Enterocele

Ukuqina kwamathumbu amancane, okubizwa nangokuthi i-enterocele (EN-tur-o-seel), kwenzeka lapho amathumbu amancane (amathumbu amancane) ehla phansi emathunjini angaphansi futhi ecindezela engxenyeni engaphezulu yesikhumba, edala ukukhula. Igama elithi "ukuqina" lisho ukuhlwitha noma ukuwela endaweni engafanele. Ukubeletha, ukuguga nezinye izinqubo ezicindezela phansi lomgudu wakho zingase zibuthakathaka imisipha nemisipha ehambisana namalungu omgudu, okwenza ukuqina kwamathumbu amancane kube lula ukwenzeka. Ukulawula ukuqina kwamathumbu amancane, izindlela zokunakekela ngokwakho nezinye izinketho ezingelona ubuhlinzwa zivame ukuba nemiphumela emihle. Emacaleni aqatha, ungase udinga ukuhlinzwa ukuze ulungise ukuqina.

Ukuqina kancane kwesisu esincane kungase kungavezi zimpawu noma izimpawu. Kodwa-ke, uma une-prolapse enkulu, ungase uhlangabezane nalokhu okulandelayo: Ukuzwa kokudonsa emathangeni akho okuphumula uma ulela phansi Ukuzwa kokugcwaliswa kwesigxina, ukucindezela noma ubuhlungu Ubuhlungu obungemuva obuphansi obuphumula uma ulela phansi Ukukhula kokuthinta okuthambile esigxina sakho Ukuzwakala okungathandeki esigxina kanye nobuhlobo obuhlungu (dyspareunia) Abesifazane abaningi abane-prolapse yesisu esincane nabo bahlangabezana ne-prolapse yamanye amalungu esigxina, njengesibeletho, isisu noma i-rectum. Bheka udokotela wakho uma uthuthukisa izimpawu noma izimpawu ze-prolapse ezukukhathaza.

Bona udokotela uma uthola izimpawu noma izimpawu zokwehla okuhluphekayo.

Ukucindezeleka okukhulu phansi komgudu yimbangela ephambili yanoma iyiphi uhlobo lokuwela phansi kwamalungu omgudu. Isimo nemisebenzi engabangela noma ihudule ekwehleni komthambo omncane noma ezinye izinhlobo zokwehla kufaka phakathi: Ukukhulelwa nokubeletha Ukubambezeleka kwamathumbu noma ukucindezela ngamathumbu Ukuhlanza okungapheli noma i-bronchitis Ukuphakamisa okuphindaphindwayo okukhulu Ukuba ngumuntu onesisindo esingaphezulu noma olukhulu Ukukhulelwa nokubeletha yizimbangela ezivamile zokwehla kwamalungu omgudu. Imisipha, ama-ligaments kanye ne-fascia ebanjwa futhi asekele i-vagina yakho yandisa futhi ibuthakathaka ngesikhathi sokukhulelwa, ukubeletha nokubeletha. Akuwona wonke umuntu obelethe umntwana othuthukisa ukuwela kwamalungu omgudu. Abanye abesifazane banemisipha enamandla kakhulu yokusekela, ama-ligaments kanye ne-fascia emathunjini futhi ababi nengxaki. Kungenzeka futhi owesifazane ongazange abe nezingane ukuthuthukisa ukuwela kwamalungu omgudu.

Izici ezandisa ingozi yakho yokuthuthukisa ukwehla kwamathumbu amancane zihlanganisa: Ukukhulelwa nokubeletha. Ukukhulelwa kwengane eyodwa noma ngaphezulu kuhlanganyela ekubeni buthakathaka izakhiwo zakho zokusekela izitho zomzimba ezingaphansi, okwandisa ingozi yakho yokwehla. Ukukhulelwa okuningi onakho, ingozi yakho yokuthuthukisa noma yiluphi uhlobo lokwehla lwezitho zomzimba ezingaphansi iyanda. Abafazi abaye baba nokubeletha nge-cesarean kuphela bancane amathuba okuba neprolapse. Ubudala. Ukwehla kwamathumbu amancane nezinye izinhlobo zokwehla kwezitho zomzimba ezingaphansi kwenzeka kaningi njengoba ubudala buyanda. Njengoba ukhula, uba nokulahlekelwa yimisipha namandla emisipha - emisipha yakho yasezinhlangothini kanye nezinye izingxenye zomzimba. Ukuhlinzwa kwezinhlangothi. Ukususa isisu lakho (hysterectomy) noma izinqubo zokwelapha ukungabi namandla kungandisa ingozi yakho yokuthuthukisa ukwehla kwamathumbu amancane. Ukucindezela okukhulu esiswini. Ukuba sisindayo kukhuphula ukucindezela ngaphakathi esiswini sakho, okwandisa ingozi yakho yokuthuthukisa ukwehla kwamathumbu amancane. Ezinye izici ezandisa ukucindezela zihlanganisa ukukhokha okuqhubekayo (esikhathini eside) nokuqina ngesikhathi sokuya esikhathini. Ukubhema. Ukubhema kuhlotshaniswa nokuthuthukisa ukwehla ngoba ababhemi bahlale bekhokha, okwandisa ukucindezela esiswini. Uhlanga. Ngezizathu ezingaziwa, abesifazane baseHispanic nabamhlophe banengozi enkulu yokuthuthukisa ukwehla kwezitho zomzimba ezingaphansi. Izifo zezicubu ezihlanganisayo. Ungase ube nokuthambekela ngokufana ngokwezakhiwo zezicubu ezibuthakathaka endaweni yakho yasezinhlangothini, okukwenza ube sengozini enkulu yokwehla kwamathumbu amancane nezinye izinhlobo zokwehla kwezitho zomzimba ezingaphansi.

Unganciphisa amathuba okubola kwamathumbu amancane ngalezi zindlela: Gcina isisindo esinempilo. Uma unesisindo esingaphezulu, ukulahlekelwa ubunzima kunganciphisa uxinzelelo olukhona esiswini sakho. Vimbela i-constipation. Dla ukudla okunokwehluka okuningi, uphuze amanzi amaningi futhi uzivoge njalo ukuvimbela ukucindezela ngesikhathi sokuphuma kwesisu. Phatha ukukhokha okuqhubekayo. Ukukhokha okuqhubekayo kukhulisa uxinzelelo olukhona esiswini. Bheka udokotela wakho ukuze ubuze ngokwelashwa uma une-cough (ukukhokha) okuqhubekayo (okungapheli). Yeka ukubhema. Ukubhema kuhlanganyela ekukhokha okuqhubekayo. Phepha ukuphakamisa izinto ezisindayo. Ukuphakamisa izinto ezisindayo kukhulisa uxinzelelo olukhona esiswini.

Ukuqinisekisa ukuxilongwa kokwehla kwamathumbu amancane, udokotela wakho uzoqhuba uvivinyo lwe pelvis. Ngesikhathi sovivinyo, udokotela wakho angase akucele ukuba uthathe umoya ojulile bese uwubamba ngenkathi ucindezela phansi njengoba ukhishwa yisisu (ukwenza i-Valsalva), okungenzeka kube yimbangela yokuba amathumbu amancane ahluleke ahluleke. Uma udokotela wakho engenakuqinisekisa ukuthi une-prolapse ngenkathi ulele etafuleni lovivinyo, angase aphinde avivinye ngenkathi umi. Ukunakekelwa eMayo Clinic Iqembu lethu lochwepheshe abanothando eMayo Clinic lingakusiza ngezinkinga zakho zempilo ezihlobene nokuhluleka kwamathumbu amancane (i-enterocele) Qala Lapha Ulwazi Olwengeziwe Ukunakekelwa kokwehla kwamathumbu amancane (i-enterocele) eMayo Clinic Uvivinyo lwe pelvis

Izinhlobo ze-pessaries Khulisa isithombe Valela Izinhlobo ze-pessaries Izinhlobo ze-pessaries I-Pessaries iza ngezindlela eziningi nezikhulu. Idivayisi ifakwa esigabeni futhi ihlinzeka ngokusekela kuma-tissue esigabha ahlukaniswe yi-pelvic organ prolapse. Umhlinzeki wezempilo angafaka i-pessary futhi asize ukunikeza ulwazi mayelana nohlobo oluzokusebenza kangcono. I-prolapse yomthambo omncane ngokuvamile ayidingi ukwelashwa uma izimpawu zingakukhathazi. Ukuhlinzwa kungase kube yimpumelelo uma une-prolapse ephambili ngezimpawu ezicasulayo. Izindlela ezingelona ukuhlinzwa ziyatholakala uma ufisa ukugwema ukuhlinzwa, uma ukuhlinzwa kungaba yingozi kakhulu noma uma ufuna ukukhulelwa esikhathini esizayo. Izinketho zokwelapha i-prolapse yomthambo omncane zifaka: Ukubuka. Uma i-prolapse yakho ibangela izimpawu ezimbalwa noma azibonakali, awudingi ukwelashwa. Izinyathelo ezilula zokunakekela, njengokwenza imizamo ebizwa ngokuthi yi-Kegel exercises ukuqinisa imisipha yakho ye-pelvic, kungase kunikeze ukukhululeka kwezimpawu. Ukugwema ukuphakamisa okukhulu nokuvimbela ukuqina kungase kunciphisa amathuba okuwohloka kwe-prolapse yakho. I-Pessary. Idivayisi yesilikon, i-plastik noma irabha efakwe esigabeni sakho isekela i-tissue ephumile. I-Pessaries iza ngezitayela ezahlukahlukene nezikhulu. Ukufumana efanele kuhilela ukuzama nokuphinda. Udokotela wakho ukuma futhi akufanelele idivayisi, futhi ufunda ukuthi ungayifaka, uyisuse futhi uyicoce kanjani. Ukuhlinzwa. Udokotela angenza ukuhlinzwa ukulungisa i-prolapse ngesigabha noma isisu, ngenhlanhla noma ngaphandle kosizo lwe-robotic. Ngesikhathi senqubo, udokotela wakho uhambisa umthambo omncane owaqhekeka ubuyele endaweni futhi uqinise i-connective tissue ye-pelvic floor yakho. Ngezinye izikhathi, izingxenye ezincane ze-mesh yesynthetic zingasetshenziswa ukusiza ukusekela ama-tissue abuthakathaka. I-prolapse yomthambo omncane ngokuvamile ayibuyi. Noma kunjalo, ukulimala okuqhubekayo kwe-pelvic floor kungenzeka ngokwanda kwe-pelvic pressure, isibonelo ngokuqina, ukukhokha, ukukhuluphala noma ukuphakamisa okukhulu. Cela i-aphoyintimenti