Tangoganizani mukuseka mokweza ndi anzanu, kapena mukutsokomola pang'ono chifukwa cha chimfine, ndipo mwangozi mukukodza zovala zanu. Ili ndi vuto lalikulu kwa anthu ambiri, ndipo amaopa kutuluka pagulu. Tikutcha vutoli kuti 'Stress Incontinence' . Makamaka akachitidwa opaleshoni ya khansa ya prostate (prostatectomy), amuna nthawi zambiri amakumana ndi vutoli. Ndiye kodi palibe yankho la izi? Inde, lilipo. Lero tikulankhula za njira yotsogola yaukadaulo yomwe ingakhale yothandiza kwambiri kwa anthu otere.
Kodi chotchinga cha mkodzo chopangidwa ndi chiyani ichi?
Mwachidule, ichi ndi chipangizo chaching'ono chomwe chimayikidwa m'thupi lathu ndipo chimathandiza kulamulira kuyenda kwa mkodzo. Mwachidule, ichi chimatchedwa AUS . Chimalumikizidwa ndi opaleshoni kuzungulira mkodzo. Chili ngati chothandizira chakunja chomwe chimalumikizidwa kuti chigwire ntchito pamene minofu yachibadwa yolamulira mkodzo wa thupi lathu ili yofooka.
Kuti timvetse izi, choyamba tiyeni tiwone momwe matupi athu amalamulira kukodza. Chubu chomwe chimatenga mkodzo kuchokera ku chikhodzodzo chathu (mkodzo) chimazunguliridwa ndi minofu iwiri yomwe imagwira ntchito ngati 'ma valve'. Timatcha izi kuti 'ma sphincters a mkodzo'.
- Mkati mwa mkodzo: Apa ndi pomwe chikhodzodzo chimalumikizana ndi mkodzo.
- Sphincter Yakunja: Izi zimapezeka mu minofu ya pansi pa chiuno.
Kawirikawiri, minofu imeneyi imakhala yolimba ndipo imatseka mkodzo. Ndicho chifukwa chake sitimaona mkodzo ukutuluka. Tikafunika kukodza, minofu imeneyi imamasuka malinga ndi chizindikiro chochokera ku ubongo, kenako mkodzo umatuluka mosavuta. Koma ngati minofu imeneyi ndi yofooka chifukwa cha opaleshoni kapena chifukwa china chilichonse, ngakhale patakhala kupanikizika pang'ono pamimba (tikamatsokomola, kuseka), mkodzo umayamba kutuluka pang'ono. Pamenepo ndi pamene njira yowongolera mkodzo yopangidwa (AUS) imatithandiza.
Kodi chipangizochi (AUS) chimagwira ntchito bwanji?
Chipangizochi chili ndi zigawo zitatu zazikulu. Zonse zitatuzi zimayikidwa m'thupi.
1. Chifuwa cha mkodzo: Ichi ndi gawo lofunika kwambiri. Chili ngati 'chibangili' chaching'ono chomwe chimavalidwa mozungulira mkodzo. Nthawi zambiri, chimadzazidwa ndi madzi ndipo chimafinya pang'onopang'ono mkodzo. Chili ngati mkanda womwe umamangiriridwa mozungulira mkono tikamayesa kuthamanga kwa magazi athu. Izi zimateteza mkodzo kuti usatuluke.
2. Baluni Yopanikizika: Iyi ndi baluni yaying'ono yomwe imayikidwa pansi pa mimba, pansi pa minofu. Apa ndi pomwe madzi ofunikira a 'cuff' amasungidwa pansi pa kupanikizika.
3. Pampu:Ichi ndi chowongolera. Kwa mwamuna, kamphindi kakang'ono aka kamayikidwa pansi pa khungu mkati mwa thumba la mbolo, komwe kuli machende. Kwa mkazi, kamayikidwa pafupi ndi labia majora. Kamayikidwa m'njira yosavuta kufikira.
Tsopano tiyeni tiwone momwe dongosololi limagwirira ntchito:
Tangoganizani kuti mukufunika kukodza pompano. Nayi zomwe muyenera kuchita:
- Pampu yomwe ili m'thumba lanu la mimba imafinyidwa ndi manja kawiri kapena katatu.
- Kenako, madzi ena omwe ali mu cuff amapita mu pressure gauge .
- Pamene cuff yatuluka madzi, imamasuka ndipo mkodzo umatseguka. Kenako mutha kukodza bwino.
- Simukuyenera kuchita chilichonse. Pakatha mphindi zochepa, madzi omwe ali mu baluni adzabwerera ku cuff, kulimbitsa, ndipo urethra idzatseka yokha.
Mwachidule, mukafuna kukodza, mufinya pampu kuti mutsegule 'valavu', ndipo mukamaliza, imatseka yokha. Izi zimakupatsani mwayi wolamulira mkodzo wanu tsiku lonse.
Kodi ubwino ndi kuipa kwa njira iyi ndi kotani?
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali ubwino ndi zoopsa zake. Ndikofunikira kukambirana izi ndi dokotala wanu.
| Ubwino | Zoyipa ndi Zoopsa |
|---|---|
| Kupambana kwakukulu: Kafukufuku wasonyeza kuti izi zapambana ndi 90%. | Zoopsa za opaleshoni: Zoopsa zomwe zimachitika pa opaleshoni iliyonse, monga mankhwala oletsa ululu, kutuluka magazi, ndi matenda. |
| Moyo wabwino: Ufulu wocheza ndi anthu ena, kuchita masewera olimbitsa thupi, komanso kuseka popanda mantha kuti mkodzo ungatuluke. | Kulephera kwa chipangizo: Pakapita nthawi, ziwalo zina za chipangizocho zimatha kusweka kapena kusiya kugwira ntchito, zomwe zimafuna opaleshoni yowonjezera kuti zilowe m'malo mwake. |
| Yankho la nthawi yayitali:Ngati chigwiritsidwa ntchito bwino, chipangizochi chingakhalepo kwa zaka pafupifupi 10. | Kuwonongeka kwa Chipangizo: Nthawi zina minofu yomwe ili mu mkodzo imatha kuwonongeka pomwe pali cuff. |
| Muli ndi ulamuliro: Muli ndi ulamuliro wonse pa nthawi ndi malo omwe mukodzera. | Kuvuta kugwiritsa ntchito pompu: Anthu ena angavutike pang'ono kufinya ndikugwiritsa ntchito pompu. |
Kodi muyenera kusamala ndi chiyani mukatha opaleshoni?
Izi ndizofunikira kwambiri. Simudzaloledwa kugwiritsa ntchito chipangizochi nthawi yomweyo mutachita opaleshoni.
- Kupereka nthawi yochira: Pambuyo pa opaleshoni, mabala amkati ayenera kuchira. Ndicho chifukwa chake dokotala adzasunga chipangizochi 'chosagwira ntchito' . Panthawiyi, mungataye mphamvu zowongolera mkodzo.
- Kuyambitsa chipangizocho: Dokotala wanu nthawi zambiri adzakuonaninso patatha milungu 6-8 , ndipo ngati mabala onse achira bwino, 'adzayambitsa' chipangizocho ndikukuphunzitsani momwe mungachigwiritsire ntchito.
- Kupewa ntchito: Muyenera kupewa kunyamula katundu wolemera, kugwira ntchito yolemetsa, komanso kuchita zogonana kwa milungu yosachepera 4-6 mutachita opaleshoni. Kupuma ndikofunikira panthawiyi.
- Ukhondo: Kusunga bala loyera komanso louma ndikofunikira kwambiri kuti mupewe matenda. Tsatirani malangizo a dokotala wanu molondola.
Kodi ndiyenera kupita kwa dokotala liti?
Mukachita opaleshoni, muyenera kupita kukayezetsa magazi nthawi ndi nthawi. Komabe, ngati muli ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo.
- Ngati pali madzi ofanana ndi mafinya ochokera m'mabala, ngati malowo ndi ofiira, otupa, komanso opweteka kwambiri.
- Ngati mabala akutuluka magazi.
- Ngati simungathe kukodza kwa maola opitilira 6 .
- Malungo (opitirira 101.5°F kapena 38.6°C).
- Ngati mbolo yanu kapena thumba lanu la m'mimba layamba kufewa kwambiri.
Ngati muli ndi kukayikira pang'ono pa chilichonse chonga ichi, musaope kufunsa dokotala wanu.
Kusadziletsa kungakhale chopinga chachikulu pa moyo wanu. Koma si vuto lanu, ndipo si chinthu chomwe muyenera kubisa ndi kuvutika nacho. Ngati njira zina zothandizira, monga mankhwala ndi masewera olimbitsa thupi, sizinagwire ntchito, lankhulani ndi dokotala wanu za njira yodziletsa yopangira mkodzo (AUS). Ingakuthandizeni kubwezeretsanso kudzidalira kwanu komwe mwataya komanso kudziyimira pawokha.
Uthenga Wopita Nawo Kunyumba
- Kusadziletsa kwa mkodzo kochita kupanga (AUS) ndi chipangizo chachipatala chomwe chimayikidwa m'thupi kuti chichepetse kutuluka kwa mkodzo mwadala (kulephera kudziletsa) panthawi ya zochitika monga kutsokomola ndi kuseka.
- Ili ndi magawo atatu akuluakulu (Cuff, Balloon, Pump), ndipo mukafuna kukodza, mutha kufinya pompo kuti mutsegule urethra.
- Njirayi yapambana ndi 90% ndipo imakweza kwambiri moyo.
- Pambuyo pa opaleshoni, ndikofunikira kupewa kuchita zinthu zolemetsa mpaka chipangizocho chitayamba kugwira ntchito (pafupifupi milungu 6-8) komanso mpaka chitachira kwathunthu.
- Lumikizanani ndi dokotala nthawi yomweyo ngati mukumva zizindikiro za matenda a bala, kutentha thupi kwambiri, kapena kulephera kukodza.
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