Ukuhluleka Kwezinhlangothi Zomlomo Wesisu Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuhluleka kwezinhlangothi zomlomo wesisu kwenzeka lapho imisipha namalunga asekelayo izitho zakho zomlomo wesisu ebuthakathaka, okubangela ukuthi isitho esisodwa noma ngaphezulu siwe noma sicindezele udonga lwe-vagina. Cabanga ngakho njengoba ihammock esolule isikhathi eside futhi ingasakwazi ukugcina izinto endaweni yazo efanele.

Lesi simo siqhele kakhulu, ikakhulukazi kubesifazane abazalile noma abaye badlula ekuqedeni komjikelezo wabo wesondo. Awuwedwa uma ubhekene nalokhu, futhi kunezindlela eziningi eziphumelelayo zokuphatha nokuphatha.

Ukuhluleka kwezinhlangothi zomlomo wesisu yini?

Ukuhluleka kwezinhlangothi zomlomo wesisu kwenzeka lapho imisipha yomlomo wesisu namalunga ebuthakathaka noma elimazeke, kuvumela izitho ezifana ne-bladder, i-uterus, noma i-rectum ukuthi zishintshe endaweni yazo evamile. Lezi zitho zingase zikhukhuleke noma ziphume ngaphandle kokuvuleka kwe-vagina.

Umsebenzi wakho womlomo wesisu ufana nesilingi esisekelayo, ugcine izitho zakho zomlomo wesisu endaweni. Lapho lesi sistimu sokweseka sibuthakathaka, amandla adonsa phansi futhi izitho zingase ziye phansi. Lokhu akusho ukuthi umzimba wakho uqhekekile noma ukuthi wenze into engafanele.

Lesi simo sithinta izigidi zabesifazane emhlabeni jikelele futhi siqala ukwanda ngokwanda nobudala. Abesifazane abaningi bahlala bephethe ukuhluleka okuncane ngaphandle kokukwazi, kanti abanye babhekene nezimpawu ezibonakalayo eziqeda induduzo yabo yansuku zonke.

Imiphi imikhakha yokuhluleka kwezinhlangothi zomlomo wesisu?

Kunezinhlobo eziningi zokuhluleka kwezinhlangothi zomlomo wesisu, kuye ngokuthi yisiphi isitho esishintshile isikhundla. Uhlobo ngalunye lunezimpawu zalo ezikhethekile.

I-Cystocele (ukuhluleka kwangaphambili) uhlobo oluvamile kakhulu, lapho i-bladder yakho iwa odongeni lwe-vagina langaphambili. Ungase uzizwe ukhukhumele engxenyeni yangaphambili ye-vagina yakho noma ube nezimpawu ezihlobene ne-bladder.

I-Rectocele (ukwehlela emuva) kwenzeka lapho i-rectum yakho icindezela odongeni olusemva kwe-vagina. Lokhu kungenza kube nzima ukukhishwa kwesisu futhi kudale umuzwa wokungapheli kahle.

Ukwehlela kwesisu kwenzeka lapho isisu sakho sihla phansi esigabeni se-vagina. Emacaleni alula, ungase ungakwazi ukuqaphela, kodwa amacala abukhali angabangela isisu siphume ngaphandle kokuvuleka kwe-vagina.

Ukwehlela kwe-vaginal vault kungenzeka ngemva kokusilela kwe-hysterectomy, lapho ingxenye ephezulu ye-vagina ilahlekelwa ukusekelwa bese iwa phansi. Lokhu akunamkhawulo kodwa kusengabangela ukungakhululeki okukhulu.

I-Enterocele ihilela amabele amancane acindezela odongeni lwe-vagina, ngokuvamile engxenyeni engaphezulu. Lo mkhuba awuvamile kodwa ungase ube khona kanye nezinye izinhlobo zokwehlela.

Ziyini izimpawu zokwehlela kwamalungu esiswini?

Izimpawu zokwehlela kwamalungu esiswini zingase zihluke kakhulu kumuntu ngamunye, futhi abesifazane abaningi baba nezimpawu ezilula eziya futhi ziye. Ukuqonda ukuthi yini okufanele uyibheke kungakusiza ukuthi uqaphele ukuthi nini kungase kube yisikhathi sokukhuluma nodokotela wakho.

Isimpumu esivame kakhulu iwumuzwa wokuzinzisa noma ukucindezela esiswini sakho, ikakhulukazi ngemva kokuma isikhathi eside noma ekupheleni kosuku. Ungase futhi uqaphele ukukhula noma i-lump e-vagina yakho ongayibona noma uyizwe.

• Umuzwa wokudonsa esiswini sakho noma emuva
• Umuzwa wokuthi kukhona okuwa phansi e-vagina yakho
• Ukukhula okubonakalayo noma okungabonakali endaweni ye-vagina
• Ubunzima bokuhlanganisa ama-tampons noma ukuba nobuhlobo obukhululekile
• Izinkinga zokukhishwa kwesisu njengokukhishwa kwesisu njalo, ukuphithizelwa, noma ukungapheli kahle
• Ubunzima bokuhamba kwesisu, kufaka phakathi ukuvimbela noma ukuzizwa sengathi awukwazi ukuhlanza kahle izisu zakho
• Ubuhlungu besiswini noma ukungakhululeki okubi kakhulu ngemisebenzi
• Ubuhlungu olusemuva oluthuthuka lapho ulele phansi

Abanye abesifazane bayaphawula ukuthi izimpawu zabo ziyaba zimbi ngezikhathi ezithile zokuzalwa kwabo noma lapho benza umsebenzi onzima. Izindaba ezinhle ukuthi izimpawu zivame ukuthuthuka ngokuphumula nokulela phansi.

Kubalulekile ukuphawula ukuthi abanye abesifazane abane-prolapse ephansi abanawo nhlobo izimpawu, kanti abanye abanezinga elifanayo le-prolapse bangaba nokuhlupheka okukhulu. Okuhlangenwe nakho kwakho kuyakhethekile kuwe.

Yini ebangela i-prolapse yamalungu esifuba?

I-prolapse yamalungu esifuba yenzeka lapho inethiwekhi yemisipha, ama-ligaments, namalungu asekela amalungu akho esifuba iye yahluleka noma yonakele. Lo msebenzi wokusekela ungathinteka yizenzakalo ezahlukahlukene zokuphila nezinguquko zemvelo emzimbeni wakho.

Ukuqonda lezi zizathu kungakusiza uqonde ukuthi i-prolapse ivame ukubangelwa yizipili zokuphila okuvamile kunokuthile oyenzile okungalungile. Izinto eziningi zingase zifake isandla ekuhlulekeni kwe-pelvic floor yakho ngokuhamba kwesikhathi.

• Ukubeletha, ikakhulukazi ukubeletha ngesigxobo noma ukubeletha okude
• Ukukhulelwa okuningi okwandisa i-pelvic floor
• Ukushintsha kwamahomoni ngesikhathi se-menopause okunciphisa amandla ezinhlangothi
• Ukuhlanza okungapheli okuvela ezimweni ezifana ne-asthma noma ukubhema
• Ukuphakamisa izinto ezinsundu noma ukucindezela njalo
• Ukuboshwa okungapheli okudinga ukucindezela
• Izici ze-genetic ezithinta amandla ezinhlangothi
• Ukuhlinzwa kwangaphambili kwe-pelvic, kufaka phakathi i-hysterectomy
• Ukuguga, okuhluleka ngokwemvelo zonke izicubu zomzimba
• Ukukhuluphala, okwandisa ukucindezela emathunjini esifuba

Ukukhulelwa nokubeletha yizimbangela eziyinhloko kakhulu zengozi, kodwa i-prolapse ingase ibe khona nakwabesifazane abangakaze bakhulelwe. Ngezinye izikhathi izinto ezincane eziningi zihlangana ngokuhamba kwesikhathi ukuze zibuthakathaka i-pelvic floor.

Ukulahlekelwa yi-estrogen ngesikhathi se-menopause kudlala indima ebalulekile, njengoba lo homoni uqinisile amandla nokuguquguquka kwezicubu ze-pelvic. Kungakho i-prolapse iba yinto evamile njengoba abesifazane bekhula.

Nini okufanele ubone udokotela ngenxa yokwehla kwamalungu e pelvis?

Kufanele ucabange ukuya kudokotela uma izimpawu zokwehla kwamalungu e pelvis ziqala ukuthinta ubuhle bakho, imisebenzi yakho yansuku zonke, noma ikhwalithi yokuphila kwakho. Ukuxilongwa kwasekuqaleni kungasiza ukuvimbela izimpawu ezingabi bibi futhi kukufeze ngezinye izinketho zokwelapha.

Ungalindi uma ubona ukuqhuma okubonakalayo esigabeni sakho, ikakhulu uma kubonakala ngaphandle komzimba wakho. Lokhu kubonisa izinga elikhulu lokuwohloka okudinga ukwelashwa nokuhlolwa ngochwepheshe.

Ezinye izimo ezidinga ukuvakashelwa kudokotela zihlanganisa ukucindezeleka okuqhubekayo kwephevic elingathuthuki ngokuphumula, ubunzima bokuthamba noma ukuhamba kwesisu, noma ubuhlungu ngesikhathi socansi. Lezi zimpawu zingathinta kakhulu impilo yakho futhi zidinga ukunakekelwa.

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlushwa ubuhlungu obukhulu be-pelvic, ukungakwazi ukuthamba, noma uma ilungu eliwohlokile libanjwe ngaphandle komzimba wakho futhi ungakwazi ukulibuyisela ngaphakathi.

Khumbula ukuthi abanakekeli abaningi bezempilo bajwayele ukwelapha ukuwohloka, futhi ukuxoxa ngalezi zimpawu akudingeki kube yinto ehluphayo. Ukuthula kwakho nekwalithi yokuphila kwakho kubalulekile, futhi kukhona ukwelashwa okuphumelelayo okukhona.

Yini izimbangela zokwehla kwamalungu e pelvis?

Izici eziningi zingandisa amathuba akho okukhula kokwehla kwamalungu e pelvis, yize ukuba nezici zengozi akusho ukuthi uzokuthola le simo. Ukuqonda lezi zici kungakusiza ukuthi wenze izinqumo ezilwemi mayelana nokuvimbela nokwelashwa kwasekuqaleni.

Ezinye izici zengozi ongenakuzilawula, njengokwakheka kwakho kwezakhiwo noma ukuba ubelethe. Noma kunjalo, ukwazi ngalezi zinto kungakusiza uhlale ulungile ezimpawu futhi ufuna ukwelashwa kwasekuqaleni uma kudingeka.

• Ubudala, ikakhulukazi ukuba ukhulu kunama-50 eminyaka
• Ukuba ubelethe, ikakhulukazi ukubeletha okuningi ngendlela yemvelo
• Ukudlula ekuqedeni komjikelezo wokuya esikhathini kanye nezinguquko ze-hormone ezihambisana nakho
• Umlando womndeni wokwehla kwamalungu omzimba e pelvis
• Ukuba ngumuntu onesisindo esingaphezulu noma olukhulu
• Ukuba nezimo ezingapheli ezingabangela ukukhokha noma ukucindezela
• Ukuhlinzwa kwangaphambili kwesisu noma ukulimala
• Izifo zezicubu ezihlanganisa ezinciphisa amandla esicubu
• Imisebenzi noma imisebenzi ehilela ukuphakamisa izinto ezisindayo
• I-constipation engapheli noma ukucindezela ngesikhathi sokuya esithunzini

Nakuba ungakwazi ukushintsha izinto ezinjengobudala noma umlando wokubeletha, uhlale ungakwazi ukulungisa ezinye njengokugcina isisindo esinempilo, ukwelapha ukukhokha okungapheli, nokuphatha i-constipation. Izinguquko ezincane zokuphila zingenza umehluko omkhulu.

Ukuba nezici eziningi ezingozi akusho ukuthi ukuhla kwamalungu omzimba e pelvis kuzoqina. Abesifazane abaningi abanazo izici eziningi ezingozi abazange baqale ukuhla kwamalungu omzimba e pelvis, kanti abanye abanazo izici ezimbalwa ezingozi bayakuthola.

Ziyini izinhlanganisela ezingase zenzeke zokwehla kwamalungu omzimba e pelvis?

Imikhakha eminingi yokwehla kwamalungu omzimba e pelvis ayiholeli ezinhlanganisela ezinkulu, ikakhulukazi uma kubonwe futhi kuphathwe ngokufanele. Noma kunjalo, ukuqonda izinhlanganisela ezingase zenzeke kungakusiza ukuba wenze izinqumo ezilwemi mayelana nokuphathwa.

Izinhlanganisela ezivame kakhulu zihilela ukwanda kwezimpawu ngokuhamba kwesikhathi uma ukuhla kwamalungu omzimba e pelvis kungaphathwa. Lokhu kuqhubeka akubi, kodwa kungathinta kakhulu induduzo yakho kanye nekhwalithi yokuphila kwakho.

• Ukubiqela kwezinkinga zokukhishwa kwesisu, kufaka phakathi ukutheleleka okuphindaphindayo
• Ukukhula kokunzima kokukhishwa kwesisu
• Ukukhula kokungakhululeki ngesikhathi semisebenzi yomzimba noma ubudlelwano
• Isiliva noma ukuvuvukala kwezicubu eziwile
• Ukungenakukwazi nhlobo ukukhishwa kwesisu (kuyimbi kancane kodwa kukubi kakhulu)
• Ukuvimbela kwesisu ezimweni ezinkulu ze-rectocele
• Ukukhipha umphakathi ngenxa yokulahlekelwa yithemba noma ukungakhululeki
• Ukunciphisa umsebenzi womzimba okuholela kwezinye izinkinga zempilo

Izinkinga ezinzima azivamile, kodwa zingase zenzeke ngokuwa okukhulu, okungaphathwe kahle. Ukugcinwa okuphelele kwesisu noma ukuvimbela kwesisu kudinga ukunakekelwa ngokushesha kwezokwelapha, yize lezi zimo zingavamile.

Izindaba ezinhle ukuthi izinhlupheko eziningi zingavikeleka ngokwelashwa okufanele. Ngisho nokuwa okukhulu kuvame ukuphathwa kahle ngendlela efanele, okuvumela ukuthi ugcine impilo esebenzayo, ezolile.

Kungenzeka kanjani ukuvimbela ukuwa kwezicubu ze-pelvic?

Nakuba ungakwazi ukuvimbela zonke izimo zokuwa kwezicubu ze-pelvic, ikakhulukazi lezo ezihlobene nokubeletha noma i-genetics, amasu amaningi angasiza ekuqedeni ingozi yakho noma ekuthambiseni ukuqhubeka kokwehla okukhona.

Ukuqina kwemisipha ye-pelvic floor nokugwema imisebenzi ebeka ukucindezela okukhulu kulezi zicubu ezisekelayo kuyisihluthulelo. Imizamo emincane, eqhubekayo ivame ukwenza umehluko omkhulu ngokuhamba kwesikhathi.

• Yenza umthambo wemisipha yasesinyi (Kegels) njalo.
• Gcina isisindo esinempilo ukuze unciphise uxinzelelo lwasesinyi.
• Phatha futhi uvikele i-constipation ngokudla okunokhululo noketshezi.
• Sebenzisa amasu afanele okuphakamisa izinto, futhi gwema ukuphakamisa izinto ezisindayo uma kungenzeka.
• Yeka ukubhema ukuze unciphise ukukhokha okuqhubekayo.
• Lawula ukukhokha okuqhubekayo okuvela ku-asthma noma ezinye izimo.
• Cabanga ngokwelashwa ngamahomoni ngesikhathi se-menopause (xoxa nodokotela wakho).
• Hlala usebenza ngokomzimba ngemisebenzi engenamandla.
• Gwema imisebenzi enamandla enyusa uxinzelelo lwasesinyi.

Ukuzivocavoca kwemisipha yasesinyi, okwaziwa nangokuthi yi-Kegel exercises, kubaluleke kakhulu. Lokhu kuhilela ukuqina nokukhulula izikhathi eziningi imisipha osebenzisa ukuyeka ukuthamba phakathi.

Uma ukhulelwe noma uhlela ukukhulelwa, ukuzivocavoca kwemisipha yasesinyi ngaphambi kokubeletha nokusebenzisana nodokotela wakho ngokuqondene nohlelo lokubeletha kungasiza ekuqedeni ingozi yokwehla kwelungu lesinyi, yize ezinye izinguquko zemisipha yasesinyi zivamile ngemuva kokubeletha.

I-pelvic organ prolapse ihlonishwa kanjani?

Ukuhlola i-pelvic organ prolapse kuvame ukuqala ngengxoxo ephelele mayelana nezimpawu zakho nembali yakho yezokwelapha, kulandele ukuhlolwa komzimba. Udokotela wakho uzofuna ukuqonda ukuthi i-prolapse ikuthinta kanjani impilo yakho yansuku zonke nezimpawu ezikukhathazayo kakhulu.

Ukuhlolwa komzimba kuvame ukufaka ukuhlolwa kwesinyi lapho udokotela wakho azokuhlola khona ngeso futhi ahlole ngobumnene i-vagina yakho neendawo ezizungezile. Lokhu kungase kuzwakale kungakhululekile, kodwa akufanele kube buhlungu, futhi udokotela wakho uzokucacisela lokho akwenzayo kulo lonke inqubo.

Phakathi nokuhlolwa, udokotela wakho angase akucele ukuba ucindezele noma ukukhokha ukuze abone ukuthi i-prolapse ishintsha kanjani ngoxinzelelo olukhulu lwesisu. Lokhu kuwasiza ukuthola ubukhulu nohlobo lwe-prolapse obuhlangabezana nayo.

Kungenzeka ukuthi kuzokwelulekwa ezinye izivivinyo kuye ngezimpawu zakho. Lezi zingafaka ukuhlolwa kwe-urodynamic ukuhlola umsebenzi we-bladder, izifundo zokwakha izithombe ezifana ne-ultrasound noma i-MRI, noma i-X-rays ekhethekileyo ukuhlola umsebenzi wesisu.

Udokotela wakho uzobuye ahlole ukwehla komzimba ngesikali esichaza ukuthi izitho ziye zahlala kangakanani. Lokhu kuhlola kusiza ekuqondiseni izinqumo zokwelashwa futhi kuvumela ukulandelela izinguquko ngokuhamba kwesikhathi.

Iyini impilo yokuwa kwezitho ze-pelvic?

Ukwelashwa kokwehla kwezitho ze-pelvic kuncike ebukhali bezimpawu zakho, uhlobo nobukhulu bokuwa, iminyaka yakho, ukuziphatha kobulili, kanye nezifiso zakho siqu. Izindaba ezinhle ukuthi kunezindlela eziningi eziphumelelayo eziqala ekuchinjeni okulula kwesitayela sokuphila kuya ekuhlinzweni.

Ngokuwa okuncane okunezimpawu ezincane, ukwelashwa okuqondisiwe kuvame ukuba nemiphumela emihle futhi kufanele kuqale kuqale. Lezi zindlela zigxile ekuqiniseni i-pelvic floor yakho nasekuphatheni izimpawu ngaphandle kokuhlinzwa.

Ukwelashwa okuqondisiwe kuhlanganisa i-pelvic floor physical therapy, ekuqeqesha ngayo imizamo ethile yokuqinisa imisipha esekela izitho zakho ze-pelvic. Umphristi wezemidlalo oqeqeshwe kahle angakunikeza imiyalo ehlukile kanye ne-biofeedback ukuqinisekisa ukuthi wenza imizamo ngendlela efanele.

Amadivayisi e-Pessary yizinto ezikhishwa ze-silicone noma i-plastic ezihambisana ne-vagina yakho ukuze isekele izitho eziweleyo. Lezi ziza ngezindlela ezahlukene nezindinganiso, futhi udokotela wakho uzokusiza ukuthola okulungile. Abesifazane abaningi bathola i-pessaries ephumelela kakhulu ekuphatheni izimpawu.

Ukushintsha kwesitayela sokuphila kungathuthukisa kakhulu izimpawu futhi kuvimbele ukuba sibi. Lokhu kuhlanganisa ukuphathwa kobunzima, ukwelashwa kokubambezeleka, ukugwema ukuphakamisa okunzima, nokuguqula imisebenzi ekhuphula ukucindezela kwe-pelvic.

Izindlela zokwelapha ngokuhlinzwa zingase zinconywe uma ukuwohloka kukhulu noma uma ukwelashwa okuqondene nokugwema ukuhlinzwa kungabi namphumela eyanele. Lokhu kungafaka ukulungisa ngokusebenzisa izicubu zakho noma i-mesh yesikhakha, noma izinqubo eziphakamisa amalunga endaweni yawo efanele.

Ukukhetha phakathi kokwelashwa kufanele kuhlanganiswe ngokususelwa esimweni sakho, izifiso zakho, nemigomo yakho. Abesifazane abaningi baphatha ngempumelelo ukuwohloka ngezindlela ezingahlinzwa, kanti abanye bayazuza kakhulu ekulungisweni kokwelapha ngokuhlinzwa.

Ungaluphatha kanjani ukuwohloka kwamalunga e pelvis ekhaya?

Ukuphatha ukuwohloka kwamalunga e pelvis ekhaya kuhilela ukuqhuba imikhuba yansuku zonke njalo engathuthukisa kakhulu induduzo yakho futhi ivimbele izimpawu ezingabi bibi. Lezi zindlela zokunakekela zizenza kangcono uma zihlanganiswa nokwelashwa kochwepheshe.

Isisekelo sokuphatha ekhaya yimiqondo yansuku zonke yemisipha yase pelvic floor. Ukwenza imiqondo ye-Kegel ngendlela efanele futhi njalo kungaqinisa imisipha esekela amalunga akho e pelvis futhi kunciphisa izimpawu ngokuhamba kwesikhathi.

• Zama imiqondo ye-Kegel kathathu ngosuku, ubambe ukuqina imizuzwana engu-5-10
• Gcina isimo somzimba esihle ukuze unciphise ukucindezeleka kwe pelvis
• Dla ukudla okunamafutha amaningi futhi uhlale uthambile ukuvimbela ukuvimbela
• Sebenzisa amasu omzimba afanele uma uphakamisa noma uthwala izinto
• Thatha ikhefu njalo ekuyimeni noma ekuhambeni uma izimpawu zibe zimbi
• Gqoka izingubo zangaphansi ezisekelayo noma ama-shorts okucindezela uma kuwusizo
• Faka ukucindezela okuthambile ukuze usekele izicubu eziwohlokile ngesikhathi sokuya esikhumulweni uma kudingeka
• Zama amasu okuphatha ukucindezeleka, njengoba ukucindezeleka kungenza izimpawu zibe zimbi
• Gcina idayari yezimpawu ukuze ubone izinto ezibangela izimpawu kanye nezehlukile

Abesifazane abaningi bathola ukuthi ukulala phansi ngezinyawo eziphakanyisiwe imizuzu engu-10-15 izikhathi eziningi ngosuku kusiza ekuqedeni imizwa yokucindezeleka kwe pelvis. Lesi simo sivumela amandla adonsela phansi ukuba asize ekuvuseleleni amalunga awohlokile okwesikhashana.

Kubalulekile ukulalela umzimba wakho futhi uguqule imisebenzi ngokusekelwe endleleni ozizwa ngayo. Ezinye izinsuku zingase zibe ngcono kunokunye, futhi lokho kuyinto evamile ngokuphelele. Ukunakekela okuthambile, okuqhubekayo ngokuvamile kunikeza imiphumela emihle yesikhathi eside.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho nokuthi udokotela wakho unelonke ulwazi oluyimfuneko ukunikeza ukunakekelwa okuhle kakhulu. Ukuthatha isikhathi ngaphambi kokuhlela imicabango yakho nolwazi kuzokwenza i-aphoyintimenti ibe nomphumela.

Qala ngokubhala phansi zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini ezenzayo zibe ngcono noma zimbi, nokuthi zithinta kanjani imisebenzi yakho yansuku zonke. Yiba uchwepheshe ngezinto ezifana nobunzima bokuthamba, ukuhamba kwesisu, noma umsebenzi wezocansi.

Letha uhlu oluphelele lwemithi yakho, kufaka phakathi imithi yokuthengwa ngaphandle kwelayisensi kanye nezinye izinto ezengeziwe. Futhi, buthana ulwazi mayelana nomlando wakho wezokwelapha, ikakhulukazi ukukhulelwa kwangaphambili, ukuhlinzwa, nanoma yimuphi umlando womndeni wezinkinga ze-pelvic floor.

Cabanga ukuqapha idayari yezimpawu amasonto ambalwa ngaphambi kwe-aphoyintimenti yakho. Qaphela ukuthi izimpawu zibi kakhulu nini, yimiphi imisebenzi ezibangela, nokuthi yini enikeza impumuzo. Lolu lwazi lungaba usizo kakhulu ku dokotela wakho.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza. Lokhu kungafaka imibuzo mayelana nezinketho zokwelashwa, ukuthi yini okulindelekile, ukuthi ukwehla kwe-prolapse kungathinta kanjani indlela yakho yokuphila, nokuthi ukunakekelwa okulandelayo kudingeka nini. Unganqikazi ukubuza nganoma yini ekukhathazayo.

Uma ukhululekile ukwenza kanjalo, ungathanda ukuletha umngane othembekile noma ilungu lomndeni ukuze uthole ukwesekwa nokusiza ukukhumbula ulwazi oluxoxwe ngesikhathi se-aphoyintimenti.

Iyini into ebalulekile mayelana nokuhla kwe-pelvic organ prolapse?

Ukwehlela kwamalungu omzimba esiswini yisimo esivamile esithinta abesifazane abaningi, ikakhulukazi labo abazalile noma abasekupheleni kwesikhathi sabo sokubeletha. Nakuba kungase kube buhlungu futhi kukhathaze, kubalulekile ukukhumbula ukuthi kukhona ukwelashwa okuphumelelayo okukhona futhi lesi simo silula kakhulu ukuqondisa.

Into ebaluleke kakhulu okumele uyiqonde ukuthi ukwehlela akukho ukuthi umzimba wakho uqhekekile noma ukuthi wenze into engafanele. Ngokuvamile kuyimbangela yokuhlangenwe nakho kokuphila okuvamile njengokubeletha nobudala, kanye nokuwohloka kwemvelo kwezinsimbi ezisekelayo ngokuhamba kwesikhathi.

Ukuqaphela nokuphathwa kwangaphambi kwesikhathi kungavimbela izimpawu ezingabi bibi futhi kusize ekuqondiseni ikhwalithi yakho yokuphila. Kungaba ngokuphathwa okuqondile ngokuzivocavoca nokushintsha indlela yokuphila, noma ukwelashwa okukhulu njenge-pessaries noma ukuhlinzwa, kunezindlela ezingakusiza uzizwe ukhululekile futhi uqiniseke futhi.

Awudingi ukuhlala uhlupheka noma uvumele ukwehlela kuvimbele imisebenzi yakho. Ngokusebenzisa indlela efanele nokusekelwa abahlinzeki bezempilo, abesifazane abaningi abane-pelvic organ prolapse bangqhubeka bephila impilo ephilile, ezele.

Imibuzo evamile ebuzwa ngokwehlela kwamalungu omzimba esiswini

Ingabe ukwehlela kwamalungu omzimba esiswini kungaphela ngokwalo?

Ukwehlela kwamalungu omzimba esiswini ngokuvamile akupheli ngokwalo, kodwa izimpawu zingathuthuka kakhulu ngokwelashwa okulungile nokunakekela kwakho. Ukwelashwa okuqondile njengokuvivinya umzimba we-pelvic floor, ukuguqula indlela yokuphila, nokusebenzisa i-pessary kungaphatha izimpawu ngokuphumelelayo futhi kuvimbele ukuba zimbi. Nakuba izinguquko zokwakheka zingase ziqhubeke, abesifazane abaningi bathola ukuthi izimpawu zabo ziyaqondisa kakhulu ngokunakekelwa okuqhubekayo.

Kuphephile yini ukuvivinya umzimba une-pelvic organ prolapse?

Yebo, ukuzivocavoca kuvame ukuba yilokhu kuphephile futhi kuzuzisa abesifazane abane-pelvic organ prolapse, kodwa kungenzeka kube khona ukulungiswa okudingekayo. Imisebenzi engathinti kakhulu njengokuhamba, ukuqubha, no-yoga ngokuvamile iyatholakala futhi ingasiza ekuqondiseni impilo yonke. Ukuzivocavoca okukhulu, ukuphakamisa izinto ezisindayo, nemisebenzi ekhuphula ngokukhulu ukucindezela esiswini kungenzeka kube nokukhula kwezimpawu futhi kufanele kuphathwe ngokucophelela. Ukusebenza nomhlengikazi we-pelvic floor physical therapist kungakusiza ekuthuthukiseni uhlelo lokuzivocavoca oluphephile, oluphumelelayo.

Ingabe i-pelvic organ prolapse izonginciphisa impilo yami yobulili?

I-Pelvic organ prolapse ingathinta induduzo nokwaneliseka kobulili, kodwa lokhu akusho ukuthi impilo yakho yaseduze kufanele ihlupheke unomphela. Abanye abesifazane baye baba nobunzima ngesikhathi sokuhlangana kobulili noma bazizwa benesizungu nge-prolapse. Noma kunjalo, izindlela eziningi zokwelapha zingathuthukisa lezi zinkathazo, kufaka phakathi i-pessaries, i-pelvic floor therapy, nokulungiswa okuhlinzekwayo uma kudingeka. Ukukhulumisana okuvulekile nomlingani wakho nodokotela wakho kungasiza ekunakekeleni lezi zinkathazo ngokuphumelelayo.

Kuthatha isikhathi esingakanani ukuphulukisa ngemuva kokuhlinzwa kwe-prolapse?

Isikhathi sokuphulukisa ngemuva kokuhlinzwa kwe-prolapse sihluka kuye ngohlobo lokuhlinzwa nezici zomuntu, kodwa abesifazane abaningi bangalindela amasonto angu-6-8 ukuze kube khona ukuphulukisa okuqala. Ngokuvamile uzodinga ukugwema ukuphakamisa izinto ezisindayo nemisebenzi enzima ngalesi sikhathi. Ukuphulukisa okugcwele, kufaka phakathi ukubuyela emisebenzini yemvelo kanye nemiphumela engcono kakhulu, kungathatha izinyanga ezingu-3-6. Udokotela wakho uzonikeza imiyalelo ethile ngokuya ngokuhlinzwa kwakho nokuqhubeka kwakho.

Ingabe i-prolapse ingaphinde ibe khona ngemuva kokwelashwa?

Ukubuyela kwesifo kungenzeka kunoma iyiphi indlela yokwelapha ukwehla kwamalunga, kodwa amazinga ahlukene kuye ngendlela yokwelapha kanye nezici zomuntu. Izindlela zokwelapha ezingelona ubuhlinzwa zidinga ukugcinwa okuqhubekayo ukuze ziqhubeke zisebenza. Ukulungiswa ngokusebenza kunezinga lokubuyela empilweni eliphezulu ku-80-90% noma ngaphezulu, kodwa izinga elithile lokubuyela kungenzeka ngokuhamba kwesikhathi. Ukugcina amandla e-pelvic floor, isisindo esinempilo, nokugwema imisebenzi ecindezela i-pelvic floor kungasiza ekunciphiseni ingozi yokubuyela, kungakhathaliseki ukuthi ikhethwe iyiphi indlela yokwelapha.