Anthu ambiri amamva kutuluka kwa mkodzo pang'ono akamaseka, kutsokomola, kuyetsemula, kapena kuchita masewera olimbitsa thupi osazindikira. Izi zitha kukhala zochititsa manyazi komanso zosasangalatsa pagulu. Vutoli limatha kuchitika, makamaka mwa amuna, pambuyo pa opaleshoni zina. Chifukwa chake lero tikulankhula za chipangizo chapadera chomwe chimagwiritsidwa ntchito ngati chithandizo cha izi.
Kodi chotchinga cha mkodzo chopangidwa ndi chiyani ichi?
Mwachidule, ichi ndi chipangizo chaching'ono chomwe chimayikidwa m'thupi mwa opaleshoni kuti chichiritse vuto la kusadziletsa mkodzo. Ichi ndi chothandiza kwambiri kwa iwo omwe sangathe kulamulira mkodzo wawo.
Katswiri wa matenda a mkodzo (dokotala wodziwa bwino matenda a mkodzo) amaika chipangizochi mozungulira mkodzo wanu. Pali madzi mkati mwa chipangizochi. Madzi awa amasunga chipangizochi kuti chizituluka mpweya, ndikutseka mkodzo. Kenako, mkodzo sutuluka. Mukafuna kukodza, muyenera kukanikiza kamphindi kakang'ono m'thumba la mkodzo. Kenako, chipangizocho chimatuluka madzi, mkodzo umatseguka, ndipo mkodzo umayamba kutuluka. Patatha mphindi zitatu, chipangizochi chimatulukanso madzi okha.
Choyamba, tiyeni tiwone chomwe sphincter yachilengedwe ya mkodzo ndi.
Matupi athu mwachibadwa amakhala ndi minofu yomwe imalamulira kukodza. Imagwira ntchito ngati valavu pa pompo yamadzi. Minofuyi ikagwira ntchito bwino, imakoka ndikusunga mkodzo mu chikhodzodzo. Tikafuna kukodza, minofuyi imamasuka ndikulola mkodzo kutuluka.
Pali minofu iwiri yolamulira m'thupi lathu monga iyi:
- Mkodzo wamkati mwa mkodzo: Apa ndi pomwe chikhodzodzo ndi mkodzo zimalumikizana. Ukamasuka, mkodzo umatuluka m'chikhodzodzo kupita mu mkodzo.
- Chotupa cha mkodzo chakunja: Ichi chili m'minofu ya pansi pa chiuno. Chikamasuka, mkodzo umatuluka m'thupi kudzera mu mkodzo.
Ngati pazifukwa zina minofu iyi yafooka, tingatulutse mkodzo tisanachite zimenezo, makamaka tikamatsokomola kapena kuyetsemula. Izi ndi zomwe timazitcha kuti Stress Incontinence . Chifukwa chake, artificial urinary continence (AUS) imagwira ntchito ya minofu yofooka iyi.
Ndi anthu amtundu wanji omwe amagwiritsa ntchito chipangizochi (AUS)?
Madokotala nthawi zambiri amalimbikitsa chipangizochi kwa amuna omwe ali ndi vuto la Stress Urinary Incontinence.Amagwiritsidwa ntchito pochiza vutoli, makamaka kwa anthu omwe sanalandire chithandizo china, monga mankhwala kapena maphunziro a chikhodzodzo.
Mwa amuna, vutoli nthawi zambiri limachitika pambuyo pa opaleshoni ya khansa ya prostate (prostatectomy). Munthu amene ali ndi vutoli akhoza kutulutsa mkodzo m'mikhalidwe iyi:
- Mukaseka
- Mukatsimula
- Mukatsokomola
- Pamene mukuyenda
- Mukamachita masewera olimbitsa thupi
Katheta yopangira mkodzo (AUS) siigwiritsidwa ntchito kawirikawiri pa vutoli mwa akazi.
Kodi chipangizochi chimagwira ntchito bwanji?
Kudziletsa kwa mkodzo kochita kupanga (AUS) kuli ndi magawo atatu akuluakulu. Tiyeni timvetse bwino.
| Gawo la chipangizocho | Malo ndi magwiridwe antchito |
|---|---|
| Baluni Yopanikizika | Izi zimayikidwa pansi pa minofu ya m'mimba. Baluni iyi imakankhira madzi pang'onopang'ono. Kupanikizika kumeneku kumasunga urethra wotsekedwa. |
| Chifuwa cha mkodzo | Mzerewu umayikidwa mozungulira mkodzo. Nthawi zonse umadzazidwa ndi madzi. Uli ngati chotsukira magazi chomwe dokotala amakuyika pa mkono wako, ndipo umalimbitsanso mkodzo. Mwanjira imeneyi, mkodzo sungatuluke. |
| Pampu | Mwa amuna, pampu iyi imayikidwa pansi pa khungu mkati mwa thumba la mbolo. Mwa akazi, imayikidwa mu labia majora. Pampu iyi imalamulira kuyenda kwa madzi kudzera mu chipangizocho. |
Mukafuna kukodza, mukanikiza pampu iyi ndi dzanja lanu. Kenako, madzi omwe ali mu cuff yozungulira urethra amaponyedwa mu baluni.Limapita. Lamba likapanda kanthu, limatuluka madzi ndipo mkodzo umatseguka. Kenako mutha kukodza. Pambuyo pa mphindi zochepa, madzi omwe ali mu baluni amabwerera okha ku lamba ndikutseka mkodzo.
Kodi ubwino ndi zoopsa zake ndi ziti?
Ubwino waukulu wa izi ndikuti mutha kuchita zinthu zanu zatsiku ndi tsiku popanda mantha. Simuyenera kuopa kuseka, kutsokomola, kapena kuchita masewera olimbitsa thupi. Muli ndi mphamvu zokodza pokhapokha ngati mukufuna.
Komanso, monga opaleshoni iliyonse, pali zoopsa zina.
- Mavuto okhudzana ndi mankhwala oletsa ululu.
- Mavuto ochiritsa mabala.
- Matenda.
- Zilonda.
- Kutuluka magazi.
Pakhoza kukhalanso zoopsa zina zokhudzana ndi opaleshoni iyi:
- Zigawo zina za chipangizocho zimasiya kugwira ntchito kapena kusweka. Kenako ziyenera kusinthidwa.
- Kuwonjezeka kwa chilakolako chosadziletsa.
- Kuvutikira kukodza.
- Kuwonongeka kwa mkodzo, chikhodzodzo, kapena ziwalo zozungulira.
- Kuvuta kugwiritsa ntchito pampu.
- Kuwonongeka kwa chipangizo ndi kuwonongeka pang'onopang'ono kwa minofu pamalo pomwe chipangizocho chili.
Kodi chipangizochi chimatenga nthawi yayitali bwanji?
Katheta yopangira mkodzo nthawi zambiri ingagwiritsidwe ntchito kwa zaka pafupifupi 10. Nthawi imeneyo ikatha kapena chipangizocho chikasiya kugwira ntchito, chiyenera kuyikidwa chatsopano mwa opaleshoni.
Chiŵerengero cha kupambana kwa chipangizochi n'chokwera kwambiri. Kafukufuku wina wasonyeza kuti kupambana kwake kuli pamwamba pa 90% . Komabe, ngati chipangizocho chasweka kapena minofu yake yatha (kukokoloka kwa mkodzo), kutuluka kwa mkodzo kungabwerenso.
Kodi ndiyenera kusamala ndi chiyani nditachita opaleshoni?
Thupi lanu limafuna nthawi kuti lichiritsidwe mutatha opaleshoni. Makamaka malo omwe chidebecho chinayikidwa mozungulira mkodzo wanu chiyenera kuchira. Chifukwa chake, dokotala wanu adzayambitsa chipangizocho milungu 6 mpaka 8 mutatha opaleshoni. Mabala anu adzachira mkati mwa milungu iwiri.
Kodi mumadzisamalira bwanji?
Pewani kugwira ntchito yolemetsa, kuchita masewera olimbitsa thupi, komanso kuchita zogonana kwathunthu kwa milungu yosachepera inayi mutachita opaleshoni. Ngati muchita izi bala lisanachiritsidwe bwino,
- Misomali imatha kusweka.
- Matenda angachitike.
- Ululu ukhoza kuwonjezeka.
- Pakhoza kukhala kutuluka magazi.
Komanso, pewani kuviika m'bafa kapena shawa mpaka bala litachira. Palibe vuto kusamba. Koma ndikofunikira kusunga malo ouma komanso aukhondo momwe mungathere kuti mupewe matenda.
Ndiyenera kupita kwa dokotala liti?
Konzani nthawi yokumana ndi dokotala wanu pambuyo pa opaleshoni. Muyenera kuonana ndi dokotala wanu pakatha milungu iwiri kuti muwone ngati bala lanu lachira komanso pakatha milungu 6-8 kuti musinthe chipangizo chanu.
Ngati muli ndi zizindikiro zotsatirazi , imbani dokotala nthawi yomweyo.
| Zizindikiro zoti muzisamala nazo | |
|---|---|
| Mabala ndi mabala omwe amasintha mtundu, kupweteka, kapena kutuluka madzi ngati mafinya. | |
| Kutuluka magazi kuchokera ku mabala. | |
| Kulephera kukodza kwa maola opitilira asanu ndi limodzi. | |
| Malungo opitirira 38.6°C (101.5°F). | |
| Kuchuluka kwa mabala pa mbolo yanu kapena machende. | |
Kusadziletsa mkodzo ndi chinthu chomwe anthu ambiri amachita manyazi komanso manyazi kulankhula za icho. Koma ngati mwayesapo njira zambiri zochiritsira, monga mankhwala ndi masewera olimbitsa thupi, koma vutoli silinasinthe, lankhulani ndi dokotala wanu za njira yodziletsa mkodzo yopangira (AUS). Izi zingathandize kuti moyo wanu ukhale wosavuta.
Uthenga Wopita Nawo Kunyumba
- Kusadziletsa kwa mkodzo kopangidwa (AUS) ndi njira yothandiza kwambiri yochizira kusadziletsa kwa mkodzo, makamaka pamene njira zina zalephera.
- Ili ndi magawo atatu (lamba, buluni, ndi pompu), ndipo mutha kuyigwiritsa ntchito nokha kuti muchepetse kukodza.
- Ndikofunikira kwambiri kupereka nthawi yoti munthu achire bwino pambuyo pa opaleshoni komanso kutsatira malangizo a dokotala.
- Dziwani zizindikiro zochenjeza (malungo, kupweteka kwambiri, kutuluka magazi) zomwe zingachitike mutachita opaleshoni ndipo dziwitsani dokotala wanu nthawi yomweyo ngati chilichonse mwa izi chichitika.
- Musachite manyazi kapena manyazi ndi vutoli. Kulankhula momasuka za vutoli ndi dokotala wanu kungakuthandizeni kupeza chithandizo chabwino kwambiri.
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