Uyakhumbula ukuthi unenkinga yokuchama ngemva kokuhlinzwa kwe-prostate noma ngemva kokwelashwa komdlavuza ? Mhlawumbe kuzwakala sengathi umchamo wakho unciphile, noma unomuzwa wokuthi isinye sakho asikaphumi ngokuphelele ngisho noma usuqedile. Uma ubhekene nalezi zimpawu, kungenzeka ukuthi uke waba nesimo esaziwa ngokuthi yi- Bladder Neck Contracture . Nakuba lokhu kungase kuzwakale kungajwayelekile, sicela ungakhathazeki. Ake sixoxe ngalokhu kalula nangokucacile ngesiNgisi .
Kuyini Ukuqiniswa Kwentamo Yesinye?
Kalula nje, isinye sakho somchamo siyisitho esincane, esingenalutho esiswini sakho esingezansi esenzelwe ukugcina umchamo. Cabanga ngaso njengebhaluni: siyakhula njengoba sigcwalisa futhi sincipha uma usikhipha. Ngaphansi kwesinye, lapho sixhuma khona nepayipi elithwala umchamo liphuma emzimbeni (i-urethra), kunendawo ebizwa ngokuthi intamo yesinye . Sisebenza njengesango lokuphuma komchamo.
Ngezinye izikhathi, ngemva kokwelashwa kwe-prostate—ikakhulukazi ukuhlinzwa— izicubu zesibazi zingakheka kule ndawo. Lezi zicubu zesibazi zibangela ukuba intamo yesibazi inciphe noma "inciphe." Cabanga ngakho njengokuvinjelwa kwepayipi lengadi okuvimbela ukugeleza kwamanzi. Lapho intamo yesibazi incipha, ukuchama kuba nzima, futhi uma kungaphathwa, kungathinta impilo yesibazi sakho kanye nezinso.
Njengoba nje ukuvalwa komgwaqo kwenza kube nzima ngezimoto ukudlula, intamo yesinyi enciphile yenza kube nzima ukuthi umchamo uphume ngendlela evamile.
Yikuphi ukwelashwa kwe-prostate okungaholela kulesi simo?
Akuzona zonke izindlela zokwelapha i-prostate ezibangela lokhu, kodwa lezi zinqubo ezilandelayo zingabangela ingozi yokuqunjelwa kwentamo yesinye:
- Ukususwa kwe-prostate : Ukususwa kwengxenye noma yonke i-prostate gland ngokuhlinzwa.
- Ukususwa kwe-prostate okunamandla : Inqubo yokususa yonke i-prostate gland, evame ukwenziwa ngenxa yomdlavuza.
- Ukususwa kwe -prostate nge-transurethral (TURP) : Inqubo lapho kufakwa khona amathuluzi nge-urethra ukuze kususwe izicubu ze-prostate ezivimbayo.
- Ukwelashwa ngemisebe : Imisebe enamandla aphezulu esetshenziselwa ukubhubhisa amangqamuzana omdlavuza .
Sicela ukhumbule, akuwona wonke umuntu othola lezi zindlela zokwelapha ozoba nalesi simo.
Ingabe i-Bladder Neck Contraction ingelapheka?
Yebo, ingelapheka ngokuphelele. Uma uhlangabezana nalezi zimpawu ngemva kokuhlinzwa kwe-prostate, khuluma nodokotela wakho ngokushesha. Bazonquma uhlelo lokwelashwa olufanele kakhulu kuwe. Asikho isizathu sokwesaba.
Sivame kangakanani lesi simo?
Empeleni, lesi yisimo esingavamile kakhulu . Ngokusho kochwepheshe, cishe isiguli esisodwa kweziyishumi sibhekana nokuQonda kweNqala yeSinyi ngemva kokuhlinzwa kwe-prostate. Ngakho-ke, asikho isidingo sokukhathazeka ngokungadingekile.
Ziyini izimpawu zokugoba kwentamo yesinyi?
Lezi zimpawu azivamile ukuvela ngokuzumayo; zivame ukukhula kancane kancane futhi zingase zingacaci ekuqaleni.
- Kudingeka ucindezele (ukucindezela) ukuze uqale ukuchama. Ungase uthole ukuthi udinga ukuzama kakhulu esikhundleni sokuthi umchamo ugeleze ngokukhululeka.
- Ukuchama okubuhlungu (i-dysuria). Lokhu kungase kuzwakale njengokungathi kuyahlaba noma kuyasha.
- Umchamo obuthakathaka. Umchamo awusagelezi ngamandla njengoba wawunjalo ngaphambili.
- Umfudlana oqala futhi ume. Ukugeleza kuyanqamuka kunokuba kube umfudlana oqhubekayo.
- Umuzwa wokukhipha okungaphelele (ukugcinwa komchamo). Ukuzizwa sengathi kusekhona umchamo esinyeni.
- Izifo Ezivamile Zomgudu Womchamo (UTIs). Ngenxa yokuthi umchamo uhlala esinyeni, amabhaktheriya angakhula kalula.
- Ukuthuthukiswa kwamatshe esinyeni .
- Ukugeleza kwamanzi noma ukulahlekelwa ukulawula isinyi (ukungakwazi ukuzibamba ngokweqile).
Ezimweni eziningi, lezi zimpawu ziqala ukuvela zingakapheli izinyanga ezintathu kuya kweziyisithupha ngemva kokuhlinzwa kwe-prostate. Ungase ungaboni ukugeleza okubuthakathaka ekuqaleni, kodwa kungaba kubi kakhulu ngokuhamba kwesikhathi, ngezinye izikhathi kuholele ekungakwazini ukuchama nhlobo. Uma ubona noma yiziphi zalezi zimpawu, ukufuna iseluleko sezokwelapha kusenesikhathi kuyindlela engcono kakhulu yokwenza.
Kungani intamo yesinye incipha? Ziyini izimbangela?
Nakuba abacwaningi bengaqondi ngokugcwele ukuthi kungani kwenzeka ukugoba kwentamo yesinye, kunezimbangela eziningana eziyinhloko eziqashelwayo.
Esinye sezinkinga eziba khona ngemva kokuhlinzwa kwe-prostate . Ngesikhathi sokuhlinzwa, udokotela wezifo zomchamo uxhumanisa intamo yesinyi ne-urethra, inqubo ebizwa ngokuthi i-anastomosis . Njengoba ululama, ihlule legazi elincane (i-hematoma) lingakheka eduze noma ngaphansi kwe-sutures. Lokhu kungabangela ukuthi i-sutures idonse noma iqhekeke, okudala izikhala ekuxhumeni kabusha. Lezi zikhala zibe sezigcwaliswa yizicubu zesilonda, okubangela ukuthi isango eliphakathi kwesinyi ne-urethra linciphe.
Esinye isici kungaba ukungonelanga kwegazi endaweni yokwakheka kwezicubu . Uma izithungo ziqinile kakhulu, zingavimba imithambo yegazi eseduze, zivimbele ukuphulukiswa futhi zikhuthaze ukwakheka kwezicubu zesilonda.
Ubani osengozini yokuqunjelwa yi-bladder neck?
Noma ubani ohlinzwa i-prostate angase abe nalesi simo.
Kodwa-ke, uma unezimo ezikhona kakade ezithinta ukujikeleza kwegazi — njengesifo sikashukela noma isifo senhliziyo — ingozi yakho yokuthola ukugoba kwentamo yesinyi ingase ibe phezulu kancane.
Kutholakala kanjani?
Uma ubonisa izimpawu, udokotela wezifo zomchamo unguchwepheshe ongaqinisekisa ukuxilongwa. Uzokwenza ukuhlolwa ngokomzimba futhi angayala ukuhlolwa okuthile.
Yiziphi izivivinyo ezenziwayo?
Udokotela wakho angase acele ukuhlolwa okulandelayo kokuxilonga:
- I-Cystoscopy : Phakathi nale nqubo, udokotela wakho ufaka ithubhu elincane, elikhanyayo (i-cystoscope) nge-urethra yakho bese ingena esinyeni sakho. Ungakhathazeki, uzonikezwa umuthi wokubulala izinzwa wendawo ukuqinisekisa ukuthi awuzizwa ubuhlungu. Udokotela angase agcwalise esinyeni sakho ngamanzi ahlanzekile noma usawoti ukuze abone kahle ulwelwesi lwesinyi.
- I-Cystourethrogram : Kulolu vivinyo, ithubhu elincane lepulasitiki eliguquguqukayo (i-catheter yomchamo) liqondiswa nge-urethra yakho liye esinyeni sakho. Idayi ekhethekile yokuhlukanisa idlula ngethubhu, bese kuthathwa ama-X-ray. Idayi igqamisa esinyeni sakho, okuvumela udokotela ukuthi abone isakhiwo sangaphakathi ngokucacile.
- I-voiding cystourethrogram (VCUG) : Lokhu kufana ne-cystourethrogram ejwayelekile, kodwa kunomehluko owodwa obalulekile: i-X-ray ithathwa ngenkathi ukhipha umchamo.
- Ukuhlolwa kwe-Uroflow : Lokhu kuhlolwa kulinganisa ukuthi isinye sakho sikhipha kahle kangakanani. Kuqopha ijubane kanye nomthamo wokugeleza komchamo wakho ukuze kutholakale noma yikuphi ukuvinjelwa.
- Ukuhlolwa komchamo we-Post-void residual (PVR) : Ngokusebenzisa i -ultrasound scan, udokotela wakho uzolinganisa ukuthi kusele umchamo ongakanani esinyeni sakho ngemva kokuqeda ukuchama.
Lawa mathuluzi okuxilonga asiza udokotela wakho ukuthi anqume ngokunembile ubukhulu kanye nembangela yokuncipha kwentamo yesinye sakho.
Iphathwa kanjani i-Bladder Neck Contracture?
Kunezindlela eziningana zokwelapha ezitholakalayo. Umhlinzeki wakho wezempilo waseNirogi Lanka uzonquma indlela engcono kakhulu efanelana nesimo sakho.
- Ukwanda : Lokhu akuyona indlela yokuhlinzwa esemthethweni futhi kungenziwa ehhovisi likadokotela. Udokotela ufaka kancane kancane amapayipi amakhulu e-urethra yakho ukuze anwebe indawo encishisiwe. Uma sekukhulisiwe, kungase kuvumele ukufakwa kwesikhashana kwe-catheter yomchamo ukusiza ekukhipheni amanzi.
- Inqubo ye-Transurethral : Lena inqubo yokuhlinzwa eyenziwa ngaphansi kwe-anesthesia. Esebenzisa ithuluzi elikhethekile (i-resectoscope), udokotela usebenzisa ugesi ukuze asuse izicubu ezibangela ukuvaleka kwentamo yesinye.
- Ukwakhiwa kabusha komchamo kanye nokuphambukisa umchamo : Lokhu kugcinelwe izimo ezinzima lapho intamo yesinye ivalekile kakhulu. Kwezinye izimo, ingxenye noma yonke isinye kungadingeka isuswe, futhi indlela entsha yomchamo yokuphuma emzimbeni kumele idalwe, ngokuvamile ehilela isikhala esincane esiswini (stoma) lapho umchamo uphumela khona esikhwameni sangaphandle.
Udokotela wakho uzoxoxa nawe ngalezi zinqubo ngokuningiliziwe ngokusekelwe ezidingweni zakho zomtholampilo.
Ingabe ukugoba kwentamo yesinyi kuyazixazulula ngokwako?
Cha, lesi simo ngokuvamile asizipholi sodwa. Kodwa-ke, uma ukugoqana kwakho kuncane futhi kungabangeli izinkinga zezinso noma inkinga enkulu ekukhipheni isinye sakho, udokotela wakho angase asikisele indlela "yokulinda ubone", lapho umane uqaphe izimpawu zakho nganoma yiziphi izinguquko.
Isikhathi sokululama singakanani ngemva kokuhlinzwa kwentamo yesinyi?
Iningi leziguli liyalulama zingakapheli amasonto amabili kuya kwamathathu ngemva kokuhlinzwa. Kodwa-ke, izikhathi zokuphulukiswa ziyahlukahluka ngokwehlukana; udokotela wakho uzokunikeza isilinganiso somuntu siqu sokululama kwakho.
Ingabe ukugoba kwentamo yesinyi kungavinjelwa?
Ayikho indlela eqondile yokuvimbela lesi simo, njengoba kuyinkinga engavamile engenzeka ngezikhathi ezithile ngemva kwezinqubo ze-prostate ngenxa yokwakheka kwezicubu zesibazi.
Yini okufanele ngiyilindele uma nginokuqina kwentamo yesinyi?
Ukwelashwa kuvame ukuveza imiphumela emihle. Kodwa-ke, kunengozi yokuthi izicubu zesilonda zingase zishintshe, okubangela ukuthi ukugoba kuphinde kubuye . Le ngozi iphakeme uma:
- Uke welashwa ngemisebe .
- Uke wahlinzwa kaningi ngaphambili noma wahlinzwa e-urethra yakho.
- Kube nezinkinga ngesikhathi sokwelashwa kwakho kokuqala kokuqunjelwa.
Uma isimo sibuya, kungase kudingeke ukwelashwa okwengeziwe.
Kufanele ngimbone nini udokotela?
Uma uhlangabezana nanoma yiziphi izimpawu zokugoba kwentamo yesinyi ngemva kwenqubo ye-prostate, qiniseka ukuthi uthintana nodokotela wakho ngokushesha . Uma usuvele uphathwa, bika noma yiziphi izimpawu ezintsha noma eziba zimbi ngokushesha.
Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo?
Funa usizo oluphuthumayo ngokushesha uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:
- Ukungakwazi ngokuphelele ukuchama.
- Ubuhlungu obukhulu esiswini sakho noma endaweni yengquza.
- Ukujuluka ngokweqile noma ukuzizwa ubuthakathaka.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Ukuze uthole usizo oluningi ngeseluleko sakho, cabanga ngokubuza okulandelayo:
- Ngikwenze kanjani lokhu kufinyela kwentamo yesinyi?
- Yiluphi uhlobo lokwelashwa olungincomayo?
- Yisiphi isikhathi esilindelekile sokululama sale nqubo?
- Ingabe kukhona ingozi enkulu yokuthi lesi simo sibuye ngemva kokwelashwa?
Khumbula, nakuba ukugoba kwentamo yesinyi kuyinkinga engavamile eyenza kube nzima ukuchama, ingelapheka. Ezigulini eziningi, ukuhlinzwa kuxazulula ngempumelelo izimpawu, yize ukunakekelwa okulandelayo ngezinye izikhathi kuyadingeka uma isimo siphinde sibuye.
Umlayezo Wokuya Nawe Ekhaya
Uma ubhekene nobunzima bokuchama, ukugeleza komfudlana obuthakathaka, noma ukungakwazi ukukhipha ngokuphelele isinyi sakho ngemva kokwelashwa kwe-prostate, kungenzeka ukuthi ubhekene ne- Bladder Neck Contracture . Nakuba kungavamile, kuyisimo esingelapheka . Ungesabi; hlela i-aphoyintimenti nodokotela we-urologist ngokushesha. Bazonquma uhlelo lokunakekelwa olufanele kakhulu ukukusiza ukuthi ubuyisele izinga lempilo yakho. Ungakhathazeki buthule—khuluma ngokukhululekile nodokotela wakho. Ngikufisela ukululama okunempilo neNirogi Lanka!
