Ukunyanga ukuthambeka kwesibeleko ngamayeza abantu kunye nendlela yokunciphisa ubukhulu besibeleko?

Ukunyanga ukuthambeka kwesibeleko ngamayeza abantu

Ukuthambeka kwesibeleko yimeko yonyango ebonakaliswa sisibeleko esisuka kwindawo yaso yesiqhelo, kwaye inokubangela uluhlu lweempawu kunye neengxaki zempilo kubasetyhini abachaphazelekayo.

Ngokutsho kwamava anokuba luncedo kubafazi abathile, unyango lwesintu lusebenzisa iindlela ezithile kunye neendlela zokunyanga ingxaki yokuthambeka kwesibeleko. Nangona kunjalo, kufuneka kuthathelwe ingqalelo ukuba ayisiso sonke isigulana esifuna unyango, njengoko abanye banokuphila ngaphandle kokungenelela kwezonyango kule ngxaki.

Ezinye iindlela ezifanelekileyo nezicetyiswayo zokunyanga ukuthambeka kwesibeleko ngamayeza esintu kubandakanya ukuziqhelanisa nokufinyela kwezihlunu ze-pelvic ngokuphindaphindiweyo ngamaxesha amaninzi ngemini. Ukongeza, kukholelwa ukuba ukuthatha amayeza athile kunye neti eluhlaza kunokunceda ukuphucula imeko kunye nokuphelisa iimpawu ezinxulumene nengxaki yokuthambeka kwesibeleko.

Ndiyiphatha njani ukuthambeka kwesibeleko ekhaya?

1. Ukunyanga ingxaki esisiseko: Kukhethwa ukunyanga nayiphi na ingxaki ebangela ukuba isibeleko sityeke kuqala. Abanye abantu basetyhini banokuchaphazeleka kukuthambeka kwesibeleko ngenxa yezinye iingxaki zempilo, ezinje ngosulelo lwe-pelvic okanye i-hemorrhoids eyandisiweyo. Ukunyanga imeko ephantsi kunokufuna isikhokelo esithile sonyango, ngoko kuyacetyiswa ukuba u tyelele ingcali ukuvavanya imeko kwaye inqume unyango olufanelekileyo.
2. Yenza umthambo womgangatho we-pelvic: Imithambo yomgangatho we-pelvic yenye yonyango olufanelekileyo ukomeleza izihlunu ezibambe isibeleko endaweni. Le mithambo inceda ukomeleza amandla emisipha kwaye ibonelele ngenkxaso engcono kumalungu e-pelvic. Eminye imithambo edumileyo ibandakanya "i-Kegel exercises," ejolise ngokukodwa kwizihlunu zomgangatho we-pelvic. Le mizobo inokulandelwa ekhaya kwaye iphindwe rhoqo ukuze ufumane iziphumo ezilungileyo.
3. Unyango lweHormonal: Kwiimeko ezithile, ugqirha unokumisela unyango lwehomoni ukunyanga i-melanosis yesibeleko. Unyango lweHormone lujolise ekulawuleni umsebenzi wamahomoni anokuba noxanduva lwengxaki. Kunconywa ukuba udibane nogqirha oyingcali ukuze unqume umthamo ofanelekileyo kunye nexesha lonyango.
4. Utyando: Kwiimeko eziphambili zokuthambeka kwesibeleko, oogqirha banokubhenela kuqhaqho. Utyando lubandakanya ukubeka indawo yesibeleko ngokutsha usebenzisa i-laparoscope. Imeko kufuneka ihlolwe ngugqirha oyingcali ukugqiba ukuba utyando luyimfuneko okanye akunjalo. Kucetyiswa ukuba ufune iingcebiso ezikhethekileyo zonyango ukwenza esona sigqibo silungileyo.

Ngaba ukuthambeka kwesibeleko kuyayinciphisa ukuya exesheni?

Kunokuthiwa ukuba umntu ukhathazwa sisibeleko esithambekileyo, oku kunokuchaphazela ukuqheleka komjikelo wokuya exesheni. Ukuthambeka kwesibeleko yimeko ebangela ukuphazamiseka kokuya exesheni kwabasetyhini, njengoko i-spasm yamalungu odonga lwangaphakathi lwesibeleko icutha umbhobho okhokelela kumjikelo wokuya exesheni. Ngenxa yoko, kuba nzima ukuba igazi eliqokelelwe kwisibeleko liphume ngokuqhelekileyo, elikhokelela ekulibazisekeni okanye ukungahambi kakuhle kumjikelezo wokuya esikhathini.

Kukho ezinye iimpawu ezinokudityaniswa nokuthambeka kwesibeleko, njengentlungu ngexesha lokuya esikhathini, intlungu ngexesha lokwabelana ngesondo, kunye neentlungu zesisu.

Ukuba unengxaki yokuya esikhathini ngokungaqhelekanga kwaye ukrokrela ukuthambeka kwesibeleko, kungcono ukudibana nogqirha wakho. Imifanekiso ye-Ultrasound yesibeleko kunye neetyhubhu zinokufuneka ukuze kuqinisekiswe ukusebenza kwazo kunye nokhuseleko. Ugqirha unokuncoma ukuba athathe i-vitamin D ene-dose ephezulu okanye athathe ii-capsules zeveki ngexesha elithile ukukhulula iimpawu zentlungu kunye noxinzelelo ngexesha lokuya esikhathini.

Ndazi njani ukuba isibeleko asikho ndawo?

Ukuthambeka kwesibeleko kuseyinto eqhelekileyo phakathi kwabasetyhini, kwaye kunokukhokelela kwiingxaki zempilo kunye nobunzima bokukhulelwa. Kukho iindlela ezininzi zokuchonga ukuba isibeleko asikho kwindawo yaso eqhelekileyo okanye siphumela kwi-pelvis. Oku kufuna ukuxilongwa ngugqirha.

Ukuxilongwa kwe-uterine prolapse ngokuqhelekileyo kwenziwa ngokuhlolwa kwe-pelvic. Ugqirha uvula isondo lobufazi kwaye ahlole umlomo wesibeleko ukufumanisa ubungakanani bokutenxa kwawo kwindawo yawo eqhelekileyo. Uvavanyo ngamanye amaxesha lunokuthi lubonise i-concomitant bladder okanye i-rectal prolapse.

I-uterine prolapse ichazwa njengentshukumo engaqhelekanga yesibeleko ukusuka kwindawo yayo eqhelekileyo ukuya kwilungu lobufazi. Oku kunokuba ngumphumo wokwelula kunye nokunciphisa izicubu ezixhasayo. Abasetyhini banokuqaphela ezinye iimpawu ezinxulumene ne-uterine prolapse, ezifana neentlungu ezisezantsi, ukuchama okungapheliyo okanye okungapheliyo, kunye nokunyanzeliswa okungapheliyo ngaphandle kwesizathu esicacileyo.

Kukho idigri ezine ze-uterine prolapse, kwaye idigri imiselwe ngokusekelwe ekubeni umlomo wesibeleko utenxile kangakanani kwindawo yawo eqhelekileyo. Kwinqanaba lokuqala, umlomo wesibeleko uyaphambuka ukuya ekuqaleni kwelungu lobufazi. Kwinqanaba lesibini, umlomo wesibeleko ufikelela kwilungu lobufazi kwaye isibeleko sithambekile. Abanye abafazi banokuba nobunzima bokugcina i-tampon kwindawo ngokufanelekileyo.

Kwabasetyhini abane-prolapse yesibeleko, oku kunokuchaphazela impilo yabo kunye nokukwazi ukukhulelwa. Basenokuziva becinezelekile kwindawo ye-pelvic kunye nokuziva ngathi bahleli ebholeni, kwaye banokuziva bediniwe, ukunyuka kwezihlandlo zosulelo lwesinyi, kunye nobushushu obuphezulu.

Ngoko ke, ukuba uziva iimpawu ezifanayo okanye ukrokrela i-uterine prolapse, kungcono ukuba uzinikele kuvavanyo olukhethekileyo lwezonyango ukuze uqinisekise ukuxilongwa kwaye ufumane unyango olufanelekileyo. Ugqirha uya kukwazi ukuvavanya ubungakanani kunye nobukhulu bokuphambuka kwesibeleko ukusuka kwindawo yaso eqhelekileyo kwaye uya kukunika iingcebiso ezifanelekileyo kunye nonyango.

Ngaba ukukhulelwa kwenzeka ukuba isibeleko sithambekile?

1. Phezu kwayo nje inkolelo ethandwayo, ukuthambeka nokuhla kwesibeleko akukuthinteli ukukhulelwa. Kufuneka kukhunjulwe ukuba i-uterus ethambekileyo ayithinteli ukukhulelwa okunempilo.
2. Ukukhulelwa kunokunceda isibeleko sikhule ngasemva kwiimeko ezininzi. Oku kuthetha ukuba ukukhulelwa kunokulungisa indawo yesibeleko esithambekileyo ngendlela yendalo kunye nokukhulelwa.
3. Isibeleko esithambekileyo asiyonto echaphazela kakubi ukubanakho kowasetyhini ukonwabela ukukhulelwa okunempilo, ngakumbi njengoko ukukhulelwa ngokwako kunokubangela ukuba isibeleko sijikele ngasemva.
4. Ukuthambeka okumandundu kwesibeleko kungabangelwa ziimeko ezithile ezifana ne-endometriosis, usulelo, okanye imbali yotyando lwangaphambili.
5. Ukuba i-uterus ethathiweyo ifunyenwe, ugqirha kufuneka alandele uluhlu lweemviwo kunye neemvavanyo zokuqinisekisa ukuba indawo yesibeleko ayichaphazeli kakubi ukukhulelwa.
6. Isibeleko esithambekileyo sisenokubangela ubunzima kwibhinqa elizama ngokuphindaphindiweyo ukukhawula, ingakumbi ukuba kukho ezinye izizathu ezibangela ukuba kube nzima ukukhawula.
7. Isibeleko esithambekileyo asingoyena nobangela uphambili wokulibaziseka kokukhulelwa, kwaye ukukhulelwa ngokuqhelekileyo kwenzeka ngokwemvelo kwiimeko ezininzi, kunye nokwenzeka kokukhulelwa okulibazisekayo kwiinyanga ezithile.
8. Ngaphambili, oogqirha babekholelwa ukuba isibeleko esithambekileyo sinokubeka abafazi emngciphekweni wobudlolo, kodwa inkqubela yenzululwazi ibonise ukuba indawo esimi kuyo isibeleko ayichaphazeli amandla edlozi ukufikelela nokuqhamisa iqanda.
9. Ngokubanzi, kufuneka siqonde ukuba isibeleko esithambekileyo sinokubangela ezinye iimpawu kunye nemingeni ekuzameni ukukhulelwa, kodwa akuthinteli ukukhulelwa ngokupheleleyo.

Yintoni ebangela ukuba isibeleko sisuke kwindawo yaso?

Oogqirha baye balumkisa ngemeko enokuthi ichaphazele abafazi, eyaziwa ngokuba yi-uterine displacement, apho kukho utshintsho kwindawo yendalo yesibeleko apho kufuneka ihlale khona. Le meko inokuthi yenzeke ngenxa yezizathu ezininzi, kuquka imfuza, utyando kunye nokwenzakala.

Imeko yesibeleko ekuhambeni kubangelwa ubuthathaka bemisipha ye-pelvic kunye nezicubu ezixhasayo. Izihlunu ze-pelvic ezibuthathaka zibangelwa kukuzalwa kwelungu lobufazi, ubunzima bokufaka iitamponi zelungu lobufazi, kunye nokukhuhlana kwezicubu zelungu lobufazi ngokuchasene nempahla. Ezi zinto zinokubangela ukuba inxalenye yelungu lobufazi lihambe kwaye liphumele ngaphandle komzimba.

Phantse i-20% yabasetyhini emhlabeni jikelele bahlupheke kwiingxaki zesibeleko, kuquka ukunyakaza kwesibeleko. Kukho izizathu ezininzi zokunyakaza kwesibeleko Inokuthi yenzeke ngokwemvelo ngenxa yezinto ezifuzo, ukunamathela okubangelwa ukuhlinzwa, okanye ukulimala kwe-pelvic.

Ndibunciphisa njani ubunzima besibeleko?

Ukuqina kwesibeleko yenye yeengxaki zempilo ezinokuchaphazela impilo yowesifazane. Kukho izizathu ezininzi ezinokukhokelela kwi-hyperplasia ye-endometrial kunye nokunyuka, njengokuzuza ubunzima, ukuguga, izinto zofuzo, kunye ne-ovulation embi. Abanye abantu banokubandezeleka ngenxa yokutyeba kolwelwesi lwesibeleko ngenxa yomnqweno wabo wokuba nabantwana.

Kukho iindlela ezininzi zokunyanga i-endometrial thickening, kubandakanywa unyango lweprogestin kunye nokukhutshwa kwe-endometrial. Iprogestin isetyenziswa kwiimeko ezininzi ukunyanga ukuqina kwesibeleko, kwaye ithathwa ngomlomo, ngesitofu, njengesixhobo esifakwe ngaphakathi kwisibeleko, okanye njengekhrimu yelungu lobufazi.

Ukukhupha, inxalenye yangaphakathi ye-uterine lining isuswa kusetyenziswa i-hormone estrogen, kwaye oku kubangelwa ubukho bezinto ezinokukhokelela ekubuyeni okanye ekuqhubeni ingxaki ye-endometrial hyperplasia. Lonke udonga lwesibeleko lucocwa kwinkqubo ebizwa ngokuba yi-“curettage.” Le nkqubo yonyango olukhawulezayo lwe-lining ejiyileyo, njengoko ithatha malunga nemizuzu eyi-10 kuphela.

Uphando lubonisa ukuba kukho ezinye iindlela zemveli zokunyanga ukutyeba kwe-endometrial, njengokuthatha amayeza ehomoni, ngakumbi i-estrogen, edlala indima ebalulekileyo kwi-ovulation, impilo yesibeleko, kunye nomjikelo wokuya exesheni. Iipilisi zeprogesterone nazo zingasetyenziselwa ukunciphisa ubukhulu bomgca wesibeleko.

Ezinye izinto zendalo zikwasetyenziselwa ukunciphisa ubukhulu besibeleko, njenge-turmeric, egqalwa ikwazi ukunciphisa ukukhutshwa kwe-estrogen kwaye ngaloo ndlela inceda ekunciphiseni ubukhulu besibeleko. I-Turmeric nayo ineempawu ze-antioxidant.

Ngaba ukuhamba kunceda ukuphakamisa isibeleko?

Kubonakala ngathi ukuhamba akuncedi ukuphakamisa isibeleko. Enyanisweni, ukuhamba ixesha elide kunokunyusa kakhulu ingxaki ye-uterine prolapse, kwaye abafazi banokujamelana nemiphumo emininzi yempilo ngenxa yoko.

Nangona kunjalo, kuyacetyiswa ukuba uziqhelanise nemithambo ye-pelvic floor (i-Kegel exercises) enceda ukuphakamisa isibeleko kunye nokomeleza izihlunu zaso. Ezi ziqhelo zibhekwa njengezona zisebenzayo ekuphatheni ingxaki ye-uterine prolapse kunye nokuqinisa imisipha yomgangatho we-pelvic kunye nentamo yesinye.

I-uterine prolapse inokuthi ihambe kunye nokungahambi kakuhle komchamo, ngenxa yobuthathaka jikelele bemisipha ye-pelvic kunye nentamo yesinyi. Nangona kunjalo, ezi meko azibeki umngcipheko wobomi kwabasetyhini abane-uterine prolapse.

Kwezinye iimeko, kunokufuneka ukuba kwenziwe utyando ukunyanga i-uterine prolapse, kwaye utyando lunokubandakanya ukususa isibeleko.

Olunye uphando lubonisa ukuba ukugcina ubunzima obunempilo kunokunceda ukunciphisa uxinzelelo kwimisipha ye-pelvic ngexesha lokuma okanye ukuhamba.

Ukongezelela, kufuneka kuqatshelwe ukuba ezinye iimpawu zingaba zibi ngakumbi xa zimile okanye zihamba ixesha elide, ngenxa yoxinzelelo lomxhuzulane kwimisipha ye-pelvic. Oku kunokuquka ukungaziva ukhululekile xa uhamba.

Ngaba kuyimfuneko ukulala ngesisu ngenxa yesibeleko esiguquliweyo?

Abanye banokuzibuza malunga nomphumo wokulala ngesisu kwisibeleko esibuyiselweyo. I-uterus ebuyiselweyo yimeko apho isibeleko sijikisiwe. Nangona kunjalo, kufuneka kugxininiswe ukuba indawo yokulala esiswini ayichaphazeli ngokupheleleyo ukukhulelwa. Ukukhulelwa kunye nokubeletha kunokwenzeka kwimeko yesibeleko esibuyiselweyo, kwaye abaninzi abafazi banokuba nale meko bengazi.

Isibeleko esibuyiselweyo asiphathwa ngokulala esiswini, kwaye ngokubanzi, isibeleko esibuyiselweyo asifuni unyango ngaphandle kokuba sibangela ezinye iingxaki. Ukuba iimpawu eziphazamisayo zenzeka, ingcali kufuneka idibane. Nangona i-uterus ebuyiselweyo ayichaphazeli amandla okukhulelwa okanye ukwabelana ngesondo kwiimeko ezininzi, kwiimeko ezithile kunokukhokelela kubunzima bokukhulelwa.

UDkt Salah Sanad, uNjingalwazi we-Obstetrics kunye ne-Gynecology kwi-Kasr El Aini Faculty of Medicine, uphendula ukubaluleka kokwenza uvavanyo lwe-ultrasound ye-transvaginal ngexesha lokukhulelwa. Uqinisekisa ukuba olu viwo alubangeli nayiphi na ingozi kwaye alubangeli intlungu emva.

Inokuvelisa ezinye iimpawu ze-uterus eguqulweyo, ezifana nokunyanzeliswa okukhulu ngexesha lokuya esikhathini okanye ukugcinwa kwe-urethral ekuqaleni kokukhulelwa. Nangona kunjalo, kufuneka kugxininiswe ukuba i-uterus ebuyiselweyo ayichaphazeli ukukhulelwa okanye ibangele ukulibaziseka ekukhulelweni.

Ngaba ukuthambeka kwesibeleko kubangela intlungu emlenzeni?

Kubonakala ngathi isibeleko esithambekileyo sinokubangela intlungu endodeni. Oku kungenxa yokuba isibeleko esithambekileyo sinokubangela ukuba umlomo wesibeleko kwilungu lobufazi ube kwindawo engeyoyamvelo, nto leyo ebangela ukuba ilungu lobudoda lingqubane nomlomo wesibeleko.

Oku kungqubana kunokubangela iintlungu ezibuhlungu zomqolo, indoda iva intlungu emazantsi emqolo. Ukuba kukho ukuthambeka okukhulu kwisibeleko, oku kunokukhokelela ekuphuphumeni kwesisu somntwana, ngoko ke le ngxaki kufuneka iphathwe ngokukhawuleza, kwaye inokufuna unyango lotyando.

Ezinye iimpawu enokuthi izive indoda ngenxa yesibeleko esithe tye zizihlunu ze-pelvic ezibuthathaka, iintlungu kwindawo ezimpundu okanye kufuphi nesisu, iingxaki zokuchama nokuzikhulula okunjengokuqhinwa, kwaneqhuma kumazantsi esisu.

Indoda efumana intlungu emva okanye nayiphi na impawu ezifanayo kufuneka iqhagamshelane nodokotela ukuze ufumane ukuxilongwa ngokuchanekileyo kunye nonyango olufanelekileyo. I-uterus ene-tilted ayiyona kuphela imbangela yentlungu emva, kwaye kubalulekile ukudibana nodokotela ukuze anqume isizathu sangempela kwaye aqondise unyango oluyimfuneko.

Ngaba ukuthambeka kwesibeleko kunokubonwa nge-ultrasound?

Ukuthambeka kwesibeleko kunokubonwa nge-ultrasound ngempumelelo kunye nokuchaneka okuphezulu. Uvavanyo olwenziweyo lubonise ukuba ukuthambeka kwesibeleko kunokubonwa ngokucacileyo kwi-ultrasound. I-Ultrasound yindlela eqhelekileyo esetyenziswa ngoogqirha ukubona nayiphi na into engaqhelekanga kwisibeleko, kubandakanywa ukuthambeka kwesibeleko.

Abasetyhini badla ngokubhenela kunyango lweyeza lokunyanga i-uterine melanosis ngenxa yokoyika iziphumo zayo eziyingozi. Kodwa abafazi bafanele bazi ukuba ukuthambeka kwesibeleko akuyongozi kangako, kwaye kunokubonwa ngokulula ngokwenza uvavanyo lomzimba rhoqo okanye usebenzisa isixhobo se-ultrasound.

I-Ultrasound yenye yezona zixhobo ezibalulekileyo ezisetyenziselwa ukuxilongwa kwe-uterine tilt. Ukusebenzisa i-ultrasound, isibeleko siboniswe ngokuchanekileyo nangokucacileyo, ukuvumela oogqirha ukuba babone nakuphi na ukungaqhelekanga kwisibeleko.

Ukubambelela kwesibeleko kunokubonwa ngokucacileyo nge-ultrasound. Isixhobo se-sonar sithathwa njengenye yezona zixhobo ezibalulekileyo ezisetyenziselwa le njongo.