I-Uterine Prolapse

I-uterine prolapse, yisimo lapho isibeletho (isibeletho) sehla sisuka endaweni yaso evamile siye emseleni wesitho sangasese sowesifazane. Kulesi simo, imisipha ye-pelvic floor kanye nemigqa ilula futhi ibe buthakathaka kuze kube yilapho ingakwazi ukunikeza ukusekelwa okwanele kwesibeletho, okuholela ekuqhumeni kwesibeletho. Ingathuthuka ngenxa yezinto eziningi, okuhlanganisa imisipha yaphansi ye-pelvic ebuthaka, ukubeletha kaningi, izinkinga ngesikhathi sokubeletha, kanye nokuguga. Nakuba i-uterine prolapse ingesona isimo esisongela ukuphila, ingaba nomthelela omkhulu empilweni yowesifazane, okuholela ekuphatheni kabi, ukungakwazi ukuzithiba komchamo, kanye nokungasebenzi kahle kocansi. Masiqonde izimbangela, izimpawu, izinhlobo, izici eziyingozi, ukuxilongwa, kanye nezinketho zokwelapha ze-prolapse yesibeletho.

Izinkinga ze-Uterine Prolapse

Kunezici eziningi ezingaba nomthelela ekuthuthukisweni kwe-uterine prolapse, kufaka phakathi:

• Ukukhulelwa Nokubeletha: Ubunzima bomzimba bokubeletha okuphindaphindiwe, ukusikwa okunzima, ukubeletha okuningi kungenza buthaka imisipha yaphansi ye-pelvic futhi kusekele imisipha nezicubu, okwandisa ingozi yokuqhuma kwesibeletho. Izinkinga zokubeletha, ukubambezeleka kwesigaba sokubeletha, ingane enkulu noma ukubeletha ngokushesha ezinye izimbangela ezihlobene nomsebenzi
• Ukuguga: Njengoba abesifazane bekhula, ukwehla kwemvelo i-hormone ye-estrogen ingenza buthaka imisipha ye-pelvic floor kanye nezicubu ezisekelayo, okwenza kube lula ukukhuphuka kwesibeletho.
• I-Chronic Straining: Izimo ezibangela ubunzima obungapheli, njengokuhlala njalo ukuqunjelwa, ukukhwehlela okukhulu, noma ukuphakamisa okunzima, kungafaka ingcindezi eyengeziwe emisipha ye-pelvic floor, okwandisa ingozi yokuqhuma kwesibeletho.
• Ukukhuluphala ngokweqile: Isisindo eseqile singabeka ubunzima obungadingekile emisipha yaphansi ye-pelvic, okwandisa amathuba okukhula kwesibeletho.
• Ukuhlinzwa Kwe-Pelvic Kwangaphambili: Izinqubo ezithile zokuhlinza, njenge hysterectomy noma ukuhlinzwa kwesitho se-pelvic, kungenza buthaka imisipha ye-pelvic floor kanye nezicubu ezisekelayo, okuholela ekuqhumeni kwesibeletho.

Izimpawu ze-Uterine Prolapse

Izimpawu ze-uterine prolapse zingahluka futhi zincike ebukhulu besimo. Nazi ezinye izimpawu ezivamile:

• Umuzwa wengcindezi noma ubunzima endaweni ye-pelvic noma esithweni sangasese
• Ukubona iqhubu noma ukuphuma embotsheni yesitho sangasese sowesifazane
• Yanda ukuqunjelwa sangasese
• Ubunzima bokuchama noma isidingo sokuzikhandla ukuze uthulule esinyeni
• Ukuvuza komchamo (i-urinary incontinence)
• Ukutheleleka kwesinye isinye
• Ubunzima bokuhambisa amathumbu noma isidingo sokusiza mathupha ekukhipheni i-rectum
• Ukungakhululeki noma ubuhlungu ngesikhathi sokuya ocansini
• Ubuhlungu obuphansi emuva noma ukungakhululeki kwesisu
• Izimpawu zingase zibe zimbi kakhulu ngokuma isikhathi eside, ukuphakamisa, noma umsebenzi womzimba

Izinhlobo Nezigaba Ze-Uterine Prolapse

I-uterine prolapse ihlukaniswa ngezinhlobo nezigaba ezahlukahlukene ngokuya ngobunzima besimo:

Izinhlobo ze-Pelvic Organ Prolapse:

• Cystocele: Isinye sehlela esithweni sangasese
•  I-Rectocele: I-rectum yehlela esithweni sangasese
•  I-Enterocele: Ukubhidlika kwengxenye yamathumbu amancane endaweni yangasese
•  I-Uterine Prolapse: Ukuqhuma kwesibeletho esithweni sangasese sowesifazane
•  I-Prolapse Engaphelele: Isibeletho sehlela esithweni sangasese esingenhla kodwa asiphumeleli ngale
•  I-Prolapse Ephelele: Isibeletho siyehla sifike ezingeni lokuvuleka kwesitho sangasese sowesifazane noma ngaphandle kwembobo yesitho sangasese sowesifazane.

Izigaba ze-Uterine Prolapse:

• Isigaba 1 (Sithambile): Isibeletho sehlele engxenyeni engenhla yesitho sangasese sowesifazane.
• Isiteji sesi-2 (Okulingene): Isibeletho sehlele endaweni evulekile yesitho sangasese sowesifazane.
• Isigaba 3 (Sinzima): Isibeletho sehle ngembobo yesitho sangasese sowesifazane.
• Isigaba 4 (Siphelele): Sonke isibeletho siphumele ngaphandle kwembobo yesitho sangasese sowesifazane.

Izinto Eziyingozi Ze-Uterine Prolapse

Kunezici eziningana ezingathuthukisa ingozi yowesifazane yokuthuthukisa i-uterine prolapse, kuhlanganise:

• Ukukhulelwa okuningi nokubeletha
• Ukubelethwa kwesitho sangasese sowesifazane, ikakhulukazi lokho okubandakanya ukusikwa isikhathi eside noma ukusetshenziswa kwezindlawu noma i-vacuum extract
• Ukukhuluphala kanye nesisindo esiningi ezungeze ukhalo
• Izimo ezingalapheki ezibangela ukwanda komfutho wesisu, njengokukhwehlela okungapheli noma ukuqunjelwa
• Ukuguga kanye nokwehla kwamazinga e-estrogen ngemva kokuya esikhathini
• Ukuhlinzwa kwangaphambili kwe-pelvic, okufana ne-hysterectomy noma ukuhlinzwa kwesitho se-pelvic
• Ukuphazamiseka kwezicubu ezixhumeneyo, njenge-Marfan syndrome noma i-Ehlers-Danlos syndrome 
• Umlando womndeni we-uterine prolapse noma ezinye izinkinga ze-pelvic floor

Ukuxilongwa kwe-Uterine Prolapse

Ukuxilongwa kwe-uterine prolapse kuhilela inhlanganisela yezindlela ezilandelayo:

• Ukuhlolwa Komzimba: Udokotela uzokwenza ukuhlolwa kwe-pelvic ukuze ahlole indawo nokuhamba kwesibeletho nezinye izitho ze-pelvic.
• I-Pelvic Ultrasound: Odokotela bangase benze i-ultrasound ukuze babone ngeso lengqondo isikhundla sesibeletho nezinye izitho ze-pelvic, kanye nokukhipha ezinye izimbangela ezingabangela ukungakhululeki kwe-pelvic.
• I-Pelvic MRI: Kwezinye izimo, i-MRI ye-pelvic (i-magnetic resonance imaging) inikeza izithombe eziphelele zezitho ze-pelvic nezakhiwo ezizungezile.
• I-Cystoscopy noma i-Proctoscopy: Lezi zinqubo zihilela ukufaka ikhamera encane esinyeni noma i-rectum ukuze kuhlolwe izitho ze-pelvic kanye nokuhlola izinga lokukhuphuka.
• Ukuhlolwa kwe-Urodynamic: Lokhu kuhlola kuhlola umsebenzi wesinye kanye ne-urethra, okungasiza ekunqumeni ukwelashwa okufanele kwe-prolapse yesibeletho kanye nokungakwazi ukuzibamba komchamo okuhambisanayo.

Ukwelashwa kwe-Uterine Prolapse

Ukwelashwa kwe-uterine prolapse kuncike ezintweni eziningana, okuhlanganisa ubunzima besimo, iminyaka yowesifazane, impilo yonke, nezinhlelo zokukhulelwa zesikhathi esizayo. Izinketho zokwelapha zingabandakanya:

• Ukuzivocavoca kwe-Pelvic Floor Muscle (Kegel Exercises): Lezi zivivinyo zingaqinisa imisipha ye-pelvic floor futhi zisekele i-pelvic izitho zomzimba. Zivame ukutuswa njengendlela yokuqala yokwelashwa ezimweni ezithambile kuya kwezimaphakathi ze-prolapse yesibeletho.
• I-Pessary: ​​Kubhekwa njengokwelashwa okuthandwayo kwe-uterine prolapse kubantu abadala asebekhulile, odokotela bafaka le mishini ekhishwayo esithweni sangasese sowesifazane ukuze basekele izitho ze-pelvic futhi basize ukukhulula izimpawu. Ama-Pessaries avame ukusetshenziswa njengendlela yokwelapha engahlinzeki kwabesifazane abangazohlinzwa noma abakhetha indlela eqondile.
• I-Estrogen Therapy: Kwezinye izimo, odokotela bangase banikeze ukwelashwa kwe-estrogen ye-topical noma yesistimu ukusiza ukuthuthukisa amandla kanye nethoni yemisipha yaphansi ye-pelvic kanye nezicubu ezisekelayo.
• Ukuhlinzwa: Ezimweni ezinzima kakhulu ze-uterine prolapse noma lapho ukwelashwa okungezona ukuhlinzwa kungasebenzi, odokotela bangancoma ukungenelela kokuhlinzwa. Izinketho zokuhlinzwa zihlanganisa:
  • I-Sacrocolpopexy: Inqubo ehlasela kancane ehilela ukunamathisela isitho sangasese sowesifazane ku-sacrum (ithambo elingemuva elingezansi) kusetshenziswa anezikhala noma izinto zokwenziwa ukuze kunikeze ukwesekwa okwengeziwe.
  • Ukumiswa Kwesizalo: Inqubo ebandakanya ukubeka kabusha nokuvikela isibeletho endaweni yaso efanele kusetshenziswa imithungo noma inemeshi.

Izinkinga

Uma ishiywe ingalashwa, i-uterine prolapse ingaholela ezinkingeni eziningana, kuhlanganise:

• Ukungakwazi ukuchama noma ukuchama kanzima
• Ukuqunjelwa noma ubunzima bokuhambisa amathumbu
• Ukutheleleka okuvamile komchamo
• Isilonda noma ukuguguleka kwezicubu eziphumile
• Ukungasebenzi kahle kwezocansi noma ukungakhululeki ngesikhathi socansi
• Ukucindezeleka kwengqondo noma ukwehla kwezinga lempilo

Prevention

Nakuba ezinye izici eziyingozi ze-prolapses yesibeletho, njengokuguga nokukhulelwa, zingenakugwenywa, kunezinyathelo ezimbalwa abesifazane abangazithatha ukuze basize ukuvimbela noma ukunciphisa amathuba okuba nalesi simo:

• Thola futhi ugcine isisindo esinempilo futhi uvivinye umzimba njalo ukuze uqinise imisipha yaphansi ye-pelvic.
• Zijwayeze ukuzivocavoca kwe-Kegel njalo ukuze uthuthukise amandla emisipha ye-pelvic floor.
• Gwema ukuzikhandla okungapheli ngesikhathi uhambisa amathumbu ngokugcina ukudla okune-fiber ephezulu nokuhlala uhlanzekile.
• Quit ukubhema, njengoba ukubhema kungaba nomthelela ekukhwehleleni okungapheli kanye nomfutho wesisu owandayo.
• Sebenzisa izindlela ezifanele zokuphakamisa futhi ugweme ukuphakamisa izinto ezinzima noma nini lapho kungenzeka.
• Funa ukwelashwa ngokushesha kokukhwehlela okungapheli noma ukuqunjelwa ukuze unciphise ubunzima besisu.

Uzoyibona Nini Udokotela

Uma uhlangabezana nanoma yiziphi izimpawu ze-uterine prolapse, ezifana neqhubu noma ukucindezela endaweni yangasese, ubunzima bokuchama noma ukuhambisa amathumbu, noma ukungakhululeki ngesikhathi sokuya ocansini, thintana nodokotela. Ukuhlonzwa kusenesikhathi kwesibeletho esaphuke nokwelashwa kungavimbela ukuqhubeka kwesimo futhi kudambise izimpawu.

Isiphetho

I-uterine prolapse yisimo esivamile se-gynecological esingathinta kakhulu impilo yansuku zonke yowesifazane. Ngokuqonda izimbangela, izimpawu, izici eziyingozi, nezindlela zokwelashwa, abesifazane bangathatha izinyathelo ezisheshayo zokuphatha lesi simo ngempumelelo. Uma usola ukuthi kungenzeka ukuthi une-uterine prolapse, kubalulekile ukubonana nodokotela ukuze uthole ukuxilongwa okufanele kanye nezincomo zokwelashwa komuntu siqu.

Imibuzo Evame Ukubuzwa

1. Yiziphi izimbangela eziphambili zokuqhuma kwesibeletho?

Izimbangela eziphambili ze-uterine prolapse zihlanganisa ukukhulelwa kanye nokubeletha, ukuguga nokuncipha kwamazinga e-estrogen, ukucindezeleka okungapheli (ngenxa yezimo ezinjengokuqunjelwa noma ukukhwehlela okungapheli), ukukhuluphala, nokuhlinzwa kwangaphambili kwe-pelvic.

2. Ingabe i-uterine prolapse yisimo esibucayi?

Nakuba i-uterine prolapse ingesona isimo esisongela ukuphila, singathinta kakhulu izinga lempilo yowesifazane futhi kubangele izinkinga uma kungelashwa. Ukufuna ukungenelela kwezokwelapha ngokushesha kanye nokwelashwa okufanele kubalulekile ekulawuleni isimo nokuvimbela ukuqhubeka okuqhubekayo.

CARE Medical Team

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