Cystocele ndi kusintha kwa malo a chikhodzodzo nthawi yomweyo ndi khoma lakale la mkazi. Ngati izi zimapangitsanso kusintha kwa malo a urethra, urethra, ndiye urethrocele imawonedwa.
Monga lamulo, cystocele imawonedwa ngati chifukwa cha kupumula kwa mitsempha ya urogenital, yomwe ndi chifukwa cha kupasuka kwa perineum mu njira yeniyeni kapena kuthamangitsidwa kwa ziwalo za m'mimba.
Kodi chimachitika n'chiyani?
Chifukwa cha kuwonjezeka kwa m'mimba, minofu ya m'mimba imatha, ndipo kupumula kwawo kumapangitsa kuti phokoso la urogenital lithe, chifukwa cha chikhodzodzo chimagwa kapena kugwa. Pachifukwachi, matendawa amadziwonekera pokhapokha ngati akusokonezeka.
Madandaulo aakulu omwe odwala amapanga ndi vuto la kukonzanso, lomwe liri ndi kutaya kosakwanira kwa chikhodzodzo, zomwe zimabweretsa zofuna nthawi zambiri , komanso kuvutika kukodza.
Pogwiritsa ntchito cystocele, ntchito yofunika kwambiri imayimbidwa ndi kutambasula kwa minofu yomwe ili pakati pa chikhodzodzo, chiberekero ndi pubic symphysis. Chochitika ichi chimachitika atabereka, makamaka ngati mayiyo anali ndi mwana wamkulu. Zikatero, chiwongolero chimakula, chomwe chimachoka pa chikhodzodzo, ndipo chimayambitsa cystocele mwa amayi. Ngati cystocele ikuphatikizapo kachilombo ka pulogalamuyi, kubwezeretsedwa kumapangidwa.
Kodi zikuwonetseredwa bwanji?
Kunja kwa mipata ya chiwerewere, kutulutsa, kukula kwa nkhonya, kumapangidwira. Mphungu ya tsamba ili, chifukwa cha kusokonezeka kwamuyaya, kusintha, komwe pamapeto pake kumapangitsa kuti epithelium isinthe. Zotsatira zake, zikhomo zimatulutsidwa, ndi kukhudzana pang'ono ndi chinthu chirichonse, zimayambitsa chisokonezo ndi maonekedwe a zilonda. Mzimayi nthawi zonse amadandaula za kupanikizika kwambiri m'mimba pamimba, kumverera kolemetsa.
M'kati mwa matendawa, madigiri 4 a cystocele ali okhaokha:
- 1 digita - cystocele imachitika pokhapokha pamene ikugwedezeka, koma siidutsa pamtunda;
- 2 digita - atsimikiziridwa popanda kumusokoneza mkaziyo, ndipo pamene akugwedezeka - amabwera usiku watha;
- 3 digitala - popanda kuyimitsa cystocele ikuyendetsa, ndipo pamene kudula - kumagwa pansi pa labiya;
- 4 digiri - imawonedwa pamene khoma lachikazi la vaginja limapitirira kuposa cavity ya pang'onopang'ono.
Chithandizo
Mitundu yayikulu ya mankhwala a cystocele ndi opaleshoni yoteteza opaleshoni, yomwe cholinga chake ndi kubwezeretsa thupi labwino la chikhodzodzo, komanso urethra, pogwiritsa ntchito mitsempha ya pakhosi.
Ntchito ndi cystocele (colpoperinoreoraphy) ndi yovuta ndipo imatha nthawi yaitali. Zimaphatikizapo kupatukana kwa makoma a chikhodzodzo ndi abambo, komanso kupitiliza kumanga makoma a chikhodzodzo. Pankhaniyi, nthawi zambiri amavulala pamakoma ndi maulendo.
Kuonjezera apo, pali mankhwala othandizira kuti apeze chithandizo cha cystocele. Pa nthawi yomweyi, zotsatira zabwino zimawonetsedwa ndi zochitika za thupi, zomwe zimachitidwa ndi cystocele. Zimaphatikizapo kuwonjezera mau a minofu yomwe ili pamapiko. Chitsanzo cha machitidwe oterewa ndi kuchepetsa ndi kuchepetsa a sphincters pakusamba. Koma machitidwe awa ndi owonjezera kwambiri kuposa mankhwala.
Akazi amagwiritsanso ntchito mankhwala ochizira odwala mankhwala a cystocele. Kuti muchite izi, mugwiritseni ntchito zitsamba monga njoka za njoka ndi maekala chikwi, komanso mupange mavitamini a viburnum, omwe amathandiza kuti muwonjezere maonekedwe a mitsempha ya uterine. Kuwombera kumachitanso ntchito pogwiritsa ntchito zitsamba zotchulidwa pamwambapa.