Abantu abaninzi bafumana ukuvuza komchamo kancinci xa behleka, bekhohlela, bethimla, okanye bezilolonga bengazi. Oku kunokuba yintloni kwaye kube yinto engaqhelekanga eluntwini. Le meko inokwenzeka, ingakumbi kumadoda, emva kotyando oluthile. Ngoko ke namhlanje sithetha ngesixhobo esikhethekileyo esisetyenziswa njengonyango loku.
Yintoni le Artificial Urinary Sphincter?
Ngamafutshane, esi sisixhobo esincinci esifakwa emzimbeni ngotyando ukuze kunyangwe ukungakwazi ukuzibamba komchamo. Esi sisixhobo esiluncedo kakhulu kwabo bangakwaziyo ukulawula umchamo wabo.
Ingcali yotyando (ugqirha ochwephesha kwizifo zomchamo) ufaka esi sixhobo sijikeleze i-urethra yakho. Kukho ulwelo ngaphakathi kwesi sixhobo. Olu lwelo lugcina isixhobo sivuvukile, luvale i-urethra. Emva koko, umchamo awuphumi. Xa ufuna ukuchama, kufuneka ucinezele ipompo encinci kwi-scrotum. Emva koko, isixhobo siyaphuma, i-urethra iyavuleka, kwaye umchamo uqala ukuphuma. Emva kwemizuzu emithathu, esi sixhobo siyavuvukela kwakhona ngokuzenzekelayo.
Okokuqala, makhe sijonge ukuba yintoni i-sphincter yendalo yomchamo.
Imizimba yethu ngokwendalo inemisipha elawula ukuchama. Isebenza njengevalvu empompini yamanzi. Xa le misipha isebenza ngokuqhelekileyo, iyafinyela kwaye igcine umchamo kwisinyi. Xa kufuneka sichame, le misipha iyaphumla kwaye ivumele umchamo ukuba uphume.
Kukho izihlunu ezimbini zokulawula emzimbeni wethu ezinje:
- I-Internal urethral sphincter: Kulapho i-bladder kunye ne-urethra zidityaniseka khona. Xa iphumla, umchamo uphuma kwi-bladder uye kwi-urethra.
- I-sphincter yangaphandle ye-urethra: Le ifumaneka kwimisipha yomgangatho we-pelvic. Xa iphumla, umchamo uphuma emzimbeni nge-urethra.
Ukuba ngesizathu esithile ezi zihlunu ziba buthathaka, sinokuvuza umchamo ngaphambi kokuba sifune ukwenza njalo, ingakumbi xa sikhwehlela okanye sithimla. Oku sikubiza ngokuba yi-Stress Incontinence . Ngoko ke, i-artificial urinary continence (AUS) yenza umsebenzi wezi zihlunu zibuthathaka.
Ngabantu abanjani abasebenzisa esi sixhobo (i-AUS)?
Oogqirha badla ngokucebisa esi sixhobo kumadoda anengxaki yokungakwazi ukuzibamba ngomchamo ngenxa yoxinzelelo.Isetyenziselwa ukunyanga le meko, ingakumbi kubantu abangakhange baphendule kwezinye iindlela zonyango, ezifana namayeza okanye uqeqesho lwesinyi.
Kumadoda, le meko idla ngokuvela emva kotyando lomhlaza weprostate (prostatectomy). Umntu onesi sifo unokuvuza umchamo kwezi meko zilandelayo:
- Xa uhleka
- Xa uthimla
- Xa ukhohlela
- Ngelixa uhamba
- Ngelixa uzilolonga
I-catheter yomchamo eyenziweyo (AUS) ayisetyenziswa rhoqo kule meko kubafazi.
Isebenza njani le sixhobo?
I-AUS (i-artificial urinary continence) ineenxalenye ezintathu eziphambili. Masiziqonde ngokucacileyo.
| Inxalenye yesixhobo | Indawo kunye nokusebenza kwayo |
|---|---|
| Ibhaluni yoxinzelelo | Oku kufakwa phantsi kwemisipha yesisu. Le bhaluni ityhala ulwelo ngoxinzelelo olungaguqukiyo. Olu xinzelelo lugcina i-urethra ivaliwe. |
| I-Urethral Cuff | Le bhanti ibekwa ijikeleze i-urethra. Ihlala izaliswe lulwelo. Ifana ne-cuff yoxinzelelo lwegazi efakwa ngugqirha engalweni yakho, kwaye ikwaqinisa i-urethra. Ngaleyo ndlela, umchamo awuvuzi. |
| Impompo | Kumadoda, le pump ifakwa phantsi kolusu ngaphakathi kwi-scrotum. Kubasetyhini, ifakwa kwi-labia majora. Le pump ilawula ukuhamba kolwelo kwisixhobo. |
Xa uziva ufuna ukuchama, ucinezela le mpompo ngesandla sakho. Emva koko, ulwelo olukwi -cuff ejikeleze i-urethra luphonswa kwibhaluni.Iyahamba. Xa ibhanti ingenanto, iyaphuma kwaye i-urethra iyavuleka. Emva koko ungachama. Emva kwemizuzu embalwa, ulwelo olusebhaluni lubuyela ngokuzenzekelayo ebhantini luze luvale i-urethra.
Zithini iingenelo kunye neengozi zoku?
Eyona nzuzo iphambili yoku kukuba ungenza imisebenzi yakho yemihla ngemihla ngaphandle koloyiko. Akunyanzelekanga ukuba woyike ukuhleka, ukukhohlela, okanye ukuzilolonga. Uyakwazi ukulawula ukuchama kuphela xa ufuna.
Kwakhona, njengalo naluphi na utyando, kukho iingozi ezithile.
- Iingxaki ezinxulumene ne-anesthesia.
- Iingxaki zokuphiliswa kwamanxeba.
- Usulelo.
- Amanxeba.
- Ukopha.
Kusenokubakho neengozi ezithile eziphathelele olu tyando:
- Iindawo ezithile zezixhobo ziyayeka ukusebenza okanye ziyaphuka. Emva koko kufuneka zitshintshwe.
- Ukwanda kokungakwazi ukuzibamba.
- Ukuzibhokoxa ukuze uchame.
- Ukonakala kwe-urethra, isinyi, okanye amalungu angqongileyo.
- Ubunzima bokusebenzisa ipompo.
- Ukubola kwesixhobo kukubola kancinci kancinci kwezicubu kwindawo yesixhobo.
Ihlala ixesha elingakanani le sixhobo?
I-catheter yomchamo eyenziweyo idla ngokusetyenziswa kangangeminyaka eli-10 . Xa elo xesha liphelile okanye isixhobo siyeka ukusebenza, kufuneka kufakwe entsha ngotyando.
Izinga lempumelelo yale sixhobo liphezulu kakhulu. Ezinye izifundo zibonise ukuba izinga lempumelelo lingaphezulu kwe-90% . Nangona kunjalo, ukuba isixhobo siyaphuka okanye izicubu ziyaguga (ukukhuhlana komchamo), ukuvuza komchamo kungaphinda kwenzeke.
Yintoni endifanele ndiyilumkele emva kotyando?
Umzimba wakho udinga ixesha lokuphola emva kotyando. Ingakumbi indawo apho i-cuff yayibekwe khona ijikeleze i-urethra yakho kufuneka iphole. Ke ngoko, ugqirha wakho uza kuyivula le sixhobo kwiiveki ezi-6 ukuya kwezi-8 emva kotyando. Amanxeba akho aza kuphola kwiiveki ezimbini.
Uzinyamekela njani?
Kuphephe ukusebenza nzima, ukuzilolonga, kunye nokwenza isondo ngokupheleleyo ubuncinane iiveki ezine emva kotyando. Ukuba wenza oku ngaphambi kokuba inxeba liphiliswe kakuhle,
- Imithungo ingaqhekeka.
- Usulelo lunokwenzeka.
- Intlungu inokwanda.
- Kusenokubakho ukopha.
Kwakhona, kuphephe ukuntywila ebhafini okanye eshaweni de inxeba liphole. Kulungile ukuhlamba. Kodwa kubalulekile ukugcina indawo yomile kwaye icocekile kangangoko ukuthintela usulelo.
Ndifanele ndimbone nini ugqirha?
Cwangcisa amadinga okulandela emva kotyando nogqirha wakho. Kuya kufuneka ubone ugqirha wakho kwiiveki ezimbini ukuze ujonge ukuba inxeba lakho liyaphola na, kwaye kwiiveki ezi-6-8 ukuze ulungise isixhobo sakho.
Ukuba unezi mpawu zilandelayo , fowunela ugqirha wakho ngoko nangoko.
| Iimpawu ekufuneka uziqaphele | |
|---|---|
| Amanxeba kunye namanxeba atshintshe umbala, abuhlungu, okanye aphuma ulwelo olufana nobovu. | |
| Ukopha ngenxa yamanxeba. | |
| Ukungakwazi ukuchama ixesha elingaphezulu kweeyure ezintandathu. | |
| Umkhuhlane ongaphezulu kwe-101.5°F (38.6°C). | |
| Ukwanda kokukrweleka kwilungu lobudoda okanye amasende akho. | |
Ukungakwazi ukuzibamba umchamo yinto abantu abaninzi abaziva benamahloni kwaye beneentloni xa bethetha ngayo. Kodwa ukuba uzame unyango oluninzi, olufana namayeza kunye nokuzilolonga, kwaye imeko ayikaphucuki, thetha nogqirha wakho malunga ne-artificial urinary continence (AUS). Oku kungenza ubomi bakho bube lula kakhulu.
Umyalezo Wokuya Ekhaya
- Ukungakwazi ukuzibamba komchamo okwenziweyo (AUS) lunyango olusebenzayo kakhulu lokungakwazi ukuzibamba ngenxa yoxinzelelo, ingakumbi xa ezinye iindlela zonyango zingaphumelelanga.
- Iqulathe iinxalenye ezintathu (ibhanti, ibhaluni, kunye nepompo), kwaye ungayisebenza ngokwakho ukulawula ukuchama.
- Kubaluleke kakhulu ukuzinika ixesha lokuphiliswa ngokufanelekileyo emva kotyando nokulandela imiyalelo kagqirha.
- Qaphela iimpawu ezilumkisayo (umkhuhlane, iintlungu ezigqithisileyo, ukopha) ezinokwenzeka emva kotyando kwaye wazise ugqirha wakho ngoko nangoko ukuba kukho nayiphi na kwezi.
- Musa ukuba neentloni okanye uzive uneentloni ngale meko. Ukuthetha ngokukhululekileyo ngayo nogqirha wakho kunokukunceda ufumane unyango olungcono.
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