Chikhodzodzo Chochepa (Cystocele): Zomwe zili, Zizindikiro ndi Chithandizo

Zamkati

• Momwe mungadziwire ngati chikhodzodzo chanu ndi chotsika
• Mayeso a chikhodzodzo chochepa
• Mankhwala a chikhodzodzo chochepa
• 1. Kuchita masewera olimbitsa thupi otsika chikhodzodzo
• 2. Physiotherapy ya chikhodzodzo chochepa
• 3. Zithandizo za chikhodzodzo chochepa
• 4. Opaleshoni ya chikhodzodzo m'munsi

Chikhodzodzo chotsika chimachitika pamene minofu ndi minyewa ya m'chiuno imalephera kugwira chikhodzodzo m'malo mwake, ndichifukwa chake 'imazembera' pamalo ake abwino ndipo imatha kugwiridwa mosavuta kudzera kumaliseche.

Izi zitha kutchedwa cystocele, chikhodzodzo kufalikira, chikhodzodzo chochepa kapena chikhodzodzo chomwe chagwa, chofala kwambiri mwa azimayi opitilira zaka 40, omwe ali ndi pakati kale. Mkazi atha kukhala ndi chikhodzodzo chokhacho, koma chiberekero, mkodzo ndi kachilomboka amathanso kugwa nthawi yomweyo.

Chithandizo cha chikhodzodzo chochepa chimatha kusintha ndi kusintha kwa moyo, kuchepa thupi, kusiya kusuta, kulimbana ndi kudzimbidwa, kuwonjezera pa physiotherapy, masewera olimbitsa thupi, owonetsedwa ndi physiotherapist, kapena kudzera pakuchita opareshoni, nthawi zovuta kwambiri, pamene chikhodzodzo chafika pakhomo kunyini kapena amadutsa kumaliseche.

Momwe mungadziwire ngati chikhodzodzo chanu ndi chotsika

Zizindikiro zomwe zikusonyeza kuti chikhodzodzo chagwa ndi monga:

• Mphuno kumaliseche, komwe kumawoneka ndi maso kapena kumverera ndi zala mukakhudza kumaliseche;
• Kumva kulemera kwa chikhodzodzo;
• Kutengeka kwa mpira kumaliseche;
• Kupweteka kapena kusapeza m'chiuno;
• Kufooka kapena kutha kwa minofu ndi mitsempha ya perineum;
• Kutaya mwadzidzidzi kwa mkodzo kumachitika;
• Zovuta pakudutsa mkodzo mkati mwa masekondi oyamba okodza;
• Mwachangu ndi kuchuluka pafupipafupi kwamikodzo;
• Ululu ndi kukwiya kumaliseche panthawi yogonana;
• Pakachuluka kwa rectum, pakhoza kukhala 'thumba' pafupi ndi anus, kupweteketsa, kusapeza bwino komanso zovuta kuthetsa chopondapo.

Dokotala yemwe amawonetsa kwambiri kuti apeza matendawa ndikuwonetsa chithandizo cha milandu ya chikhodzodzo chochepa ndi dokotala wazachipatala wodziwika bwino mu urogynecology. Physiotherapy imathandizanso pochiza.

Mayeso a chikhodzodzo chochepa

Mayeso omwe mayi wachikazi angafunse kuti awunikire chikhodzodzo chomwe chagwa ndi awa:

• Kuwunika kwa mphamvu yam'mimba;
• Transvaginal ultrasound: kuwunika minofu ya dera la perianal ndikuwona ngati pali kusintha kulikonse pachiberekero, kutulutsa chikhodzodzo kapena urethra;
• Maphunziro a Urodynamic: kuyesa kuthekera kwa chikhodzodzo kusunga ndi kuthetsa mkodzo;
• Kujambula kwa maginito: kukhala ndi mawonekedwe abwino pazinthu zonse m'chiuno.
• Cystourethroscopy: kuwona mkodzo ndi chikhodzodzo, mwa amayi omwe ali achangu, pafupipafupi kwamikodzo, kupweteka kwa chikhodzodzo kapena magazi mkodzo.

Chikhodzodzo chimafala kwambiri nthawi yakutha kapena ikatha, pambuyo pathupi, podzimbidwa, pambuyo pochitidwa opaleshoni kuti muchotse chiberekero, mukakhala wonenepa kwambiri kapena wonenepa kwambiri, mutakwanitsa zaka 50, komanso mwa azimayi omwe amasuta.

Vuto lina lomwe limakomera kugwa kwa chikhodzodzo ndi ntchito zomwe zimafunikira kulimbikira, monga ntchito zapakhomo kapena pomwe pakufunika kugwira kapena kunyamula zinthu zolemetsa. Chifukwa chake, kuti chikhodzodzo chisagwerenso, muyenera kupewa zinthu zonsezi.

Mankhwala a chikhodzodzo chochepa

Chithandizo chimasiyanasiyana kutengera kuchuluka kwa cystocele yomwe mayi ali nayo:

1. Kuchita masewera olimbitsa thupi otsika chikhodzodzo

Zochita za Kegel zimawonetsedwa pamilandu yocheperako, pomwe mkazi amakhala ndi chikhodzodzo kapena minofu ya m'chiuno yofooka, yokhala ndi zizindikilo zochepa, motero kuchitidwa opaleshoni sikuwonetsedwa. Zochitazi ziyenera kuchitidwa tsiku ndi tsiku kuti zizikhala ndi zotsatira zomwe zikuyembekezeredwa ndipo zimakhala zothandiza mukazichita molondola.

Momwe mungapangire masewera a kegel:

• Chotsani chikhodzodzo;
• Dziwani minofu ya pubococcygeal: kuti muchite izi, yesetsani kusokoneza mtsinje wa pee mukakodza;
• Kutenga minofu ya pubococcygeal kachiwiri mukakodza kuti muwone kuti mukudziwa momwe mungagwirire minofu molondola;
• Chitani 10 minyewa yotsatana motsatana;
• Pumulani kwakanthawi;
• Bwezerani zochitikazo, mukuchita zosachepera 10 zotsutsana 10 tsiku lililonse.

Zochita za Kegel zitha kuchitidwa pamalo aliwonse, atakhala pansi, akunama kapena kuyimirira, ndipo atha kuchitidwa mothandizidwa ndi mipira yolimbitsa thupi. Komabe, ndikosavuta kuyamba ndi kugona pansi miyendo yanu itapinda. Onani zambiri mu kanemayu:

Momwe mungapangire masewera olimbitsa thupi osakwanira:

Masewera olimbitsa thupi amawonetsedwanso kuti amalimbana ndi chikhodzodzo chotsika chifukwa amathandizanso kulimbitsa minofu ya m'chiuno. Kuchita:

• Lembani mpweya bwinobwino ndipo mutatulutsa mpweya wonse, mpaka mimba itayamba kugwedezeka yokha ndiyeno 'kufinya mimba', kuyamwa minofu ya m'mimba mkati, ngati kuti mukufuna kukweza mchombo kumbuyo.
• Izi zimayenera kusungidwa kwa masekondi 10 mpaka 20 koyambirira ndipo, popita nthawi, pang'onopang'ono muziwonjezera nthawi, kutsalira momwe mungathere popanda kupuma.
• Pambuyo pakupuma, lembani m'mapapu anu ndi mpweya ndikusangalala kwathunthu, ndikubwerera kupuma koyenera.

Onani sitepe ndi sitepe ya masewera olimbitsa thupi mu kanemayu:

2. Physiotherapy ya chikhodzodzo chochepa

Mu physiotherapy, kuwonjezera pa machitidwe omwe atchulidwa pamwambapa, palinso zina zotheka, monga kugwiritsa ntchito pessary, chomwe ndi chida chaching'ono chomwe chimagwira mkati mwa nyini kuti chithandizire chikhodzodzo. Ndi timiyala tating'ono tating'ono tolemera tosiyanasiyana tomwe titha kulowetsedwa mu nyini nthawi yochita masewera olimbitsa thupi.

Zida zina zomwe zitha kugwiritsidwanso ntchito ndimakina amagetsi am'mimba kapena biofeedback, zomwe ndi zida zomwe zimathandiza azimayi kudziwa minofu yawo ya m'chiuno, kuti athandizire kuchita bwino masewera olimbitsa thupi.

Physiotherapy muumoyo wa amayi imakhala ndimagawo osiyanasiyana, kuyambira mphindi 30 mpaka 1 ora, yomwe imayenera kuchitika kamodzi pa sabata, ngakhale kuti zolimbitsa thupi zimayenera kuchitidwa kunyumba, tsiku lililonse. Pezani zambiri za physiotherapy yokhudzana ndi kusagwirizana kwamikodzo.

3. Zithandizo za chikhodzodzo chochepa

Mankhwala ena opangidwa ndi estrogen atha kugwiritsidwa ntchito panthawi yomwe akusamba kuti athetse vuto la cystocele, chifukwa chake kusintha kwa mahomoni pakutha kwa thupi kumawonekeranso kuti kumathandizira azimayi ena. Dziwani zambiri zakusintha kwamahomoni.

4. Opaleshoni ya chikhodzodzo m'munsi

Kuchita ma cystocele kumakhala ndi kulimbitsa mawonekedwe am'chiuno kuti abwezeretse malo oyenera a chikhodzodzo, chiberekero ndi nyumba zonse zomwe 'zagwa'. Nthawi zambiri adotolo amaika 'ukonde' wothandizila ziwalo zamchiuno, zomwe ndizothandiza kwambiri, zowonetsedwa makamaka pamatenda akulu kwambiri.

Kuchita opaleshoni kotereku kumatha kuchitika kudzera mu laparotomy kapena kudula m'mimba, ndimadontho am'madera kapena ambiri, koma monga ena onse ali ndi zoopsa zake, monga ziwalo, kutuluka magazi, matenda, kupweteka panthawi yogonana ndikubwerera kosavomerezeka kwamikodzo, nthawi zina .

Kuchita opaleshoniyo ndikofulumira ndipo mayiyo amakhala mchipatala masiku awiri kapena atatu okha, koma ndikofunikira kupumula kunyumba ndikupewa zoyesayesa sabata yoyamba atachitidwa opaleshoni. Dziwani zambiri zakuchira pamtundu uwu wa maopaleshoni ku: Opaleshoni yokhudzana ndi mkodzo.