Iyini isinye sethu somchamo? Ake sixoxe ngalokhu ngokuningiliziwe!

Wake wacabanga ngalesi sitho esincane esifana nebhaluni emzimbeni wethu, isinye ? Lena yindawo ebaluleke kakhulu lapho siqoqa futhi sigcine khona umchamo, esiwubiza ngokuthi ' umchamo '. Ngakho-ke, namuhla sizoxoxa ngokuthi siyini ngempela lesi sinye, ukuthi sisebenza kanjani , nokuthi yiziphi izifo esingazibangela, kulungile?

Iyini isinye? Senzani?

Kalula nje, isinyi siyisitho esincane, esingenalutho ngaphakathi emzimbeni wethu esiqoqa futhi sigcine umchamo. Sifana nebhaluni. Isinyi somuntu omdala ngokuvamile singabamba cishe amamililitha angu-500 kuya kwangu-700 omchamo (cishe izinkomishi ezimbili zamanzi). Uma uzizwa unesifiso sokuya endlini yangasese, imisipha esinyini iyaqina, futhi imisipha ye-sphincter e-urethra iyakhululeka kancane. Yilapho umchamo uphuma khona emzimbeni. Isinyi siyingxenye ebaluleke kakhulu ohlelweni lwethu lomchamo .

Manje bheka, izinso zethu yizo ezihlunga igazi futhi zisuse izinto ezingafuneki kulo, njengosawoti, amanzi angaphezulu , ubuthi , kanye nemfucuza, njengomchamo. Lapho umchamo owakhiwe ngale ndlela uqongelela esinyeni, uvuvukala njengebhaluni. Uma ugcwele cishe amamililitha angu-200 kuya kwangu-350 omchamo, imizwa esesinyeni itshela ubuchopho bethu ukuthi, 'Kulungile, manje sekuyisikhathi sokuya endlini yangasese.' Ngemva kokuchama, esinyeni siyafinyela futhi bese siba sincane. Sivame ukukhipha cishe amamililitha angu-950 kuya kwangu-1900 omchamo (okungukuthi cishe amalitha amabili) ngosuku.

Uyazi ukuthi lesi sinyi sitholakala kuphi?

Isinyi sitholakala esiswini sethu esingezansi . Uma sikhuluma iqiniso, sisendaweni eyodwa ngoba sixhunywe kwezinye izitho kanye ne-pelvis yethu ngemicu yezicubu ezixhumanisayo (ama-ligaments) .

• Kumuntu wesilisa, isinyi sitholakala phakathi kwethambo le-pubic ngaphambili kanye ne-rectum ngemuva.
• Kowesifazane, isinyi sitholakala phambi kwesitho sangasese sowesifazane kanye nesibeletho.

Yiziphi izingxenye eziyinhloko zesinyi?

Isinyi sakhiwe izingxenye ezine eziyinhloko. Ake sibheke ukuthi ziyini:

• I-Dome / I-Apex: Lena yingxenye ephezulu, engaphambili yesinyi. Kubonakala sengathi ibheke esiswini sethu.
• Isisekelo / i-Fundus: Lena ingxenye engezansi, engemuva yesinyi.
• Umzimba:Indawo yonke ephakathi kwengxenye ephezulu nephansi ibizwa ngokuthi 'umzimba'.
• Intamo: Lena ibhande elincane lemisipha phansi kwesinye. Yilapho i-urethra yethu ixhumana khona.

Ibukeka kanjani isinye? Yenziwe ngezakhi ezinjani?

Isinyi ngokuvamile sinombala opinki ojulile. Sinobubanzi obungaba amasentimitha angu-2 uma singenalutho, kodwa singanwebeka, noma sinwebeke, sibe amasentimitha angu-6 uma sigcwele. Sakhiwe yizingqimba ezintathu eziyinhloko:

• I-Urothelium : Lena ulwelwesi lwangaphakathi lwesinyi. Yilokhu okuvimba umchamo ukuthi ungangeni emzimbeni. Umsebenzi obaluleke kakhulu, akunjalo?
• I-Lamina propria (Submucosa): Lolu ungqimba oluncane nolukhululekile lwezicubu ezixhumeneyo . Luqukethe ama-molecule amaprotheni, imithambo yegazi, kanye nemizwa.
• I-Muscularis propria: Lolu ungqimba olukhulu kakhulu lwemisipha ngaphandle kwesinye. Lwakhiwe ngezingqimba ezintathu zemisipha ebushelelezi . Imisipha ebushelelezi uhlobo lwemisipha efinyela futhi iphumule ngokuzenzakalelayo, ngaphandle kokulawulwa kwethu okuqaphile.

Yiziphi izifo ezivamile ezingathinta isinyi?

Ngeshwa, isinyi sethu singaba nezifo ezahlukahlukene. Ake sibheke ezinye zezifo ezivame kakhulu:

• Umdlavuza wesinye : Yilapho amangqamuzana esinyini ekhula khona engalawuleki. Ngokuvamile uqala emaseli engqimba yangaphakathi , i-urothelium, esikhulume ngayo ngaphambili.
• I-Cystitis: Lokhu ukuvuvukala kwesinye okubangelwa ukutheleleka ngamagciwane. Yisifo esivame kakhulu esisibiza ngokuthi i-Urinary Tract Infection (UTI) .
• I-Interstitial cystitis /bladder pain syndrome (IC/BPS): Lesi yisimo sesikhathi eside esibangela ubuhlungu esinyeni kanye nesidingo esivamile noma esiphuthumayo sokuchama.
• Isinyi esisebenza ngokweqile: Kulesi simo, kungase kudingeke ukuthi uchame njalo, noma ungase uvuza umchamo ungaqapheli.
• Ukungakwazi ukuzibamba umchamo: Yilapho ulahlekelwa ukulawula isinyi sakho. Ungase uvuza umchamo ngisho noma ungafuni.
• Amatshe esinyini:Lezi yizinsalela zamaminerali ezakheka ngaphakathi kwesinye. Lesi simo sivame ukwenzeka kubantu abanenkinga yokukhipha konke esinyini sabo.

Wazi kanjani ukuthi kunenkinga ngesinyi sakho?

Uma unenkinga yesinye, ungase ubhekane nezinye zalezi zimpawu:

• Ukungakwazi ukulawula umchamo .
• Ukushisa noma ubuhlungu lapho uchama.
• Umchamo ubonakala umnyama ngombala .
• Igazi emchameni.
• Uchama kaningi kunalokho obekujwayelekile.
• Ukuzizwa sengathi isinyi asisho lutho ngokuphelele uma uya endlini yangasese.
• Umchamo unephunga elinamandla noma elibi .
• Ubuhlungu ngesikhathi socansi (i-dyspareunia) .

Yiziphi izivivinyo ezivamile ezenziwayo ukuhlola impilo yesinyi?

Odokotela basebenzisa izivivinyo ezahlukene ukuze babone ukuthi isinyi sisebenza kahle kangakanani futhi bathole izinkinga ngaso. Udokotela wakho angase akucele izivivinyo ezifana nalezi:

• Ukuhlolwa komchamo/umchamo: Uzocelwa ukuthi uchamele enkomishini ekhethekile. Isampula yomchamo izobe isihlolwa ukubukeka kwayo, ukwakheka kwamakhemikhali, kanye nokuhlolwa nge-microscope.
• Ukukhuliswa komchamo: Futhi, uchamela enkomishini ekhethekile. Bese ihlolwa ukuthi ayinawo yini amagciwane noma imvubelo.
• Ukuhlolwa kwezithombe: Lokhu kuhlolwa kungathatha izithombe ezinemininingwane zesinye. Isibonelo, i -ultrasound , i-CT scan , noma i- MRI scan.
• I-Cytology: Udokotela uthatha isampula yamaseli esinyeni sakho bese ewahlola ukuthi awanazo yini izimpawu zomdlavuza.
• I-Cystoscopy: Kule nqubo, kusetshenziswa ithubhu elincane, elikhanyayo (i-cystoscope) elinekhamera enamathiselwe ukubheka ngaphakathi kwesinye.
• Ukuhlolwa kwe-Urodynamic: Lokhu kuhilela ukuhlolwa okuningana okuhlukene okubheka ukuthi isinyi sakho nezinye izingxenye zesistimu yakho yomchamo zigcina futhi zikhiphe umchamo kahle kangakanani.
• I-Biopsy: Udokotela uthatha amaseli, izicubu, uketshezi, noma ukukhula kwesinye bese ekuhlola elebhu. I-biopsy ivame ukwenziwa ukuqinisekisa ukuthi umdlavuza ukhona yini.

Ngingayixazulula kanjani inkinga yami yesinyi?

Ukwelashwa kwezinkinga zesinyi kuncike ezimpawini zakho kanye nokuxilongwa okuqondile ngudokotela wakho. Ukwelashwa okuvamile kuhlanganisa:

• Imithi, okuhlanganisa nama-antibiotic .
• Izinguquko ekudleni.
• Ukwelashwa ngokomzimba(Ukwelashwa ngokomzimba) .
• Izinguquko ekuziphatheni.
• Ukuqeqeshwa kabusha kwesinye.
• Ukuhlinzwa .

Ingabe ukuphuza amanzi kuyasiza ekwelapheni izinkinga zesinyi?

Kuncike kakhulu esimweni sesinye sakho. Amanzi abaluleke kakhulu ekukhipheni imfucuza namagciwane emgudwini wethu womchamo. Futhi, ukuphuza amanzi amaningi kunciphisa umchamo wakho, okusho ukuthi awube usagxilile. Umchamo ogxilile ungacasula esinyeni sakho kakhulu, okungenza izimpawu zakho zibe zimbi kakhulu. Ngakho-ke, kungcono ukubuza udokotela wakho ukuthi ukuphuza amanzi amaningi kuzosiza yini ngenkinga yesinye sakho nokuthi kufanele uphuze malini.

Uma nginezinkinga zesinyi, yiziphi izinhlobo zokuphuza okufanele ngizigweme?

Uma unezinkinga zesinyi, iziphuzo ezilandelayo kanye noketshezi kungacasula isinyi sakho. Ngakho-ke kungcono ukuzinciphisa ngangokunokwenzeka:

• Utshwala
• Ikhofi
• Iziphuzo ezine-carbonated (izinto ezifana ne-soda)
• Itiye
• Amajusi ezithelo anomuncu (njengewolintshi, i-grapefruit, iphayinaphu, ijusi likalamula)
• Ijusi likatamatisi
• Amasosi ashisayo
• Uviniga

Yimaphi amavithamini asiza ekulawuleni umchamo?

Lawa mavithamini angasiza ekunciphiseni isifiso sokuchama futhi anciphise ingozi yokungakwazi ukuzibamba:

• I-Vitamin C: I-Vitamin C evela ekudleni ingasiza ekunciphiseni isifiso sokuchama. Imithombo emihle ifaka phakathi amawolintshi, upelepele, i-broccoli, nemifino eluhlaza. Kodwa-ke, ukuthatha imithamo ephezulu yamaphilisi e-Vitamin C ngezinye izikhathi kungabangela ukungalawuleki komchamo.
• I-Vitamin D: Abantu abaningi bathola i-vitamin D ekukhanyeni kwelanga. Kodwa-ke, ungayithola futhi emikhiqizweni yobisi, inhlanzi kanye namaqanda.

Okubalulekile: Ngaphambi kokuthi uqale ukuthatha noma yiziphi izithasiselo zamavithamini , kubaluleke kakhulu ukukhuluma nodokotela ukuqinisekisa ukuthi ziphephile kuwe.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele sizikhumbule kule ndaba? (Umyalezo Ofanele Uwuthathe Ekhaya)

Ngakho-ke, cishe usuyaqonda manje ukuthi isinye sethu somchamo siyisitho esiguquguqukayo, esingenalutho esigcina umchamo uze uphume emzimbeni. Isinye singathinteka yizimo ezahlukahlukene. Ezinye izimpawu zingaba buhlungu, zingakhululeki, noma zibe namahloni. Uma unezimpawu zesimo sesinye, ungesabi ukubona udokotela. Ngemuva kwalokho ungathola imbangela futhi uthole ukwelashwa okufanele kwezimpawu zakho. Khumbula, asikho isidingo sokuba namahloni okukhuluma ngalezi zinto. Impilo yakho iyona nto ebaluleke kakhulu!

Isinyi somchamo, umchamo, ukuchama , izinso, uhlelo lomchamo, ukutheleleka kwendlela yomchamo, i-UTI, umdlavuza wesinyi, i-cystitis, isinyi esisebenza ngokweqile, ukungakwazi ukuzibamba komchamo, amatshe esinyini, ukuhlolwa komchamo