I-uterine prolapse: yintoni na kwaye iphathwa njani?

By UCristiano Antonino On Aug 30, 2023

Xa isibeleko sihla kwi-pelvis encinci, kuthiwa yi-uterine prolapse

Yindlela ethile ye-POP (i-pelvic organ organ prolapse), imeko enokuthi iholele kwi-prolapse (kwaye ngoko ke ihla) ye-urethra, i-bladder, intestinal encinci, i-rectum, i-vagina okanye i-uterus, ngenxa yobuthathaka obuninzi bemisipha ye-pelvic.

Ngokuqhelekileyo kubangelwa ukuzala (ingakumbi ukuba ngaphezu kwesinye), ukuguga, imeko yokutyeba, ukwenzakala okubuhlungu, okanye umkhwa wokunyusa uxinzelelo kwisisu (umzekelo, ukuba wenza umsebenzi obandakanya ukuphakanyiswa rhoqo kweentsimbi), i-pelvic organ prolapse. inokwahluka ngobungqongqo.

Isiganeko sokwenyani kunzima ukubala njengoko, kwiifom zayo ezithambileyo, ukuhla kwelinye lala malungu kunokuba yi-asymptomatic ngokupheleleyo kwaye umntu akafuni naziphi na iingcebiso zonyango.

Ngokutsho kwe-ICS (i-International Continence Society) isigaba sokuqala kunye nesesibini i-prolapse ichaphazela i-48% yabemi basetyhini, i-degree yesithathu neyesine i-prolapse ye-2% yabasetyhini.

Kwimeko ethile ye-uterine prolapse, oku kwenzeka xa isibeleko sihla size sithathe isondo.

Ngokuqhelekileyo, isigulane siva iintlungu kunye nokuziva kunyanzelekile kwindawo yesini.

Yingakho ukuqinisa umgangatho we-pelvic, ukuthatha isenzo sokukhusela, kuba yinto ebalulekileyo.

I-uterine prolapse: yintoni na?

Xa i-uterine prolapse isenzeka, i-uterus ilahlekelwa ubudlelwane bayo be-physiological kwaye ihla kwi-vagina.

Okukhona ukuphumela kwilungu lobufazi, kokukhona kusiba qatha ngakumbi iprolapse:

inxalenye encinci kuphela yesibeleko ibandakanyeka kwi-1st degree uterine prolapse
kwi-2nd degree uterine prolapse, isibeleko sifikelela kwi-introitus ye-vaginal;
kwi-3rd degree uterine prolapse, isibeleko siphuma ngaphandle kokuvulwa kwelungu lobufazi;
Kwi-4th degree uterine prolapse, isibeleko siphuma kwi-vagina.

Kodwa kukho nolunye ulwahlulo: i-prolapse kuthiwa ayiphelelanga xa isibeleko singaphakathi kwilungu lobufazi ngelixa sigqityiwe ukuba isiliphu siphelele kwaye ilungu liphuma.

Oyena nobangela, kwimeko yesibeleko, kukuwohloka komgangatho wepelvic

Oku, ebekwe kwindawo ye-pelvic kwisiseko sesigxina sesisu, kubandakanya imisipha, izicubu ezidibeneyo kunye nemigqaliselo kwaye yenza umsebenzi oyintloko: ngokwenene, igcina izitho ze-pelvic (i-uterus, urethra, i-bladder, intestine) kwindawo echanekileyo.

Ukuba yonzakele okanye ibuthathaka, ezi zityibilika ziye ezantsi kwaye zibangele iingxaki ezininzi.

Isekela lokuhlalisa umntwana ngexesha lokukhulelwa, isibeleko sibekwe phakathi kwesinyi, i-rectum, i-loops yamathumbu kunye nelungu lobufazi, kwi-pelvis encinci.

Xa umgangatho we-pelvic usempilweni, ngumlomo wesibeleko kuphela ophuma kwiisentimitha ezimbalwa kwilungu lobufazi.

Izizathu

Nangona izizathu zinokuba zininzi, isizathu esona sizathu sokuba i-uterine prolapse yenzeke kukuzalwa komntwana: intloko yomntwana, ngexesha lesigaba sokuxoshwa, idlula kwi-canal ye-vaginal kwaye inokonakalisa zombini i-connective and muscular structures.

Iprolapse kusenokwenzeka ukuba yenzeke xa umntu ebeleke ixesha elide okanye ebeleke kakhulu kwaye ixhaphake kubafazi abaninzi.

Esinye isizathu esihlala sibangelwa yi-uterine prolapse yi-menopause, xa ii-ovari zitshintsha umsebenzi wazo kwaye izihlunu ziba buthathaka ngenxa yokulahlekelwa kwee-elastic fibers ezibangelwa yi-asethi entsha ye-hormonal.

Nangona kunjalo, i-uterine prolapse inokuthi yenzeke kwiimeko

ukunyanya
ukuqhina okungapheliyo,
umsebenzi onzima,
umdlalo obandakanya ukuphakamisa iintsimbi rhoqo,
i-bronchitis engapheliyo (ngenxa yokukhohlela okwandisa uxinzelelo lwe-intra-abdominal).

Indlela esisiseko ye-uterine prolapse yintlungu yokulimala kwe-pelvic kodwa, njengomthetho (ngaphandle kokuba unobudlova kakhulu okanye i-fetus ayinkulu kakhulu), akunakwenzeka ukuba ukunikezelwa okukodwa okanye isiganeko esisodwa siya kubangela ukubola kwesibeleko .

Kukho izinto ezimbalwa zomngcipheko:

inani eliphezulu lamalungu,
ukwaluphala,
utyando kumalungu e-pelvic,
izifo ze-collagen zokuzalwa,
ukukhohlela okungapheliyo okubangelwa sisifo semiphunga esingapheliyo.

Abo banengxaki ye-uterine prolapse ngokuqhelekileyo abafumani naziphi na iimpawu

Imeko ye-uterine prolapse ephakathi kwaye inzima iyahluka, uphawu oluphambili lunikezelwa ngombono wokuxinana kwinqanaba lomfazi.

Xa isibeleko siphuma kwilungu lobufazi, ukuvakalelwa kobunzima kuvakala kwi-pelvis, njengokungathi kukho umzimba wangaphandle.

Amaxesha amaninzi owasetyhini unengxaki yokuchama, unomchamo ovuzayo (ukungakwazi ukuzibamba) okanye usenokuziva efuna ngokungxamisekileyo ukuba akhuphe isinyi.

Okungakumbi kunqabile ukuba kubonakale ubunzima ekuzikhupheni.

Phakathi kweempawu eziphambili ze-uterine prolapse kukho ke ubunzima bokulala ngesondo, okanye ukuvakalelwa okubuhlungu ngexesha elifanayo.

Ukungakwazi ukuzibamba luphawu oluchaphazela kakhulu umgangatho wobomi besigulana.

Ukuba ukuvuza komchamo kwenzeka emva komzamo, nokuba uphakamisa ubunzima okanye ukhohlokhohlo, sizama ukuzisombulula ngokuzilolonga ukuqinisa umgangatho we-pelvic kwaye - kuphela kwixesha elizayo - sinokuthi siqhubele phambili ngotyando.

Ukuba, ngakolunye uhlangothi, ukungazinzi ngenxa yongxamiseko, kwaye ilahleko ilandela i-voiding stimulus enamandla kakhulu, utyando aluzange lwenziwe ukususela ekubeni unyango lokubuyisela lusebenza ngakumbi.

Ukuthintela ukuba iimpawu zibe "zingapheliyo", kwaye zisuka zibe zibi kakhulu zide zithintele ubomi bemihla ngemihla, kuyimfuneko ukuba uqhagamshelane ne-gynecologist yakho ngokukhawuleza ukuba ezi mpawu zivakalelwa.

Phakathi kwezona ngxaki zinzima zokuqhambuka kwelungu lobufazi zizilonda kwilungu lobufazi (ezibangelwa kukuhlikihla phakathi kwesibeleko esiphumileyo kunye neendonga zelungu lobufazi) kunye nokuqhambuka kwamanye amalungu e-pelvic.

Oku kwenzekayo, oku, kubangele, ngendlela efanayo, ngokuncipha komgangatho we-pelvic.

Ukuqondwa

I-uterine prolapse (kunye nokunyuka kwamanye amalungu e-pelvic) ifunyaniswa yi-gynecologist, okanye i-urologist, ngokuhlolwa kwe-pelvic: emva kokumamela iimpawu zesigulane, ingcali ihlola umjelo wangasese kwaye ivavanye indawo yesibeleko usebenzisa i-pelvic. i-speculum. Ekugqibeleni, ucela umfazi ukuba avume imisipha ye-pelvic ukuze aqonde ukuba oku kuyaqhubeka nokwenza umsebenzi wakhe okanye ukuba akunjalo, kunoko, buthathaka ngokugqithiseleyo.

Kuphela kwiimeko ezinqabileyo kunokufuneka uphando olongezelelweyo njenge-ultrasound okanye i-resonance yamagnetic yenyukliya: ngokubanzi, i-gynecologist ikhetha ukuyiqhuba kuphela xa kungenakwenzeka ukuseka ngokuqinisekileyo ubunzima be-prolapse.

I-uterine prolapse: unyango olunokwenzeka kunye nonyango

Unyango lwe-uterine prolapse luxhomekeke kubunzima be-slip kunye nokuba amanye amalungu e-pelvic abandakanyekayo.

Ngokubanzi, ngaphandle kweemeko ezinzima kakhulu, unyango olulondolozayo lukhethwa, ukutshintshela utyando kuphela xa kwenzeka ukungaphumeleli kwayo.

I-Grade 1 ye-uterine prolapse ayifuni unyango

Ugqirha wakho uya kukucebisa ukuba ulahlekelwe nabuphi na ubunzima obunzima kwaye ugweme ukuphakamisa ubunzima.

Uya kukufundisa indlela yokwenza umthambo wokuqinisa umgangatho we-pelvic owaziwa ngokuba yi "Kegel exercises".

Ezi zibandakanya ukunyanzeliswa kokuzithandela kwemisipha exhasa izitho ze-pelvic: emva kokukhupha isisu, imisipha ye-pelvic ithotywa kwi-5-10 imizuzwana kwaye ikhutshwe ngexesha elifanayo.

Ukuzivocavoca kufuneka kuphindwe ngamaxesha angama-2-3 ngosuku, ukwenza uchungechunge lwe-10 kwaye uqaphele ukuba ungashukumisi izihlunu zesisu, iimpundu kunye nemilenze.

Kwimeko ye-2nd, 3rd kunye ne-4th degree uterine prolapse, ukuba unyango lokuvuselela unyango aluvelisi miphumo, utyando luyimfuneko.

Kwimeko nayiphi na into, kwenziwa iinzame zokuphepha le ndlela ngokumisela unyango oluthile olulondolozayo.

Abasetyhini abakwi-Menopausal bamiselwe i-estrogens, kuba kukuhla kwabo ngokuchanekileyo - kwizigulane ezikhulileyo - kubangela ukuba buthathaka komgangatho we-pelvic.

A ubuchule revolution, ke, yenziwe ring okanye cube pessaries

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Yenziwe nge-silicone, ithatha indawo yotyando.

I-cube pessary inxiba kuphela emini xa ibhinqa limile kwaye lisuswe ngokuhlwa ngaphambi kokuba lilale.

I-ring pessary, esetyenziselwa abafazi abafumana kunzima ukubeka kunye nokukhupha yonke imihla, ifakwe ngugqirha kwaye igcinwe kwiinyanga ezi-6 kunye nekhefu leentsuku ezingama-20-30 phakathi kwemijikelezo yonyango.

I-pessary ifakwe kwi-vagina kwaye isebenze ukukhusela izitho ze-pelvic ukuba zingatyibiliki: ukuba ibhinqa liyayinyamezela kakuhle, olu hlobo lonyango lunokusebenza ubomi bonke.

Ukuba olu nyango aluniki iziphumo ezifunwayo, utyando luya kwenziwa.

Kukho iindlela ezininzi zokungenelela kodwa, ngokuqhelekileyo, i-hysterectomy kunye nokumiswa kwesibeleko kusetyenziswa.

Kwimeko yokuqala, igcinelwe abasetyhini abangasafuniyo/abangakwaziyo ukuba nabantwana, isibeleko sisuswa ngokusikwa kwesisu, sisebenza ngobufazi okanye nge-laparoscopy encinci.

Ukunqunyanyiswa kwesibeleko, ngakolunye uhlangothi, kubandakanya ukubuyisela ilungu kwindawo ngokuqinisa iigaments zomgangatho we-pelvic ngokusetyenziswa kwezinto zokwenziwa okanye ukudala ukutshintshwa kwezicubu.

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