Mhlawumbi emva kotyando ngesizathu esifana nomhlaza weprostate, ngaba uvuza umchamo ngempazamo? Ukuba oku kwenzeka xa uhleka, ukhohlela, okanye uphakamisa into enzima, ndiyaqonda ukuba kunokuba yinto ecaphukisayo kangakanani. Le meko siyibiza ngokuba kukungakwazi ukuzibamba komchamo. Kodwa ungakhathazeki, kwenzeka kubantu abaninzi. Eyona nto ilungileyo kukuba kukho unyango olusebenzayo kakhulu koku. Namhlanje sithetha ngotyando olusebenzayo nolulula. Olu lutyando lwe-'Male Sling'.
Ngamafutshane, yintoni utyando lwe-Male Sling?
Olu lutyando olulula kakhulu noluncinci. Ukuchaneka, lunika inkxaso encinci kwi-urethra yakho. Khawuthelekelele ukuba ugqirha uthatha iteyiphu yotyando ethambileyo, efana ne-mesh eyenziweyo aze ayisonge ngononophelo kwinxalenye ye-urethra yakho.
Le bhanti iphakamisa kancinci i-urethra kunye nentamo yesinyi, inika inkxaso. Oku kunceda ukulawula ukuhamba komchamo xa uxinzelelo kwisinyi lusanda (njengokukhwehlela okanye ukuhleka). Oku kunceda izihlunu zakho ze-sphincter zilawule ukuchama.
Emva kolu tyando, uya kukwazi ukuchama ngendlela eqhelekileyo, kodwa ukuvuza komchamo okungenanjongo kuya kuyeka.
Ngubani ocebisa olu tyando?
Oogqirha badla ngokucebisa olu nyango kumadoda aneengxaki zokulawula umchamo emva kokususwa kwe-prostate.
Esi sisisombululo esisebenzayo kakhulu, ingakumbi ukuba une-inhibitory encinci ukuya kwephakathi . Oko kuthetha ukuba usebenzisa i-pad enye ukuya kwezintathu ngosuku, ukuze uthethe nogqirha wakho malunga nolu tyando.
Zeziphi iimvavanyo ezenziwayo ngaphambi kotyando?
Ngaphambi kokuba wenze olu tyando, ugqirha wakho uza kwenza uvavanyo oluninzi ukuze ahlole ngokuchanekileyo impilo yakho. Oku kuya kunceda ekuqinisekiseni ukuba olu tyando lufanelekile kangakanani kuwe kwaye luza kuphumelela kangakanani.
| Igama lovavanyo | Ulindele ntoni kuyo? |
|---|---|
| Uvavanyo lwe-Urodynamic | Balinganisa izinto ezifana nendlela ezisebenza ngayo izihlunu kunye nemithambo-luvo kwisinyi sakho nakwi-urethra, uxinzelelo lwesinyi, kunye nesantya umchamo ophuma ngaso. |
| Uvavanyo lwephedi olusebenza iiyure ezingama-24 | Ilinganisa ngqo ukuba ungakanani umchamo owukhuphayo ngosuku kunye nokuba zingaphi ii-pad ozifunayo. |
| I-Cystoscopy | Besebenzisa ityhubhu encinci (i-endoscope) enekhamera eqhotyoshelweyo, bahlola ingaphakathi le-urethra yakho kunye nesinyi. |
| Uvavanyo lwe-ECG | Baza kuqinisekisa ukuba intliziyo yakho isebenza kakuhle kwaye iyakwazi ukumelana notyando. |
| Uvavanyo lwegazi | Sijonga iimeko ezifana neengxaki zokujiya kwegazi (umz. i-hemophilia), njengoko ezi zinokunyusa ukopha ngexesha lotyando. |
| Uhlalutyo lomchamo | Jonga ezinye iimeko zempilo ezinokuchaphazela utyando, ezinje ngezifo zomchamo (UTIs), isifo seswekile, kunye nesifo sezintso. |
Ungayilungiselela njani utyando?
Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku. Ngokwesiqhelo,
- Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo: Ufanele uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini kunye nezongezo zezityalo. Amanye amayeza, anjenge-blood thinners , anokufuneka amiswe malunga neeveki ezimbini ngaphambi kotyando.
- Ukutya Neziselo: Uza kuxelelwa ukuba usele kuphela ulwelo oluvela kubusuku bangaphambi kotyando. Uza kuxelelwa nokuba ungatyi okanye ungaseli nantoni na ukususela kusasa kotyando. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo.
Lwenziwa njani olu tyando?
Olu lutyando oludla ngokuthatha malunga neyure. Uza kunikwa i-anesthesia jikelele yi-anesthesiologist, ukuze ungaziva ntlungu. Uza kube ulele.
Emva kokuba ulele, ugqirha womchamo uza:
1. Kwenziwa umngxuma omncinci kakhulu kwindawo ephakathi kwe-scrotum yakho kunye ne-anus (perineum).
2. Yijonge uze uyityhile kancinci kancinci i-urethra.
3. Emva koko, i -sling ekhethekileyo ekhankanyiweyo ngaphambili ibekwa ijikeleze i-urethra, ngokuchanekileyo ngendlela exhasa izihlunu zokulawula umchamo.
Le bhendi ibamba kancinci i-urethra kwindawo yayo entsha. Oku kunceda ukulawula ukuhamba komchamo. Emva koko inxeba liyathungwa lize ligqunywe ngebhandishi ecocekileyo.
Kwenzeka ntoni emva kotyando?
Uza kuziva udiniwe emva kokuba ubuyele ezingqondweni. Uza kusiwa kwigumbi lokuchacha, apho uza kubekwa esweni kwaye unikwe amayeza okulawula iintlungu.
Uninzi lwexesha, le yinkqubo yokunyanga ngaphandle kwesibhedlele . Oku kuthetha ukuba ungaya ekhaya ngaloo mini inye. Nangona kunjalo, ngamanye amaxesha kunokufuneka uhlale esibhedlele ubusuku bonke. Oku kugqitywa ngugqirha wakho.
Emva kotyando, kunokuba nzima ukuchama ekuqaleni ngenxa yokudumba. Ke ngoko, uza kufakwa i-catheter yomchamo kangangeentsuku ezimbalwa. Nje ukuba ukudumba kunciphe, uya kukwazi ukuchama ngokwesiqhelo.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezincinci kakhulu.
Iingenelo eziphambili:
- Isisombululo esiphumelele kakhulu kwingxaki yokungakwazi ukuzibamba komchamo. (Izinga lempumelelo lisondele kwi-80%)
- Ekubeni utyando lusebenzisa umsikelo omncinci kakhulu , ixesha lokuchacha lifutshane.
- Isilonda sincinci kakhulu.
- Esi silayidi singaphakathi ngokupheleleyo emzimbeni. Asibonakali ngaphandle.
- Oku kuhlala ixesha elide, njengeminyaka eli-10-15.
Iziphumo ebezingalindelekanga ezinokubakho (ezi azixhaphakanga kakhulu):
- Ukugcinwa komchamo: Le yeyona ngxaki ixhaphakileyo yexeshana. Kusenokufuneka usebenzise i-catheter kangangeeveki ezimbalwa.
- Ukopha okanye usulelo.
- Ekuhambeni kwexesha, isilingi sinokuguguleka siye kwi-urethra (ukukhukuliseka).
- Ukuphinda-phinda kokulahlekelwa lulawulo lomchamo.
- Usulelo lomchamo (UTI).
- Iimpawu ezinje ngokuchama rhoqo (ukuchama rhoqo) okanye ukuvuka ebusuku ukuze uchame (i-nocturia).
Eyona nto ibalulekileyo kukuba ezi ngozi zincinci kakhulu. Ugqirha wakho uza kuxoxa nawe ngazo zonke ezi zinto aze akuncede wenze isigqibo esikulungeleyo.
Ixesha lokuchacha kunye nexesha lokubona ugqirha
Uza kuqala ukuziva ungcono kwiveki nje enye. Kungathatha iiveki ezininzi ukuze uphile ngokupheleleyo.
- Ukubuyela emsebenzini: Ukuba unomsebenzi waseofisini, ungabuyela emsebenzini kwiintsuku ezimbalwa. Nangona kunjalo, ukuba unomsebenzi onzima njengokuphakamisa iintsimbi, kuya kufuneka uthathe ikhefu leeveki ezimbalwa.
- Ukwabelana ngesondo: Buza ugqirha wakho ngale nto uze ulandele icebiso lakhe.
Xa kufuneka ubone ugqirha ngoko nangoko:
- Ukuba awukwazi ukuchama konke konke .
- Ukuba kukho igazi kumchamo (i-hematuria) .
- Ukuba uneempawu zosulelo ezifana nomkhuhlane, ukubanda, okanye ukudumba kwamathambo.
Nokuba kunjalo, bonana nogqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
Umyalezo Wokuya Ekhaya
- Utyando lwe-Male Sling lunyango olusebenza kakhulu kubantu abangakwaziyo ukuzibamba umchamo, ingakumbi emva kotyando lwe-prostate.
- Olu lutyando olulula nolungenamngcipheko luninzi olwenziwa ngokusikwa okuncinci kakhulu.
- Izinga lempumelelo emva kotyando liphezulu kakhulu. Kwaye lihlala ixesha elide.
- Ukuba unale ngxaki, musa ukuba neentloni okanye udandatheke, kodwa thetha nogqirha wezifo zomchamo. Yena uza kukunika iingcebiso malunga nonyango olufanelekileyo.
- Ukuba ufumana ubunzima bokuchama, ukopha kakhulu, okanye iimpawu zosulelo emva kotyando, funa ingcebiso kagqirha ngokukhawuleza.
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