Khawuthelekelele uhleka kakhulu nabahlobo bakho, okanye ukhohlela kancinci ngenxa yomkhuhlane, uze ngempazamo uchame iimpahla zakho. Le yingxaki enkulu kubantu abaninzi, kwaye bayoyika ukuphuma esidlangalaleni. Le meko siyibiza ngokuba yi-'Stress Incontinence' . Ingakumbi emva kotyando lomhlaza weprostate (prostatectomy), amadoda ahlala ejongene nale ngxaki. Ngaba akukho sisombululo sale nto? Ngokuqinisekileyo sikhona. Namhlanje sithetha ngesisombululo esiphucukileyo kwezobuchwepheshe esinokuba luncedo kakhulu kubantu abanjalo.
Measure kidney function based on creatinine value
Yintoni le Artificial Urinary Sphincter?
Ngamafutshane, esi sisixhobo esincinci sezonyango esifakwa emzimbeni wethu kwaye sinceda ukulawula ukuhamba komchamo. Oku kubizwa ngokuba yi -AUS ngamafutshane. Sifakwe ngotyando ejikeleze i-urethra. Sifana nomncedisi wangaphandle oqhotyoshelweyo ukuze enze umsebenzi xa izihlunu zomzimba wethu zokulawula umchamo zibuthathaka.
Ukuze siqonde oku, masiqale sijonge indlela imizimba yethu elawula ngayo ukuchama. Umbhobho othwala umchamo kwisinyi sethu (i-urethra) ujikelezwe zimisipha ezimbini ezisebenza njenge-'valve'. Ezi sizibiza ngokuba yi-'urinary sphincters'.
- I-Internal Sphincter: Kulapho i-bladder iqhagamshela khona kwi-urethra.
- I-External Sphincter: Le ifumaneka kwimisipha yomgangatho we-pelvic.
Ngokwesiqhelo, ezi zihlunu ziqinile kwaye zivala i-urethra. Yiyo loo nto singayiboni iphuma yomchamo. Xa kufuneka sichame, ezi zihlunu ziyaphumla ngokwesiginali esivela ebuchotsheni, uze umchamo uphume lula. Kodwa ukuba ezi zihlunu zibuthathaka ngenxa yotyando okanye nasiphi na esinye isizathu, nokuba kukho uxinzelelo oluncinci esiswini (xa ukhohlela, uhleka), umchamo uqala ukuvuza kancinci. Kulapho ke olu lawulo lomchamo olungelulo olwenziwayo (AUS) lusinceda khona.
Isebenza njani le sixhobo (AUS)?
Esi sixhobo sineenxalenye ezintathu eziphambili. Zonke ezintathu zifakwe emzimbeni.
1. I-Urethral Cuff: Le yeyona nxalenye ibalulekileyo. Ifana 'nesacholo' esincinci esinxitywa kwi-urethra. Ngokwesiqhelo, sizaliswa lulwelo kwaye sicinezele i-urethra kancinci. Ifana nebhande eliqinisiweyo elijikeleze ingalo xa sijonga uxinzelelo lwegazi. Oku kuthintela umchamo ukuba ungaphumi.
2. Ibhaluni yoxinzelelo: Le yibhaluni encinci ebekwa kwisisu esisezantsi, phantsi kwemisipha. Kulapho ulwelo olufunekayo 'kwikhafu' lugcinwa khona phantsi koxinzelelo.
3. Impompo:Le yi-controller. Kwindoda, le pump incinci ifakwe phantsi kwesikhumba ngaphakathi kwi-scrotum, apho kukho khona amasende. Kumfazi, ifakwe kufutshane ne-labia majora. Ibekwa ngendlela elula ukuyifikelela.
Ngoku makhe sibone indlela esebenza ngayo le nkqubo:
Khawuthelekelele ukuba ufuna ukuchama ngoku. Nantsi into ekufuneka uyenze:
- Ipompo ekwisinqe sakho sesifuba icinezelwa ngesandla kabini okanye kathathu.
- Emva koko, inxalenye yolwelo olukwi- cuff ingena kwi-pressure gauge .
- Xa i-cuff ivulwe, iyakhululeka kwaye i-urethra iyavuleka. Emva koko ungachama ngokwesiqhelo.
- Akunyanzelekanga ukuba wenze nantoni na. Emva kwemizuzu embalwa, ulwelo olukwibhaluni luza kubuyela kwi-cuff, luyiqinise, kwaye i-urethra iza kuvala ngokuzenzekelayo.
Ngamafutshane, xa kufuneka uchame, ucinezela ipompo ukuze uvule 'ivalvu', kwaye xa ugqibile, ivala ngokuzenzekelayo. Oku kukuvumela ukuba ulawule umchamo wakho imini yonke.
Ziziphi iingenelo kunye neengxaki zale ndlela?
Njengakweminye inkqubo yezonyango, kukho iingenelo kunye neengozi. Kubalulekile ukuxoxa ngale nto nogqirha wakho.
| Iingenelo | Iingxaki kunye neengozi |
|---|---|
| Izinga lempumelelo eliphezulu: Izifundo zibonise ukuba oku kuphumelele ngaphezu kwe-90%. | Iingozi zotyando: Iingozi eziqhelekileyo zalo naluphi na utyando, ezifana ne-anesthesia, ukopha, kunye nosulelo. |
| Umgangatho wobomi ophucukileyo: Inkululeko yokunxulumana nabantu, ukuzilolonga, nokuhleka ngaphandle kokoyika ukuvuza komchamo. | Ukungasebenzi kakuhle kwesixhobo: Ekuhambeni kwexesha, iindawo ezithile zesixhobo zinokuphuka okanye ziyeke ukusebenza, nto leyo edinga utyando ukuze zitshintshwe. |
| Isisombululo sexesha elide:Ukuba isetyenziswa kakuhle, esi sixhobo singahlala iminyaka emalunga ne-10. | Ukukhukuliseka kwesixhobo: Ngamanye amaxesha izicubu ezikwi-urethra zinokonakala apho kukho i-cuff. |
| Ulawula yonke into: Ulawula ngokupheleleyo ixesha nendawo ochama kuyo. | Ubunzima bokusebenzisa ipompo: Abanye abantu banokukufumanisa kunzima kancinci ukucinezela nokusebenzisa ipompo. |
Yintoni omele uyilumkele emva kotyando?
Oku kubaluleke kakhulu. Awuyi kuvunyelwa ukusebenzisa esi sixhobo kwangoko emva kotyando.
- Ukunika ixesha lokuphiliswa: Emva kotyando, amanxeba angaphakathi kufuneka aphole. Yiyo loo nto ugqirha eza kugcina esi sixhobo 'singasebenzi' . Ngeli xesha, ungalahlekelwa lulawulo lomchamo.
- Ukuvula isixhobo: Ugqirha wakho uza kukubona kwakhona emva kweeveki ezi-6-8 , kwaye ukuba onke amanxeba apholile kakuhle, uza 'kusenza sisebenze' isixhobo aze akufundise indlela yokusisebenzisa.
- Ukuphepha ukusebenza: Kufuneka ukuphephe ngokupheleleyo ukuphakamisa izinto ezisindayo, umsebenzi onzima, kunye nesondo ubuncinane iiveki ezi-4-6 emva kotyando. Ukuphumla kubalulekile ngeli xesha.
- Ucoceko: Ukugcina inxeba licocekile kwaye lomile kubaluleke kakhulu ukuthintela usulelo. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
Ndifanele ndimbone nini ugqirha?
Emva kotyando, kuya kufuneka uye kuvavanyo lokulandelela rhoqo. Nangona kunjalo, ukuba unezinye zeempawu ezilandelayo, fowunela ugqirha wakho ngokukhawuleza.
- Ukuba kukho ulwelo olufana nobovu oluvela emanxebeni, ukuba iindawo zibomvu, zidumbile, kwaye zibuhlungu kakhulu.
- Ukuba amanxeba ayopha.
- Ukuba awukwazi ukuchama ixesha elingaphezulu kweeyure ezi-6 .
- Umkhuhlane (ngaphezulu kwe-101.5°F okanye i-38.6°C).
- Ukuba ipenis okanye i-scrotum yakho iba thambile ngakumbi.
Ukuba unamathandabuzo amancinci ngento efana nale, ungaze woyike ukubuza ugqirha wakho.
Ukungakwazi ukuzibamba kunokuba ngumqobo omkhulu ebomini bakho. Kodwa akusiyongxaki yakho, kwaye akuyonto omele uyifihle kwaye ubandezeleke kuyo. Ukuba ezinye iindlela zonyango, ezinje ngamayeza kunye nokuzilolonga, azisebenzanga, thetha nogqirha wakho malunga ne-artificial urinary continence (AUS). Inokukunceda ukuba uphinde uzuze ukuzithemba kwakho okulahlekileyo kunye nokuzimela.
Umyalezo Wokuya Ekhaya
- Ukungakwazi ukuzibamba umchamo okwenziweyo (AUS) sisixhobo sezonyango esifakwe emzimbeni ukulawula ukuvuza komchamo ngokungazikhetheliyo (ukungakwazi ukuzibamba ngenxa yoxinzelelo) ngexesha lemisebenzi efana nokukhohlela nokuhleka.
- Iqulathe iinxalenye ezintathu eziphambili (iCuff, iBalloon, iPump), kwaye xa kufuneka uchame, ungayicinezela ipompo ukuze uvule i-urethra.
- Le ndlela iphumelele ngaphezu kwe-90% kwaye iphucula kakhulu umgangatho wobomi.
- Emva kotyando, kubalulekile ukuphepha imisebenzi enzima de isixhobo sisebenze (malunga neeveki ezi-6-8) kwaye de siphile ngokupheleleyo.
- Nxibelelana nogqirha wakho ngoko nangoko ukuba ubonakalisa iimpawu zosulelo lwenxeba, umkhuhlane ophezulu, okanye ukungakwazi ukuchama.
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