Ngaba nawe unengxaki yokuchama? Ngaba i-urethra ivakala ibuthathaka kwaye ixinene? Ngaba ngamanye amaxesha uziva ngathi awukayikhuphi ngokupheleleyo i-bladder yakho nasemva kokuchama? Oku kusenokuba ngenxa yokuvaleka kwe-urethra yakho. Oku kuyinyani ngakumbi ukuba usandul' ukufumana ingozi, ingakumbi echaphazela indawo ye-pelvic, okanye ukuba ukhe wanyangwa umhlaza we-prostate. Ngoko ke namhlanje sithetha ngotyando olukhethekileyo oluyisisombululo esihle koku. Olu lutyando lwe-Posterior Urethral Reconstruction.
Ngamafutshane, yintoni i-Posterior Urethral Reconstruction?
Ukuze sikuqonde oku, masiqale sifunde kancinci ngala malungu omzimba wethu. Uyazi ukuba i-urethra yityhubhu ethwala umchamo kunye nesidoda kwisinyi sethu isiya emzimbeni. Le urethra ikwanazo neendawo ezininzi.
I-Posterior Urethra ibhekisa ngasemva kwe-urethra, oko kukuthi, inxalenye engaphakathi emzimbeni. Ngokuchanekileyo, sibhekisa kwinxalenye encinci ye-urethra, malunga ne-intshi enye okanye ezimbini ubude, eqala ezantsi kwesinyi, idlule kwi-prostate gland, kwaye idlule kwimisipha yomgangatho we-pelvic.
Ngoko ke, i-Posterior Urethral Reconstruction lutyando lokubuyisela inxalenye engasemva ye-urethra eyonakeleyo, evalekileyo, okanye encitshisiweyo ngesizathu esithile.
Kuxa kutheni apho olu tyando luyimfuneko?
Eyona sizathu siphambili solu tyando kukuvaleka okanye ukuvaleka kwe-urethra (Urethral Stricture) . Njengokuba ukungcola kuqokelelwa ngaphakathi kombhobho wamanzi kwaye kunciphisa ukuhamba kwamanzi, xa izicubu ezibomvu zisenzeka ngaphakathi kwe-urethra kwaye ziyinciphise, kuba nzima ukuphuma komchamo. Ngamanye amaxesha i-urethra inokuba mxinwa kakhulu, okanye ingayeka ngokupheleleyo.
Kukho izizathu ezininzi eziphambili zokuba i-urethra ivaleke ngale ndlela.
| Isizathu | Inkcazo kunye nemizekelo |
|---|---|
| Ukulimala okunzulu njengokuqhekeka kwe-pelvic | Ukulimala okukhulu kwindawo ye-pelvic (ithambo lesinqe) kunokonakalisa i-urethra. Umzekelo:
|
| Unyango lomhlaza weprostate | Le meko inokwenzeka nasemva konyango oluthile lomhlaza we-prostate. Oko kukuthi:
|
Zeziphi iimvavanyo ezenziwayo ngaphambi kotyando?
Ngaphambi kokuba ugqirha agqibe ekubeni enze olu tyando, uza kwenza uvavanyo oluninzi ukuze abone ukuba ivalekile kangakanani i-urethra yakho kunye nobungakanani bomonakalo.
- I-Retrograde Urethrogram: Kufakwa ulwelo olukhethekileyo kwi-urethra kwaye kuthathwa imifanekiso ye-X-ray.
- I-Voiding Cystourethrogram: Ityhubhu ifakwa kwisinyi, izaliswe lulwelo, kwaye kuthathwa i-X-ray ngelixa uchama.
- I-Cystoscopy: Ityhubhu encinci kakhulu enekhamera eqhotyoshelweyo idluliselwa kwi-urethra ukuze ihlole ngaphakathi.
- I-MRI Scan: Ngamanye amaxesha i-MRI scan ingenziwa ukuze kufunyanwe umfanekiso ocacileyo wale ndawo.
Eyona nto ibalulekileyo kukuba emva kwengozi, oogqirha baqala balinde ukuba ukwenzakala kuzinze. Ngeli xesha, kufakwa umbhobho omncinci ngesikhumba sesisu ungene kwisinyi ukuze kuphume umchamo. Ibizwa ngokuba yi-suprapubic catheter .
Ungayilungiselela njani utyando?
Kubalulekile ukuba ulandele imiyalelo kagqirha ukuze ukhuseleke ngaphambi kotyando.
| Kwenziwe ntoni | Kutheni kunjalo? |
|---|---|
| Sixelele ngazo naziphi na izinto ezibangela ukuba ungabi namdla. | Ziphephe iimpembelelo ze-allergy kumayeza anikwa ngexesha lotyando. |
| Xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza e-Ayurvedic). | Amanye amayeza anokuchaphazela utyando. |
| Ukuba uthatha amayeza okunciphisa igazi, yeka ukuwathatha okwethutyana njengoko ugqirha wakho ekuyalele. | Yeka ukopha okungeyomfuneko ngexesha lotyando. |
| Yeka ukutya nokusela iiyure eziyi-8-12 ngaphambi kotyando. | Ukuba unokutya esiswini sakho ungazi nto, okanye ukuba uyahlanza, kungangena kumbhobho womoya. Kuyingozi oko. Yiyo loo nto kubizwa njalo. |
Usenokunikwa neyeza lokubulala iintsholongwane ukususela ngosuku olungaphambi kotyando ukuthintela usulelo.
Lwenziwa njani utyando?
Okokuqala, ingcali yokubulala iintlungu iza kukufaka phantsi kwe-anesthesia eqhelekileyo . Oku kuthetha ukuba uza kulala ubuthongo obunzulu. Awuyi kuva ntlungu okanye nantoni na de utyando luphele.
Emva koko ugqirha wezifo zomchamo uqala utyando. I-Anastomotic Urethroplasty yeyona ndlela ixhaphakileyo esetyenziswayo xa kuthintelwa ukuvaleka emva kwengozi.
Khawucinge nje, nantsi into eyenzekayo:
1. Okokuqala, kwenziwa umngxuma omncinci kwindawo ephakathi kwe-scrotum yakho kunye ne-anus (perineum).
2. Emva koko, izicubu ezineenxeba ezinamathele kwi-urethra ziyasikwa zize zisuswe ngokupheleleyo.
3. Ekugqibeleni, iziphelo ezimbini ze-urethra ephilileyo eseleyo ziyahlanganiswa kwakhona, kwaye zithungwe kakuhle kakhulu.
Khawucinge nje, ngamanye amaxesha xa inxenye enesilonda isusiwe, umsantsa phakathi kwala malungu mabini aphilileyo unokuba mkhulu kancinci. Kwiimeko ezinjalo, oogqirha benza into engaqhelekanga. 'Baboleka' iqhekeza elincinci lethishu ngaphakathi esidleleni okanye emlonyeni wakho (i-buccal mucosa) , bazalise loo msantsa, baze baphinde bakhe i-urethra.
Olu tyando ludla ngokuthatha iiyure ezintathu ukuya kwezintandathu .
Kwenzeka ntoni emva kotyando?
Nje ukuba utyando lugqityiwe, isilonda siya kuthungwa, sicocwe, size sibhandishwe. Ukongeza, i-catheter ye-Foley iya kufakwa ngepenis yakho kwisinyi sakho ukunceda ukukhupha umchamo. Oku kwenzelwa ukugcina umchamo uhamba kakuhle de i-urethra iphole. Ungakhathazeki, oku kungokwexeshana.
Umsele omncinci wotyando ungabekwa kufutshane nenxeba ukuze liphole. Oku kudla ngokususwa ngaphambi kokuba uphume esibhedlele.
Njengoko iziphumo zamayeza abangela ubuthongo ziphela, uya kubuyela engqondweni kancinci kancinci. Uya kuziva udiniwe kancinci ekuqaleni. Wakuba uphinde wabuyela engqondweni, uya kunikwa amayeza okunciphisa iintlungu ukulawula iintlungu.
Xa oogqirha begqibe kwelokuba imeko yakho ilungile, ungagoduka. Nangona kunjalo, kusenokufuneka uhlale esibhedlele usuku olunye okanye ngaphezulu.
Uza kunikwa amadinga okulandela ugqirha kwiinyanga ezimbalwa ezizayo. Ngelo xesha, iimvavanyo ezifana ne-X-ray kunye ne-cystoscopy zinokuphindwa ukuze kubonwe ukuba inxeba liyaphola kakuhle na.
I-catheter yeFoley iya kuhlala apho iiveki ezi-3-4, kwaye umchamo wakho uya kudlula kuyo. Emva kokuba isusiwe, kufuneka ukwazi ukuchama ngokulula njengoko ubusenza ngaphambi kokuba ivaleke.
Iingenelo, impumelelo kunye neengozi
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezincinci.
| Icandelo | Inkcazo |
|---|---|
| Iinzuzo | Ukungonwabi okubangelwa kukugcinwa komchamo kuphelile, kwaye ungachama ngaphandle kwentlungu okanye ukutsala nzima. Ukuxhaphaka kosulelo lwendlela yomchamo (UTIs) kuyancipha. Kukwalungile kakhulu kwimpilo yezintso, njengoko isinyi siphuma kakuhle. |
| Izinga lempumelelo | Olu tyando luphumelele kakhulu . Izifundo zibonisa ukuba utyando emva kokwenzakala kwe-pelvic luphumelele ngama -92% ukuya kuma-97% . Emva konyango lomhlaza we-prostate, izinga lempumelelo lingama -70% ukuya kuma-85% . |
| Iziphumo Ezingalindelekanga kunye Neengozi |
Umngcipheko wokungakwazi ukuzibamba umchamo uphantsi, kodwa uphezulu kancinci emva konyango lomhlaza. Ukungasebenzi kakuhle kwe-erectile (ED) kunokubangelwa kukwenzakala kokuqala okanye unyango lomhlaza. Olu tyando aluyi kuyinyanga le meko, kwaye lunokufuna unyango olwahlukileyo. |
Ixesha lokuchacha kunye nezinto ekufuneka uzazi
Ukuzinikela kwakho ekubuyiseleni ubomi emva kotyando kubaluleke kakhulu.
Intlungu
Abantu abaninzi banokuziva iintlungu ezithile, kodwa zinokulawulwa kakuhle ngamayeza okudambisa iintlungu achazwe ngugqirha.
Imisebenzi
- Kuphephe ukuqhuba imoto nokuhlala ixesha elide de kususwe i-catheter (iiveki ezi-3-4).
- Ukuhamba nokunyuka izinyuko akuyongxaki.
- Musa ukuphakamisa ubunzima obungaphezulu kwe-9 kg (20 lbs).
- Kuphephe ukubaleka, ukuquleka, ukuzilolonga imilenze, kunye nemidlalo equka ukujikeleza isinqe (njengegalufa) inyanga okanye ezimbini.
Isenzo sokwabelana ngesondo
Zikhwebule ngokupheleleyo kwisondo okanye ekuziphululeni amalungu esini ubuncinane iiveki ezisi-8 .
Ukubuyela emsebenzini/esikolweni
Ukuba usebenza eofisini, ungaqala emva kweveki okanye ezimbini. Kodwa ukuba unomsebenzi onzima emzimbeni, kuya kufuneka ulinde ubuncinane iiveki ezi-6-8.
Naliphi na ithuba lokudibana nogqirha
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya emva kotyando, fowunela ugqirha wakho ngoko nangoko.
| Iimpawu zomngcipheko - yazisa ugqirha ngoko nangoko! | |
|---|---|
| - Ukungakwazi ukuchama. | - Igazi okanye amahlwili egazi emchameni nokuba yiveki emva kotyando. |
| - Umchamo ophuma kwi-catheter ucotha kakhulu. | - Ulwelo olufana nobovu oluphuma enxebeni. |
| - Iimpawu zosulelo ezifana nomkhuhlane, ukugodola, kunye nentloko ebuhlungu. | - Ukwanda kwentlungu okanye iintlungu ezingapheliyo nangona usela amayeza. |
| - Ukudumba kwendawo yotyando. | |
Kunzima ngokwaneleyo ukujongana nento efana nengozi okanye umhlaza. Kuqhelekile ukuba nexhala kakhulu xa kuvela enye ingxaki efana nokuqina komchamo. Kodwa iindaba ezimnandi zezokuba i-Posterior Urethral Reconstruction lunyango oluphumelele kakhulu. Ngolu tyando, ungachama ngaphandle kobunzima kwakhona.
Umyalezo Wokuya Ekhaya
- Ukwakhiwa kwakhona kwe-Urethral Postterior lutyando oluphumelele kakhulu lokuthintela ukuqhekeka kwe-urethra kwinxalenye engasemva ye-urethra.
- Le meko idla ngokuvela emva kweengozi ezinkulu okanye unyango lomhlaza weprostate.
- Kuqhelekile ukuziva usoyika kwaye uxhalabile ngotyando, kodwa injongo ephambili kukuphucula umgangatho wobomi bakho.
- Ngexesha lokuchacha, kubalulekile ukulandela imiyalelo kagqirha ngqo ukuze uphile ngokukhawuleza.
- Ukuba unengxaki yokuchama okanye ezinye iimpawu, ungaze ulibazise ukuthetha nogqirha ngayo loo nto.
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