Kuchulukana kwa chiberekero

Kuphulika kwa chiberekero kumachitika m'mimba (chiberekero) ikatsika ndikulowera kumaliseche.

Minofu, mitsempha, ndi zina zimasunga chiberekero m'chiuno. Ngati nyamazi ndizofooka kapena kutambasulidwa, chiberekero chimagwera mumtsinje wamaliseche. Izi zimatchedwa prolapse.

Matendawa amapezeka kwambiri kwa amayi omwe adabereka 1 kapena kupitilira apo kumaliseche.

Zinthu zina zomwe zingayambitse kapena kubweretsa kufalikira kwa chiberekero ndi monga:

• Kukalamba bwino
• Kuperewera kwa estrogen mutatha kusamba
• Zinthu zomwe zimakakamiza minofu yam'chiuno, monga chifuwa chachikulu ndi kunenepa kwambiri
• Chotupa cham'mimba (chosowa)

Kubwereza mobwerezabwereza kuti ukhale ndi matumbo chifukwa cha kudzimbidwa kwa nthawi yayitali kumatha kukulitsa vuto.

Zizindikiro zimaphatikizapo:

• Kupanikizika kapena kulemera m'chiuno kapena kumaliseche
• Mavuto akugonana
• Kutuluka mkodzo kapena kufunitsitsa kutulutsa chikhodzodzo
• Kutha msana
• Chiberekero ndi khomo pachibelekeropo zomwe zimafikira kutsegulira nyini
• Matenda obwereza chikhodzodzo
• Kutuluka kumaliseche
• Kuchuluka kumaliseche kumaliseche

Zizindikiro zitha kukhala zoyipa mukaimirira kapena kukhala nthawi yayitali. Kuchita masewera olimbitsa thupi kapena kukweza kungapangitsenso zizindikilo kukulira.

Wothandizira zaumoyo wanu adzayesa m'chiuno. Mufunsidwa kuti mukhale pansi ngati kuti mukuyesera kutulutsa mwana. Izi zikuwonetsa kutalika kwa chiberekero chako.

• Kuphulika kwa chiberekero kumakhala kofatsa pamene khomo pachibelekeropo ligwera kumunsi kumaliseche.
• Kuphulika kwa chiberekero kumakhala kochepa pamene khomo lachiberekero limatuluka kuchokera kumaliseche.

Zinthu zina zomwe mayeso a m'chiuno amatha kuwonetsa ndi:

• Chikhodzodzo ndi khoma lakumaso la nyini likulowera mu nyini (cystocele).
• Khoma lakumaso ndi lakumbuyo kwa nyini (rectocele) likulowera kunyini.
• Mkodzo ndi chikhodzodzo ndizotsika m'chiuno kuposa masiku onse.

Simukusowa chithandizo pokhapokha mutavutitsidwa ndi zizindikilozo.

Amayi ambiri amalandira chithandizo nthawi yomwe chiberekero chimatsikira mpaka kutseguka kwa nyini.

ZINTHU ZIMASINTHA

Zotsatirazi zitha kukuthandizani kuwongolera zizindikiro zanu:

• Kuchepetsa thupi ngati muli wonenepa kwambiri.
• Pewani kunyamula katundu kapena kupondereza.
• Muthandizireni chifuwa chachikulu. Ngati chifuwa chanu chimachitika chifukwa chosuta, yesetsani kusiya.

ZINTHU ZOPHWETSA NKHOSA

Wopereka wanu angakulimbikitseni kuyika kachipangizo kamene kali ndi mphira kapena pulasitiki, kumaliseche. Izi zimatchedwa pessary. Chida ichi chimagwira chiberekero m'malo mwake.

Pessary itha kugwiritsidwa ntchito kwakanthawi kochepa kapena kwakanthawi. Chipangizocho chimakonzedwa kumaliseche kwanu. Ma pessaries ena amafanana ndi chifanizo chomwe chimagwiritsidwa ntchito polera.

Pessaries ayenera kutsukidwa pafupipafupi. Nthawi zina amafunika kutsukidwa ndi omwe amapereka. Amayi ambiri amatha kuphunzitsidwa momwe angayikire, kuyeretsa, ndikuchotsa pessary.

Zotsatira zoyipa za pessaries ndizo:

• Kutuluka koipa kuchokera kumaliseche
• Kukwiya kwampheto ya nyini
• Zilonda kumaliseche
• Mavuto azogonana mwachizolowezi

KUGWIDWA

Kuchita opaleshoni sikuyenera kuchitidwa mpaka zizindikilo zomwe zikuchulukirachulukira zikuipiraipira kuposa kuopsa kochitidwa opaleshoni. Mtundu wa opaleshoni udalira:

• Kukula kwakuchulukirachulukira
• Zolinga za mayiyo za mimba zamtsogolo
• Msinkhu wa mkaziyo, thanzi lake, ndi mavuto ena azachipatala
• Chikhumbo cha mkazi chosungabe nyini

Pali njira zina zopangira opaleshoni zomwe zingachitike popanda kuchotsa chiberekero, monga kusinthanitsa kwamisempha. Njirayi imaphatikizapo kugwiritsa ntchito mitsempha yapafupi kuthandizira chiberekero. Njira zina zimapezekanso.

Kawirikawiri, kachilombo ka HIV kamatha kuchitidwa panthawi imodzimodzi ndi njira yothetsera uterine. Kutsetsereka kulikonse kwa makoma azimayi, urethra, chikhodzodzo, kapena rectum kumatha kukonzedwa opareshoni nthawi yomweyo.

Amayi ambiri omwe ali ndi chiberekero chochepa cha uterine alibe zizindikilo zomwe zimafunikira chithandizo.

Pessaries ya nyini itha kukhala yothandiza kwa amayi ambiri omwe ali ndi chiberekero choberekera.

Opaleshoni nthawi zambiri imapereka zotsatira zabwino kwambiri. Komabe, amayi ena angafunikire kudzachiritsidwanso mtsogolo.

Kutupa ndi kutsekula kwa khomo pachibelekeropo ndi makoma kumaliseche kumatha kuchitika pachiwopsezo cha kutuluka kwa chiberekero.

Matenda a mumikodzo ndi zizindikiro zina zamikodzo zimatha kuchitika chifukwa cha cystocele. Kudzimbidwa ndi zotupa kumatha kuchitika chifukwa cha ma rectocele.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za kutha kwa chiberekero.

Kulimbitsa minofu ya m'chiuno pogwiritsa ntchito machitidwe a Kegel kumathandiza kulimbitsa minofu ndikuchepetsa chiopsezo chokhala ndi chiberekero chambiri.

Mankhwala a Estrogen pambuyo pa kusintha kwa thupi angathandize ndi minofu ya abambo.

Kutsekula kwam'mimba - kutuluka kwa chiberekero; Pelvic pansi chophukacho; Chiberekero chogwedezeka; Kusadziletsa - kufalikira

• Matupi achikazi oberekera
• Chiberekero

Kirby AC, Lentz GM. Zofooka za anatomic za khoma la m'mimba ndi pansi m'chiuno: m'mimba hernias, inguinal hernias, ndi ziwalo zam'mimba zotuluka: kuzindikira ndi kuwongolera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 20.

Magowan BA, Owen P, Thomson A. Pelvic chiwalo chambiri. Mu: Magowan BA, Owen P, Thomson A, eds. Zachipatala Obstetrics ndi Gynecology. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 10.

Watsopano DK, Burgio KL. Kusamalira mosamala kwamikodzo osagwiritsika ntchito: magwiridwe antchito am'miyendo ndi m'chiuno komanso zida za urethral ndi m'chiuno. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 80.

Winters JC, Smith AL, Krlin RM. Ukazi wam'mimba ndi wam'mimba wopangira ziwalo zam'mimba zamimba. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 83.