Ukungahambisani nomchamo - izinqubo zokujikijela urethral

Izinqubo zokulingisa sowesifazane ziyizinhlobo zokuhlinzwa ezisiza ekulawuleni ukungasebenzi kahle komchamo. Lokhu ukuvuza komchamo okwenzeka lapho uhleka, ukhwehlela, uthimula, uphakamisa izinto, noma uzivocavoca umzimba. Inqubo isiza ukuvala umchamo wakho nentamo yesinye. I-urethra yishubhu elithwala umchamo kusuka esinyeni uye ngaphandle. Intamo yesinye yingxenye yesinye exhuma kwi-urethra.

Izinqubo zokulingisa sowesifazane zisebenzisa izinto ezihlukile:

• Izicubu zomzimba wakho
• Izinto ezenziwe ngabantu (zokwenziwa) ezaziwa njenge-mesh

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

• Nge-anesthesia ejwayelekile, ulele futhi awuzwa buhlungu.
• Nge-anesthesia yomgogodla, uvukile, kepha kusukela okhalweni kwehle uye waba ndikindiki futhi ungezwa buhlungu.

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

Udokotela usika (ukusika) okukodwa okuncane ngaphakathi kwesitho sakho sangasese. Okunye ukusika okuncane kwenziwa ngenhla nje kwentambo yezinwele noma emgodini. Iningi lenqubo yenziwa ngokusika ngaphakathi esithweni sangasese.

Udokotela udala indwayimane kusuka kuzicubu noma izinto zokwenziwa. Isihlilingi sidluliswa ngaphansi komchamo wakho kanye nentamo yesinye futhi sinamathiselwe kwizicubu eziqinile esiswini sakho esingezansi, noma sishiywe endaweni ukuze umzimba wakho uphole futhi usifake ezicutshini zakho.

Izinqubo zokujikijela kwesitho sangasese sowesifazane zenziwa ukwelapha ukucindezeleka kokungasebenzi kahle komchamo.

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 ekuvulekeni kokusika
• Okunye ukutheleleka

Izingozi zalokhu kuhlinzwa yilezi:

• Ukulimala ezithweni eziseduze
• Ukudiliza izinto zokwenziwa ezisetshenziselwa indwayimane
• Ukuguguleka kwento yokwenziwa ngezicubu zakho ezijwayelekile
• Izinguquko esithweni sangasese (sangasese esiphume)
• Ukulimala komchamo, isinye, noma isitho sangasese sowesifazane
• Iphaseji engajwayelekile (i-fistula) phakathi kwesinye noma i-urethra kanye nesitho sangasese sowesifazane
• Isinye esithukuthele, esidala isidingo sokuchama kaningi
• Ubunzima obengeziwe bokukhipha isinye sakho, kanye nesidingo sokusebenzisa ipayipi
• Ukuncipha kokuvuza komchamo

Tshela udokotela wakho 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.
• Uma ubhema, zama ukuyeka. Umhlinzeki wakho wezokunakekelwa kwempilo angakusiza.

Ngosuku lokuhlinzwa:

• Ungacelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kokuhlinzwa.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Ungahle upakishwe nge-gauze esithweni sangasese ngemuva kokuhlinzwa ukusiza ukumisa ukopha. Kuvame ukususwa emahoreni ambalwa ngemuva kokuhlinzwa noma ngosuku olulandelayo.

Ungaphuma esibhedlela ngosuku olufanayo nokuhlinzwa. Noma ungahlala izinsuku ezi-1 noma ezi-2.

Imithungo (imisipha) esithweni sakho sangasese izoncibilika ngemuva kwamasonto ambalwa. Ngemuva kwezinyanga ezi-1 kuye kwezi-3, kufanele ukwazi ukuya ocansini ngaphandle kwezinkinga.

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

Ukuvuza komchamo kuba ngcono kwabesifazane abaningi. Kepha ungahle ube nokuvuza okuthile. Lokhu kungabangelwa ukuthi ezinye izinkinga zibangela ukungabambeki komchamo. Ngokuhamba kwesikhathi, ukuvuza kungabuya.

Indwayimane yesikhumba sangasese sowesifazane; Isihlilingi seTransobturator; Isihlilingi seMidurethral

• 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, Osborn DJ, Reynolds WS. Izilingi: i-autologous, i-biologic, i-synthetic, ne-midurethral. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 84.

UParaiso MFR, uChen CCG. Ukusetshenziswa kwezicubu ze-biologic kanye ne-synthetic mesh ku-urogynecology nasekuvuseleleni ukuhlinzwa kwe-pelvic. Ku: Walters MD, Karram MM, ama-eds. I-Urogynecology kanye ne-Reconstruction Pelvic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 28.