Ukungahambisani nomchamo - iteyipu yangasese engenazimpikiswano

Ukubekwa kwetheyipi lesitho sangasese elingenazimpikiswano kungukuhlinzwa okusiza ekulawuleni ukungasebenzi kahle komchamo. 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.

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

• Nge-anesthesia ejwayelekile, ulele futhi awuzwa buhlungu.
• Nge-anesthesia yomgogodla, uvukile, kepha kusukela okhalweni kuya phansi, uba ndikindiki futhi ungezwa buhlungu.

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

Ukusikwa okuncane (ukusikwa) kwenziwa ngaphakathi esithweni sakho sangasese. Kunemisiko emibili emincane eyenziwe esiswini sakho ngenhla nje komugqa wezinwele zangasese noma ngaphakathi kwethanga ngalinye langaphakathi eliseduze nomgogodla.

Iteyipu ekhethekile eyenziwe ngumuntu (yokwenziwa) idluliswa kusike ngaphakathi kusitho sangasese sowesifazane. Iteyipu bese ibekwa ngaphansi kwe-urethra yakho. Ukuphela kweteyipu kudluliswa kokunye ukusikeka kwesisu noma ngesinye sezicucu zethanga langaphakathi. Omunye umkhawulo weteyipu udluliselwa kwesinye isisu sokusikwa noma ukusika kwethanga langaphakathi.

Udokotela bese ulungisa ukuqina (ukungezwani) kwetheyipu nje ngokwanele ukuxhasa i-urethra yakho. Leli nani lokwesekwa yingakho ukuhlinzwa kubizwa ngokuthi akunazimpikiswano. Uma ungatholi i-anesthesia ejwayelekile, ungacelwa ukuthi ukhwehlele. Lokhu ukuhlola ukungezwani kwetape.

Ngemuva kokuthi ukungezwani sekulungisiwe, imikhawulo yeteyipu isikwa ileveli nesikhumba lapho kufinywa khona. Okusikiwe kuvaliwe. Njengoba uphulukisa, izicubu ezibomvu ezakha lapho kufakwa khona zizobamba ukuphela kwamateyipu ukuze i-urethra yakho isekelwe.

Ukuhlinzwa kuthatha cishe amahora amabili.

I-tape engenazinkinga engenzi ingcindezi ibekwa ukwelapha ukungalawuleki 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
• Izinkinga zokuphefumula
• Ukutheleleka ekusikeni kokuhlinzwa noma ukusika kuyavela
• Ukuqina kwegazi emilenzeni
• Okunye ukutheleleka

Izingozi zalokhu kuhlinzwa yilezi:

• Ukulimala ezithweni eziseduze - Izinguquko esithweni sangasese (isitho sangasese sowesifazane esiphume, lapho isitho sangasese sowesifazane singekho endaweni efanele).
• Ukulimala komchamo, isinye, noma isitho sangasese sowesifazane.
• Ukuguguleka kwetape kuzicubu ezijwayelekile ezizungezile (urethra noma isitho sangasese sowesifazane).
• I-Fistula (indawo engajwayelekile) phakathi kwesinye noma i-urethra kanye nesitho sangasese sowesifazane.
• Isinye esithukuthele, esidala isidingo sokuchama kaningi.
• Kungaba nzima ukukhipha isinye sakho, futhi kungadingeka ukuthi usebenzise ipayipi. Lokhu kungadinga ukuhlinzwa okwengeziwe.
• Ubuhlungu bethambo le-pubic.
• Ukuvuza komchamo kungahle kube kubi kakhulu.
• Ungaba nokusabela kuthebhu yokwenziwa.
• Ubuhlungu ngokuya ocansini.

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.
• Hlela ukugibela uye ekhaya futhi uqiniseke ukuthi uzothola usizo olwanele lapho ufika lapho.

Ngosuku lokuhlinzwa:

• Cishe uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Uzoyiswa egumbini lokutakula. Abahlengikazi bazokucela ukuthi ukhwehle bese uphefumula kakhulu ukusiza ukusula amaphaphu akho. Ungaba ne-catheter esinyeni sakho. Lokhu kuzosuswa lapho ukwazi ukukhipha isinye sakho uwedwa.

Ungahle upakishwe nge-gauze esithweni sangasese ngemuva kokuhlinzwa ukusiza ukumisa ukopha. Kuvame ukususwa emahoreni ambalwa ngemuva kokuhlinzwa noma ngakusasa ekuseni uma uhlala ubusuku bonke.

Ungaya ekhaya ngosuku olufanayo uma kungekho zinkinga.

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

Ukuvuza kwe-Urinary kuyehla kwabesifazane abaningi abanale nqubo. Kepha ungahle ube nokuvuza okuthile. Lokhu kungabangelwa ukuthi ezinye izinkinga zidala ukungazibambi kwakho. Ngokuhamba kwesikhathi, okunye noma konke ukuvuza kungabuya.

Isihlilingi se-Retropubic; Isihlilingi se-Obturator

• 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, Reynold 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.

I-Walters MD, iKarram MM. Izilingisi zangaphakathi zangaphakathi zokucindezela ukungasebenzi kahle komchamo. Ku: Walters MD, Karram MM, ama-eds. I-Urogynecology kanye ne-Reconstruction Pelvic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 20.