Cystocele: chiyani komanso mmene tiyenera kuchitira izo? Zoyambitsa, Zizindikiro

Mwatsoka, akazi ambiri panthawi ina miyoyo yawo kuthana ndi vuto zosasangalatsa monga cystocele. Ndi chiyani icho? Izi cystocele kuwonekera pambuyo anatambasula nsalu pakati pa thupi zothangatira ndi khoma ukazi, chifukwa chimene chikhodzodzo wapatsidwa pansi mu nyini.

Chifukwa chachikulu cha vutoli - minofu anatambasula, akuthandiza ziwalo m'chiuno. Mwa kutambasula zingachititse kubadwa mwachibadwa, kudzimbidwa aakulu, kukhosomola yaitali kapena zolemera. Komanso, zina chiopsezo chinthu imatengedwa kusintha pamene esitirojeni misinkhu mu kuchepa thupi.

Ngati mkazi anapezeka ndi chikhodzodzo chophukacho wofatsa kapena zolimbitsa, madokotala zambiri mankhwala mankhwala ndiwofatsa. Zikavuta kwambiri, kusunga maliseche, ndi ziwalo zina za m'chiuno mwa opaleshoni zolondola malo ukafunidwe.

zizindikiro

N'zotheka kuti imfa ofatsa a chikhodzodzo mulibe ngakhale kumva chitukuko cha cystocele. Zizindikiro ndi zizindikiro za matenda tingasonyezere m'njira zosiyanasiyana ndi zambiri monga:

• kumverera kwa chidzalo kapena chipsyinjo mu mafupa a chiuno ndi nyini;
• kuchuluka kusapeza ndi voteji, chifuwa, zitsulo kapena zoyesayesa chabe;
• kudandaula kuti sangaone kanthu chikhodzodzo pambuyo kupita ku chimbudzi;
• kobwereza mkodzo thirakiti matenda;
• ululu kapena incontinence wofatsa panthawi yogonana.

Zikavuta, amakhala noticeable minofu mpukutu yotundumukira kunja kwa mpanda mwa kutsegula ukazi, ndipo zingaoneke kudzikayikira atakhala pa nkhuku dzira.

kudwala zizindikiro amadziwitsidwa makamaka ubwenzi yaitali pa mapazi awo ndi udzachitika pambuyo kukhazikitsidwa kwa malo supine.

Pamene kuwona dotolo

Akuluakulu kusapeza - vuto lenileni, amene umabweretsanso cystocele. Mmene matenda patsogolo ndi kuvutika mu kuchotsa chikhodzodzo ndi matenda kobwereza. Ngati mwayamba, kumakupatsani nkhawa, lowani kwa mogwirizana ndi katswiri.

zifukwa

Pansi m'chiuno tichipeza minofu, tendons ndi zimakhala connective amene amathandiza pa chikhodzodzo ndi ziwalo zina m'chiuno. The kugwirizana kwa minofu ndi Mitsemphayi udzamasula pa nthawi chifukwa cha kubadwa zoopsa kapena aakulu mavuto a m'chiuno pansi minofu. Pamene izi zimachitika, chikhodzodzo amatha kuviika m'munsimu yachibadwa kwenikweni akugwa nyini. boma wotchedwa vesicocele - cystocele (chithunzi).

Zina mwa zifukwa zotheka kuphatikizapo zinthu izi:

• mimba ndi kubereka achilengedwe
• onenepa kwambiri;
• pafupipafupi lolemera zochotsa;
• mavuto ndi matumbo kayendedwe, kudzimbidwa;
• chifuwa aakulu kapena matenda.

Zina mwa zifukwa

N'zotheka kupewa chitukuko cha matenda, ngati inu posachedwapa anaphunzira za kukhalako kwa akuti "cystocele". Kodi izo ndi momwe mungapewere vutolo? Kusamalira kwambiri zinthu chiopsezo kuti azidwala ndi chophukacho wa chikhodzodzo. Ali:

• Genera. Cystocele nthawi zambiri amapezeka mu akazi amene anali mwana kuposa wina mwachibadwa.
• Okalamba. Vesicocele kumachititsa mogwirizana mwachindunji kwa zaka wodwalayo. Postmenopausal nyengo ndi oopsa kwambiri, makamaka, chifukwa kusintha, esitirojeni kupanga amachepetsa, amaziyang'anira elasticity opunthira m'chiuno.
• Kuchotsa chiberekero opaleshoni.
• mbali chibadwa. Kuchuluka ngozi ya matenda anamuona pa akazi obadwa ndi ofooka connective minofu.
• Kunenepa. Cystocele kumakhala ngozi odwala "kunenepa" amawapeza ndi chabe onenepa.

diagnostics

dokotala ayenera oterewa vuto pamaso panu perekani chithandizo zochokera zizindikiro yekha cystocele - ndichiyani nanga nthendayo chimaoneka kusapeza mungamvetse yekha katswiri. Kuti tichite zimenezi, achite kafukufuku zogwirizana ndi kusanthula, kuphatikizapo:

• m'chiuno bwino. anayendera amenewa akhoza kutenga malo mu maudindo awiri osiyana wodwalayo: ataima kapena kunama. adokotala yang'anani zizindikiro bwino chophukacho, monga a oumbidwa mu nyini minofu mpukutu. Ambiri mwina, katswiri ndikufunsani molimbira pamene tikupita ku chimbudzi, kudziwa: mmene chiwembu zimakhudza digiri ya cystocele; icho chiri - ngati kusuntha ponseponse kapena kudwala zoonekeratu. Kuyesa mphamvu za m'chiuno minofu pansi, dokotala anu azikupemphani kuchepetsa iwo monga pofuna kuletsa pokodza.
• Mkodzo ndi chikhodzodzo ntchito. Pa kudziwika cystocele choopsa kupatsidwa kuphunzira chikhodzodzo ntchito, ndiko kuti, mtundu wa thupi kutaya pa pokodza. Urinalysis ayenera kudziwa matenda zotheka, ngati likukhalira kuti thupi akhala pambuyo kutaya mkodzo kuposa wabwinobwino.

chithandizo

Ngati matenda anu - cystocele, chithandizo kumatengera ndi mlingo wa ptosis chikhodzodzo ndi kukhalapo kapena kusapezeka kwa pathologies concomitant - monga uterine prolapse kumaliseche (uterine prolapse).

Small chophukacho ndi zizindikiro wofatsa kapena popanda zizindikiro kuyan'anila samasankha amafuna mankhwala. Akatswiri amalangiza basi nthawi kukaonana ndi adokotala kuti aziona kupitirira wa chophukacho ndi kukhwimitsa palokha mankhwala - ndiko kuti, kulimbikitsa m'chiuno pansi minofu wotchuka Kegel Zochita. Ngati miyeso palokha sititenga, mankhwala akhoza kukhala motere:

• Khazikitsa chipangizo akuthandiza (pessary). Ukazi pessary - pulasitiki kapena mphira mphete amene anaikapo mu nyini kukhala chikhodzodzo mu malo. Unsembe anapanga Katswiri amene kukusonyezani mmene tinyamuke, kuyeretsa ndi kukonzanso amaika mphete. akazi ambiri kusangalala pessary kwa kanthawi zina opaleshoni.
• The ntchito timafunika. dokotala angakulangizeni kugwiritsa ntchito yokonzekera mankhwala okhala esitirojeni, mu mawonekedwe a mapiritsi nyini kapena mafuta makamaka kuchitira cystocele. Reviews mankhwala enieni akhoza Pre-kuwerenga maonekedwe zokambirana. mankhwala lipindulitsa makamaka pambuyo kusintha mtima.

opaleshoni

Ngati mwakumana ndi kusapeza kwambiri chifukwa cha khalidwe la zizindikiro vesical chophukacho kungakhale kuthetsa mavuto ayenera opaleshoni.

Kawirikawiri opaleshoni imagwiridwa mkati nyini ndi chikhodzodzo adzatenge kubwerera ku malo mwake, kuchotsa minofu owonjezera ndi minofu ndi mitsempha mavuto opunthira m'chiuno. Mungafunike ntchito minofu wapadera grafts (grafts) kumapangitsanso ndi kupereka thandizo zina minofu ukazi.

Features

Ngati inu amapezeka ndi prolapse uterine, kuwonjezera ntchito mu zimakhala za tsiku m'chiuno dokotala amalangiza hysterectomy.

Ngati mukufuna mimba, koma akudwala mbali khalidwe la cystocele opaleshoni akhoza anachedwa mpaka nthawi monga mwaganiza kuti salinso akufuna kukhala ndi ana. Symptomatic mankhwala pa nthawi imeneyi ikuchitika ntchito yoika pessary.

Mphamvu ya opaleshoni woyenera akhoza mzaka, koma mwatsoka, palibe amene sangayesedwe ku zisadzachitikenso matenda. Pankhaniyi, akatswiri amalangiza kupita koma opaleshoni ina.