Cabanga uhleka kakhulu nabangani bakho, noma ukhwehlela kancane ngenxa yomkhuhlane, bese uhlanza izingubo zakho ngengozi. Lokhu kuyinkinga enkulu ngempela kubantu abaningi, futhi bayesaba ukuphuma emphakathini. Lesi simo sisibiza ngokuthi 'Ukungabi Nakho Ukulawula Ukucindezeleka' . Ikakhulukazi ngemva kokuhlinzwa komdlavuza we-prostate (i-prostatectomy), amadoda avame ukubhekana nale nkinga. Ngakho-ke ayikho ikhambi lalokhu? Nakanjani likhona. Namuhla sikhuluma ngekhambi elithuthukisiwe kwezobuchwepheshe elingaba usizo kakhulu kubantu abanjalo.
Iyini le-Artificial Urinary Sphincter?
Kalula nje, lena ithuluzi elincane lezokwelapha elifakwa emzimbeni wethu futhi lisiza ukulawula ukugeleza komchamo. Lokhu kubizwa ngokuthi i-AUS ngamafuphi. Lixhunywe ngokuhlinzwa eduze kwe-urethra. Kufana nomsizi wangaphandle oxhunywe ukuze enze umsebenzi lapho imisipha yomzimba yethu yokulawula umchamo ibuthakathaka.
Ukuze siqonde lokhu, ake siqale sibheke ukuthi imizimba yethu ilawula kanjani ukuchama. Ipayipi elithwala umchamo lisuka kwesinyeni sethu (i-urethra) lizungezwe yimisipha emibili esebenza 'njengama-valve'. Lokhu sikubiza ngokuthi 'ama-sphincters omchamo'.
- I-Internal Sphincter: Yilapho isinye sixhuma khona ne-urethra.
- I-External Sphincter: Lokhu kutholakala emisipheni yephansi le-pelvic.
Ngokuvamile, le misipha iqinile futhi ivimba i-urethra. Yingakho singayiboni iphuma yomchamo. Uma sidinga ukuchama, le misipha iyakhululeka ngokwesignali evela ebuchosheni, bese umchamo uphuma kalula. Kodwa uma le misipha ibuthakathaka ngenxa yokuhlinzwa noma yisiphi esinye isizathu, noma ngabe kukhona ingcindezi encane esiswini (lapho ukhwehlela, uhleka), umchamo uqala ukuvuza kancane. Yilapho-ke lokhu kulawulwa komchamo okwenziwe (i-AUS) kuza khona ukusisiza.
Isebenza kanjani le divayisi (AUS)?
Le divayisi inezingxenye ezintathu eziyinhloko. Zonke ezintathu zifakwe emzimbeni.
1. I-Urethral Cuff: Lena yingxenye ebaluleke kakhulu. Ifana 'nesongo' esincane esigqokwa eduze kwe-urethra. Ngokuvamile, sigcwaliswa ngoketshezi bese sicindezela i-urethra kancane. Sifana nebhande eliqiniswa eduze kwengalo lapho sihlola umfutho wegazi lethu. Lokhu kuvimbela umchamo ukuthi ungaphumi.
2. Ibhaluni Lokucindezela: Leli ibhaluni elincane elibekwa esiswini esingezansi, ngaphansi kwemisipha. Yilapho uketshezi oludingekayo 'kwikhafu' lugcinwa khona ngaphansi kwengcindezi.
3. Iphampu:Lona umlawuli. Kwabesilisa, le phampu encane ifakwa ngaphansi kwesikhumba ngaphakathi kwe-scrotum, lapho kukhona khona amasende. Kwabesifazane, ifakwa eduze kwe-labia majora. Ifakwa ngendlela elula ukuyifinyelela.
Manje ake sibone ukuthi lolu hlelo lusebenza kanjani:
Cabanga ukuthi udinga ukuchama manje. Nakhu okudingeka ukwenze:
- Iphampu esesinqeni sakho sesisu icindezelwa ngesandla kabili noma kathathu.
- Bese kuthi olunye uketshezi olusesinqeni lungene ku-pressure gauge .
- Uma i-cuff ivuvukile, iyakhululeka bese i-urethra ivuleka. Ungabe usuchama ngendlela evamile.
- Akudingeki wenze lutho. Ngemva kwemizuzu embalwa, uketshezi olusebhaluni luzobuyela ekhapheni, luqinise, bese i-urethra ivala ngokuzenzakalelayo.
Kalula nje, uma udinga ukuchama, ucindezela ipompo ukuze uvule 'i-valve', futhi uma usuqedile, ivala ngokuzenzakalelayo. Lokhu kukuvumela ukuthi ulawule umchamo wakho usuku lonke.
Yiziphi izinzuzo kanye nokungalungi kwale ndlela?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo nezingozi. Kubalulekile ukuxoxa ngalokhu nodokotela wakho.
| Izinzuzo | Ububi Nezingozi |
|---|---|
| Izinga lempumelelo eliphezulu: Izifundo zikhombisile ukuthi lokhu kuphumelele ngaphezu kuka-90%. | Izingozi zokuhlinzwa: Izingozi ezivamile zanoma yikuphi ukuhlinzwa, njengokubulala izinzwa, ukopha, kanye nokutheleleka. |
| Izinga lokuphila elithuthukisiwe: Inkululeko yokuzihlanganisa nabantu, ukuzivocavoca, nokuhleka ngaphandle kokwesaba ukuvuza komchamo. | Ukungasebenzi kahle kwedivayisi: Ngokuhamba kwesikhathi, izingxenye zedivayisi zingase ziphuke noma ziyeke ukusebenza, okudinga ukuhlinzwa okwengeziwe ukuze kufakwe enye. |
| Isixazululo sesikhathi eside:Uma isetshenziswa kahle, le divayisi ingahlala iminyaka engaba yi-10. | Ukuguguleka Kwedivayisi: Ngezinye izikhathi izicubu ezise-urethra zingalimala lapho kukhona khona i-cuff. |
| Uyakwazi ukulawula: Unelawulo eliphelele lokuthi uzochama nini futhi kuphi. | Ubunzima bokusebenzisa iphampu: Abanye abantu bangase bakuthole kunzima kancane ukucindezela nokusebenzisa iphampu. |
Yini okufanele uyiqaphele ngemva kokuhlinzwa?
Lokhu kubaluleke kakhulu. Ngeke uvunyelwe ukusebenzisa le divayisi ngokushesha ngemva kokuhlinzwa.
- Ukuvumela isikhathi sokuphulukiswa: Ngemva kokuhlinzwa, amanxeba angaphakathi adinga ukuphola. Yingakho udokotela ezogcina le divayisi 'ingasebenzi' . Phakathi nalesi sikhathi, ungase ulahlekelwe ukulawula umchamo.
- Ukuvula idivayisi: Udokotela wakho uzophinde akubone ngemva kwamasonto angu-6-8 , futhi uma wonke amanxeba esepholile kahle, uzoyivula futhi akufundise ukuthi uyisebenzisa kanjani.
- Ukugwema umsebenzi: Kufanele ugweme ngokuphelele ukuphakamisa izinto ezisindayo, umsebenzi onzima, kanye nomsebenzi wocansi okungenani amasonto angu-4-6 ngemva kokuhlinzwa. Ukuphumula kubalulekile phakathi nalesi sikhathi.
- Ukuhlanzeka: Ukugcina inxeba lihlanzekile futhi lomile kubaluleke kakhulu ukuvimbela ukutheleleka. Landela imiyalelo kadokotela wakho kahle.
Kufanele ngimbone nini udokotela?
Ngemva kokuhlinzwa, kuzodingeka uye kokuhlolwa okulandelayo ngezikhathi ezithile. Kodwa-ke, uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
- Uma kukhona uketshezi olufana nobovu oluvela emanxebeni, uma izindawo zibomvu, zivuvukele, futhi zibuhlungu kakhulu.
- Uma amanxeba ephuma igazi.
- Uma ungakwazi ukuchama isikhathi esingaphezu kwamahora ayisithupha .
- Umkhuhlane (ngaphezu kuka-101.5°F noma u-38.6°C).
- Uma ipipi noma i-scrotum yakho iba mnene kakhulu.
Uma unokungabaza okuncane ngento efana nale, ungesabi ukubuza udokotela wakho.
Ukungakwazi ukuzibamba kungaba yisithiyo esikhulu empilweni yakho. Kodwa akulona iphutha lakho, futhi akuyona into okufanele uyifihle futhi uhlupheke ngayo. Uma ezinye izindlela zokwelapha, njengemithi nokuzivocavoca, zingasebenzi, khuluma nodokotela wakho mayelana nokulawula umchamo okwenziwe (AUS). Kungakusiza ukuthi uphinde uthole ukuzethemba kwakho okulahlekile kanye nokuzimela.
Umlayezo Wokuya Nawe Ekhaya
- Ukungakwazi ukuzibamba umchamo okwenziwe (i-AUS) kuyithuluzi lezokwelapha elifakwe emzimbeni ukulawula ukuvuza komchamo okungahleliwe (ukungakwazi ukuzibamba kokucindezeleka) ngesikhathi semisebenzi efana nokukhwehlela nokuhleka.
- Yakhiwe izingxenye ezintathu eziyinhloko (i-Cuff, i-Balloon, i-Pump), futhi uma udinga ukuchama, ungacindezela i-pump ukuze uvule i-urethra.
- Le ndlela iphumelela ngaphezu kuka-90% futhi ithuthukisa kakhulu ikhwalithi yokuphila.
- Ngemva kokuhlinzwa, kubalulekile ukugwema imisebenzi enzima kuze kube yilapho idivayisi isebenza (cishe amasonto ayi-6-8) futhi kuze kube yilapho ilulama ngokuphelele.
- Xhumana nodokotela wakho ngokushesha uma uba nezimpawu zokutheleleka kwenxeba, umkhuhlane omkhulu, noma ukungakwazi ukuchama.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho