Mhlawumbe ngemva kokuhlinzwa ngesizathu esinjengomdlavuza wendlala, ingabe uvuza umchamo ungahlosile? Uma lokhu kwenzeka uma uhleka, ukhwehlela, noma uphakamisa into esindayo, ngiyaqonda ukuthi kungaba yinto ecasulayo kangakanani. Lesi simo sibizwa ngokuthi ukungalawuleki komchamo. Kodwa ungakhathazeki, kwenzeka kubantu abaningi. Into engcono kakhulu ukuthi kunezindlela zokwelapha eziphumelela kakhulu zalokhu. Namuhla sikhuluma ngokuhlinzwa okulula kakhulu nokuphumelela kakhulu. Lokho ukuhlinzwa 'kwabesilisa'.
Kalula nje, kuyini ukuhlinzwa kwe-Male Sling?
Lokhu kuyindlela yokuhlinzwa elula kakhulu nencane. Uma sikhuluma iqiniso, inikeza ukwesekwa okuncane ku-urethra yakho. Cabanga ukuthi udokotela uthatha i-tepi yokuhlinzwa ethambile, eyenziwe njenge-mesh bese eyisonga ngokucophelela engxenyeni ye-urethra yakho.
Leli bhande liphakamisa i-urethra kanye nentamo yesinye kancane, linikeza ukwesekwa. Lokhu kusiza ukulawula ukugeleza komchamo lapho ingcindezi kwesinye ikhuphuka (njengalapho ukhwehlela noma uhleka). Lokhu kusiza imisipha yakho ye-sphincter ukulawula ukuchama.
Ngemva kwalokhu kuhlinzwa, uzokwazi ukuchama ngendlela evamile, kodwa ukuvuza komchamo okungenhloso kuzophela kakhulu.
Kunconywa bani lokhu kuhlinzwa?
Odokotela bavame ukuncoma lokhu kwelashwa kwabesilisa abanezinkinga zokulawula umchamo ngemva kokuhlinzwa kwe-prostate.
Lesi yisisombululo esisebenza kahle kakhulu, ikakhulukazi uma unesifo sokungakwazi ukuzibamba esiphakathi nendawo . Lokho kusho ukuthi usebenzisa iphedi elilodwa noma amathathu ngosuku, ukuze ukwazi ukukhuluma nodokotela wakho ngalokhu kuhlinzwa.
Yiziphi izivivinyo ezenziwa ngaphambi kokuhlinzwa?
Ngaphambi kokuba wenze lokhu kuhlinzwa, udokotela wakho uzokwenza izivivinyo eziningana ukuze ahlole impilo yakho ngokunembile. Lokhu kuzosiza ekunqumeni ukuthi ukuhlinzwa kufaneleke kangakanani kuwe nokuthi kuzophumelela kangakanani.
| Igama lokuhlolwa | Ulindeleni kukho? |
|---|---|
| Ukuhlolwa kwe-Urodynamic | Zilinganisa izinto ezifana nokuthi imisipha nezinzwa esinyeni sakho kanye ne-urethra zisebenza kanjani, umfutho wesinye, kanye nesivinini umchamo ophuma ngaso. |
| Ukuhlolwa kwephedi kwamahora angama-24 | Ilinganisa ngqo ukuthi ukhipha umchamo ongakanani ngosuku nokuthi udinga ama-pad amangaki. |
| I-Cystoscopy | Besebenzisa ithubhu elincane (i-endoscope) elinekhamera enamathiselwe, bahlola ingaphakathi le-urethra yakho kanye nesinye. |
| Ukuhlolwa kwe-ECG | Bazoqinisekisa ukuthi inhliziyo yakho isebenza kahle futhi ingakwazi ukumelana nokuhlinzwa. |
| Ukuhlolwa kwegazi | Sihlola izimo ezifana nezinkinga zokujiya kwegazi (isib. i-hemophilia), njengoba lokhu kungandisa ukopha ngesikhathi sokuhlinzwa. |
| Ukuhlolwa komchamo | Hlola ezinye izimo zezokwelapha ezingase zithinte ukuhlinzwa, njengokutheleleka komgudu womchamo (UTIs), isifo sikashukela, kanye nesifo sezinso. |
Ungalungiselela kanjani ukuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu. Ngokuvamile,
- Tshela udokotela wakho ngayo yonke imithi oyithathayo: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nezithasiselo zamakhambi. Eminye imithi, njengemithi yokunciphisa igazi, kungadingeka iyekwe cishe amasonto amabili ngaphambi kokuhlinzwa.
- Ukudla Nokuphuza: Uzotshelwa ukuthi uphuze uketshezi kuphela kusukela ngobusuku bangaphambi kokuhlinzwa. Uzotshelwa futhi ukuthi ungadli noma uphuze lutho kusukela ekuseni kokuhlinzwa. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
Ukuhlinzwa kwenziwa kanjani?
Lokhu ukuhlinzwa okuvame ukuthatha cishe ihora. Uzonikezwa i-anesthesia ejwayelekile ngudokotela wezinzwa, ngakho ngeke uzwe ubuhlungu. Uzobe ulele.
Ngemva kokulala, udokotela we-urologist uzokwenza okulandelayo:
1. Kwenziwa ukusika okuncane kakhulu endaweni ephakathi kwe-scrotum yakho ne-anus (perineum).
2. Yibheke bese uveza kancane kancane i-urethra.
3. Ngemuva kwalokho, i -sling ekhethekile okukhulunywe ngayo ngaphambili ibekwa eduze kwe-urethra, ngendlela enikeza ukusekelwa kwemisipha yokulawula umchamo.
Le bhande libamba kancane i-urethra endaweni yalo entsha. Lokhu kusiza ukulawula ukugeleza komchamo. I-incision ibe isithungwa bese imbozwa ngebhandeji elihlanzekile.
Kwenzekani ngemva kokuhlinzwa?
Uzozizwa ubuthakathaka kancane ngemva kokuthola ingqondo ephilile. Uzoyiswa ekamelweni lokululama, lapho uzoqashwa khona futhi unikezwe imithi yokulawula ubuhlungu.
Esikhathini esiningi, lokhu kuyinqubo yokulaliswa esibhedlela . Lokhu kusho ukuthi ungaya ekhaya ngalolo suku. Kodwa-ke, ngezinye izikhathi kungadingeka uhlale esibhedlela ubusuku bonke. Lokhu kunqunywa udokotela wakho.
Ngemva kokuhlinzwa, kungase kube nzima ukuchama ekuqaleni ngenxa yokuvuvukala. Ngakho-ke, uzofakwa i-catheter yomchamo izinsuku ezimbalwa. Uma ukuvuvukala sekwehlile, uzokwazi ukuchama ngendlela evamile.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane kakhulu.
Izinzuzo eziyinhloko:
- Isixazululo esiphumelele kakhulu enkingeni yokungakwazi ukuzibamba komchamo. (Izinga lempumelelo licishe libe ngu-80%)
- Njengoba ukuhlinzwa kusebenzisa ukusikwa okuncane kakhulu , isikhathi sokululama sifushane.
- Isilonda sincane kakhulu.
- Lesi sihlingi singaphakathi komzimba ngokuphelele. Asibonakali ngaphandle.
- Lokhu kuhlala isikhathi eside, njengeminyaka eyi-10-15.
Imiphumela emibi engaba khona (lena ayivamile kakhulu):
- Ukugcinwa komchamo: Lena inkinga yesikhashana evame kakhulu. Kungase kudingeke usebenzise i-catheter amasonto ambalwa.
- Ukopha noma ukutheleleka.
- Ngokuhamba kwesikhathi, isihlilingi singaguga siye e-urethra (ukuguguleka).
- Ukuphindaphindeka kokulahlekelwa ukulawula umchamo.
- Ukutheleleka komgudu womchamo (UTI).
- Izimpawu ezifana nokuchama njalo (ukuvama kokuchama) noma ukuvuka ebusuku ukuze uchame (i-nocturia).
Into ebalulekile ukuthi lezi zingozi zincane kakhulu. Udokotela wakho uzoxoxa nawe ngakho konke lokhu futhi akusize wenze isinqumo esikulungele kangcono.
Isikhathi sokululama kanye nesikhathi sokubonana nodokotela
Ngokuvamile uzoqala ukuzizwa ungcono phakathi nesonto. Kungathatha amasonto ambalwa ukululama ngokuphelele.
- Ukubuyela emsebenzini: Uma unomsebenzi wasehhovisi, ungabuyela emsebenzini ezinsukwini ezimbalwa. Kodwa-ke, uma unomsebenzi onzima ngokomzimba njengokuphakamisa izinsimbi, kuzodingeka uphumule amasonto ambalwa.
- Ucansi: Buza udokotela wakho ngalokhu bese ulandela iseluleko sakhe.
Uma kufanele ubonane nodokotela ngokushesha:
- Uma ungakwazi nhlobo ukuchama .
- Uma kukhona igazi emchameni (i-hematuria) .
- Uma unezimpawu zokutheleleka njengomkhuhlane, ukubanda, noma ukuvuvukala kwamathambo.
Kunoma ikuphi, bona udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Male Sling kuyindlela yokwelapha ephumelela kakhulu yokungakwazi ukuzibamba umchamo kwabesilisa, ikakhulukazi ngemva kokuhlinzwa kwe-prostate.
- Lokhu ukuhlinzwa okulula, okunengozi encane okwenziwa ngokusikwa okuncane kakhulu.
- Izinga lempumelelo ngemva kokuhlinzwa liphezulu kakhulu. Futhi lihlala isikhathi eside.
- Uma unale nkinga, ungabi namahloni noma ucindezeleke, kodwa khuluma nodokotela wezifo zomchamo. Uzokweluleka ngokwelashwa okufanele kakhulu.
- Uma uhlangabezana nobunzima bokuchama, ukopha ngokweqile, noma izimpawu zokutheleleka ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha.
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