Okuqukethwe
- Isibeletho esibuyiselwe emuva noma esingemuva: sisho ukuthini?
- UKUCUKA KWESIBELEKO
- UNGAKHULELWA KANJANI NGESIbeletho ESITHOLILE?
- YINI EBANGELA UKUGUQUKA KWESIZELE?
- IZIMPAWU ZOKUGOBA KWESIBELEKO
- Ukuxilongwa KOKUGOBA KWESIBELEKO NOKWELASHWA KU-"ON CLINIC RYAZAN"
- Indlela yokukhulelwa ngesibeletho esibuyiselwe emuva?
- Isibeletho esibuyiselwe emuva: yiziphi izikhundla okufanele uzithande ngesikhathi socansi?
- Izikhathi ezibuhlungu, i-endometriosis …: imibuzo esizibuza yona
- Ukuvimbela inzalo, ukuzala, inkomishi… ukuba nesibeletho esibuyele emuva, kushintsha ini lokho?
Isibeletho esibuyiselwe emuva noma esingemuva: sisho ukuthini?
Eningini labesifazane, isibeletho sisuke sivimbekile, okusho ukuthi, sibheke phambili. Uma imomozi injalo etholakala ngemuva, ekuqondeni kwe-rectum noma umgogodla, isibeletho sivame ukuthambekela phambili, ngasesiswini. Ngakho kukhona “indololwane” phakathi kwesitho sangasese sowesifazane esikhundleni sokuhlehla kanye nesibeletho kunalokho ukuya phambili.
Okuningi cishe ku-25% wabesifazane, isibeletho sibuyiselwa emuva. Kubizwa nangokuthi i-uterine retroversion. Lokhu kuyisici se-anatomical kuphela, hhayi i-anomaly. Isibeletho siya emuva, sibheke emgogodleni, ngakho-ke i-engeli ephakathi kwesitho sangasese sowesifazane nesibeletho ayifani nalapho isibeletho siphuma ngaphandle. Ngokusho kwedatha yezokwelapha yamanje, lokhu okukhethekile akusona isici sofuzo.
UKUCUKA KWESIBELEKO
Isibeletho siyingxenye ebaluleke kakhulu yesistimu yokuzala yabesifazane. Kusesibelethweni lapho ukukhula kombungu kwenzeka khona kusukela ngesikhathi sokukhulelwa kuya ekuzalweni komntwana. Lesi sitho semisipha esimise okwepheya sitholakala okhalweni oluncane lowesifazane; ngakolunye uhlangothi kukhona esinyeni sakhe, kanti ngakolunye, imbobo.
Kuye ngokugcwala kwezitho eziseduze kwesibeletho, kungashintsha indawo yayo. Isibonelo, isinye esigcwele sibangela ukuthi isibeletho sitshekele phambili. Ngokuvamile, isikhundla sesibeletho sibhekwa njengento evamile, lapho i-angle phakathi kwayo nentamo yayo okungenani i-120 degrees.
Lapho umzimba wesibeletho uchezuka kunoma iyiphi indlela futhi i-engeli lapho ingxenye yomlomo wesibeletho iqondiswe khona iyancipha ibe ngama-degree angu-110-90, izazi zezifo zabesifazane zikhuluma ngokugoba kwesibeletho. Ngokuvamile - ezimweni ezingaba ngu-7 kweziyi-10 - kukhona ukugoba okuqondiswe emuva noma phambili.
UNGAKHULELWA KANJANI NGESIbeletho ESITHOLILE?
Lapho i-gynecologist ihlola ukugoba kwesibeletho esigulini sakhe ngesikhathi sokuqokwa , ku-99% yamacala umbuzo wokuqala azowubuza udokotela uzoba: "Ingabe ukukhulelwa kungenzeka?" Ezimweni eziningi, kunzima ukunikeza impendulo ecacile embuzweni onjalo - lokhu kungenxa yokuthi ukuba khona noma ukungabikho kwezinkinga ezingenzeka kunqunywa ngokuyinhloko ngobunzima bokuphulwa.
Njengoba umkhuba ubonisa, kuqinisekisiwe ukuthi kuzoba ukukhulelwa okuyinkimbinkimbi lapho isibeletho sigobile. Ngaphezu kwalokho, lolu hlobo lokuphazamiseka luphinde lube nzima ukuthwala umntwana futhi lungaholela ekuthuthukisweni kwezinkinga ezihlukahlukene ngesikhathi sokukhulelwa. Ngaphezu kwalokho, ingozi eyengeziwe ku-fetus kuleli cala iyaqhubeka ngesikhathi sokubeletha.
YINI EBANGELA UKUGUQUKA KWESIZELE?
Kukhona inkambo yokuzalwa kanye netholiwe yale pathology. Ngaphezu kwalokho, ukugoba kokuzalwa kwesibeletho kungabangelwa yizo zombili izici zofuzo nezangaphandle ezibe nomthelela ku-fetus ngesikhathi sokukhula kwayo kwe-intrauterine. Ngokuqondene nokuphazamiseka okutholakele, kuvame ukuvela kwabesifazane ngemva kokubeletha.
Izimbangela ezivame kakhulu zalesi pathology kwabesifazane zihlanganisa:
- imisipha ye-pelvic ebuthakathaka, kanye nokuphulwa kobuqotho babo;
- ukwelula nokuphuka kwemigqa;
- isiguli sinezifo ezivilaphayo ezingapheli zezitho ze-pelvic, ezihambisana nokuvuvukala;
- izinqubo zokunamathela;
- ama-neoplasms ahlukahlukene ayingozi futhi ayingozi ezithweni zokuzala.
IZIMPAWU ZOKUGOBA KWESIBELEKO
Ezimweni eziningi, lesi sifo sinenkambo ye-asymptomatic futhi sitholakala ngokusekelwe emiphumeleni yokuhlolwa. Kodwa-ke, lapho kuzwakala kakhulu ukuthambeka, kuyanda amathuba okuthi isiguli sizophazamiseka ngesikhathi sokuya esikhathini ngokuphuma kokuqukethwe kwesibeletho. Lokhu kungabangela ukuthuthukiswa kokuvuvukala, izimpawu zazo - ukukhishwa, ubuhlungu besisu esingaphansi - cishe zenze isiguli sibonane nodokotela.
Kodwa-ke, kwezinye izimo, abesifazane abatholakala beguqa isibeletho bakhala ngokuthi:
- ukungakhululeki ngisho nobuhlungu ngesikhathi socansi;
- ukunxenxa njalo ukuchama;
- ubuhlungu esibelethweni ngesikhathi sokunyakaza kwamathumbu;
- ubuhlungu obukhulu ezinsukwini zokuqala zomjikelezo wokuya esikhathini;
- ukuntuleka kokukhulelwa ngesenzo socansi esisebenzayo ngaphandle kokuvikelwa unyaka noma ngaphezulu;
- ukuphuphunyelwa yizisu .
Ukuxilongwa KOKUGOBA KWESIBELEKO NOKWELASHWA KU-"ON CLINIC RYAZAN"
Ukugoba kwesibeletho kuvame ukutholwa ngesikhathi se-ultrasound yezitho ze-pelvic. I-Hysterosalpingography, ebuye yenziwa esikhungweni sethu sezokwelapha se-multidisciplinary ngaphansi kokulawulwa kwe-ultrasound, esinye isifundo esiwusizo esivame ukwenziwa ngokuphathelene nokusola ukuthi isiguli sinesinye isifo sabesifazane, kanye nengxenye yokuhlela ukukhulelwa.
Ngokuqondene nokwelashwa okuhloswe ngayo ekwelapheni ukugoba kwesibeletho, kufanele kubandakanye ukuqedwa kwesici esibangele ukuthuthukiswa kwayo. Udokotela wezifo zabesifazane angase anikeze isiguli ukulwa nokuvuvukala, ukudla, uvithamini noma i-physiotherapy, kanye nokwelashwa kokuzivocavoca. Ezimweni eziphambili kakhulu, isiguli singase sihlinzwe, lapho isibeletho sizolungiswa endaweni efanele. Imvamisa, lokhu kuwumsebenzi ohlasela kancane usebenzisa izindlela zesimanje ze-endoscopic.
Isibeletho simiswe emuva: izimpawu ezingenzeka
Lo mehluko we-anatomical awukuvimbi ukukhulelwa futhi awulimazi ukuzala. Nokho, ukuba nesibeletho retroverted kungaholela ubuhlungu be-pelvic (ejagoni sikhuluma ngobuhlungu be-pelvic) omnene kuya komaphakathi, ikakhulukazi ezikhundleni ezithile ngesikhathi socansi olungena ngaphakathi, noma ngisho nangesikhathi sokuya esikhathini. Njengoba isibeletho sibekwe emuva, amajaqamba esibeletho ngesikhathi sokuya esikhathini angazwakala kakhulu endaweni ye-lumbar (umhlane ongezansi) kunangaphansi kwesisu.
Ukubuyela emuva kwesibeletho: kuvame ukubonakala ngesikhathi se-ultrasound
Ukuxilongwa kwe-uterine retroversion ngokuvamile kwenziwa ngesikhathi se-a I-ultrasound yama-pelvic, kungakhathaliseki ukuthi ukuhlolwa kwezifo zabesifazane okujwayelekile, ukukhulelwa kusenesikhathi noma ukufuna isifo (cyst, endometriosis, njll.). Ngaphandle uma kubonakala okwesibili (bheka ibhokisi elingezansi), ukuguqulwa kwesibeletho ngeke kudinge ukuhlolwa okwengeziwe komtholampilo, ikakhulukazi uma zingekho izimpawu ezikhathazayo noma ukugula okuhlobene.
Ukubuyisela emuva okuyisisekelo kanye nokubuyisela emuva kwesibili
Qaphela: ukubuyiswa kwesibeletho kungase kube okulandelayo, okungukuthi, ukungabikho kusukela ekuzalweni. Ngakho-ke umehluko wenziwa phakathi kokubuyisela emuva "kokuqala" kanye nokubuyiselwa kwesibeletho "kwesibili".. Ngakho-ke, isibeletho singadluliswa sisuka endaweni engabonakali siye endaweni engemuva, ngenxa ye-uterine fibroid, ukunamathela phakathi kwezitho noma i-endometriosis. Ngemva kokubeletha, ukubuyisela emuva kwesibeletho kungase kube okwesikhashana, ngenxa yokukhululeka kwemigqa ebambe isibeletho endaweni.
Isibeletho esibuyiselwe emuva: ingabe kukhona ukwelashwa?
Akukho ukwelashwa okunikezwayo okujwayelekile kwesibeletho esibuyiselwe emuva, njengoba lokhu okuhlukile kwe-anatomical akusho lutho. Uma kubonakala ngokucacile ukuthi ukuguqulwa kwesibeletho kuyimbangela yodwa yobuhlungu obucasulayo ikakhulukazi noma ukungakhululeki, ukuhlinzwa kwe-laparoscopic kungase kuphakanyiswe, ngezinkinga ezihilela lokhu kungenelela.
Ngesikhathi sokukhulelwa, uma indawo ebuyiselwe emuva ingazilungisi ekuqaleni kwe-trimester yesibili, a ukunyakaza kwesitho sangasese sowesifazane kungase kwenziwe i-obstetrician-gynecologist, ukuze kubekwe kabusha isibeletho in anteversion.
Indlela yokukhulelwa ngesibeletho esibuyiselwe emuva?
Eqinisweni, umbuzo obalulekile ungaba "ungakhulelwa isibeletho esibuyele emuva?”. Imibuzo emibili iholela empendulweni efanayo: Azikho izinkinga ! Ukuba nesibeletho esibuyiselwe emuva akukuvimbeli ukuthi ukhulelwe futhi ube nokukhulelwa okuphumelelayo, futhi akudingi izindlela ezikhethekile zokufeza lokhu.
Ngesikhathi sokukhulelwa, ezimweni eziningi, isibeletho sizokhula ngokwemvelo futhi siguquke, ukuze umbono wokuphikisa noma ukubuyisela emuva ungeke usaba nengqondo ngempela. “Ngokukhethekile, njengoba isibeletho sikude kakhulu, umlomo wesibeletho uvame ukuya phambili futhi ungavimba ukuchama kancane, kodwa lokhu kuhluke kakhulu ”, uchazele omunye wabafundi bethu uProf. Philippe Deruelle, udokotela wokubelethisa nodokotela wabesifazane esibhedlela saseStrasbourg University kanye nowayengunobhala-jikelele we-National College of Obstetrician Gynecologists of France (CNGOF). ” Njengoba ukukhulelwa kuqhubeka, isibeletho sizoziphendulela ngokuzenzakalelayo, ngeke ahlale ebuyile kuze kube sekupheleni. Umntwana uzoza phambili futhi athathe indawo eyengeziwe, kangangokuthi umqondo wokuma kwesibeletho uzophela. Ngakho-ke isikhundla sokuqala sesibeletho asinamthelela ekubelethweni ”wanezela.
Qaphela ukuthi imizwa yokuqina kanye nobuhlungu be-pelvic okungenzeka ku-trimester yokuqala yokukhulelwa, ngenxa yokwanda kobukhulu nokuqondisa kwesibeletho, kungase kube namandla kancane phambi kwesibeletho esibuyiselwe emuva.
Isibeletho esibuyiselwe emuva: yiziphi izikhundla okufanele uzithande ngesikhathi socansi?
Lapho kukhona isibeletho esibuyiselwe emuva, izikhundla ezithile ngesikhathi socansi olungena ngaphakathi zingabangela ukungakhululeki noma ubuhlungu be-pelvic, obubizwa ngokuthi. I-dyspareunies. Zivame ukujula, futhi zenzeka lapho ipipi likamlingani lihlangana nomlomo wesibeletho, ekujuleni kwesitho sangasese sowesifazane. Izikhundla lapho ukungena kujulile (isitayela se-doggy kanye nezikhundla ezifanayo ikakhulukazi) ngaleyo ndlela zivumela kakhulu ukubangela ubuhlungu.
Uma kusikhathaza, singakwazi thanda izindawo lapho ukungena kungashoni khona, njengezinkezo ezincane, i-Andromache lapho owesifazane elawula ukungena nokufika nokuhamba, noma i-Lotus. Ungangabazi ukuzama izikhundla ezimbalwa kanye nemikhuba yocansi ukuze uthole lezo ezifanelana kahle kakhulu.
Qaphela, nokho, ubuhlungu obukhulu be-pelvic ngesikhathi noma ngemva kocansi bungaxhunyaniswa nezinye izimbangela (ukunamathela kwesibazi, i-endometriosis kanye / noma i-adenomyosis, ukukhulelwa kwe-ectopic, i-ovarian cyst, ukukhubazeka kwezifo zabesifazane, i-polycystic ovary syndrome, ukuphazamiseka komchamo, ukuqunjelwa. ...).
Izikhathi ezibuhlungu, i-endometriosis …: imibuzo esizibuza yona
Nakuba lungekho ucwaningo olubonise ukuxhumana okucacile kulokhu kungakhathaliseki ubudala beziguli, kungenzeka ukuthi isibeletho esibuyiselwe emuva sibangela izikhathi ezibuhlungu kakhulu, ngenxa yokungahambi kahle kokuya esikhathini.
Okungukuthi: i-endometriosis, ngenxa yokunamathela okungakubangela, ingakwazi ukutshekisa isibeletho emuva, endaweni engemuva.
Kodwa-ke, abukho ubudlelwano be-causal obubekwe ngokucacile: akukhona ukuthi sinesizalo esibuyiselwe emuva ukuthi sine-endometriosis, futhi ngokuphambene akusikho ukuthi sine-endometriosis ukuthi isibeletho sethu sibuyiselwe emuva. Kunezimo ze-endometriosis ene-anteverted isibeletho njenge-uterus ebuyela emuva.
Abanye odokotela bayavusa ingozi enkulu yokwehla kwezitho zomzimba (prolapse) ngesibeletho esibuyiselwe emuva, kodwa lesi sixhumanisi asiqinisekiswa ngokwanele ukuze siqinisekiswe ngokuqiniseka.
Ukuvimbela inzalo, ukuzala, inkomishi… ukuba nesibeletho esibuyele emuva, kushintsha ini lokho?
Mayelana nalokhoukuzala, ukutholakala kwesibeletho esibuyiselwe emuva akunamthelela we-priori, uma lesi sici se-anatomical singahlotshaniswa ne-pathology enciphisa ukuzala (i-fibroma, i-endometriosis, ukunamathela, njll.). Futhi akuvimbeli ukusetshenziswa kwezindlela ezihlukene zokuzala ezisizwa ngokwemithi (ART) njengokumilisa okwenziwa, ukubhoboza i-ovarian noma ukuvundiswa kwe-in vitro.
Mayelana nokuvimbela inzalo, isibeletho esibuyiselwe emuva asikuvimbeli ukufakwa kwe-IUD. Ukufakwa kungase kube lula kancane kudokotela.
Okufanayo kuya ekusebenziseni inkomishi yokuya esikhathini noma ama-tampons. Ukuba nesibeletho esibuyiselwe emuva akushintshi lutho olubalulekile. Kufanele kuthathwe izinyathelo ezifanayo zokuqapha lapho kufakwa futhi kususwa lawa madivaysi.
Isibeletho se-buly esibuyiselwe emuva