Kuyini i-Vaginal Prolapse?

-Delile

• Ziyini izimpawu?
• Kubangelwa yini?
• Ingabe abesifazane abathile basengozini enkulu?
• Kutholakala kanjani?
• Yikuphi ukwelashwa okutholakalayo?
• Izinketho zokwelashwa okulondolozayo
• Ukuhlinzwa
• Yiziphi izinkinga ezingaba khona?
• Yini ongayilindela

Ukubuka konke

Ukwehla kwesitho sangasese sowesifazane kwenzeka lapho imisipha esekela izitho okhalweni lowesifazane ithamba. Lokhu kuncipha kuvumela ukuthi isibeletho, i-urethra, isinye, noma i-rectum yehle iye ngaphakathi esithweni sangasese. Uma imisipha yokhalo ithamba ngokwanele, lezi zitho zingaphuma ngisho nangaphandle kwesitho sangasese sowesifazane.

Kunezinhlobo ezimbalwa ezahlukahlukene zokuqhuma:

• I-anterior vaginal prolapse (i-cystocele noma i-urethrocele) yenzeka lapho isinye siwela phansi esithweni sangasese.
• I-posterior prolapse yesitho sangasese sangasese (i-rectocele) yilapho udonga oluhlukanisa i-rectum esithweni sangasese luthamba khona. Lokhu kuvumela ukuthi i-rectum ikhukhumeze esithweni sangasese.
• Ukuqhuma kwesibeletho kulapho isibeletho sidonsela phansi esithweni sangasese.
• I-apical prolapse (i-vaginal vault prolapse) kulapho umlomo wesibeletho noma ingxenye ephezulu yesitho sangasese sowesifazane iwela phansi esithweni sangasese.

Ziyini izimpawu?

Imvamisa abesifazane abanazo izimpawu ezivela ekuqhumeni kwesitho sangasese sowesifazane. Uma unezimpawu, izimpawu zakho zizoxhomeka kulowo mzimba ophelile.

Izimpawu zingafaka:

• umuzwa wokugcwala esithweni sangasese
• isigaxa ekuvulekeni kwesitho sangasese sowesifazane
• ukuzwa kobunzima noma ingcindezi ethangeni
• umuzwa wokuthi "uhleli ebholeni"
• Ubuhlungu obubuhlungu emhlane wakho ongezansi obuba ngcono lapho ulala phansi
• isidingo sokuchama kaningi kunokujwayelekile
• unenkinga yokuhamba ngokuphelele kwamathumbu noma uchithe isinye sakho
• ukutheleleka njalo kwesinye
• ukopha okungavamile esithweni sangasese
• ukuvuza umchamo lapho ukhwehlela, uthimula, uhleka, uya ocansini noma uvivinya umzimba
• ubuhlungu ngesikhathi socansi

Kubangelwa yini?

I-hammock yemisipha, ebizwa ngemisipha yaphansi, isekela izitho zakho zangasese. Ukubeletha kungelula futhi kunciphise le misipha, ikakhulukazi uma ngabe ubelethwe kanzima.

Ukuguga nokulahleka kwe-estrogen ngesikhathi sokunqamuka kokuya esikhathini kungenza buthaka le misipha, kuvumele izitho ze-pelvic ukuthi zehle ziye ngaphakathi esithweni sangasese.

Ezinye izimbangela zokwanda kwesitho sangasese sowesifazane zifaka:

• ukukhwehlela okungapheli kusuka kwizifo ezingalapheki zamaphaphu
• ingcindezi evela isisindo esiningi
• ukuqunjelwa okungapheli
• ukuphakamisa izinto ezisindayo

Ingabe abesifazane abathile basengozini enkulu?

Kungenzeka ukuthi ube ne-prolapse yesitho sangasese sowesifazane uma:

• kwakudiliva izitho zangasese, ikakhulukazi okuyinkimbinkimbi
• badlule esikhathini sokuya esikhathini
• intuthu
• zikhuluphele ngokweqile
• ukukhwehlela kakhulu kusuka kwisifo samaphaphu
• ukuqunjelwa okungapheli futhi kufanele ukhandle ukuze unyakaze amathumbu
• ubenelungu lomndeni, njengomama noma udadewabo, one-prolapse
• imvamisa phakamisa izinto ezisindayo
• bane-fibroids

Kutholakala kanjani?

I-prolapse yama-vaginal ingatholakala ngokuhlolwa kwe-pelvic. Ngesikhathi sokuhlolwa, udokotela wakho angakucela ukuthi uthwale phansi sengathi uzama ukukhipha ukunyakaza kwamathumbu.

Udokotela wakho futhi angakucela ukuthi uqinise futhi udedele imisipha ongayisebenzisa ukumisa futhi uqale ukugeleza komchamo. Lokhu kuhlolwa kubheka ukuqina kwemisipha esekela isitho sakho sangasese, isibeletho, nezinye izitho zangasese.

Uma unezinkinga zokuchama, ungahle ube nokuhlolwa kokuhlola ukusebenza kwesinye sakho. Lokhu kubizwa ngokuthi ukuhlolwa kwe-urodynamic.

• I-Uroflowmetry ilinganisa inani namandla okusakazwa kwakho komchamo.
• ICystometrogram inquma ukuthi isinye sakho sidinga ukugcwala kangakanani ngaphambi kokuya endlini yangasese.

Udokotela wakho angenza futhi eyodwa noma eziningi zalezi zivivinyo ze-imaging ukuze afune izinkinga ngezitho zakho ze-pelvic:

• I-pelvic ultrasound. Lokhu kuhlolwa kusebenzisa amaza omsindo ukuhlola isinye sakho nezinye izitho zomzimba.
• I-MRI yaphansi. Lokhu kuhlolwa kusebenzisa odonsa abanamandla namagagasi omsakazo ukwenza izithombe zezitho zakho zangasese.
• Ukuhlolwa kwe-CT kwesisu sakho kanye nesifuba. Lokhu kuhlolwa kusebenzisa i-X-ray ukudala izithombe eziningiliziwe zezitho zakho zangasese.

Yikuphi ukwelashwa okutholakalayo?

Udokotela wakho uzoncoma izindlela zokwelashwa ezilondolozwa kakhulu kuqala.

Izinketho zokwelashwa okulondolozayo

Ukuzivocavoca kwe-pelvic floor, okubizwa nangokuthi amaKegels, kuqinisa imisipha esekela isitho sakho sangasese, isinye nezinye izitho zangasese. Ukwenza kubo:

• Cindezela imisipha ongayisebenzisa ukubamba bese ukhipha umchamo.
• Bamba okuncishisiwe imizuzwana embalwa, bese uyakuyeka.
• Yenza lokhu kuvivinya okungu-8 kuya ku-10, kathathu ngosuku.

Ukusiza ukufunda ukuthi ikuphi imisipha yakho ye-pelvic floor, ngokuzayo lapho udinga ukuchama, yeka ukuchama phakathi, bese uqala futhi, futhi ume. Sebenzisa le ndlela ukufunda ukuthi imisipha ikuphi, akuhloselwe ukuba kube umkhuba oqhubekayo. Ekuzilolongeni kwesikhathi esizayo, ungakwenza lokhu ngezinye izikhathi ngaphandle kokuchama. Uma ungakwazi ukuthola imisipha efanele, owelapha ngokomzimba angasebenzisa i-biofeedback ukukusiza ukuthi uyithole.

Ukwehla kwesisindo nakho kungasiza. Ukulahlekelwa isisindo esiningi kungathatha enye ingcindezi esinyeni sakho noma kwezinye izitho ze-pelvic. Buza udokotela wakho ukuthi udinga ukunciphisa isisindo esingakanani.

Enye indlela i-pessary. Le divayisi, eyenziwe ngepulasitiki noma irabha, ingena ngaphakathi esithweni sakho sangasese futhi ibambe izicubu eziqubukayo endaweni yazo. Kulula ukufunda ukuthi ungayifaka kanjani i-pessary futhi kuyasiza ukugwema ukuhlinzwa.

Ukuhlinzwa

Uma ezinye izindlela zingasizi, ungahle uthande ukucabangela ukuhlinzwa ukuze ubuyisele izitho zangasese endaweni yazo futhi uzibambe lapho. Ucezu lwethishu yakho, izicubu ezivela kumnikeli, noma into eyenziwe ngumuntu izosetshenziselwa ukuxhasa imisipha yaphansi ye-pelvic ebuthakathaka. Lokhu kuhlinzwa kungenziwa ngesitho sowesifazane sangasese, noma ngokusebenzisa ukusikeka okuncane (i-laparoscopically) esiswini sakho.

Yiziphi izinkinga ezingaba khona?

Izinkinga ezivela ekuphumeni kwesitho sangasese sowesifazane zincike ekutheni yiziphi izitho ezihilelekile, kepha zingafaka:

• izilonda esithweni sangasese uma isibeletho noma umlomo wesibeletho uqhuma
• ingozi eyengeziwe yokutheleleka ngomgudu womchamo
• unenkinga yokuchama noma ukunyakaza kwamathumbu
• ubunzima bokuya ocansini

Yini ongayilindela

Uma unezimpawu zokuqubuka kwesitho sangasese sowesifazane, kufaka phakathi umuzwa wokugcwala esiswini sakho esingezansi noma isibungu esithweni sakho sangasese, bheka udokotela wezifo zabesifazane ukuze uthole ukuhlolwa. Lesi simo asiyona ingozi, kodwa singaba nomthelela omubi kwikhwalithi yakho yempilo.

Ukwelashwa kwesitho sangasese sowesifazane kuyelapheka. Amacala ama-Milder angathuthuka ngezindlela zokwelapha ezingavuseleli ezinjengokuzivocavoca kweKegel nokunciphisa umzimba. Ezimweni ezinzima kakhulu, ukuhlinzwa kungasebenza. Kodwa-ke, ukuqhuma kwesitho sangasese sowesifazane kwesinye isikhathi kungabuya ngemuva kokuhlinzwa.