Kwamanye amadoda, ukuchama kungaba yinto ebuhlungu kakhulu futhi engakhululekile. Umchamo ugeleza sengathi ubhajwe, uconsa ngeconsa... ngezinye izikhathi ungavalwa ngokuphelele. Isizathu esiyinhloko salokhu kungaba ukuvaleka kwe-urethra, okungukuthi, ukuncipha. Ngokwezokwelapha, lokhu sikubiza ngokuthi ' Ukuqina Kwe-Urethral '. Ngakho-ke, namuhla sikhuluma ngokuhlinzwa okukhethekile odokotela abakuncomayo lapho ezinye izindlela zokwelapha zingaphumelelanga.
Kuyini i-Perineal Urethrostomy?
Kalula nje, i-Perineal Urethrostomy inqubo yokuhlinzwa eyenziwa kwabesilisa. Ihilela ukudala umgodi omusha, noma indlela, ukuze umchamo udlule kuyo. Lo mgodi omusha wenziwa endaweni yesikhumba phakathi kwe-scrotum yakho ne-anus yakho. Sibiza leyo ndawo ngokuthi 'i-perineum'.
Cabanga, ngokuvamile, umchamo oqoqeka esinyeni sethu uhamba ngepayipi elibizwa ngokuthi i-urethra bese uphuma esicongweni sepenis. Kodwa-ke, ngenxa yezifo ezithile, ukulimala , noma ukuhlinzwa kwangaphambilini, le urethra ingaba nezibazi, inciphe, noma ivaleke. Yilapho ukugeleza komchamo kuvaleka ngokuphelele noma ngokwengxenye. Lokhu kuhlinzwa kudala indlela entsha, ehlala njalo yokuphuma komchamo kulabo abane-urethra evalekile kangangokuthi abakwazi ukudlula umchamo ngepenis.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Lokhu kuhlinzwa kuvame ukucatshangelwa lapho ezinye izindlela zokwelapha ukuqina komchamo zihlulekile. Okusho ukuthi, lapho umchamo ungeke ukwazi ukushintshwa ukuze umchamo uphume ngesihloko sepenis. Ngemva kwalokhu kuhlinzwa, umchamo uphuma ngembobo entsha e-perineum, ngakho kuzodingeka uhlale phansi ngenkathi uchama.
Lokhu kungaba yindlela enhle nakubantu asebekhulile abangafuni ukwenza ukuhlinzwa okukhulu okwakha kabusha. Lokhu kuhlinzwa kucatshangelwa ezimweni ezilandelayo.
| Izimo ezingadinga ukuhlinzwa | Incazelo elula |
|---|---|
| Ukuqina kwe-urethra okuyinkimbinkimbi/okuphindaphindiwe | Ezimweni lapho i-urethra ihlala ivaliwe futhi ingasabeli kwezinye izindlela zokwelapha. |
| I-Squamous cell carcinoma yepenis | Ngenxa yeminye imidlavuza eyenzeka endukwini. |
| Ukususwa kwepenis ngokuhlinzwa (i-Penectomy) | Uma ipenisi isusiwe ngokuphelele ngenxa yomdlavuza noma ezinye izizathu. |
| Ukususwa kwe-urethrectomy | Uma yonke noma ingxenye ye-urethra isuswa ngokuhlinzwa. |
| I-Hypospadias | Lesi yisimo sokuzalwa lapho imbobo ye-urethra itholakala ngaphansi kwepenis esikhundleni sesihloko. |
| I-urethroplasty ehlulekile | Ngesikhathi ukuhlinzwa kwangaphambilini kokulungisa i-urethra kungaphumeleli. |
| I-gangrene kaFournier | Ngemva kokutheleleka okukhulu kwepenis kanye ne-scrotum. |
Ubani ongafaneleki kulolu hlinzwa?
Kodwa akuwona wonke umuntu ongenza lokhu kuhlinzwa. Kwezinye izimo, kungaba nzima kancane. Uma unezinye zalezi zinto, kufanele ukhulume nodokotela wakho ngokujulile ngalokhu:
- Uma ukhuluphele ngokweqile .
- Uma uke wahlinzwa ngaphambilini endaweni ye-perineum .
- Ukwelashwa ngemisebe yomdlavuza wendlala yesinyeUma usuyithathile.
Eminye imibuzo evamile ongase ube nayo
Ingabe isidoda siyaphuma endodeni ngemva kokuhlinzwa?
Lena inkinga abantu abaningi abanayo. Cha, ngemva kwalokhu kuhlinzwa, isidoda asiphumi epenisini, kodwa siphuma embotsheni esanda kwakheka.
Ingabe lokhu kuhlinzwa kuzobangela ukulahlekelwa ukulawula umchamo?
Okunye ukwesaba okukhulu ukuthi uzobe ungasakwazi ukuzibamba. Lokho ngeke kwenzeke. Unemisipha elawula umchamo wakho ngaphezu kwalesi sikhala. Ngakho ungalawula umchamo wakho.
Lokhu kuhlinzwa ngeke kubangele ukungakwazi ukuzibamba. Ungakhathazeki ngalokho. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Ungalungiselela kanjani ukuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho uzokucela ukuthi unikeze isampula yomchamo. Uzoqala ngokuthatha ama-antibiotic ukuvimbela ukutheleleka. Kungase kudingeke futhi ukuthi uthathe i-X-ray ukuze uhlole isimo se-urethra yakho.
Into ebaluleke kakhulu ukwazisa udokotela wakho ngezinye izifo zakho kanye nemithi oyiphuzayo.
| Qiniseka ukuthi utshela udokotela wakho ngalezi zinto. | |
|---|---|
| Izinto ezifakwe emzimbeni | Izinto ezifana nama-stent, ukufaka esikhundleni amalunga, ama-pacemaker, ama-valve enhliziyo. |
| Izifo | Uma uke waba nesifo esifana ne-MRSA. |
| Izinto zokunciphisa igazi | Uma uthatha imithi efana ne-warfarin, i-aspirin, i-clopidogrel, i-rivaroxaban, noma i-dabigatran. |
Indlela yokuhlinzwa kanye nokuthi kwenzekani ngemva kwalokho
Lokhu kwenziwa esibhedlela, ngaphansi kwe-anesthesia ejwayelekile . Lokhu kusho ukuthi ulele ngokuphelele ngesikhathi sokuhlinzwa. Ngakho awuzwa lutho. Ukuhlinzwa kuvame ukuthatha ihora elilodwa kuya kwamabili.
Ngemva kokuhlinzwa, kuzofakwa ipayipi esinyeni sakho ukuze likusize ukhiphe umchamo. Siyibiza ngokuthi i-Foley catheter . Le catheter ivame ukuhlala endaweni yayo cishe amasonto amabili kuya kwamathathu. Phakathi nalesi sikhathi, uzonikezwa ama-painkillers kanye nama-antibiotic ukuvimbela ukutheleleka.
Ngaphambi kokuba uphume esibhedlela, udokotela kanye nabasebenzi bobuhlengikazi bazochaza ukuthi ungazinakekela kanjani ekhaya, ukuthi ungayinakekela kanjani i-catheter yakho, ukuthi uthatha kanjani imithi yakho, nokuthi udinga ukubuyela nini emtholampilo.
Ngemva kwezinyanga ezingaba ngu-8-12, kwenziwa ukuhlolwa okubizwa ngokuthi i-cystourethroscopy, okusebenzisa ikhamera, ukuze kubonakale ukuthi i-urethra iphilile noma ukuthi ivinjiwe futhi.
Yiziphi izinkinga ezingaba khona?
Izinga lempumelelo yalokhu kuhlinzwa liphezulu kakhulu (kubikwe ngokuthi "lihle kakhulu"). Futhi izinkinga azivamile. Kodwa-ke, kubalulekile ukuzazi uma kwenzeka okuthile.
Uma kunenkinga, izimpawu zingase zihlanganise: ukwehla kokuchama, umchamo osele esinyeni ngemva kokuchama, noma ukutheleleka komgudu womchamo. Ezinye izinkinga ezingaba khona zifaka:
- Ukopha okuvela esicutshini
- Ukuvuvukala
- Imfiva
- Ukutheleleka komgudu womchamo
- Ukuphindaphinda kwe-stricture
- Izinkinga zenhliziyo nemithambo yegazi
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, isibonelo, ukopha ngokweqile ngenxa yokusikeka noma umkhuhlane ophakeme, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Perineal Urethrostomy inqubo yokuhlinzwa ephumelela kakhulu yokuvimbela ukuvuvukala komchamo lapho ezinye izindlela zokwelapha ziye zahluleka khona.
- Ngemva kwalokhu kuhlinzwa, kuzodingeka uhlale phansi ukuze uchame. Futhi, isidoda sizophuma embotsheni esanda kwakheka.
- Lokhu kuhlinzwa ngeke kukwenze ulahlekelwe yikhono lakho lokulawula umchamo wakho (ukungakwazi ukuzibamba).
- Ingozi yezinkinga iphansi kakhulu, kodwa uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ukopha okukhulu, umkhuhlane), yazisa udokotela wakho ngokushesha.
- Ukulandela imiyalelo kadokotela (ukuthatha imithi, ukuya emitholampilo) ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha.
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