Uke wahlinzwa noma welashwa umdlavuza wendlala yakho yesinye muva nje? Konke kuhambe kahle, futhi ngemva kwesikhashana ubuye ekhaya, ingabe waqala ukuqaphela izinguquko ezithile ekuchameni kwakho? Mhlawumbe ukugeleza komchamo kuye kwehla kancane, noma uzizwa sengathi kufanele ucindezeleke kancane ukuze uchame ? Uma lokhu kwenzekile kuwe, kungenzeka ukuthi kungenxa yesimo esibizwa ngokuthi i-Bladder Neck Contracture, esikhuluma ngaso namuhla. Ungakhathazeki, sizokhuluma ngalokhu ngamagama alula.
Kalula nje, kuyini ukugoba kwentamo yesinyi?
Kulungile, ukuze siqonde lokhu, ake siqale sibheke ukuthi uhlelo lomchamo emzimbeni wethu lusebenza kanjani. Cabanga ngesinyi sakho njengebhaluni eligcwele amanzi. Lesi yisikhwama esiqoqa futhi sigcine umchamo wakho. Ngaphansi kwalesi sinyi, njengomlomo webhaluni, kunendawo lapho sixhuma khona nepayipi elincane. Lokhu sikubiza ngokuthi intamo yesinyi. Uma uchama , umchamo uphuma ngale ntamo bese ungena e-urethra.
Manje, ngemva kwezinto ezifana nokuhlinzwa kwe-prostate noma ukwelashwa ngemisebe, izicubu zesilonda zingakheka entanyeni yesilonda. Njengoba nje isilonda sakha lapho sinenxeba esikhumbeni sethu. Lesi silonda sibangela ukuba intamo yesilonda inciphe kancane kancane noma inciphe. Yilokho esikubiza ngokuthi i-Bladder Neck Contracture .
Kalula nje, lesi yisimo lapho izicubu zesilonda zivimba khona indlela yokuphuma komchamo kwesinye ngemva kokuhlinzwa kwe-prostate. Lokhu kungenza kube nzima ukuchama futhi, uma kungelashwa, kungathinta esinyeni kanye nezinso.
Hlobo luni lokwelashwa olungabangela lesi simo?
Lokhu kuvame ukuba umphumela omubi wokwelashwa kwe-prostate. Le ngozi iphezulu kakhulu ngemva kokwelashwa okulandelayo:
- Ukususwa kwe-prostate: Ukuhlinzwa kokususwa kwe-prostate gland.
- Ukususwa ngokuphelele kwendlala ye-prostate ngenxa yomdlavuza.
- Ukususwa kwe-prostate nge-transurethral (TURP): Ukuhlinzwa lapho kufakwa khona idivayisi nge-urethra ukuze kususwe izingxenye ze-prostate gland.
- Ukwelashwa ngemisebe: Ukunikeza ukwelashwa ngemisebe.
Lesi akusona isimo esivamile kakhulu. Kulinganiselwa ukuthi cishe oyedwa kwabesilisa abayishumi abahlinzwa i-prostate uzoba nalesi simo. Kodwa kubalulekile ukuthi uqaphele lokhu.
Ziyini izimpawu zalesi simo?
Lezi zimpawu zivame ukuqala ukuvela zingakapheli izinyanga ezintathu kuya kweziyisithupha zokuhlinzwa kwe-prostate. Zingase zingabonakali ekuqaleni, kodwa zinganda kancane kancane ngokuhamba kwesikhathi. Bheka ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukungakwazi ukuzibamba komchamo | Kudingeka ukhandle futhi ukhandle ukuze uqale ukuchama. |
| Ukuchama okubuhlungu (i-Dysuria) | Ukushisa noma ubuhlungu lapho uchama. |
| Umchamo obuthakathaka | Ukwehla kwesivinini kanye nenani lomchamo . Ukugeleza okubuthakathaka. |
| Ukumisa nokuqalisa kabusha umchamo | Ukungachami njalo, ukuyeka isikhashana, bese uqala futhi. |
| Ukukhipha ngokuphelele isinyi (Ukugcinwa komchamo) | Ukuzizwa sengathi kusekhona umchamo esinyeni ngemva kokuqeda ukuchama . |
| Ukutheleleka okuvamile komgudu womchamo (UTIs) | Isinyi asikhiphi lutho ngokuphelele, okwandisa ingozi yokukhula kwamagciwane kanye nokutheleleka. |
| Amatshe esinyini | Usawoti wamaminerali osele emchameni uyaqoqana bese wakha amatshe. |
| Ukungakwazi ukuzibamba ngokweqile | Ukugeleza komchamo okungalawuleki ngenxa yesinyi esigcwala kakhulu. |
Kungani lokhu kwenzeka? Iyini imbangela?
Nakuba odokotela bengenakukwazi ukunikeza isizathu esiqinisekile esingu-100% salokhu, kunezizathu ezimbili eziyinhloko okucatshangwa ukuthi ziyimbangela.
1. Inkinga ngemva kokuhlinzwa: Ngemva kokususa i-prostate gland, udokotela uzoxhumanisa intamo yesinye sakho ne-urethra yakho (lokhu kubizwa ngokuthi i-anastomosis). Ngezinye izikhathi, kungakheka ihlule elincane legazi (i-hematoma) phakathi kwezithungo endaweni yokuxhumana kwalokhu. Uma lokhu kwenzeka, izithungo zingadonsa, kushiye izikhala ezincane ekuxhumeni. Njengoba umzimba uphola, lezi zikhala zigcwala izicubu zesibazi esikhulume ngazo ekuqaleni. Lesi sicubu sesibazi yisona esivimba indlela.
2. Ukunikezwa kwegazi okwanele: Ngezinye izikhathi, uma izithungo ezisetshenziswe ngesikhathi sokuhlinzwa ziqinile kakhulu, ukunikezwa kwegazi endaweni kungancipha. Uma ukunikezwa kwegazi kuncipha, izicubu azipholi kahle, futhi esikhundleni salokho, kungenzeka kakhulu ukuthi kube nezibazi.
Ingozi yokuba nentamo yesinyi ngemva kokuhlinzwa kwe-prostate inganda kancane, ikakhulukazi kubantu abanezinye izimo zezokwelapha ezithinta ukujikeleza kwegazi emzimbeni, njengesifo sikashukela noma isifo senhliziyo.
Udokotela ukuxilonga kanjani lokhu ngqo?
Uma unezimpawu ezishiwo ngenhla, into yokuqala okufanele uyenze ukubona udokotela wakho futhi. Noma, kungaba ngcono ukubona udokotela wezifo zomchamo. Uzokuhlola futhi enze izivivinyo ezithile ukuqinisekisa isimo.
| Ukuhlolwa | Kwenzekani ngalokhu? |
|---|---|
| I-Cystoscopy | Ipayipi elincane kakhulu elinekhamera enamathiselwe lifakwa nge-urethra ukuze libone ngqo ukuvaleka kwentamo yesinye. Phakathi nale nqubo, kunikezwa umuthi wokuqeda izinhlungu ukuze kuvinjelwe ubuhlungu. |
| I-Cystourethrogram | Kufakwa uketshezi olukhethekile (udayi wokungafani) esinyeni bese kuthathwa izithombe ze-X-ray. Lokhu kuvumela ukuma kwesinyini nezindawo ezizungezile kanye nanoma yiziphi izinkinga ukuthi zibonakale kahle. |
| I-voiding cystourethrogram (i-VCUG) | Kuyindlela efanayo naleyo engenhla, kodwa kulokhu uthatha i-X-ray ngenkathi uchama . Lokhu kukuvumela ukuthi ubone kahle ukuthi kwenzekani ngokugeleza komchamo wakho. |
| Ukuhlolwa kwe-Uroflow | Kusetshenziswa ithuluzi elikhethekile ukukala isivinini kanye nenani lomchamo ophumayo. Lokhu kungakutshela ngqo ukuthi ukugeleza kwakho kubuthakathaka yini. |
| Ukuhlolwa komchamo osele ngemuva kokungasebenzi (ukuhlolwa kwe-PVR) | Ngemva kokuqeda ukuchama , kwenziwa i-ultrasound scan ukuze kubonakale ukuthi kusele umchamo ongakanani esinyeni. |
Yiziphi izindlela zokwelapha lokhu?
Lesi yisimo esingelapheka. Kuye ngokuthi isimo sakho sibucayi kangakanani, udokotela wakho uzokhetha ukwelashwa okufanele kakhulu kuwe.
- Ukwanda: Lokhu akusikho ukuhlinzwa. Kuyinto engenziwa ehhovisi likadokotela. Amapayipi amancane, akhula kancane kancane afakwa nge-urethra, okwenza indawo yokuvimba ibe nkulu kancane kancane.
- Inqubo ye-Transurethral: Lokhu ukuhlinzwa okuncane okwenziwa ngaphansi kwe-anesthesia. Njenge-cystoscopy, kufakwa ithuluzi elifakwe ikhamera bese kusetshenziswa ugesi ukusika nokususa izicubu zesilonda ezibangela ukuvaleka.
- Ukwakhiwa kabusha komchamo kanye nokuguqulwa komchamo (ukuhlinzwa okukhulu): Lokhu kwenziwa kaningi kakhulu, futhi kuphela ezimweni ezibucayi kakhulu. Kule nqubo, ingxenye noma sonke isinyi siyasuswa bese kudaleka enye indlela yokuphuma komchamo emzimbeni (njengomgodi omncane esiswini).
Ingabe lesi simo asibi ngcono nje?
Cha. Ukugoba kwentamo yesinyi ngeke kuziphole ngokwako .Kodwa uma isimo sakho sincane kakhulu, okusho ukuthi ungakhipha konke okubi esinyini sakho futhi kungabikho monakalo ezinso zakho, udokotela wakho angase ancome indlela "yokulinda ubone". Okusho ukuthi, ulinde isikhashana ngaphandle kokwelashwa ukuze ubone ukuthi izimpawu zakho ziyathuthuka yini.
Kufanele ngimbone nini udokotela? Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (ETU)?
Lena yingxenye ebaluleke kakhulu. Udinga ukwazi kahle ukuthi iyini le nto.
Isikhathi sokubona udokotela wakho:
- Ngemva kokwelashwa kwe-prostate, uma uba nanoma yiziphi izimpawu esixoxe ngazo ekuqaleni.
- Uma usuvele welashwe nge-Bladder Neck Contracture, kodwa izimpawu ziphinde zibuye noma zibe zimbi kakhulu .
Ungakhohlwa, ungawushayi indiva ngisho nophawu oluncane. Uma usheshe ubonane nodokotela, kuba lula ukwelapha.
Isikhathi sokuya e-Emergency Treatment Unit (ETU) ngokushesha:
Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha ngaphandle kokucabanga ngenye into.
- Uma ungakwazi nhlobo ukuchama .
- Uma uzwa ubuhlungu obukhulu esiswini sakho noma endaweni yengquza .
- Uma ujuluka kakhulu .
Lezi yizimo eziphuthumayo, ngakho ungalibali nhlobo.
Ingabe lokhu kungabuya ngemva kokwelashwa?
Kwabaningi abantu, lesi simo siphela ngokuphelele ngemva kokwelashwa. Kodwa-ke, ngezinye izikhathi izicubu zesilonda zingaphinde zakheke futhi bese ukuvaleka kungaphinde kwenzeke. Ingozi yokuphinda kuvele iphezulu kakhulu ezimweni ezilandelayo:
- Uma uke welashwa ngemisebe.
- Uma uke wahlinzwa okunye okubandakanya i-urethra yakho.
- Uma kube nenkinga ngesikhathi sokwelashwa kokuqala.
Uma kwenzeka futhi, kungadingeka ukuthi uphinde welashwe. Yingakho kubalulekile ukuqaphela izimpawu njalo.
Umlayezo Wokuya Nawe Ekhaya
- Ukugoba kwentamo yesinyi kuyinkinga engavamile kodwa engenzeka ngemva kokuhlinzwa noma ukwelashwa kwe-prostate.
- Ukugeleza komchamo okubuthakathaka, imvamisa yomchamo , ukugcinwa komchamoQaphela izimpawu ezifana nobuhlungu njengoba wenza lokhu. Lezi zivame ukuvela ezinyangeni ezimbalwa ngemva kokwelashwa.
- Lesi yisimo esingelapheka. Ngakho-ke uma unezimpawu, ungazishaqisi noma uzishaye indiva, kodwa bona udokotela wakho ngokushesha.
- Uma ungakwazi nhlobo ukuchama , kuyisimo esiphuthumayo. Yiya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (ETU) ngokushesha.
- Akukho ongakwenza ukuvimbela lesi simo. Kodwa-ke, ukuqaphela izimpawu kusenesikhathi nokufuna ukwelashwa kungasiza ekuvimbeleni izinkinga ezinkulu ukuthi zingabi khona.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment