Ukungahambisani nomchamo - ukumiswa kwe-retropubic

Ukumiswa kabusha kwe-Retropubic wukuhlinzwa ukusiza ukulawula ukungalawuleki kwengcindezi. Lokhu ukuvuza komchamo okwenzeka lapho uhleka, ukhwehlela, uthimula, uphakamisa izinto, noma uzivocavoca umzimba. Ukuhlinzwa kusiza ukuvala i-urethra nentamo yesinye. I-urethra yishubhu elithwala umchamo kusuka esinyeni uye ngaphandle. Intamo yesinye yingxenye yesinye exhuma kwi-urethra.

Uthola i-anesthesia ejwayelekile noma i-anesthesia yomgogodla ngaphambi kokuhlinzwa.

• Nge-anesthesia ejwayelekile, ulele futhi awuzwa buhlungu.
• Nge-anesthesia yomgogodla, uvukile kodwa unendikimba kusukela okhalweni kwehle futhi awuzwa buhlungu.

Ipayipi (ishubhu) lifakwa esinyeni sakho ukuze ukhiphe umchamo esinyeni sakho.

Kunezindlela ezi-2 zokwenza ukumiswa kwe-retropubic: ukuhlinzwa okuvulekile noma ukuhlinzwa kwe-laparoscopic. Kunoma ikuphi, ukuhlinzwa kungathatha amahora afinyelela kwangu-2.

Ngesikhathi sokuhlinzwa okuvulekile:

• Ukusikwa okuhlinzwa (ukusikwa) kwenziwa engxenyeni engezansi yesisu sakho.
• Ngalokhu kunqunywa isinye kutholakala. Udokotela uthunga (suture) intamo yesinye, ingxenye yodonga lwesitho sangasese sowesifazane, kanye nomchamo emathanjeni nasemigudwini ethangeni lakho.
• Lokhu kuphakamisa isinye nomchamo ukuze bakwazi ukuvala kangcono.

Ngesikhathi sokuhlinzwa kwe-laparoscopic, udokotela wenza ukusika okuncane esiswini sakho. Umshini ofana neshubhu ovumela udokotela ukuthi abone izitho zakho (i-laparoscope) ufakwa esiswini sakho ngalokhu kusika. Udokotela uhlanganisa intamo yesinye, ingxenye yodonga lwesitho sangasese sowesifazane, kanye nomchamo emathanjeni nasemigudwini ethangeni.

Le nqubo yenziwa ukuphatha ukungasebenzi kahle kwengcindezi.

Ngaphambi kokuxoxa ngokuhlinzwa, udokotela wakho uzokuzama ukuzama ukuqeqeshwa kwesinye, ukuzivocavoca kweKegel, imithi, noma ezinye izinketho. Uma uzame lokhu futhi usenezinkinga ngokuvuza komchamo, ukuhlinzeka kungaba yindlela yakho engcono kakhulu.

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Ukopha
• Amahlule egazi emilenzeni angahamba aye emaphashini
• Izinkinga zokuphefumula
• Ukutheleleka ekusikeni kokuhlinzwa, noma ukuvula ukusika
• Okunye ukutheleleka

Izingozi zalokhu kuhlinzwa yilezi:

• Iphaseji engajwayelekile (i-fistula) phakathi kwesitho sowesifazane nesikhumba
• Ukulimala komchamo, isinye, noma isitho sangasese sowesifazane
• Isinye esithukuthele, esidala isidingo sokuchama kaningi
• Ubunzima obuningi bokukhipha isinye sakho, noma isidingo sokusebenzisa ipayipi
• Ukuncipha kokuvuza komchamo

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

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), nanoma yimiphi eminye imithi eyenza kube nzima ngegazi lakho ukuminyana.
• Buza ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Umhlinzeki wakho angasiza.

Ngosuku lokuhlinzwa kwakho:

• Cishe uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayi-12 ngaphambi kokuhlinzwa.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Uzoba ne-catheter ku-urethra yakho noma esiswini sakho ngaphezu kwethambo lakho le-pubic (i-catheter ye-suprapubic). I-catheter isetshenziselwa ukukhipha umchamo esinyeni. Ungaya ekhaya ne-catheter isesendaweni. Noma, ungadinga ukwenza i-catheterization engaphakathi. Le yinqubo lapho usebenzisa khona ipayipi kuphela lapho udinga ukuchama. Uzofundiswa ukuthi ungakwenza kanjani lokhu ngaphambi kokuba uphume esibhedlela.

Ungahle upakishwe nge-gauze esithweni sangasese ngemuva kokuhlinzwa ukusiza ukumisa ukopha. Imvamisa isuswa emahoreni ambalwa ngemuva kokuhlinzwa.

Ungaphuma esibhedlela ngosuku olufanayo nokuhlinzwa. Noma, ungahlala izinsuku ezimbili noma ezintathu ngemuva kwalokhu kuhlinzwa.

Landela imiyalo yokuthi ungazinakekela kanjani emva kokubuyela ekhaya. Gcina wonke ama-aphoyintimenti wokulandelela.

Ukuvuza kwe-Urinary kuyehla kwabesifazane abaningi abathola lokhu kuhlinzwa. Kepha ungahle ube nokuvuza okuthile. Lokhu kungabangelwa ukuthi ezinye izinkinga zibangela ukungahambi kahle kwakho komchamo. Ngokuhamba kwesikhathi, okunye noma konke ukuvuza kungabuya.

Vula i-retropubic colposuspension; Inqubo kaMarshall-Marchetti-Krantz (MMK); I-Laparoscopic retropubic colposuspension; Ukumiswa kwenaliti; Impesheni yeBurch colposuspension

• 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

I-Chapple CR. Ukuhlinzwa kokumiswa kabusha kwe-Retropubic ngokungazibambi kwabesifazane. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 82.

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.

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.