Urinary incontinence - isina-kukakavara isina kusangana nekutsi kwemukadzi tepi

Kuiswa kwekusagadzikana-isina kusangana nekutsi kwemukadzi tepi kuvhiyiwa kubatsira kudzora kusagadzikana kweiyo weti 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 une general anesthesia kana musana anesthesia pamberi pekuvhiya kwatanga.

• Neine general anesthesia, iwe wakarara uye haunzwe kurwadziwa.
• Uine rukuvhute rwomuzongoza, wakamuka, asi kubva muchiuno zvichidzika, wakabatwa nechiveve uye haurwadziwi.

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

Chinhu chidiki chekuvhiya (incision) inoitwa mukati memukadzi wako. Kucheka kudiki kudiki kunoitwa mudumbu mako pamusoro penzvimbo yepubiki bvudzi kana mukati mega roga rehudyu remukati padyo neguyo.

Iyo yakasarudzika yakagadzirwa nevanhu (synthetic mesh) tepi inopfuudzwa kuburikidza nekucheka mukati memukadzi. Iyo tepi inozoiswa pasi peyurera yako. Mumwe mugumo we tepi unopfuudzwa kuburikidza neumwe wedumbu kutsemurwa kana kuburikidza neumwe wemukati chidya cheki. Iwo mumwe mugumo we tepi unopfuudzwa nepakati peimwe dumbu incision kana yemukati chidya incision.

Chiremba anobva agadzirisa kuomarara (tension) yetepi zvakaringana kutsigira urethra yako. Iyi huwandu hwerutsigiro ndosaka kuvhiyiwa kuchinzi kusagadzikana. Kana iwe ukasagamuchira general anesthesia, iwe unogona kukumbirwa kukosora. Uku ndiko kutarisa kumanikidza kwetepi.

Mushure mokunge kukakavara kwagadziriswa, magumo etepi anotemwa netava neganda pane izvo zvinokamurwa. Iyo incision yakavharwa. Sezvo iwe uchipora, zvinyama zvinyoro zvinoumba pane izvo zvinongedzo zvinobata iyo tepi inopera munzvimbo kuitira kuti urethra yako itsigirwe.

Kuvhiya kwacho kunotora anenge maawa maviri.

Tension-yemadzimai tepi inoiswa 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 ndedzipi:

• Kubuda ropa
• Matambudziko ekufema
• Utachiona mukucheka kwekuvhiya kana iyo yakatemwa inovhura
• Ropa rinovhara mumakumbo
• Humwe hutachiona

Njodzi dzekuvhiya uku ndedze:

• Kukuvadza kunhengo dziri padyo - Shanduko mukati memukadzi (rakaputika nyini, umo nyini isiri munzvimbo kwayo).
• Kukuvadza kune urethra, bladder, kana mukadzi.
• Kukanganiswa kwetepi kupinda mumatunhu akakomberedza (urethra kana nyinyo).
• Fistula (isina kujairika ndima) pakati pebunduru kana urethra uye mukadzi.
• Irradi inorwadza, zvichikonzera kudikanwa kwekuita weti kakawanda.
• Zvinogona kuomera kudurura dundira rako, uye ungangoda kushandisa catheter. Izvi zvingangoda kumwe kuvhiya.
• Pubic pfupa kurwadziwa.
• Weti inodonha inogona kuwedzera.
• Iwe unogona kunge uine mhinduro kune yekugadzira tepi.
• Marwadzo nekusangana pabonde.

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.
• Ronga kutakurwa kuenda kumba uye uve nechokwadi chekuti uchawana rubatsiro rwakakwana paunosvika ikoko.

Pazuva rekuvhiyiwa:

• Iwe ungangobvunzwa kuti usamwe kana kudya chero chinhu kwemaawa matanhatu kusvika gumi nemaviri maitiro acho asati aitwa.
• Tora mishonga yawakanzi utore nekunwa zvishoma mvura.
• Mupiki wako anokuudza iwe kuti usvike nguvai kuchipatara. Iva nechokwadi chekusvika nenguva.

Uchaendeswa kukamuri yekudzorera. Vanamukoti vachakukumbira kuti ukosore uye utore kufema kwakanyanya kubatsira kubvisa mapapu ako. Unogona kunge uine catheter mudundira rako. Izvi zvichabviswa paunenge uchikwanisa kudurura dundira rako wega.

Iwe unogona kunge uine gauze kurongedza mukati memukadzi mushure mekuvhiyiwa kuti ubatsire kumira kubuda ropa. Inowanzo bviswa maawa mashoma mushure mekuvhiyiwa kana mangwanani anotevera kana iwe ukagara husiku.

Unogona kuenda kumba musi iwoyo kana pasina matambudziko.

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

Urinary leakage inoderera kune vazhinji vakadzi vane maitiro aya. Asi iwe unogona kunge uchinge uchinge uchinge uchinge wabuda. Izvi zvinogona kuve nekuti mamwe matambudziko ari kukonzera kusagadzikana kwako. Nekufamba kwenguva, kumwe kudonha kunogona kudzoka.

Retropubic chipfuramabwe; Obturator 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, Reynold 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.

Walters MD, Karram MM. Synthetic midurethral masiraidhi ekudzvinyirira urinary kusagadzikana. Mune: Walters MD, Karram MM, eds. Urogynecology uye Inovandudza Pelvic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 20.