Ingaba unesinyi esivuvukileyo? (Isinyi esivuvukileyo) Masifumanise ngale nto!

Ngaba ngamanye amaxesha uziva ngathi awukwazi ukuchama? Okanye uziva ngathi isinyi sakho sigcwele kwaye sinzima? Ukuba le meko iyaqhubeka, usenokuba nesifo esibizwa ngokuba yi-'Distended Bladder'. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha.

Yintoni isinyi esivuvukileyo?

Ngamafutshane, 'isinyi esivuvukileyo' kuxa isinyi sakho, ingxowa egcina umchamo wakho, siba sikhulu kwaye sidumbe ngaphezu kwesiqhelo. Cinga ngaso njengebhaluni. Xa sizele ngamanzi, ibhaluni iyadumba, akunjalo? Yiyo loo nto.

Eyona nto iphambili kukuba umchamo awuhambi kakuhle kwaye uqokelelana kwisinyi . Ngokwezonyango oku sikubiza ngokuba yi-'Urinary Retention'. Nangona kunjalo, ayinguye wonke umntu one-'Urinary Retention' onesinyi esidumbileyo.

Ngoku khangela, izintso zethu zezona zihluza ulwelo olungafunekiyo emzimbeni kunye nenkunkuma kwaye zenze umchamo. Umchamo oveliswa ngale ndlela ugcinwa kwisinyi de sifune ukuchama. Xa isinyi sigcwele, sithumela umyalezo engqondweni yethu othi, "Kulungile, ndifuna ukuchama ngoku."

Ukugcinwa komchamo kuxa isinyi sakho sigcwele, kodwa awukwazi ukusikhupha ngokupheleleyo. Kwenzeka ntoni ke ngoko? Isinyi siyanwebeka kancinci kancinci size sibe sikhulu, okanye sidumbe, ukuze sibambe umchamo omninzi. Yiloo nto siyibiza ngokuba 'sisinyi esivuvukileyo.'

Ingaba le yingxamiseko yezonyango?

Isinyi esivuvukileyo sodwa asisoloko siyinto engxamisekileyo yezonyango. Nangona kunjalo, ukuba awukwazi ukuchama konke konke, okanye ukhupha umchamo omncinci kuphela, kwaye uhamba nentlungu enzima, isenokuba yingxaki engxamisekileyo. Oku kubizwa ngokuba yi-acute urinary retention. Ukuba awukwazi ukuchama unentlungu enzima kangaka, kungcono ufune ingcebiso kagqirha ngoko nangoko.

Zithini iimpawu zokudumba kwesinyi?

Kulo mzekelo, unokubona iimpawu ezifana nale:

• Ukuvuza komchamo (sikwabiza oku ngokuba 'kukungakwazi ukuzibamba komchamo').
• Isidingo esikhawulezileyo nesingxamisekileyo sokuchama.
• Ukuziva iintlungu, uxinzelelo, okanye ukuxinana esiswini esisezantsi okanye esijikeleze isisu.
• Ezinye iimpawu zokugcinwa komchamo ziquka ukuphuma komchamo omncinci kakhulu, umchamo obuthathaka, okanye ukuziva ufuna ukuchama kwakhona emva kokuba ugqibile ukuchama .

Nangona kunjalo, abanye abantu basenokungaziboni ezi mpawu ziphambili.

Yintoni ebangela oku?

Eyona sizathu sokudumba kwesinyi kukuba umchamo awuhambi kakuhle kwaye uyaqokelelana. Kunokubakho izizathu ezininzi zoku. Makhe sibone ukuba zeziphi:

• Ukuphazamiseka:
• Amatye esinyi
• Ithumba (`Ithumba`)
• I-prostate ekhulisiweyo kumadoda
• Izinto ezinje ngokuqunjelwa zinokuthintela indlela yokuchama.
• Ukuba isinyi somntwana siyadumba esibelekweni (`Fetal megacystis`), imbangela ephambili yimeko ebizwa ngokuba yi``Lower urinary tract obstructions (LUTOs)``. Oko kukuthi, kukho isithintelo kwinxalenye esezantsi ye-urinary tract.

• Ukudumba (ukudumba):
• Ukuba kukho ukudumba kwisinyi okanye kwi-urethra (ityhubhu ethwala umchamo kwisinyi), kusenokukuthintela ekukhupheni umchamo wakho ngendlela efanelekileyo.
• Ezi ntlobo zeemeko zokudumba zinokubangelwa kukwenzakala okanye usulelo lomchamo.

• Iimeko ze-neurological:
• Ezinye izifo, ezifana ne-multiple sclerosis (MS), isifo sikaParkinson, isifo sika-Alzheimer, kunye ne-stroke, kunye namayeza athile (ingakumbi ii-opioids), zinokubangela ukuba ingqondo ingathumeli imiyalezo ngokufanelekileyo xa isinyi sigcwele. Oku kunokwenza kube nzima ukukhupha isinyi sakho ngexesha elifanelekileyo.

• Utyando:
• I-anesthesia, esetyenziselwa ukuthomalalisa iintlungu ngexesha lotyando, ngamanye amaxesha inokuphazamisana nokukwazi ukukhupha isinyi.
• Amanxeba okanye ukudumba okubangelwa lutyando lwe-pelvic nako kunokubangela ukuvaleka kwesinyi okanye i-urethra.

Ziziphi iingxaki ezinokubakho zokudumba kwesinyi?

Ngamanye amaxesha, nasemva konyango, ukudumba kwesinyi kunokubangela ubunzima bokuchama (`Ukungasebenzi kakuhle kwesinyi`). Umzekelo:

• Ukuvuza okuncinci komchamo.
• Ukuziva ufuna ukuchama nangona unganyanzelekanga.
• Ukungakwazi ukukhupha yonke into kwisinyi.

Uyibona njani le nto?

Xa usiya kugqirha, uza kukubuza ngeempawu zakho aze akuhlole. Usenokucinezela isisu sakho esisezantsi aze akubuze ukuba unayo na intlungu. Ukuba ukrokrela ukuba isinyi sakho sidumbile, angayalela into efana ne-ultrasound scan.

Ukuba ungumama okhulelweyo, i-ultrasound yokukhulelwa ngamanye amaxesha inokufumanisa ukuba isinyi somntwana wakho sidumbile.

Zeziphi iimvavanyo ezenziwayo koku?

Oogqirha banokuxilonga le meko ngokujonga isinyi sakho besebenzisa i-ultrasound. Ngokukodwa, banokusebenzisa uvavanyo lwe-'post-void residual urine test' ukuze babone ukuba ukhupha kangakanani isinyi sakho. Oku kuquka ukujonga isinyi sakho ngomatshini we-'ultrasound' emva kokuba ugqibile ukuchama (emva kokuba ukhuphe umchamo omninzi kangangoko kunokwenzeka). Inganceda ekufumaneni unobangela weengxaki.

Ugqirha angenza novavanyo olongezelelweyo ukuze afumanise unobangela wokugcina umchamo.

Iphathwa njani le nto?

Oogqirha banyanga oku ngokususa umchamo ongaphezulu oqokelelene kwisinyi. Ukuba awukwazi ukuchama konke konke, into yokuqala ugqirha wakho aza kuyenza kukususa umchamo ngaphambi kokuba azame ukufumana unobangela okanye enze naluphi na olunye uxilongo.

Emva koko, unobangela oyintloko wale meko (ngokuqhelekileyo ukugcinwa komchamo) uyachongwa kwaye unyangwe. Oku kunokubandakanya amayeza, utyando, okanye ezinye iindlela.

I-Fetal megacystis (ukudumba kwesinyi kumntwana osesibelekweni) ngamanye amaxesha kunokuphucula ngokwako njengoko umntwana ekhula.

Iindlela ezithile zokunyanga ukudumba kwesinyi

Eyona ndlela ixhaphakileyo ibizwa ngokuba yi-"Transurethral bladder catheterization." Oku kuquka ukufaka ityhubhu encinci (i-catheter) nge-urethra yakho (umnyango apho uchama khona) kwisinyi sakho uze ukhuphe umchamo. Ugqirha angasebenzisa le tyhubhu ukukhupha isinyi sakho kube kanye, okanye angayishiya endaweni yayo kangangeentsuku okanye iiveki ezimbalwa.

Ukuba i-megacystis yosana olusandul’ ukuzalwa inyangwa okanye ayinyangwa, kuxhomekeke kwimeko. Iindlela zonyango ziquka:

• I-Vesicocentesis: Inkqubo apho ugqirha esebenzisa inaliti ukususa ulwelo kwisinyi somntwana ongekazalwa.
• I-Vesicoamniotic shunt: Ugqirha ufaka ityhubhu kwisinyi somntwana ongekazalwa aze akhuphe ulwelo kuyo.

Iziphumo ebezingalindelekanga zonyango

Emva kokuba i-catheter isusiwe, unokufumana ezinye zezi mpawu zilandelayo:

• Igazi elincinci kumchamo (`Hematuria`).
• Ukufuna ukuchama rhoqo.
• Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi).

Kodwa ungakhathazeki, uninzi lwexesha ezi ziphumo bezingalindelekanga zezokwexeshana kwaye ziya kuba ngcono kwiintsuku ezimbalwa.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Uza kuqala ukuziva ukhululekile kwangoko nje ukuba ugqirha akhuphe yonke into kwisinyi sakho. Ubude bexesha oza kufuna unyango olongezelelweyo buya kuxhomekeka kwisizathu sokuba umchamo wakho uhlale uhleli.

Yintoni endinokuyilindela ukuba ndinokuvuvukala kwesinyi?

Isinyi esidumbileyo sinokuba buhlungu, kwaye oko kuthetha ukuba awuchami ngokwaneleyo. Oku kunokunyangeka ngokufaka i-catheter ukuze ukhuphe amanzi kwisinyi. Kusenokufuneka uqhubeke nonyango lwesizathu esiyintloko.

Ukuba ukhulelwe kwaye umntwana wakho ongekazalwa uvuvukele isinyi, thetha nomboneleli wakho wezempilo ukuze ufumane ulwazi oluthe kratya.

Ngaba ukudumba kwesinyi kungathintelwa?

Ukuba uneengxaki ezingapheliyo ezinokubangela ukugcinwa komchamo, ukuzilawula kakuhle kunokunceda ukuthintela ukudumba kwesinyi. Nangona kunjalo, kwezinye iimeko, ezinje ngokudumba kwesinyi emva kotyando okanye i-fetal megacystis, akunakwenzeka ukuyithintela.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba awukwazi ukuchama kwaye unentlungu eqatha, yiya kwigumbi likaxakeka elikufutshane okanye ufumane ingcebiso kagqirha ngokukhawuleza. Ukugcinwa komchamo ngokukhawuleza yingxaki yezonyango. Musa ukuyityeshela loo nto.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kunganceda ukubuza ugqirha wakho imibuzo efana nale:

• Kutheni oku kwenzeke kum?
• Ndingenza ntoni ukuthintela into efana nale ukuba ingaphindi yenzeke?
• Ziziphi iindlela zonyango endinazo?
• Ngaba kuya kufuneka ndiqhubeke nonyango?

Okokugqibela, izinto ekufuneka uzikhumbule

Ukudumba kwesinyi kudla ngokunyangwa ngokukhupha isinyi. Nangona kunjalo, kubalulekile ukunyanga unobangela oyintloko wokugcina umchamo. Ukuba unengxaki yokuchama, okanye ukuba unentlungu esiswini sakho esisezantsi okanye esijikeleze isisu sakho, ingakumbi ukuba usandul' utyando, xelela ugqirha wakho. Ukudumba kwesinyi akuyonto ingxamisekileyo, kodwa ukungakwazi ukuchama konke konke kunokuba yingxaki. Ngoko ke ukuba uneengxaki, ungaze ulibazise ukufuna ingcebiso kagqirha. Impilo yakho ibaluleke kakhulu kuwe.

Ukudumba kwesinyi , ukugcinwa komchamo, ubunzima bokuchama, isinyi, izintso, iimpawu zomchamo, unyango lomchamo