Ingabe kufanele uye endlini yangasese njalo? Noma usazizwa sengathi isinyi sakho sigcwele ngisho nangemva kokuqeda ukuchama? Mhlawumbe umchamo wakho uhamba kancane futhi uyayeka. Abantu abaningi banalezi zinkinga, kodwa abakhulumi kakhulu ngakho ngoba banamahloni noma bacabanga ukuthi 'lokhu kuyinto evamile'. Kodwa lezi akuzona izinto okufanele zinganakwa. Namuhla sikhuluma ngezimpawu ezenzeka engxenyeni engezansi yesistimu yomchamo, noma njengoba sizibiza ngokwezokwelapha, i-LUTS (Izimpawu Zendlela Yomchamo Ephansi).
Ziyini lezi zimpawu?
I-LUTS akuyona isifo esisodwa, kodwa iqoqo lezimpawu. Lezi zingahlukaniswa ngezigaba ezimbili eziyinhloko. Okungukuthi, izinkinga ngokugcinwa komchamo nezinkinga zokuphuma komchamo. Cabanga ngakho njengethangi lamanzi, izinkinga zokugcwalisa amanzi, izinkinga zokukhipha amanzi. Kunjalo-ke.
| Isigaba sezimpawu | Izinto ovame ukuzibona |
|---|---|
| Izimpawu Zokugcina |
|
| Izimpawu Zokuzizwa Ukhululekile |
Ubani othola lesi simo? Ziyini izimbangela?
Lezi zimpawu zingabonakala kokubili kwabesifazane nabesilisa, kanye nanoma yimuphi ubudala. Kodwa-ke,Lesi simo sivame kakhulu njengoba abantu bekhula, ikakhulukazi phakathi kwabesilisa.
Kalula nje, lezi zimpawu zingabangelwa ukuvaleka, ukutheleleka, noma ukucasuka ohlelweni lwethu lomchamo.
Nazi ezinye zezizathu eziyinhloko:
- I-Benign Prostatic Hyperplasia (BPH): Indlala ye-prostate, etholakala ngaphansi kwesinye, iyanda njengoba amadoda ekhula. Lokhu kungacindezela i-urethra futhi kuvimbele ukugeleza komchamo. Lena imbangela eyinhloko ye-LUTS kwabesilisa.
- Ukutheleleka Kwendlela Yomchamo (UTI): Uma kwenzeka ukutheleleka ngamagciwane emgudwini womchamo, kuvela izimpawu ezifana nokuchama njalo nokusha.
- Izinkinga zezinso: Amatshe ezinso noma izifo ezibangelwa amagciwane nazo zingabangela lezi zimpawu.
- Izimo ze-neurological: Izifo zobuchopho noma zomgogodla, njenge-multiple sclerosis noma i-stroke, zingathinta imizwa elawula ukusebenza kwesinyi.
- Ezinye izimo zezokwelapha: Izimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, ukukhuluphala ngokweqile, kanye nokuphefumula kokulala nakho kungabangela i-LUTS.
- Eminye imikhuba: Ukubhema ugwayi oqukethe i-nicotine, ukuphuza ikhofi, itiye eliqukethe i-caffeine, nokuphuza utshwala kungacasula isinyi futhi kwandise lezi zimpawu.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela ngalezi zimpawu, akukho okufanele ukwesabe. Uzolalela ngokucophelela izimpawu zakho, enze izivivinyo ezithile ezidingekayo, bese ethola imbangela.
Udokotela angase akubuze imibuzo efana nale: "Ziyini izimpawu zakho? Sekuyisikhathi esingakanani ziqhubeka? Zithinta kangakanani impilo yakho yansuku zonke? Uphuza amanzi angakanani ngosuku? Yimiphi imithi oyiphuzayo? Ingabe ukhona emndenini wakho obe nalezi zinkinga?" Kubaluleke kakhulu ukuphendula le mibuzo ngokwethembeka.
Ngemva kwalokho, kungenziwa izivivinyo eziningana ezinjengalezi ukuze kutholakale imbangela eqondile.
| Ukuhlolwa | Ubonani kulokho? |
|---|---|
| Ukuhlolwa komchamo | Hlola umchamo ukuze ubone ukuthi awunazo yini izifo kanye nezinhlayiya zegazi. |
| Ukuhlolwa Kwegazi | Hlola ukusebenza kwezinso, futhi, kwabesilisa, amazinga e-PSA (Prostate-Specific Antigen). |
| Ukuskena kwe-Ultrasound | Hlola isimo sezinso, esinyeni, kanye nendlala ye-prostate (kwabesilisa). Ungalinganisa futhi inani lomchamo osele esinyeni ngemva kokuchama (ivolumu eseleyo ngemuva kokungasebenzi). |
| Ukuhlolwa kwe-Urodynamic | Ukuhlolwa okukhethekile okulinganisa ukucindezeleka kwesinyi, umthamo, kanye namandla emisipha. |
| I-Cystoscopy | Ipayipi elincane kakhulu elinekhamera lidluliselwa e-urethra ukuze lihlole ingaphakathi lesinye kanye ne-urethra. |
Wenzani njengokwelashwa?
Ukwelashwa kuncike embangela yezimpawu zakho nokuthi zithinta kangakanani impilo yakho.
Izinguquko Zendlela Yokuphila
Ngokuvamile, udokotela uzokweluleka kuqala ukuthi wenze izinguquko ezimbalwa ezilula endleleni yakho yokuphila.
- Ukulungisa inani loketshezi oluphuzayo ngosuku kanye nesikhathi sokuluphuza (isib., ukunciphisa ukuphuza amanzi amaningi ngaphambi kokulala ebusuku).
- Nciphisa noma uyeke ukusebenzisa ikhofi, itiye, utshwala kanye nogwayi.
- Ukulawula isisindo somzimba.
- Ukwenza izivivinyo eziqinisa imisipha yephansi le-pelvic, okungukuthi, izivivinyo ze-Kegel .
- Ukusungula umkhuba wokuya endlini yangasese ngesikhathi esifanele (Ukuqeqeshwa kwe-Bladder).
Imithi
Uma izinguquko zendlela yokuphila zodwa zingalawuli izimpawu, udokotela wakho angase akunike imithi efanele imbangela. Isibonelo:
- Imithi ephumuza imisipha yesinye (ama-Alpha-blockers)
- Imithi enciphisa i-prostate gland (i-5-alpha reductase inhibitors)
- Ama-antibiotic okutheleleka
- Imithi yokulwa nokuqaqamba kwesisu
Ukuhlinzwa
Ezimweni lapho ezinye izindlela zokwelapha zingaphumeleli, ikakhulukazi uma kukhona ukuvaleka komchamo noma uma kukhona ukungakhululeki okukhulu ngenxa yokukhula kwe-prostate, kungase kunconywe ukuhlinzwa.
Kufanele uye nini kudokotela?
Into ebaluleke kakhulu ukungazinaki lezi zimpawu. Zingaba yizimpawu zokuqala zenkinga yezempilo eyisisekelo. Ngakho-ke, kubaluleke kakhulu ukuqala ukwelashwa ngokushesha okukhulu.
Bonana nodokotela ngokushesha ngaphandle kokulibala, ikakhulukazi uma unezimpawu ezilandelayo:
- Uma kukhona igazi emchameni.
- Uma kukhona ubuhlungu noma ukusha okukhulu lapho uchama.
- Uma le nkinga iphazamisa ubuthongo bakho njalo.
- Uma lokhu kukwenza uzizwe ukhathazekile noma ucindezelekile.
- Uma lokhu kuthinte ubudlelwano bakho nabantu, impilo yomndeni, noma impilo yakho yocansi.
- Uma lokhu kukuthinta kuze kube sezingeni lapho ungakwazi ukwenza izinto ozithandayo noma ukuphuma endlini.
Umlayezo Wokuya Nawe Ekhaya
- Ukutheleleka komgudu womchamo (LUTS) kuyinkinga evamile kubantu abaningi, kodwa akuyona into okufanele inganakwa.
- Izimpawu eziyinhloko zifaka phakathi ukuchama njalo, ukugeleza komchamo obuthakathaka, kanye nokuchama okungalawuleki.
- Izimbangela zingabandakanya izimo ezahlukahlukene ezifana nokutheleleka komgudu womchamo, ukwanda kwe-prostate (kwabesilisa), kanye nesifo sikashukela.
- Ungabi namahloni bese ukhuluma nodokotela wakho ngalokhu. Into engcono kakhulu ongayenza ukuthola imbangela bese uyelapha ngokushesha.
- Ikakhulukazi uma kukhona igazi emchameni, kungaba uphawu lwesimo esibucayi, ngakho funa iseluleko sezokwelapha ngokushesha.
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