Kukonzekera kwa khoma lakumaliseche kwa amayi

Kukonzekera kwamkati kwa ukazi ndi njira yochitira opaleshoni. Kuchita opaleshoniyi kumalimbitsa khoma lakumaso (lakunja) la nyini.

Khoma lanyini lanyumba limatha kumira (kutambasula) kapena kuphulika. Izi zimachitika chikhodzodzo kapena mkodzo zikagwera mu nyini.

Kukonzekera kungachitike mukakhala pansi pa:

• Anesthesia yamba: Udzakhala ukugona ndipo sungathe kumva kupweteka.
• Anesthesia ya msana: Udzakhala maso, koma udzachita dzanzi kuyambira mchiuno mpaka pansi ndipo sudzamva kupweteka. Mupatsidwa mankhwala okuthandizani kupumula.

Dokotala wanu:

• Pangani odula opaleshoni kudzera kukhoma lakumaso kwa nyini wanu.
• Bweretsani chikhodzodzo chanu kumalo ake abwino.
• Mutha kupinda nyini yanu, kapena kudula gawo lina.
• Ikani suture (ulusi) munyama pakati pa nyini ndi chikhodzodzo. Izi zimagwirizira makoma anyini yanu moyenera.
• Ikani chigamba pakati pa chikhodzodzo ndi nyini. Chigawochi chitha kupangidwa ndi zinthu zamoyo zotsika mtengo (minofu ya cadaveric).FDA yaletsa kugwiritsa ntchito zida zopangira ndi ziweto kumaliseche kuti zithandizire kubowola kwanyumba kumbuyo.
• Onetsetsani sutures pamakoma a nyini ku minofu yomwe ili pambali ya mafupa anu.

Njirayi imagwiritsidwa ntchito pokonza kumira kapena kutuluka kwa khoma lakunja kwanyini.

Zizindikiro zakumbuyo kwakunyumba kotuluka zikuphatikizapo:

• Simungathe kutulutsa chikhodzodzo kwathunthu.
• Chikhodzodzo chanu chimakhala chodzaza nthawi zonse.
• Mutha kumva kukakamizidwa kumaliseche kwanu.
• Mutha kumva kapena kuwona kuphulika pakhomo la nyini.
• Mutha kukhala ndi zowawa mukamagonana.
• Mutha kutuluka mkodzo mukatsokomola, kupopera, kapena kukweza china chake.
• Mutha kutenga matenda a chikhodzodzo.

Kuchita opareshoni pakokha sikuchiza kupsinjika mtima. Kupsinjika kwa nkhawa ndikutuluka kwa mkodzo mukatsokomola, kupopera, kapena kukweza. Kuchita opaleshoni kuti muchepetse kupsinjika kwamikodzo kumatha kuchitidwa limodzi ndi maopaleshoni ena.

Musanachite opaleshoniyi, wothandizira zaumoyo wanu akhoza kukupatsani:

• Phunzirani zolimbitsa thupi m'chiuno (zolimbitsa thupi za Kegel)
• Gwiritsani ntchito kirimu cha estrogen kumaliseche kwanu
• Yesani chida chotchedwa pessary mumaliseche anu kuti mulimbitse minofu kuzungulira nyini

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana
• Matenda

Zowopsa za njirayi ndi monga:

• Kuwonongeka kwa mtsempha, chikhodzodzo, kapena nyini
• Chikhodzodzo chosakwiya
• Kusintha kumaliseche (kumaliseche kotuluka)
• Kutuluka kwa mkodzo kuchokera kumaliseche kapena pakhungu (fistula)
• Kuchulukitsa kusagwirizana kwamikodzo
• Kupweteka kosatha
• Zovuta pazomwe zimagwiritsidwa ntchito popanga opaleshoni (mauna / ma graf)

Nthawi zonse muuzeni omwe akukupatsani mankhwala omwe mumamwa. Komanso muuzeni wothandizira za mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

M'masiku asanachitike opareshoni:

• Mutha kupemphedwa kusiya kumwa aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), ndi mankhwala ena aliwonse omwe amalepheretsa magazi anu kuphimba.
• Funsani omwe amakupatsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.

Patsiku la opareshoni yanu:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya chilichonse kwa maola 6 mpaka 12 opaleshoniyo isanachitike.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mutenge ndi madzi pang'ono.
• Wothandizira anu adzakuuzani nthawi yoti mufike kuchipatala.

Mutha kukhala ndi catheter kukhetsa mkodzo kwa masiku 1 kapena 2 mutachitidwa opaleshoni.

Mudzakhala ndi chakudya chamadzi mutangochitidwa opaleshoni. Matumbo anu akabwerera, mutha kubwerera ku zomwe mumadya nthawi zonse.

Simuyenera kuyika chilichonse kumaliseche, kunyamula zinthu zolemera, kapena kugonana mpaka dokotala wanu atanena kuti zili bwino.

Kuchita opaleshoniyi nthawi zambiri kumakonzanso kuphulika ndipo zizindikirazo zimatha. Kukula kumeneku kumatha zaka zambiri.

Ukazi ukazi wokonza; Colporrhaphy - kukonza kwa ukazi khoma; Kukonzanso kwa cystocele - kukonzanso khoma lazimayi

• Zochita za Kegel - kudzisamalira
• Kudziletsa catheterization - wamkazi
• Chisamaliro cha catheter cha Suprapubic
• Zamgululi incontinence - kudzikonda chisamaliro
• Kuchita kwamitsempha kosafunikira - wamkazi - kumaliseche
• Matumba otulutsa mkodzo
• Mukakhala ndi vuto la kukodza mkodzo

• Kukonzekera kwa khoma lakumaliseche kwa amayi
• Cystocele
• Kukonzekera kwamkati mwa nyini (chithandizo cha opaleshoni ya kusagwira kwamikodzo) - mndandanda

Kirby AC, Lentz GM. Zofooka za anatomic za khoma la m'mimba ndi pansi m'chiuno: m'mimba hernias, inguinal hernias, ndi ziwalo zam'mimba zotuluka: kuzindikira ndi kuwongolera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 20.

Winters JC, Krlin RM, Halllner B. Opaleshoni m'mimba ndi m'mimba pakuchuluka kwa ziwalo zam'mimba. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: chaputala 124.

Wolff GF, Winters JC, Krlin RM. Kukonzekera kwa chiwalo chakumaso kwa m'mbuyo kumakonzanso. Mu: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, olemba. Hinman’s Atlas of Urologic Surgery. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 89.