Kupanga kwamikodzo sphincter

Sphincters ndi minofu yomwe imalola kuti thupi lanu likhale mkodzo. Sphincter yochita kufufuma (yopangidwa ndi anthu) ndimankhwala. Chida ichi chimathandiza mkodzo kuti usatuluke. Amagwiritsidwa ntchito ngati sphincter yanu yamikodzo sigwiranso ntchito. Mukafuna kukodza, khafu ya sphincter yokumba imatha kumasuka. Izi zimalola mkodzo kutuluka.

Njira zina zothandizira kutayikira mkodzo ndi kusadziletsa ndizo:

• Tepi ya ukazi yopanda zovuta (midurethral gling) ndi gulaye wodziyimira payokha (akazi)
• Urethral bulking ndi zinthu zopangira (amuna ndi akazi)
• Kuyimitsidwa kwa Retropubic (akazi)
• Kuponyera kwa urethral wamwamuna (amuna)

Izi zitha kuchitika mukakhala pansi pa:

• Anesthesia wamba. Mudzakhala mukugona ndipo simungamve ululu.
• Anesthesia yamtsempha. Mudzakhala ogalamuka koma simudzatha kumva chilichonse pansi pake. Mupatsidwa mankhwala okuthandizani kupumula.

Sphincter yokumba ili ndi magawo atatu:

• Khafu, yomwe imagwirizana mozungulira urethra. Mkodzo ndi chubu chomwe chimanyamula mkodzo kuchokera m'chikhodzodzo chanu kupita kunja kwa thupi lanu. Chikho chimakhala chodzaza (chodzaza), khafu imatseka mkodzo wanu kuti muyimitse mkodzo kapena kutuluka.
• Baluni, yomwe imayikidwa pansi pamimba yanu. Imakhala ndi madzi ofanana ndi khafu.
• Pampu, yomwe imatsitsimutsa khafu posunthira madzimadzi kuchokera mu khafu kupita ku buluni.

Kudula opareshoni kumapangidwa mu amodzi mwa malo awa kuti khafu ikhozedwe:

• Scrotum kapena perineum (amuna).
• Labia (akazi).
• Mimba yakumunsi (amuna ndi akazi). Nthawi zina, kudula kumeneku sikungakhale kofunikira.

Pampu ikhoza kuyikidwa pachikwama chamwamuna. Ikhozanso kuikidwa pansi pa khungu m'mimba kapena pansi mwendo la mkazi.

Sphincter yokumba ikakhala, mugwiritsa ntchito pampu kutulutsa (kutulutsa) khafu. Kutsina mpope kumayendetsa madzi kuchokera mu khafu kupita ku buluni. Khafu ikakhala kuti ilibe kanthu, urethra wanu umatseguka kuti mutha kukodza. Chikho chimadzikonzekeretsa chokha m'masekondi 90.

Opaleshoni yamkodzo ya sphincter yachitika kuti muchepetse kupsinjika kwa nkhawa. Kupsinjika kwa nkhawa ndikutuluka kwa mkodzo. Izi zimachitika ndi zochitika monga kuyenda, kukweza, kuchita masewera olimbitsa thupi, kapena kutsokomola kapena kuyetsemula.

Njirayi imalimbikitsidwa kwa amuna omwe ali ndi mkodzo wotuluka ndi ntchito. Kutayikira kwamtunduwu kumatha kuchitika atachita opaleshoni ya prostate. Sphincter yokumba imalangizidwa ngati mankhwala ena sakugwira ntchito.

Amayi omwe amatuluka mkodzo nthawi zambiri amayesa njira zina zamankhwala asanakhale ndi sphincter yokumba. Sagwiritsidwa ntchito kawirikawiri pochiza kupsinjika kwamkodzo kwa azimayi ku United States.

Nthawi zambiri, wothandizira zaumoyo wanu amalangiza mankhwala ndi kuphunzitsanso chikhodzodzo musanachite opareshoni.

Njirayi nthawi zambiri imakhala yotetezeka. Funsani omwe akukuthandizani pazovuta zomwe zingachitike.

Zowopsa zokhudzana ndi anesthesia ndi opaleshoni yonse ndi izi:

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

Zowopsa za opaleshoniyi zingaphatikizepo:

• Kuwonongeka kwa mtsempha (nthawi ya opareshoni kapena mtsogolo), chikhodzodzo, kapena nyini
• Zovuta kutulutsa chikhodzodzo, zomwe zingafune catheter
• Kutuluka kwa mkodzo komwe kumatha kukulira
• Kulephera kapena kutha kwa chipangizocho chomwe chimafuna kuchitidwa opaleshoni kuti muchotse kapena kuchichotsa

Nthawi zonse muuzeni omwe akukuthandizani mankhwala omwe mukumwa. Komanso muuzeni wothandizirayo zamankhwala omwe mumagula, zitsamba ndi zowonjezera zomwe mudagula 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 isanakwane.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mumwe pang'ono pokha madzi.
• Wothandizira anu adzakuuzani nthawi yoti mufike kuchipatala.

Wopereka wanu ayesa mkodzo wanu. Izi ziwonetsetsa kuti mulibe matenda amkodzo musanayambe opaleshoni yanu.

Mutha kubwerera kuchokera ku opaleshoni ndi catheter m'malo mwake. Catheter iyi imatulutsa mkodzo kuchokera mu chikhodzodzo kwakanthawi. Idzachotsedwa musanachoke kuchipatala.

Simudzagwiritsa ntchito sphincter yokumba kwakanthawi mukatha opaleshoni. Izi zikutanthauza kuti mukhala ndi kutayikira kwamkodzo. Thupi lanu limafunikira nthawi ino kuti lichiritse.

Pafupifupi masabata asanu ndi limodzi mutachitidwa opaleshoni, mudzaphunzitsidwa momwe mungagwiritsire ntchito mpope wanu kutulutsa sphincter yanu yokumba.

Muyenera kunyamula chikwama cha chikwama kapena kuvala chiphaso chamankhwala. Izi zimauza opatsirana kuti muli ndi sphincter yokumba. Sphincter iyenera kuzimitsidwa ngati mukufuna kuyikapo catheter wamikodzo.

Amayi angafunike kusintha momwe amagwirira ntchito zina (monga kukwera njinga), popeza mpope umayikidwa m'maluba.

Kutuluka kwamikodzo kumachepa kwa anthu ambiri omwe ali ndi njirayi. Komabe, pakhoza kukhala kutayikabe kwina. Popita nthawi, zina kapena zotulutsa zonse zimatha kubwerera.

Pakhoza kukhala pang'onopang'ono kuvala minofu ya mkodzo pansi pa khafu.Minofu imeneyi imatha kukhala yamatope. Izi zitha kupangitsa kuti chipangizocho chisagwire bwino ntchito kapena kuyipangitsa kuti ikokere mtsempha. Ngati kusadziletsa kwanu kungabwerere, kusintha kungapangidwe kuti chipangizocho chikonzeke. Ngati chipangizocho chikulowerera mu urethra, chikuyenera kuchotsedwa.

Amapanga sphincter (AUS) - kwamikodzo; Kufufuma yokumba sphincter

• 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

• Kufufuma yokumba sphincter - mndandanda

Tsamba la American Urological Association. Kodi kupsinjika kwamkodzo (SUI) ndikutani? www.urologyhealth.org/urologic-conditions/stress-urinary-incontinence-(sui)/printable-version. Idapezeka pa Ogasiti 11, 2020.

Danforth TL, DA ya Ginsberg. Kupanga kwamikodzo sphincter. Mu: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, olemba. Hinman’s Atlas of Urologic Surgery. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 102.

Thomas JC, Clayton DB, Adams MC. Kuchepetsa kwamikodzo mwa ana. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: chaputala 37.

Wessells H, Vanni AJ. Njira zopangira ma sphincteric incontinence mwa amuna. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: mutu 131.