Ingabe unesinye esivuvukile? (Isinye esivuvukile) Ake sithole ngalokhu!

Ingabe ngezinye izikhathi uzizwa sengathi awukwazi ukuchama? Noma uzizwa sengathi isinyi sakho sigcwele futhi sinzima? Uma lesi simo siqhubeka, ungase ube nesifo esibizwa ngokuthi 'iSinyi esivuvukele'. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Kuyini ukuvuleka kwesinyi?

Kalula nje, 'isinyi esivuvukele' yilapho isinyi sakho, isikhwama esibamba umchamo wakho, siba sikhulu futhi sivuvukele kakhulu kunokujwayelekile. Cabanga ngakho njengebhaluni. Uma ligcwele amanzi, ibhaluni liyavuvukala, akunjalo? Yilokho okwenzekayo.

Isizathu esiyinhloko salokhu ukuthi umchamo awugelezi kahle futhi uqongelela esinyeni . Ngokwezokwelapha lokhu sikubiza ngokuthi 'Ukugcinwa Komchamo'. Kodwa-ke, akuwona wonke umuntu 'onokugcinwa Komchamo' onesinye esivuvukele.

Manje bheka, izinso zethu yizo ezihlunga uketshezi olungafuneki emzimbeni kanye nemikhiqizo engcolile bese zenza umchamo. Umchamo okhiqizwa ngale ndlela ugcinwa esinyeni kuze kube yilapho sidinga ukuchama. Uma esinyeni sesigcwele, sithumela isignali ebuchosheni bethu sithi, "Kulungile, ngidinga ukuchama manje."

Ukugcinwa komchamo kwenzeka lapho isinye sakho sigcwele, kodwa awukwazi ukusikhipha ngokuphelele. Kwenzekani-ke? Isinye siyanwebeka kancane kancane bese siba sikhulu, noma sivuvuke, ukuze sibambe umchamo omningi. Yilokho esikubiza ngokuthi 'isinye esivuvukele.'

Ingabe lesi yisimo esiphuthumayo sezokwelapha?

Isinye esivuvukile sodwa asivamile ukuba yisimo esiphuthumayo sezokwelapha. Kodwa-ke, uma ungakwazi ukuchama nhlobo, noma ukhipha umchamo omncane kuphela, futhi kuhambisana nobuhlungu obukhulu, kungaba yisimo esiphuthumayo. Lokhu kubizwa ngokuthi ukugcinwa komchamo okubukhali. Uma ungakwazi ukuchama ngenxa yobuhlungu obukhulu kangaka, kungcono ukufuna iseluleko sezokwelapha ngokushesha.

Ziyini izimpawu zokuvuvukala kwesinye?

Kulesi simo, ungabona izimpawu ezifana nalezi:

• Umchamo ovuzayo (siphinde sikubize ngokuthi 'ukungakwazi ukuzibamba komchamo').
• Isidingo esiphuthumayo sokuchama ngokushesha.
• Ukuzwa ubuhlungu, ingcindezi, noma ukuqina esiswini esingezansi noma eduze kwaso.
• Ezinye izimpawu zokugcinwa komchamo zihlanganisa ukuchama okuncane kakhulu, ukugeleza komchamo okubuthakathaka, noma umuzwa wokudinga ukuchama futhi ngemva kokuqeda ukuchama .

Nokho, abanye abantu bangase bangaziboni lezi zimpawu ezinkulu.

Yini ebangela lokhu?

Isizathu esiyinhloko sokuvuvukala kwesinye ukuthi umchamo awugelezi kahle futhi uyaqongelela. Kungaba nezizathu eziningana zalokhu. Ake sibone ukuthi ziyini:

• Ukuphazamiseka:
• Amatshe esinyini
• Isimila (`Isimila`)
• I-prostate ekhulisiwe emadodeni
• Izinto ezifana nokuqunjelwa zingavimba umgudu womchamo.
• Uma isinye somntwana sivuvukala esibelethweni (`Fetal megacystis`), imbangela eyinhloko yisimo esibizwa ngokuthi ``Lower urinary tract obstructions (LUTOs)``. Okusho ukuthi, kukhona ukuvinjelwa engxenyeni engezansi yomgudu womchamo.

• Ukuvuvukala (ukuvuvukala):
• Uma kukhona ukuvuvukala kwesinye noma e-urethra (ipayipi elithwala umchamo ovela kwesinye), kungase kukuvimbele ekukhipheni umchamo wakho ngendlela efanele.
• Lezi zinhlobo zezimo zokuvuvukala zingabangelwa ukulimala noma ukutheleleka komgudu womchamo.

• Izimo ze-neurological:
• Ezinye izifo, njenge-multiple sclerosis (MS), isifo sikaParkinson, isifo sika-Alzheimer, nesifo sohlangothi, kanye neminye imithi (ikakhulukazi ama-opioid), zingabangela ubuchopho ukuthi bungathumeli izimpawu kahle uma isinyi sigcwele. Lokhu kungenza kube nzima ukukhipha isinyi sakho ngesikhathi.

• Ukuhlinzwa:
• I-anesthesia, esetshenziselwa ukudambisa ubuhlungu ngesikhathi sokuhlinzwa, ngezinye izikhathi ingaphazamisa ikhono lokukhipha isisu.
• Izibazi noma ukuvuvukala okubangelwa ukuhlinzwa kwe-pelvic nakho kungabangela ukuvaleka kwesinyi noma i-urethra.

Yiziphi izinkinga ezingaba khona ngenxa yokuvuvukala kwesinye?

Ngezinye izikhathi, ngisho nangemva kokwelashwa, ukuvuvukala kwesinye kungabangela ubunzima bokuchama (`Ukungasebenzi kahle kwesinye`). Isibonelo:

• Ukuvuza okuncane komchamo.
• Ukuzwa isidingo sokuchama ngisho noma ungadingeki.
• Ukungakwazi ukukhipha ngokuphelele isinye.

Ukubona kanjani lokhu?

Uma uya kudokotela, uzokubuza ngezimpawu zakho bese ekuxilonga. Angase acindezele isisu sakho esingezansi bese ekubuza ukuthi unazo yini izinhlungu. Uma esola ukuthi isinyi sakho sivuvukele, angase akucele ukuthi kwenziwe i-ultrasound scan.

Uma ungumama okhulelwe, i-ultrasound yokukhulelwa ingathola ngezinye izikhathi ukuthi isinye somntwana wakho sivuvukele.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Odokotela bangaxilonga lesi simo ngokubheka esinyeni sakho besebenzisa i-ultrasound. Ikakhulukazi, bangasebenzisa 'ukuhlolwa komchamo okusele ngemuva kokungasebenzi' ukuze babone ukuthi ukhipha kahle kangakanani esinyeni sakho. Lokhu kuhilela ukubheka esinyeni sakho ngomshini 'we-ultrasound' ngemuva kokuthi usuqedile ukuchama (ngemuva kokuthi usukhiphe umchamo omningi ngangokunokwenzeka). Kungasiza futhi ekutholeni imbangela yanoma yiziphi izinkinga.

Udokotela angase futhi enze izivivinyo ezengeziwe ukuze athole imbangela yokugcina umchamo.

Kuphathwa kanjani lokhu?

Odokotela baphatha lokhu kakhulu ngokususa umchamo owengeziwe oqongeleleke esinyeni. Uma ungakwazi nhlobo ukuchama, into yokuqala udokotela wakho azokwenza ukukhipha umchamo ngaphambi kokuzama ukuthola imbangela noma ukwenza olunye uhlolo.

Ngemuva kwalokho, imbangela eyisisekelo yalesi simo (ngokuvamile ukugcinwa komchamo) iyatholwa futhi yelashwe. Lokhu kungase kuhilele imithi, ukuhlinzwa, noma ezinye izindlela.

I-fetal megacystis (ukuvuvukala kwesinye isinye kumntwana osesiswini) ngezinye izikhathi kungathuthuka ngokwako njengoba umntwana ekhula.

Izindlela ezithile zokwelapha ukuvuvukala kwesinye

Indlela evame kakhulu ibizwa ngokuthi "i-transurethral bladder catheterization." Lokhu kuhilela ukufaka ipayipi elincane (i-catheter) nge-urethra yakho (umgodi lapho uchama khona) esinyini sakho bese ukhipha umchamo. Udokotela angasebenzisa leli payipi ukukhipha isinyi sakho kanye, noma angalishiya endaweni yalo izinsuku ezimbalwa noma amasonto.

Ukuthi kufanele belashwe yini noma cha i-megacystis yengane esanda kuzalwa kuncike esimweni. Izinketho zokwelapha zifaka:

• I-Vesicocentesis: Inqubo lapho udokotela esebenzisa khona inaliti ukususa uketshezi esinyeni sombungu.
• I-Vesicoamniotic shunt: Udokotela ufaka ipayipi esinyeni sombungu bese ekhipha uketshezi ngalo.

Imiphumela emibi yokwelashwa

Ngemva kokususwa kwe-catheter, ungase ubhekane nezinto ezifana nalezi:

• Inani elincane legazi emchameni (`Hematuria`).
• Ukudinga ukuchama njalo.
• Umfutho wegazi ophansi (hypotension).

Kodwa ungakhathazeki, isikhathi esiningi le miphumela emibi ingeyesikhashana futhi izophola ezinsukwini ezimbalwa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uzoqala ukuzwa impumuzo ngokushesha nje lapho udokotela ekhipha isinyi sakho. Ubude besikhathi ozodinga ukwelashwa okwengeziwe buzoncika esibangweni sokugcina umchamo wakho.

Yini engingayilindela uma nginokuvuvukala kwesinye?

Isinyi esivuvukile singaba buhlungu, futhi kungasho ukuthi awuchami ngokwanele. Lokhu kungelashwa ngokufaka i-catheter ukuze ukhiphe amanzi esinyini. Kungase kudingeke futhi uqhubeke nokwelashwa ngembangela eyinhloko.

Uma ukhulelwe futhi ingane yakho engakazalwa inokuvuvukala kwesinye, khuluma nomhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha ukuze uthole ulwazi olwengeziwe.

Ingabe ukuvuvukala kwesinye kungavinjelwa?

Uma unezimo ezingamahlalakhona ezingabangela ukugcinwa komchamo, ukuzilawula kahle kungasiza ekuvimbeleni ukuvuvukala kwesinye. Kodwa-ke, kwezinye izimo, njengokuvuvukala kwesinye ngemva kokuhlinzwa noma i-fetal megacystis, akunakwenzeka ukukuvimbela.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma ungakwazi ukuchama futhi uzwa ubuhlungu obukhulu, iya ekamelweni lezimo eziphuthumayo eliseduze noma ufune iseluleko sezokwelapha ngokushesha. Ukugcinwa komchamo ngokushesha kuyisimo esiphuthumayo sezokwelapha. Ungakushayi indiva.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Kungaba usizo ukubuza udokotela wakho imibuzo efana nale:

• Kungani lokhu kwenzeke kimi?
• Yini okufanele ngiyenze ukuze ngivimbele into efana nale ukuthi ingaphinde yenzeke?
• Yiziphi izindlela zokwelapha enginazo?
• Ingabe kuzodingeka ngiqhubeke nokwelashwa?

Okokugcina, izinto okufanele uzikhumbule

Ukuvuvukala kwesinye ngokuvamile kungelashwa ngokukhipha amanzi esinyini. Kodwa-ke, kubalulekile ukwelapha imbangela eyinhloko yokugcina umchamo. Uma unenkinga yokuchama, noma uma uzwa ubuhlungu esiswini sakho esingezansi noma eduze kwaso, ikakhulukazi uma usanda kuhlinzwa, tshela udokotela wakho. Ukuvuvukala kwesinye akuyona into ephuthumayo, kodwa ukungakwazi ukuchama nhlobo kungaba yinto ephuthumayo. Ngakho-ke uma unenkinga, ungalokothi ulibale ukufuna iseluleko sezokwelapha. Impilo yakho ibaluleke kakhulu kuwe.

Ukuvuvukala kwesinye , ukugcinwa komchamo, ubunzima bokuchama, esinyeni, izinso, izimpawu zomchamo, ukwelashwa komchamo