Uyini i-Enterocele? Izimpawu, Izimbangela, Nokwelashwa

I-enterocele uhlobo lokuhlakaza kwamalungu omzimba esiswini lapho ingxenye yomthambo omncane iphuma phansi iye esiswini, ngokuvamile icindezela odongeni olusemva kwesikhumba sakho. Cabanga ngakho njengamandla emisipha yakho yesiswini namalungu omzimba ehluleka, okuvumela amalungu omzimba ukuthi asuke endaweni yawo evamile.

Lokhu kwenzeka lapho amalungu omzimba akusekeli esiswini ehluleka noma eqaqamba ngokuhamba kwesikhathi. Nakuba kungase kuzwakale kukhathazayo, i-enterocele iyisimo esingelashwa esithinta abesifazane abaningi, ikakhulukazi ngemva kokuphela kwesikhathi noma ukukhulelwa.

Ziyini izimpawu ze-enterocele?

Abesifazane abaningi abane-enterocele bazwa ukucindezela noma ukuqina esiswini sabo, ikakhulukazi uma beqeme noma behamba. Lokhu kuzwakala kuvame ukuthuthuka uma ulele uphumule.

Izimpawu ongaziqaphela zingase zihluke kuye kokuthi ukukhuluphala kubi kangakanani. Nanka amanqaku avamile okumelwe uwabheke:

• Ukuzwakala kokukhuluphala esikhumbeni sakho noma ukuzwakala sengathi kukhona oku'wa'
• Ukucindezela esiswini okuyanda usuku lonke
• Ubuhlungu noma ukubhlunguza emuva
• Ubunzima bokuya esikhumulweni noma ukuzwakala sengathi awukwazi ukuhlanza ngokuphelele
• Ukungakhululeki ngesikhathi sokuya ocansini
• Ukukhuluphala okubonakalayo noma okuzwakalayo ekungeni kwesikhumba
• Izinkinga zokungqongqoza njengokungqongqoza njalo noma ubunzima bokuqala ukungqongqoza

Abanye abesifazane bazwa nokukhuphuka noma ukungakhululeki esiswini. Izimpawu ngokuvamile ziyabonakala ngemva kwemisebenzi yomzimba, ukuqema isikhathi eside, noma ukuphakamisa okuyisibhakela.

Ziyini izinhlobo ze-enterocele?

I-Enteroceles ngokuvamile ihlukaniswa ngokuthi yenzeka nini nokuthi yenzeka kanjani. Ukuqonda lezi zinhlobo kungakusiza ukuthi uqonde kangcono ukuthi kwenzekani esimweni sakho.

Izinhlobo eziyinhloko zihlanganisa i-enterocele eyinhloko, eyenzeka ngokwemvelo ngenxa yokuthanda emiphakameni yesiswini, ne-enterocele yesibili, eyenzeka ngemva kokuhlinzwa kwesiswini. Kukhona futhi uhlobo oluyimfihlo oluthi i-enterocele ezelwe nayo abanye abesifazane abazalwa nayo.

I-Enteroceles eyinhloko ngokuvamile ivela kancane kancane ngokuhamba kwesikhathi ngenxa yezinto ezinjengokuguga, ukukhulelwa, noma ukunqabela ngokuzalwa. I-Enteroceles yesibili ingase ibe khona ngemva kwezindlela zokwelapha ezinjengokuhlinzwa kwesisu lapho izakhiwo ezisekelayo ziguqulwa ngesikhathi sokuhlinzwa.

Yini ebangela i-enterocele?

I-Enterocele ivela lapho amalungu omzimba asekelayo amalungu akho esiswini ehluleka noma elimazeke. Lokhu ngokuvamile kwenzeka kancane kancane ngokuhamba kwesikhathi kunokuba kube ngokushesha.

Izici eziningi zingase zifake isandla ekubeni buthakathaka lobu busekelo besiswini:

• Ukukhulelwa nokubeletha ngesikhumba, ikakhulukazi ukubeletha okuningi noma ukubeletha okunzima
• Ukuguga nokuhluleka kwemvelo kwamalungu omzimba oxhumene
• Ukuguquka kwamahomoni ngesikhathi sokuphela kwesikhathi okunethelela emandleni amalungu omzimba
• Ukuhlinzwa kwesiswini kwangaphambili, ikakhulukazi ukuhlinzwa kwesisu
• Ukuhlanza njalo okuvela ezimweni ezinjengesiAsthma noma ukubhema
• Ukubambezeleka njalo nokuqina ngesikhathi sokuya esikhumulweni
• Ukuphakamisa okuyisibhakela noma imisebenzi edinga ukuphakamisa okuyisibhakela okuphindaphindayo
• Izici zokuzalwa ezinethelela emandleni amalungu omzimba oxhumene

Ngezinye izikhathi i-enterocele ingase ibe yimphumela yokwanda kokucindezela esiswini sakho ngenxa yokukhuluphala noma ukuhlanza njalo. Kwezinye izikhathi, kungase kuhlotshaniswe nezifo zamalungu omzimba oxhumene ezinjenge-Ehlers-Danlos syndrome.

Nini okumelwe ubheke udokotela nge-enterocele?

Kumelwe uhlele i-aphoyintimenti nodokotela wakho uma uqaphela ukucindezela okumi esiswini, ukungakhululeki, noma noma yikuphi ukukhuluphala endaweni yesikhumba sakho. Lezi zimpawu zidinga ukuhlolwa ngokwelapha ngisho noma zibonakala zingenamsebenzi.

Ungalindi ukufuna ukunakekelwa uma uhlushwa yizimpawu ezinzima noma uma lesi simo sithinta imisebenzi yakho yansuku zonke. Ukuhlolwa kwasekuqaleni kungasiza ukuvimbela lesi simo ekubeni sibi futhi kukunikeze izinketho eziningi zokwelapha.

Xhumana nodokotela wakho ngokushesha uma ubunzima bokuya ocansini, ukubambezeleka okunzima, noma uma ungabona noma uzwe ukukhuluphala ekungeni kwesikhumba sakho. Kumelwe ufuna ukunakekelwa kwezokwelapha uma ubuhlungu esiswini obuphazamisa ubuthongo bakho noma imisebenzi yakho yansuku zonke.

Ziyini izici ezikhulayo ze-enterocele?

Izici ezithile zingase zikhulise amathuba akho okuthola i-enterocele, nakuba ukuba nalezi zici ezikhulayo akusho ukuthi uzoyithola lesi simo. Ukuqonda lokhu kungakusiza ukuthi uthathe izinyathelo zokuvimbela lapho kungenzeka.

Izici ezikhulayo ezibaluleke kakhulu zihlanganisa:

• Iminyaka engaphezu kuka-50, njengoba amalungu omzimba ehluleka ngokuhamba kwesikhathi
• Ukubeletha kwangaphambili ngesikhumba, ikakhulukazi izingane eziningi noma ukubeletha okunzima
• Ukuphela kwesikhathi nokunciphisa amazinga e-estrogen
• Umlando womndeni wokuhlakaza kwamalungu omzimba esiswini
• Ukuhlinzwa kwesiswini kwangaphambili, ikakhulukazi ukuhlinzwa kwesisu
• Ukubambezeleka njalo noma ukuqina
• Ukuhlanza njalo okuvela ekubhemeni noma ezimweni zamalunga
• Ukukhuluphala noma ukwanda okukhulu kwenani
• Imisebenzi edinga ukuphakamisa okuyisibhakela noma ukuqema isikhathi eside

Abanye abesifazane bangase babe nokunqabela ngokuzalwa kwamalungu omzimba abuthakathaka oxhumene. Kwezinye izikhathi, izifo ezithile zamalungu omzimba oxhumene zingase zikhulise amathuba okuthola i-enterocele eneminyaka emincane.

Ziyini izinhlanganisela ezingase zenzeke ze-enterocele?

Nakuba i-enterocele ngokuvamile ayisiyo isimo esiyingozi ekuphileni, ingase iholele ezinhlanganisela eziningi uma ingalashwa, ikakhulukazi njengoba iqhubeka ngokuhamba kwesikhathi. Ukuqonda lezi zinkinga ezingase zenzeke kungakusiza ukuthi wenze izinqumo ezifanele mayelana nokwelashwa.

Izinhlanganisela ezivamile ongazihlangabezana nazo zihlanganisa:

• Ukubenza izinkinga zokusebenza komthambo, okuhlanganisa ukubambezeleka njalo
• Ubunzima bokuya ocansini njengokungqongqoza okungaphelele
• Ukungqongqoza okwandayo kwezifo zokungqongqoza
• Ukusebenza okungalungile kocansi noma ubuhlungu ngesikhathi sokuya ocansini
• Ukuqina noma ukuqhekeka kwesikhumba uma ukukhuluphala kubi kakhulu
• Ukuhlakaza okuphelele lapho amalungu omzimba ephuma ngaphandle komzimba

Kwezinye izikhathi, i-enterocele enzima ingase iholele ekubambezelekeni komthambo, okudinga ukunakekelwa kwezokwelapha ngokushesha. Kwezinye izikhathi, amalungu omzimba aphumayo angase abanjwe futhi angalahlekelwe yigazi, okwenza kube yiphuthuma lokwelapha.

Izindaba ezinhle ukuthi lezi zinhlanganisela ezinzima azivamile, ikakhulukazi ngokunakekelwa kwezokwelapha okufanele nokwelashwa. Abesifazane abaningi abane-enterocele bangaphatha izimpawu zabo ngokuphumelelayo ngokwelashwa okufanele.

I-Enterocele ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izici ezikhulayo ze-enterocele, ikakhulukazi lezo ezihlobene nokuthanda noma ukunqabela ngokuzalwa, kunezinyathelo eziningi ongazithatha ukuze unciphise ingozi yakho futhi uvikele impilo yemisipha yakho yesiswini.

Ukugcina amandla emisipha yesiswini aqinile ngokuzivocavoca okuvamile kuyinye yezindlela ezinhle kakhulu zokuvimbela. Ukuzivocavoca kwe-Kegel, okuhlanganisa ukuqina nokukhulula imisipha yakho yesiswini, kungasiza ukugcina ukusekelwa kwamalungu akho esiswini.

Nanza izindlela eziyinhloko zokuvimbela:

• Yenza ukuzivocavoca kwe-Kegel njalo ukuze uqinise imisipha yesiswini
• Gcina isisindo esinempilo ukuze unciphise ukucindezela emiphakameni yesiswini
• Gwema ukuphakamisa okuyisibhakela noma sebenzisa izindlela ezifanele zokuphakamisa
• Phatha ukubambezeleka njalo ngokudla okunokhula, amanzi, nokuzivocavoca okuvamile
• Yekela ukubhema ukuze unciphise ukuhlanza njalo
• Cabanga ngokwelashwa kwamahomoni ngesikhathi sokuphela kwesikhathi uma kufaneleka

Uma uhlela ukukhulelwa kwesikhathi esizayo, xoxa ngezinketho zokubeletha nodokotela wakho. Kwezinye izikhathi, ukubeletha kwe-cesarean kungase kunconywe uma unezici ezikhulayo ezibalulekile zokulimala emiphakameni yesiswini.

I-Enterocele ihlonishwa kanjani?

Ukuhlonishwa kwe-enterocele ngokuvamile kuqala ngodokotela wakho othatha umlando wezokwelapha ophelele futhi enze ukuhlolwa komzimba. Umhlinzeki wakho wezokunakekelwa kwezempilo uzokubuza ngezimpawu zakho, umlando wokukhulelwa, nanoma yikuphi ukuhlinzwa kwesiswini kwangaphambili.

Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzokwenza ukuhlolwa kwesiswini ukuze ahlole noma yikuphi ukukhuluphala noma ukuhlakaza. Bangase bakucela ukuthi ubeke phansi noma uhlanze ukuze babone ukuthi amalungu akho esiswini asuka kanjani ngokwanda kokucindezela.

Izivivinyo ezengeziwe udokotela wakho angase azincoma zihlanganisa:

• I-Defecography, isivivinyo se-X-ray esibonisa ukuthi i-rectum namalungu omzimba aseduze asebenza kanjani ngesikhathi sokuya esikhumulweni
• I-MRI noma i-CT scan ukuze uthole izithombe ezinemininingwane yamalungu akho esiswini
• I-Cystoscopy ukuze uhlole ibhuladha yakho uma izimpawu zokungqongqoza zikhona
• I-Colonoscopy ukuze ukhulule ezinye izinkinga zomthambo

Ngezinye izikhathi udokotela wakho angase akubheke ochwepheshe, njengochwepheshe we-urogynecologist noma udokotela we-colorectal, ukuze uthole ukuhlolwa okwengeziwe. Laba ochwepheshe banokuqeqeshwa okwengeziwe ezinkingeni zemisipha yesiswini futhi bangakunikeza ukunakekelwa okukhethekile.

Yini ukwelashwa kwe-enterocele?

Ukwelashwa kwe-enterocele kuncike ebukhulu bezimpawu zakho nokuthi lesi simo sithinta kangakanani impilo yakho yansuku zonke. Udokotela wakho uzosebenza nawe ukuze enze uhlelo lokwelapha oluhambisana nezidingo zakho nezifiso zakho.

Kwezinye izimo ezilula, ukwelashwa okuqondisiwe kuvame ukuzama kuqala. Lezi zindlela ezingelona ukuhlinzwa zingasebenza kakhulu kwabesifazane abaningi futhi zingase zihlanganise ukuqeqeshwa komzimba kwemisipha yesiswini, ukuguqulwa kwesitayela sokuphila, nezinto ezisekelayo.

Izinketho zokwelashwa okuqondisiwe zihlanganisa:

• Ukuqeqeshwa komzimba kwemisipha yesiswini ukuze kuqinise imisipha esekelayo
• Ukufakwa kwe-Pessary, into esekela amalungu omzimba ahlulekile
• Ukwelashwa kwamahomoni ukuze kuthuthukiswe amandla amalungu omzimba
• Ukuguqulwa kokudla ukuze kuvinjelwe ukubambezeleka
• Ukuphathwa kwesisindo uma ukukhuluphala kuyimbangela

Uma ukwelashwa okuqondisiwe kungakuniki impumuzo eyanele, izinketho zokwelapha zingase zicatshangelwe. Izindlela zokwelapha zingase zihlanganise ukulungisa amalungu omzimba abuthakathaka ngesikhumba noma esiswini, kuye esimweni sakho.

Udokotela wakho angase akuncome izindlela ezinjenge-posterior colporrhaphy, lapho odonga olusemva kwesikhumba kulungiswa futhi luqinisekiswe. Kwezinye izikhathi, izinto ze-mesh zingase zisetshenziswe ukuze zinikeze ukusekelwa okwengeziwe, nakuba le ndlela idinga ukucabangela ngokucophelela izingozi nezinzuzo.

Indlela yokuphatha i-enterocele ekhaya?

Kunezinto eziningi ongazenza ekhaya ukuze usize ukuphatha izimpawu zakho ze-enterocele futhi uvikele lesi simo ekubeni sibi. Lezi zindlela zokuphatha ekhaya zisebenza kangcono uma zihlanganiswa nokwelashwa kwezokwelapha.

Qala ngokufaka ukuzivocavoca kwemisipha yesiswini ohlelweni lwakho lwansuku zonke. Ukuzivocavoca kwe-Kegel kungasiza ekuqinisiseni imisipha esekela amalungu akho esiswini futhi kungase kunciphisa izimpawu ngokuhamba kwesikhathi.

Nanza izindlela ezinhle zokuphatha ekhaya:

• Yenza ukuzivocavoca kwe-Kegel izikhathi ezintathu ngosuku, ugcine ukuqina imizuzwana emi-5-10
• Gcina imikhuba yokuya esikhumulweni njalo ngokudla okunokhula namanzi anele
• Gwema ukuphakamisa okuyisibhakela noma sebenzisa izindlela ezifanele zokuphakamisa
• Gqoka i-abdominal binder esekelayo ngesikhathi semisebenzi yomzimba
• Yenza isimo esifanele sokuma ukuze unciphise ukucindezela emiphakameni yesiswini
• Thatha ama-break ekuqemeni isikhathi eside lapho kungenzeka

Ukuphatha ukubambezeleka kubalulekile ngoba ukuqina kungase kwenze i-enterocele ibe sibi. Faka izithelo, imifino, nokhula oluphelele ekudleni kwakho, futhi cabanga ngokuthi ukudla okunokhula uma kunconywe udokotela wakho.

Uma uhlushwa ukungakhululeki, ukuphumula ngama-hips aphakanyisiwe kungasiza ekuqedeni ukucindezela futhi kunikeze impumuzo. Lesi simo sivumela amandla adonsela phansi ukuthi asisize ukubuyisela amalungu akho endaweni yawo evamile okwesikhashana.

Kumelwe ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nehlolo lokwelapha eliphumelelayo. Ukuthatha isikhathi sokulungisa imicabango yakho nezimpawu zakho kusengaphambili kuzokwenza ukuvakasha kube nomphumela.

Qala ngokugcina idayari yezimpawu amasonto ambalwa ngaphambi kwe-aphoyintimenti yakho. Qaphela ukuthi izimpawu zenzeka nini, yini eyenza zibe ngcono noma zibe zimbi, nokuthi zithinta kanjani imisebenzi yakho yansuku zonke.

Nanza okumelwe ukulungiselele:

• Bala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi zinzima kangakanani
• Bhala umlando wakho wezokwelapha ophelele, kufaka phakathi ukukhulelwa nokuhlinzwa
• Letha uhlu lwawo wonke ama-meds kanye nezinye izinto ozithathayo
• Lungiselela imibuzo mayelana nezinketho zokwelapha nokuthi yini okulindelekile
• Cabanga ngokuletha umngane noma ilungu lomndeni othembekile ukuze likusekele

Ungajabuli ukuxoxa ngemininingwane yomuntu siqu mayelana nezimpawu zakho. Umhlinzeki wakho wezokunakekelwa kwezempilo udinga ulwazi oluphelele ukuze akusize ngokuphumelelayo, futhi uqeqeshwe ukuxoxa ngalezi zindaba ngokuchwephesha nangomusa.

Yini okuyinhloko mayelana ne-enterocele?

I-Enterocele iyisimo esingelashwa esithinta abesifazane abaningi, ikakhulukazi ngemva kokubeletha noma ukuphela kwesikhathi. Nakuba kungase kube ukungakhululeki futhi kukhathaze, unezinketho eziningi zokwelapha eziphumelelayo ezitholakalayo.

Into ebaluleke kakhulu okumelwe uyikhumbule ukuthi ukufuna ukunakekelwa kwezokwelapha kwasekuqaleni kungavimbela lesi simo ekubeni sibi futhi kukunikeze izinketho eziningi zokwelapha. Abesifazane abaningi bathola impumuzo enkulu ngokwelashwa okuqondisiwe njengokuqeqeshwa komzimba kwemisipha yesiswini nokuhlala kahle.

Ungavumeli ukuhlanya noma ukwesaba kukuvimbele ekutholeni usizo olukutholakalayo. Abanakekeli bezempilo banolwazi lokwelapha izinkinga zemisipha yesiswini futhi bangakunikeza ukunakekelwa okuhle, okusezingeni eliphezulu ukuze uzizwe kangcono futhi ugcine ikhwalithi yempilo yakho.

Imibuzo evamile ebuzwa mayelana ne-enterocele

Ingase ihambe yodwa i-enterocele?

I-Enterocele ayivamile ukuthi iphele ngaphandle kokwelashwa, kodwa izimo zokuqala zingase zithuthuke ngezindlela eziqondisiwe ezinjengokuziqeqesha kwemisipha yesiswini nokuhlala kahle. Lesi simo ngokuvamile sihlala siqina noma siqhubeka kancane kancane ngokuhamba kwesikhathi, kungakho ukungenela kwasekuqaleni kubalulekile ukuze kube khona imiphumela emihle.

Ingabe i-enterocele ifana nezinye izinhlobo zokuhlakaza?

Cha, i-enterocele ikakhulukazi lapho ingxenye yomthambo omncane ihluleka, kuyilapho ezinye izinhlobo zihlanganisa amalungu omzimba ahlukene. I-Rectocele ihlanganisa i-rectum, i-cystocele ihlanganisa ibhuladha, nokuhlakaza kwesisu kuhlanganisa isisu. Kodwa-ke, kuvamile kwabesifazane ukuba nezinhlobo eziningi zokuhlakaza ngesikhathi esisodwa.

Ngingase ngiye ocansini ngine-enterocele?

Abesifazane abaningi abane-enterocele bangqhubeka beya ocansini, nakuba abanye bangase babe nokungakhululeki noma ubuhlungu. Ukusebenzisa izikhundla ezahlukene, ukugcoba okwanele, nokuxhumana nomlingani wakho kungasiza. Uma ubuhlungu buqhubeka, xoxa ngezinketho zokwelapha nodokotela wakho.

Ingabe i-enterocele izonginciphisa ikhono lokuya esikhumulweni?

I-Enterocele ngezinye izikhathi ingenza kube nzima ukuya esikhumulweni noma ibe yimbangela yokuzwa sengathi awukwazi ukuhlanza ngokuphelele. Abanye abesifazane kudingeka basekele odonga lwesikhumba ngesikhathi sokuya esikhumulweni ukuze basize ekuhlanzweni. Udokotela wakho angakufundisa izindlela zokuphatha lokhu uma kudingeka.

Isikhathi sokuphulukana singakanani ngemva kokuhlinzwa kwe-enterocele?

Isikhathi sokuphulukana sihluka kuye kohlobo lokuhlinzwa okwenziwe, kodwa abesifazane abaningi bangabuyela emisebenzini yabo evamile phakathi kwamasonto angu-6-8. Ukuphulukana okuphelele kungathatha izinyanga eziningi. Udokotela wakho uzokunikeza imiyalo ekhethekile yokubuyela emsebenzini kuye ngendlela yakho yokwelapha nenqubo yakho yokuphulukana.