Ukungahambi kakuhle kwe-Urinary-iinkqubo zendlela yokulingisa

Inkqubo yeslingisi yelungu lobufazi ziindidi zoqhaqho olunceda ukulawula uxinzelelo lomchamo. Oku kuvuza umchamo okwenzeka xa uhleka, ukhohlela, uthimla, uphakamisa izinto, okanye uzilolonga. Inkqubo inceda ukuvala i-urethra kunye nentamo yesinyi. I-urethra yityhubhu ehambisa umchamo ukusuka kwisinyi ukuya ngaphandle. Intamo yesinyi yinxalenye yesinyi esiqhagamshela kwi-urethra.

Iinkqubo zesilingi zokulala zisebenzisa izixhobo ezahlukeneyo:

• Izicubu zomzimba wakho
• Izinto ezenziwe ngabantu (zokwenziwa) ezaziwa ngokuba yimeski

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

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

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

Ugqirha wenza ukusika okuncinci (ukusikwa) ngaphakathi kwilungu lobufazi. Olunye usiko oluncinci lwenziwa nje ngentla komgca weenwele ze-pubic okanye kwi-groin. Uninzi lwenkqubo lwenziwa ngokusikwa ngaphakathi kwilungu lobufazi.

Ugqirha wenza isilingi kwizicwili okanye kwizinto zokwenziwa. Isilingi sidluliswa phantsi komchamo kunye nentamo yesinyi kwaye iqhotyoshelwe kwizicubu ezomeleleyo esiswini sakho esisezantsi, okanye ushiye indawo ukuze umzimba wakho uphilise ujikeleze kwaye uwufake kwizihlunu zakho.

Iinkqubo zesilingi zangaphantsi zenziwa ukunyanga uxinzelelo lomchamo.

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 ekuvuleni okusikiweyo
• Olunye usulelo

Iingozi zolu tyando zezi:

• Ukwenzakala kumalungu akufutshane
• Ukwaphula izinto zokwenziwa ezisetyenziselwa isilingi
• Ukhukuliseko lwezixhobo zokwenziwa ngokusebenzisa izicwili zakho eziqhelekileyo
• Utshintsho kwilungu lobufazi (iphume kwilungu lobufazi)
• Umonakalo kwi-urethra, bladder, okanye kwisini
• Indlela engaqhelekanga (fistula) phakathi kwesinyi okanye urethra kunye nelungu lobufazi
• Isinyi esingacaphukiyo, esibangela isidingo sokuchama rhoqo
• Ubunzima obuninzi bokukhupha isinyi sakho, kunye nemfuneko yokusebenzisa ipayipi
• Ukwandiswa kokuvuza komchamo

Xelela ugqirha wakho 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.
• Ukuba uyatshaya, zama ukuyeka. Umboneleli wakho wezempilo unokunceda.

Ngomhla wotyando:

• Unokucelwa 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.

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

Ungaphuma esibhedlele kwangolo suku lunye lotyando. Okanye unokuhlala iintsuku ezi-1 okanye ezi-2.

Izitishi (sutures) kwilungu lakho lobufazi ziya kunyibilika emva kweeveki ezininzi. Emva kwe-1 ukuya kwiinyanga ezi-3, kuya kufuneka ubenokwabelana ngesondo ngaphandle kwengxaki.

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

Ukuvuza komchamo kuya kuba ngcono kuninzi lwabasetyhini. Kodwa usenokuba nokuvuza okuthile. Oku kunokuba kungenxa yokuba ezinye iingxaki zibangela ukungahambelani nomchamo. Ixesha elingaphezulu, ukuvuza kungabuya.

Ibhokhwe yelungu lobufazi; Inkwitshi yeTransobturator; Inkwitshi yangaphakathi

• 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, u-Osborn DJ, uReynolds WS. Izilayidi: i-autologous, i-biologic, i-synthetic kunye ne-midurethral. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahl. 84.

IParaiso MFR, i-Chen CCG. Ukusetyenziswa kwezicubu zebhayoloji kunye nomnatha owenziweyo kwi-urogynecology kunye noqhaqho lwenziwa kwakhona lotyando. Ku: Walters MD, Karram MM, ii-eds. I-Urogynecology kunye noPhuculo lwePelvic Surgery. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 28.