Ingabe kufanele uchame njalo? Noma ingabe umanzisa izingubo zakho lapho ungalindele? Ngezinye izikhathi, ungase uzizwe ungakhululekile ngenxa yezinto ezifana nokulawula isinyi kanye nobuhlungu kuleyo ndawo. Imbangela yezinkinga ezinjalo kungaba isinyi esincane noma ukucindezeleka okukhulu kuso. Ezimweni ezinjalo, sikhuluma ngokuhlinzwa okukhethekile odokotela abakuncomayo namuhla.
Kuyini i-Augmentation Cystoplasty?
Kalula nje, lokhu kuyindlela yokwandisa isinye sakho, isitho esigcina umchamo emzimbeni wethu. Cabanga ngakho njengokufaka izicubu ezengeziwe ebhaluni elincane lamanzi bese ulenza libe likhulu. Kulokhu kuhlinzwa, udokotela ohlinzayo uthatha ingxenye encane yamathumbu akho amancane noma amathumbu amakhulu bese eyisebenzisa ukukhulisa isinye sakho. Lokhu kubizwa ngokuthi `(Augmentation Cystoplasty)`.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Ezinye izimo zezokwelapha zingaphazamisa ukusebenza kwesinyi. Isibonelo, ukulimala komgogodla, ukuphazamiseka kwemizwa yokuzalwa, noma izifo ezifana ne- multiple sclerosis zingabangela izinkinga zesinyi.
Nazi ezinye zezizathu eziyinhloko zokuthi kungani lokhu kuhlinzwa kungadingeka:
- Ukuvuza: Ukulahlekelwa umchamo omncane ngaphandle kokuthi uqaphele.
- Ukuqaqamba kwesinye: Lokhu kusho ukuthi imisipha yesinye iba yinto engahleliwe futhi iqine, okubangela isifiso esinamandla sokuchama ngokushesha, ukuvuza komchamo okungalawuleki, noma ubuhlungu ngaphakathi noma eduze kwesinye.
- Ukwehla kwamandla esinyini: Ukungakwazi ukubamba umchamo omningi njengakuqala. Ukudinga ukuchama ngokushesha nje lapho okuncane kuqoqana.
- Ukwanda kwengcindezi esinyeni: Lesi yisimo esiyingozi kancane. Isinye asikhuli kahle, okwenza ingcindezi engaphakathi ikhuphuke kakhulu. Lokhu kucindezela okuphezulu kungabangela ukuthi umchamo ugeleze ubuyele emuva ezinso , okuholela ekuthelelekeni kwezinso ngisho nokulimala kwezinso ngokuhamba kwesikhathi.
Ngokuvamile, abantu asebefake i-catheter isikhathi eside ( ukuzilungisa)) yingakho odokotela bencoma lokhu kuhlinzwa.
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuba unqume ukuhlinzwa, udokotela wakho uzokuxilonga ngokucophelela. Angase futhi enze izivivinyo eziningana ukuqinisekisa ukuthi lokhu kuhlinzwa kukufanele.
| Ukuhlolwa | Kalula nje... |
|---|---|
| Ukuhlolwa komzimba | Udokotela uzokwenza ukuhlolwa okujwayelekile komzimba wakho. |
| Ukuhlolwa kwegazi | Funda ngokusebenza kwezinso zakho kanye nempilo yakho iyonke. |
| Ama-X-ray | Ukuthatha isithombe sohlelo lomchamo. |
| I-Cystoscopy | Kufakwa ipayipi elincane elinekhamera nge-urethra ukuze kuhlolwe ingaphakathi lesinye. |
| Ukuhlolwa kwe-Urodynamic | Uchungechunge lwezivivinyo ezikhethekile ezihlola ukuthi isinyi sigcina kahle kangakanani umchamo nokuthi ingcindezi injani. |
Kufanele nakanjani utshele udokotela wakho nganoma yimiphi imithi oyiphuzayo ngalesi sikhathi, okuhlanganisa imithi kadokotela, imithi etholakala ngaphandle kwemithi kadokotela, amavithamini, kanye nemithi yendabuko. Eminye imithi, njenge-aspirin, ingandisa ukopha ngesikhathi sokuhlinzwa.
Ake sixoxe ngendlela ukuhlinzwa okwenziwa ngayo.
Lokhu kuhlinzwa kuthatha cishe amahora amabili kuya kwayisithupha. Udokotela angase akwenze i-incision esiswini sakho (ukuhlinzwa okuvulekile), noma asebenzise ukuhlinzwa kwerobhothi (Lokhu kwenziwa ngokusika okuncane okumbalwa kusetshenziswa ukuhlinzwa kwerobhothi .
Kalula nje, nakhu okwenzekayo:
1. Okokuqala, ingxenye ephezulu yesinyi iyasikwa ivuleke.
2. Ngemuva kwalokho, ucezu olufanele lwamathumbu akho amancane noma amathumbu amakhulu luyanqunywa bese luhlukaniswa.
3. Le ngxenye yamathumbu igoqwe phakathi, yakha indawo eyisicaba.
4. Ekugcineni, lesi siqeshana samathumbu sifakwa embotsheni yesinye esisikwe ngaphambilini futhi sathungwa kahle.
Uma uvuka, uzoba namapayipi amabili noma amathathu esiswini sakho kanye nesinye. Ungakhathazeki, lawa akhona ukuze akhiphe umchamo futhi ahlanze ingaphakathi kuze kube yilapho isinye sakho siphola.
Yini ongayilindela ngemva kokuhlinzwa?
Kuzodingeka uhlale esibhedlela cishe izinsuku ezinhlanu kuya kweziyisikhombisa ngemva kokuhlinzwa. Ngeke uvunyelwe ukudla noma ukuphuza izinsuku ezimbalwa zokuqala. Lokhu kungenxa yokuthi ngemva kokuhlinzwa kwamathumbu, amathumbu angasebenzi isikhashana. Lokhu kubizwa ngokuthi 'ileus' . Phakathi nalesi sikhathi, ipayipi lingafakwa ngekhala ukuze kukhishwe noma yikuphi uketshezi oluqongelela esiswini. Uma amathumbu eseqala ukusebenza futhi, uzoqala ngokunikezwa ukudla okumanzi (isib. amanzi esobho) bese kancane kancane ungeniswa ekudleni okuvamile.
Nansi into ebalulekile: Ingxenye yamathumbu enamathele esinyini sakho esisha ikhiqiza ngokwemvelo into ebizwa ngokuthi i-mucus. Le mucus ihlangana nomchamo wakho. Ngakho-ke, kuzodingeka unisele le mucus ngamanzi anosawoti nsuku zonke impilo yakho yonke .
Uma lokhu kungenziwa kahle, lo mucus unganqwabelana futhi wakhe amatshe esinyeni , izifo zomgudu womchamo (UTIs) , futhi uvale ngisho ne-urethra. Abahlengikazi nodokotela bazokufundisa ukuthi ungakwenza kanjani lokhu ngenkathi usesibhedlela.
Ngemva kwamasonto amathathu, kuzokwenziwa ukuhlolwa ukuze kubonakale ukuthi isinyi sipholile kahle futhi asivuzi yini. Uma konke kuhamba kahle, udokotela uzokhipha ipayipi bese ekufundise ukuthi uyifaka kanjani ipayipi bese uzichamela (self-catheterization).
Yiziphi izinzuzo nezingozi?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezithile.
| Izinzuzo | Izingozi/Izinkinga |
|---|---|
| Njengoba isinyi sikhula, umthamo waso uyanda. | Izingozi ezihlobene nokubulala izinzwa. |
| Kunciphisa ukucindezeleka kwesinye futhi kuvimbele ukulimala kwezinso. | Uma i-mucus ingasuswa kahle, ingaholela ematsheni omchamo kanye nezifo. |
| Ukuvama kokuchama kwehla (umgomo ukukwazi ukuyibamba okungenani amahora ama-4). | Izinguquko kumakhemikhali omzimba kanye namazinga amavithamini (kumele ziqashwe impilo yonke). |
| Ukungakwazi ukuzibamba komchamo kuyanyamalala futhi ikhwalithi yokuphila iyathuthuka. | Ukutheleleka kwesilonda, ukopha, ukuvuvukala. |
| Izibazi, ukwakheka kwe-hernia. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Ngemva kwamasonto ayisithupha, uzozizwa ungcono ngo-90%. Kodwa kungathatha cishe izinyanga ezintathu ukululama ngokugcwele. Phakathi nalesi sikhathi, kufanele uyeke ukuphakamisa izinsimbi, ukugijima, ukudlala imidlalo, kanye nokwenza ucansi . Ngoba uma kukhona ingcindezi esiswini, isimo esifana ne-hernia singavela.
Kubalulekile ukulandela imiyalelo kadokotela wakho ngqo. Kufanele ukwazi ukubuyela emsebenzini noma esikoleni ngemva kwamasonto ayisithupha, kodwa lokho kuncike ohlotsheni lomsebenzi wakho nokuthi ululama ngokushesha kangakanani.
Kufanele ngimbone nini udokotela?
Udokotela wakho uzokunika izinsuku ezimbalwa zokubuya, kodwa uma unezinye zezimpawu ezingezansi, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Ukopha ngokweqile ngenxa yesilonda.
- Umkhuhlane (ngaphezu kuka-38°C Celsius noma u-100°F Fahrenheit).
- Ukutheleleka, ubuhlungu, noma ukwanda kokuvuvukala endaweni yokusikwa.
- Uma usezinhlungwini ezinzima noma unezinye izimpawu ezingavamile.
Umlayezo Wokuya Nawe Ekhaya
- I-Agmentation Cystoplasty iwukuhlinzwa okwandisa isinyi, kunciphisa ingcindezi kuso, futhi kuvikela izinso.
- Okuzodingeka ukwenze ngemva kwalokhu kuhlinzwaInto ebaluleke kakhulu ukugeza nokususa i-mucus eqoqana esinyeni nsuku zonke impilo yonke.
- Abantu abaningi kufanele bazihlanze nge-catheter kukho konke ukuphila kwabo.
- Kuthatha isikhathi ukuphulukiswa ngokuphelele, ngakho landela imiyalelo kadokotela ngqo.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza onakho.
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