Ingabe ngezinye izikhathi uba nobunzima bokuqala ukuchama , noma usazizwa sengathi isinyi sakho sigcwele ngemva kokuqeda ukuchama ? Noma ingabe unezinkinga ezifana nokuphuma komchamo wakho kancane noma ukuyeka? Lezi akuzona nje izinto ezingahleliwe, futhi ungazinaki njengento evamile njengoba ukhula. Kungase kube nesizathu sezokwelapha salokhu. Namuhla sikhuluma ngesinye sezimo ezinjalo, 'Ukuvimbela I-Bladder Outlet'.
Kuyini Ukuvimbela I-Bladder Outlet (BOO)?
Kalula nje, lokhu kusho ukuthi ngesizathu esithile, kukhona ukuvaleka noma ukuvaleka kwe-urethra, ipayipi elithwala umchamo lisuka kwesinyeni sakho liye ngaphandle komzimba wakho. Lokhu kuvaleka kungabangela ukuthi umchamo wakho uyeke ukugeleza ngokuphelele noma ugeleze kancane kakhulu.
Lesi simo sivame kakhulu kwabesilisa abaneminyaka engaphezu kwengu-65. Singavela nakwabesifazane, izingane, futhi ngezinye izikhathi ngisho nasesibelethweni. Uma kwenzeka esibelethweni, sikubiza ngokuthi ``Ukuvalwa Kwesinyi Sengane Esanda Kuzalwa.'' Singalimaza izinso zomntwana nezinye izitho zomzimba.
Ziyini izimpawu zalesi simo?
Ukuvaleka kwe-bladder Outlet kungabangela izimpawu ze-Lower Urinary Tract (LUTS). Bheka ukuze ubone ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubunzima bokuqala ukuchama | Angiqali ukuchama isikhashana ngemva kokuya endlini yokugezela. |
| Isinyi asiphumi ngokuphelele | Ukuzizwa sengathi kusele umchamo omncane ngemva kokuqeda ukuchama. |
| Ukuchama njalo ebusuku | Ukuvuka ebuthongweni ukuze uchame izikhathi eziningana. |
| Ukugeleza komchamo okubuthakathaka noma okungahleliwe | Izinga lokugeleza komchamo liyancipha kakhulu noma liyama bese liqala futhi. |
| Ubuhlungu esiswini esingezansi noma ethangeni | Ubuhlungu obubangelwa ukulimala kwesinyi noma izinso. |
| Isidingo esiphuthumayo sokuchama | Umuzwa onamandla wokudinga ukuchama ngokushesha kanye nobunzima bokukulawula. |
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?
Kungaba nezizathu eziningana zalokhu. Kwabesilisa, imbangela evame kakhulu ukwanda kwendlala ye-prostate. Kodwa-ke, kungaba nezinye izici.
| Isizathu | Incazelo elula |
|---|---|
| I-Benign Prostatic Hyperplasia (BPH) | Lena yimbangela evame kakhulu kwabesilisa. Njengoba le ndlala izungeze i-urethra, uma ikhula, ingavimba i-urethra. |
| Ukuqina komchamo | Ukutheleleka kwangaphambilini, ingozi, noma ukuhlinzwa kungabangela izibazi ngaphakathi kwe-urethra futhi kuyenze ibe mncane. |
| Amatshe Esinyini | Amatshe akheka ngaphakathi kwesinye angavimba indlela yokuphuma komchamo. |
| Izimo zomdlavuza | Umdlavuza we-prostate, esinyeni, wesibeletho, noma wesibeletho ungabangela ukuthi i-urethra inciphe. |
| Ukwehla Kwesitho Se-pelvic | Kwabesifazane, izitho zomzimba ezifana nesibeletho noma isinye zehlela esithweni sangasese sowesifazane, okubangela ukuthi i-urethra igobe futhi ivaleke. |
| Ukuqunjelwa Okukhulu | Uma indle eningi iqoqana futhi igcwalisa i-rectum, ingacindezela intamo yesinye ngaphandle. |
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Kubaluleke kakhulu ukwelapha lesi simo ngokushesha okukhulu, ngoba ukugcinwa komchamo akuyona into elula. Ngaphandle kwalokho, kungase kube nezinkinga ezinkulu eziyisisekelo.
- Ukutheleleka okuvamile komgudu womchamo (UTIs): Njengoba umchamo uhlala esinyeni, amagciwane angakhula kalula futhi abangele ukutheleleka.
- Ukulimala kwezinso: Ukucindezela okukhulu kwesinye kungabuyela ezinso, okubangela ukulimala kwezinso.
- Ukwehla kokusebenza kwezinso: Uma lesi simo siqhubeka isikhathi eside, izinso zingase zingasebenzi kahle.
- Amatshe ezinso kanye nesinye: Ingozi yokwakheka kwamatshe iphezulu ngoba umchamo uhlala endaweni eyodwa.
- Ukungakwazi ukukhipha ngokuphelele isinye: Lokhu kuyisimo esiphuthumayo futhi kudinga ukunakekelwa kwezokwelapha okusheshayo.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba. Angase akuncome okukodwa noma ngaphezulu kwalokhu kuhlolwa okulandelayo ukuze kutholakale lesi simo.
| Ukuhlolwa | Ubonani kulokhu? |
|---|---|
| Ukuhlolwa Kwegazi | Hlola umonakalo wezinso. |
| Ukuhlolwa komchamo | Hlola umchamo ukuze ubone igazi noma ukutheleleka. |
| Ukuskena kwe-Ultrasound (i-Pelvic Ultrasound) | Bheka izinso kanye nesinye ukuze uthole ukuthi ukuvaleka kukuphi. |
| I-Cystoscopy | Ikhamera encane idluliselwa e-urethra ukuze ibheke ngqo noma yikuphi ukuvaleka noma okunye okungaphakathi kwepayipi. |
| Ukuhlolwa kwe-Urodynamic | Imisipha yesinye kanye nemisipha ye-sphincter iyalinganiswa. |
| Ukuhlolwa Komchamo Osele Ngemva Kokungasebenzi | Ngemva kokuqeda ukuchama, kusetshenziswa i-scan ukuhlola ukuthi kusele umchamo ongakanani esinyeni. |
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okutholayo kuzoncika embangeni yokuvaleka komchamo wakho. Isibonelo, ukwelashwa kwamatshe esinyeni kuhlukile ekwelashweni komdlavuza wendlala yesitho.
- Imithi: Abanye abantu bangathatha imithi efana ne -alpha-blockers noma i-finasteride ukuze bakhulule imisipha entanyeni yesinye futhi bavumele umchamo ukuthi ugeleze kalula.
- Ukwelashwa Komzimba: Ukuzivocavoca okuqinisa imisipha endaweni ye-pelvic ngezinye izikhathi kuyasiza.
- I-Pessary: Lena ithuluzi elisetshenziswa abesifazane. Lingafakwa esithweni sangasese sowesifazane ukuze lisekele izitho zesitho sangasese sowesifazane uma zigobile.
- Ukuhlinzwa nezinye izindlela:
- I-Foley Catheter: Uma i-urethra ivaleka ngokuphelele ngokuzumayo, kufakwa ipayipi ukuze kukhishwe isinye okwesikhashana.
- Ukuhlinzwa ukuze kususwe ukuvaleka: Kuye ngembangela, kunezindlela ezahlukene zokuhlinzwa ukuze kususwe ukuvaleka. Esikhathini esiningi, lokhu kuwukuhlinzwa okungenazo izithiyo eziningi, okuvumela ukululama okusheshayo.
- I-Laser Lithotripsy: Uma kukhona amatshe esinyeni, ayachotshozwa futhi asuswe kusetshenziswa imisebe ye-laser.
Izinto ongazenza ekhaya
Ngesikhathi ulinde ukwelashwa, eminye imikhuba ingakusiza uzizwe ungcono. Kodwa kufanele ubuze udokotela wakho ngaphambi kokwenza lokhu.
- Ukuhlala phansi ukuze uchame: Kwabesilisa, kungaba lula ukukhipha ngokuphelele isinyi sabo uma bechama behleli phansi kunalapho bechama bemi.
- Ukuzithutha: Kwezinye izimo, udokotela wakho uzokufundisa ukuthi ungayifaka kanjani i-catheter kahle esinyeni sakho izikhathi eziningana ngosuku ukuze ukhiphe isinye sakho.
Kufanele ngimbone nini udokotela?
Kubaluleke kakhulu: Uma unezinhlungu ezingabekezeleleki, noma uma ungakwazi nhlobo ukuchama , kuyisimo esiphuthumayo. Yiya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha. Futhi, uma unezimpawu zokutheleleka komgudu womchamo, njengomkhuhlane kanye nokubanda, bona udokotela ngokushesha.
Ngemva kokuhlinzwa, qiniseka ukuthi uya emitholampilo njengoba kuqondiswe udokotela wakho. Uma uhlangabezana nobunzima bokuchama futhi ngemva kokwelashwa, yazisa udokotela wakho ngalokho.
Umlayezo Wokuya Nawe Ekhaya
- Ungakunaki ubunzima bokuchama ( ukugeleza kancane, ukuchama njalo, ubunzima bokuqala) "njengengxenye evamile yokuguga."
- Nakuba imbangela eyinhloko yalesi simo kuyi-benign prostatic hyperplasia (BPH), kungaba khona nezinye izimbangela ezinkulu ezifana namatshe omchamo, izibazi, noma umdlavuza.
- Ukutholwa kusenesikhathi kanye nokwelashwa kungavimbela izinkinga ezinkulu njengokulimala kwezinso.
- Uma unalezi zimpawu, ungabi namahloni noma wesabe ukubona udokotela ukuze akunike iseluleko. Ezimweni eziningi, lesi simo singaphathwa futhi selapheke ngempumelelo.
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