Kuzwakala sengathi kunebhamuza elingavamile esithweni sangasese sowesifazane? Ake sixoxe ngeRectocele!

Njengabesifazane, sivame ukuba nezinkinga zempilo ezinzima noma ezibangela amahloni ukukhuluma ngazo. Isihloko esizokhuluma ngaso namuhla singaba ngesinye salezo. Ingabe ngezinye izikhathi uzizwa usinda ngendlela engavamile, ugcwele, noma umuzwa ofana nowebhamuza ophuma esithweni sakho sangasese? Ingabe uzizwa sengathi isisu sakho asikaphumi ngokuphelele ngemva kokuya endlini yangasese? Khona-ke lesi sihloko sizoba sibaluleke kakhulu kuwe. Ungesabi, ake sixoxe ngalokhu ngokukhululekile.

Kalula nje, iyini i-Rectocele?

Kulungile, ake sikubeke kalula lokhu. I-Rectocele yisimo lapho imisipha nezicubu eziphakathi kwe-rectum yakho (ekugcineni kwamathumbu akho amakhulu) kanye nesitho sakho sangasese sowesifazane ziba buthakathaka, okubangela ukuthi ingxenye ye-rectum yakho iphume odongeni lwangemuva lwesitho sakho sangasese sowesifazane. Kufana nendawo ebuthakathaka odongeni oluphakathi kwamakamelo amabili bese iqhuma. Lokhu kubizwa nangokuthi i-posterior vaginal wall prolapse.

Ngokuvamile, imisipha ephansi kwe-pelvic yethu ibamba izitho zethu njengesibeletho, isinye, isitho sangasese sowesifazane, kanye ne-rectum endaweni yayo. Kufana nenethi ebamba lezi zitho phezulu. Ngokuhamba kwesikhathi, lapho lezi misipha zibuthakathaka ngenxa yezinto ezifana nokubeletha, lezi zitho ziqala ukwehla bese ziwela phezu komunye nomunye. Lesi simo sivame ukubizwa ngokuthi i-Pelvic Organ Prolapse (POP) . I-Rectocele uhlobo olulodwa lwesimo se-POP.

Lesi akusona isifo esisongela impilo. Kodwa-ke, kungaba yisiphazamiso esikhulu kanye nokucasula empilweni yansuku zonke. Kodwa into engcono kakhulu ukuthi kukhona ukwelashwa okuphumelelayo kwalokhu.

Yiziphi izimpawu ongase uzizwe nge-rectocele?

Akuwona wonke umuntu othola izimpawu. Ngezinye izikhathi ungase ungazizwa ungakhululekile noma ngabe unalesi simo. Kodwa uma izimpawu zivela, ziba yisiphazamiso futhi ziyisicefe kunokuba zibe ubuhlungu.

Hlola ithebula elingezansi ukuze ubone ukuthi unazo yini lezi zici.

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ungabi namahloni bese uhlangana nodokotela womndeni wakho noma udokotela wezifo zabesifazane ukuze nixoxe ngakho.

Kungani lokhu kwenzeka? Yiziphi izici ezithonya lokhu?

Isizathu esiyinhloko salokhu ubuthakathaka bemisipha yephansi le-pelvic esixoxe ngayo ekuqaleni. Kunezizathu eziningana ezenza le misipha ibe buthakathaka.

• Ukukhulelwa okuphindaphindiwe kanye nokubeletha:Uma unezingane eziningi, ikakhulukazi ezingaphezu kwezinhlanu, imisipha yakho ye-pelvic iyawohloka kancane kancane. Lesi esinye sezizathu ezenza lezi zimo zazivamile ezinsukwini zomama nogogo bethu.
• Ukubeletha ngesitho sangasese sowesifazane: Kunengozi enkulu yokulimala noma ubuthakathaka kulezi misipha lapho umntwana ezalwa ngesitho sangasese sowesifazane. Lokhu kuyiqiniso ikakhulukazi uma kusetshenziswe i-forceps noma i-vacuum ukubeletha umntwana, uma isitho sangasese sowesifazane sidabukile, noma uma kwenziwe i-episiotomy (ukusikwa phakathi kwesitho sangasese sowesifazane ne-anus).
• Ukuguga: Njengazo zonke imisipha emzimbeni wethu, le misipha ibuthakathaka ngokwemvelo njengoba siguga. Izinguquko zama-hormone ngemva kokunqamuka kokuya esikhathini nazo zingabangela ukuthi le misipha ilahlekelwe ukuqina kwayo.
• Ukukhuluphala: Njengoba ukhuluphala, isisindo esengeziwe sibeka ingcindezi enkulu emisipheni yakho yaphansi kwe-pelvic, okungayiqeda amandla.
• Ukuqunjelwa okungapheli: Ukuzikhandla njalo ukuze uphume indle kubeka ingcindezi enkulu emisipheni yephansi le-pelvic. Ukuzikhandla ngokuhamba kwesikhathi kuyimbangela enkulu yokwenza buthaka le misipha.

Ngaphezu kwalezi zimbangela eziyinhloko, ukuba nesimo esifana nokukhwehlela okungapheli noma i-bronchitis, noma ukuphakamisa izinsimbi njalo nakho kungandisa le ngozi.

Udokotela wazi kanjani ukuthi lokhu kunjalo?

Udokotela wezifo zabesifazane ngokuvamile angasithola lesi simo ngokubuza ngezimpawu zakho nokwenza ukuhlolwa ngokomzimba.

• Ukuhlolwa kwe-pelvic: Udokotela uzohlola isitho sakho sangasese sowesifazane ukuze abone ukuthi kukhona yini ukuwohloka kwesisu. Bangase futhi bahlole amandla emisipha yakho ye-pelvic.
• Ukutshela imisipha ukuthi iqine: Ungaqinisa imisipha ye-pelvic, njengokungathi uvimba ukugeleza komchamo, bese uyitshela ukuthi iphumule futhi.
• Ukucela ukusunduzwa: Ungacela ukusunduzwa ngokufaka ingcindezi esiswini njengokungathi uthulula isisu. Lokhu kuzokwenza ukwehla kubonakale kakhulu.

Ngemva kwalokhu kuhlolwa, udokotela wakho angakunika `isigaba` noma `ibanga` kuye ngokuthi i-Rectocele yakho ibukhali kangakanani.

Akuvamile kakhulu, ungase ucelwe ukuba wenze i-ultrasound ye-transvaginal ukuze uhlole amathumbu amancane aphumile (i-enterocele). Ungase futhi welulekwe ukuthi wenze ukuhlolwa okukhethekile kwe-X-ray noma i-MRI okubizwa ngokuthi i-defecography ukuze ubheke izinguquko ku-rectum yakho ngesikhathi sokuhamba kwamathumbu.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kwalokhu kuncike ebunzimeni bezimpawu zakho. Ukwelashwa okungadingi ukuhlinzwa kuvame ukuzama kuqala.

Ukuphathwa okungahlinzwa

• Ukuzivocavoca phansi kwe-pelvic: Lokhu yilokho esikubiza ngokuthi ama-Kegel(Ukuzivocavoca kwe-Kegel). Lokhu kuzivocavoca kungasiza ekuqiniseni imisipha ebuthakathaka. Kungcono ukufunda kahle ukuthi ungakwenza kanjani lokhu kudokotela we-physiotherapist othole ukuqeqeshwa okukhethekile kule ndawo.
• Ukuvimbela ukuqunjelwa: Kubaluleke kakhulu ukunciphisa ukuqunjelwa. Ukuze wenze lokhu, udokotela wakho uzokutshela ukuthi udle ukudla okune-fiber eningi (ubhontshisi, imifino eluhlaza, i-broccoli, ubhanana, ilayisi elinsundu) futhi uphuze amanzi amaningi usuku lonke. Angase futhi akuncomele isithambisi sendle.
• I-Vaginal Pessary: ​​​​Lena idivayisi ekhishwayo engafakwa esithweni sangasese sangasese. Ihlinzeka ngokusekelwa ezithweni ezingezansi. Kunezinhlobo ezahlukene ze-'pessary' ongazifaka futhi uzisuse uma kudingeka.

Ukuhlinzwa

Uma izindlela zokwelapha ezilula ezingenhla zingasizi izimpawu zakho, noma uma ubuhlungu bakho obuphansi emhlane bukhulu, ukuhlinzwa kuyindlela elandelayo. Udokotela wakho uzoxoxa nawe ngalokhu okulandelayo ngaphambi kokunquma ukuthi yikuphi ukuhlinzwa okufanele wena:

• Ubudala bakho kanye nempilo yakho iyonke.
• Ubunzima bokwehla.
• Ingabe ulindele izingane ezengeziwe esikhathini esizayo?
• Kungakhathaliseki ukuthi ufuna ukuqhubeka nokwenza ucansi ngesitho sangasese sowesifazane (ngoba ezinye izindlela zokuhlinzwa, njenge-'colpocleisis', ziyavala isitho sangasese sowesifazane).

Ukuhlinzwa okuvamile kakhulu kwe-rectocele yi- posterior colporrhaphy . Kule nqubo, udokotela ohlinzayo ususa izicubu ezonakele, ezibuthakathaka bese ethunga izicubu ezinempilo ndawonye. Lokhu kudala ukwesekwa okusha nokuqinile. Ngenxa yokuthi lokhu kuhlinzwa kuvame ukwenziwa ngesitho sangasese sowesifazane, akukho sibazi esibonakalayo.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Uma uvakashela udokotela, ungase ukuthole kuwusizo ukubuza imibuzo elandelayo:

• Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila ukuze nginciphise izimpawu zami?
• Ngingakuvimbela kanjani lesi simo se-Rectocele ukuthi singabi sibi kakhulu?
• Yini engingayenza ukuze ngivimbele ukuwohloka kwezinye izitho ze-pelvic?
• Ungangincoma ukuhlinzwa? Uma kunjalo, yiziphi izingozi?
• Lingakanani izinga lempumelelo lohlobo lokuhlinzwa oluncomayo?
• Ingabe lokhu kwelashwa kuzothinta impilo yami yocansi noma ikhono lami lokukhulelwa?

Eminye imibuzo embalwa abantu abaningi abanayo

Kwenzekani uma ingelashwa?

Uma ingelashwa futhi ingashintshi indlela yokuphila, i-Rectocele ingaba yimbi kakhulu ngokuhamba kwesikhathi. Izimpawu zingaba zimbi kakhulu futhi zithinte impilo yansuku zonke nakakhulu.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Kungase kungenzeki ukuvimbela ngokuphelele. Kodwa kunezinto eziningi ongazenza ukuze unciphise ingozi yakho. Ukwenza izivivinyo zeKegel njalo, ukugwema ukuqunjelwa (ukudla ukudla okune-fiber eningi nokuphuza amanzi amaningi), kanye nokulawula isisindo sakho yizinto ezinhle kakhulu ongazenza.

Ingabe indle ingabhajwa ngaphakathi kwe-rectocele?

Yebo, kungenzeka. Uma ukuwohloka kwesisu kukhulu, indle ingabhajwa ngaphakathi kwesikhwama esivele sakhiwe. Khona-ke indle ngeke iphume kalula.

Yilapho-ke lapho kudingeka "uqinise" khona (uqinise ngomunwe wakho). Uma wenza lokhu, kubaluleke kakhulu ukugeza izandla zakho kahle ngensipho namanzi ngaphambi kokufaka umunwe wakho esithweni sangasese sowesifazane. Ngaphandle kwalokho, ungathola amagciwane. Uma kufanele ukhululeke ngale ndlela, qiniseka ukuthi ukhuluma nodokotela wakho ngakho futhi ufune ukwelashwa.

Ingabe i-Rectocele iyi-Hernia?

Lokhu kufana ne-hernia. Okusho ukuthi, i-rectum iphuma iye esithweni sangasese sowesifazane (ama-hernia). Kodwa-ke, ngokwezokwelapha, i-Rectocele ayibhekwa njenge-hernia, kodwa njengohlobo lokuwa kwesitho se-pelvic.

Kuvamile ukuzizwa unamahloni futhi unamahloni ngalesi simo. Kodwa khumbula, awuwedwa. Kunezindlela zokwelapha ezinhle zalokhu. Okudingeka ukwenze nje ukukhuluma nodokotela ngakho. Abantu abaningi bangakwazi ukubhekana naso ngokwelashwa ngokomzimba kanye nokushintsha indlela yokuphila. Uma lesi simo sibi kakhulu, ukuhlinzwa kungaba ikhambi eliphelele.