Amadoda: Unyango lwanamhlanje, olungelulo utyando lwe-prostate ekhulisiweyo (iNkqubo yeRezūm)

Ngaba nawe ukufumanisa kunzima kancinci ukuchama njengoko ukhula? Ngaba i-urethra yakho iyancipha, kwaye uyachama rhoqo? Okanye kufuneka uvuke amaxesha amaninzi ebusuku ukuze uchame? Ezi ziingxaki eziqhelekileyo amadoda amaninzi ajongana nazo njengoko ekhula. Isizathu esiphambili soku kukwanda kwe-prostate gland, esiyibiza ngokwezonyango ngokuthi `(Benign Prostatic Hyperplasia - BPH)`. Ngoko ke nokuba uthatha amayeza oku, ngamanye amaxesha awaniki ncedo lupheleleyo. Abantu abaninzi bayoyika ukuya kutyando njengenyathelo elilandelayo. Yingakho indlela yamva nje yonyango olungelulo utyando esithetha ngayo namhlanje ibaluleke kakhulu kubantu abanjalo. Masithethe ngolu nyango lwe-`Rezūm` ngokulula.

Ngamafutshane, yintoni le ndlela yonyango lweRezūm?

I-`Rezūm` lunyango olungasebenzisi utyando, olungenalo utyando kakhulu lwe-benign prostatic hyperplasia (BPH). Lubandakanya ukusebenzisa isixhobo esikhethekileyo ukuqondisa umphunga wamanzi acocekileyo (umphunga) kwiindawo ezikhulisiweyo zeprostate yakho. Amandla akumphunga atshabalalisa iiseli ezikhulisiweyo, nto leyo ebangela ukuba zinciphe ngokuhamba kwexesha.

Cinga ngokubilisa into ngomphunga wamanzi. Kodwa oku kwenziwa ngendlela elawulwayo kakhulu, kuphela kwindawo ethile. Esi sixhobo sifakwa nge-urethra yakho, ngoko akukho mfuneko yokusika okanye ukuthunga naphi na emzimbeni wakho. Ngaphambi konyango, indawo iyavaleka ukuze ungabi nantlungu, ukuze ungaziva ungakhululekanga. Oku kukwabizwa ngokuba yiWater Vapor Therapy.

Ngubani olu nyango lufanelekileyo? Kwaye ngubani olungafanelekanga?

Olu nyango lwenziwa ikakhulu kumadoda ane-benign prostatic hyperplasia (BPH). Ubusazi na ukuba i-prostate yi-gland ekufutshane nesinyi kumadoda? Njengoko sikhula, iyanda kancinci kancinci. Njengoko ikhula, i-urethra ehamba kuyo iqala ukuqina. Kulapho ke iimpawu ezikhankanyiweyo apha ngasentla zobunzima bokuchama, ukuchama rhoqo, kunye nokuziva kufuneka uchame emva kokuba ugqibile ukuchama.

Nangona kunjalo, ayinguye wonke umntu onokulufumana olu nyango. Kukho iimeko apho oogqirha bengalucebisi.

• Ukuba uneengxaki ezinxulumene nokusebenza kwezintso .
• Ukuba une-implant ye-urethra.
• Ukuba iprostate yakho inkulu kakhulu (ngesiqhelo ingaphezulu kwama-80 grams).

Ugqirha wakho uza kukuhlola aze afumanise ukuba unale meko okanye awunayo.

Indlela unyango oluqhutywa ngayo kwaye luthatha ixesha elingakanani

Olu nyango lwe-`Rezūm` alufuni ukuhlala ixesha elide kwindawo enkulu yotyando. Ngokwesiqhelo lunokwenziwa eofisini kagqirha (inkqubo yeofisi).

Ngaphambi nangexesha lonyango

Okokuqala, ugqirha uza kukucela ukuba uchame uze ubuye. Emva koko, kuya kunikwa i-anesthetic yendawo ukuze ivale i-urethra kunye nendawo ejikeleze i-prostate gland ukuze ungabi nantlungu okanye ukungakhululeki ngexesha lonyango.

Emva koko, ugqirha we-urologist ufaka isixhobo eside, esincinci, esiphathwa ngesandla esibizwa ngokuba yi-speculum kwi-urethra yakho. Inaliti encinci iphuma esiphelweni setyhubhu ize ikhuphe umphunga kwi-prostate gland ekhulisiweyo imizuzwana embalwa. Oku akwenziwa kwindawo enye kuphela, kodwa kwiindawo ezininzi njengoko kufuneka. Ubushushu obuvela kulo mphunga butshabalalisa iiseli ezongezelelweyo, nto leyo ebangela ukuba zinciphe ngokuhamba kwexesha.

Emva konyango

Emva kokuba unyango luphelile, kuya kufuneka ufake i-catheter yomchamo kwiintsuku ezimbalwa zokuqala. Oku kungenxa yokuba unyango lunokubangela ukudumba kwindawo ethile. I-catheter ifakwa kuba ukudumba kuya kwenza kube nzima ukuchama. Emva kokuba ukudumba kuhlile kwiintsuku ezimbalwa, ugqirha uya kuyisusa i-catheter.

Unyango lonke ludla ngokuthatha malunga nemizuzu engama-30 . Kuthatha imizuzwana eli-10 nje kuphela ukuqondisa umphunga kwindawo enye. Oku kungenziwa ukuya kuthi ga kwizihlandlo ezili-15 kwiseshoni enye yonyango.

Iingenelo kunye nempumelelo yonyango lweRezūm

Olu nyango luthathwa njengonyango olukhuselekileyo nolusebenzayo lwe-BPH. Kwakhona, iziphumo zihlala ixesha elide. Makhe sibone ukuba zeziphi ezinye izibonelelo ezinazo.

• Akusekho mfuneko yamayeza e-BPH: Abantu abaninzi bayakwazi ukuyeka ukuthatha amayeza emihla ngemihla emva kolu nyango.
• Iziphumo ezikhawulezayo: Ungabona ukuphucuka okucacileyo kwiimpawu kwiiveki ezimbalwa.
• Ukugcina ukusebenza kwesondo: Utyando olukhulu ngamanye amaxesha lunokuchaphazela ukusebenza kwesondo. Nangona kunjalo, ngolu nyango, umngcipheko uphantsi kakhulu.
• Ukuba ngunyango lwangaphandle: Akukho mfuneko yokuhlala esibhedlele. Ungaya ekhaya ngaloo mini yonyango.
• Akukho mfuneko yokusetyenziswa kwe-anesthesia ngokubanzi: Akufuneki ukuba ungabikho zingqondweni ngokupheleleyo. Ukuvala nje indawo eneziphazamiso kwanele.
• Ukuchacha ngokukhawuleza: Ungabuyela kwimisebenzi yakho yesiqhelo kwiintsuku ezimbalwa.
• Ukuphinda-phinda: Amaxesha amaninzi, ukuba iimpawu ziphinda zibuye emva kwexesha elithile, olu nyango lunokuphindwa.

Iphumelele kangakanani le nto?

Izinga lempumelelo yonyango lweRezūm liphezulu kakhulu. Izifundo zibonise ukuba bangaphantsi kwe-5% abantu abafuna utyando oluphindaphindwayo kwiminyaka emi-5 yonyango. Kwakhona, malunga ne-10% kuphela yabantu ekufuneka bathathe amayeza e-prostate kwakhona ngelo xesha. Nangona olu nyango lutsha (lwavunywa ngo-2015), idatha yangoku ibonisa ukuba iziphumo zilungile kakhulu ubuncinane iminyaka emi-5.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?

Njengakwezinye iindlela zonyango, kukho iingozi ezincinci kunye nemiphumo emibi, kodwa uninzi lwazo zezokwexeshana.

Musa ukoyikiswa zezi mpawu. Uninzi lwazo alwenzeki kuwo wonke umntu. Kwakhona, ugqirha wakho uza kukwazisa ngezi mpawu kwangaphambili.

Ixesha lokubuyisela kunye noko kufuneka ukwenze

Oku kubaluleke kakhulu. Iimpawu zakho aziyi kutshintsha ngoko nangoko emva konyango. Enyanisweni, ungaziva ngathi iimpawu zakho zinyukile kancinci kwiiveki ezimbalwa zokuqala. Oko kungenxa yokudumba. Kodwa ungakhathazeki ngako. Yinto eqhelekileyo leyo.

Uninzi lwabantu lubona ukuphucuka okubonakalayo kwiimpawu zabo kwiiveki ezimbalwa . Nangona kunjalo, kungathatha ukuya kuthi ga kwiinyanga ezintathu ukubona iziphumo eziphezulu. Kuthatha ixesha ukuba umzimba uphile ngaphakathi.

Yenza ezi zinto ukuze ululame ngokulula

• Ukuphumla: Emva konyango, hlala ekhaya uphumle kakuhle ubuncinane usuku olunye okanye ezimbini. Nangona ungenza izinto ezifana nokuhamba ngeenyawo nokuqhuba, kuphephe imisebenzi enzima efana nokubaleka, ukuphakamisa iintsimbi, kunye nokukhwela ibhayisekile iiveki ezimbalwa.
• Kuphephe ukwenza izinto zesondo: Ukuzikhwebula kwisondo okanye ukuphulula amalungu esini kangangeentsuku ezimbalwa kuya kunceda indawo leyo ukuba iphole ngokukhawuleza.
• Sela amanzi amaninzi: Ukusela amanzi amaninzi imini yonke kuya kunceda ukukhupha igazi elisemchameni wakho (ukuba likho) ngokukhawuleza.
• Ziphephe iziselo ezicaphukisa isinyi: Ziphephe itiye ene-caffeine, ikofu, iziselo ezinika amandla, iziselo ezine-carbonated (ezifana ne-soda), kunye neziselo zeziqhamo ze-citrus ezifana nee-orenji kunye ne-grapefruit okwethutyana.

Ufanele uphinde uye kugqirha wakho kwakhona nini?

Ufanele udibane nogqirha wakho kwakhona emva kweeveki ezimbini ukuya kwezintathu emva konyango lwakho. Uza kujonga inkqubela yakho.

Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho okanye uye esibhedlele ngokukhawuleza.

• Ukuba awukwazi ukuchama konke konke .
• Ukuba kukho intlungu enzima .
• Ukuba unomkhuhlane ongaphezulu kwe-101 Fahrenheit (38 Celsius) .
• Ukuba uziva ubanda kwaye uqhaqhazela (Ukugodola).
• Ukuba kukho urhudo (isisu esibuhlungu) .

Ukuthelekisa nezinye iindlela zonyango

I-`Rezūm` ayilonyango lodwa lwe-BPH. Zikho nezinye iindlela ezifanayo. Masithelekise i-`Rezūm` nezi ndlela zimbini ziphambili.

Ngamafutshane, iindlela ze-`Aquablation` kunye ne-`TURP` zibonelela ngeziphumo ezikhawulezayo neziqinileyo, kodwa zikwaneengozi eziphezulu kuba kufuneka zenziwe kwigumbi lotyando. I-`Rezūm` yindlela elungileyo phakathi kwezi, enomngcipheko omncinci, kwaye ngaphandle kokuhlala esibhedlele.