Dzimwe nguva, nekuda kwegomarara kana zvimwe zvirwere zvakakomba, dundira rose remunhu rinofanira kubviswa. Vanhu vazhinji vanotya kuti, "Ndichaita sei weti izvozvi?" Asi musatya, nekufambira mberi kwesainzi yezvekurapa, pane mhinduro yakanaka yeizvi. Kureva kuti, uchishandisa chikamu cheura hwako, dundira idzva rinogadzirwa mumuviri. Nhasi, tiri kutaura nezvekuvhiyiwa uku kunoshamisa, kunonzi Neobladder surgery.
Chii chinonzi kuvhiyiwa kwe'Neobladder'?
Zvichitaurwa zviri nyore, uku kuvhiyiwa kwekugadzira dundira idzva rekutsiva dundira rako rine chirwere uye risingashande zvakanaka. Mukuita izvi, vanachiremba vanotanga vabvisa dundira rako rekutanga kuburikidza nekuvhiyiwa. Izvi zvinonzi cystectomy . Zvadaro, vanotora chidimbu chidiki cheura hwako diki vochishandisa kugadzira dundira idzva (neobladder) rakaita sebhora.
Dundira idzva iri rinoiswa panzvimbo imwe chete nedundira rako rekare. Ndosaka dzimwe nguva richinzi neobladder ye'orthotopic'. 'Orthotopic' zvinoreva "munzvimbo imwe chete." Izvi ndizvo zvatinodaidza kuti neobladder reconstruction, iyo inogadzira nzira itsva yekuchengetedza nekuburitsa weti.
Asi kuvhiyiwa uku hakusi kwemunhu wese. Vanachiremba ndivo vachasarudza kana wakakodzera kuita izvi zvichibva pazvinhu zvakati wandei, zvakaita sehutano hweitsvo dzako nechiropa uye kana uine kenza yedundira.
Muzviitiko zvipi apo kuvhiyiwa uku kunodiwa?
Chiremba anogona kukurudzira kuvhiyiwa uku kune zvirwere zvakasiyana-siyana zvinokanganisa hutano kana mashandiro edundira rako. Ngationei kuti chii.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Kenza yedundira | Chikonzero chikuru chekubviswa kwedundira. |
| Tsandanyama dzedundira dzisina simba (dundira rakaora) | Tsandanyama dzedundira hadzina kusimba sezvinodikanwa kuti dundira ribude. Dambudziko iri rinogona kuitika mushure mekushandiswa nemwaranzi kana nekuda kwezvirwere zvetsinga. |
| Dundira rinokonzeresa tsinga | Kurasikirwa nekudzora dundira nekuda kwezvirwere zveuropi kana musana. |
| Interstitial Cystitis/Dundira Pain Syndrome (IC/BPS) | Chirwere chinorwadza chisingaperi mudundira. |
| Kukuvara kwedundira | Kukuvara kwedundira nekuda kwetsaona yakakura. |
Unogadzirira sei usati wavhiyiwa?
Usati wavhiyiwa, uchasangana nachiremba wezvedundira. Achakutsanangurira zvakanakira nezvakaipira zvekuvhiyiwa, pamwe nedzimwe nzira, uye achaongorora nhoroondo yako yezvekurapa uye oita bvunzo yemuviri kuti aongorore hutano hwako hwese.
Pamusoro pezvo, uchabvunzwa nezvezvinhu izvi:
- Mishonga yaunotora: Unofanira kuudza chiremba wako nezvemishonga yauri kutora (yakanyorwa nachiremba uye isina kunyorerwa chiremba). Mimwe mishonga inoderedza marwadzo (NSAIDs) uye mishonga inoderedza ropa (anticoagulants) inogona kuwedzera njodzi yekubuda ropa panguva yekuvhiyiwa. Asi yeuka, usarega kutora chero mushonga usati watanga wabvunza chiremba wako.
- Kurwara Kwako: Iva nechokwadi chekutiudza nezve chero allergies dzauinadzo nemishonga, mishonga inochenesa ganda (senge iodine), latex, kana chikafu.
- Zvekudya Nekunwa: Uchaudzwa kuti usadye kana kunwa chero chinhu mushure mehusiku husiku husati hwaitwa oparesheni. Kana uine mushonga unokosha, unogona kuunwa nemvura shoma.
Kuvhiyiwa kunoitwa sei nhanho nhanho
Uku kuvhiyiwa kukuru kunotora maawa maviri kusvika matanhatu. Ngatitarisei nhanho nhanho zvinoitika panguva iyi.
| Matanho | Chii chiri kuitika? |
|---|---|
| 1. Anesthesia | Ucharadzikwa (anesthesia), saka hauzonzwi kurwadziwa. |
| 2. Kubviswa kwedundira | Dundira rako rekare richabviswa kuburikidza nekucheka kukuru mudumbu rako (kuvhiyiwa kwakavhurika) kana kucheka kudiki kakawanda (kuvhiyiwa kwemarobhoti). |
| 3. Kugadzira Neobladder | Chikamu cheura hwako hudiki chinobviswa choumbwa kuita bhora. Iri ndiro dundira rako idzva. |
| 4. Kubatanidzazve | Dundira idzva rinoiswa panzvimbo imwe chete nerekare, uye machubhu anobva muitsvo (ureters) nechubhu inotakura weti (urethra) zvakabatana naro. |
| 5. Kuvharwa kwekucheka uye kuiswa kwemachubhu | Machekwa acho achavharwa nemasitichi kana mastaple ekuvhiyiwa. Catheter yeweti ichaiswa muurethra yako kuti ibudise weti kusvika yapora. |
Chii chinoitika mushure mekuvhiyiwa? Zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva mashoma. Uchanzwa kuneta zvishoma mushure mekunge wapora pfungwa. Kuchipatara, timu yezvekurapa ichakupa mishonga yekudzora marwadzo ako uye kutarisa hutano hwako.
Munguva yekupora, uchadzidziswa nezve:
- Maekisesaizi epasi pechiuno (Kegel exercises): Izvi zvakakosha zvikuru. Maekisesaizi aya anosimbisa tsandanyama dzinodzora dundira rako. Saka, izvi zvinobatsira zvikuru mukudzivirira kusagona kudzora weti.
- Kuzvigadzira wega: Havasi vese vanochida, asi vanhu vanosvika 15% vanofanira kushandisa nzira iyi kubvisa tsvina yese mudundira ravo pakutanga. Musazvidya mwoyo, tichakuratidzai maitirwo chaiwo ekuzviita.
Zvinogona kutora mwedzi yakati wandei kuti unyatsopora. Zvinotora nguva kuti ujairire dundira rako idzva, udzidze nzira yekuribvisa, uye usimbise tsandanyama dzako. Chiremba wako nevakoti vachakubatsira nezvose izvi.
Ndezvipi zvakanakira nekuipira kweNeobladder?
Chinhu chikuru chakanakira kuvhiyiwa uku ndechekuti unogona kuita weti nenzira yakajairika kuburikidza neurethra yako, pasina kushandisa bhegi re urostomy. Izvi zvinovandudza hupenyu hwevanhu vazhinji uye kuzvivimba.
Asi sezvimwe zvinhu zvose, kune zvimwe zvingangoitika uye zvazvisingakoshi.
- Kudzora dundira: Zvinogona kuoma kudzora dundira rako pakutanga, kunyanya husiku. Zvisinei, nekufamba kwenguva, kunyanya nekurovedza muviri kweKegel, vanhu vanosvika 90% vanozogona kudzora dundira zvakanaka masikati.
- Makwande muweti: Sezvo dundira idzva rakagadzirwa kubva muchikamu cheura, rinoburitsa makwande akafanana nemazino. Saka, kudzivirira hutachiona, dzimwe nguva zvinodikanwa kuisa catheter uye kudiridza dundira.
- Dzimwe njodzi: Kubuda ropa, kuvharika kweropa, hutachiona hwemabhakitiriya, hutachiona hwemunzira yeweti (UTIs), kuchengetedza weti, nezvimwewo. Kashoma, kusawirirana kwema electrolyte kunogona kuitika.
Zvinokwanisika here kurarama hupenyu hwakajairika ne neobladder?
Ehe, zvechokwadi! Vanhu vazhinji vane neobladder vanogona kuramba vachiita mabasa avo enguva dzose.
Pakutanga, uchafanira kuita weti maawa maviri ega ega. Asi nekufamba kwenguva, dundira rako idzva parinotatamuka uye richisimba, uchakwanisa kuchengeta weti yako kwemaawa angangoita 4-6. Mumavhiki mashoma, uchakwanisa kuita basa diki woenda kubasa. Hapana mitemo yakakosha yekudya, uye unogona kufamba pasina mitemo.
Nguva dzaunoda kuona chiremba
Kana uine zviratidzo izvi, fonera chiremba wako nekukasika. Kana zviratidzo zvacho zvakanyanya, enda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Zviratidzo zvehutachiona zvakaita sefivha, dzihwa, uye weti ine makore.
- Zvakaoma kuisa catheter chete.
- Ropa muweti (hematuria) .
- Kurwadziwa kwakanyanya mudumbu kana pakati pembabvu nechiuno.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweNeobladder ndiyo nzira yakanakisisa yekurarama hupenyu hwakanaka usina bhegi kunze kwemuviri mushure mekubvisa dundira.
- Dundira idzva iri rinogadzirwa uchishandisa chikamu cheura hwako hudiki.
- Zvinotora mwedzi yakati wandei kuti upore. Munguva iyi, zvakakosha zvikuru kuva nemoyo murefu uye kutevedzera mirairo yachiremba, kunyanya maekisesaizi eKegel.
- Kunyangwe pangave nedambudziko rekudzora weti pakutanga, nekufamba kwenguva, vanhu vazhinji vanokwanisa kurarama hupenyu hwakajairika uye hune simba.
- Kana muine mibvunzo kana kusava nechokwadi, musatya kutaura pachena nachiremba wenyu nezvazvo.
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