Ingabe futhi uvuza umchamo omncane ngephutha uma ukhwehlela, uhleka, uthimula, noma uphakamisa okuthile? Noma uzizwa usinda noma ucindezelekile njengokungathi kukhona okuphuma esithweni sangasese sowesifazane? Lezi yizinkinga abesifazane abaningi abanazo, kodwa banamahloni futhi abakhululekile ukukhuluma ngazo emphakathini. Kodwa bewazi ukuthi kuneqembu lochwepheshe abaqeqeshwe ukwelapha lezi zinkinga ezifanayo? Labo yibo esibabiza ngokuthi 'Odokotela Bezifo Zomchamo'.
Kalula nje, ngubani lo dokotela wezifo zomchamo?
Udokotela wezifo zomchamo ungudokotela ogxile ekwelapheni izimo zephansi le-pelvic kwabesifazane. Kulungile, manje kungenzeka ukuthi uyazibuza ukuthi liyini iphansi le-pelvic.
Cabanga ukuthi esiswini sakho esingezansi, kunenethiwekhi yemisipha nezicubu ezinwetshiwe njengenethi. Le nethiwekhi yemisipha yiyo ebamba izitho zakho zokuzala, njengesibeletho sakho, isitho sangasese sowesifazane, kanye nezitho zomchamo, njengesinye sakho, endaweni yazo. Ngamanye amazwi, iyinsika yalezi zitho.
Ngakho-ke, ngesikhathi sokukhulelwa, ukubeletha (ikakhulukazi isitho sangasese sowesifazane), ukuya esikhathini, noma ukuguga, le misipha yaphansi kwe-pelvic ingaba buthakathaka noma ilimale. Yilapho kuvela khona izinkinga okukhulunywe ngazo ngenhla. Ngezinye izikhathi ezinjengalezi lapho sidinga khona usizo lukadokotela we-Urogynecologist.
Uyini umehluko phakathi kwe-Urologist, Gynecologist kanye ne-Urogynecologist?
La magama amathathu afana kancane, ngakho-ke kungadida. Ake sibone ukuthi iyini indima yochwepheshe ngamunye. Leli thebula lizokucacisa kahle.
| Uchwepheshe wezokwelapha (Okhethekile) | Iyini indlela yokwelapha eyinhloko? |
|---|---|
| Udokotela Wezifo Zomchamo | Belapha izifo zazo zonke izingxenye zesimiso somchamo, okuhlanganisa isinyi, izinso, kanye nomchamo. Belapha kokubili abesilisa nabesifazane. Ngaphezu kwalokho, laba ochwepheshe belapha nezifo zesimiso sokuzala sabesilisa. |
| Udokotela Wezifo Zabesifazane | Belapha izifo ezihlobene nohlelo lokuzala lwabesifazane, okungukuthi, isibeletho, ama-ovari, kanye nesitho sangasese sowesifazane. Baphinde babheke impilo yamabele. Ngezinye izikhathi, belapha nezinkinga ezincane zohlelo lomchamo. |
| Udokotela wezifo zomchamo | Ubuchwepheshe babo yizimo ezibangelwa ubuthakathaka noma ukulimala kwemisipha yephansi le-pelvic kwabesifazane. Lokhu kusho ukuthi baphatha izinkinga ezithile ezisebenza kuzo zombili imikhakha ye-gynecology kanye nesistimu yomchamo. |
I-Urogynecology empeleni yaqashelwa njengochwepheshe ohlukile ngo-2011. Ngakho-ke, kuyinsimu entsha kakhulu.
Yiziphi izimo eziyinhloko ezelashwa yi-urogynecologist?
Laba ochwepheshe baphatha kakhulu izinkinga zephansi le-pelvic. Ake sibheke ukuthi ziyini.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Ukungakwazi ukuzibamba komchamo | Izimo ezinjengokungakwazi ukuzibamba ngokucindezeleka, ukungakwazi ukuzibamba ngokuzumayo, kanye nokuchama njalo (isinyi esisebenza ngokweqile). |
| Ukwehla Kwezitho Zesitho Sesitho Sangasese Sowesifazane (i-POP) | Uma imisipha yomgodi we-pelvic iba buthaka, izitho ezizisekelayo, njengesinye, isibeletho, i-rectum, noma isitho sangasese sowesifazane, ziyehla. Abanye abantu bakubiza nangokuthi "ukuncipha kwesibeletho." |
| Ukungakwazi ukulawula indle (Ukungakwazi ukuzibamba) | Ukunyakaza kwamathumbu okungahleliwe ngenxa yobuthakathaka bemisipha yephansi le-pelvic. |
| Ukungasebenzi Kahle Kwephansi Le-Pelvic | Ukungakwazi ukuhlanganisa kahle imisipha elawula ukuchama kanye nokuphuma kwendle. Lokhu kungabangela ubunzima bokuchama/ukuphuma kwendle, ubuhlungu besitho sangasese sowesifazane, kanye nobuhlungu ngesikhathi socansi. |
| Ama-Fistula Esithweni Sangasese Sowesifazane | Ukuvulwa okungajwayelekile (indlela) phakathi kwesinyi noma i-rectum kanye nesitho sangasese sowesifazane, ngenxa yokulimala noma isimo sempilo. Lokhu kungabangela ukuthi umchamo noma indle ivuze ngesitho sangasese sowesifazane. |
Ziphathwa kanjani izimo ezinjengalezi?
Udokotela wezifo zomchamo angaphakamisa izindlela ezahlukene zokwelapha kuye ngesimo sakho.
- Ukunikeza imithi: Ukunikeza imithi esiza ukulawula isinyi nokulawula ukuhamba kwamathumbu.
- Ukufakwa kwedivayisi: Isibonelo, uma kukhona isimo esibizwa ngokuthi i-prolapsed organ (POP), idivayisi eyenziwe nge-silicone noma irabha ebizwa ngokuthi i-"Vaginal Pessary" ingafakwa esithweni sangasese sangasese ukuze ibambe isitho esiprolapsed sibuyele endaweni yaso.
- Ukuhlinzwa: Ukuhlinzwa okuvuselelwayo kwenziwa ukuze kubuyiselwe isitho esonakele endaweni yaso. Ngezinye izikhathi kusetshenziswa izicubu zakho, noma kusetshenziswa ukusekela okufana ne-mesh ukuqinisa imisipha ebuthakathaka.
- Ukufundisa izivivinyo zephansi le-pelvic: Zikufundisa kahle ukuthi ungazisebenzisa kanjani "izivivinyo ze-Kegel." Lokhu kuqinisa imisipha yephansi le-pelvic. Ngezinye izikhathi, inqubo ebizwa ngokuthi "i-Biofeedback" isetshenziswa futhi kanye nodokotela wezokwelapha ngokomzimba.
- Ukusikisela izinguquko zendlela yokuphila: Ukwenza izinguquko ezincane ezintweni ezifana nemikhuba yakho yokudla kanye nemikhuba yakho yokuya endlini yangasese kungasiza ekulawuleni izimpawu.
Ngingazi kanjani ukuthi ngidinga ukubona udokotela we-Urogynecologist?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kungumqondo omuhle ukucabangela ukubona udokotela wezifo zomchamo. Kubalulekile ukufuna iseluleko sezokwelapha kunokuba namahloni ngalezi zinto.
- Uma uvuza umchamo noma indle ungaqapheli.
- Uma udinga ukuchama kaningi kunokujwayelekile.
- Uma unenkinga yokulawula isifiso sakho sokuchama uze ufike endlini yangasese .
- Uma uzizwa ugcwele, usinda, noma ucindezelekile esithweni sakho sangasese sowesifazane noma endaweni yesinqe.
- Uma uzwa okuthile kwehla esithweni sakho sangasese noma uma uzwa okuthile kubanjwa.
Lezi zinhlobo zezinkinga zingaba nomthelela omkhulu ebuntwini bakho. Ngakho-ke, ukubona udokotela ogxile emizimbeni yabesifazane kanye nezimo zabo ezihlukile kungaba impumuzo enkulu kuwe, ngokwengqondo nangokomzimba.
Kwenzekani uma uya kudokotela okokuqala?
Uma uqala ukuya kudokotela we-urogynecologist, ngokuvamile ungalindela okulandelayo:
1. Ukukhuluma ngezimpawu zakho: Udokotela uzobuza ngomlando wakho wezokwelapha. Uzobuza ngezimpawu zakho, ukuthi zaqala nini, ukuthi sezinesikhathi esingakanani zikhona, nokuthi zithinta kanjani impilo yakho yansuku zonke.
2. Ukuhlolwa komzimba: Kuhlolwa i-pelvic ukuhlola isimo sezitho nezicubu emgodini we-pelvic.
3. Ukusikisela ukwelashwa noma ukuhlolwa okwengeziwe: Ngemva kokuhlolwa, udokotela uzokuchazela ukuthi yiziphi izindlela zokwelapha ezilungele isimo sakho. Ngezinye izikhathi, angase futhi asikisele ukuhlolwa okwengeziwe ukuze athole imbangela eqondile yesifo.
Ungabuza nodokotela wakho imibuzo efana nale:
- Yini engaba imbangela yesimo sami?
- Iyini ingozi emgodini wami we-pelvic?
- Yikuphi ukwelashwa okusikiselayo?
- Ngingalindela ukululama okungakanani ngemva kokwelashwa?
- Yini engingayenza ukuze ngivimbele lesi simo ukuba singabi sibi kakhulu?
Uma ungakwazi ukulawula ngisho nezinto eziyisisekelo njengokuchama nokuphuma endlini yangasese, kungaba yinto ehlazisayo nehlazisayo ngempela. Kodwa i-Urogynecologist inguchwepheshe ongakusiza ukuqeda lokho kungakhululeki. Ngakho-ke, uma unale nkinga, ungangabazi futhi ucele udokotela womndeni wakho (udokotela oyinhloko) ukuthi akuthumelele i-Urogynecologist.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela wezifo zomchamo udokotela ogxile ekwelapheni izinkinga ezibangelwa ubuthakathaka emisipheni yephansi le-pelvic kwabesifazane.
- Uma uzwa nokuvuza komchamo lapho ukhwehlela/uhleka, uzizwa sengathi isibeletho siphansi, noma izinkinga zokulawula umchamo/indle, ungabi namahloni ukufuna iseluleko sezokwelapha.
- Ezimweni eziningi zaleziKunezindlela zokwelapha ezisebenzayo njengemithi, ukuvivinya umzimba kanye nokuhlinzwa.
- Lezi yizimo ezivamile abesifazane abaningi ababhekana nazo. Ngakho awuwedwa. Ngokubona udokotela ofanele, ungaphila impilo ekhululekile futhi.
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