Bananan Maƙura (Cystocele): Mene ne, Cutar cututtuka da Jiyya

Wadatacce

• Yadda zaka san ko mafitsara ka tayi ƙasa
• Gwaje-gwaje don ƙananan mafitsara
• Jiyya don ƙananan mafitsara
• 1. Motsa jiki don karamin fitsari
• 2. Magungunan gyaran jiki don mara fitsari
• 3. Magunguna ga ƙananan mafitsara
• 4. surgeryananan tiyatar mafitsara

Bananan mafitsara yana faruwa yayin da tsokoki da jijiyoyin ƙashin ƙugu suka kasa riƙe mafitsara daidai, wanda shine dalilin da ya sa yake 'zamewa' daga matsayinsa na yau da kullun kuma ana iya taɓa shi cikin sauƙi.

Ana iya kiran wannan yanayin cystocele, mafitsara mafitsara, ƙaramar mafitsara ko faɗuwar mafitsara, kasancewa mafi yawanci ga mata sama da shekaru 40, waɗanda tuni sun ɗauki ciki. Matar na iya samun mafitsara kawai ta faɗi, amma mahaifar, mafitsara da dubura kuma na iya faɗuwa a lokaci guda.

Za a iya yin jiyya don ƙananan mafitsara tare da canje-canje na rayuwa, tare da asarar nauyi, dakatar da shan sigari, yaƙar maƙarƙashiya, ban da aikin likita, motsa jiki na ciki, wanda likitan kwantar da hankali ya nuna, ko kuma ta hanyar tiyata, a cikin mawuyacin yanayi, lokacin da mafitsara ta isa ƙofar zuwa cikin farji ko wucewa ta cikin farjin.

Yadda zaka san ko mafitsara ka tayi ƙasa

Alamomi da alamomin da suke nuna cewa mafitsara tana drooping sun hada da:

• Ciki a cikin farji, wanda ana iya gani da ido ko a taɓa shi da yatsu yayin taɓa farji;
• Jin nauyi a cikin mafitsara;
• Kwallon Ball a cikin farji;
• Jin zafi ko rashin jin daɗi a yankin pelvic;
• Rashin rauni ko jujjuyawar tsokoki da jijiyoyin jikin mutum;
• Rashin fitsari ba da gangan ba na iya faruwa;
• Matsalar fitar fitsari yayin dakiku na farko na yin fitsari;
• Gaggawa da kara yawan fitsari;
• Jin zafi da damuwa a cikin farji yayin saduwa da jima'i;
• Idan ya zama farfadowar dubura, za'a iya samun 'yar jaka' kusa da dubura, wanda ke haifar da ciwo, rashin jin daɗi da wahalar kawar da kujerun.

Likitan da aka fi nunawa don yin bincike da kuma nuna magani ga al'amuran ƙananan mafitsara shine likitan mata wanda ya kware a ilimin urogynecology. Physiotherapy kuma yana da amfani wajen magani.

Gwaje-gwaje don ƙananan mafitsara

Jarabawowin da likitan mata zai iya nema don kimanta mafitsara mafitsaran sune:

• Kimantawa game da ƙarfin tsoka na ƙugu;
• Transvaginal duban dan tayi: don tantance jijiyoyin yankin perianal da kuma tantance ko akwai wani canji a cikin mahaifa, wofintar da mafitsara ko mafitsara;
• Karatun Urodynamic: don tantance ikon mafitsara na rikewa da kuma kawar da fitsari;
• Hanyoyin fuska mai haske: don samun kyakkyawar ra'ayi game da dukkan sifofin a yankin pelvic.
• Cystourethroscopy: don ganin mafitsara da mafitsara, a cikin matan da suke da gaggawa, yawan fitsari, ciwo a cikin mafitsara ko jini a cikin fitsarin.

Fitsarin mafitsara ya fi faruwa a lokacin ko bayan gama al'ada, bayan daukar ciki, a yanayin maƙarƙashiya, bayan tiyata don cire mahaifa, idan akwai kiba ko kiba, bayan shekaru 50, da mata masu shan sigari.

Wani yanayin da ke son faɗuwar mafitsara ayyuka ne da ke buƙatar ƙoƙari na zahiri, kamar aikin gida ko kuma inda ya zama dole a riƙe ko ɗaukar abubuwa masu nauyi. Don haka, don hana mafitsara sake fadowa, kana bukatar ka guji duk wadannan abubuwan.

Jiyya don ƙananan mafitsara

Yin jiyya ya banbanta gwargwadon yadda mace ke da:

1. Motsa jiki don karamin fitsari

Ana nuna atisayen Kegel don lokuta marasa ƙarfi, inda mace take da faɗuwar mafitsara ko rauni na jijiyoyin ƙugu, tare da symptomsan alamomi, sabili da haka ba a nuna tiyata. Dole ne a gudanar da waɗannan darussan kowace rana don su sami tasirin da ake tsammani kuma suna da tasiri sosai yayin aiwatar su daidai.

Yadda ake yin motsa jiki:

• Bata mafitsara;
• Gano tsoka na pubococcygeal: don yin wannan, yi ƙoƙari katse rafin ɓoyayyiyar fitsari;
• Sake yin kwangilar tsokar pubococcygeal bayan yin fitsari don tabbatar da cewa kun san yadda ake kamuwa da tsoka daidai;
• Yi ƙananan ƙwayar 10 a jere;
• Huta don 'yan lokacin;
• Sake motsa jiki, yin aƙalla saiti 10 na ƙuntatawa 10 kowace rana.

Za a iya yin atisayen Kegel a kowane matsayi, walau a zaune, a kwance ko a tsaye, har ma ana iya yin sa da taimakon ƙwallan motsa jiki. Koyaya, ya fi sauƙi a fara da kwanciya tare da lanƙwashe ƙafafunku. Dubi ƙarin cikakkun bayanai a cikin wannan bidiyo:

Yadda ake wasan motsa jiki na motsa jiki:

Hakanan ana nuna wasan motsa jiki don magance ƙananan mafitsara saboda shima yana taimakawa wajen ƙarfafa tsokoki na ƙashin ƙugu. Yi:

• Sha iska kamar yadda ya kamata kuma bayan barin iska gaba daya, har sai ciki ya fara kwangila da kansa sannan kuma ya 'kankanta ciki', ya tsotse jijiyoyin ciki a ciki, kamar ana kokarin taba cibiya ne a baya.
• Wannan ragin ya kamata a kiyaye shi na daƙiƙa 10 zuwa 20 da farko kuma, a kan lokaci, a hankali ƙara lokacin, ya rage tsawon lokacin da zai yiwu ba tare da numfashi ba.
• Bayan hutu, cika huhunku da iska ku huta gaba ɗaya, kuna komawa numfashinku na yau da kullun.

Dubi mataki-mataki na motsawar motsa jiki a cikin wannan bidiyo:

2. Magungunan gyaran jiki don mara fitsari

A likitanci, ban da motsa jiki da aka nuna a sama, har yanzu akwai sauran hanyoyi, kamar yin amfani da pessary, wanda shine ƙaramin na'urar da ke aiki a cikin farji don taimakawa riƙe mafitsara. Smallananan ƙwallan gubar ne masu nauyin nauyi daban-daban waɗanda za a iya saka su a cikin farji yayin aikin.

Sauran albarkatun da za'a iya amfani dasu sune motsawar lantarki ta intravaginal ko biofeedback, waɗanda na'urori ne da ke taimakawa mata su zama masu lura da tsokokin ƙashin ƙugu, don sauƙaƙe aikin atisaye daidai.

Magungunan likita a cikin lafiyar mata ya ƙunshi zaman mutum ɗaya, wanda zai kasance daga minti 30 zuwa awa 1, wanda dole ne a gudanar aƙalla sau ɗaya a mako, kodayake dole ne a gudanar da atisayen, a gida, kowace rana. Gano karin bayani game da gyaran jiki don matsalar fitsarin.

3. Magunguna ga ƙananan mafitsara

Za'a iya amfani da wasu magunguna masu amfani da sinadarin estrogen yayin da suka gama al'ada don taimakawa wajen magance alamomin cystocele, saboda haka ana nuna maye gurbin hormone yayin al'adar maza don daidaita magani a wasu mata. Koyi ƙarin cikakkun bayanai game da maye gurbin hormone.

4. surgeryananan tiyatar mafitsara

Tiyatar Cystocele ta ƙunshi ƙarfafa sifofin yankin ƙugu don dawo da madaidaicin matsayin mafitsara, mahaifa da dukkan sifofin da suka 'faɗi'. Yawancin lokaci likita yana sanya 'raga' don zama taimako ga gabobin ƙugu, wanda yake da tasiri sosai, ana nuna shi musamman don manyan lamura.

Ana iya yin wannan aikin tiyatar ta hanyar laparotomy ko yanke ciki, tare da maganin rigakafi na yanki ko na gaba ɗaya, amma kamar sauran mutane yana da haɗarinsa, kamar ɓarkewar gabbai, zubar jini, kamuwa da cuta, zafi yayin saduwa da dawowa fitsarin, a wasu lokuta. .

Tiyatar tana da sauri kuma matar tana asibiti kwana 2 ko 3 kawai, amma ya zama dole a huta a gida kuma a guji ƙoƙari a makon farko bayan tiyatar. Gano ƙarin bayanai game da murmurewa daga wannan nau'in tiyatar a: Tiyata don rashin aikin fitsari.