Singathetha ngotyando lwe-Perineal Urethrostomy?

Ngaba wena okanye umntu omaziyo unengxaki yokuchama, iintlungu, okanye ukuhamba kancinci komchamo? Ngamanye amaxesha imbangela yoku kukuncipha okanye ukuvaleka kombhobho okhupha umchamo kwilungu lobudoda (esiwubiza ngokuba yi-urethra) ngesizathu esithile. Kwimeko ezinjalo, ukuba ezinye iindlela zonyango aziphumeleli, kukho utyando olukhethekileyo olucetyiswa ngoogqirha. Olo tyando, olubizwa ngokuba yi-'Perineal Urethrostomy', yinto esiza kuthetha ngayo kweli nqaku namhlanje.

Ngamafutshane, yintoni i-Perineal Urethrostomy?

Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masiligcine lilula.

I-Perineal Urethrostomy yinkqubo yotyando eyenziwa ngamadoda kuphela. Ibandakanya ukudala umngxuma omtsha, ohlala uhleli ukuze umchamo udlule kuwo. Lo mngxuma wenziwa kwindawo yesikhumba phakathi kwe-scrotum yakho kunye ne-anus yakho. Ngokwezonyango, le ndawo ibizwa ngokuba yi-'perineum'.

Khawucinge nje, ngokwesiqhelo umchamo wethu uphuma kwisinyi ngetyhubhu edlula kwilungu lobudoda. Siwubiza lo mbhobho ngokuthi yi-urethra. Kodwa ngenxa yosulelo, ingozi, okanye utyando lwangaphambili, lo mchamo unokuba namabala kwaye ube mxinwa. Siwubiza lo mchamo ngokuba yi-Urethral Stricture . Emva koko indlela yomchamo ingavalwa ngokupheleleyo okanye kube nzima kakhulu ukuyidlula.

Ngamaxesha anje, kuba kunzima ukudlulisa umchamo kwipenis, kwakheka umngxuma omtsha kwindawo yeperineum ukuvumela umchamo ukuba udlule.

Ngubani odinga olu tyando?

Olu tyando alulolwawo wonke umntu. Lucetyiswa ngakumbi njengokhetho kwizigulana eziye zasilela kwezinye iindlela zonyango zokuthintela umgudu womchamo, njengotyando lokubuyisela umgudu womchamo. Ngamafutshane, olu tyando luqwalaselwa ukuba umgudu womchamo wonakele kangangokuba akunakwenzeka ukuba umchamo udlule kwincam yelungu lobudoda.

Kwakhona, oku kungaba lukhetho olufanelekileyo kwamanye amadoda amadala, angafuniyo ukwenza utyando olukhulu lokwakha umzimba.

Makhe sijonge le theyibhile ingezantsi ukuze sibone ukuba zeziphi iimeko eziphambili apho olu tyando luqwalaselwa khona.

Ngubani onokuthi angafaneleki kolu tyando?

Kwezinye iimeko, olu tyando lunokuba nzima kancinci. Ukuba unenye yezi meko zilandelayo, olu tyando lusenokungabi lolona khetho lufanelekileyo kuwe. Kuya kufuneka uxoxe ngale nto nogqirha wakho ngaphambi kokuba wenze isigqibo sokugqibela.

• Ukuba utyebe kakhulu:Ukutyeba kakhulu kunokwenza kube nzima ukufikelela kwindawo yotyando kwaye kunokulibazisa ukuphiliswa kwenxeba emva kotyando.
• Ukuba ukhe watyandwa ngaphambili kwindawo yeperineum: Ukuba ukhe watyandwa ngaphambili kuloo ndawo, ukuphinda utyandwe kunokuba nzima ngenxa yezicubu ezibomvu.
• Ukuba ukhe wafumana unyango lwe-radiation kumhlaza we-prostate: Unyango lwe-radiation lusenokuba nezicubu ezonakeleyo kuloo ndawo, nto leyo enokuphazamisana nenkqubo yokuphiliswa emva kotyando.

Eminye imibuzo eqhelekileyo onokuba nayo

Kuqhelekile ukuba imibuzo emininzi ifike engqondweni yakho xa uxoxa ngolu hlobo lotyando. Masiphendule eminye yayo.

Ingaba imbewu iyaphuma kwilungu lobudoda?

Hayi. Emva kolu tyando, njengomchamo, isidoda (ukukhupha incindi) siphuma ngomngxuma osandul’ ukwenziwa . Asiphumi ngepenis.

Ngaba olu tyando luza kubangela ukungakwazi ukuzibamba komchamo?

Olu loyikiso olukhulu kubantu abaninzi. Kodwa impendulo ithi "hayi." Izihlunu ezikuncedayo ukulawula ukuchama kwakho zibekwe ngaphezulu kwesi sithuba sisandula ukwenziwa. Ngoko ke, unokulawula ukuba ufuna ukuchama nini. Olu tyando aluyi kuchaphazela loo mandla.

Uzilungiselela njani ngaphambi kotyando?

Ngaphambi kotyando, ugqirha uza kuyalela iimvavanyo ezininzi.

• Isampulu yomchamo iyavavanywa ukuze kubonwe ukuba kukho naluphi na usulelo.
• Ii-antibiotics zinikwa ngaphambi kotyando ukuthintela usulelo lomchamo.
• Uvavanyo lwe-X-ray ludla ngokwenziwa ukuze kuhlolwe ngokuchanekileyo imeko yendlela yomchamo.

• Ukuba une-implants emzimbeni wakho (umz. i-stent, i-heart valve, i-artificial joint, i-pacemaker).
• Ukuba ukhe waba nosulelo oluthile lwebhaktiriya olufana ne-MRSA.
• Ukuba usemngciphekweni omkhulu we-variant-CJD (imeko engaqhelekanga kakhulu ye-neurological).
• Ukuba uthatha amayeza okunciphisa igazi (umz. i-warfarin, i-aspirin, i-clopidogrel, i-rivaroxaban, i-dabigatran). La mayeza anokufuneka amiswe okwethutyana ngaphambi kotyando.

Lwenziwa njani olu tyando?

Olu tyando lwenziwa esibhedlele, phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva ntlungu, uza kube ulele.

Nangona kukho iindlela ezahlukeneyo zokwenza olu tyando, eyona isetyenziswa kakhulu yi-'Blandy technique'. Nantsi into eyenzekayo:

1. Kwenziwa ukusika eluswini lwendawo yeperineum, ngaphantsi kwe-scrotum, ngendlela efana ne-'U' ejonge phantsi.

2. Emva koko, i-urethra ityhileka ngezicubu ezingaphantsi.

3. I-urethra ivulwa ngokusika ubude obuziisentimitha ezi-3-4.

4. Emva koko, imiphetho yesithintelo solusu iqhagamshelwe kwimiphetho ye-urethra evulekileyo kwaye ithungwe kunye ngemisonto emincinci.

5. Le yindlela evuleka ngayo umngxuma omtsha, ohlala uhleli ukuze umchamo uphume.

Ekupheleni kotyando, kufakwa ityhubhu ebizwa ngokuba yi-'Foley catheter' ngale ndawo intsha ukuze kuphume umchamo esinyini.

Utyando luthatha ixesha elingakanani?

Idla ngokuthatha malunga neyure okanye ezimbini .

Ngaba ndiza kufakwa i-anesthesia?

Ewe, uza kufakwa i-anesthesia ngokupheleleyo. Awuyi kuva nto ngexesha lotyando.

Yintoni onokuyilindela emva kotyando?

Ngaphambi kokuba ugoduke esibhedlele, iqela lezonyango liza kukuchazela oku kulandelayo:

• Indlela yokunyamekela inxeba kunye nendlela yokuzinyamekela xa ufika ekhaya.
• Umhla ekufuneka ubuye ngawo ukuze ususwe i-catheter.
• Udinga amayeza okubulala iintsholongwane kunye neentlungu.
• Iintlanganiso zokulandelelana zezona ntsuku kufuneka uphinde ubonane nogqirha.

Ngaba kukho naziphi na iingxaki ezinokuvela ngenxa yotyando?

Iingxaki emva kolu tyando azixhaphakanga . Nangona kunjalo, njengakwezinye iintlobo zotyando, kukho iingozi ezincinci. Ukuba kukho ingxaki, iimpawu zingabandakanya ukwehla kwesantya sokuchama, umchamo oseleyo esinyini emva kokuchama, okanye usulelo lomchamo.

Malunga nentlungu nexesha lokuphiliswa

Ingaba oku kubuhlungu?

Kuqhelekile ukuba uzive iintlungu emva kotyando, kodwa zinokulawuleka. Ugqirha wakho uza kukunika amayeza okudambisa iintlungu.

Kwenzeka ntoni ngexesha lokuchacha?

• I-catheter yokuqala idla ngokushiywa iiveki ezimbini ukuya kwezintathu, ngamanye amaxesha ixesha elide.
• Ngeli xesha, uza kunikwa amayeza okubulala iintsholongwane kunye namayeza okudambisa iintlungu.
• Emva kokuba i-catheter isusiwe, ugqirha uza kukusa ekliniki rhoqo ukuze uhlolwe.
• Emva kweenyanga ezimalunga nesi-8-12, uvavanyo olusebenzisa ikhamera ebizwa ngokuba yiCystourethroscopy lunokwenziwa ukuze kubonwe ukuba i-urethra esandula ukwenziwa isebenza kakuhle na nokuba kubuye kwabakho ukuvaleka kwakhona.

Zinjani iziphumo kwaye ndingazinyamekela njani?

Izinga lempumelelo yolu tyando liphezulu kakhulu (lithathwa "njengelibalaseleyo"). Uninzi lwezigulana luphila ubomi obusemgangathweni emva kolu tyando.

Utshintsho olukhulu onokuthi ulwenze yindlela ochama ngayo.

Ndifanele ndimbone nini ugqirha kungekudala?

Ukuba ufumana naziphi na iimpawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko okanye ufune unyango.

• Ukopha kakhulu ngenxa yesilonda.
• Ukudumba okungaqhelekanga.
• Umkhuhlane okanye iimpawu zosulelo (ukukhupha ubovu, ukubomvu okugqithisileyo).
• Ukudumba kwendlela yomchamo okanye ezinye iimpawu zosulelo lwendlela yomchamo.
• Ukuba uziva ngathi isinyi sakho asikaphumi emva kokuchama.
• Ukuba isantya sokuhamba komchamo sicotha kakhulu.
• Ukuba uziva ngathi unengxaki yokuchama kwakhona.

Ukuba uneminye imibuzo malunga noku, ungathandabuzi ukuthetha nogqirha wakho uze uyisombulule.