I-prolapse ye-genital ibhekisela ku- ukwehla okungavamile kwesitho esisodwa noma ngaphezulu esitholakala emgodini we-pelvic. Lesi simo sithinta ikakhulukazi abesifazane ngemva kweminyaka engama-45 futhi sithinta kakhulu i- isinye, isibeletho, noma i-rectum. Imiphumela ye-Prolapse evela ubuthakathaka noma ukwelula kwemisipha kanye / noma imisipha esekela lezi zitho. Cishe abesifazane abangu-11 kwabayi-100 bayancipha ekuphileni kwabo. Ukukhethwa kokwelashwa kuncike eminyakeni yobudala, ubunzima besifo kanye nezinkinga ezingenzeka. Ukuvimbela kusekelwe ukunciphisa izici eziyingozi.

Izitho eziqukethwe ku-pelvis (noma i-pelvic cavity) zigcinwe endaweni yazo yimisipha, imisipha kanye nemicu. Futhi i-pelvic floor, noma i-perineum, iwasekela ukusuka ngezansi. Ngezinye izikhathi imisipha nemigqa iba buthaka, ilula futhi / noma i- isinqe, iyaxega, ibangele ukushelela kwengxenye noma sonke salezi zitho (i-rectum, isinye, isibeletho) kuye phansi. Bese sikhuluma nge-prolapse.

Izinhlobo ze-genital prolapse

Kunezinhlobo ezintathu ze-prolapse:

• Le i-cystocèle  noma i-prolapse yesinye: Lesi yi-prolapse evame kakhulu emele izehlakalo ezi-4 kwezi-5 (okungukuthi amaphesenti angama-80 ezimo). Ibonakala ngokuwa kwesinye esithweni sangasese.
• I-Hysterocele noma ukukhula kwesibeletho: Lokhu ukwehla kwesibeletho singene emomozini okubangelwa ukuntengantenga kwezindonga zesitho sangasese sowesifazane.
• Le ri-ectocele noma ukuqhuma kwe-rectum: Ukwehla kwe-rectum esithweni sangasese sowesifazane. I-prolapse ephelele ye-rectal ukwehla okuphelele kwe-rectum ku-canal anal.

Abantu abasengozini

I-prolapse ivame ukwenzeka kwabesifazane abaphakathi kweminyaka engama-45 no-85 ngemva kokunqamuka kokuya esikhathini ngenxa yokulahlekelwa ukunwebeka kwemisipha nemicu ezisekela izitho.

Izici eziyingozi zokukhuphuka kwezitho zangasese

• Zokubeletha eziningi futhi / noma ezinzima
• Ubudala
• menopause
• Ukukhuluphala ngokweqile /Ukukhuluphala
• antecedents ukuhlinzwa endaweni ye-pelvis
• Ubungcweti noma ukuvivinya umzimba okubandakanya ubunzima obukhulu ku-pelvis (ukuthwala noma ukudonsa imithwalo esindayo, njll.)
• I-Hereditary factor (umlando womndeni)
• ukuqunjelwa okungapheliyo
• Kwabanye abasubathi, ukuthuthukiswa ngokweqile kwemisipha yesisu

I-Prolapse ibonakala ngokuyinhloko umuzwa wobunzima emgodini we-pelvic, ukungakhululeki ngezinye izikhathi kuhambisana nobuhlungu.

I-prolapse ingabuye ibonakale ngokuba khona kwebhola elithambile ku-vulva, ikakhulukazi lapho umile noma ngesikhathi sokuzikhandla.

Uma kwenzeka i-cystocele, kuvamile ukuba owesifazane abe nayo ukuphazamiseka komchamo njengobunzima bokuchama, ukuchama njalo noma okuphuthumayo (ukuchama), i-cystitis (ukuvuvukala kwesinye)

Uma kwenzeka i-rectocele, ukukhishwa kwezihlalo kungase kube nzima, isihloko esithintekayo ngezinye izikhathi sihamba size sisebenzise iminwe yakhe. Kwezinye izimo, ukwehla kwe-rectum kukhiqiza ngokuphambene nalokho a ukungakwazi ukuzibamba (ukulahlekelwa indle ngokuzenzakalelayo).

Iziyaluyalu zocansi zingase futhi zibonise njengokuzwa kwe-vulva evulekile, ukuncipha kwemizwa yocansi, ubuhlungu noma ukungakhululeki ngesikhathi sokungena.

Okokuqala, udokotela ubuza isiguli imibuzo ethile mayelana nokungakhululeki okuzwile kanye nezandulela zakhe (izimo zokubeletha, umlando womndeni). Bese iqhubekela ku-a ukuthinta isitho sangasese sowesifazane ukuze ulinganise ukwehla kwesitho esisodwa noma ngaphezulu. Angase acele isiguli ukuthi siphushe ngenkathi sikhwehlela ukuze siyibone kangcono i-prolapse. Uhlola owesifazane ngenkathi elele, kodwa futhi emile noma ngisho eququda ukuze alinganise kangcono izinga le-prolapse.

Ukuhlolwa okwengeziwe kungenziwa: ukuhlolwa komchamo, i-ultrasound noma i-MRI ye-pelvic cavity nezinso ukuhlonza ukulimala kwezinso okungenzeka.

Uma i-prolapse ihilela i-rectum, a ikhophi eqondile (= ukuhlolwa kwe-rectum) kanye a i-anorectal manometry (= ukulinganiswa kwamandla e-sphincter) kuzocatshangelwa.

Kunezici eziningana okufanele zicatshangelwe ngaphambi kokwamukela ukwelashwa okufanele: iminyaka yomuntu othintekile, ukuya esikhathini, ubunzima besifo, izinkinga ezihlobene, umlando, njll.

Ezimweni ezithile lapho i-prolapse ingabalulekile kakhulu, ukuyeka ukwelashwa kungalulekwa udokotela. Angase futhi aphakamise ukuthi kusetshenziswe ama-pessaries okuwukuphela kwendlela yokwelapha, engahlinziwe yokwelapha i-prolapse. Lokhu kuhilela ukufaka umshini, ngokuvamile owuhlobo lweringi, esithweni sangasese sowesifazane, okugcina izitho ezivame ukwehla.

Ukuvuselelwa okuphelele kusiza ukuhlanganisa imisipha i-pelvic cavity, kodwa kunalokho inomphumela wokuvimbela noma owusizo ekuqaleni kwe-prolapse.

Uma kunesici esiyingozi esisobala njengokukhuluphala, sidinga ukwelashwa. A i-hydration enhle kanye nokudla okuhle (ukudla okune-fiber ephezulu) kunconywa. I ukwelashwa esikhundleni se-hormone ukusiza ukulwa nokulahlekelwa kwe-tissue elasticity kwabesifazane be-postmenopausal.

Ezimweni ezimbi kakhulu ze-prolapse, udokotela unikeza ukuhlinzwa ukuze kulungiswe isitho esihlushwa yi-prolapse. Kukhona amasu amaningana kuye ngokuthi uhlobo kanye nezinga le-prolapse.

La ukunciphisa izici eziyingozi kusiza ukuvimbela i-prolapse :

• ukuvuselelwa kwe-perineal ehlelekile ngemuva kokukhulelwa,
• qaphela i-perineum ngesikhathi sokubeletha,
• ukwelashwa kokukhuluphala nokuqunjelwa,
• i-hormone replacement therapy ngesikhathi sokuya esikhathini,
• ukuvikelwa kwemisipha ye-pelvic cavity ngesikhathi sokubeletha, ...

Lokhu kuvuselelwa kwe-perineal ngokungangabazeki ingenye yezindlela ezisebenzayo zokuthuthukisa ngokwemvelo izimpawu ze-prolapse yokuqala futhi kuvimbele ukuwohloka kwazo. Ngenxa yokuvuselelwa kwe-perineal, okunye ukuhlinzwa kungagwenywa.

Ukwengeza, uma isenzo sokuhlinzwa sesidingeka, ukuvuselelwa kwe-perineal kusanconywa ukuze kube lula ukululama ngemuva kokuhlinzwa.

Njengoba inqunywe udokotela futhi yenziwa i-physiotherapist, le nqubo iyafana naleyo enqunywe ngokujwayelekile ngemva kokubeletha ukuze kuphinde kutholakale ukwakhiwa komzimba okuhle okudinga ukuhlanganiswa kwe-pelvic floor.

isixazululi nkinga yehadiwe nezinsiza

Kunamakhambi amaningana e-homeopathic atholakalayo e-prolapse, kungakhathaliseki ukuthi i-uterine noma i-rectal.

I-prolapse yesibeletho:

• I-Helonias dioica ngo-5 CH ukudambisa ubuhlungu
• kodwa futhi i-Kalium bichromicum (uma iba yimbi kakhulu esimweni sezulu esishisayo).
• Ungathatha futhi i-Collinsonia canadensis noma i-Calcarea phosphorica (umthamo owodwa ongu-9 CH ngeviki) uma kuba kubi kakhulu ngokuzikhandla.

I-Rectal prolapse:

• I-Podophyllum peltatum futhi uma kulandela ukubeletha sizothatha i-Ruta graveolens. Futhi singaphendukela ku-Hydrastis canadensis.

Phytotherapy

Emithi ye-herbal, ukulwa ne-uterine prolapse, kunconywa ukuphuza ama-decoctions we-white ash bark (I-Fraxinus americana).