Kana chibereko ichidzika kubva padiki pelvis, inonzi uterine prolapse

Icho chimiro chakati chePOP (pelvic organ prolapse), mamiriro ezvinhu anogona kutungamirira kuprolapse (uye naizvozvo kuburuka) kweurethra, dundira, ura hudiki, rectum, vagina kana chibereko, nekuda kwekunyanya kushaya simba kwemhasuru dzepelvic.

Kazhinji inokonzerwa nekuberekwa (kunyanya kana kupfuura imwe), kukwegura, mamiriro ekufuta, kukuvadzwa kunorwadza, kana tsika yekuwedzera kudzvinyirira mudumbu (somuenzaniso, kana ukaita basa rinosanganisira kugara uchisimudza simbi), pelvic organ prolapse. zvinogona kusiyana mukuomarara.

Chiitiko chaicho chakaoma kuverenga sezvo, mumhando dzayo dzakapfava, kudzika kweimwe yenhengo idzi kunogona kuve kusinganzwisisike zvachose uye munhu haadi chero zano rekurapa.

Sekureva kweICS (International Continence Society) danho rekutanga nerechipiri prolapse inobata 48% yehuwandu hwevakadzi, chechitatu nechina degree prolapse 2% yevakadzi.

Munyaya chaiyo ye uterine prolapse, izvi zvinoitika apo chibereko chinodzika kusvikira chatora chibereko.

Kazhinji, murwere anonzwa kurwadziwa uye manzwiro ekugumburwa munzvimbo yepabonde.

Ichi ndicho chikonzero kusimbisa pelvic pasi, kutora chiito chekudzivirira, kunokosha.

Uterine prolapse: chii ichocho?

Kana uterine prolapse ikaitika, chibereko chinorasikirwa nehukama hwepanyama uye chinodzika mukati memukadzi.

Iyo yakakura kubuda mukati memukati memukadzi, kunowedzera kuoma kweprolapse:

• chikamu chiduku chete chechibereko chinobatanidzwa mu 1st degree uterine prolapse
• mune 2nd degree uterine prolapse, chibereko chinosvika kumukadzi introitus,
• mu 3rd degree uterine prolapse, chibereko chinobuda kunze kwekuvhura kwemukadzi,
• Mune 4th degree uterine prolapse, chibereko chinobuda kubva kumukadzi.

Asi panewo mumwe musiyano: prolapse inonzi haina kukwana kana chibereko chiri mukati memukadzi apo inenge yakakwana kana kutsvedza kwakazara uye nhengo yacho ichibuda.

Chikonzero chikuru, kana iri chibereko, kupera kwechiuno

Izvi, zviri munzvimbo yepelinha pazasi pemudumbu mhango, zvinosanganisira tsandanyama, connective tissue uye ligaments uye inoita basa rekutanga: chokwadi, inochengeta nhengo dzepelvic (uterus, urethra, dundira, ura) munzvimbo chaiyo.

Kana ikakuvara kana kushaya simba, izvi zvinotsvedza zvichidzika uye zvinounza matambudziko mazhinji.

Mutevedzeri wekuisa "fetus" panguva yekuzvitakura, chibereko chakamira pakati pedundira, rectum, zvishwe zvemukati uye chibereko, muchiuno chidiki.

Kana chiuno chechiuno chakasimba, muromo wechibereko chete unobuda masendimita mashoma musikarudzi.

Zvinokonzera

Kunyange zvazvo zvikonzero zvingava zvakawanda, chikonzero chikuru nei uterine prolapse ichiitika kubereka mwana: musoro wemwana, panguva yekudzingwa, unopfuura nemugero wemukadzi uye unogona kukuvadza zvose zvinobatanidza uye muscular zvimiro.

Prolapse inowanzoitika kana vabara kwenguva refu kana kuti kuzvara kwakaoma uye kunowanzoitika muvakadzi vakawanda.

Chimwe chikonzero chinowanzokonzera uterine prolapse ndeyekuenda kumwedzi, apo mazai anoshandura basa ravo uye misumbu inopera simba nekuda kwekurasikirwa kwemafiber elastic kunokonzerwa nehomoni itsva asset.

Zvisinei, uterine prolapse inogonawo kuitika mumatambudziko e

• kuneta
• chisingaperi kuvimbiswa,
• basa rakaoma,
• mutambo unosanganisira kugara uchisimudza masimbi,
• chronic bronchitis (nekuda kwechikosoro chinowedzera intra-abdominal pressure).

Nzira yepasi ye uterine prolapse kukuvara kwepelinha asi, sekutonga (kunze kwekunge yakanyanyisa chisimba kana kuti fetus haina kunyanya kukura), hazvigoneki kuti kusununguka kumwe chete kana chiitiko chimwe chete chinokonzera uterine prolapse .

Pane akati wandei njodzi zvinhu:

• nhamba yakawanda yezvikamu,
• kuchembera,
• kuvhiyiwa panhengo dzepelvic,
• congenital collagen zvirwere,
• chikosoro chisingaperi chinokonzerwa nechirwere chisingaperi chemapapu.

Avo vanotambura kubva munyoro uterine prolapse kazhinji havaoni chero zviratidzo

Mhosva yepakati uye yakaoma uterine prolapse yakasiyana, chiratidzo chekutanga icho chinopiwa nekunzwa kwekuvharidzirwa pamwero wemukadzi.

Kana chibereko chichibuda mubeche, kunzwa kuremerwa kunonzwa muchiuno, sekunge kune muviri wekunze.

Kazhinji mukadzi ane dambudziko rekuita weti, ane kubuda kweweti kusingaite (incontinence) kana kuti anogona kunzwa kuda kukurumidza kubvisa dundira.

Zvakanyanya kashoma kuratidzika kuoma mukubuda kwetsvina.

Pakati pezviratidzo zvikuru zve uterine prolapse pane ipapo kuoma kwekuita zvepabonde, kana kunzwa kunorwadza panguva imwechete.

Incontinence chiratidzo chinonyanya kukanganisa hupenyu hwemurwere.

Kana iyo weti ikabuda mushure mekuedza, kungave kusimudza uremu kana kukosora, tinoedza kuzvigadzirisa nemaekisesaizi ekusimbisa pelvic pasi uye - pane imwe nguva inotevera - isu tinogona kuenderera mberi nekuvhiya.

Kana, kune rumwe rutivi, incontinence inokonzerwa nekukurumidzira, uye kurasikirwa kunotevera kune yakasimba kwazvo voiding stimulus, kuvhiyiwa kunenge kusati kwamboitwa sezvo rehabilitation therapy inonyanya kushanda.

Kuti udzivise zviratidzo kubva pakuita "zvisingaperi", uye kubva pakuwedzera kusvika zvakanganisa hupenyu hwezuva nezuva, zvinodikanwa kuti ubate gynecologist yako nekukurumidza kana zviratidzo izvi zvanzwa.

Pakati pezvinetso zvakakomba zvikuru zve<em>prolapse ye<em>vaginal maronda emudumbu (anokonzerwa nokukwesha pakati pechibereko chakabuda kunze uye madziro enhengo yesikarudzi) uye kupera kwedzimwe nhengo dzechiuno.

Chiitiko, izvi, zvakakonzera, nenzira imwechete, nekuderera kwepasi pechiuno.

kuongorora chirwere

Uterine prolapse (pamwe nekuputika kwedzimwe nhengo dzepelvic) inoonekwa nagynecologist, kana urologist, kuburikidza nekuongororwa kwepelvic: mushure mekuteerera zviratidzo zvemurwere, nyanzvi inoongorora mugero wemukadzi uye inoongorora nzvimbo yechibereko uchishandisa speculum. Pakupedzisira, anokumbira mukadzi kuti abate tsandanyama dzepelvic floor kuti anzwisise kana izvi zvichiramba zvichiita basa rake kana kuti zvisiri, pane kudaro, zvakanyanyisa kupera simba.

Muzviitiko zvisingawanzoitiki zvinogona kuenderera mberi kuferefetwa senge ultrasound kana nyukireya magineti resonance: kazhinji, gynecologist anosarudza kuzviita chete kana zvisingaite kumisa nechokwadi kuoma kweiyo prolapse.

Uterine prolapse: zvinogona kurapwa uye kurapwa

Kurapa kwe uterine prolapse kunoenderana nekuoma kwekutsvedza uye kuti dzimwe nhengo dzepelvic dzinobatanidzwa here.

Kazhinji, kunze kwezviitiko zvekunyanya kuoma, kurapwa kwekuchengetedza kunosarudzwa, kuchinja kuvhiyiwa chete kana chiitiko chekukundikana kwayo.

Grade 1 uterine prolapse haidi kurapwa

Chiremba wako achakupa zano kuti urasikirwe nehuremu hwakawandisa uye udzivise kusimudza zvinorema.

Anokudzidzisawo maitiro ekuita mamwe maekisesaizi ekusimbisa pelvic anozivikanwa se "Kegel Exercises".

Izvi zvinosanganisira kubvongodzwa kwekuzvidira kwemhasuru dzinotsigira nhengo dzepelvic: mushure mekudurura dundira, tsandanyama dzepelvic dzinobatwa kwemasekondi 5-10 uye dzinoburitswa nguva yakafanana.

Kudzidzira kunofanira kudzokororwa 2-3 kanomwe pazuva, kuita akatevedzana gumi uye kuchenjerera kusafambisa mhasuru dzemudumbu, matako nemakumbo.

Munyaya ye2nd, 3rd uye 4th degree uterine prolapse, kana chirwere chekurapa-rehabilitative therapy chisingaiti, kuvhiyiwa kunodiwa.

Chero zvazvingaitika, kuedza kunoitwa kudzivirira nzira iyi nekugadzira chaiyo inochengetedza kurapa.

Vakadzi vanoenda kumwedzi vanonyorerwa eestrogens, sezvo kuri kuderera kwavo chaiko izvo - muvarwere vakura - zvinokonzeresa kupera simba kwepelvic floor.

Nzira yekuchinja, saka, inoumbwa nemhete kana cube pessaries

Yakagadzirwa nesilicone, ivo vari kutsiva kuvhiya.

Iyo cube pessary inongopfekwa mukati mezuva kana mukadzi akamira uye anobviswa manheru asati aenda kunorara.

Iyo mhete pessary, inoshandiswa kuvakadzi vanoomerwa nekupfeka uye kubvisa zuva rega rega, inopinzwa nachiremba uye inochengetwa kwemwedzi mitanhatu nekuzorora kwemazuva makumi maviri-6 pakati pemaitiro ekurapa.

Iyo pessary inopinzwa mukati memukadzi uye inoshanda kudzivirira nhengo dzepelvic kubva pakutsvedza: kana mukadzi akashivirira zvakanaka, rudzi urwu rwekurapa runogona kushanda kunyange kwehupenyu hwose.

Kana marapirwo aya akasapa mhedzisiro inodiwa, kuvhiyiwa kuchaitwa.

Kune nzira dzakawanda dzekupindira asi, kazhinji, hysterectomy uye kumiswa kwechibereko kunoshandiswa.

Muchiitiko chekutanga, chakachengeterwa vakadzi vasingachadi / vanogona kuita vana, chibereko chinobviswa kuburikidza nedumbu remudumbu, kushanda kwechikadzi kana kuburikidza nelaparoscopy shoma.

Kurembera kwechibereko, kune rumwe rutivi, kunosanganisira kudzosa nhengo zvakare pachinzvimbo nekusimbisa tsinga dzepelvic pasi kuburikidza nekushandiswa kwechigadzirwa chekugadzira kana kugadzirwa kwetishu.

Ngozi dzekuvhiya dzinosanganisira:

• prolapse kudzokorora,
• urinary kuchengetedza,
• urinary incontinence,
• kunetsa kuita bonde,
• areflexic bladder.

Kufungidzira kunoenderana nekuoma kwechibereko chechibereko uye zvikonzero zvakakonzera.

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Utero-Vaginal Prolapse: Chii Chinoratidzwa Kurapa?

Genital Herpes: Tsanangudzo, Zviratidzo, Zvinokonzera Uye Kurapwa

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Pelvic Floor Dysfunction: Risk Factors

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Hysterosalpingography: Kugadzirira uye Kubatsira Kwekuongorora

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