Ngaba ngamanye amaxesha uvuza umchamo ngempazamo xa uhleka kakhulu, ukhohlela, uthimla, okanye uphakamisa ubunzima obuncinci? Le yimeko ehlazisayo nehlazisayo kuluntu. Ingakumbi kumadoda atyandwe kwi-prostate gland, le meko, oko kukuthi, ukungalawuleki komchamo, inokwenzeka. Kodwa akukho mfuneko yokoyika okanye ukuba neentloni ngale nto. Kuba kukho izisombululo zonyango eziphumelelayo koku. Sithetha ngesisombululo esinye esinjalo namhlanje. Leyo yi-'Male Sling' otyando.
Ngamafutshane, yintoni utyando lwe-Male Sling?
Oku akukukhulu okanye akuntsonkothanga njengoko unokucinga. Lutyando olungenabungozi kangako. Ugqirha wakho uza kuthatha iteyiphu yotyando ethambileyo, efana ne-mesh eyenzelwe ukulingana nomzimba womntu aze ayibeke ngononophelo kwi-urethra yakho.
Cinga ngokubeka ' indawo ' encinci phantsi kwento egobileyo nebuthathaka. Le bhanti iphakamisa i-urethra yakho kunye nentamo yesinyi (inxalenye esezantsi yesinyi eqhagamshelwe kwi-urethra) kancinci, izinika inkxaso engcono. Oku kuvumela izihlunu ze-sphincter ezilawula ukuchama ukuba zenze umsebenzi wazo ngokufanelekileyo.
Le bhendi ibekwe ijikeleze i-urethral bulb, inxalenye efana ne-bulb yepenis ejikeleze i-urethra. Le nxalenye iluncedo kakhulu ekulawuleni umchamo ngamaxesha afana naxa sizilolonga.
Ngubani ocebisa olu tyando?
Utyando lwe-Sling lwamadoda ludla ngokucetyiswa kubantu abangakwaziyo ukuzibamba emva kokususwa kwe-prostate, inkqubo yotyando yokususa lonke i-prostate gland ngenxa yomhlaza we-prostate.
Okubaluleke kakhulu, olu tyando ludla ngokucetyiswa kubantu abangakwaziyo ukuzibamba kancinci ukuya kokuphakathi . Ngamafutshane, lusebenza kakuhle kubantu abasebenzisa i-pad enye, ezimbini, okanye ubuninzi bezintathu ngosuku ukufunxa umchamo.
Zeziphi iimvavanyo ezenziwayo ngaphambi kotyando?
Ngaphambi kokuba uthathe isigqibo sokwenza olu tyando, ugqirha wakho uza kwenza uvavanyo oluninzi ukuqinisekisa ukuba yonke into ichanekile. Olu vavanyo luya kukunceda ubone ukuba olu tyando lufanelekile kangakanani na kwimeko yakho.
| Uvavanyo | Kalula nje, kwenzeka ntoni? |
|---|---|
| Uvavanyo lwe-Urodynamic | Balinganisa izinto ezifana nendlela esebenza ngayo isinyi sakho kunye nemisipha kunye nemithambo-luvo esijikelezileyo, uxinzelelo olungaphakathi kwisinyi sakho, kunye nesantya ochama ngaso. |
| Uvavanyo lwephedi olusebenza iiyure ezingama-24 | Zilinganisa ngqo inani lee-pad ozifunayo kunye nomlinganiselo womchamo ovuzayo kwiiyure ezingama-24. |
| I-Cystoscopy | Ityhubhu encinci (i-endoscope) enekhamera eqhotyoshelweyo idluliselwa kwi-urethra ukuze ihlole ingaphakathi le-urethra kunye ne-bladder. |
| Uvavanyo lwe-ECG (i-Electrocardiogram) | Oku kwenziwa ukuqinisekisa ukuba intliziyo yakho iphilile ngokwaneleyo ukuba ingamelana notyando. |
| Uvavanyo lwegazi | Sijonga iimeko ezifana neengxaki zokujiya kwegazi (umz. i-hemophilia), njengoko ezi zinokunyusa umngcipheko wokopha ngexesha lotyando. |
| Uhlalutyo lomchamo | Sijonga ezinye iimeko ezinokuchaphazela utyando, ezinje ngezifo zomchamo (UTIs), isifo seswekile, okanye isifo sezintso. |
Ndingayilungiselela njani le nkqubo yotyando?
Ugqirha wakho uza kukunika imiyalelo ecacileyo ngale nto, kodwa ngokubanzi, kufuneka uzilumkele ezi zinto.
- Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo: Xelela ugqirha wakho ngawo onke amayeza, iivithamini, kunye nezongezo zezityalo ozisebenzisayo, ingakumbi izinto ezinciphisa igazi.Usenokucelwa ukuba uyeke ukusebenzisa amayeza okunciphisa igazi, i-aspirin, kunye nezinye ii-NSAIDs malunga neeveki ezimbini ngaphambi kotyando.
- Ingcebiso yokutya: Ungacelwa ukuba utye kuphela izinto ezilulwelo (umz. isuphu, ijusi yeziqhamo, ijeli) ukususela ngobusuku bangaphambi kotyando. Kuya kufuneka uyeke ukutya ngokupheleleyo kwiiyure ezimbalwa ngaphambi kotyando.
- Ukuba usela amayeza: Ukuba ufuna ukuthatha naliphi na iyeza elibalulekileyo kusasa emva kotyando lwakho, ungalithatha nentwana yamanzi. Nangona kunjalo, qhagamshelana nogqirha wakho kuqala.
Masifunde ngendlela olu tyando oluqhutywa ngayo.
Olu tyando lwenziwa liqela leengcali, kuquka ingcali yotyando lomchamo, ingcali yokubulala iintlungu, kunye nabasebenzi bokonga.
Okokuqala, uza kupholiswa ngokupheleleyo, ngoko awuyi kuva ntlungu, kwaye uya kuba ulele ngokupheleleyo. Emva koko, ugqirha uza kwenza umngxuma omncinci kakhulu kwindawo ephakathi kwe-scrotum yakho kunye ne-anus (i-perineum). Ngale ndlela, i-urethra iya kuvezwa kancinci, kwaye i-sling efana ne-mesh iya kubekwa ijikeleze i-urethra, kanye apho kufuneka ibe khona, kwaye iqiniswe. Umngxuma uya kuthinjwa uvalwe. Lonke utyando lunokuthatha iyure okanye ixesha elide.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kuziva udiniwe kancinci xa uvuka kwi-anesthesia. Uza kusiwa kwigumbi lokuchacha, apho uza kubekwa esweni ngokusondeleyo. Uza kunikwa amayeza okulawula iintlungu.
Uninzi lwexesha, le yinkqubo yokunyanga ngaphandle kwesibhedlele. Oku kuthetha ukuba ungaya ekhaya ngaloo mini inye. Nangona kunjalo, kwezinye iimeko, kuxhomekeke kwisigqibo sikagqirha, kunokufuneka uhlale esibhedlele ubusuku bonke.
Ekuqaleni, unokuba nobunzima bokuchama ngenxa yokudumba. Kusenokufuneka ufake i-catheter yomchamo kangangeentsuku ezimbalwa. Nje ukuba ukudumba kunciphe, uya kukwazi ukuchama ngokwesiqhelo.
Zithini iingenelo kunye namazinga empumelelo yolu tyando?
Eyona nzuzo iphambili yolu tyando kukuba lubonelela ngesisombululo esiphumelelayo sokungakwazi ukuzibamba komchamo. Ukongeza,
- Kuphela kukusika okuncinci kakhulu emzimbeni.
- Ngenxa yoko, amanxeba mancinci.
- Ixesha lokuchacha lifutshane.
- Le ntambo yesilingi ingaphakathi ngokupheleleyo emzimbeni, ngoko ayibonakali ngaphandle.
Izifundo zibonise ukuba phantse ama-80% abantu abenza olu tyando baye basusa ngokupheleleyo okanye banciphisa kakhulu ukungakwazi ukuzibamba komchamo. I-sling idla ngokusebenza kakuhle iminyaka eli-10-15.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingxaki?
Njengakwezinye iintlobo zotyando, kukho iingozi ezibandakanyekileyo. Nangona kunjalo, iingxaki ezinkulu ezivela kutyando lweMale Sling azixhaphakanga. Ezinye zeengxaki ezinokubakho ziquka:
- Ukugcinwa komchamo: Le yeyona ngxaki ixhaphakileyo yexeshana. Oku kungadinga ukusetyenziswa kwe-catheter kangangeeveki ezimbalwa.
- Ukopha okanye usulelo.
- Amaxesha amaninzi, isilingi sinokutyibilika singene kwi-urethra.
- Ukuphinda-phinda kokungakwazi ukuzibamba komchamo.
- Usulelo lomchamo (UTI).
- Iimpawu ezintsha okanye eziya zisiba mandundu zesinyi esisebenza kakhulu, ezifana nokuchama rhoqo okanye ukungxamiseka komchamo.
Ufanele uye nini kugqirha?
Xa ubuyela ekhaya emva kotyando, ukuba unayo nayiphi na kwezi mpawu, kufuneka ufowunele ugqirha wakho ngoko nangoko .
- Ukuba awukwazi ukuchama konke konke.
- Ukuba unegazi kumchamo wakho (i-hematuria).
- Ukuba ubonisa iimpawu zosulelo, ezinje ngomkhuhlane, ukubanda, kunye nokudumba kwamasende .
Kwakhona, ukuba awufumani ziphumo obuzilindele ekuhambeni kwexesha okanye ukuba ingxaki yokuchama iphinda ivele, thetha nogqirha wakho ngaloo nto.
Umyalezo Wokuya Ekhaya
- Utyando lwe-Male Sling lunyango olukhuselekileyo nolusebenzayo kakhulu lokungakwazi ukuzibamba komchamo okuncinci ukuya kokuphakathi, ingakumbi emva kotyando lwe-prostate.
- Olu lutyando olungenabungozi kangako olunceda ukuba umntu aphile ngokukhawuleza.
- Ngaphambi kotyando, thetha ngokukhululekileyo nogqirha wakho malunga nawo onke amayeza owasebenzisayo kunye nazo naziphi na iingxaki onokuba nazo.
- Ukuze ufumane iziphumo ezilungileyo, landela imiyalelo kagqirha wakho kanye emva kotyando.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kotyando, yazisa ugqirha wakho ngoko nangoko. Musa ukuba neentloni okanye ukoyika.
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