Wake wazizwa sengathi ube nesikhathi esinzima sokuqala ukuchama , noma ukuthi usenomchamo esinyeni sakho ngemva kokuqeda ukuchama ? Mhlawumbe ukugeleza komchamo wakho kuhamba kancane futhi kuyanqamuka. Ingabe kufanele uvuke izikhathi eziningana ebusuku ukuze uchame ? Lezi akuzona izimpawu okufanele uzishaye indiva. Ukuvalwa Kwesinyi (BOO) kuyimbangela yezokwelapha engaba yimbangela yalokhu kungakhululeki. Namuhla, sizoxoxa ngalokhu ngendlela elula ongayiqonda.
Kalula nje, kuyini ukuvinjelwa kwe-Bladder Outlet?
Cabanga ngesinyi sakho njengebhaluni eligcwele amanzi. Ukuvulwa kwaleli bhaluni yilapho umchamo uphuma khona e-urethra. Ukuvinjelwa kwe-Bladder Outlet kusho ukuthi kukhona ukuvinjelwa endaweni ethile lapho umchamo uphuma khona esinyeni. Lokhu kuvinjelwa kunciphisa ukugeleza komchamo, noma kungawumisa ngokuphelele.
Lesi simo sivame kakhulu kwabesilisa abaneminyaka engaphezu kwengu-65. Kodwa singaba khona nakwabesifazane, intsha, izingane ezincane, ngisho nasesibelethweni. Lesi simo, esenzeka esibelethweni, sibizwa nangokuthi i-Fetal Lower Urinary Tract Obstruction (LUTO). Siyisimo esiyinkimbinkimbi futhi esingavamile.
Abesifazane, ikakhulukazi labo abanesinye esiphumayo (i-Cystocele), banamathuba amaningi okuthola lokhu kuvinjelwa.
Ziyini izimpawu zalesi simo?
Umuntu one-Bladder Outlet Obstruction angabhekana nokungakhululeki okuhlukahlukene. Uma lezi zimpawu zihlangana, ngokwezokwelapha sizibiza ngokuthi yi-Lower Urinary Tract Symptoms (LUTS). Bheka ukuze ubone ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Ubunzima bokuqala ukuchama | Ngisho noma uzama ukuchama , kuthatha imizuzwana embalwa noma ngaphezulu ukuthi umchamo uqale. |
| Isinyi asiphumi ngokuphelele | Ngisho noma usuqedile ukuchama, uzizwa sengathi kusekhona umchamo ngaphakathi. |
| Ukugeleza komchamo okubuthakathaka, okungahleliwe | Umchamo awuphumi ngamandla, uphuma kancane kakhulu. Ngezinye izikhathi umfudlana uyama isikhashana, bese uqala futhi. |
| Ukuchama njalo ebusuku | Uma ulele kahle, kufanele uvuke ukuze uchame kabili noma kathathu ebusuku noma ngaphezulu. |
| Isidingo sokuphuza njalo | Kufanele ngichame kaningi ngosuku, kodwa kuphuma inani elincane kuphela isikhathi ngasinye. |
| Isidingo esiphuthumayo sokuchama | Lapho nje ngizizwa ngidinga ukuchama , angikwazi ukuzibamba futhi kufanele ngigijimele endlini yokugezela. |
| Ubuhlungu esiswini esingezansi noma ohlangothini ngalunye lomhlane | Ukugcwala kwesinyi ngenxa yokugcinwa komchamo kungabangela ubuhlungu besisu esingezansi noma ubuhlungu ezinhlangothini zombili zomhlane ngenxa yemiphumela ezinso. |
| Ubuhlungu ngesikhathi sokuchama | Ukushisa noma ubuhlungu lapho uchama (ikakhulukazi uma kukhona ukutheleleka) |
Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?
Kungaba nezizathu eziningana zalokhu kuvinjelwa komgudu womchamo.
Isizathu esiyinhloko esithinta amadoda
Imbangela evame kakhulu yalesi simo kwabesilisa ukukhulisa indlala ye-prostate . Ngokwezokwelapha lokhu sikubiza ngokuthi i-Benign Prostatic Hyperplasia (BPH).I-prostate iyindlala encane etholakala ngaphansi kwesinye, ezungeze i-urethra. Njengoba ukhula, ngokuvamile ngemva kweminyaka engu-50, le ndlala iqala ukukhula kancane kancane. Lokhu akuwona umdlavuza. Kodwa-ke, njengoba le ndlala ikhula, iqala ukuvimba i-urethra. Yilapho-ke kuba khona ubunzima bokuchama.
Ezinye izimbangela ezivamile
Ngaphezu kwe-BPH, kunezinye izinto eziningi ezingathinta lokhu.
- Ukuqina Kwe-Urethral: Izicubu ezibomvu zingakheka e-urethra ngenxa yokutheleleka, ingozi, noma ukuhlinzwa, okwenza indlela ibe mncane.
- Amatshe Esinyini: Uma amaminerali eqoqana esinyeni futhi akha amatshe, angahlala e-urethra futhi avale indlela yomchamo.
- Ukuncipha Kwesitho Sesitho Sesitho Sangasese: Kwabanye besifazane, ikakhulukazi abesifazane asebekhulile abaye baba nezingane eziningana, isinyi noma isibeletho singase sehle siye esithweni sangasese sowesifazane. Lokhu kungabangela ukuthi i-urethra igobe futhi ivaleke.
- Ukuqunjelwa Okukhulu: Kumuntu oqunjelwa kakhulu, indle egcwalisa i-rectum ingacindezela esinyeni kanye ne-urethra.
- Izimo zomdlavuza: Lokhu kuvinjelwa kungabangelwa nayizimo zomdlavuza ezifana nomdlavuza wendlala yesitho sangasese sowesifazane, umdlavuza wesinye, kanye nomdlavuza wesibeletho.
- Izinkinga zesimiso sezinzwa: Lesi simo singase senzeke nalapho imisipha yesinye ingasebenzi kahle ngenxa yenkinga yobuchopho, umgogodla, noma imizwa exhunywe kwesinye.
Into ebaluleke kakhulu ukuthi uma unalezi zimpawu, ungacabangi nje ukuthi, "Lokhu kuyinto evamile njengoba ukhula," futhi nakanjani ubone udokotela. Ngoba kuphela uma imbangela itholakale kahle lapho ukwelashwa okufanele kunganikezwa khona.
Udokotela usithola kanjani lesi sifo ngqo?
Uma ubona udokotela onalezi zimpawu, uzoqala alalele ngokucophelela izimpawu zakho. Bese, bazokuhlola. Phakathi nalesi sikhathi, bangase batuse ukuhlolwa okuningana ukuze kutholakale imbangela eqondile.
| Ukuhlolwa | Ubonani kulokhu? |
|---|---|
| Ukuhlolwa komchamo | Umchamo wakho uzohlolwa ukuthi awunazo yini izifo, igazi, noma ezinye izinkinga. |
| Ukuhlolwa Kwegazi | Thola ukuthi izinso ziyathinteka yini ukugcinwa komchamo (ukuhlola izinto ezifana namazinga e-creatinine). |
| Ukuskena kwe-Ultrasound | Lokhu kuhlola izinso, isinyi, kanye ne-prostate (kwabesilisa). Kungahlola ukuvaleka, amatshe esinyini, kanye nomchamo osele ngemuva kokungasebenzi kahle. |
| I-Cystoscopy | Kulokhu, ipayipi elincane elinekhamera encane lidluliselwa e-urethra yakho, bese udokotela ebheka okwenzekayo ngaphakathi kwesinye sakho kanye ne-urethra esikrinini. Lokhu kungabona ngokucacile ukuthi kukhona yini ukuvaleka, ukuncishiswa, noma amatshe noma kuphi. |
| Ukuhlolwa kwe-Urodynamic | Lolu uhlobo lokuhlolwa olukhethekile olulinganisa ingcindezi kanye nokusebenza kwemisipha yesinyi njengoba sigcwalisa futhi sithulula. |
Yiziphi izindlela zokwelapha lokhu?
Into engcono kakhulu ukuthi kunezindlela ezahlukene zokwelapha i-Bladder Outlet Obstruction, kuye ngembangela. Udokotela wakho uzokhetha ukwelashwa okufanele kakhulu kuwe.
- Izinhlobo zemithi:
- Uma kuvinjelwa i-prostate ekhulisiwe (i-BPH), kunikezwa imithi efana ne -alpha-blockers ekhulula imisipha ezungeze i-gland.
- Ngezinye izikhathi imithi efana ne -Finasteride, enciphisa ubukhulu be-prostate, nayo iyanikezwa.
- Ezinye izindlela zokwelapha:
- Abesifazane bangathola impumuzo ezinkingeni ezibangelwa ukuwohloka kwezitho zesitho sangasese ngokusebenzisa idivayisi ebizwa ngokuthi i-pessary, efakwa ngaphakathi kwesitho sangasese sowesifazane.
- Ukwelashwa ngokomzimba ukuze kuqiniswe imisipha yephansi le-pelvic nakho kuyasiza abanye abantu.
- Ukuhlinzwa nezinye izindlela:
- Ukuhlanza i-urethra: Uma i-urethra ivalekile ngokuphelele, kufakwa ipayipi lesikhashana (i-Foley catheter) esinyeni ukuze kukhishwe umchamo. Abanye abantu bayazihlanza ngokwabo ekhaya.
- Ukuhlinzwa ukuze kususwe ukuvaleka: Ezimweni ezifana ne-BPH, amathuluzi adluliselwa nge-urethra ukuze kususwe izingxenye ezivalekile ze-prostate (ukuhlinzwa okufana ne-TURP).
- I-Laser Lithotripsy: Uma kukhona amatshe esinyeni, ayachotshozwa futhi asuswe kusetshenziswa imisebe ye-laser.
- I-Urethroplasty: Uma i-urethra incishisiwe (i-stricture), kwenziwa ukuhlinzwa ukuze kubuyiselwe ingxenye encishisiwe.
Esikhathini esiningi, lokhu kuhlinzwa kwenziwa ngezindlela ezingangenisi kakhulu . Lokho kusho ukuthi kwenziwa ngaphandle kokusikwa okukhulu futhi kudlule emigodini emincane, ngakho-ke ukuhlala esibhedlela kufushane futhi ukululama kuyashesha.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Lokhu kubaluleke kakhulu. Kwezinye izimo, lokhu kungaba yisimo esiphuthumayo.
Uma unezinhlungu ezingabekezeleleki esiswini sakho esingezansi , noma uma ungakwazi ukuchama ngisho nangemva kokuzama amahora amaningi , kuyisimo esiphuthumayo. Futhi, uma unezimpawu zokutheleleka komgudu womchamo, njengomkhuhlane, ukubanda, nokuthuthumela , iya emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha .
Uma singelashwa, lesi simo singaholela ezinkingeni ezinkulu ezifana nokutheleleka komgudu womchamo, ukulimala kwezinso, ukwehluleka kwezinso, kanye namatshe esinyeni. Ngakho-ke ungazinaki izimpawu.
Umlayezo Wokuya Nawe Ekhaya
- Ungazinaki izinkinga zokuchama (ukuhamba kancane, ubunzima bokuqala, ukuchama njalo) ucabanga ukuthi "zivamile njengoba ukhula."
- Nakuba isizathu esiyinhloko salokhu ukuthi indlala ye-prostate yamadoda iyakhula njengoba iminyaka ikhula, lesi simo singavela nakwabesifazane nakwabesilisa abasebasha ngezinye izizathu.
- Uma singelashwa ngokushesha, lesi simo singadala umonakalo wezinso unomphela, ngakho-ke ukuxilongwa nokwelashwa kusenesikhathi kubaluleke kakhulu.
- Uma unalezi zimpawu, ungabi namahloni noma wesabe ukubona udokotela. Ezimweni eziningi, lesi simo singalawulwa kahle ngemithi noma ngezindlela ezilula.
- Uma uzwa ubuhlungu obungabekezeleleki noma ukugcinwa komchamo ngokuphelele, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
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