Ngubani i-Urogynecologist? Ake sixoxe ngalezi zinkinga ezikhethekile zabesifazane!

Wake wezwa 'ngodokotela wezifo zabesifazane'? Mhlawumbe leli gama lisha kuwe. Kodwa laba ngochwepheshe abaphatha ezinye zezinkinga zempilo ezibaluleke kakhulu, futhi ngezinye izikhathi ezibucayi, kwabesifazane. Namuhla, sizoxoxa ngokuthi bangobani, benzani, nokuthi ungafuna nini ukubabona. Ungakhathazeki, sizokuchaza konke ngamagama alula.

Ubani lo dokotela wezifo zomchamo?

Kalula nje, i-urogynecologist ingudokotela ogxile ezinkingeni zephansi le-pelvic kwabesifazane. Manje ungase uzibuze ukuthi liyini iphansi le-pelvic, akunjalo? Cabanga ukuthi endaweni engezansi yesisu somzimba wakho, ngaphansi kwe-bra yakho, kunenethiwekhi eqinile yemisipha nezicubu ezixhumeneyo, noma uhlobo oluthile lwephansi. Yilokho esikubiza ngokuthi iphansi le-pelvic.

Le ndawo yokubeka izitho ibaluleke kakhulu. Ngoba ibamba isibeletho sakho, izitho zokuzala njengesitho sakho sangasese sowesifazane , nezitho zomchamo njengesinye , futhi yile misipha yokubeka izitho isekela yona. Njengebhasikidi eliqinile elibamba izinto eziningi, ziyasiza ekugcineni lezi zitho zihlelekile. Ngakho-ke, uma le misipha yokubeka izitho iba buthakathaka noma ilimele, ingabangela izinkinga ngokusebenza kwalezo zitho. Yilapho-ke udinga ukubona udokotela wezifo zomchamo.

Uyini umehluko phakathi kwe-urologist, i-gynecologist, kanye ne-urologist?

Uma uzwa la magama amathathu, ungase udideke kancane, akunjalo? Ungase ucabange, "Bonke bayafana, akunjalo?" Ake sibheke ukuthi ngamunye walaba ochwepheshe wenzani. Khona-ke uzoqonda umehluko.

• Udokotela Wezifo Zomchamo: Laba odokotela baphatha kakhulu izifo zohlelo lomchamo . Okungukuthi, izinkinga ngezitho zomzimba ezifana nesinye, izinso, i-ureter, kanye ne-urethra. Baphatha izifo zohlelo lomchamo kwabesilisa nabesifazane. Odokotela bezifo zomchamo baphatha nezifo zohlelo lokuzala lwabesilisa (isib. izinkinga ze-prostate).

• Udokotela Wezifo Zabesifazane: Udokotela wezifo zabesifazane, noma njengoba sivame ukubabiza kanjalo, udokotela wezifo zabesifazane, welapha izifo zesimiso sokuzala sabesifazane . Lokho kusho izinkinga ngesibeletho, ama-ovari, kanye nesitho sangasese sowesifazane (isb., ukungahambi kahle kokuya esikhathini, ama-fibroids esibelethweni). Bagxila nasempilweni yamabele. Ngezinye izikhathi belapha ezinye izinkinga ezilula ngesistimu yomchamo yabesifazane.

• Isazi se-Urogynecologist: Bheka manje, leli gama linamagama athi 'uro' (ahlobene nohlelo lomchamo) kanye nelithi 'gynecological' (ahlobene nohlelo lokuzala lwabesifazane) kulo, akunjalo? Lokhu kusho ukuthi laba ochwepheshe belapha izimo ezihlobene nezingxenye ezithile zemikhakha yodokotela we-urologist kanye nodokotela wezifo zabesifazane. Ukuze kube sobala,Bagxile ezimweni ezibangelwa ubuthakathaka noma ukulimala kwephansi le-pelvic, okwaziwa ngokuthi "i-Pelvic Floor Disorders." Njengodokotela wezifo zabesifazane, belapha izinkinga zephansi le-pelvic ezihlobene nohlelo lokuzala lwabesifazane, futhi njengodokotela wezifo zomchamo, belapha izinkinga ezihlobene nesinye noma umgudu womchamo, ikakhulukazi lezo ezihlobene nephansi le-pelvic.

Cabanga nje, ngezinye izikhathi ababili noma abathathu balaba odokotela bangasebenzisana ukwelapha inkinga yakho.

Nakuba i-urology kanye ne-gynecology bekulokhu kuyimikhakha yezokwelapha iminyaka eminingi, i-urogynecology yaqashelwa njengochwepheshe ohlukile ngo-2011. Ngakho-ke, i-urogynecology, noma eyaziwa ngokusemthethweni ngokuthi i-Female Pelvic Medicine and Reconstructive Surgery (FPMRS), yaqala ukunikeza odokotela isitifiketi ngo-2013.

Hlobo luni lwemfundo oludingayo ukuze ube yi-urogynecologist?

Ukuba uchwepheshe onjengalona akulula. Ngemva kokuphothula esikoleni sezokwelapha, udokotela oqeqeshwayo ukuze abe udokotela wezifo zomchamo kumele aqedele ukuqeqeshwa kokuhlala ku-gynecology noma ku-urology. Ezinye izinhlelo zokuqeqesha zinikeza ithuba lokuthola ukuqeqeshwa kokubili. Ngemva kwalokho, kumele aqedele ukuqeqeshwa kobudlelwane emkhakheni okhethekile obizwa ngokuthi i-Female Pelvic Medicine and Reconstructive Surgery (FPMRS) .

Ngemva kwalokhu kuqeqeshwa kobungcweti, kumele baphumelele nokuhlolwa ukuze babe yi-urogynecologist eqinisekiswe yibhodi.

Kalula nje, ngemva kokuphothula esikoleni sezokwelapha, kufanele ufunde futhi uqeqeshe iminyaka engaba yisikhombisa ukuze ube yi-urogynecologist. Ngakho-ke bangabantu abanolwazi oluningi kulo mkhakha.

Yini ngempela eyenziwa yi-urogynecologist?

Odokotela be-Urogynecologists baxilonga futhi belapha izifo zephansi le-pelvic . Nakuba lezi zinkinga zephansi le-pelvic zingathinta kokubili abesilisa nabesifazane, odokotela be-urogynecologists baphatha kakhulu izimo ezihlobene nokuhlangenwe nakho okuhlukile kwabesifazane. Isibonelo, ukukhulelwa, ukubeletha, kanye nokunqamuka kokuya esikhathini konke kuyizinto eziyingozi zokuthuthukisa izifo zephansi le-pelvic.

Nazi ezinye zezinkinga ezivamile zephansi le-pelvic eziphathwa ngodokotela be-urogynecologists:

• Ukungakwazi ukulawula ukugeleza komchamo: Lokhu ukungakwazi ukulawula ukugeleza komchamo . Kunezindlela eziningana zokwelapha lokhu:
• Ukungakwazi ukuzibamba: Ukulahlekelwa umchamo uma kunomfutho ophakeme wangaphakathi kwesisu, njengalapho ukhwehlela, uthimula, uhleka kakhulu, noma uphakamisa into esindayo.
• `Ukukhuthaza Ukungakwazi Ukulawula Umlomo`:Isifiso esikhulu sokuchama ngokushesha. Ngezinye izikhathi, ungachama ngaphambi kokuthi ugijimele endlini yangasese. Kwenzeka ngokushesha nje lapho uzizwa sengathi udinga ukuhamba.
• Isinyi esisebenza ngokweqile: Ukuvamile (mhlawumbe kanye ngehora), isidingo esiphuthumayo sokuchama. Kungase kudingeke uvuke izikhathi eziningana ebusuku.

• Ukuncipha Kwezitho Zesitho Se ...

• Ukungakwazi Ukulawula Indle: Lapho imisipha yephansi le-pelvic iba buthakathaka, ungase ulahlekelwe ukulawula ukuhamba kwendle yakho futhi uvuza indle ethile ngokungahlosile. Lokhu kungaba ngesikhathi sokuhamba kwendle noma kungaba yindle encane ewuketshezi. Lokhu kubizwa ngokuthi i-Fecal Incontinence.

• Ukungasebenzi Kahle Kwesitho Sangaphansi Kwesitho Sangasese: Lesi simo senzeka lapho imisipha yephansi lesisu elawula ukuchama kanye nokuphuma kwendle ingakwazi ukuhambisana kahle. Lokhu kusho ukuthi imisipha iyaqina uma kufanele iqine, futhi iyaqina uma kufanele ikhululeke. Lokhu kungenza kube nzima ukuchama noma ukukhipha indle (isibonelo, awukwazi ukuchama ngisho noma uzama). Kungabangela nobuhlungu kanye nobuhlungu besisu ngesikhathi socansi.

• I-Vaginal Fistula: Lokhu kwenzeka lapho kwakheka indlela engavamile phakathi kwesitho sangasese sowesifazane kanye nesinye noma i-rectum, kungaba ngenxa yokulimala (isib., ngesikhathi sokubeletha, ukuhlinzwa) noma esinye isimo sezokwelapha. Lokhu kungabangela ukuthi umchamo noma indle ivuze esitho sangasese sowesifazane.

Manje cishe usuyaqonda, akunjalo? Lezi yizinkinga ezingakhululekile, kodwa ezingakhululekile neze. Kodwa khumbula, kunezindlela zokwelapha lokhu.

Yiziphi izindlela zokwelapha ezinikezwa odokotela be-urogynecologist kulezi zimo?

Uma udokotela wezifo zomchamo esekutholile, uzokunikeza ukwelashwa okufanele. Akukho ukwelashwa okulingana nakho konke. Ukwelashwa kuncike ezintweni eziningi, okuhlanganisa uhlobo kanye nobunzima besimo sakho, iminyaka yakho, kanye nempilo yakho iyonke. Nazi ezinye zezindlela zokwelapha abazisebenzisayo:

• Ukukunikeza imithi: Unganikwa imithi yokusiza ukulawula isinye sakho (isib., yesinye esisebenza kakhulu) noma yokulawula ukuhamba kwamathumbu (isib., yokuqunjelwa).
• Ukufakwa kwemishini:Isibonelo, uma unesifo esibizwa ngokuthi "i-POP" noma i-pelvic organ prolapse, ungafakwa idivayisi ebizwa ngokuthi "i-pessary" . Lena idivayisi emise okwendandatho noma enye eyenziwe nge-silicone, irabha, noma ipulasitiki efakwa esithweni sangasese sowesifazane. Ibamba izitho zesitho sangasese sowesifazane endaweni yaso. Lokhu kuyindlela yokwelapha engeyona eyokuhlinzwa.
• Ukuhlinzwa: Ngezinye izikhathi, ikakhulukazi uma ezinye izindlela zokwelapha zingasebenzi noma uma isimo sibi kakhulu, ukuhlinzwa kungadingeka. Lokhu kufaka phakathi ukuhlinzwa okwakha kabusha, okubuyisela izitho ze-pelvic ezikhundleni zazo ezijwayelekile. Ukuhlinzwa kungasiza futhi ngezinkinga zokulawula umchamo (njengesilingi sokungakwazi ukuzibamba ngenxa yokucindezeleka). Lokhu kuhlinzwa kungasebenzisa izicubu zakho kanye nemisipha, noma kufake izinto (njenge- mesh ) ukuqinisa imisipha ye-pelvic ebuthakathaka noma eyonakele.
• Ukuzivocavoca kokuqinisa phansi kwe-pelvic: Cishe uke wezwa ngokuzivocavoca kwe-Kegel . Udokotela we-urogynecologist uzokukhombisa ukuthi ungakwenza kanjani kahle. Ukuzivocavoca kwe-Kegel kuqinisa imisipha yakho ye-pelvic floor. Kufana nokuphakamisa izinsimbi nokwakha imisipha. Ngezinye izikhathi bangase basebenzisane nochwepheshe wezokwelapha ngokomzimba ukuze basebenzise inqubo ebizwa ngokuthi i-biofeedback . I-Biofeedback ikusiza ukuthi uqaphele kakhudlwana lapho imisipha yakho ye-pelvic floor iqina futhi iphumula. Ngale ndlela yokuqonda, ungathola ukulawula okwengeziwe ngale misipha nezenzo ezilawula ukuchama kanye nokuphuma kwendle.
• Ukusikisela izinguquko eziwusizo endleleni yokuphila: Zizokusiza ukuthi ubone futhi ushintshe imikhuba yakho yansuku zonke ebangela izimpawu zakho. Lokhu kungafaka phakathi ukushintsha imikhuba yakho yokudla (isib., ukunciphisa i-caffeine, ukudla okunongwe kakhulu), ukukusiza ukuthi wehlise isisindo, ukuyeka ukubhema, ukwengeza amasu okuphumula, noma ukuhlela ukuya endlini yangasese ukuze wandise kancane kancane isikhathi "ongakwazi" ukubamba umchamo (ukuqeqeshwa kwesinyi).

Kungani kufanele ngibone udokotela wezifo zomchamo? / Ngasiphi isikhathi?

Ungase uthande ukucabanga ngokubona udokotela we-urogynecologist uma unezimpawu ezilandelayo:

• Uma uvuza umchamo noma indle ngephutha .
• Uma uzizwa sengathi udinga ukuchama kaningi kunokujwayelekile .
• Uma uzizwa sengathi udinga ukuchama ngaphambi kokuya endlini yangasese , kusho ukuthi unobunzima bokufika endlini yangasese ngesikhathi.
• Uma uzizwa ugcwele, usinda, noma ukucindezeleka esithweni sakho sangasese sowesifazane noma endaweni yesinqe (njengokungathi kukhona okubhajwe ngaphakathi).
• EyakhoUma uzizwa sengathi kukhona okuhlayo noma okuwayo esithweni sakho sangasese sowesifazane, noma uma uzizwa ngempela into efana naleyo.

Okubalulekile: Ungabi namahloni okukhuluma ngalezi zinkinga. Lezi yizimo abesifazane abaningi abangabhekana nazo, futhi kunezindlela zokwelapha eziphumelelayo. Akudingeki uhlupheke wedwa.

Futhi, ukungalawuleki komchamo kanye nokuwa kwezitho zesitho sangasese kuyizinkinga zomuntu siqu kubantu abaningi. Ngakho-ke, kungaba impumuzo enkulu ukubona udokotela, njengawe, okhathazeke ngendlela efanayo ngohlelo lomzimba wesifazane futhi ongaqonda isimo sakho. Khona-ke, kungakhathaliseki ukuthi siyini isizathu sokubona udokotela, uzozizwa ungesabi futhi ungakhululekile ngenkathi ulinde egumbini lokulinda.

Kwenzekani uma uya kudokotela wezifo zomchamo okokuqala?

Okuhlangenwe nakho kwakho kungahluka kancane kuye ngokuthi kungani ubonana nodokotela wezifo zomchamo, kodwa ezimweni eziningi, lezi yizinto ezenzekayo:

• Udokotela wezifo zomchamo uzokhuluma nawe ngomlando wakho wezokwelapha ophelele . Lokhu kusho izinto ezifana nezifo zangaphambilini, ukuhlinzwa oke wakwenza, imithi oyiphuzayo, nokuthi ngabe kukhona yini emndenini wakho oke waba nezinkinga ezifanayo.
• Bazokubuza ngokuningiliziwe ngezimpawu zakho. Lokhu kusho ukuthi ziqale nini, ukuthi sezinesikhathi esingakanani zikhona, ziba zimbi nini, nokuthi zithinta kanjani impilo yakho (isib., ukuthi ziyaphazamisa yini ikhono lakho lokuhamba noma ukuhlanganyela emisebenzini yomphakathi).
• Bazokwenza ukuhlolwa ngokomzimba . Lokhu kuvame ukufana nokuhlolwa kwe-pelvic. Bazofuna ukubheka eduze izitho nezicubu eziphansi kwe-pelvic yakho, indawo yazo, kanye namandla azo. Bangase bakucele nokuthi ubabonise isitho sakho sangasese noma wenze isivivinyo.

Ngokusekelwe kulokho okutholakele kulezi zivivinyo, zizophakamisa ukwelashwa kwakho, noma zikutshele ukuthi yiziphi ezinye izivivinyo ezidingekayo ukuze kutholakale isifo (isib. izivivinyo zomchamo, izivivinyo ezikhethekile ezifana nezifundo ze-urodynamic).

Yimiphi imibuzo okufanele ngiyibuze udokotela wami we-urogynecologist?

Uma uhlangana nodokotela wakho, ungesabi ukubuza noma yimiphi imibuzo onayo. Uma kukhona ongakuqondi, buza futhi. Nansi eminye imibuzo ongayibuza:

• Yini okungenzeka kakhulu ukuthi iyimbangela yezinkinga zami zephansi le-pelvic?
• Ungakanani umonakalo owenziwe phansi kwe-pelvic yami?
• Yikuphi ukwelashwa ongiphakele khona? Yiziphi izinzuzo kanye nokungalungi kokwelashwa ngakunye?
• Ngingaphinde ngithole amandla angakanani phansi kwe-pelvic yami ngemva kokwelashwa? Ngingalindela ukululama ngokushesha kangakanani?
• Yiziphi izinguquko engingazishintsha empilweni yami yansuku zonke ukuze ngilondoloze ukusebenza kahle kwephansi lami le-pelvic futhi ngivimbele lezi zinkinga ukuthi zingaphinde zivele?
• Ngaphezu kwalezi zindlela zokwelapha, ingabe zikhona izinto ezifana nokuzivocavoca engingakwenza?

Umyalezo wokugcina okufanele uwuthathe uye ekhaya

Asicabangi kakhulu ngemisipha elawula imisebenzi eyisisekelo yomzimba njengokuchama nokukhipha indle, akunjalo? Uma uvuza umchamo ngendlela ongakaze wenze ngayo ngaphambili, noma uma uzizwa ugcwele kakhulu esithweni sakho sangasese, kungaba yinto ecasulayo ngempela, ehlazisayo, futhi ehlukanisa nabantu.

Kodwa odokotela be-urogynecologists bakuqonda kahle lokhu. Banekhono ekuhloleni izinkinga zakho zephansi le-pelvic kanye nokubona izindlela zokwelapha ezingcono kakhulu zokukusiza. Bazokulalela futhi bazame ukuthola ikhambi elingcono kakhulu kuwe. Basebenze nabantu abaningi abaye baba nokuhlangenwe nakho okufanayo. Uma unalezi zinkinga, cela udokotela wakho womndeni ukuthi akuthumele kudokotela we-urogynecologist, noma ungenza i-aphoyintimenti ngokwakho.

Khumbula, asikho isidingo sokufihla lezi zinto bese uhlupheka, into ebaluleke kakhulu ukuthola usizo. Awuwedwa!

I- Urogynecology, Isitezi Se-Pelvic, Ukulawulwa Komchamo, Ukwehla Kwezitho Ze-Pelvic, Impilo Yabesifazane, I-POP, Ukungakwazi Ukuzibamba