Ingabe ngezinye izikhathi uvuza umchamo ngephutha uma uhleka kakhulu, ukhwehlela, uthimula, noma uphakamisa isisindo esincane? Lesi yisimo esihlazisayo nesihlazisayo emphakathini. Ikakhulukazi kwabesilisa abaye bahlinzwa indlala ye-prostate, lesi simo, okungukuthi, ukungalawuleki komchamo, singenzeka. Kodwa asikho isidingo sokwesaba noma sokuba namahloni ngalokhu. Ngoba kunezixazululo zezokwelapha eziphumelelayo zalokhu. Sikhuluma ngesisombululo esisodwa esinjalo namuhla. Leso ukuhlinzwa 'kwe-Male Sling'.
Kalula nje, kuyini ukuhlinzwa kwe-Male Sling?
Lokhu akukukhulu noma akuyinkimbinkimbi njengoba ungase ucabange. Kungukuhlinzwa okungangenisi kakhulu. Udokotela wakho uzothatha iteyipu yokuhlinza ethambile, eyenziwe njenge-mesh eyenzelwe ukulingana nomzimba womuntu bese eyibeka ngokucophelela eduze komchamo wakho.
Cabanga ngakho njengokufaka ' indawo ' encane ngaphansi kwento egobile futhi ebuthakathaka. Le bhande iphakamisa i-urethra yakho kanye nentamo yesinye (ingxenye engezansi yesinye exhuma kwi-urethra) kancane, izinike ukwesekwa okungcono. Lokhu kuvumela imisipha ye-sphincter elawula ukuchama ukuthi yenze umsebenzi wayo kahle.
Le bhande libekwe eduze kwe-urethral bulb, ingxenye efana ne-bulb yepenis ezungeze i-urethra. Le ngxenye iwusizo kakhulu ekulawuleni umchamo ngezikhathi ezifana nalapho sizivocavoca.
Kunconywa bani lokhu kuhlinzwa?
Ukuhlinzwa kwe-Sling yabesilisa kuvame ukunconywa ngenxa yokungakwazi ukuzibamba komchamo ngemva kokususwa kwe-prostate, inqubo yokuhlinzwa yokususa yonke indlala ye-prostate ngenxa yomdlavuza we-prostate.
Okubaluleke kakhulu, lokhu kuhlinzwa kuvame ukunconywa kubantu abangakwazi ukuzibamba kahle . Kalula nje, kusebenza kahle kubantu abasebenzisa iphedi elilodwa, amabili, noma okungenani amathathu ngosuku ukuze babambe umchamo.
Yiziphi izivivinyo ezenziwa ngaphambi kokuhlinzwa?
Ngaphambi kokuba unqume ukwenza lokhu kuhlinzwa, udokotela wakho uzokwenza izivivinyo eziningana ukuqinisekisa ukuthi konke kulungile. Lokhu kuzokusiza ukuthi unqume ukuthi lokhu kuhlinzwa kufaneleka kangakanani esimweni sakho.
| Ukuhlolwa | Kalula nje, kwenzekani? |
|---|---|
| Ukuhlolwa kwe-Urodynamic | Balinganisa izinto ezifana nendlela isinye sakho kanye nemisipha kanye nemizwa exhumene naso esebenza ngayo, ingcindezi engaphakathi kwesinye, kanye nesivinini umchamo ophuma ngaso. |
| Ukuhlolwa kwephedi kwamahora angama-24 | Zilinganisa ngqo ukuthi mangaki ama-pad owadingayo nokuthi uvuza umchamo ongakanani emahoreni angama-24. |
| I-Cystoscopy | Ipayipi elincane (i-endoscope) elinekhamera lidluliselwa e-urethra ukuze lihlole ingaphakathi le-urethra kanye nesinye. |
| Ukuhlolwa kwe-ECG (i-Electrocardiogram) | Lokhu kwenziwa ukuqinisekisa ukuthi inhliziyo yakho iphilile ngokwanele ukumelana nokuhlinzwa. |
| Ukuhlolwa kwegazi | Sihlola izimo ezifana nezinkinga zokujiya kwegazi (isib. i-hemophilia), njengoba lokhu kungandisa ingozi yokopha ngesikhathi sokuhlinzwa. |
| Ukuhlolwa komchamo | Sihlola ezinye izimo ezingathinta ukuhlinzwa, njengokutheleleka komgudu womchamo (UTIs), isifo sikashukela, noma isifo sezinso. |
Kufanele ngilungiselele kanjani ukuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu, kodwa ngokuvamile, kufanele uqaphele ngalezi zinto.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo: Tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo zamakhambi ozithathayo, ikakhulukazi imithi yokunciphisa igazi.Ungase ucelwe ukuthi uyeke ukuthatha ama-anticoagulant, i-aspirin, kanye neminye imithi yokubulala izinhlungu (ama-NSAID) cishe amasonto amabili ngaphambi kokuhlinzwa.
- Iseluleko sokudla: Ungase ucelwe ukuthi udle uketshezi kuphela (isib. isobho, ujusi wezithelo, ijeli) kusukela ngobusuku bangaphambi kokuhlinzwa. Kuzodingeka uyeke ukudla ngokuphelele emahoreni ambalwa ngaphambi kokuhlinzwa.
- Uma uthatha imithi: Uma udinga ukuthatha noma yimiphi imithi ebalulekile ekuseni ngosuku lokuhlinzwa kwakho, ungayithatha kanye nje namanzi. Kodwa-ke, thintana nodokotela wakho kuqala.
Ake sifunde ngendlela ukuhlinzwa okwenziwa ngayo.
Lokhu kuhlinzwa kwenziwa yithimba lochwepheshe, okuhlanganisa udokotela wezifo zomchamo, udokotela wezinzwa, kanye nabasebenzi bobuhlengikazi.
Okokuqala, uzolaliswa ngokuphelele, ngakho ngeke uzwe ubuhlungu, futhi uzobe ulele ngokuphelele. Ngemuva kwalokho, udokotela ohlinzayo uzokwenza i-incision encane kakhulu endaweni ephakathi kwe-scrotum yakho ne-anus (i-perineum). Ngale ndlela, i-urethra izovezwa kahle, bese i-sling efana ne-mesh izobekwa eduze kwe-urethra, lapho idinga ukuba khona, futhi iboshwe. I-incision izobe isithungwa ivalwe. Ukuhlinzwa konke kungathatha ihora noma isikhathi eside.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzozizwa ubuthakathaka kancane uma uvuka ekuhlinzweni kwe-anesthesia. Uzoyiswa ekamelweni lokululama, lapho uzoqashwa khona ngokucophelela. Uzonikezwa imithi yokulawula ubuhlungu.
Esikhathini esiningi, lokhu kuyinqubo yokulaliswa esibhedlela ngaphandle kwesibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngalolo suku. Kodwa-ke, kwezinye izimo, kuye ngesinqumo sikadokotela, kungadingeka uhlale esibhedlela ubusuku bonke.
Ekuqaleni, ungase ube nobunzima bokuchama ngenxa yokuvuvukala. Kungase kudingeke ukuthi ufake i-catheter yomchamo izinsuku ezimbalwa. Uma ukuvuvukala sekwehlile, uzokwazi ukuchama ngendlela evamile.
Yiziphi izinzuzo kanye namazinga empumelelo alokhu kuhlinzwa?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi inikeza ikhambi eliphumelelayo lokungakwazi ukuzibamba umchamo. Ngaphezu kwalokho,
- Kusikwa okuncane kakhulu emzimbeni kuphela.
- Ngakho-ke, izibazi zincane kakhulu.
- Isikhathi sokululama sifushane.
- Le ntambo yesilingi ingaphakathi ngokuphelele emzimbeni, ngakho ayibonakali ngaphandle.
Ucwaningo lubonise ukuthi cishe abantu abangu-80% abenza lokhu kuhlinzwa bakuqede ngokuphelele noma bakunciphise kakhulu ukungakwazi ukuzibamba komchamo. I-sling ngokuvamile isebenza kahle iminyaka eyi-10-15.
Ingabe kukhona imiphumela emibi noma izinkinga?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezihilelekile. Kodwa-ke, izinkinga ezinkulu ezivela ekuhlinzeni kwe-Male Sling azivamile. Ezinye zezinkinga ezingaba khona zifaka:
- Ukugcinwa komchamo: Lena inkinga yesikhashana evame kakhulu. Lokhu kungadinga ukusetshenziswa kwe-catheter amasonto ambalwa engeziwe.
- Ukopha noma ukutheleleka.
- Akuvamile ukuthi i-sling ingase ingene e-urethra.
- Ukuphindaphindeka kokungakwazi ukuzibamba komchamo.
- Ukutheleleka komgudu womchamo (UTI).
- Izimpawu ezintsha noma eziya ziba zimbi kakhulu zesinyi esisebenza ngokweqile, njengokuvama komchamo noma ukushesha komchamo.
Kufanele ubonane nini nodokotela?
Uma ubuyela ekhaya ngemva kokuhlinzwa, uma unezinye zalezi zimpawu, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Uma ungakwazi nhlobo ukuchama.
- Uma unegazi emchameni wakho (i-hematuria).
- Uma ubonisa izimpawu zokutheleleka, njengomkhuhlane , ukubanda, kanye nokuvuvukala kwamasende .
Futhi, uma ungatholi imiphumela obuyilindele ngokuhamba kwesikhathi noma uma inkinga yokuchama ibuye ibuya, khuluma nodokotela wakho ngalokho futhi.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Male Sling kuyindlela yokwelapha ephephile kakhulu nephumelelayo yokungakwazi ukuzibamba komchamo okuncane kuya kokuphakathi, ikakhulukazi ngemva kokuhlinzwa kwe-prostate.
- Lokhu ukuhlinzwa okungadingi ukungenelela okuningi okushesha ukululama.
- Ngaphambi kokuhlinzwa, khuluma nodokotela wakho ngokukhululekile ngayo yonke imithi oyithathayo kanye nanoma yiziphi izinkinga ongase ube nazo.
- Ukuze uthole imiphumela emihle kakhulu, landela imiyalelo kadokotela wakho ngemva kokuhlinzwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha. Ungabi namahloni noma wesabe.
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