Ingabe nawe unenkinga yokuchama? Ingabe i-urethra izizwa ibuthakathaka futhi inciphile? Ingabe ngezinye izikhathi uzizwa sengathi awukayikhiphi ngokuphelele i-bladder yakho ngisho nangemva kokuchama? Lokhu kungaba ngenxa yokuvaleka kwe-urethra yakho. Lokhu kuyiqiniso ikakhulukazi uma usanda kuba nengozi, ikakhulukazi ethinta indawo ye-pelvic, noma uma uke welashwa umdlavuza we-prostate. Ngakho-ke namuhla sikhuluma ngokuhlinzwa okukhethekile okuyisisombululo esihle salokhu. Lokho ukuhlinzwa kwe-Posterior Urethral Reconstruction.
Kalula nje, kuyini ukwakhiwa kabusha kwe-Posterior Urethral?
Ukuze siqonde lokhu, ake siqale sifunde kancane ngalezi zingxenye zomzimba wethu. Uyazi ukuthi i-urethra iyipayipi elithwala umchamo nesidoda kusuka kwesinyeni sethu liphume emzimbeni. Le-urethra nayo inezingxenye eziningana.
I-Posterior Urethra ibhekisela ngemuva kwe-urethra, okungukuthi, ingxenye engaphakathi komzimba. Ukuze sibe neqiniso, sibhekisela engxenyeni encane ye-urethra, cishe isentimitha elilodwa noma amabili ubude, egijima kusukela phansi kwesinye, idlule endlaleni ye-prostate, kanye nemisipha yephansi le-pelvic.
Ngakho-ke, i-Posterior Urethral Reconstruction iwukuhlinzwa kokubuyisela ingxenye engemuva ye-urethra eyonakele, evinjiwe, noma encishisiwe ngesizathu esithile.
Kukuziphi izimo lapho lokhu kuhlinzwa kuyadingeka khona?
Isizathu esiyinhloko salokhu kuhlinzwa kuvame ukuncishiswa noma ukuvaleka kwe-urethra (Urethral Stricture) . Njengoba nje ukungcola kwakheka ngaphakathi kwepayipi lamanzi futhi kunciphisa ukugeleza kwamanzi, lapho izicubu zesilonda zakheka ngaphakathi kwe-urethra futhi ziyinciphise, kuba nzima ukuchama. Ngezinye izikhathi i-urethra ingaba yinciphi kakhulu, noma ingayeka ngokuphelele.
Kunezizathu eziningana eziyinhloko ezenza ukuthi i-urethra ivaleke ngale ndlela.
| Isizathu | Incazelo nezibonelo |
|---|---|
| Ukulimala okukhulu njengokuphuka kwe-pelvic | Ukulimala okukhulu endaweni ye-pelvic (ithambo lesinqe) kungalimaza i-urethra. Isibonelo:
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| Ukwelashwa Komdlavuza Wendlala Yesilisa | Lesi simo singase senzeke nangemva kokwelashwa okuthile komdlavuza wendlala. Lokho kusho ukuthi:
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Yiziphi izivivinyo ezenziwa ngaphambi kokuhlinzwa?
Ngaphambi kokuba udokotela anqume ukwenza lokhu kuhlinzwa, uzokwenza izivivinyo eziningana ukuze anqume ukuthi i-urethra yakho ivalekile kangakanani kanye nobukhulu bomonakalo.
- I-Retrograde Urethrogram: Kufakwa uketshezi olukhethekile ku-urethra bese kuthathwa izithombe ze-X-ray.
- I-Voiding Cystourethrogram: Ipayipi lifakwa esinyeni, ligcwaliswe ngoketshezi, bese kuthathwa i-X-ray ngenkathi uchama.
- I-Cystoscopy: Ipayipi elincane kakhulu elinekhamera enamathiselwe lidluliselwa e-urethra ukuze lihlole ingaphakathi.
- I-MRI Scan: Ngezinye izikhathi i-MRI scan ingenziwa ukuze kutholakale isithombe esicacile sale ndawo.
Into ebaluleke kakhulu ukuthi ngemva kwengozi, odokotela baqale balinde ukuthi ukulimala kuzinzile. Phakathi naleso sikhathi, kufakwa ithubhu elincane ngesikhumba sesisu liye esinyeni ukuze kukhishwe umchamo. Ibizwa ngokuthi i-suprapubic catheter .
Ungalungiselela kanjani ukuhlinzwa?
Kubalulekile ukuthi ulandele imiyalelo kadokotela ukuze uphephe ngaphambi kokuhlinzwa.
| Okufanele ngikwenze | Kungani kunjalo? |
|---|---|
| Sitshele nganoma yikuphi ukungezwani komzimba onakho. | Gwema ukusabela kokungezwani komzimba nemithi enikezwa ngesikhathi sokuhlinzwa. |
| Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi ye-Ayurvedic). | Eminye imithi ingathinta ukuhlinzwa. |
| Uma uthatha imithi yokunciphisa igazi, yeka ukuyithatha okwesikhashana njengoba udokotela wakho ekuyalile. | Misa ukopha okungadingekile ngesikhathi sokuhlinzwa. |
| Yeka ukudla nokuphuza amahora angu-8-12 ngaphambi kokuhlinzwa. | Uma unokudla esiswini sakho ungazi lutho, noma uma uhlanza, kungangena emphinjeni wakho. Lokho kuyingozi. Yingakho kubizwa kanjalo. |
Unganikwa futhi i-antibiotic kusukela ngosuku olungaphambi kokuhlinzwa ukuze uvimbele ukutheleleka.
Kwenziwa kanjani ukuhlinzwa?
Okokuqala, udokotela wezinzwa uzokufaka ngaphansi kwe-anesthesia ejwayelekile . Lokhu kusho ukuthi uzoba sebuthongweni obujulile. Ngeke uzwe ubuhlungu noma yini kuze kube yilapho ukuhlinzwa sekuphelile.
Udokotela wezifo zomchamo ube eseqala ukuhlinzwa. I-Anastomotic Urethroplasty iyindlela evame kakhulu esetshenziswa ekuvinjweni ngemva kwengozi.
Cabanga nje, nakhu okwenzekayo:
1. Okokuqala, kwenziwa ukusika okuncane endaweni ephakathi kwe-scrotum yakho ne-anus (perineum).
2. Ngemuva kwalokho, izicubu ezinezibazi ezinamathele ku-urethra ziyasikwa ngokuphelele futhi zisuswe.
3. Ekugcineni, iziphetho ezimbili ze-urethra esele enempilo ziyahlanganiswa futhi, futhi zithungwe kahle kakhulu.
Cabanga nje, ngezinye izikhathi lapho ingxenye enesibazi isuswa, igebe phakathi kwezingxenye ezimbili ezisele eziphilile lingaba likhulu kancane. Ezimweni ezinjalo, odokotela benza into exakile kakhulu. 'Baboleka' ingcezu encane yezicubu ngaphakathi kwesihlathi sakho noma ezindebeni zakho (i-buccal mucosa) , bagcwalise leso sikhala, bese bakha kabusha i-urethra.
Lokhu kuhlinzwa ngokuvamile kungathatha amahora amathathu kuya kwayisithupha .
Kwenzekani ngemva kokuhlinzwa?
Uma ukuhlinzwa sekuqediwe, ukusikwa kuzothungwa, kuhlanzwe, bese kufakwa ibhandishi. Ngaphezu kwalokho, i-catheter ye-Foley izofakwa ngepenisi yakho iye esinyeni sakho ukusiza ukukhipha umchamo. Lokhu kwenzelwa ukugcina umchamo ugeleza kahle kuze kube yilapho i-urethra iphola. Ungakhathazeki, lokhu kungokwesikhashana.
Umsele omncane wokuhlinzwa ungabekwa eduze kwesilonda ukuze usize siphole. Lokhu kuvame ukususwa ngaphambi kokuba uphume esibhedlela.
Njengoba imiphumela yemithi ebangela ubuthongo iphela, uzophinde uqaphe kancane kancane. Uzozizwa ubuthakathaka kancane ekuqaleni. Uma usuphinde uqaphe, uzonikezwa imithi yokunciphisa ubuhlungu ukuze ulawule ubuhlungu.
Uma odokotela sebenqume ukuthi isimo sakho sihle, ungaya ekhaya. Kodwa-ke, kungase kudingeke uhlale esibhedlela usuku olulodwa noma ngaphezulu.
Uzonikezwa ama-aphoyintimenti okulandelela nodokotela ezinyangeni ezimbalwa ezizayo. Ngaleso sikhathi, ukuhlolwa okufana ne-X-ray kanye ne-cystoscopy kungase kuphindwe ukuze kubonakale ukuthi inxeba liyaphola kahle yini.
I-catheter ye-Foley izohlala endaweni yayo amasonto ama-3-4, futhi umchamo wakho uzodlula kuyo. Ngemva kokususwa kwayo, kufanele ukwazi ukuchama kalula njengoba wenzile ngaphambi kokuvaleka.
Izinzuzo, impumelelo kanye nezingozi
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane.
| Ingxenye | Incazelo |
|---|---|
| Izinzuzo | Ukungakhululeki okubangelwa ukugcinwa komchamo sekuphelile, futhi ungachama ngaphandle kobuhlungu noma ukukhandleka. Ukuvama kokutheleleka kwe-urinary tract (UTIs) kunciphile. Kuhle kakhulu futhi empilweni yezinso, njengoba isinye sikhipha amanzi kahle. |
| Izinga Lempumelelo | Lokhu kuhlinzwa kuphumelele kakhulu . Izifundo zibonisa ukuthi ukuhlinzwa ngemva kokulimala kwe-pelvic kuphumelele ngo -92% kuya ku-97% . Ngemva kokwelashwa ngomdlavuza we-prostate, izinga lempumelelo liyi -70% kuya ku-85% . |
| Imiphumela Engemihle Nezingozi |
Ingozi yokungakwazi ukuzibamba ngomchamo iphansi, kodwa iphakeme kancane ngemva kokwelashwa ngomdlavuza. Ukungasebenzi kahle kwe-erectile (ED) kuvame ukubangelwa ukulimala kokuqala noma ukwelashwa ngomdlavuza. Lokhu kuhlinzwa ngeke kuphulukise lesi simo, futhi kungadinga ukwelashwa okuhlukile. |
Isikhathi sokululama nezinto okufanele uziqaphele
Ukuzinikela kwakho ekululameni ngemva kokuhlinzwa nakho kubaluleke kakhulu.
Ubuhlungu
Abantu abaningi bangase bezwe ubuhlungu obuthile, kodwa bungalawulwa kahle ngemithi yobuhlungu enqunywe udokotela.
Imisebenzi
- Gwema ukushayela nokuhlala isikhathi eside kuze kube yilapho i-catheter isusiwe (amasonto ama-3-4).
- Ukuhamba nokukhwela izitebhisi akunankinga.
- Ungaphakamisi izinsimbi ezisinda ngaphezu kwama-9 kg (20 lbs).
- Gwema ukugijima, ukuquleka, ukuvivinya imilenze, kanye nemidlalo ehilela ukujikeleza indawo yesinqe (njengegalofu) inyanga eyodwa noma ezimbili.
Umsebenzi wocansi
Gwema ngokuphelele ucansi noma ukushaya indlwabu okungenani amasonto ayisishiyagalombili .
Ukubuyela emsebenzini/esikoleni
Uma usebenza ehhovisi, ungaqala ngesonto noma amabili. Kodwa uma unomsebenzi onzima ngokomzimba, kuzodingeka ulinde okungenani amasonto ayi-6-8.
Noma yiliphi ithuba lokuhlangana nodokotela
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuya ekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha.
| Izimpawu zengozi - yazisa udokotela ngokushesha! | |
|---|---|
| - Ukungakwazi ukuchama. | - Igazi noma amahlule emchameni ngisho nangesonto ngemuva kokuhlinzwa. |
| - Umchamo ophuma ku-catheter uhamba kancane kakhulu. | - Uketshezi olufana nobomvu oluphuma enxebeni. |
| - Izimpawu zokutheleleka njengomkhuhlane, ukubanda, kanye nekhanda elibuhlungu. | - Ubuhlungu obandayo noma ubuhlungu obungapheli naphezu kokuthatha imithi. |
| - Ukuvuvukala kwendawo yokuhlinzwa. | |
Kunzima ngokwanele ukubhekana nento efana nengozi noma umdlavuza. Kuvamile ukuzizwa ukhathazekile kakhulu lapho kuvela enye inkinga efana nokuqina komchamo. Kodwa izindaba ezinhle ukuthi i-Posterior Urethral Reconstruction iyindlela yokwelapha ephumelela kakhulu. Ngale ndlela yokuhlinzwa, ungachama ngaphandle kobunzima futhi.
Umlayezo Wokuya Nawe Ekhaya
- Ukwakhiwa kabusha kwe-Urethral Posterior kuyindlela ephumelela kakhulu yokuhlinzwa kokuqina kwengxenye engemuva ye-urethra.
- Lesi simo sivame ukwenzeka ngemva kwezingozi ezinkulu noma ukwelashwa komdlavuza wendlala.
- Kuvamile ukuzizwa wesaba futhi ukhathazekile ngokuhlinzwa, kodwa umgomo oyinhloko ukuthuthukisa ikhwalithi yempilo yakho.
- Ngesikhathi sokululama, kubalulekile ukulandela imiyalelo kadokotela ngqo ukuze ululame ngokushesha.
- Uma unenkinga yokuchama noma ezinye izimpawu, ungalokothi ulibale ukukhuluma nodokotela ngakho.
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