Ngaba nawe ukhe ufumane ukuvuza komchamo kwenye indawo? Masifunde ngale fistula ye-urethrocutaneous!

Ngaba wakha waziva ngathi uvuza umchamo usuka kwenye indawo engeyiyo eqhelekileyo? Okanye ngaba ufumana usulelo oluqhelekileyo lwendlela yomchamo (UTIs)? Nangona ezi zizinto ngamanye amaxesha esingazinaki kangako, imeko esisiseko ibizwa ngokuba yi-Urethrocutaneous Fistula. Ungakhathazeki, siza kuthetha ngale nto ngendlela elula onokuyiqonda.

Yintoni le fistula ye-urethrocutaneous?

Kalula nje, eli ligama elintsonkothileyo, kodwa akunzima ukuliqonda. Masiqale siqonde la magama.

• Umchamo: Umchamo yityhubhu ekhupha umchamo (okwabizwa ngokuba ngumchamo ) emzimbeni wakho. Ufana nombhobho wamanzi.
• Isikhumba: Oku kubhekisa kwinto enxulumene nolusu .
• I-Fistula: I-fistula lunxibelelwano olungaqhelekanga, umngxuma, okanye umjelo phakathi kwamalungu amabini angaphakathi omzimba okanye phakathi kwenxalenye yangaphakathi nomphezulu wolusu.

Emva koko, i-urethrocutaneous fistula yindlela entsha, engaqhelekanga eyakheka ukusuka kwi-urethra yakho ukuya kulusu olujikeleze amalungu akho esini okanye ulusu oluphakathi kwe-anus yakho kunye namalungu esini (esiyibiza ngokuba yi-perineum ngokwezonyango). Cinga ngayo njengomngxuma kumbhobho wamanzi ovuza amanzi avela kwenye indawo.

Ngokwesiqhelo, umchamo kufuneka udlule kwi-urethra kuphela uze uphume emzimbeni. Kodwa ngenxa yale fistula, umchamo uqala ukudlula kuloo ndlela intsha uze uphume kuloo mngxuma mtsha kumphezulu wesikhumba. Oku kukwabizwa ngokuba yi-urinary fistula okanye i-urethral fistula .

Le meko ithathwa njengengxaki enkulu kuba ayizukuphola yodwa. Ngokuqinisekileyo kuya kufuneka ilungiswe ngotyando . Ukuba akunjalo, inokukhokelela kwiintsholongwane zomchamo (UTIs) kunye nezinye iingxaki.

Zithini iimpawu zoku? Uyazi njani?

Kukho iimpawu ezibalulekileyo ezininzi ezinokubonisa ukuba unesi sifo:

• Ukuvuza komchamo kumngxuma osandula ukwenziwa (i-fistula): Olu luphawu oluphambili nolucacileyo. Akupheleli nje xa uchama, kodwa ngamanye amaxesha naxa umile. Oku sikubiza ngokuba kukungakwazi ukuzibamba komchamo , okuthetha ukungakwazi ukulawula umchamo.
• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs): Le ndlela ingaqhelekanga ivumela iintsholongwane ukuba zingene lula kwindlela yomchamo zize zibangele usulelo. Oku kungonakalisa amalungu omzimba kunye nezicubu ezingqongileyo.

Ukuba uneempawu ezinje, kungcono ukuba ubonane nogqirha uze uhlolwe.

Kutheni oku kusenzeka? Zithini izizathu?

Kukho izizathu ezininzi eziphambili zokuba i-fistula ye-urethrocutaneous ivele.

• Njengengxaki yotyando lwangaphambili: Le yeyona nto ixhaphakileyo. Olu hlobo lwe-fistula lunokukhula, ingakumbi emva kotyando lwemeko ebizwa ngokuba yi-hypospadias .
• Yintoni i-hypospadias? Ngamafutshane, yimeko ezalwa inamakhwenkwe. Oku kuthetha ukuba indawo evulekileyo yomchamo ikwicala elingaphantsi kwepenis, kunokuba ibe sencamini yepenis. Ngoko ke, emva kotyando lokulungisa oku, i-fistula ngamanye amaxesha inokukhula njengesiphumo esibi.
• Usulelo: Ngamanye amaxesha, ngenxa yosulelo, ubovu bunokuqokelelana ngaphakathi kwithishu ekwelo candelo buze bube yithumba . Emva kokuba olu bovu lunyangiwe kwaye luphilile, indlela encinci efana nomsele ingasala ngaphakathi kwethishu. Yiyo leyo eba yi-fistula.
• Ukwenzakala: Oku kunokwenzeka ngenxa yokubethwa kakhulu kwindawo echaphazelekayo. Umzekelo, ibhola ye-mishit ngelixa udlala ikhilikithi, i-puck kumdlalo ofana ne-hockey, okanye ukuwela kwi-crossbar yebhayisekile (ebizwa ngokuba yi-straddle injury ) kunokubangela le meko.
• Izizathu ezingaqhelekanga: Kunqabile kakhulu ukuba abanye abantwana bazalwe benale meko. Kwakhona, abantu abanesifo seswekile esingalawulwa kakuhle (oko kukuthi, ukuba inqanaba labo le-HbA1c lingaphezulu kwe-8% unyaka okanye ngaphezulu, nangona befumana unyango oluqhelekileyo) basengozini yokuhlaselwa yile fistula.

Zithini izinto ezibangela oku?

I-Urethrocutaneous fistula yimeko engaqhelekanga kakhulu. Nangona kunjalo, eyona nto inokubangela ukuba ibe nayo kukuba sele utyando lwangaphambili kwi-urethra yakho.

Umzekelo:

• Utyando lokulungisa i-hypospadias ekhankanyiweyo ngaphambili.
• Urethroplasty (ukwakhiwa kwakhona kwe-urethra).
• Utyando olufana nolwaluko .

Le fistula ngamanye amaxesha inokuba yingxaki emva kotyando olunjalo.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Ukuba unengxaki yokuvuza komchamo okanye usulelo olungabonakaliyo kwindlela yomchamo, ugqirha unokurhanela ukuba une-fistula ephuma e-urethrocutaneous. Kukho iimvavanyo ezininzi ugqirha wakho anokuziyalela ukuqinisekisa ukuba unesifo:

• I-Voiding Cystourethrogram (VCUG): Kolu vavanyo, ugqirha ufaka idayi ekhethekileyo kwisinyi sakho. Emva koko, ucelwa ukuba uchame kwitafile yovavanyo. Ugqirha unokubona apho idayi iya khona nomchamo wakho kwaye nokuba ivuza na.
• Iiretrograde urethrograms okanye iifistulograms: Ezi zifana neeVCUGs. Zifaka idayi kwisinyi ukuze zibone ngokucacileyo apho ikhoyo i-urethra, apho ikhoyo i-fistula, kwaye idibene njani.
• I-CT scan (i-Computed Tomography - i-CT scan): I-CT scan isebenzisa i-X-ray kunye netekhnoloji yekhompyutha ukuthatha imifanekiso eneenkcukacha zangaphakathi lomzimba. Oku kunokunceda oogqirha babone ukuba kukho naziphi na ezinye iingxaki ezivela kwi-fistula, njengethumba.
• I-Cystoscopy: Oku kuquka ukufaka isixhobo eside, esincinci nesikhanyayo esibizwa ngokuba yi-cystoscope kwi-urethra yakho. Oku kuvumela ugqirha ukuba abone ngaphakathi kwi-urethra yakho aze abone ngqo apho i-fistula ikhoyo kwaye ibukeka njani.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?

Ewe, le meko inokunyangeka. Ngokuqhelekileyo, ifuna utyando. Kodwa ngaphambi kokuba aqale unyango, ugqirha uya kuqwalasela izinto ezininzi. Nazi ezinye zazo:

• Ubungakanani be-fistula.
• Apho ikhoyo (Indawo).
• Ngaba kukho i-fistula engaphezulu kwesinye (Amathuba e-fistula ezininzi) ?

Indlela yonyango imiselwa ngokusekelwe kwezi zinto.

• I-fistula encinci (<2mm) kulula ukuyivala. Ugqirha uza kukunika iyeza lokuthomalalisa ukuze akuphumze kwaye akulalise, kwaye ugqirha uza kuyithunga i-fistula ivalwe.
• Iifistula ezinkulu zifuna utyando olunzima ngakumbi. Ngamanye amaxesha, ukuba ulusu olujikeleze ifistula aluphilile, ugqirha wotyando unokufuna ukusebenzisa indlela enamaleko amaninzi. Oku kuthetha ukuba ulusu olusempilweni oluvela kwenye indawo yomzimba wakho (olubizwa ngokuba zii-skin flaps ) luthathwa ukuze kuthathelwe indawo izicubu ezonakeleyo, kwaye kusetyenziswa umaleko wokuthintela amanzi ukuvala umngxuma.

Abantu abaninzi kuya kufuneka basebenzise i-catheter yomchamo ukuze bakhuphe umchamo kwisinyi sabo kangangeentsuku ezimbalwa emva kotyando. Oku kunceda indawo esandula ukulungiswa ukuba iphile. Kusenokufuneka uhlale esibhedlele kangangeentsuku okanye ngaphezulu emva kotyando.

Ingaba le fistula iza kuphola ngokwayo?

Hayi, i-fistula ye-urethra ayizukuphola ngokwayo.Abantu abaninzi ngokuqinisekileyo baya kufuna utyando ukuze oku kuphele. Oku kunokunyangeka kuphela yingcali yomchamo , ugqirha ogxile kwizifo ezinxulumene nenkqubo yomchamo kunye nenkqubo yokuzala.

Kuthatha ixesha elingakanani ukuphola emva kotyando?

Oku kunzima ukukuqinisekisa. Umzimba womntu wonke wahlukile, ngoko ke ixesha lokuphiliswa linokwahluka kumntu nomntu. Kodwa ngokuqhelekileyo, ukudumba kunye nokukrweleka okwenzeka emva kotyando kuya kuphela kwiiveki ezimbalwa. Oogqirha bathi kufuneka uphile ngokupheleleyo kwiiveki ezintandathu . Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho kanye ngelo xesha.

Ngaba le meko ingathintelwa ukuba ingenzeki?

Enyanisweni, asinakukwazi ukuthintela zonke izizathu ezibangela ukuba i-urethrocutaneous fistula ikhule. Umzekelo, kunzima kuthi ukulawula enye eba yingxaki yotyando.

Nangona kunjalo, ungenza ezi zinto ukuthintela ukwenzakala kuloo ndawo:

• Xa udlala imidlalo okanye usenza eminye imisebenzi enzima, nxiba indebe yezemidlalo , eyaziwa ngokuba yi-jockstrap. Qinisekisa ukuba ilingana nawe.
• Soloko unxibe ibhanti yakho xa uqhuba okanye njengomkhweli emotweni.
• Zikhusele xa uqhuba ibhayisekile. Ukuba kunokwenzeka, ncamathisela into efana ne-pannier rack kwi-crossbar yebhayisekile yakho. Oku kunokunceda ukunciphisa umngcipheko wokwenzakala xa kwenzeka ingozi.

Kuza kwenzeka ntoni ukuba ndine-urethrocutaneous fistula? Ngaba kufuneka ndikhathazeke?

Kuqhelekile ukuba uzive usoyika kancinci xa ufumanisa ukuba une-urethrocutaneous fistula. Kodwa eyona nto ilungileyo kukuba, kukho unyango lwayo, kwaye ngonyango, izinga lokuchacha lihle kakhulu.

Olunye uphando lufumanise ukuba utyando lokulungisa i-fistula luphumelele nge-89%. Oko kuthetha ukuba kubantu abalishumi abenza utyando, malunga ne-9 baya kuphila ngokupheleleyo. Ngamanye amaxesha, ukuba iimpawu ziyaqhubeka emva kotyando lokuqala, indlela enzima ngakumbi inokwenziwa. Oku kukwaphumelela kakhulu. Nangona kunjalo, ukuba wenze utyando lwesibini, kuya kufuneka ulinde ubuncinane iinyanga ezintandathu emva kotyando lokuqala ukuze indawo iphile ngokupheleleyo.

Ndifanele ndimbone nini ugqirha?

Emva kotyando lokulungisa i-urethrocutaneous fistula, kubaluleke kakhulu ukuhlala udibana nogqirha wakho rhoqo ukuqinisekisa ukuba uphila kakuhle. Qiniseka ukuba uhlala udibana nogqirha wakho njengoko ekuxelela. Ngale ndlela, unokujonga imeko yakho. Ukuba iimpawu zakho zisekhona, unokucebisa olunye utyando.

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

Emva kotyando, ukuba unezinye zeempawu ezilandelayo, kuya kufuneka uye kwiGumbi loNgxamiseko (ER) elikufutshane ngoko nangoko:

• Ukuba kukho ukopha okugqithisileyo kwindawo yotyando.
• Ukuba unomkhuhlane we-100 Fahrenheit (38 Celsius) okanye ngaphezulu .
• Ukuba intlungu ayinyamezeleki .
• Ukuba unengxaki yokuchama, okanye ukuba umchamo wakho ubonakala uvaliwe.
• Ukuba kukho igazi kumchamo (iHematuria).

Kwakhona, ukuba i-catheter yakho iphuma yodwa, okanye ukuba umchamo uvuza ujikeleze i-catheter, kungcono ukubona ugqirha ngokukhawuleza.

Yeyiphi imibuzo ebalulekileyo omele uyibuze ugqirha wakho?

Xa usiya kugqirha wakho, unelungelo lokubuza imibuzo efana nale. Le mibuzo iya kukunceda uqonde ngcono imeko yakho:

• Ungazi njani ngokuqinisekileyo ukuba ndine-Urethrocutaneous Fistula?
• Yintoni enokubangela le fistula?
• Ingaba ndine-fistula encinci okanye enkulu?
• Ndingazinyamekela njani ngelixa ndine-fistula? Ndingenza ntoni kwaye ndingayenzi ntoni?
• Ziziphi iingxaki ezinokubakho ngenxa yolu tyando lokulungisa i-fistula?
• Ingaba kulungile na ukulala nomntu ukuba ndine-urethrocutaneous fistula? Ngaba oko kuya kubangela ingxaki?

Ungoyiki ukubuza imibuzo efana nale. Ugqirha wakho uza kukuchazela yonke into.

Okokugqibela, umyalezo oya ekhaya:

Kulungile, ngoku siyaqonda kakuhle into ebesithetha ngayo, i-Urethrocutaneous Fistula. Eyona nto ibalulekileyo kukuba ukuba uneempawu ezinje, ezifana nokuvuza komchamo kwenye indawo xa uchama, okanye ukuba une-UTIs rhoqo, musa ukuyityeshela. Ngamanye amaxesha inokuba yinto encinci, kodwa kusoloko kububulumko ukufuna ingcebiso kagqirha njengoko oku kunokwenzeka.

Khumbula, kukho unyango loku, kwaye unyango lunokuba luncedo. Ngoko ke ungoyiki okanye ube neentloni ukubona ugqirha uze uxoxe ngezinto ezikuxhalabisayo. Sikunqwenelela ukuchacha ngokukhawuleza! Awuwedwa, kwaye oogqirha balapha ukukunceda.

I- Urethrocutaneous Fistula, i-urinary fistula, ukuvuza komchamo, i-UTI, i-hypospadias, i-urethra, utyando, i-urinary fistula, ukuvuza komchamo, usulelo lomchamo