Ngaba ukhe uzive ungakhululekanga, uneentlungu, okanye umchamo obuthathaka kakhulu, ohlala uphuma xa uchama? Ngaba ngamanye amaxesha uziva ngathi isinyi sakho asikaphumi ngokupheleleyo? Isizathu sale meko kukuba i-urethra yakho, ityhubhu ethwala umchamo ukusuka kwisinyi ukuya ngaphandle komzimba, isenokuvaleka okanye inciphe ndaweni ithile. Ngoko ke namhlanje siza kuthetha nge-Urethroplasty, utyando olukhethekileyo olwenziwa kwimeko enjalo kwaye luneziphumo eziphumelelayo kakhulu.
Ngamafutshane, yintoni i-Urethroplasty?
I-urethroplasty yinkqubo yotyando eyenziwa kwi-urethra yakho. Le tube, eyinxalenye yenkqubo yethu yomchamo, ithwala umchamo kwisinyi iwukhuphe emzimbeni. Kumadoda, imbewu nayo ikhutshwa ngale tube.
Ngoko ke, ngesizathu esithile, izicubu zesilonda ziyakheka ngaphakathi kweli candelo le-urethra, kwaye ityhubhu iqala ukuba mxinwa okanye inciphe, nto leyo ethintela ukuhamba komchamo. Ngokwezonyango, le meko siyibiza ngokuba yi-urethral stricture . Le meko ixhaphake kakhulu kumadoda kunakwabasetyhini.
I-urethroplasty ibandakanya ukusika inxalenye evalekileyo, enezibazi ze-urethra kunye nokudibanisa kwakhona iindawo ezimbini eziphilileyo zetyhubhu. Okanye, ukuba ukuvaleka kukude, kuthathwa isiqwenga sethishu esivela kwenye inxalenye yomzimba size sisetyenziselwe ukulungisa indawo evalekileyo.
Khawucinge nje, okwenzekayo apha kufana nokususa umbhobho wamanzi omdala, onomhlwa, ovalekileyo uze ufake omtsha endaweni yawo.
Kukho iimeko ezininzi eziphambili apho olu tyando lunokufuneka khona:
- Ukuba une- urethra stricture .
- Ukuba ukhe watyandwa kwi-urethra yakho usengumntwana ngenxa yeziphene ezithile zokuzalwa, ezifana ne -epispadias okanye i-hypospadias, njengoko kukho amathuba aphezulu okuphinda kuvele ukuvaleka kwi-urethra ebezisetyenziswa ngaphambili.
- Njengenxalenye yolunye utyando lokwakha ngokutsha.
Lwenziwa njani olu tyando? Ithathwa phi izicubu?
Ixesha elithathwayo kolu tyando lixhomekeke kubude kunye nemeko yokuvaleka. Ukuvaleka okuncinci kunokugqitywa ngexesha elifutshane. Nangona kunjalo, ukuvaleka okude kuya kuthatha ixesha elide kuba kufuneka kuthathwe isiqwenga sethishu kwenye indawo ukuze silungiswe.
Ngoko ke makhe sijonge apho izicubu zokulungisa i-urethra zihlala zifumaneka khona.
| Indawo apho izicubu zifunyanwa khona | Inkcazo |
|---|---|
| Ngaphakathi emlonyeni | Ithishu ethathwe ngaphakathi esidleleni sakho okanye ngaphakathi emilebeni yakho. Oku sikubiza ngokuba yi-buccal mucosa . Le yindlela esetyenziswa kakhulu. |
| Ukusuka kwindawo yesini | Kumadoda, inxalenye yejwabu ingathathwa kwilungu lobudoda. Kubafazi, ulusu lunokuthatyathwa kwilungu lobufazi okanye kwilungu lobufazi. |
| Umva | Kwezinye iimeko, ngelixa uphantsi kwe-anesthesia, izicubu zinokuthathwa kwi-inside yangaphakathi ye-rectum nge-anus. |
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho kuya kufuneka azi kakuhle ukuba ivalekile phi i-urethra yakho kwaye ide kangakanani. Oku kudla ngokubandakanya i-X-ray (i-retrograde urethrogram) okanye inkqubo ekhokelwa yikhamera (i-cystoscopy) . Ezi azizovavanyo zibuhlungu kakhulu.
Emva koko, ngaphambi kosuku lotyando, uya kunikwa imiyalelo yokuba uza kutya nini kwaye usele nini, kunye nokuba uza kuyeka okanye awuyeki na ukusebenzisa amayeza owasebenzisayo.
Ngamanye amaxesha, ugqirha wakho unokucebisa ukuba ubeke i- suprapubic catheter ngaphambi kotyando. Le yinkqubo apho kufakwa khona ityhubhu ngesisu esisezantsi, ngqo kwisinyi, ukuze kuphume umchamo. Oku kuvumela i-urethra ukuba "iphumle" ngelixa isinyi siphuma lula, okuvumela ukuba izicubu zesilonda zibonakale ngokucacileyo. Oku kwenza kube lula ukususa indawo ngexesha lotyando.
Kwenzeka ntoni emva kotyando? Linjani ixesha lokuchacha?
Emva kotyando, uza kugcinwa kwigumbi lokuchacha ude uvuke emva kotyando lokubulala iintlungu. Kwiimeko ezininzi, ungaya ekhaya ngokuhlwa, okanye kuya kufuneka uhlale esibhedlele ubusuku bonke. Xa ubuyela ekhaya, uza kuba ne -catheter endaweni yayo. Oku kwenzelwa ukugcina umchamo wakho uphuma ngaphandle kokuphazanyiswa de i-urethra entsha iphole.
Kunye noko, uza kunikwa amayeza okuthomalalisa iintlungu, amayeza okubulala iintsholongwane ukuthintela usulelo, kunye namayeza okuthintela ukushwabana okungeyomfuneko kwesinyi. Ukuba kuthathwe izicubu emlonyeni, uza kuxelelwa ukuba usebenzise i-mouthwash ekhethekileyo ukugcina inxeba licocekile.
Uza kunikwa umhla wokubona ugqirha wakho kwakhona emva kweeveki ezimbini okanye ezintathu emva kotyando. Ngelo xesha, unokufuna i-X-ray ukujonga ukulungiswa kwayo. Oku kuquka ukuzalisa isinyi sakho ngesisombululo esikhethekileyo, ukususa i-urethra, kunye nokuthatha imifanekiso ye-X-ray ngelixa uchama.
Khumbula ezi zinto ngexesha lokuchacha
- Ufanele ukuphephe ukuqhuba okanye ukuhlala ixesha elide ngelixa une-catheter yakho yomchamo endaweni yayo.
- Kufuneka ukuphephe ukuhlala unqamleze imilenze okanye ukwenza izinto imilenze yakho isasazeke ngokubanzi (njengokunyuka izinyuko) . Ukuhamba ngokuqhelekileyo nokunyuka izinyuko kulungile.
- Kwanasemva kokuba i-catheter ye-urethral isusiwe, kufuneka uphephe ukulala ngesondo okanye ukuphulula amalungu esini kangangeeveki ezi-6 ukususela kumhla wotyando.
- Inxeba elingaphakathi emlonyeni liphola ngokukhawuleza kakhulu. Kwiiveki ezintathu, kuvela izicwili ezintsha kwaye inxeba liyavaleka.
- Ngokwesiqhelo kuya kufuneka uthathe ikhefu emsebenzini okanye esikolweni iiveki ezimbini ukuya kwezintathu emva kokuba i-catheter yakho yomchamo ifakiwe.
Ziziphi iingenelo kunye neengozi zalo tyando?
Eyona nzuzo inkulu yolu tyando kukuba yeyona ndlela ilungileyo nesebenzayo yokunyanga ukuvaleka komchamo. Uphando lubonise ukuba izinga lempumelelo yolu tyando lingaphezulu kwe-80%, kwaye kwezinye iimeko, lingaphezulu kwe-90%.
Njengalo naluphi na utyando, kukho iingozi ezithile. Iingxaki nge-anesthesia kunye nosulelo lwamanxeba zixhaphakile.
Ingozi ephambili kukuba utyando lusenokungaphumeleli kwixesha elide kwaye amanxeba aya kubuya aphinde abambeke. Ukuba oko kuyenzeka, kusenokufuneka wenze olunye utyando. Yiyo loo nto kubalulekile ukuza ekliniki ngemihla ugqirha akunike yona uze uhlolwe.
Ezinye iingozi ezingaqhelekanga:
- Ukonakala okwethutyana kwimithambo-luvo emilenzeni, ezingalweni, nakwiminwe ngenxa yendlela ebekwe ngayo ngexesha lotyando.
- Intlungu kwindawo ephakathi kwamasende kunye nempundu ngenxa yomonakalo wemithambo-luvo.
- Umchamo okanye isidoda sinokuqokelelana kwindawo yotyando, nto leyo ebangela ukuvuza okanye ukukhupha amanzi kwilungu lobudoda.
- Ukungasebenzi kakuhle kwe-erectile . Nangona kunjalo, nokuba oku kuyenzeka, kudla ngokuba yinto yexeshana kwaye kuyaphela kwiinyanga ezili-18 okanye ngaphantsi.
Ixesha lokubona ugqirha wakho ngoko nangoko
Ukuba unengxaki yokuchama, unezifo zomchamo ezixhaphakileyo, okanye ugqirha uxelele ukuba uvalekile kwi-urethra yakho, qiniseka ukuba ucela ingcebiso kagqirha.
Ukuba ufumana naziphi na iimpawu ezilandelayo emva kwe-urethroplasty, yazisa ugqirha wakho ngoko nangoko.
| Iimpawu ekufuneka uziqaphele | |
|---|---|
| Ifiva | Ukuba ubushushu bomzimba buyanyuka. |
| Ukuvulwa kwenxeba | Ukuba izithungo kwindawo yotyando zikhululekile okanye inxeba libonakala livulekile. |
| Ukopha kakhulu | Ukuba ubona amabala amaninzi egazi kwimpahla yakho yangaphantsi. |
| Ukukhupha ubofu | Ukuba ulwelo olufana nobovu luphuma enxebeni. |
| Intlungu ebuhlungu | Ukuba bekungalindelekanga, kuvela intlungu enganyamezelekiyo. |
| Ukuvaleka komchamo | Ukuba umchamo uphuma kwi-urethra ubonakala ngathi uyekile. |
Ungaze woyike ukuthetha nogqirha wakho ngazo naziphi na iimpawu ezikukhathazayo. Nguye umntu ofanelekileyo ukukuxelela into omawuyenze emva koko.
Umyalezo Wokuya Ekhaya
- I-urethroplasty lutyando oluphumelele kakhulu lokunyanga ukuqina komchamo.
- Oku kuquka ukususa indawo evalekileyo kunye nokulungisa okanye ukwakha kwakhona i-urethra.
- Kuya kufuneka unxibe i-catheter okwethutyana ngexesha lokuchacha kwakho, kwaye eminye imisebenzi iya kufuneka inqunyelwe iiveki ezimbalwa.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uye kwiikliniki ngemihla emiselweyo.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kotyando, yazisa ugqirha wakho ngoko nangoko.
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