Funda nge-Pelvic Organ Prolapse kanye ne-Sacrocolpopexy Surgery

Ingabe ngezinye izikhathi uzizwa usinda noma ukucindezeleka esiswini sakho esingezansi, njengokungathi into efana nebhola iphuma esithweni sakho sangasese sowesifazane? Empeleni lesi yisimo sempilo abesifazane abaningi ababhekana naso, kodwa abanqikazi ukukhuluma ngaso emphakathini. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-Pelvic Organ Prolapse. Ungakhathazeki, lokhu kuvamile. Namuhla sikhuluma ngokwelashwa okuphumelelayo kakhulu kwalesi simo, ukuhlinzwa kwe-Sacrocolpopexy.

Kalula nje, kuyini ukuwohloka kwezitho ze-pelvic?

Cabanga nje ukuthi izitho ezibalulekile ethangeni lethu, njengesibeletho, isinyi, kanye ne-rectum, zilenga ku-hammock eyenziwe nge-mesh. Le hammock iyimisipha yethu yaphansi kwethangeni. Le misipha kanye nemisipha ibamba zonke lezi zitho endaweni yazo. Kodwa-ke, ngesizathu esithile, lapho le misipha iba buthakathaka noma inwebeka, i-hammock iyawa, futhi izitho ezikuyo nazo ziqala ukuwa, okungukuthi, ziye esithweni sangasese sowesifazane. Yilokho esikubiza ngokuthi i-pelvic organ prolapse. Kunezinhlobo eziningana zalokhu, kuye ngokuthi isitho sehliswa kanjani.

• Ukwehla kwesibeletho : Isibeletho kanye nomlomo wesibeletho kwehlela esithweni sangasese sowesifazane . Ngezinye izikhathi kungabonakala ngisho nangaphandle kwesitho sangasese sowesifazane.
• Ukwehla kwesitho sangasese sowesifazane: Ingxenye engenhla yesitho sangasese sowesifazane yehlela kumuntu oye wakhishwa i-hysterectomy .
• I-Cystocele : Ukuphuma kwesinyi esithweni sangasese sowesifazane.
• I-Rectocele: Ukuphuma kwe-rectum esithweni sangasese sowesifazane.
• I-Enterocele : Ukuphuma kwamathumbu amancane odongeni lwesitho sangasese sowesifazane.

Yiziphi izizathu zalesi simo?

Ngokuvamile, kungaba nezimbangela ezingaphezu kweyodwa zalesi simo. Izimbangela eziyinhloko yilezi:

• Ukubeletha okuvamile : Ikakhulukazi ukuba nomntwana osindayo noma ukubeletha okunzima kungalimaza imisipha yephansi le-pelvic.
• Ukuguga : Imisipha iba buthaka ngokwemvelo njengoba ikhula.
• Ukuhlinzwa kwe-pelvic: Lesi simo singase senzeke ngenxa yokuhlinzwa kwangaphambilini.
• Ukuphakamisa izinsimbi njalo:Ukuphakamisa izinto ezisindayo noma ukuvivinya umzimba.
• Ukwanda kwengcindezi esiswini: ngenxa yezinto ezifana nokukhwehlela isikhathi eside, ukukhandleka njalo ngenxa yokuqunjelwa , njll.
• Izimbangela zofuzo: Abanye abantu bangase bazalwe benemisipha ye-pelvic ebuthakathaka kanye nezicubu ezixhumeneyo.

Ingabe nawe unalezi zimpawu?

Ithebula elingezansi libala ezinye zezimpawu ezivamile ezibonwa abantu abaningi abanalesi simo.

Ngakho-ke, kuyini lokhu kuhlinzwa okubizwa ngokuthi i-Sacrocolpopexy?

Kalula nje, i-Sacrocolpopexy iwukuhlinzwa kokubuyisela izitho zangasese endaweni yazo efanele nokuzibamba endaweni yazo. Kulokhu, udokotela ohlinzayo usebenzisa i-mesh ekhethekile yokuhlinzwa. Le mesh isebenza njengebhuloho, ixhumanisa ingxenye engenhla yesitho sangasese sowesifazane esiphumile nethambo eliphansi kakhulu lomgogodla wakho (i-sacrum). Lokhu kunikeza ukwesekwa okuhle kwezitho eziphumile, kuzidonsa phezulu futhi zifakwe endaweni yazo. Isikhathi esiningi, lokhu kuhlinzwa kwenziwa nge-laparoscopically . Okusho ukuthi, esikhundleni sokwenza i-incision enkulu esiswini, kwenziwa izimbobo ezincane ezingaba ngu-4-5 bese kufakwa ikhamera namathuluzi abucayi ngazo. Lokhu kuholela esikhathini esincane sokululama kanye nobuhlungu obuncane. Ngezinye izikhathi ubuchwepheshe berobhothi busetshenziswa nalokhu. Kwezinye izimo, udokotela wakho angase ancome nokususwa kwesibeletho (hysterectomy) ngesikhathi esifanayo nalokhu kuhlinzwa. Kuncike emlandweni wakho wezempilo, ingozi yomdlavuza, kanye nezintandokazi zakho.

Izinto okufanele uzicabangele ngesikhathi sokululama ngemva kokuhlinzwa

Ukuqinisekisa ukululama okusheshayo nokuphumelelayo ngemva kokuhlinzwa, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Ngokuvamile kuthatha cishe amasonto ayisithupha kuya kwayisishiyagalombili ukululama ngokugcwele.

Iyini impumelelo kanye nezingozi zalokhu kuhlinzwa?

Lokhu kuhlinzwa kuyindlela yokwelapha ephumelela kakhulu . Izinga lempumelelo lifinyelela ku-90%. Lokhu kusho ukuthi uma abantu abayi-10 behlinzwa, abangu-9 bazothola imiphumela emihle. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kwe-Sacrocolpopexy kungaba nezingozi ezithile. Kubalulekile ukuzazi kusenesikhathi.

• Ukulimala kwezitho ezizungezile njengesinye namathumbu.
• Ukopha ngokweqile.
• Ukutheleleka.
• Amahlule egazi.
• Izinkinga nge-mesh esetshenzisiwe (isb., i-mesh ephuma odongeni lwesitho sangasese sowesifazane).
• Ubuhlungu buyaqhubeka ngisho nangemva kokuhlinzwa.

Lezi zingozi ziphansi kakhulu. Udokotela wakho ohlinzayo uzochaza konke lokhu kuwe, ngakho-ke asikho isidingo sokwesaba.

Isikhathi sokuthola iseluleko sezokwelapha ngokushesha

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuya ekhaya evela ekuhlinzweni, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.

• Umkhuhlane ongaphezu kwama-degree Celsius angu-38 (100.4 Fahrenheit) noma ukubanda.
• Ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi yobuhlungu.
• Ukusikwa kokuhlinzwa kuba bomvu, kuvuvuke, noma kuphume uketshezi olunuka kabi .
• Ukopha kwesitho sangasese sowesifazane okunzima ngokwanele ukucwilisa iphedi engaphezu kweyodwa ngehora.
• Ukuphuma koketshezi esithweni sangasese sowesifazane okunephunga elibi .
• Ukungakwazi ukuchama amahora amaningi noma ukuchama okuncane kakhulu.
• Ukucanuzela noma ukuhlanza.
• Ubuhlungu nokuvuvukala emilenzeni.

Ungazinaki lezi zimpawu. Ukwelashwa kusenesikhathi kungavimbela izimo ezibucayi. Ukuncipha kwesibeletho, i-Sacrocolpopexy, Ukuncipha kwesitho se-pelvic, Ukuhlinzwa, Impilo Yabesifazane, Isitho Sangasese Sowesifazane, Ukuncipha kwesinyi, i-Laparoscopy, i-Surgical Mesh