Ingabe ngezinye izikhathi uzizwa usinda, ukucindezeleka, noma umuzwa wokudonsa esithweni sakho sangasese sangasese? Abanye abantu bangase bazizwe sengathi kukhona okuphuma esithweni sakho sangasese sangasese, noma sengathi ibhola elincane lihleli phezu kwaso. Lesi simo singabangela nobuhlungu besisu esingezansi kanye nobuhlungu bomhlane. Empeleni lesi yisimo esivamile esithinta abesifazane abaningi. Ngakho-ke, ake sixoxe ngakho ngokuningiliziwe namuhla.

Kuyini i-Vaginal Prolapse?

Kalula nje, i-vaginal prolapse yilapho ingxenye engenhla yesitho sakho sangasese sowesifazane, ingxenye engenhla yesitho sakho sangasese sowesifazane, yehla isuka endaweni yayo evamile. Uyazi, isitho sakho sangasese sowesifazane siyisakhiwo esifana nomhubhe esixhumanisa isibeletho sakho nesitho sakho sangasese sowesifazane. Lapho le ngxenye engenhla yesitho sakho sangasese sowesifazane iba buthaka, ilahlekelwa ukwesekwa kwayo yizitho ezingaphezulu kwayo, futhi lezo zitho ziqala ukuwela esitho sakho sangasese sowesifazane. Yilapho uzizwa sengathi usesigabeni noma okuthile.

I-pelvis yethu iyikhaya lezitho ezibalulekile eziningana, okuhlanganisa isitho sangasese sowesifazane, isibeletho, isinye, kanye ne-rectum. Zonke lezi zitho zibanjwe uhlelo oluqinile lokusekela olwakhiwe yimisipha nezinye izicubu ezibizwa ngokuthi i-pelvic floor. Njengoba nje isambulela singabamba izinto phezulu uma siphendulelwe phansi, i-pelvic floor nayo ibamba izitho zethu phezulu. Kodwa-ke, ngokuhamba kwesikhathi, noma ngezinye izizathu, lolu hlelo lokusekela lungaba buthaka. Uma lokhu kwenzeka, izitho ziqala ukugoba. Yilokhu esikubiza ngokuthi i-prolapse .

Lokhu kubola kungaba yinto encane noma enkulu. Ukubola okuncane kubizwa ngokuthi i-incomplete prolapse . Ku-major prolapse, okungukuthi, i-complete prolapse , isitho singase sehle kakhulu futhi ngezinye izikhathi siphume ngisho nangomngxuma wesitho sangasese sowesifazane. Lesi yisimo esibucayi ngandlela thile.

Ukwehla kwesitho sangasese sowesifazane kungabangela izimpawu ezibuhlungu. Ukwehla kwesitho sangasese sowesifazane okuncane kuya kokuphakathi kungase kungadingi ukuhlinzwa. Kodwa-ke, ezimweni ezimbi kakhulu, ukuhlinzwa kungadingeka ukuze kulungiswe.

Ingabe kunezinhlobo ezahlukene ze-prolapse?

Yebo, kuyiqiniso ukuthi izitho ezahlukahlukene emgodini wethu wesinqe zingawohloka. Amagama anikezwe lesi simo ayahlukahluka kuye ngesitho esiwohloka. Ake sibheke izinhlobo eziyinhloko:

• Ukuncipha kwesitho sangasese sowesifazane noma ukuncipha kwesitho sangasese sowesifazane: Lokhu kwenzeka lapho ingxenye ephezulu yesitho sangasese sowesifazane (isitho sangasese sowesifazane) iwela emgodini wesitho sangasese sowesifazane. Lesi simo sivame ukubonakala kwabesifazane abaye bakhishwa isisu.
• Ukwehla kwesibeletho: Lokhu kwenzeka lapho isibeletho singena esithweni sangasese sowesifazane. Kwezinye izimo ezinzima, isibeletho singaphuma ngomngxuma wesibeletho sowesifazane. Lokhu kungazwakala sengathi izicubu zesibeletho ziyakhuhla ezingutsheni.
• Ukuwa kwesinyi (i-Cystocele): Yilapho isinyi sakho singena khona esithweni sangasese sowesifazane.
• I-Urethrocele: Kulesi simo, i-urethra, ipayipi elithwala umchamo lisuka kwesinye, liphonswa lingene esithweni sangasese sowesifazane.
• I-Rectocele: Ingxenye yokugcina yamathumbu akho amakhulu, i-rectum, iphuma odongeni lwangemuva lwesitho sakho sangasese sowesifazane.
• I-Enterocele: Lokhu kwenzeka lapho ingxenye yamathumbu amancane iphuma odongeni lwangemuva lwesitho sangasese sowesifazane.

Kuvame kangakanani ukwehla kwe-vaginal prolapse?

Lesi simo empeleni sivame kakhulu kunalokho ongakucabanga. Abesifazane abangaphezu kwengxenye yesithathu bazobhekana nohlobo oluthile lokuwa kwezitho ze-pelvic esikhathini esithile empilweni yabo. Kungenzeka kakhulu ukuthi ube nalesi simo njengoba ukhula, ikakhulukazi uma uke wabeletha kaningi ngesitho sangasese sowesifazane.

Ngingazi kanjani ukuthi nginalesi simo?

Ngezinye izikhathi ungase ungazi nokuthi unalesi simo, ikakhulukazi uma i-prolapse incane. Ezimweni ezinjalo, udokotela wakho angase ayithole ngesikhathi sokuhlolwa okuvamile kwe-pelvic. Kodwa-ke, abanye abantu abaqapheli kuze kube yilapho izicubu ziphuma esithweni sangasese sowesifazane. Abanye bangase bezwe ubuhlungu noma umuzwa wokuthi kukhona okuphezu kwabo.

Ingabe lokhu kwehla kuzothinta ezinye izingxenye zomzimba?

Yebo, akusiyona nje kuphela indawo yesitho sangasese sowesifazane, kodwa nezinye izitho eziningana emgodini we-pelvic ezingaphuma endaweni yazo. Kuye ngohlobo lwe-prolapse onayo kanye nobunzima bayo, ezinye izitho eziseduze nazo zingathinteka. Isibonelo, izinkinga ngezinso, i-urethra, kanye ne-rectum zingavela. Njengoba lokhu prolapse kungabangela ezinye izinkinga, kubaluleke kakhulu ukubona udokotela bese uhlolwa.

Ziyini izimpawu zokuncipha kokuzala kwesitho sangasese sowesifazane?

Izimpawu zalesi simo zingahluka kumuntu nomuntu. Nazi ezinye zezimpawu ezivamile:

• Umuzwa wokugcwala, ukusinda, noma ubuhlungu endaweni ye-pelvic. Lo muzwa ungakhula njengoba usuku luqhubeka, lapho umi, uphakamisa, noma ukhwehlela.
• Ubuhlungu obuphansi emhlane.
• Ukuzwa sengathi kukhona iqhubu esithweni sangasese sowesifazane.
• Umuzwa wokuthi kukhona okuphuma esithweni sangasese sowesifazane.
• Ukungakwazi ukuzibamba komchamo .
• Ukutheleleka njalo komgudu womchamo.
• Ubunzima bokukhipha indle (ukuqunjelwa).
• Ukungakhululeki noma ubuhlungu ngesikhathi socansi.
• Ubunzima bokufaka izinto ezifana nama-tampon esithweni sangasese sowesifazane.

Kuzwakala kanjani uma isitho sangasese sowesifazane sehlisiwe?

Uma i-prolapse incane kakhulu, abanye abantu bangase bangaboni lutho. Ezimweni ezinjalo, udokotela wezifo zabesifazane uzoyithola ngesikhathi sokuhlolwa okuvamile. Kodwa-ke, uma iphansi kakhulu, ingase izwakale sengathi ibhola lilenga esithweni sangasese sowesifazane, noma ingase ibangele ubuhlungu ngesikhathi sokuchama noma ucansi.

Yiziphi izimbangela zokuncipha kwesisu?

Njengoba sesixoxile ngaphambili, isitho sethu sangasese sibanjwe uhlelo lokusekela olwakhiwe yimisipha nezinye izicubu. Ngokuhamba kwesikhathi, lolu hlelo lokusekela luyaba buthaka. Yilapho isitho sangasese sangasese siqala ukushelela endaweni yaso bese siwa. Kunezizathu eziningana eziyinhloko zalokhu:

• Ukubeletha: Le ngozi iphakeme, ikakhulukazi uma uke wabeletha kaningi ngesitho sangasese sowesifazane, wabeletha isikhathi eside, noma wakhulelwa umntwana omkhulu (ongaphezu kwamakhilogremu angu-12).
• Ukunqamuka Kwesikhathi: Ngesikhathi sokunqamuka kokuya esikhathini, ama-ovari akho ayayeka ukukhiqiza ama-hormone alawula umjikelezo wakho wokuya esikhathini wanyanga zonke. I-estrogen ibaluleke kakhulu kula ma-hormone , njengoba isiza ukugcina imisipha yakho ye-pelvic iqinile. Lapho amazinga e-estrogen emzimbeni wakho ehla, imisipha yakho ye-pelvic iba buthaka futhi kungenzeka ukuthi iphele.
• Ukuhlinzwa: Uma uke wahlinzwa nge-hysterectomy, usengozini enkulu yokuncipha kwesitho sangasese sowesifazane.
• Ukuguga: Ingozi yokuthola lesi simo iyanda njengoba iminyaka ikhula.
• Umsebenzi womzimba owedlulele noma ukuphakamisa okunzima: Cabanga ngokuthi omama nobabekazi bethu baphakamisa isisindo esingakanani lapho benza imisebenzi yasekhaya, bephethe amanzi, noma bephakamisa izingodo ezinkulu ukuze basebenzise isitofu sezinkuni. Uma uphakamisa okunzima ngokuzikhandla okukhulu kangaka, imisipha yakho ye-pelvic ingaba buthaka futhi izitho zakho zomzimba zingawa.
• Izici zofuzo noma zofuzo: Uhlelo lokusekela i-pelvic lwabanye abantu lungase lube buthaka kancane kusukela ekuzalweni.

Ngaphezu kwalokho, eminye imisebenzi nezimo ezibeka ingcindezi eyengeziwe emgodini wesisu nazo zingabangela lokhu kwehla. Izibonelo:

• Ukungagcini isisindo somzimba esinempilo.
• Ukuphakamisa okunzima njalo.
• Ukucindezela ngokweqile ngesikhathi sokuhamba kwamathumbu.
• Ukuba nokukhwehlela okuqhubekayo (lokhu kuvamile kubantu abane-asthma noma izifo zokuphefumula).

Ukubona kanjani ukuwohloka kwesitho sangasese sowesifazane?

Lesi simo sivame ukutholakala ngudokotela wezifo zabesifazane. Udokotela uzokubuza ngezimpawu zakho, njengobuhlungu be-pelvic kanye nokungakwazi ukuzibamba ngomchamo. Bangase bakubuze nangomlando wakho wokuzalwa wangaphambilini. Ezimweni eziningi, udokotela angabona ukuthi une-prolapse ngesikhathi sokuhlolwa ngokomzimba noma ngokubheka isitho sakho sangasese sowesifazane.

Ngezinye izikhathi ungase ungabi nazimpawu, futhi udokotela uzozithola kuphela ngesikhathi sokuhlolwa okuvamile kwe-pelvic.

Uma unenkinga yokuchama, udokotela wakho angase akucele ezinye izivivinyo zokuhlola ukusebenza kwesinyi sakho. Angase akucele futhi ukuthi uhlolwe nge-MRI (Magnetic Resonance Imaging) noma i-pelvic ultrasound ukuze uthole umbono ongcono wezinye izitho ezisesinqeni sakho se-pelvic.

Lokhu kwehla kuvame ukwenzeka eminyakeni emingaki?

Ukwehla kwesitho sangasese sowesifazane kungenzeka kakhulu ngemva kokunqamuka kokuya esikhathini kanye nangemva kokubeletha okuningana ngokwemvelo. Kuvame kakhulu kwabesifazane abangaphezu kweminyaka engu-50, kodwa kungenzeka kunoma yimuphi ubudala.

Indlela yokwelapha i-prolapse yesitho sangasese sowesifazane?

Izinketho zokwelapha ziyahlukahluka kuye ngokuthi ukucindezeleka kwakho kubucayi kangakanani. Ngezinye izikhathi, udokotela wakho angase anqume ukukuqapha isikhashana ukuze abone ukuthi isimo sakho siba sibi yini.

Kukhona kokubili izindlela zokwelapha ezingadingi ukuhlinzwa kanye nezindlela zokwelapha ngokuhlinzwa. Lapho edala uhlelo lokwelashwa, udokotela uzocabangela izici eziningana:

• Impilo yakho iyonke nokuthi ngabe unezinye izifo ezinkulu.
• iminyaka yakho.
• Ubunzima bokwehla.
• Unethemba lokuba nezingane esikhathini esizayo?
• Ukuthi ulindele yini ukwenza ucansi lwesitho sangasese sowesifazane (ucansi olungena ngaphakathi) esikhathini esizayo.

Kubaluleke kakhulu ukukhuluma ngokukhululekile nangokwethembeka nodokotela wakho ngalezi zindaba. Uma unemibuzo noma ukukhathazeka mayelana nalokhu kwelashwa, xoxa ngakho nodokotela wakho.

Ukwelashwa okungadingi ukuhlinzwa

Lezi ngokuvamile yizinto zokuqala ongazizama. Zisebenza kahle ekucindezelekeni okuncane kuya kokuphakathi.

• Ukuzivocavoca: Kunezivivinyo ezikhethekile ezingaqinisa imisipha yephansi le-pelvic, lezi zibizwa ngokuthi izivivinyo ze-Kegel . Nansi indlela yokuzenza: Qinisa imisipha yakho ye-pelvic njengokungathi uzama ukuvimba ukugeleza komchamo. Bamba imizuzwana embalwa bese uyidedela. Yenza lokhu cishe izikhathi eziyi-10 zilandelana. Ungenza lezi zivivinyo cishe izikhathi ezine ngosuku, futhi ingxenye engcono kakhulu ukuthi ungakwenza noma kuphi, ngisho noma uhleli.
• I-pessary yesitho sangasese sowesifazane: ​​Lena idivayisi evame ukufana ne-donut encane yepulasitiki noma yerabha. Ifakwa ngaphakathi kwesitho sangasese sowesifazane. Isebenza njengesisekelo futhi isiza ukugcina izitho zisendaweni yazo. Udokotela wakho uzokhetha i-pessary ekufanele futhi ayifake. Kufanele ihlanzwe njalo futhi isuswe ngaphambi kokuya ocansini.

Ukwelashwa ngokuhlinzwa

Uma i-prolapse inzima, ukuhlinzwa kungenziwa ukuze kulungiswe. Nazi ezinye izinketho:

• Ukumiswa kwe-vaginal vault: Lokhu kuhilela ukunamathisela isitho sakho sangasese sowesifazane emigudwini esesinqeni esisisiza ukuba siphakame.
• I-Sacrocolpopexy: Kulokhu kuhlinzwa, isakhiwo esifana ne-mesh sinamathele esithweni sakho sangasese sowesifazane futhi siboshwe ethanjeni lomsila, ithambo eliphansi kakhulu emgogodleni wakho. Lokhu kunikeza ukwesekwa okungcono kwesitho sakho sangasese sowesifazane. Lokhu kuhlinzwa kwenziwa ngokusikwa okuncane esiswini sakho, kusetshenziswa indlela yokuhlinzwa engangenisi kakhulu ebizwa ngokuthi i-laparoscopy .
• I-Colpocleisis:Lokhu kuhlinzwa kuhilela ukuthunga nokuvala isitho sangasese sowesifazane. Enye inzuzo yalokhu kuhlinzwa ukuthi ingozi yokuphinda ivele incane kakhulu. Kodwa-ke, ucansi olungena ngaphakathi alunakwenziwa ngesitho sangasese sowesifazane ngemva kwalokhu kuhlinzwa.

Kwenzekani uma lokhu kwehla kungaphathwa?

Uma i-prolapse yesitho sangasese sowesifazane ingelashwa, lesi simo singaba sibi kakhulu. Ngaphezu kokwanda kobuhlungu, singaholela nasezilondeni zesitho sangasese sowesifazane, ezifweni, kanye nengozi eyengeziwe yokulimala kwezinye izitho esithweni sangasese sowesifazane.

Ngakho-ke uma unalezi zimpawu, kungcono ukufuna iseluleko sezokwelapha ngaphandle kokuba namahloni noma ukwesaba.

Ungakwazi yini ukusunduza into ethile phansi ngesandla sakho?

Cha, awukwazi ukusunduza isitho sangasese sowesifazane esivele siphumile wedwa. Lokhu kufanele kwelashwe udokotela kuphela. Ungase uzizwe uphansi kancane, futhi kungase kudingeke ukuthi usisunduze kancane ukuze ukhulule noma uchame. Kodwa lokhu kungokwesikhashana nje futhi ngeke kuyilungise unomphela inkinga.

Ingabe ukwehla kwesisu kungavinjelwa?

Nakuba kungenzeki njalo ukuvimbela lokhu, kunezindlela ezithile zokuphila ezinhle ongazisebenzisa ukuze unciphise ingozi yokwehla kwesitho sangasese sowesifazane:

• Ukuzivocavoca njalo (ikakhulukazi ukuzivocavoca kweKegel ).
• Ukugcina isisindo somzimba esinempilo kanye nokudla okunempilo.
• Ukungabhemi (ukubhema kungandisa ukukhwehlela, okubeka ingcindezi phansi kwe-pelvic).
• Ukusebenzisa ukuma okufanele lapho uphakamisa izinsimbi.

Yiziphi izindawo zokuphakamisa ezifanele? Zisiza kanjani ukuvimbela ukuwa?

Uma uphakamisa into esindayo, imisipha yakho ingasebenza kakhulu. Lokhu kucindezeleka kungaholela ekuqhekekeni kwezitho ze-pelvic. Ngokulandela lawa macebiso ambalwa, unganciphisa ingozi:

• Ungaphakamisi izinto ezisindayo wedwa: ​​Uma kufanele uphakamise into enesimo esingajwayelekile noma esindayo kakhulu, cela usizo kothile.
• Hlola izinyawo zakho: Ngaphambi kokuphakamisa noma yini, hlola ukuthi izinyawo zakho ziqinile phansi.
• Phakamisa ngemilenze yakho: Uma uphakamisa into engaphansi kwesinqe sakho, gcina umhlane wakho uqondile bese ugoba emadolweni nasemaqakaleni akho. Ungagobi phambili esinqeni, gcina amadolo akho eqondile.
• Gcina izinyawo zakho zibanzi: Uma uphakamisa okuthile, gcina izinyawo zakho zihlukene futhi ziqine phansi.
• Ungajiki noma uphendukezele lapho uphakamisa: Qiniseka ukuthi uqondisa amadolo akho kancane futhi ngokulinganayo. Ungaphakamisi umthwalo ngokunyakaza okujikijelayo.
• Hambisa into ngaphambi kokuphakamisa: Uma uphakamisa into etafuleni, yidonsele eceleni kwetafula ukuze uyibambe eduze komzimba wakho.
• Gcina umthwalo useduze nomzimba wakho: Goba izingalo zakho, qinisa imisipha yesisu sakho, bese ugcina into oyiphakamisayo iseduze nesikhungo somzimba wakho.
• Ukwehlisa umthwalo kwenziwa ngendlela efanayo nokuwuphakamisa:Ukuze wehlise umthwalo, kufanele ugcine imilenze yakho ihlukene, uqinise imisipha yesisu sakho, bese ugoba ezinqeni nasemadolweni.

Ingabe ukuvuvukala kwesitho sangasese sowesifazane kuphinde kuvele?

Yebo, ukuncipha kokuzala kwesitho sangasese sowesifazane kungaphinde kuvele ngemva kokwelashwa. Kodwa-ke, izinhlelo eziningi zokwelapha ziphumelela kakhulu. Uma uke waba nokuncipha kokuzala okuningi noma ukuncipha okukhulu kokuzala, udokotela wakho uzokhuluma nawe ngezinketho zokuhlinzwa.

Yiliphi igama lokugcina mayelana nokuphuma kwesitho sangasese sowesifazane?

Ezimweni eziningi, i-vaginal prolapse ingelashwa ngempumelelo. Ukwelashwa kanye nezinguquko zendlela yokuphila kuvame ukusebenza kahle. Khuluma nodokotela wakho ngazo zonke izinketho zakho zokwelapha nokuthi inketho ngayinye ingakuthinta kanjani. Udokotela wakho angakusiza futhi ukuthi uhlakulele imikhuba emihle yokuphila ezosiza ekunciphiseni ingozi yakho ye-vaginal prolapse esikhathini esizayo.

Kufanele ngimbone nini udokotela?

Uma unezinye zezimpawu ezilandelayo, bona udokotela ngokushesha:

• Umuzwa wokugcwala esithweni sangasese sowesifazane, noma umuzwa wokuthi ubhekene nebhola.
• Ukuzwa sengathi kukhona iqhubu noma into efana nefindo eliphuma esithweni sangasese sowesifazane.
• Ubuhlungu emhlane ongezansi noma endaweni ye-pelvic.
• Ukudinga ukuchama kaningi kunokujwayelekile.
• Ubuhlungu ngesikhathi socansi.
• Ukopha okungajwayelekile kwesitho sangasese sowesifazane.

Ungavumeli izimpawu zokuncipha kokuzala kwesitho sangasese sowesifazane ziphazamise impilo yakho yansuku zonke. Nakuba lesi kungesona isimo esibucayi, singabangela izinkinga uma singelashwa noma siba sibi kakhulu.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke ake sikukhumbuze amaphuzu abaluleke kakhulu kulokho esikhulume ngakho namuhla.

• Ukuwa kwesitho sangasese sowesifazane kuwukwehla kwesitho sangasese sowesifazane kanye nezitho ezihlobene naso ngenxa yobuthakathaka bemisipha yephansi le-pelvic.
• Izimbangela eziyinhloko zalokhu zingafaka phakathi ukubeletha, ukunqamuka kokuya esikhathini, ukuguga, ukuphakamisa izinsimbi, kanye nokuhlinzwa okuthile.
• Izimpawu zingase zihlanganise umuzwa wokuthi kukhona okuphuma esithweni sangasese sowesifazane, ukusinda, ubuhlungu emhlane, kanye nezinkinga zomchamo.
• Uma unezimpawu ezinjengalezi, ungabi namahloni noma wesabe, bona udokotela.
• Lesi simo singelashwa ngempumelelo ngokwelashwa okungadingi ukuhlinzwa okufana nokuzivocavoca kwe-Kegel kanye nama-pessary, kanye nokuhlinzwa uma kudingeka.
• Indlela yokuphila enempilo nokusebenzisa ukuma okufanele lapho uphakamisa izinsimbi kungasiza ekunciphiseni le ngozi.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo mayelana nalokhu, qiniseka ukuthi ukhuluma nodokotela.

Ukuncipha Kwemisipha Yabesifazane , Isitezi Se-Pelvic, Ukuncipha Kwemisipha Yabesifazane, Impilo Yabesifazane, Ukuzivocavoca kwe-Kegel, I-Gynecology