Paunonzwa izwi rekuti 'kuvhiyiwa kwedundira', ungatya zvishoma. Izvozvo zvakajairika. Asi, kana wangoziva kuti chii chaizvo, kuti nei zvichiitwa, uye kuti zvinoitika sei, kutya kwako nezvinokunetsa zvichaderera zvikuru. Saka, nhasi tichataura nezvazvo zvakajeka uye zviri nyore, sekunge tiri kutaura neshamwari.
Kutanga, ngationei, chii chinonzi kuvhiyiwa kwedundira?
Zvichitaurwa zviri nyore, dundira inhengo yakaita sebhegi mumuviri wedu inounganidza nekuchengetera weti kwenguva pfupi ( weti ) iyo inoseferwa neitsvo. Tinoti kuvhiyiwa uku kuvhiyiwa kwedundira.
Rudzi rwekuvhiyiwa kwaunoda runoenderana nemamiriro ezvinhu ari kukanganisa dundira rako, saka kuvhiyiwa kwacho kunogona kusiyana kubva pamunhu kusvika pamunhu.
Kuvhiyiwa kwedundira kunodiwa rini?
Vanachiremba vanogona kukurudzira kuvhiyiwa uku nekuda kwezvikonzero zvikuru zvakati wandei.
- Gomarara redundira: Ichi ndicho chikonzero chikuru uye chinowanzo shandiswa pakuvhiyiwa kwedundira.
- Dundira rakadonha / Dundira rinodonha / Cystocele: Chirwere chinowanzoitika pakati pevakadzi.
- Kutadza kuzvidzora pakuita weti: Kurasikirwa neweti netsaona panguva yekukosora kana kuseka.
Ndedzipi mhando dzinonyanya kushandiswa pakuvhiya dundira?
Kune mhando dzakawanda dzekuvhiyiwa kwedundira. Ngatitarisei dzimwe dzedzinowanzo shandiswa. Mazita eizvi akaomarara, asi ari nyore kunzwisisa kana wangoziva kuti zvinosanganisirei.
| Rudzi rweKuvhiya | Zvichitaurwa zviri nyore, chii chinoitika neizvi? |
|---|---|
| Kuvhiyiwa kweCystectomy | Kubviswa kwechikamu chedundira (chikamu) kana dundira rese (rakakura) kana paine kenza. |
| TURBT (Kubviswa kwebundu remudumbu kuburikidza neTransurethral) | Chishandiso chitete chine kamera (cystoscope) chinopfuudzwa nemuurethra kubvisa mapundu ane kenza mudundira. Hapana mavanga ekunze. |
| Kugadziriswazve kweWeti uye Kuchinja-chinja | Kana dundira rabviswa, nzira itsva yekuburitsa weti mumuviri inogadzirwa. |
| Kumiswa Kwekare | Kudzosera dundira rakabuda neurethra panzvimbo yaro chaiyo uye kuzvigadzirisa. |
Unofanira kugadzirira sei usati wavhiyiwa?
Chiremba wako achasangana newe usati wavhiyiwa. Munguva iyi, zvinhu zvinotevera zvichaitika:
- Taura nezvenhoroondo yako yese yehutano.
- Kuongororwa kwemuviri kuchaitwa kuti zvionekwe kana uine hutano hwakakwana hwekukwanisa kutsungirira kuvhiyiwa.
- Zvinhu zvakaita setembiricha, kurova kwemoyo, uye kumanikidzwa kweropa zvinoyerwa.
- Kuongororwa kweropa neweti (weti test) kunoitirwa kuti vaone kana paine hutachiona.
Izvi zvakakosha zvikuru: Unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorerwa nachiremba wako, mishonga inotengeswa kunze kwemushonga unonyorerwa chiremba, mishonga yemishonga yemishonga, uye mavitamini). Ungakumbirwa kuti urege kutora mimwe mishonga, kunyanya aspirin, NSAIDs, uye mishonga inorwisa ropa, izvo zvinogona kuwedzera njodzi yekubuda ropa. Zvisinei, usarega kutora mimwe mishonga kusvika chiremba wako akuudza kuti udaro.
Uyewo, tiudzei nezve allergies dzamuinadzo. Semuenzaniso,
- Kurwara nemishonga
- Kurwara neganda (senge iodine)
- Kurwara neLatex
- Kurwara nechikafu
Kana uchisvuta, chiremba wako anogonawo kukukurudzira kuti urege, sezvo kusvuta kunogona kunonoka kupora mushure mekuvhiyiwa.
Uchapiwawo mirairo yakakosha pamusoro pezvekudya nekunwa usati wavhiyiwa. Ungangokumbirwa kudya zvinwiwa chete (soup dzisina acid, muto wemichero, jelly) kwemaawa 8-12 usati wavhiyiwa.
Chii chinoitika pazuva rekuvhiyiwa?
Kuvhiyiwa kwedundira kunogona kuitwa nenzira nhatu huru.
1. Kuvhiyiwa Kusingapindiki Zvishoma / Kuvhiyiwa Kwemarobhoti
Iyi ndiyo nzira inonyanya kushandiswa mazuva ano. Chiremba anochera dumbu rako zvishoma uye anoisa mudziyo wakaita seruoko kuburikidza nawo kuti aite oparesheni. Nzira iyi ine nguva pfupi yekupora, mavanga mashoma, uye njodzi shoma.
2. Kuvhiyiwa Kwakavhurika
Mukuita izvi, chiremba anovhiya anocheka kamwe chete mudumbu kuti asvike padundira. Nzira iyi haichashandiswi kakawanda.
3. Kuvhiyiwa kweEndoscopic
Muizvi, hapana kucheka kwekunze kunoitwa. Kuvhiyiwa uku kunoitwa nekupfuudza mudziyo une kamera paurethra. Kuvhiyiwa uku kunonzi `(TURBT)` kwatataura nezvako pamusoro apa muenzaniso wakanaka weizvi.
Ndichave ndichiziva here panguva yekuvhiyiwa?
Kwete. Usati wavhiyiwa, chiremba weanotindivadza achakupa anesthesia. Izvi zvinoreva kuti uchange wakarara zvachose panguva yekuvhiyiwa. Hauzonzwi kurwadziwa.
Chii chaungatarisira mushure mekuvhiyiwa?
Kana kuvhiyiwa kwapera, vanachiremba vachasona mavanga ako voasunga. Kana mushonga weanesthesia wapera, uchadzoka zvishoma nezvishoma mupfungwa. Uchanzwa hope zvishoma pakutanga. Kana wanyatsomuka, uchapiwa mushonga wekuderedza marwadzo.
Zvinhu zvinotevera zvinogona kuitika mushure mekuvhiyiwa:
- Kuda kuita weti nguva nenguva.
- Kuda kuita weti kamwe kamwe.
- Ropa diki rakasanganiswa muweti (Hematuria).
Chiremba wako achakuudza nezvezvinhu izvi pachine nguva.
Ngatidzidzei nezvenguva yekupora.
Nguva inotora kuti munhu apore zvakakwana inosiyana zvichienderana nekuvhiyiwa kwawakaitwa. Kazhinji zvinotora mavhiki mashoma. Zvinogona kutora mwedzi mumwe kana miviri kuti munhu awane simba rakazara.
- Mabasa: Dzivisa kurovedza muviri kana kusimudza chero chinhu chinorema kupfuura makirogiramu mana (anenge huremu hwegaroni remvura) kwemavhiki akati wandei mushure mekuvhiyiwa.
- Chikafu: Inwa mvura yakawanda, zvikasadaro unenge uri panjodzi yakakura yekuva nehutachiona hweweti (UTI). Zvakanakawo kudya zvekudya zvinovaka muviri (michero mitsva, miriwo, nzungu, nyama isina mafuta akawanda) kuti zvikubatsire kupora.
Nguva yekuona chiremba nekukasika
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekuvhiyiwa kwako, zivisa chiremba wako nekukasika kana kuenda kuchipatara.
| Zviratidzo Zvekunyevera | |
|---|---|
| 🔴 | Kurwadziwa kwakanyanya, kunyanya kana uchiita weti (Dysuria). |
| 🔴 | Kusakwanisa kuita weti. |
| 🔴 | Kubuda ropa rakawanda muweti. |
| 🔴 | Zviratidzo zvehutachiona (fivha, kutonhora, kutsvuka/kutsvuka kwepepuru kwakatenderedza nzvimbo yakachekwa, kubuda kwehurwa). |
| 🔴 | Kubuda ropa rakawanda kubva pamaronda. |
Ko kana dundira rikabviswa zvachose?
Iri idambudziko guru kune vanhu vazhinji. Ehe, zvinokwanisika kurarama usina dundira. Kana chiremba akabvisa dundira rako zvachose, vachagadzira nzira itsva yemuviri wako yekuchengetedza nekuburitsa weti. Pane nzira nhatu huru dzekuita izvi.
- Ileal Canduit: Izvi zvinosanganisira kutora chikamu cheura hudiki wochibatanidza nepanzira yeweti kubva kuitsvo kune rimwe divi uye gomba diki (stoma) mudumbu kune rimwe divi. Weti inozounganidzwa mubhegi (ostomy bag) rinosungirirwa kunze kwegomba.
- Neobladder: Zvakare, chikamu cheura hudiki chinoshandiswa kugadzira chikwama chitsva chakaita sedundira uye kuchibatanidza panzvimbo imwechete nedundira rekare. Nekuita uku, unogona kuita weti nenzira yakajairika kuburikidza neurethra.
- Kuchinja-chinja kweganda reContinent Cutaneous: Izvi zvinosanganisirawo kugadzira bhegi mukati medumbu kuti riunganidze weti. Zvisinei, rinodururwa kakawanda pazuva uchishandisa chubhu tete (catheter) yaunoisa iwe pachako nepaburi (stoma) mudumbu.
Kunyange zvazvo nzira idzi dzingaita sedzakaoma, chiremba wako achasarudza nzira yakakunakira uye achaitsanangura zvakakwana. Kunyangwe zvichitora nguva kuti ujairire nzira idzi, vanhu vazhinji vanoramba vachiita zvavaiita vasati vavhiyiwa (kurovedza muviri, kufamba) sezvavagara vachiita.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwedundira hakuna chikonzero chekutya. Kuvhiyiwa kwakajairika kunorapa zvirwere zvakasiyana-siyana.
- Zvakakosha kuudza chiremba wako zvese zvakadzama nezveutano hwako nemishonga yauri kunwa usati wavhiyiwa.
- Tevedzera mirairo yachiremba wako nokungwarira paunenge uchipora mushure mekuvhiyiwa. Dzivisa kusimudza zvinhu zvinorema uye inwa mvura yakawanda.
- Ziva zviratidzo zvinonyevera zvakaita sefivha, kurwadziwa kwakanyanya, uye kutadza kuita weti. Kana chimwe cheizvi chikaitika, enda kuna chiremba nekukasika.
- Kunyangwe dundira rako rikabviswa zvachose, unogona kurarama hupenyu hwakajairika. Kune nzira dzakasiyana-siyana dzekuita izvi, uye dzinotora nguva kuti ujaire.
- Taura pachena nachiremba wako nezvemibvunzo kana zvinokunetsa.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Kurasikirwa neDundira/Kusazvidzora?
Izvi hazvisi zvinhu zvinoitika kana wanonoka kuenda kuchimbuzi! 'Kusazvidzora' chirwere chinonyadzisa/chinonyadzisa apo unongoerekana warasikirwa nekuzvidzora, paunoseka, uchikosora, kana kufunga nezvekuenda kuchimbuzi, uye weti (uye dzimwe nguva tsvina) inobuda kamwe kamwe pahembe dzako (Involuntary Leakage)! Nekuda kweizvi, vanhu vazhinji vanotya kubuda mumba vogara kure nevanhu vese.
💬 Ndezvipi zvikonzero zvikuru zvekusagona kudzora dundira?
Zvikonzero zvikuru zveizvi ndeizvi: 1) Kusazvidzora pakuzvitakura - Mushure mekusununguka (nekuda kwekushaya simba kwetsandanyama), vakadzi vanorasikirwa neweti pavanokosora. 2) Dundira rinoita basa rakawanda (Urge) - Dundira rinoita serisati razara (nekuda kwechirwere cheshuga/zvirwere zvetsinga). 3) Kuguma kuenda kumwedzi muvakadzi. 4) Kukura kweprostate/BPH muvarume. 5) Kutapukirwa neUti kwakanyanya.
💬 Kutadza kuzvidzora kunogona kurapwa here? Ndinofanira kuenda kuchipatara nekukurumidza riini?
Ichi hachisi chirwere chekunyara nacho uye kugara kumba, chinogona kurapwa 100% nemushonga (Kegel exercises/mushonga/kuvhiyiwa)! Asi njodzi huru! Kana munhu aive akagwinya, pamwe chete nekurwadziwa kwemusana, 'asingakwanise kudzora weti kana tsvina kamwe kamwe', uye orasikirwa nemakumbo, zvechokwadi inyaya yekutyoka kwemusana (Cauda Equina Syndrome / inouraya)! Unofanira kuendeswa kuchipatara nekukasika uye kuponesa makumbo ese kubva pakurasikirwa nebasa rawo (kuremara)!
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