Ingabe ingane yakho encane ithola izifo zomgudu womchamo njalo (UTIs)? Udokotela kungenzeka ukuthi ukutshelile ukuthi lokhu kungenxa yokuthi umchamo ugeleza usuka kwesinye, uye ezinso. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Vesicoureteral Reflux (VUR) . Ungesabi ukuzwa leli gama bese ucabanga ukuthi yisifo esibi kakhulu. Lesi yisimo esibonakala ezinganeni. Manje sekukhona ukwelashwa okulula kakhulu, okuphephile futhi okusebenzayo kwalokhu. Namuhla, sikhuluma ngokwelashwa okubizwa ngokuthi i-Deflux .
Kuyini i-Deflux?
Kalula nje, i-Deflux iyisithako esifana nejeli. Inikezwa njengomjovo. Isebenza ngokuvimba umchamo ukuthi ungaphinde ugeleze ubuyele kuma-ureter, amapayipi athwala umchamo usuka ezinso uye kwesinye.
Cabanga ngakho njengevalvu emapayipini avela ethangini lethu lamanzi ekhaya elakhelwe ukuvumela amanzi ukuthi ageleze ohlangothini olulodwa kuphela. Futhi, lapho le gel ye-Deflux ifakwa endaweni lapho i-urethra ixhuma khona nesinye, kwakheka iqhubu elincane lapho futhi lisebenze njengevalvu yemvelo. Lokhu kuvumela umchamo ukuthi ugeleze ngendlela efanele, okungukuthi, uphume esinyeni, futhi kuwuvimbele ngokuphelele ukuthi ubuyele emuva.
Lokhu kwelashwa kwenziwa udokotela wezifo zomchamo, udokotela ogxile ezifweni zomchamo. I-Cystoscopy inqubo engangenisi kakhulu lapho kufakwa khona ithubhu elifakwe ikhamera (i-cystoscope) esinyeni.
Yiziphi izimo ezidinga ukwelashwa kwe-Deflux?
Lokhu kwelashwa kuvame ukusetshenziselwa ukwelapha i-VUR, isimo esibonakala ezinganeni. Kodwa-ke, ngezinye izikhathi sisetshenziswa nakubantu abadala. I-VUR ingabangela ukuthi umchamo ugeleze emuva ungene ezinso. Ingozi iwukuthi lokhu kungaholela ekuthelelekeni njalo komgudu womchamo, izibazi zezinso, kanye nezinye izinkinga ngokuhamba kwesikhathi.
Ezinganeni eziningi, i-VUR izozixazulula ngokwayo njengoba zikhula. Kodwa-ke, i-Deflux iyisisombululo esihle sokuvimbela ukulimala kwezinso ngenkathi ulinde ukuthi zixazululeke.
Cabanga nje ukuthi ingane yakho ithola ukutheleleka komgudu womchamo okubangelwa umkhuhlane njalo ezinyangeni ezimbalwa. Iphuza umuthi njalo, kodwa uyaqhubeka nokubuya. Kulapho udokotela enza khona izivivinyo lapho ethola khona ukuthi une-VUR. Yilapho ukwelashwa kwe-Deflux kuba usizo kakhulu.
| Umthelela wesimo se-VUR | Isixazululo esinikezwe yiDeflux |
|---|---|
| Ukutheleleka okuvamile komgudu womchamo (UTIs). | Kuvimba umchamo ukuthi ungagelezi emuva, kuvimbele amagciwane ukuthi afinyelele ezinso futhi kunciphise nengozi yokutheleleka. |
| Ukuvaleka kwezinso ngokuhamba kwesikhathi. | Kuvikela izinso, kuvimbela umonakalo wesikhathi eside kanye nezinkinga. |
| Ingane inamandla okuphulukisa ngokwemvelo njengoba ikhula. | Kusebenza njengesivikelo sezinso kuze kube yilapho umzimba wengane uphola ngokwemvelo. |
Yenziwe ngani le Deflux?
Akukho okufanele ukhathazeke ngakho ngalo mkhiqizo. Wenziwe ngokuphelele ngezithako zemvelo, ezibolayo.
- I-Dextranomer: Lena yi-polysaccharide, i-carbohydrate eyenziwe ngama-molecule kashukela. Iphinde isetshenziswe ekwenziweni kwemithi kanye nemikhiqizo yokuhlanza amanxeba.
- Ijeli le-Hyaluronic acid: Lena futhi iyi-polysaccharide. Kuyinto eyenzeka ngokwemvelo emizimbeni yethu. Kungenzeka ukuthi uke wezwa ukuthi isetshenziswa kabanzi emikhiqizweni yobuhle ngoba isiza ekuthambiseni isikhumba.
Le jeli ithathelwa indawo yizicubu zethu ngokuhamba kwesikhathi futhi imuncwa ngokuphephile ngumzimba. Kodwa-ke, ayithinti impumelelo yokwelashwa.
Ulungiselela kanjani ukwelashwa futhi kwenziwa kanjani?
Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu. Ngokuvamile, uzocelwa ukuba uzile ukudla amahora ambalwa ngaphambi kokwelashwa. Kubalulekile futhi ukwazisa udokotela wakho nganoma yimiphi eminye imithi oyithathayo. Ungalokothi uyeke ukuthatha imithi yakho noma yengane yakho ngaphandle kweseluleko sikadokotela wakho.
Inqubo yokwelapha ilula kakhulu:
1. Okokuqala, ingane inikezwa umuthi wokubulala izinzwa ojwayelekile . Ngakho ngeke izwa ubuhlungu noma ukungakhululeki.
2. Ijeli yokudambisa izinhlungu ifakwa e-urethra.
3. Bese kuthi ipayipi elincane elixhunywe ngekhamera (i-cystoscope) lidlule e-urethra liye esinyini.
4. Ukuze ibonakale kangcono ngaphakathi kwesinye, igcwele usawoti.
5. Ngemuva kwalokho, inaliti idluliselwa kulelo payipi bese ijeli ye-Deflux ifakwa endaweni lapho i-urethra ixhumana khona nesinye.
6. Uma umsebenzi usuqediwe, inaliti kanye nepayipi kuyasuswa, bese kususwa noma yimaphi amanzi esinyeni.
Yonke inqubo ithatha imizuzu engaphansi kwengu-30 . Lena akuyona inqubo yokulaliswa esibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngokushesha ngemva kokuqeda ukwelashwa.
Kwenzekani ngemva kokwelashwa? Futhi yini okufanele uyiqaphele
Ngemva kokwelashwa, ingane yakho ingase izizwe inesiyezi kancane. Kungcono ukuphumula ekhaya usuku lonke. Udokotela angase enze olunye uhlolo (ukuhlolwa kwe-cystourethrogram - i-VCUG) ukuze abone ukuthi ukwelashwa kuphumelele yini.
Kujwayelekile ukubona okulandelayo usuku olulodwa noma ezimbili ngemva kokwelashwa:
- Ukungathandi ukuchama noma ukuphuza uketshezi.
- Ukubika ukushisa noma ubuhlungu lapho uchama.
- Ukungakwazi ukuzibamba noma ukuchama embhedeni.
- Umbala opinki emchameni.
Lokhu kuzonyamalala ngokuphelele ngosuku olulodwa noma ezimbili. Qiniseka ukuthi ingane yakho iphuza uketshezi oluningi. Futhi, qaphela ukuthi ungachithi amahora angaphezu kwangu-8 ngaphandle kokuchama.
| Isikhathi sokufonela udokotela wakho ngokushesha | |
|---|---|
| Ukungakwazi ukuchama | Uma ingane ingakachami amahora angu-8-10. |
| Ubuhlungu obukhulu | Ukuchama okubuhlungu, noma ubuhlungu obukhulu esiswini, emhlane, noma emaceleni, kuyaqhubeka izinsuku ezimbili ngemva kokwelashwa. |
| Imfiva | Uma izinga lokushisa lomzimba liphakeme kune-38.6 Celsius (101.5 Fahrenheit). |
| Ezinye izici | Ukuhlanza njalo, ukuqaqamba kwesinyi okuhlala isikhathi esingaphezu kwamahora angama-24, noma ubuhlungu bomhlane/esinqeni. |
Ukwelashwa nge-Deflux kunezinga lempumelelo eliphakathi kuka-70% no-93%. Imiphumela mihle kakhulu ezigabeni zokuqala zesifo (i-VUR yezinga eliphansi).
Umlayezo Wokuya Nawe Ekhaya
- I-VUR (retrograde urinary tract infection) yisimo esivame kakhulu ezinganeni. Singabangela ukutheleleka njalo komgudu womchamo futhi silimaze izinso.
- I-Deflux iyindlela yokwelapha ngomjovo ephephile kakhulu, elula, futhi ephumelelayo kulokhu.
- Lokhu kuthatha imizuzu engaphansi kwengu-30, kwenziwa ngaphansi kwe-anesthesia, futhi ungaya ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela. Isikhathi sokululama sifushane kakhulu.
- Ukwelashwa ngakunye kunezinzuzo nezinkinga zako. Ngakho-ke, nquma ukuthi yikuphi ukwelashwa okungcono kakhulu enganeni yakho, khuluma nodokotela wakho, bese uthola yonke imininingwane.
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