Mfu Mgbawa Pelvic

Ịdịda akụkụ ahụ́ dị na pelvis bụ mgbe otu ma ọ bụ karịa akụkụ ahụ́ dị na pelvis si ebe ha dị ada. Nke a na-eme ka ọkpụkpụ pụta na ụzọ nwanyị, nke a na-akpọ ịdịda.

Ndị ahụ́ na anụ ahụ́ na-ejikọta ọnụ nke ala pelvis na-ejide akụkụ ahụ́ dị na pelvis n'ọnọdụ ha. Akụkụ ahụ́ dị na pelvis gụnyere ụzọ nwanyị, akụkụ mmamịrị, afọ ime, urethra na rectum. Ịdịda akụkụ ahụ́ dị na pelvis na-eme mgbe ndị ahụ́ na anụ ahụ́ na-ejikọta ọnụ nke ala pelvis na-adịghị ike. Nke a nwere ike ịbụ n'ihi ime, ịmụ nwa ma ọ bụ menopause.

Enwere ike ịgwọ ịdịda akụkụ ahụ́ dị na pelvis. Mgbe ụfọdụ, ọgwụgwọ na-enweghị ọrụ emekọrịta na-enyere aka. Mgbe ụfọdụ, ọrụ emekọrịta nwere ike ịdị mkpa iji tinye akụkụ ahụ́ dị na pelvis n'ọnọdụ ha.

N' ụfọdụ oge, ọrịa pelvic organ prolapse adịghị enwe ihe ịrịba ama. Mgbe ihe ịrịba ama pụtara, ha nwere ike ịgụnye:

-Ịhụ ma ọ bụ ịmụta mgbawara anụ ahụ́ na ma ọ bụ gafere ọnụ ọnụ ụmụ nwanyị. -Ịnwụ mgbu azụ ala. -Ịbụghị onye nwere ike ịnọgide na tampon. -Mgbanwe mmamịrị. Nke a nwere ike ịgụnye ịmị amịrị karịa, ịmụta mkpa ọsọ ọsọ ịmị amịrị, ịbụghị onye nwere ike ịgbapụ bọọdụ ahụ́ kpamkpam ma ọ bụ inwe mmiri mmamịrị dị nro. -Mgbanwe afọ, dị ka ịghara ịgbapụ stool kpamkpam ma ọ bụ ịkwesịrị itinye mkpịsị aka na ọnụ ụmụ nwanyị iji kwado mgbawara ahụ́ iji nwee ike ịgafe stool. A na-akpọ nke a splinting. -Nsogbu mmekọahụ, dị ka mgbu na mmekọahụ. Enweghị ike nke pelvic floor na-emetụtakarị karịa otu ebe. Dịka ọmụmaatụ, ọ bụrụ na otu n'ime pelvic organs gị na-ada, ị ka nwere ike inwe ụdị pelvic organ prolapse ọzọ.

Ihe kpatara ọrịa pelvic organ prolapse bụ nrụgide nke anụ ahụ na anụ ahụ na-akwado pelvic organs. Ihe kacha kpatara ya bụ ịmụ nwa site na ebe nwanyị.

Ihe ndị na-akpata ọrịa pelvic organ prolapse gụnyere:

• Ịmụ ụmụ karịrị otu, ịmụ nwa site na ebe nwanyị, ịmụ ụmụ dị arọ na ịmụ ụmụ site na iji ngwaọrụ.
• Ịdị okenye.
• Ịba oke ibu.
• Ịme ọrụ ọgwụgwọ pelvic.
• Ịgbalị ike site na ụkwụ ogologo oge, dị ka site na ọrịa obstructive pulmonary disease, ọgbụgbọ ogologo oge ma ọ bụ ịbu ihe dị arọ ogologo oge.
• Ịbụ onye nwere akụkọ ihe mere eme nke ezinụlọ nke pelvic organ prolapse ma ọ bụ nsogbu connective tissue.

Nchọpụta ọrịa pelvic organ prolapse malitere site na akụkọ ahụike na nyocha nke pelvic organs. Nke a nwere ike inyere ọkachamara nlekọta ahụike gị aka ịchọpụta ụdị prolapse ị nwere ike inwe. Ụfọdụ ule nwekwara ike ịchọ. Ule maka pelvic organ prolapse nwere ike ịgụnye: Ule ike pelvic floor. Ọkachamara nlekọta ahụike na-enyocha ike nke pelvic floor na ahụike sphincter n'oge nyocha pelvic. Nke a na-enyocha ike nke anụ ahụ na ligaments ndị na-akwado mgbidi ọzịza, uterus, rectum, urethra na bladder. Ule ọrụ bladder. Ụfọdụ ule na-egosi ma bladder na-agbaze mgbe ejiri ya mee ka ọ dị n'ebe ahụ n'oge nyocha pelvic. Ule ndị ọzọ nwere ike ịkọwa otú bladder si gbapụ. Ihe onyonyo, dị ka MRI ma ọ bụ ultrasound, nwere ike iji maka ndị prolapse pelvic organ ha siri ike. Nlekọta na Mayo Clinic Ndị otu anyị na-elekọta nke ndị ọkachamara Mayo Clinic nwere ike inyere gị aka na nsogbu ahụike gị metụtara pelvic organ prolapse Malite Ebe a

Ọgwụgwọ dabere na ihe ịrịọ gị na otú ha si na-eme gị nsogbu. Ọ bụrụ na mgbawa akụkụ pelvic gị adịghị na-eme gị nsogbu, ọkachamara nlekọta ahụike gị nwere ike ikwu na ọ dịghị mkpa ịgwọ ya ma ọ bụ ịgwọ mgbawa ahụ na-enweghị ịwa ahụ. Ọ bụrụ na ihe ịrịọ na-aka njọ ma na-emetụta ụdị ndụ gị, ị nwere ike ịchọ ịwa ahụ.

Mgbawa ahụ nwere ike ọ bụghị ihe kpatara ihe ịrịọ urinary na bowel, ọ bụ ezie na a pụrụ ịkọ ha. Ọ bụrụ na ihe ịrịọ ndị ahụ ejikọghị na mgbawa ahụ, mgbe ahụ ọgwụgwọ maka mgbawa ahụ nwere ike ọ gaghị emezi ha.

Ndị mmadụ ọtụtụ ndị nwere mgbawa dịkwa na menopause. Menopause na-ebelata estrogen. Estrogen dị ntakịrị nwere ike ime ka anụ ahụ́ nke akụkụ nwanyị gbawaa ma kpata akọrọ akụkụ nwanyị. Kparịta ụka na ọkachamara nlekọta ahụike gị banyere ma ọgwụgwọ na estrogen bụ ihe ziri ezi maka gị. Iji estrogen nke akụkụ nwanyị nwere ike ịbụ nhọrọ.

Ọkachamara nlekọta ahụike gị nwere ike ikwu banyere mmega ahụ nke pelvic floor site na iji biofeedback iji mee ka anụ ahụ́ nke pelvic floor sie ike. Biofeedback na-agụnye iji ngwaọrụ nyocha na-enwe sensors nke e tinyere na akụkụ nwanyị na rectum ma ọ bụ na akpụkpọ ahụ. Ka ị na-eme mmega ahụ, ihuenyo kọmputa na-egosi ma ị na-eji anụ ahụ́ ziri ezi. Ọ na-egosikwa ike nke mkpịsị ọ bụla, nke a na-akpọ contraction. Nke a na-enyere gị aka ịmụta otú ị ga-esi mee mmega ahụ nke ọma. Ka oge na-aga, ime ka anụ ahụ́ nke pelvic floor sie ike nwere ike inyere aka belata ihe ịrịọ.

Iji pessary bụ ụzọ na-abụghị ịwa ahụ iji kwado akụkụ pelvic gbawara. Ngwaọrụ silicone ndị a na-abịa na ụdị na nha dị iche iche. A na-etinye ha na akụkụ nwanyị iji jide akụkụ pelvic n'ọnọdụ.

Ndị mmadụ ụfọdụ ndị na-eji pessaries nwere ike ịmụta otú ha ga-esi wepụ ha n'abalị, sachaa ha ma tinye ha n'ụtụtụ. Ndị ọzọ nwere ike ịchọ ịga leta ọkachamara nlekọta ahụike ha kwa ọnwa atọ iji dochie pessary.

Ọ bụrụ na mgbawa akụkụ pelvic gị na-eme gị nsogbu, ịwa ahụ nwere ike inyere aka. Ebumnuche nke ịwa ahụ bụ iwepụ bulge nke akụkụ nwanyị ma meziwanye ụfọdụ ihe ịrịọ.

Ọtụtụ mgbe, ịwa ahụ na-edozi mgbawa ahụ ma na-eme ka akụkụ pelvic laghachi n'ọnọdụ. A na-akpọ nke a ịwa ahụ reconstructive. Ụzọ ịwa ahụ dabere na ebe mgbawa ahụ dị na ma ọ bụrụ na e nwere karịa otu ebe mgbawa.

• Mgbawa anterior. Ebe kachasị emetụta mgbawa bụ n'ihu, nke a na-akpọkwa anterior, mgbidi akụkụ nwanyị. Mgbawa anterior na-agụnye mkpịsị akpa. A na-akpọ ụdị mgbawa a cystocele.

  A na-emezi mgbawa anterior site na ịkpụ, nke a na-akpọ incision, na mgbidi akụkụ nwanyị. Dọkịta na-ebu mkpịsị akpa elu ma na-echekwa anụ ahụ́ na-ejikọta mkpịsị akpa na akụkụ nwanyị iji jide mkpịsị akpa n'ọnọdụ. A na-akpọ nke a colporrhaphy.

  Dọkịta na-ewepụkwa anụ ahụ́ ọzọ. Ọ bụrụ na ị nwere urinary incontinence, dọkịta nwere ike ikwu banyere bladder neck suspension ma ọ bụ sling iji kwado urethra gị.

• Mgbawa posterior. Ụdị mgbawa a na-agụnye azụ, nke a na-akpọkwa posterior, mgbidi akụkụ nwanyị. Mgbawa posterior na-agụnye rectum. A na-akpọ ụdị mgbawa a rectocele.

  Dọkịta na-echekwa anụ ahụ́ na-ejikọta akụkụ nwanyị na rectum iji mee ka bulge dị obere. Dọkịta na-ewepụkwa anụ ahụ́ ọzọ.

• Mgbawa uterine. Ọ bụrụ na ị na-atụghị anya ịmụ ụmụ, dọkịta nwere ike ikwu banyere ịwa ahụ iji wepụ uterus. A na-akpọ nke a hysterectomy.

• Mgbawa vaginal vault. Na ndị mmadụ ndị e wepụrụ uterus, elu akụkụ nwanyị nwere ike ịlafu nkwado ya ma daa. Ụdị mgbawa a nwere ike ịgụnye mkpịsị akpa na rectum. A na-agụnyekarị obere bowel. Mgbe ọ bụ otú ahụ, a na-akpọ bulge ahụ enterocele.

  Dọkịta nwere ike ime ịwa ahụ site na akụkụ nwanyị ma ọ bụ afọ. Na ụzọ akụkụ nwanyị, dọkịta na-eji ligaments ndị na-akwado uterus iji dozie nsogbu ahụ.

  A pụrụ ime ụzọ afọ laparoscopically, robotically ma ọ bụ dị ka usoro mepere emepe. Dọkịta na-ejikọta akụkụ nwanyị na tailbone. A pụrụ iji obere iberibe mesh inyere aka kwado anụ ahụ́ nke akụkụ nwanyị.

  Ọ bụrụ na ị na-echegbu onwe gị banyere iji ihe mesh, kparịta ụka na dọkịta banyere uru na ihe egwu ndị nwere ike ịdị.

Mgbawa anterior. Ebe kachasị emetụta mgbawa bụ n'ihu, nke a na-akpọkwa anterior, mgbidi akụkụ nwanyị. Mgbawa anterior na-agụnye mkpịsị akpa. A na-akpọ ụdị mgbawa a cystocele.

Anterior prolapse repair is done through a cut, called in incision, in the wall of the vagina. A surgeon pushes the bladder up and secures the connective tissue between the bladder and the vagina to keep the bladder in place. This is called a colporrhaphy.

The surgeon also removes extra tissue. If you have urinary incontinence, the surgeon might suggest a bladder neck suspension or sling to support your urethra.

Mgbawa posterior. Ụdị mgbawa a na-agụnye azụ, nke a na-akpọkwa posterior, mgbidi akụkụ nwanyị. Mgbawa posterior na-agụnye rectum. A na-akpọ ụdị mgbawa a rectocele.

A surgeon secures the connective tissue between the vagina and rectum to make the bulge smaller. The surgeon also removes extra tissue.

Mgbawa vaginal vault. Na ndị mmadụ ndị e wepụrụ uterus, elu akụkụ nwanyị nwere ike ịlafu nkwado ya ma daa. Ụdị mgbawa a nwere ike ịgụnye mkpịsị akpa na rectum. A na-agụnyekarị obere bowel. Mgbe ọ bụ otú ahụ, a na-akpọ bulge ahụ enterocele.

The surgeon might do the surgery through the vagina or abdomen. In a vaginal approach, the surgeon uses the ligaments that support the uterus to correct the problem.

An abdominal approach might be done laparoscopically, robotically or as an open procedure. The surgeon attaches the vagina to the tailbone. Small pieces of mesh might be used to help support vaginal tissues.

If you're concerned about the use of mesh materials, talk with the surgeon about the benefits and possible risks.

Ịwa ahụ mgbawa na-edozi naanị bulge anụ ahụ́. Ọ bụrụ na bulge ahụ adịghị na-eme gị nsogbu, ọ dịghị mkpa ịwa ahụ. Ịwa ahụ adịghị edozi anụ ahụ́ gbawara. Ya mere mgbawa ahụ nwere ike ịlaghachi.