Ingabe ngezinye izikhathi uzizwa sengathi kukhona okwehla esithweni sakho sangasese, njengebhola? Noma ingabe unenkinga yokuya endlini yangasese, njengokungathi amathumbu akho awaphumi ngokuphelele? Isizathu salokhu kungakhululeki kungaba yisimo esibizwa ngokuthi 'i-Rectocele', lapho i-rectum yakho iphuma khona esithweni sangasese. Abesifazane abaningi banamahloni okukhuluma ngalokhu, kodwa kuyisihloko esibalulekile okudingeka sikhulume ngaso. Ngakho-ke, ake sixoxe ngakho ngokuningiliziwe.
Iyini iRectocele? Kungani isuswa ngokuhlinzwa?
Kalula nje, i-rectum yethu iyingxenye yokugcina yamathumbu amakhulu. Itholakala ngemuva kwesitho sangasese sowesifazane. Lapho izicubu ezihlukanisa lezi zitho ezimbili ziba buthaka, i-rectum iqala ukuphuma ingene esitho sangasese sowesifazane. Kufana nokuthi lapho udonga lubuthaka, into ethile ngakolunye uhlangothi iyangena. Yilokhu esikubiza ngokuthi i-Rectocele .
Uma ukuncipha kokuzala kubangela izimpawu ezifana nokungakhululeki, ubuhlungu, ubunzima bokukhipha indle, noma ubuhlungu ngesikhathi socansi obuphazamisa impilo yansuku zonke, futhi uma ukwelashwa okungekhona ukuhlinzwa kungakwazi ukukulawula, odokotela bavame ukuncoma ukuhlinzwa. Lokhu kuhlinzwa kubizwa nangokuthi i-posterior colporrhaphy . Lokhu kuhlinzwa kusebenza ngokuqinisa izicubu ezibuthakathaka nokuvimba ukuncipha kokuzala.
Ulungiselela kanjani ukuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu. Ukulandela leyo miyalelo kunganciphisa kakhulu ingozi yezinkinga ezingafuneki. Ngokuvamile ungase ucelwe ukuba wenze lezi zinto ngaphambi kokuhlinzwa.
| Iseluleko | Incazelo |
|---|---|
| Ukuhlolwa kwezokwelapha | Ungase ucelwe ukuthi uhlole igazi noma umchamo izikhathi eziningana. |
| Ukuzila ukudla | Uzocelwa ukuba uzile ukudla amahora angu-6-8 ngaphambi kokuhlinzwa. |
| Ukuthatha imithi | Tshela udokotela wakho ngemithi oyithathayo. Eminye imithi ingadinga ukuthi uyeke ukuyithatha noma uyiphuze namanzi. Ungayeki ukuthatha noma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho. |
| Ukuhlanzwa kwamathumbu amakhulu | Ungase ucelwe ukuthi uthathe izithambisi zendle noma ulandele ukulungiswa kwamathumbu. |
| Othile ozosiza | Hlela ukuthi othile akushayele ngemoto akuyise ekhaya usuka esibhedlela ngemuva kokuhlinzwa. Ngokuvamile kuzodingeka uhlale esibhedlela okungenani usuku olulodwa. |
Kwenzekani ngesikhathi sokuhlinzwa?
Ungesabi ukuhlinzwa. Kuzokwenzeka ungazi lutho. Lezi yizinyathelo ezivame ukulandelwa:
- Ukubulala izinzwa: Uzofakwa ngaphansi kokubulala izinzwa okuvamile, ngakho ngeke uzwe ubuhlungu.
- Ama-antibiotic: Ama-antibiotic anikezwa ngemithambo yegazi (IV) ukuvimbela ukutheleleka.
- Ukusikwa: Ukusikwa okuncane kwenziwa odongeni lwangemuva lwesitho sangasese sowesifazane. Lokhu kungenziwa ngesitho sangasese sowesifazane (esingena esithweni sangasese sowesifazane), nge-anus (esingena esithweni sangasese sowesifazane), noma endaweni ephakathi kwalezi zinto ezimbili (i-perineum).
- Ukufakwa kwe-catheter yomchamo: Kufakwa ipayipi lesikhashana (i-catheter) ukuze kukhishwe umchamo.
- Ukulungisa: Izicubu ezibuthakathaka phakathi kwesitho sangasese sowesifazane kanye ne-anus zilungiswa kusetshenziswa ama-suture noma ezinye izindlela zokuqinisa (i-mesh manje ayinconywa kakhulu ngale njongo).
- Ukulungiswa kwezinye izinkinga: Uma kunezinye izinkinga, isibonelo, ukuwohloka kwezinye izitho zomzimba, lezi zingalungiswa ngesikhathi sokuhlinzwa.
- Ukuvala i-incision: Ekugcineni, i-incision ithungwa ivalwe kabusha.
Lokhu kuhlinzwa kuvame ukuthatha cishe ihora, kodwa kuye ngesimo sakho, futhi uma ezinye izinkinga zixazululwa ngesikhathi esifanayo, kungathatha isikhathi eside.
Izinzuzo kanye nezingozi ezingaba khona zokuhlinzwa
Njenganoma yikuphi ukuhlinzwa, kunezinzuzo kanye nezingozi ezincane. Kubalulekile ukuzazi lezi zinto kusengaphambili.
| Izinzuzo | Izingozi |
|---|---|
| Inzuzo eyinhloko ukuthi uzothola impumuzo ezimpawini ezingakhululekile obunazo, okuzothuthukisa ikhwalithi yempilo yakho. |
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Khumbula, lezi zingozi azivamile. Udokotela wakho uzothatha zonke izinyathelo ezidingekayo ukuze anciphise lezi zingozi.
Isikhathi sokululama nezinto okufanele uzicabangele
Ngokuvamile kuthatha amasonto amathathu kuya kwayisithupha ukululama ngokugcwele. Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Ungase uzizwe ukhathele kancane ezinsukwini ezimbalwa zokuqala. Kancane kancane, uzokwazi ukubuyela emisebenzini yakho evamile.
Khumbula lezi zinto ngesikhathi sokululama:
- Gwema ukuya ocansini: Gwema ukuya ocansini kuze kube yilapho udokotela wakho ekunike imvume, ngokuvamile okungenani amasonto ayisithupha.
- Gwema ukuqunjelwa: Kubaluleke kakhulu ukugwema ukuqunjelwa phakathi nalesi sikhathi. Yidla ukudla okune-fiber ephezulu (ngaphezu kwamagremu angu-25 ngosuku), izithelo, imifino, futhi uphuze amanzi amaningi. Uma kudingeka, udokotela wakho uzokunikeza imithi yokuthambisa indle.
- Gwema ukuphakamisa okunzima: Gwema ukuphakamisa okunzima, ukuzivocavoca okunzima, nokugijima amasonto ambalwa. Kodwa-ke, ungenza izinto ezifana nokuhamba nokukhwela izitebhisi ngemva nje kokuhlinzwa. Ngeke zilimaze ukuhlinzwa.
- Ukuphuma koketshezi esithweni sangasese: Ngesikhathi senqubo yokuphulukiswa, ungase uzwe inani elincane lokukhipha uketshezi esithweni sangasese noma amaconsi ambalwa egazi. Lokhu kuvamile. Kodwa-ke, uma ukuphuma kwegazi kukhulu noma kunephunga elibi , shayela udokotela wakho ngokushesha.
Ukuma okufanele kokukhipha indle ngemva kokuhlinzwa
Ukuphuma kwamathumbu ngemva kokuhlinzwa kungaba yinselele encane, kodwa ukusebenzisa indlela efanele yokuma kunganciphisa kakhulu ubuhlungu nokucindezeleka.
- Gwema ukukhama: Ungalokothi ukhama. Ukugcina indle ithambile kuyasiza kulokhu.
- Hlala kahle endlini yangasese:Ungagcini izinyawo zakho phansi. Gcina izinyawo zakho ziphansi. Sebenzisa isihlalo esincane uma kudingeka.
- Goba phambili: Gcina isifuba sakho sicindezelwe emadolweni akho kanye nezinqe zakho ngendlela yemvelo.
- Phakamisa amadolo akho: Ukubeka isihlalo sezinyawo zakho nokugcina amadolo akho ephakeme kancane kunezinqe zakho kungenza kube lula ukuzikhulula.
Awukwazi yini ukugwema ukuhlinzwa?
Yebo, yebo. Akuzona zonke izimo ze-Rectocele ezidinga ukuhlinzwa. Uma izimpawu zingezimbi kakhulu, kunezindlela zokuphatha lesi simo ngaphandle kokuhlinzwa.
- Ukudla: Vimbela ukuqunjelwa ngokudla ukudla okune-fiber eningi nokuphuza amanzi amaningi nsuku zonke.
- Ukuzivocavoca phansi kwe-pelvic: Ukuzivocavoca okufana nokuzivocavoca kwe-Kegel kungasiza ekuqiniseni imisipha yephansi le-pelvic ezungeze isitho sangasese sowesifazane kanye ne-anus. Buza udokotela wakho ngalokhu.
- I-Pessary: Idivayisi encane (i-pessary) efakwe esithweni sangasese sowesifazane inganciphisa ukuncipha kokuzala.
Kuphela uma lezi zindlela zehluleka ukulawula izimpawu lapho kufanele kucatshangelwe khona ukuhlinzwa.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Uma kuvela noma yiziphi izimpawu ezilandelayo ngesikhathi sokululama kwakho, shayela udokotela wakho ngokushesha.
- Ukopha ngokweqile
- Ukuphuma koketshezi esithweni sangasese sowesifazane okunephunga elibi
- Ubuhlungu obukhulu
- Imfiva
Umlayezo Wokuya Nawe Ekhaya
- I-Rectocele yisimo abesifazane abaningi abangabhekana naso. Kubalulekile ukukhuluma nodokotela wakho ngaso ngaphandle kokuzizwa unamahloni noma ukwesaba.
- Ukuhlinzwa kuvame ukunconywa kuphela uma izimpawu zinzima futhi ezinye izindlela zokwelapha zingaphumelelanga.
- Ukulandela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha nangokuphumelelayo.
- Kuthatha isikhathi ukuphulukiswa, ngakho lalela umzimba wakho futhi ubekezele.
- Qaphela nokwelashwa okungekona ukuhlinzwa. Mhlawumbe lokho kungaba yisisombululo sakho. Xoxa ngazo zonke izinkinga zakho nokwesaba kwakho nodokotela wakho bese wenza isinqumo esingcono kakhulu.
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