Prolapse Uterus atau Rahim Jatuh

Definition:

Rahim jatuh atau dalam bahasa perubatan dikenali sebagai 

“Utero Vaginal Prolapse” (UPV) adalah situasi dimana rahim jatuh/turun 

dari tempat asal melalui saluran faraj atau kadang kala berada di luar salur faraj. 

Menurut maklumat dari sudut kesihatan majalah Keluarga (November 2013), Pakar Obstetrik, Ginekologi dan Kesuburan Pusat Perubatan Tropicana Kota Damansara, Dr. Navdeep Singh Pannu, 

anggaran kira-kira 30% daripada wanita yang pernah bersalin normal dan kandungan lebih daripada dua atau tiga kali bersalin akan berasa ada simptom – simptom rahim jatuh. 

Walau bagaimanapun, simptom – simptom ini berlaku secara berlainan. Sesetengahnya mendapat gejala yang teruk sehingga mempengaruhi dan menganggu gaya hidup mereka.

Symptoms:

• Feeling like you are sitting on a small ball

• Difficult or painful sexual intercourse

• Frequent urination or a sudden urge to empty the bladder

• Low backache

• Uterus and cervix that stick out through the vaginal opening

• Repeated bladder infections

• Feeling of heaviness or pulling in the pelvis

• Vaginal bleeding

• Increased vaginal discharge

Treatments:

Treatment is not necessary unless the symptoms bother you. Many women seek treatment by the time the uterus drops to the opening of the vagina.
LIFESTYLE CHANGES: Weight loss is recommended in obese women with uterine prolapse. Heavy lifting or straining should be avoided, because they can worsen symptoms. Coughing can also make symptoms worse. If you a chronic cough, ask your doctor how to prevent or treat it. If you smoke, try to quit. Smoking can cause a chronic cough.
VAGINAL PESSARY: Your doctor may recommend placing a rubber or plastic donut-shaped device, called a pessary, into the vagina. This device hold the uterus in place. It may be temporary or permanent. Vaginal pessaries are fitted for each individual woman. Some are similar to a diaphragm used for birth control. Pessaries must be cleaned from time to time, sometimes by the doctor or nurse. Many women can be taught how to insert, clean, and remove the pessary herself

Classifications:

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Prevention:

Tightening the pelvic floor muscles using Kegel exercises helps to strengthen the muscles and reduces the risk of uterine prolapse. Estrogen therapy, either vaginal or oral, in postmenopausal women may help maintain muscle tone in the vaginal area. Weight loss and avoiding heavy lifting can decrease the risk for uterine prolapse.

Complications:

Ulceration and infection of the cervix and vaginal walls may occur in severe cases of uterine prolapse.

Urinary tract infections and other urinary symptoms may occur because of a cystocele. Constipation and hemorrhoids may occur because of a rectocele.