Kuyini Ukwakhiwa Kabusha kwe-Neobladder? Inhloso, Inqubo & Ukululama

Ukwakhiwa kabusha kwe-Neobladder kuyinqubo yokuhlinzwa eyakha isinye esisha ngesigaba samathumbu akho uma isinye sakho sokuqala sidinga ukususwa. Lokhu kuhlinzwa okumangalisayo kukunika ikhono lokuchama ngendlela ejwayelekile futhi, ngokuvamile kukuvumela ukuthi ugcine ukulawula nenhlonipho ngemva kokususwa kwesinye ngenxa yomdlavuza noma ezinye izimo ezinzima.

Kucabange njengendlela udokotela ohlinzayo akunika ngayo okuthile okusondelene nalokho obunayo ngaphambili. Nakuba kuyindlela yokuhlinzwa enkulu, izinkulungwane zabantu ziye zaphumelela kulolu hlelo futhi zabuyela ekufezeni, ekuphileni okusebenzayo.

Kuyini ukwakhiwa kabusha kwe-neobladder?

Ukwakhiwa kabusha kwe-Neobladder kuhilela ukusebenzisa ingxenye yamathumbu akho amancane ukudala isinye esisha esixhumeka ngokuqondile ku-urethra yakho. Udokotela ohlinzayo uyalungisa ngokucophelela lezi zicubu zamathumbu zibe isikhwama esingagcina umchamo futhi sikuvumele ukuthi uchame ngokuqhekeka kwakho kwemvelo.

Le nqubo ibizwa nangokuthi i-neobladder ye-orthotopic, okusho ukuthi isinye esisha sihlala endaweni efanayo nesinye sakho sokuqala. Umgomo uwukubuyisela umsebenzi ovamile womchamo ngangokunokwenzeka ngemva kokuba isinye sakho sesisusiwe.

Isinye sakho esisha ngeke sisebenze ngendlela efana neyakho yasekuqaleni, kodwa abantu abaningi bathola ukuthi bangachama ngendlela ejwayelekile emini futhi bathole ukulawula okuhle ngokuhamba kwesikhathi. Izicubu zamathumbu zizivumela emsebenzini wazo omusha, nakuba kungase kuthathe izinyanga eziningana ukuthi konke kuhleleke ngendlela ejwayelekile.

Kungani kwenziwa ukwakhiwa kabusha kwe-neobladder?

Lokhu kuhlinzwa kuvame kakhulu ukwenziwa ngemva kwe-cystectomy eqinile, okuyisuswa okuphelele kwesinye sakho ngenxa yomdlavuza wesinye. Uma umdlavuza usabalale odongeni lwemisipha yesinye sakho, ukususa sonke isitho ngokuvamile kunikeza ithuba elingcono kakhulu lokuphulukiswa.

Udktela wakho angase futhi ancome le nqubo kwezinye izimo ezinzima ezidinga ukususwa kwesitho somchamo. Lokhu kungabandakanya ukulimala okukhulu kwemisebe esithweni somchamo, iziphene ezithile zokuzalwa, noma ukulimala okukhulu okuye kwalimaza isitho somchamo ngaphandle kokulungiseka.

Isinqumo sokuqhubeka nokwakhiwa kabusha kwe-neobladder sincike ezintweni eziningana mayelana nempilo yakho kanye nokwakheka komzimba wakho. Udktela ohlinzayo uzohlola ngokucophelela ukuthi ungumuntu ofanelekayo yini ngokusekelwe ekusebenzeni kwezinso zakho, isimo se-urethra yakho, kanye nesimo sakho sempilo esiphelele.

Yini inqubo yokwakhiwa kabusha kwe-neobladder?

Ukuhlinzwa kuvame ukuthatha amahora angu-4 kuya kwangu-6 futhi kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Udktela ohlinzayo uzokwenza ukusikeka esiswini sakho ukuze afinyelele esithweni sakho somchamo kanye nezinye izitho ezizungezile, bese esusa ngokucophelela isitho sakho somchamo ngenkathi egcina izakhiwo ezibalulekile eziseduze.

Nakhu okwenzekayo ngesikhathi sezinyathelo eziyinhloko zenqubo:

1. Udktela wakho ohlinzayo ususa cishe amasentimitha angu-24 emathunjini akho amancane, ngokuvamile esuka esigabeni se-ileum
2. Amathumbu asele axhunywa kabusha ukuze uhlelo lwakho lokugaya ukudla luqhubeke lusebenza ngendlela evamile
3. Ingxenye yamathumbu esusiwe ilungiswa ngokucophelela ibe yisikhwama esiyindilinga
4. Lesi sitho somchamo esisha sixhunywa kuma-ureter akho (amashubhu avela ezinso zakho)
5. Isikhwama bese sinamathiselwa ku-urethra yakho, okukuvumela ukuthi uchame ngokwemvelo

Udktela wakho ohlinzayo angase futhi abeke amashubhu esikhashana abizwa ngokuthi ama-stents kuma-ureter akho ukuze asize ukuphulukisa, kanye ne-catheter yokukhipha umchamo ngenkathi isitho sakho somchamo esisha siphola. Lawa ngokuvamile asuswa ngemva kwamasonto ambalwa uma konke kusebenza kahle.

Ungalungiselela kanjani ukwakhiwa kabusha kwe-neobladder yakho?

Ukulungiselela lokhu kuhlinzwa kuhilela izinyathelo eziningana ezibalulekile ukuze kuqinisekiswe umphumela ongcono kakhulu. Ithimba lakho lezokwelapha lizokuqondisa kuzo zonke izidingo, kodwa ukuhlela kusengaphambili kusiza ukunciphisa ukucindezeleka futhi kusekele ukululama kwakho.

Udktela wakho cishe uzokucela ukuthi uqedele lezi zinyathelo zokulungiselela:

• Yeka ukubhema okungenani amasonto ama-2 ngaphambi kokuhlinzwa ukuze uthuthukise ukuphola
• Qedela ukulungiswa kwamathumbu ngezixazululo ezikhethekile zokuhlanza izinsuku eziyi-1-2 ngaphambi kokuhlinzwa
• Lungiselela othile ukuthi akuqhubele ekhaya futhi ahlale nawe izinsuku ezimbalwa zokuqala
• Susa i-nail polish nobucwebe ngaphambi kokufika esibhedlela
• Thatha ama-antibiotics anqunyiwe ukuvimbela ukutheleleka
• Landela imiyalelo yokuzila ukudla, ngokuvamile akukho ukudla noma isiphuzo ngemuva kwamabili ngaphambi kokuhlinzwa

Ithimba lakho lezempilo lizobuye libuyekeze imithi yakho futhi lingakucela ukuthi uyeke izinciphisi zegazi noma izithasiselo ezithile. Unganqikazi ukubuza imibuzo nganoma yini ongayiqondi - lesi yisinyathelo esikhulu, futhi ukuzizwa unolwazi kusiza abantu abaningi bazizwe benethemba elikhulu.

Ungazifunda kanjani izivivinyo zomsebenzi we-neobladder yakho?

Ngemuva kokuhlinzwa kwakho, ithimba lakho lezokwelapha lizobheka ukuthi isinye sakho esisha sisebenza kahle kangakanani ngokusebenzisa izivivinyo ezihlukahlukene nokubheka. Ukuqonda lezi zilinganiso kungakusiza ukuthi ulandelele inqubekela phambili yakho futhi wazi ukuthi yini ongayilindela ngesikhathi sokululama.

Odokotela bakho ngokuvamile bazohlola izinkomba eziningana ezibalulekile:

• Ukuphuma komchamo - kufanele kwenyuke kancane kancane kube amalitha angu-1-2 ngosuku
• Umchamo osele ngemuva kokuchama - ngokufanelekile ngaphansi kuka-100ml osele
• Amazinga e-Creatinine - kufanele ahlale ezinzile, okubonisa ukusebenza okuhle kwezinso
• Ukulinganisela kwe-Electrolyte - ikakhulukazi amazinga e-chloride, angathinteka
• Amazinga okuqina - ikhono lokubamba umchamo emini nasebusuku

Ukululama okuvamile kuvame ukukhombisa ukuthuthuka okuqhubekayo kulezi zindawo ezinyangeni eziyi-3-6. Umthamo wakho wesinye esisha uzokwanda kancane kancane, futhi ukulawula kwakho kuzothuthuka njengoba izicubu zizivumela futhi ufunda amasu amasha okuqeda ngokuphelele.

Ungawuthuthukisa kanjani umsebenzi wakho we-neobladder?

Ukuphila ngempumelelo ne-neobladder kudinga ukufunda imikhuba emisha namasu. Izindaba ezinhle ukuthi abantu abaningi bazivumela kahle futhi bangakwazi ukubuyela emisebenzini yabo ejwayelekile ngokulungiswa okuthile.

Lawa maqhinga angakusiza ukuthi ufinyelele umsebenzi ongcono kakhulu:

• Zijwayeze ukuvula ngesikhathi njalo ngamahora angu-2-3 emini
• Funda amasu afanele okukhipha, okuhlanganisa ukuphumula nokuzithathela isikhathi sakho
• Yenza izivivinyo zomgogodla we-pelvic ukuqinisa imisipha esekelayo
• Hlala unamanzi kahle ngezingilazi zamanzi ezingu-6-8 nsuku zonke
• Gwema izinto ezicasulayo esinyeni njenge-caffeine, utshwala, nokudla okunezinongo ekuqaleni
• Sebenzisa i-Valsalva maneuver (ukucindezela ngobumnene) ukusiza ukukhipha ngokuphelele

Abantu abaningi bathola ukuthi ukuvuka kanye noma kabili ebusuku ukuze baye endlini yangasese kuvimbela izingozi futhi kugcina isinye sabo esisha siphilile. Lokhu kuba lula ngokuzijwayeza, futhi abantu abaningi bathuthukisa inqubo esebenza kahle ngendlela yabo yokuphila.

Ziyini izinto eziyingozi zezinkinga ze-neobladder?

Ngenkathi ukwakhiwa kabusha kwe-neobladder kuvame ukuphumelela, izinto ezithile zingakhuphula ingozi yezinkinga noma zithinte ukuthi isinye sakho esisha sisebenza kahle kangakanani. Ukuqonda lokhu kukusiza wena nodokotela wakho ukuthi nenze izinqumo ezingcono kakhulu zokunakekelwa kwakho.

Izinto eziningana zingathinta umphumela wakho wokuhlinzwa:

• Ubudala obuthuthukile (ngaphezu kweminyaka engama-70) bungathinta ukuphola kanye namanani okuqhubeka
• Ukwelashwa ngemisebe yangaphambilini e-pelvis kungathinta ukuphola kwezicubu
• Izinkinga zomsebenzi wezinso zingathinta ukufaneleka kwakho kule nqubo
• Isifo samathumbu esivuvukalayo singenza kube nzima ukusebenzisa izicubu zamathumbu
• Ukubhema kukhulisa kakhulu ukutheleleka kanye nezinkinga zokuphola
• Isifo sikashukela singanciphisa ukuphola futhi sandise ingozi yokutheleleka

Iqembu lakho labahlinzeki lizohlola ngokucophelela lezi zici ngaphambi kokuncoma ukwakhiwa kabusha kwe-neobladder. Ngezikhathi ezithile ezinye izinqubo zingase zifaneleke kakhulu ngokuya ngesimo sakho somuntu ngamunye, futhi lokho kulungile.

Ingabe ukwakhiwa kabusha kwe-neobladder kungcono kunezinye izinketho?

Ukwakhiwa kabusha kwe-Neobladder kunikeza inzuzo enkulu yokukuvumela ukuba uchame ngokujwayelekile ngomgodi wakho wemvelo, okutholakala abantu abaningi kubalulekile ngokwengqondo nangokwenza. Kodwa-ke, akudingeki ukuthi kube yisinqumo esingcono kakhulu kuwo wonke umuntu.

Uma kuqhathaniswa nezinye izinketho zokushintsha isinye, i-neobladder ngokuvamile inikeza izinga elingcono lempilo kubantu abangabazali abahle. Ngeke kudingeke ukuthi uphathe isikhwama sangaphandle noma wenze i-catheterization ngomgodi esiswini sakho.

Kodwa-ke, ezinye izinqubo ezinjenge-ileal conduit noma i-continent cutaneous diversion zingase zibe izinqumo ezingcono uma unezimo ezithile zempilo noma i-anatomy eyenza ukwakhiwa kabusha kwe-neobladder kube yingozi enkulu. Udokotela ohlinzayo uzokusiza ukuthi uqonde ukuthi iyiphi inketho enikeza ibhalansi engcono kakhulu yokuphepha nokusebenza esimweni sakho esithile.

Yiziphi izinkinga ezingaba khona zokwakhiwa kabusha kwe-neobladder?

Njenganoma yikuphi ukuhlinzwa okukhulu, ukwakhiwa kabusha kwe-neobladder kuthwala ezinye izingozi okufanele uziqonde ngaphambi kokwenza isinqumo sakho. Izinkinga eziningi ziyaqondakala, futhi izinkinga ezinzima azivamile ngamaqembu okuhlinzwa anolwazi.

Izinkinga ezivamile ezingase zenzeke zihlanganisa:

• Ukungakwazi ukuzithiba komchamo, ikakhulukazi ebusuku, okuthinta u-10-30% weziguli
• Ukungapheleli kokukhipha okudinga i-catheterization ngezikhathi ezithile
• Izifo zomgudu womchamo, ezingase zivame ekuqaleni
• Ushintsho lwe-Metabolic ngenxa yokuxhumana komchamo nezicubu zamathumbu
• Izakhiwo noma ukuncipha emaphoyintini okuxhumeka
• Izinkinga zezinso uma umchamo ubuyela emuva kuma-ureters

Izinkinga ezingavamile kodwa ezingathi sína zingabandakanya amahlule egazi, izifo ezinzima, noma izinkinga zokuphola kwamanxeba. Ithimba lakho labahlinzi lizokuqapha ngokucophelela futhi lizoxazulula noma yiziphi izinkinga ngokushesha uma zivela.

Izinkinga ezingavamile zingase zibandakanye ukopha okukhulu, ukuvinjelwa kwamathumbu, noma izinkinga ezinkulu ze-metabolic. Nakuba lokhu kuzwakala kukhathaza, kwenzeka ezingaphansi kuka-5% wamacala futhi ngokuvamile kulawuleka ngokunakekelwa okufanele kwezokwelapha.

Kufanele ngibone nini udokotela mayelana nezinkinga ze-neobladder?

Ngemuva kokwakhiwa kabusha kwe-neobladder yakho, kubalulekile ukuhlala uxhumene eduze nethimba lakho lezokwelapha futhi wazi ukuthi ungasiza nini. Izinkinga eziningi zingaxazululwa ngokushesha uma zixazululwa ekuqaleni.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu:

• Umkhuhlane ongaphezu kuka-101°F (38.3°C) noma ama-chills
• Ubuhlungu obukhulu besisu noma ukuvuvukala
• Ukungakwazi ngokuphelele ukuchama noma ukusha okukhulu
• Igazi emchameni elingaphezu kokubomvana okukhanyayo
• Isicanucanu nokuhlanza okuvimbela ukudla noma ukuphuza
• Izimpawu zokuphelelwa amanzi emzimbeni njengokugajuka noma umlomo owomile

Kufanele futhi ufinyelele uma uqaphela izinguquko ezingazelelwe endleleni yakho yokuchama, ukuvuza okuqhubekayo okuba kubi kunokuba ngcono, noma yiziphi izimpawu ezikukhathazayo. Ithimba lakho lokunakekelwa kwezempilo lilindele lezi zingcingo futhi lingathanda ukuxazulula izinkinga ezincane ngaphambi kokuba zibe zinkulu.

Imibuzo evame ukubuzwa mayelana nokwakhiwa kabusha kwe-neobladder

Q1: Ingabe ukwakhiwa kabusha kwe-neobladder kulungile ezigulini ezinomdlavuza wesinye?

Yebo, ukwakhiwa kabusha kwe-neobladder kuvame ukuba yindlela enhle kakhulu ezigulini ezinomdlavuza wesinye ezidinga ukususwa kwesinye sazo. Kukuvumela ukuthi ugcine indlela yokuphila ejwayelekile ngemuva kokwelashwa komdlavuza ngenkathi usahlinzeka ngokususa umdlavuza okuphelele okufinyelelwa yi-cystectomy.

Le nqubo ayiphazamisi ukwelashwa komdlavuza futhi ingase ithuthukise izinga lakho lempilo ngesikhathi sokululama. Iningi leziguli ezinomdlavuza eziqokelwe kahle kulokhu kuhlinzwa zibika ukwaneliseka okuphezulu ngokukhetha kwazo.

Q2: Ingabe ukwakhiwa kabusha kwe-neobladder kubangela izinkinga zezinso?

Ukwakhiwa kabusha kwe-Neobladder ngokwako ngokuvamile akubangeli izinkinga zezinso, kodwa kudinga ukuqapha okucophelelayo ukusebenza kwezinso. Ukuxhumana phakathi kwesitho sakho esisha somchamo nezinso kudingeka kusebenze kahle ukuvimbela ukubuyela emuva komchamo.

Ithimba lakho lezokwelapha lizohlola ukusebenza kwezinso zakho njalo ngezivivinyo zegazi kanye nokucabanga. Abantu abaningi bagcina ukusebenza okuvamile kwezinso ngemva kwalokhu kuhlinzwa lapho ukunakekelwa okulandelayo okufanele kugcinwa.

Q3: Ngingaphila impilo ejwayelekile nge-neobladder?

Yebo, abantu abaningi abane-neobladders babuyela ezimpilweni ezijwayelekile kakhulu, ezisebenzayo. Ungasebenza, uzivocavoce, uhambe, futhi uhlanganyele emisebenzini eminingi obuyijabulela ngaphambi kokuhlinzwa, nakuba kungase kudingeke ukuthi wenze izinguquko ezithile.

Umehluko omkhulu ukuthi uzodinga ukuchama ngohlelo esikhundleni sokulinda isifiso, futhi kungase kudingeke uvuke kanye noma kabili ebusuku. Abantu abaningi bathola ukuthi lezi zinguquko ezincane zifanele ikhono lokuchama ngokujwayelekile.

Q4: Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwe-neobladder?

Ukwelulama kokuqala ngokuvamile kuthatha amasonto angu-6-8, kodwa ukufunda ukusebenzisa i-neobladder yakho ngempumelelo kuvame ukuthatha izinyanga ezingu-3-6. Ngesikhathi lesi, isitho sakho esisha somchamo sinwebeka kancane kancane futhi uthuthukisa ukulawula okungcono kanye namasu okukhipha.

Abantu abaningi babuyela emsebenzini nasemisebenzini elula phakathi kwamasonto angu-6-8, kuyilapho ukululama okuphelele okuhlanganisa ukusebenza okungcono kakhulu kwesitho somchamo kungase kuthathe unyaka owodwa. Wonke umuntu uphola ngejubane lakhe, ngakho-ke ungadangali uma umugqa wakho wesikhathi uhlukile.

Q5: Ngizodinga ukufaka i-catheter ku-neobladder yami?

Abantu abaningi abane-neobladders abadingi ukufakwa kwe-catheter njalo, okungenye yezinzuzo ezinkulu zale nqubo. Kodwa-ke, abanye abantu bangase badinge ukufakwa kwe-catheter ngezikhathi ezithile uma benobunzima bokukhipha ngokuphelele.

Ithimba lakho lezempilo lizokufundisa ukuthi ungafaka kanjani i-catheter uma kudingeka, kodwa abantu abaningi abayidingi neze. Umgomo ukuthi uchame ngendlela ejwayelekile ngaphandle kwanoma yimaphi amashubhu noma amadivayisi angaphandle.