Yintoni ukubola kwesibeleko, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili
• Ukudumba kwesibeleko ngexesha lokukhulelwa
• Unyango lwenziwa njani
• Utyando lwe-uterine prolapse
• Oonobangela bokubeleka kwesibeleko

Ukudumba kwesibeleko kungqinelana nokwehla kwesibeleko kwilungu lobufazi okubangelwa kukudodobala kwezihlunu ezigcina amalungu ngaphakathi kwentsimbi ekwimeko echanekileyo, yiyo loo nto kuthathwa njengoyena nobangela wesibeleko esisezantsi. Qonda ukuba yintoni isibeleko esezantsi kunye neempawu eziphambili.

Nangona ixhaphake kakhulu kwabasetyhini abadala okanye kwabasetyhini abaye baba nokuzalwa okuqhelekileyo okuqhelekileyo, olu tshintsho lunokwenzeka kwakhona ngaphambi kokuyeka ukuya exesheni okanye ngexesha lokukhulelwa.

Ukuhamba kwesibeleko kunokuhlelwa ngokwenqanaba lokwehla kwesibeleko kwilungu lobufazi libe:

• Ukunyuka kwesibeleko kwiBakala 1, apho isibeleko sihla khona, kodwa umlomo wesibeleko awubonakali kwilungu lobufazi;
• Ukukhulelwa kwesibeleko kwiBakala 2, apho isibeleko sihla khona kwaye umlomo wesibeleko uvela kunye nodonga lwangaphambili nolwangasemva lwelungu lobufazi;
• Ukunyuka kwesibeleko kwiBakala 3, apho isibeleko singaphandle kwesisu ukuya kwi-1 cm;
• Ukunyuka kwesibeleko kwiBakala 4, apho isibeleko singaphezulu kwe-1 cm.

Amanye amalungu kwingingqi ye-pelvis efana neendonga zelungu lobufazi, isinyi kunye ne-rectum nazo zinokuhamba ngenxa yokuthamba kwemisipha yenkxaso ye-pelvic.

Iimpawu eziphambili

Ezona mpawu ziphambili zesibeleko sokudlula zezi:

• Isisu esibuhlungu;
• Ukukhutshwa kwilungu lobufazi;
• Imvakalelo yento ephuma kwilungu lobufazi;
• Ukungahambi kakuhle komchamo;
• Ubunzima bokufuduka;
• Intlungu xa usabelana ngesondo.

Xa i-uterine prolapse ingaphantsi kakhulu, iimpawu zingabonakali. Nangona kunjalo, xa iimpawu kunye neempawu ezibonisa ukuphuma kwesibeleko zichongiwe, kubalulekile ukuba uqhagamshelane nogqirha wabasetyhini ukuze uqinisekise isifo kwaye uqale unyango.

Ukudumba kwesibeleko ngexesha lokukhulelwa

Ukudumba kwesibeleko ekukhulelweni kunqabile kwaye kunokwenzeka ngaphambi okanye ngexesha lokukhulelwa. Ukongeza, ukuphuma kwesibeleko ekukhulelweni kungakhokelela kusulelo lwesibeleko, ukugcinwa komchamo, ukukhupha isisu ngokuzenzekelayo kunye nokusebenza kwangaphambi kwexesha. Ke ngoko, zonke izikhokelo zokubelekisa kufuneka zilandelwe ukunciphisa umngcipheko weengxaki.

Unyango lwenziwa njani

Unyango lwe-uterine prolapse lusekwa ngokwenqanaba lokuhla kwesibeleko, kwaye umthambo ukomeleza izihlunu ze-pelvic, eziyimithambo kaKegel, inokuboniswa. Jonga indlela yokwenza umthambo kaKegel.

Ukongeza, ukusetyenziswa kwehomoni enezithambiso okanye amakhonkco aza kusetyenziswa kwilungu lobufazi kunokunceda ekubuyiseleni izicwili zangasese, nangona kunjalo, xa kufikwa kwisibeleko esibi sesibeleko, kuphela kotyando olunokusebenza.

Utyando lwe-uterine prolapse

Utyando lwe-uterine prolapse lukhuselekile kwaye lusebenza kakuhle, kwaye luyaboniswa xa ukubuyiswa kungaphenduli kwezinye iindlela zonyango.

Ngokutsho kogqirha, utyando lunokwenziwa ngenjongo:

• Lungisa isibeleko: kwezi meko, ugqirha uthatha indawo yesibeleko endaweni yaso, asigcine ngaphakathi kwilungu lobufazi ngesixhobo esibizwa ngokuba yi-pessary kwaye siqhubeke nokubekwa kwamalungu afakelwayo, abizwa ngokuba yiminatha, abambe isibeleko kwindawo yaso;
• Ukurhoxiswa kwesibeleko: kolu tyando kususwa inxenye okanye ukususwa kwesibeleko kwenzeka, kwaye ihlala isenziwa kubafazi xa beyekile ukuya exesheni, okanye xa iprolapse inzima kakhulu. I-Hysterectomy iyasebenza ekunyangeni ukubola kwesibeleko, kodwa inokubangela ukuya exesheni kwangoko ukuba ii-ovari zisusiwe. Jonga enye into enokwenzeka emva kokuba isibeleko sisusiwe.

Funda ngendlela yokufumana kwakhona kuqhaqho lwe-uterine prolapse.

Oonobangela bokubeleka kwesibeleko

Esona sizathu siqhelekileyo sokuphuma kwesibeleko kukudodobala kwesinqe ngenxa yokuguga. Nangona kunjalo, abanye oonobangela abafaka isandla ekuqhubekeni kokudlulela kunokuba:

• Ukuhanjiswa okuninzi;
• Ukuyeka ukuya exesheni ngenxa yokuncipha kwehomoni yeestrogen;
• Uluhlu lweentsholongwane zangaphambili kwingingqi ye-pelvis;
• Ukutyeba kakhulu;
• Ukunyusa ubunzima obukhulu.

Ukongeza kwezi zizathu, ukukhohlela okungapheliyo, ukuqhina, ukudumba kwethambo lomqolo kunye nokufumba kolwelo esiswini kubangela ukwanda koxinzelelo esiswini kunye nasesinqeni kwaye ke oko kunokubangela ukuba isibeleko siphume.

Ukuchongwa kwesibeleko se-prolapse kwenziwa ngeemviwo zeklinikhi ezivavanya onke amalungu esinqe ngaxeshanye, ukongeza kwiimviwo zesibeleko ezinje nge-colposcopy kunye ne-smears yelungu lobufazi olwenziwe yi-gynecology yokuvavanya olona hlobo lonyango. Jonga ukuba zeziphi iimviwo eziphambili ezicelwe ngugqirha wezifo zabasetyhini.