Abantu abaningi babhekana nokuvuza okuncane komchamo lapho behleka, bekhwehlela, bethimula, noma bevocavoca ngaphandle kokuqaphela. Lokhu kungaba namahloni futhi kube yinto engajwayelekile emphakathini. Lesi simo singavela, ikakhulukazi kwabesilisa, ngemva kokuhlinzwa okuthile. Ngakho-ke namuhla sikhuluma ngedivayisi ekhethekile esetshenziswa njengokwelapha lokhu.
Iyini le-Artificial Urinary Sphincter?
Kalula nje, lena ithuluzi elincane elifakwa ngokuhlinzwa emzimbeni ukuze kwelashwe ukungakwazi ukuzibamba komchamo. Lokhu kuwusizo olukhulu kulabo abangakwazi ukulawula umchamo wabo.
Udokotela wezifo zomchamo (udokotela ohlinzayo ochwepheshe bezifo zomchamo) ufaka le divayisi eduze komchamo wakho. Kukhona uketshezi ngaphakathi kwale divayisi. Lolu ketshezi lugcina idivayisi igcwele umoya, luvimbe umchamo. Ngemuva kwalokho, umchamo awuphumi. Uma ufuna ukuchama, kufanele ucindezele ipompo encane esikhwameni. Ngemuva kwalokho, idivayisi iyaphuma, umchamo uyavuleka, bese umchamo uqala ukuphuma. Ngemva kwemizuzu engaba mithathu, le divayisi iyaphinda igcwale ngokuzenzakalelayo.
Okokuqala, ake sibheke ukuthi iyini i-sphincter yemvelo yomchamo.
Imizimba yethu ngokwemvelo inemisipha elawula ukuchama. Isebenza njengevalvu empompini wamanzi. Uma le misipha isebenza kahle, iyafinyela futhi igcine umchamo esinyeni. Uma sidinga ukuchama, le misipha iyakhululeka futhi ivumele umchamo ukuthi uphume.
Kunemisipha emibili yokulawula emzimbeni wethu efana nale:
- I-sphincter yangaphakathi ye-urethra: Yilapho isinye kanye ne-urethra kuhlangana khona. Uma ikhululeka, umchamo ugeleza usuka kwesinye uye e-urethra.
- I-sphincter yangaphandle ye-urethra: Lokhu kutholakala emisipheni yephansi le-pelvic. Uma ikhululeka, umchamo uphuma emzimbeni nge-urethra.
Uma ngesizathu esithile le misipha iba buthakathaka, singase sivuze umchamo ngaphambi kokuba sidinge, ikakhulukazi lapho sikhwehlela noma sithimula. Lokhu yilokho esikubiza ngokuthi i-Stress Incontinence . Ngakho-ke, i-artificial urinary continence (AUS) yenza umsebenzi wale misipha ebuthakathaka.
Hlobo luni lwabantu abasebenzisa le divayisi (i-AUS)?
Odokotela bavame ukuncoma le divayisi kwabesilisa abanenkinga yokungakwazi ukuzibamba ngomchamo.Isetshenziselwa ukwelapha lesi simo, ikakhulukazi kubantu abangazange basabele kwezinye izindlela zokwelapha, njengemithi noma ukuqeqeshwa kwesinyi.
Kwabesilisa, lesi simo sivame ukwenzeka ngemva kokuhlinzwa komdlavuza wendlala (i-prostatectomy). Umuntu onalesi simo angavuza umchamo ezimweni ezilandelayo:
- Uma uhleka
- Uma uthimula
- Uma ukhwehlela
- Ngesikhathi uhamba
- Ngesikhathi uzivocavoca
I-catheter yomchamo yokwenziwa (i-AUS) ayisetshenziswa kakhulu kulesi simo kwabesifazane.
Isebenza kanjani le divayisi?
I-continence yokwenziwa komchamo (AUS) inezingxenye ezintathu eziyinhloko. Masiziqonde kahle.
| Ingxenye yedivayisi | Indawo kanye nokusebenza |
|---|---|
| Ibhaluni Lokucindezela | Lokhu kufakwa ngaphansi kwemisipha yesisu. Leli bhaluni licindezela uketshezi ngokucindezela okungaguquki. Lokhu kucindezela kugcina i-urethra ivaliwe. |
| I-Urethral Cuff | Le bhande libekwa eduze kwe-urethra. Lihlala ligcwele uketshezi. Lifana ne-cuff yomfutho wegazi udokotela ayibeka engalweni yakho, futhi liqinisa i-urethra. Ngaleyo ndlela, umchamo awuvuzi. |
| Iphampu | Kwabesilisa, le phampu ifakwa ngaphansi kwesikhumba ngaphakathi kwe-scrotum. Kwabesifazane, ifakwa ku-labia majora. Le phampu ilawula ukuhamba koketshezi kudivayisi. |
Uma uzizwa udinga ukuchama, ucindezela le phampu ngesandla sakho. Ngemuva kwalokho, uketshezi olusesinqeni esizungeze i-urethra luphonswa ebhaluni.Iyahamba. Uma ibhande lingenalutho, liyaphuma bese i-urethra ivuleka. Usungabe usuchama. Ngemva kwemizuzu embalwa, uketshezi olusebhaluni lubuyela ngokuzenzakalelayo ebhandeni bese luvala i-urethra.
Yiziphi izinzuzo nezingozi zalokhu?
Inzuzo enkulu yalokhu ukuthi ungenza imisebenzi yakho yansuku zonke ngaphandle kokwesaba. Akudingeki wesabe ukuhleka, ukukhwehlela, noma ukuzivocavoca. Uyakwazi ukulawula ukuchama kuphela uma ufuna.
Futhi, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
- Izinkinga ezihlobene nokubulala izinzwa.
- Izinkinga zokuphulukisa amanxeba.
- Ukutheleleka.
- Izibazi.
- Ukopha.
Kungase kube nezingozi ezithile eziphathelene nalokhu kuhlinzwa:
- Izingxenye zemishini ziyayeka ukusebenza noma ziyaphuka. Ngemuva kwalokho kufanele zishintshwe.
- Ukwanda kokungakwazi ukuzibamba.
- Ukuzikhandla ukuze uchame.
- Ukulimala kwe-urethra, esinyeni, noma izitho ezizungezile.
- Ubunzima bokusebenzisa iphampu.
- Ukuguguleka kwedivayisi ukuguguleka kancane kancane kwezicubu endaweni yedivayisi.
Le divayisi ihlala isikhathi esingakanani?
I-catheter yomchamo yokwenziwa ingasetshenziswa iminyaka engaba yi-10 . Uma leso sikhathi siphela noma idivayisi iyeka ukusebenza, kumele kufakwe entsha ngokuhlinzwa.
Izinga lempumelelo yale divayisi liphezulu kakhulu. Ezinye izifundo zikhombisile ukuthi izinga lempumelelo lingaphezu kuka-90% . Kodwa-ke, uma idivayisi iphuka noma izicubu ziguga (ukuguguleka komchamo), ukuvuza komchamo kungaphinde kwenzeke.
Yini okufanele ngiyiqaphele ngemva kokuhlinzwa?
Umzimba wakho udinga isikhathi sokululama ngemva kokuhlinzwa. Ikakhulukazi indawo lapho i-cuff yayibekwe khona eduze komchamo wakho idinga ukululama. Ngakho-ke, udokotela wakho uzosebenzisa idivayisi emavikini ayi-6 kuya kwayi-8 ngemva kokuhlinzwa. Ukusikwa kwakho kuzolulama zingakapheli amasonto amabili.
Uzinakekela kanjani?
Gwema umsebenzi onzima, ukuzivocavoca, kanye nemisebenzi yocansi ngokuphelele okungenani amasonto amane ngemva kokuhlinzwa. Uma ukwenza lokhu ngaphambi kokuba inxeba liphole kahle,
- Imithungo ingaphuka.
- Ukutheleleka kungenzeka.
- Ubuhlungu bungase bukhule.
- Kungase kube nokopha.
Futhi, gwema ukucwilisa ebhavini noma eshaweni kuze kube yilapho inxeba selipholile. Kulungile ukugeza. Kodwa kubalulekile ukugcina indawo yomile futhi ihlanzekile ngangokunokwenzeka ukuze uvimbele ukutheleleka.
Kufanele ngimbone nini udokotela?
Hlela ama-aphoyintimenti okulandelela nodokotela wakho ngemva kokuhlinzwa. Kuzodingeka ubone udokotela wakho cishe emavikini amabili ukuze uhlole ukuthi inxeba lakho liyaphola yini futhi emavikini angu-6-8 ukuze ulungise idivayisi yakho.
Uma unezimpawu ezilandelayo , shayela udokotela wakho ngokushesha.
| Izimpawu okufanele uziqaphele | |
|---|---|
| Amanxeba kanye nokusikeka okushintshe umbala, okubuhlungu, noma okuphuma uketshezi olufana nobovu. | |
| Ukopha okuvela emanxebeni. | |
| Ukungakwazi ukuchama isikhathi esingaphezu kwamahora ayisithupha. | |
| Umkhuhlane ongaphezu kuka-101.5°F (38.6°C). | |
| Ukwanda kokudumba epipini noma emasendeni akho. | |
Ukungakwazi ukuzibamba umchamo kuyinto abantu abaningi abazizwa benamahloni futhi benamahloni okukhuluma ngayo. Kodwa uma usuzame izindlela eziningi zokwelapha, njengemithi nokuzivocavoca, futhi isimo asikathuthuki, khuluma nodokotela wakho mayelana nokulawula umchamo okwenziwe (AUS). Lokhu kungenza impilo yakho ibe lula kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukungakwazi ukuzibamba umchamo okwenziwe (AUS) kuyindlela yokwelapha ephumelela kakhulu yokungakwazi ukuzibamba ngokucindezeleka, ikakhulukazi uma ezinye izindlela zokwelapha zehlulekile.
- Yakhiwe izingxenye ezintathu (ibhande, ibhaluni, kanye nephampu), futhi ungayisebenza wena ukuze ulawule ukuchama.
- Kubaluleke kakhulu ukuvumela isikhathi sokuphulukiswa okufanele ngemva kokuhlinzwa nokulandela imiyalelo yezokwelapha.
- Qaphela izimpawu eziyisixwayiso (umkhuhlane, ubuhlungu obukhulu, ukopha) ezingase zivele ngemva kokuhlinzwa futhi wazise udokotela wakho ngokushesha uma kwenzeka noma yikuphi kwalokhu.
- Ungabi namahloni noma ungabi namahloni ngalesi simo. Ukukhuluma ngokukhululekile ngaso nodokotela wakho kungakusiza uthole ukwelashwa okungcono kakhulu.
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