Ngaba ngamanye amaxesha uziva ngathi uvuza umchamo omncinci xa uhleka kakhulu, ukhohlela, uphakamisa into enzima, okanye uzilolonga? Ukungakwazi ukuzibamba komchamo yingxaki eqhelekileyo kumadoda amaninzi, ingakumbi emva kokususwa kwe-prostate kwisifo somhlaza we-prostate. Nangona kuyinto ehlazisayo ukuthetha ngayo kuluntu, yimeko enokunyangwa. Isisombululo esiphumeleleyo nesinamhlanje soku kukwenza oku lutyando lwe-Male Sling. Ngoko ke, masithethe ngayo ngokucacileyo namhlanje.
Ngamafutshane, yintoni utyando lwe-Male Sling?
Utyando lwe-Male Sling lutyando olungenabungozi kangako olwenziwayo ukunyanga ukungakwazi ukuzibamba komchamo kumadoda. Khawuthelekelele ukuba kufakwa inkxaso encinci ejikeleze i-urethra, ityhubhu apho umchamo uphuma khona, ukuze kubonelelwe ngenkxaso. Yiloo nto le iyenzayo.
Kule nkqubo, ugqirha wakho usonga iteyiphu yotyando ethambileyo, efana ne-mesh eyenziweyo ejikeleze i-urethra yakho, eyinxalenye ye-urethra yakho. Ibhalbhu ye-urethra ikwisiseko sepenis yakho. Iteyiphu iphakamisa i-urethra kunye nentamo yesinyi kancinci, izinika inkxaso. Le nkxaso inika izihlunu ze-sphincter ezilawula ukuchama amandla angakumbi. Oku kunceda ukuthintela ukuvuza komchamo xa ukhohlela okanye uthimla.
Olu tyando lukwaziwa ngamagama emveliso afana ne-AdVance® sling okanye i-Coloplast Virtue® male sling.
Ngubani onyangwa ngolu tyando?
Olu tyando ludla ngokucetyiswa kumadoda anobunzima bokulawula umchamo wawo emva kokususwa kwe-prostate.
Okubaluleke kakhulu, oku kulungele abo bangakwaziyo ukuzibamba kancinci ukuya kokuphakathi . Oko kuthetha ukuba abo bakwaziyo ukusebenzisa iphedi enye, ezimbini, okanye ezintathu ngemini banokufumana iziphumo ezilungileyo ngale nto.
Zeziphi iimvavanyo ezenziwayo ngaphambi kotyando?
Ngaphambi kokuba wenze olu tyando, ugqirha wakho uza kuyalela iimvavanyo ezininzi ukuze ahlole ngokuchanekileyo imeko yakho. Ezi mvavanyo ziya kunceda ekuqinisekiseni ukuba ungumntu ofanelekileyo na utyando kwaye nokuba uza kuba neziphumo ezilungileyo na emva kotyando.
| Igama lovavanyo | Ubona ntoni kuloo nto? |
|---|---|
| Uvavanyo lwe-Urodynamic | Bajonga ukuba izihlunu kunye nemithambo-luvo kwisinyi sakho nakwi-urethra zisebenza kakuhle kangakanani. Balinganisa izinto ezifana noxinzelelo ngaphakathi kwisinyi sakho kunye nesantya umchamo ophuma ngaso. |
| Uvavanyo lwephedi olusebenza iiyure ezingama-24 | Oku kukunceda ukuba ulinganise ngokuthe ngqo ukuba zingaphi ii-pad ozifunayo kunye nokuba ungakanani umchamo owuvuzayo kwiiyure ezingama-24. |
| I-Cystoscopy | Ityhubhu encinci, ebhityileyo enekhamera eqhotyoshelwe kuyo idluliselwa kwi-urethra yakho, nto leyo evumela ugqirha ukuba abone ngaphakathi kwisinyi sakho. |
| Uvavanyo lwe-ECG (i-Electrocardiogram) | Olu vavanyo lwenziwa ukuqinisekisa ukuba intliziyo yakho iyakwazi ukumelana nolu tyando. |
| Uvavanyo lwegazi | Uza kuhlolwa ukuze kubonwe ukuba unengxaki yokujiya kwegazi (umz., i-hemophilia). Ukuba wenza njalo, usenokuba semngciphekweni omkhulu wokopha ngexesha lotyando. |
| Uhlalutyo lomchamo | Oku kunceda ekuqinisekiseni ukuba kukho ezinye iimeko zempilo ezinokuchaphazela utyando, ezinje ngezifo zomchamo (UTIs), isifo sezintso, okanye isifo seswekile. |
Ndingayilungiselela njani le nkqubo yotyando?
Ukulungiselela utyando nako kubaluleke kakhulu.
- Xelela ugqirha wakho ngazo zonke iziyeza ozisebenzisayo: amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, amayeza e-Ayurvedic, iivithamini... Yazisa ugqirha wakho ngazo zonke ezi zinto.
- Yeka ukuthatha amayeza okunciphisa igazi:Uza kucelwa ukuba uyeke ukuthatha amayeza okunciphisa igazi (i-anticoagulants), i-aspirin, kunye ne-painkillers (NSAIDs) iveki enye ukuya kwezimbini ngaphambi kotyando. Ezi zinokunyusa umngcipheko wokopha ngexesha lotyando. Kulungile ukuthatha i-acetaminophen (acetaminophen) xa uphethwe yintloko ebuhlungu.
- Amayeza onokuqhubeka uwasebenzisa: Ngaphandle kokuba ugqirha wakho ekucebise ngenye indlela, ungaqhubeka uwasebenzisa la mayeza alandelayo.
- Ii-antibiotics
- Amayeza oxinzelelo lwegazi oluphezulu
- Amayeza ehomoni
- Amayeza esifo sentliziyo
- Ukutya nokusela: Uza kucelwa ukuba utye ukutya okumanzi kuphela (umz. isuphu, ijusi yeziqhamo, ijeli) ukususela ngobusuku bangaphambi kotyando. Kuya kufuneka uyeke ukutya nokusela ngokupheleleyo kwiiyure ezimbalwa ngaphambi kotyando. Oku kuya kunceda ukugcina amathumbu akho ecocekile ngexesha lotyando, nto leyo eya kunciphisa umngcipheko wosulelo.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando lwenziwa liqela leengcali, kuquka ugqirha wezifo zesinyi kunye nomgudu womchamo (Urologist), ingcali yokubulala iintlungu, kunye nabongikazi.
Okokuqala, uza kupholiswa ngokupheleleyo. Oku kuthetha ukuba awuyi kuva nto, uza kube ulele ngokupheleleyo.
Emva koko ugqirha wotyando:
1. Kwenziwa umngxuma omncinci kakhulu kwindawo ephakathi kwe-scrotum yakho kunye ne-anus (perineum).
2. I-urethra iyabonakala kancinci kancinci.
3. Emva koko, iteyiphu yotyando (isilingi) esithethe ngayo ngaphambili ibekwa ngononophelo olukhulu ijikeleze ibhalbhu ye-urethra.
Le teyiphu ibuyisela i-urethra kwindawo entsha, efanelekileyo ngakumbi. Oku kwandisa uxinzelelo kuloo ndawo kwaye kunika inkxaso entle kwintamo yesinyi. Utyando ludla ngokuthatha malunga neyure.
Yintoni onokuyilindela emva kotyando?
Emva kotyando, uza kugcinwa kwigumbi lokuchacha ude ubuyele engqondweni kwaye imeko yakho izinze.
- Uninzi lwexesha, le yinkqubo yokulaliswa ngaphandle kwesibhedlele , kodwa kwezinye iimeko, kunokufuneka uhlale esibhedlele ubusuku bonke.
- Emva kotyando, kunokuba nzima ukuchama ekuqaleni ngenxa yokudumba. Kusenokufuneka ube ne -catheter yomchamo endaweni yayo kangangeentsuku ezimbalwa. Nje ukuba ukudumba kunciphe, uya kukwazi ukuchama ngokwesiqhelo.
- Emva kokuchacha, kufuneka ukwazi ukuchama ngendlela eqhelekileyo ngaphandle kweengxaki.
Zithini iingenelo kunye namazinga empumelelo yolu tyando?
Eyona nzuzo iphambili yolu tyando kukuba lubonelela ngesisombululo esiphumelelayo kwingxaki yokungakwazi ukuzibamba komchamo. Ukongeza:
- Liqhekezo elincinci kakhulu, ngoko ke liphola ngokukhawuleza.
- Ayizukushiya naziphi na izibazi ezinkulu.
- Ixesha lokuchacha lifutshane.
- Esi silayidi singaphakathi ngokupheleleyo emzimbeni, ngoko ke asibonakali ngaphandle.
Impumelelo kunye nobomi obude
Olu tyando luphumelele kakhulu. Izifundo zakutshanje zibonisa ukuba phantse ama-80% amadoda ayenze olu tyando asuse ngokupheleleyo okanye aphucule kakhulu ukungakwazi kwawo ukuzibamba ngomchamo. I-sling idla ngokuhlala iminyaka eli-10 ukuya kweli-15.
Zithini iziphumo okanye iingozi ezinokubakho?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile, kodwa iingxaki azixhaphakanga.
| Isiphumo Esibi / Umngcipheko | Inkcazo |
|---|---|
| Ukungakwazi ukuchama (Ukugcinwa komchamo) | Ingxaki eqhelekileyo enokwenzeka emva kotyando. I-catheter ye-urethra inokufuneka ishiywe endaweni yayo kangangeeveki ezimbalwa. Amaxesha amaninzi, kunokufuneka olunye utyando ukulungisa oku. |
| Ukopha | Kusenokubakho ukopha okuncinci kwindawo yotyando. |
| Usulelo | Kukho umngcipheko wokosulelwa kwenxeba okanye indlela yomchamo. |
| Ukungakwazi ukuzibamba okuphindaphindiweyo | Kukho ithuba elincinci lokuba ingxaki yokungakwazi ukuzibamba komchamo ibuyele emva kwexesha. |
| Iimpawu zesinyi esisebenza kakhulu | Iimpawu zingabandakanya ukuchama rhoqo (`ukuphindaphindeka komchamo`), imfuneko yokuchama ngequbuliso (`ungxamiseko lomchamo`), okanye ukuvuka ebusuku ukuze uchame (`nocturia`). |
Ukubuyisela kwimeko yesiqhelo kunye nokuqalisa imisebenzi yemihla ngemihla
Ixesha lokuchacha liyahluka ukusuka kumntu ukuya komnye.
- Ukuchacha: Uninzi lwabantu luqala ukuziva lungcono kwiveki, kodwa kungathatha iiveki ezininzi ukuba luchache ngokupheleleyo.
- Ukubuyela emsebenzini: Ukuba unomsebenzi wedesika, ungabuyela emsebenzini kwiintsuku ezimbalwa. Nangona kunjalo, ukuba unomsebenzi oquka ukuphakamisa iintsimbi okanye ukuzilolonga ngokomzimba, kunokufuneka uthathe ikhefu elingakumbi.
- Ukulalana: Kubalulekile ukubuza ugqirha wakho ukuba kukhuselekile nini ukuphinda ubelane ngesondo emva kotyando.
Ufanele uye nini kugqirha?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya emva kotyando, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
- Ukuba awukwazi ukuchama konke konke .
- Ukuba unegazi kumchamo wakho (i-hematuria).
- Ukuba kukho iimpawu zosulelo (ezifana nomkhuhlane, ukubanda, ukudumba kwamasende).
- Ukuba awufumani ziphumo obuzilindele okanye ukuba ingxaki yokungakwazi ukuzibamba komchamo iphinda ivele emva kwexesha elithile, thetha nogqirha wakho ngaloo nto.
Umyalezo Wokuya Ekhaya
- Utyando lwe-Male Sling lunyango olusebenzayo nolukhuselekileyo lokungakwazi ukuzibamba komchamo okuncinci ukuya kokuphakathi, ingakumbi emva kotyando lwe-prostate.
- Olu lutyando olungadingi kuhlinzwa okukhulu kwaye lukhawuleza luphole.
- Izinga lempumelelo yotyando liphezulu kakhulu (phantse libe yi-80%).
- Ngaphambi kotyando, thetha ngokukhululekileyo nogqirha wakho malunga nawo onke amayeza owasebenzisayo kunye nazo naziphi na iingxaki onazo.
- Ukuba ufumana iimpawu ezinzima emva kotyando, ezinje ngokungakwazi ukuchama, umkhuhlane ophezulu, okanye iimpawu zosulelo, funa ingcebiso kagqirha ngoko nangoko.
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