Yintoni iVolinal Prolapse?

Umxholo

• Ziintoni iimpawu?
• Ibangelwa yintoni?
• Ngaba abafazi abathile basemngciphekweni owandayo?
• Kufunyaniswa njani?
• Zeziphi iindlela zonyango ezikhoyo?
• Unyango olukhuselekileyo
• Ugqirha
• Zeziphi iingxaki ezinokubakho?
• Yintoni onokuyilindela

Ushwankathelo

I-prolapse yelungu lobufazi yenzeka xa izihlunu ezixhasa amalungu kumqolo womfazi zibuthathaka. Oku buthathaka kuvumela isibeleko, i-urethra, isinyi, okanye i-rectum ukuba yehle kwilungu lobufazi. Ukuba izihlunu zomgangatho we-pelvic zibuthathaka ngokwaneleyo, la malungu anokukhupha ngaphandle kwilungu lobufazi.

Kukho iintlobo ezimbalwa ezahlukeneyo zokuhamba:

• I-anterior vaginal prolapse (cystocele okanye urethrocele) yenzeka xa isinyi siwela kwilungu lobufazi.
• I-posterior prolapse yelungu lobufazi (i-rectocele) kuxa udonga olwahlula i-rectum kwilungu lobufazi luthamba. Oku kuvumela i-rectum ukuba ingene kwilungu lobufazi.
• Ukuqhawuka kwesibeleko kuxa isibeleko siwela ezantsi kwilungu lobufazi.
• I-apical prolapse (i-vaginal vault prolapse) kuxa umlomo wesibeleko okanye inxalenye ephezulu yelungu lobufazi iwela ezantsi kwilungu lobufazi.

Ziintoni iimpawu?

Amaxesha amaninzi abasetyhini abanazo iimpawu ezivela kwilungu lobufazi. Ukuba unayo impawu, iimpawu zakho ziya kuxhomekeka kwilungu elibalekileyo.

Iimpawu zingabandakanya:

• imvakalelo yokugcwala kwilungu lobufazi
• iqhuma ekuvuleni kwelungu lobufazi
• uvakalelo lobunzima okanye uxinzelelo kwi-pelvis
• uziva ngathi "uhleli ebholeni"
• iintlungu ezibuhlungu kumqolo wakho osezantsi obangcono xa ulala phantsi
• isidingo sokuchama rhoqo kunesiqhelo
• unengxaki yokuhamba ngokupheleleyo okanye ukhuphe isinyi sakho
• usulelo rhoqo lwesinyi
• ukopha ngokungaqhelekanga kwilungu lobufazi
• ukuvuza umchamo xa ukhohlela, uthimla, uhleka, usabelana ngesondo, okanye uzilolonga
• intlungu ngexesha lokwabelana ngesondo

Ibangelwa yintoni?

I-hammock yemisipha, ebizwa ngokuba yimisipha yomzimba, ixhasa amalungu akho e-pelvic. Ukubeleka kunokuzolula kwaye kuzenze buthathaka ezi zihlunu, ngakumbi ukuba ubunokuhanjiswa nzima.

Ukwaluphala kunye nokuphulukana ne-estrogen ngexesha lokuyeka ukuya exesheni kunokuqhubeka kuzenze buthathaka ezi zihlunu, zivumele amalungu e-pelvic ukuba ehle ezantsi kwilungu lobufazi.

Ezinye izinto ezibangela ukwanda kwilungu lobufazi zibandakanya:

• Ukukhohlela rhoqo kwizifo ezingapheliyo zemiphunga
• uxinzelelo kubunzima obugqithisileyo
• ukuqhina okungapheliyo
• ukuphakamisa izinto ezinzima

Ngaba abafazi abathile basemngciphekweni owandayo?

Unamathuba okuba ubenokwabelana lobufazi ukuba:

• ukuhanjiswa kwilungu lobufazi, ngakumbi elinzima
• sele uyekile ukuya exesheni
• umsi
• batyebe kakhulu
• khohlela kakhulu kwisifo semiphunga
• Ukuqhina okungapheliyo kwaye kufuneka uzinyamezele ukuze uqhubeke nokuhamba kwamathumbu
• wayenelungu losapho, njengomama okanye udade, ngokuqhubekeka
• zihlala ziphakamisa izinto ezinzima
• ine-fibroids

Kufunyaniswa njani?

I-prolapse yelungu lobufazi inokuchongwa kuvavanyo lwe-pelvic. Ngexesha loviwo, ugqirha wakho unokukucela ukuba uthwale ngokungathi uzama ukutyhala intshukumo yamathumbu.

Ugqirha wakho unokucela ukuba uqinise kwaye ukhulule izihlunu oza kuzisebenzisa ukumisa kwaye uqalise ukuhamba komchamo. Olu vavanyo lutshekisha ukomelela kwezihlunu ezixhasa ubufazi, isibeleko kunye namanye amalungu omzimba.

Ukuba unengxaki yokuchama, unokuba novavanyo lokujonga ukusebenza kwesinyi. Oku kubizwa ngokuba luvavanyo lwe-urodynamic.

• I-Uroflowmetry ilinganisa isixa kunye namandla omchamo wakho.
• I-cystometrogram inquma ukuba i-bladder yakho igcwele kangakanani ngaphambi kokuba uye kwigumbi lokuhlambela.

Ugqirha wakho unokwenza enye okanye ngaphezulu kwezi mvavanyo zokujonga ukuba ujonge iingxaki kwizitho zakho zangasese:

• Iipelvic ultrasound. Olu vavanyo lusebenzisa amaza esandi ukujonga isinyi kunye namanye amalungu.
• Umgangatho wePelvic MRI. Olu vavanyo lusebenzisa iimagnethi ezinamandla kunye namaza erediyo ukwenza imifanekiso yamalungu akho e-pelvic.
• Ukuvavanywa kwe-CT kwesisu sakho kunye nesinqe. Olu vavanyo lusebenzisa i-X-ray ukwenza imifanekiso eneenkcukacha zamalungu akho e-pelvic.

Zeziphi iindlela zonyango ezikhoyo?

Ugqirha wakho uya kucebisa ngeendlela zonyango zokuqala.

Unyango olukhuselekileyo

Ukuzivocavoca kwepelvic, okwabizwa ngokuba yiKegels, yomeleza izihlunu ezixhasa ubufazi, isinyi kunye namanye amalungu omzimba. Ukuzenza:

• Cinezela izihlunu oza kuzisebenzisa ukubamba kwaye ukhulule umchamo.
• Bamba isinciphiso imizuzwana embalwa, emva koko uyeke.
• Yenza u-8 ukuya ku-10 wale mithambo, kathathu ngemini.

Ukukunceda ufunde ukuba ziphi izihlunu zomgangatho we-pelvic, kwixesha elizayo kufuneka uchame, uyeke ukuchama phakathi, emva koko uqale kwakhona, kwaye uyeke. Sebenzisa le ndlela ukufunda ukuba ziphi izihlunu, ayenzelwanga ukuba ibe yinto eqhubekayo. Kwixesha elizayo, ungakwenza oku ngamanye amaxesha ngaphandle kokuchama. Ukuba awukwazi ukufumana izihlunu ezifanelekileyo, ugqirha womzimba unokusebenzisa i-biofeedback ukukunceda uzifumane.

Ukwehla kobunzima nako kunokunceda. Ukuphulukana nobunzima obugqithisileyo kunokuthatha uxinzelelo kwisinyi okanye amanye amalungu omzimba. Buza ugqirha wakho ukuba bungakanani ubunzima obufunayo.

Enye inketho yipessary. Esi sixhobo, senziwe ngeplastikhi okanye ngerabha, singena ngaphakathi kwilungu lobufazi kwaye sibambe izicwili ezinobushushu endaweni yazo. Kulula ukufunda ukufaka ipessary kwaye kuyanceda ukunqanda utyando.

Ugqirha

Ukuba ezinye iindlela azincedi, unokufuna ukuqaphela utyando ukuze ubeke amalungu omzimba endaweni kwaye uwabambe apho. Isiqwenga seethishu zakho, izicwili ezivela kulowo unikelayo, okanye izinto ezenziwe ngabantu ziya kusetyenziswa ukuxhasa izihlunu ezibuthathaka kumgangatho we-pelvic. Olu tyando lunokwenziwa kwilungu lobufazi, okanye ngeendlela ezincinci (i-laparoscopically) esiswini sakho.

Zeziphi iingxaki ezinokubakho?

Ubunzima obuvela kwilungu lobufazi obuxhaphakileyo buxhomekeke ekubeni leliphi ilungu elibandakanyekayo, kodwa linokubandakanya:

• izilonda kwilungu lobufazi ukuba isibeleko okanye umlomo wesibeleko uyagqabhuka
• umngcipheko owandileyo wosulelo lomchamo
• ingxaki yokuchama okanye ukuhamba kwamathumbu
• ubunzima bokulala ngesondo

Yintoni onokuyilindela

Ukuba unayo nayiphi na impawu ye-prolapse yelungu lobufazi, kubandakanya imvakalelo yokugcwala kwisisu sakho esezantsi okanye i-bulge kwilungu lakho lobufazi, jonga ugqirha wakho wezifo zovavanyo. Le meko ayinabungozi, kodwa inokuba nefuthe elibi kumgangatho wobomi bakho.

Unyango lobufazi luyanyangeka. Amatyala amabi anokuphucuka ngonyango olungafunekiyo njengokuzilolonga kukaKegel kunye nokwehla kobunzima. Kwiimeko ezinzima kakhulu, utyando lunokusebenza. Nangona kunjalo, ukusasazeka kwelungu lobufazi ngamanye amaxesha kungabuya emva kotyando.