Uyazazi lezi zinto mayelana nohlelo lwakho lomchamo? Ake sixoxe!

Sawubona! Namuhla sizokhuluma ngohlelo olubaluleke kakhulu emzimbeni wethu. Leso uhlelo lomchamo, noma njengoba sisho ngesiNgisi, "Uhlelo Lomchamo". Lusebenza njengesihlungi samanzi endlini yethu. Umsebenzi walo oyinhloko ukuhlunga ubuthi obungadingekile kanye nemikhiqizo engcolile emzimbeni bese uyikhipha njengomchamo. Ngakho-ke uma kukhona inkinga kule nqubo, singase singakwazi ukuchama ngendlela evamile. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Iyini isimiso somchamo? Sisebenza kanjani?

Kalula nje, uhlelo lwakho lomchamo lufana nohlelo lokuhlunga lomzimba wakho . Luhlunga imfucuza kanye nobuthi emzimbeni wakho bese luyikhipha njengomchamo. Ukuze lo msebenzi usebenze kahle, le mfucuza idinga ukudlula ezithweni eziningana zomzimba.

Izingxenye eziyinhloko zalolu hlelo yilezi:

• Izinso ezimbili: Lezi yizitho eziyinhloko ezihlunga igazi.
• Ama-ureter: Amapayipi amabili athwala umchamo usuka ezinso uye kwesinye.
• Isinye: Isitho esifana nesikhwama esiqoqa futhi sigcine umchamo okwesikhashana.
• I-urethra: Ipayipi elithwala umchamo usuka kwesinyeni liwukhiphe emzimbeni.

Manje ake sibone ukuthi yimiphi imisebenzi yayo eyinhloko.

• Ukuhlanzwa kwegazi: Igazi eligeleza emzimbeni wethu liyahlungwa bese kususwa izinto ezingafuneki.
• Ukuhlukaniswa kwezinto ezingadingekile: Umzimba ugcina izakhamzimba ozidingayo futhi uhlukanise ubuthi kanye nemfucuza.
• Ukuchama: Umchamo okhiqizwayo uyaqoqwa bese ukhishwa emzimbeni uma isikhathi sifika.

Cabanga ngezinso zakho njengezihlungi ezimbili ezihlakaniphile kakhulu. Igazi lakho lidlula emithanjeni yegazi emincane liye kulezi zinso. Lapho, izinso zihlunga igazi, zisuse ubuthi, usawoti ongafuneki, namanzi angaphezulu . Zengeza amavithamini, amaminerali, izakhamzimba, namaprotheni umzimba owadingayo abuyele egazini. Imikhiqizo ehlukene yomchamo kanye nomchamo kuhamba phansi kuma-ureter kuye kwesinye. Uma udinga ukuchama, umchamo osesinyeni udlula nge-urethra. Akuyona yini inqubo emangalisayo?

Yiziphi izingxenye ezibaluleke kakhulu zesistimu yethu yomchamo?

Manje ake sixoxe kabanzi ngezitho eziyinhloko ezakha uhlelo lomchamo. Zonke lezi zitho zisebenza ndawonye ukuhlunga, ukuqoqa, nokususa ukungcola koketshezi emizimbeni yethu. Zonke lezi zitho zitholakala esiswini sethu kanye nasesinqeni.

Ake sibheke izinso kuqala.

Laba yibo abasebenza kakhulu ohlelweni lwethu lomchamo.. Lezi zitho ezimbili zisebenza ngokungayeki. Zihlunga igazi futhi zenze umchamo. Sinezinso ezimbili, ezitholakala ohlangothini ngalunye lwesisu, ngaphansi nje kwesikhala sezimbambo. Izinso ngayinye icishe ibe usayizi wesandla sakho. Zisebenza ngendlela emangalisayo. Zihlunga phakathi kwamalitha ayi-110 kuya kwangu-140 egazi ngosuku ! Lokho kusho ukuthi zikhiqiza amalitha angaba ngu-1 kuya kwangu-2 omchamo ngosuku.

Ayini ama-ureter?

Lawa amapayipi amabili amancane athwala umchamo esuka ezinso eya kwesinyeni. Atholakala ngaphakathi kwe-pelvic cavity. I-ureter ngayinye inobude obungaba amasentimitha angu-1.5. Ithambile kakhulu, akunjalo?

Iyini isinye?

Lesi yisikhwama esingenalutho, esinemisipha esiqoqa futhi sigcine umchamo uze ulungele ukuchama. Sibukeka njengebhaluni elincane. Siyakhula, noma siba sikhulu, uma sigcwala umchamo. Isinye ngokuvamile singabamba cishe amamililitha angu-500 (cishe izinkomishi ezimbili) zomchamo ngesikhathi. Ukuchama yilapho ukhipha lesi sinye.

I-urethra kanye nomsebenzi wayo

Lona yipayipi elithwala umchamo lisuka kwesinyeni liye ngaphandle komzimba. Kunemisipha emibili ye-sphincter evala lo mgodi ukuze umchamo ungaphumi uma ungayi endlini yangasese. Le misipha efana nendandatho iyavuleka futhi ivaleke ukuze ilawule ukugeleza komchamo. Ngezinye izikhathi lapho le misipha iba buthakathaka, kuba nzima ukulawula umchamo.

Yiziphi izifo ezingavela ezihlobene nohlelo lomchamo?

Izimo eziningi zingathinta ama-ureter ethu, izinso, esinyeni kanye ne-urethra. Izifo, izifo, noma izinkinga zingaba khona lapho sizalwa noma zikhule njengoba sikhula. Umdlavuza ungathinta nezingxenye zesistimu yomchamo.

Nazi ezinye zezifo ezivame kakhulu zomgudu womchamo:

• Izifo:

Izifo Zomgudu Womchamo (UTI) kanye Nezifo Ezithathelwana Ngocansi (STI) zingabangela izinkinga zezinso, zomgudu womchamo, noma zesinye lapho amagciwane engena ngomgudu womchamo. Odokotela bavame ukunikeza ama-antibiotic kulokhu.

• Amatshe Ezinso:

Amatshe ezinso angamatshe amancane akheka lapho imfucuza ihlangana ndawonye. Lawa matshe angabangela ubuhlungu obukhulu futhi avimbele ukugeleza komchamo uma ehlala ezinso noma emapayipini omchamo. Cabanga ukuthi kungaba buhlungu kanjani uma itshe elincane libhajwa!

• Izinkinga zokuchama:
• Ukungakwazi ukuzibamba ngomchamo: Ukulahlekelwa umchamo uma ungafuni. Lokhu kungabhebhethekiswa ukukhwehlela, ukuhleka, ukuthimula, noma ukugxuma.
• Isinyi esisebenza ngokweqile:Isidingo somchamo esivamile, esiphuthumayo.
• Ukugcinwa Komchamo: Isimo lapho isinye singaphumi khona ngokuphelele ngemva kokuchama ngakunye.

Kulezi zimo, izimpawu ezifana nokuchama njalo, ukugeleza komchamo obuthakathaka, kanye nokuvuza komchamo kungabonakala. Lokhu kungelashwa ngemithi kanye nezinguquko zendlela yokuphila.

• Ukuvinjelwa komgudu womchamo:

Amaqhubu noma izimila noma yikuphi ohlelweni lomchamo kungavimba ukugeleza komchamo. Kwabesilisa, i-prostate ekhuphukile ingavimba i-urethra, okwenza kube nzima ukuchama. Ukukhulelwa kanye nezifo zamathumbu ezifana nesifo sikaCrohn nazo zingavimba i-urethra. Lokhu kuvinjelwa kuvame ukwelapheka ngokuhlinzwa.

• Isifo sezinso:

Lesi yisimo esibucayi. Izimbangela eziyinhloko zesifo sezinso esingamahlalakhona (CKD) umfutho wegazi ophakeme (umfutho wegazi ophakeme) nesifo sikashukela (i-Diabetes Mellitus). Ngakho-ke, kubaluleke kakhulu ukulawula umfutho wegazi kanye namazinga kashukela. Isifo sezinso singaholela ekuhlulekeni kwezinso. Uma kunjalo, kuzodingeka wenze i-dialysis noma ukufakelwa izinso . Kuwukuhlakanipha ukukhuluma nodokotela wakho mayelana nokuthi usengozini yini yokuthola isifo sezinso bese uthatha izinyathelo zokunciphisa leyo ngozi.

• I-Interstitial Cystitis/I-Painful Bladder Syndrome:

Kulesi simo, isinyi siyavuvukala, noma sivuvuke. Imithi kanye nokwelashwa ngokomzimba kungasiza ekunciphiseni izimpawu.

• Izinkinga zesakhiwo:

Ngezinye izikhathi izingane zizalwa zinezinkinga ngendlela uhlelo lwazo lomchamo olwakheka ngayo. Isibonelo, i-ectopic ureter yisimo lapho i-urethra yengane ingaxhumene nesinye kodwa ixhumene nenye ingxenye yomzimba. Uma ezinye izitho ohlelweni lomchamo zingakhuli kahle, lokhu kungabangela izinkinga ngokuchama. Ukwehla kwe-bladder kwenzeka lapho isinye siwela esithweni sangasese noma silenga ngaphandle komgodi wesitho sangasese. Lokhu ngezinye izikhathi kudinga ukuhlinzwa.

Yiziphi izimpawu ezivamile zalesi simo?

Izimpawu zingase zihluke kuye ngesimo onaso. Kodwa-ke, izimo eziningi zinezimpawu ezivamile. Lezi zifaka:

• Izinguquko ekuchameni: Kungaba nezinto eziningi ezifana nesidingo sokuchama kaningi, ukuphuma komchamo okuncane, kanye nobuhlungu lapho uchama.
• Izinguquko kumchamo: Umchamo obonakala unsundu noma unamafu, noma igazi emchameni (hematuria).
• Ubuhlungu endaweni yesisu:Ngenxa yokuthi izitho eziningi zomchamo zitholakala esiswini, ungase uzwe ubuhlungu, ukuqina, kanye nokucindezeleka kule ndawo.
• Umkhuhlane, izinhlungu zomzimba, kanye nokungaphatheki kahle: Lokhu kungaba izimpawu zokutheleleka. Ukucanuzela kwenhliziyo nokuhlanza nakho kungase kwenzeke.

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.

Yiziphi izivivinyo ezenziwayo ukuthola isifo somgudu womchamo?

Udokotela wakho uzonquma ukuthi yiziphi izivivinyo okufanele uzenze ngokusekelwe ezimpawini zakho nezinye izici. Nazi ezinye zezivivinyo ezingenziwa:

• Ukuhlolwa komchamo: Lokhu kuhilela ukuhlola umbala, ukubukeka, ukwakheka kwamakhemikhali, kanye nokuhlolwa komchamo wakho nge-microscope.
• Ukuhlolwa kokusebenza kwezinso: Lokhu kuhlola ukuthi izinso zakho zisebenza kahle kangakanani. Lokhu kungafaka kokubili ukuhlolwa kwegazi kanye nokuhlolwa komchamo.
• Ukuhlolwa kwegazi: Lokhu kunganikeza odokotela umbono walokho okwenzekayo emzimbeni wakho. Bangabheka amakhemikhali, amaprotheni, nezinye izinto egazini lakho.
• I-Urethral swab: Kuthathwa isampula yoketshezi oluvela ku-urethra bese luhlolwa.
• Ukukhuliswa komchamo: Ukuhlolwa okukhulisa amabhaktheriya kusuka kusampula yomchamo. Udokotela wakho angakwenza lokhu ngemuva kokuthi utholakale une-UTI. Kungasiza ekutholeni uhlobo oluqondile lwamabhaktheriya abangele i-UTI.
• Ukuhlolwa kwezithombe: Udokotela wakho angase aku-ode lokhu kuhlolwa ukuze kusize ekuxilongeni izimo ezithile. Izibonelo zifaka phakathi ukuskena kwe-ultrasound, ama-X-ray, ukuskena kwe-MRI (Magnetic Resonance Imaging), kanye nokuskena kwe-CT (Computed Tomography) .

Ngakho-ke singawugcina kanjani lo mshini womchamo uphilile?

Ungazama ukugcina uhlelo lwakho lomchamo luphilile ngokwenza inhlanzeko enhle kanye nendlela yokuphila enempilo. Nazi ezinye izinto ezingasiza:

• Phuza amanzi amaningi: Ukuhlala unamanzi amaningi kusiza ekuhlanzeni umgudu womchamo. Lokhu kusiza nasekuvimbeleni amatshe ezinso kanye nezifo zomgudu womchamo.
• Yidla ukudla okulinganiselayo: Ukudla okunosawoti omncane kanye ne-calcium eningi kungasiza ekuvimbeleni ukwakheka kwamatshe ezinso.
• Khulula isinyi sakho ngokuphelele: Uma uya endlini yangasese, khipha wonke umchamo. Ungawugcini isikhathi eside.
• Hlanza kahle: Uma ungowesifazane, sula njalo kusukela phambili kuya emuva ngemva kokusebenzisa indlu yangasese. Lokhu kunciphisa ingozi yokuthi amagciwane angene esithweni sangasese futhi abangele i-UTI.
• Ukuchama ngemva kocansi:Uma ungowesifazane, ukuchama ngokushesha ngemva kocansi kungasiza ekususeni amagciwane futhi kunciphise ingozi yokuthola ukutheleleka komgudu womchamo (UTI).
• Yenza ucansi oluphephile: Sebenzisa ikhondomu ukuze uzivikele ezifweni ezithathelwana ngocansi.
• Yenza izivivinyo zephansi le-pelvic / izivivinyo ze-Kegel: Ukwenza lokhu kungaqinisa imisipha yephansi le-pelvic futhi kunciphise ingozi yokungakwazi ukuzibamba.
• Gcina indawo yangasese ihlanzekile: Hlanza indawo yangasese ngensipho namanzi athambile. Zama ukugeza noma ukugeza umzimba wakho nsuku zonke. Gqoka izingubo zangaphansi ezikhululekile nezikhululekile.

Uzizwa nini sengathi udinga ukubona udokotela?

Uma unenkinga noma ubuhlungu lapho uchama, kungaba uphawu lokutheleleka noma esinye isimo sezokwelapha. Ngakho-ke bonana nodokotela. Kufanele nakanjani ubone udokotela uma unanoma yikuphi kwalokhu okulandelayo:

• Igazi emchameni (i-hematuria)
• Ukushisa, ubuhlungu, noma ukungakhululeki lapho uchama
• Ubuhlungu endaweni ye-pelvic, esiswini esingezansi, endaweni yesitho sangasese, noma ohlangothini (emhlane nasemaceleni kwesisu)
• Ubunzima bokubamba umchamo noma izinkinga zokuchama
• Ukuzwa sengathi kukhona okuphuma esithweni sangasese sowesifazane

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Uhlelo lwakho lomchamo luyingxenye ebalulekile empilweni yakho. Luhlunga igazi lakho futhi lususe ukungcola namanzi angaphezulu njengomchamo. Izinso zakho, ama-ureter, isinyi, kanye ne-urethra yizingxenye eziyinhloko zalolu hlelo. Izimo ezifana nokutheleleka kwe-urinary tract (UTIs), izifo ezithathelwana ngocansi (STIs), isifo sezinso, kanye nokuvinjelwa kwe-urinary tract kungathinta impilo yesistimu yakho yomchamo. Uma unesimo esifana nalesi, kungcono ukukhuluma nodokotela wakho bese uthatha izinyathelo zokuhlala uphilile. Ukunakekela umzimba wakho kuyindlela engcono kakhulu yokuphila impilo enempilo.

Uhlelo lomchamo, izinso, esinyeni, izifo zomgudu womchamo, amatshe ezinso, ubunzima bokuchama, impilo enempilo