Ngamanye amaxesha, ngenxa yomhlaza okanye ezinye iimeko zempilo ezinzulu, kufuneka kususwe lonke isinye somntu. Abantu abaninzi bayoyika, "Ndiza kuchama njani ngoku?" Kodwa ungoyiki, ngenxa yokuqhubela phambili kwesayensi yezonyango, kukho isisombululo esilungileyo soku. Oko kukuthi, kusetyenziswa inxalenye yamathumbu akho, kwakheka isinye esitsha emzimbeni. Namhlanje, sithetha ngolu tyando lumangalisayo, olubizwa ngokuba lutyando lwe-Neobladder.
Yintoni utyando lwe-'Neobladder' olulula?
Ngamafutshane, olu lutyando lokudala isinyi esitsha ukuze sithathe indawo yesinyi sakho esinesifo nesingasebenzi kakuhle. Kule meko, oogqirha baqala ngokususa isinyi sakho sokuqala ngotyando. Oku kubizwa ngokuba yi-cystectomy . Emva koko, bathabatha iqhekeza elincinci lamathumbu akho amancinci baze balisebenzisele ukwenza isinyi esitsha (neobladder) esimile njengebhola.
Esi sinyi sitsha sibekwe kwindawo enye nesinyi sakho esidala. Yiyo loo nto ngamanye amaxesha sibizwa ngokuba yi-'orthotopic' neobladder. Igama elithi 'Orthotopic' lithetha "kwindawo enye." Oku sikubiza ngokuba yi-neobladder reconstruction, edala inkqubo entsha yokugcina nokukhupha umchamo.
Kodwa olu tyando alulungelanga wonke umntu. Oogqirha baza kugqiba ukuba ufanelekile na koku ngokusekelwe kwizinto ezahlukeneyo, ezinje ngokuba izintso zakho nesibindi sakho ziphilile kangakanani na nokuba unomhlaza wesinyi na.
Kuxa kutheni apho olu tyando luyimfuneko?
Ugqirha angacebisa olu tyando kwiimeko ezahlukeneyo ezichaphazela impilo okanye ukusebenza kwesinyi sakho. Makhe sijonge ukuba zeziphi.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Umhlaza wesinyi | Isizathu esiphambili sokususwa kwesinyi. |
| Izihlunu zesinyi ezibuthathaka (isinyi esibolileyo) | Izihlunu zesinyi azinciphi njengoko kufuneka ukuze kuphume isinyi. Le meko inokwenzeka emva konyango lwemitha okanye ngenxa yezifo zenkqubo yemithambo-luvo. |
| Isinyi se-neurogenic | Ukungakwazi ukulawula isinyi ngenxa yezifo zengqondo okanye zomnqonqo. |
| I-Interstitial Cystitis/Intlungu Yesinyi (IC/BPS) | Imeko ebuhlungu engapheliyo kwisinyi. |
| Ukwenzakala kwisinyi | Umonakalo wesinyi ngenxa yengozi enkulu. |
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando, uza kudibana nogqirha wezifo zomchamo. Uza kuchaza izinto ezilungileyo nezingalunganga zotyando, kunye nezinye iindlela, aze ahlole imbali yakho yezonyango aze enze uvavanyo lomzimba ukuze ahlole impilo yakho iyonke.
Ukongeza, uya kubuzwa ngezi zinto:
- Amayeza owasebenzisayo: Ufanele uxelele ugqirha wakho malunga nawo nawaphi na amayeza owasebenzisayo (okwamayeza kagqirha nalawo athengiswa ngaphandle kwemvume kagqirha). Ezinye izithomalalisi zentlungu (ii-NSAID) kunye nezithambisi zegazi (i-anticoagulants) zinokunyusa umngcipheko wokopha ngexesha lotyando. Kodwa khumbula, ungayeki ukuthatha nawaphi na amayeza ngaphandle kokubuza ugqirha wakho kuqala.
- Ii-Allergies zakho: Qiniseka ukuba usixelela ngazo naziphi na ii-allergies onazo ngamayeza, izinto zokucoca ulusu (ezifana ne-iodine), i-latex, okanye ukutya.
- Ukutya Neziselo: Uya kucetyiswa ukuba ungatyi okanye ungaseli nto emva kweentsuku ezinzulwini zobusuku ngaphambi kotyando. Ukuba unamayeza abalulekileyo, ungawasela kunye nesiselo samanzi.
Indlela olu tyando lwenziwa ngayo inyathelo ngenyathelo
Olu lutyando olukhulu oluthatha malunga neeyure ezimbini ukuya kwezintandathu. Makhe sijonge inyathelo ngenyathelo ukuba kwenzeka ntoni ngeli xesha.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. I-Anesthesia | Uza kulaliswa (i-anesthesia eqhelekileyo), ukuze ungaziva ntlungu. |
| 2. Ukususwa kwesinyi | Isinyi sakho esidala siya kususwa ngokusikwa okukhulu esiswini sakho (utyando oluvulekileyo) okanye ngokusikwa okuncinci okuliqela (utyando lwerobhothi). |
| 3. Ukudala iNeobladder | Inxalenye yamathumbu akho amancinci iyasuswa ize ibunjwe ibe yibhola. Le sisinyi sakho esitsha. |
| 4. Ukudibanisa kwakhona | Isinyi esitsha sibekwa kwindawo efanayo nesesidala, kwaye imibhobho evela kwizintso (ureters) kunye nombhobho othwala umchamo (urethra) zidibene kuso. |
| 5. Ukuvalwa kwemingxunya kunye nokubekwa kweetyhubhu | Amanxeba aza kuvalwa ngezititshi okanye ngezixhobo zotyando. I-catheter yomchamo iya kufakwa kwi-urethra yakho ukuze ikhuphe umchamo ude uphole. |
Kwenzeka ntoni emva kotyando? Kuza kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Uza kuziva udiniwe emva kokuba ubuyele ezingqondweni. Esibhedlele, iqela lezonyango liza kukunika amayeza okulawula iintlungu zakho nokujonga impilo yakho.
Ngexesha lokuchacha kwakho, uza kufundiswa malunga noku:
- Ukuzilolonga phantsi kwe-pelvic (ukuzivocavoca nge-Kegel): Oku kubaluleke kakhulu. Ezi zilolonga ziqinisa izihlunu ezilawula isinyi sakho. Ke ngoko, oku kunceda kakhulu ekuthinteleni ukungakwazi ukuzibamba komchamo.
- Ukuzicoca nge-catheterization: Asinguye wonke umntu okufunayo, kodwa malunga ne-15% yabantu kuya kufuneka basebenzise le ndlela yokukhupha yonke into kwisinyi sabo ekuqaleni. Ungakhathazeki, siza kukubonisa indlela yokwenza oko kanye.
Kungathatha iinyanga ezininzi ukuba uphile ngokupheleleyo. Kuthatha ixesha ukuqhela isinyi sakho esitsha, ukufunda indlela yokusikhupha, nokuqinisa izihlunu zakho. Ugqirha wakho kunye nabasebenzi bomongikazi baya kukunceda kuyo yonke le nto.
Ziziphi iingenelo kunye neengxaki ze-Neobladder?
Eyona nzuzo inkulu yolu tyando kukuba ungachama ngendlela eqhelekileyo nge-urethra yakho, ngaphandle kokusebenzisa ibhegi ye-urostomy. Oku kuphucula umgangatho wobomi kunye nokuzithemba kwabantu abaninzi.
Kodwa njengayo yonke into, kukho iingozi kunye neengxaki ezithile koku.
- Ukulawula isinyi: Kunokuba nzima ukulawula isinyi sakho ekuqaleni, ingakumbi ebusuku. Nangona kunjalo, ngokuhamba kwexesha, ingakumbi ngokuzivocavoca kweKegel, malunga ne-90% yabantu baya kuba nolawulo oluhle emini.
- I-mucus kumchamo: Ekubeni isinyi esitsha senziwe ngenxalenye yamathumbu, sivelisa ulwelo olufana ne-mucus. Ke ngoko, ukuze kuthintelwe usulelo, ngamanye amaxesha kuyimfuneko ukufaka i-catheter kunye nokunkcenkceshela isinyi.
- Ezinye iingozi: Ukopha, amahlwili egazi, usulelo lweebhaktheriya, usulelo lwendlela yomchamo (UTIs), ukugcinwa komchamo, njl. Kunqabile ukuba kubekho ukungalingani kwe-electrolyte.
Ngaba kunokwenzeka ukuba uphile ubomi obuqhelekileyo nge-neobladder?
Ewe, ngokuqinisekileyo! Uninzi lwabantu abane-neobladder banokuqhubeka nemisebenzi yabo yesiqhelo.
Ekuqaleni, kuya kufuneka uchame rhoqo emva kweeyure ezimbini. Kodwa ngokuhamba kwexesha, njengoko isinyi sakho esitsha sisolula kwaye siqina, uya kukwazi ukubamba umchamo wakho malunga neeyure ezi-4-6. Kwiiveki ezimbalwa, uya kukwazi ukwenza umsebenzi olula kwaye uye emsebenzini. Akukho miqathango yokutya ikhethekileyo, kwaye ungahamba ngaphandle kwemiqathango.
Amaxesha apho ufuna ukubona ugqirha
Ukuba unale mpawu, fowunela ugqirha wakho ngoko nangoko. Ukuba iimpawu zinzima, yiya kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
- Iimpawu zosulelo ezifana nomkhuhlane, ukubanda, kunye nomchamo onamafu.
- Kunzima ukufaka i-catheter yodwa.
- Igazi kumchamo (i-hematuria) .
- Intlungu ebuhlungu esiswini okanye phakathi kweembambo kunye namaqakala.
Umyalezo Wokuya Ekhaya
- Utyando lwe-neobladder yeyona ndlela ilungileyo yokuphila ubomi obuqhelekileyo ngaphandle kwengxowa ngaphandle komzimba emva kokususa isinyi.
- Esi sinyi sitsha senziwe kusetyenziswa inxalenye yamathumbu akho amancinci.
- Kuza kuthatha iinyanga ezininzi ukuba uphile. Ngeli xesha, kubaluleke kakhulu ukuba nomonde nokulandela imiyalelo kagqirha, ingakumbi ukuzilolonga ngeKegel.
- Nangona kusenokuba nzima ukulawula umchamo ekuqaleni, ekuhambeni kwexesha uninzi lwabantu luyakwazi ukuphila ubomi obuqhelekileyo nobusebenzayo.
- Ukuba unemibuzo okanye amathandabuzo, ungoyiki ukuthetha ngokukhululekileyo nogqirha wakho ngayo loo nto.
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