Ingabe ngezinye izikhathi uzizwa sengathi uvuza umchamo omncane uma uhleka kakhulu, ukhwehlela, uphakamisa into esindayo, noma uvivinya umzimba? Ukungakwazi ukuzibamba komchamo kuyinkinga evamile kwabesilisa abaningi, ikakhulukazi ngemva kokususwa kwe-prostate okukhulu komdlavuza we-prostate. Nakuba kuyindaba ehlazisayo ukukhuluma ngayo emphakathini, kuyisimo esingelapheka. Isixazululo esiphumelela kakhulu nesimanje salokhu ukuhlinzwa kwe-Male Sling. Ngakho-ke, ake sixoxe ngakho ngokucacile namuhla.
Kalula nje, kuyini ukuhlinzwa kwe-Male Sling?
Ukuhlinzwa kwe-Male Sling kuyindlela encane yokwelapha ukungakwazi ukuzibamba komchamo kwabesilisa. Cabanga ukuthi kufakwa isisekelo esincane eduze kwe-urethra, ipayipi lapho umchamo uphuma khona, ukuze kunikezwe ukwesekwa. Yilokho okwenziwa yilokhu.
Kule nqubo, udokotela wakho ugoqa i-tape yokuhlinzwa ethambile, efana ne-mesh eyenziwe ngokwenziwa izungeze i-urethra yakho, eyingxenye ye-urethra yakho. I-bulb ye-urethra itholakala phansi kwepenis yakho. I-tape iphakamisa i-urethra kanye nentamo yesinye kancane, ibanikeze ukwesekwa. Lokhu kusekelwa kunikeza imisipha ye-sphincter elawula ukuchama amandla engeziwe. Lokhu kusiza ukuvimbela ukuvuza komchamo uma ukhwehlela noma uthimula.
Lokhu kuhlinzwa kwaziwa nangamagama omkhiqizo afana ne-AdVance® sling noma i-Coloplast Virtue® male sling.
Ubani ophathwa ngalo kuhlinzwa?
Lokhu kuhlinzwa kuvame ukunconywa kwabesilisa abanobunzima bokulawula umchamo wabo ngemva kokuhlinzwa kwe-prostate.
Okubaluleke kakhulu, lokhu kufaneleka kakhulu kulabo abangakwazi ukuzibamba kahle . Lokho kusho ukuthi labo abakwazi ukusebenzisa iphedi elilodwa, amabili, noma amathathu ngosuku bangathola imiphumela emihle kakhulu ngalokhu.
Yiziphi izivivinyo ezenziwa ngaphambi kokuhlinzwa?
Ngaphambi kokuba wenze lokhu kuhlinzwa, udokotela wakho uzoyala ukuhlolwa okuningana ukuze ahlole ngokunembile isimo sakho. Lokhu kuhlolwa kuzosiza ekunqumeni ukuthi ungumuntu ofanele yini ukuhlinzwa nokuthi uzoba nemiphumela emihle yini ngemva kokuhlinzwa.
| Igama Lokuhlolwa | Ubonani kulokho? |
|---|---|
| Ukuhlolwa kwe-Urodynamic | Bahlola ukuthi imisipha nezinzwa esinyeni sakho kanye ne-urethra zisebenza kahle kangakanani. Balinganisa izinto ezifana nokucindezela ngaphakathi kwesinyeni sakho kanye nesivinini umchamo ophuma ngaso. |
| Ukuhlolwa kwephedi kwamahora angama-24 | Lokhu kukusiza ukuthi ulinganise ukuthi mangaki ama-pad owadingayo nokuthi uvuza umchamo ongakanani emahoreni angama-24. |
| I-Cystoscopy | Ipayipi elincane, elincane elinekhamera enamathiselwe kulo lidluliselwa e-urethra yakho, okuvumela udokotela ukuthi abone ngaphakathi kwesinye sakho. |
| Ukuhlolwa kwe-ECG (i-Electrocardiogram) | Lokhu kuhlolwa kwenziwa ukuqinisekisa ukuthi inhliziyo yakho iyakwazi ukumelana nalolu hlinzeko. |
| Ukuhlolwa kwegazi | Uzohlolwa ukuze kubonakale ukuthi unenkinga yokujiya kwegazi (isib. i-hemophilia). Uma wenza kanjalo, ungase ube sengozini enkulu yokopha ngesikhathi sokuhlinzwa. |
| Ukuhlolwa komchamo | Lokhu kusiza ekunqumeni ukuthi zikhona yini ezinye izimo zezokwelapha ezingathinta ukuhlinzwa, njengokutheleleka komgudu womchamo (UTIs), isifo sezinso, noma isifo sikashukela. |
Kufanele ngilungiselele kanjani ukuhlinzwa?
Ukulungiselela ukuhlinzwa nakho kubaluleke kakhulu.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo: imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi ye-Ayurvedic, amavithamini... Yazisa udokotela wakho ngakho konke lokhu.
- Yeka ukuthatha imithi yokunciphisa igazi:Uzocelwa ukuthi uyeke ukuthatha imithi yokunciphisa igazi (ama-anticoagulant), i-aspirin, kanye nemithi yokunciphisa izinhlungu (ama-NSAID) isonto elilodwa kuya kwamabili ngaphambi kokuhlinzwa. Lokhu kungandisa ingozi yokopha ngesikhathi sokuhlinzwa. Kulungile ukuthatha i-acetaminophen (i-acetaminophen) ngenxa yekhanda elibuhlungu.
- Imithi ongaqhubeka nokuyisebenzisa: Ngaphandle kokuba udokotela wakho ekweluleka ngenye indlela, ungaqhubeka nokuthatha imithi elandelayo.
- Ama-antibiotic
- Umuthi womfutho wegazi ophakeme
- Imithi yama-hormone
- Umuthi wesifo senhliziyo
- Ukudla Nokuphuza: Uzocelwa ukuba udle ukudla okumanzi kuphela (isib. isobho, ijusi yezithelo, ijeli) kusukela ngobusuku bangaphambi kokuhlinzwa. Kuzodingeka uyeke ukudla nokuphuza ngokuphelele emahoreni ambalwa ngaphambi kokuhlinzwa. Lokhu kuzosiza ukugcina amathumbu akho ehlanzekile ngesikhathi sokuhlinzwa, okuzonciphisa ingozi yokutheleleka.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kwenziwa yithimba lochwepheshe, okuhlanganisa nodokotela ohlinzayo wesinye kanye nomgudu womchamo (Urologist), udokotela obulala izinzwa, kanye nabahlengikazi.
Okokuqala, uzolaliswa ngokuphelele. Lokhu kusho ukuthi ngeke uzwe lutho, uzolala ngokuphelele.
Bese udokotela ohlinzayo:
1. Kwenziwa ukusika okuncane kakhulu endaweni ephakathi kwe-scrotum yakho ne-anus (perineum).
2. I-urethra ivele kancane kancane.
3. Ngemuva kwalokho, i-tape yokuhlinza (i-sling) esikhulume ngayo ekuqaleni ibekwa ngokucophelela kakhulu eduze kwebhalbhu ye-urethra.
Le theyiphu ibeka kabusha i-urethra endaweni entsha, efaneleka kakhulu. Lokhu kwandisa ingcindezi kuleyo ndawo futhi kunikeza ukwesekwa okuhle kwentamo yesinye. Ukuhlinzwa kuvame ukuthatha cishe ihora.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzogcinwa egumbini lokululama uze ubuye uqonde futhi isimo sakho sizinze.
- Esikhathini esiningi, lokhu kuyinqubo yokulaliswa esibhedlela , kodwa kwezinye izimo, kungadingeka ukuthi uhlale esibhedlela ubusuku bonke.
- Ngemva kokuhlinzwa, kungase kube nzima ukuchama ekuqaleni ngenxa yokuvuvukala. Kungase kudingeke ukuthi ube ne -catheter yomchamo izinsuku ezimbalwa. Uma ukuvuvukala sekwehlile, uzokwazi ukuchama ngendlela evamile.
- Ngemva kokululama, kufanele ukwazi ukuchama ngendlela evamile ngaphandle kwezinkinga.
Yiziphi izinzuzo kanye namazinga empumelelo alokhu kuhlinzwa?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi inikeza ikhambi eliphumelelayo enkingeni yokungakwazi ukuzibamba komchamo. Ngaphezu kwalokho:
- Kuyisilonda esincane kakhulu, ngakho-ke siyaphola ngokushesha.
- Ngeke kushiye noma yiziphi izibazi ezinkulu.
- Isikhathi sokululama sifushane.
- Lesi sihlingi singaphakathi komzimba ngokuphelele, ngakho asibonakali ngaphandle.
Impumelelo nokuphila isikhathi eside
Lokhu kuhlinzwa kuphumelele kakhulu. Ucwaningo lwamuva lubonisa ukuthi cishe amaphesenti angama-80 amadoda akwenzile lokhu kuhlinzwa akuqede ngokuphelele noma akuthuthukise kakhulu ukungakwazi kwawo ukulawula umchamo. I-sling ivame ukuhlala iminyaka eyi-10 kuya kweyi-15.
Yimiphi imiphumela emibi noma izingozi ezingaba khona?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa izinkinga azivamile.
| Umphumela Ongemuhle / Ingozi | Incazelo |
|---|---|
| Ukungakwazi ukuchama (Ukugcinwa komchamo) | Inkinga evamile engenzeka ngemva kokuhlinzwa. I-catheter ye-urethra ingadinga ukushiywa endaweni yayo amasonto ambalwa. Akuvamile kakhulu, kungase kudingeke olunye ukuhlinzwa ukuze kulungiswe lokhu. |
| Ukopha | Kungase kube nokopha okuncane endaweni yokuhlinzwa. |
| Ukutheleleka | Kukhona ingozi yokutheleleka kwe-incision noma indlela yomchamo. |
| Ukungakwazi ukuzibamba njalo | Kunethuba elincane lokuthi inkinga yokungakwazi ukuzibamba komchamo izophinde ivele ngokuhamba kwesikhathi. |
| Izimpawu zesinyi esisebenza ngokweqile | Izimpawu zingase zihlanganise ukuchama njalo (`ukuvama komchamo`), isidingo sokuchama ngokuzumayo (`ukulungela komchamo`), noma ukuvuka ebusuku ukuze uchame (`nocturia`). |
Ukuvuselela nokuqalisa kabusha imisebenzi yansuku zonke
Isikhathi sokululama siyahlukahluka kumuntu nomuntu.
- Ukululama: Iningi labantu liqala ukuzizwa lingcono phakathi nesonto, kodwa kungathatha amasonto amaningana ukululama ngokugcwele.
- Ukubuyela emsebenzini: Uma unomsebenzi wedeski, ngokuvamile ungabuyela emsebenzini ezinsukwini ezimbalwa. Kodwa-ke, uma unomsebenzi ohilela ukuphakamisa izinsimbi noma ukuzikhandla ngokomzimba, kungadingeka uthathe ikhefu elithe xaxa.
- Ukuya ocansini: Kubalulekile ukubuza udokotela wakho ukuthi kuphephile nini ukuphinda uye ocansini ngemva kokuhlinzwa.
Kufanele ubonane nini nodokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuya ekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma ungakwazi nhlobo ukuchama .
- Uma unegazi emchameni wakho (i-hematuria).
- Uma kunezimpawu zokutheleleka (njengomkhuhlane, ukubanda, ukuvuvukala kwamasende).
- Uma ungatholi imiphumela obuyilindele noma uma inkinga yokungakwazi ukuzibamba komchamo ibuya futhi ngemva kwesikhashana, khuluma nodokotela wakho ngalokho futhi.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Male Sling kuyindlela yokwelapha ephumelela kakhulu futhi ephephile yokungakwazi ukuzibamba komchamo okuncane kuya kokuphakathi, ikakhulukazi ngemva kokuhlinzwa kwe-prostate.
- Lokhu ukuhlinzwa okungadingi ukusikwa okukhulu futhi okusheshe kuphole.
- Izinga lempumelelo lokuhlinzwa liphezulu kakhulu (cishe u-80%).
- Ngaphambi kokuhlinzwa, khuluma nodokotela wakho ngokukhululekile ngayo yonke imithi oyiphuzayo kanye nanoma yiziphi izinkinga onazo.
- Uma uba nezimpawu ezinzima ngemva kokuhlinzwa, njengokungakwazi ukuchama, umkhuhlane omkhulu, noma izimpawu zokutheleleka, funa iseluleko sezokwelapha ngokushesha.
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