Zomwe Muyenera Kudziwa Zokhudza Chiberekero Chobwezerezedwanso

Zamkati

• Chiberekero chobwezedwa ndi chiyani?
• Zizindikiro
• Zoyambitsa
• Chiberekero chobwezeretsa komanso kubala
• Chiberekero chobwezeretsa komanso kutenga pakati
• Chiberekero chobwezera komanso kugonana
• Matendawa
• Chithandizo
• Zolimbitsa thupi
• Chipangizo cha pessary
• Njira zopangira opaleshoni
• Chiwonetsero

Chiberekero chobwezedwa ndi chiyani?

Chiberekero chobwerezabwereza ndi chiberekero chomwe chimapindika kumbuyo kumbuyo kwa khomo pachibelekeropo m'malo moyang'ana kutsogolo.

Chiberekero chobwezeretsedwanso ndi mtundu umodzi wa "chiberekero chopendekeka," gulu lomwe limaphatikizaponso chiberekero chosasunthika, chomwe ndi chiberekero chomwe chimapendekera kutsogolo osati kubwerera kumbuyo. Chiberekero chobwezeretsanso chimatchulidwanso kuti:

• Chiberekero chothina
• chiberekero retroflexed
• Kubwezeretsa chiberekero
• chiberekero chammbuyo
• uterine retro kusamutsidwa

Werengani kuti mudziwe zambiri za vutoli.

Zizindikiro

Amayi ena omwe ali ndi chiberekero chobwezeretsedwa samakhala ndi zisonyezo. Izi zikutanthauza kuti mwina simukudziwa za vutoli. Ngati mukukumana ndi zizindikilo, atha kukhala:

• kupweteka kumaliseche kwanu kapena kutsika msana panthawi yogonana
• kupweteka msambo
• zovuta kuyika matamponi
• kuchulukitsa kwamikodzo kapena kukakamizidwa kukometsa chikhodzodzo
• matenda opatsirana mumkodzo
• kusadziletsa pang'ono
• kutuluka m'mimba

Zoyambitsa

Chiberekero chobwezeretsedwanso ndichikhalidwe chofananira cha m'chiuno chomwe azimayi ambiri amabadwa nacho kapena amapeza akamakula. Kwenikweni pafupifupi kotala la amayi ali ndi chiberekero chobwezeretsedwa. Chibadwa chingakhale choyambitsa.

Nthawi zina, vutoli limatha kukhala ndi chifukwa chomwe chimagwirizanitsidwa ndi mabala am'mimba kapena zomata. Izi zikuphatikiza:

• Endometriosis. Matenda ofiira a Endometrial kapena zomata zimatha kupangitsa kuti chiberekero chizikhazikika kumbuyo, pafupifupi ngati kuchilumikiza m'malo mwake.
• Fibroids. Uterine fibroids imatha kupangitsa kuti chiberekero chikakanike kapena kusokonekera, kapena kupendekera kumbuyo.
• Matenda otupa m'mimba (PID). PID ikapanda kuchiritsidwa, PID imatha kuyambitsa mabala, omwe atha kukhala ndi vuto lofananira ndi endometriosis.
• Mbiri ya opaleshoni ya m'chiuno. Kuchita opaleshoni ya m'mimba kumayambitsanso mavuto.
• Mbiri ya mimba yapitayi. Nthawi zina, mitsempha yomwe imagwira chiberekero m'malo mwake imatha kutambasulidwa kwambiri panthawi yapakati ndikukhala momwemo. Izi zimatha kulola chiberekero kuti chibwerere m'mbuyo.

Chiberekero chobwezeretsa komanso kubala

Chiberekero chobwezeredwa sichimakhudza kuthekera kwa amayi kutenga pakati. Vutoli nthawi zina limalumikizidwa ndi matenda ena omwe angakhudze kuthekera kwa chonde. Izi zikuphatikiza:

• endometriosis
• matenda otupa m'mimba (PID)
• ziphuphu

Endometriosis ndi fibroids nthawi zambiri zimachiritsidwa kapena kuwongolera kudzera pakuchita opaleshoni yaying'ono.

Akapezeka msanga, PID imatha kuchiritsidwa ndi maantibayotiki.

Ngati kuli kotheka, chithandizo cha kusabereka, monga intrauterine insemination (IUI) kapena in vitro feteleza (IVF), chitha kuthandiza azimayi omwe ali ndi matendawa kuti akhale ndi pakati.

Chiberekero chobwezeretsa komanso kutenga pakati

Kukhala ndi chiberekero chobwezeredwa nthawi zambiri sikukhudza kuthekera kwa kutenga pakati.

Chiberekero chobwezeretsa chiwopsezo chimatha kukakamiza kwambiri chikhodzodzo chanu m'nthawi ya trimester yoyamba. Izi zitha kuyambitsa kusadziletsa kapena kukodza kukodza. Zitha kupanganso ululu wammbuyo kwa amayi ena.

Chiberekero chanu chimatha kukhala chovuta kuwona kudzera pa ultrasound mpaka itayamba kukulitsa mimba. Dokotala wanu angafunikire kugwiritsa ntchito ma transvaginal ultrasounds nthawi yoyamba trimester kuti muwone kukula kwa mimba yanu.

Chiberekero chanu chiyenera kukulira ndikuwongola kumapeto kwa trimester yoyamba, makamaka pakati pa masabata 10 ndi 12. Izi zimapangitsa kuti chiberekero chanu chituluke m'chiuno osatinso kubwerera kumbuyo.

Nthawi zina, chiberekero sichimatha kusintha. Nthawi zina izi zimayambitsidwa ndi zomata zomwe zimapangitsa kuti chiberekero chimangiriridwa m'chiuno.

Ngati chiberekero sichisunthira mtsogolo, chiopsezo chanu chopita padera chitha kukulirakulira. Izi zimadziwika ngati chiberekero chotsekeredwa m'ndende, ndipo sizachilendo. Chiberekero chomwe chili mndende chikakhazikika, chimatha kukhazikika, kuchepetsa kapena kuthetsa chiopsezo chotenga padera.

Lolani dokotala wanu nthawi yomweyo ngati muli ndi pakati ndikudziŵa:

• kulephera kosasintha kukodza
• kupweteka m'mimba mwako kapena pafupi ndi rectum yako
• kudzimbidwa
• kusadziletsa

Zizindikirozi zitha kutanthauza kutsekeredwa kwa chiberekero. Vutoli limatha kupezeka poyesa m'chiuno kapena pa ultrasound.

Gawo lanu lachitatu lachitatu siliyenera kukhudzidwa konse. Amayi ena omwe ali ndi chiberekero chobwezeretsedwa amatha kukhala ndi ululu wammbuyo kumbuyo.

Chiberekero chobwezera komanso kugonana

Kukhala ndi chiberekero chobwezeredwa nthawi zambiri sikusokoneza chidwi chazakugonana kapena chisangalalo.

Zitha kupangitsa kuti zogonana zikhale zopweteka nthawi zina. Kusapeza kumeneku kumatha kudziwika kwambiri mukakhala m'malo ena. Kusintha malo ogonana kungachepetse vutoli.

Chiberekero chimakhala pansi kwambiri m'chiuno, pamodzi ndi thumba losunga mazira. Pogonana mwamphamvu, kapena pogonana molimbika, mutu wa mbolo umatha kukankhira pamakoma a nyini, kugundana ndi chiberekero kapena thumba losunga mazira.

Izi zitha kupangitsa kuwawa, misozi, kapena kuvulala. Ngati simukusangalala panthawi yogonana, yesetsani kusintha malingaliro anu kuti muwone ngati zingathandize. Ngati mchitidwe uliwonse wogonana umakusowetsani mtendere, kapena musataye magazi, kambiranani izi ndi dokotala.

Matendawa

Dokotala wanu amatha kudziwa chiberekero chobwezeretsa pamayeso am'mimba. Ngati muli ndi zizindikiro zomwe zimakukhudzani, kambiranani ndi dokotala wanu.

Mutha kupeza kuti muli ndi chiberekero chobwezeretsa mukakhala ndi pakati. Ndi chifukwa madokotala amathanso kuchipeza kuchokera ku ultrasound.

Chithandizo

Simungafune chithandizo chilichonse ngati mulibe chidziwitso. Ngati muli ndi zizindikiro kapena mukudandaula za vutoli, kambiranani ndi dokotala za njira zamankhwala. Nthawi zambiri, sipafunika chithandizo.

Zolimbitsa thupi

Nthawi zina dokotala wanu amatha kugwiritsa ntchito chiberekero mwanu ndikuyiyika pamalo oyenera. Ngati ndi choncho, mitundu ina ya masewero olimbitsa thupi yomwe imapangidwira kulimbitsa mitsempha ndi minyewa yomwe imagwira chiberekero pamalo owongoka ikhoza kukhala yopindulitsa.

Kegels ndi chitsanzo chimodzi. Zochita zina zomwe zingathandize ndi izi:

• Bondo ndi chifuwa limayambira. Ugone kumbuyo kwako mawondo onse atawerama ndi mapazi ako pansi. Pepani bondo limodzi panthawi mpaka pachifuwa panu, ndikukoka modekha ndi manja awiri. Gwiritsani ntchitoyi kwa masekondi 20, kumasula, ndi kubwereza ndi mwendo wina.
• Kusiyanitsa kwapelvic. Zochita izi zimalimbitsa minofu ya m'chiuno. Bodza kumbuyo kwanu ndi mikono yanu m'mbali mwanu momasuka. Limbikitsani pamene mukukweza matako anu pansi. Gwirani ndikumasula mukamatulutsa mpweya. Bwerezani nthawi 10-15.

Izi sizigwira ntchito ngati chiberekero chanu chimakhala m'malo chifukwa cha mabala kapena zomata, komabe.

Chipangizo cha pessary

Pessaries amapangidwa kuchokera ku silicone kapena pulasitiki. Ndi tizinthu tating'onoting'ono tomwe titha kulowetsedwa kumaliseche kuti chiberekero chiziyenda bwino.

Pessaries itha kugwiritsidwa ntchito kwakanthawi kapena kosatha. Amagwirizanitsidwa ndi matenda ngati atasiyidwa kwanthawi yayitali.

Njira zopangira opaleshoni

Nthawi zina, pamafunika kuchitidwa opaleshoni kuti chiberekero chikhale bwino, komanso kuti muchepetse kupweteka. Pali mitundu yosiyanasiyana ya njira. Zikuphatikizapo:

• Njira zoyimitsira chiberekero. Kuchita opaleshoni kotereku kumatha kuchitidwa laparoscopically, vaginally, kapena pamimba.
• Kukweza njira. Iyi ndi njira ya laparoscopic yomwe imatenga pafupifupi mphindi 10 kuti ichitike.

Chiwonetsero

Nthawi zambiri palibe zisonyezo zomwe zimakhudzana ndi chiberekero chobwezeretsedwa, ngakhale kuti zachiwerewere zimadziwika kuti zimachitika. Ngati mukukumana ndi zizindikilo, pali mankhwala omwe angakuthandizeni.

Kukhala ndi chiberekero chobwezeretsedwako nthawi zambiri kumakhudza kubereka kapena kutenga pakati, koma kumatha kuphatikizidwa ndi zinthu zina zomwe zitha kukhala ndi zotsatirapo zoyipa zoberekera.