DIVERSION LÀ GÌ

You don"t need lớn have sầu a bladder to live sầu, but you do need lớn keep up a normal flow of urine from the body. If for some reason there is a problem with your urinary system, there are ways to lớn change your "plumbing."

What Happens under Normal Conditions?

The urinary tract is like a plumbing system, with special ‘pipes" that allow water & salts to lớn flow through them. The urinary tract is made up of 2 kidneys, 2 ureters, the bladder, và the urethra.

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The kidneys act as a filter for the blood. They remove toxins và keep the useful sugar, salts, và minerals. Urine, the waste sản phẩm, is made in the kidneys & flows down 2, 10 to 12-inch-long tubes called ureters inlớn the bladder. The ureters are about a quarter inch wide & have sầu muscled walls which push the urine into lớn the bladder. The bladder can swell lớn store the urine until you are ready to drain it by peeing. It also closes the pathways inkhổng lồ the ureters so urine can"t flow bachồng into lớn the kidneys. The tube that carries the urine from the bladder out of the toàn thân is called the urethra.

What is Urinary Diversion?

Urinary diversion is when the normal structures are bypassed & an opening is made in the urinary system to lớn bring the urine out another way. This might need to be done if your bladder stops working the right way or needs to be removed because of cancer or an injury. The flow of urine is diverted to lớn a replacement bladder ("neobladder") or through an opening in the abdominal wall (called a "stoma").


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There are 2 types of urinary diversions: continent & non-continent.

Non-continent Urinary Diversion

Non-continent urinary diversions often involve linking the ureters lớn a piece of intestine that is brought out of the belly. The urine then drains continuously into lớn an ostomy bag you wear under your clothes. You"ll still be able to take part in strenuous physical activity, as well as daily routines.


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Continent Urinary Diversion

For continent urinary diversion, your surgeon will make a pouch inside your body toàn thân from part of your intestines to lớn hold urine. There are 2 basic types: those that have a stoma brought out of the belly and those in which a neobladder is made. With a neobladder, you are able lớn pee in a normal way.

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With a surgical stoma, you will need khổng lồ insert a tube inkhổng lồ the stoma to drain the urine 4 or 5 times a day.


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The advantage of both types of continent urinary diversion is that you don"t need to wear an ostomy bag.


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Most people are satisfied with their urinary diversions và are able to return to lớn a normal routine.

Problems with urinary diversions vày happen, though, such as:

changes in fluid and/or salt levelstrouble inserting the tube into lớn the stomaproblems with skin growing over the stomabasic problems that might result from an abdominal operation (such as a blocked bowel, or urine or bowel leakage)
Can I wear normal clothing if I have an ostomy bag?

Most people are able lớn wear their normal wardrobe.

Will I be on a special diet?

Not usually. Your health care provider will give you orders about fluids và nutrition if needed as you adjust.


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