Ngaba nawe unengxaki yokuchama? Ngaba umchamo ubuthathaka kakhulu kwaye uyacotha? Okanye uyathontsiza? Ngaba ngamanye amaxesha uziva ngathi kusekho umchamo emva kokuba ugqibile ukuchama? Ukuba unezinye zezi mpawu, isizathu sisenokuba kukuvaleka okanye ukuncitshiswa kwe-urethra yakho. Oku kwaziwa ngokwezonyango njenge-`(Urethral Stricture)`. Ngoko ke namhlanje siza kuthetha ngesisombululo esiphumeleleyo nesihlala sihleli sale ngxaki. Olu lutyando olubizwa ngokuba yi-`Urethroplasty`.
Ngamafutshane, yintoni i-Urethroplasty?
Ukuze siqonde oku, masiqale sijonge indlela esebenza ngayo inkqubo yethu yomchamo. Umchamo wenziwa emzimbeni wethu kwizintso. Emva koko, loo mchamo uqokelelana kwisinyi somchamo. Xa isinyi sigcwele, siziva sifuna ukuchama. Emva koko, kukho ityhubhu ethwala umchamo ukusuka kwisinyi ukuya ngaphandle komzimba. Loo tyhubhu ibizwa ngokuba yi-urethra . Kwindoda, isidoda siphuma emzimbeni ngale urethra.
Khawucinge nje ukuba kwenzeka ntoni ukuba le urethra ivalekile okanye inciphile ngesizathu esithile? Njengokuba ukungcola kubhajwa ngaphakathi kumbhobho wamanzi, kuba nzima ukuba amanzi ahambe, kwaye umchamo awukwazi ukuphuma ngokulula. Utyando olwenziwayo ukubuyisela nokulungisa loo urethra ivalekileyo okanye inciphileyo lubizwa ngokuba yi -Urethroplasty .
Kule nkqubo, ugqirha usika izicubu ezivalekileyo ezivala urethra aze adibanise kwakhona iindawo ezimbini eziphilileyo zombhobho. Ngamanye amaxesha, ukuba ukuvaleka kukude kakhulu, iqhekeza lezicubu elithathwe kwenye inxalenye yomzimba lisetyenziselwa ukwakha kwakhona indawo. Kufana nokususa iqhekeza lombhobho wamanzi omdala aze awufake iqhekeza elitsha.
Kutheni olu tyando luyimfuneko?
Kukho izizathu ezininzi eziphambili zokwenziwa kwe-urethroplasty. Makhe sijonge ukuba zeziphi.
- Ukuqina komchamo: Le yeyona nto ixhaphakileyo. Ukuvaleka kwemichamo ngaphakathi komchamo kunokubangela ukuba ube mxinwa ngenxa yosulelo, ingozi, utyando lwangaphambili, okanye esinye isizathu. Le meko ixhaphake kakhulu kumadoda kunabafazi.
- Iimeko zokuzalwa: Abanye abantwana bazalwa beneengxaki ezithile nge-urethra. I-Epispadias kunye ne-hypospadias ziimeko ezimbini ezinjalo. Nangona ezi zinokulungiswa ngotyando ebuntwaneni, kamva zinokuba nokuvaleka kwiindawo apho utyando lwenziwe khona.
- Olunye Utyando Lokwakha Ilungu: Olu tyando ngamanye amaxesha lunokufuneka kumntu oye wenza olunye utyando lokwakha ilungu lelungu lesini.
Ngaba i-urethroplasty lutyando olukhulu?
Oku kuxhomekeke ekubeni ingakanani i-urethra yakho ekufuneka ilungiswe. Ukuba i-blockage incinci, utyando lokuyinqumla nokudibanisa iziphelo zombini ze-urethra kunye luthatha ixesha elincinci. Kodwa ukuba i-blockage inde, isiqwenga sethishu (i-graft) esivela kwenye indawo yomzimba singasetyenziswa ukulungisa i-urethra. Emva koko utyando luyinkimbinkimbi ngakumbi kwaye luthatha ixesha elide.
Uyifumana phi le tissue?
Kukho iindawo ezininzi apho oogqirha botyando badla ngokufumana khona izicubu ngenxa yesi sizathu.
- Ngaphakathi emlonyeni wakho: Ewe, uve kakuhle. Le tissue idla ngokuthathwa kwi-lining egudileyo yesidlele sakho (buccal mucosa) okanye ngaphakathi kwimilebe yakho. Le yindlela ephumelele kakhulu.
- Kwindawo yakho yangasese: Ukuba uyindoda, inxenye yesikhumba kwilungu lobudoda bakho ingathathwa. Kwimeko yotyando lokwakha, inxenye yesikhumba kwilungu lobufazi okanye kwi-labia yakho ingathathwa.
- I-Rectal: Ngelixa uphantsi kwe-anesthesia ngexesha lotyando, isiqwenga sesicwili sinokuthathwa eludongeni olungaphakathi lwe-rectum sidlule kwi-rectum.
Musa ukoyika oku. Konke oku kwenziwa phantsi kwe-anesthesia epheleleyo ukuze ungeva ntlungu.
Kwenzeka ntoni ngaphambi kotyando?
Emva kokugqiba ekubeni wenze utyando lwe-Urethroplasty, ugqirha wakho uya kuqala enze iimvavanyo ezininzi ukuze aqinisekise ukuba iphi na indawo evalekileyo kwi-urethra yakho kwaye ingakanani na.
| Uvavanyo | Kalula nje, |
|---|---|
| Ukubuyisela i-Urethrogram kwi-Retrograde | Olu luvavanyo lwe-X-ray. Ulwelo olukhethekileyo ludluliselwa kwi-urethra yakho kwaye kuthathwa imifanekiso ye-X-ray. Oku kukuvumela ukuba ubone ngokucacileyo ukuvaleka. |
| I-Cystoscopy | Ityhubhu encinci enekhamera encinci idluliselwa kwi-urethra kwaye imeko engaphakathi kwityhubhu ibonwa ngokuthe ngqo. |
Zombini ezi mvavanyo zikhawuleza kwaye azibuhlungu. Ugqirha uza kucwangcisa utyando. Kwiintsuku ezimbalwa ngaphambi kotyando, uza kukunika imiyalelo malunga namayeza omawuwathathe, into omawuyitye, kunye nexesha omawuzile ngalo.
Ngamanye amaxesha, unokufuna i-Suprapubic Catheter ngaphambi kotyando.Ugqirha wakho angacebisa enye. Oku kuquka ukufaka ityhubhu ngqo kwisinyi sakho ukusuka kwisisu sakho esisezantsi uze uyikhuphe amanzi. Oku kunika i-urethra "ukuphumla." Emva koko izicubu zesilonda zibonakala ngokucacileyo, nto leyo eyenza kube lula ukuzisusa ngokupheleleyo ngexesha lotyando.
Kwenzeka ntoni ngexesha lotyando?
Ngomhla wotyando lwakho, uza kusiwa kwigumbi lotyando. Apho, ingcali yokubulala iintlungu iza kukunika i-anesthesia jikelele . Oku kuthetha ukuba uza kulala ubuthongo obunzulu de utyando luphele. Awuyi kuva nto.
Emva koko ugqirha wenza utyando eluswini ukuze afikelele kwi-urethra. Olu tyando ludla ngokwenziwa ngaphantsi kwepenis, kwi-scrotum, okanye ikakhulu kwindawo ephakathi kwe-scrotum kunye ne-anus (i-perineum).
Okulandelayo, indawo evalekileyo okanye enezibazi iyachongwa, kwaye, ngokuxhomekeke kubude bayo nendawo ekuyo, indawo leyo iyasikwa ize isuswe okanye yakhiwe kwakhona. Ukuba ukuvaleka kukude, kusetyenziswa i-graft ukwakha kwakhona indawo leyo, njengoko kuxoxiwe ngaphambili, emlonyeni, kwizitho zangasese, okanye kwi-rectum.
Emva kokuba ukulungiswa kugqityiwe, kufakwa i-catheter ukuze kukhutshwe umchamo de i-urethra iphole. Emva koko i-incision iyavalwa ize ithungwe. Ezi suture zihlala zenziwe ngohlobo lwentambo enyibilikayo emzimbeni. Ngoko ke akufuneki ubuye ukuze kususwe izithungo.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kusiwa kwigumbi lokuchacha ude uvuke emva kotyando lokubulala iintlungu. I-Urethroplasty idla ngokuba lusuku okanye iintsuku ezimbini esibhedlele, kwaye ungaya ekhaya. Ngamanye amaxesha ungaya ekhaya ngaloo mini inye. Nangona kunjalo, awunakuziqhubela imoto, kwaye kuya kufuneka umntu akuqhubele ekhaya.
Xa usiya ekhaya, kuya kufuneka uthathe ezi zinto:
- I-catheter yomchamo
- Izibulali-ntlungu
- Ii-antibiotics zokuthintela usulelo
- Amayeza okuthintela ukuqaqamba kwesinyi anokunikwa.
- Ukuba kukhutshwe ilaphu emlonyeni, kuya kusetyenziswa isixhobo sokuhlamba umlomo esikhethekileyo ukugcina inxeba licocekile.
Kuya kufuneka ubone ugqirha wakho kwakhona kwiiveki ezimbini ukuya kwezintathu emva kotyando lwakho. Ngelo xesha, usenokuba ne-X-ray enye ukujonga ukulungiswa. Oku kuquka ukususa i-catheter, ukugcwalisa isinyi sakho ngesisombululo esikhethekileyo, kunye nokuthatha imifanekiso ye-X-ray ngelixa uchama. Le mifanekiso iya kunceda ekuqinisekiseni inkqubela yakho yokuphiliswa.
Utyando lwe-urethroplasty lubonwa kwihlabathi liphela njengolona nyango lubalaseleyo noluphumeleleyo lokuthintelwa kotyando lwe-urethra.
Zithini iingenelo, iingozi, kunye neengxaki zolu tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezithile.
Iingenelo
Eyona nzuzo inkulu yolu tyando kukuba luphumelela kakhulu . Uphando lubonise ukuba impumelelo yolu tyando ingaphezulu kwe -80% . Kwezinye iimeko, kuxhomekeke kuhlobo lokuvaleka, impumelelo ingadlula i-90% . Oku kuthetha ukuba ukuba abantu abali-10 baya kwenza utyando, abasi-8 okanye abasi-9 baya kuphila ngokupheleleyo.
Iingozi kunye neengxaki
Kukho iingxaki eziqhelekileyo nge-anesthesia kunye nomngcipheko wosulelo oluza nalo naluphi na utyando. Ukongeza, kukho ezinye iingozi ezithile eziphathelele olu tyando. Makhe sizijonge ngokusondeleyo ezo.
| Umngcipheko/Ingxaki | Inkcazo |
|---|---|
| Iingxaki ezinxulumene ne-catheter | Ukuvuza komchamo okanye ukuvaleka kwekhathetha kunokubakho kufutshane nekhathetha. Ukuba oku kuyenzeka, kufuneka kufunwe ingcebiso kagqirha ngoko nangoko. |
| Iintsholongwane | Usulelo lunokukhula kwindawo etyumkileyo okanye kwindlela yokuchama. Oku kunokunyangeka ngamayeza okubulala iintsholongwane. |
| Ukungaphumeleli kotyando | Kunqabile kakhulu, i-urethra ingavalwa kwakhona emva kotyando, nto leyo edinga utyando olongezelelweyo okanye olunye unyango. |
| Ukulimala kwemithambo-luvo | Indlela omi ngayo ngexesha lotyando inokubangela umonakalo wexeshana kwimithambo-luvo emilenzeni, ezingalweni, nakwiminwe yakho (kunqabile kakhulu). |
| Intlungu | Intlungu yexesha elide inokubakho ngenxa yomonakalo wemithambo-luvo kwindawo apho kwenziwe khona utyando (i-scrotum okanye i-perineum). |
| Ukuvuza komchamo okanye isidoda | Umchamo okanye isidoda sinokuqokelelana kwindawo apho kwenziwe khona utyando size siphume kwilungu lobudoda. |
| Ukungasebenzi kakuhle kwe-Erectile | Oku kunokwenzeka, kodwa kudla ngokuba yinto yexeshana kwaye kuyaphela kwiinyanga ezili-18 okanye ngaphantsi. |
Kuza kuthatha ixesha elingakanani ukuchacha? Ndingabuyela nini emsebenzini?
Le yingxaki abantu abaninzi abanayo. Zimbalwa izinto ekufuneka uzazi malunga nexesha lokuchacha.
- Ngelixa i-catheter ikwindawo yayo: Ngeli xesha (malunga neeveki ezi-2-3), kufuneka uphephe ukuqhuba okanye ukuhlala ixesha elide . Kwakhona, kuphephe ukuquleka okanye ukwenza izinto imilenze yakho isasazeke ngokubanzi (njengokunyuka izinyuko) . Nangona kunjalo, kulungile ukuhamba ngokuqhelekileyo nokwenza imisebenzi yasekhaya elula.
- Izilonda zomlomo: Ukuba ususiwe izicubu emlonyeni wakho, ungakhathazeki. Izilonda zomlomo ziphiliswa ngokukhawuleza. Malunga neeveki ezi-3, izicubu ezintsha ziya kukhula zivale loo ndawo.
- Ukubuyela emsebenzini: Uza kukwazi ukubuyela emsebenzini emva kokuba i-catheter isusiwe. Oku kuthetha ukuba kuya kufuneka uthathe ikhefu malunga neeveki ezi-2-3 . Ukuba unomsebenzi onzima ngokomzimba, kungathatha ixesha elide.
- Isenzo sokwabelana ngesondo: Oku kubaluleke kakhulu. Kufuneka uyeke ngokupheleleyo ukulala ngesondo okanye ukuphulula amalungu esini kangangeeveki ezi-6 emva kotyando. Oku kubalulekile ukuze inxeba liphiliseke kakuhle.
Udinga nini ukubona ugqirha?
Ukuba unengxaki yokuchama, usulelo oluqhelekileyo lwendlela yomchamo (ii-UTI), okanye ukuba ugqirha ukuxelele ukuba uvalekile kwi-urethra yakho, ngokuqinisekileyo kuya kufuneka ubone ugqirha uze uthethe ngale nto.
Ukuba ukhe wenziwa utyando lwe-urethroplasty kwaye ufumana naziphi na zezi mpawu zilandelayo, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko.
- Ukuba ufumana umkhuhlane .
- Ukuba inxeba lotyando libonakala livulekile .
- Ukuba kukho amabala egazi amaninzi kwimpahla yakho yangaphantsi.
- Ukuba kukho ulwelo olufana nobovu oluphuma kwisilonda.
- OkungalindelekangaUkuba kukho intlungu enzima .
- Ukuba i-catheter yakho ivaliwe kwaye umchamo awuphumi.
Ukuba unamathandabuzo ngento efana nale, musa ukuyityeshela. Fowunela ugqirha wakho okanye isibhedlele sakho ngokukhawuleza ukuze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- I-urethroplasty lutyando oluphumelele kakhulu lokunyanga i-urethra stricture.
- Izinga lempumelelo yolu tyando liphezulu ukuya kuthi ga kwi-80%-90%.
- Kuya kufuneka ufake i-catheter malunga neeveki ezi-2-3 emva kotyando.
- Landela iingcebiso zonyango ngokuchanekileyo, ingakumbi ukuphepha ukwenza izinto zesondo kunye nokwenza izinto ezithintelayo, ngexesha lokuchacha.
- Ukuba ufumana iimpawu ezilumkisayo ezinje ngomkhuhlane, iintlungu eziqatha, okanye ubomvu obuvela kwisingxobo, yazisa ugqirha wakho ngoko nangoko.
- Ukuba unemibuzo okanye iinkxalabo malunga nempilo yakho, thetha ngokukhululekileyo nogqirha wakho.
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