Ukungahambisani nomchamo - ukufakelwa ngomjovo

Ukufakwa komjovo imijovo yempahla ku-urethra ukusiza ukulawula ukuvuza komchamo (ukungasebenzi komchamo) okubangelwa i-sphincter ebuthakathaka yomchamo. I-sphincter isicubu esivumela umzimba wakho ukuthi ubambe umchamo esinyeni. Uma imisipha yakho ye-sphincter iyeka ukusebenza kahle, uzoba nokuvuza komchamo.

Izinto ezijojowe zihlala unomphela. ICoaptite neMacroplastique yizibonelo zemikhiqizo emibili.

Udokotela ufaka izinto ngenaliti odongeni lwe-urethra yakho. Lesi yishubhu elithwala umchamo esinyeni sakho. Izinto zithwala izicubu zomchamo, zibangele ukuthi ziqine. Lokhu kumisa umchamo ekuphumeni esinyeni sakho.

Ungathola enye yezinhlobo ezilandelayo ze-anesthesia (ukuqeda ubuhlungu) ngale nqubo:

• I-anesthesia yendawo (kuphela indawo okusetshenzelwa kuyo kuzoba ndikindiki)
• I-Spinal anesthesia (uzobe undikindiki kusukela okhalweni phansi)
• I-anesthesia ejwayelekile (uzobe ulele futhi ungakwazi ukuzwa ubuhlungu)

Ngemuva kokuthi undikindiki noma ulele ngenxa ye-anesthesia, udokotela ufaka idivayisi yezokwelapha ebizwa nge-cystoscope ku-urethra yakho. I-cystoscope ivumela udokotela wakho ukuthi abone indawo.

Ngemuva kwalokho udokotela udlulisa inaliti nge-cystoscope iye ku-urethra yakho. Izinto zifakwa odongeni lwe-urethra noma intamo yesinye ngale naliti. Udokotela angafaka futhi izinto ezicutshini eziseduze ne-sphincter.

Inqubo yokutshala ivame ukwenziwa esibhedlela. Noma, kwenziwa emtholampilo kadokotela wakho. Inqubo ithatha cishe imizuzu engama-20 kuye kwengu-30.

Izimila zingasiza bobabili abesilisa nabesifazane.

Amadoda anokuvuza komchamo ngemuva kokuhlinzwa kwe-prostate angakhetha ukufakelwa.

Abesifazane abanokuvuza komchamo futhi abafuna inqubo elula yokulawula inkinga bangakhetha ukwenza inqubo yokufakelwa. Laba besifazane kungenzeka bangafuni ukuhlinzwa okudinga i-anesthesia ejwayelekile noma ukuhlinzwa isikhathi eside.

Izingozi zale nqubo yilezi:

• Ukulimala kwe-urethra noma isinye
• Ukuvuza komchamo okuba kubi kakhulu
• Ubuhlungu lapho kwenziwa khona umjovo
• Ukusabela okweqile kokuqukethwe
• Faka izinto ezihambisa (ezifudukayo) ziye kwenye indawo yomzimba
• Inkinga yokuchama ngemuva kwenqubo
• Ukutheleleka ngomgudu womchamo
• Igazi emchameni

Tshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin) warfarin (Coumadin), kanye nanoma yimiphi eminye imithi eyenza kube nzima ngegazi lakho ukuminyana (izinciphisi zegazi).

Ngosuku lwenqubo yakho:

• Ungacelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo. Lokhu kuzoya ngohlobo lwe-anesthesia ozoba nalo.
• Thatha imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela noma emtholampilo. Qiniseka ukuthi ufika ngesikhathi.

Iningi labantu lingaya emakhaya ngokushesha ngemuva kwenqubo. Kungathatha inyanga ngaphambi kokuba umjovo usebenze ngokugcwele.

Kungaba nzima ukukhipha isinye sakho. Ungadinga ukusebenzisa ipayipi lezinsimbi izinsuku ezimbalwa. Lokhu kanye nanoma yiziphi ezinye izinkinga zomchamo kuvame ukuphela.

Ungadinga imijovo emi-2 noma emi-3 ngaphezulu ukuthola imiphumela emihle. Uma ngabe okokusebenza kusuka lapho kwajova khona, ungadinga ukwelashwa okwengeziwe ngokuzayo.

Izimila zingasiza iningi labesilisa abake bathola ukuthengiswa kabusha kwe-prostate (TURP). Izimila zisiza cishe uhhafu wamadoda asuswe indlala yawo yesinye ukwelapha umdlavuza wendlala yabesilisa.

Ukulungiswa kokushoda kwe-sphincter kwangaphakathi; Ukulungiswa kwe-ISD; Ama-ejenti we-bulking anomjovo wokucindezelwa ukungahambisani nomchamo

• Ukuzivocavoca kukaKegel - ukuzinakekela
• Ukuzilungiselela ukukhipha i-catheterization - owesifazane
• Ukunakekelwa kwe-catheter ye-Suprapubic
• Ama-catheters e-Urinary - yini ongayibuza udokotela wakho
• Imikhiqizo yokungasebenzi kwe-Urinary - ukuzinakekela
• Ukuhlinzwa okungasebenzi kwe-Urinary - ukukhishwa kwabesifazane
• Ukungahambisani nomchamo - yini ongayibuza udokotela wakho
• Izikhwama zokudonsa umchamo
• Lapho une-incontinence yokuchama

UDmochowski RR, uBlaivas JM, uGormley EA, et al. Ukuvuselelwa komhlahlandlela we-AUA ekuphathweni kokuhlinzwa kokungasebenzi kahle komchamo kwabesifazane. J Urol. 2010; 183 (5): 1906-1914. I-PMID: 20303102 www.ncbi.nlm.nih.gov/pubmed/20303102.

Ukwelashwa kwe-Herschorn S. Injection ngokungasebenzi komchamo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 86.

I-Kirby AC, i-Lentz GM. Umsebenzi ophansi womgudu womchamo nokuphazamiseka: i-physiology ye-micturition, ukuvala ukungasebenzi kahle, ukungasebenzi komchamo, ukutheleleka kwe-urinary tract, kanye nesifo esibuhlungu sesinye. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 21.