Khawuthelekelele ukuba uphulukene nethambo le-pelvic ngenxa yengozi, mhlawumbi ukuwa ebhayisekileni. Okanye unyangelwe umhlaza we-prostate. Kwiimeko ezinjalo, ngamanye amaxesha i-urethra emadodeni inokonakala okanye inciphe. Xa kunzima ukuchama, intlungu kunye nokungonwabi okunokwenzeka xa ivaliwe akunakuchazwa. Namhlanje sithetha ngotyando olubaluleke kakhulu nolukhethekileyo olufunekayo ngamaxesha anjalo.
Ngamafutshane, yintoni i-Posterior Urethral Reconstruction?
Kulungile, masiqale ngokuchaza oku ngokulula. Umchamo, oqokelelana kwisinyi sakho, uphuma kwilungu lobudoda bakho ngetyhubhu ebizwa ngokuba yi-urethra. Ufana nombhobho ophuma kwitanki yamanzi.
Le urethra ikwanazo neendawo. Inxalenye emfutshane, emalunga ne-intshi enye ukuya kwezimbini ubude, edibana nesinyi kwaye idlula kwi-prostate gland, ibizwa ngokuba yi-'Posterior Urethra'. Oku kukuqala kwe-urethra.
Ukwakhiwa kwakhona kwe-Urethral Posterior yinkqubo yotyando ebuyisela ukuqina kwe-urethra yangasemva emva kokonakala, ukuncitshiswa, okanye ukuncitshiswa (i-urethral stricture). Oku kuthetha ukuba indawo eyonakeleyo iyalungiswa kwaye ukuhamba komchamo kuyabuyiselwa ngaphandle kokuphazanyiswa.
Kutheni olu tyando luyimfuneko?
Kukho izizathu ezibini eziphambili zokuba kwenziwe olu tyando.
1. Ukulimala ngengozi: Ingakumbi iingozi ezinkulu eziphula ithambo lesinqe. Kwilizwe lethu, ukwenzakala okunjalo kuqhelekile ngenxa yeengozi zeebhayisekile, ukuwa ukusuka phezulu, kunye nokwenzakala okutyumkileyo. Kwiingozi ezinjalo, le nxalenye ye-urethra inokuqhekeka, ityumke, kwaye ibe namanxeba. Ekuhambeni kwexesha, la manxeba anokubangela ukuba i-urethra inciphe kwaye yenze kube nzima ukuchama.
2. Unyango lomhlaza weprostate: Emva kotyando lokususa i-prostate gland (i-radical prostatectomy) okanye unyango lwemitha, i-urethra isenokuncipha ngenxa yezibazi ezinxulumene noko.
Xa i-urethra incipha ngale ndlela, ukuhamba komchamo kunokucotha, umchamo ungavuza ngamathontsi amancinci, okanye uvaleleke ngokupheleleyo. Le yimeko ebuhlungu kakhulu neyingozi.
Ugqirha ugqiba njani ukuba uyaludinga olu tyando?
Ukuba unale mpawu, into yokuqala ugqirha wakho aza kuyenza kukwenza uvavanyo olumbalwa ukuqinisekisa imeko echanekileyo. Ukuze benze oku, banokwenza olunye okanye ngaphezulu kwezi vavanyo zilandelayo:
- I-Retrograde Urethrogram: Oku kusebenzisa ulwelo olukhethekileyo (idayi yomahluko) kunye ne-X-rays ukumisela ukuba ukuvaleka kwe-urethra kuphi kwaye kubude kangakanani .Ukuyinyamekela ngokuchanekileyo.
- I-Voiding Cystourethrogram: Oku kusebenzisa idayi yokwahlulahlula ukujonga indlela umchamo ophuma ngayo kwisinyi. Oku kunokunceda ekuqinisekiseni ubungakanani bokuvaleka.
- I-Cystoscopy: Kule nto, ityhubhu encinci enekhamera (i-scope) idluliselwa kwi-urethra ukuze ibone ngqo ngaphakathi kwe-urethra kunye ne-bladder.
- Iskeni ye-MRI (Magnetic Resonance Imaging): Kwezinye iimeko ezikhethekileyo, iskeni ye-MRI inokwenziwa ukuba kufuneka ulwazi oluthe kratya.
Eyona nto ibalulekileyo kukuba ukuba le meko ibangelwa yingozi, oogqirha baya kulinda de ezinye iingozi ezinkulu emzimbeni wakho ziphile. Ngeli xesha, ityhubhu ingafakwa ukusuka esiswini iye ngqo kwisinyi ukuze kuphume umchamo. Siyibiza ngokuba yiSuprapubic Catheter .
Ufanele uzilungiselele njani ngaphambi kotyando?
Ngaphambi kotyando, kufuneka ulungiselele. Ukulandela la manyathelo kubaluleke kakhulu ukuze utyando luphumelele.
| Yintoni omawuyilungiselele | Kwenziwe ntoni |
|---|---|
| Izinto zokunciphisa igazi | Ukuba usebenzisa olu hlobo lwamayeza, kufuneka uthethe neqela lakho lezonyango kwaye uyeke ukuwasebenzisa okwethutyana kwiintsuku ezimbalwa ngaphambi kotyando, njengoko becebisa. |
| Ukutya nokusela ngaphambi kotyando | Musa ukutya okanye ukusela nantoni na emva kweentsuku zobusuku ngosuku lotyando. |
| Amayeza asekuseni | Ugqirha ukuvumela kuphela ukuba uthathe iyeza elivunyiweyo nguye kusasa kunye nentwana yamanzi. |
| Ii-antibiotics | Ukuthintela usulelo, ugqirha angakunika amayeza okubulala iintsholongwane ukuba aqale ngosuku olungaphambi kotyando. |
Utyando lwenzeka njani ngokwenene?
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba awuyi kuva nto, uza kube ulele.
Eyona nkqubo ixhaphakileyo esetyenziswa ngoogqirha ibizwa ngokuba yi- Anastomotic Urethroplasty . Le yindlela elula kakhulu.
Inxalenye eyonzakeleyo, enezibazi, okanye encitshisiweyo ye-urethra iyasikwa ize isuswe, kwaye iziphelo ezibini eziphilileyo zithungwe ndawonye. Kufana nokususa iqhekeza lombhobho ophukileyo uze udibanise kwakhona iziqwenga ezibini ezilungileyo eziseleyo.
Kodwa, khawucinge nje ukuba emva kokususa ilaphu elibomvu, umsantsa phakathi kweziphelo zimbini eziphilileyo ukhulu kakhulu, nto leyo eyenza kube nzima ukuzithunga. Wenza ntoni ukuba oko kuyenzeka?
Kwiimeko ezinjalo, ugqirha uthatha iqhekeza elincinci lesicwili kwenye inxalenye yomzimba wakho aze alisebenzisele ukuvala umngxuma. Ngokuqhelekileyo, eli liqhekeza elingaphakathi esidleleni sakho (buccal mucosa) . Ukuthatha iqhekeza elincinci emlonyeni wakho akubuhlungu kangako. Kufana nentlungu encinci xa ufumana isilonda esidleleni sakho. Kwakhona, amanxeba angaphakathi emlonyeni wakho aphiliswa ngokukhawuleza, ngesiqhelo kwiveki.
Kwenzeka ntoni emva kotyando kwaye zithini iingozi?
Emva kotyando, uza kuhlolwa esibhedlele kangangeeyure ezingama-24. I-catheter encinci, ethambileyo iza kufakwa ngepenis yakho iye kwisinyi sakho de iphole imithungo, nto leyo eza kuthatha malunga neeveki ezi-3-4. Oku akukhululeki kancinci, kodwa kubalulekile ukuba ukulungiswa kuphole ngokufanelekileyo. Emva kweeveki ezi-3-4, kuya kuthathwa i-X-ray ukujonga ukuba ukulungiswa kuphole na, kwaye i-catheter iya kususwa.
Njengalo naluphi na utyando, olu luneengozi ezincinci.
- Ukopha
- Iintsholongwane
- Ubunzima obuphindaphindeneyo
Ukungakwazi ukuzibamba komchamo kuyingozi kwaye kunqabile kakhulu ukuba kwenziwe utyando. Nangona kunjalo, umngcipheko unokwanda kancinci ukuba kwenziwe utyando emva konyango lomhlaza.
Enye ingxaki ebalulekileyo kukungasebenzi kakuhle kwe-erectile (ED) . Amanye amadoda asenokuba ayenayo le meko ngaphambi kolu tyando, emva kokuqhekeka kwe-pelvic okanye unyango lomhlaza. Olu tyando aluyi kuyinyanga i-ED. Lusenokufuna olunye unyango kamva. Thetha nogqirha wakho ngale nto ngokukhululekileyo.
Impumelelo yotyando kunye nokuchacha
Ezi zezona ndaba zimnandi. Olu tyando lube nempumelelo ephezulu kakhulu.Lutyando oluneziphumo ezintle kakhulu, ingakumbi xa lwenziwa ngugqirha onamava.
- Izinga lempumelelo yotyando lwezonzakalo ezifunyenwe kwingozi liphakathi kwe -92% - 97% .
- Izinga lempumelelo yotyando emva konyango lomhlaza liphakathi kwe -70% - 85% .
Ukubuyela kubomi obuqhelekileyo...
- Ukuqhuba: Ungaqala ukuqhuba ukuba awusebenzisi iintlungu zentlungu nasemva kokuba ityhubhu ye-catheter isusiwe.
- Ukubuyela emsebenzini: Uninzi lwabantu lubuyela emsebenzini emva kokuba i-catheter isusiwe, kodwa kucetyiswa kuphela umsebenzi olula kangangeeveki ezi-6-8 .
- Ukuzilolonga: Ukuhamba kakuhle emva kotyando, kodwa kuphephe imisebenzi enzima efana nokuphakamisa iintsimbi okanye ukudlala igalufa kangangeeveki ezi-6-8 .
- Isenzo sokwabelana ngesondo: Ungaphinda uqalise isenzo sokwabelana ngesondo emva kweeveki ezi-8 emva kotyando.
Umyalezo Wokuya Ekhaya
- Ukwakhiwa kwakhona kwe-Urethral Posterior lutyando olukhethekileyo olwenziwa kumadoda ane-urethra encinci ngenxa yokwenzakala kwe-pelvic okanye unyango lomhlaza we-prostate.
- Injongo yolu tyando kukulungisa indawo eyonakeleyo ye-urethra nokubuyisela ukuhamba komchamo.
- Olu lutyando oluhlala lunezinga eliphezulu lempumelelo, ngoko ke akukho mfuneko yokoyika.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva kotyando, ingakumbi malunga ne-catheter kunye nemida yokusebenza.
- Ungaze ungathandabuzi ukuthetha ngokukhululekileyo nangokunyaniseka nogqirha wakho malunga nazo naziphi na iingxaki onokuba nazo, ezinje ngokungakwazi ukuzibamba okanye ukungasebenzi kakuhle ngokwesondo. Ukufumana ulwazi olufanelekileyo kunye nenkxaso yinxalenye ebalulekileyo yenkqubo yokuphiliswa.
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