Isinyi esisezantsi (iCystocele): Yintoni, Iimpawu kunye nonyango

Umxholo

• Ukwazi njani ukuba isinyi sakho siphantsi
• Uviwo lwesinyi esisezantsi
• Unyango lwesinyi esisezantsi
• 1. Ukuzilolonga ngesinyi esisezantsi
• 2. I-Physiotherapy yesinyi esisezantsi
• 3. Unyango lwesinyi esisezantsi
• 4. Utyando lwesinyi esisezantsi

Isinyi esisezantsi senzeka xa izihlunu kunye nemisipha yomgangatho we-pelvic ingakwazi ukubamba isinyi ngqo endaweni yayo, yiyo loo nto 'ishibilika' kwindawo yayo yesiqhelo kwaye inokuchukumiseka ngokulula kwilungu lobufazi.

Le meko inokubizwa ngokuba yi-cystocele, bladder prolapse, bladder low or bladder bladder, being often in women over 40 years of age, who have already pregnant. Umfazi unokuba nesinyi esiwile kuphela, kodwa isibeleko, i-urethra kunye ne-rectum nazo zinokuwa ngaxeshanye.

Unyango lwesinyi esisezantsi lunokwenziwa ngotshintsho kwindlela yokuphila, ukunciphisa umzimba, ukuyeka ukutshaya, ukulwa nokuqunjelwa, ukongeza kwi-physiotherapy, imithambo ye-pelvic, eboniswe ngugqirha womzimba, okanye ngotyando, kwiimeko ezinzima kakhulu, xa isinyi sifikelela ekungeneni kwilungu lobufazi okanye udlula kwilungu lobufazi.

Ukwazi njani ukuba isinyi sakho siphantsi

Iimpawu kunye neempawu ezibonisa ukuba isinyi sokujinga siquka:

• Iqhuma kwilungu lobufazi, elinokubonwa ngeliso lenyama okanye livakale ngeminwe ngexesha lokuchukumisa lobufazi;
• Ukuziva ubunzima esinyini;
• Ukuziva kwebhola kwilungu lobufazi;
• Ubuhlungu okanye ukungahambi kakuhle kwindawo ye-pelvic;
• Ubuthathaka okanye ukuncipha kwezihlunu kunye nemisipha ye-perineum;
• Ukuphulukana nokuchama ngokungafunekiyo kunokwenzeka;
• Kunzima ukudlula umchamo kwimizuzwana yokuqala yokuchama;
• Ukungxamiseka kunye nokwanda kokuchama;
• Iintlungu kunye nokucaphuka kwilungu lobufazi ngexesha lokudibana ngokwesondo;
• Kwimeko yokwehla kwe-rectum, kunokubakho ukuyilwa kwesingxobo kufutshane ne-anus, kubangele iintlungu, ukungonwabi kunye nobunzima ekupheliseni isitulo.

Ugqirha obonakalise kakhulu ukwenza uxilongo kwaye abonakalise unyango lwamatyala esinyi esisezantsi ngugqirha wezifo zabasetyhini okhethekileyo kwi-urogynecology. I-Physiotherapy iluncedo kunyango.

Uviwo lwesinyi esisezantsi

Iimviwo ezinokucelwa ngugqirha wezifo zabasetyhini ukuvavanya isinyi esile:

• Ukuvavanywa kwamandla emisipha ye-pelvic;
• I-ultrasound engaphandle: ukuvavanya izihlunu zommandla weperianal kunye nokuvavanya ukuba ngaba lukhona na utshintsho kwisibeleko, ukukhupha isinyi okanye urethra;
• Izifundo ze-Urodynamic: ukuvavanya ukukwazi kwesinyi ukugcina nokuphelisa umchamo;
• Imagnetic resonance imaging: ukuba nembono engcono kuzo zonke izakhiwo kwingingqi ye-pelvic.
• I-cystourethroscopy: ukubona i-urethra kunye ne-bladder, kwabasetyhini abangxamisekileyo, ukuphindaphindeka komchamo, iintlungu kwisinyi okanye kwigazi kumchamo.

Ukuwa kwesinyi kuxhaphake kakhulu ngexesha okanye emva kokuyeka ukuya exesheni, emva kokukhulelwa, kwimeko yokuqhinwa, emva kotyando lokususa isibeleko, kwimeko yokutyeba kakhulu okanye ukutyeba kakhulu, emva kweminyaka engama-50 ubudala, nakwabasetyhini abatshayayo.

Enye imeko ekhetha ukuwa kwesinyi yimisebenzi efuna umgudu womzimba, onjengomsebenzi wasekhaya okanye apho kufuneka ubambe okanye uphathe izinto ezinzima. Ke, ukunqanda isinyi ukuba singawi kwakhona, kufuneka uphephe zonke ezi zinto.

Unyango lwesinyi esisezantsi

Unyango luyahluka ngokwenqanaba le-cystocele owasetyhini analo:

1. Ukuzilolonga ngesinyi esisezantsi

Ukuzivocavoca kweKegel kubonisiwe kumatyala amancinci, apho owasetyhini ewa khona isinyi okanye izihlunu ezibuthathaka ze-pelvic, zineempawu ezimbalwa, kwaye ke utyando aliboniswanga. Le mithambo kufuneka yenziwe mihla le ukuze ibe nefuthe elilindelekileyo kwaye isebenze kakhulu xa isenziwa ngokuchanekileyo.

Uyenza njani imithambo ye-kegel:

• Khuphela isinyi;
• Chonga umsipha we-pubococcygeal: ukwenza oku, zama ukuphazamisa umchamo we-pee ngelixa uchama;
• Ukufumana ikhontrakthi ye-pubococcygeal muscle kwakhona emva kokuchama ukuze uqiniseke ukuba uyazi indlela yokufumana imisipha ngokuchanekileyo;
• Yenza izihlunu ezili-10 zilandelelana;
• Hlaziya imizuzwana embalwa;
• Qalisa kwakhona umthambo, wenze ubuncinci iiseti ezili-10 zekhontrakthi ezili-10 yonke imihla.

Ukuzivocavoca kweKegel kunokwenziwa nakweyiphi na indawo, nokuba uhleli, ulele okanye umile, kwaye unokwenziwa ngoncedo lweebhola zomzimba. Nangona kunjalo, kulula ukuqala ngokulala phantsi imilenze yakho igobile. Jonga ezinye iinkcukacha kule vidiyo:

Uyenza njani imithambo yehypopressive?

I-Hypopress gymnastics ikwaboniswa ukulwa nesinyi esisezantsi kuba ikwanceda ukomeleza izihlunu zomgangatho we-pelvic. Ukwenza:

• Phefumla ngesiqhelo nasemva kokukhupha umoya ngokupheleleyo, de isisu siqale ukusicenga sodwa emva koko 'sinciphise isisu', simunce izihlunu zesisu ngaphakathi, ngokungathi uzama ukubamba inkaba ngasemva.
• Esi sithintelo kufuneka sigcinwe imizuzwana eli-10 ukuya kwengama-20 ekuqaleni kwaye, ekuhambeni kwexesha, liyonyusa ixesha, lihlale ixesha elide kangangoko ngaphandle kokuphefumla.
• Emva kwekhefu, gcwalisa imiphunga yakho ngomoya kwaye uphumle ngokupheleleyo, ubuyele ekuphefumlweni kwesiqhelo.

Jonga inyathelo ngenyathelo lokuzivocavoca umzimba kule vidiyo:

2. I-Physiotherapy yesinyi esisezantsi

Kwi-physiotherapy, ukongeza kwimithambo eboniswe apha ngasentla, kusekho ezinye izinto ezinokwenzeka, ezinje ngokusetyenziswa kwepessary, esisisixhobo esincinci esisebenza ukubeka ngaphakathi kwilungu lobufazi ukunceda ukubamba isinyi. Iibhola ezincinci ezikhokelayo ezinobunzima obahlukeneyo obunokufakwa kwilungu lobufazi ngexesha lokuzilolonga.

Ezinye izixhobo ezinokusetyenziswa kukuvuselelwa kombane ngaphakathi okanye nge-biofeedback, ezizizixhobo ezinceda abasetyhini ukuba bazi ngakumbi izihlunu ze-pelvic, ukulungiselela ukuqhuba kokwenza umthambo ngokuchanekileyo.

I-Physiotherapy kwimpilo yabasetyhini ineeseshoni ezizodwa, ezihlala kwimizuzu engama-30 ukuya kwiyure eli-1, ekufuneka zenziwe kube kanye ngeveki, nangona imithambo kufuneka yenziwe ekhaya, yonke imihla. Fumana ezinye iinkcukacha ze-physiotherapy ngokungahambelani nomchamo.

3. Unyango lwesinyi esisezantsi

Olunye unyango olusekwe kwi-estrogen lunokusetyenziswa ngexesha lokuyeka ukuya exesheni ukunceda ukulawula iimpawu ze-cystocele, ngenxa yoko ukubuyiselwa kwehomoni ngexesha lokuyeka ukuya exesheni kukwaboniswa ukuxhasa unyango kwabanye abantu basetyhini. Funda ngakumbi malunga nokutshintshwa kwehomoni.

4. Utyando lwesinyi esisezantsi

Utyando lweCystocele luqukethe ukomeleza izakhiwo zommandla we-pelvic ukubuyisela indawo echanekileyo yesinyi, isibeleko kunye nazo zonke izakhiwo eziwe '. Ngokwesiqhelo ugqirha ubeka 'umnatha' ukuze usebenze njengenkxaso kumalungu e-pelvic, asebenza kakhulu, eboniswa ngokukodwa kwezona meko zinzima.

Olu hlobo lotyando lunokwenziwa nge-laparotomy okanye ngesisu esisikiweyo, nge-anesthesia yommandla okanye ngokubanzi, kodwa njengabo bonke abanye inobungozi bayo, njengokugqabhuka kwamalungu, ukopha, usulelo, iintlungu ngexesha lokudibana ngokwesondo kunye nokubuya kokuchama kokuchama, kwezinye iimeko .

Olu tyando luyakhawuleza kwaye owasetyhini ugcinwe esibhedlele kuphela iintsuku ezi-2 okanye ezi-3, kodwa kubalulekile ukuba uphumle ekhaya kwaye uphephe iinzame kwiveki yokuqala emva kotyando. Fumana ezinye iinkcukacha zokuchacha kolu hlobo lotyando e: Utyando lokungavumelani nomchamo.