Ngaba nawe unengxaki yokuchama? Masithethe nge-Posterior Urethral Stenosis!

Ngaba ngamanye amaxesha unengxaki yokuqalisa ukuchama, okanye uzive ngathi i-urethra yakho incinci? Ngaba ngamanye amaxesha uziva ngathi kusekho umchamo emva kokuba ugqibile ukuchama, okanye ukuba awukaphumi ngokupheleleyo? Musa ukuzityeshela ezi zinto njengesiqhelo. Kuba zinokuba ziimpawu zengxaki yempilo engaphantsi. Namhlanje siza kuthetha ngemeko echaphazela amadoda ngaphezu kwabasetyhini, kodwa inokunyangeka ngokupheleleyo ukuba iqatshelwe kwaye inyangwe ngexesha. Oku kubizwa ngokuba yi -Posterior Urethral Stenosis (PUS) .

Yintoni i-Postterior Urethral Stenosis?

Ngamafutshane, oku kukuncitshiswa okanye ukuxinana kwinxalenye engasemva ye-urethra yakho, ityhubhu ethwala umchamo ukusuka kwisinyi sakho ukuya emzimbeni wakho. Igama elithi "stenosis" lithetha ukuncitshiswa. Ngamanye amaxesha kuthiwa "yi-urethral stricture."

Ngoku, yintoni le "posterior urethra"? Le yinxalenye ye-urethra ekufutshane nesinyi sakho somchamo. Ngokukodwa, ibandakanya intamo yesinyi, umsipha we-sphincter wangaphandle we-urethra, osisihlunu esilawula ukuchama, kunye ne-prostate gland. I-urethra yendoda idla ngokuba zii-intshi ezi-8 ukuya kwezi-9 (malunga neesentimitha ezingama-20) ubude. Kumfazi, iba ziisentimitha ezi-1.5 kuphela (iisentimitha ezi-3-4). Ngoko ke, inxalenye ephezulu yale urethra ende emadodeni, oko kukuthi, iisentimitha ezi-1-2 ezikufutshane nesinyi, ibizwa ngokuba yi-posterior urethra.

Xa i-urethra ivalekile ngale ndlela, ingakumbi ukuba ivalekile kakhulu, kunokuba nzima kakhulu ukuchama. Ngamanye amaxesha, usenokungakwazi nokuchama konke konke.

Ngubani onokuthi abonakale kakhulu kule meko?

I-Posterior Urethral Stenosis ixhaphake kakhulu kumadoda kunabasetyhini. Isizathu soku kukuba, njengoko benditshilo ngaphambili, i-urethra kumadoda inde. Kwakhona, le meko isenokunxulunyaniswa nokuba amadoda anokuba neengxaki ezinxulumene ne-prostate.

Ixhaphake kangakanani le meko?

Esi asisosimo siqhelekileyo. Ngokuqhelekileyo, senzeka emva konyango lwenye imeko kuloo ndawo. Cinga ngaso njengonyango lomhlaza weprostate, okanye emva kwengozi enkulu kuloo ndawo. Amaxesha amaninzi, esi simo sinokubakho ukususela ekuzalweni. Sisibiza ngokuba yi "congenital". Esi simo sinqabile kakhulu phakathi kwabasetyhini.

Zithini iimpawu? Jonga ukuba unazo na ezi...

Jonga ukuba unayo na enye okanye ngaphezulu kwezi mpawu:

• Ubunzima bokuchama: Olu luphawu oluphambili.
• Ukuncitshiswa kwendlela yomchamo kunye nobuthathaka.
• Ukuphuma komchamo okuncinci kunesiqhelo.
• Ukuziva ngathi isinyi asikakhutshwa ngokupheleleyo nasemva kokuchama ( Ukugcinwa Komchamo ).
• Intlungu xa uchama (iDysuria).
• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs) .
• Usulelo lweProstate.
• Umchamo omnyama okanye igazi kumchamo (i-hematuria).
• Intlungu zesisu.

Nokuba unenye okanye ezimbini kwezi mpawu, musa ukuzityeshela uze uzibuze, "Yintoni leyo?" Kungcono ukufuna ingcebiso kagqirha.

Kutheni oku kusenzeka? Zithini izizathu?

Njengoko benditshilo ngaphambili, le meko ayinakuba yinto yokuzalwa. Kodwa uninzi lwexesha, ibangelwa yingozi, uvavanyo lwezonyango, okanye unyango olwenziwe kuloo ndawo. Nazi imizekelo embalwa:

• Ukuqhekeka kwepelvic kukuqhekeka kwepelvic kwindawo yepelvic okubangela umonakalo kwindlela yomchamo. Khawucinge nje, into efana nale inokwenzeka ukuba umntu uwa kwindawo ephakamileyo okanye kwingozi yemoto.
• Unyango lomhlaza weprostate :
• Unyango lweMisebe
• Ukufakelwa kwembewu (iBrachytherapy)
• Unyango lweMisebe yangaphandle (i-EBRT)
• Utyando lweprostate
• Utyando lweBenign Prostatic Hyperplasia (BPH) . Umzekelo lutyando olubizwa ngokuba yiTransurethral Resection of the Prostate (TURP) .

Ngenxa yezizathu ezinje, indlela yomchamo iyonzakala, kwaye njengoko loo manxeba ephola, kwakheka izicubu ezibomvu, nto leyo ebangela ukuba i-urethra ivaleke.

Ingaba le meko ingaba mandundu ukuba ayinyangwa?

Ewe, ngokuqinisekileyo. Ukuba i-Posterior Urethral Stenosis ayinyangwa kakuhle, inokuba mandundu ngokuhamba kwexesha. Oku kunokukhokelela kwiimeko ezinzulu ezifana nezi:

• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs).
• Ukonakala okungapheliyo kwesinyi.
• I-Vesicoureteral reflux kukuhamba komchamo ubuyela umva ukusuka kwisinyi ukuya kwizintso. Oku kufana namanzi avuzayo aphuma kumbhobho ohamba calanye.
• Ukonakala kwezintso. Oku kuyingozi kakhulu.

Kungoko ke, kubaluleke kakhulu ukubona ugqirha kwangoko xa uqaphela iimpawu. Oku kunokunceda ukuthintela iingxaki ezinkulu ezifana nezi.

Oogqirha bayixilonga njani le nto?

Xa usiya kugqirha, uza kuqala akubuze ngembali yakho yezonyango, akubuze ngeempawu zakho, aze emva koko enze uvavanyo lomzimba. Ukongeza, banokuyalela iimvavanyo ezininzi ukuqinisekisa ukuxilongwa, ezinje:

• Ii-X-reyi.
• Uvavanyo lwe-ultrasound.
• I-Cystoscopy: Oku kuquka ukudlulisa ityhubhu encinci enekhamera encinci eqhotyoshelwe kwi-urethra ukuze kuhlolwe ingaphakathi le-urethra kunye nesinyi. Nangona kunokuvakala kungathandeki kancinci, oku kunokunceda ukubona ngqo apho kuvaliwe khona kwaye kunjani.
• I-Retrograde Urethrogram: Olu luvavanyo lwe-X-ray. Apha, kufakwa into ekhethekileyo (idayi yomahluko) kwi-urethra kwaye kuthathwa imifanekiso ye-X-ray. Oku kuvumela ukuba naziphi na izithintelo kwi-urethra zibonakale ngokucacileyo.
• I-Voiding Cystourethrogram (VCUG): Oku kuquka ukuzalisa isinyi sakho ngento ekhethekileyo kunye nokuthatha ii-X-ray ngelixa uchama. Oku kunokunceda ukubona indlela umchamo wakho ohamba ngayo, nokuba kukho na ukuvaleka, okanye ukuba umchamo ubuyela umva na (reflux).

Emva kwezi mvavanyo, ugqirha angakuxelela ngokuchanekileyo ukuba unayo na i-Posterior Urethral Stenosis , kwaye ukuba unayo, ukuya kuthi ga kwinqanaba elingakanani.

Ngaba i-Postterior Urethral Stenosis inganyangeka ngokupheleleyo?

Ewe! Ezi zezona ndaba zilungileyo. Le meko inokunyangeka ukuba ifunyaniswe ngokuchanekileyo kwaye inyangwa ngokufanelekileyo. Ngoko ke akukho sizathu sokoyika.

Iphathwa njani le nto?

Unyango luxhomekeke kwisizathu, ubungakanani bezicubu ezibomvu, kunye nobude bendawo evalekileyo. Okwangoku akukho mayeza afumanekayo oku. Kukho iindlela ezimbini eziphambili zonyango:

1. Ukwanda komchamo:

• Oku kuquka ukusebenzisa izixhobo ezinde nezincinci (iintonga) okanye into efana nebhaluni ukwandisa kancinci kancinci indawo evalekileyo ye-urethra.
• Le yinkqubo elula kakhulu, engayi kuphazamisa kakhulu.
• Kodwa esi ayisosisombululo esihlala sihleli . Ingaphinda ibambeke emva kwexesha elithile. Ngoko ke kusenokufuneka uyenze le nyango izihlandlo ezininzi.

2. I-Urethroplasty:

• Olu lutyando . Olu tyando lulungisa inxalenye eyonakeleyo, evalekileyo yomgudu womchamo, okanye lususe loo nxalenye kwaye lusebenzise izicubu eziphilileyo ukulungisa umonakalo.
• Le yindlela enika iziphumo ezingcono kunendlela ekhankanyiweyo apha ngasentla ethi `(Urethral Dilation)`. Izinga lempumelelo lingaphezulu kwama-80%. Nangona kunjalo, ekubeni lutyando, kukho umngcipheko othile kwaye kuthatha ixesha elithile ukuba uphile.

Ugqirha wakho uza kuvavanya imeko yakho aze agqibe ukuba loluphi unyango olulungele wena.

Ziziphi iingxaki ezinokwenzeka emva konyango?

Nokuba emva konyango, kukho ithuba lokuba i-Posterior Urethral Stenosis ibuyele kwakhona. Yiyo loo nto kubalulekile ukuqhubeka njengoko ugqirha wakho esitsho.Kubaluleke kakhulu ukuya kutyelelo lokulandelela ukuze ubone ukuba uyachacha na kwaye kukho naziphi na iimpawu zengxaki eziphindaphindayo.

Ukwanda komchamo (UD) kusenokufuneka kuphindwe izihlandlo ezininzi, kodwa izinga lempumelelo ye-Urethroplasty liphezulu kakhulu.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Uninzi lwabantu luqala ukuziva ngcono kwiveki emva kokuba benotyando lwe-"Urethral Dilation". Nangona kunjalo, kungathatha iiveki ezimbini ukuya kwezintathu ukuba baphile ngokupheleleyo emva kotyando lwe-"Urethroplasty".

Ngaba zikho iindlela zokuzikhusela kule meko? (Ukuthintela)

Kunzima ukuthintela zonke izinto ezibangela oku. Umzekelo, izinto ezinje ngonyango lomhlaza zingenziwa ukuba kuyimfuneko. Nangona kunjalo, unganciphisa umngcipheko wakho wale meko ngokuzama ukuphepha ukwenzakala, ingakumbi kwindawo ye-pelvic .

Nazi ezinye izinto onokuzenza ngayo:

• Nxiba ibhanti lokhuseleko nanini na xa ukhwela imoto.
• Nxiba izixhobo/izikhuselo ezifanelekileyo kwimidlalo echaphazela kakhulu (umz. ihoki, ibhola ekhatywayo, ikarati, ilacrosse).
• Landela ukutya okukhuthaza amathambo aqinileyo. Yitya ukutya okutyebileyo kwi-calcium kunye ne-vitamin D.
• Buza ugqirha wakho ngamayeza anjenge-bisphosphonates anciphisa ukulahleka kwamathambo.
• Yenza umthambo wokuqinisa amathambo, ingakumbi imisebenzi yokuthwala ubunzima.
• Yeka ukutshaya kwaye unciphise ukusetyenziswa kotywala. Ukutshaya kunye nokusetyenziswa kotywala kakhulu kunokuchaphazela ukuqina kwamathambo akho.

Kuza kwenzeka ntoni ukuba le meko ikhona? Ikamva linjani? (Ingqikelelo)

Ithemba le- Postterior Urethral Stenosis lihlala lilungile. Unyango lunokwandisa, lulungise, okanye lususe i-urethra evalekileyo. Nangona kunjalo, njengoko benditshilo ngaphambili, le meko inokuphinda ivele. Ke ngoko, kubalulekile ukuqhubeka nokuhlolwa rhoqo njengoko ugqirha wakho eyalele.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana naziphi na iimpawu ze- posterior urethral stenosis (PUS) , ingakumbi utshintsho kwindlela yokuchama okanye utshintsho kwimbonakalo yomchamo wakho, qiniseka ukuba ubona ugqirha.

Kunini apho kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unayo nayiphi na kwezi mpawu, yiya kwigumbi likaxakeka elikufutshane ngokukhawuleza:

• Imeko apho kungenakwenzeka ngokupheleleyo ukuchama.
• Intlungu iba mandundu xa uchama.
• Igazi kumchamo.
• Iimpawu zosulelo (umz. umkhuhlane, ukubanda, ukudinwa kakhulu).

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Kungcono ukubuza le mibuzo xa usiya kugqirha:

• Ungazi njani ngokuqinisekileyo ukuba ndine-posterior urethral stenosis?
• Ingaba yintoni enokubangela ukuba oku kwenzeke kum?
• Ingaba indlela yam yokuchama imbi kangakanani? / Ingakanani indlela ehambileyo?
• Ndingayinyamekela njani impilo yam xa ndinayo le meko?
• Loluphi unyango olundicebisayo?
• Zithini iingozi kunye neenzuzo zendlela nganye yonyango?
• Ndifanele ndize kangaphi ukuze ndilandelelwe?
• Ucinga ukuba le meko iza kuphinda yenzeke kum?
• Ngaba kukho into endinokuyenza ukuthintela oku ukuba kungenzeki kwakhona?
• Ungandicebisa ingcali (Urologist) malunga noku?

Yintoni umahluko phakathi kwe-'Urethral Stricture' kunye ne-'Stenosis'?

Igama elithi "Stricture" kunye nelithi "stenosis" omabini la magama asetyenziswa ngoogqirha ukuchaza ukuncitshiswa okanye ukuvaleka kwendlela okanye ukuvulwa. Kukho umahluko omncinci kwezobuchwepheshe. I-Urethral stricture kukuncitshiswa kwenxalenye ye-urethra edlula kwi-corpus spongiosum, ekwicala elingaphantsi kwepenis. I-Stenosis idla ngokubhekisa ekuncitshisweni kwenxalenye ye-urethra edlula kwi-prostate okanye entanyeni yesinyi. I-postterior urethral stenosis yenye yeemeko ezinjalo.

Okokugqibela, umyalezo oya ekhaya

I-Posterior Urethral Stenosis (PUS) yimeko engaqhelekanga enokuchaphazela nabani na. Nangona kunjalo, ixhaphake kakhulu kumadoda. Ibangelwa zizicwili ezikhula kwi-1-2 intshi ephezulu ye-urethra, kufutshane nesinyi. Oku kunokubangela iingxaki zokuchama ezihlazisayo nezibuhlungu.

Kodwa, akufuneki uphile nezi ngxaki. I-Postterior Urethral Stenosis yimeko enokunyangwa, kwaye izinga lempumelelo lonyango liphezulu kakhulu.

Ukuba unayo nayiphi na kwezi mpawu, ingakumbi emva kokwenzakala esinqeni okanye olunye unyango oluhambelanayo, qiniseka ukuba uthetha nogqirha. Ukufunyaniswa kwangoko kunokwenza unyango lube lula kwaye impilo ikhawuleze.

Ukuvaleka komchamo , I-Postterior Urethral Stenosis, Ubunzima bokuchama, Impilo yamadoda, I-Prostate, Izifo zomchamo