Cystocele: ukuthi kuyini nokuthi indlela yokuphatha kulo? Izimbangela, Izimpawu

Ngeshwa, abantu abaningi besifazane esikhathini esithile ekuphileni kwabo kufanele ubhekane enjalo inkinga ezingemnandi njengoba cystocele. Kuyini lokhu? Lokhu cystocele kokuvela ngemva esisuka indwangu phakathi umzimba ukusekela kanye odongeni lwesitho sangasese sowesifazane, ngenxa okuyinto esinyeni kunikezwa phansi esithweni sowesifazane.

Imbangela enkulu yale nkinga - imisipha esisuka, ukusekela izitho okhalo. Ngu esisuka kungabangela lokuzalwa ngokwemvelo, ukuqunjelwa okungamahlalakhona, ukukhwehlela isikhathi eside noma ezisindayo. Ngaphezu kwalokho, i eyengeziwe eyingozi kubhekwa menopause lapho izinga le-estrogen amazinga ukwehla emzimbeni.

Uma owesifazane kutholakala ukuthi uphethwe i-esinyeni is hernia okuncane noma okusesilinganisweni, odokotela bavame ukwelashwa olandelanayo. Ezimweni ezimbi kakhulu, ukugcina sangasese, kanye nezinye izitho okhalo endaweni efanele ukuhlinzwa isikhundla kungadingeka.

izimpawu

Kungenzeka ukuthi ukulahleka kancane kwesinye ungenalo ngisho uzizwe ukuthuthukiswa cystocele. Izimpawu kanye izimpawu zesifo i kungenziwa ngezindlela ezihlukene futhi ngokuvamile zihlanganisa:

• umuzwa ukugcwala noma ingcindezi kule ukhalo kanye sangasese;
• anda ukungakhululeki ne voltage, ukukhwehlela, ukuphakamisa izinsimbi ezisindayo noma imizamo yize;
• umuzwa wokuthi ngeke ezingenalutho ngokugcwele esinyeni ngemva kokuya ethoyilethi;
• yansukuzonke pheshana urinary nezifo;
• ubuhlungu noma incontinence omnene ngesikhathi ocansini.

Ezimweni ezimbi kakhulu, kuba lubonakale izicubu isinqamu ophumile ngembobo lwesitho sangasese sowesifazane, futhi kungenzeka kubonakale umuzwa ehlezi Iqanda inkukhu.

izimpawu zokugula zimakwe ikakhulukazi ngemva nokuma eside izinyawo zabo futhi kungathatha indawo emva Ukwamukelwa isikhundla lisalele.

Lapho ukubona udokotela

ukungakhululeki Ezinkulu - inkinga eyisisekelo, okuyinto ihambisana cystocele. Ubukhulu BoMbuso sifo bathuthuke futhi kubangele ubunzima ku bethulula esinyeni kanye nezifo yansukuzonke. Uma unezimpawu ze-, ikunika nokukhathazeka, ubhalisele i-kokuxoxisana onguchwepheshe.

izizathu

I esitezi okhalo siqukethe imisipha, imisipha nezicubu zezinzwa ukuthi ukusekela esinyeni kanye nezinye izitho okhalo. Zokuxhumana phakathi imisipha nemisipha kungase kuhlukaniswe ngokuhamba kwesikhathi ngenxa yokuzalwa ukuhlukumezeka noma ukungezwani njalo imisipha esitezi okhalo. Lapho lokhu kwenzeka, isinye uyakwazi agcobhoze ngezansi evamile futhi ngokoqobo iwe sangasese. Lesi simo sibizwa ngokuthi vesicocele - cystocele (isithombe).

Phakathi kwezizathu okungenzeka kuhlanganise kwalezi zimo ezilandelayo:

• nokukhulelwa kanye nokubeletha yemvelo;
• ikhuluphele noma ikhuluphele ngokweqile;
• njalo uthwala izinto ezisindayo,
• izinkinga nge wamathumbu ukunyakaza, ukuqunjelwa;
• ukukhwehlela okungapheli noma ukucinana kwemigudu yokuphefumula.

engcupheni

Kungenzeka ukuvimbela ukuthuthukiswa isifo, uma usanda kulithola mayelana nokuba khona kwamakamu igama elithi "cystocele". Kuyini futhi kanjani ukuvimbela inkinga? Khokha ngokukhethekile engcupheni ukuthi sandise amathuba umbhunu lwesinye. Ziyakwazi:

• General. Cystocele avame ezitholakala ababelala ingane engaphezu kweyodwa ngendlela engokwemvelo.
• Aging. Vesicocele ingozi uyanda ngokulingana ngqo engu-isiguli. isikhathi Postmenopausal kuyingozi ikakhulukazi, ngoba ngemva kokuma ukuya esikhathini, izinga le-estrogen ukukhiqizwa liyancipha, igcina kuyaqina of the floor kwezitho zangasese.
• Ukususwa kwesibeletho surgically.
• izici zofuzo. Ingozi ekhulile yemiphumela isifo ebonwe nabesifazane abazalelwe izicubu ababuthakathaka zezinzwa.
• Ukukhuluphala. Cystocele futhi uyingozi iziguli "ukukhuluphala" sitholakale futhi umane nje ukhuluphele.

ukuhlola

Udokotela kufanele ukuxilonga inkinga ngaphambi oyinikeza ngelashwa izimpawu cystocele wedwa - kuyini futhi lesi sifo kujabulisa kanjani ukungakhululeki ungakwazi ukuhlonza kuphela onguchwepheshe. Ukuze wenze lokhu, afeze ucwaningo olufanele nokuhlaziywa kwemininingwane, kubandakanya:

• luhlolo okhalo. ukuhlolwa okunjalo kungathatha indawo izikhundla ezimbili ezahlukene isiguli: emi noma amanga. Udokotela nibheke izimpawu ecacile umbhunu, kuhlanganise ezinkulu e sangasese izicubu isinqamu. Cishe, onguchwepheshe ngeke akucele baqaphe njengoba lapho uya endlini yangasese, ukukhomba: indlela lemizamo ukuthonya degree of cystocele; ukuthi iyini - ukushintshashintsha kuyinsakavukela noma zokugula sobala. Ukuze ukuhlole ngamandla imisipha esitezi okhalo, udokotela wakho ngeke akucele ukuba sinciphise kubo njengoba ezama ukuchama.
• Umchamo kanye esinyeni umsebenzi. Phezu ukuthola cystocele ezinzima bayonikezwa isifundo umsebenzi kwesinye, okungukuthi, izinga umzimba bethulula ngesikhathi ukuchama. Urinalysis kuyodingeka abone izifo kungenzeka, uma kuvela ukuthi umzimba uhlala emva bethulula umchamo kuningi kunokuvamile.

ukwelashwa

Uma uphethwe yakho - cystocele, impatho kuzoncika degree of ptosis esinyeni kanye khona noma ukungabi khona pathologies concomitant - ezifana lesizalo prolapse ka emomozini (lesizalo prolapse).

hernia Small izimpawu okuncane noma kungekho zimpawu ukwephulwa ngokuvamile awadingi yokwelapha. Ochwepheshe batusa kusuka nje ngezikhathi ezithile ukuvakashela udokotela ukuqapha ukuqhubeka umbhunu bese uthatha izinyathelo ezifanele ezimele ngoba impatho, okungukuthi - ukuqinisa imisipha floor kwezitho zangasese abadumile Kegel umzimba. Uma izinyathelo ezimele musa asize, ukwelashwa kungase kube kanje:

• Ukufaka kudivayisi asekelayo (pessary). pessary kwesitho sangasese - ngepulasitiki noma irabha indandatho okuyinto afakwa esithweni sowesifazane ukulondoloza esinyeni endaweni. Ukufakwa senziwa uchwepheshe ngubani izokubonisa ukuthi ukuyikhipha, bahlanza futhi kabusha ufake iringi. Abesifazane abaningi bajabulele pessary alternative zesikhashana ukuba ukuhlinzwa.
• Ukusetshenziswa estrogen. Udokotela angase atuse ukuba ukusetshenziswa amalungiselelo ezithaka imithi aqukethe i-estrogen, ngesimo amaphilisi lwesitho sangasese sowesifazane noma yokugcoba ngokuqondile aphathe cystocele. Izibuyekezo imithi ethize kungenziwa pre-funda ku ingxoxo izinkundla. Lokhu ukwelashwa ziwusizo ngokukhethekile ngemva kokuma ukuya esikhathini nesineke.

ukuhlinzwa

Uma uhlangabezana ukungakhululeki abalulekile ngenxa isici vesical izimpawu hernia kungenzeka ukushabalalisa izinkinga zidinga ukuhlinzwa.

Ngokuvamile ukusebenza wenziwa ngaphakathi esithweni sowesifazane futhi isinye eqala abuyele esikhundleni salo esivamile, ukususwa izicubu ezingadingekile futhi muscle umsipha esishubile phansi kwezitho zangasese. Ungadinga ukusebenzisa ekhethekile izicubu grafts (grafts) ukuthuthukisa futhi ahlinzeke ngokusekelwa ezengeziwe nezicubu lwesitho sangasese sowesifazane.

Izici

Uma uxilongwe lesizalo prolapse, ngaphezu imisebenzi emisipheni kosuku okhalo udokotela uyoncoma a hysterectomy.

Uma uhlela ukukhulelwa, kodwa uhlushwa izici isici cystocele, ukuhlinzwa kungase kwephuze kuze kube yilapho isikhathi ezifana unquma ukuthi ungasafuni ukuba babe nezingane. ukwelashwa okunezimpawu ngalesi sikhathi wenziwa usebenzisa ukufakwa pessary.

Umthelela ukuhlinzwa abanekhono ingahlala iminyaka, kodwa ngeshwa, sonke sibhekana kusukela isifo Ukuphinda. Kulokhu, ochwepheshe ukweluleka ukuya nangenye ukuhlinzwa.