Ngaba wakha waba nentlungu ebuhlungu emqolo, nokuba ingaphantsi kweembambo zakho okanye kwicala ngalinye lomqolo wakho? Okanye wakha waziva iintlungu xa uchama, njengokuba ungakwazi ukuchama? Ngamanye amaxesha ezi zinto zinokuba ziimpawu zengxaki enkulu emzimbeni wakho, nangona singazinaki kangako. Namhlanje siza kuthetha ngemeko onokuthi uyicinge ngamanye amaxesha efana nale, kodwa abantu abaninzi abayazi. Leyo yi-Ureteral Obstruction, okanye `(Ureteral Obstruction)`.
Ngamafutshane, yintoni i-Ureteral Obstruction?
Kulungile, ukuze sikuqonde oku, masiqale sijonge indlela esebenza ngayo le nkqubo emzimbeni wethu. Sinezintso ezimbini emzimbeni wethu, akunjalo? Umsebenzi ophambili wezi zintso zimbini kukucoca igazi, ukwahlula inkunkuma engeyomfuneko kulo, nokwenza umchamo. Kufana nesihluzo samanzi.
Umchamo owenziwe ngolu hlobo uthwalwa usuka kwizintso uye kwisinyi (ilungu esilisebenzisayo ukufumanisa xa sigcwele umchamo). Ezi tyhubhu zimbini zibizwa ngokuba yi-"Ureters". Kukho enye yezintso nganye. Umchamo oqokelelana kwisinyi uyakhutshwa emzimbeni xa sichama.
Khawucinge nje, kwenzeka ntoni ukuba le tube (Ureter) ethwala umchamo ukusuka kwizintso ukuya kwisinyi ivalekile okanye ivalekile ngesizathu esithile? Yiloo nto siyibiza ngokuba yi-Ureteral Obstruction. Kufana nokuba iqhekeza lothuli linamathele ngaphakathi kumbhobho wamanzi, amanzi ayayeka ukuhamba.
Xa ukuhamba komchamo kuyeka ngale ndlela, umchamo uqala ukubuyela umva uze uqokeleleke ngaphakathi kwintso. Oku kunokubangela ukuba izintso zidumbe kwaye zonakale. Kwakhona, amathuba osulelo aphezulu kakhulu ngenxa yomchamo ohlala kwindawo enye. Ukuba oku akunyangelwanga ngokukhawuleza, kunokukhokelela kwiimeko ezinzulu ezifana nokungasebenzi kakuhle kwezintso okanye usulelo olunzima (sepsis). Kodwa ungakhathazeki, le meko inokuchongwa kwaye inyangwe kwangethuba.
Ngubani onokuthi abe nale meko?
Enyanisweni, le meko inokwenzeka nakweyiphi na iminyaka, nakubani na. Kwanabantwana abancinci banokuyifumana ngenxa yezizathu ezithile zokuzalwa.
Nangona kunjalo, le meko ixhaphake kakhulu kumadoda angaphezulu kweminyaka engama-60 ubudala. Isizathu esiphambili soku kukuba i-prostate gland iyanda njengoko sikhula. Le gland ikwindawo engaphantsi kwesinyi. Ngoko ke xa ikhula, kunokwenzeka ukuba icinezele kwaye ivale i-urethra.
Zithini iimpawu zoku? Sizibona njani?
Iimpawu zokuvaleka komchamo zingahluka kumntu nomntu. Ziyahluka ngokuxhomekeke kwisizathu sokuvaleka kunye nesantya okwenzeka ngaso. Umzekelo, ukuba ilitye lezintso lingena ngequbuliso kwi-urethra, intlungu iba nkulu. Nangona kunjalo, ukuba i-urethra ivaleka kancinci kancinci ngenxa yesinye isizathu, iimpawu ziyakhula kancinci kancinci.
Nazi ezinye iimpawu ekufuneka uzazi:
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu yeFlank | Intlungu ebukhali eyenzeka kwicala lasekunene okanye lasekhohlo lomqolo, ngaphantsi nje kwembambo. Ngamanye amaxesha le ntlungu inokusasazeka iye emqolo. Isenokuba yintlungu enzima eza ize ihambe njengegagasi. |
| Umkhuhlane, isicaphucaphu, kunye nokuhlanza | Ezi mpawu zinokwenzeka ukuba ukuvaleka kubangela usulelo. Zisenokuhamba nobuthathaka. |
| Ubunzima bokuchama | Ubunzima bokuqala ukuchama, umchamo obuthathaka, ukuziva ngathi kusekho umchamo nasemva kokuchama. |
| Ukudinga rhoqo ukuchama | Isidingo sokuchama rhoqo, ingakumbi ebusuku. |
| Usulelo oluphindaphindayo lwendlela yomchamo (UTIs) | Ukuba uqhubeka ufumana usulelo lomchamo nangona unyangwa, unobangela usenokuba kukuvaleka kwangaphakathi. |
| Igazi okanye umbala omnyama kumchamo | Ukuba umchamo ubonakala upinki, ubomvu, okanye umdaka, luphawu lwegazi. Ukuba ubonakala unamafu, luphawu losulelo. |
| Ukudumba kwemilenze | Xa izintso zingaphumeleli, amanzi anokuqokelelana emzimbeni aze abangele ukudumba emilenzeni. |
Eyona nto ibalulekileyo kukuba ukuba unenye okanye ngaphezulu kwezi mpawu, ngokuqinisekileyo kufuneka uyibonise ugqirha. Kuba ezi zinokuba ziimpawu zezinye izifo. Kungoko ke, kubaluleke kakhulu ukufumana uxilongo oluchanekileyo.
Yintoni ebangela ukuvaleka komchamo ngolu hlobo?
Zininzi izizathu ezinokuchaphazela oku. Ezinye zingaphakathi emzimbeni, ngelixa ezinye zibangelwa luxinzelelo lwangaphandle.
Izithintelo emzimbeni:
- Amatye e-Ureteral: Le yeyona nto ixhaphakileyo. Amatye aphuma kwizintso ahamba nomchamo aze abhajwe ngaphakathi kweli tyhubhu lincinci elibizwa ngokuba yi-ureter.
- I-Benign Prostatic Hyperplasia (BPH): Njengoko besitshilo ngaphambili, kumadoda amadala, i-prostate gland inokukhula ize icinezele i-urethra.
- Izicubu Ezinezibazi: Izicwili ezinazo zinokwakheka ngaphakathi kwi-urethra ngenxa yotyando lwangaphambili, usulelo, okanye ingozi, nto leyo ethintela ukuhamba komchamo. Ngamanye amaxesha, ezi zinokuba khona xa umntwana ezalwa.
- Iingxaki ezivela ekuzalweni:
- `Ukuvalwa kwe-Ureteropelvic Junction`: Oku kukuvalwa kwe-congenital kwindawo apho izintso kunye ne-ureter zihlangana khona.
- `Ureterocele`: Iqhubu elifana nebhaluni elivala i-urethra apho idibana khona nesinyi.
- I-Ectopic Ureter: I-ureter inamathele kwindawo engafanelekanga kwisinyi.
Izithintelo ezibangelwa luxinzelelo oluvela ngaphandle komzimba:
- Iithumba okanye iiCysts: Iithumba okanye iiCysts: Iithumba okanye iiCysts ezikhula esiswini okanye kwindawo ye-pelvic, nokuba zinomhlaza okanye azinawo umhlaza, zinokuphuma kwi-urethra zize ziyivale. (Umzekelo: Umhlaza womlomo wesibeleko, umhlaza wamathumbu amakhulu)
- Izifo zenkqubo yokugaya ukutya: Iimeko ezifana nesifo sikaCrohn kunye ne-diverticulitis zinokubangela ukuba amathumbu adumbe, kwaye ukudumba kunokubangela uxinzelelo kwi-urethra.
- Izizathu ezithile ezichaphazela abafazi:
- Ukukhulelwa: Njengoko isibeleko sikhula ngenxa yokukhula komntwana, i-urethra isenokucinezelwa.
- I-Endometriosis: Izicubu ezingaphakathi kwesibeleko zikhula ngaphandle kwesibeleko, nto leyo ebangela ukuba zikhule zijikeleze i-urethra kwaye zibangele ukuvaleka.
- Ukuqhekeka kwesibeleko: Isibeleko sinokuhla sisuka kwindawo yaso eqhelekileyo, nto leyo ebangela uxinzelelo kwisinyi nakwi-urethra.
Ugqirha uyixilonga njani ngokuchanekileyo le meko?
Xa usiya kugqirha oneempawu zakho, uza kuqala akubuze imibuzo, akuhlole, aze emva koko akuyalele iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lwegazi kunye novavanyo lomchamo: Olu vavanyo lunokujonga indlela ezisebenza ngayo izintso zakho (ingakumbi amanqanaba akho e-creatinine) kunye nokuba kukho usulelo okanye igazi kumchamo wakho.
- I-Ultrasound Scan: Olu luvavanyo olulula kakhulu, olungenazintlungu. Lunokubona ngokucacileyo ukuba izintso zidumbile okanye zivaliwe.
- I-CT Scan: Oku kunokuvelisa imifanekiso ecacileyo nenemilinganiselo emithathu yomzimba. Oku kunokunceda ekuchongeni ngqo apho ukuvaleka kukhoyo kwaye yintoni ebangela oko (umz., ilitye okanye iqhuma).
- Iskeni yeSinyi: Oku kujonga ukuba isinyi sakho siyaphuma ngokupheleleyo emva kokuba uchamile, okanye ukuba kukho umchamo oseleyo.
Iphathwa njani?
Unyango luxhomekeke kwisizathu sokuvaleka kwakho, ubungakanani bokuvaleka, kunye nempilo yakho iyonke. Kukho amanyathelo amabini aphambili kunyango.
1. Inyathelo lokuqala: Ukukhupha umchamo (ukususa ukuvaleka)
Into yokuqala ekufuneka yenziwe kukususa umchamo oqokelelene emzimbeni ukuze kuthintelwe umonakalo kwizintso. Zininzi iindlela zokwenza oku.
- I-Ureteral Stent: Ityhubhu ebhityileyo neguquguqukayo (i-stent) ifakwa ngesinyi ize yehle kwi-ureter iye kwizintso. Le tyhubhu ivula ityhubhu evalekileyo kwaye ivumela umchamo ukuba uphume lula.
- Ityhubhu yeNephrostomy: Kwezinye iimeko, ityhubhu encinci ifakwa ngesikhumba ngqo kwizintso, apho umchamo uqokelelwa khona kwingxowa.
- Ukucoca ngeCatheter: Ukuba ukuvaleka kukufutshane nesinyi, kufakwa i-catheter nge-urethra iye kwisinyi ukuze kuphume umchamo.
Into ebalulekileyo kukuba ezi ndlela zinciphisa uxinzelelo okwethutyana kwaye zikhusele izintso. Esi asisosisombululo sokugqibela.
2. Inyathelo Lesibini: Nyanga Unobangela Wokuvinjwa Kwesi sifo
Nje ukuba umchamo ubuyele esimeni sawo, ugqirha uza kuqala ukunyanga unobangela wokuvaleka kwawo.
- Amayeza: Kwiimeko ezifana ne-benign prostatic hyperplasia (BPH), amayeza anokunikwa ukunciphisa i-gland okanye ukuphumza izihlunu ezijikeleze yona.
- Utyando:Ixesha elininzi, isisombululo esihlala sihleli lutyando. Kodwa ungoyiki ukuthi "utyando." Ngobuchwepheshe bale mihla, uninzi lwexesha, utyando lwenziwa ngokusikwa okuncinci (Okuncinci kakhulu).
- Ukuba lilitye lomchamo, lingatyunyuzwa kusetyenziswa i-shockwave lithotripsy okanye lisuswe kusetyenziswa iindlela ezifana ne-endoscopy ngokufaka isixhobo esincinci esinekhamera.
- Ukuba kukho iqhuma, isilonda, okanye ukuvaleka kokuzalwa, utyando luya kuyisusa loo ndawo kwaye lubuyisele umbhobho endaweni yawo.
Ugqirha wakho uza kukuchazela ngokweenkcukacha ukuba loluphi unyango olufanelekileyo kuwe.
Ngaba ikho into esinokuyenza ukuthintela le meko?
Ezinye izizathu, ingakumbi iingxaki zokuzalwa, azinakuthintelwa. Nangona kunjalo, kukho izinto esinokuzenza ukunciphisa umngcipheko wethu. Ezi zinto zinokunceda ekuthinteleni eyona nto ixhaphakileyo, ingakumbi amatye omchamo.
- Sela amanzi amaninzi: Kubaluleke kakhulu ukusela ubuncinane iilitha ezi-2-3 zamanzi ngosuku. Oku kuyawunciphisa umchamo kwaye kunciphisa umngcipheko wokwakheka kwamatye.
- Gcina ubunzima obusempilweni: Kubalulekile ukulawula ubunzima bomzimba wakho.
- Nciphisa ukungenisa ityuwa: Nciphisa ubuninzi betyuwa oyongeza ekutyeni kwakho. Ukutya okusemathinini, inyama ecoliweyo, kunye neesosi zinotyuwa eninzi.
- Fumana i-calcium eyaneleyo: Abanye abantu bacinga ukuba ukunciphisa ukutya i-calcium kuya kunciphisa umngcipheko wokwakheka kwamatye. Kodwa oko akuyonyani. Fumana isixa esifunekayo se-calcium (malunga ne-1000-1200 milligrams) ekutyeni yonke imihla.
Umyalezo Wokuya Ekhaya
- Ukuvaleka komchamo kukuvaleka kombhobho othwala umchamo ukusuka kwizintso ukuya kwisinyi.
- Qaphela iimpawu ezifana nentlungu eqatha kumacala omabini omqolo, ubunzima bokuchama, kunye nomkhuhlane.
- Ukuba unale mpawu, bonana nogqirha ngokukhawuleza. Musa ukuzinyanga okanye ukuzityeshela.
- Eyona nto ibangela oku ngamatye omchamo. I-prostate ekhulisiweyo, iithumba, kunye neengxaki zokuzalwa nazo zinokuba negalelo.
- Ukuba ifunyenwe kwaye inyangwa kwangethuba, umonakalo wezintso unokuthintelwa kwaye umntu angachacha ngokupheleleyo.
- Ukusela amanzi amaninzi nokuphila ubomi obusempilweni kunokunciphisa umngcipheko wokufumana ezinye izinto ezibangela oku, ezifana namatye omchamo.
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