Urinary incontinence - urethral sling maitiro

Vaginal sling maitirwo emhando dzekuvhiya dzinobatsira kudzora kusagadzikana kweiyo urinary kusagadzikana. Uku ndiko kubuda weti kunoitika kana uchiseka, kukosora, kusvimha, kusimudza zvinhu, kana kurovedza muviri. Maitiro acho anobatsira kuvhara yako urethra uye bladder mutsipa. Urethra ndiyo chubhu inotakura weti kubva mudundira ichienda kunze. Mutsipa wedundira chikamu chedundira chinosangana nere urethra.

Vaginal sling maitiro anoshandisa akasiyana zvinhu:

• Tishu kubva mumuviri wako
• Chakagadzirwa nevanhu (chakagadzirwa) chinozivikanwa seye mesh

Iwe une general anesthesia kana musana anesthesia pamberi pekuvhiya kwatanga.

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

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

Chiremba anoita kamwe kadiki kekuvhiya (incision) mukati memukadzi wako. Kumwe kudimburwa kudiki kunoitwa pamusoro peiyo pubic bvudzi mutsetse kana muguyo. Mazhinji maitiro acho anoitwa kuburikidza nekucheka mukati memukadzi.

Chiremba anogadzira chipfuramabwe kubva munyama kana zvigadzirwa zvekugadzira. Chipfuramabwe chinopfuudzwa pasi peurethra uye mutsipa wedundira uye chakasungirirwa kumatishu akasimba mudumbu rako rezasi, kana kusiiwa munzvimbo yekutendera kuti muviri wako upore uye uupinze munyama yako.

Vaginal sling maitiro anoitwa kurapa kunetseka kweiyo urinary 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 ndedzipi:

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

Njodzi dzekuvhiya uku ndedze:

• Kukuvadza kune nhengo dziri pedyo
• Kuputsa zvigadzirwa zvekushandisa zvinoshandiswa pachifuramabwe
• Kukanganiswa kwezvinhu zvakagadzirwa kuburikidza neyakajairika nyama yako
• Shanduko mukati memukadzi (rakaputika nyini)
• Kukuvadza kune urethra, bladder, kana mukadzi
• Nzira isina kujairika (fistula) pakati pechidzitiro kana urethra uye mukadzi
• Irrable bladder, zvichikonzera kudiwa kwekuita weti kakawanda
• Kuwedzera kuoma kuburitsa dundira rako, uye kuda kwekushandisa catheter
• Kuwedzera kweti kubuda

Udza chiremba wako 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.
• Ukasvuta, edza kurega. Mubatsiri wako wehutano anogona kubatsira.

Pazuva rekuvhiyiwa:

• Iwe unogona kukumbirwa kuti usanwa 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 unogona kunge uine gauze kurongedza mukati memukadzi mushure mekuvhiyiwa kuti ubatsire kumira kubuda ropa. Inowanzo bviswa maawa mashoma mushure mekuvhiyiwa kana zuva rinotevera.

Unogona kubva muchipatara musi iwoyo sekuvhiyiwa. Kana iwe unogona kugara kwe1 kana maviri mazuva.

Iwo masiketi (sutures) mukati memukadzi wako anonyungudika mushure memavhiki akati wandei. Mushure memwedzi mumwe chete kusvika kumitatu, iwe unokwanisa kuzokwanisa kuita zvepabonde pasina matambudziko.

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

Urinary leakage inowana zvirinani kune vazhinji vakadzi. Asi iwe unogona kunge uchinge uchinge uchinge uchinge wabuda. Izvi zvinogona kunge zviri nekuti mamwe matambudziko ari kukonzera kusagadzikana kweweti. Nekufamba kwenguva, iyo leakage inogona kudzoka.

Pubo-chikadzi chipfuramabwe; Transobturator chipfuramabwe; Midurethral chipfuramabwe

• 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

Dmochowski RR, Osborn DJ, Reynolds WS. Slings: autologous, biologic, synthetic, uye midurethral. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits 84.

Paraiso MFR, Chen CCG. Iko kushandiswa kweiyo biologic tishu uye synthetic mesh mune urogynecology uye kugadzirisa kuvaka pelvic kuvhiya. Mune: Walters MD, Karram MM, eds. Urogynecology uye Inovandudza Pelvic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 28.