Mgbidi mgbidi dị n'ihu

Mgbidi mgbidi nke mgbidi dị n'ihu bụ usoro ịwa ahụ. Surgerywa ahụ a na-eme ka mgbidi ikpu (ihu) nke ikpu sie ike.

Mgbidi mmamịrị ihu nwere ike imi (prolapse) ma ọ bụ ntopute. Nke a na - ap ụta mgbe eriri afọ ma ọ bụ urethra na-emami n’ime ikpu.

Mmezi ahụ nwere ike ịme mgbe ị nọ n'okpuru:

• General anesthesia: will ga-ehi ụra na enweghị ike ịnwe ụfụ.
• Ọgwụ mgbochi ịkpụkpụ: will ga-eteta, mana ị ga-ada ụda site n'úkwù gbadaa ma ị gaghị enwe ihe mgbu. A ga-enye gị ọgwụ iji nyere gị aka izu ike.

Dọkịta na-awa gị ga:

• Mee ịwa ahụ n'ihu mgbidi gị ikpu.
• Bugharịa eriri afo gị n'ọnọdụ ọ bụla.
• Nwere ike ịpị ikpu gị, ma ọ bụ belata akụkụ ya.
• Tinye sutures (akwa) na anụ ahụ n'etiti ikpu gị na eriri afo. Ndị a ga-ejide mgbidi nke ikpu gị n'ọnọdụ ziri ezi.
• Debe ihe nkedo n'etiti eriri afo gi na ikpu. Nke a kwachie nwere ike commercially inaha ndu ihe onwunwe (cadaveric anụ ahụ).FDA machibidoro iji ihe sịntetik na anụ ahụ anụmanụ n'ime ikpu iji na-emeso mgbidi mgbochi ihu ihu.
• Gbakwunye sutures na mgbidi nke ikpu na anụ ahụ dị n'akụkụ pelvis gị.

A na-eji usoro a arụzi mmezi nsị ma ọ bụ mpịakọta nke mgbidi mmụba ihu.

Mgbaàmà nke ihu mgbidi mgbidi na-agụnye:

• May gaghị enwe ike iwepụ eriri afọ gị kpamkpam.
• Eriri afo gi nwere ike ijuputa oge niile.
• I nwere ike inwe nrụgide na ikpu gị.
• May nwere ike ịnwe mmetụ ma ọ bụ hụ mkpọtụ na oghere nke ikpu.
• Nwere ike inwe ihe mgbu mgbe ị na-enwe mmekọahụ.
• I nwere ike ihipu mmamịrị mgbe ụkwara, uzere, ma ọ bụ bulie ihe.
• Nwere ike ibute ọrịa eriri afo.

Surgerywa ahụ a n'onwe ya anaghị agwọ nrụgide enweghị nchekasị. Ndagide nke nsogbu bụ mmamịrị nke mmamịrị mgbe ụkwara, ụkwara, ma ọ bụ bulie elu. Wa ahụ iji dozie nrụgide urinary na-adịghị ike nwere ike ịrụ yana ọrụ ndị ọzọ.

Tupu ịwa ahụ a, onye nlekọta ahụike gị nwere ike ịnwe gị:

• Muta ihe omumu pelvic (omume Kegel)
• Jiri estrogen ude gị na ikpu
• Gbalịa ngwaọrụ a kpọrọ pessary na ikpu gị iji mee ka akwara dị na ikpu sie ike

Ihe ize ndụ maka ọgwụ nchịkwa na ịwa ahụ n'ozuzu ya bụ:

• Mmeghachi omume na ọgwụ
• Nsogbu iku ume
• Ọbara ọgbụgba, mkpụkọ ọbara
• Ofufe Ọrịa

Ihe ize ndụ maka usoro a gụnyere:

• Mmebi na urethra, eriri afo, ma obu ikpu
• Akpịrị eriri afo
• Mgbanwe na ikpu (ikpu prolapsed)
• Mmiri mmamịrị si na ikpu ma ọ bụ na akpụkpọ (fistula)
• Mmetụta urinary na-aka njọ
• Mgbu na-adịgide adịgide
• Nsogbu sitere na ihe eji eme ihe n'oge ịwa ahụ (ntupu / grafts)

Na-agwa onye na-enye gị ihe ọgwụ ndị ị na-a Alwaysụ mgbe niile. Gwakwa onye na-enye gị ọgwụ, ọgwụ mgbakwunye, ma ọ bụ ahịhịa ị zụtara na-enweghị ndenye ọgwụ.

N'ime ụbọchị tupu ịwa ahụ:

• Enwere ike ịgwa gị ka ị kwụsị ị aspụ ọgwụ aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), na ọgwụ ọ bụla ọzọ na-eme ka ọbara gị sie ike ịnọchi anya.
• Jụọ onye na-eweta ọrụ gị ọgwụ ọgwụ ndị ka ị ga-a takeụ n’ụbọchị ịwa ahụ gị.

N'ụbọchị ịwa ahụ gị:

• A ga-ajụkarị gị ka ị ghara ị drinkụ ma ọ bụ rie ihe ọ bụla maka awa 6 ruo 12 tupu ịwa ahụ.
• Were ọgwụ ndị onye na-enye gị gwara gị ka ị were obere mmiri mmiri.
• Onye na-enye gị ọrụ ga - agwa gị mgbe ị ga - abata n’ụlọ ọgwụ.

May nwere ike ịnwe catheter iji gbapụ mamịrị maka ụbọchị 1 ma ọ bụ 2 mgbe ịwachara ahụ.

Ga-anọ na nri mmiri mmiri ozugbo ịwachara ahụ. Mgbe ọrụ afọ gị kwesịrị ịlaghachi, ị nwere ike ịlaghachi na nri gị.

Ikwesighi itinye ihe ọ bụla n'ime ikpu, bulie ihe dị arọ, ma ọ bụ nwee mmekọahụ ruo mgbe dọkịta dọkịta gị na-ekwu na ọ dị mma.

Surgerywa ahụ a ga-arụkwa mmezi prolapse na mgbaàmà ya ga-apụ. Ọganihu a ga-adịgide ọtụtụ afọ.

Mgbidi mgbidi nke nwanyi; Colporrhaphy - mmezi nke mgbidi ikpuru; Mmezi Cystocele - mmezi mgbidi mgbidi

• Omume Kegel - ilekọta onwe gị
• Onwe gi - nwanyi
• Suprapubic catheter na-elekọta
• Urinary incontinence ngwaahịa - nlekọta onwe onye
• Urinary incontinence ịwa ahụ - nwanyị - ihapu
• Mmamịrị drainage akpa
• Mgbe onyonyo na enweghi nsogbu

• Mgbidi mgbidi dị n'ihu
• Cystocele
• Mgbidi mgbidi mgbidi dị n'ihu (ịwa ahụ nke urinary incontinence) - usoro

Kirby AC, Lentz GM. Anatomic ntụpọ nke mgbidi afọ na pelvic ala: hernias abdominal, inguinal hernias, na pelvic organ prolapse: nyocha na njikwa. Na: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology zuru ezu. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 20.

Winters JC, Krlin RM, Halllner B. surgerywa ahụ na ịwa ahụ afọ maka ịkpụzi akụkụ ahụ. Na: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ndị ọzọ. Campbell-Walsh-Wein Urology. Agba nke iri na abụọ. Philadelphia, PA: Elsevier; 2021: Isi 124.

Wolff GF, Winters JC, Krlin RM. Ihu pelvic akụkụ prolapse mmezi. Na: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Atlas nke Ugwu Urologic nke Hinman. Agba nke anọ. Philadelphia, PA: Elsevier; 2018: isi 89.