Kusadziletsa kwamikodzo - njira zoponyera m'mitsempha

Njira zogwiritsira ntchito ukazi ndi mitundu ya maopaleshoni omwe amathandiza kuchepetsa kupsinjika kwamikodzo. Uku ndikutuluka kwamkodzo komwe kumachitika mukamaseka, kutsokomola, kuyetsemula, kukweza zinthu, kapena kuchita masewera olimbitsa thupi. Njirayi imathandiza kutseka urethra ndi khosi lanu la chikhodzodzo. Mkodzo ndi chubu chomwe chimanyamula mkodzo kuchokera m'chikhodzodzo kupita kunja. Khosi la chikhodzodzo ndilo gawo la chikhodzodzo lomwe limalumikizana ndi mkodzo.

Njira zogwiritsira ntchito ukazi zimagwiritsa ntchito zida zosiyanasiyana:

• Minofu ya mthupi lanu
• Zopangidwa ndi anthu (zopanga) zotchedwa mesh

Muli ndi anesthesia wamba kapena kupweteka kwa msana opaleshoni isanayambe.

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

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

Dokotala amakudulirani (nyini) kamodzi mkati mwa nyini. Kuduladula kwina kumapangidwa pamwamba pa mzere waubweya kapena kubuula. Njira zambiri zimachitika kudzera pakucheka mkati mwa nyini.

Dokotala amapanga legeni kuchokera ku minofu kapena zinthu zopangira. Gulaye amapititsa pansi pa mkodzo ndi khosi la chikhodzodzo ndipo amamangiriridwa kumatenda olimba m'mimba mwanu, kapena kumanzere m'malo kuti thupi lanu lizichira mozungulira ndikuliphatikizira munyama yanu.

Njira zogwiritsira ntchito ukazi zimachitidwa kuti muchepetse kukodza kwamitsempha.

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.

Kuopsa kwa opaleshoni iliyonse ndi:

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

Zowopsa za opaleshoniyi ndi izi:

• Kuvulaza ziwalo zapafupi
• Kuwononga zopangira zomwe amagwiritsa ntchito gulaye
• Kukokoloka kwa zinthu zopangira kudzera munthupi lanu labwinobwino
• Kusintha kumaliseche (kumaliseche kotuluka)
• Kuwonongeka kwa mtsempha, chikhodzodzo, kapena nyini
• Njira yachilendo (fistula) pakati pa chikhodzodzo kapena urethra ndi nyini
• Chikhodzodzo chosakwiya, kuchititsa kufunika kokodza nthawi zambiri
• Kuvuta kwambiri kutulutsa chikhodzodzo, komanso kufunika kogwiritsa ntchito catheter
• Kukulitsa kwa mkodzo kutayikira

Uzani dokotala wanu mankhwala omwe mumamwa. 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.
• Ngati mumasuta, yesetsani kusiya. Wothandizira zaumoyo wanu akhoza kukuthandizani.

Patsiku la opaleshoniyi:

• Mutha kupemphedwa kuti musamwe 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 gauze atanyamula kumaliseche atachitidwa opaleshoni kuti muthe kutaya magazi. Nthawi zambiri amachotsedwa patadutsa maola ochepa atachitidwa opaleshoni kapena tsiku lotsatira.

Mutha kuchoka kuchipatala tsiku lomwelo pochitidwa opaleshoni. Kapena mutha kukhala masiku amodzi kapena awiri.

Mitambo (sutures) mu nyini yanu imasungunuka patatha milungu ingapo. Pambuyo pa miyezi 1 mpaka 3, muyenera kuchita zogonana popanda vuto lililonse.

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

Kutuluka kwamikodzo kumakhala bwino kwa amayi ambiri. Koma mutha kukhalabe ndi kutayikaku. Izi zikhoza kukhala chifukwa mavuto ena akuyambitsa kusamwa kwa mkodzo. Popita nthawi, kutayikira kumatha kubwerera.

Gulugufe ukazi nyini; Gulaye wa Transobturator; Gulaye wa m'kati mwake

• 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

Dmochowski RR, Osborn DJ, Reynolds WS. Slings: autologous, biologic, synthetic, ndi midurethral. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 84.

Paraiso MFR, Chen CCG. Kugwiritsa ntchito tinthu tating'onoting'ono tating'onoting'ono tomwe timapanga mu urogynecology ndi kukonzanso opaleshoni ya m'chiuno. Mu: Walters MD, Karram MM, olemba. Urogynecology ndi Opaleshoni Yam'mimba Opaleshoni. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2015: mutu 28.