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October 10, 2025
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Ukuhluleka kwesisu kwenzeka lapho isisu sakho siwela phansi endaweni yaso evamile futhi siqhuma esigabeni sakho. Cabanga ngakho njengesistimu yokusekela esibuthakathaka ngokuhamba kwesikhathi, ivumela isisu sakho ukuthi siye phansi lapho kufanele sihlale siqine.
Lesi simo sihlupha abesifazane abaningi, ikakhulukazi ngemva kokubeletha noma njengoba bekhula. Nakuba kungase kuzwakale kukhathazayo, ukuhluleka kwesisu kunokwelashwa futhi unezinketho eziningi zokuzizwa kangcono nokubuyisela ukududuzeka kwakho.
Ukuhluleka kwesisu kwenzeka lapho imisipha nemisipha eqinisa isisu sakho iye ibuthakathaka noma iye yandisa. Isisu sakho sibe se siwela esigabeni sakho, futhi ezimweni ezinkulu, singaphuma ngaphandle komzimba wakho.
Imisipha yakho yepelvic floor nezinhlanganisela zisebenza njenge-hammock ukusekela isisu sakho, ibladder, kanye nerectum. Uma lesi sistimu sokusekela sibuthakathaka, isisu sakho asisakuhlali endaweni yaso efanele ngaphezulu kwesigaba sakho.
Isimo sihluka kusuka kokulingene kuya kokukhulu. Ezimweni ezilingene, isisu sakho siwela kancane kodwa sihlala esigabeni sakho. Ezimweni eziphambili, singase siye phansi kangangokuba ungabona noma uzizwe inyama ngaphandle kokuvuleka kwesigaba sakho.
Awungase ungaboni zimpawu ekuqaleni kokuhleleka kwesisu. Njengoba isimo siqhubeka, noma kunjalo, uzoqala ukuzwa ushintsho olungekuhle endleleni umzimba wakho ozizwa ngayo.
Nazi izimpawu ezivamile ongazihlangabezana nazo:
Lezi zimpawu zivame ukuzwakala zibi uma ubuvele umi noma uhamba isikhathi eside. Ungase ubone ukuphumula uma ulele, njengoba amandla okudonsa isisu sakho phansi.
Abesifazane abathile nabo bazama ukukhishwa okungavamile kwesigaba noma ukuphuza igazi, ikakhulukazi uma inyama ehlulekile ihlangana nezingubo zakho noma icasule.
Odokotela bahlukanisa ukuhluleka kwesisu ngezigaba ezahlukene ngokusekelwe ekutheni isisu sakho siye sawa kangakanani. Ukuqonda lezi zigaba kusiza umhlinzeki wakho wezempilo ukuthi anqume indlela yokwelapha engcono kakhulu yesimo sakho.
I-Grade 1 prolapse isho ukuthi isisu sakho siye sawa engxenyeni engaphezulu yesigaba sakho kodwa asikafiki ekungaphandle kwesigaba. Awungase ungazizwa zimpawu, noma zingase zibe zilingene.
I-Grade 2 prolapse iyenzeka lapho isisu sakho siwela ezingeni lokungaphandle kwesigaba sakho. Uzoqala ukuqaphela izimpawu ezifana nocindezelelo kanye nokuzwa sengathi kukhona okuwela phansi.
I-Grade 3 prolapse iyenzeka lapho isisu sakho siye saphuma ngaphandle kokungaphandle kwesigaba sakho. Ungabona futhi uzizwe inyama, okungase kubangele ukungakhululeki okukhulu futhi kuphazamise imisebenzi yansuku zonke.
I-Grade 4 prolapse, uhlobo olukhulu kunakho konke, isho ukuthi isisu sakho lonke liye lahamba ngaphandle kwesigaba sakho. Lesi sigaba sidinga ukunakekelwa ngokushesha kwezokwelapha ukuvimbela izinkinga nokubuyisela ukududuzeka kwakho.
Ukuhluleka kwesisu kwenzeka lapho imisipha, imisipha, nezinhlanganisela ezisekela isisu sakho ziye zaba buthakathaka noma zonakale. Lesi sistimu sokusekela singase sibuthakathaka kancane kancane ngokuhamba kwesikhathi noma ngokuzumayo ngenxa yemicimbi ethile.
Izici eziningi zingase zifake isandla kule mbuthakathaka, nokuziqonda kusiza ekuchazeni ukuthi kungani ukuhluleka kwenzeka:
Imbangela evamile kakhulu yikubeletha, ikakhulukazi ukulethwa kwesigaba. Inqubo yomsebenzi nokulethwa ingase iqhube futhi ngezinye izikhathi iphule imisipha nezinhlanganisela ezisekela isisu sakho.
Ushintsho lwe-hormonal ngesikhathi se-menopause futhi ludlala indima ebalulekile. Njengoba amazinga e-estrogen ehlala, izinhlanganisela zakho ze-pelvic ziphulukana nokuqina kwazo, okwenza ukuhluleka kube lula kakhulu.
Kufanele uxhumane nomhlinzeki wakho wezempilo uma uqaphela noma yiziphi izimpawu zokuhluleka kwesisu, ngisho noma zibonakala zilingene. Ukubheka ngokushesha kungasiza ukuvimbela isimo ekubeni sibi futhi kuqinisekise ukuthi uthola ukwelashwa okufanele.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinkulu ezifana nokubona inyama ngaphandle kokungaphandle kwesigaba sakho, ubuhlungu obukhulu, noma ukukhuluphala kokukhishwa kwamanzi noma ukuhamba kwesisu. Lezi zimpawu zibonisa ukuhluleka okuphambili okudingayo ukunakekelwa ngokushesha.
Kufanele uphone udokotela wakho uma uthola izimpawu ezintsha ezifana nokuphuza igazi okungavamile, ukukhishwa okunuka kabi, noma izimpawu zokutheleleka ezifana nokuqhuma. Lokhu kungase kubonise izinkinga ezidinga ukwelashwa ngokushesha.
Ungalindi ukufuna usizo uma izimpawu zakho zihlupha imisebenzi yakho yansuku zonke, umsebenzi, noma ubuhlobo. Ukwelashwa okuphumelelayo kukhona, futhi awudingi ukuhlala ungakhululekile noma uhlupheke.
Izici ezithile zanda amathuba akho okuthola ukuhluleka kwesisu ekuphileni kwakho konke. Nakuba ungakwazi ukulawula zonke izici zengozi, ukuziqonda kusiza ukwenza izinqumo ezinolwazi mayelana nempilo yakho.
Ubudala ingenye yezici ezibaluleke kakhulu zengozi, njengoba izinhlanganisela zakho zokusekela i-pelvic zibuthakathaka ngokuhamba kwesikhathi. Abesifazane abangaphezu kweminyaka engama-50 banamathuba amaningi okuhlangabezana nokuhluleka, ikakhulukazi ngemva kwe-menopause lapho amazinga e-estrogen ehlala.
Nazi izici eziyinhloko zengozi ezingase zikuthinte:
Nakuba ukuba nezici zengozi akuqinisekisi ukuthi uzokuthola ukuhluleka, zanda amathuba akho. Izindaba ezinhle ukuthi izici eziningi zengozi zingaphathwa ngokushintsha indlela yokuphila nezinqubo zokuvimbela.
Abesifazane abathile abanazo izici eziningi zengozi abazitholi ukuhluleka, kanti abanye abanazo izici ezimbalwa zengozi bayakuthola. Ukwakheka kwakho komuntu siqu kanye ne-genetics zidlalela indima ebalulekile ekuqondeni ingozi yakho yomuntu siqu.
Izimo eziningi zokuhluleka kwesisu azibangeli izinkinga ezinkulu zezempilo, kodwa ezinye izinkinga zingase zenzeke uma isimo siye sasala singaphathwa noma sibe sibi. Ukuqonda lezi zinto ezingase zenzeke kusiza ukuthi uqaphele nini okufanele ufunani ukunakekelwa kwezokwelapha okwengeziwe.
Izinkinga ezivamile kakhulu zihilela umsebenzi wakho we-bladder kanye newe-bowel. Uma isisu sakho siwela, singacindezela lezi zitho futhi sihluphe umsebenzi wazo ovamile.
Nazi izinkinga ongazihlangabezana nazo:
Ezimweni ezingavamile, ukuhluleka okukhulu kungase kube yimbangela yezinkinga zezinso uma ukugeleza kwamanzi kuvinjelwe. Lesi simo esibi sidinga ukunakekelwa kwezokwelapha ngokushesha ukuvimbela ukulimala okungapheli.
Ithonya lomzwelo akufanele lihlale lingaqondakali. Abesifazane abaningi bazizwa behluphekile, bexakekile, noma behlushwa yizimpawu zabo, okungase kuhluphe ikhwalithi yabo yokuphila nobuhlobo.
Nakuba ungakwazi ukuvimbela zonke izimo zokuhluleka kwesisu, ikakhulukazi ezihlobene nokubeletha nokuguga, ungathatha izinyathelo zokunciphisa ingozi yakho nokugcina imisipha yakho yepelvic floor iqine.
Ukugcina isisindo esinempilo ingenye yezindlela ezinhle kakhulu zokuvimbela. Isisindo esengeziwe sibeka ucindezelelo olwengeziwe ezitho zakho ze-pelvic nezisekelo zokusekela, okwandisa ingozi yakho yokuhluleka.
Nazi izindlela ezifakazelwe zokusiza ukuvimbela ukuhluleka kwesisu:
Imisebenzi ye-Kegel ifanele ukunakekelwa okukhethekile ngoba iqinisa ngokuqondile imisipha esekele isisu sakho. Le misebenzi ihilela ukucindezela nokukhulula imisipha yakho yepelvic floor, njengokumisa ukugeleza kwamanzi phakathi.
Uma ukhulelwe noma uhlela ukukhulelwa, xoxa ngezinketho zokulethwa nomhlinzeki wakho wezempilo. Nakuba ukulethwa kwesigaba kuyinto evamile futhi iphephile, izimo ezithile zingase zenze ukulethwa kwe-cesarean kube yisinqumo esingcono kangcono sempilo yakho ye-pelvic.
Udokotela wakho ngokuvamile angakwazi ukuxilonga ukuhluleka kwesisu ngokuhlolwa komzimba nokuxoxa ngezimpawu zakho. Inqubo yokuxilonga ilula futhi ikusiza ukuthi uqonde ubukhulu besimo sakho.
Umhlinzeki wakho wezempilo uzoqala ngokubuza ngezimpawu zakho, umlando wezokwelapha, nanoma yiziphi izici ezingase zifake isandla ekuhlulekeni. Bazofuna ukwazi ngokukhulelwa kwakho, ukulethwa, nanoma yimiphi imisebenzi engase icindezele indawo yakho ye-pelvic.
Ngesikhathi sokuhlolwa kwe-pelvic, udokotela wakho uzoqaphela izimpawu zokuhluleka ngokubuka izindonga zakho zesigaba kanye ne-cervix. Bangase bakucela ukuba ucindezele noma ukhokha ukuze babone ukuthi izitho zakho ze-pelvic zihamba kanjani ngaphansi kwenani.
Udokotela wakho angase futhi enze ukuhlolwa okwengeziwe ukuze athole isithombe esiphelele sesimo sakho. Lokhu kungase kuhlanganise ukuhlolwa kwamanzi ukuhlola ukutheleleka, ukuhlolwa komsebenzi we-bladder uma unezimpawu zokukhishwa kwamanzi, noma izifundo zokubonisa ezimweni eziyinkimbinkimbi.
Ezimweni ezithile, udokotela wakho angase akuthumele odokotela abakhethekile ababizwa nge-urogynecologist. Laba odokotela banokuqeqeshwa okwengeziwe ezinkingeni ze-pelvic floor futhi bangakunikeza ukunakekelwa okukhethekile ezimweni eziyinkimbinkimbi.
Ukwelashwa kokuhluleka kwesisu kuncike ebukhulu bezimpawu zakho nokuthi isimo lihlupha kangakanani impilo yakho yansuku zonke. Unezinketho eziningi eziphumelelayo, kusuka ezindleleni zokugcina kuya ekuhlinzweni.
Ezimweni ezilingene, udokotela wakho angase akukhuthaze ukuqala ngokwelashwa okungeyona ukuhlinzwa. Lezi zindlela ngokuvamile zingakunikeza ukuphumula okukhulu futhi zisize ukuvimbela isimo ekubeni sibi.
Nazi izinketho eziyinhloko zokwelapha ezitholakalayo:
Ama-Pessaries ayizinto ezikhishwa eziyisebenza njenge-bra yangaphakathi yesisu sakho. Ziza ngezimilo nezinketho ezahlukene, futhi udokotela wakho uzokufakela efanele ukwakheka kwakho.
Ukuhlinzwa kungase kunconywe uma ukwelashwa okungeyona ukuhlinzwa kungakunikeli ukuphumula okwanele noma uma ukuhluleka kwakho kukhulu futhi kuhlupha ikhwalithi yokuphila.
Uhlelo lokwelapha oluhle kakhulu kuwe kuncike ebudaleni bakho, impilo yakho yonke, ubulili, kanye nezifiso zakho zomuntu siqu. Udokotela wakho uzohlangana nawe ukukhetha indlela efanele izidingo zakho kanye nendlela yokuphila.
Ukwelashwa okuningi ekhaya kungasiza ekulawuleni izimpawu zakho futhi kwenze ukuqhubeka kokuhleleka kwesisu kube kancane. Lezi zindlela zisebenza kangcono uma zihlanganiswe nokunakekelwa kwezokwelapha kwabachwepheshe.
Imisebenzi yepelvic floor, eyaziwa nangokuthi imisebenzi ye-Kegel, iyisisekelo sokwelashwa ekhaya. Le misebenzi iqinisa imisipha esekele isisu sakho futhi ingathuthukisa kakhulu izimpawu zakho ngokuhamba kwesikhathi.
Ukuze wenze ama-Kegels ngendlela efanele, cindezela imisipha yakho yepelvic floor njengokungathi uvala ukugeleza kwamanzi, ugcine imizuzwana emithathu, bese uphumula imizuzwana emithathu. Phinda lokhu izikhathi eziyi-10-15, kathathu ngosuku.
Ukushintsha indlela yokuphila kungase futhi kwenze umehluko omkhulu endleleni ozizwa ngayo. Ukugwema ukuphakamisa okukhulu, ukugcina isimo esihle somzimba, nokusebenzisa amasu afanele omzimba ngesikhathi sokuphakamisa kungasiza ukuvimbela ukwanda kwesimo sakho.
Ukuphatha ukukhuluphala kubalulekile ekududuzeni kwakho nasekuvimbeleni ukucindezela okwengeziwe e-pelvic floor yakho. Dlala ukudla okunamafutha amaningi, phuza amanzi anele, futhi uqalise imikhuba yansuku zonke yokukhishwa kwesisu.
Uma unesondlo esiningi, ukulahlekelwa isisindo kancane kancane kunganciphisa ucindezelelo ezitho zakho ze-pelvic. Ngisho nokulahlekelwa yi-5-10 pounds kungenza umehluko obonakalayo ezimpawu zakho.
Ukulungiselela i-appointment yakho kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeni kwakho futhi uthole ukunakekelwa okuhle kakhulu. Ukuthatha isikhathi sokulungiselela imicabango yakho nolwazi ngaphambi kokwenza ukubonisana kube nomphumela omuhle.
Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenza zibe ngcono noma zibe zimbi. Yiba uchwepheshe mayelana nendlela izimpawu zakho ezihlupha ngayo imisebenzi yakho yansuku zonke, umsebenzi, nobuhlobo.
Letha uhlu oluphelele lwemithi yakho, kufaka phakathi imithi yokuthengwa ngaphandle komthetho kanye nezinhlanganisela. Lungiselela futhi ulwazi mayelana nomlando wakho wezokwelapha, ikakhulukazi ukukhulelwa kwangaphambili, ukuhlinzwa, nanoma yimuphi umlando womndeni wezinkinga ze-pelvic.
Bhala imibuzo ofuna ukuyibuza udokotela wakho. Cabanga ukubuza ngezinketho zokwelapha, ukuthi yini okulindelekile ekuhlukaniseni izindlela, kanye nendlela yokuvimbela ukwanda kwesimo sakho.
Ungazizwa uhluphekile ngokuxoxa ngemininingwane yomuntu siqu. Umhlinzeki wakho wezempilo ubone lezi zimo izikhathi eziningi futhi udinga ulwazi oluphelele ukuze akusize ngokuphumelelayo.
Cabanga ukuletha umngani noma ilungu lomndeni omethembayo ukuze uthole ukwesekwa, ikakhulukazi uma uzizwa uxakekile nge-appointment. Bangase futhi bakusize ukukhumbula ulwazi olukhulu oluxoxwe ngesikhathi sokuvakasha.
Ukuhluleka kwesisu kuyisimo esivamile esihlupha abesifazane abaningi, ikakhulukazi ngemva kokubeletha kanye njengoba bekhula. Nakuba kungase kube yinto engakhululeki futhi ekhathazayo, kubalulekile ukwazi ukuthi ukwelashwa okuphumelelayo kukhona futhi awudingi ukuhlupheka uthule.
Ukuxilongwa ngokushesha nokwelashwa ngokuvamile kuholela ezimpumelelweni ezingcono, ngakho ungangabazi ukufuna ukunakekelwa kwezokwelapha uma uqaphela izimpawu. Abesifazane abaningi bathola ukuphumula okukhulu ngokwelashwa okungeyona ukuhlinzwa njengemisebenzi yepelvic floor kanye nokushintsha indlela yokuphila.
Khumbula ukuthi lesi simo asikuchazi noma asikusiki isikhathi esizayo sakho. Ngokunakekelwa okufanele nokwelashwa, abesifazane abaningi bangabuyela emisebenzini yabo evamile futhi bajabulele ikhwalithi yokuphila enhle.
Isinyathelo esibaluleke kakhulu ukufinyelela kumhlinzeki wakho wezempilo. Bangahlola isimo sakho esithile futhi basebenze nawe ukwakha uhlelo lokwelapha olufanelana nezidingo zakho kanye nendlela yokuphila.
Yebo, ukuhluleka kwesisu kungenzeka kubesifazane abangakaze bakhulelwe noma babelethe. Nakuba ukubeletha kuyimbangela evamile kakhulu, ezinye izici ezifana nokuthuthuka, i-genetics, ukukhokha okuqhubekayo, ukuphakamisa okukhulu, noma izifo ze-connective tissue zingase futhi ziholele ekuhlulekeni. Noma kunjalo, akunamkhawulo kubesifazane abangakabelethi.
Ukuhluleka kwesisu kungase kuhluphe ubuhlobo bobulili, kodwa ukwelashwa ngokuvamile kubuyisela umsebenzi ovamile. Abesifazane abathile bazizwa bengakhululekile ngesikhathi sobulili, kanti abanye bangase bazizwe behluphekile ngezimpawu zabo. Izindaba ezinhle ukuthi izinketho eziningi zokwelapha, kufaka phakathi ama-pessaries kanye nokuhlinzwa, zingathuthukisa kakhulu umsebenzi wobulili nokududuzeka.
Ukuhluleka kwesisu ngokuvamile akulula ngaphandle kokwelashwa futhi kungase kuqhubeke nokuba sibi ngokuhamba kwesikhathi. Noma kunjalo, ukuhluleka okuqala kungase kuphathwe ngokuphumelelayo ngemisebenzi yepelvic floor kanye nokushintsha indlela yokuphila, okungase kuvimbele ukuqhubeka nokwenza izimpawu zibe ngcono. Kubalulekile ukusebenzisana nodokotela wakho kunokulindela ukuthi kuzoqeda ngokwalo.
Ukuhlinzwa akudingeki njalo ngokuhluleka kwesisu. Abesifazane abaningi bathola ukuphumula ngokwelashwa okungeyona ukuhlinzwa njengemisebenzi yepelvic floor, ama-pessaries, noma ukushintsha indlela yokuphila. Ukuhlinzwa ngokuvamile kucabangelwa lapho ukwelashwa okungeyona ukuhlinzwa kungakunikeli ukuphumula okwanele noma lapho ukuhluleka kukhulu futhi kuhlupha ikhwalithi yokuphila.
Isikhathi sokuphulukisa sihluka kuye ngohlobo lokuhlinzwa okwenziwe, kodwa abesifazane abaningi bangabuyela emisebenzini yabo evamile phakathi kwamasonto angu-6-8. Udokotela wakho uzonikeza imiyalo ekhethekile mayelana nokunciphisa ukuphakamisa, ubulili, kanye nokuzivocavoca. Ukuphulukisa okuphelele kanye nemiphumela emihle kakhulu yokuhlinzwa ngokuvamile kwenzeka phakathi nezinyanga eziyi-3-6 ngemva kwesinqumo.
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