Achirova-rova urethra zviri varume nevakadzi. Zvairatidza, contraindications, rondedzero nzira

Somugumisiro banal supercooling migumisiro pathogenic microflora kana autoimmune mhinduro angatanga ane yezvinongoerekana chirwere chakadai urethritis. Chimwe chezvinhu nemigumisiro yacho chirwere anonzi urethral stricture chiteshi. Kazhinji rokuongorora uye matambudziko parumananzombe kugadza inoda kufunga urethra. Murwere achava kubatsira kuziva zvazvinoreva.

Chii inoda kufunga

Shoko "bougie" akapinda mushonga kubva mutauro wokuFrance. The rinoreva - "Candle". Kutaura zvazviri, chinhu chinokosha chokushandisa Diagnostics uye kuwedzera negomba tubular zvomukati. Kune akasiyana bougies nekuda ari urethra, yegurokuro uye dokeriro, ura, dumbu uye nevamwe.

Mhando urethral bougies

urethral inoda kufunga kunogona anoitwa dzakasiyana zviridzwa fomu. Uyezve, vanogona kuitwa nesimbi kana muzvinhu zvinogadzirwa nemakemikari.

Saka, nokuti bougienage urethra mudziyo angava sezvinotevera:

• Straight uye curved. Direct Zviridzwa vaiita achirova-rova urethra vakadzi, uchishandisa curved mufambiro zvokuongorora kana wokukudza remuromo Canal nevanhu.
• Pfupi uye refu. Mano pakubata panguva dzakasiyana rakadzika urethra. Short bougies inowanzoshandiswa panguva nzira vakadzi, refu - muvarume.
• Mano pasina Extensions uye anoshanda magumo kana mumwe mugove.

Nyanzvi kuramba vanosarudza chakaita zvokugadzirwa adaptations, kunyanya kuitisa inoda kufunga urethra nevanhu. Izvi imhaka ndechokuti chokushandisa anokwanisa kufonyora pasina kukuvadza chiteshi.

Kugadzirira nzira

Chiremba anokwanisa havazombofi taurira pasina kutanga inoda kufunga Diagnostics uye kurovedza. Vanofanira kupfuura miedzo kuti huwandu scarring uye nzvimbo stricture (aienda) akaisa urethral dhayamita.

bata asati kunodiwa kuti ishande utsanana uye mukugadzirisa mishonga yokuuraya utachiona. Disinfection ari kuitwa chaiwo swabs. Izvi zvakakodzera kurambidza kupinda urethra ose pathogenic tusingaoneki kubva kunze.

Tichiita imwe yokurapa vakadzi

Women kutambura achirova-rova urethra zviri nyore zvikuru. The nzira pacharo nyore kupfuura vanhu. Zvikurukuru zvakananga zvitinakire yasarudzwa simbi maturusi pamwe denderedzwa kuzvimba pakupedzisira. Nokuti dzimwe nzira vanoshandisa bougies dzakasiyana caliber.

Bougienage urethral stricture iri sezvinotevera:

1. Murwere wakaradzikwa pamusoro musana wake Urological cheya chaiyo. Zviridzwa akazorwa gel kana Vaseline.
2. The urethra bougie iri kutanga chinotarisirwa, iro dhayamita iyo zvishoma akapfuudza dhayamita yacho stricture mugove.
3. Origin bougie hwaputswa, panzvimbo yayo akaiswa zvinotevera, izvo dzimwe dhayamita.
4. Number zvekushandisa vavo kunonyanyisa dhayamita anosarudza kuti nyanzvi. Final bougie garai urethra kwemaminitsi mashoma, yozononokera kubviswa.

Zororo pakati nzira anodzokororwa kwemaawa dzinenge 12, asi zvakakosha kuti hazvina hakumbofi nokuda zuva kana kupfuura. The dhayamita pakutanga bougie nomumwe akapfuura kutevera nzira inofanira kuva akaenzana dhayamita yokupedzisira mudziyo muzvirevo evanhu.

Kana chiremba achiomerwa Munotatamura ari stricture, izvozvo anodzokorora kuunzwa bougies imwe dhayamita kakawanda. Muchiitiko chino, hapana chikonzero 2-3 mishonga, asi kwete asingasviki shanu.

Tichiita nzira varume

Kana nzira rinoshandisa mamwe yakananga simbi bougies, anenge asina zvemichina akasiyana pamusoro. Yeuka kuti Urinary nhengo zvishoma afanane tsamba yechiLatin S.

The aienda inogona vemunyika vari posterior urethra, nepo kumonyanisa kunova kuoma:

• Chiremba anoisa murwere uye anopinda urethra wokutanga curved bougie. A turusi kungava esimbi kana chakaita zvokugadzirwa. Dzimwe nguva zvinoda kutanga aida kuchinja chakaita zvokugadzirwa muitisi weChidzidzo dhayamita duku. Curved ekisitenjeni bougie achida ukobvu Volt kusvika kumagumo kondakita.
• The thickened Chikamu chishandiso iri scrolled Kutenderera nokuisa kwake naye urethral mugove.
• Bougie zvishoma nezvishoma uye zvinyoronyoro zvinofamba kuburikidza urethra kusvika dundira.
• Mushure nzira chinogadzirwa mugero antiseptics.

Metal mudziyo anoramba ari urethra kwemaminitsi 5-10. Kana uri kushandisa chakaita zvokugadzirwa chibharuma bougie, zviri ikazadzwa sesaline, achitambanudza munzvimbo yakasarudzwa. The humburumbira vanofanira kuramba panzvimbo kuomesa kuti zvakafanana nguva.

Kudzorera mukono Urinary Canal nzira zvinoda zvinopfuura vakadzi (kubvira 5 kusvika 15 zvesangano). Kazhinji varwere kutya kurwadziwa, kana basa achirova-rova urethra nevanhu. Reviews dzakasiyana-siyana kurapa. Muchiitiko chino, zvose vanobvuma kuti zvitinakire vaSia kusingafadzi, asi zviri zvikuru anoshivirira. Kana zvakakodzera, zvomunharaunda rufimbi murwere rinoitwa.

Yokurapa muvana

Vana kazhinji chirwere munhu vachiberekwa aienda pamusoro urethra, izvo zvinoita kuti zviome weti uye kunogona dundira atony. In vakomana, matambudziko makuru kuitika shure urethra kana dzokunze makomba. Vasikana - iri distal. Bougienage urethra muvana vanofanira kutanga nokukurumidza sezvinobvira. Izvi tichadzivisa matambudziko mune ramangwana.

Kana akawanikwa kuderedza pamusoro chokunze mawindo, izvozvo kucheka murwere, pasina yokutindivadza. Nemicheka panzvimbo ino thinned, uye kurwadziwa usingashandi. Kuona distal aienda murwere aisirwe vasikana bougienage Chokwadi hapana nzvimbo kuchipatara. Mamwe strictures vari kurapwa muchipatara.

chirwere nzira

Chirwere inoda kufunga urethra anomhanya rimwe nguva, pasina akadzokorora evanhu. For tefa kushandiswa chakaita zvokugadzirwa mano capitate kuumba. Bougie hunosumwa kupinda lumen kuti kunonoka kwazvo, kuvapo strictures vagara vandifungira murwere. Nokufamba chikamu kujekesa murwere kunzwa kusagadzikana mune Kumwe kuchinja kunotanga bougie inofamba pamwe palpable kunyara.

Contraindications

Pasinei aienda pamusoro urethra, pane vakawanda rinoti umo anoitisa bougienage contraindicated. Izvi benign uye nyanyisa mapundu pamusoro genitourinary ino uye dzimwe nhengo, kuwedzerwa kuzvimba, kusanganisira kuzvimba kweprostate. Contraindications zvinosanganisirawo renal kukundikana uye Urinary turakiti zvinokuvadza.

Kazhinji zvakakosha kukanzura muitiro, nekuti murwere haasi mupfungwa kugadzirira nayo. Kana basa inoda kufunga urethra, wongororo kunogona kukuvhundutsai murwere. Zvakakosha kutsanangura kuti zvitinakire zvinodiwa kudzorera utano uye kudzivisa kusanzwa sezvinobvira, uchishandisa emo yokutindivadza.

Tinyatsonzwisisa ehurumende

Kunyange kunyatsogadzirira kuti nzira, mudonzvo zvokurapa vanosungirwa kuongorora mamiriro murwere mushure nzira, kuti pakanga pasina matambudziko. Zvinokosha kuti kuongorora zvinotevera zviratidzi:

• kana tembiricha Muviri achinja;
• nhamba uye noruvara weti masikati;
• uchitikurudzira;
• kuvapo marwadzo;
• kusagadzikana mudumbu.

Kana mamiriro Kushatiswa zviratidzo anoonekwa nguva, chiremba achakwanisa kuziva uye urethral atsamwira, uye kuchava kutanga kwekupwanyiwa kuzvimba, uye sepsis.