Ngezinye izikhathi, ngenxa yomdlavuza noma ezinye izimo zezokwelapha ezimbi kakhulu, sonke isinyi somuntu kufanele sisuswe. Abantu abaningi bayesaba, "Ngizochama kanjani manje?" Kodwa ungesabi, ngokuthuthuka kwesayensi yezokwelapha, kukhona ikhambi elihle lalokhu. Okusho ukuthi, kusetshenziswa ingxenye yamathumbu akho, kwakheka isinyi esisha sha ngaphakathi emzimbeni. Namuhla, sikhuluma ngalokhu kuhlinzwa okumangalisayo, okubizwa ngokuthi ukuhlinzwa kwe-Neobladder.
Kuyini ukuhlinzwa kwe-'Neobladder' okulula?
Kalula nje, lokhu kuyindlela yokuhlinzwa yokudala isinye esisha ukuze sithathe indawo yesinye sakho esigulayo nesingasebenzi kahle. Kulokhu, odokotela baqala ngokususa isinye sakho sokuqala ngokuhlinzwa. Lokhu kubizwa ngokuthi i-cystectomy . Bese, bathatha ucezu oluncane lwamathumbu akho amancane bese belusebenzisa ukudala isinye esisha (i-neobladder) esime njengebhola.
Lesi sinyi esisha sibekwe endaweni efanayo nesinyi sakho esidala. Yingakho ngezinye izikhathi sibizwa ngokuthi i-neobladder 'ye-orthotopic'. I-'Orthotopic' isho ukuthi "endaweni efanayo." Lokhu yilokho esikubiza ngokuthi ukwakhiwa kabusha kwe-neobladder, okudala uhlelo olusha lokugcina nokukhipha umchamo.
Kodwa lokhu kuhlinzwa akuwona wonke umuntu. Odokotela bazonquma ukuthi uyakufanelekela yini lokhu ngokusekelwe ezicini eziningana, njengokuthi izinso zakho nesibindi sakho ziphilile kangakanani nokuthi unomdlavuza wesinyi yini.
Kukuziphi izimo lapho lokhu kuhlinzwa kuyadingeka khona?
Udokotela angase akuncome lokhu kuhlinzwa ezimweni ezahlukahlukene ezithinta impilo noma ukusebenza kwesinye sakho. Ake sibheke ukuthi ziyini.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Umdlavuza wesinye | Isizathu esiyinhloko sokususwa kwesinyi. |
| Imisipha yesinye ebuthakathaka (isinyi esibolile) | Imisipha yesinye ayifinyeleli njengoba kudingeka ukuze kukhishwe isinye. Lesi simo singavela ngemva kokwelashwa ngemisebe noma ngenxa yezifo zesimiso sezinzwa. |
| Isinyi esibangela i-neurogenic | Ukulahlekelwa ukulawula isinyi ngenxa yezifo zobuchopho noma zomgogodla. |
| I-Interstitial Cystitis/Isinyi Sobuhlungu (IC/BPS) | Isimo esibuhlungu esingamahlalakhona esinyeni. |
| Ukulimala kwesinye | Ukulimala kwesinye ngenxa yengozi enkulu. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, uzohlangana nodokotela wezifo zomchamo. Uzochaza izinzuzo nezinkinga zokuhlinzwa, kanye nezinye izinketho, futhi uzobuyekeza umlando wakho wezokwelapha futhi enze ukuhlolwa ngokomzimba ukuze ahlole impilo yakho iyonke.
Ngaphezu kwalokho, uzobuzwa ngalezi zinto:
- Imithi oyithathayo: Kufanele utshele udokotela wakho nganoma yimiphi imithi oyithathayo (kokubili kadokotela kanye nemithi ethengiswa ngaphandle kwemithi kadokotela). Eminye imithi yokunciphisa ubuhlungu (ama-NSAID) kanye nemithi yokunciphisa igazi (ama-anticoagulant) ingandisa ingozi yokopha ngesikhathi sokuhlinzwa. Kodwa khumbula, ungayeki ukuthatha noma yimuphi umuthi ngaphandle kokubuza udokotela wakho kuqala.
- Ukungezwani Nomzimba Kwakho: Qiniseka ukuthi usitshela nganoma yikuphi ukungezwani komzimba onakho ngemithi, izihlanzi zesikhumba (njenge-iodine), i-latex, noma ukudla.
- Ukudla Nokuphuza: Uzokwaziswa ukuthi ungadli noma uphuze lutho ngemva kwamabili ngobusuku bangaphambi kokuhlinzwa. Uma unemithi ebalulekile, ungayiphuza kanye namanzi.
Indlela ukuhlinzwa okwenziwa ngayo isinyathelo ngesinyathelo
Lolu ukuhlinzwa okukhulu okuthatha cishe amahora amabili kuya kwayisithupha. Ake sibheke kancane kancane ukuthi kwenzekani phakathi nalokhu.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukubulala izinzwa | Uzolaliswa (i-anesthesia ejwayelekile), ngakho ngeke uzwe ubuhlungu. |
| 2. Ukususwa kwesinye | Isinye sakho esidala sizosuswa ngokusikwa okukhulu esiswini sakho (ukuhlinzwa okuvulekile) noma ngokusikwa okuncane okuningana (ukuhlinzwa kwerobhothi). |
| 3. Ukudala i-Neobladder | Ingxenye yamathumbu akho amancane iyasuswa bese ibunjwa ibe yibhola. Lesi yisinyi sakho esisha. |
| 4. Ukuxhuma kabusha | Isinyi esisha sibekwa endaweni efanayo nesesidala, futhi amapayipi avela ezinso (ureters) kanye nepayipi elithwala umchamo (urethra) axhunywe kuso. |
| 5. Ukuvalwa kwezimbobo nokubekwa kwamapayipi | Izimbobo zizovalwa ngezithungo noma ngezithako zokuhlinzwa. I-catheter yomchamo izofakwa e-urethra yakho ukuze ikhiphe umchamo uze uphole. |
Kwenzekani ngemva kokuhlinzwa? Kuzothatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Uzozizwa ukhathele kancane ngemva kokuthola ingqondo. Esibhedlela, ithimba lezokwelapha lizokunikeza imithi yokulawula ubuhlungu bakho nokuqapha impilo yakho.
Ngesikhathi sokululama, uzofundiswa ngalokhu:
- Ukuzivocavoca phansi kwe-pelvic (ukuzivocavoca kwe-Kegel): Lokhu kubaluleke kakhulu. Lokhu kuzivocavoca kuqinisa imisipha elawula isinyi sakho. Ngakho-ke, lokhu kusiza kakhulu ekuvimbeleni ukungakwazi ukuzibamba komchamo.
- Ukuzithutha: Akuwona wonke umuntu okudingayo, kodwa cishe abantu abangu-15% kuzodingeka basebenzise le ndlela ukuze bakhiphe ngokuphelele isinyi sabo ekuqaleni. Ungakhathazeki, sizokukhombisa ukuthi ungakwenza kanjani lokho.
Kungathatha izinyanga eziningana ukululama ngokugcwele. Kuthatha isikhathi ukujwayela isinyi sakho esisha, ukufunda ukusikhipha, nokuqinisa imisipha yakho. Udokotela wakho kanye nabasebenzi abahlengikazi bazokusiza ngakho konke lokhu.
Yiziphi izinzuzo kanye nokungalungi kwe-Neobladder?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi ungachama ngendlela evamile nge-urethra yakho, ngaphandle kokusebenzisa isikhwama se-urostomy. Lokhu kuthuthukisa ikhwalithi yokuphila kanye nokuzethemba kwabantu abaningi.
Kodwa njengakho konke, kunezingozi ezithile kanye nokungalungi kulokhu.
- Ukulawula isinye: Kungaba nzima ukulawula isinye sakho ekuqaleni, ikakhulukazi ebusuku. Kodwa-ke, ngokuhamba kwesikhathi, ikakhulukazi ngokuzivocavoca kweKegel, cishe abantu abangu-90% bazoba nokulawula okuhle emini.
- Ulwelwesi olusemchameni: Njengoba isinyi esisha senziwe ngengxenye yamathumbu, sikhiqiza uketshezi olufana nolwelwesi. Ngakho-ke, ukuze kuvinjelwe ukutheleleka, ngezinye izikhathi kuyadingeka ukufaka i-catheter bese unisela isinyi.
- Ezinye izingozi: Ukopha, amahlule egazi, izifo ezibangelwa amagciwane, izifo zomgudu womchamo (UTIs), ukugcinwa komchamo, njll. Akuvamile ukuba kube nokungalingani kwama-electrolyte.
Kungenzeka yini ukuphila impilo evamile nge-neobladder?
Yebo, impela! Iningi labantu abane-neobladder lingaqhubeka nemisebenzi yabo evamile.
Ekuqaleni, kuzodingeka uchame cishe njalo emahoreni amabili. Kodwa ngokuhamba kwesikhathi, njengoba isinyi sakho esisha sinwebeka futhi siqina, uzokwazi ukubamba umchamo wakho cishe amahora angu-4-6. Emasontweni ambalwa, uzokwazi ukwenza umsebenzi olula bese uya emsebenzini. Akukho mingcele yokudla ekhethekile, futhi ungahamba ngaphandle kwemingcele.
Izikhathi lapho ufuna ukubona udokotela
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. Uma izimpawu zinzima, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Izimpawu zokutheleleka njengomkhuhlane, ukubanda, kanye nomchamo onamafu.
- Kunzima ukufaka i-catheter yodwa.
- Igazi emchameni (i-hematuria) .
- Ubuhlungu obukhulu esiswini noma phakathi kwezimbambo nezinqe.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-neobladder kuyindlela engcono kakhulu yokuphila impilo evamile ngaphandle kwesikhwama ngaphandle komzimba ngemva kokukhipha isinye.
- Lesi sinyi esisha senziwe kusetshenziswa ingxenye yamathumbu akho amancane.
- Kuzothatha izinyanga eziningana ukuphulukiswa. Phakathi nalesi sikhathi, kubaluleke kakhulu ukubekezela nokulandela imiyalelo kadokotela, ikakhulukazi ukuzivocavoca kweKegel.
- Nakuba kungase kube nobunzima ekulawuleni umchamo ekuqaleni, ngokuhamba kwesikhathi, abantu abaningi bayakwazi ukuphila impilo evamile nesebenzayo.
- Uma unemibuzo noma ukungabaza, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngakho.
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