Ngaba nawe uziva unzima kakhulu xa uchama ? Ngaba i-urethra ivakala incinci? Okanye ingaba ivakala ngathi isinyi asikaphumi ngokupheleleyo emva kokuchama ? Ezi ayizompawu zilungileyo zokungazinaki nje. Namhlanje sithetha ngesihloko esibaluleke kakhulu abantu abaninzi abangafuni ukuthetha ngaso. Leyo yimeko ebizwa ngokuba yi-Posterior Urethral Stenosis.
Ngamafutshane, yintoni i-Posterior Urethral Stenosis (PUS)?
Oku kusenokuvakala ngathi ligama lesayensi, kodwa kulula kakhulu ukuliqonda. I-Posterior Urethral Stenosis (PUS) , ngamanye amaxesha ebizwa ngokuba yi -Urethral Stenosis okanye i-Urethral Stricture , yimeko apho inxalenye ye-urethra (i-posterior urethra) ekufutshane nesinyi incipha, okanye ngokuchanekileyo, ivalekile.
Njengokuba kunjalo xa into ibambeka kumbhobho wamanzi, ukuhamba kwamanzi kuyehla, kwaye oku kwenzeka xa umchamo wethu uvalekile. Ngamanye amaxesha oku kuvimbeka kunokuba nzima kakhulu kangangokuba kube nzima ukuchama , kwaye ngamanye amaxesha kunokukhokelela ekubeni singakwazi ukuchama kwaphela.
Le meko ixhaphake kakhulu kumadoda kunakwabasetyhini . Isizathu soku kukuba i-urethra yamadoda inde kakhulu kuneyabasetyhini. Ngelixa i-urethra yendoda imalunga ne-8-9 intshi ubude, eyomfazi imalunga ne-1.5 intshi ubude. Ngoko ke, icandelo le-1-2 intshi le-urethra yamadoda, elikufutshane nesinyi, linokuvinjwa ngale ndlela. Eli candelo likwabandakanya nenxalenye edlula kwi-prostate gland.
Ixhaphake kangakanani le meko?
I-Postterior Urethral Stenosis ayiqhelekanga kangako. Uninzi lwexesha, le meko iyenzeka njengesiphumo esingesihle sonyango lwenye imeko kuloo ndawo. Kunqabile kakhulu, le meko inokubakho xa umntwana ezalwa (ezalwa). Ayiqhelekanga kakhulu kwabasetyhini.
Ngaba nawe unazo ezi mpawu?
Umntu onesi sifo unokubonakalisa uphawu olunye okanye ezingaphezulu kwezi zilandelayo. Jonga ukuba unayo na enye kwezi.
| Uphawu | Ingcaciso elula |
|---|---|
| Ubunzima bokuchama | Ukugcinwa komchamo , ubunzima bokuchama , kunye noluvo lokuba isinyi asikakhutshwa ngokupheleleyo nasemva kokuchama (oku kubizwa ngokuba kukugcinwa komchamo ngokwezonyango). |
| Intlungu xa uchama | Ukutsha okanye intlungu xa uchama (oku kubizwa ngokuba yi -dysuria ). |
| Usulelo lomchamo (UTI) | Usulelo oluqhelekileyo lwendlela yomchamo. |
| Usulelo lwe-prostate | Usulelo lwe-prostate gland. |
| Igazi okanye umchamo omnyama | Umchamo omnyama okanye igazi elimdaka kumchamo (oku kubizwa ngokuba yiHematuria) . |
| Intlungu yesisu esisezantsi | Intlungu engapheliyo esiswini esisezantsi. |
Kutheni oku kusenzeka? Zithini izizathu eziphambili?
Njengoko besitshilo ngaphambili, le meko ayifumaneki rhoqo xa umntwana ezalwa. Nangona kunjalo, idla ngokubakho ngenxa yengozi okanye unyango olwenziwe kuloo ndawo.
Nazi ezinye zezizathu eziphambili:
- Ukwaphuka kwePelvic: Ingozi enkulu ebangela umonakalo kwithambo lakho le-pelvic kunye nokwenzakala kwi-urethra yakho.
- Unyango lomhlaza weprostate: Le meko ingenzeka kamva ngenxa yonyango lomhlaza weprostate olufana nonyango lweradiation, i-brachytherapy, unyango lweradiation yangaphandle (i-EBRT), kunye nokususwa kweprostate ngotyando (i-prostatectomy).
- Utyando lwe-BPH:Le meko inokubangelwa naziindlela zotyando ezifana ne-TURP (Transurethral Resection of the Prostate) zeBenign Prostatic Hyperplasia (BPH).
Kuza kwenzeka ntoni ukuba ayinyangwa?
Le yeyona nto ibalulekileyo. Ukuba ucinga ukuba, "Iza kulunga yodwa" nokuba unezi mpawu, imeko inokuba mandundu. Ukuba oko kuyenzeka, iingxaki ezinkulu ezifana nezi:
- Usulelo oluqhelekileyo lwendlela yomchamo (UTIs).
- Ukonakala okungapheliyo kwesinyi.
- Umchamo ubuyela umva usuka kwisinyi uye kwizintso (i-vesicoureteral reflux).
- Ukonakala kwezintso.
Yiyo loo nto sisithi ukuba unale mpawu, musa ukuchitha ixesha uye kugqirha. Ukuba uyayityeshela into encinci, ungagqibela ujongene nengxaki enkulu kamva.
Gqirha, uyixilonga njani le nto?
Xa usiya kugqirha, uya kuqala aphulaphule ngononophelo iimpawu zakho. Uya kukubuza nangembali yakho yezonyango. Emva koko uya kwenza uvavanyo lomzimba. Ukuqinisekisa imeko yakho, angenza iimvavanyo ezininzi, ezifana nezi:
- Uvavanyo lwe-X-ray
- Iskeni ye-ultrasound
- I-Cystoscopy (ukuhlolwa kwe-urethra kusetyenziswa ityhubhu encinci enekhamera)
- I-urethrogram yokubuyisela umva
- I-voiding cystourethrogram (VCUG)
Ngaba le meko inganyangeka ngokupheleleyo?
Ewe, ngokuqinisekileyo. Kukho unyango loku. Esi asisosifo esinokunyangwa ngamayeza. Nangona kunjalo, sinokunyangwa ngeendlela ezimbini. Ugqirha wakho uya kumisela unyango olufanelekileyo kuwe ngokusekwe kuhlobo lwemeko yakho, ubungakanani bezicubu ezibomvu, kunye nobude bokuvaleka.
1. Ukwanda komchamo
Oku kuquka ukwandisa indawo evalekileyo ye-urethra kusetyenziswa izixhobo ezikhethekileyo (ezifana neentonga ezinde nezincinci) okanye ibhaluni. Le yinkqubo elula. Nangona kunjalo, ayisosisombululo esihlala sihleli. Kusenokufuneka wenze olu nyango izihlandlo ezininzi.
2. Utyando (Urethroplasty)
Esi sesona sisombululo siphumeleleyo nesihlala sihleli. Kolu tyando, inxalenye eyonakeleyo ye-urethra evalekileyo iyalungiswa okanye inxalenye entsha ityalwe kwenye indawo. Izinga lempumelelo yolu tyando lingaphezulu kwe-80%.
Kwenzeka ntoni emva konyango?
Emva kokuvulwa komchamo, uya kuqala ukuziva ungcono kwiveki. Emva kotyando lwe-urethroplasty, kungathatha iiveki ezimbini ukuya kwezintathu ukuba uphile ngokupheleleyo.
Eyona nto ibalulekileyo kukuba, le meko ngamanye amaxeshaIngaphinda ivele nasemva konyango. Ngoko ke, ungalibali ukuya kwintlanganiso yokulandelela njengoko ugqirha wakho ekuxelela. Ngale ndlela, unokubona imeko yakho aze abone naziphi na iingxaki kwangethuba.
Ngaba zikho iindlela zokuphepha oku?
Ayizizo zonke izizathu esizixubushile ngaphambili ezinokuthintelwa. Umzekelo, kunzima ukuthintela oku ukuba kungenzeki emva konyango lomhlaza. Nangona kunjalo, ungayinciphisa le ngozi ngokuthintela ukwenzakala ethangeni.
- Nxiba ibhanti yakho yesihlalo ngalo lonke ixesha xa ukhwela imoto.
- Ukuba udlala imidlalo echaphazela kakhulu njengehoki okanye ibhola ekhatywayo , nxiba impahla yokuzikhusela efanelekileyo kunye nezixhobo .
- Yitya ukutya okutyebileyo kwi-calcium kunye ne-vitamin D, okuqinisa amathambo.
- Zibandakanye kwimithambo yokuqinisa amathambo (ingakumbi imithambo yokuphakamisa iintsimbi).
- Yeka ukutshaya nokusela utywala kakhulu . Oku kuchaphazela ukuqina kwamathambo akho.
- Ukuba kuyimfuneko, buza ugqirha wakho ngamayeza okuqinisa amathambo (ii-bisphosphonates).
Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU)?
Oku kubaluleke kakhulu. Ukuba unezinye zeempawu ezilandelayo, musa ukuchitha ixesha kwaye yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko.
| Ingxamiseko - Yiya esibhedlele ngoko nangoko! | |
|---|---|
| 🚨 | Ukuba awukwazi ukuchama ngokupheleleyo . |
| 🚨 | Ukuba intlungu ngexesha lokuchama iyanda . |
| 🚨 | Ukuba kukho igazi kumchamo . |
| 🚨 | Ukuba uneempawu zosulelo, ezinje ngomkhuhlane kunye nokugodola . |
Yeyiphi imibuzo omele uyibuze ugqirha?
Xa sisiya kugqirha, ngamanye amaxesha siyalibala into esifuna ukuyibuza. Ngoko ke, bhala le mibuzo ephepheni.
- Kutheni ugqirha ecinga ukuba ndinale meko?
- Yintoni unobangela wemeko yam?
- Inzima kangakanani indlela yam yokuchama evalekileyo?
- Yeyiphi indlela engcono yonyango kum?
- Ziziphi iingenelo kunye neengxaki zonyango ngalunye?
- Ndingazinyamekela njani emva konyango?
- Ndingabuya nini ukuze ndilandelelwe?
- Ucinga ukuba le meko iza kuphinda yenzeke kum?
- Ngaba kukho into endinokuyenza ukuthintela oku ukuba kungenzeki kwakhona?
- Ngaba kufuneka ndidibane nengcali (urologist) ngale nto?
Umyalezo Wokuya Ekhaya
- I-Posterior Urethral Stenosis (PUS) kukuncitshiswa kwe-urethra kufutshane nesinyi. Ixhaphake kakhulu kumadoda kunabafazi.
- Iimpawu eziphambili kubunzima bokuchama , iintlungu, ukuvaleka komchamo , kunye nosulelo oluqhelekileyo lomchamo.
- Izihlandlo ezininzi, le meko ibangelwa yingozi okanye utyando lwangaphambili okanye unyango olunxulumene ne-prostate gland.
- Oku kunganyangwa ngokupheleleyo ngonyango. Utyando (Urethroplasty) lolona nyango luphumelele kakhulu.
- Ukuba uneempawu, musa ukuzityeshela. Ukwenza njalo kunokonakalisa nezintso zakho. Ngoko ke, qiniseka ukuba ubona ugqirha.
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