Ukungahambi kakuhle kwe-Urinary - ukumiswa kwe-retropubic

Ukurhoxiswa kwe-Retropubic luqhaqho ukunceda ukulawula uxinzelelo lwengqondo. Oku kuvuza umchamo okwenzeka xa uhleka, ukhohlela, uthimla, uphakamisa izinto, okanye uzilolonga. Utyando lunceda ukuvala i-urethra kunye nentamo yesinyi. I-urethra yityhubhu ehambisa umchamo ukusuka kwisinyi ukuya ngaphandle. Intamo yesinyi yinxalenye yesinyi esiqhagamshela kwi-urethra.

Ufumana i-anesthesia ngokubanzi okanye i-spinal anesthesia ngaphambi kokuba uqhaqho luqale.

• Nge-anesthesia ngokubanzi, ulele kwaye awuva zintlungu.
• Xa une-spinal anesthesia, uvukile kodwa undindisholo ukusukela esinqeni ukuhla kwaye awuva zintlungu.

I-catheter (ityhubhu) ifakwe kwisinyi sakho ukuze ukhuphe umchamo kwisinyi sakho.

Kukho iindlela ezi-2 zokwenza ukumiswa kwe-retropubic: utyando oluvulekileyo okanye utyando lwe-laparoscopic. Nokuba yeyiphi na indlela, utyando lunokuthatha ukuya kuthi ga kwiiyure ezimbini.

Ngexesha lotyando oluvulekileyo:

• Ukusikwa kotyando (ukusikwa) kwenziwa emazantsi esisu sakho.
• Ngale ndlela usike isinyi ifumaneka. Ugqirha uthunga (sutures) intamo yesinyi, yinxalenye yodonga lobufazi, kunye nomchamo ukuya emathanjeni nakwimisipha kwilusu lakho.
• Oku kuphakamisa isinyi kunye ne-urethra ukuze bakwazi ukuvala ngcono.

Ngexesha lotyando lwe-laparoscopic, ugqirha usika kancinci kwisisu sakho. Isixhobo esifana netyhubhu esivumela ugqirha ukuba abone amalungu akho (i-laparoscope) sifakwa esiswini sakho ngalo msiko. Ugqirha ujije intamo yesinyi, inxenye yodonga lobufazi, kunye nomchamo ukuya emathanjeni nakwimisipha esinqeni.

Le nkqubo yenziwa ukuphatha ukungazinzi koxinzelelo.

Ngaphambi kokuba uxoxe ngokuhlinzwa, ugqirha wakho uya kuthi uzame ukuqeqeshwa kwakhona kwesisu, ukuzivocavoca kukaKegel, amayeza, okanye ezinye iindlela. Ukuba uzame ezi kwaye useneengxaki ngokuvuza komchamo, utyando kunokuba lolona khetho lwakho.

Iingozi zalo naluphi na utyando zezi:

• Ukopha
• Amahlwili egazi emilenzeni anokuhamba aye emiphungeni
• Iingxaki zokuphefumla
• Usulelo ekusikweni kotyando, okanye ekuvulekeni kwenxeba
• Olunye usulelo

Iingozi zolu tyando zezi:

• Indlela engaqhelekanga (fistula) phakathi kwelungu lobufazi nolusu
• Umonakalo kwi-urethra, bladder, okanye kwisini
• Isinyi esingacaphukiyo, esibangela isidingo sokuchama rhoqo
• Ubunzima obuninzi bokukhupha isinyi sakho, okanye isidingo sokusebenzisa ipayipi
• Ukwandiswa kokuvuza komchamo

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

Ngexesha leentsuku ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nawaphi na amanye amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye.
• Buza ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Umboneleli wakho unokunceda.

Ngomhla wotyando lwakho:

• Uya kucelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezingama-6 ukuya kwezi-12 ngaphambi kotyando.
• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Uya kuba necatheter kwi-urethra yakho okanye kwisisu sakho ngaphezulu kwethambo lakho le-pubic (i-catheter ye-suprapubic). I-catheter isetyenziselwa ukukhupha umchamo kwisinyi. Unokugoduka kunye ne-catheter isesendaweni. Okanye, unokufuna ukwenza i-catheterization engxamisekileyo. Le yinkqubo apho usebenzisa i-catheter kuphela xa ufuna ukuchama. Uya kufundiswa ukuba ungayenza njani le nto phambi kokuba uphume esibhedlele.

Unokuba nokupakisha nge-gauze kwilungu lobufazi emva kotyando ukukunceda uyeke ukopha. Ihlala isuswa kwiiyure ezimbalwa emva kotyando.

Ungaphuma esibhedlele kwangolo suku lunye lotyando. Okanye, unokuhlala iintsuku ezi-2 okanye ezi-3 emva kolu tyando.

Landela imiyalelo malunga nendlela onokuzikhathalela ngayo emva kokuba ugodukile. Gcina lonke usuku lokulandela.

Ukuvuza komchamo kuyancipha kuninzi lwabasetyhini abanolu tyando. Kodwa usenokuba nokuvuza okuthile. Oku kunokuba kungenxa yokuba ezinye iingxaki zibangela ukungahambi kakuhle komchamo. Ixesha elingaphezulu, ezinye okanye konke ukuvuza kungabuya.

I-colposuspension evulekileyo ye-retropubic; Inkqubo kaMarshall-Marchetti-Krantz (MMK); Laparoscopic retpubic colposuspension; Ukumiswa kwenaliti; Burch colposuspension

• 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

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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.

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.