Genital prolapse zvinoreva kudzika kusina kujairika kwenhengo imwe kana dzakawanda dziri mugomba rechiuno. Chiitiko ichi chinonyanya kubata vakadzi mushure memakore makumi mana nemashanu uye chinonyanya kukanganisa dundira, chibereko, kana rectum. Prolapse inobva kupera simba kana kutatamuka kwemhasuru uye/kana marunda anotsigira nhengo idzi. Vanenge gumi nemumwe muvakadzi zana vanopera muhupenyu hwavo. Kusarudzwa kwekurapa kunoenderana nezera, kuoma kwechirwere uye zvinogona kuitika. Kudzivirira kunobva pa kuderedzwa kwezvinhu zvine ngozi.

Nhengo dziri muchiuno (kana kuti pelvic cavity) dzinobatwa munzvimbo dzadzo nemamhasuru, marunda uye fiber. Uye iyo pelvic floor, kana perineum, inovatsigira kubva pasi. Dzimwe nguva mhasuru nemarunda zvinopera simba, kutambanudza uye / kana iyo pelvic uriri, inozorodza, zvichikonzera kutsvedza kwechikamu kana kuti yese yenhengo idzi (rectum, dundira, chibereko) zvichidzika. Tinobva tataura nezve prolapse.

Mhando dzegenital prolapse

Kune marudzi matatu eprolapse:

• Le cystocèle  kana kutumbuka kwedundira: Uku ndiko kupararira kwakanyanya kunomiririra 4 kubva pa5 kesi (kureva 80% yezviitiko). Inoratidzwa nekudonha kwedundira mukati memukadzi.
• Hysterocele kana kudonha kwechibereko: Uku kudzika kwechibereko kunopinda muchibereko kunokonzerwa nekurembera kwemadziro emukadzi.
• Le rectocele kana kubuda kwe rectum: Kudzika kwe rectum kupinda mubeche. A full rectal prolapse ndiko kudzika kwerectum mugomba retsvina.

Vanhu vari panjodzi

Prolapse inowanzoitika muvakadzi vari pakati pemakore 45 ne85 mushure mekuenda kumwedzi nekuda kwekurasikirwa kwekusimba kwemhasuru nemafibers zvinotsigira nhengo.

Zvikonzero zvekukonzeresa genital prolapse

• Kubereka zvakawanda uye / kana zvakaoma
• zera
• Kusvitsa
• Kufuta /kufutisa
• antecedents kuvhiyiwa munzvimbo yepelvis
• Unyanzvi kana maekisesaizi emuviri anosanganisira kuomesera kukuru pachiuno (kutakura kana kudhonza mitoro inorema, nezvimwewo)
• Hereditary factor (nhoroondo yemhuri)
• Constipation tora nguva refu
• Mune vamwe vatambi, kukura kwakanyanya kwemasumbu emudumbu

Prolapse inozviratidza kunyanya ne kunzwa kuremerwa mu pelvic cavity, kusagadzikana dzimwe nguva kunoperekedzwa nemarwadzo.

Prolapse inogonawo kuratidzwa nekuvapo kwebhora rakapfava muvhavha, kunyanya kana wakamira kana panguva yekuedza.

Muchiitiko che cystocele, zvinowanzoitika kuti mukadzi ave nazvo weti kusagadzikana zvakadai sekunetseka kuita weti, kugara kana kukurumidza kuita weti (weti), cystitis (kuzvimba dundira)

Muchiitiko che rectocele, kubviswa kwezvigaro kunogona kuratidza kuva kwakaoma, nyaya inobatwa dzimwe nguva inoenda kusvika pakushandisa zvigunwe zvake. Mune zvimwe zviitiko, kudzika kwerectum kunogadzira pane zvinopesana a kushaya netsvina (kurasikirwa nekusazvidira kwendoro).

Matambudziko ezvepabonde anogonawo kuratidza sekunzwa kwegaping vulva, kuderera kwekunzwa pabonde, kurwadziwa kana kusagadzikana panguva yekupinda.

Kutanga, chiremba anobvunza murwere mimwe mibvunzo pamusoro pekusagadzikana kunonzwa uye zvakamumirira (mamiriro ekusununguka, nhoroondo yemhuri). Zvino inoenderera kune a kubatwa kwechikadzi kuitira kufungidzira kudzika kwenhengo imwe kana kupfuura. Anogona kukumbira murwere kuti asundire paanenge achikosora kuitira kuti anyatsoona prolapse. Anoongorora mukadzi akarara, asiwo akamira kana kugwesha kuti afungidzire zviri nani kuwanda kwekuputika.

Kuwedzera bvunzo kunogona kuitwa: kuongororwa weti, Ultrasound kana MRI ye pelvic cavity uye itsvo kuziva kukuvara kweitsvo.

Kana prolapse ichibatanidza rectum, a kopi yakatwasuka (= kuongorora rectum) uye a anorectal manometry (= kuyerwa kwesimba re sphincter) ichafungwa.

Zvinhu zvakati wandei zvinofanirwa kutariswa usati watora kurapa kwakakodzera: zera remunhu akabatwa, kuenda kumwedzi, kuoma kwechirwere, matambudziko anoenderana, nhoroondo, nezvimwe.

Mune zvimwe zviitiko apo prolapse haina kunyanya kukosha, kuregera kwekurapa kunogona kurairwa nachiremba. Anogona zvakare kupa zano rekushandisa pessaries inova ndiyo yega kurapwa, isiri-yekuvhiya kurapwa kweprolapse. Izvi zvinosanganisira kupinza mudziyo, kazhinji uri mumhete, munhengo yesikarudzi, izvo zvinoita kuti nhengo dzinogara dzichidzika.

Perineal rehabilitation inobatsira kusimbisa tsandanyama pelvic cavity, asi pane inodzivirira kana inobatsira mukutanga prolapse.

Kana paine njodzi iri pachena senge kufutisa, inoda kurapwa. A yakanaka hydration uye kudya kwakanaka (yakakwirira fiber kudya) zvinokurudzirwa. The hormone kutsiva kurapa batsira kurwisa kurasikirwa kwetishu elasticity muvakadzi ve postmenopausal.

Muzviitiko zvakakomba zveprolapse, chiremba anopa kuvhiyiwa kugadzirisa nhengo inotambura kubva kune prolapse. Kune akati wandei maitiro zvichienderana nerudzi uye dhigirii reprolapse.

La kuderedzwa kwezvinhu zvine njodzi kunobatsira kudzivirira prolapse :

• kurongeka perineal rehabilitation mushure mekuzvitakura,
• teerera kune perineum panguva yekusununguka;
• kurapwa kwekufutisa uye kuvimbiswa,
• hormone replacement therapy panguva yekuenda kumwedzi,
• kuchengetedzwa kwemhasuru dzepelvic cavity panguva yekusununguka, ...

Iyi perineal rehabilitation hapana mubvunzo kuti imwe yenzira dzinoshanda dzekunatsiridza zviratidzo zvekutanga prolapse uye kudzivirira kuparara kwavo. Kutenda kune perineal rehabilitation, kumwe kuvhiya kunogona kudzivirirwa.

Mukuwedzera, kana chiito chekuvhiya chave chakakosha, perineal rehabilitation ichiri kukurudzirwa kuitira kuti kufambisa kupora kwemashure.

Inotarwa nachiremba uye inoitwa ne physiotherapist, nzira iyi yakafanana neiyo inogara yakarongerwa mushure mekusununguka kuitira kuti uwanezve kuvaka muviri kwakanaka kunoda kubatanidzwa kwepelvic floor.

Homeopathy

Kune akati wandei mishonga yehomeopathic iripo yeprolapse, ingave uterine kana rectal.

Uterine prolapse:

• Helonias dioica mu5 CH kudzikamisa marwadzo
• asiwo Kalium bichromicum (kana ichiwedzera mukupisa kwekunze).
• Iwe unogona zvakare kutora Collinsonia canadensis kana Calcarea phosphorica (dosi rimwe re9 CH pasvondo) kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchikwanisa, unokwanisa kutora.

Rectal prolapse:

• Podophyllum peltatum uye kana ikatevera kuzvara tichatora Ruta graveolens. Tinogona zvakare kutendeukira kuHydrastis canadensis.

Phytotherapy

Mumushonga wemishonga, kurwisa uterine prolapse, zvinokurudzirwa kunwa decoctions yewhite ash bark (Fraxinus Americana).