Uterine prolapse: wenzeni? Unyango lwe-ptosis kunye ne-prolapse ye-uterus

Iingcali zentsholongwane zengqondo zivame ukuxilonga "i-prolapse yomzimba." I-prolapse ye- uterus, umthamo wesibeleko, ukulahleka kwesini-zonke ezi zigama lesinye isifo. Ukuqala ngenguqu ezincinci, kodwa ezingabonakaliyo, ziyaqhubeka kwaye zingakhokelela kwiziphumo ezinzima, ngamanye amaxesha.

Ukugula okulileyo

Ngokwezibalo, ngamnye umfazi wesibini kwixesha elidlulileyo kwaye malunga ne-30% yabantwana ababeletha abantu abaselula banesifo esinjalo njengesifo sebele. Yintoni enokuyenza kwezi meko, unokuxelela nanoma yimuphi umfo wezifo. Ejongene nemvakalelo engaqhelekanga kwingingqi ye-pelvic, ephindaphindiweyo ngokuphindaphindiweyo, okanye ngokukhawuleza ngokulahlekelwa yintlungu yesisu okanye isisu, musa ukuyeka ukutyelela i-gynecologist kamva. Awukwazi ukuphoswa ngenye imini!

Ngelishwa, ingxaki yesi sifo iyanzima ngengqondo yanamhlanje, ukungafuni ukuvuma kwizihlobo kunye nokuqala kwabo bonke ukuba yonke into ayilungile. Ngesizathu esithile, abaninzi bakholelwa ukuba baya kuzilawula ngokwabo xa isibeletho sesiqalile ukuphuma. Abazi ukuba benzani, kodwa abafuni ukuya kudokotela.

Isi sifo sakha njani? Amaqela engozi

Ekuqaleni, i-uterus enempilo iphakathi kwendawo encinci ye-pelvis kwaye ibanjwe iigaments eziyifake kwi-sacrum kunye namathambo e-pelvic, kwaye ukusuka ngasezantsi ixhaswa yi-device ye-perineum.

Ngethuba lokukhulelwa kunokunyuka okungenakukhuselwa kwesibeleko, kwaye ukuba umsebenzi wezenzo uqhubeka ngokuqhelekileyo, ngexesha (inkqubo nganye) zonke izitho zibuyela kwindawo yazo.

• Ngeendlela ezikhawulezileyo, ezingalunganga (ukugqithisa) ukuvuselela kwabo, kwiindlela ezixabisekileyo zeendlela zesondo iimigama zingadla okanye ziqhekeke. Oku phantse kuqiniseke njalo ukulahlekelwa kwesisu. Yintoni umfazi omncinci omele akwenze kulo mzekelo? Musa ukulala ngesini kwaye unqabe ukugqoka umntwana?

• Kwimeko yokuzikhandla okunzima okulawulwayo (ukuphakamisa izisindo kwindawo yokuqala), izihlunu ezisekela izitho zangaphakathi zingadlulela.
• Abasetyhini abane-asthma okanye i-ephma yezifo ezikhuphayo zisemngciphekweni.
• Ukuba kukho ubukhulu obukhulu okanye ubukho beendumbu (i-myomas), kubalulekile ukuba ucinge ukuba i-prolapse yesini ingaqhubela phambili kwizigulane.
• Xa izinga le-estrogen liguqulwa (ngaphambi kokusuka kwindoda kunye nexesha), ukunyaniseka kwezicubu kulahlekile, kwaye ngokwemvelo, iigaments iyakwelula.
• Xa ibhinqa lihlala lihlanjululwa ngumbandezelo, kwaye sele sele i-hemorrhoids (xa kunokuba ithathe i-laxatives ngexesha lokunyakaza kwezilwanyana ngexesha lexinzelelo oluphezulu, izitho zangaphakathi), izifo zesibinzana azikwazi ukuphetshwa.

Abameli bamaqela kufuneka baqale ngokukhawuleza unyango lokungabikho kwesisu. Ukungaphumeleli kweendonga zesisu njengesifo esivumelanayo ngexesha lokuqhubela phambili kuqhubeka nokufuna isisombululo esiphuthumayo.

Amanqanaba omzimba wesifo sentsholongwane

Ngokuxhomekeka kwiimpawu ze-symptomatology, unyango oluchaziweyo lunqunywe: mhlawumbi lugqirha (gymnastics, massage), okanye ugqirha (ukungenelelo ngoncedo kunye nokususwa kwesibeletho).

• Isigaba sokuqala sibonakala ngesimo esitshintshileyo sesisu, xa umlomo wesibeleko sele usesiswini, kodwa awukafiki ulwaphulo lomzimba kunye nangaphezulu.

• Kwisigaba sesibini, inxalenye yesibindi ingaphandle kwesahlulo sesini.

• Isigaba sesithathu sisona sikhulu. I-prolapse ye-genitals iqhubekela phambili kude kube yilapho isibeleko siphula ngokupheleleyo kwi-cleft yobulili.

Iimpawu zokutshatyalaliswa kwezitho zangasese

Nangona kungekho zibonakaliso ezibonakalayo zokuwa, ibhinqa kufuneka lixhalabele ngamaphuzu alandelayo:

• Ukukhutshwa ngexesha leentlungu kunye nokucasula kwisini;
• Ukubandezeleka kwimizila ehlanjululwayo kwi-groin, kwingingqi ye-lumbar;
• Ukuvakalelwa kwintlungu ebundini;
• Ukuvakalelwa okungahambi kakuhle kwi-perineum xa uvuka okanye uhleli ixesha elide, uguquka;
• Ukuvakalelwa intlungu ngexesha lokulala ;
• Ukubonakala kwee-episodi zomlomo wesibeleko ukusuka kwi-perineum;
• Ukungathinteki ngeemvakalelo (ukuhleka) kunye nomzimba (ukukhwehlela);
• Ukukhawuleza ngokuchama, ubunzima kunye nentloko ebuthathaka.

Ngokuxhomekeka kwimiqondiso, isigaba sokuqala sesifo sinikeza unyango olulondolozo: uKegel gymnastics, ukusilalisa, unyango lwe-estrogen kunye ne-phytotherapy.

Kwimigangatho yesibini neyesithathu, lona wesifazane uyakwazi ukuxilonga "ukutshatyalaliswa kwesibeletho". Yintoni endiyenzayo? Unyango, ukusebenza, ukususwa? Ngaba nantoni na ingacetyiswa ngamayeza anamhlanje kula maxesha?

Inkomfa yokuzivocavoca umzimba kunye nokugqithiswa kwezitho zangasese

Ugqirha wezilwanyana kwireferensi kwaye emva kokuvavanya kunika iingcebiso malunga nento enokuyenza xa ukungafihli komzimba kuqalile. I-Genital ihamba phambili nakumazinga okuqala ayilanga ngokupheleleyo, ngaphandle kwonyango inokuqhubeka kuphela. Izindlela zokugcinwa kwamalungiselelo ezinokuzikhusela zingazinqanda, kwaye kwinqanaba lesibini lingaba lula ukungenelela ngoncedo.

Ukuba ibhinqa sele iqaphele iimpawu ezifana nokutshintsha kwingcinezelo yomchamo, ngokukodwa ukungahambi kwakhe, okanye waqala ukuya kwiintlungu zesifo esisezantsi, ngaphambi kokuba uye kwi-gynecologist, unokuzivocavoca. Ezinye zazo zingenziwa kwintsebenzo okanye kwizothutho.

1. Kuyimfuneko ukucinyanisa amadolo ngokukhawuleza ukuziva ukuxhatshazwa kwezihlunu. Ngamanye amaxesha kucetyiswa ukuba kufakwe intsimbi phakathi kwamadolo. Yenza kube ngamaxesha alishumi.

2. Ukuhlala, welula izihlunu zeeplavis ukwenzela ukuba ukhulise i-crotch up. Yenza amaxesha angama-10.

3. Vula imilenze yakho, ulele emhlane wakho, ukuya emihlanu imizuzu, ulandele ukukhwela ibhasikidi. Ubungqina balo msebenzi awuyikuxininisa umshicileli, kodwa ukulayisha izihlunu zezinye izikhwebu.

4. Ukulala ngecala lakho, ubeke unyawo lwakho lokunene emva kwesokunxele sakho, omele ukhulise ngokuphakamileyo kunokwenzeka, ngaphandle kokusiguqula. Ukuzivocavoca amaxesha angamashumi amabini ukuya kwemashumi amathathu emlenzeni ngamnye.

Yenza imisebenzi (ngakumbi iibini zokuqala) uyayidinga rhoqo kangangoko kunokwenzeka. Isenzo esiqhelekileyo singamaxesha alishumi ngosuku.

Izenzo zokuzivocavoca zinika umphumo omuhle, obonakalayo kwiintsuku ezingamashumi amabini zokuqala, ngamanye amaxesha kuthatha ngaphezu kweenyanga ezimbini (ngoko kuya kuba ngumkhwa) ukuya kunyaka.

Ukulahlekelwa ngumlomo wesibeleko. Yintoni enokuyenza, indlela ongayenza ngaphandle kokusebenza? Unyango olusisigxina

• I-Electrostimulation yezidumbu ze-perineum kunye ne-pelvic floor iye yaqatshelwa njengenye yeendlela ezithembisayo zanamhlanje.

• Ezinye izigulane zinikezelwa ukuba zisebenze kunye noomatshini bokusebenzisa izitho zangasese (izisindo zeesisindo ezahlukeneyo), kufuneka zigcinwe ixesha elide kumfazi.

• Iyona ndlela iyinyameko yipiltotherapy. Iqela lezityalo zonyango elinceda ukunciphisa intlungu kunye nokulawula umjikelezo wesisindo kakhulu: i-melissa, i-datura, i-gentian, i-pine nut (iipinele zesaliti), i-echinacea, i-primrose yasebusuku, i-dandelion, ingcambu ye-lily. Inkqenkquthela yemifuno yokutya ngomlomo ilungiselelwe ngesiseko sobunxila obunxilisayo kunye neengxube ezinobungozi. Ukunceda kunye nokufudumala kwamanzi okugeza.

• Ugqirha oya kwiinkonzo unokunika unyango lwe-orthopedic - oku kukugqoka iimali ezizodwa zokuxhasa. Inkqubo yokugqoka, ixesha lokususwa, ixesha lokugqoka - yonke into imiselwe nje kuphela ngokujonga umgoggeni wezilwanyana.

• Kwezinye iimeko, ibhanki imiselwe ukuba isekela iziko kwindawo efunwayo.

• Ukuhlamba umzimba ngokusetyenziswa kwama-esrogen-based creams kunokuba yinxalenye ye-hormone yonyango yokutshintshwa, kunye nenkqubo yokuzimela.

Yintoni enokuyenza xa ibele iphuma: ukuhlinzwa

Ukwesaba okwenyama kwintsebenzo kwenza nayiphi na umntu ukulibazisa ixesha lokuza kugqirha. Xa iindlela zokulondoloza izinto zingazange zivelise iziphumo, kwaye i- prolapse proervic sele iqhubekile , yintoni efuneka ukuba izigulane zenzeke kuloo meko? Ukungenelela kokusebenza, okhethwe ngudokotela oya kuzo, akunakunqandwa.

Kuze kube namhlanje, izifo zonyango ziye zaphuhlisa ezininzi iintlobo zonyango olusetyenziswayo ukuphelisa ukungonakali kwe-anatomical yesibeleko kunye nokulungiswa kwezitho ezikufutshane ezifana nesisu kunye namathumbu.

Ngenxa yokusebenza, isakhiwo somgangatho we-pelvic sivuselelwa kwakhona, zonke izitho zichanekile, ukuxinwa okwaneleyo kwebhinqa kufumaneka ngexesha elide.

Umsebenzi ngamnye uquka isiseko (ukulungiswa kweendonga zesini-vaginopexy) kwaye uncediswa ngokulungiswa kweengxaki ezikhoyo (urethropexia kunye nokungahambisani nokuvuthwa kwe-urinary, sphincteroplasty kunye nobuthathaka bemisipha ye-pelvic).

Kuza kubekho, kukho iindidi ezingaphezu kwama-50 zendlela yokusebenza kunye nokuxilongwa njenge-prolapse ye-uterus. Yintoni enokuyenza kwiimeko ezithile (ukusebenza kunye nendlela) - ugqirha ukhetha.

Yintoni eyingozi ekulahlekeni kwesisu?

Uninzi lwabafazi, ngokukodwa kwixesha elidlulileyo, abaziqondi ingozi yokuxilongwa, iimpawu ezikhulayo zesi sifo azikhathazi nhlobo. Emva kokubangela ukuba imeko ibe yinto ebalulekileyo, ngokukrakra isetyenziswe kwintlobo yesifo somzimba ngombuzo othi: "Ndingathini na ukuthabatha i-uterus ewileyo?"

Ukunyuka kwezibeleko kubonakala ngokunciphisa izitho, izitho ngokwazo kunye nezixhobo ezibalulekileyo ze-neurovascular zifakwe - konke oku kuyingozi kakhulu. Kwisiphumo esiphumelayo, isisu, nesisu, kunye nengxenye yangaphambili ye-rectum.

Ngokuqhubela phambili kwe-prolapse kuba nzima kunzima ukubuyisela i-anatomy eziqhelekileyo zezitho, kwaye isigaba sesibini nesithathu sidinga ukungenelela ngokukhawuleza. Ngaphandle koko, utshintsho ekusebenzeni kwamalungu omzimba kunye namathumbu angabangela ingozi nje kuphela kwimpilo, kodwa nakubomi.