Uma uzwa igama elithi 'ukuhlinzwa kwesinye', ungase wesabe kancane. Lokho kuvamile. Kodwa, uma usukwazi kahle ukuthi kuyini, kungani kwenziwa, nokuthi kwenzeka kanjani, ukwesaba kwakho nokukhathazeka kwakho kuzoncipha kakhulu. Ngakho-ke, namuhla sizokhuluma ngalokhu ngokucacile nangokulula, njengokungathi sikhuluma nomngane.
Okokuqala, ake sibone, kuyini ukuhlinzwa kwesinyi?
Kalula nje, isinye siyisitho esifana nesikhwama emzimbeni wethu esiqoqa futhi sigcine umchamo okwesikhashana ( umchamo ) ohlungwa yizinso. Lokhu kuhlinzwa sikubiza ngokuthi ukuhlinzwa kwesinye.
Uhlobo lokuhlinzwa oludingayo luzoncika esimweni esithinta isinyi sakho, ngakho-ke ukuhlinzwa kungahluka kuye ngomuntu nomuntu.
Kunini lapho kudingeka khona ukuhlinzwa kwesinye?
Odokotela bangase batuse lokhu kuhlinzwa ngezizathu eziningana eziyinhloko.
- Umdlavuza wesinye: Lesi yisona sizathu esiyinhloko nesivame kakhulu sokuhlinzwa kwesinye.
- Ukuwa kwesinyi/ukwehla kwesinyi/i-Cystocele: Isimo esivame kakhulu kwabesifazane.
- Ukungakwazi ukuzibamba ngomchamo: Ukulahlekelwa umchamo ngokungenhloso ngesikhathi sokukhwehlela noma ukuhleka.
Yiziphi izinhlobo ezivame kakhulu zokuhlinzwa kwesinyi?
Kunezinhlobo eziningi zokuhlinzwa kwesinyi. Ake sibheke ezinye zezindlela ezivame kakhulu. Amagama alawa ayinkimbinkimbi kancane, kodwa kulula ukuwaqonda uma usuwazi ukuthi ahilelani.
| Uhlobo Lokuhlinzwa | Kalula nje, kwenzekani ngalokhu? |
|---|---|
| Ukususwa kwe-Cystectomy | Ukususwa kwengxenye yesinye (ingxenye) noma sonke isinye (okukhulu) ezimweni zomdlavuza. |
| I-TURBT (Ukususwa Kwesimila Sesinye Nge-Transurethral) | Ithuluzi elincane elinekhamera (i-cystoscope) lidluliselwa e-urethra ukuze kususwe amaqhubu anomdlavuza esinyeni. Akukho ukusikwa kwangaphandle. |
| Ukwakhiwa Kabusha Komchamo Nokuphambuka | Uma isinyi sisusiwe, kwakheka indlela entsha yokukhipha umchamo emzimbeni. |
| Ukumiswa Kwendawo Ekude | Ukubuyisela isinyi esiphumile kanye ne-urethra endaweni yazo efanele nokukulungisa. |
Kufanele uzilungiselele kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzohlangana nawe ngaphambi kokuhlinzwa. Phakathi nalesi sikhathi, kuzokwenzeka izinto ezilandelayo:
- Khuluma ngomlando wakho wezempilo ophelele.
- Kuzohlolwa umzimba ukuze kubonakale ukuthi uphilile ngokwanele yini ukuthi ungamelana nokuhlinzwa.
- Izinto ezifana nokushisa, ukushaya kwenhliziyo, kanye nomfutho wegazi ziyalinganiswa.
- Ukuhlolwa kwegazi nomchamo (ukuhlolwa komchamo) kwenziwa ukuze kuhlolwe izifo.
Lokhu kubaluleke kakhulu: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela wakho, ethengiswa ngaphandle kwemithi kadokotela, izithasiselo zezitshalo, namavithamini). Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile, ikakhulukazi i-aspirin, ama-NSAID, kanye nama-anticoagulant, okungandisa ingozi yokopha. Kodwa-ke, ungayeki ukuthatha noma yimiphi imithi kuze kube yilapho udokotela wakho ekuyala ukuba uyeke.
Futhi, sitshele nganoma yikuphi ukungezwani komzimba onakho. Isibonelo,
- Ukungezwani nemithi
- Ukungezwani komzimba nezinto zokuhlanza isikhumba (njenge-iodine)
- Ukungezwani komzimba ne-latex
- Ukungezwani nokudla
Uma ubhema, udokotela wakho angase akucebise nokuthi uyeke, njengoba ukubhema kungalibazisa ukuphulukiswa ngemva kokuhlinzwa.
Uzonikezwa nemiyalelo ekhethekile mayelana nokuthi yini okufanele uyidle futhi uyiphuze ngaphambi kokuhlinzwa. Ungase ucelwe ukuthi udle uketshezi kuphela (isobho elingena-asidi, ujusi wezithelo, ijeli) amahora angu-8-12 ngaphambi kokuhlinzwa.
Kwenzekani ngosuku lokuhlinzwa?
Ukuhlinzwa kwesinye kungenziwa ngezindlela ezintathu eziyinhloko.
1. Ukuhlinzwa Okungangeni Kakhulu/Okwenziwa Ngerobhothi
Lena yindlela esetshenziswa kakhulu namuhla. Udokotela ohlinzayo wenza izimbobo ezimbalwa ezincane kakhulu esiswini sakho bese efaka idivayisi efana nengalo yerobhothi ukuze enze ukuhlinzwa. Le ndlela inesikhathi esifushane sokululama, izibazi ezimbalwa, kanye nezingozi ezimbalwa.
2. Ukuhlinzwa Okuvulekile
Kulokhu, udokotela ohlinzayo wenza ukusika okukodwa okude esiswini ukuze kufinyelelwe esinyeni. Le ndlela ayisasetshenziswa njalo manje.
3. Ukuhlinzwa Kwe-Endoscopic
Kulokhu, akukho ukusikwa kwangaphandle okwenziwayo. Ukuhlinzwa kwenziwa ngokudluliswa kwedivayisi enekhamera eduze kwe-urethra. Ukuhlinzwa okubizwa ngokuthi `(TURBT)` esikhulume ngakho ngenhla kuyisibonelo esihle salokhu.
Ingabe ngizobe ngiphapheme ngesikhathi sokuhlinzwa?
Cha. Ngaphambi kokuhlinzwa, udokotela wezinzwa uzokunikeza umuthi wokubulala izinzwa ojwayelekile. Lokhu kusho ukuthi uzobe ulele ngokuphelele ngesikhathi sokuhlinzwa. Ngeke uzwe ubuhlungu.
Yini ongayilindela ngemva kokuhlinzwa?
Uma ukuhlinzwa sekuphelile, odokotela bazothunga izimbobo zakho bese bezibopha. Uma i-anesthesia isiphelile, uzophinde uqaphe kancane kancane. Uzozizwa ulele kancane ekuqaleni. Uma usuvukile ngokuphelele, uzonikezwa imithi yokulawula ubuhlungu.
Izinto ezilandelayo zivame ukwenzeka ngemva kokuhlinzwa:
- Ukudinga ukuchama njalo.
- Kungazelelwe udinga ukuchama.
- Inani elincane legazi elixubene nomchamo (i-Hematuria).
Udokotela wakho uzokutshela ngalezi zinto kusenesikhathi.
Ake sifunde ngesikhathi sokululama.
Isikhathi esizothathwa ukuze ululame ngokugcwele sizohluka kuye ngokuhlinzwa okwenzile. Ngokuvamile kuthatha amasonto ambalwa. Kungathatha inyanga noma ezimbili ukuze ululame ngokugcwele.
- Imisebenzi: Gwema ukuzivocavoca noma ukuphakamisa noma yini esinda ngaphezu kwamakhilogremu angu-4 (cishe isisindo segaloni lamanzi) amasonto ambalwa ngemva kokuhlinzwa.
- Ukudla: Phuza amanzi amaningi, ngaphandle kwalokho uzoba sengozini enkulu yokuthola ukutheleleka komgudu womchamo (UTI). Kungumqondo omuhle futhi ukudla ukudla okunomsoco (izithelo ezintsha, imifino, amantongomane, inyama engenamafutha) ukuze kusize enkambisweni yokuphulukiswa.
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa kwakho, yazisa udokotela wakho ngokushesha noma uye esibhedlela.
| Izimpawu Zesexwayiso | |
|---|---|
| 🔴 | Ubuhlungu obukhulu, ikakhulukazi uma uchama (i-Dysuria). |
| 🔴 | Ukungakwazi ukuchama. |
| 🔴 | Ukopha okukhulu emchameni. |
| 🔴 | Izimpawu zokutheleleka (umkhuhlane, ukubanda, ukubomvu/ukushintsha kombala onsomi eduze kwesilonda, ukuphuma kobomvu). |
| 🔴 | Ukopha ngokweqile ngenxa yokusikeka. |
Kuthiwani uma isinyi sisusiwe ngokuphelele?
Lokhu kuyinkinga enkulu kubantu abaningi. Yebo, kungenzeka ukuphila ngaphandle kwesinye. Uma udokotela esusa ngokuphelele isinye sakho, bazokwakha indlela entsha yokuthi umzimba wakho ugcine futhi ukhulule umchamo. Kunezindlela ezintathu eziyinhloko zokwenza lokhu.
- Umsele We-Ileal: Lokhu kuhilela ukuthatha ingxenye yamathumbu amancane bese uyixhumanisa nomgudu womchamo ovela ezinso ngakolunye uhlangothi kanye nomgodi omncane (stoma) esiswini ngakolunye uhlangothi. Umchamo ube usuqoqwa esikhwameni (isikhwama se-ostomy) esinamathiselwe ngaphandle komgodi.
- I-Neobladder: Futhi, ingxenye yamathumbu amancane isetshenziselwa ukudala isikhwama esisha esifana nesinye bese siyinamathisela endaweni efanayo nesinye esidala. Ngale nqubo, ungachama ngokujwayelekile nge-urethra.
- Ukuphambuka Kwesikhumba Sezwekazi: Lokhu kuhilela nokudala isikhwama ngaphakathi esiswini ukuze kuqoqwe umchamo. Kodwa-ke, sikhishwa izikhathi eziningana ngosuku kusetshenziswa ipayipi elincane (i-catheter) ozifaka ngalo ngembobo (stoma) esiswini.
Nakuba lezi zindlela zingase zibonakale ziyinkimbinkimbi kancane, udokotela wakho uzokhetha indlela engcono kakhulu kuwe futhi ayichaze kahle. Nakuba kuthatha isikhathi ukujwayela lezi zindlela, abantu abaningi bayaqhubeka nokwenza izinto ababezenza ngaphambi kokuhlinzwa (ukuzivocavoca, ukuhamba) njengokujwayelekile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesinye akumelwe ukwesabe. Kuyindlela yokuhlinzwa evamile elapha izifo ezahlukahlukene.
- Kubaluleke kakhulu ukutshela udokotela wakho yonke imininingwane mayelana nesimo sakho sempilo kanye nemithi oyiphuzayo ngaphambi kokuhlinzwa.
- Landela imiyalelo kadokotela wakho ngokucophelela ngesikhathi ululama ngemva kokuhlinzwa. Gwema ukuphakamisa izinto ezisindayo futhi uphuze uketshezi oluningi.
- Qaphela izimpawu eziyisixwayiso ezifana nomkhuhlane, ubuhlungu obukhulu, kanye nokungakwazi ukuchama. Uma kwenzeka noma yikuphi kwalokhu, bona udokotela ngokushesha.
- Ngisho noma isinyi sakho sisusiwe ngokuphelele, usengaphila impilo evamile. Kunezindlela ezahlukene zokwenza kanjalo, futhi zidinga ukujwayela.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini Ukulahlekelwa Ukulawulwa Kwesinye/Ukungakwazi Ukulawula Isinyi?
Lokhu akuyona into eyenzekayo uma wephuze ukuya endlini yangasese! 'Ukungakwazi ukuzibamba' kuyisimo esingajabulisi/esihlazisayo lapho ulahlekelwa khona ukuzibamba ngokuzumayo, lapho uhleka, ukhwehlela, noma ucabanga ngokuya endlini yangasese, bese umchamo (futhi ngezinye izikhathi indle) uphuma ngokuzumayo ezingutsheni zakho (Ukuvuza Okungaqondile)! Ngenxa yalokhu, abantu abaningi besaba ukuphuma endlini futhi bahlale kude nomphakathi ngo-100%.
💬 Yiziphi izimbangela eziyinhloko zokulahlekelwa ukulawula isinyi?
Izimbangela eziyinhloko zalokhu yilezi: 1) Ukungakwazi ukuzibamba ngokucindezeleka - Ngemva kokubeletha (ngenxa yobuthakathaka bemisipha), abesifazane balahlekelwa umchamo lapho bekhwehlela. 2) Isinye esisebenza ngokweqile (Umfutho) - Isinye siyafinyela njengokungathi sigcwele (ngenxa yesifo sikashukela/izifo zemizwa). 3) Ukunqamuka kokuya esikhathini kwabesifazane. 4) Indlala/i-BPH ekhulisiwe kwabesilisa. 5) Ukutheleleka Okukhulu Komchamo (UTI).
💬 Ingabe ukungakwazi ukuzibamba kungalapheka? Kufanele ngiye nini ekamelweni lezimo eziphuthumayo ngokushesha?
Lesi akusona isifo okufanele ube namahloni ngaso nokuhlala ekhaya, singelashwa ngo-100% ngemithi (ukuzivocavoca kwe-Kegel/imithi/ukuhlinzwa)! Kodwa ingozi enkulu! Uma umuntu owayephilile, kanye nobuhlungu bomhlane, 'engakwazi ukulawula ukuchama noma ukuphuma kwendle ngokuzumayo', futhi elahlekelwa yizitho zomzimba, ngokuqinisekile kuwukuphuka komgogodla (i-Cauda Equina Syndrome / ebulalayo)! Udinga ukulaliswa esibhedlela ngokushesha futhi usindise imilenze yomibili ekulahlekelweni ukusebenza kwayo (ukukhubazeka)!
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