Kuvamile ngabesifazane abaningi, ikakhulukazi ngemva kokuba nezingane noma njengoba bekhula, ukuzwa ukungakhululeki nokusinda esiswini esingezansi. Ngezinye izikhathi kuzwakala sengathi "into efana nebhola yehlile" noma "Ngizizwa sengathi ngihleli ebholeni." Nakuba abantu abaningi benamahloni okukhuluma ngokungakhululeki okunjalo, lesi yisimo esingachazwa ngokwezokwelapha. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi i-vaginal prolapse.
Kalula nje, kuyini ukuwohloka kwesitho sangasese sowesifazane?
Cabanga nje, engxenyeni engezansi yesisu sethu, okungukuthi, endaweni ye-pelvic, kunezitho eziningi ezibalulekile. Izinto ezifana nesibeletho, isitho sangasese sowesifazane, isinye, i-rectum. Zonke lezi zitho zibanjwe ezindaweni zazo ezifanele yinethiwekhi eqinile yemisipha nezicubu. Lokhu sikubiza ngokuthi phansi kwe-pelvic. Kufana nokuphakamisa okuthile ngaphansi kwesambulela, lolu hlelo lwemisipha lubamba izitho zethu endaweni yazo.
Ngokuhamba kwesikhathi, ikakhulukazi ngenxa yezici ezifana nokuba nezingane, ukuguga, nokuphakamisa izinsimbi, le misipha yephansi le-pelvic ingaba buthaka kancane kancane. Ngemuva kwalokho, amandla okugcina izitho endaweni ayawa, futhi izitho ziqala ukugoba nokuwa. Lokhu yilokho esikubiza ngokuthi "ukwehla," noma "ukuwa."
Ukuncipha kwesitho sangasese sowesifazane kwenzeka lapho ingxenye engenhla yesitho sangasese sowesifazane iba buthaka bese yehla isuka endaweni yayo evamile iye esitho sangasese sowesifazane. Ngezinye izikhathi lokhu kungaba ukuncipha okuncane kuphela. Ezimweni ezimbi kakhulu, izicubu zesitho sangasese sowesifazane zingase zikhuphuke kakhulu kangangokuthi zibonakale.
Ingabe lokhu kwehla kwamandla kungenzeka ngokulandelana?
Yebo, kunezinhlobo ezahlukene ze-prolapse kuye ngokuthi kwenzeka kuphi nokuthi yisiphi isitho esehlayo. Ngoba uma phansi kwe-pelvic kubuthakathaka, kungathinta hhayi isitho esisodwa kuphela, kodwa nezitho eziningana.
| Uhlobo lwe-Prolapse | Kalula nje, kwenzekani? |
|---|---|
| Ukwehla kwesitho sangasese sowesifazane | Ukuncipha kwesitho sangasese sowesifazane, okuvamile phakathi kwabesifazane abaye bakhishwa i-hysterectomy. |
| Ukwehla kwesibeletho | Isibeletho sehlela esithweni sangasese sowesifazane. Ezimweni ezimbi kakhulu, singase siphume ngisho nasesithweni sangasese sowesifazane. |
| I-Cystocele | Isinyi sisunduzela phambili siye esithweni sangasese sowesifazane. |
| I-Rectocele | Ukuvela kwendunu kuya odongeni lwangemuva lwesitho sangasese sowesifazane. |
| I-Enterocele | Ukwehla kwamathumbu amancane kuya odongeni olungaphezulu lwangemuva lwesitho sangasese sowesifazane. |
Ziyini izimpawu zalesi simo?
Ngezinye izikhathi, uma une-prolapse encane, ungase ungaziboni izimpawu. Kungatholakala kuphela uma udokotela ekuxilonga. Kodwa-ke, abantu abaningi bangase babe nezimpawu ezilandelayo noma ngaphezulu.
- Umuzwa wokusinda, ukugcwala, noma ubuhlungu esiswini esingezansi. Lokhu kungakhululeki kungase kwande njengoba usuku luqhubeka, ngemva kokuma isikhathi eside, ukuphakamisa izinto ezisindayo, noma ukukhwehlela.
- Ukuhlungu obusemhlane .
- Ukuzizwa sengathi kukhona into efana neqhubu noma ibhola ngaphakathi kwesitho sangasese sowesifazane.
- Ukuzizwa sengathi "kukhona okuphuma esithweni sangasese sowesifazane."
- Ukungakwazi ukuzibamba ngomchamo ukulahlekelwa umchamo ngokungenhloso uma ukhwehlela, uhleka, noma uthimula.
- Ukutheleleka njalo komgudu womchamo .
- Ubunzima bokukhipha indle .
- Ubuhlungu noma ukungakhululeki ngesikhathi socansi.
- Ubunzima bokufaka izinto ezifana nama-tampon esithweni sangasese sowesifazane.
Into ebaluleke kakhulu ukungenamahloni noma ungesabi uphawu olufana nalolu. Lesi yisimo esithinta abesifazane abaningi. Into engcono kakhulu ongayenza ukukhuluma nodokotela.
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?
Kunezizathu eziningana ezenza imisipha yephansi le-pelvic esikhulume ngayo ekuqaleni ingase ibe buthakathaka.
- Ukuba nezingane:Imbangela eyinhloko ukubeletha ngesitho sangasese sowesifazane, ikakhulukazi. Ukuba nezingane eziningi, ukubeletha isikhathi eside, noma umntwana onesisindo esingaphezu kwamakhilogremu angu-9 kwandisa ingozi.
- Ukunqamuka Kwesikhashana: Ngokunqamuka Kwesikhashana, ukukhiqizwa komzimba kwe-hormone i-estrogen kwehla. Le hormone i-estrogen ibaluleke kakhulu ekugcineni imisipha yephansi le-pelvic iqinile. Ngakho-ke lapho amazinga e-estrogen ehla, le misipha ingaba buthaka.
- Ukuhlinzwa: Abesifazane abaye bakhishwa i-hysterectomy basengozini enkulu yokuncipha kwesitho sangasese sowesifazane.
- Ukuguga: Njengoba imisipha iba buthaka ngokwemvelo ngokuguga, ingozi yalesi simo iyanda.
- Ukuphakamisa okunzima njalo: Ukuphakamisa izinto ezisindayo njalo (njengamabhakede amanzi, amasilinda egesi) kungabeka ingcindezi eqhubekayo phansi kwe-pelvic futhi kunciphise imisipha.
- Ezinye izimbangela: Ukukhuluphala ngokweqile, ukucindezeleka njalo ngenxa yokuqunjelwa, kanye nokukhwehlela okungapheli okubangelwa izifo ezifana ne-asthma nakho kungabeka ingcindezi phansi kwe-pelvic futhi kuholele kulesi simo.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kwalokhu kuncike ezintweni eziningi, okuhlanganisa iminyaka yakho, ubucayi besimo, impilo yakho jikelele, nokuthi uhlela ukuba nezingane noma ukuzibandakanya ocansini esikhathini esizayo. Ngakho-ke kubalulekile ukukhuluma ngokukhululekile ngalokhu nodokotela wakho.
Ukwelashwa kungahlukaniswa izingxenye ezimbili eziyinhloko.
1. Ukwelashwa okungekona ukuhlinzwa
Lokhu ngokuvamile kuyindlela yokuqala yokwelapha esetshenziswayo uma isimo singesibi kakhulu.
- Ukuzivocavoca kwe-Kegel: Lokhu kubaluleke kakhulu futhi kulula kakhulu. Lokhu kuqinisa imisipha yephansi le-pelvic. Qinisa imisipha ezungeze isitho sangasese sowesifazane kanye ne-anus njengokungathi uvimba ukugeleza komchamo , ubambe imizuzwana embalwa, bese uphumula kancane. Ungakwenza lokhu izikhathi eziningana ngosuku, cishe izikhathi eziyi-10 ngesikhathi. Ungakwenza lokhu noma kuphi, nganoma yisiphi isikhathi.
- I-pessary yesitho sangasese sowesifazane: Lena idivayisi encane, emise okwendandatho eyenziwe ngerabha noma ipulasitiki. Udokotela uzokukhetha usayizi ofanele wena bese ewufaka esitho sangasese sowesifazane. Ihlinzeka ngokusekelwa kwezitho zakho zangasese ezingezansi futhi izigcine ziphakeme. Kufanele ihlanzwe njalo futhi isuswe ngaphambi kocansi.
2. Ukwelashwa ngokuhlinzwa
Uma isimo sibi kakhulu noma ezinye izindlela zokwelapha zingaphumeleli, udokotela wakho angase akuncome ukuhlinzwa.
- Ukumiswa kwe-vaginal vault: Lokhu kuhlinzwa kuhilela ukunamathisela isitho sangasese sowesifazane esiphansi emisiphakeni eqinile ngaphakathi kwe-pelvis bese uyiphakamisa.
- I-Sacrocolpopexy:Lokhu kuhilela ukuphakamisa isitho sangasese sowesifazane kusetshenziswa i-mesh yokwenziwa bese uyinamathisela ethanjeni eliphansi kakhulu emgogodleni. Lokhu kuvame ukwenziwa nge-laparoscopically ngokusebenzisa ukusikwa okuncane okuningana esiswini.
- I-Colpocleisis: Lokhu kuhilela ukuthunga isitho sangasese sowesifazane sivalwe. Ingozi yokuthi i-prolapse iphinde ivele ngemva kwalokhu kuhlinzwa iphansi kakhulu. Kodwa-ke, awukwazi ukuya ocansini ngesitho sangasese sowesifazane ngemva kwalokhu kuhlinzwa . Ngakho-ke, kufanele ukhulume nodokotela wakho ngaphambi kokwenza isinqumo ngalokhu.
Yini esingayenza ukuvimbela lesi simo?
Nakuba kungenakuvinjelwa ngokuphelele, kunezinto eziningana esingazenza ukuze sinciphise ingozi.
- Yenza izivivinyo zeKegel njalo.
- Ukugcina isisindo esinempilo .
- Gwema ukubhema (ukubhema kungabangela ukukhwehlela futhi kwandise ingcindezi phansi kwe-pelvic).
- Sebenzisa ukuma okufanele lapho uphakamisa izisindo . Gcina umhlane wakho uqondile futhi ugobe amadolo akho lapho uphakamisa izisindo. Ungajiki bese uphakamisa izisindo zonke ngesikhathi esisodwa.
- Yidla ukudla okucebile nge-fiber futhi uphuze amanzi amaningi ukuze uvimbele ukuqunjelwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukwehla kwesitho sangasese sowesifazane kuyisimo esivamile kwabesifazane, ngakho-ke ungabi namahloni noma wesabe ukukhuluma ngakho.
- Uma unezimpawu ezifana nobunzima esiswini esingezansi, umuzwa wokuthi kukhona okuphuma esithweni sangasese sowesifazane, noma ubunzima bokulawula umchamo, qiniseka ukuthi ubona udokotela.
- Ukwenza izivivinyo zeKegel kuyasiza kakhulu ekuvimbeleni nasekulawuleni lesi simo.
- Kunezindlela eziningi zokwelapha ezisebenzayo zalokhu. Ungakhuluma nodokotela wakho ukuze akukhethele ukwelashwa okukulungele.
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