Kusadziletsa kwamikodzo - tepi ya ukazi yopanda mavuto

Kukhazikitsidwa kwa tepi ya ukazi yopanda zovuta ndikuchita opaleshoni kuti muchepetse kupsinjika kwamkodzo. 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.

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, mwachita dzanzi ndipo simumva kupweteka.

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

Kudula pang'ono (incision) kumapangidwa mkati mwa nyini. Amadula ang'onoang'ono awiri m'mimba mwanu pamwamba pa mzere waubweya kapena mkati mwa ntchafu iliyonse yamkati pafupi ndi kubuula.

Tepi yapadera yopangidwa ndi anthu (thumba lopanga) imadutsa pamalowo mkati mwa nyini. Tepiyo imayikidwa pansi pa mkodzo wanu. Mapeto ena a tepiyo amadutsa m'mimba imodzi kapena kudzera pachimodzi mwa ntchafu zamkati. Mapeto ena a tepiyo amadutsa pamimba ina kapena mkatikati mwa ntchafu.

Kenako dokotalayo amasintha kulimba kwa tepeyo zokwanira kuthandizira urethra. Kuchuluka kwa chithandizo ichi ndichifukwa chake opaleshoniyi amatchedwa yopanda mavuto. Ngati simulandila mankhwala ochititsa dzanzi, mungapemphedwe kutsokomola. Uku ndikuti muwone mavuto amatepi.

Vutoli litasinthidwa, malekezero a tepiyo amadulidwa mulingo ndi khungu pakamenyedwe. Mapangidwe ake atsekedwa. Mukamachira, zilonda zam'mimbazi zomwe zimapangidwa pang'onopang'ono zimatha kugwiritsitsa ntchito tepiyi kuti urethra yanu izithandizidwa.

Kuchita opaleshoni kumatenga pafupifupi maola awiri.

Tepi ya ukazi yopanda mpikisanowo imayikidwa kuti ithetse kusadziletsa kwapanikizika.

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
• Mavuto opumira
• Kutenga pakudula kwa opaleshoni kapena kudula kumatseguka
• Magazi aundana m'miyendo
• Matenda ena

Zowopsa za opaleshoniyi ndi izi:

• Kuvulaza ziwalo zapafupi - Zosintha kumaliseche (kumaliseche kotuluka, komwe kumaliseche sikuli pamalo oyenera).
• Kuwonongeka kwa mtsempha, chikhodzodzo, kapena nyini.
• Kukokoloka kwa tepi kumatumba ozungulira (urethra kapena nyini).
• Fistula (njira yachilendo) pakati pa chikhodzodzo kapena urethra ndi nyini.
• Chikhodzodzo chosakwiya, kuchititsa kufunika kokodza nthawi zambiri.
• Kungakhale kovuta kutulutsa chikhodzodzo, ndipo mungafunike kugwiritsa ntchito catheter. Izi zingafune kuchitidwa opaleshoni ina.
• Kupweteka kwa mafupa a pubic.
• Kutuluka kwa mkodzo kumatha kukulirakulira.
• Mutha kukhala ndi chidwi ndi tepi yopanga.
• Ululu wogonana.

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.
• Konzani zokwerera kwanu ndipo onetsetsani kuti mudzapeza thandizo lokwanira mukafika kumeneko.

Patsiku la opaleshoniyi:

• Mudzafunsidwa kuti musamamwe kapena kudya chilichonse kwa maola 6 mpaka 12 musanachitike.
• Tengani mankhwala omwe munauzidwa kuti mumwe ndikumwa madzi pang'ono.
• Wothandizira anu adzakuuzani nthawi yoti mufike kuchipatala. Onetsetsani kuti mwafika nthawi.

Mudzatengedwera kuchipinda kuchira. Anamwino adzakufunsani kuti mutsokometse ndikupumira mwamphamvu kuti muthane ndi mapapo anu. Mutha kukhala ndi catheter mu chikhodzodzo. Izi zichotsedwa mukadzatha kutulutsa chikhodzodzo chanu panokha.

Mutha kukhala ndi gauze atanyamula kumaliseche atachitidwa opaleshoni kuti muthe kutaya magazi. Nthawi zambiri amachotsedwa patadutsa maola ochepa mutachitidwa opaleshoni kapena m'mawa mwake mukangogona.

Mutha kupita kwanu tsiku lomwelo ngati palibe zovuta.

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

Kutuluka kwamikodzo kumachepa kwa azimayi ambiri omwe ali ndi njirayi. Koma mutha kukhalabe ndi kutayikaku. Izi zikhoza kukhala chifukwa mavuto ena akuyambitsa kusadziletsa kwanu. Popita nthawi, zina kapena zotulutsa zonse zimatha kubwerera.

Gulaye wa retropubic; Gulaye wa obturator

• 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, Reynold 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.

MD Walters, Karram MM. Zingwe zopangira midurethral zopanikizika kwamikodzo. Mu: Walters MD, Karram MM, olemba. Urogynecology ndi Opaleshoni Yam'mimba Opaleshoni. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2015: chap 20.