Kwamanye amadoda, ukuchama kunokuba ngamava abuhlungu kakhulu kwaye angonwabisiyo. Umchamo uphuma ngokungathi ubambekile, uvuza ngethontsi... ngamanye amaxesha unokuvaleka ngokupheleleyo. Isizathu esiphambili soku kukuvaleka kwe-urethra, oko kukuthi, ukuncitshiswa. Ngokwezonyango, oku sikubiza ngokuba yi- 'Urethral Stricture '. Ngoko ke, namhlanje sithetha ngotyando olukhethekileyo olucetyiswa ngoogqirha xa ezinye iindlela zonyango zingaphumelelanga.
Yintoni i-Perineal Urethrostomy?
Ngamafutshane, i-Perineal Urethrostomy yinkqubo yotyando eyenziwa kumadoda. Ibandakanya ukudala umgodi omtsha, okanye indlela, ukuze umchamo udlule kuyo. Lo mgodi mtsha wenziwa kwindawo yesikhumba phakathi kwe-scrotum yakho kunye ne-anus yakho. Siyibiza loo ndawo ngokuba yi-'perineum'.
Khawuthelekelele, ngokwesiqhelo, umchamo oqokelelana kwisinyi sethu uhamba ngetyhubhu ebizwa ngokuba yi-urethra uze uphume kwincam yepenis. Nangona kunjalo, ngenxa yezifo ezithile, ukwenzakala , okanye utyando lwangaphambili, le urethra inokuba namanxeba, inciphe, okanye ivalwe. Kulapho ukuhamba komchamo kuvaleka ngokupheleleyo okanye kancinci. Olu tyando ludala indlela entsha, ehlala ihleli yokuphuma komchamo kwabo bavaleke kakhulu kangangokuba abanakukwazi ukudlula umchamo kwipenis.
Kutheni kufuneka wenze olu hlobo lotyando?
Olu tyando ludla ngokuqwalaselwa xa ezinye iindlela zonyango zokuthintela umgudu womchamo zingaphumelelanga. Oko kukuthi, xa umgudu womchamo ungasakwazi ukubekwa endaweni yawo ukuze umchamo uphume ngencam yelungu lobudoda. Emva kolu tyando, umchamo uphuma ngomngxuma omtsha kwi-perineum, ngoko kuya kufuneka uhlale phantsi ngelixa uchama.
Oku kungaba lolona khetho lulungileyo nakubantu abadala abangafuni ukwenza utyando olukhulu lokwakha. Olu tyando luqwalaselwa kwiimeko ezilandelayo.
| Iimeko ezinokufuna utyando | Ingcaciso elula |
|---|---|
| Ukuqina kwe-urethra okuntsonkothileyo/okuphindaphindiweyo | Amatyala apho i-urethra ihlala ivaliwe kwaye ingaphenduli kwezinye iindlela zonyango. |
| I-Squamous cell carcinoma yepenis | Ngenxa yeminye imihlaza eyenzeka kwilungu lobudoda. |
| Ukususwa kwepenis ngotyando (iPenectomy) | Xa ipenisi isusiwe ngokupheleleyo ngenxa yomhlaza okanye ezinye izizathu. |
| Utyando lwe-urethrectomy | Xa yonke okanye inxalenye ye-urethra isusiwe ngotyando. |
| I-Hypospadias | Le yimeko yokuzalwa apho umngxuma we-urethra ufumaneka ngaphantsi kwepenis endaweni yencam. |
| I-urethroplasty engasebenzi kakuhle | Xa utyando lwangaphambili lokulungisa i-urethra aluzange luphumelele. |
| Isifo sokubola kwesikhumba sikaFournier | Emva kokosuleleka kakhulu yipenis kunye ne-scrotum. |
Ngubani ongafanelekiyo kolu tyando?
Kodwa ayinguye wonke umntu onokwenza olu tyando. Kwezinye iimeko, kunokuba nzima kancinci. Ukuba unayo nayiphi na kwezi zinto, kufuneka uthethe nogqirha wakho nzulu ngale nto:
- Ukuba utyebe kakhulu .
- Ukuba ukhe watyandwa ngaphambili kwindawo yeperineum .
- Unyango lwemitha yomhlaza weprostateUkuba sele uyithathile.
Eminye imibuzo eqhelekileyo onokuba nayo
Ngaba imbewu iyaphuma kwilungu lobudoda emva kotyando?
Le yingxaki abantu abaninzi abanayo. Hayi, emva kolu tyando, isidoda asiphumi kwilungu lobudoda, kodwa siphuma kwindawo entsha evulekileyo.
Ngaba olu tyando luza kubangela ukulahlekelwa lulawulo lomchamo?
Olunye uloyiko olukhulu kukuba uza kuba buthathaka. Oko akuyi kwenzeka. Unemisipha elawula umchamo wakho ngaphezu kwalo mngxuma. Ngoko ke unokulawula umchamo wakho.
Olu tyando aluyi kubangela ukungalawuleki. Ungakhathazeki ngaloo nto. Ugqirha wakho uza kukuchazela oku ngokweenkcukacha.
Ungayilungiselela njani utyando?
Ngaphambi kotyando, ugqirha wakho uza kukucela ukuba unike isampuli yomchamo. Uza kukuqalisa ngee -antibiotics ukuthintela usulelo. Kusenokufuneka uthathe i-X-ray ukujonga imeko ye-urethra yakho.
Eyona nto ibalulekileyo kukwazisa ugqirha wakho ngezinye izifo zakho kunye namayeza owasebenzisayo.
| Qiniseka ukuba uxelela ugqirha wakho ngezi zinto. | |
|---|---|
| Izinto ezifakwe emzimbeni | Izinto ezifana nee-stent, izinto zokutshintsha amalungu, izixhobo zokunceda ekuphumleni kwentliziyo, iivalvu zentliziyo. |
| Iintsholongwane | Ukuba ukhe waba nosulelo olufana ne-MRSA. |
| Izinto zokunciphisa igazi | Ukuba uthatha amayeza afana ne-warfarin, i-aspirin, i-clopidogrel, i-rivaroxaban, okanye i-dabigatran. |
Indlela oluqhutywa ngayo utyando kunye nokuba kwenzeka ntoni emva koko
Oku kwenziwa esibhedlele, phantsi kwe -anesthesia jikelele . Oku kuthetha ukuba ulele ngokupheleleyo ngexesha lotyando. Ngoko ke awuva nto. Utyando ludla ngokuthatha iyure enye ukuya kwezimbini.
Emva kotyando, kuza kufakwa ityhubhu kwisinyi sakho ukuze ikuncede ukhuphe umchamo. Siyibiza ngokuba yi-Foley catheter . Le catheter ihlala ikwindawo yayo kangangeeveki ezimbini ukuya kwezintathu. Ngeli xesha, uza kunikwa iintlungu kunye nee-antibiotics ukuthintela usulelo.
Ngaphambi kokuba uphume esibhedlele, ugqirha kunye nabasebenzi bomongikazi baza kukuchazela indlela yokuzinyamekela ekhaya, indlela yokunyamekela i-catheter yakho, indlela yokusela amayeza akho, kunye nexesha ekufuneka ubuyele ngalo eklinikhi.
Emva kweenyanga ezimalunga nesi-8 ukuya kwezili-12, uvavanyo olubizwa ngokuba yi-cystourethroscopy, olusebenzisa ikhamera, lwenziwa ukuze kubonwe ukuba i-urethra iphilile na okanye ivalekile kwakhona.
Ziziphi iingxaki ezinokubakho?
Izinga lempumelelo yolu tyando liphezulu kakhulu (lixelwe njengeli "libalaseleyo"). Kwaye iingxaki azifumaneki lula. Nangona kunjalo, kubalulekile ukuba uzazi xa kuthe kwenzeka into ethile.
Ukuba kukho ingxaki, iimpawu zingabandakanya: ukuncipha kokuchama, umchamo oseleyo esinyini emva kokuchama, okanye usulelo lomchamo. Ezinye iingxaki ezinokubakho ziquka:
- Ukopha ngenxa yesilonda
- Ukudumba
- Ifiva
- Usulelo lomchamo
- Ukuphinda-phinda koxinzelelo
- Iingxaki zentliziyo
Ukuba ufumana naziphi na kwezi mpawu, umzekelo, ukopha kakhulu ngenxa yokusikwa okanye umkhuhlane ophezulu, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- I-Perineal Urethrostomy yinkqubo yotyando ephumelele kakhulu kwi-urethra strictures enzima apho ezinye iindlela zonyango ziye zasilela.
- Emva kolu tyando, kuya kufuneka uhlale phantsi ukuze uchame. Kwakhona, imbewu iya kuphuma kwindawo entsha evulekileyo.
- Olu tyando aluyi kubangela ukuba ulahlekelwe ngamandla akho okulawula umchamo wakho (ukungakwazi ukuzibamba).
- Umngcipheko weengxaki uphantsi kakhulu, kodwa ukuba ufumana naziphi na iimpawu ezingaqhelekanga (ukopha kakhulu, umkhuhlane), yazisa ugqirha wakho ngoko nangoko.
- Ukulandela imiyalelo kagqirha (ukuthatha amayeza, ukuya kwiikliniki) emva kotyando kubalulekile ukuze uphile ngokukhawuleza.
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