Yakadzika Bladder (Cystocele): Chii icho, Zviratidzo uye Kurapa

Zvemukati

• Nzira yekuziva kana dundira rako rakaderera
• Bvunzo dzepasi dundira
• Mishonga yekurapa yakaderera dundira
• 1. Maekisesaizi echiropa chakaderera
• 2. Physiotherapy yepadiki dundira
• 3. Mishonga yekudzikira dundira
• 4. Kuvhiya kwepazasi kwedundira

Dundira rakadzika rinoitika apo tsandanyama nemarunda epasi pechiuno asingakwanise kubata dundira munzvimbo chaiyo, ndosaka iro 'richitsvedza' kubva pachinzvimbo charo chaipo uye rinogona kubatika nyore kuburikidza nemukadzi.

Aya mamiriro anogona kunzi cystocele, bladder prolapse, low bladder kana kudonha dundira, kuve kazhinji kazhinji mune vakadzi vanopfuura makore makumi mana ekuberekwa, vakatove nepamuviri. Mukadzi anogona kungova nedundira rakadonha, asi chibereko, urethra uye rectum inogona kudonha panguva imwe chete.

Kurapa kwepadundira kwakadzika kunogona kuitwa nekuchinja kwehupenyu, uremu, kurega kuputa, kurwisa kuzvimbirwa, kuwedzera kune physiotherapy, kurovedza muviri, kunoratidzirwa ne physiotherapist, kana kuburikidza nekuvhiyiwa, mumatambudziko akaipisisa, apo dundira rinosvika pamusuwo kumukadzi kana kupfuura nemukati memukadzi.

Nzira yekuziva kana dundira rako rakaderera

Zviratidzo nezviratidzo zvinoratidza kuti dundira riri kudonha rinosanganisira:

• Bundu mukati memukadzi, iro rinoonekwa neziso rakashama kana kunzwa neminwe panguva yekubata kwemukadzi;
• Kunzwa huremu mudundira;
• Kunzwa bhora mumukadzi;
• Kurwadziwa kana kusagadzikana munzvimbo yepelvic;
• Kushaya simba kana kusagadzikana kwemhasuru uye mitsipa yeparineum;
• Kusazvipira kurasikirwa weti kunogona kuitika;
• Zvakaoma kupfuudza weti mukati memasekonzi ekutanga ekuita weti;
• Kukurumidzira uye kuwedzera weti kuwanda;
• Kurwadziwa uye kutsamwa mukati memukadzi panguva yekusangana pabonde;
• Mukana wekupararira kwerectum, panogona kuve nekuumbwa kwe'homwe 'padyo neiyo anus, ichikonzera kurwadziwa, kusagadzikana uye kunetsekana nekubvisa chigaro.

Chiremba anonyanya kuratidzwa kuti aongorore uye aratidze kurapwa kwezviitiko zvepasi dundira ndiye gynecologist anozivikanwa muurogynecology. Physiotherapy inobatsirawo pakurapa.

Bvunzo dzepasi dundira

Bvunzo dzinogona kukumbirwa naana gynecologist kuti vaongorore dundira rakadonha ndedzinotevera:

• Kuongororwa kwesimba remhasuru;
• Transvaginal ultrasound: kuongorora tsandanyama dzeperianal dunhu uye kuongorora kana paine shanduko muchibereko, kubvisa dundira kana urethra;
• Urodynamic zvidzidzo: kuongorora kugona kwedundira kuchengetedza uye kubvisa weti;
• Magnetic resonance imaging: kuve nechitarisiko chirinani chese zvivakwa munzvimbo yepelvic.
• Cystourethroscopy: kuona urethra uye dundira, mune vakadzi vane chimbichimbi, weti kuwanda, kurwadziwa mudundira kana ropa mumurini.

Kudonha kwedundira kunowanzoitika panguva kana mushure mekuguma kuenda kumwedzi, mushure mekuzvitakura, mukuzvimbirwa, mushure mekuvhiyiwa kubvisa chibereko, kana uine huremu hwakanyanya kana kufutisa, mushure memakore makumi mashanu ekuberekwa, uye mumadzimai anosvuta.

Mumwe mamiriro anofarira kudonha kwedundira mabasa anoda kushanda nesimba, senge basa repamba kana panodiwa kubata kana kutakura zvinhu zvinorema. Saka, kudzivirira kuti dundira rirege kuwira zvakare, unofanirwa kudzivirira zvese izvi zvinhu.

Mishonga yekurapa yakaderera dundira

Kurapa kunosiyana zvichienderana nezinga recystocele mukadzi ane:

1. Maekisesaizi echiropa chakaderera

Maekisheni eKegel anoratidzirwa kumatambudziko mashoma, uko mukadzi anowira dundira kana kushomeka kwemhasuru, ane zviratidzo zvishoma, uye nekudaro kuvhiyiwa hakuratidzwe. Aya maekisesaizi anofanirwa kuitwa zuva nezuva kuitira kuti ave nemhedzisiro inotarisirwa uye anoshanda kwazvo kana achiitwa nemazvo.

Maitiro ekuita kegel kurovedza muviri:

• Bvisa dundira;
• Ziva iyo pubococcygeal mhasuru: kuti uite izvi, edza kukanganisa iyo pee rwizi uchiita weti;
• Kubata iyo pubococcygeal mhasuru zvakare mushure mekuita weti kuti uve nechokwadi chekuti unoziva kubata contract yacho nemazvo;
• Ita 10 mhasuru contractions mumutsara;
• Zorora kwenguva pfupi;
• Dzorerazve kurovedza muviri, uchiita zvingangoita gumi seti yezvipikiso gumi zuva rega rega.

Kegel kurovedza muviri kunogona kuitwa mune chero chinzvimbo, kungave kugara, kunyepa kana kumira, uye kunogona kuitirwa nerubatsiro rwejimnastic mabhora. Nekudaro, zviri nyore kutanga nekurara pasi makumbo ako akakotama. Tarisa zvimwe zvakawanda muvhidhiyo iyi:

Maitiro ekuita hypopressive gymnastics:

Hypopressive gymnastics inoratidzwa zvakare kurwisa yakaderera dundira nekuti inobatsirawo kusimbisa mhasuru dzepasi pechiuno. Kuita:

• Femera mukati zvakajairika uye mushure mekuburitsa mweya zvachose, kudzamara dumbu ratanga kubatira rega uye 'wozonanzva dumbu', uchisveta tsandanyama dzemudumbu mukati, kunge uchiedza kubata guvhu kumusana.
• Ichi chibvumirano chinofanirwa kuchengetwa kwemasekondi gumi kusvika makumi maviri pakutanga uye, nekufamba kwenguva, zvishoma nezvishoma zvinowedzera nguva, zvichisara kwenguva yakareba sezvinobvira pasina kufema.
• Mushure mekuzorora, zadza mapapu ako nemhepo uye uzorodze zvakakwana, uchidzokera mukufema kwakanaka.

Ona nhanho nhanho yeanodzvinyirira maitiro mune ino vhidhiyo:

2. Physiotherapy yepadiki dundira

Mune physiotherapy, pamusoro pezviitwa zvaratidzwa pamusoro, kuchine zvimwe zvingabvira, sekushandisa pessary, chinova chinhu chidiki chinoshanda kuisa mukati memukadzi kubatsira kubata dundira. Iwo madiki anotungamira mabhora ehuremu hwakasiyana hunogona kuiswa mukati memukadzi panguva yekurovedza muviri.

Zvimwe zviwanikwa zvinogona kushandiswa zvakare mukati mekusangana kwemagetsi emagetsi kana biofeedback, zvinova zvishandiso zvinobatsira vakadzi kuti vazive nezve mhasuru dzehudyu yavo, kuitira kufambisa mashandiro ezviitwa nenzira kwayo.

Physiotherapy muhutano hwevakadzi ine zvikamu zvega zvega, zvinogara kubva pamaminitsi makumi matatu kusvika paawa imwe, izvo zvinofanirwa kuitwa kanokwana kamwe pasvondo, kunyange hazvo kurovedza kuchifanira kuitwa, kumba, mazuva ese. Tsvaga rumwe ruzivo rwe physiotherapy yeiyo weti incontinence.

3. Mishonga yekudzikira dundira

Mimwe mishonga yesrogen-yakavakirwa inogona kushandiswa panguva yekumira pakubatsira kudzora zviratidzo zvecystocele, saka kutsiva kwehomoni panguva yekumira kwemwedzi kunoratidzwa zvakare kunatsiridza kurapwa mune vamwe vakadzi. Dzidza zvimwe zvakawanda nezve kutsiva kwehomoni.

4. Kuvhiya kwepazasi kwedundira

Kuvhiyiwa kweCystocele kunosanganisira kusimbisa zvivakwa zvemuviri wepelvic kudzoreredza chaipo chinzvimbo chedundira, chibereko uye zvese zvivakwa zvakawira '. Kazhinji chiremba anoisa 'mambure' kuti ashande senge rutsigiro rwe nhengo dzechiuno, iyo inoshanda kwazvo, ichinyanya kuratidzwa kumatambudziko akakomba.

Rudzi urwu rwekuvhiya runogona kuitwa kuburikidza ne laparotomy kana kucheka kwepamuviri, ine dunhu kana yakajairwa kutindivadza, asi sevamwe vese ine njodzi dzayo, senge nhengo yekuzora, kubuda ropa, hutachiona, kurwadziwa panguva yekusangana pabonde uye kudzoka kweiyo weti kusagadzikana, mune dzimwe nguva .

Kuvhiya kwacho kunokurumidza uye mukadzi anorapwa muchipatara kwemazuva maviri kana matatu chete, asi zvinofanirwa kuzorora kumba uye kudzivirira kuedza muvhiki rekutanga mushure mekuvhiyiwa. Tsvaga rumwe ruzivo rwekupora kubva kune urwu rudzi rwekuvhiya pa: Kuvhiya kweiyo weti kusagadzikana.