Kodi nthawi zambiri mumadwala matenda a mkodzo? Kodi mumamva ngati mukuyenera kukodzanso mukamaliza kukodza? Kapena mumamva kupweteka panthawi yogonana? Azimayi ambiri amakhala nthawi yawo osasangalala ndi mavuto otere. Nthawi zina chifukwa cha izi chingakhale chosiyana ndi momwe timaganizira. Lero tikambirana za vuto lotere, lomwe silidziwika bwino koma lingakhudze akazi. Urethral Diverticulum ndi vuto lomwe limayambitsa matendawa.
Mwachidule, kodi Urethral Diverticulum (UD) ndi chiyani?
Kuti timvetse izi, choyamba tiyeni tiwone momwe mkodzo wathu umagwirira ntchito. Mkodzo, womwe umasonkhana m'chikhodzodzo chathu, umatuluka m'thupi kudzera mu chubu chaching'ono chotchedwa urethra . Mwa akazi, urethra uwu ndi waufupi kwambiri, pafupifupi masentimita 4 kutalika.
Tsopano taganizirani kuti m'chubu ichi momwe mkodzo umapita, ndiko kuti, mkodzo, chinthu ngati thumba laling'ono kapena chotupa chimapangika pakhoma. Chimatupa ngati buluni. Ndicho chimene timachitcha Urethral Diverticulum (UD) . Ichi ndi thumba losafunikira lomwe limapangika.
Popeza thumba ili lili mkati mwa mkodzo, mkodzo ukhoza kudzaza mukamakodza. Nthawi zina, ukhoza kudzaza ndi majeremusi ndi mafinya. Izi zingayambitse matenda opatsirana pafupipafupi komanso mavuto ena ambiri, monga kupweteka.
Kodi izi ndi zomwe zimachitikira anthu ambiri?
Ayi ndithu. Ili ndi vuto losowa kwambiri. Koma chiwerengero cha anthu omwe amapezeka ndi vutoli chakwera pang'ono tsopano kuposa kale. Chifukwa chake ndi chakuti ukadaulo wapamwamba wa zamankhwala ulipo tsopano. Makamaka pogwiritsa ntchito njira zowunikira monga MRI ndi Ultrasound, zakhala zotheka kuzindikira mavuto amtunduwu m'thupi momveka bwino.
Komabe, chifukwa chakuti sizichitika kawirikawiri, nthawi zina ngakhale pali zizindikiro, madokotala sangasamale za izi. Chifukwa chake, odwala ena sangadziwike bwino. Vutoli nthawi zambiri limapezeka mwa akazi azaka zapakati pa 30 ndi 60 .
Kodi n’chiyani chimayambitsa izi?
Sizophweka nthawi zonse kupeza chifukwa chenicheni cha izi, koma pali zinthu zingapo zomwe madokotala amakhulupirira kuti n'zotheka:
- Matenda opatsirana m'mitsempha ya mkodzo pafupipafupi: Mukakhala ndi matenda opatsirana m'chikhodzodzo ndi mkodzo pafupipafupi, khoma la mkodzo limatha kufooka. Kufooka kumeneku ndi komwe gawo lofanana ndi thumba limayamba kupangika.
- Kutsekeka kwa tinthu tating'onoting'ono tozungulira urethra: Pamene malo otseguka a tinthu tating'onoting'ono tozungulira urethra atsekeka, madzi otuluka m'thupi amatha kusonkhana mkati mwake, n'kuyamba kutenga matenda, ndipo pakapita nthawi, thumba lamtunduwu limatha kupangika.
- Vuto lobadwa nalo: Nthawi zambiri, vutoli limathanso kuchitika chifukwa cha kufooka komwe kumachitika pobadwa.
- Zotsatirapo panthawi yobereka: Pali mwayi wochepa kuti vutoli likhoza kuchitika chifukwa cha kupanikizika kapena kuwonongeka kwa malo panthawi yobereka.
Kodi inunso muli ndi zizindikiro izi?
Azimayi ambiri omwe ali ndi vuto la urethra diverticulum amatha kumva kusasangalala, kulemera, kapena chotupa m'dera la nyini. Komabe, chimodzi mwa zizindikiro zotsatirazi chingachitikenso. Tiyeni tiwone izi kuti timvetse bwino.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Matenda opatsirana pafupipafupi m'njira ya mkodzo | Popeza mkodzo umakhalabe m'thumba limenelo, majeremusi amatha kufalikira mosavuta ndipo matenda amatha kuchitika ngakhale kamodzi kapena kawiri pamwezi. |
| Kutuluka madzi m'kodzo (kutuluka kwa madzi m'kodzo) ngakhale mutakodza | Mukamaliza kukodza, mkodzo womwe unadzadza m'thumba udzatuluka pang'onopang'ono. Izi zitha kunyowetsa zovala zanu zamkati. |
| Ululu pokodza | Mungamve kutentha kapena kupweteka mukamakodza, makamaka ngati muli ndi matenda. |
| Kufunika Kwambiri | Mwadzidzidzi komanso mosalamulirika mumafunika kukodza. Muyeneranso kukodza kangapo patsiku. |
| Magazi mu mkodzo | Nthawi zina mkodzo umasintha kukhala pinki kapena wofiira. |
| Ululu panthawi yogonana | Chifukwa cha malo omwe thumba ili lili, kulifinya panthawi yogonana kungayambitse ululu waukulu. |
Chofunika kwambiri ndichakuti zizindikirozi sizimakhala zofanana nthawi zonse. Masiku ena zimakhala zochepa, nthawi zina zimakhala zoopsa kwambiri. Komanso, pafupifupi 20% ya akazi omwe ali ndi vutoli sangakhale ndi zizindikiro zilizonse.
Kodi dokotala amazindikira bwanji vutoli?
Kawirikawiri, dokotala amakayikira izi mukawauza za zizindikiro zanu, kapena panthawi yoyezetsa chiuno. Pambuyo pake, amachita mayeso angapo kuti apeze chomwe chimayambitsa vutoli.
1. Kuyezetsa Thupi
Choyamba, dokotala adzayang'ana makoma a nyini yanu kuti aone ngati pali zotupa kapena matumba. Adzayesanso kudziwa komwe ululu uli. Ngati akumva chipolopolo chonga thumba, adzachifinya pang'onopang'ono kuti aone ngati mkodzo kapena mafinya akutuluka. Adzayesanso kufufuza mkodzo kuti aone ngati pali matenda.
2. Kujambula ndi mayeso ena
Ngati kukayikira kukuchitika pambuyo poyesedwa thupi, mayeso apamwamba ngati awa angagwiritsidwe ntchito kutsimikizira izi.
- Kujambula kwa MRI (Magnetic Resonance Imaging): Iyi ndi njira yomwe imagwiritsa ntchito mphamvu ya maginito ndi mafunde a wailesi kuti ipange zithunzi zomveka bwino za mkati mwa thupi, popanda kugwiritsa ntchito X-ray. Izi zitha kuyang'ana nyini yanu ndi malo ozungulira mkodzo wanu kuti muwone ngati muli ndi chotupa komanso kukula kwake.
- Kujambula kwa Ultrasound: Izi zimaphatikizapo kutumiza mafunde amphamvu kwambiri m'thupi ndikugwiritsa ntchito mawuwo kuti apange zithunzi za ziwalo zamkati. Mofanana ndi kujambulidwa komwe kumagwiritsidwa ntchito pofufuza mwana panthawi ya mimba, izi zimathanso kuwona ngati pali zotupa kapena kutupa kuzungulira mkodzo.
- Cystoscopy: Izi zimaphatikizapo kulowetsa chubu chopyapyala chokhala ndi kamera kakang'ono komwe kamalumikizidwa mu urethra kuti kaone mkati mwa urethra ndi chikhodzodzo. Izi zimakupatsani mwayi wowona bwino komwe kuli potseguka. Nthawi zambiri, mayesowa amatha kuchitikira ku ofesi ya dokotala.
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chabwino komanso chokhalitsa cha urethral diverticulum ndikuchotsa thumbalo kudzera mu opaleshoni .
Komabe, si aliyense amene amafunika opaleshoni nthawi yomweyo. Azimayi ena, makamaka ngati zizindikiro zawo sizili zazikulu kwambiri, amakonda kudikira kuti awone. Amadikira kuti awone ngati chotupacho chikukulirakulira kapena ngati zizindikiro zawo zikukulirakulira. Komabe, ngati mwasankha kutero, ndikofunikira kuonana ndi dokotala wanu panthawi yoyenera kuti muwone momwe mulili.
Momwe opaleshoni imachitikira
Opaleshoni iyi nthawi zambiri imachitidwa ndi dokotala wa urologist, dokotala yemwe ndi katswiri wa mkodzo. Popeza malo awa ndi ofooka kwambiri, opaleshoniyi iyenera kuchitidwa popanda kuwononga mkodzo.
Pa opaleshoni, dokotala amaganizira zinthu zambiri, monga kukula kwa thumba ndi malo ake, kenako amasankha imodzi mwa njira zotsatirazi.
1. Kuchotsa thumba lonse: Iyi ndi njira yodziwika kwambiri. Kuduladula kumachitika kudzera mu nyini, thumba lonse limadulidwa ndikuchotsedwa, ndipo mkodzo umakonzedwa.
2. Kutsegula ndi kutulutsa madzi m'thumba: Nthawi zina, khosi la thumba limadulidwa, zomwe zili mkati zimachotsedwa madzi, ndipo thumba limakonzedwa kuti lisapangidwenso.
3. Kutsegula nyini: Njira ina ndiyo kupanga mpata wokhazikika kuchokera m'thumba kupita ku nyini. Kenako, zomwe zili mkati mwake zimatuluka nthawi zonse kudzera m'nyini.
Chabwino n'chakuti ngati muli ndi mavuto ena, monga kusadziletsa kwa mkodzo, panthawi ya opaleshoniyi, dokotala nthawi zina amatha kukonza vutolo.
Pambuyo pa opaleshoni
Pambuyo pa opaleshoni, muyenera kumwa mankhwala opha tizilombo toyambitsa matenda kwa tsiku limodzi. Komanso, katheta idzayikidwa mu chikhodzodzo chanu kuti ikuthandizeni kutulutsa mkodzo mosavuta mpaka malo ochitira opaleshoni atachira. Nthawi zambiri izi zimasiyidwa pamalopo kwa milungu iwiri kapena itatu. Pambuyo pake, dokotala adzayesanso kuti awone ngati bala lachira kenako n’kuchotsa kathetayo.
Kodi zinthu zidzakhala bwanji mtsogolomu?
Anthu ambiri amachira kwathunthu atachitidwa opaleshoni. Komabe, nthawi zina, anthu ena amakumana ndi mavuto. Mwachitsanzo, ngati chotupacho sichinachotsedwe kwathunthu, mavuto angabwerenso. Ngati zimenezo zitachitika, mungafunike opaleshoni yachiwiri. Komabe, ngati dokotala wodziwa bwino matendawo akupeza chithandizo choyenera, vutoli lingathe kuchiritsidwa kwathunthu.
Uthenga Wopita Nawo Kunyumba
- Chikwama cha urethral diverticulum ndi thumba losafunikira lomwe limapangika m'mbali mwa urethra. Chimatha kudzaza ndi mkodzo kapena mafinya.
- Zizindikiro zazikulu ndi monga matenda opatsirana m'mitsempha ya mkodzo pafupipafupi, kutuluka kwa mkodzo mukatha kukodza, kupweteka mukakodza, komanso kupweteka mukagonana.
- Anthu ena sangakhale ndi zizindikiro zilizonse.
- Ngati mukupitiriza kukhala ndi zizindikiro ngati izi, musamachite manyazi kapena manyazi, ndipo onetsetsani kuti mwaonana ndi dokotala wanu.
- Vutoli lingathe kudziwika bwino kudzera mu mayeso monga kuyezetsa thupi, MRI, Ultrasound, ndi Cystoscopy.
- Vutoli limatha kuchiritsidwa kwathunthu ndi opaleshoni, kotero palibe chifukwa chodera nkhawa.
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