Ingabe ngezinye izikhathi uzizwa unesisindo esiswini sakho esingezansi, umuzwa wokuthi kukhona okukucindezelayo? Mhlawumbe uzizwa sengathi kukhona okufana nebhola okuphuma esithweni sakho sangasese? Ingabe unenkinga yokungakwazi ukuzibamba ngomchamo, okuwukulahlekelwa umchamo uma uhleka, ukhala, noma uthimula? Lezi yizinkinga abesifazane abaningi ababhekana nazo buthule, kodwa banamahloni okukhuluma ngazo. Kodwa lokhu akuyona into onayo wena wedwa. Namuhla sikhuluma ngesimo esibizwa ngokuthi i-Pelvic Organ Prolapse, esibangela lezi zimpawu, kanye nokuhlinzwa okuphumelele kakhulu okubizwa ngokuthi i-Sacrocolpopexy .
Kalula nje, kuyini ukuwohloka kwezitho ze-pelvic?
Cabanga ukuthi izitho ezisesiswini sakho esingezansi, njengesibeletho sakho, isinyi, kanye ne-rectum, zise-hammock. Le hammock yakhiwe yilokho esikubiza ngokuthi imisipha yephansi le-pelvic kanye nezicubu ezihambisana nayo. Yilezi ezibamba zonke lezi zitho endaweni yazo.
Kodwa-ke, ngokuhamba kwesikhathi, ikakhulukazi ngemva kokubeletha, ngenxa yokuphakamisa izinsimbi, futhi njengoba sikhula, le misipha nezicubu ziqala ukuba buthaka futhi zinwebeke. Bese kuthi, njengokungathi umbhede we-mesh uyawa, izitho ezikuwo nazo ziqale ukusunduza ziye phansi, okungukuthi, ziye esithweni sangasese sowesifazane. Lokhu yilokho esikubiza ngokuthi i-pelvic organ prolapse. Enye indlela yokwelapha lokhu ukuhlinzwa okubizwa ngokuthi i-Sacrocolpopexy. Lokhu kuhilela ukuletha izitho eziwile emuva nokusebenzisa i-mesh ekhethekile yokuhlinza ukuze izinzise endaweni yazo efanele.
Yiziphi izitho zomzimba ezingawohloka kanje?
Lesi simo sihlukaniswe ngezinhlobo eziningana kuye ngokuthi isitho sithintekile. Ukuze kube lula ukusiqonda, ake sibheke le mininingwane.
| Uhlobo lokwehla | Kalula nje, kwenzekani? |
|---|---|
| Ukwehla Kwesibeletho | Isibeletho kanye nomlomo wesibeletho kwehlela ngesitho sangasese sowesifazane. Ngezinye izikhathi, kungaphuma ngokuphelele esitho sangasese sowesifazane. |
| Ukwehla Kwesitho Sangasese Sowesifazane | Ingxenye engenhla yesitho sangasese sowesifazane iyancipha iye phansi kumuntu oye wakhishwa i-hysterectomy. |
| Ukuwa kwesinyi (i-Cystocele) | Isinyi sisunduzelwa odongeni lwangaphambili lwesitho sangasese sowesifazane. |
| I-Rectocele | I-rectum icindezelwa odongeni lwangemuva lwesitho sangasese sowesifazane. |
| Ukwehla kwamathumbu amancane (i-Enterocele) | Amathumbu amancane asunduzela phezulu engxenyeni engenhla yesitho sangasese sowesifazane bese ehla. |
Bheka ukuthi unazo yini lezi zimpawu...
Lezi ezinye zezimpawu ezivame kakhulu ze-Pelvic Organ Prolapse:
- Ukubonakala noma umuzwa wento efana neqhubu noma ibhola eliphuma esithweni sangasese sowesifazane.
- Ubuhlungu besisu esingezansi, okusho umuzwa wokusinda, ingcindezi, noma into ebambeke ethangeni.
- Inani elincane lomchamo livuza ngokuzenzakalelayo lapho uhleka, ukhwehlela, noma uphakamisa into esindayo.
- Ubunzima bokukhipha indle. Ngezinye izikhathi kuba sengathi indle ayikhishwanga ngokuphelele.
- Ubunzima bokufaka izinto ezifana nama-tampon esithweni sangasese sowesifazane.
- Ubuhlungu ngesikhathi socansi.
Uma unesinye noma ngaphezulu salezi zimpawu, kubalulekile ukukhuluma nodokotela ngaphandle kokuzizwa unamahloni, ngoba kunezindlela zokwelapha ezisebenzayo zalokhu.
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?
Kunezizathu eziningana eziyinhloko ezenza imisipha yephansi le-pelvic ibe buthakathaka.
- Ukubeletha ngesitho sangasese sowesifazane: Le misipha ingonakalisa, ikakhulukazi lapho ubeletha izingane eziningi, ubeletha umntwana onesisindo esiphezulu, noma ubeletha kanzima.
- Ukuhlinzwa kwesisu: Ikakhulukazi izinto ezifana nokususwa kwesibeletho.
- Ukuguga: Njengoba sikhula, imisipha yomzimba iba buthaka ngokwemvelo.
- Ukuphakamisa izinto ezisindayo njalo: Ukuphakamisa izinto ezisindayo njalo njengamabhakede amanzi namasilinda egesi emsebenzini noma lapho wenza imisebenzi yasekhaya.
- Ukucindezela okuvamile esiswini esingezansi:Lesi simo singabangelwa nezinto ezifana nokukhwehlela okungapheli, i-asthma, kanye nokuqunjelwa njalo.
- Izimbangela zofuzo: Abanye abantu bazalwa benezicubu ezibuthakathaka, okubenza babe sengozini enkulu.
Kulungile, ngakho-ke ulungisa kanjani lokhu ngalolu hlinzeko lwe-Sacrocolpopexy?
I-Sacrocolpopexy iyindlela yokuhlinzwa ethuthukisiwe kakhulu futhi ephumelelayo yale nkinga. Ilula kakhulu.
Udokotela ohlinzayo wenza izimbobo eziningana ezincane esiswini sakho futhi usebenzisa ikhamera (i-laparoscope) ukwenza lokhu kuhlinzwa. Lokhu kubizwa ngokuthi ukuhlinzwa kwe-laparoscopic . Ngezinye izikhathi ubuchwepheshe berobhothi busetshenziswa nalokhu.
Kule nqubo, kune-mesh ekhethekile yokuhlinzwa engxenyeni engenhla yesitho sakho sangasese sowesifazane, esinyeni, noma i-rectum ewile. Esinye isiphetho se-mesh sibe sesinamathiselwa ethanjeni eliphansi kakhulu emgogodleni wakho, i-sacrum. Le mesh isebenza njengebhuloho, idonsa zonke izitho zakho eziphansi futhi iziqinise endaweni yazo efanele.
Ngezinye izikhathi, kuye ngomlando wakho wezokwelapha kanye nezintandokazi zakho, ukuhlinzwa kwesisu kungenziwa ngesikhathi esifanayo nalokhu kuhlinzwa. Lokhu kuqeda ngokuphelele ingozi yomdlavuza wesibeletho.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Isibhedlela sizokunikeza imiyalelo ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukuyilandela kahle.
- Uzocelwa ukuthi ugweme ngokuphelele ukudla noma ukuphuza ngemva kwamabili ebusuku ngaphambi kokuhlinzwa.
- Uma ubhema, kufanele uyeke ukubhema ngemva kwamabili ebusuku ngaphambi kokuhlinzwa.
- Eminye imithi oyithathayo (isib. imithi yokunciphisa igazi) ingadinga ukuthi uyeke ukuyithatha izinsuku ezimbalwa. Khuluma nodokotela wakho ngalokhu.
- Ungavunyelwa ukuphuza uketshezi olufana namanzi, itiye elingenashukela, noma ikhofi kuze kube amahora ambalwa ngaphambi kokuhlinzwa.
Indlela ukuhlinzwa okwenziwa ngayo isinyathelo ngesinyathelo
Ungesabi ukuhlinzwa. Ukwazi ukuthi kwenzeka kanjani kuzokusiza ukunqoba ukwesaba kwakho.
1. Okokuqala, uzofakwa ngaphansi kwe-anesthesia ejwayelekile . Ngakho ngeke uzwe ubuhlungu futhi uzolala kahle.
2. Udokotela ohlinzayo uzokwenza izimbobo ezincane ezine noma ezinhlanu, cishe isentimitha elilodwa ububanzi, esiswini sakho.
3. Isisu sibe sesigcwala umoya ngegesi ye-carbon dioxide. Lokhu kwenzelwa ukuvula isikhala ngaphakathi ukuze kuhlinzwe futhi kubonakale kahle izitho zomzimba.
4. Ikhamera (i-laparoscope) kanye namathuluzi okuhlinza kufakwa ngalezi zimbobo ezincane.
5. Ngesikhathi ebuka izithombe ezivela kukhamera eskrinini, udokotela unamathisela i-mesh eshiwo ngenhla kwesitho sangasese sowesifazane kanye ne-sacrum, ephakamisa isitho.
6. Uma isinyi noma i-rectum ivuvukala, nayo izolungiswa ngalesi sikhathi.
7. Ekupheleni kokuhlinzwa, kufakwa ikhamera encane ukuze kuhlolwe ukuthi akukho yini umonakalo esinyeni.
8. Ekugcineni, zonke izinto zokusebenza ziyakhishwa, igesi esiswini iyasuswa, futhi imihuzuko emincane iyavalwa.
Lokhu kuhlinzwa kuvame ukuthatha phakathi kwamahora amabili kuya kwamane .
Kwenzekani ngemva kokuhlinzwa? Yini ongayilindela ngesikhathi sokululama
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Uma uvuka ekuhlinzweni kwe-anesthesia, ungase uzizwe ulele kancane noma uthukuthele. Lokhu kuvamile.
Okulandelayo, uzoba nokuhlolwa kokuhlola ukuthi ungakwazi yini ukuchama wedwa. Kungenzeka ukuthi ubune-catheter endaweni yayo ngaphambi kokuhlinzwa. Phakathi nalolu vivinyo, izosuswa bese uhlolwa ukuthi ungakwazi yini ukukhipha isinyi sakho wedwa. Uma ungakwazi, ungathunyelwa ekhaya ne-catheter ozoyisebenzisa ekhaya izinsuku ezimbalwa. Ungakhathazeki ngalokho.
Kuthatha phakathi kwamasonto ayi-6 kuya kwayi-8 ukululama ngokuphelele. Phakathi nalesi sikhathi, kuzodingeka wenze izinguquko ezithile endleleni yakho yokuphila.
| Ongakulindela ngemva kokuhlinzwa | Yenza lezi zinto ukuze ululame ngokushesha |
|---|---|
| Ubuhlungu: Kungase kube nokuklwebheka kanye nobuhlungu besisu ezinsukwini ezimbalwa zokuqala. Thatha imithi yobuhlungu enqunywe udokotela wakho ngesikhathi. | Phumula ngokwanele: Kungcono ukuba nomuntu ozokusiza, okungenani ezinsukwini ezimbalwa zokuqala. |
| Ukuvuvukala kwesisu: Igesi esiswini ngesikhathi sokuhlinzwa ingabangela ubuhlungu besisu nokuvuvukala izinsuku ezingu-2-3. | Ukuhamba: Ukuhamba kancane endlini kunciphisa isilungulela futhi kuvimbela nokuqhekeka kwegazi. |
| Ukuphuma kwegazi esithweni sangasese sowesifazane: Ungase ube negazi elincane noma ukuphuma kwegazi okumhlophe/okuphuzi cishe amasonto ayisithupha. Lokhu kuvamile. | Uketshezi nokudla: Phuza amanzi amaningi. Yidla ukudla okulula okufana nama-crackers nesobho lenkukhu ezinsukwini ezimbalwa zokuqala. Gwema ukudla okunamafutha. |
| Ukuqunjelwa: Ama-painkiller angabangela ukuqunjelwa. Buza udokotela wakho mayelana nokuthatha isithambisi sendle. | Ukuzivocavoca kokuphefumula: Uma unikezwa idivayisi ebizwa ngokuthi i-spirometer yokukhuthaza, donsa umoya ojulile ngayo kanye ngehora. |
Ungazenzi lezi zinto uze uphulukiswe! (Izinto okufanele uzigweme)
Ukuze uqinisekise ukuthi isikhathi sokululama siphumelela, kufanele ulandele le miyalelo.
- Ungagezi ngamanzi amahora angu-48 ngemva kokuhlinzwa. Ngemva kwalokho, ungageza.
- Gwema ukuba semanzini (ukubhukuda, ukuhlala ebhavini) amasonto angu-4-6.
- Gwema ukuphakamisa izinto ezisindayo, ukusunduza, noma ukudonsa amasonto angu-4-6. Ungaphakamisi lutho olusinda ngaphezu kwama-2-3 kg (isib. amabhakede amanzi, izikhwama zokuthenga, izingane ezincane, izilwane ezifuywayo).
- Gwema ukusebenzisa umshini wokuhlanza noma ukusunduza iminyango esindayo phakathi nalesi sikhathi.
- Ungenzi ucansi okungenani amasonto ayisithupha. Futhi, gwema ukusebenzisa ama-tampon kanye ne-douching.
- Uma uphuza imithi enamandla yokubulala izinhlungu oyinikezwe udokotela wakho, gwema ukushayela .
Ingabe lokhu kuhlinzwa kuphumelele kangakanani? Ingabe zikhona izingozi?
I-Sacrocolpopexy inqubo yokuhlinzwa enezinga lempumelelo elingaba ngu-90% . Lokho kusho ukuthi imiphumela mihle kakhulu.
Njengazo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile. Kodwa-ke, kubhekwa njengenqubo ephephile kakhulu. Udokotela wakho uzoxoxa nawe ngalezi zingozi ngaphambi kwenqubo.
Phakathi kwezingozi ezingaba khona:
- Ukulimala kwezitho ezizungezile njengesinye namathumbu.
- Ukopha okukhulu.
- Amahlule egazi.
- Ukutheleleka.
- Izinkinga ezihlobene ne-mesh esetshenzisiwe (isb., ukuguguleka kwe-mesh ngezicubu zesitho sangasese sowesifazane).
- Ubunzima bokuchama noma ukukhipha indle.
- Ubuhlungu ngesikhathi socansi.
Lezi zingozi azivamile, kodwa kubalulekile ukuziqaphela.
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma uba nanoma yiziphi zalezi zimpawu ngesikhathi usekhaya ngemva kokuhlinzwa, shayela udokotela wakho noma uye esibhedlela ngokushesha.
- Umkhuhlane ongaphezu kwama-38 Celsius (100.4 Fahrenheit) noma ukubanda.
- Uma amanxeba ebomvu, evuvukele, noma enoketshezi olunuka kabi .
- Ukuhlanza noma isicanucanu esingalawuleki.
- Ukopha okukhulu kwesitho sangasese sowesifazane okumanzisa ama-sanitary pad angaphezu kweyodwa ngehoraUma kukhona.
- Uma ukhipha uketshezi olungcolile esithweni sangasese sowesifazane .
- Uma unezinhlungu ezinzima ezingenakulawuleka ngisho nangemithi.
- Ubuhlungu nokuvuvukala emilenzeni.
- Umchamo onephunga elibi, omnyama ngombala, noma onomuzwa wokushisa lapho uchama.
Umlayezo Wokuya Nawe Ekhaya
- Ukuwa kwezitho zesitho se-pelvic kuyisimo esithinta abesifazane abaningi, kodwa singelashwa ngempumelelo. Ungabi namahloni ngakho.
- I-Sacrocolpopexy iyindlela yokuhlinzwa ephumelela kakhulu futhi ephephile engathuthukisa kakhulu ikhwalithi yempilo yakho.
- Kuthatha isikhathi ukululama ngokuphelele ngemva kokuhlinzwa. Ukulandela imiyalelo kadokotela kubalulekile ukuze ululame ngokushesha.
- Ukuze uvimbele lesi simo ukuthi singaphinde sivele, kubaluleke kakhulu ukugwema ukuphakamisa izinto ezisindayo, ukulawula isisindo somzimba, nokuvimbela ukuqunjelwa.
- Uma unezimpawu ezichazwe kulesi sihloko, ungangabazi ukukhuluma nodokotela wakho ukuze akutholele ukwelashwa okungcono kakhulu.











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