.
- Uma kukhona ukutheleleka okusebenzayo ohlelweni lokuzala.
- Uma umbiko we-Pap smear ungavamile.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kungathatha amasonto ayisithupha kuya kwayisishiyagalombili ukululama ngokuphelele ekuhlinzweni kwe-perineoplasty. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela phakathi nalesi sikhathi. Uma uzizwa ungakhululekile, ubuhlungu, noma ukhathazekile ngokubukeka kwakho, ungangabazi ukukhuluma nodokotela wakho. Kungase kube nezinye izinketho ezitholakalayo ngaphandle kokuhlinzwa.
Ingabe i-Perineoplasty ne-Vaginoplasty ziyafana?
Cha, lokhu okubili akufani. Kodwa ngezinye izikhathi kokubili lokhu kuhlinzwa kungenziwa ndawonye.
- I-Perineoplasty: Lokhu kuhilela ukuqinisa nokulungisa umgodi wesitho sangasese sowesifazane kanye nendawo ezungezile ye-perineum.
- I-Vaginoplasty: Lokhu kwenziwa esithweni sangasese sowesifazane.Ukuqinisa noma ukwakha kabusha umsele wesitho sangasese sowesifazane.
Kalula nje, i-Perineoplasty yinto eyenziwa ngaphandle, kanti i-Vaginoplasty yinto eyenziwa ngaphakathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Perineoplasty inqubo yokuhlinzwa elungisa indawo ephakathi kwesitho sangasese sowesifazane kanye ne-anus (i-perineum).
- Lokhu kuvame ukubangelwa ukungakhululeki okubangelwa ukubeletha, isikhumba esixegayo, kanye nezibazi.
- Lokhu kungandisa induduzo, ukwaneliseka ngokocansi, kanye nokuzethemba.
- Ukululama kuvame ukuthatha amasonto ayi-6-8, futhi kubaluleke kakhulu ukulandela iseluleko sezokwelapha phakathi naleso sikhathi.
- Lokhu kuhlinzwa akukhuthazwa uma unethemba lokuba nezingane ezengeziwe.
- Uma unenkinga enjalo, kubalulekile ukukhuluma nodokotela wezifo zabesifazane ngayo bese unquma ukuthi yisiphi ikhambi elikufanele.
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