Ingabe nawe unalo lolu hlobo lokungakhululeki? Ake sixoxe nge-Rectocele!

Ingabe ngezinye izikhathi uzizwa usinda noma ugcwele esithweni sakho sangasese? Noma uzizwa sengathi unobunzima bokuphuma endlini yangasese noma ukuthi awukaphumi ngokuphelele? Lezi zingaba izimpawu zesimo abesifazane abaningi ababhekana naso ngezinye izikhathi, kodwa abanqikazi ukukhuluma ngaso. Namuhla sikhuluma ngesimo esibizwa ngokuthi i-Rectocele, esibangela ukungakhululeki okunjalo.

Kuyini i-Rectocele? Ake sithole kalula!

Kalula nje, i-rectocele yisimo lapho izicubu eziphakathi kwe-rectum yakho nesitho sangasese sowesifazane ziba buthaka, okubangela ukuthi i-rectum iphumele odongeni lwangemuva lwesitho sakho sowesifazane sowesifazane. Lokhu ngezinye izikhathi kubizwa ngokuthi i-posterior vaginal wall prolapse. Cabanga ngakho, kunesimiso semisipha esiqinile esisiza ukugcina izitho ngaphakathi esiswini sakho, njengesibeletho sakho, isinyi, kanye ne-rectum, endaweni yazo efanele. Lokhu sikubiza ngokuthi i-pelvic floor . Kufana nephansi lendlu. Ngakho-ke, lapho lezi misipha ye-pelvic floor ziba buthaka, lezi zitho ziqala ukugoba nokuhambahamba.

I-Rectocele uhlobo lwe- pelvic organ prolapse (POP) . Ivame ukwenzeka kanye nezinye izimo ze-pelvic organ prolapse, njengokuncipha kwesibeletho noma isinye esiwile. Akuyona ingozi empilweni, kodwa kungaphazamisa impilo yakho yansuku zonke, noma ikhwalithi yempilo. Izindaba ezinhle ukuthi kunezindlela eziningana zokwelapha ezitholakalayo .

Ziyini izimpawu ze-rectocele?

Akuwona wonke umuntu one-rectocele ozobhekana nezimpawu ezinkulu, kodwa abanye abantu bangase babe nalokhu okulandelayo:

• Ungase uzwe ukuvuvukala okuthambile odongeni lwangemuva lwesitho sakho sangasese sowesifazane. Ngezinye izikhathi ungakuzwa lokhu wena ngokwakho.
• Ngisho nangemva kokukhipha indle, uzizwa sengathi i-rectum yakho ayikaphumi ngokuphelele. Kuzwakala sengathi kusekhona okunye okuncane.
• Ukuze uphume indle, kufanele ucindezele ukuvulwa kwesitho sakho sangasese ngeminwe yakho. Lokhu kubizwa ngokuthi 'ukugoqa' . Akukhululeki kancane, kodwa abanye abantu kufanele bakwenze.
• Ukungakwazi ukuzibamba kwendle ukuvuza kwendle ngokungazikhetheli. Lokhu kungaba yinto engakhululekile neze.
• Ukuzizwa ukhululekile futhi ukungabi nokuqina kwemisipha yesitho sangasese sowesifazane.
• Ubuhlungu ngesikhathi socansi (i-dyspareunia).
• Umuzwa wokucindezeleka noma ukugcwala e-rectum noma esithweni sangasese sowesifazane, njengokungathi kukhona okubambekile.
• Ukuphuthuma kwendle yisidingo esiphuthumayo sokuzikhulula kaningana ngosuku.

Lezi zimpawu zivame ukuba yizinkinga kunokuba zibe ubuhlungu. Kodwa-ke, uma ucabanga ukuthi unazo, kungcono ukukhuluma nodokotela wakho wezifo zabesifazane noma umhlinzeki wakho wokunakekelwa okuyinhloko.

Kungani i-Rectocele yenzeka? Ziyini izimbangela?

Isizathu esiyinhloko se-rectocele, njengoba ngishilo ngaphambili, ubuthakathaka bemisipha yakho yephansi le-pelvic. Kunezici eziningana ezingathinta lokhu. Bheka ukuthi kukhona yini okusebenzayo kuwe:

• Ukukhulelwa nokubeletha njalo: Ukuba nezingane eziningi, ikakhulukazi ezingaphezu kwezinhlanu (ukulingana okuphezulu), kungenza buthaka imisipha yephansi le-pelvic ngokuhamba kwesikhathi.
• Ukubeletha ngesitho sangasese sowesifazane: Ngesikhathi sokubeletha okuvamile, kunengozi yokulimala noma ubuthakathaka bephansi lesitho sangasese sowesifazane. Le ngozi iphezulu kakhulu uma umntwana ebelethwe kusetshenziswa i-forceps, i-vacuum delivery, i-vaginal crack, noma i-episiotomy, okuwukunqunywa okuncane okwenziwe esitho sangasese sowesifazane ukuze kube sikhulu.
• Ukuguga: Njengazo zonke imisipha emizimbeni yethu, phansi kwe-pelvic kuyaba buthaka ngokuhamba kwesikhathi. Ikakhulukazi ngezinguquko zama-hormone ngemva kokunqamuka kokuya esikhathini, imisipha kule ndawo ingaqina kancane.
• Ukukhuluphala ngokweqile: Njengoba isisindo somzimba sikhula, kumane kubeka ingcindezi eyengeziwe emisipheni yephansi le-pelvic.
• Ukuqunjelwa okungapheli: Ukuzikhandla njalo ukuze uthuthe isisu kubeka ingcindezi enkulu emisipheni yephansi le-pelvic. Cabanga ngakho njengokuphakamisa imithwalo esindayo ngaso sonke isikhathi.

Okubalulekile: Ngaphezu kwalokhu, ukukhwehlela okungapheli, izimo ezifana ne-bronchitis, noma ukuphakamisa izinto ezisindayo njalo nakho kungathinta lokhu.

Odokotela bakubona kanjani lokhu?

Odokotela bezifo zabesifazane bavame ukuxilonga lesi simo ngokubuza ngezimpawu zakho nokwenza ukuhlolwa kwe-pelvic . Bangahlola futhi noma yikuphi ukuwohloka ngaphakathi kwesitho sangasese sowesifazane kanye namandla emisipha yakho ye-pelvic floor.

Cabanga nje, udokotela ekutshela ukuthi uqinise futhi ukhulule imisipha yakho yaphansi kwe-pelvic njengokungathi ubamba umchamo. Noma, ekutshela ukuthi ubeke ingcindezi esiswini sakho njengokungathi uhambisa isisu. Uma wenza lokhu, uzobona kahle ukuthi i-prolapse iyancipha.

Ngemva kwalokhu kuhlolwa kwe-pelvic, udokotela angasebenzisa isikali sokulinganisa noma sokulinganisa ukuhlukanisa i-rectocele, kuye ngokuthi iqine kangakanani, okungukuthi, ukuthi isihambe ibanga elingakanani.

Ezimweni ezingavamile, ungase ucelwe ukuba wenze i-ultrasound ye-transvaginal ukuze uhlole amathumbu amancane aphumile (i-enterocele). Ungase ucelwe futhi ukuthi wenze i-X-ray ekhethekile, engabonisa izinguquko ku-rectum yakho uma uphuma isisu.Ukuhlolwa kwe-MRI okubizwa ngokuthi i-defecography nakho kungenziwa. Lokhu kungasiza ekutholeni ukuthi i-rectocele inzima kangakanani.

Iphathwa kanjani i-Rectocele?

Odokotela bavame ukuzama ukwelashwa ngaphandle kokuhlinzwa kuqala, ikakhulukazi uma une-rectocele encane, ethambile. Kodwa-ke, uma iphansi kancane futhi inzima kakhulu, udokotela wakho angase akuncome ukuhlinzwa.

Ukuphathwa okungahlinzwa

Lezi zindlela zifaka:

• Ukuzivocavoca phansi kwe-pelvic: Lokhu kubizwa nangokuthi ukuzivocavoca kwe-Kegel . Lokhu kuzivocavoca kungaqinisa imisipha ye-pelvic floor. Uchwepheshe wezokwelapha ngokomzimba ochwepheshe ekwelapheni phansi kwe-pelvic angakuqondisa kahle kulokhu.
• Ukuvimbela ukuqunjelwa kanye nokuqunjelwa: Udokotela wakho uzokutshela ukuthi udle ukudla okune-fiber eningi, uphuze amanzi amaningi, futhi angakutshela nokuthi usebenzise isithambisi sendle.
• I-pessary yesitho sangasese sowesifazane: ​​Lena idivayisi efana nendandatho efakwa esitho sangasese sowesifazane futhi isetshenziselwa ukusekela izitho zangasese ezingezansi. Ingasuswa nganoma yisiphi isikhathi.

Ukuhlinzwa

Uma izindlela zokwelapha ezilula okukhulunywe ngazo ngenhla zingaziqedi izimpawu zakho, inketho elandelayo ukuhlinzwa. Wena nodokotela wakho nizoxoxa ngezinto ezilandelayo ukuze ninqume ukuthi yikuphi ukuhlinzwa okukulungele:

• Iminyaka yakho kanye nempilo yakho jikelele.
• Yeka ukuthi ukuhlazeka kwakho kubi kangakanani.
• Ulindele izingane ezengeziwe?
• Kungakhathaliseki ukuthi ufuna ukuya ocansini ngesitho sangasese sowesifazane (ngoba ezinye izindlela zokuhlinzwa zalolu hlobo lokuwohloka, isibonelo, ukuhlinzwa okubizwa ngokuthi i-colpocleisis, kuvala isitho sangasese sowesifazane).

Ukuhlinzwa okuvamile kwe-rectocele yi -posterior colporrhaphy . Kulokhu, udokotela ohlinzayo ususa izicubu ezonakele ezingasekeli izitho ze-pelvic bese ehlanganisa izicubu ezinempilo ndawonye. Lokhu kunikeza amandla engeziwe.

Esikhathini esiningi, ukuhlinzwa kwe-rectocele kwenziwa ngesitho sangasese sowesifazane, ngakho-ke azikho izibazi zangaphandle.

Kufanele ngimbone nini udokotela?

Uma izimpawu zakho ziba zimbi kakhulu, noma uma kubonakala sengathi awubi ngcono ngemithi oyinikeziwe, qiniseka ukuthi utshela udokotela wakho.

Kungaba usizo futhi ukubuza udokotela wakho imibuzo efana nale:

• Yiziphi izinguquko engingazishintsha endleleni yami yokuphila ukuze nginciphise izimpawu zami?
• Yini okufanele ngiyenze ukuze ngivimbele i-rectocele yami ukuthi ingaqhubeki iba yimbi?
• Yini engingayenza ukuze ngivimbele ezinye izinhlobo zokuwa kwezitho ze-pelvic?
• Ungangincoma yini ukuhlinzwa? Uma kunjalo, yiziphi izingozi?
• Lingakanani izinga lempumelelo lohlobo lokuhlinzwa oluncomayo?
• Ingabe lokhu kwelashwa kuzoba nomthelela empilweni yami yocansi noma emathubeni ami okukhulelwa futhi?

Buza le mibuzo bese ucacisa konke okusengqondweni yakho.

Ingabe i-rectocele ingavinjelwa?

Akunakwenzeka njalo ukuvimbela ukuwohloka kwesitho sangasese sowesifazane noma esinye isitho sangasese sowesifazane. Kodwa-ke, kunezinto eziningi ongazenza ukusiza ukugcina isitho sakho sangasese sowesifazane siqinile. Amasu amaningi okuphatha afanayo kumuntu one-rectocele nawo angasetshenziswa ukunciphisa le ngozi. Isibonelo, ukwenza izivivinyo zesitho sangasese sowesifazane njalo nokugwema ukuqunjelwa .

Yini okufanele ngiyilindele uma kunjalo?

Umphumela wakho uzoncika ezimpawini zakho kanye nobukhulu bokuwohloka kwezicubu. Abantu abaningi abahlinzwa i-rectocele bathola impumuzo ezimpawini zabo ngemva kokuhlinzwa.

Khuluma nodokotela wakho ukuze uthole ukuthi isimo sakho sizosabela kanjani ekwelashweni okunconyelwe wena.

Kwenzekani uma i-rectocele ingelashwa?

Uma ingelashwa futhi ingashintshi indlela yokuphila, i-rectocele ingaba yimbi kakhulu. Ngokuhamba kwesikhathi, izimpawu zakho zingaba zimbi kakhulu futhi zithinte impilo yakho yansuku zonke nakakhulu.

Ingabe indle ingabhajwa ngaphakathi kwe-rectocele?

Yebo. Uma ukuwohloka kwesisu kukhulu, indle ingabhajwa ephaketheni njengaleyo eyakhiwe yi-rectocele. Khona-ke indle ngeke iphume kalula.

Cabanga ngalokhu: Ngezinye izikhathi kungadingeka 'uvule' ukuze ukhiphe indle, okusho ukuthi kufanele ufake umunwe wakho esithweni sakho sangasese bese ucindezela i-Rectoseal ukuze uphushe indle. Uma wenza lokhu, kubaluleke kakhulu ukugeza izandla zakho kahle ngensipho namanzi ngaphambi kokufaka umunwe wakho esithweni sakho sangasese. Ngaphandle kwalokho, ungangenisa amagciwane.

Uma kufanele futhi usebenzise iminwe yakho ukuze ukhulule, qiniseka ukuthi ukhuluma nodokotela mayelana nokwelashwa.

Ingabe i-Rectocele iyi-Hernia?

I-rectocele yi-hernia lapho i-rectum yakho iphuma khona (i-herniates) odongeni lwesitho sakho sangasese sowesifazane, njenge -hernia . Kodwa-ke, odokotela bahlukanisa i-rectocele njengokuwa kwesitho sangasese sowesifazane, hhayi i-hernia.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Ukuba ne-rectocele akumnandi ngempela futhi kungaba namahloni ngezinye izikhathi. Kodwa into engcono kakhulu ukuthi iyelapheka.Lokhu kwelashwa kungakusiza ukuthi uphinde ulawule izingxenye zomzimba wakho ezizizwa zingalawuleki. Okudingeka ukwenze nje ukucela usizo kudokotela wakho. Abantu abaningi bangaphatha lesi simo ngokwelashwa ngokomzimba kanye nokushintsha indlela yokuphila. Uma isimo sibi kakhulu, udokotela wakho angase futhi ancome ukuhlinzwa okungasiza.

Ngakho-ke, uma unalolu hlobo lokungakhululeki, ungesabi ukukhuluma ngakho. Bonana nodokotela ngokushesha bese uthola iseluleko. Inhlalakahle yakho ibaluleke kakhulu kuwe!

` I-Rectocele, i-rectal prolapse, i-vaginal prolapse, i-pelvic operation prolapse, i-pelvic operation prolapse, i-abdomination, ukubeletha, i-pelvic floor