Ukungahambi kakuhle kwe-Urinary-ukufakelwa ngenaliti

Izinto zokufakelwa ngenaliti ziinaliti zezinto ezibonakalayo kwi-urethra ukunceda ukulawula ukuvuza komchamo (ukungabikho komchamo) okubangelwa kukungabikho komchamo okubuthathaka. I-sphincter sisihlunu esivumela umzimba wakho ukuba ubambe umchamo kwisinyi. Ukuba umsipha wakho we-sphincter uyeke ukusebenza kakuhle, uya kuba nokuvuza komchamo.

Izinto ezifakiweyo zisisigxina. I-Coaptite kunye neMacroplastique yimizekelo yeempawu ezimbini.

Ugqirha utofa izinto ngenaliti eludongeni lwe-urethra. Le yileyibhuthi ethwala umchamo kwisinyi sakho. Izinto ezenza ukuba ibhalbhu inyuse izicubu zomchamo, ezibangela ukuba ziqinise. Oku kumisa umchamo ekuphumeni kwisinyi sakho.

Unokufumana enye yezi ntlobo zilandelayo ze-anesthesia (iintlungu) kule nkqubo:

• I-anesthesia yendawo (kuphela indawo ekusetyenzwa kuyo iya kuba ndindisholo)
• I-Spinal anesthesia (uya kuba ndindisholo ukusuka esinqeni phantsi)
• I-anesthesia ngokubanzi (uya kuba ulele kwaye ungakwazi ukuva iintlungu)

Emva kokuba uphelelwe ngamandla okanye ulele ngenxa ye-anesthesia, ugqirha ubeka isixhobo esibizwa ngokuba yi-cystoscope kwi-urethra yakho. I-cystoscope ivumela ugqirha wakho ukuba abone lo mmandla.

Emva koko ugqirha udlulisa inaliti nge-cystoscope kwi-urethra yakho. Izinto zifakwe eludongeni lwe-urethra okanye intamo yesinyi ngale naliti. Ugqirha unokufaka inaliti kwizihlunu ecaleni kwesphincter.

Inkqubo yokumilisela iqhele ukwenziwa esibhedlele. Okanye, kwenziwa kwiklinikhi yogqirha wakho. Inkqubo ithatha malunga nemizuzu engama-20 ukuya kwengama-30.

Ukufakwa kunokunceda amadoda nabasetyhini.

Amadoda anokuvuza umchamo emva kotyando lweprostate anokukhetha ukufakelwa.

Abasetyhini abanomchamo wokuvuza kwaye bafuna inkqubo elula yokulawula ingxaki banokukhetha ukuba babe nenkqubo yokufaka. Aba bafazi banokungafuni ukwenza utyando olufuna i-anesthesia ngokubanzi okanye uqhaqho olude lokufumana kwakhona.

Iingozi zale nkqubo zezi:

• Umonakalo kwi-urethra okanye kwi-bladder
• Ukuvuza komchamo okuya kusiba mandundu
• Ubuhlungu apho kwenziwa khona inaliti
• Ukusabela okungahambelaniyo nezinto eziphathekayo
• Izinto zokufaka izinto ezihambayo (ezifudukayo) ukuya kwenye indawo yomzimba
• Ingxaki yokuchama emva kwenkqubo
• Usulelo lwe-Urinary tract
• Igazi kumchamo

Xelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin) warfarin (Coumadin), kunye nawaphi na amanye amayeza enza ukuba kube nzima kwigazi lakho ukubambeka (igazi elincinci).

Ngomhla wenkqubo yakho:

• Unokucelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezi-6 ukuya kwezi-12 ngaphambi kwenkqubo. Oku kuya kuxhomekeka kuhlobo luni lwe-anesthesia oya kuba nayo.
• Thatha amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uya kuxelelwa ukuba ufike nini esibhedlele okanye eklinikhi. Qiniseka ukuba ufika ngexesha.

Uninzi lwabantu lunokugoduka kwakamsinya emva kwenkqubo. Ingathatha inyanga ngaphambi kokuba inaliti isebenze ngokupheleleyo.

Kungaba nzima ukukhupha isinyi sakho. Kuya kufuneka usebenzise i-catheter kangangeentsuku ezimbalwa. Oku kunye nezinye iingxaki zomchamo zihlala zihamba.

Unokufuna iinaliti ezimbini okanye ezi-3 ngaphezulu ukuze ufumane iziphumo ezilungileyo. Ukuba umbandela usuka kuloo ndawo wawutofelwe kuyo, unokufuna unyango ngakumbi kwixa elizayo.

Ukufakwa kunokunceda uninzi lwamadoda athe afumana ukuhanjiswa ngokutsha kweprostate (TURP). Ukufakwa kufakelwa malunga nesiqingatha samadoda asuswe idlala lobudoda ukunyanga umhlaza wedlala lobudoda.

Ukulungiswa kwentsilelo yangaphakathi ye-sphincter; Ukulungiswa kwe-ISD; Iiarhente zokubhabha ezinesitofu zoxinzelelo lomchamo

• Ukuzivocavoca kukaKegel-ukuzikhathalela
• Ukuzikhetha ngokwakho - umntu obhinqileyo
• Unonophelo lwe-catheter ye-Suprapubic
• IiCatheters zeUrinary - yintoni ekufuneka uyibuze kugqirha wakho
• Iimveliso zokungahambelani nomchamo-ukuzikhathalela
• Utyando lokungasebenzi kakuhle komchamo- ukukhutshwa kwabasetyhini
• Ukungahambi kakuhle kwe-Urinary - yintoni ongayibuza ugqirha wakho
• Iingxowa zokuhambisa umchamo
• Xa une-incontinence yomchamo

UDmochowski RR, uBlaivas JM, uGormley EA, okqhubekayo. Ukuhlaziywa kwesikhokelo se-AUA kulawulo lotyando loxinzelelo lwabasetyhini ukungahambelani nomchamo. J Urol. Ngo-2010; 183 (5): 1906-1914. IINKCUKACHA: 20303102 www.ncbi.nlm.nih.gov/pubmed/20303102.

IHerschorn S. Unyango lwenaliti yokungasebenzi kakuhle komchamo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 86.

I-Kirby AC, iLentz GM. Umsebenzi ophantsi womchamo kunye nokuphazamiseka: i-physiology ye-micturition, ukuvala ukungasebenzi kakuhle, ukungasebenzi komchamo, usulelo lomchamo, kunye nesifo esibuhlungu sesinyi. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 21.