💬 Kuyini Ubuhlungu Be-Epigastric? Ingabe lokhu kuyi-gastritis?

Abantu abaningi bakubiza ngokuthi 'igesi' (i-Gastritis). 'Ubuhlungu be-Epigastric' ubuhlungu obungabekezeleleki bokushisa noma obuhlabayo obuvela esiswini esingaphezulu esiphakathi, ngaphansi nje kwesikhala sezimbambo nangaphezu kwenkaba. Nakuba isisu sikhona lapha, inhliziyo nayo itholakala ngaphezu kwaso, ngakho-ke ungalokothi ukhohlwe ukuthi lobu buhlungu 'begesi' bungenzeka nangesikhathi 'sokuhlaselwa yinhliziyo'!

💬 Yiziphi izimbangela eziyinhloko zobuhlungu obungabekezeleleki phakathi kwesisu (ubuhlungu be-epigastric) ngaphansi kwesifuba?

Kunezimbangela ezi-4 eziyinhloko zalokhu: 1) 'I-Gastritis kanye nezilonda zesisu (Peptic Ulcer/GERD)' - Lena yimbangela evame kakhulu. 2) 'I-Heart Attack (Myocardial Infarction)' - Ubuhlungu kulokhu bufana negesi ngo-100%, kodwa kulokhu isiguli siyafa ngemizuzu embalwa! 3) I-Pancreatitis (Acute Pancreatitis) - Lokhu kwenzeka kubantu abaphuza utshwala obuningi bese ubuhlungu besisu busakazekela emhlane (ngaphandle) (obubulalayo). 4) Amatshe enyongo (Gallstones).

💬 Uma uzwa ubuhlungu be-epigastric, kufanele ushayele i-ambulensi ngokushesha, ngaphandle kokugwinya 'amaphilisi egesi'. Yiziphi 'izimo eziphuthumayo/ezibulalayo'?

Uma ubuhlungu bungapheli ngisho nangemva kwehora lokuphuza umuthi wokunciphisa i-asidi (kungaba ukuhlaselwa yinhliziyo)! Ingozi enkulu! Kanye nalokhu buhlungu, 1) Uma uzwa 'ukujuluka okubandayo / ukuhlaselwa yinhliziyo', 2) Uma ukuqina kwesifuba 'kusakazeka engalweni yesobunxele noma ngasemhlathini/entanyeni', 3) Uma unenkinga yokuphefumula (ukuphefumula okunzima), 4) Uma uhlanza igazi (hematemesis), kufanele uye emnyangweni wezimo eziphuthumayo wesibhedlela (ukuze uthole i-ECG) ngokushesha!

Okudingeka ukwazi ngokuhlinzwa kokuvuselela ipenis (i-Phalloplasty)

Ngezinye izikhathi, ngenxa yenkinga yokuzalwa noma ukulimala okukhulu okubangelwe ingozi, umuntu angaba nokukhathazeka okukhulu nokucindezeleka ngezitho zakhe zangasese. I-Phalloplasty iwukuhlinzwa okuyinkimbinkimbi kakhulu okwenziwa ukuze kuphinde kwakhiwe noma kwakhiwe kabusha ipenisi ezimweni ezinjalo. Njengoba lesi kuyisinqumo esikhulu, kubaluleke kakhulu ukuba nolwazi oluphelele ngaso. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe, ngendlela elula ongayiqonda.

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Kuyini ngempela i-phalloplasty?

Kalula nje, i-phalloplasty ukudalwa kwepenisi entsha (i-neophallus) noma ukwakhiwa kabusha kwepenisi eyonakele. Lokhu kuvame ukwenziwa njengokwelashwa kwesici sokuzalwa naso, ukulimala okukhulu kwepenisi, noma isimo sezokwelapha.

Kunezinhloso eziningana eziyinhloko zalokhu kuhlinzwa:

Ukudala ipenisi ebukeka njengeyemvelo.
Ukunikeza ikhono lokuchama ngenkathi umile.
Ukunikeza umuzwa wokuthinta kanye nenjabulo yocansi.
Ukunikeza ikhono lokuvuselela ipeni ngosizo lwedivayisi ekhethekile (i-penile implant).
Ukudala ipenisi ekwazi ukuhlangana ngokocansi.

Kukuziphi izimo lapho lokhu kuhlinzwa kuyadingeka khona?

Ukuhlinzwa kwe-Phalloplasty kuvame ukunconywa ngezizathu ezimbili eziyinhloko: izimo zokuzalwa kanye nomonakalo omkhulu endodeni. Ake sibheke lokhu ngokuningiliziwe.

Isizathu sokudinga ukuhlinzwa	Incazelo nezibonelo
Izimo zokuzalwa	Ukungabikho kwepenis ngesikhathi sesigaba sokukhulelwa (i-aphallia). Imbobo ye-urethra itholakala phezulu kwepenis esikhundleni se-epispadias. Umgodi we-urethra utholakala ngaphansi kwesihloko sepenis (hypospadias). Ipenisi encane kakhulu (ipenisi encane). Izitho zobulili ezingenakubonwa ngokucacile njengezowesilisa noma owesifazane (izitho zobulili ezingavamile).
Ukulimala kwepenisi	Umonakalo obangelwa izingozi ezinkulu njengezingozi zezimoto. Izinkinga ezinkulu ngesikhathi sokusoka. Ukususwa kwengxenye yepenisi ngenxa yomdlavuza.

Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?

Njengoba lokhu kuwukuhlinzwa okuyinkimbinkimbi kakhulu, kubalulekile ukuzilungiselela kusenesikhathi. Lezi zinto zibalulekile ukuze uthole imiphumela emihle kakhulu.

Ukuhlolwa okuphelele kwezokwelapha: Udokotela wakho uzohlola impilo yakho iyonke futhi axoxe ngomlando wakho ophelele wezokwelapha.
Imfundo ephelele: Odokotela bazokufundisa ngokugcwele ngezinzuzo, ukungalungi, izingozi, kanye nokunakekelwa kwalokhu kuhlinzwa ngemva kokuhlinzwa.
Ukuhlolwa kwempilo yengqondo: Lesi yisinyathelo esibaluleke kakhulu. Umeluleki wezempilo yengqondo oqeqeshiwe (udokotela wezifo zengqondo, udokotela wezifo zengqondo) uzokhuluma nawe ukuqinisekisa ukuthi usukulungele ngokwengqondo lokhu kuhlinzwa. Bazokhuluma ngokuthi kungani ufuna ukwenza lokhu kuhlinzwa, ukuthi yini oyilindele, nokuthi kuzothinta kanjani impilo yakho. Ngokuvamile, lokhu kudinga izincwadi zokuncoma ezivela kochwepheshe ababili bezempilo yengqondo.
Ukususwa kwezinwele: Izinwele kumele zisuswe unomphela endaweni lapho kuzofakwa khona ipenisi entsha (isibonelo, ingalo, noma ithanga). Lokhu kungenziwa kusetshenziswa izindlela ezifana ne -electrolysis noma ukususwa kwezinwele nge-laser .
Imikhuba Yezempilo: Ukuyeka ukubhema uma ubhema futhi ugcine inkomba yesisindo somzimba (BMI) engaphansi kwama-32 kungasiza ekunciphiseni izinkinga zokuhlinzwa.

Kwenziwa kanjani ukuhlinzwa?

Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza umuthi wokubulala izinzwa ojwayelekile ukuze akulalise ngokuphelele. Ngakho ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa.

Bese, odokotela abahlinzayo bathatha isikhumba, amafutha, imizwa, kanye nemithambo yegazi engalweni yakho (i-radial forearm free flap) noma ethangeni (i-anterolateral thigh free flap) . Le flap iqukethe konke okusepenis ngaphandle kwezicubu zobulili.

I-Phalloplasty iyindlela yokuhlinzwa eyinkimbinkimbi kakhulu, ngakho-ke kubaluleke kakhulu ukukhetha udokotela ohlinzayo onekhono kanye nethimba lezokwelapha elinolwazi olukhulu kulolu hlobo lokuhlinzwa.

Okulandelayo, izicubu zigoqwa zibe yipayipi, elibunjwe njengepenisi, bese linamathela embotsheni yakho. Lokhu kuhlinzwa kungathatha amahora angu-8-10 noma ngaphezulu.

Ngezinye izikhathi, ukuhlinzwa okwengeziwe okuningana kungenziwa ngesikhathi esifanayo nalokhu kuhlinzwa, noma kungahlukaniswa ngezigaba eziningana, okuvumela isikhathi sokuphulukiswa. Ukuhlinzwa okwengeziwe okunjalo kufaka phakathi:

Urethroplasty (ukwandiswa kwe-urethra) ukuze ukwazi ukuchama ngenkathi umile.
Ukwakha i-glansplasty (i-glansplasty) yepenis.
Isitho sokufakelwa kwepenisi .
Ukwakha i-scrotum yama-testicles (i-scrotoplasty) .

Ziyini izinzuzo zalokhu kuhlinzwa?

Inzuzo eyinhloko ukukhululeka ezinkingeni zomzimba nezengqondo. Ukuba nepenisi ebukeka njengeyemvelo futhi esebenzayo ngokocansi kungenza umehluko omkhulu empilweni yakho.

Futhi, izinzuzo ziyahlukahluka kuye ngohlobo lwezicubu ezikhethiwe:

Izicubu ezithathwe engalweni: Zinikeza imiphumela emihle kakhulu ekubukekeni nasekuzizweni okungcono.
Ukufakwa kwethanga: Kunokukhetha okwengeziwe ngobude bepenisi. Futhi, isilonda esivela kukufakwa singambozwa kalula ngamabhulukwe noma amabhulukwe amafushane.

Izinkinga kanye nezingozi ezingaba khona ngemva kokuhlinzwa

Njengoba i-phalloplasty iwukuhlinzwa okuyinkimbinkimbi, kunengozi yezinkinga. Ukuhlinzwa kwenziwa udokotela ohlinzayo onolwazi kunganciphisa le ngozi. Uma kwenzeka inkinga, ukutholakala kusenesikhathi kunganciphisa imiphumela yesikhathi eside.

Ingozi/Inkinga	Kuchazwe kalula
Izinkinga ze-anesthesia	Izinto ezifana nomphimbo obuhlungu, isicanucanu, ukuqunjelwa, ukusabela okukhulu kwe-allergy (i-anaphylaxis).
Ukutheleleka ngamagciwane	Amagciwane angena ngamanxeba okuhlinzwa futhi abangele ukutheleleka (i-sepsis).
Ukulahlekelwa ingxenye yesitho sobulili	Uma ipenisi edaliwe ingatholi igazi elanele, ukufa kwezicubu (i-necrosis) kungenzeka.
Ukuqina komchamo	Izicubu ezibomvu zibangela ukuthi ukugeleza komchamo kuvaleke noma kume ngokuphelele.
I-fistula yomchamo	Umgodi ongavamile phakathi kohlelo lomchamo nesinye isitho noma ngaphandle komzimba.

Isikhathi sokululama nezinto okufanele uziqaphele

Ngemva kokuhlinzwa, kuzodingeka uphumule kahle. Kuzodingeka uhlale esibhedlela okungenani isonto lonke. Phakathi nalesi sikhathi, odokotela bazohlola njalo igazi eliya endukwini esanda kudalwa.

Ukuphumula: Kuzothatha okungenani amasonto ayisithupha ukuqala kabusha imisebenzi evamile. Imisebenzi efana nokuzivocavoca kanye nemisebenzi yasekhaya kufanele ilinganiselwe phakathi nalesi sikhathi.
Ukuchama: Ekuqaleni, umchamo udluliswa nge-catheter.
Ukunakekelwa kwenxeba: Amanxeba okuhlinzwa kufanele agcinwe ehlanzekile futhi omile. Amabhandeshi kufanele ashintshwe njengoba udokotela eqondisile.
Imithi: Kufanele usebenzise imithi udokotela wakho ayinikezayo yobuhlungu, ukuvimbela izifo, nokuvimbela ukuqunjelwa.

Ngokuvamile kuthatha cishe izinyanga ezi-2-3 ukubuyela emsebenzini noma esikoleni. Kodwa-ke, uma unomsebenzi onzima ngokomzimba, kungadingeka uphumule isikhathi eside, mhlawumbe izinyanga ezi-3-4.

Isikhathi sokubona udokotela ngokushesha

Ngemva kokuhlinzwa, kufanele ubonane nodokotela wakho ngezikhathi ezithile ukuze aqaphe ukululama kwakho. Futhi, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo , funa iseluleko sezokwelapha ngokushesha noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.

Izimpawu zokutheleleka (umkhuhlane, ukubanda, ikhanda elibuhlungu, ukushintsha kombala wesilonda, ukuvuvukala, noma ukuphuma kobomvu).
Ukuhlanza okuqhubekayo kanye nokungakwazi ukugcina uketshezi.
Ukopha ngokweqile noma ibhandeji elicwiliswe yigazi ngokuphelele.
Ubunzima noma ubuhlungu obukhulu ngesikhathi sokuchama.
Ubuhlungu obungapheli naphezu kokuthatha imithi futhi obuhlala isikhathi eside kunokulindelekile.
Ukushintsha kombala noma ezinye izinkinga endodeni esanda kwakheka.

Umlayezo Wokuya Nawe Ekhaya

I-Phalloplasty iwukuhlinzwa okukhulu okuyinkimbinkimbi kakhulu, okuvame ukuba nezigaba eziningi. Akusona isinqumo okufanele sithathwe kalula.
Kubaluleke kakhulu ukulungiselela kahle, ngokomzimba nangokwengqondo, ngaphambi kokuhlinzwa.
Kubalulekile ukukhetha ithimba lokuhlinzwa elinolwazi oluphezulu nelinekhono kulokhu kuhlinzwa.
Kuthatha isikhathi eside ukululama, ngakho-ke kudingeka ubekezele futhi ulandele imiyalelo kadokotela wakho.
Qaphela izingozi nezinkinga ezingase zivele. Funa iseluleko sezokwelapha ngokushesha uma unenkinga. Nguwe owenza izinqumo ngomzimba wakho. Induduzo nokwaneliseka kwakho yikona okubaluleke kakhulu.

I-Phalloplasty, ukwakhiwa kabusha kwepenis, ukuhlinzwa kwezitho zangasese, i-neophallus, i-urethroplasty, impilo yamadoda, ukuhlinzwa