Chakagadzirwa weti weti sphincter

Sphincters imhasuru inobvumidza muviri wako kubata weti. Chinhu chinoputika (chakagadzirwa nevanhu) sphincter chigadzirwa chekurapa. Ichi chishandiso chinochengetedza weti kuti isabude. Iyo inoshandiswa kana yako weti sphincter isisashande mushe. Paunenge uchida kuita weti, iyo cuff yeyakagadzirwa sphincter inogona kusununguka. Izvi zvinobvumira weti kubuda.

Dzimwe nzira dzekurapa kubuda kwerini uye kusagadzikana kunosanganisira:

• Tension-yemadzimai tepi (midurethral chipfuramabwe) uye autologous chipfuramabwe (vakadzi)
• Urethral kubhowa nezvinhu zvekugadzira (varume nevakadzi)
• Retropubic kumiswa (vakadzi)
• Varume urethral chipfuramabwe (varume)

Maitiro aya anogona kuitwa iwe uri pasi pe:

• General kutindivadza. Iwe unenge wakarara uye usingakwanise kunzwa kurwadziwa.
• Spinal anesthesia. Iwe unenge wakasvinura asi haugone kunzwa chero chinhu chiri pasi pechiuno chako. Unozopihwa mishonga inokubatsira kuzorora.

Chakagadzirwa sphincter ine zvikamu zvitatu:

• Cuff, iyo inokomberedza yako urethra. Iyo urethra ndiyo chubhu inotakura weti kubva padundira rako kuenda kunze kwemuviri wako. Kana iyo cuff ikazara (izere), iyo cuff inovhara yako urethra kumisa weti kuyerera kana kubuda.
• Bhaluni, iro rinoiswa pasi pemuviri wako wedumbu. Inobata mvura imwechete seye cuff.
• Pombi, inozorodza cuff nekufambisa chinoyerera kubva muhomwe kuenda kubhaluni.

Kucheka kwekuvhiya kunoitwa mune imwe yenzvimbo idzi kuitira kuti cuff iiswe munzvimbo:

• Scrotum kana perineum (varume).
• Labia (vakadzi).
• Dumbu repazasi (varume nevakadzi). Mune zvimwe zviitiko, kuita uku kunogona kunge kusiri kudikanwa.

Iyo pombi inogona kuiswa muchirume chemurume. Inogona zvakare kuiswa pasi peganda mudumbu rezasi remukadzi kana gumbo.

Kamwe iyo yekunyepedzera sphincter painenge yave panzvimbo, iwe unoshandisa pombi kudurura (deflate) iyo cuff. Kusvina pombi kunofambisa mvura kubva pahomwe kuenda kubhaluni. Kana iyo cuff isina chinhu, yako urethra inovhura kuitira kuti iwe ugone kuita weti. Iyo cuff inozozvikwidziridza yega mumasekondi makumi mapfumbamwe.

Artificial urinary sphincter kuvhiya kunoitwa kurapa kusagadzikana kusagadzikana. Kushungurudzika kusagadzikana ndiko kubuda kwerini. Izvi zvinoitika nezviitiko zvakaita sekufamba, kusimudza, kurovedza muviri, kana kutokosora kana kusvimha.

Maitiro acho anokurudzirwa kune varume vane weti leakage ine chiitiko. Rudzi urwu rwekuvuza runogona kuitika mushure mekuvhiyiwa kweprostate. Iyo yekunyepedzera sphincter inorayirwa kana mamwe marapirwo asingashande.

Vakadzi vane weti inodonha kazhinji vanoedza dzimwe nzira dzekurapa vasati vaiswa yekunyepedzera sphincter. Iyo isingawanzo kushandiswa kurapa kunetseka kweiyo urinary kusagadzikana mune vakadzi muUnited States.

Kazhinji yenguva, mupi wako wezvehutano anokukurudzira mishonga uye kudzidzira dundira usati wavhiyiwa.

Iyi nzira inowanzo kuve yakachengeteka. Kumbira mupiki wako nezve zvinogona kuitika.

Njodzi dzakabatana neanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kuwanda kweropa
• Utachiona

Ngozi dzekuvhiya uku dzinogona kusanganisira:

• Kukuvara kweiyo urethra (panguva yekuvhiyiwa kana gare gare), dundira, kana mukadzi
• Zvakaoma kuburitsa dundira rako, iro rinogona kuda catheter
• Weti inodonha iyo inogona kuwedzera
• Kukundikana kana kupfeka kure kwechigadzirwa chinoda kuvhiyiwa kutsiva kana kubvisa

Nguva dzose udza mupi wako kuti ndeapi mishonga yauri kutora. Zvakare ita kuti mupi azive nezve iyo inopfuura-the-counter mishonga, mahebhu uye zvinowedzerwa zvawakatenga pasina mushonga.

Munguva yemazuva asati avhiyiwa:

• Iwe unogona kukumbirwa kumira kutora aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), uye chero mimwe mishonga inoita kuti zvive zvakaoma kuti ropa rako rigadzike.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.

Pazuva rekuvhiyiwa kwako:

• Iwe unowanzo kubvunzwa kuti usamwe kana kudya chero chinhu kwemaawa matanhatu kusvika gumi nemaviri pamberi pekuvhiyiwa.
• Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kadiki kemvura.
• Mupiki wako anokuudza iwe kuti usvike nguvai kuchipatara.

Mupiki wako anozoongorora weti yako. Izvi zvinoita kuti uve nechokwadi chekuti hauna hutachiona usati watanga kuvhiya kwako.

Iwe unogona kudzoka kubva pakuvhiya nekateti munzvimbo. Iyi catheter inodurura weti kubva padundira rako kwechinguva chidiki. Ichabviswa usati wabuda muchipatara.

Iwe haushandise yekunyepedzera sphincter kwechinguva mushure mekuvhiyiwa. Izvi zvinoreva kuti unenge uchine weti yekudonha. Miviri yako yemuviri inoda nguva ino kupora.

Anenge mavhiki matanhatu mushure mekuvhiyiwa, iwe unozodzidziswa mashandisiro epombi yako kupomha yako yekunyepedzera sphincter.

Iwe unozofanirwa kutakura kadhi rechikwama kana kupfeka chitupa chekurapa. Izvi zvinotaurira vanopa iwe une yekunyepedzera sphincter. Iyo sphincter inofanirwa kudzimwa kana iwe uchida kuve neye urineti catheter yakaiswa.

Vakadzi vangangoda kushandura maitiro avanoita zvimwe zviitiko (senge kuchovha bhasikoro), sezvo pombi yakaiswa mumalabia.

Urinary leakage inoderera kune vanhu vazhinji vane maitiro aya. Nekudaro, panogona kunge paine zvimwe zvinovuza. Nekufamba kwenguva, kumwe kudonha kunogona kudzoka.

Panogona kuve nekunonoka kupfeka kurera kweti urethra pasi pechiko.Ichi chinyama chingave chipanji. Izvi zvinogona kuita kuti chishandiso chisashande kana kuti chikonzere kupinda murethra. Kana kusagadzikana kwako kukadzoka, shanduko dzinogona kuitwa kuchinhu kuti chigadzirise. Kana chishandiso chikakonzera kupinda murethra, chinofanira kubviswa.

Chakagadzirwa sphincter (AUS) - weti; Inflatable chakagadzirwa sphincter

• Kegel kurovedza muviri - kuzvitarisira
• Kuzvidzora catheterization - mukadzi
• Suprapubic catheter kuchengetedza
• Urinary kusagadzikana zvigadzirwa - kuzvitarisira
• Urinary incontinence kuvhiyiwa - mukadzi - kubuda
• Weti mabhegi emvura
• Paunenge uine weti kusagadzikana

• Inflatable chakagadzirwa sphincter - akatevedzana

American Urological Association webhusaiti. Chii chinonzi kushushikana kweurinary incontinence (SUI)? www.urologyhealth.org/urologic-conditions/stress-urinary-incontinence-(sui)/printable-version. Yakasvika Nyamavhuvhu 11, 2020.

Danforth TL, Ginsberg DA. Chakagadzirwa weti weti sphincter. Mune: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas yeUrologic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 102.

Thomas JC, Clayton DB, Adams MC. Yepazasi weti turakiti yekuvakazve muvana. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 37.

Wessell H, Vanni AJ. Nzira dzekuvhiya dze sphincteric kusagadzikana mune murume. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 131.