Ukuqhawuka kwesibeleko

Ukudumba kwesibeleko kwenzeka xa isibeleko (isibeleko) siyehla kwaye sixinzelele kwindawo yelungu lobufazi.

Imisipha, iigaments, kunye nolunye ulwakhiwo lubambe isibeleko kwi-pelvis. Ukuba ezi zihlunu zibuthathaka okanye zolulekile, isibeleko siwela kumjelo welungu lobufazi. Oku kubizwa ngokuba yi-prolapse.

Le meko ixhaphake kakhulu kwabasetyhini abanokuzalwa okungu-1 okanye nangaphezulu kwilungu lobufazi.

Ezinye izinto ezinokubangela okanye zikhokelele ekuqhubekeni kwesibeleko kubandakanya:

• Ukwaluphala okuqhelekileyo
• Ukungabikho kwe-estrogen emva kokuyeka ukuya exesheni
• Iimeko ezibeka uxinzelelo kwimisipha ye-pelvic, njengokukhohlela okungapheliyo kunye nokukhuluphala
• I-Pelvic tumor (inqabile)

Ukuphinda umzamo wokuhamba kwamathumbu ngenxa yokuqhinwa ixesha elide kunokwenza ingxaki ibe mandundu.

Iimpawu zingabandakanya:

• Uxinzelelo okanye ubunzima kwisinqe okanye kwilungu lobufazi
• Iingxaki ngokulalana
• Ukuvuza umchamo okanye umnqweno okhawulezileyo wokukhupha isinyi
• Umqolo osezantsi
• Isibeleko kunye nomlomo wesibeleko ophuma kwindawo yokuvula yelungu lobufazi
• Ukuphindaphindeka kosulelo lwesinyi
• Ukopha kwilungu lobufazi
• Ukonyuka kokukhutshwa kwilungu lobufazi

Iimpawu zisenokuba mandundu xa umile okanye uhleli ixesha elide. Ukuzivocavoca okanye ukuphakamisa kunokwenza ukuba iimpawu zibe mbi.

Umboneleli wakho wezempilo uya kwenza uvavanyo lwe-pelvic. Uya kucelwa ukuba uthwale phantsi ngokungathi uzama ukutyhala usana. Oku kubonisa ukuba isibeleko sakho siwile kangakanani.

• Ukuqhawuka kwesibeleko kuthambile xa umlomo wesibeleko usiwa kwindawo engezantsi yelungu lobufazi.
• I-Uterine prolapse imodareyitha xa umlomo wesibeleko usiya ngaphandle kuvulo lobufazi.

Ezinye izinto ezinokuboniswa kuvavanyo lwe-pelvic zezi:

• Isinyi kunye nodonga lwangaphambili lobufazi luyagungqa kwilungu lobufazi (cystocele).
• I-rectum kunye nodonga lwangasemva lwelungu lobufazi (i-rectocele) zingena kwilungu lobufazi.
• I-urethra kunye ne-bladder zisezantsi kwi-pelvis kunesiqhelo.

Awudingi unyango ngaphandle kokuba ukhathazwa ziimpawu.

Abasetyhini abaninzi baya kufumana unyango ngelixa isibeleko siwela ekuvuleni kwelungu lobufazi.

UTSHINTSHO KWIMPILO

Oku kulandelayo kunokukunceda ulawule iimpawu zakho:

• Nciphisa umzimba ukuba utyebile.
• Gwema ukuphakamisa okunzima okanye ukuxinana.
• Fumana unyango lokukhohlela okungapheliyo. Ukuba ukukhohlela kwakho kungenxa yokutshaya, zama ukuyeka.

UKUSETYENZISWA KWENDODA

Umboneleli wakho unokucebisa ukuba ubeke irabha okanye isixhobo esimilise okweplastiki, kwilungu lobufazi. Oku kubizwa ngokuba yi-pessary. Esi sixhobo sigcina isibeleko endaweni.

I-pessary ingasetyenziselwa ixesha elifutshane okanye ixesha elide. Isixhobo senzelwe ubufazi bakho. Ezinye iipesenti ziyafana nediaphragm esetyenziselwa ulawulo lokuzalwa.

Iiposari kufuneka zicocwe rhoqo. Ngamanye amaxesha bafuna ukucocwa ngumboneleli. Abasetyhini abaninzi banokufundiswa ngendlela yokufaka, ukucoca kunye nokususa ipessary.

Iziphumo ebezingalindelekanga zibandakanya:

• Ukukhutshelwa okungafunekiyo kwilungu lobufazi
• Ukucaphuka kwebala lobufazi
• Izilonda kwilungu lobufazi
• Iingxaki ngokwabelana ngesondo okuqhelekileyo

UKUGQIBELA

Ugqirha akufuneki lwenziwe kude kube ziimpawu ezandayo ezibi kakhulu kunengozi yokuhlinzwa. Uhlobo lotyando luya kuxhomekeka:

• Ubukrakra bokwanda
• Izicwangciso zowesifazane zokukhulelwa kwexesha elizayo
• Iminyaka yomfazi, impilo, kunye nezinye iingxaki zonyango
• Umnqweno womfazi wokugcina umsebenzi wobufazi

Kukho iinkqubo ezithile zotyando ezinokwenziwa ngaphandle kokususa isibeleko, njengokulungiswa kwesibhakabhaka. Le nkqubo ibandakanya ukusebenzisa imigudu ekufutshane ukuxhasa isibeleko. Ezinye iinkqubo ziyafumaneka.

Rhoqo, i-hysterectomy yelungu lobufazi inokwenziwa ngaxeshanye nenkqubo yokulungisa ukubola kwesibeleko. Naluphi na ukuhla kweendonga zelungu lobufazi, urethra, bladder, okanye rectum kunokulungiswa ngoqhaqho ngaxeshanye.

Uninzi lwabasetyhini abane-uterine prolapse enobulali abanazo iimpawu ezifuna unyango.

Iipesari zangaphantsi zangasese zinokusebenza kumabhinqa amaninzi ane-uterine prolapse.

Utyando luhlala lubonelela ngeziphumo ezilungileyo kakhulu. Nangona kunjalo, abanye abantu basetyhini banokufuna unyango kwakhona kwixa elizayo.

Isilonda kunye nosulelo lomlomo wesibeleko kunye neendonga zelungu lobufazi zinokwenzeka kwiimeko ezinzima zesibeleko.

Usulelo lomchamo kunye nezinye iimpawu zokuchama zinokwenzeka ngenxa yecystocele. Ukuqunjelwa kunye nehemorrhoids zinokwenzeka ngenxa ye-rectocele.

Fowunela umnikezeli wakho ukuba uneempawu zesibeleko.

Ukuqinisa izihlunu zeplavic zisebenzisa imithambo yeKegel kunceda ukomeleza izihlunu kunye nokunciphisa umngcipheko wokukhula kwesibeleko.

Unyango lwe-Estrogen emva kokuyeka ukuya exesheni lunokunceda ngethoni yemisipha yelungu lobufazi.

Ukuphumla kwepelvic - ukukhula kwesibeleko; I-hernia yomgangatho wePelvic; Isibeleko esonyukayo; Ukungakwazi ukuzibamba -ukunyuka

• I-anatomy yokuzala yabasetyhini
• Isibeleko

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IMagowan BA, iOwen P, i-Thomson A.Ipelvic yelungu liyanda. Ku: Magowan BA, Owen P, Thomson A, ii-eds. I-Clinical Obstetrics kunye neGynecology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 10.

INewman DK, iBurgio KL. Ukulawulwa okungagungqiyo kokungasebenzi kakuhle komchamo: indlela yokuziphatha kunye nonyango lomgangatho we-pelvic kunye nezixhobo ze-urethral kunye ne-pelvic. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 80.

Ubusika JC, Smith AL, Krlin RM. Ubundlobongela kunye nokuhlinzwa ngokutsha kwesisu kwi-pelvic organ prolapse. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2016: isahluko 83.