Ukulungiswa kodonga lwangaphambilini lwesitho sangasese sowesifazane

Ukulungiswa kodonga lwangaphambilini lwesitho sangasese sowesifazane kuyindlela yokuhlinzwa. Lokhu kuhlinzwa kuqinisa udonga lwangaphambili (lwangaphakathi) lwesitho sangasese sowesifazane.

Udonga lwangaphambilini lwesitho sangasese sowesifazane lungacwila (luqhume) noma luqhume. Lokhu kwenzeka lapho isinye noma umchamo ushona esithweni sangasese.

Ukulungiswa kungenziwa ngenkathi ungaphansi:

• I-anesthesia ejwayelekile: Uzobe ulele futhi ungakwazi ukuzwa ubuhlungu.
• I-Spinal anesthesia: Uzobe uphapheme, kepha uzobe undikindiki kusukela okhalweni kuye phansi futhi ngeke ubuzwe ubuhlungu. Uzonikezwa imithi ezokusiza uphumule.

Udokotela wakho ohlinzayo uzokwenza lokhu:

• Yenza ukusika kokuhlinzwa odongeni olungaphambili lwesitho sakho sangasese.
• Hambisa isinye sakho sibuyele endaweni yaso ejwayelekile.
• Ungasonga isitho sakho sangasese, noma usike ingxenye yaso.
• Faka ama-suture (imithungo) esikhunjeni esiphakathi kwesitho sakho sangasese nesinye. Lokhu kuzobamba izindonga zesitho sakho sangasese ngendlela efanele.
• Faka isichibi phakathi kwesinye sakho nemomozi yakho. Lesi siqeshana singenziwa ngezinto zebhayoloji ezitholakalayo ezidayiswayo (izicubu ze-cadaveric).I-FDA ivimbele ukusetshenziswa kwezinto zokwenziwa nezicubu zezilwane esithweni sangasese ukwelapha udonga lwangaphakathi lwesitho sangasese sowesifazane.
• Namathisela ama-suture ezindongeni zesitho sangasese sowesifazane ezicubu eziseceleni kwesinqe sakho.

Le nqubo isetshenziselwa ukulungisa ukucwila noma ukuqhuma kodonga lwangaphakathi lwesitho sangasese sowesifazane.

Izimpawu zokuqhuma kodonga lwangaphambilini lwesitho sangasese sowesifazane zifaka:

• Ungahle ungakwazi ukukhipha ngokuphelele isinye sakho.
• Isinye sakho singazizwa sigcwele ngaso sonke isikhathi.
• Ungazizwa ucindezelekile esithweni sakho sangasese.
• Ungahle ukwazi ukuzwa noma ubone ukuqhuma lapho kuvulwa khona isitho sangasese sowesifazane.
• Ungaba nobuhlungu uma uya ocansini.
• Ungavuza umchamo lapho ukhwehlela, uthimula noma uphakamisa okuthile.
• Ungathola izifo zesinye.

Lokhu kuhlinzwa kukodwa akulaphuli ukungabekezeleleki kwengcindezi. Ukungalawuleki kwengcindezi ukuphuma komchamo lapho ukhwehlela, uthimula noma uphakamisa. Ukuhlinzwa ukulungisa ukucindezeleka ukungasebenzi kahle komchamo kungenziwa kanye nokunye ukuhlinzwa.

Ngaphambi kokwenza lokhu kuhlinzwa, umhlinzeki wakho wezokunakekelwa kwempilo angakuthola:

• Funda izivivinyo zemisipha yangaphansi kwe-pelvic (izivivinyo zeKegel)
• Sebenzisa ukhilimu we-estrogen esithweni sakho sangasese
• Zama umshini obizwa ngokuthi i-pessary esithweni sakho sangasese ukuze uqinise imisipha ezungeze isitho sangasese sowesifazane

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi
• Ukutheleleka

Izingozi zale nqubo zifaka:

• Ukulimala komchamo, isinye, noma isitho sangasese sowesifazane
• Isinye esingathukutheli
• Izinguquko esithweni sangasese (sangasese esiphume)
• Ukuvuza komchamo kusuka esithweni sangasese noma esikhumbeni (i-fistula)
• Ukuqinisa ukungazibambi komchamo
• Ubuhlungu obuhlala njalo
• Izinkinga ezivela kokuqukethwe okusetshenziswe ngesikhathi sokuhlinzwa (i-mesh / graf)

Njalo utshele umhlinzeki wakho ukuthi yiziphi izidakamizwa oziphuzayo. Phinda utshele umhlinzeki ngemithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kanye nanoma iziphi ezinye izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana.
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.

Ngosuku lokuhlinzwa kwakho:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kokuhlinzwa.
• Thatha imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela.

Ungaba ne-catheter yokukhipha umchamo izinsuku ezi-1 noma ezi-2 ngemuva kokuhlinzwa.

Uzoba ekudleni ketshezi ngemuva nje kokuhlinzwa. Lapho umsebenzi wakho ojwayelekile wamathumbu ubuya, ungabuyela ekudleni kwakho okuvamile.

Akufanele ufake noma yini esithweni sangasese, uphakamise izinto ezisindayo, noma wenze ucansi kuze kube yilapho udokotela wakho ohlinzayo ethi kulungile.

Lokhu kuhlinzwa kuzovame ukulungisa i-prolapse futhi izimpawu zizophela. Lokhu kwenziwa ngcono kuzohlala iminyaka.

Ukulungiswa kodonga lwesitho sangasese sowesifazane; Colporrhaphy - ukukhanda odongeni sangasese; Ukulungiswa kweCystocele - ukulungisa udonga lwesitho sangasese sowesifazane

• Ukuzivocavoca kukaKegel - ukuzinakekela
• Ukuzilungiselela ukukhipha i-catheterization - owesifazane
• Ukunakekelwa kwe-catheter ye-Suprapubic
• Imikhiqizo yokungasebenzi kwe-Urinary - ukuzinakekela
• Ukuhlinzwa okungasebenzi kwe-Urinary - ukukhishwa kwabesifazane
• Izikhwama zokudonsa umchamo
• Lapho une-incontinence yokuchama

• Ukulungiswa kodonga lwangaphambilini lwesitho sangasese sowesifazane
• ICystocele
• Ukulungiswa kodonga lwangaphambi kwesitho sangasese sowesifazane (ukwelashwa kokuhlinzwa kokungahambisani nomchamo) - uchungechunge

I-Kirby AC, i-Lentz GM. Ukukhubazeka kwe-anatomic kodonga lwesisu kanye nephansi le-pelvic: i-hernias yesisu, i-inguinal hernias, ne-pelvic organ prolapse: ukuxilongwa nokuphathwa. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 20.

I-Winters JC, i-Krlin RM, i-Halllner B. Ukuhlinzwa okwakhiwa kwesitho sangasese nesisu esiswini se-pelvic organ prolapse. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 124.

I-Wolff GF, iWinters JC, iKrlin RM. Ukulungiswa kwesitho se-pelvic ngaphambili. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ama-eds. IHinman’s Atlas of Urologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 89.