Uyini i-Rectocele? Izimpawu, Izimbangela, Nokwelashwa

I-rectocele kwenzeka lapho udonga oluqolobekile lwethusi phakathi kwesisu sakho nesikhumba sibuthakathaka, sivumela isisu ukuba siqaleke endaweni yesikhumba. Cabanga ngakho njengoba kukhiqizwa isikhwama esincane lapho lezi zindawo zihlangana khona. Leli bhubhane livamile kunalokho ocabanga ngalo, ikakhulukazi phakathi kwabesifazane abazalile noma abangena ekuqaleni kweminyaka.

Abesifazane abaningi bahlala ne-rectoceles ezincinyane ngaphandle kokwazi. Izindaba ezinhle ukuthi leli bhubhane lingaphathwa, nokuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukuba wenze izinqumo ezinolwazi mayelana nokuphathwa kwakho.

Ziyini izimpawu ze-rectocele?

Izimpawu ze-rectocele zingase zihluke kakhulu kumuntu nomuntu. Abesifazane abathile abanawo nhlobo izimpawu, kanti abanye bayaphawula izinguquko eziyithinta induduzo yabo yansuku zonke nezenzo zabo zokuya esikhumulweni.

Izimpawu ezivamile ongaziqaphela zihlanganisa:

• Ukuzizwa ugcwele noma ucindezelwe emathangeni akho noma esikhumbeni
• Ubunzima bokuqeda ukuya esikhumulweni
• Ukudinga ukucindezela udonga lwakho lwesikhumba noma i-perineum ukuze usize ngokuya esikhumulweni
• Isikhwama esithambile ongasithola esikhumbeni sakho
• Ubuhlungu ngesikhathi sokuya ocansini
• Ubuhlungu obungaphansi kwemva obukhombisa ukuthi buhlobene nokucindezelwa emathangeni
• Ukuzizwa sengathi ukuya kwakho esikhumulweni akuphelelanga

Abesifazane abathile nabo baye bahlangabezana nezimpawu ezingavamile njengokuphuma kwegazi esikhumbeni, ukutheleleka okuvamile kwe-urinary tract, noma ukuzizwa sengathi kukhona oku“wa” esikhumbeni sabo. Lezi zimpawu zivame ukuba zibonakale kakhulu lapho ukuma isikhathi eside noma uthwala izinto ezisindayo.

Khumbula ukuthi ukukhuluphala kwezimpawu akuhambisani njalo nobukhulu be-rectocele. I-rectocele encane ingabangela ubuhlungu obukhulu, kuyilapho enkulu ingase ingabonakali nhlobo.

Ziyini izinhlobo ze-rectocele?

Odokotela ngokuvamile bahlukanisa i-rectoceles ngokusekelwe ebukhoneni nendawo yayo. Ukuqonda le mihluko kusiza ekutholeni indlela yokwelapha engcono kakhulu yesimo sakho esithile.

Izinhlobo eziyinhloko zihlanganisa:

• I-rectocele encane (Izinga 1): Isikhwama sihlala phansi kwezigxobo ezimbili kuma-sentimitha esikhumbeni futhi sivame ukungabangeli zimpawu
• I-rectocele ephakathi (Izinga 2): Isikhwama sifinyelela ekupheleni kwesikhumba futhi singabangela izimpawu ezincinyane kuya ezinkulu
• I-rectocele enkulu (Izinga 3): Isikhwama sihlala ngaphesheya kokuphela kwesikhumba futhi ngokuvamile sibangela izimpawu ezibonakalayo kakhulu

Kukhona futhi umehluko phakathi kwe-rectoceles eziphezulu, ezivela phezulu eduze kwe-cervix, ne-rectoceles ephansi, eyenzeka eduze kokuphela kwesikhumba. Udokotela wakho uzokunquma ukuthi yiluphi uhlobo olukhona ngesikhathi sokuhlolwa kwakho.

Yini ebangela i-rectocele?

I-rectocele ithuthukiswa lapho izicubu ezisekelayo phakathi kwesisu sakho nesikhumba zibuthakathaka noma zonakele. Lokhu kubuthakathaka ngokuvamile kwenzeka kancane kancane ngokuhamba kwesikhathi ngenxa yezinto ezihlukahlukene ezibekela uxinzelelo kulezi zicubu ezincane.

Izimbangela ezivamile zihlanganisa:

• Ukubeletha, ikakhulukazi ukubeletha kwesikhumba okune-pushing elide noma izingane ezinkulu
• Ukuvimbela okungapheli nokuqina ngesikhathi sokuya esikhumulweni
• Ukuqala kweminyaka nokuqina kwemisipha yomzimba wasemathangeni
• Ukushintsha kwamahomoni ngesikhathi sokuqala kweminyaka okuphazamisa amandla ecubu
• Ukuhlanza okungapheli okuvela ezimweni ezinjenge-asthma noma ukubhema
• Ukuthwala izinto ezisindayo noma imisebenzi edinga ukuqina okuphindaphindayo
• Izici zezofuzo eziphazamisa amandla ecubu ehlanganayo

Izimbangela ezingavamile zihlanganisa ukuhlinzwa kwangaphambili kwasemathangeni, ukukhuluphala okwandisa uxinzelelo lwesisu, nezinye izifo zethusi ezihlanganayo ezinjenge-Ehlers-Danlos syndrome. Ngezinye izikhathi izinto eziningi zisebenza ndawonye eminyakeni eminingi ukuze kancane kancane zibuthakathaka udonga lwe-rectovaginal.

Kubalulekile ukwazi ukuthi ukuba nalezi zici zingozi akusho ukuthi uzophumelela i-rectocele. Abesifazane abaningi abanezihloko ezifanayo abazange baphuthume leli bhubhane.

Nini okufanele ubona udokotela nge-rectocele?

Kufanele ucabange ukuya kudokotela uma uhlangabezana nezimpawu eziphazamisa impilo yakho yansuku zonke noma ekuthinta.

Qinisani ukwenza i-aphoyintimenti uma uqaphela:

• Uxinzelelo oluqhubekayo lwe-pelvic noma ubuhlungu
• Ubunzima ngokuya esikhumulweni obungathuthuki ngokushintsha kokudla
• Isikhwama esibonakalayo esikhumbeni sakho
• Ubuhlungu ngesikhathi sokuya ocansini
• Ukutheleleka okuphindaphindayo kwe-urinary tract
• Ukuphuma kwegazi kwesikhumba okungahlobene nokuphuma kwesikhathi

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu be-pelvic, ukungakwazi ukuya esikhumulweni izinsuku eziningi, noma izimpawu zokutheleleka njengobushushu nge-pelvic pain. Lokhu kungase kubonise izinkinga ezidinga ukwelashwa ngokushesha.

Khumbula ukuthi ukuxoxa ngezinkinga zempilo yasemathangeni nodokotela wakho kuyinto evamile. Bayeqeqeshwe ukuze basize ngalezi zinkinga futhi bangakunikeza izinketho zokwelapha ezisebenzayo.

Ziyini izici zingozi ze-rectocele?

Izinto eziningi zingandisa amathuba akho okuthuthukisa i-rectocele. Ukuqonda lezi zici zingozi kungakusiza ukuba uthathe izinyathelo zokuvimbela futhi uqaphele ukuthi nini kufanele ufune ukunakekelwa kwezokwelapha.

Izici eziyinhloko zingozi zihlanganisa:

• Ukubeletha okuningi kwesikhumba, ikakhulukazi ngokubeletha okunzima noma okude
• Ukuqala kweminyaka, ikakhulukazi ngemuva kokuphela kwesikhathi
• Ukuvimbela okungapheli noma ukuqina ngokuya esikhumulweni
• Umlando womndeni wokwehla kwamalungu omzimba
• Ukukhuluphala, okwandisa uxinzelelo lwamalungu omzimba
• Ukuhlanza okungapheli okuvela ekubhemeni noma ezimweni ze-lung
• Imisebenzi ehilela ukuthwala izinto ezisindayo noma ukuqina okungapheli
• Ukuhlinzwa kwangaphambili kwe-hysterectomy noma ezinye izihlinzwa zasemathangeni

Abesifazane abathile bangaba nezici ezingeziwe zingozi ezinjengezifo zethusi ezihlanganayo, izinkinga ze-bladder ezingapheli, noma izimo ebangela ukwanda okuvamile kokucindezela kwesisu. Abesifazane base-Hispanic nabamhlophe kubonakala sengathi banesilinganiso esiphezulu se-rectocele uma kuqhathaniswa namanye amaqembu ezizwe.

Ukuba nezici zingozi akusho ukuthi uzophumelela i-rectocele. Abesifazane abaningi abanezici eziningi zingozi abazange bahlangabezane naleli bhubhane, kuyilapho abanye abanezici ezimbalwa zingozi benza kanjalo.

Ziyini izinkinga ezingase zenzeke nge-rectocele?

I-rectoceles eminingi ayibangeli izinkinga ezinzima, ikakhulukazi lapho zincane noma ziphathwa kahle. Noma kunjalo, ukuqonda izinkinga ezingase zenzeke kungakusiza ukuba uqaphele ukuthi nini kufanele ufune ukunakekelwa kwezokwelapha okwengeziwe.

Izinkinga ezingase zenzeke zihlanganisa:

• Ukuvimbela okungapheli okuba nzima kakhulu ukulawula
• Ukutheleleka okuphindaphindayo kwe-urinary tract ngenxa yokungapheli kokukhishwa kwe-bladder
• Ukusebenza okungalungile kocansi noma ubuhlungu ngesikhathi sokuya ocansini
• Ukuqina kwesikhumba noma ukulimala uma i-rectocele ivela kakhulu
• Ukuqhubeka kuya emazingeni amakhulu adinga ukwelashwa okunzima kakhulu
• Ukuthuthukiswa kokwehla kwamalungu omzimba

Izinkinga ezingavamile zingase zihlanganise ukuvimbela kwesisu uma i-rectocele ibe khulu kakhulu, noma ukutheleleka okukhulu uma ukulimala kwenzeka. Abesifazane abathile bangase bathuthukise ukucindezeleka ngokwengqondo okuhlobene nezinkinga zesithombe somzimba noma ukusebenza okungalungile kocansi.

Izindaba ezinhle ukuthi izinkinga eziningi zingavikeleka noma ziphathwe kahle ngokunakekelwa kwezokwelapha okufanele. Ukulandelela njalo nodokotela wakho kusiza ekutholeni noma yiziphi izinguquko ngokushesha.

I-rectocele ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela yonke i-rectoceles, ikakhulukazi lezo ezihlobene nezofuzo noma ukuqala kweminyaka, ungathatha izinyathelo zokunciphisa ingozi yakho nokuvimbela izimo ezikhona ezingabi bibi kakhulu.

Izindlela zokuvimbela ezisebenzayo zihlanganisa:

• Ukugcina ukuya njalo esikhumulweni ngokudla okwanele okunamafutha amaningi namanzi
• Ukuqeda ukuqina ngesikhathi sokuya esikhumulweni
• Ukwenza umthambo wemisipha yasemathangeni njalo (Kegels)
• Ukugcina isisindo esinempilo ukuze unciphise uxinzelelo lwasemathangeni
• Ukusebenzisa izindlela ezifanele zokuthwala nokuqeda ukuthwala izinto ezisindayo uma kungenzeka
• Ukwelapha ukuhlanza okungapheli ngokushesha
• Ukulawula ukuvimbela ngokushintsha kokudla noma imithi uma kudingeka

Ngesikhathi sokukhulelwa nangemva kokubeletha, umthambo wemisipha yasemathangeni onomusa ungasiza ekugcineni amandla emisipha. Uma usuphelelwe yisikhathi, xoxa ngokwelashwa kwamahomoni nodokotela wakho, njengoba kungasiza ekugcineni amandla ecubu.

Lezi zindlela zokuvimbela ziyasiza futhi ekuvimbeleni ukuqhubeka uma usuvele une-rectocele encane. Ukuzinikela kulezi zindlela kubaluleke kakhulu kunokuphelela.

I-rectocele ihlonishwa kanjani?

Ukuhlonishwa kwe-rectocele ngokuvamile kuhilela ukuxoxa ngezimpawu zakho nokuhlolwa komzimba. Udokotela wakho uzofuna ukuqonda ukuthi leli bhubhane liyithinta kanjani impilo yakho yansuku zonke futhi ukhishane nezinye izimo zasemathangeni.

Inqubo yokuhlola ngokuvamile ihlanganisa:

• Ingxoxo eningiliziwe yezimpawu zakho nomlando wezokwelapha
• Ukuhlolwa kwasemathangeni ukuhlola ubukhulu nendawo ye-rectocele
• Ukuhlolwa ngesikhathi ucindezela noma uthwala phansi ukuze ubone yonke indawo
• Ukuhlolwa kwe-digital rectal ukuhlola udonga lwe-rectovaginal
• Ngezinye izikhathi ukuhlolwa okwengeziwe njenge-defecography noma i-MRI ezimweni eziyinkimbinkimbi

Udokotela wakho angase futhi enze ukuhlolwa ukuze ahlole ezinye izinkinga zasemathangeni, njengokuvivinya umsebenzi we-bladder noma ukuhlola ukwehla kwamalungu omzimba engeziwe. Ngezinye izikhathi, bangase bakubhekisele kudokotela oqeqeshwe njengoba i-urogynecologist noma i-colorectal surgeon.

Ukuhlolwa ngokuvamile kufushane futhi kwenziwa ngokuqonda induduzo yakho. Unganqikazi ukubuza imibuzo noma ubonise noma yiziphi izinkathazo ngesikhathi senqubo.

Uyini ukwelashwa kwe-rectocele?

Ukwelashwa kwe-rectocele kuncike ebukhulu bezimpawu zakho nokuthi leli bhubhane liyithinta kangakanani impilo yakho.

Izinketho zokwelapha ezingenzi lutho zihlanganisa:

• Ukwelashwa komzimba kwasemathangeni ukuqinisa imisipha yokusekela
• Ukushintsha kokudla ukuvimbela ukuvimbela nokunciphisa ukuqina
• Amadivayisi e-Pessary anikeza ukusekela kwesakhiwo
• Abaphuli bemfucu noma izithasiselo zamafutha ukuze kube lula ukuya esikhumulweni
• Ukwelashwa kwamahomoni kwabesifazane abangena ekuqaleni kweminyaka, uma kufaneleka

Ezimeni ezinzima kakhulu noma lapho ukwelashwa okungenzi lutho kungakuniki ukukhululeka, izinketho zokwelapha zihlanganisa:

• Ukulungiswa kwangemuva, okuqinisa udonga lwe-rectovaginal
• Ukulungiswa kwe-mesh ukusekela kwesakhiwo esengeziwe
• Ukulungiswa kwe-Transanal okwenziwa ngesisu
• Izinqubo ezihlanganisiwe uma amalungu omzimba amaningi asemathangeni ehilelekile

Udokotela wakho uzoxoxa ngendlela engcono kakhulu ngokusekelwe esimweni sakho esithile, impilo yakho yonke, nezifiso zakho siqu. Ukuhlinzwa ngokuvamile kuphumelela kakhulu, ngabesifazane abaningi abathuthukisa ukukhululeka okukhulu kwezimpawu.

Indlela yokuphatha i-rectocele ekhaya?

Abesifazane abaningi bathola ukuthi izindlela ezilula zokuphatha ekhaya zingathuthukisa kakhulu induduzo yabo futhi zivimbele izimpawu ezingabi bibi kakhulu. Lezi zindlela zisebenza kangcono lapho zisetshenziswa njalo njengengxenye yomkhuba wakho wansuku zonke.

Ukuphathwa ekhaya okuphumelelayo kuhlanganisa:

• Ukudla ukudla okunamafutha amaningi okunamaqabunga amaningi, imifino, nama-grains aphelele
• Ukunisela amanzi anele usuku lonke
• Ukwenza umthambo wemisipha yasemathangeni njalo (Kegels)
• Ukusebenzisa isihlalo sokuya esikhumulweni ukuze uthuthukise isikhundla
• Ukuqeda ukuqina nokuthatha isikhathi sokuqeda ngokuphelele
• Ukugcina isisindo esinempilo ngokudla okulinganiselayo nomthambo

Abesifazane abathile bathola ukukhululeka besebenzisa izindlela ezinjengokubopha, lapho uxinzelelo oluthambile lubekwa odongeni lwesikhumba ngesikhathi sokuya esikhumulweni. Abanye bayazuza ngokuhlela izikhathi zokuya esikhumulweni njalo ukuze bakhe imikhuba enempilo.

Lezi zindlela zokuphatha ekhaya zisebenza kangcono lapho zihlanganiswa nokunakekelwa kwezokwelapha kochwepheshe. Gcina ulandelela ukuthi yini esiza futhi yini engasizi, ukuze ukwazi ukuxoxa ngamava akho nodokotela wakho.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ekuqinisekiseni ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi uthole ukunakekelwa okuhle kakhulu. Ukuthatha imizuzu embalwa ukuhlela imicabango yakho ngaphambili kwenza ukuxoxa kube nomphumela omuhle kakhulu.

Ngaphambi kwe-aphoyintimenti yakho:

• Bhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenzayo ukwenza kube ngcono noma kube sibi kakhulu
• Bala yonke imithi, izithasiselo, nokwelashwa okuye wazama
• Qaphela imibuzo ofuna ukuyibuza mayelana nokuxilongwa, izinketho zokwelapha, noma ukushintsha kwesitayela sempilo
• Bula imininingwane mayelana nomlando wakho wokubeletha, kufaka phakathi imininingwane mayelana nokubeletha
• Cabanga ukuthwala umngani othembekile noma ilungu lomndeni ukuze uthole ukusekela

Ungahleli i-aphoyintimenti yakho ngesikhathi sakho sokuphuma kwesikhathi uma kungenzeka, njengoba lokhu kungaphazamisa ukuhlolwa. Futhi, zama ukuba nokuya esikhumulweni ngaphambi kokuhambela kwakho ukuze induduzo yakho ibe ngcono ngesikhathi sokuhlolwa.

Khumbula ukuthi ukuxoxa ngempilo yasemathangeni kuyinto evamile yempilo yabesifazane. Udokotela wakho unezihloko kulezi zinkinga futhi ufuna ukukusiza uzizwe kangcono.

Uyini umbono oyinhloko mayelana ne-rectocele?

I-rectocele iyisimo esilawuleka esithinta abesifazane abaningi, ikakhulukazi ngemuva kokubeletha noma ngesikhathi sokuqala kweminyaka. Nakuba ingabangela izimpawu ezingakhululeki, ukwelashwa okuphumelelayo kukhona kusukela ekushintsheni okulula kwesitayela sempilo kuya ekulungiseni okuhlinzwa uma kudingeka.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awudingi ukuhlupheka ngokuthula. Abesifazane abaningi bazizwa behluleka ukuxoxa ngezinkinga zempilo yasemathangeni, kodwa lezi zinkinga zivamile futhi zilawuleka. Ukungenelela kwangaphambi kwesikhathi ngokuvamile kuholela emiphumeleni emihle futhi kungavimbela isimo ekuqhubekeni.

Kungakhathaliseki ukuthi izimpawu zakho zinkulu noma zikhathaza kakhulu, ukusebenza nodokotela wakho kungakusiza ukuba uthole ukusebenzisana okuhle kokwelapha ukuthuthukisa ikhwalithi yempilo yakho. Abesifazane abaningi abane-rectocele baqhubeka bephila impilo esebenzayo, ekhululekile ngokuphathwa okufanele.

Imibuzo evamile ebuzwa mayelana ne-rectocele

Ingabe i-rectocele ingaphela yodwa?

I-rectoceles encane ayipheli ngokuphelele yodwa, kodwa izimpawu zingathuthuka kakhulu ngokwelashwa okungenzi lutho. Ukwelashwa komzimba kwasemathangeni, ukushintsha kokudla, nezenzo ezifanele zokuya esikhumulweni kungavimbela ukuqhubeka nokunciphisa ubuhlungu. Nakuba ushintsho lwesakhiwo luhlala njalo, abesifazane abaningi bafinyelela ekulawuleni okuhle kwezimpawu ngaphandle kokuhlinzwa.

Ingabe ukuhlinzwa kwe-rectocele kudingeka njalo?

Cha, ukuhlinzwa kuphakanyiswa kuphela lapho ukwelashwa okungenzi lutho kungakuniki ukukhululeka okwanele futhi izimpawu zithinta kakhulu ikhwalithi yempilo yakho. Abesifazane abaningi baqondisa i-rectocele yabo ngempumelelo ngezindlela ezingenzi lutho njengokwelashwa komzimba kwasemathangeni, ukushintsha kokudla, namadivayisi e-pessary. Udokotela wakho uzokusiza ekutholeni indlela engcono kakhulu ngokusekelwe esimweni sakho esithile.

Ngingaqhubeka yini nokuya ocansini nge-rectocele?

Abesifazane abaningi abane-rectocele bangaqhubeka beya ocansini, nakuba abanye bangase bahlangabezane nobuhlungu noma izinguquko ezinzwa. Ukuxhumana nomlingani wakho mayelana nezindawo ezikhululekile nokusebenzisa ukugcoba okwanele kungasiza. Uma ubuhlungu buqhubeka, xoxa ngezinketho zokwelapha nodokotela wakho, njengoba ukulungisa i-rectocele ngokuvamile kuthuthukisa induduzo yocansi.

Ingabe i-rectocele izophazamisa ikhono lami lokuya esikhumulweni?

I-rectocele ingenza ukuya esikhumulweni kube nzima kakhulu, kubangele ukuzizwa kokungapheli kokukhishwa noma kudinge ukusekelwa ngesandla. Noma kunjalo, lezi zimpawu ngokuvamile zithuthuka kakhulu ngokwelashwa okufanele. Ukushintsha kokudla, abaphuli bemfucu, nezinye izindlela ezinjengokubopha kungasiza, kuyilapho izimo ezinzima kakhulu zingase zizuze ekulungiseni okuhlinzwa.

Ingabe i-rectocele ingabangela ezinye izinkinga zasemathangeni?

Abesifazane abane-rectocele banengozi ephezulu yokuthuthukisa ezinye izinkinga zamalungu omzimba, njengokwehla kwe-bladder noma i-uterine prolapse, ngoba izinto ezifanayo ezibuthakathaka endaweni ethile zivame ukuthinta izakhiwo eziseduze. Ukuhlolwa okuvamile kwasemathangeni kusiza ekutholeni noma yiziphi izinguquko ngokushesha, futhi ukuqina komthambo kungasiza ekuvimbeleni ukuqhubeka kwezinye izindawo.