Ngaba wena okanye umntu osapho lwakho, mhlawumbi utata wakho, kuye kwafuneka ukuba kwenziwe utyando kwinkqubo yomchamo? Ingakumbi utyando lwe-prostate gland. Emva kotyando olunjalo, usenokuba ukhathazekile kancinci xa ugqirha wathi, "Kufuneka uhlambe isinyi sakho kangangeentsuku ezimbalwa ngoku." Kuthetha ukuthini ukuthi "ukuhlamba isinyi sakho"? Ngaba kubuhlungu? Kutheni kwenziwa njalo? Siza kuphendula yonke loo mibuzo kweli nqaku namhlanje. Akukho mfuneko yokoyika, le yinkqubo eqhelekileyo eyenziwa amaxesha amaninzi.
Yintoni i-Continuous Bladder Irrigation (CBI)?
Ngamafutshane, oku kuquka ukusebenzisa ulwelo olukhethekileyo olungenazintsholongwane ukucoca isinyi sakho rhoqo. Kwangaxeshanye, umchamo nezinye izinto eziqokelelana kwisinyi sakho nazo ziyasuswa ngeli xesha lenkqubo. Oku kudla ngokwenziwa esibhedlele kangangeentsuku ezininzi.
Umsebenzi ophambili wenkqubo yomchamo kukucoca inkunkuma egazini lethu size siyikhuphe njengomchamo. Isinyi sisitho esifana nebhaluni kule nkqubo. Kulapho umchamo uqokelelana khona ixesha elifutshane.
Kutheni ufanele wenze into efana nale?
Isizathu esiphambili nesiqhelekileyo soku kukuthintela nokususa amahlwili egazi ukuba angenzeki ngaphakathi kwisinyi emva kotyando kwinkqubo yomchamo.
Khawuthelekelele ukuba ukhe wenziwa utyando lokususa iprostate (Transurethral Resection of the Prostate okanye TURP). Emva kotyando olunjalo, kukho ithuba elikhulu lokuba amahlwili egazi, iziqwenga zezicubu, njl.njl. ziya kwakheka ngaphakathi kwesinyi. Emva kotyando, umchamo uhlala ukhutshwa ngetyhubhu, ebizwa ngokuba yi-catheter. Amahlwili egazi akhankanyiweyo apha ngasentla anokunamathela kule urethra.
Ukuba i-urethra ivalekile, umchamo ungangena ngaphakathi kwisinyi endaweni yokuphuma kuso. Oku kunokubangela iintlungu ezinzulu, usulelo, kunye nomonakalo wezintso.
Inkqubo ye-CBI kukuhlamba loo mahlwili egazi kunye neziqwenga, ukugcina indlela yomchamo icocekile.
Ngaphandle koko, i-CBI isetyenziswa ngenxa yezizathu ezininzi:
- Nika amayeza ngqo kwisinyi.
- Nyibilikisa ezinye iintlobo zamatye esinyini.
- Thomalalisa kwaye uphilise udonga lwesinyi oluye lonakala kwaye lwaba nobuthathaka ngenxa yosulelo okanye ukudumba.
Le nkqubo yenzeka njani?
Nangona le nkqubo ingabonakala inzima kancinci, yenzeka ngendlela ecwangcisiweyo kakhulu.
Okokuqala, faka i-catheter.
Ngaphambi kokuba uqalise i-CBI, kuya kufuneka ufake i-catheter ekhethekileyo. Oku akufani ne-catheter eqhelekileyo ye-urethral. Inee -ports ezintathu (i-catheter eneendlela ezintathu) . Ukuba sele ufake i-catheter ngenxa yotyando, kunokufuneka uyitshintshe uze ufake le catheter ikhethekileyo. Ezi-ports zintathu zisebenza ngokulula kakhulu:
1. Ukujova isisombululo se-saline: Isisombululo se-saline sijovwa kwisinyi ngesithuba esinye.
2. Umchamo kunye nolwelo oluphumayo: Ngolunye uthungo, ulwelo olungaphakathi kwisinyi (umxube womchamo kunye netyuwa) luqhagamshelwe kwingxowa eqokelela ulwelo ngaphandle.
3. Ukugcina i-catheter: I-port yesithathu kulapho ibhaluni encinci ngaphakathi kwi-catheter ifuthwa ngamanzi, igcina izinzile ngaphakathi kwisinyi ngaphandle kokushukuma.
Indlela esebenza ngayo le nkqubo
Le nkqubo idla ngokwenziwa ngumongikazi okanye ugqirha wezifo zomchamo. Iingxowa ezimbini zesisombululo setyuwa zixhonywa kwindawo yokumisa ecaleni kwebhedi yakho. Xa enye ingxowa igqityiwe, ungasebenzisa enye.
Ngale tube , isisombululo se-saline siphuma ngethontsi siye kwisinyi sakho. Kwangaxeshanye, umchamo kunye nomxube wesisombululo uphuma kwenye tube uze uqokeleleke kwingxowa ecaleni.
| Yintoni ebonwa ngabasebenzi bonyango ngeli xesha? | |
|---|---|
| Oko kubonwayo | Inkcazo |
| Umbala womchamo | Umchamo, oqala ube bomvu obumnyama (njengegazi), kufuneka utshintshe kancinci kancinci ube pinki, uze ekugqibeleni ucace njengamanzi. Umbala uya kugqiba ukuba unyango luphumelele na. |
| Izinga lokuhamba kolwelo | Ukuba kukho amahlwili egazi amaninzi, izinga letyuwa liyanyuka. Xa umchamo ucacile, izinga liyancitshiswa. Oku kulawulwa ngabasebenzi bomongikazi. |
| Ubungakanani bomchamo ophumayo | Silinganisa ukuba ubungakanani bolwelo oluphumayo bulingana nobungakanani obungena. Oku kubaluleke kakhulu ukwazi ukuba kukho ukuvaleka kombhobho. |
| Amahlwili egazi kunye neziqwenga | Soloko ujonga ulwelo oluphumayo ukuze ubone ukuba alunamahlwili egazi okanye ezinye izinto ezimdaka. |
Uziva njani ngeli xesha?
Kuqhelekile ukuziva ungakhululekanga xa kukho i-catheter endaweni yayo. Abanye abantu banokuziva ngathi isinyi sabo sigcwele okanye banokuziva ngathi kufuneka bachame rhoqo. Oku kuqhelekile, ngoko ungakhathazeki.
Eyona nto ibalulekileyo kukuba, ungaze uzame ukuyikhupha i-catheter. Ukuba uziva iintlungu ezinganyamezelekiyo, okanye ukuba ubona ulwelo luvuza kwindawo ye-catheter, yazisa umongikazi okanye ugqirha wakho ngoko nangoko.
Ngaba kukho naziphi na iingozi okanye iingxaki ngale nto?
Le yinkqubo ekhuselekileyo kakhulu kwiimeko ezininzi, njengoko zonke izixhobo ezisetyenzisiweyo zingenazintsholongwane. Nangona kunjalo, kukho iingxaki ezingaqhelekanga ezinokwenzeka.
- Ukuvaleka kwekhathetha: Ihlwili legazi linokunamathela kwityhubhu. Ugqirha okanye umongikazi uya kulicoca okanye afake elitsha.
- Usulelo lweMgudu yoMchamo (UTI): Nangona le yinkqubo engenazintsholongwane, kunqabile ukuba iintsholongwane zingene ngaphakathi zibangele usulelo.
- I-Paraphimosis: Ijwabu lendoda engalukanga linokubambeka ngasemva kwelungu layo lesini. Oku nako kunqabile kakhulu.
- Ukugqobhoka kwesinyi: Le yingxaki engaqhelekanga kakhulu nenzima.
Ndingalufuna nini uncedo lwezonyango?
Emva kokuba i-CBI iphelile, i-catheter iyasuswa, uze ubuyele ekhaya, kukho izinto ezithile ekufuneka uzinyamekele.
Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga nokuba yintoni omawuyiqwalasele emva kotyando lwakho kunye nokuba uza kumbona nini ugqirha kwakhona. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo.
Emva kokuba ufikile ekhaya, ukuba ufumana naziphi na ezi mpawu ngelixa uchama, yazisa ugqirha wakho ngoko nangoko:
- Ukuba kukho igazi kumchamo.
- Ukuba ufumana ukutshisa okanye iintlungu eziqatha xa uchama.
- Ukuba uziva ngathi awukwazi ukuchama okanye ukuba uchama kancinci kakhulu.
- Ukuba unentlungu ebuhlungu esiswini sakho esisezantsi.
- Ukuba unomkhuhlane .
Ukuba unayo nayiphi na kwezi mpawu, fowunela ugqirha wakho ngoko nangoko, okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- Ukunkcenkceshela iSinyi ngokuQhubekekayo (i-CBI) yindlela ekhuselekileyo yokuhlamba isinyi ukuthintela ukwakheka kwamahlwili egazi emva kotyando lomchamo.
- Oku kwenziwa kangangeentsuku ezimbalwa, esibhedlele. Kusetyenziswa i-catheter ekhethekileyo enamacala amathathu koku.
- Oku kwenziwa de umchamo uqale ube bomvu, kodwa kancinci kancinci ube pinki uze ekugqibeleni ucace. Olu luphawu lwempumelelo yonyango.
- Kuqhelekile ukuziva ungakhululekanga kwaye uzive ugcwele ngeli xesha. Kodwa ukuba ufumana iintlungu ezinganyamezelekiyo, xelela umongikazi okanye ugqirha wakho ngokukhawuleza.
- Ukuba unegazi kumchamo wakho, ukutshisa, iintlungu, okanye umkhuhlane emva kokuba ubuyele ekhaya, qiniseka ukuba ubona ugqirha.
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