Ngaba ubusoloko uziva kunzima ukuchama kutshanje? Ngaba ukuhamba komchamo akukhawulezi njengangaphambili, ngaba uyabhajwa, okanye uziva ngathi awukachami konke konke? Olu hlobo lokungakhululeki lunokwenzeka kumadoda kakhulu. Esinye sezizathu eziphambili zoku kukuvaleka kwe-urethra, okanye njengoko sibiza ngokwezonyango , ukuncitshiswa kwe-urethra (Urethral Stricture) . Ngoko ke namhlanje sithetha nge-Urethral Dilation, utyando olulula noluncinci olwenziwa njengesisombululo sale ngxaki.
Ngamafutshane, yintoni i-Urethral Dilation?
Ukwanda komchamo yindlela elula yezonyango eyandisa indawo enciphileyo okanye evalekileyo yomchamo. Khawuthelekelele ukuba iqhekeza lodaka linamathele kumbhobho wamanzi endlwini yakho, ukuhamba kwamanzi kuya kuncipha, akunjalo? Yiloo nto eyenzekayo nalapha. Umbhobho okhupha umchamo emzimbeni wakho ubizwa ngokuba yi-urethra. Izicubu ezikrwelekileyo zinokwakheka ndaweni ithile ngaphakathi kulo mbhobho kwaye zivale indlela. Oku kubizwa ngokuba yi-urethral stricture .
Kunokubakho izizathu ezininzi zolu hlobo lokuvaleka:
- Usulelo.
- Ukudumba.
- Ingozi okanye ukwenzakala (ukwenzakala) kwindlela yomchamo.
- Ngamanye amaxesha, isizathu esicacileyo sisenokungafumaneki.
Ngoko ke, kunyango lwe-Urethral Dilation, i-Urologist isebenzisa izixhobo ezincinci kakhulu, ezinde, ezifana neentonga (izandi) ukuze yandise kancinci indawo apho i-urethra yakho ivalekile khona. Ngamanye amaxesha, oku kwenziwa ngokufaka isixhobo esincinci esifana nebhaluni kwaye usivuthele ngokuphindaphindiweyo.
Into ebalulekileyo kukuba emva kokuvula i-urethra kube kanye, ukuvaleka kwayo kunokuphinda kubuye. Ukuba oku kuyenzeka, kungcono ukusebenzisa isisombululo esihlala sihleli, esifana ne -urethroplasty , endaweni yokuphinda ukuvulwa kwayo. Ugqirha wakho uza kukuchazela ngokweenkcukacha oku.
Ngaba oku kuyafana nokususwa kwe-urethrotomy?
Ukususwa kwe-urethra luhlobo lokuvulwa kwe-urethra. Kule nkqubo, ugqirha ufaka ityhubhu enobukhulu bepensile, exhotyiswe ngekhamera (cystoscope) kwi-urethra yakho ukuze ahlole ukuvaleka kwayo. Emva koko, esebenzisa imela encinci kakhulu (scalpel) kwisixhobo esifanayo, ugqirha usika izicubu ezibangela ukuvaleka, nto leyo eyandisa i-urethra.
Ndingayilungiselela njani le nyango?
Olu asilotyando olukhulu. Kodwa ngaphambi koko, kufuneka ubone ugqirha wakho uze ufumane ingcebiso. Apho,
- Imeko yakho yempilo iyonke iyajongwa.
- Izinto ezifana noxinzelelo lwegazi kunye nokubetha kwentliziyo ziyajongwa.
- Kunokwenziwa uvavanyo lwe-cystoscopy okanye olunye uvavanyo lomfanekiso ukuze kubonwe ukuba i-urethra ivalekile kangakanani na.
- Kuya kwenziwa uvavanyo lomchamo ukujonga ukuba kukho usulelo na. Ukuba kukho usulelo, kuya kufuneka uthathe amayeza alo ngaphambi kolu nyango.
- Xelela ugqirha wakho ngazo zonke iziyobisi ozisebenzisayo (imithi kagqirha kunye neyokunciphisa iintlungu kunye neevithamini ezithengiswa ngaphandle kwemvume kagqirha), njengoko amanye amayeza, njenge-aspirin, anokunyusa umngcipheko wokopha.
- Ugqirha wakho uza kukuxelela ukuba kufuneka uyeke ukutya okanye ukusela ixesha elingakanani ngaphambi konyango. Ngokubanzi, ukuba usebenzisa i-anesthesia jikelele, kungcono ungatyi okanye ungaseli nantoni na ubuncinane iiyure ezi-6.
| Ulwazi malunga nonyango | Inkcazo |
|---|---|
| Ngaba lutyando olukhulu? | Hayi. Olu asilotyando olukhulu. Ungaya ekhaya ngaloo mini inye ngaphandle kokuya esibhedlele. |
| Ingaba iza kuthatha ixesha elingakanani? | Ihlala ithatha ngaphantsi kweyure. |
| Ibuhlungu? | Awuyi kuva ntlungu ngexesha lonyango kuba uza kunikwa i-anesthesia. Unokufumana iintlungu ezincinci okanye ukutsha xa uchama iintsuku ezimbalwa emva koko. Oku kungalawulwa ngeepilisi zokuphelisa iintlungu eziqhelekileyo. |
Kwenzeka ntoni emva konyango?
Emva konyango, ungafakelwa i-catheter yomchamo ukuze ikuncede ukhuphe umchamo de urethra yakho iphole. Ugqirha okanye umongikazi wakho uya kukuxelela indlela yokuyinyamekela. Ufanele ukwazi ukuchama lula emva kokuba i-catheter isusiwe kwiintsuku ezimbalwa.
Xa une-catheter endaweni yayo, usenokuba nomnqweno wokuchama nangona isinyi sakho singenanto. Musa ukoyika oku. Kuqhelekile ukuba negazi elincinci kumchamo wakho (hematuria). Nangona kunjalo, ukuba i-catheter yakho ivaliwe kwaye umchamo awuphumi,Kufuneka wazise ugqirha ngoko nangoko.
Zinjani iziphumo?
Eyona nzuzo iphambili yolu nyango kukuba ukungakhululeki kokugcinwa komchamo kuphelile, kwaye ungachama lula kwaye uphilile.
Nangona kunjalo, esi ayisosisombululo esihlala sihleli. Ekuhambeni kwexesha, ukuvaleka kungaphinda kubuye. Ke ngoko, kunokufuneka uphinde olu nyango okanye ufune olunye unyango olufanelekileyo.
Ngokuphathelele impumelelo, kukho izinga lempumelelo elingama-60% kwiibhloko ezincinci ezingaphantsi kweesentimitha ezi-2. Nangona kunjalo, eli pesenti linokuncipha ngokuhamba kwexesha.
Yintoni endifanele ndiyilumkele emva konyango?
Ixesha lokuchacha liyahluka kumntu nomntu. Ngokwesiqhelo, uya kuziva ungcono kakhulu kwiintsuku ezimbalwa.
- Ukubuyela emsebenzini: Ungaqhubeka nemisebenzi yakho yesiqhelo kwiintsuku ezimbalwa. Nangona kunjalo, ukuba unomsebenzi onzima emzimbeni, cela ugqirha wakho ukuba akunike iintsuku ezimbalwa ezongezelelweyo zokuphumla.
- Ukuzilolonga: Kuphephe ukuzilolonga okunzima de ugqirha wakho akunike imvume.
- Isenzo sokwabelana ngesondo: Kububulumko ukuphepha isenzo sokwabelana ngesondo ubuncinane iveki emva konyango. Thetha nogqirha wakho ngale nto.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.
Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva konyango, musa ukuzityeshela. Fowunela ugqirha wakho ngoko nangoko. Okanye yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukungakwazi ukuchama.
- Umbhobho we-urethra ofakiweyo uvalekile kwaye umchamo awuphumi.
- Ukubonisa iimpawu zosulelo ezifana nomkhuhlane, ukubanda, kunye nokungcangcazela.
- Ukuba intlungu iya isiba mandundu.
- Ukuba kukho ukudumba okungaqhelekanga.
Ukuba iimpawu zokugcinwa komchamo ziyaphinda zibuye emva kokuba uphilile, bona ugqirha.
Umyalezo Wokuya Ekhaya
- Ukwanda komchamo yindlela yonyango engangenisi ntsholongwane nekhuselekileyo yokuthintela ukuvaleka komchamo.
- Olu asilotyando olukhulu, kwaye ungaya ekhaya ungalali esibhedlele.
- Intlungu encinci kunye nokungakhululeki emva konyango kuya kuphela kwiintsuku ezimbalwa.
- Olu nyango lusenokungabi sisisombululo esihlala sihleli, kwaye ukuba ukuvaleka kuphinde kubuye ngokuhamba kwexesha, kunokufuneka ukuba ubuyele umva okanye wenze olunye utyando.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (ukungakwazi ukuchama, umkhuhlane, iintlungu eziqatha) emva konyango, yazisa ugqirha wakho ngoko nangoko.
- Ukuba unemibuzo okanye iinkxalabo malunga nemeko yakho, thetha ngayo ngokukhululekileyo nogqirha wakho. Bahlala bekulungele ukukunceda.
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