Ngaba wakha waziva ngathi kunzima ukuqala ukuchama , okanye ukuba usenomchamo kwisinyi sakho emva kokuba ugqibile ukuchama ? Mhlawumbi umchamo wakho uhamba kancinci kwaye ungenaxesha. Ngaba kufuneka uvuke amaxesha amaninzi ebusuku ukuze uchame ? Ezi ayizizo iimpawu zokungazinaki. Ukuthintelwa kwe-Bladder Outlet (BOO) yimbangela yezonyango enokubangela oku kungakhululeki. Namhlanje, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni i-Bladder Outlet Obstruction?
Cinga ngesinyi sakho njengebhaluni egcwele amanzi. Ukuvulwa kwale bhaluni kulapho umchamo uphuma khona kwi-urethra. Ukuvaleka kwe-Bladder Outlet kuthetha ukuba kukho ukuvaleka kwenye indawo endleleni apho umchamo uphuma khona kwisinyi. Oku kuvaleka kucothisa ukuhamba komchamo, okanye kunokuwumisa ngokupheleleyo.
Le meko ixhaphake kakhulu kumadoda angaphezulu kweminyaka engama-65 ubudala. Kodwa inokwenzeka nakubasetyhini, kubantu abancinci, kubantwana abancinci, kwanakwimveku engekazalwa. Le meko, eyenzeka esibelekweni, ikwabizwa ngokuba yi-Fetal Lower Urinary Tract Obstruction (LUTO). Yimeko enzima nengaqhelekanga.
Abafazi, ingakumbi abo bane-prolapsed bladder (Cystocele), banamathuba amaninzi okuba nale miqobo.
Zithini iimpawu zale meko?
Umntu one-Bladder Outlet Obstruction unokufumana iingxaki ezahlukeneyo. Xa ezi mpawu zidibana, ngokwezonyango sizibiza ngokuba zii-Lower Urinary Tract Symptoms (LUTS). Jonga ukuze ubone ukuba unazo na ezi mpawu.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Ubunzima bokuqala ukuchama | Nokuba uzama ukuchama , kuthatha imizuzwana embalwa okanye ngaphezulu ukuba umchamo uqale. |
| Isinyi asiphumi ngokupheleleyo | Nasemva kokuba ugqibile ukuchama, uziva ngathi kusekho umchamo ngaphakathi. |
| Umchamo obuthathaka, oqhubekayo | Umchamo awuphumi ngamandla, uphuma kancinci kakhulu. Ngamanye amaxesha umjelo uyema okwethutyana, uze uphinde uqale. |
| Ukuchama rhoqo ebusuku | Xa ulele kakuhle, kufuneka uvuke ukuze uchame kabini okanye kathathu ebusuku okanye nangaphezulu. |
| Ukudinga rhoqo ukuchama | Kufuneka ndiye kuchama amaxesha amaninzi ngemini, kodwa kuphuma intwana encinci kuphela ngalo lonke ixesha. |
| Isidingo esingxamisekileyo sokuchama | Ndakuba ndiziva ndifuna ukuchama , andikwazi ukuzibamba, ngoko ke kufuneka ndibaleke ndiye kwigumbi lokuhlambela. |
| Intlungu esiswini esisezantsi okanye kumacala omabini omqolo | Ukugcwala kwesinyi ngenxa yokugcina umchamo kunokubangela iintlungu zesisu esisezantsi okanye iintlungu kumacala omabini omqolo ngenxa yeziphumo kwizintso. |
| Intlungu ngexesha lokuchama | Ukutsha okanye iintlungu xa uchama (ingakumbi ukuba kukho usulelo) |
Kutheni oku kusenzeka? Zithini izizathu zoku?
Kunokubakho izizathu ezininzi zokuvaleka komchamo.
Isizathu esiphambili esichaphazela amadoda
Eyona nto ixhaphakileyo ebangela le meko kumadoda kukwanda kwendlala yeprostate . Ngokwezonyango le nto siyibiza ngokuba yiBenign Prostatic Hyperplasia (BPH).I-prostate yindlala encinci efumaneka ngaphantsi kwesinyi, ejikeleze i-urethra. Njengoko ukhula, ngesiqhelo emva kweminyaka engama-50, le ndlala iqala ukukhula kancinci kancinci. Lo asingomhlaza. Nangona kunjalo, njengoko le ndlala ikhula, iqala ukuvala i-urethra. Kulapho ke kuvela khona ubunzima bokuchama.
Ezinye izizathu eziqhelekileyo
Ukongeza kwi-BPH, kukho nezinye izinto ezininzi ezinokuchaphazela oku.
- Ukuqina komchamo: Izicwili ezixineneyo zinokwakheka kwi-urethra ngenxa yosulelo, ingozi, okanye utyando, nto leyo eyenza indlela ibe mxinwa.
- Amatye Esinyini: Xa iiminerali ziqokelelana kwisinyi zize zenze amatye, zinokuhlala kwi-urethra zize zivale indlela yomchamo.
- Ukuncipha Kwamalungu Esitho Sesinqe: Kwabanye abafazi, ingakumbi abasetyhini abadala abaye baba nabantwana abaninzi, isinyi okanye isibeleko sinokuwela phantsi siye kwilungu lobufazi. Oku kunokubangela ukuba i-urethra igobe ize ivaleke.
- Ukuqhinwa Okukhulu: Kumntu oqhinwa kakhulu, isitulo esizalisa i-rectum sinokucinezela isinyi kunye ne-urethra.
- Iimeko zomhlaza: Ezi ngxaki zinokubangelwa zizifo zomhlaza ezifana nomhlaza weprostate, umhlaza wesinyi, kunye nomhlaza womlomo wesibeleko.
- Iingxaki zenkqubo yemithambo-luvo: Le meko inokwenzeka naxa izihlunu zesinyi zingasebenzi kakuhle ngenxa yengxaki yengqondo, umqolo, okanye imithambo-luvo edibene nesinyi.
Eyona nto ibalulekileyo kukuba ukuba unezi mpawu, musa ukucinga nje ukuba, "Oku kuqhelekile njengoko ukhula," kwaye ngokuqinisekileyo bonana nogqirha. Kuba kuphela xa unobangela ufunyenwe ngokuchanekileyo apho unyango olufanelekileyo lunokunikwa khona.
Ugqirha ufumanisa njani esi sifo kanye kanye?
Xa ubona ugqirha onezi mpawu, uya kuqala aphulaphule ngononophelo iimpawu zakho. Emva koko, baya kukuxilonga. Ngeli xesha, banokucebisa iimvavanyo ezininzi ukuze kuchongwe unobangela ochanekileyo.
| Uvavanyo | Ubona ntoni kule nto? |
|---|---|
| Uhlalutyo lomchamo | Umchamo wakho uza kuhlolwa ukuba awunasosulelo, igazi, okanye ezinye izinto ezingaqhelekanga. |
| Uvavanyo lweGazi | Fumanisa ukuba izintso ziyachaphazeleka na kukugcinwa komchamo (ukujonga izinto ezifana namanqanaba e-creatinine). |
| Iskena se-Ultrasound | Oku kuhlola izintso, isinyi, kunye ne-prostate (kumadoda). Kunokujonga ukuvaleka, amatye esinyi, kunye nomchamo osele emva kokungasebenzi. |
| I-Cystoscopy | Kule nto, ityhubhu encinci enekhamera encinci idluliselwa kwi-urethra yakho, kwaye ugqirha ujonga okwenzekayo ngaphakathi kwesinyi sakho nakwi-urethra kwisikrini. Oku kunokubona ngokucacileyo ukuba kukho na ukuvaleka, ukuncitshiswa, okanye amatye naphi na. |
| Uvavanyo lwe-Urodynamic | Olu luvavanyo olukhethekileyo olulinganisa uxinzelelo kunye nokusebenza kwemisipha yesinyi njengoko sizalisa kwaye sikhupha. |
Zithini iindlela zonyango zoku?
Eyona nto ingcono kukuba kukho iindlela ezahlukeneyo zonyango lwe-Bladder Outlet Obstruction, kuxhomekeke kwisizathu. Ugqirha wakho uza kukhetha unyango olukufaneleyo.
- Iintlobo zamayeza:
- Kwimiqobo ebangelwa kukwanda kwe-prostate (BPH), amayeza afana ne -alpha-blockers anikwayo akhulula izihlunu ezijikeleze i-gland.
- Ngamanye amaxesha amayeza afana neFinasteride, anciphisa ubukhulu beprostate, nawo ayanikwa.
- Ezinye iindlela zonyango:
- Abafazi banokufumana isiqabu kwiingxaki ezibangelwa kukuncipha kwamalungu esinqe ngesixhobo esibizwa ngokuba yi-pessary, esifakwa ngaphakathi kwilungu lobufazi.
- Unyango lomzimba lokuqinisa izihlunu zomgangatho we-pelvic lukwanceda abanye abantu.
- Utyando kunye nezinye iindlela:
- Ukucoca ngomchamo: Ukuba i-urethra ivalekile ngokupheleleyo, kufakwa ityhubhu yexeshana (i-Foley catheter) kwisinyi ukuze kuphume umchamo. Abanye abantu bayaziqhelisa ukucoca ngomchamo ekhaya.
- Utyando lokususa ukuvaleka: Kwiimeko ezifana ne-BPH, izixhobo zidluliselwa kwi-urethra ukuze kususwe iindawo ezivalekileyo zeprostate (utyando olufana ne-TURP).
- I-Laser Lithotripsy: Ukuba kukho amatye esinyini, ayatyunyuzwa aze asuswe kusetyenziswa imisebe yelaser.
- I-Urethroplasty: Ukuba i-urethra inciphile (i-stricture), kwenziwa utyando lokubuyisela indawo enciphileyo.
Uninzi lwexesha, olu tyando lwenziwa ngeendlela ezingaphantsi kakhulu . Oko kuthetha ukuba lwenziwa ngaphandle kokusikwa okukhulu kunye nemingxunya emincinci, ngoko ke ukuhlala esibhedlele kufutshane kwaye ukuchacha kukhawuleza.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Oku kubaluleke kakhulu. Kwezinye iimeko, oku kungaba yingxamiseko.
Ukuba unentlungu enganyamezelekiyo esiswini sakho esisezantsi , okanye ukuba awukwazi ukuchama nokuba sele uzame iiyure ezininzi , yingxamiseko leyo. Kwakhona, ukuba uneempawu zosulelo lomchamo, ezinje ngomkhuhlane, ukubanda, kunye nokungcangcazela , yiya kwicandelo likaxakeka lesibhedlele esikufutshane (ETU) ngoko nangoko .
Ukuba ayinyangwa, le meko inokukhokelela kwiingxaki ezinkulu ezifana nosulelo lomchamo, umonakalo wezintso, ukungasebenzi kakuhle kwezintso, kunye namatye esinyini. Ngoko ke musa ukuyityeshela le mpawu.
Umyalezo Wokuya Ekhaya
- Musa ukungazinaki iingxaki zokuchama (ukuhamba kancinci komchamo, ubunzima bokuqala, ukuchama rhoqo) ucinga ukuba "ziqhelekile njengoko ukhula."
- Nangona esona sizathu siphambili soku kukuba i-prostate gland yamadoda iyanda ngokukhula, le meko inokwenzeka nakubafazi nakubafana abancinci ngenxa yezinye izizathu.
- Ukuba ayinyangwa ngokukhawuleza, le meko inokubangela umonakalo osisigxina kwizintso, ngoko ke ukuxilongwa kwangoko kunye nonyango kubaluleke kakhulu.
- Ukuba unale mpawu, ungabi nantloni okanye ungoyiki ukubona ugqirha. Kwiimeko ezininzi, le meko inokulawulwa kakuhle ngamayeza okanye ngeendlela ezilula.
- Ukuba ufumana iintlungu ezinganyamezelekiyo okanye ukugcinwa komchamo ngokupheleleyo, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
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