I-sphincter eyenziweyo yokuchama

I-Sphincters yimisipha evumela umzimba wakho ukuba ubambe kumchamo. I-inflatable artificial (eyenziwe ngumntu) i-sphincter sisixhobo sonyango. Esi sixhobo sigcina umchamo ungavuzi. Isetyenziswa xa i-sphincter yakho yokuchama ingasasebenzi kakuhle. Xa ufuna ukuchama, i-cuff ye-sphincter eyenziweyo inokukhululeka. Oku kuvumela ukuphuma komchamo.

Ezinye iinkqubo zokunyanga ukuvuza komchamo kunye nokungasebenzi kakuhle kubandakanya:

• Iteyiphu yasimahla yelungu lobufazi (isilingi sasemdeni) kunye nokulingisa (abafazi)
• Ukubethelela kwe-Urethral ngezinto zokwenziwa (amadoda nabasetyhini)
• Ukumiswa kwe-Retropubic (abafazi)
• Ukulingwa kwendoda ekubuyiseni (amadoda)

Le nkqubo inokwenziwa ngelixa uphantsi:

• I-anesthesia ngokubanzi. Uya kulala kwaye ungakwazi kuva iintlungu.
• I-anesthesia yomqolo. Uya kuvuka kodwa ungabi nakho ukuva nantoni na engezantsi kwesinqe sakho. Uya kunikwa amayeza okunceda uphumle.

I-sphincter yokufakelwa inamalungu ama-3:

• Ikhefu, elingana ne-urethra yakho. I-urethra yityhubhu ehambisa umchamo kwisinyi sakho ukuya ngaphandle komzimba wakho. Xa ikhafu inomoya (igcwele), ikhafu ivala urethra yakho ukuyeka ukuhamba komchamo okanye ukuvuza.
• Ibhaluni, ebekwa phantsi kwezihlunu zesisu sakho. Iphethe ulwelo olufana nekhofu.
• Impompo, ekhulula ikhofu ngokuhambisa ulwelo ukusuka kwikhefu ukuya kwibhaluni.

Ukusikwa kotyando kuyakwenziwa kwenye yezi ndawo ukuze ikhafu ibekwe endaweni yayo:

• Isikram okanye iperineum (amadoda).
• ULabia (abasetyhini).
• Isisu esisezantsi (amadoda nabasetyhini). Ngamanye amaxesha, oku kungasweleki.

Impompo inokubekwa kwisingxobo samadoda. Inokubekwa phantsi kwesikhumba esiswini okanye emlenzeni wasetyhini.

Emva kokuba i-sphincter yokufakelwa ikhona, uya kusebenzisa impompo ukukhupha (ukukhupha) ikhefu. Ukucwina impompo kususa amanzi kulamanqatha ukuya kwibhaluni. Xa ikhefu lingenanto, urethra yakho iyavula ukuze uchame. Ikhofu izakuzifaka kwakhona kwimizuzwana engama-90.

Utyando lwe-urinary sphincter olwenziweyo lwenziwe ukunyanga ukungabikho koxinzelelo. Uxinzelelo ukungakwazi ukuzibamba kukuvuza komchamo. Oku kwenzeka ngemisebenzi efana nokuhamba, ukuphakamisa, ukwenza imithambo, okanye ukukhohlela okanye ukuthimla.

Inkqubo iyacetyiswa kumadoda anokuvuza umchamo ngomsebenzi. Olu hlobo lokuvuza lunokwenzeka emva kotyando lweprostate. I-sphincter yokufakelwa iyacetyiswa xa olunye unyango lungasebenzi.

Abasetyhini abanomchamo wokuvuza bahlala bezama ezinye iindlela zonyango ngaphambi kokuba babekwe i-sphincter yokufakelwa. Ayifane isetyenziselwe ukunyanga uxinzelelo lokuchama komchamo kubafazi eUnited States.

Uninzi lwexesha, umboneleli wakho wezempilo uya kukucebisa amayeza kunye nokuqeqeshwa kwesinyi ngaphambi kokuhlinzwa.

Le nkqubo ihlala ikhuselekile. Buza umboneleli wakho malunga neengxaki ezinokwenzeka.

Iingozi ezinxulumene neanesthesia kunye notyando ngokubanzi zezi:

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

Iingozi zolu tyando zinokubandakanya:

• Umonakalo kwi-urethra (ngexesha lotyando okanye kamva), isinyi, okanye ubufazi
• Ubunzima bokukhupha isinyi sakho, esinokufuna i-catheter
• Ukuvuza komchamo okunokuba kubi ngakumbi
• Ukusilela okanye ukunxiba kude isixhobo esidinga utyando ukusitshintsha okanye ukusisusa

Soloko uxelela umboneleli wakho ukuba ngawaphi amayeza owasebenzisayo. Yazisa umboneleli malunga namayeza angaphaya kwekhawuntareni, amayeza kunye nezongezo ozithengileyo 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:

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

Umboneleli wakho uya kuvavanya umchamo wakho. Oku kuyakuqinisekisa ukuba awunayo intsholongwane ngaphambi kokuhlinzwa.

Unokubuyela kuqhaqho kunye necatheter endaweni. Le catheter iya kukhupha umchamo kwisinyi sakho okwethutyana. Izakususwa phambi kokuba uphume esibhedlele.

Awuyi kusebenzisa i-sphincter yokufakelwa okwethutyana emva kotyando. Oku kuthetha ukuba usenokuphuma komchamo. Izicubu zomzimba wakho zifuna eli xesha lokuphola.

Malunga neeveki ezi-6 emva kotyando, uya kufundiswa indlela yokusebenzisa impompo yakho ukufakela i-sphincter yakho eyenziweyo.

Kuya kufuneka uphathe ikhadi lesipaji okanye unxibe isazisi sonyango. Oku kuxelela ababoneleli ukuba une-sphincter yokufakelwa. I-sphincter kufuneka icinywe ukuba ufuna ukubeka i-catheter yokuchama.

Abasetyhini kungafuneka batshintshe indlela abazenza ngayo ezinye izinto (ezinje ngokukhwela ibhayisikile), kuba impompo ibekwe kwilabhini.

Ukuvuza kwamanzi kwi-Urinary kuyehla kubantu abaninzi abanale nkqubo. Nangona kunjalo, kusenokubakho ukuvuza okuthile. Ixesha elingaphezulu, ezinye okanye konke ukuvuza kungabuya.

Kunokubakho ukucothwa okucothayo kwezicubu ze-urethra phantsi kwekhafu.Esi sihlunu sinokuba sisiponji. Oku kunokwenza ukuba isixhobo singasebenzi kakuhle okanye sibangele ukuba siphuke kwi-urethra. Ukuba ukungazinzi kwakho kubuya, utshintsho lunokwenziwa kwizixhobo ukuze zilungiswe. Ukuba isixhobo siyaphuma kwi-urethra, kuya kufuneka isuswe.

I-sphincter eyenziweyo (AUS) - umchamo; I-sphincter engabonakaliyo yokufakelwa

• 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

• I-sphincter yokufakelwa okungafunekiyo-uthotho

Umbutho weAmerican Urological Association. Yintoni uxinzelelo lomchamo wokuchama (i-SUI)? www.urologyhealth.org/urologic-conditions/stress-urinary-incontinence-(sui)/printable-version. Kufunyenwe ngo-Agasti 11, 2020.

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UThomas JC, uClayton DB, uAdams MC. Ukwakhiwa ngokutsha komchamo osezantsi ebantwaneni. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 37.

Iintsimbi H, uVanni AJ. Iinkqubo zotyando zokungangqinelani kwe-sphincteric kwindoda. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 131.