Chii chinonzi Cystocele? Zviratidzo, Zvinokonzera, & Kurapa

Cystocele inoitika kana ganda rako retsinga richidonha richidzvanya padziviriro yepamberi pevhagina rako. Izvi zvinoitika nekuti minyoro nemakumbo anowanzosimbisa ganda rako retsinga zvakasimba kana kuti zvakareba kwenguva yakareba.

Funga nezvazvo sehammock yakarasikirwa nesimba rayo. Minyoro yako yepelvic floor inoshanda sehammock inotsigira nhengo dzako, uye kana yasimba, ganda rako retsinga rinogona kuchinjira kubva panzvimbo yaro yakajairwa. Izvi zvakajairika chaizvo, kunyanya pakati pevakadzi vakabereka kana kuti vakapfuura menopause.

Ndeapi zviratidzo zve cystocele?

Vakadzi vazhinji vane cystocele isina simba havaoni zviratidzo zvachose. Kana zviratidzo zvikaonekwa, zvinowanzoitika zvishoma nezvishoma uye zvinogona kunzwa sekumanikidza kana kusagadzikana munzvimbo yako yepelvic.

Aya ndiwo mazviratidzo akajairika aunogona kuona:

• Kunzwa kwekuzara, kumanikidza, kana kurwadziwa mu pelvis yako kana mudumbu rako repazasi
• Bvudzi kana chimwe chinhu chinobuda muvagina rako chaunogona kuona kana kunzwa
• Kunetseka kubvisa ganda rako retsinga zvizere
• Kuenda kunzvimbo kazhinji kana kuti kunetsekana kwenguva pfupi kuenda kunzvimbo
• Kusagadzikana panguva yekubata
• Kurwadziwa kwepashure kwakakomba kana kumira kwenguva yakareba
• Zviratidzo zvinonzwa zvakanyanya kupera kwezuva kana mushure mekushanda kwemuviri

Muitiro wakakomba, unogona kuona zviratidzo zvimwe. Izvi zvinosanganisira stress incontinence kwaunobuda mvura kana kukosora, kusnotsa, kana kurovedza muviri. Vakadzi vamwe vanozvionawo zvirwere zve ganda retsinga zvinodzokororwa nekuti ganda retsinga harimbi zvizere.

Zvisingawanzoitika, cystocele yakakomba inogona kuita kuti ganda retsinga ribude zvakanyanya kunze kwevagina. Izvi zvinogona kuita kuti kufamba kusava nyore uye zvinogona kukonzera kutsamwa kana maronda pane tishu inobuda. Yeuka, zviratidzo zvinogona kusiyana zvikuru kubva kumunhu kuenda kune mumwe munhu, uye kuva nezviratidzo zvishoma hazvirevi kuti mamiriro ako achaipisisa.

Ndeapi marudzi e cystocele?

Vanachiremba vanokamura cystocele mumapoka akasiyana zvichienderana nekuti ganda rako retsinga rakadonha zvakadii. Kunzwisisa aya mapoka kunobatsira kuona nzira yakanakisa yekurapa mamiriro ako chaiwo.

Grade 1 cystocele ndiyo yakapfava. Ganda rako retsinga rinodonha zvishoma chete muchikamu chepamusoro chevhagina rako. Vakadzi vazhinji vane iyi grade havaoni zviratidzo uye vangatozive kuti vane.

Grade 2 inoratidza kudonha kwakati. Ganda rako retsinga rakadonha zvakakwana kusvika pakavhura kwevagina rako. Ungatanga kuona zviratidzo sekumanikidza kwe pelvis kana kunetseka kubvisa ganda rako retsinga zvizere.

Grade 3 yakakomba zvakanyanya. Ganda rako retsinga rinobuda kunze kwevagina rako. Izvi zvinowanzoita kuti zviratidzo zionekwe uye zvinoda kurapwa kuti uwedzere hupenyu hwako.

Grade 4 ndiyo yakakomba zvikuru. Ganda rako retsinga rinobuda zvakanyanya kunze kwevagina rako. Izvi zvinogona kukonzera kusagadzikana kukuru uye zvinowanzodiwa kurapwa kwemishonga.

Chii chinokonzera cystocele?

Cystocele inoitika kana tishu dzinotsigira pakati peganda rako retsinga nevaginal wall dzakasimba kana kuti dzakaputsika. Kusimba uku kunowanzoitika zvishoma nezvishoma nekufamba kwenguva nekuda kwezvinhu zvakasiyana-siyana zvinokanganisa minyoro yako yepelvic floor.

Zvinokonzera zvakajairika zvinosanganisira:

• Kubereka, kunyanya kubereka kwevaginal kana kuti basa rakaoma kwenguva yakareba
• Kukwegura nekuderera kwetishu nekufamba kwenguva
• Menopause nekuderera kwe estrogen inokanganisa simba retishu
• Kukosora kwenguva refu kubva kune zvirwere senge asthma kana kusvuta
• Kusimudza zvinhu zvakakura kana kumanikidza kazhinji
• Kutopwa kwenguva refu uye kumanikidza kwakawanda panguva yekubuda kwematumbo
• Kuita uremu, izvo zvinokanganisa nhengo dze pelvis
• Kuoperezwa kwepelvic kana kuti kwemudumbu kare

Vakadzi vamwe vanoberekwa vane tishu dzakasimba dzisina simba, zvichiita kuti vave panjodzi yakakura yekuvhiringidzika kwe cystocele. Iyi genetic factor inogona kuenda mumhuri, saka ungave panjodzi yakakura kana amai vako kana hanzvadzi dzako vakambova ne pelvic organ prolapse.

Zvisingawanzoitika, kukuvara kukuru kunzvimbo yepelvic kana kuti zvimwe zvirwere zve connective tissue zvinogona kukonzera kukura kwe cystocele. Mabasa anowedzera kumanikidza kwemudumbu nguva dzose, senge kukwikwidza kwekukwira uremu kana kuti kutopwa kwenguva refu, zvinogona kukurumidza kupera simba nekufamba kwenguva.

Rini unofanira kuona chiremba nekuda kwe cystocele?

Unofanira kuita appointment nehutano hwako kana ukaona chero kubuda kwakasiyana munzvimbo yako ye vaginal kana kuti une kumanikidza kwenguva refu kwe pelvis. Kuongororwa pakutanga kunogona kubatsira kudzivirira zviratidzo kubva pakuipisisa uye kuvandudza sarudzo dzako dzekurapa.

Usamirire kutsvaga rubatsiro rwehutano kana uri kunetseka kubvisa ganda rako retsinga zvizere kana kuva nezvirwere zve ganda retsinga kazhinji. Aya maratidzo anogona kukonzera matambudziko akakomba kana asiri kurapwa.

Taura nachiremba wako nekukurumidza kana ukaona zviratidzo zvakakomba. Izvi zvinosanganisira bvudzi guru rinobuda muvagina rako, kurwadziwa kwakakomba kwe pelvis, kana kusakwanisa kuenda kunzvimbo zvachose. Unofanirawo kutsvaga rubatsiro nekukurumidza kana ukaona ropa kana maronda pane chero tishu inobuda.

Kunyangwe zviratidzo zvako zvichinzwa zvishoma, zvinokosha kuzvitaura nachiremba wako panguva yekushanya kwako. Vanogona kuongorora mamiriro ako uye kukurudzira matanho ekudzivirira kuti arege kuenderera mberi.

Ndeapi njodzi dze cystocele?

Zvinhu zvakawanda zvinogona kuwedzera mukana wako wekuwana cystocele. Kunzwisisa aya njodzi kunogona kukubatsira kutora matanho ekudzivirira uye kuziva kana uchifanira kungwarira nezviratidzo.

Njodzi huru dzinokosha dzinosanganisira:

• Kuva wakabereka, kunyanya kubereka kwevaginal kakawanda
• Kuva nemakore anopfuura 50
• Kupfuura menopause
• Kuva nemhuri ine nhoroondo ye pelvic organ prolapse
• Kuva neuremu hwakawanda kana kuti kuita mafuta
• Kuva nekutopwa kwenguva refu
• Kusvuta kana kuva nezvirwere zvemapapu zvinokonzera kukosora kwenguva refu
• Kuita basa rakaoma remuviri kana kusimudza zvinhu zvikuru
• Kuva wakamboitwa hysterectomy

Zvimwe zvinhu zvinokonzera njodzi hazvigone kuchinjwa, senge zera rako kana nhoroondo yemhuri. Zvisinei, zvizhinji zviri mukudzora kwako. Kuchengetedza uremu hwakanaka, kurapa kutopwa, uye kudzivirira kusimudza zvinhu zvikuru zvinogona kubatsira kuderedza njodzi yako.

Zvimwe zvirwere zvinowedzera njodzi. Izvi zvinosanganisira zvirwere zve connective tissue senge Ehlers-Danlos syndrome, iyo inokanganisa simba retishu mumuviri wako wese. Zvirwere zvinowedzera kumanikidza kwemudumbu, senge chronic obstructive pulmonary disease, zvinogonawo kukonzera kukura kwe cystocele nekufamba kwenguva.

Ndeapi matambudziko anogona kuitika e cystocele?

Vakadzi vazhinji vane cystocele havaoni matambudziko akakomba, kunyanya nemateki akapfava. Zvisinei, zvinokosha kunzwisisa zvingaitika kana mamiriro acho akaenderera mberi kana kuti asiri kurapwa.

Matambudziko akajairika aunogona kusangana nawo anosanganisira:

• Zvirwere zve urinary tract zvinodzokororwa nekuda kwekusabvisa ganda retsinga zvizere
• Stress incontinence kana kunetseka kudzora mvura
• Kusakwanisa kubvisa ganda rako retsinga zvachose
• Matambudziko etsinga kubva pamvura inodzokera kumashure
• Maronda kana kuti maronda pane tishu inobuda
• Kusagadzikana pabonde kana kusagadzikana panguva yekubata
• Kunetseka kwematumbo kana nhengo dzimwewo dzakakanganiswa

Muitiro wakakomba, unogona kuwana chimwe chinonzi urinary retention. Izvi zvinoreva kuti haugone kubvisa ganda rako retsinga zvizere kana kuti zvachose, izvo zvinogona kukonzera matambudziko akakomba etsinga kana zvisiri kurapwa nekukurumidza.

Zvisingawanzoitika, cystocele yakakomba inogona kukonzera kukuvara kwetishu kwaari ganda retsinga rinobuda kunze kwemuviri. Iyi tishu yakaratidzwa inogona kutsamwa, kuzara, kana kuwana maronda. Mashoko akanaka ndeakuti aya matambudziko akakomba anogona kudzivirirwa nekurapa kwakanaka kwemishonga nekurapa.

Cystocele inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira zviitiko zvese zve cystocele, kunyanya izvo zvine chekuita nekukwegura kana genetics, zvinhu zvakawanda zvinokonzera njodzi zviri mukudzora kwako. Kutora matanho ekudzivirira kunogona kuderedza mukana wako wekuwana mamiriro aya kana kudzora kuenderera mberi kwayo.

Aya ndiwo mazano ekudzivirira anoshanda zvikuru:

• Ita maekisesaizi e Kegel nguva dzose kuti usimudzire minyoro yako yepelvic floor
• Chengetedza uremu hwakanaka kuderedza kumanikidza pane nhengo dzako dze pelvis
• Rapa kutopwa nekukurumidza uye chengetedza tsika dzakanaka dzematumbo
• Dzivisa kusimudza zvinhu zvikuru, kana kushandisa nzira dzakanaka dzekusimudza kana zvichidiwa
• Rega kusvuta kuderedza kukosora kwenguva refu
• Ramba uchiita zvemuviri nemaekisesaizi asina simba
• Funga nezve hormone therapy panguva ye menopause kana yakurudzirwa nachiremba wako

Maekisesaizi e Kegel akakosha zvikuru. Izvi zvinosanganisira kuita zvakare kuita uye kusunungura minyoro yako yepelvic floor. Kana zvaitwa zvakanaka uye nguva dzose, zvinogona kusimbisa zvikuru minyoro inotsigira ganda rako retsinga nenhengo dzako dze pelvis.

Kana uri nepamuviri kana kuti uchida kuva nepamuviri, taura nemaekisesaizi e pelvic floor nachiremba wako. Kutanga aya maekisesaizi pakutanga uye kuenderera mberi mushure mekubereka kunogona kubatsira kudzivirira kana kuderedza pelvic organ prolapse gare gare muhupenyu.

Cystocele inoziviswa sei?

Chiremba wako anogona kazhinji kuziva cystocele kuburikidza nekuongororwa kwemuviri uye kukurukura nezviratidzo zvako. Maitiro acho akareruka uye kazhinji haadi bvunzo dzisingafadzi kana kuti dzine utsinye.

Panguva yekushanya kwako, hutano hwako huchakubvunza nezviratidzo zvako, nhoroondo yemishonga, uye chero zvinhu zvingakonzera pelvic organ prolapse. Vachange vachida kuziva nezve pamuviri wako, kubereka, uye chero mabasa anogona kukanganisa pelvic floor yako.

Kuongororwa kwemuviri kunosanganisira pelvic exam kwaachiremba wako achatsvaka chero kubuda kwemvura muganda retsinga. Vangakukumbira kuti ubate kana kukosora panguva yekuongororwa kuti vaone kuti ganda retsinga rinofamba zvakadii. Izvi zvinovabatsira kuona grade ye cystocele yako.

Dzimwe nguva bvunzo dzimwe dzinoda kuwana mufananidzo wakazara. Izvi zvinogona kusanganisira bvunzo yemvura kuongorora chirwere, bvunzo dze ganda retsinga kuti uone kuti unobvisa ganda rako retsinga zvakanaka sei, kana kuti kuongororwa kwemuviri senge ultrasound kana chiremba wako achida ruzivo rwakawanda nezve nhengo dzako dze pelvis.

Kurapa kwe cystocele chii?

Kurapa kwe cystocele kunotsamira pakukomba kwezviratidzo zvako uye kuti mamiriro acho anokanganisa sei hupenyu hwako hwezuva nezuva. Mateki mazhinji akapfava haadi kurapwa kunze kwekuongorora uye kuchinja mararamiro.

Kurapa kwakapfava kunowanzoedzwa kutanga uye kunogona kushanda zvikuru:

• Maekisesaizi e pelvic floor (Kegels) kusimbisa minyoro inotsigira
• Kuisa pessary - chishandiso chinobviswa chinotsigira ganda rako retsinga
• Estrogen therapy kuvandudza simba retishu mushure memenopause
• Kuderedza uremu kana uri neuremu hwakawanda
• Kudzivirira mabasa anokanganisa pelvic floor yako
• Kurapa zvirwere zviripo senge kutopwa kana kukosora kwenguva refu

Pessary kazhinji ndiyo sarudzo yakanaka ye vakadzi vanoda kudzivirira kuvhiyiwa. Ichi chishandiso chidiki, chinopindirana chinopinda muvagina rako uye chinochengeta ganda rako retsinga panzvimbo yaro yakajairwa. Vakadzi vazhinji vanowana pessaries inoshanda zvikuru uye inofadza kana yakakodzera zvakanaka.

Kuoperezwa kunogona kukurudzirwa kana kurapa kwakapfava kusina kubatsira kana kuti une zviratidzo zvakakomba. Nzira yakajairika yekuvhiya inosanganisira kugadzirisa madziro akasimba pakati peganda rako retsinga nevagina. Izvi zvinogona kuitwa kuburikidza nenzira dzisingakanganisi zvikuru dzine nguva pfupi yekudzorera.

Muitiro wakati, chiremba wako angakurudzira kushandisa mesh kana graft material kupa rutsigiro rwakawanda. Zvisinei, iyi nzira inoda kufunga zvakanyanya nezvemabhenefiti nenjodzi, izvo chiremba wako achakurukura newe zvizere.

Nzira yekutarisira sei cystocele pamba?

Kune zvinhu zvakawanda zvaunogona kuita pamba kutarisira zviratidzo zve cystocele uye kudzivirira mamiriro acho kubva pakuipisisa. Aya mararamiro ekutarisira anoshanda zvakanyanya kana akabatana nekurapa kwemishonga uye nhungamiro kubva kuchiremba wako.

Maekisesaizi e pelvic floor zuva nezuva ndiwo chombo chako chakakosha. Edza kuita maekisesaizi e Kegel katatu pazuva, uchibata chimwe nechimwe kwemasekonzi matatu kusvika mashanu. Zvishoma nezvishoma shanda kusvika pakubata kwemasekonzi gumi sezvo minyoro yako ichisimba.

Kutarisira tsika dzako dzekugezera kunogona kubatsira zvikuru. Edza kuenda kunzvimbo nguva dzose panzvimbo pekumira kusvika ganda rako retsinga razara. Kana uchienda kunzvimbo, tenga nguva yako uye edza kubvisa ganda rako retsinga zvizere. Ungawana zvichibatsira kunamira mberi panguva yekuenda kunzvimbo kana kudzvanya zvinyoro nyoro pamusoro pebvudzi.

Kuchinja mararamiro kunogona kuita musiyano mukuru mukukwanisa kwako. Dzivisa kusimudza zvinhu zvikuru, uye kana uchifanira kusimudza chimwe chinhu, shandisa makumbo ako panzvimbo yepashure rako. Rarapa kutopwa nekukurumidza nefiber yakakwana nemvura. Kana uchisvuta, kusiya kuchaderedza kukosora kwenguva refu kunogona kuipisa mamiriro ako.

Cherechedza mabasa anoita kuti zviratidzo zvako zviwedzere. Vakadzi vazhinji vanoona kusagadzikana kwakawanda mushure mekumira kwenguva yakareba kana kuita maekisesaizi ane simba. Funga kuchinja kuenda kunogeza kana kufamba panzvimbo yekumhanya kana kudonha maekisesaizi.

Unofanira kugadzirira sei appointment yako yechiremba?

Kugadzirira appointment yako kuchakubatsira kuti uwane zvakanyanya kubva pakushanya kwako uye kuve nechokwadi chekuti chiremba wako ane ruzivo rwakakwana rwekukubatsira. Tanga nekunyora zviratidzo zvako uye kana wakazviona kekutanga.

Chengetedza dhayari yezviratidzo kwemazuva mashoma usati waenda kunochirapa. Cherechedza kana zviratidzo zvakanyanya kana kuti zviri nani, mabasa api anovakonzera, uye kuti anokanganisa sei mabasa ako ezuva nezuva. Iyi ruzivo inobatsira chiremba wako kunzwisisa kukomba kweaya mamiriro ako.

Gadzira rondedzero yezvinodhaka zvese zvauri kutora, kusanganisira mishonga yekutengesa uye zvinowedzerwa. Uyewo, nyora nhoroondo yako yemishonga, kusanganisira pamuviri wese, kuoperezwa, nezvirwere zvinoramba zvichiitika. Chiremba wako achada kuziva nezve nhoroondo yemhuri ye pelvic organ prolapse zvakare.

Gadzira mibvunzo yekubvunza chiremba wako. Ungada kuziva nezve sarudzo dzekurapa, zvaunofanira kutarisira kana usingarapwi mamiriro acho, kana kuti nzira yekudzivirira kuti arege kuipisisa. Usanetseka kubvunza nezve chero chinhu chinokunetsa.

Funga kuuya neshamwari yakavimbika kana nhengo yemhuri kuenda kunochirapa. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwepfungwa panguva inogona kunzwa sehurukuro yakakosha.

Chii chinonyanya kukosha nezve cystocele?

Cystocele mamiriro akajairika anokanganisa vakadzi vazhinji, kunyanya mushure mekubereka nemenopause. Kunyangwe zvingave zvinotyisa kuwana, mateki mazhinji anogona kutarisirwa nekurapa kwakanaka uye haakanganisi hupenyu hwako zvakanyanya.

Chinonyanya kukosha yekurangarira ndechekuti une sarudzo dzakawanda dzekurapa dziripo. Kubva kumaekisesaizi akapfava e pelvic floor kusvika ku pessaries kusvika pakugadzirisa kuvhiya, pane kazhinji mhinduro inogona kubatsira kuvandudza zviratidzo zvako nekugadzikana.

Kuita zvinhu pakutanga kazhinji kunotungamira kumigumisiro iri nani. Kana ukaona zviratidzo, usamirire kuzvitaura nachiremba wako. Vakadzi vazhinji vanoona kuti kuchinja kwakapfava mararamiro nemaekisesaizi kunogona kudzivirira mamiriro avo kubva pakuipisisa.

Yeuka kuti kuva ne cystocele hakuratidzi chero chinhu chawakaita chakaipa. Iyo mhedzisiro chaiyo yekumanikidza nekuchinja kwemuviri wako kwakapfuura nekufamba kwenguva. Nekurapa kwakanaka nekurapa, vakadzi vazhinji vane cystocele vanoenderera mberi nehupenyu hwazere, hunoshanda, hunogadzikana.

Mibvunzo inobvunzwa kazhinji nezve cystocele

Cystocele inogona kuenda pachayo here?

Cystocele yakapfava haina kupera zvachose pachayo, asi kazhinji haina kuipisisa. Nemaekisesaizi e pelvic floor akasimba nekuchinja mararamiro, unogona kazhinji kudzivirira kuenderera mberi uye kutarisira zviratidzo zvakanaka. Zvisinei, mateki akakomba zvakanyanya kazhinji anoda imwe nzira yekurapa kuti avandudze zviratidzo.

Kuoperezwa kunogara kuri kukosha here kwe cystocele?

Kwete, kuoperezwa hakugari kuri kukosha. Vakadzi vazhinji vanotarisira cystocele yavo zvakanaka nekurapa kwakapfava senge maekisesaizi e pelvic floor, pessaries, kana kuchinja mararamiro. Kuoperezwa kunowanzoongororwa chete kana kurapa kwakapfava kusina kubatsira kana kuti zviratidzo zvinokanganisa zvakanyanya hupenyu hwako.

Ndingaramba ndichibata here ne cystocele?

Hongu, vakadzi vazhinji vane cystocele vanogona kuramba vachibata. Zvimwe zvinzvimbo zvinogona kuva nyore kupfuura zvimwe, uye kushandisa lubrication kunogona kubatsira. Kana uine kurwadziwa kana kusagadzikana, taura nachiremba wako nezve sarudzo dzekurapa dzingavandudza kugadzikana kwako panguva yekubata.

Cystocele ichaita sei kukwanisa kwangu kuita pamuviri?

Cystocele kazhinji haikanganisi kukwanisa kwako kuita pamuviri. Zvisinei, pamuviri nekubereka zvinogona kazhinji kuipisa cystocele iripo. Kana uri kuronga kuva nepamuviri, taura mamiriro ako nachiremba wako kuti ugadzire chirongwa chakanaka chekutarisira.

Zvinotora nguva yakareba sei kuti maekisesaizi e pelvic floor abatsire ne cystocele?

Vakadzi vazhinji vanotanga kuona kuvandudzika kwezviratidzo mukati memavhiki matanhatu kusvika masere ekuita maekisesaizi e pelvic floor nguva dzose. Zvisinei, zvinogona kutora kusvika kumwedzi mitatu kusvika mitanhatu kuona mabhenefiti azere. Chinhu chikuru ndechekuita maekisesaizi zvakanaka uye nguva dzose, zviri nani pasi penhungamiro yemunyanzvi we pelvic floor physical therapist.