Ingabe unesifiso sokuchama njalo? Noma ingabe unezikhathi lapho ungakwazi ukulawula ngisho nomchamo omncane, bese uvuza ezingutsheni zakho? Kwabanye abantu, lokhu kungaba yisithiyo esikhulu ekuphileni kwabo kwansuku zonke. Lapho isinyi singasebenzi kahle ngenxa yezimo ezithile zezokwelapha, lokhu kungaholela ezinkingeni ezinjengalezi. Ngakho-ke, ezikhathini ezinjengalezi, ikhambi elilodwa odokotela abaliphakamisayo ukuhlinzwa kokukhulisa isinyi. Yilokho esikhuluma ngakho namuhla.
Iyini le ndlela yokuhlinzwa yokukhulisa isinyi (Augmentation Cystoplasty)?
Kalula nje, isinye sakho siyisitho esifana nesikhwama esingabamba umchamo isikhashana. Lokhu kuhlinzwa kwenza isinye sakho sibe sikhulu kancane. Okusho ukuthi, kwandisa amandla aso.
Ake sithi ibhodlela lamanzi onalo lincane, ngakho-ke kufanele uligcwalise njalo. Uma sinamathisela elinye iqabunga kulelo bhodlela bese silenza libe likhulu, singalifaka yini amanzi amaningi ngesikhathi esisodwa? Kulungile, yilokho okwenzekayo kulokhu kuhlinzwa.
Odokotela basebenzisa ingxenye yomzimba wakho kule nqubo. Ukuze kube sobala, bathatha ingxenye encane yamathumbu akho amancane noma amathumbu amakhulu bese beyinamathisela esinyeni sakho ukuze iwandise. Uma kusetshenziswa amathumbu amancane, kubizwa ngokuthi "i-ileocystoplasty", futhi uma kusetshenziswa amathumbu amakhulu, kubizwa ngokuthi "i-sigmoid noma i-ceco-cystoplasty". Kodwa lokhu akubalulekile kangako kuwe. Into ebalulekile ukuthi lokhu kwenza isinye sakho sibe sikhulu futhi singabamba umchamo omningi.
Kungani kudingeka ukuba nohlobo olunjalo lokuhlinzwa?
Akuwona wonke umuntu odinga lokhu kuhlinzwa. Kuvame ukunconywa kubantu abanenkinga yokusebenza kwesinyi ngenxa yezimo ezithile zezokwelapha. Isibonelo:
- Ukulimala komgogodla: Uma umgogodla wonakele ngenxa yengozi, imizwa elawula isinyi ingathinteka.
- Izinkinga zemizwa ezizalwa nazo: Ezinye izingane zizalwa zinezinkinga ezithile ngomgogodla wazo noma uhlelo lwezinzwa.
- Ezinye izimo zezokwelapha: Izifo ezifana ne-"Multiple Sclerosis" nazo zingabangela izinguquko ekusebenzeni kwesinyi.
Lezi zizathu zingabangela izinkinga ezahlukahlukene ngesinyi. Ake sibone ukuthi ziyini.
| Inkinga yesinyi | Ukuchaza kalula... |
|---|---|
| Ukuvuza | Ukuvuza komchamo okungahleliwe, ngokuvamile ngaphandle kokwazi kwakho. Lokhu kungenzeka uma ukhwehlela noma uhleka. |
| Ukuqina kwesinyi (Ukuqaqamba) | Imisipha yesinye iyafinyela ngokungazikhetheli. Lokhu kungabangela isidingo sokuchama ngokuzumayo, isidingo sokuchama njalo, noma ubuhlungu kwesinye. |
| Ukulahlekelwa amandla | Ukungakwazi ukubamba umchamo omningi njengakuqala. Kudingeka ukuthi uchame ngokushesha nje lapho usugcwele kancane. |
| Umfutho ophezulu | Ngenxa yokuthi imisipha yesinye ayifinyeleli kahle, ingcindezi engaphakathi iyanda kakhulu. Lokhu kuyingozi ngoba le ngcindezi ingabangela ukuthi umchamo ugeleze ubuyele emuva ezinso , kulimaze izinso futhi kubangele izifo . |
Ngokuvamile, lokhu kuhlinzwa kwenziwa kubantu asebezisebenzisa isikhathi eside besebenzisa i-self-catheterization. Lena inqubo lapho kufakwa khona ipayipi elincane (i-catheter) nge-urethra ukuze kukhishwe isinye. Uma le ndlela ingaxazululi inkinga, udokotela wakho uzokutshela ngalokhu kuhlinzwa njengesinyathelo esilandelayo.
Kwenzekani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, akunakwenzeka konke ngesikhathi esisodwa. Udokotela uzokuxilonga kahle ukuze abone ukuthi uyakufanelekela yini lokhu. Uzokwenza izivivinyo eziningana ezifana nalezi.
- Ukuhlolwa komzimba: Impilo yakho iyonke iyahlolwa.
- Ukuhlolwa kwegazi: Hlola ukusebenza kwezinso nokuthi ngabe kukhona yini ukutheleleka.
- Ama-X-ray: Thatha isithombe sohlelo lomchamo.
- I-Cystoscopy: Ukuhlolwa lapho kufakwa khona ipayipi elinekhamera encane nge-urethra ukuze libheke ngaphakathi kwesinye.
- Ukuhlolwa kwe-Urodynamic: Ukuhlolwa okukhethekile okulinganisa indlela isinyi esisebenza ngayo kanye nengcindezi esiyitholayo lapho sigcwalisa futhi sithulula.
Okubaluleke kakhulu:Kufanele utshele udokotela wakho nganoma yimiphi imithi oyithathayo, hhayi nje leyo oyinikezwe udokotela wakho, kodwa futhi nemithi yokuqeda ubuhlungu ethengiswa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi ye-Ayurvedic. Eminye imithi, njenge-aspirin, yandisa ingozi yokopha.
Kwenzekani ngesikhathi sokuhlinzwa?
Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile (ukulala) ngakho ngeke uzwe lutho. Udokotela ohlinzayo angenza lokhu kuhlinzwa ngezindlela ezimbili: kungaba ngokusika okukodwa okude esiswini (ukuhlinzwa okuvulekile), noma ngokusika okuncane okuningana kusetshenziswa ukuhlinzwa kwerobhothi.
Nokho, izinyathelo eziyisisekelo yilezi ezilandelayo:
1. Okokuqala, udokotela ohlinzayo usika ingxenye ephezulu yesinye .
2. Bese, ucezu lobukhulu obubekiwe luyasikwa bese luhlukaniswa nomathumbu amancane noma amathumbu amakhulu, njengoba kunqunywe ngaphambilini.
3. Ingcezu yamathumbu ehlukanisiwe igoqwa phakathi nendawo, yakha "i-patch" eyisicaba.
4. Ekugcineni, lesi siqeshana samathumbu sifakwa esinyeni esivulwe ngaphambilini, bese kokubili kuxhunywa futhi kuthungwe ndawonye .
Ngemva kwale nqubo, isinyi sizoba sikhulu kunangaphambili. Uma uvuka ngemva kokuhlinzwa, uzobona amapayipi amabili noma amathathu ephuma esiswini sakho kanye nesinye. Lawa afakwa ukuze umchamo uphume kahle futhi ahlanze isinyi kuze kube yilapho isinyi esisanda kudalwa siphola. Ungakhathazeki, lawa awesikhashana.
Ngokuvamile, lokhu kuhlinzwa kungathatha amahora amabili kuya kwayisithupha .
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Isikhathi sokululama ngemva kokuhlinzwa naso sibaluleke kakhulu. Ukuzinikela kwakho kuyadingeka phakathi nalesi sikhathi.
Isikhathi esibhedlela
Ngokuvamile kuzodingeka uhlale esibhedlela cishe izinsuku ezinhlanu kuya kweziyisikhombisa .
- Ukudla Nokuphuza: Ngeke uvunyelwe ukudla noma ukuphuza ezinsukwini ezimbalwa zokuqala. Lokhu kungenxa yokuthi ngemva kokuhlinzwa okunje, amathumbu ayayeka ukusebenza okwesikhashana bese "eba buthaka". Lokhu sikubiza ngokuthi "ileus". Lokhu kuvamile. Kungase kudingeke futhi ukuthi ufake ipayipi ngekhala lakho ukuze ukhiphe uketshezi esiswini sakho. Uma amathumbu akho eseqala ukusebenza futhi, uzonikezwa ukudla okumanzi (njengesobho) ekuqaleni, bese kancane kancane ungeniswa ekudleni okuvamile.
- Amapayipi: Ngesikhathi usesibhedlela, uzoba namapayipi amaningana esiswini sakho. Okungenani amapayipi amabili afakwa ukuze kukhishwe umchamo esinyeni sakho. Abasebenzi abahlengikazi bazokufundisa ukuthi ungawanakekela kanjani la mapayipi, ikakhulukazi indlela yokuhlanza amafinyila aqoqana esinyeni sakho (ukunisela).
Ukunakekelwa kwesikhathi eside ngemva kokubuyela ekhaya
Lena yingxenye okudingeka uyinake kakhulu. Isinye sakho manje sesixhunywe nengxenye yamathumbu. Uhlobo lwamathumbu luwukukhiqiza i-mucus (into efana ne-mucus). Ngakho-ke, le mucus izohlala ikhiqizwa ngaphakathi kwesinye sakho esisha.
- Ukunisela Amafinyila: Uma lokhu kufinyila kuqoqana, kungavimba i-urethra, kubangele amatshe omchamo, futhi kuholele ekuthelelekeni. Ngakho-ke, kuzodingeka ugeze ingaphakathi lesinye sakho ngesisombululo esikhethekile njalo ekuseni impilo yakho yonke. Uzofundiswa ukuthi ungakwenza kanjani lokhu esibhedlela.
- Ukuhlolwa: Cishe emavikini amathathu ngemva kokuhlinzwa, uzokwenza ukuhlolwa kwesithombe ukuqinisekisa ukuthi isinye sakho esisha asivuzi umchamo. Uma konke kuphola kahle, udokotela wakho uzosusa amapayipi akho.
- Ukuzihlanza Ngesihlungu: Ngemva kokususwa kwepayipi, kuzodingeka uqale ukuzihlanza ngesihlungu. Ungakhathazeki! Ithimba lezokwelapha lizokufundisa ukuthi ungakwenza kanjani lokhu uze ukwazi ukukwenza wedwa kalula.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezithile.
Yiziphi izinzuzo?
Uma lokhu kuhlinzwa kuphumelele, kungaletha impumuzo enkulu empilweni yakho.
- Njengoba isinyi sikhula, ingcindezi engaphakathi iyancipha .
- Lokhu kuvimbela noma kunciphisa umonakalo ezinso .
- Ngenxa yokuthi ungabamba umchamo omningi ngesikhathi esisodwa, ngeke kudingeke ukuthi uchame kaningi .
- Ngokuvamile, ungahlala ngaphandle kokuchama okungenani amahora amane .
- Ukukwazi ukulawula umchamo wakho kukunika ukuzethemba okukhulu uma ungaphandle komphakathi.
Izingozi nezinkinga
Ukususwa kwe-mucus esikhulume ngakho ekuqaleni kungabangela izinkinga ezinkulu uma kungenziwanga kahle. Ngaphezu kwalokho, kunezingozi ezithile ezihambisana nokuhlinzwa ngokwako.
| Ingozi/Inkinga | Incazelo elula |
|---|---|
| Izinkinga nge-mucus | Amafinyila anganqwabelana futhi avale i-urethra, abangele amatshe omchamo, izifo zomgudu womchamo (UTIs), futhi abangele ngisho nesinye ukuba sinwebeke noma siqhume. |
| Izinguquko zamakhemikhali emzimbeni | Ngenxa yokuthi ingxenye yamathumbu ithintana nomchamo, kungase kube nezinguquko ebhalansini le-acid-base yomzimba kanye namazinga athile amavithamini. Lokhu kudinga ukubhekwa ngokuhlolwa kwegazi impilo yonke. |
| Izingozi ezihlobene nokubulala izinzwa | Izingozi ezivamile ezihambisana nokubulala izinzwa kunoma yikuphi ukuhlinzwa. |
| Izifo nezinkinga zokuphulukisa | Ukusikeka kungase kutheleleke futhi kuthathe isikhathi eside ukuphola. |
| I-Hematoma (igazi eliqhekekile) | Igazi liqoqana ngaphansi kwesikhumba endaweni yokuhlinzwa bese lenza ihlule. |
| I-Hernia | Ingxenye yamathumbu ephuma esitho. Le ngozi iyanda ngezinto ezifana nokuphakamisa izinto ezisindayo. |
Kuzothatha isikhathi esingakanani ukululama ngokuphelele?
Lena inqubo ethatha isikhathi.
- Ngemva kwamasonto ayisithupha , ungalindela ukuthi ubuyele esimweni esijwayelekile. Lokho kusho ukuthi uzozizwa ungcono ngo-90%.
- Kodwa-ke, kungathatha cishe izinyanga ezintathu ukululama ngokuphelele kuze kube sezingeni elifanayo nangaphambi kokuhlinzwa.
- Phakathi nalesi sikhathi, kufanele ugweme ngokuphelele noma yini ebeka ingcindezi esiswini sakho, njengokuphakamisa izinsimbi, ukugijima, ukudlala imidlalo, kanye nokwenza ucansi .
- Ungabuyela emsebenzini noma esikoleni ngemva kwamasonto ayisithupha, kuye ngohlobo lomsebenzi wakho kanye nesivinini sokululama kwakho.
Kunini lapho udinga khona ukufonela udokotela ngokuzumayo?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokubuyela ekhaya, kufanele ushayele udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Uma kukhona ukopha okukhulu eduze kwesilonda.
- Uma umkhuhlane ungaphezu kwama-degrees F angu-100 (38 C).
- Uma indawo yenxeba iba bomvu, ivuvukele, ibuhlungu, noma ikhipha ubomvu (izimpawu zokutheleleka).
- Uma ungakwazi ukufaka i-catheter ye-urethra noma uzizwa ubhajwe.
Udokotela wakho uzoqhubeka nokukuhlela ama-aphoyintimenti emtholampilo. Ekuqaleni, uzokucela ukuthi uze uzohlola inxeba, usike izithungo, bese ususa amapayipi. Ngemva kwalokho, uzokucela ukuthi uze cishe kanye ngonyaka ukuze uhlole isimo sezinso zakho, uhlolwe igazi, futhi uvuselele umuthi wakho wepayipi.
Lokhu kuhlinzwa kuyisinqumo esishintsha impilo. Ngakho-ke, vula futhi uthembeke kudokotela wakho ngazo zonke izinto ezikukhathazayo nokwesaba kwakho. Lokhu kuzokusiza ukuthi udlule kulolu hambo.
Umlayezo Wokuya Nawe Ekhaya
- I-Agmentation Cystoplasty ukuhlinzwa kokukhulisa isinyi kusetshenziswa ucezu lwamathumbu akho.
- Umgomo oyinhloko walokhu ukunciphisa ingcindezi ngaphakathi kwesinye, ukuvikela izinso, nokuthuthukisa ikhwalithi yokuphila kwakho.
- Ngemva kokuhlinzwa, ukugeza nokukhipha amafinyila esinyeni nsuku zonke kuyimfuneko yokuphila konke.
- Abantu abaningi kuzodingeka bazilungisele bona impilo yabo yonke ngemva kokuhlinzwa.
- Uma unemibuzo noma ukungabaza ngalokhu kuhlinzwa, xoxa ngakho ngokucacile nodokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho