Ukuqhuma kwesibeletho

Ukuqhuma kwesibeletho kwenzeka lapho isibeletho (isibeletho) sehla bese sicindezela endaweni yesitho sangasese sowesifazane.

Imisipha, imisipha, nezinye izakhiwo kubamba isibeletho esithangeni. Uma lezi zicubu zibuthakathaka noma zeluliwe, isibeletho siwela emgodini wesitho sangasese sowesifazane. Lokhu kubizwa ngokuthi yi-prolapse.

Lesi simo sivame kakhulu kwabesifazane abaye bazala umuntu oyedwa noma ngaphezulu esithweni sangasese.

Ezinye izinto ezingadala noma ziholele ekuqhumeni kwesibeletho zifaka:

• Ukuguga okujwayelekile
• Ukuntuleka kwe-estrogen ngemuva kokunqamuka kokuya esikhathini
• Izimo ezifaka ingcindezi emisipheni ye-pelvic, njengokukhwehlela okungapheli nokukhuluphala
• Isimila se-pelvic (esingavamile)

Ukuzikhandla okuphindaphindiwe ukuze unyakaze amathumbu ngenxa yokuqunjelwa isikhathi eside kungenza inkinga ibe yimbi kakhulu.

Izimpawu zingafaka:

• Ingcindezi noma ubunzima esinqeni noma esithweni sangasese
• Izinkinga ngokuya ocansini
• Ukuvuza umchamo noma isifiso esingazelelwe sokukhipha isinye
• Ubuhlungu beqolo obuphansi
• Isibeletho nomlomo wesibeletho oqhamuka ekuvulekeni kwesitho sangasese sowesifazane
• Ukutheleleka okuphindaphindiwe kwesinye
• Ukopha kwesitho sangasese sowesifazane
• Ukwanda kokukhishwa kwesitho sangasese sowesifazane

Izimpawu zingase zibe zimbi kakhulu uma umile noma uhlala isikhathi eside. Ukuzivocavoca noma ukuphakamisa nakho kungenza izimpawu zibe zimbi kakhulu.

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa kwe-pelvic. Uzocelwa ukuthi ubekezele sengathi uzama ukuxosha ingane. Lokhu kukhombisa ukuthi isibeletho sakho sehle kangakanani.

• Ukuqubuka kwesizalo kumnene lapho umlomo wesibeletho wehlela engxenyeni engezansi yesitho sangasese sowesifazane.
• Ukuqhuma kwesibeletho kuyalingana lapho umlomo wesibeletho uphuma ekuvulekeni kwesitho sangasese sowesifazane.

Ezinye izinto ukuhlolwa kwesisu kungakhombisa yilezi:

• Isinye nodonga olungaphambili lwesitho sowesifazane sangasese singena ngaphakathi esithweni sangasese (i-cystocele).
• Udonga olungunxande nolungasemuva lwesitho sowesifazane (i-rectocele) lungena ngaphakathi esithweni sangasese.
• I-urethra nesinye kuncane esikhaleni kunokujwayelekile.

Awudingi ukwelashwa ngaphandle kokuthi ukhathazwe yizimpawu.

Abesifazane abaningi bazothola ukwelashwa ngesikhathi isibeletho sehla siye ekuvulekeni kwesitho sangasese sowesifazane.

IZINGUQUKO ZOKUPHILA

Okulandelayo kungakusiza ulawule izimpawu zakho:

• Yehlisa isisindo uma ukhuluphele.
• Gwema ukuphakamisa okunzima noma ukuhlunga.
• Thola ukwelashwa ukukhwehlela okungapheli. Uma ukukhwehlela kwakho kungenxa yokubhema, zama ukuyeka.

IZINYONI ZESILWANYANA

Umhlinzeki wakho angancoma ukuthi kufakwe insimbi enjoloba noma ipulasitiki, esithweni sangasese. Lokhu kubizwa ngokuthi i-pessary. Lo mshini ubamba isibeletho endaweni yaso.

I-pessary ingasetshenziselwa isikhathi esifushane noma isikhathi eside. Idivayisi ilungiselelwe isitho sakho sangasese. Amanye ama-pessaries afana ne-diaphragm esetshenziselwa ukulawula ukubeletha.

Ama-pessaries kufanele ahlanzwe njalo. Kwesinye isikhathi zidinga ukuhlanzwa ngumhlinzeki. Abesifazane abaningi bangafundiswa ukufaka, ukuhlanza nokususa ipessary.

Imiphumela emibi yama-pessaries ifaka:

• Ukukhishwa okunuka kabi esithweni sangasese
• Ukucasulwa kolwelwesi lwesitho sangasese sowesifazane
• Izilonda esithweni sangasese
• Izinkinga ngokuya ocansini okuvamile

UKUHLINZA

Ukuhlinzwa akufanele kwenziwe kuze kube yilapho izimpawu ze-prolapse zimbi kakhulu kunezingozi zokuhlinzwa. Uhlobo lokuhlinzwa luzoncika ku:

• Ubunzima bokuqhuma
• Izinhlelo zowesifazane zokukhulelwa esikhathini esizayo
• Iminyaka yowesifazane, impilo, nezinye izinkinga zezokwelapha
• Isifiso sowesifazane sokugcina ukusebenza kwesitho sangasese sowesifazane

Kunezinqubo ezithile zokuhlinzwa ezingenziwa ngaphandle kokususa isibeletho, njengokulungiswa kwe-sacrospinous. Le nqubo ifaka phakathi ukusebenzisa imigqa eseduzane ukuxhasa isizalo. Ezinye izinqubo ziyatholakala.

Imvamisa, i-hysterectomy yesitho sangasese sowesifazane ingenziwa ngasikhathi sinye njengenqubo yokulungisa ukuqhuma kwesibeletho. Noma yikuphi ukuxegiswa kwezindonga zesitho sangasese sowesifazane, umchamo, isinye, noma i-rectum kungalungiswa ngokuhlinzwa ngasikhathi sinye.

Iningi labesifazane abane-uterine prolapse emnene abanazo izimpawu ezidinga ukwelashwa.

Ama-pessaries wesitho sangasese sangasese angasebenza kubantu besifazane abaningi abane-uterine prolapse.

Ukuhlinzwa kuvame ukuhlinzeka ngemiphumela emihle kakhulu. Kodwa-ke, abanye besifazane bangadinga ukuthola ukwelashwa futhi ngokuzayo.

Isilonda nokutheleleka komlomo wesibeletho nezindonga zangasese kungenzeka ezimweni ezinzima zokuqhuma kwesibeletho.

Ukutheleleka ngomgudu womchamo nezinye izimpawu zomchamo kungenzeka ngenxa ye-cystocele. Ukuqunjelwa kanye nama-hemorrhoids kungenzeka ngenxa ye-rectocele.

Shayela umhlinzeki wakho uma unezimpawu zokuqhuma kwesibeletho.

Ukuqinisa imisipha ye-pelvic usebenzisa izivivinyo zeKegel kusiza ukuqinisa imisipha futhi kunciphise ubungozi bokuqhamuka kwesibeletho.

Ukwelashwa kwe-Estrogen ngemuva kokunqamuka kokuya esikhathini kungasiza ngethoni yemisipha yesitho sangasese sowesifazane.

Ukuphumula kwe-pelvic - ukuqhuma kwesibeletho; I-hernia ephansi kwe-pelvic; Isibeletho esinyukile; Ukungavumelani - ukuqhuma

• I-anatomy yokuzala yabesifazane
• Isibeletho

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UMagowan BA, u-Owen P, u-Thomson A.Umzimba we-pelvic uyaqhuma. Ku: Magowan BA, Owen P, Thomson A, eds. I-Clinical Obstetrics ne-Gynecology. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 10.

INewman DK, iBurgio KL. Ukuphathwa okulondolozayo kokungavumelani kwe-urinary: ukwelashwa kokuziphatha kanye ne-pelvic kanye namadivayisi we-urethral ne-pelvic Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 80.

AbakwaWinters JC, uSmith AL, uKrlin RM. Ukuhlinzwa okwakhiwa kwesitho sangasese nesisu esiswini se-pelvic organ prolapse. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 83.