Ingabe nawe unenkinga yokuchama ngemva kokuhlinzwa kwe-prostate? Kungenzeka yini ukuthi kungenxa yokufinyela kwentamo yesinye?

Uyakhumbula unenkinga yokuchama ngemva kokuhlinzwa kwe-prostate noma ukwelashwa komdlavuza ? Mhlawumbe wazizwa sengathi i-urethra yakho iyancipha, noma wazizwa sengathi kusekhona umchamo esinyeni sakho ngemva kokuqeda ukuchama ? Uma uke wabhekana nanoma yiziphi zalezi zinto, kungenzeka ukuthi uke waba nesimo esibizwa ngokuthi i-bladder neck contracture, odokotela abasibiza ngokuthi i-bladder neck contracture . Lokhu kungase kuzwakale kukusha kuwe, kodwa ungakhathazeki. Ake sixoxe ngakho kalula, ngesiSinhala ongakuqonda.

Kuyini ukufinyela kwentamo yesinyi?

Kalula nje, isinye sakho somchamo siyisitho esincane esifana nesikhwama esiswini sakho esingezansi esiqoqa umchamo (umchamo). Sifana nebhaluni, sikhula uma sigcwele umchamo , bese siphinde sinciphe uma uchama . Ngaphansi kwalesi sinye, lapho sixhuma khona ne -urethra , kukhona lokho esikubiza ngokuthi intamo yesinye . Lokhu kufana nesango, lapho umchamo uqala ukuphuma khona.

Manje, ngezinye izikhathi ngemva kokwelashwa kwe-prostate, ikakhulukazi ngemva kokuhlinzwa, izicubu zesilonda zingakheka emngxunyeni we-urethra. Lezo zicubu zesilonda zibangela ukuthi i-urethra ibe mncane, noma ifinyele. Kufana nokuthile okubhajwa epayipini lamanzi bese kunciphisa ukugeleza kwamanzi. Lapho umngxunya we-urethra uba mncane, kungenza kube nzima ukuchama , futhi kungaholela nakwezinye izimo ezithinta esinyeni kanye nezinso.

Cabanga nje, njengoba nje umgwaqo uvaliwe, kunzima ngezimoto ukudlula, kodwa uma isinyi sivaliwe, kunzima ngomchamo ukuphuma.

Yiziphi izinhlobo zokwelapha i-prostate ezingabangela lesi simo?

Lokhu akwenzeki kuzo zonke izindlela zokwelapha i-prostate. Kodwa-ke, kungase kube nengozi yokufinyela kwentamo yesinye ngemva kwalokhu kwelashwa:

• Ukususwa kwe-prostate : Lokhu kuhilela ukususa yonke noma ingxenye ye-prostate gland.
• Ukususwa kwe-prostate okunamandla : Lokhu futhi kuyindlela yokuhlinzwa esusa ngokuphelele i-prostate gland, ikakhulukazi ezimweni zomdlavuza.
• Ukususwa kwe -prostate nge-transurethral (TURP ) : Kule nqubo, kufakwa ithuluzi nge-urethra ukuze kusikwe futhi kususwe izingxenye ezikhulisiwe ze-prostate gland.
• Ukwelashwa ngemisebe : Ukwelashwa ngemisebe enamandla aphezulu okubhubhisa amangqamuzana omdlavuza .

Akuwona wonke umuntu ozobhekana nalesi simo ngemva kwalokhu kwelashwa, ngakho khumbula lokho.

Ingabe lokhu kufinyela kwentamo yesinyi kungelapheka?

Yebo, kungelapheka nakanjani. Uma unalezi zimpawu ngemva kokwelashwa kwe-prostate, bonana nodokotela ngokushesha. Uzonquma ukuthi yikuphi ukwelashwa okufanele wena. Asikho isizathu sokwesaba.

Sivame kangakanani lesi simo?

Empeleni lesi yisimo esingavamile kakhulu . Ngokusho kochwepheshe, umuntu oyedwa kuphela kwabayishumi ngemva kokuhlinzwa kwe-prostate uba nalesi simo (i-Bladder Neck Contracture). Ngakho-ke ungakhathazeki ngokungadingekile.

Ziyini izimpawu zokufinyela kwentamo yesinye?

Lezi zimpawu aziveli ngokuzumayo, zikhula kancane kancane. Ungase ungaziboni ngisho nasekuqaleni.

• Ukucindezela kanzima uma uqala ukuchama . Akuphumi nje kuphela, kufanele uzikhandle kancane.
• Ubuhlungu lapho uchama (i-dysuria). Kungase kuzwakale njengokusha noma umuzwa wokuhlaba.
• Umchamo ubuthakathaka . Awusachami kaningi njengoba wawuvame ukwenza.
• Umchamo uqala futhi ume. Umchamo awugelezi njalo, kodwa uqhuma ngezikhathi ezithile.
• Umuzwa wokuthi isinyi asikakhishwa ngokuphelele ngisho nangemva kokuchama (ukugcinwa komchamo). Kuzwakala sengathi kusekhona umchamo osele.
• Ukutheleleka okuvamile komgudu womchamo ( ama-UTI ). Umchamo uhlala esinyeni, okwenza kube lula ukuthi amagciwane akhule.
• Ukwakheka kwamatshe esinyeni.
• Ukuvuza komchamo ngokungazi, noma ukungakwazi ukulawula ukuchama (ukungakwazi ukuzibamba ngokweqile).

Lezi zimpawu zivame ukuqala ukuvela zingakapheli izinyanga ezintathu kuya kweziyisithupha ngemva kokuhlinzwa kwe-prostate. Ekuqaleni, ungase ungaboni okuningi kokutheleleka komgudu womchamo . Kodwa kancane kancane lokhu kunganda, futhi ungase ungakwazi ngisho nokuchama nhlobo. Ngakho-ke, uma unezinye zalezi zimpawu, kungcono ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

Kungani le ntamo yesinye ivaleka? Ziyini izimbangela?

Odokotela nabacwaningi abakakwazi ukusho ngqo ukuthi kungani lokhu (Ukugoba Kwentamo Yesinye) kwenzeka. Kodwa-ke, bacabanga ukuthi kunezizathu ezimbalwa eziyinhloko.

Esinye sezinkinga ezenzeka ngemva kokuhlinzwa ukuze kususwe indlala yesinye . Intamo yesinye ixhunywe nendlala yesinye. Ngesikhathi sokuhlinzwa, udokotela wezifo zomchamo uxhumanisa intamo yesinye ne-urethra. Lokhu kubizwa ngokuthi i-anastomosis . Manje, njengoba uphulukiswa, ihlule legazi (i-hematoma) lingakheka ngaphansi noma phakathi kwe-sutures. Leli hlule legazi lingabangela ukuthi i-sutures idonse noma iphuke. Bese kuba nezikhala lapho ukuxhumana kwenziwe khona. Lezi zikhala zigcwele izicubu zesikhumba. Lezo zicubu zesikhumba yizo ezivimba indlela ephakathi kwesinye ne-urethra.

Esinye isizathu kungaba ukuthi i-anastomosis ayitholi igazi elanele . Uma izithungo ziqine kakhulu, imithambo yegazi eseduze ingancipha futhi ukugeleza kwegazi kungancipha. Lokhu kungaholela nasekuqhekekeni.

Ubani othintekayo ukugoba kwentamo yesinye?

Lesi simo singaba khona kunoma ubani oke wahlinzwa i-prostate.

Kodwa-ke, uma unezinye izimo zezokwelapha ezithinta ukugeleza kwegazi lapho uhlinzwa i-prostate - isibonelo , isifo sikashukela noma isifo senhliziyo - ungase ube sengozini enkulu yokuba nale nkinga yentamo yesinye.

Lesi simo sitholakala kanjani?

Uma unezimpawu zokuvaleka kwentamo yesinye, udokotela wezifo zomchamo nguyena kuphela ongaqinisekisa lokhu. Uzokuhlola futhi akucele ukuthi kwenziwe izivivinyo eziningana.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Udokotela angenza izivivinyo ezifana nalezi:

• I-Cystoscopy : Kule nqubo, udokotela ufaka ithubhu elincane (i-cystoscope) elinekhamera kanye nokukhanya okunamathiselwe nge-urethra yakho esinyini sakho. Ungakhathazeki, uzonikezwa i-anesthesia yendawo ukuze ungezwa ubuhlungu. Isinyi singase sigcwaliswe ngamanzi ahlanzekile noma isixazululo sikasawoti ukuze sibone ngaphakathi kwesinyi ngokucacile.
• I-Cystourethrogram : Kulolu vivinyo, udokotela ufaka ithubhu elincane lepulasitiki eliguquguqukayo (i-catheter yomchamo) nge-urethra yakho iye kwesinye. Idayi ekhethekile (idayi yokungafani) ifakwa ngethubhu iye kwesinye. Izithombe ze-X-ray zesinye sakho zibe sezithathwa. Idayi ibangela ukuthi esinyeni sivuvuke futhi ibonise ingaphakathi ngokucacile.
• I-voiding cystourethrogram (VCUG ) : Lokhu kufana ne-cystourethrogram engenhla. Kodwa-ke, uyachama .Kuthathwa i-X-ray ngesikhathi sokuhlolwa.
• Ukuhlolwa kwe-Uroflow : Lokhu kuhlola ukuthi isinye sakho siphuma kahle kangakanani uma uchama . Kulinganisa izinto ezifana nesivinini kanye nenani lomchamo owukhiphayo.
• Ukuhlolwa komchamo okusele ngemuva kokungasebenzi (i-PVR test ) : Lokhu kusebenzisa i- ultrasound scan ukukala ukuthi kusele umchamo ongakanani esinyeni ngemva kokuqeda ukuchama .

Lezi zivivinyo zivumela udokotela ukuthi aqonde kahle ukuthi intamo yesinye sakho ivalekile kangakanani nokuthi iyini imbangela.

Kuphathwa kanjani ukugoba kwentamo yesinye?

Kunezindlela eziningana zokwelapha lokhu. Udokotela wakho uzokhetha ukwelashwa okungcono kakhulu kuye ngesimo sakho.

• Ukwanda : Lokhu akusikho ukuhlinzwa. Kuyinto engenziwa ehhovisi likadokotela. Uzofaka amapayipi amakhulu kancane kancane ku-urethra yakho. Lokhu kuzokwandisa kancane kancane indawo evalekile. Ngemuva kwalokho, kuzofakwa ipayipi elincane (i-catheter yomchamo) ukuze kukhishwe umchamo esinyeni sakho.
• Inqubo ye-Transurethral : Lokhu ukuhlinzwa okwenziwa ngaphansi kwe-anesthesia. Udokotela usebenzisa i-resectoscope, ithuluzi elifana ne-cystoscope, futhi usebenzisa ugesi ukuze asuse izicubu ezinamathele ku-urethra.
• Ukwakhiwa kabusha komchamo kanye nokuphambukisa umchamo : Lokhu kwenziwa kuphela uma intamo yesinye ivalekile kakhulu. Ngezinye izikhathi yonke noma ingxenye yesinye idinga ukususwa. Bese kuba nendlela entsha yokuphuma komchamo emzimbeni. Ngokuvamile, kwenziwa imbobo encane (i-stoma) esiswini lapho umchamo uqoqwa khona esikhwameni.

Udokotela wakho uzokutshela okwengeziwe ngalezi zindlela zokwelapha.

Ingabe i-Bladder Neck Contracture iyazipholisa ngokwayo?

Cha, lesi simo ngeke siziphelele sodwa. Kodwa-ke, uma ukugoqana kwakho kungekubi kakhulu, okungukuthi, kuncane , udokotela wakho angase athathe indlela "yokulinda ubone". Lokhu kusho ukuthi wena nodokotela nizobheka ukuthi kukhona yini ushintsho ezimpawini zenu.

Ukuvaleka kwakho kubhekwa njengokuncane kuphela uma kungabangela umonakalo ezinso zakho futhi ungakhipha ngokuphelele isinye sakho ngaphandle kwezinkinga.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwentamo yesinyi?

Iningi labantu liyalulama zingakapheli amasonto amabili kuya kwamathathu ngemva kokuhlinzwa ukuze kwelashwe ukuvaleka kwentamo yesinye.Kuzothatha cishe imizuzu eyi-10 ukululama. Kodwa-ke, akuwona wonke umuntu olulama ngesikhathi esifanayo. Udokotela wakho uzokunikeza umbono oqondile ngalokhu.

Ingabe ukugoba kwentamo yesinyi kungavinjelwa?

Akukho lutho ongakwenza ukuvimbela lokhu, njengoba kuyindlela engavamile kakhulu yezicubu zesilonda engenzeka ngemva kokwelashwa kwe-prostate.

Yini okufanele ngiyilindele uma nginokuqina kwentamo yesinye?

Ukwelashwa kwalesi simo ngokuvamile kuyaphumelela. Kodwa-ke, ngezinye izikhathi izicubu zesibazi zingaphinde zibuye futhi kungenzeka ukufinyela . Izicubu zesibazi kungenzeka kakhulu ukuthi ziphinde zibuye ezimweni ezilandelayo:

• Uma uke wathola ukwelashwa ngemisebe .
• Uma uke wahlinzwa noma wahlinzwa okunye e-urethra yakho.
• Uma kukhona izinkinga ezivele ngesikhathi sokwelashwa kokuqala kwentamo yesinye.

Uma ukuvaleka kuphinde kuvele, ungadinga ukwelashwa okwengeziwe.

Kufanele ngimbone nini udokotela?

Uma unezimpawu zokuqina kwesinyi ngemva kokwelashwa kwe-prostate, qiniseka ukuthi ubona udokotela . Futhi, uma welashwa ngalokhu, tshela udokotela wakho uma uthola izimpawu ezintsha noma uma izimpawu zakho ezikhona ziba zimbi kakhulu.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma kwenzeka noma yikuphi kwalokhu, hamba uye ekamelweni lezimo eziphuthumayo ngokushesha :

• Uma ungakwazi nhlobo ukuchama .
• Uma uzwa ubuhlungu obukhulu esiswini noma endaweni yengquza.
• Uma ujuluka kakhulu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kungaba usizo ukubuza le mibuzo uma ubona udokotela wakho:

• Ngithole kanjani lokhu kufinyela kwentamo yesinyi?
• Iyiphi indlela yokwelapha ongincomayo?
• Kuthatha isikhathi esingakanani ukululama ngemva kwalolo hlobo lokwelashwa?
• Ingabe ukuqina kwesinyi sami kungabuya ngemva kokwelashwa?

Khumbula, ukuvaleka kwentamo yesinye kuyisimo esingavamile esenza kube nzima ukuchama . Kwabaningi izimpawu ziyaphela ngemva kokwelashwa. Kodwa-ke, kungenzeka ukuthi lesi simo sizophinde sibuye futhi sidinge ukwelashwa okwengeziwe.

Umlayezo Wokuya Nawe Ekhaya

Uma unezimpawu ezifana nobunzima bokuchama , i -urethra ebuthakathaka, noma ukukhishwa komchamo ngokuphelele ngemva kokwelashwa kwe-prostate, kungase kube ngenxa yesimo esibizwa ngokuthi i-Bladder Neck Contracture . Nakuba lesi kuyisimo esingavamile, singelashwa .. Ungesabi, bonana nodokotela wezifo zomchamo ngokushesha okukhulu bese uthola iseluleko. Uzokusiza ukuthi unqume ukwelashwa okungcono kakhulu kuwe futhi akunike impumuzo. Ungagodli lutho, khuluma nodokotela wakho ngokukhululekile. Impilo enhle kuwe!