Masifunde ngotyando lokukhulisa isinyi (Augmentation Cystoplasty) ngokulula.

Ngaba usoloko unqwenela ukuchama? Okanye ngaba unamaxesha apho ungakwazi ukulawula nomchamo omncinci, uze uvuzele kwiimpahla zakho? Kwabanye abantu, oku kunokuba ngumqobo omkhulu kubomi babo bemihla ngemihla. Xa isinyi singasebenzi kakuhle ngenxa yeemeko ezithile zempilo, oku kunokukhokelela kwiingxaki ezinje. Ngoko ke, ngamaxesha anje, esinye isisombululo esicetyiswa ngoogqirha kukwenza utyando lokukhulisa isinyi. Yiloo nto sithetha ngayo namhlanje.

Yintoni le ndlela yokwandisa isinyi (Augmentation Cystoplasty)?

Ngamafutshane, isinyi sakho sisitho esifana nengxowa esinokubamba umchamo okwethutyana. Olu tyando lwenza isinyi sakho sibe sikhulu kancinci. Oko kukuthi, sonyusa amandla aso.

Khawucinge ukuba ibhotile yamanzi onayo incinci, ngoko ke kufuneka uyizalise rhoqo. Ukuba sincamathisela enye into kuloo bhotile size siyenze ibe nkulu, singayifaka amanzi amaninzi ngaxeshanye? Kaloku, yiloo nto eyenzekayo kolu tyando.

Oogqirha basebenzisa inxalenye yomzimba wakho kule nkqubo. Ngokuchanekileyo, bathatha iqhekeza elincinci lethumbu lakho elincinci okanye ithumbu elikhulu baze balincamathisele kwisinyi sakho ukuze likhule. Ukuba kusetyenziswa ithumbu elincinci, libizwa ngokuba yi-"ileocystoplasty", kwaye ukuba kusetyenziswa ithumbu elikhulu, libizwa ngokuba yi-"sigmoid okanye i-ceco-cystoplasty". Kodwa oku akubalulekanga kangako kuwe. Into ebalulekileyo kukuba oku kwenza isinyi sakho sibe sikhulu kwaye sinokubamba umchamo omninzi.

Kutheni kuyimfuneko ukwenza olu hlobo lotyando?

Ayinguye wonke umntu odinga olu tyando. Ludla ngokucetyiswa kubantu abangasebenzi kakuhle kwesinyi ngenxa yeemeko ezithile zempilo. Umzekelo:

• Ukulimala komqolo: Xa umqolo wonzakele ngenxa yengozi, imithambo-luvo elawula isinyi inokuchaphazeleka.
• Iingxaki zemithambo-luvo ezibangelwa kukuzalwa: Ezinye iintsana zizalwa zineengxaki ezithile ngomqolo okanye ngenkqubo yazo yemithambo-luvo.
• Ezinye iimeko zonyango: Izifo ezifana ne-"Multiple Sclerosis" nazo zinokubangela utshintsho ekusebenzeni kwesinyi.

Ezi zizathu zinokubangela iingxaki ezahlukeneyo ngesinyi. Masibone ukuba zithini.

Amaxesha amaninzi, olu tyando lwenziwa kubantu abasebenzisa i-self-catheterization ixesha elide. Le yinkqubo apho kufakwa khona ityhubhu encinci (i-catheter) nge-urethra ukuze kukhutshwe isinyi. Ukuba le ndlela ayisombululi ingxaki, ugqirha wakho uza kukuxelela ngolu tyando njengenyathelo elilandelayo.

Kwenzeka ntoni ngaphambi kotyando?

Ekubeni olu lutyando olukhulu, alunakwenziwa ngaxeshanye. Ugqirha uza kukuxilonga kakuhle ukuze abone ukuba ufanelekile na. Uza kwenza uvavanyo olufana nolu.

• Uvavanyo lomzimba: Impilo yakho iyonke iyajongwa.
• Uvavanyo lwegazi: Jonga ukusebenza kwezintso nokuba kukho naziphi na izifo.
• Ii-X-reyi: Thatha umfanekiso wenkqubo yomchamo.
• I-Cystoscopy: Uvavanyo apho kufakwa ityhubhu enekhamera encinci nge-urethra ukuze ijonge ngaphakathi kwisinyi.
• Uvavanyo lwe-Urodynamic: Uvavanyo olukhethekileyo olulinganisa indlela esebenza ngayo isinyi kunye noxinzelelo esilukhuphayo xa sigcwalisa kwaye sikhupha.

Kwenzeka ntoni ngexesha lotyando?

Olu tyando lwenziwa phantsi kwe-anesthesia (ukulala) ngoko awuyi kuva nto. Ugqirha angenza olu tyando ngeendlela ezimbini: nokuba ngokusikwa okude esiswini (utyando oluvulekileyo), okanye ngokusikwa okuncinci okuliqela kusetyenziswa utyando lwerobhothi.

Nokuba kunjalo, amanyathelo asisiseko ngala alandelayo:

1. Okokuqala, ugqirha otyandayo usika umphezulu wesinyi .

2. Emva koko, isiqwenga sobukhulu obumiselweyo siyanqunyulwa size sahlulwe kwithumbu elincinci okanye ithumbu elikhulu, njengoko bekumiselwe ngaphambili.

3. Iqhekeza lamathumbu elahlulweyo ligobile phakathi, lenze "i-patch" ethe tyaba.

4. Ekugqibeleni, eli qhekeza lamathumbu lifakwa kwisinyi esivulwe ngaphambili, kwaye zombini zidibene kwaye zithungwe kunye .

Emva kwale nkqubo, isinyi siya kuba sikhulu kunangaphambili. Xa uvuka emva kotyando, uya kubona iityhubhu ezimbini okanye ezintathu ziphuma esiswini sakho nakwisinyi. Ezi zifakwa ukuze umchamo uphume kakuhle kwaye uhlambe isinyi de isinyi esitsha siphiliswe. Ungakhathazeki, ezi zezexeshana.

Ngokwesiqhelo, olu tyando lungathatha iiyure ezimbini ukuya kwezintandathu .

Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?

Ixesha lokuchacha emva kotyando nalo libaluleke kakhulu. Ukuzinikela kwakho kuyafuneka ngeli xesha.

Ixesha esibhedlele

Ngokwesiqhelo kuya kufuneka uhlale esibhedlele malunga neentsuku ezintlanu ukuya kwezisixhenxe .

• Ukutya nokusela: Awuyi kuvunyelwa ukuba utye okanye usele kwiintsuku ezimbalwa zokuqala. Oku kungenxa yokuba emva kotyando olunje, amathumbu ayayeka ukusebenza okwethutyana aze abe "bubuvila". Sibiza oku ngokuthi "ileus". Oku kuqhelekile. Kusenokufuneka ufake umbhobho ngempumlo yakho ukuze ukhuphe ulwelo esiswini sakho. Nje ukuba amathumbu akho aqale ukusebenza kwakhona, uya kunikwa ukutya okumanzi (okufana nesobho) ekuqaleni, uze emva koko ungeniswe kancinci kancinci ekutyeni okuqhelekileyo.
• Iityhubhu: Ngelixa usesibhedlele, uya kuba neetyhubhu ezininzi esiswini sakho. Ubuncinane iityhubhu ezimbini zifakwa ukuze kukhutshwe umchamo kwisinyi sakho. Abasebenzi bomongikazi baya kukufundisa indlela yokunyamekela ezi tyhubhu, ingakumbi indlela yokuhlamba i-mucus eqokelela kwisinyi sakho (ukunkcenkceshela).

Ukhathalelo lwexesha elide emva kokubuyela ekhaya

• Ukunkcenkceshela iMucus: Ukuba le mucus iyaqokelelana, inokuvala i-urethra, ibangele amatye omchamo, kwaye ikhokelele kwiintsholongwane. Ke ngoko, kuya kufuneka uhlambe ingaphakathi lesinyi sakho ngesisombululo esikhethekileyo rhoqo kusasa ubomi bakho bonke. Uza kufundiswa indlela yokwenza oku esibhedlele.
• Uvavanyo: Malunga neeveki ezintathu emva kotyando, uza kwenziwa uvavanyo lomfanekiso ukuqinisekisa ukuba isinyi sakho esitsha asivuzi umchamo. Ukuba yonke into iphilile, ugqirha wakho uza kususa iityhubhu zakho.
• Ukuzihlamba: Emva kokuba ityhubhu isusiwe, kuya kufuneka uqale ukuzihlamba. Ungakhathazeki! Iqela lezonyango liza kukufundisa indlela yokwenza oku de ukwazi ukukwenza wedwa ngokulula.

Ziziphi iingenelo kunye neengozi zalo tyando?

Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezithile.

Zithini iingenelo?

Ukuba olu tyando luphumelele, lunokuzisa isiqabu esikhulu ebomini bakho.

• Njengoko isinyi sikhula, uxinzelelo olungaphakathi luyancipha .
• Oku kuyayimisa okanye kuyinciphisa ingozi kwizintso .
• Ngenxa yokuba ungabamba umchamo omninzi ngaxeshanye, akuyi kufuneka uchame rhoqo .
• Ngokwesiqhelo, ungahlala ngaphandle kokuchama ubuncinane iiyure ezine .
• Ukukwazi ukulawula umchamo wakho kukunika ukuzithemba okukhulu xa uphandle esidlangalaleni.

Iingozi kunye neengxaki

Ukususwa kwe-mucus esithethe ngayo ngaphambili kunokubangela iingxaki ezinkulu ukuba akwenziwanga ngendlela efanelekileyo. Ukongeza, kukho iingozi ezithile ezihambelana notyando ngokwalo.

Kuza kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?

Le yinkqubo ethatha ixesha.

• Emva kweeveki ezintandathu , ungalindela ukuba ubuyele kwisiqhelo. Oko kuthetha ukuba uza kuziva ungcono ngama-90%.
• Nangona kunjalo, kungathatha malunga neenyanga ezintathu ukuba umntu abuyele kwinqanaba elifanayo nangaphambi kotyando.
• Ngeli xesha, kufuneka uphephe ngokupheleleyo nantoni na ebeka uxinzelelo esiswini sakho, njengokuphakamisa iintsimbi, ukubaleka, ukudlala imidlalo, kunye nokwenza isondo .
• Ungabuyela emsebenzini okanye esikolweni emva kweeveki ezintandathu, kuxhomekeke kuhlobo lomsebenzi wakho kunye nesantya sokuchacha kwakho.

Kunini apho kufuneka ngequbuliso ubize ugqirha?

Ukuba ufumana naziphi na iimpawu ezingezantsi emva kokuba ubuyele ekhaya, kufuneka ufowunele ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane nawe.

• Ukuba kukho ukopha okugqithisileyo ecaleni kwesilonda.
• Ukuba umkhuhlane ungaphezulu kwe-100 degrees F (38 C).
• Ukuba indawo yenxeba iba bomvu, idumbe, ibuhlungu, okanye ikhupha ubovu (iimpawu zosulelo).
• Ukuba awukwazi ukufaka i-catheter ye-urethra okanye ivakala ngathi ibambekile.

Ugqirha wakho uza kuqhubeka ecwangcisa amadinga akho eklinikhi. Ekuqaleni, uza kukucela ukuba uze kujonga inxeba, usike imithungo, kwaye ususe imibhobho. Emva koko, uza kukucela ukuba uze kanye ngonyaka ukujonga imeko yezintso zakho, wenze uvavanyo lwegazi, kwaye uhlaziye ummiselo wakho wetyhubhu.

Olu tyando luyisigqibo esitshintsha ubomi. Ngoko ke, vuleka kwaye uthembeke kugqirha wakho ngazo zonke izinto ezikuxhalabisayo nezoyikisayo. Oku kuya kukunceda uhambe kolu hambo.