Ngaba ukhe ufumane ukuvuza komchamo okungaqhelekanga xa uchama ? Okanye ngaba ufumana usulelo lomchamo rhoqo? Oku kunokuba yintloni kwaye kube yintloni ukuthetha ngako. Kodwa yimeko yezonyango ekufuneka ixoxwe kwaye inyangwe. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi-Urethrocutaneous Fistula, enokubangela iimpawu ezinje ngezi.
Ngamafutshane, yintoni i-Urethrocutaneous Fistula?
Kulungile, masiyibeke ngokulula. Umbhobho okhupha umchamo emzimbeni wakho ubizwa ngokuba yi-urethra. I-urethrocutaneous fistula lunxibelelwano olungaqhelekanga okanye umngxuma okhula phakathi kwe-urethra kunye nezitho zakho zangasese. Ifana nomngxuma omncinci kwindawo engundoqo yamanzi evuza amanzi kwelinye icala.
Lo mngxuma unokunxibelelana ne-urethra ukusuka naphi na eluswini lwendawo yakho yesini. Oku kuthetha ukuba xa uchama , umchamo othile uyavuza kulo mngxuma mtsha. Oku akupheleli nje ekubangeleni ukuvuza komchamo, kodwa kwandisa nomngcipheko wosulelo oluqhelekileyo lwendlela yomchamo (UTIs).
Le meko ayisoloko ingekho xa umntwana ezalwa. Ihlala isenzeka emva kotyando, usulelo, okanye ingozi.
Ingaba le meko imbi kakhulu?
Ewe, le ayisiyongxaki yokuyithatha lula. I-Urethrocutaneous Fistula ayiziphili yodwa . Oku kuthetha ukuba ayinakuphiliswa ngokuthatha amayeza yodwa. Ukuze inyangwe, kufuneka utyando (utyando). Ke ngoko, ukuba uneempawu, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza.
Zithini iimpawu? Uyibona njani le nto?
Kukho iimpawu ezimbini eziphambili nezicacileyo zale meko. Usenokuba nazo zombini, okanye usenokuba nenye kuphela.
| Uphawu oluphambili | Ithetha ntoni le nto? |
|---|---|
| Ukuvuza komchamo okuvela kwindawo engaqhelekanga | WenaXa umchamo uvuza uphuma kwindawo encinci eluswini, nokuba ngexesha lokuchama okanye ngamanye amaxesha, ngaphandle kwendlela eqhelekileyo, oku kubizwa ngokuba yi-urinary incontinence . |
| Usulelo oluqhelekileyo lwendlela yomchamo (UTIs) | Iintsholongwane ezifana neebhaktheriya zinokungena lula kwindlela yomchamo ngale mngxuma intsha, nto leyo ebangela usulelo oluqhelekileyo olufana nokudumba kwendlela yomchamo kunye nokurhawuzelelwa. |
Kutheni oku kusenzeka? Zithini izizathu zoku?
Isizathu esiphambili soku kukutyandwa kwangaphambili. Oku kungenzeka njengengxaki emva kotyando kwimeko ebizwa ngokuba yi-"hypospadias" ekhoyo ekuzalweni, ingakumbi kubafana. Ngaphandle koko, kukho nezinye izizathu.
- Ezinye iintlobo zotyando: Zingaphinda zenzeke kancinane emva kwezinye iintlobo zotyando ezibandakanya i-urethra, umzekelo, i-urethroplasty okanye mhlawumbi ukwaluka.
- Usulelo: Ngamanye amaxesha usulelo lunokubangela ukuba ubovu buqokelele ngaphakathi kwithishu buze bube lithumba. Emva kokuba ithumba lipholile, indawo inokukhupha amanzi, ishiye umngxuma omncinci, ofana nomngxuma oqhagamshela eluswini.
- Ukwenzakala: Le meko inokubangelwa nayingozi ebandakanya into ebukhali kwindawo yesini (umz., ukubethwa kakhulu yibhola yekhilikithi) okanye 'ukwenzakala okungxabalazileyo' okubangelwa kukuwela kwindawo efana neziphatho zebhayisekile.
- Ezinye izizathu ezingaqhelekanga: Kunqabile kakhulu ukuba le meko ivele ukususela ekuzalweni. Kukwakho nomngcipheko wokufumana ezi meko ngenxa yesifo seswekile esingalawulwa kakuhle.
Ugqirha uyifumana njani kanye kanye le nto?
Xa usiya kugqirha, usenokukukrokrela oku ngokusekelwe kwiimpawu zakho. Kukho iimvavanyo ezimbalwa ezinokwenziwa ukuqinisekisa ukukrokrela kwakho. Musa ukoyika ezi mvavanyo, zenzelwe ukufumanisa ukuba ingxaki iphi kanye kanye kwaye injani na.
| Uvavanyo | Kalula nje, kwenzeka ntoni ngale nto? |
|---|---|
| I-Voiding Cystourethrogram (VCUG) | Idayi ekhethekileyo ifakwa kwisinyi sakho, kwaye xa uchama , kuthathwa i-X-ray yomchamo. Oku kuya kukubonisa ngokucacileyo ukuba kukho ukuvuza na. |
| Ukubuyisela i-Urethrograms kwi-Retrograde | Oku kufana nokwangaphambili. Idayi idluliselwa kwi-urethra ukuze kubonwe ukuba olu nxibelelwano lungaqhelekanga lukuphi. |
| Iskena se-CT | Oku kungathatha imifanekiso ecacileyo ye-3D yangaphakathi lomzimba wakho. Kungajonga nezinye iingxaki, ezifana namathumba, ezijikeleze i-fistula. |
| I-Cystoscopy | Ityhubhu encinci kakhulu, enekhamera (i-cystoscope) idluliselwa kwi-urethra ize ihlolwe ngaphakathi. |
Iphathwa njani?
Njengoko besitshilo ngaphambili, unyango olusebenzayo kuphela koku lutyando. Nangona kunjalo, uhlobo lotyando oluqhutywayo lunokwahluka kumntu nomntu. Kuxhomekeke kubukhulu be-fistula, indawo ekuyo, nokuba kukho ngaphezulu kwenye.
- Iifistula ezincinci (ezingaphantsi kweemilimitha ezi-2): Ezi zihlala zinyangwa ngotyando olulula. Ugqirha uza kuzithunga ezi zingqengqelezi zivaliwe.
- I-fistula enkulu: Oku kufuna utyando olunzima kancinci. Ukuba ulusu olujikeleze umngxuma aluphilile ngokwaneleyo, ugqirha wotyando unokufuna ukuthatha i-skin flap kwenye indawo yomzimba aze ayifake kuloo ndawo, nto leyo eyenza umaleko "ongangeni manzi" ube mhle, oqinileyo.
Emva kotyando, kuya kufuneka ufake i-catheter yomchamo ukuze ukhuphe umchamo kwisinyi sakho ngelixa uphila. Kusenokufuneka uhlale esibhedlele ubusuku bonke.
Ngaba ndiza kuphila ngokukhawuleza emva kotyando?
Ewe, izinga lempumelelo yolu tyando liphezulu kakhulu. Ngokutsho kolunye uphando, izinga lempumelelo limalunga ne-89%. Umzimba womntu wonke wahlukile, ngoko ke ixesha lokuchacha linokwahluka kancinci. Ngokubanzi,
- Ukudumba kunye nokukrweleka okwenzeka emva kotyando kuya kuphela kwiiveki ezimbalwa.
- Kungathatha malunga neeveki ezintandathu ukuze umntu aphile ngokupheleleyo.
Ukuba iimpawu ziyaqhubeka emva kotyando lokuqala, ugqirha unokugqiba ekubeni enze utyando olunzima ngakumbi. Nangona kunjalo, kubalulekile ukulinda ubuncinane iinyanga ezintandathu ukuze indawo ukususela kutyando lokuqala iphole ngokupheleleyo ngaphambi kokuba enze utyando lwesibini.
| Izinto ekufuneka uziqaphele emva kotyando | |
|---|---|
| Ukulandelela ngokubanzi | Emva kotyando, qiniseka ukuba uya ekliniki ngeentsuku ugqirha akunike zona. Ugqirha kufuneka azi ukuba uphila njani. |
| Ukuba unale mpawu, yiya kwiSebe leeNgxamiseko (ETU) ngoko nangoko. | |
| |
Umyalezo Wokuya Ekhaya
- I-Urethrocutaneous fistula lunxibelelwano olungaqhelekanga phakathi kwe-urethra yakho kunye nelungu lobufazi bakho. Oku kunokubangela ukuvuza komchamo kunye nosulelo oluqhubekayo.
- Oku akuyi kuphola ngokwako . Ngokuqinisekileyo kufuneka utyando.
- Musa ukoyika, utyando lwale nto luphumelele kakhulu.
- Ukuba unale mpawu, musa ukuba neentloni okanye uzive udanile, kodwa thetha nogqirha ogxile kwizifo zesinyi kunye nendlela yokuchama (urologist) . Ukufumana unyango kwangethuba kunokukunceda uphile ngokukhawuleza.
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