Ngaba nawe unengxaki yokuchama? Oku kusenokuba yingxaki yokuchama komchamo!

Ngaba ngamanye amaxesha uziva unzima kancinci xa uchama? Okanye uziva ngathi umchamo wakho uyehla, okanye uziva ngathi kusekho omnye emva kokuba ugqibile ukuchama? Ezi ziingxaki eziqhelekileyo. Kodwa isizathu soku sisenokuba kukuba i-urethra yakho incinci kancinci. Ngokwezonyango, oku sikubiza ngokuba yi-urethral stricture .

Yintoni i-Urethral Stricture?

Ngamafutshane, ukuqiniswa komchamo kukuncitshiswa komchamo wakho. Uyazi, ukuchama yindlela umzimba wethu osusa ngayo inkunkuma. Lo mchamo uphuma ngetyhubhu encinci ephuma kwisinyi. Siwubiza lo mchamo ngokuthi yi-urethra.

Ngoku khangela, kwindoda , le urethra isuka kwisinyi iye kwi-urethra meatus ekwincam yepenis. Kumfazi , le tube iqhagamshela ukusuka kwisinyi ukuya kwindawo evulekileyo phambi kwelungu lobufazi.

Ngoko ke, ukuba le ndlela yomchamo, oko kukuthi, i-(Urethra), ivalekile okanye incitshiswe ngesizathu esithile, kulapho ke kwenzeka khona (Urethral Stricture). Kufana nombhobho wamanzi ovalekileyo phakathi. Abanye abantu babiza oku ngokuba yi-(Urethral Stricture Disease).

Ixhaphake kangakanani le meko?

Ukuqina komchamo kuxhaphake kakhulu kumadoda. Xa sithetha nje, kuchaphazeleka malunga ne-1% yamadoda. Akuxhaphakanga kangako kubafazi.

Zithini iimpawu zoku?

Uphawu oluphambili lokuqina komchamo kukwehla kwesantya sokuhamba komchamo, okanye ukucutheka komchamo. Usenokuba nezi zinto zilandelayo:

• Ukuzibhokoxa ukuze uchame: Kufuneka uzame kakhulu ukukhupha umchamo.
• Intlungu ngexesha lokuchama (i-dysuria).
• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs). Usenokuba nomkhuhlane kunye nokubanda.
• I-Prostatitis: Oku kunokwenzeka kumadoda.

Khawuthelekelele ukuba ubukwimeko apho uxinezelekile kangangokuba awukwazi nokuchama? Oko bekuya kuba nzima kakhulu, akunjalo?

Ngamanye amaxesha, ukuba le (Urethral Stricture) iba nzima kakhulu, ungafumana imeko ngequbuliso apho ungakwazi ukuchama (Acute Urinary Retention). Le yimeko efuna unyango olungxamisekileyo. Kuba, ukuba ayinyangwa, umchamo ungabuyela umva kwaye uchaphazele zombini izintso, nto leyo ebangela ukuba zidumbe (Hydronephrosis). Kwakhona, kukho ithuba lokungasebenzi kakuhle kwezintso (Kidney Failure). Ke ngoko, kufuneka ulumke kakhulu ngale nto.

Uziva njani xa une (Urethral Stricture)?

Oku kuxhomekeke kakhulu kubukhali bokuqina komchamo wakho. Kwabanye abantuUsenokuziva ngathi kufuneka uchame rhoqo, ngokungathi kusafuneka uchame emva kokuba uphuma kwigumbi lokuhlambela. Okanye usenokuba nomnqweno ongalawulekiyo wokuchama. Kwezinye iimeko, usenokuva neentlungu xa uchama.

Yintoni ebangela oku?

Kwiimeko ezininzi, eyona nto ibangela ukuba i-urethra iqine kukuvuvukala okungapheliyo okanye izicubu ezibuhlungu ngenxa yokwenzakala. Ezi zicubu zinciphisa i-urethra, okwenza kube nzima ukuba umchamo uphume lula.

Esi silonda sinokwakheka kancinci kancinci ngenxa yezi zizathu zilandelayo:

• Ukulimala kwilungu lakho lobudoda okanye kwi-scrotum (ingxowa ebamba amasende akho), mhlawumbi ngenxa yokuwa okanye ingozi.
• Usulelo, ingakumbi usulelo oludluliselwa ngesondo (STI), olufana ne-chlamydia.
• Ii-catheter zomchamo okanye ezinye izixhobo zifakwa nge-urethra ngexesha lotyando okanye ezinye iinkqubo zonyango.
• Ngenxa yeemeko ezinje ngomhlaza womchamo okanye umhlaza weprostate .
• Ngenxa yokufumana unyango lwemitha .

Ngamanye amaxesha, awuqapheli ukuba une-urethral stricture de kube lixesha elide emva kokuba ukudumba okanye ukwenzakala kwe-urethra kupholile. Ngamanye amaxesha, oku kuncipha kunokwenzeka emva nje kokwenzakala.

Ngaba ungachama xa une-urethra stricture?

Abantu abaninzi banokuchama nokuba kukho i-urethral stricture. Nangona kunjalo, kunokuba nzima kwaye kube buhlungu. Usenokuvakalelwa kukuba isinyi sakho asikaphumi ngokupheleleyo. Nangona kunjalo, ukuba i-urethral stricture inzima, usenokungakwazi ukuchama konke konke. Ukuba unosulelo lwendlela yomchamo kodwa awukwazi ukuchama, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.

Ngubani ochaphazeleka kakhulu yile meko?

Nabani na unokuba nobunzima bomchamo. Nangona kunjalo, ukuba uyindoda kwaye ungaphezulu kweminyaka engama-55 ubudala, unamathuba amaninzi okuba nale meko.

Uyazi njani ukuba une-Urethral Stricture?

Ukuba uziva ngathi uchama kancinci kakhulu okanye ubuthathaka kakhulu, bonana nogqirha ngoko nangoko. Unokwenza uvavanyo olulula ukubona ukuba unengxaki yokukhupha isinyi sakho. Nangona olu vavanyo lungenakukwazi ukubona ngokuthe ngqo ukuba unesithintelo somchamo, lunokukunceda uchonge ukuba kukho ingxaki na. Olu luvavanyo oluhlala lwenziwa:

• Uvavanyo lokuhamba komchamo: Oku kulinganisa izinga lokuhamba komchamo xa usiya kwigumbi lokuhlambela.
• Uvavanyo lomchamo oluhlala emva kokungasebenzi (i-PVR): Olu luvavanyo lomfanekiso olulinganisa ukuba ingakanani intsalela yomchamo kwisinyi sakho emva kokuba uchamile. Ngokwesiqhelo, isinyi sakho kufuneka singabi nanto emva kokuba uchamile. Nangona kunjalo, ukuba une-stricture, umchamo othile usenokusala.

Olu vavanyo lulula alunakuqinisekisa ngokuqinisekileyo ukuba ubunzima bakho bokukhupha isinyi sakho bubangelwa kukuqiniswa kwe-urethra okanye enye imeko. Ke ngoko, ukuba ugqirha wakho ukrokrela ukuba kukho ukuqiniswa, unokuyalela i-X-ray ebizwa ngokuba yi-retrograde urethrogram ukuze ayichonge aze alinganise ubude nobubanzi bayo. Kolu vavanyo, ugqirha ufaka ulwelo olukhethekileyo (idayi yokwahlula) kwi-urethra yakho. Olu lwelo lunceda i-X-ray ibonise apho ukuqiniswa kukhoyo kwaye bude kangakanani.

Ugqirha wakho angenza uvavanyo olubizwa ngokuba yi-cystoscopy . Oku kuquka ukufaka ityhubhu encinci, eguquguqukayo (i-scope) enekhamera eqhotyoshelwe kwisiphelo kwi-urethra yakho. I-cystoscope ivumela ugqirha ukuba abone apho kukho khona ukuqina. Ngaphambi kovavanyo, kufakwa iyeza elibangela ukuba umntu angakwazi ukuziva kakuhle kwi-urethra yakho ukuze kuncitshiswe ukungonwabi.

Indlela yokunyanga i-Urethral Stricture (i-Urethral Stricture)?

Kukho iindlela ezahlukeneyo zonyango lwe-Urethral Stricture. Ugqirha wakho uya kumisela unyango olufanelekileyo ngokusekelwe kwimeko yakho.

• Ukwanda komchamo: Kule nkqubo, ugqirha wezifo zomchamo usebenzisa uthotho lweentonga ezinde nezincinci ukwandisa indawo enciphileyo, efaka kancinci kancinci iintonga ezinobukhulu obukhulayo.
• I-Internal Urethrotomy: Kule nto, kuxhonywa imela encinci (i-scalpel) esiphelweni se-cystoscope, kwaye izicubu zesilonda ziyasikwa zize zisuswe.
• Ukwakhiwa kwakhona komchamo: Olu lutyando olukhulu kancinci. Kule nto, inxalenye encinci iyasuswa kwaye iziphelo ezimbini eziphilileyo ze-urethra ziphinde zixhunyaniswe.

Eyona nto ibalulekileyo kukuthetha nogqirha wakho uze ugqibe ukuba loluphi unyango olukufaneleyo.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Kuxhomekeke kuhlobo lonyango olufumanayo. Unyango olulula olufana ne- Urethral Dilation lunokuqala ukunciphisa iimpawu zakho kwiintsuku ezimbalwa. Nangona kunjalo, ukuba utyando, kungathatha ukuya kwiiveki ezisibhozo ukuba uphile ngokupheleleyo. Ugqirha wakho uya kukunika umbono ocacileyo wexesha lakho lokuchacha, kuxhomekeke kunyango olucetyiswayo kuwe.

Yintoni onokuyilindela ukuba une (Urethral Stricture)?

Ngonyango olufanelekileyo, le meko (Urethral Stricture) idla ngokuba neziphumo ezilungileyo. Nangona kunjalo, njengoko izicubu ezibomvu zinokuphinda zibuye, kunokufuneka unyango oluninzi.Kuya kufuneka ube nentlanganiso yokulandelelana nogqirha wakho ukuze ubone ukuba uphola kakuhle na kwaye ukuba izicubu ezibuhlungu ziyaphinda zakhiwe.

Ngaba kunokwenzeka ukuba uphile ne-Urethral Stricture?

Ukuba ayinyangwa, ukuqiniswa komchamo kunokukhokelela kwiingxaki ezisongela ubomi, ezinje ngokungasebenzi kakuhle kwezintso kunye nosulelo oluqatha. Ngoko ke, ukuba uneempawu zokuqiniswa komchamo, ingakumbi ukuba iimpawu zivele ngequbuliso, bonana nogqirha ngokukhawuleza.

Ungayithintela njani into yokuba i-urethra ingabi lukhuni?

Ayizizo zonke izinto ezibangela ukuqiniswa komchamo ezinokuthintelwa. Nangona kunjalo, ungenza oku kulandelayo ukunceda ukuthintela ukwenzakala kwindawo yakho yesinqe:

• Nxiba isigqubuthelo esifanelekileyo (indebe yezemidlalo/i-jockstrap) xa udlala imidlalo okanye eminye imisebenzi echaphazela kakhulu.
• Xa ufaka i-catheter yomchamo, faka ijeli eninzi yokuthambisa.
• Ziphephe izifo ezidluliselwa ngesondo (ii-STI). Wena kunye/okanye iqabane lakho kufuneka nisebenzise iikhondom. Ukuba ukrokrela ukuba une-STI, bonana nogqirha ngoko nangoko. Thatha amayeza okubulala iintsholongwane achazwe ngugqirha wakho ixesha lonke.

Khumbula, ezi zizinto esinokuzenza. Asikuko konke okusemandleni ethu, kodwa kubalulekile ukuba silumke kangangoko sinako.

Ufanele uye nini kugqirha?

Ukuba uneempawu zokuqina komchamo, bonana nogqirha ngoko nangoko. Emva konyango, hlala udibana nogqirha wakho rhoqo ukuqinisekisa ukuba uphilile kakuhle kwaye ukuqina akubuyi. Ukuba usenazo iimpawu, angacebisa unyango olongezelelweyo.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

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

• Ukungakwazi ukuchama konke konke.
• Ukwanda kwentlungu xa uchama.
• Igazi kumchamo (iHematuria).
• Ukuba neempawu zosulelo, njengomkhuhlane.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, ungabuza imibuzo efana nale:

• Uqiniseka njani ukuba ndine (Urethral Stricture)?
• Kutheni le nto ndiyenze le nto (Urethral Stricture)?
• Ingakanani i-Urethral Stricture yam?
• Ndingazinyamekela njani xa ndinayo le nto (Urethral Stricture)?
• Luhlobo luni lonyango olucetyiswayo?
• Kufuneka ndize kangaphi kwixesha lokulandela?
• Lithini ithuba lokuba i-Urethral Stricture yam ibuyele?Kagakanani ?

Musa ukoyika ukubuza ugqirha wakho nayiphi na imibuzo onayo. Ngale ndlela, unokuyiqonda ngcono le meko.

Ekugqibeleni, kufuneka uthi...

Ukuqiniswa komchamo kukuncitshiswa komchamo ngenxa yezicubu ezibomvu. Nangona oku kunokwenzeka nakubani na, kuxhaphake kakhulu kumadoda angaphezu kweminyaka engama-55 ubudala. Oku kunokubangela iingxaki ezikhathazayo, ngamanye amaxesha ezisongela ubomi, ezifana nobunzima bokuchama.

Kodwa akufuneki ukhathazeke ngezi ngxaki. Ukuba uneempawu, bonana nogqirha. Angayandisa le ndawo incinci aze anciphise iimpawu zakho. Ngoko ke ungoyiki, eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza.

Ukuqina komchamo , Ukuvaleka komchamo, Izifo zomchamo, Umbhobho womchamo, Utyando, Iimpawu