Ukungahambi kakuhle komchamo - iteyiphu yasimahla yelungu lobufazi

Ukubekwa kwetheyipinisi engenaxinzelelo kusisi kukuhlinzwa ukunceda ukulawula uxinzelelo lomchamo. 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.

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 ukusukela esinqeni ukuhla, ubundindisholo kwaye awuva zintlungu.

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

Ukusikwa okuncinci (ukusikwa) kwenziwa ngaphakathi kwilungu lakho lobufazi. Kusikwe izinto ezimbini ezincinci esiswini sakho ngaphezulu nje komgca weenwele ze-pubic okanye ngaphakathi kwethanga ngalinye langaphakathi kufutshane nomphako.

Iteyiphu eyenziwe ngokukodwa eyenziwe ngumntu (intambo eyenziweyo) iteyiphu idluliswa ngokusikwa ngaphakathi kwilungu lobufazi. Iteyiphu ke ibekwe phantsi kwerethra yakho. Isiphelo esinye setheyipu sidluliselwa kwisisu esinye okanye ngenye yeendlela zangaphakathi zethanga. Elinye icala letheyiphu lidluliselwa kwisisu esinye okanye ngaphakathi kwethanga.

Ugqirha emva koko uhlengahlengisa ukuqina (uxinzelelo) lweteyiphu ngokwaneleyo ukuxhasa urethra yakho. Eli xabiso lenkxaso kungoko utyando lubizwa ngokuba alunangxaki. Ukuba awufumani i-anesthesia ngokubanzi, unokucelwa ukuba ukhohlele. Oku kukujonga ukungavisisani kwetape.

Emva kokuba uxinzelelo luhlengahlengisiwe, iziphelo zetape zinqunyiwe kwinqanaba kunye nolusu kubuchule. Izivalo zivaliwe. Njengoko uphilisa, izicwili ezinqabileyo ezithi zibekho ziya kubamba iiteyiphu ziphele endaweni ukuze i-urethra ixhaswe.

Olu tyando luthatha malunga neeyure ezi-2.

Iteyiphu yasimahla yelungu lobufazi ibekwa kunyanga ukungangqinelani 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
• Iingxaki zokuphefumla
• Usulelo kusiko lotyando okanye ukusika kuyavuleka
• Igazi liyagungqa emilenzeni
• Olunye usulelo

Iingozi zolu tyando zezi:

• Ukwenzakala kumalungu akufuphi-Utshintsho kwilungu lobufazi (iphume kwilungu lobufazi, apho ubufazi bungekho kwindawo efanelekileyo).
• Umonakalo kwi-urethra, bladder, okanye kwisini.
• Ukhukuliseko lweteyipu kwizihlunu eziqhelekileyo ezingqonge (urethra okanye ubufazi).
• IFistula (indawo engaqhelekanga) phakathi kwesinyi okanye urethra kunye nelungu lobufazi.
• Isinyi esingacaphukiyo, esibangela isidingo sokuchama rhoqo.
• Kungaba nzima ukukhupha isinyi sakho, kwaye unokufuna ukusebenzisa ipayipi. Oku kunokufuna utyando olongezelelekileyo.
• Intlungu yethambo.
• Ukuvuza komchamo kunokuba kubi ngakumbi.
• Unokuba nokuphendula kwitape eyenziweyo.
• Intlungu ngokulalana.

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.
• Yenza amalungiselelo okukhwela uye ekhaya kwaye uqiniseke ukuba uyakufumana uncedo olwaneleyo xa ufika apho.

Ngomhla wotyando:

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

Uya kusiwa kwigumbi lokuchacha. Abongikazi baya kukucela ukuba ukhohlele kwaye uphefumle nzulu ukunceda ukucoca imiphunga. Unokuba ne-catheter kwi-bladder yakho. Oku kuyakususwa xa ukwazi ukukhupha isinyi sakho ngokwakho.

Unokuba nokupakisha nge-gauze kwilungu lobufazi emva kotyando ukukunceda uyeke ukopha. Ihlala isuswa kwiiyure ezimbalwa emva kotyando okanye ngentsasa elandelayo ukuba uhlala ubusuku bonke.

Ungagoduka kwangalo mini ukuba akukho ngxaki.

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

Ukuvuza komchamo kuyehla kuninzi lwabasetyhini abanayo le nkqubo. Kodwa usenokuba nokuvuza okuthile. Oku kunokuba kungenxa yokuba ezinye iingxaki zibangela ukungahambi kakuhle kwakho. Ixesha elingaphezulu, ezinye okanye konke ukuvuza kungabuya.

Isilingi Retropubic; Isilingi sombane

• 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, uReynold 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.

IWalters MD, iKarram MM. Iisilingi zangaphakathi zentsimbi yoxinzelelo lokungasebenzi kakuhle komchamo. Ku: Walters MD, Karram MM, ii-eds. I-Urogynecology kunye noPhuculo lwePelvic Surgery. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 20.