Ukulungiswa kodonga lwangaphambili lobufazi

Ukulungiswa kodonga lwangaphambi kwexesha lobufazi yinkqubo yotyando. Olu tyando luqinisa ngaphambili (ngaphambili) udonga lobufazi.

Udonga lwangaphambili lwelungu lobufazi lunokuntywila (luze ludilike) okanye lube bulge. Oku kwenzeka xa isinyi okanye urethra itshone kwilungu lobufazi.

Ukulungiswa kunokwenziwa ngelixa uphantsi:

• I-anesthesia ngokubanzi: Uza kulala kwaye ungakwazi ukuva iintlungu.
• I-Spinal anesthesia: Uya kuvuka, kodwa uya kuba ndindisholo ukusukela esinqeni ukuhla kwaye awuyi kuva zintlungu. Uya kunikwa amayeza okunceda uphumle.

Ugqirha wakho uya:

• Yenza ukusika kotyando ngodonga lwangaphambili lobufazi bakho.
• Hambisa isinyi sakho sibuyele kwindawo yesiqhelo.
• Ngamana ungasonga ubufazi bakho, okanye usike inxalenye yawo.
• Beka imisipha (imithungo) kwinyama ephakathi kwelungu lakho lobufazi kunye nesinyi. Oku kuya kubamba iindonga zelungu lobufazi bakho kwindawo efanelekileyo.
• Beka isiziba phakathi kwesinyi kunye nelungu lobufazi. Esi siqwenga sinokwenziwa ngezinto zebhayoloji ezikhoyo zentengiso (izicwili zecadaveric).I-FDA iyakwenqabela ukusetyenziswa kwezinto zokwenziwa kunye nezicubu zezilwanyana kwilungu lobufazi ukunyanga ukubola kodonga lwangaphambi kwebhinqa.
• Namathisela iisuture kwiindonga zelungu lobufazi kwinyama esecaleni kwethambo lakho.

Le nkqubo isetyenziselwa ukulungisa ukuntywila okanye ukugoba kodonga lwangaphambili lobufazi.

Iimpawu zangaphandle zodonga lobufazi zibandakanya:

• Awunakho ukukhupha isinyi sakho ngokupheleleyo.
• Isinyi sakho sinokuziva sigcwele lonke ixesha.
• Unokuziva uxinzelelo kwilungu lakho lobufazi.
• Unokwazi ukuziva okanye ubone ukukhupha ekuvulekeni kwesini.
• Unokuba nentlungu xa usabelana ngesondo.
• Unokuvuza umchamo xa ukhohlela, uthimla, okanye uphakamisa into.
• Unokufumana usulelo lwesinyi.

Olu tyando ngokwalo alunyangi ukungazinzi koxinzelelo. Ukungabikho koxinzelelo kukuvuza komchamo xa ukhohlela, uthimla, okanye uphakamisa. Ugqirha ukulungisa uxinzelelo lomchamo kungenziwa kunye nolunye unyango.

Ngaphambi kokwenza olu tyando, umboneleli wakho wezempilo unokufumana:

• Funda imithambo yomthambo womthambo (umthambo kaKegel)
• Sebenzisa i-estrogen cream kwilungu lakho lobufazi
• Zama isixhobo ekuthiwa yipessary kwilungu lakho lobufazi ukomeleza umsipha ojikeleze ubufazi

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi
• Usulelo

Iingozi zale nkqubo zibandakanya:

• Umonakalo kwi-urethra, bladder, okanye kwisini
• Isinyi esingacaphukiyo
• Utshintsho kwilungu lobufazi (iphume kwilungu lobufazi)
• Ukuvuza komchamo kwilungu lobufazi okanye kulusu (fistula)
• Ukunyusa ukungangqinelani komchamo
• Intlungu engapheliyo
• Iingxaki ezivela kwizinto ezisetyenzisiweyo ngexesha lotyando (mesh / graf)

Soloko uxelela umboneleli wakho ukuba zeziphi iziyobisi ozithathayo. Xelela umboneleli malunga neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nazo naziphi na ezinye iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye.
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.

Ngomhla wotyando lwakho:

• Rhoqo uya kucelwa ukuba ungaseli okanye utye nantoni na iiyure ezi-6 ukuya kwezi-12 ngaphambi kotyando.
• Thatha amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele.

Unokuba ne-catheter yokucoca umchamo kangangeentsuku ezi-1 okanye ezi-2 emva kotyando.

Uya kuba kukutya okungamanzi nje emva kotyando. Xa umsebenzi wakho wesiqhelo ubuya, ungabuyela kukutya okuqhelekileyo.

Akufanele ufake nantoni na kwilungu lobufazi, uphakamise izinto ezinzima, okanye ubelane ngesondo de ugqirha wakho athi alungile.

Olu tyando luya kuhlala lulungisa ukubuyela umva kwaye iimpawu ziya kumka. Olu phuculo luhlala luhlala iminyaka.

Ukulungiswa kwodonga lobufazi; Colporrhaphy - ukulungiswa kodonga lobufazi; Ukulungiswa kwecystocele-ukulungiswa kodonga lobufazi

• Ukuzivocavoca kukaKegel-ukuzikhathalela
• Ukuzikhetha ngokwakho - umntu obhinqileyo
• Unonophelo lwe-catheter ye-Suprapubic
• Iimveliso zokungahambelani nomchamo-ukuzikhathalela
• Utyando lokungasebenzi kakuhle komchamo- ukukhutshwa kwabasetyhini
• Iingxowa zokuhambisa umchamo
• Xa une-incontinence yomchamo

• Ukulungiswa kodonga lwangaphambili lobufazi
• ICystocele
• Ukulungiswa kodonga lwangaphambi kobufazi (unyango lotyando lokungasebenzi kakuhle komchamo) - uthotho

I-Kirby AC, iLentz GM. Iziphene ze-Anatomic zodonga lwesisu kunye nomgangatho we-pelvic: isisu sesisu, i-inguinal hernias, kunye ne-pelvic organ prolapse: isifo kunye nolawulo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 20.

I-Winters JC, i-Krlin RM, i-Halllner B. I-vaginal kunye noqhaqho lwesisu olwenziwe ngokutsha kolusu lwethambo. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 124.

IWolff GF, iWinters JC, iKrlin RM. Ngaphambili ukulungiswa kweplvic organ. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ii-eds. I-Atlas ye-Hinman yoNyango lwe-Urologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 89.