Ngaba uyazazi ezi zinto malunga nenkqubo yakho yomchamo? Masithethe!

Molo! Namhlanje siza kuthetha ngenkqubo ebaluleke kakhulu emzimbeni wethu. Leyo yinkqubo yomchamo, okanye njengoko sisitsho ngesiNgesi, "iNkqubo yomchamo". Isebenza njengesihluzo samanzi endlwini yethu. Umsebenzi wayo ophambili kukucoca ubuthi obungafunekiyo kunye nemveliso engcolileyo emzimbeni size siyikhuphe njengomchamo. Ngoko ke ukuba kukho ingxaki kule nkqubo, sisenokungakwazi ukuchama ngokuqhelekileyo. Ke ngoko, kubaluleke kakhulu ukuqaphela oku.

Yintoni inkqubo yomchamo? Isebenza njani?

Ngamafutshane, inkqubo yakho yomchamo ifana nenkqubo yokucoca umzimba wakho . Ihluza inkunkuma kunye neetyhefu emzimbeni wakho ize izikhuphe njengomchamo. Ukuze lo msebenzi usebenze kakuhle, le nkunkuma kufuneka idlule kwizitho ezahlukeneyo zomzimba.

Ezona ndawo ziphambili zale nkqubo zezi:

• Izintso ezimbini: Ezi zilungu eziphambili ezihluza igazi.
• Ii-ureters: Iityhubhu ezimbini ezithwala umchamo ukusuka kwizintso ukuya kwisinyi.
• Isinyi: Ilungu elifana nengxowa eliqokelela kwaye ligcine umchamo okwethutyana.
• I-Urethra: Umbhobho othwala umchamo kwisinyi uphuma emzimbeni.

Ngoku makhe sibone ukuba zeziphi imisebenzi yayo ephambili.

• Ukucocwa kwegazi: Igazi elihamba emzimbeni wethu liyahluzwa kwaye izinto ezingafunekiyo ziyasuswa.
• Ukwahlulwa kwezinto ezingabalulekanga: Umzimba ugcina izondlo ozifunayo kwaye wahlula iityhefu kunye nenkunkuma.
• Ukuchama: Umchamo oveliswayo uyaqokelelwa uze ukhutshwe emzimbeni xa ixesha lifika.

Cinga ngezintso zakho njengezihluzo ezibini ezikrelekrele kakhulu. Igazi lakho lidlula kwimithambo yegazi emincinci liye kwezi zintso. Apho, izintso zihluza igazi, zisusa iityhefu, iityuwa ezingafunekiyo, kunye namanzi agqithisileyo . Zongeza iivithamini, iiminerali, izondlo, kunye neeproteni ezifunwa ngumzimba zibuyele egazini. Inkunkuma ehlukanisiweyo kunye nomchamo zihamba nge-ureters ziye kwisinyi. Xa kufuneka uchame, umchamo kwisinyi udlula nge-urethra. Ayisiyonto imangalisayo na le?

Zeziphi iindawo ezibaluleke kakhulu kwinkqubo yethu yomchamo?

Ngoku masithethe ngeenkcukacha ezithe vetshe malunga namalungu aphambili enza inkqubo yomchamo. Zonke ezi zitho zisebenza kunye ukucoca, ukuqokelela, kunye nokususa inkunkuma yolwelo emizimbeni yethu. Zonke ezi zitho zikwisisu sethu nakwindawo ye-pelvic.

Masiqale sijonge izintso.

Aba ngabona basebenzi baphambili kwinkqubo yethu yomchamo.. La malungu mabini asebenza ngokungayeki. Ahluza igazi aze enze umchamo. Sinezintso ezimbini, ezikwicala ngalinye lesisu, ngaphantsi nje kwembambo. Izintso nganye ilingana nenqindi yakho. Zisebenza ngendlela emangalisayo. Zihluza phakathi kweelitha ezili-110 ne-140 zegazi ngosuku ! Oko kuthetha ukuba zivelisa malunga nelitha eli-1 ukuya kwezi-2 zomchamo ngosuku.

Zithini ii-ureters?

Ezi ziityhubhu ezimbini ezibhityileyo ezithwala umchamo ukusuka kwizintso ukuya kwisinyi. Zikwindawo engaphakathi kwi-pelvic cavity. I-ureter nganye inobude obuziisentimitha ezili-10. Ithambile kakhulu, akunjalo?

Yintoni isinyi?

Le yingxowa engenanto, enemisipha eqokelela kwaye igcine umchamo ude ulungele ukuchama. Ifana nebhaluni encinci. Iyakhula, okanye ibe nkulu, xa izaliswe ngumchamo. Isinyi singaphatha malunga neemililitha ezingama-500 (malunga neekomityi ezi-2) zomchamo ngexesha. Ukuchama kuxa ukhupha esi sinyi.

I-urethra kunye nomsebenzi wayo

Le yityhubhu ethwala umchamo ukusuka kwisinyi ukuya ngaphandle komzimba. Kukho izihlunu ezimbini ze-sphincter ezivala lo mngxuma ukuze umchamo ungaphumi xa ungayi kwindlu yangasese. Ezi zihlunu zimile okwesangqa ziyavuleka kwaye zivale ukuze zilawule ukuhamba komchamo. Ngamanye amaxesha xa ezi zihlunu ziba buthathaka, kuba nzima ukulawula umchamo.

Ziziphi izifo ezinokuvela ezinxulumene nenkqubo yomchamo?

Iimeko ezininzi zinokuchaphazela i-ureters zethu, izintso, isinyi, kunye ne-urethra. Iintsholongwane, izifo, okanye iingxaki zinokubakho xa sizalwa okanye zikhule njengoko sikhula. Umhlaza unokuchaphazela neendawo ezithile zenkqubo yomchamo.

Nazi ezinye zezifo eziqhelekileyo zendlela yomchamo:

• Iintsholongwane:

Izifo zoMchamo (UTI) kunye nezifo ezidluliselwa ngesondo (STI) zinokubangela iingxaki zezintso, zomchamo, okanye zesinyi xa iintsholongwane zingena ngomchamo. Oogqirha badla ngokunika amayeza okubulala iintsholongwane okubangela oku.

• Amatye Ezintso:

Amatye ezintso ngamatye amancinci akhiwa xa inkunkuma ihlangana. La matye anokubangela iintlungu ezinkulu kwaye avale ukuhamba komchamo ukuba angena kwizintso okanye kwiityhubhu zomchamo. Khawucinge ukuba bekuya kuba buhlungu kangakanani ukuba ilitye elincinci linokubhajwa!

• Iingxaki zokuchama:
• Ukungakwazi ukuzibamba komchamo: Ukulahlekelwa ngumchamo xa ungafuni. Oku kungenziwa mandundu kukukhwehlela, ukuhleka, ukuthimla, okanye ukutsiba.
• Isinyi Esisebenza Ngokugqithisileyo:Ukufuna ukuchama rhoqo, ngequbuliso.
• Ukugcinwa komchamo: Imeko apho isinyi singaphumi ngokupheleleyo emva kokuchama rhoqo.

Kwezi meko, iimpawu ezinje ngokuchama rhoqo, ubuthathaka bomchamo, kunye nokuvuza komchamo zinokubonakala. Ezi zinokunyangwa ngamayeza kunye notshintsho kwindlela yokuphila.

• Ukuvaleka kwendlela yomchamo:

Amaqhuma okanye iithumba naphi na kwinkqubo yomchamo zinokuthintela ukuhamba komchamo. Kumadoda, i-prostate ekhulisiweyo inokuthintela i-urethra, nto leyo eyenza kube nzima ukuchama. Ukukhulelwa kunye nezifo zamathumbu ezifana nesifo sikaCrohn nazo zinokuthintela i-urethra. Ezi ngxaki zihlala zinyangwa ngotyando.

• Isifo sezintso:

Le yimeko enzima kakhulu. Izizathu eziphambili zesifo sezintso esingapheliyo (CKD) luxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) kunye nesifo seswekile (iDiabetes Mellitus). Ngoko ke, kubaluleke kakhulu ukulawula uxinzelelo lwegazi kunye namanqanaba eswekile. Isifo sezintso singakhokelela ekungasebenzini kwezintso. Kwimeko enjalo, kuya kufuneka wenze i-dialysis okanye ukufakelwa izintso . Kububulumko ukuthetha nogqirha wakho malunga nokuba usemngciphekweni wokuba nesifo sezintso kwaye uthathe amanyathelo okunciphisa loo mngcipheko.

• I-Interstitial Cystitis/Isifo seSinyi esibuhlungu:

Kule meko, isinyi siyavuvukala, okanye sivuvuke. Amayeza kunye nonyango lomzimba lunokunceda ekunciphiseni iimpawu.

• Iingxaki zesakhiwo:

Ngamanye amaxesha abantwana bazalwa beneengxaki ngendlela inkqubo yabo yomchamo eyakheka ngayo. Umzekelo, i-ectopic ureter yimeko apho i-urethra yomntwana ingadibani nesinye kodwa idibaniswe nenye inxalenye yomzimba. Ukuba amanye amalungu akwinkqubo yomchamo awaphuhli kakuhle, oku kunokubangela iingxaki zokuchama. I-Bladder prolapse kuxa isinye siwela kwi-vaginal okanye sijinga ngaphandle komnyango we-vaginal. Ngamanye amaxesha ezi zinto zifuna utyando.

Ziziphi iimpawu eziqhelekileyo zale meko?

Iimpawu zinokwahluka ngokuxhomekeke kwimeko onayo. Nangona kunjalo, uninzi lwezigulo zineempawu ezifanayo. Ezi ziquka:

• Utshintsho ekuchameni: Kunokubakho izinto ezininzi ezifana nesidingo sokuchama rhoqo, ukuphuma komchamo okuncinci, kunye nentlungu xa uchama.
• Utshintsho kumchamo: Umchamo obonakala umdaka okanye unamafu, okanye igazi kumchamo (hematuria).
• Intlungu kwindawo yesisu:Ngenxa yokuba amalungu amaninzi enkqubo yomchamo akwisisu, usenokuva iintlungu, ukuqina, kunye noxinzelelo kule ndawo.
• Umkhuhlane, iintlungu zomzimba, kunye nokungakhululeki komzimba: Ezi zinokuba ziimpawu zosulelo. Ukucaphuka nokuhlanza nako kunokubakho.

Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyanwe isifo somchamo?

Ugqirha wakho uya kugqiba ukuba zeziphi iimvavanyo omawuzenze ngokusekelwe kwiimpawu zakho kunye nezinye izinto. Nazi ezinye zeemvavanyo ezinokwenziwa:

• Uhlalutyo lomchamo: Oku kuquka ukuphonononga umbala, inkangeleko, ukwakheka kweekhemikhali, kunye nokuhlolwa komchamo wakho ngemicroscope.
• Uvavanyo lokusebenza kwezintso: Olu vavanyo lujonga ukuba izintso zakho zisebenza kakuhle kangakanani na. Oku kungabandakanya uvavanyo lwegazi kunye novavanyo lomchamo.
• Uvavanyo lwegazi: Olu vavanyo lunokunika oogqirha umbono wento eyenzekayo emzimbeni wakho. Banokujonga iikhemikhali, iiproteni, nezinye izinto ezisegazini lakho.
• I-Urethral swab: Kuthathwa isampulu yolwelo oluvela kwi-urethra ize ivavanywe.
• Ukukhula komchamo: Uvavanyo olukhulisa iintsholongwane kwisampulu yomchamo. Ugqirha wakho angakwenza oku emva kokuba ufunyaniswe une-UTI. Oku kunokukunceda ukufumanisa uhlobo oluchanekileyo lwentsholongwane ebangele i-UTI.
• Uvavanyo lokufota: Ugqirha wakho unokuyalela olu vavanyo ukunceda ekuxilongeni iimeko ezithile. Imizekelo ibandakanya ii-ultrasound scans, ii-X-rays, ii-MRI (Magnetic Resonance Imaging), kunye nee-CT (Computed Tomography) scans .

Ngoko ke singayigcina njani le nkqubo yomchamo isempilweni?

Ungazama ukugcina inkqubo yakho yomchamo isempilweni ngokuzigcina ucocekile kwaye uphile ubomi obusempilweni. Nazi ezinye zezinto ezinokukunceda:

• Sela amanzi amaninzi: Ukuhlala unamanzi aneleyo kunceda ekucoceni umchamo. Oku kunceda nasekuthinteleni amatye ezintso kunye nezifo ze-UTI.
• Yitya ukutya okunesondlo: Ukutya okunetyuwa encinci kunye ne-calcium eninzi kunokunceda ekuthinteleni ukwakheka kwamatye ezintso.
• Khupha isinyi sakho ngokupheleleyo: Xa usiya kwindlu yangasese, khupha wonke umchamo. Musa ukuwubamba ixesha elide.
• Coca kakuhle: Ukuba ungumfazi, soloko usula ukusuka phambili ukuya ngasemva emva kokusebenzisa indlu yangasese. Oku kunciphisa umngcipheko wokungena kweebhaktheriya kwilungu lobufazi kwaye kubangele i-UTI.
• Ukuchama emva kwesondo:Ukuba ungumfazi, ukuchama ngokukhawuleza emva kwesondo kunokunceda ukukhupha iintsholongwane kwaye kunciphise umngcipheko wokufumana usulelo lwendlela yomchamo (UTI).
• Ziqhelise ngesondo elikhuselekileyo: Sebenzisa ikhondom ukuze uzikhusele kwizifo ezidluliselwa ngesondo.
• Yenza umthambo womgangatho we-pelvic / umthambo we-Kegel: Ukwenza oku kunokuqinisa izihlunu zomgangatho we-pelvic kwaye kunciphise umngcipheko wokungakwazi ukuzibamba.
• Gcina indawo yangasese icocekile: Coca indawo yangasese ngesepha namanzi athambileyo. Zama ukuhlamba okanye ukuhlamba umzimba wakho yonke imihla. Nxiba impahla yangaphantsi ekhululekileyo nekhululekileyo.

Uziva njani ukuba kufuneka ubonane nogqirha?

Ukuba unengxaki okanye unentlungu xa uchama, oko kungaba luphawu losulelo okanye olunye uhlobo lwesifo. Ngoko ke bonana nogqirha. Ngokuqinisekileyo kufuneka ubonane nogqirha ukuba unayo nayiphi na kwezi zilandelayo:

• Igazi kumchamo (i-hematuria)
• Ukutsha, iintlungu, okanye ukungakhululeki xa uchama
• Intlungu kwindawo ye-pelvic, ezantsi kwesisu, kwindawo ye-genital, okanye ecaleni (umqolo nasemacaleni kwesisu)
• Ubunzima bokubamba umchamo okanye iingxaki zokuphuma komchamo
• Ukuziva ngathi kukho into ephuma kwilungu lobufazi

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Inkqubo yakho yomchamo yinxalenye ebalulekileyo yobomi bakho. Ihluza igazi lakho kwaye isuse inkunkuma kunye namanzi agqithisileyo njengomchamo. Izintso zakho, ii-ureters, isinyi, kunye ne-urethra zezona nxalenye ziphambili zale nkqubo. Iimeko ezifana nosulelo lwendlela yomchamo (UTIs), izifo ezidluliselwa ngesondo (STIs), isifo sezintso, kunye nokuvaleka kwendlela yomchamo kunokuchaphazela impilo yenkqubo yakho yomchamo. Ukuba unemeko efana nale, kungcono ukuthetha nogqirha wakho kwaye uthathe amanyathelo okuhlala usempilweni. Ukunyamekela umzimba wakho yeyona ndlela ilungileyo yokuphila ubomi obusempilweni.

Inkqubo yomchamo, izintso, isinyi, usulelo lomchamo, amatye ezintso, ubunzima bokuchama, ubomi obusempilweni