Ngaba uhlala ufumana usulelo lomchamo? Ngaba uziva ngathi kufuneka uphinde uchame emva kokuba ugqibile ukuchama? Okanye ngaba uva iintlungu ngexesha lokwabelana ngesondo? Abafazi abaninzi bachitha ixesha labo bengakhululekanga ngenxa yeengxaki ezinjalo. Ngamanye amaxesha isizathu soku sinokuba yinto eyahlukileyo kunokuba sicinga. Namhlanje siza kuthetha ngemeko enjalo, engaziwa kangako kodwa enokuchaphazela abafazi. Yiyo leyo i-Urethral Diverticulum.
Ngamafutshane, yintoni i-Urethral Diverticulum (UD)?
Ukuze siqonde oku, masiqale sijonge indlela esebenza ngayo inkqubo yethu yomchamo. Umchamo, oqokelelana kwisinyi sethu, uphuma emzimbeni ngetyhubhu encinci ebizwa ngokuba yi-urethra . Kwabasetyhini, le urethra imfutshane kakhulu, malunga neesentimitha ezi-4 ubude.
Ngoku khawucinge ukuba kule mbhobho apho umchamo uya khona, oko kukuthi, i-urethra, into efana nengxowa encinci okanye iqhuma lenzeka eludongeni. Livuvukala njengebhaluni. Yiloo nto siyibiza ngokuba yi-Urethral Diverticulum (UD) . Le yingxowa engafunekiyo eyenzeka.
Ekubeni le ngxowa ikwindawo yomchamo, umchamo ungazalisa xa uchama. Ngamanye amaxesha, inokuzaliswa ziintsholongwane kunye nobomvu. Oku kunokukhokelela kwiintsholongwane ezixhaphakileyo kunye nezinye iingxaki ezininzi, ezifana neentlungu.
Ingaba le yimeko eyenzeka kubantu abaninzi?
Hayi ngokwenene. Le yimeko engaqhelekanga. Kodwa inani labantu abafunyaniswa benale meko liphezulu kancinci ngoku kunangaphambili. Isizathu soku kukuba iteknoloji yezonyango ephucukileyo ngoku iyafumaneka. Ingakumbi ngeendlela zokuskena ezifana neMRI kunye ne-Ultrasound, kuye kwenzeka ukuba ezi ngxaki zibonakale ngokucacileyo emzimbeni.
Nangona kunjalo, kuba kunqabile, ngamanye amaxesha nokuba kukho iimpawu, oogqirha basenokungayinaki le nkalo. Ngenxa yoko, ezinye izigulana zisenokungafumani ngokuchanekileyo le ngxaki. Le meko idla ngokubonakala kakhulu kubafazi abaphakathi kweminyaka engama-30 ukuya kwengama-60 ubudala .
Yintoni ebangela oku?
Akusoloko kulula ukufumana unobangela oqinisekileyo woku, kodwa kukho izinto ezimbalwa oogqirha abakholelwa ukuba zinokwenzeka:
- Usulelo oluqhelekileyo lwendlela yomchamo: Xa unesulelo oluqhelekileyo lwesinye kunye ne-urethra, udonga lwe-urethra lunokuba buthathaka. Olu buthathaka kulapho inxalenye efana nengxowa iqala khona ukwakheka.
- Ukuvaleka kwamadlala ajikeleze i-urethra: Xa imingxuma yamadlala amancinci ajikeleze i-urethra ivalekile, ukungcola kunokuqokelelwa ngaphakathi kuwo, kusuleleke, kwaye ngokuhamba kwexesha, olu hlobo lwengxowa lunokwakheka.
- Ingxaki yokuzalwa: Kunqabile kakhulu, le meko inokubangelwa bubuthathaka obukhoyo ekuzalweni.
- Impembelelo ngexesha lokubeleka: Kukho ithuba elincinci lokuba le meko inokwenzeka ngenxa yoxinzelelo oluthile okanye umonakalo kwindawo ngexesha lokubeleka.
Ngaba nawe unazo ezi mpawu?
Abafazi abaninzi abane-urethral diverticulum banokuziva bengakhululekanga, benobunzima, okanye benamaqhuqhuva kwindawo yesini. Nangona kunjalo, olunye okanye ngaphezulu kwezi mpawu zilandelayo lunokubakho. Makhe sijonge ezi ukuze siziqonde kakuhle.
| Uphawu | Ingcaciso elula |
|---|---|
| Usulelo oluqhelekileyo lwendlela yomchamo | Ngenxa yokuba umchamo uhlala kuloo ngxowa, iintsholongwane zinokusasazeka ngokulula kwaye usulelo lunokwenzeka nokuba kube kanye okanye kabini ngenyanga. |
| Ukuvuza kwamanzi (ukuvuza komchamo) nasemva kokuchama | Emva kokuba ugqibile ukuchama, umchamo obugcwele ebhegini uza kuphuma kancinci kancinci. Oku kungayimanzisa impahla yakho yangaphantsi. |
| Intlungu ngexesha lokuchama | Usenokuziva utshisa kwaye uneentlungu xa uchama, ingakumbi ukuba unesifo. |
| Ungxamiseko | Udinga ukuchama ngequbuliso nangokungalawulekiyo. Kufuneka uchame amaxesha amaninzi ngemini. |
| Igazi kumchamo | Ngamanye amaxesha umchamo unokuba pinki okanye ube bomvu. |
| Intlungu ngexesha lokwabelana ngesondo | Ngenxa yendawo ekuyo le ngxowa, ukuyicinezela ngexesha lesondo kunokubangela iintlungu eziqatha. |
Into ebalulekileyo kukuba ezi mpawu azifani rhoqo. Kwezinye iintsuku zisenokuba buthathaka, kwezinye iintsuku zibe nzima kakhulu. Kwakhona, malunga nama-20% abasetyhini abanale meko basenokungabi nazo naziphi na iimpawu kwaphela.
Ugqirha uyixilonga njani le meko?
Ngokwesiqhelo, ugqirha urhanela oku xa ubaxelela ngeempawu zakho, okanye ngexesha lovavanyo lwe-pelvic. Emva koko, benza iimvavanyo ezimbalwa ukuze bafumane unobangela ochanekileyo.
1. Uvavanyo lomzimba
Okokuqala, ugqirha uza kuhlola iindonga zesini sakho ukuze abone ukuba kukho na amaqhuma okanye iingxowa. Baza kuzama nokuchonga indawo echanekileyo yentlungu. Ukuba baziva inqwaba efana nengxowa, baza kuyicinezela kancinci ukuze babone ukuba umchamo okanye ubomvu buphuma na. Baza kwenza novavanyo lomchamo ukuze bajonge ukuba akukho ntsholongwane na.
2. Iiskeni kunye nezinye iimvavanyo
Ukuba kuvela ukurhanelwa emva kovavanyo lomzimba, iimvavanyo eziphambili ezifana nezi zingasetyenziselwa ukuqinisekisa oko.
- I-MRI scan (Magnetic Resonance Imaging): Le yindlela esebenzisa i-magnetic field kunye namaza erediyo ukuvelisa imifanekiso ecacileyo yangaphakathi lomzimba, ngaphandle kokusebenzisa ii-X-ray. Oku kunokuvavanya ubufazi bakho kunye nendawo ejikeleze i-urethra yakho ukuze kubonwe ukuba une-cyst na kunye nokuba inkulu kangakanani.
- I-Ultrasound Scan: Oku kuquka ukuthumela amaza esandi avakala kakhulu emzimbeni nokusebenzisa i-echoes ukwenza imifanekiso yezitho zangaphakathi. Njenge-scan ezisetyenziselwa ukujonga umntwana ngexesha lokukhulelwa, oku kunokujonga namaqhuma okanye ukudumba okujikeleze i-urethra.
- I-Cystoscopy: Oku kuquka ukudlulisa ityhubhu encinci enekhamera encinci eqhotyoshelwe kwi-urethra ukuze kuhlolwe ingaphakathi le-urethra kunye nesinyi. Oku kukuvumela ukuba ubone ngqo apho kukho umngxuma. Uninzi lwexesha, olu vavanyo lunokwenziwa eofisini kagqirha.
Zithini iindlela zonyango zoku?
Unyango olungcono noluhlala luhleli lwe-urethral diverticulum kukususa isikhwama ngotyando .
Nangona kunjalo, ayinguye wonke umntu ofuna utyando ngoko nangoko. Abanye abafazi, ingakumbi ukuba iimpawu zabo azikho qatha kakhulu, bakhetha ukulinda baze babone. Balinda ukuze babone ukuba i-cyst iba nkulu na okanye ukuba iimpawu zabo ziba mandundu na. Nangona kunjalo, ukuba ugqiba ekubeni wenze njalo, kubalulekile ukubona ugqirha wakho ngexesha elifanelekileyo ukuze ujonge imeko yakho.
Indlela oluqhutywa ngayo utyando
Olu tyando ludla ngokwenziwa yingcali ye-urologist, ugqirha ogxile kwinkqubo yomchamo. Ngenxa yokuba le yindawo ebuthathaka kakhulu, utyando kufuneka lwenziwe ngaphandle kokubangela umonakalo kwi-urethra.
Ngexesha lotyando, ugqirha uqwalasela izinto ezininzi, ezinje ngobukhulu bengxowa kunye nendawo ekuyo, aze akhethe enye yezi ndlela zilandelayo.
1. Ukususwa ngokupheleleyo kwesingxobo: Le yeyona ndlela ixhaphakileyo. Kusikwa isingxobo ngelungu lobufazi, isingxobo siyasikwa size sisuswe ngokupheleleyo, kwaye i-urethra iyalungiswa.
2. Ukuvula nokukhupha ingxowa: Kwezinye iimeko, intamo yengxowa iyanqunyulwa, umxholo uyakhutshwa, kwaye ingxowa iyalungiswa ukuze ingaphindi ivele.
3. Ukuvula i-vaginal: Enye indlela kukudala umngxuma osisigxina ukusuka kwingxowa ukuya kwi-vaginal. Emva koko, umxholo oqokelelana ngaphakathi kuyo uya kuphuma rhoqo kwi-vaginal.
Into entle kukuba ukuba unezinye iingxaki, ezinje ngokungakwazi ukuzibamba komchamo, ngeli xesha lotyando, ugqirha angakulungisa loo nto ngamanye amaxesha.
Emva kotyando
Emva kotyando, kuya kufuneka uthathe amayeza okubulala iintsholongwane kangangemini. Kwakhona, i-catheter iya kufakwa kwisinyi sakho ukuze ikuncede ukhuphe umchamo lula de indawo yotyando iphole. Le catheter idla ngokushiywa endaweni yayo kangangeeveki ezimbini ukuya kwezintathu. Emva kwelo xesha, ugqirha uya kuphinda enze olunye uvavanyo ukuze abone ukuba inxeba lipholile na aze asuse i-catheter.
Iza kuba njani imeko kwixesha elizayo?
Uninzi lwabantu luyaphila ngokupheleleyo emva kotyando. Nangona kunjalo, kunqabile kakhulu, abanye abantu banokufumana iingxaki. Umzekelo, ukuba i-cyst ayisuswanga ngokupheleleyo, iingxaki zinokuvela kwakhona. Ukuba oko kuyenzeka, kunokufuneka wenze utyando lwesibini. Nangona kunjalo, ngokuxilongwa ngokufanelekileyo kunye nonyango ngugqirha ofanelekileyo, le meko inokuphiliswa ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- I-urethral diverticulum sisingxobo esingafunekiyo esikhula ecaleni kwe-urethra. Singazalisa umchamo okanye ubomvu.
- Iimpawu eziphambili ziquka usulelo oluqhelekileyo lwendlela yokuchama, ukuvuza komchamo emva kokuchama, iintlungu ngexesha lokuchama, kunye nentlungu ngexesha lokwabelana ngesondo.
- Abanye abantu basenokungabi nazo naziphi na iimpawu.
- Ukuba uqhubeka uneempawu ezinje, musa ukuba neentloni okanye uzive udanile, kwaye ngokuqinisekileyo bonana nogqirha wakho.
- Le meko ingachongwa ngokuchanekileyo ngovavanyo olufana novavanyo lomzimba, i-MRI, i-Ultrasound, kunye ne-Cystoscopy.
- Le meko inokunyangeka phantse ngokupheleleyo ngotyando, ngoko ke akukho mfuneko yokukhathazeka.
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