Ciwon al'aura yana nufin gangarowar gaɓoɓin gaɓoɓi ɗaya ko fiye da ke cikin kogon ƙashin ƙugu. Wannan al'amari ya fi shafar mata bayan shekaru 45 kuma ya fi shafar mata mafitsara, mahaifa, ko dubura. Sakamakon raguwa daga raunana ko mikewar tsokoki da / ko ligaments masu goyan bayan waɗannan gabobin. Kimanin kashi 11 cikin 100 na mata na yin kutse a rayuwarsu. Zaɓin magani ya dogara da shekaru, tsananin rashin lafiya da yiwuwar rikitarwa. Rigakafin ya dogara ne akan rage hadarin dalilai.

Gabobin da ke ƙunshe a cikin ƙashin ƙugu (ko cavity na pelvic) ana gudanar da su a wurinsu ta hanyar tsokoki, ligaments da zaruruwa. Kuma ƙashin ƙashin ƙugu, ko perineum, yana tallafa musu daga ƙasa. Wani lokaci tsokoki da haɗin gwiwa suna raunana, shimfiɗawa da / ko ƙashin ƙugu, yana sakin jiki, yana haifar da zamewar sashi ko duka ɗaya daga cikin waɗannan gabobin (dubu, mafitsara, mahaifa) zuwa ƙasa. Sai mu yi maganar prolapse.

Nau'in shigar al'aurar

Akwai nau'ikan prolapse guda uku:

• Le cystocele  ko kumburin mafitsara: Wannan shine mafi yawan kamuwa da cuta wanda ke wakiltar kashi 4 cikin 5 (watau kashi 80% na lokuta). Yana da alaƙa da faɗuwar mafitsara a cikin farji.
• hysterocele ko tsautsayi na mahaifa: Wannan shi ne saukowar mahaifa zuwa cikin al'aurar da ke haifar da zubewar bangon farji.
• Le rectocele ko kuma zubewar duburar: Shi ne saukowar duburar zuwa cikin farji. Cikakken kumburin dubura shine jimlar saukowar duburar zuwa canal na dubura.

Yawan jama'a cikin haɗari

Prolapse ya fi faruwa a cikin mata masu shekaru 45 zuwa 85 bayan menopause saboda asarar elasticity na tsokoki da zaruruwa masu tallafawa gabobin.

Abubuwan haɗari don ƙaddamar da al'aura

• haihuwa masu yawa da / ko wahala
• Shekaru
• menopause
• Kiba /kiba
• antecedents tiyata a yankin ƙashin ƙugu
• Sana'o'i ko motsa jiki na jiki wanda ya haɗa da babban nau'i akan ƙashin ƙugu (ɗauka ko ja da kaya masu nauyi, da sauransu).
• Halin gado (tarihin iyali)
• maƙarƙashiya na kullum
• A cikin wasu 'yan wasa, yawan ci gaban tsokoki na ciki

Prolapse yana bayyana kanta musamman ta jin nauyi a cikin rami na pelvic, rashin jin daɗi wani lokaci tare da ciwo.

Hakanan za'a iya bayyana ƙaddamarwa ta kasancewar ƙwallon laushi a cikin farji, musamman lokacin da yake tsaye ko lokacin motsa jiki.

A cikin yanayin cystocele, ya zama ruwan dare ga mace matsalolin urinary kamar wahalar fitsari, fitsari akai-akai ko gaggawa (urination), cystitis (kumburi na mafitsara)

A cikin yanayin rectocele, fitar da stools na iya zama da wahala, abin da abin ya shafa wani lokaci ya kai ga yin amfani da yatsunsa. A wasu lokuta, saukowar duburar yana haifar da akasin haka a rashin haquri (rashin stool ba da gangan ba).

Ciwon jima'i kuma na iya bayyana a matsayin jin gigin vulva, rage jin daɗin jima'i, zafi ko rashin jin daɗi yayin shiga ciki.

Na farko, likita ya tambayi majiyyaci wasu tambayoyi game da rashin jin daɗi da kuma abubuwan da ta gabata (al'amuran haihuwa, tarihin iyali). Sa'an nan ya ci gaba zuwa a tabawar farji domin a tantance gangarwar gabobi daya ko fiye. Yana iya tambayar majiyyaci ya turawa yayin da yake tari domin ya fi fahimtar faɗuwar. Yakan duba macen a kwance, amma kuma a tsaye ko ma tsuguno yake yi don ya fi }ara }ididdigar yawan faduwar.

Ana iya yin ƙarin gwaje-gwaje: duban fitsari, duban dan tayi ko MRI na kogon pelvic da kodan don gano yiwuwar lalacewar koda.

Idan ƙaddamarwar ta ƙunshi dubura, a kwafin madaidaiciya (= binciken duburar) da kuma a anorectal manometry (= ma'aunin ƙarfi na sphincter) za a yi la'akari.

Dole ne a yi la'akari da abubuwa da yawa kafin ɗaukar maganin da ya dace: shekarun mutumin da abin ya shafa, menopause, tsananin rashin lafiya, rikice-rikice masu dangantaka, tarihi, da dai sauransu.

A wasu lokuta inda prolapse ba shi da mahimmanci, likita na iya ba da shawarar kauracewa ta hanyar warkewa. Hakanan yana iya ba da shawarar yin amfani da pessaries wanda shine kawai magani, ba tare da tiyata ba don prolapation. Wannan ya haɗa da sanya na'ura, sau da yawa a cikin nau'i na zobe, a cikin farji, wanda ke kiyaye gabobin da suke saukowa.

Gyaran fuska yana taimakawa wajen ƙarfafa tsokoki Kogon ƙwanƙwasa, amma a maimakon haka yana da rigakafi ko tasiri mai amfani a farkon prolapse.

Idan akwai wani abu mai haɗari kamar kiba, yana buƙatar kulawa. A mai kyau hydration da abinci mai kyau (abincin fiber mai yawa) ana ba da shawarar. The maganin sauyawa na hormone taimaka yaki da asarar nama elasticity a postmenopausal mata.

A cikin lokuta mafi tsanani na ƙaddamarwa, likita yana ba da tiyata don gyara gabobin da ke fama da kumburi. Akwai dabaru da yawa dangane da nau'i da digiri na prolapse.

La rage abubuwan haɗari yana taimakawa hana ƙaddamarwa :

• tsarin gyara perineal bayan ciki,
• kula da perineum a lokacin haihuwa,
• maganin kiba da maƙarƙashiya,
• maye gurbin hormone a lokacin menopause,
• kariya ga tsokoki na kogin ɓangarorin lokacin haihuwa,…

Wannan gyara na perineal Babu shakka yana ɗaya daga cikin ingantattun hanyoyin da za a inganta a zahirin alamun bayyanar cututtuka da kuma hana lalacewarsu. Godiya ga gyaran mahaifa, ana iya guje wa wasu tiyata.

Bugu da kari, idan aikin tiyata ya zama dole, ana ba da shawarar sake gyara perineal don sauƙaƙa farfadowa bayan tiyata.

Likita ne ya tsara shi kuma likitan ilimin lissafin jiki ya yi, wannan dabarar daidai take da wacce aka saba wajabta bayan haihuwa don sake dawo da kyakkyawan tsarin jiki wanda ke buƙatar ƙarfafa ƙashin ƙashin ƙugu.

Homeopathy

Akwai magunguna da yawa na homeopathic da ake da su don haɓakawa, ko na mahaifa ko dubura.

Ciwon mahaifa:

• Helonias dioica a cikin 5 CH don kwantar da zafi
• amma kuma Kalium bichromicum (idan ya tsananta a yanayin zafi).
• Hakanan zaka iya ɗaukar Collinsonia canadensis ko Calcarea phosphorica (kashi ɗaya na 9 CH a kowane mako) idan yanayin ya tsananta tare da aiki.

Ciwon dubura:

• Podophyllum peltatum kuma idan ya biyo bayan haihuwa za mu dauki Ruta graveolens. Hakanan zamu iya juya zuwa Hydrastis canadensis.

Phytotherapy

A cikin maganin gargajiya, don yaki da kumburin mahaifa, ana bada shawarar sha decoctions na farin ash haushi (Fraxinus america).