Urinary incontinence - retropubic kuturika

Kumisikidzwa kweRetropubic kuvhiyiwa kunobatsira kudzora kusagadzikana kusagadzikana. Uku ndiko kubuda weti kunoitika kana uchiseka, kukosora, kusvimha, kusimudza zvinhu, kana kurovedza muviri. Kuvhiya kunobatsira kuvhara yako urethra uye bladder mutsipa. Urethra ndiyo chubhu inotakura weti kubva mudundira ichienda kunze. Mutsipa wedundira chikamu chedundira chinosangana nere urethra.

Iwe unogamuchira chero yakajairwa anesthesia kana musana anesthesia usati kuvhiya kwatanga.

• Neine general anesthesia, iwe wakarara uye haunzwe kurwadziwa.
• Uine musana kutindivadza, wakamuka asi wakagwinha kubva muchiuno zvichidzika uye haunzwi kurwadziwa.

Catheter (chubhu) inoiswa mudundira rako kuti ubudise weti kubva padundira rako.

Kune nzira mbiri dzekuita kusimudzira retropubic: kuvhura kwakavhurika kana kuvhiyiwa laparoscopic. Chero nzira, kuvhiyiwa kunogona kutora kusvika maawa maviri.

Panguva yekuvhiyiwa pachena

• Kucheka kwekuvhiya (incision) kunoitwa pazasi peguvhu rako.
• Kubudikidza neichi cheka bladder inowanikwa. Chiremba anosona (sutures) mutsipa wedundira, chikamu chemadziro emukadzi, uye urethra kumabhonzo nemisungo mumapanga ako.
• Izvi zvinosimudza dundira uye urethra kuitira kuti vagone kuvhara zviri nani.

Munguva yekuvhiyiwa kweparoscopic, chiremba anoita zvidimbu zvidiki mudumbu rako. Iyo chubhu-senge mudziyo unobvumidza chiremba kuti aone nhengo dzako (laparoscope) inoiswa mudumbu rako kuburikidza nekucheka uku. Chiremba anosunga mutsipa wedundira, chikamu chemadziro emukadzi, uye urethra kumabhonzo nemarunda mumukoko.

Iyi nzira inoitwa kurapa kusagadzikana kusagadzikana.

Usati wataura nezvekuvhiya, chiremba wako anoita kuti iwe uedze kudzidzisazve dundira, Kegel kurovedza muviri, mishonga, kana zvimwe zvingasarudzwa. Kana iwe ukaedza izvi uye uchine matambudziko nekudonha kwerini, kuvhiyiwa kunogona kuve kwako kwakanyanya kuita.

Ngozi dzekuvhiyiwa chero ndeidzi:

• Kubuda ropa
• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu
• Matambudziko ekufema
• Utachiona mukucheka kwekuvhiya, kana kuvhura kwecheka
• Humwe hutachiona

Ngozi dzekuvhiya uku ndedzekuti:

• Nzira isina kujairika (fistula) pakati pemukadzi uye neganda
• Kukuvadza kune urethra, bladder, kana mukadzi
• Irrable bladder, zvichikonzera kudiwa kwekuita weti kakawanda
• Kuwedzera kuoma kuburitsa dundira rako, kana kudiwa kwekushandisa catheter
• Kuwedzera kweti kubuda

Udza mupi wako wezvehutano kuti ndeapi mishonga yauri kutora. Izvi zvinosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga 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.
• Bvunza kuti ndeipi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Mupi wako anogona kubatsira.

Pazuva rekuvhiyiwa kwako:

• Iwe ungangobvunzwa kuti usamwe kana kudya chero chinhu kwemaawa matanhatu kusvika gumi nemaviri pamberi pekuvhiyiwa.
• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara. Iva nechokwadi chekusvika nenguva.

Iwe ungangove uine catheter mune yako urethra kana mudumbu rako pamusoro peiyo pubic bone (suprapubic catheter). Iyo catheter inoshandiswa kudurura weti kubva padundira. Unogona kuenda kumba nekateti ichiripo. Kana, iwe ungangoda kuita inopindirana catheterization. Aya maitiro ekuti iwe unoshandisa catheter chete kana iwe uchida kuita weti. Iwe unozodzidziswa maitiro ekuita izvi usati wabva muchipatara.

Iwe unogona kunge uine gauze kurongedza mukati memukadzi mushure mekuvhiyiwa kuti ubatsire kumira kubuda ropa. Inowanzo bviswa maawa mashoma mushure mekuvhiyiwa.

Unogona kubva muchipatara musi iwoyo sekuvhiyiwa. Kana, unogona kugara kwemazuva maviri kana matatu mushure mekuvhiyiwa uku.

Tevedzera rairo nezvekuti ungazvichengete sei kana waenda kumba. Chengeta ese ekutevera-maakagadzwa.

Urinary leakage inoderera kune vakadzi vazhinji vanovhiyiwa. Asi iwe unogona kunge uchinge uchinge uchinge uchinge wabuda. Izvi zvinogona kunge zviri nekuti mamwe matambudziko ari kukonzeresa kusagadzikana kwako kuita weti. Nekufamba kwenguva, kumwe kudonha kunogona kudzoka.

Vhura retropubic colposuspension; Marshall-Marchetti-Krantz (MMK) maitiro; Laparoscopic retropubic colposuspension; Tsono kuturika; Burch colposuspension

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

Chapple CR. Retropubic kumiswa kuvhiyiwa kwekusagadzikana mune vakadzi. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 82.

Dmochowski RR, Blaivas JM, Gormley EA, uye al. Kwidziridzo yeAUA nhungamiro pane yekuvhiya manejimendi yevakadzi kushushikana kwekuita kusagadzikana. J Urol. 2010; 183 (5): 1906-1914. PMID: 20303102 www.ncbi.nlm.nih.gov/pubmed/20303102.

Kirby AC, Lentz GM. Yepazasi yeurinary turakiti basa uye kusagadzikana: physiology ye micturition, kuvhara kusagadzikana, kusagadzikana kweweti, urinary turakiti hutachiona, uye chinorwadza bladder syndrome. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 21.