Okufanele Ukwazi Ngesibeletho Esiphikisiwe

-Delile

• Siyini isibeletho esibuyisiwe?
• Izimpawu
• Izimbangela
• Isibeletho esibuyele emuva kanye nokuzala
• Isibeletho esikhulelwe futhi sokukhulelwa
• Isibeletho esibuyele emuva nobulili
• Ukuxilongwa
• Ukwelashwa
• Ukuzivocavoca umzimba
• Idivayisi Pessary
• Izindlela zokuhlinza
• Umbono

Siyini isibeletho esibuyisiwe?

Isibeletho esibuyele emuva yisibeletho esigobele emuva emuva emlomo wesibeletho esikhundleni sesikhundla esiphambili.

Isibeletho esibuyele emuva singenye indlela “yesibeletho esitshekile,” isigaba esifaka phakathi nesibeletho esishayisanayo, okuyisibeletho esitshekele phambili kunokubuyela emuva. Isibeletho esibuyele emuva singabizwa nangokuthi:

• isibeletho esikhonjiwe
• isibeletho esakhiwe kabusha
• ukubuyela emuva kwesibeletho
• isibeletho emuva
• ukufuduka kwe-retro kwesibeletho

Funda kabanzi ukuze ufunde kabanzi ngalesi simo.

Izimpawu

Abanye besifazane abanesibeletho esihlonishwayo abanazo izimpawu. Lokho kusho ukuthi ungahle ungasazi lesi simo. Uma uhlangabezana nezimpawu, zingafaka:

• ubuhlungu esithweni sakho sangasese noma eqolo ngesikhathi sokuya ocansini
• ubuhlungu ngesikhathi sokuya esikhathini
• inkathazo yokufaka amathamponi
• ukwanda kwemvamisa yomchamo noma imizwa yengcindezi esinyeni
• izifo zomgudu womchamo
• ukungakwazi ukuzibamba
• ukuphuma kwesisu esingezansi

Izimbangela

Isibeletho esibuyisanayo ukuhluka okujwayelekile kwe-anatomy ye-pelvic abesifazane abaningi abazalwa benayo noma bayayithola njengoba bekhula. Empeleni cishe ingxenye yesine yabesifazane inesibeletho esibuyisanayo. Izakhi zofuzo zingaba imbangela.

Kwezinye izimo, isimo singaba nesizathu esiyimbangela esivame ukuhlotshaniswa nokuqunjelwa kwe-pelvic noma ukunamathela. Lokhu kufaka phakathi:

• I-Endometriosis. Izicubu zesibambo se-Endometrial noma ukunamathela kungadala ukuthi isibeletho sinamathele emuva emuva, cishe njengokukunamathisela endaweni.
• Ama-Fibroids. I-uterine fibroids ingadala ukuthi isibeletho sibambeke noma sishintshe, noma sitsheke emuva.
• Isifo sokuvuvukala kwesisu (PID). Uma ishiywe ingalashwa, i-PID ingadala ukushaqeka, okungaba nomphumela ofanayo ne-endometriosis.
• Umlando wokuhlinzwa okhalo. Ukuhlinzwa kwesisu kungadala nokushaqeka.
• Umlando wokukhulelwa kwangaphambili. Kwezinye izimo, imisipha ebambe isibeletho endaweni iba yeluleke ngokweqile ngesikhathi sokukhulelwa futhi ihlale injalo. Lokhu kungavumela ukuthi isibeletho sibuyele emuva.

Isibeletho esibuyele emuva kanye nokuzala

Isibeletho esibuyisanayo asithinti ikhono lowesifazane lokukhulelwa. Lesi simo kwesinye isikhathi sihlotshaniswa nokunye ukuxilongwa okungathinta amandla okuzala. Lokhu kufaka phakathi:

• i-endometriosis
• isifo sokuvuvukala okhalo (PID)
• i-fibroids

I-Endometriosis kanye ne-fibroids kuyelapheka noma kulungiswe ngezinqubo ezincane zokuhlinzwa.

Lapho kutholakala kusenesikhathi, i-PID ingahle iphathwe ngama-antibiotic.

Uma kudingeka, ukwelashwa kokuzala, okufana ne-intrauterine insemination (IUI) noma i-in vitro fertilization (IVF), kungasiza abesifazane abanezi zinhlobo zokuxilongwa ukuthi bazuze ukukhulelwa.

Isibeletho esikhulelwe futhi sokukhulelwa

Ukuba nesibeletho esibuyele emuva akuvame ukuthinta ukusebenza kokukhulelwa.

Isibeletho esibuyiselwe emuva singadala ingcindezi eyengeziwe esinyeni sakho phakathi ne-trimester yokuqala. Lokho kungadala ukwanda kokungalawuleki noma ubunzima bokuchama. Kungadala nobuhlungu beqolo kwabanye besifazane.

Isibeletho sakho singase sibe nzima ukusibona nge-ultrasound size siqale ukukhulisa ngokukhulelwa. Udokotela wakho angadinga ukusebenzisa ama-transvaginal ultrasounds phakathi ne-trimester yokuqala ukubona ukuqhubeka kokukhulelwa kwakho.

Isibeletho sakho kufanele sikhule futhi siqonde ngasekupheleni kwe-trimester yokuqala, imvamisa phakathi kwamasonto ayishumi kuya kwayi-12. Lokhu kuzokwenza ukuthi isibeletho sakho siphume okhalweni futhi singabe sisabuyela emuva.

Kwesinye isikhathi, isibeletho asikwazi ukwenza lolu shintsho. Kwesinye isikhathi lokhu kudalwa ukunamathela okugcina isibeletho siboshelwe okhalweni.

Uma isibeletho singahambeli phambili, ingozi yakho yokuphuphunyelwa yisisu inganda. Lokhu kwaziwa njengesibeletho esiboshiwe, futhi akujwayelekile. Lapho kutholakala kusenesikhathi, isibeletho esiboshiwe singalungiswa, sinciphise noma siqede ubungozi bokukhulelwa kwesisu.

Yazisa udokotela wakho zisuka uma ukhulelwe futhi unolwazi:

• ukwehluleka ukungaguquguquki ukuchama
• ubuhlungu esiswini sakho noma eduze ne-rectum yakho
• ukuqunjelwa
• ukungazibambi

Lezo zimpawu zingakhombisa ukuboshwa kwesibeletho. Isimo singatholakala ngesikhathi sokuhlolwa kwe-pelvic noma i-ultrasound.

I-trimester yakho yesithathu akufanele ithinteke nakancane. Abanye besifazane abanesibeletho esivunyiwe banamathuba amaningi okuzwa ubuhlungu bomsebenzi ngemuva.

Isibeletho esibuyele emuva nobulili

Ukuba nesibeletho esibuyekeziwe akuvamisile ukuphazamisa ukuzwa kocansi noma ukujabula.

Kungenza, noma kunjalo, ukwenza ucansi lube buhlungu kwezinye izimo. Lokhu kungakhululeki kungabonakala kakhulu uma usezikhundleni ezithile. Ukushintsha izikhundla zocansi kunganciphisa lokhu kungakhululeki.

Isibeletho sihlala siphansi esinqeni, kanye namaqanda. Ngesikhathi socansi olunamandla, noma ucansi oludonsa ngokujulile, ikhanda lendoda lingadlulela ezindongeni zesitho sangasese sowesifazane, lishayisane esibelethweni noma esibelethweni.

Lokhu kungadala ubuhlungu, izinyembezi, noma ukulimala. Uma ungaphatheki kahle ngesikhathi socansi, zama ukushintsha isikhundla sakho ukuze ubone ukuthi lokho kuyasiza yini. Uma zonke izimo zocansi zikwenza ungakhululeki, noma ngaphandle kwegazi, xoxa ngalokhu nodokotela wakho.

Ukuxilongwa

Udokotela wakho angakwazi ukuthola isibeletho esibuyele emuva ngesikhathi sokuhlolwa kwe-pelvic ejwayelekile. Uma unezimpawu ezikukhathazayo, xoxa ngazo nodokotela wakho.

Ungahle utholakale unesibeletho esibuyele emuva lapho ukhulelwe. Lokho kungenxa yokuthi odokotela bangakwazi nokuyixilonga besebenzisa i-ultrasound.

Ukwelashwa

Ungahle ungadingi ukwelashwa uma ungenazimpawu. Uma unezimpawu noma ukhathazekile ngalesi simo, xoxa ngezindlela zokwelashwa nodokotela wakho. Ezimweni eziningi, asikho isidingo sokwelashwa.

Ukuzivocavoca umzimba

Kwesinye isikhathi udokotela wakho angakwazi ukuphatha ngesandla isibeletho sakho asibeke endaweni eqondile. Uma kunjalo, izinhlobo ezithile zokuzivocavoca ezakhelwe ukuqinisa imisipha nemisipha ebambe isibeletho endaweni eqondile kungasiza.

AmaKegels ayisibonelo esisodwa. Okunye ukuzivocavoca okungasiza kufaka phakathi:

• Ukuguqa ngamadolo kuya esifubeni. Lala ngomhlane uguqe ngamadolo womabili nezinyawo zakho phansi. Kancane phakamisa idolo elilodwa ngasikhathi esifubeni sakho, ulidonse ngobumnene ngezandla zombili. Bamba lesi sikhundla imizuzwana engama-20, dedela, bese uphinda ngomunye umlenze.
• Ukuphambana kwepelvic. Lezi zivivinyo zisebenza ukuqinisa imisipha yaphansi. Lala ngomhlane izingalo zakho ezinhlangothini zakho zikhululekile. Adonse umoya njengoba uphakamisa izinqa phansi. Bamba futhi udedele njengoba ukhipha. Phinda izikhathi eziyi-10-15.

Lokhu ngeke kusebenze uma isibeletho sakho sibambeke endaweni ngenxa yokusikeka noma ukunamathela, noma kunjalo.

Idivayisi Pessary

Ama-pessaries enziwa nge-silicone noma nge-plastic. Yimishini emincane engafakwa esithweni sangasese ukuhambisa isibeletho endaweni emi mpo.

Ama-pessaries angasetshenziswa noma okwesikhashana noma unomphela. Baye bahlotshaniswa nokutheleleka uma kushiywe esikhathini eside.

Izindlela zokuhlinza

Kwezinye izimo, kungadingeka ukuhlinzwa ukuze ubeke kabusha isibeletho, nokunciphisa noma ukuqeda ubuhlungu. Kunezinhlobo ezahlukahlukene zezinqubo. Kubandakanya:

• Inqubo yokumiswa kwesibeletho. Lolu hlobo lokuhlinzwa lungenziwa nge-laparoscopically, vaginally, noma esiswini.
• Inqubo yokuphakamisa. Le yinqubo ye-laparoscopic ethatha cishe imizuzu eyi-10 ukwenza.

Umbono

Imvamisa azikho izimpawu ezihambisana nesibeletho esibuyele emuva, noma ngabe ukulalana kabuhlungu kwaziwa ukuthi kuyenzeka. Uma uhlangabezana nezimpawu, kunezindlela zokwelashwa ezitholakalayo ezingasiza.

Ukuba nesibeletho esibuyele emuva akuvamile ukuthinta ukuzala noma ukukhulelwa, kepha kungahle kuhlotshaniswe nezinye izimo ezingaba nemiphumela emibi ekuveleni kokuzala.