Singakhuluma ngokuhlinzwa kwe-Perineal Urethrostomy?

Ingabe wena noma othile omaziyo ninenkinga yokuchama, ubuhlungu, noma ukugeleza komchamo kancane? Ngezinye izikhathi imbangela yalokhu ukuncipha noma ukuvaleka kwepayipi elikhipha umchamo liphuma epenis (lokhu sikubiza ngokuthi i-urethra) ngesizathu esithile. Ezimweni ezinjalo, uma ezinye izindlela zokwelapha zingaphumeleli, kuba nokuhlinzwa okukhethekile odokotela abakuncomayo. Lokho kuhlinzwa, okungukuthi 'i-Perineal Urethrostomy', yilokho esizokhuluma ngakho kulesi sihloko namuhla.

Kalula nje, iyini i-Perineal Urethrostomy?

Leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa masiligcine lilula.

I-Perineal Urethrostomy inqubo yokuhlinzwa eyenziwa kwabesilisa kuphela. Ihilela ukudala umgodi omusha, ohlala njalo ukuze umchamo udlule kuwo. Lo mgodi wenziwa endaweni yesikhumba phakathi kwe-scrotum yakho ne-anus yakho. Ngokwezokwelapha, le ndawo ibizwa ngokuthi 'i-perineum'.

Cabanga nje, ngokuvamile umchamo wethu uphuma esinyeni ngepayipi elidlula endukwini. Sibiza leli payipi ngokuthi i-urethra. Kodwa ngenxa yokutheleleka, ingozi, noma ukuhlinzwa kwangaphambilini, leli payipi lingaba nezibazi futhi libe mncane. Sibiza lesi simo ngokuthi i-Urethral Stricture . Khona-ke ukudlula komchamo kungavinjelwa ngokuphelele noma kungaba nzima kakhulu ukudlula.

Ngezinye izikhathi ezinjengalezi, ngoba kunzima ukudlulisa umchamo ngepenisi, kwakheka isikhala esisha endaweni ye-perineum ukuze umchamo udlule.

Ubani odinga lokhu kuhlinzwa?

Lokhu akulona ukuhlinzwa kwawo wonke umuntu. Kunconywa kakhulu njengenketho yeziguli ezihlulekile ezinye izindlela zokwelapha ukuqina komchamo, njengokuhlinzwa ukuze kubuyiselwe umchamo. Kalula nje, lokhu kuhlinzwa kucatshangelwa uma umchamo wonakele kuze kube yilapho kungenakwenzeka khona ukuchama ngesihloko sepenis.

Futhi, lokhu kungaba yindlela enhle kwamanye amadoda amadala, angafuni ukuhlinzwa okukhulu okwakha kabusha.

Ake sibheke ithebula elingezansi ukuze sibone ukuthi yiziphi izimo eziyinhloko lapho lokhu kuhlinzwa kucatshangelwa khona.

Ubani ongase angafaneleki kulolu hlinzwa?

Kwezinye izimo, lokhu kuhlinzwa kungaba yinselele kancane. Uma unezinye zezimo ezilandelayo, lokhu kuhlinzwa kungase kungabi yindlela enhle kuwe. Kufanele uxoxe ngalokhu nodokotela wakho ngaphambi kokwenza isinqumo sokugcina.

• Uma ukhuluphele ngokweqile:Ukukhuluphala ngokweqile kungenza kube nzima ukufinyelela endaweni yokuhlinzwa futhi kungase kulibazise ukuphulukiswa kwesilonda ngemva kokuhlinzwa.
• Uma wake wahlinzwa ngaphambilini endaweni ye-perineum: Uma wake wahlinzwa ngaphambilini kuleyo ndawo, ukuhlinzwa kabusha kungase kube nzima ngenxa yezicubu zesilonda.
• Uma uke welashwa ngemisebe yomdlavuza wendlala yesitho sangasese sowesilisa: Ukwelashwa ngemisebe kungase kube nezicubu ezonakele kuleyo ndawo, okungase kuphazamise inqubo yokuphulukiswa ngemva kokuhlinzwa.

Eminye imibuzo evamile ongase ube nayo

Kuvamile ukuthi imibuzo eminingi ifike engqondweni yakho lapho uxoxa ngalolu hlobo lokuhlinzwa. Ake siphendule eminye yayo.

Ingabe isidoda siyaphuma endodeni?

Cha. Ngemva kwalokhu kuhlinzwa, njengomchamo, isidoda (ukukhipha i-ejaculation) siphuma ngembobo esanda kwakheka . Asiphumi ngepenisi.

Ingabe lokhu kuhlinzwa kuzobangela ukungalawuleki komchamo?

Lokhu kwesaba okukhulu kubantu abaningi. Kodwa impendulo ithi "cha." Imisipha ekusiza ukulawula ukuchama kwakho itholakala ngaphezu kwalesi sikhala esisha. Ngakho-ke, ungakwazi ukulawula ukuthi ufuna ukuchama nini. Lokhu kuhlinzwa ngeke kuthinte lelo khono.

Uzilungiselela kanjani ngaphambi kokuhlinzwa?

Ngaphambi kokuhlinzwa, udokotela uzoku-oda ukuhlolwa okuningana.

• Isampula yomchamo iyahlolwa ukuze kubonakale ukuthi kukhona yini ukutheleleka.
• Ama-antibiotic anikezwa ngaphambi kokuhlinzwa ukuze kuvinjelwe ukutheleleka komgudu womchamo.
• Ukuhlolwa kwe-X-ray kuvame ukwenziwa ukuze kuhlolwe ngokunembile isimo somgudu womchamo.

• Uma unezitho zomzimba emzimbeni wakho (isib. i-stent, i-valve yenhliziyo, i-artificial joint, i-pacemaker).
• Uma uke waba nokutheleleka okuthile kwebhaktheriya njenge-MRSA.
• Uma usengozini enkulu ye-variant-CJD (isifo sezinzwa esingavamile kakhulu).
• Uma uthatha imithi yokunciphisa igazi (isib. i-warfarin, i-aspirin, i-clopidogrel, i-rivaroxaban, i-dabigatran). Le mithi ingadinga ukuyekwa okwesikhashana ngaphambi kokuhlinzwa.

Ukuhlinzwa kwenziwa kanjani?

Lokhu kuhlinzwa kwenziwa esibhedlela, ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe ubuhlungu, uzobe ulele.

Nakuba kunezindlela ezahlukene zokwenza lokhu kuhlinzwa, esetshenziswa kakhulu yi-'Blandy technique'. Nakhu okwenzekayo:

1. Kwenziwa isilonda esikhumbeni sendawo ye-perineum, ngaphansi kwe-scrotum, ngesimo se-'U' ebheke phansi.

2. Ngemuva kwalokho, i-urethra ivezwa ngezicubu ezingaphansi.

3. I-urethra ivulwa ngokusika cishe amasentimitha angu-3-4 ubude.

4. Ngemuva kwalokho, imiphetho yesibazi sesikhumba ixhunywe emaphethelweni e-urethra evuliwe bese ithungwa ndawonye ngemicu emincane.

5. Lena yindlela evuleka ngayo imbobo entsha, ehlala njalo ukuze umchamo uphume.

Ekupheleni kokuhlinzwa, kufakwa ipayipi elibizwa ngokuthi 'i-Foley catheter' ngaleli thuba elisha ukuze kuphume umchamo esinyeni.

Kuthatha isikhathi esingakanani ukuhlinzwa?

Ngokuvamile kuthatha cishe ihora noma amabili .

Ingabe ngizonikezwa i-anesthesia?

Yebo, uzolaliswa ngokuphelele. Ngeke uzwe lutho ngesikhathi sokuhlinzwa.

Yini ongayilindela ngemva kokuhlinzwa?

Ngaphambi kokuba ubuyele ekhaya usuka esibhedlela, ithimba lezokwelapha lizokuchazela okulandelayo:

• Indlela yokunakekela inxeba nokuthi ungazinakekela kanjani uma ufika ekhaya.
• Usuku okudingeka ubuye ngalo ukuze ukhiphe i-catheter.
• Udinga ama-antibiotic kanye nama-painkiller.
• Ama-aphoyintimenti okulandelela yizinsuku lapho udinga ukubonana nodokotela futhi.

Ingabe zikhona izinkinga ezingase zivele ngenxa yokuhlinzwa?

Izinkinga ngemva kwalokhu kuhlinzwa azivamile . Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane. Uma kwenzeka inkinga, izimpawu zingase zihlanganise ukwehla kwesivinini sokuchama, umchamo osele esinyeni ngemva kokuchama, noma ukutheleleka komgudu womchamo.

Mayelana nobuhlungu nesikhathi sokuphulukiswa

Ingabe lokhu kubuhlungu?

Kuvamile ukuzwa ubuhlungu ngemva kokuhlinzwa, kodwa bungalawuleka. Udokotela wakho uzokunikeza imithi yokudambisa izinhlungu.

Kwenzekani ngesikhathi sokululama?

• I-catheter yokuqala ngokuvamile idinga ukushiywa ngaphakathi cishe amasonto amabili kuya kwamathathu, ngezinye izikhathi isikhathi eside.
• Phakathi nalesi sikhathi, uzonikezwa ama-antibiotic kanye nama-painkiller.
• Ngemva kokususwa kwe-catheter, udokotela uzokuyisa emtholampilo njalo ukuze uhlolwe.
• Ngemva kwezinyanga ezingaba ngu-8-12, ukuhlolwa kusetshenziswa ikhamera ebizwa ngokuthi i-Cystourethroscopy kungenziwa ukuze kubonakale ukuthi i-urethra esanda kudalwa isebenza kahle yini nokuthi ngabe kube nokuphindeka kokuvaleka kwale ngxenye.

Injani imiphumela futhi kufanele ngizinakekele kanjani?

Izinga lempumelelo yalokhu kuhlinzwa liphezulu kakhulu (kubhekwa "njengokuhle kakhulu"). Iningi leziguli liphila impilo enhle ngemva kwalokhu kuhlinzwa.

Ushintsho olukhulu ongalwenza yindlela ochama ngayo.

Kufanele ngimbone nini udokotela maduze?

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune ukwelashwa.

• Ukopha ngokweqile ngenxa yesilonda.
• Ukuvuvukala okungavamile.
• Umkhuhlane noma izimpawu zokutheleleka (ukuphuma kobomvu, ukubomvu okweqile).
• Ukuvuvukala komgudu womchamo noma ezinye izimpawu zokutheleleka komgudu womchamo.
• Uma uzizwa sengathi isinyi sakho asikaphumi ngemva kokuchama.
• Uma izinga lokugeleza komchamo lihamba kancane kakhulu.
• Uma uzizwa sengathi unenkinga yokuchama futhi.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho bese uyixazulula.