Isinye Esiphansi (iCystocele): Kuyini, Izimpawu kanye Nokwelapha

-Delile

• Ungazi kanjani ukuthi isinye sakho siphansi
• Ukuhlolwa kwesinye esiphansi
• Ukwelashwa kwesinye esiphansi
• 1. Ukuzivocavoca kwesisu esiphansi
• 2. I-Physiotherapy yesinye esincane
• 3. Amakhambi esinye esiphansi
• 4. Ukuhlinzwa kwesinye esingezansi

Isinye esiphansi senzeka lapho imisipha nemisipha yaphansi okhalweni ingakwazi ukubamba isinye ngqo endaweni, yingakho 'ishibilika' isuka endaweni yayo ejwayelekile futhi ingathinteka kalula esithweni sangasese.

Lesi simo singabizwa nge-cystocele, bladder prolapse, bladder low or bladder bladder, okuvame kakhulu kubantu besifazane abaneminyaka engaphezu kwengama-40, asebekhulelwe vele. Owesifazane angahle abe nesinye esiwile kuphela, kepha isibeletho, i-urethra ne-rectum nazo zingawa ngasikhathi sinye.

Ukwelashwa kwesinye esingezansi kungenziwa ngokushintsha kwendlela yokuphila, ukwehla kwesisindo, ukuyeka ukubhema, ukulwa nokuqunjelwa, ngaphezu kwe-physiotherapy, ukuvivinya umzimba, okukhonjiswe yi-physiotherapist, noma ngokuhlinzwa, ezimweni ezinzima kakhulu, lapho isinye sifinyelela emnyango esithweni sangasese noma sidlula esithweni sangasese.

Ungazi kanjani ukuthi isinye sakho siphansi

Izimpawu nezimpawu ezibonisa ukuthi isinye silengile sifaka:

• Isigaxa esithweni sangasese, esingabonakala ngeso lenyama noma esizwakale ngeminwe ngesikhathi sithintwa esithweni sangasese
• Ukuzwa isisindo esinyeni;
• Ukuzwa kwebhola esithweni sangasese;
• Ubuhlungu noma ukungahambi kahle endaweni ye-pelvic;
• Ubuthakathaka noma ukuncipha kwemisipha nemisipha ye-perineum;
• Ukulahleka kokuchama kokuzithandela kungenzeka;
• Kunzima ukudlulisa umchamo phakathi nemizuzwana yokuqala yokuchama;
• Ukuphuthuma nokwanda kwemvamisa yokuchama;
• Ubuhlungu nokucasuka esithweni sangasese ngesikhathi sokuxhumana ngocansi;
• Uma kwenzeka kuphuka i-rectum, kungahle kube nokwakheka 'kwesikhwama' eduze kwendunu, kubangele ubuhlungu, ukungaphatheki kahle nobunzima ekuqedeni indle.

Udokotela okhonjiswe kakhulu ukwenza ukuxilongwa futhi akhombise ukwelashwa kwamacala esinye esiphansi ungudokotela wezifo zabesifazane onguchwepheshe we-urogynecology. I-Physiotherapy iyasiza futhi ekwelashweni.

Ukuhlolwa kwesinye esiphansi

Izivivinyo ezingacelwa ngudokotela wezifo zabesifazane ukuthi ahlole isinye esiwile yilezi:

• Ukuhlolwa kwamandla emisipha ye-pelvic;
• I-Transvaginal ultrasound: ukuhlola imisipha yesifunda se-perianal nokuhlola ukuthi ngabe lukhona yini ushintsho esibelethweni, kuthululwa isinye noma i-urethra;
• Izifundo ze-Urodynamic: ukuhlola ikhono lesinye ukugcina nokuqeda umchamo;
• I-Magnetic resonance imaging: ukuba nombono ongcono wazo zonke izakhiwo esifundeni se-pelvic.
• ICystourethroscopy: ukubona umchamo nesinye, kwabesifazane abanezimo eziphuthumayo, imvamisa yokuchama, ubuhlungu esinyeni noma egazini emchameni.

Ukuwa kwesinye kuvame kakhulu ngesikhathi noma ngemuva kokuyeka ukuya esikhathini, ngemuva kokukhulelwa, ezimweni zokuqunjelwa, ngemuva kokuhlinzwa ukukhishwa kwesibeletho, uma ngabe ukhuluphele ngokweqile noma ukukhuluphala, ngemuva kweminyaka engama-50 ubudala, nakwabesifazane ababhemayo.

Esinye isimo esivuna ukuwa kwesinye yimisebenzi edinga umzamo womzimba, njengomsebenzi wasendlini noma lapho kudingeka khona ukuphatha noma ukuphatha izinto ezisindayo. Ngakho-ke, ukuvimbela isinye ekuweni futhi, udinga ukugwema zonke lezi zinto.

Ukwelashwa kwesinye esiphansi

Ukwelashwa kuyahlukahluka kuye ngezinga le-cystocele owesifazane analo:

1. Ukuzivocavoca kwesisu esiphansi

Ukuzivocavoca kweKegel kukhonjisiwe ezimweni ezinzima kakhulu, lapho owesifazane ewa khona esinyeni noma imisipha yamathambo ebuthakathaka, enezimpawu ezimbalwa, ngakho-ke ukuhlinzwa akuboniswa. Lezi zivivinyo kufanele zenziwe nsuku zonke ukuze zibe nomphumela olindelekile futhi ziphumelele kakhulu lapho zenziwa kahle.

Ungakwenza kanjani ukuzivocavoca kwe-kegel:

• Thulula isinye;
• Khomba umsipha we-pubococcygeal: ukwenza lokhu, zama ukuphazamisa umchamo wepee ngenkathi uchama;
• Ukuthola imisipha ye-pubococcygeal futhi ngemuva kokuchama ukuze uqiniseke ukuthi uyazi ukuthi ungasifinyeza kanjani isicubu ngendlela efanele;
• Yenza ukucindezela kwemisipha eyi-10 kulandelana;
• Khululeka imizuzwana embalwa;
• Qhubeka nokuzivocavoca umzimba, wenze okungenani amasethi ayi-10 wezingqinamba eziyishumi nsuku zonke.

Ukuzivocavoca kweKegel kungenziwa kunoma yisiphi isikhundla, noma ngabe uhleli, ulele noma umile, futhi ungenziwa ngosizo lwamabhola wokuzivocavoca. Kodwa-ke, kulula ukuqala ngokulala phansi imilenze yakho igobile. Buka imininingwane eminingi kule vidiyo:

Ungakwenza kanjani ukuzivocavoca ngokweqile:

I-hypopress gymnastics nayo ikhonjisiwe ukulwa nesinye ngoba nayo iyasiza ukuqinisa imisipha yaphansi. Ukwenza:

• Donsela ngaphakathi ngokwejwayelekile nangemva kokukhipha umoya ngokuphelele, kuze kube yilapho isisu siqala ukusonteka sodwa bese 'sinciphisa isisu', simunce imisipha yesisu ngaphakathi, kube sengathi sizama ukuthinta inkaba emuva.
• Lesi sivumelwano kufanele sigcinwe imizuzwana eyi-10 kuye kwengu-20 ekuqaleni futhi, ngokuhamba kwesikhathi, sikhulisa kancane kancane isikhathi, sihlale isikhathi eside ngangokunokwenzeka ngaphandle kokuphefumula.
• Ngemuva kwekhefu, gcwalisa amaphaphu akho ngomoya bese uphumule ngokuphelele, ubuyele ekuphefumuleni okujwayelekile.

Bona igxathu negxathu lokuzivocavoca ngokweqile kule vidiyo:

2. I-Physiotherapy yesinye esincane

Ku-physiotherapy, ngaphezu kokuzivocavoca okuboniswe ngenhla, kusekhona amanye amathuba, njengokusetshenziswa kwepessary, okuyithuluzi elincane elifaka ngaphakathi esithweni sangasese ukusiza ukubamba isinye. Amabhola amancane anomthofu wezisindo ezahlukahlukene ezingafakwa esithweni sangasese ngesikhathi sokuzivocavoca.

Ezinye izinsizakusebenza ezingasetshenziswa futhi ukugqugquzela ugesi ngaphakathi noma i-biofeedback, okungamathuluzi asiza abesifazane ukuthi bazi imisipha yabo yezitho zangasese, ukuze kwenziwe lula ukusebenza kokuvivinya umzimba ngendlela efanele.

I-Physiotherapy kwezempilo yabesifazane inezikhathi ezithile, ezithatha imizuzu engama-30 kuye ehoreni elilodwa, okumele zenziwe okungenani kanye ngesonto, yize izivivinyo kufanele zenziwe, ekhaya, nsuku zonke. Thola imininingwane eminingi ye-physiotherapy ngokungahambisani nomchamo.

3. Amakhambi esinye esiphansi

Amanye amakhambi asuselwa ku-estrogen angasetshenziswa ngesikhathi sokunqamuka kokuya esikhathini ukusiza ukulawula izimpawu ze-cystocele, ngakho-ke ukushintshwa kwe-hormone ngesikhathi sokuya esikhathini nakho kukhonjisiwe ukufeza ukwelashwa kwabanye besifazane. Funda kabanzi mayelana nokushintshwa kwe-hormone.

4. Ukuhlinzwa kwesinye esingezansi

Ukuhlinzwa kwe-cystocele kuqukethe ukuqinisa izakhiwo zesifunda se-pelvic ukubuyisa ukuma okulungile kwesinye, isibeletho nazo zonke izinhlaka 'eziwile'. Imvamisa udokotela ubeka 'inetha' ukuze lisebenzele ukuxhasa izitho zangasese, ezisebenza kahle kakhulu, zikhonjiswa ikakhulukazi ezimweni ezibucayi kakhulu.

Lolu hlobo lokuhlinzwa lungenziwa ngokusebenzisa i-laparotomy noma ukusika kwesisu, nge-anesthesia yesifunda noma ejwayelekile, kepha njengabo bonke abanye inezingozi zayo, njengokugcotshwa komzimba, ukopha, ukutheleleka, ubuhlungu ngesikhathi sokuxhumana kocansi nokubuyela kokungqubuzana komchamo, kwezinye izimo .

Ukuhlinzwa kuyashesha futhi owesifazane ulaliswe esibhedlela izinsuku ezi-2 noma ezi-3 kuphela, kepha kuyadingeka ukuphumula ekhaya futhi ugweme imizamo esontweni lokuqala ngemuva kokuhlinzwa. Thola imininingwane eminingi yokululama kulolu hlobo lokuhlinzwa ku: Ukuhlinzwa kokungalawuleki komchamo.