I-sphincter yokufakelwa komchamo

AmaSphincters yimisipha evumela umzimba wakho ukuba ubambe umchamo. I-sphincter yokufakelwa (engenziwa ngabantu) iyisetshenziswa sezokwelapha. Lo mshini ugcina umchamo ungavuzi. Isetshenziswa lapho i-sphincter yakho yomchamo ingasasebenzi kahle. Lapho udinga ukuchama, ikhafu ye-sphincter yokufakelwa ingakhululeka. Lokhu kuvumela ukuphuma komchamo.

Ezinye izinqubo zokwelapha ukuvuza komchamo nokungahambi kahle komzimba kufaka:

• Iteyipu yangasese engenazimpikiswano (indwayimane yasemkhathini) kanye nokulingisa okuzenzakalelayo (abesifazane)
• Ukukhwabanisa kwe-Urethral ngezinto zokwenziwa (abesilisa nabesifazane)
• Ukumiswa kabusha kwe-Retropubic (abesifazane)
• Isihlilingi sowesilisa (amadoda)

Le nqubo ingenziwa ngenkathi ungaphansi:

• I-anesthesia ejwayelekile. Uzobe ulele futhi ungakwazi ukuzwa ubuhlungu.
• I-Spinal anesthesia. Uzobe uphapheme kodwa ngeke ukwazi ukuzwa noma yini engezansi kwesinqe sakho. Uzonikezwa imithi ezokusiza uphumule.

I-sphincter yokufakelwa inezingxenye ezi-3:

• Ikhafula, elingana nomchamo wakho. I-urethra yishubhu elithwala umchamo kusuka esinyeni sakho uye ngaphandle komzimba wakho. Lapho ikhafu lifuthwe (ligcwele), ikhafu ivala umchamo wakho ukumisa ukugeleza komchamo noma ukuvuza.
• Ibhaluni, elibekwa ngaphansi kwezicubu zesisu sakho. Iphethe uketshezi olufana nolwakho ukhokho.
• Ipompo, elehlisa inkomishi ngokuhambisa uketshezi olusuka kwikhefu uye kubhaluni.

Ukusikwa kokuhlinzwa kuzokwenziwa kwenye yalezi zindawo ukuze ikhafu likwazi ukubekwa endaweni yalo:

• Iscrotum noma i-perineum (amadoda).
• ULabia (abesifazane).
• Isisu esingezansi (abesilisa nabesifazane). Kwezinye izimo, lokhu kusikwa kungenzeka kungadingeki.

Ipompo lingabekwa esikhwameni sendoda. Ingabekwa futhi ngaphansi kwesikhumba esiswini noma emlenzeni wesifazane.

Lapho i-sphincter yokufakelwa isikhona, uzosebenzisa ipompo ukukhipha (ukukhipha) ikhafu. Ukukhama impompo kususa uketshezi olusuka kwikhafula luye kubhaluni. Lapho ikhafu ingenalutho, i-urethra yakho iyavula ukuze ukwazi ukuchama. Ukhokho uzophinde uzifake ngokwawo ngemizuzwana engama-90.

Ukuhlinzwa kwe-sphincter yokufakelwa komchamo kwenziwa ukwelapha ukungasebenzi kahle kwengcindezi. Ukungakwazi ukucindezela ukuvuza komchamo. Lokhu kwenzeka ngemisebenzi efana nokuhamba, ukuphakamisa, ukuzivocavoca, noma ukukhwehlela noma ukuthimula.

Inqubo inconywa kwabesilisa abanokuvuza komchamo ngomsebenzi. Lolu hlobo lokuvuza kungenzeka ngemuva kokuhlinzwa kwendlala yesinye. I-sphincter yokufakelwa iyelulekwa lapho ezinye izindlela zokwelapha zingasebenzi.

Abesifazane abanokuvuza komchamo bavame ukuzama ezinye izindlela zokwelashwa ngaphambi kokufakwa i-sphincter yokufakelwa. Akuvamile ukusetshenziselwa ukuphatha ukungasebenzi kahle komchamo kwabesifazane e-United States.

Esikhathini esiningi, umhlinzeki wakho wezokunakekelwa kwempilo uzoncoma imithi nokuqeqeshwa kabusha kwesinye ngaphambi kokuhlinzwa.

Le nqubo ivame ukuphepha. Buza umhlinzeki wakho mayelana nezinkinga ezingenzeka.

Izingozi ezihlobene ne-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

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

Izingozi zalokhu kuhlinzwa zingafaka:

• Ukulimala kwe-urethra (ngesikhathi sokuhlinzwa noma kamuva), isinye, noma isitho sangasese sowesifazane
• Kunzima ukukhipha isinye sakho, okungadinga ipayipi
• Ukuvuza komchamo okungase kube kubi kakhulu
• Ukwehluleka noma ukugqokiswa kocingo okudinga ukuhlinzwa ukuze kusetshenziswe noma kususwe

Njalo utshele umhlinzeki wakho ukuthi yimiphi imithi oyiphuzayo. Futhi yazisa umhlinzeki ngemithi ongayithenga, amakhambi kanye nezithako ozithengile ngaphandle kwencwadi 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 izidakamizwa umhlinzeki wakho akutshele ukuthi uziphuze ngesiphuzo esincane samanzi.
• Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela.

Umhlinzeki wakho uzohlola umchamo wakho. Lokhu kuzoqinisekisa ukuthi awunalo igciwane le-urinary ngaphambi kokuqala ukuhlinzwa.

Ungabuya ekuhlinzweni ngepayipi elisesikhundleni. Le catheter izokhipha umchamo esinyeni sakho isikhashana. Izosuswa ngaphambi kokuthi uphume esibhedlela.

Ngeke usebenzise i-sphincter yokufakelwa isikhashana ngemuva kokuhlinzwa. Lokhu kusho ukuthi usazoqhubeka nokuvuza komchamo. Izicubu zomzimba wakho zidinga lesi sikhathi ukuthi zilapheke.

Cishe emasontweni ayisithupha ngemuva kokuhlinzwa, uzofundiswa ukuthi ungasebenzisa kanjani ipompo yakho ukufaka i-sphincter yakho yokufakelwa.

Uzodinga ukuphatha ikhadi lesikhwama semali noma ugqoke umazisi wezokwelapha. Lokhu kutshela abahlinzeki ukuthi une-sphincter yokufakelwa. I-sphincter kufanele icishwe uma udinga ukubekwa ipayipi lomchamo.

Abesifazane kungadingeka ukuthi bashintshe indlela abenza ngayo eminye imisebenzi (njengokugibela amabhayisikili), ngoba ipompo lifakwa kwi-labia.

Ukuvuza kwe-Urinary kuyehla kubantu abaningi abanale nqubo. Noma kunjalo, kusengaba khona ukuvuza okuthile. Ngokuhamba kwesikhathi, okunye noma konke ukuvuza kungabuya.

Kungaba nokugqokwa kancane kwezicubu ze-urethra ngaphansi kwekhafu.Lesi sicubu singaba yisiponji. Lokhu kungenza ukuthi idivayisi ingasebenzi kahle noma kubangele ukuthi igxumele ku-urethra. Uma ukungabambeki kwakho kubuya, kungenziwa ushintsho kudivayisi ukuyilungisa. Uma ngabe ucingo lungena ngaphakathi ku-urethra, kuzodingeka lisuswe.

I-sphincter yokufakelwa (AUS) - umchamo; I-sphincter yokufakelwa engenayo

• 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

• I-sphincter yokufakelwa e-inflatable - uchungechunge

Iwebhusayithi yeAmerican Urological Association. Kuyini ukucindezeleka ukungahambisani nomchamo (i-SUI)? www.urologyhealth.org/urologic-conditions/stress-urinary-incontinence-(sui)/printable-version. Kufinyelelwe ngo-Agasti 11, 2020.

IDanforth TL, i-Ginsberg DA. I-sphincter yokufakelwa komchamo. 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 102.

UThomas JC, uClayton DB, u-Adams MC. Ukwakhiwa kabusha komgudu omncane womchamo ezinganeni. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 37.

UWessells H, uVanni AJ. Izinqubo zokuhlinzwa zokungavumelani kwe-sphincteric kowesilisa. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 131.