Ingaba kukho umchamo osele kwisinyi nasemva kokuba ugqibile ukuchama? (Uvavanyo lomchamo osele emva kokungasebenzi) Masifumanise ukuba yintoni kanye kanye!

Ngaba ngamanye amaxesha uziva ngathi awukayikhuphi ngokupheleleyo i-bladder yakho emva kokuchama ? Okanye uziva ngathi kufuneka uchame amaxesha amaninzi ngemini, mhlawumbi nangakumbi kunokuba ucinga? Ukuba unale ngxaki incinci, ungacingi ukuba yinto ekufuneka uyixhalabele. Ngamanye amaxesha, nokuba ucinga ukuba ugqibile ukuchama , kusenokushiyeka umchamo kwi-bladder yakho. Thina oogqirha sibiza oku ngokuthi 'yi-Post-Void Residual' (PVR) . Ngamafutshane, kuthetha "umchamo oshiyekileyo emva kokuchama ."

Kutheni le nto kwenziwa olu vavanyo lwe-'post-void residual' (PVR)?

Kulungile, ngoku mhlawumbi ucinga, "Kutheni ke senza olu vavanyo lwe-PVR?" Isizathu esiphambili sokwenza oku kukufumanisa ukuba isinyi sakho siphuma nini ngokupheleleyo, okanye ukuba kukho umchamo oseleyo. Olu gcino lomchamo lubizwa ngokuba yi -'urinary retention' . Nangona kuqhelekile ukuba nomchamo omncinci oseleyo, ukuba kukho umchamo omninzi oseleyo, kunokuba luphawu lwengxaki ethile yempilo.

Ugqirha wakho unokucebisa uvavanyo lwe-PVR ukuba unayo nayiphi na kwezi mpawu:

• Ukuchama rhoqo: Ukuba kufuneka uchame amaxesha amaninzi ngemini, mhlawumbi kanye ngeyure.
• Ubunzima bokulawula umchamo (ukungakwazi ukuzibamba): Ukuba ulahlekelwa ngumchamo ngaphandle kokulawula ngelixa umi.
• Iintsholongwane zoMchamo eziQhelekileyo (ii-UTI): Ukuba ufumana ii-UTI rhoqo emva kweenyanga ezimbalwa okanye ngaphezulu.
• Ukuziva ubunzima esiswini kunye nokuziva ukuba isinyi asikaphumi nasemva kokuchama .
• Ukuba ufunyenwe unamatye esinyini.

Khawucinge nje, mhlobo wakho, masimbize ngokuba nguSupun. USupun ebesoloko echama rhoqo kule mihla. Kufuneka avuke kabini okanye kathathu ebusuku. Uthi emva kokuba echamile , uziva ezele sisisu. Xa esiya kugqirha, ugqirha umxelela ukuba enze olu vavanyo lwe-PVR. Kulapho olu vavanyo luba lubalulekileyo khona.

Lwenziwa njani olu vavanyo lwe-PVR?

Kulungile, ngoku makhe sibone indlela yokulinganisa ubungakanani bomchamo osele kwisinyi, okanye i-PVR. Kukho iindlela ezimbini eziphambili ezisetyenzisiweyo koku.

1. Ukufakwa kweCatheter yesinyi

Le yindlela enye. Oogqirha bayibiza ngokuba yi -'bladder catheterization' . Nantsi into eyenzekayo:

Okokuqala uya kwindlu yangasese uze ukhuphe isinyi sakho kangangoko unako. Emva koko, ugqirha okanye umongikazi oqeqeshiweyo uza kufaka ityhubhu encinci kakhulu neguquguqukayo – le siyibiza ngokuba yi-'catheter'.– Ifakwa ngononophelo olukhulu kwisinyi sakho ecaleni kwe-urethra yakho. Nje ukuba ifakwe, wonke umchamo oseleyo kwisinyi uyasuswa kwaye ubungakanani buyalinganiswa. Oku kungabonakala kungathandeki kancinci, kodwa oku kwenziwa ngononophelo olukhulu.

2. Uvavanyo lwe-ultrasound

Enye indlela ephambili luvavanyo lwe-ultrasound . Usenokuba ukhe weva ngale nto. Oku kusebenzisa amaza esandi ukujonga ngaphakathi kwesinyi. Kukwakho neendlela ezimbini zokwenza oku:

• Ukuskena iSinyi: Kule meko, ukuskena kwenziwa esiswini sakho, apho kukho isinyi sakho. Ugqirha ubeka isixhobo esincinci (esibizwa ngokuba yi -'probe' ) esiswini sakho aze asebenzise amaza esandi ukuthatha umfanekiso wesinyi sakho aze abone ukuba kusele umchamo ongakanani.
• I-Ultrasound edluliselwa kwisini: Olu luhlobo lwe-scan eyenziwa kubafazi. Apha, 'i-probe' ifakwa nge-vaginal ukuze kuthathwe imifanekiso yesinyi. Le ndlela ngamanye amaxesha inokuvelisa imifanekiso ecacileyo.

Ugqirha uza kukhetha eyona ndlela ifanelekileyo kwezi zimbini ngokusekelwe kwimeko yakho.

Ndingazilungiselela njani ezi vavanyo?

Ixesha elininzi, akukho lungiselelo likhethekileyo lifunekayo kolu vavanyo lwe-PVR. Ungatya usele njengesiqhelo. Nangona kunjalo, ngamanye amaxesha ugqirha wakho angakuxelela ukuba usele amanzi amaninzi kwiiyure ezimbalwa ngaphambi kovavanyo kwaye ugcine isinyi sakho sigcwele kancinci. Ke ngoko, kungcono ukubuza ugqirha wakho okanye abasebenzi babongikazi ngaphambi kovavanyo ukuba kukho nayiphi na imiyalelo ekhethekileyo ekufuneka uyilandele.

Kwenzeka ntoni kanye kanye ngexesha le-'Bladder Catheterization'?

Masithi ukhetha ukulinganisa i-PVR yakho ngokufaka i-catheter kwisinyi. Emva koko kwenzeka into efana nale:

1. Ukukhupha isinyi: Okokuqala, uza kuthunyelwa kwindlu yangasese uze ucelwe ukuba ukhuphe isinyi sakho ngokupheleleyo nangokupheleleyo kangangoko.

2. Ukulungiselela: Okulandelayo, uza kucelwa ukuba ulale etafileni yokuhlolwa, ugobe amadolo akho, uze usasaze imilenze yakho emacaleni. Oku kuya kuvumela ukuba ubone kakuhle i-urethra yakho.

3. Ukucoca kunye nokuNciphisa iintlungu: Emva koko, ugqirha okanye umongikazi uza kucoca kakuhle i-urethra yakho kunye nendawo eyijikelezileyo. Emva koko, baza kusebenzisa isixa esincinci se-anesthetic yasekuhlaleni ukuze banciphise iintlungu. Oku kuya kukunceda uzive ungeva ntlungu ingako.

4. Ukufaka i-catheter: Ngoku, ityhubhu encinci ebizwa ngokuba yi-'catheter' ifakwa ngononophelo nge-urethra yakho iye kwisinyi sakho.

5. Ukususwa komchamo nokulinganiswa kwawo: Wonke umchamo oseleyo kwisinyi ukhutshwa nge-catheter kwaye ubungakanani bulinganiswa ngokuchanekileyo.

6. Ukususa i-catheter: Emva kokuqokelela umchamo, ityhubhu isuswa ngononophelo kwakhona.

Kuza kuthatha imizuzu embalwa nje ukuba konke oku kuphele.

Kwenzeka ntoni ngexesha lovavanyo lwe-ultrasound PVR?

Ngoku makhe sibone ukuba kwenzeka ntoni xa i-PVR ilinganiswa nge-ultrasound. Oku kwahlukile kancinci kune-catheterization.

1. Ukukhupha isinyi: Kule meko, uza kuqala uthunyelwe kwindlu yangasese uze ucelwe ukuba ukhuphe isinyi sakho kangangoko kunokwenzeka.

2. Ukulungiselela: Okulandelayo, uza kulaliswa ebhedini yovavanyo.

3. Ukusetyenziswa kwejeli: Kwiskeni yesinyi, kufakwa ijeli ekhethekileyo esiswini sakho, apho isinyi sakho sikhoyo. Le jeli inceda ekudaleni unxibelelwano oluhle phakathi kweprobe nolusu lwakho. Kwi-ultrasound ye-transvaginal, ijeli ifakwa kwiprobe.

4. Ukuskena: Okulandelayo, ugqirha ubeka i-ultrasound probe esiswini sakho (ukuze kuskenwe isinyi) okanye ngaphakathi kwisini sakho (ukuze kuskenwe i-ultrasound engaphaya kwesini) ukuze ufumane imifanekiso engcono kakhulu yesinyi sakho. Ungazibukela ezi mifanekiso kwisikrini esikufutshane.

5. Ukugqiba: Emva kokuthatha imifanekiso efunekayo yesinyi, iprobe iyasuswa. Emva koko ungasusa nayiphi na ijeli eseleyo.

Nale nto iza kuphela kwimizuzu embalwa.

Kwenzeka ntoni emva kovavanyo lwe-PVR?

Olu vavanyo lwe-PVR alusoloko luyinkqubo enzima kakhulu. Siyibiza ngokuba 'yinkqubo yokulaliswa ngaphandle' . Oku kuthetha ukuba kwangoko nje ukuba uvavanyo lugqityiwe, ungagoduka okanye ubuyele emsebenzini wakho wesiqhelo. Ungaqhubeka nemisebenzi yakho yemihla ngemihla njengesiqhelo.

Nangona kunjalo, ukuba ukhe wafakwa i-catheter yesinyi , njengoko iyeza lokuphelisa iintlungu liphela, ungaziva ungonwabanga okanye utshile kwi-urethra yakho kangangeentsuku ezimbalwa. Eyona nto ingcono onokuyenza ngale nto kukusela amanzi amaninzi uze uchame izihlandlo ezininzi ngemini. Oku kuya kunceda ekunciphiseni ukungonwabi kakhulu.

Ngaba kukho naziphi na iingozi ngolu vavanyo lwe-PVR?

Akukho zingozi zinkulu ezibandakanyekayo kuvavanyo lwe-ultrasound. Lukhuselekile kakhulu.

Nangona kunjalo, ukufakelwa kwe-catheter kwisinyi , nangona kunqabile kakhulu, kunokuba neengozi ezimbalwa ezincinci. Nazi:

• Kukho ithuba elincinci lokufumana usulelo lwendlela yomchamo (UTI). Oku kungenxa yokuba kukho into engaqhelekanga efakwa kwi-urethra. Nangona kunjalo, oku kunqabile kakhulu. Ngamanye amaxesha ugqirha wakho unokukunika iyeza elibizwa ngokuba yi- 'antibiotics ' ukunciphisa lo mngcipheko.
• Usenokuba negazi elithile kumchamo wakho (i-hematuria). Oku kudla ngokuphela kungekapheli usuku okanye ezimbini.
• Kunqabile kakhulu, kunokuba yinto efana nokulimala okuncinci kwi-urethra okanye kwisinyi.

Kodwa, ndiyaphinda, ezi ngozi zincinci kakhulu. Oogqirha benza olu vavanyo ngamava amahle nenkathalo. Ngoko ke musani ukoyika ngokungeyomfuneko. Ukuba unamathandabuzo, thetha nogqirha wakho.

Ixabiso le-'post-void residual' (PVR) lifanele libe lingakanani ngokwesiqhelo?

Kulungile, ngoku makhe sijonge iziphumo zolu vavanyo lwe-PVR. Ubungakanani bomchamo oseleyo kwisinyi sakho buhlala bulinganiswa ngeemililitha (mL).

• Kumntu omdala osempilweni, kudla ngokuthathwa njengento eqhelekileyo ukuba umchamo ongaphantsi kwama-50 milliliters (50 mL) uhlale esinyini emva kokuchama .
• Ukuba iphakathi kwe-50 kunye ne-100 milliliters (50 mL - 100 mL), ngamanye amaxesha inokuba yinto eqhelekileyo, okanye isenokuba yinto efuna uphando olongezelelekileyo.
• Ukuba kusele ngaphezulu kwe-100 milliliters (100 mL), oku kudla ngokuthathwa 'njengokugcinwa komchamo'.

Kodwa khumbula oku: Ugqirha wakho uza kugqiba ngqo ukuba yintoni i-PVR 'eqhelekileyo' kunye 'nengaqhelekanga' kuwe. Kuxhomekeke kwizinto ezininzi, kubandakanya ubudala bakho, impilo yakho, kunye namayeza owaselayo. Ngoko ke, xa iziphumo zakho zifikile, kubalulekile ukuthetha nogqirha wakho ngawo kwaye uqonde ukuba athetha ukuthini.

Kuthatha ixesha elingakanani ukwazi iziphumo zovavanyo lwe-PVR?

Le yinto ekufuneka uyazi. Kwiimeko ezininzi, iziphumo zovavanyo lwe-PVR zifumaneka ngoko nangoko, phantse emva kokuba uvavanyo lwenziwe. I-ultrasound inokukuxelela ngoko nangoko. I-catheterization inokukuxelela nobungakanani bokuhamba kwegazi okulinganisiweyo. Nangona kunjalo, kungcono ukubuza ugqirha wakho okanye umongikazi ukuba uza kukwazi nini ukuxoxa ngeziphumo.

Kutheni le nto esi sinyi sigcina umchamo omninzi kakhulu (Umthamo ophezulu we-PVR)?

Kukho izizathu ezininzi zokuba umchamo omninzi ungasala esinyini, okanye i-PVR ephezulu. Nazi ezinye zezizathu eziphambili zale meko 'yokugcinwa komchamo':

• Ukuvaleka kwenye indawo kwinkqubo yakho yomchamo: Umzekelo, into efana nethumba lesinyi, ilitye lomchamo, okanye ukuvaleka kwe-urethra.
• I-prostate ekhulisiweyo (BPH): Oku kuqhelekile kumadoda njengoko ekhula. Xa i-prostate gland ikhula, inokucinezela i-urethra, yenze kube nzima ukuba umchamo uphume.
• Njengesiphumo esingesihle samanye amayeza: Amanye amayeza okudambisa iintlungu, ii-antihistamines, kunye namanye amayeza okugula ngengqondo anokuchaphazela ukusebenza kwesinyi.
• Ukuncipha komchamo we-urethra okanye ukuqina komchamo we-urethra: Ukuba umchamo we-urethra unciphile, mhlawumbi ngenxa yosulelo okanye ukwenzakala.
• Iingxaki zenkqubo yemithambo-luvo:Izifo ze-neurological ezifana nesifo seswekile, ukwenzakala komqolo, isifo sikaParkinson, kunye ne-multiple sclerosis zingonakalisa imithambo-luvo elawula imvakalelo kunye nokusebenza kwesinyi. Le meko ibizwa ngokuba yi-neurogenic bladder .
• Ubuthathaka bemisipha yesinyi.
• Ukuqhinwa: Ukuqhinwa okukhulu kunokufaka uxinzelelo kwisinyi kwaye kuthintele umchamo ukuba ungaphumi kakuhle.

Indlela yokunyanga ukugcinwa kwesinyi?

Ukuba i-PVR yakho ifunyenwe iphezulu, nto leyo ethetha ukuba kusele umchamo omninzi kwisinyi, ugqirha wakho uza kujonga unobangela oyintloko , njengoko unyango luza kugqitywa ngokusekelwe kweso sizathu.

• Ukuba unobangela yimpembelelo esecaleni yeyeza, iyeza linokutshintshwa okanye idosi incitshiswe.
• Ukuba i-prostate gland ikhulisiwe, inokunyangelwa ngamayeza okanye mhlawumbi ngotyando oluncinci.
• Ukuba kukho ukuvaleka kwendlela yomchamo, kunokwenziwa utyando okanye olunye utyando ukuze kususwe loo nto.
• Ukuba yingxaki yemithambo-luvo, amayeza okanye ezinye iindlela zokukunceda ukhuphe isinyi sakho zingasetyenziswa ngelixa usinyanga . Abanye abantu banokucetyiswa ukuba baziqhelise ukuvalela isinyi ngexesha elifanelekileyo okanye basebenzise i-catheter.

Eyona nto ibalulekileyo kukuba ugqirha wakho uza kuthetha nawe ngale nto ngokweenkcukacha, akuchazele ukuba zeziphi iindlela onokukhetha kuzo, nokuba ngaba kufuneka olunye uvavanyo. Ngoko ke, ungoyiki ukubuza imibuzo yakho.

Ndifanele ndimbone nini ugqirha?

Oku kubaluleke kakhulu.

Ukuba ngequbuliso uzifumana ungakwazi ukuchama konke konke, oko kuthetha ukuba umchamo wakho uvalekile ngokupheleleyo, yingxamiseko leyo. Kufuneka uye kwicandelo lezonyango ezingxamisekileyo (ETU) esibhedlele ngoko nangoko. Musa ukulibazisa.

Ukongeza, ukuba unenye okanye ngaphezulu kwezi mpawu, qiniseka ukuba ubona ugqirha wakho wosapho okanye ugqirha womchamo:

• Ukuba unentlungu okanye ukudumba esiswini esisezantsi.
• Ukuba unentlungu okanye utsha xa uchama .
• Ukuba unomkhuhlane.
• Ukuba umchamo umnyama ngombala okanye unevumba elibi.
• Ukuba kukho igazi kumchamo.
• Kufuneka ndichame rhoqo, kodwa kancinci kancinci ngexesha.
• Ukuba isinyi sakho sisavakala sigcwele emva kokuba ugqibile ukuchama .

Musa ukuzityeshela ezi mpawu. Ukufuna ingcebiso kagqirha kwangethuba kunokuthintela imeko ukuba ingabi mandundu.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, ekugqibeleni, ukuba ucinga ukuba uneempawu zokugcina umchamo, oko kukuthi, umchamo oshiyekileyo kwisinyi, ugqirha wakho unokukucela ukuba wenze olu vavanyo 'lwe-post-void residual' (PVR). Nangona kuqhelekile ukuba nomchamo omncinci ushiyeke kwisinyi sakho ngamanye amaxesha, ukuba nomchamo omninzi kunokonakalisa isinyi sakho, kuchaphazele izintso zakho, kwaye kukhokelele kwiintsholongwane rhoqo. Akunjalo kuphela, kodwa kunokuba luphawu lwemeko engaphantsi ekufuneka inyangwe.

Ukuba i-PVR yakho iphezulu, ugqirha wakho uya kufumanisa unobangela aze akucebise ngonyango olungcono kuwe. Ukuba unemibuzo okanye iinkxalabo malunga nolu vavanyo okanye iziphumo zakho, ungathandabuzi ukubuza ugqirha wakho. Unelungelo lokwaziswa ngempilo yakho. Hlala usempilweni!

Uvavanyo lomchamo olusele emva kokungasebenzi, uvavanyo lwe-PVR, ukugcinwa komchamo, isinyi, ukufakwa kwe-catheter, i-ultrasound, uvavanyo lomchamo, iimpawu zomchamo, ukugcinwa komchamo