Kusadziletsa kwamikodzo - kuyimitsidwa kwa retropubic

Kuyimitsidwa kwa Retropubic ndi opaleshoni yothandiza kuti muchepetse kupsinjika kwa nkhawa. Uku ndikutuluka kwamkodzo komwe kumachitika mukamaseka, kutsokomola, kuyetsemula, kukweza zinthu, kapena kuchita masewera olimbitsa thupi. Kuchita opareshoni kumathandizira kutseka mkodzo wanu ndi khosi la chikhodzodzo. Mkodzo ndi chubu chomwe chimanyamula mkodzo kuchokera m'chikhodzodzo kupita kunja. Khosi la chikhodzodzo ndilo gawo la chikhodzodzo lomwe limalumikizana ndi mkodzo.

Mumalandira anesthesia wamba kapena kupweteka kwa msana opaleshoni isanayambe.

• Ndi anesthesia wamba, mukugona ndipo simumva kupweteka.
• Ndi kupweteka kwa msana, mwadzuka koma muli dzanzi kuyambira mchiuno mpaka pansi ndipo simumva kupweteka.

Catheter (chubu) imayikidwa mu chikhodzodzo chanu kuti muthe mkodzo kuchokera m'chikhodzodzo chanu.

Pali njira ziwiri zochitira kuyimitsidwa kwa retropubic: opaleshoni yotseguka kapena opaleshoni ya laparoscopic. Mwanjira iliyonse, opaleshoni imatha kutenga maola awiri.

Pa opaleshoni yotseguka:

• Kudulidwa kwa opaleshoni (incision) kumapangidwa kumunsi kwa mimba yanu.
• Kudzera podula chikhodzodzo. Dokotala amasoka khosi la chikhodzodzo, gawo lina la khoma la nyini, ndi mtsempha wamfupa m'mitsempha mwanu.
• Izi zimakweza chikhodzodzo ndi urethra kuti zizitha kutseka bwino.

Pa opaleshoni ya laparoscopic, adokotala amachepetsa pang'ono m'mimba mwanu. Chida chonga chubu chomwe chimalola dokotala kuwona ziwalo zanu (laparoscope) chimayikidwa m'mimba mwanu podulidwa. Dotolo amasoka khosi la chikhodzodzo, gawo lina la khoma la nyini, ndi mtsempha wopita kumafupa ndi mitsempha m'chiuno.

Njirayi imachitika pofuna kuthana ndi vuto lodziletsa.

Musanakambirane za opareshoni, dokotala wanu akuyesani kuti muyesenso maphunziro a chikhodzodzo, machitidwe a Kegel, mankhwala, kapena zina. Ngati mwayesa izi ndipo mukukumanabe ndi vuto la kutuluka kwa mkodzo, kuchitidwa opaleshoni ndi njira yabwino kwambiri.

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi
• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu
• Mavuto opumira
• Kutenga pakudula kwa opaleshoni, kapena kutsegula kwa kudula
• Matenda ena

Zowopsa za opaleshoniyi ndi izi:

• Njira yachilendo (fistula) pakati pa nyini ndi khungu
• Kuwonongeka kwa mtsempha, chikhodzodzo, kapena nyini
• Chikhodzodzo chosakwiya, kuchititsa kufunika kokodza nthawi zambiri
• Kuvuta kwambiri kutulutsa chikhodzodzo, kapena kufunika kogwiritsa ntchito catheter
• Kukulitsa kwa mkodzo kutayikira

Uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa. Izi zimaphatikizapo mankhwala, zowonjezera, kapena zitsamba 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 mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati mumasuta, yesetsani kusiya. Wopereka wanu atha kuthandiza.

Patsiku la opareshoni yanu:

• Mudzafunsidwa kuti musamamwe kapena kudya chilichonse kwa maola 6 mpaka 12 opaleshoniyo isanachitike.
• Tengani mankhwala omwe mwauzidwa kuti mumwe ndikumwa madzi pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala. Onetsetsani kuti mwafika nthawi.

Mutha kukhala ndi catheter mu urethra wanu kapena m'mimba mwanu pamwamba pa fupa lanu la pubic (suprapubic catheter). Catheter amagwiritsira ntchito kukhetsa mkodzo kuchokera mu chikhodzodzo. Mutha kupita kwanu ndi catheter akadalipo. Kapena, mungafunikire kuchita catheterization yapakatikati. Iyi ndi njira yomwe mumagwiritsira ntchito catheter pokhapokha mukafuna kukodza. Muphunzitsidwa momwe mungachitire izi musanachoke kuchipatala.

Mutha kukhala ndi gauze atanyamula kumaliseche atachitidwa opaleshoni kuti muthe kutaya magazi. Nthawi zambiri amachotsedwa patadutsa maola ochepa atachitidwa opaleshoni.

Mutha kuchoka kuchipatala tsiku lomwelo pochitidwa opaleshoni. Kapena, mutha kukhala masiku awiri kapena atatu mutachita opaleshoniyi.

Tsatirani malangizo amomwe mungadzisamalire mutapita kunyumba. Sungani maimidwe onse otsatira.

Kutuluka kwamikodzo kumachepa kwa azimayi ambiri omwe amachitidwa opaleshoni iyi. Koma mutha kukhalabe ndi kutayikaku. Izi zikhoza kukhala chifukwa mavuto ena akuyambitsa kusokonezeka kwa mkodzo. Popita nthawi, zina kapena zotulutsa zonse zimatha kubwerera.

Tsegulani retpubic colposuspension; Ndondomeko ya Marshall-Marchetti-Krantz (MMK); Laparoscopic retropubic colposuspension; Kuyimitsidwa kwa singano; Burch colposuspension

• Zochita za Kegel - kudzisamalira
• Kudziletsa catheterization - wamkazi
• Chisamaliro cha catheter cha Suprapubic
• Ma catheters amkodzo - zomwe mungafunse dokotala wanu
• Zamgululi incontinence - kudzikonda chisamaliro
• Kuchita kwamitsempha kosafunikira - wamkazi - kumaliseche
• Kusadziletsa kwamkodzo - zomwe mungafunse dokotala wanu
• Matumba otulutsa mkodzo
• Mukakhala ndi vuto la kukodza mkodzo

Chapple CR. Kuchita opaleshoni yochotseratu chifukwa cha kusadziletsa kwa amayi. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 82.

Dmochowski RR, Blaivas JM, Gormley EA, ndi al. Kusintha kwa upangiri wa AUA pakuwongolera maopareshoni azimayi opsinjika kwamikodzo. J Urol. 2010; 183 (5): 1906-1914. PMID: 20303102 www.ncbi.nlm.nih.gov/pubmed/20303102.

Kirby AC, Lentz GM. Ntchito yotsikira kwamikodzo m'munsi ndi zovuta: physiology ya micturition, kutseka kukanika, kusagwira kwamikodzo, matenda amikodzo, ndi matenda opweteka a chikhodzodzo Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 21.