Ngaba ngamanye amaxesha unengxaki yokuqalisa ukuchama , okanye usaziva ngathi isinyi sakho sigcwele emva kokuba ugqibile ukuchama ? Okanye ngaba unengxaki efana nokuphuma komchamo kancinci okanye ukuyeka? Ezi ayizozinto nje ezingaqhelekanga, kwaye ungazithatheli ngqalelo njengento eqhelekileyo njengoko ukhula. Kusenokuba kukho isizathu sezonyango soku. Namhlanje sithetha ngesinye sezifo ezinjalo, 'i-Bladder Outlet Obstruction'.
Yintoni i-Bladder Outlet Obstruction (BOO)?
Ngamafutshane, oku kuthetha ukuba ngesizathu esithile, kukho ukuvaleka okanye ukuvaleka kwi-urethra, ityhubhu ethwala umchamo ukusuka kwisinyi sakho ukuya ngaphandle komzimba wakho. Oku kungavaleki kunokubangela ukuba umchamo wakho uyeke ukugeleza ngokupheleleyo okanye uphume kancinci kakhulu.
Le meko ixhaphake kakhulu kumadoda angaphezulu kweminyaka engama-65 ubudala. Inokwenzeka nakubafazi, ebantwaneni, kwaye ngamanye amaxesha nasesibelekweni. Xa isenzeka esibelekweni, siyibiza ngokuba yi-"Fetal Bladder Outlet Obstruction." Ingonakalisa izintso zomntwana kunye nezinye izitho zomzimba.
Zithini iimpawu zale meko?
Ukuvaleka kweSinyi kunokubangela iimpawu zeLower Urinary Tract (LUTS). Jonga ukuze ubone ukuba unazo na ezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Ubunzima bokuqala ukuchama | Andiqali ukuchama okwethutyana emva kokungena kwigumbi lokuhlambela. |
| Isinyi asiphumi ngokupheleleyo | Ukuziva ngathi kusekho umchamo omncinci emva kokuba ugqibile ukuchama. |
| Ukuchama rhoqo ebusuku | Ukuvuka ebuthongweni ukuze uchame izihlandlo ezininzi. |
| Umchamo obuthathaka okanye ongapheliyo | Isantya sokuhamba komchamo siyancipha kakhulu okanye siyeke size siqale kwakhona. |
| Intlungu kwisisu esisezantsi okanye kwi-pelvis | Intlungu ebangelwa kukonakala kwesinyi okanye izintso. |
| Isidingo esingxamisekileyo sokuchama | Ukuziva unamandla okufuna ukuchama ngoko nangoko kunye nobunzima bokukulawula. |
Kutheni oku kusenzeka? Zithini izizathu eziphambili?
Kunokubakho izizathu ezininzi zoku. Kumadoda, eyona nto ixhaphakileyo kukwanda kwe-prostate gland. Nangona kunjalo, kunokubakho nezinye izinto.
| Isizathu | Ingcaciso elula |
|---|---|
| I-Benign Prostatic Hyperplasia (BPH) | Le yeyona nto ixhaphakileyo kumadoda. Ekubeni le gland ijikeleze i-urethra, xa ikhula, inokunciphisa i-urethra. |
| Ukuqina komchamo | Usulelo lwangaphambili, ingozi, okanye utyando lunokubangela amanxeba ngaphakathi kwe-urethra kwaye luyenze ibe mxinwa. |
| Amatye Esinyini | Amatye aqulunqwa ngaphakathi kwisinyi anokuvala indlela yokuphuma komchamo. |
| Iimeko zomhlaza | Umhlaza weprostate, isinyi, umlomo wesibeleko, okanye isibeleko unokubangela ukuba i-urethra inciphe. |
| Ukuncipha Kwesitho Se-Pelvic | Kwabasetyhini, amalungu omzimba anjengesibeleko okanye isinyi sehla aye kwilungu lobufazi, nto leyo ebangela ukuba i-urethra igobe ize ivaleke. |
| Ukuqhinwa Okukhulu | Xa indle eninzi iqokelelana ize izalise i-rectum, ingacinezela intamo yesinyi ngaphandle. |
Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?
Kubaluleke kakhulu ukunyanga le meko ngokukhawuleza, kuba ukugcina umchamo akuyonto ilula. Ngaphandle koko, iingxaki ezinkulu ezifihlakeleyo zinokubakho.
- Usulelo oluqhelekileyo lwendlela yomchamo (UTIs): Njengoko umchamo uhlala kwisinyi, iintsholongwane zinokukhula ngokulula zize zibangele usulelo.
- Ukonakala kwezintso: Uxinzelelo oluphezulu kwisinyi lunokubuyela kwizintso, nto leyo ebangela umonakalo kwizintso.
- Ukungasebenzi kakuhle kwezintso: Ukuba le meko iqhubeka ixesha elide, izintso zisenokungasebenzi kakuhle.
- Amatye ezintso kunye nesinyi: Umngcipheko wokwakheka kwamatye uphezulu kuba umchamo uhlala kwindawo enye.
- Ukungakwazi ukukhupha yonke into kwisinyi: Le yimeko engxamisekileyo kwaye ifuna unyango olukhawulezileyo.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko uza kwenza uvavanyo lomzimba. Angacebisa olunye okanye ngaphezulu kwezi vavanyo zilandelayo ukuze kufunyaniswe imeko.
| Uvavanyo | Ubona ntoni kule nto? |
|---|---|
| Uvavanyo lwegazi | Jonga ukuba azikho na izintso ezonzakeleyo. |
| Uhlalutyo lomchamo | Jonga umchamo ukuba awunalo igazi okanye usulelo. |
| Iskeni ye-Ultrasound (i-Ultrasound yePelvic) | Jonga izintso kunye nesinyi ukuze ufumane apho kuvaliwe khona. |
| I-Cystoscopy | Ikhamera encinci idluliselwa kwi-urethra ukuze ijonge ngqo nakuphi na ukuxinana okanye olunye uthintelo ngaphakathi kwityhubhu. |
| Uvavanyo lwe-Urodynamic | Izihlunu zesinyi kunye nezihlunu ze-sphincter ziyalinganiswa. |
| Uvavanyo lomchamo oseleyo emva kokungasebenzi | Emva kokuba ugqibile ukuchama, kusetyenziswa iskeni ukujonga ukuba ingakanani na imichamo eseleyo kwisinyi. |
Zithini iindlela zonyango zoku?
Unyango olufumanayo luxhomekeke kwisizathu sokuvaleka komchamo wakho. Umzekelo, unyango lwamatye esinyini lwahlukile kunyango lomhlaza weprostate.
- Amayeza: Abanye abantu banokuthatha amayeza anjenge -alpha-blockers okanye i-finasteride ukuze kuphumzwe izihlunu entanyeni yesinyi kwaye kuvunyelwe ukuba umchamo uphume lula.
- Unyango Lomzimba: Ukuzilolonga okuqinisa izihlunu kwindawo ye-pelvic ngamanye amaxesha kuyanceda.
- I-Pessary: Esi sisixhobo esisetyenziselwa abafazi. Singafakwa kwisini ukuze sixhase amalungu esinqe ukuba atyhafile.
- Utyando kunye nezinye iindlela:
- I-Foley Catheter: Ukuba i-urethra ivalekile ngokupheleleyo ngequbuliso, kufakwa ityhubhu yokukhupha isinyi okwethutyana.
- Utyando lokususa isithintelo: Ngokuxhomekeke kwisizathu, kukho iindlela ezahlukeneyo zotyando zokususa isithintelo. Uninzi lwexesha, ezi zizinto ezincinci ezingenelelayo, ezivumela ukuba umntu aphile ngokukhawuleza.
- I-Laser Lithotripsy: Ukuba kukho amatye esinyini, ayatyunyuzwa aze asuswe kusetyenziswa imisebe yelaser.
Izinto onokuzenza ekhaya
Ngelixa ulinde unyango, eminye imikhwa inokukunceda uzive ungcono. Kodwa kufuneka ubuze ugqirha wakho ngaphambi kokuba wenze le nto.
- Ukuhlala phantsi ukuze uchame: Kumadoda, kunokuba lula ukukhupha yonke into kwisinyi xa echama ngelixa ehleli phantsi kunaxa echama ngelixa emi ngenyawo.
- Ukuzicoca nge-catheter: Kwezinye iimeko, ugqirha wakho uza kukufundisa indlela yokufaka i-catheter ngokucocekileyo kwisinyi sakho izihlandlo ezininzi ngemini ukuze ukhuphe isinyi sakho.
Ndifanele ndimbone nini ugqirha?
Kubaluleke kakhulu: Ukuba unentlungu enganyamezelekiyo, okanye ukuba awukwazi ukuchama konke konke , yingxamiseko. Yiya kwigumbi likaxakeka lesibhedlele esikufutshane (ETU) ngokukhawuleza. Kwakhona, ukuba uneempawu zosulelo lomchamo, ezinje ngomkhuhlane kunye nokubanda, bona ugqirha ngokukhawuleza.
Emva kotyando, qiniseka ukuba uya kwiikliniki njengoko ugqirha wakho eyalele. Ukuba ufumana ubunzima bokuchama kwakhona emva konyango, yazisa ugqirha wakho ngaloo nto.
Umyalezo Wokuya Ekhaya
- Musa ukuzithatha lula iingxaki zokuchama ( ukuhamba kancinci, ukuchama rhoqo, ubunzima bokuqala) njenge "yinxalenye eqhelekileyo yokwaluphala."
- Nangona unobangela oyintloko wale meko yi-benign prostatic hyperplasia (BPH), kunokubakho nezinye izizathu ezinzulu ezifana namatye omchamo, amanxeba, okanye umhlaza.
- Ukufunyanwa kwangoko kunye nonyango kunokuthintela iingxaki ezinkulu ezifana nokonakala kwezintso.
- Ukuba unezi mpawu, musa ukuba neentloni okanye ukoyika ukubona ugqirha ukuze akunike icebiso. Kwiimeko ezininzi, le meko inokulawulwa ngempumelelo kwaye inyangeke.
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