Xa usiva igama elithi 'utyando lwesinyi', usenokuba noloyiko oluncinci. Yinto eqhelekileyo leyo. Kodwa, wakuba uyazi kakuhle ukuba yintoni, kutheni yenziwe, kwaye yenzeka njani, uloyiko lwakho kunye neenkxalabo zakho ziya kuncipha kakhulu. Ngoko ke, namhlanje siza kuthetha ngale nto ngokucacileyo nangokulula, ngokungathi sithetha nomhlobo.
Okokuqala, masibone, yintoni utyando lwesinyi?
Ngamafutshane, isinyi sisitho esifana nengxowa emzimbeni wethu esiqokelela kwaye sigcine umchamo okwethutyana ( umchamo ) ohluzwa zizintso. Olu tyando silubiza ngokuba lutyando lwesinyi.
Uhlobo lotyando olufunekayo luya kuxhomekeka kwimeko echaphazela isinyi sakho, ngoko ke utyando lunokwahluka kumntu nomntu.
Kunini apho kufuneka khona utyando lwesinyi?
Oogqirha banokucebisa olu tyando ngezizathu ezininzi eziphambili.
- Umhlaza wesinyi: Esi sesona sizathu siphambili nesiqhelekileyo sotyando lwesinyi.
- Ukuwa kwesinyi/Ukuncipha kwesinyi/I-Cystocele: Yimeko exhaphakileyo kakhulu phakathi kwabasetyhini.
- Ukungakwazi ukuzibamba komchamo: Ukulahlekelwa ngumchamo ngokungeyomfuneko xa ukhohlela okanye uhleka.
Ziziphi iintlobo eziqhelekileyo zotyando lwesinyi?
Kukho iintlobo ezininzi zotyando lwesinyi. Makhe sijonge ezinye zezona zixhaphakileyo. Amagama ala magama anzima kancinci, kodwa kulula ukuwaqonda xa sele uyazi ukuba abandakanya ntoni.
| Uhlobo lotyando | Kalula nje, kwenzeka ntoni ngale nto? |
|---|---|
| Utyando lweCystectomy | Ukususwa kwenxalenye yesinyi (inxalenye) okanye isinyi sonke (esigqithisileyo) kwiimeko zomhlaza. |
| I-TURBT (Ukususwa kwe-Bladder Tumor ngeTransurethral) | Isixhobo esincinci esinekhamera (cystoscope) sidluliselwa kwi-urethra ukuze kususwe amaqhuma anomhlaza kwisinyi. Akukho mingxunya yangaphandle. |
| Ukwakhiwa kwakhona komchamo kunye nokuguqulwa | Xa isinyi sisusiwe, kuveliswa indlela entsha yokukhupha umchamo emzimbeni. |
| Ukumiswa kweRetropub | Ukubuyisela isinyi esiphumileyo kunye ne-urethra kwindawo yazo eyiyo kunye nokuzilungisa. |
Ufanele uzilungiselele njani ngaphambi kotyando?
Ugqirha wakho uza kudibana nawe ngaphambi kotyando. Ngeli xesha, kuya kwenzeka ezi zinto zilandelayo:
- Thetha ngembali yakho epheleleyo yempilo.
- Kuza kwenziwa uvavanyo lomzimba ukuze kubonwe ukuba uphilile ngokwaneleyo na ukuba ungamelana notyando.
- Izinto ezifana nobushushu, ukubetha kwentliziyo, kunye noxinzelelo lwegazi ziyalinganiswa.
- Uvavanyo lwegazi nomchamo (uvavanyo lomchamo) lwenziwa ukujonga ukuba kukho usulelo na.
Oku kubaluleke kakhulu: Ufanele uxelele ugqirha wakho ngazo zonke iiyeza ozisebenzisayo (ezichazwe ngugqirha wakho, ezithengiswa ngaphandle kwemvume kagqirha, izongezo zemifuno, kunye neevithamini). Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile, ingakumbi i-aspirin, ii-NSAID, kunye nee-anticoagulants, ezinokunyusa umngcipheko wokopha. Nangona kunjalo, ungayeki ukusebenzisa nawaphi na amayeza de ugqirha wakho akuxelele ukuba wenjenjalo.
Kwakhona, sixelele ngazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile. Umzekelo,
- Ukunganyamezelani namayeza
- Ii-aleji kwizinto zokucoca ulusu (ezifana ne-iodine)
- Ukunganyamezelani kweLatex
- Ukunganyamezelani nokutya
Ukuba uyatshaya, ugqirha wakho unokukucebisa ukuba uyeke, kuba ukutshaya kunokulibazisa ukuphola emva kotyando.
Uza kunikwa nemiyalelo ekhethekileyo malunga nokuba uza kutya ntoni kwaye usele ntoni ngaphambi kotyando. Ungacelwa ukuba utye kuphela izinto ezimanzi (isuphu ezingena asidi, iijusi zeziqhamo, ijeli) kangangeeyure ezisi-8-12 ngaphambi kotyando.
Kwenzeka ntoni ngomhla wotyando?
Utyando lwesinyi lunokwenziwa ngeendlela ezintathu eziphambili.
1. Utyando olungenabungozi kangako/olusebenzisa iRobhothi
Le yindlela esetyenziswa kakhulu namhlanje. Ugqirha wenza imingxunya embalwa kakhulu esiswini sakho aze afake isixhobo esifana nengalo yerobhothi ukuze enze utyando. Le ndlela inexesha elifutshane lokuphola, amanxeba amancinci, kunye neengozi ezimbalwa.
2. Utyando Oluvulekileyo
Kule meko, ugqirha wenza umngxuma omnye omde esiswini ukuze afikelele kwisinyi. Le ndlela ngoku ayisetyenziswa rhoqo.
3. Utyando lwe-Endoscopic
Kule meko, akukho kususwa kwangaphandle. Olu tyando lwenziwa ngokudluliswa kwesixhobo esinekhamera ecaleni kwe-urethra. Olu tyando olubizwa ngokuba yi-`(TURBT)` esithethe ngalo ngasentla ngumzekelo omhle woku.
Ngaba ndiza kuba sezingqondweni ngexesha lotyando?
Hayi. Ngaphambi kotyando, ingcali yokubulala iintlungu iza kukunika i-anesthesia jikelele. Oku kuthetha ukuba uza kube ulele ngokupheleleyo ngexesha lotyando. Awuyi kuva ntlungu.
Yintoni onokuyilindela emva kotyando?
Xa utyando luphelile, oogqirha baza kuthunga amanxeba akho baze bawabophe. Xa i-anesthesia iphelile, uya kubuyela engqondweni kancinci kancinci. Uya kuziva ulele kancinci ekuqaleni. Xa uvukile ngokupheleleyo, uya kunikwa amayeza okulawula iintlungu.
Ezi zinto zilandelayo zinokwenzeka emva kotyando:
- Ukufuna ukuchama rhoqo.
- Ukufuna ukuchama ngequbuliso.
- Igazi elincinci elixutywe kumchamo (iHematuria).
Ugqirha wakho uza kukuxelela ngezi zinto kwangaphambili.
Masifunde ngexesha lokuchacha.
Ixesha eliza kuthathwa ukuze uphile ngokupheleleyo liya kwahluka ngokuxhomekeke kutyando olwenzileyo. Lidla ngokuthatha iiveki ezimbalwa. Kungathatha inyanga okanye ezimbini ukuze ubuyele emandleni apheleleyo.
- Imisebenzi: Kuphephe ukuzilolonga okanye ukuphakamisa nantoni na enzima ngaphezu kweekhilogram ezi-4 (malunga nobunzima begaloni yamanzi) kangangeeveki ezimbalwa emva kotyando.
- Ukutya: Sela amanzi amaninzi, kungenjalo uya kuba semngciphekweni omkhulu wokufumana usulelo lomchamo (UTI). Kukwangumbono olungileyo ukutya ukutya okunesondlo (iziqhamo ezintsha, imifuno, amandongomane, inyama engenamafutha) ukunceda kwinkqubo yokuphiliswa.
Ixesha lokubona ugqirha ngoko nangoko
Ukuba ufumana naziphi na ezi mpawu zilandelayo emva kotyando lwakho, yazisa ugqirha wakho ngoko nangoko okanye uye esibhedlele.
| Iimpawu Zesilumkiso | |
|---|---|
| 🔴 | Intlungu ebuhlungu, ingakumbi xa uchama (iDysuria). |
| 🔴 | Ukungakwazi ukuchama. |
| 🔴 | Ukopha kakhulu emchameni. |
| 🔴 | Iimpawu zosulelo (umkhuhlane, ukubanda, umbala obomvu/omfusa ojikeleze indawo etyumkileyo, ukuphuma kobofu). |
| 🔴 | Ukopha kakhulu ngenxa yokusikeka. |
Kuthekani ukuba isinyi sisusiwe ngokupheleleyo?
Le yingxaki enkulu kubantu abaninzi. Ewe, kunokwenzeka ukuba uphile ngaphandle kwesinyi. Ukuba ugqirha ususa isinyi sakho ngokupheleleyo, baya kudala indlela entsha yokuba umzimba wakho ugcine kwaye ukhuphe umchamo. Kukho iindlela ezintathu eziphambili zokwenza oku.
- Umjelo we-Ileal: Oku kuquka ukuthatha icandelo lamathumbu amancinci uze ulidibanise nomchamo ovela kwizintso kwelinye icala kunye nomngxuma omncinci (stoma) esiswini kwelinye icala. Umchamo emva koko uqokelelwa kwingxowa (ibhegi ye-ostomy) enamathele ngaphandle komngxuma.
- I-Neobladder: Kwakhona, inxalenye yamathumbu amancinci isetyenziselwa ukwenza isikhwama esitsha esifana nesinyi kwaye siyincamathisele kwindawo efanayo nesinyi esidala. Ngale nkqubo, unokuchama ngokuqhelekileyo nge-urethra.
- Ukuphambuka Kwesikhumba Selizwekazi: Oku kuquka nokudala ingxowa ngaphakathi esiswini ukuze kuqokelelwe umchamo. Nangona kunjalo, ikhutshwa izihlandlo ezininzi ngemini kusetyenziswa ityhubhu encinci (i-catheter) oyifaka ngokwakho ngomngxuma (i-stoma) esiswini.
Nangona ezi ndlela zisenokubonakala zinzima kancinci, ugqirha wakho uza kukhetha indlela efanelekileyo kuwe aze ayichaze kakuhle. Nangona kuthatha ixesha ukuqhelana nezi ndlela, uninzi lwabantu luyaqhubeka nokwenza izinto ababezenza ngaphambi kotyando (ukuzilolonga, ukuhamba) njengesiqhelo.
Umyalezo Wokuya Ekhaya
- Utyando lwesinyi alunanto yakwenza noloyiko. Lutyando oluqhelekileyo olunyanga iimeko ezahlukeneyo.
- Kubaluleke kakhulu ukuxelela ugqirha wakho yonke into malunga nempilo yakho kunye namayeza owasebenzisayo ngaphambi kotyando.
- Landela imiyalelo kagqirha wakho ngononophelo xa uphinda uphila emva kotyando. Kuphephe ukuphakamisa izinto ezinzima kwaye usele ulwelo oluninzi.
- Qaphela iimpawu ezilumkisayo ezifana nomkhuhlane, iintlungu eziqatha, kunye nokungakwazi ukuchama. Ukuba kukho nayiphi na kwezi, bona ugqirha ngokukhawuleza.
- Nokuba isinyi sakho sisusiwe ngokupheleleyo, usenokuphila ubomi obuqhelekileyo. Kukho iindlela ezahlukeneyo zokwenza oko, kwaye kuthatha ixesha ukuqhela.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Kuthetha ukuthini ukungakwazi ukuzibamba/ukulahlekelwa yi-bladder control?
Oku akuyonto eyenzekayo xa ufika kade kwindlu yangasese! 'Ukungakwazi ukuzibamba' yimeko engathandekiyo/ebangela iintloni apho ulahlekelwa ngamandla okuzibamba, xa uhleka, ukhohlela, okanye ucinga ngokuya kwindlu yangasese, kwaye umchamo (kwaye ngamanye amaxesha ilindle) uphuma ngequbuliso kwiimpahla zakho (Ukuvuza okunganyanzelekanga)! Ngenxa yesi sizathu, abantu abaninzi bayoyika ukuphuma endlwini baze bahlale kude noluntu ngokupheleleyo.
💬 Zithini izizathu eziphambili zokulahlekelwa kulawulo lwesinyi?
Ezona zinto zibangela oku zezi: 1) Ukungakwazi ukuzibamba ngenxa yoxinzelelo - Emva kokubeleka (ngenxa yobuthathaka bemisipha), abafazi balahlekelwa ngumchamo xa bekhohlela. 2) Isinyi esisebenza kakhulu (Ukukhuthaza) - Isinyi siyafinyela ngokungathi siphambene ngaphambi kokuba sigcwale (ngenxa yesifo seswekile/izifo zemithambo-luvo). 3) Ukuya exesheni kwabasetyhini. 4) I-Prostate/BPH ekhulisiweyo kumadoda. 5) Usulelo oluSerious Urinary Tract (UTI).
💬 Ngaba ukungakwazi ukuzibamba kunokunyangeka? Ndingaya nini kwigumbi longxamiseko ngoko nangoko?
Esi asisifo sokuba neentloni ngaso uze uhlale ekhaya, sinokunyangwa nge-100% ngamayeza (iindlela zokuzilolonga/amayeza/utyando lweKegel)! Kodwa eyona ngozi inkulu! Ukuba umntu ophilileyo, kunye nentlungu yomqolo, 'akakwazi ukulawula ukuchama okanye ukuphuma kwesisu ngequbuliso', aze aphulukane namalungu omzimba, ngokuqinisekileyo kukwaphuka komqolo (iCauda Equina Syndrome / ukufa)! Kufuneka ulaliswe esibhedlele ngoko nangoko kwaye usindise imilenze yomibini ekulahlekelweni ngumsebenzi wayo (ukukhubazeka)!
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