Cabanga ukuthi uke waphuka ithambo le-pelvic ngenxa yengozi, mhlawumbe wawa ebhayisikilini. Noma uke welashwa umdlavuza we-prostate. Ezimweni ezinjalo, ngezinye izikhathi i-urethra emadodeni ingalimala noma inciphe. Uma kunzima ukuchama, ubuhlungu nokungakhululeki okungenzeka uma ivalekile akunakuchazwa. Namuhla sikhuluma ngokuhlinzwa okubaluleke kakhulu nokukhethekile okudingekayo ngezikhathi ezinjalo.
Kalula nje, kuyini ukwakhiwa kabusha kwe-Posterior Urethral?
Kulungile, ake siqale ngokuchaza lokhu kalula. Umchamo, oqoqana esinyeni sakho, uphuma epenis yakho ngepayipi elibizwa ngokuthi i-urethra. Kufana nepayipi eliphuma ethangini lamanzi.
Le urethra nayo inezingxenye. Ingxenye emfushane, cishe eyisentimitha elilodwa kuya kwamabili ubude, exhumanisa nesinye futhi idlule endlaleni ye-prostate, ibizwa ngokuthi 'i-Posterior Urethra'. Lokhu kungukuqala kwe-urethra.
Ukwakhiwa kabusha kwe-Urethral Posterior inqubo yokuhlinzwa ebuyisela ubuqotho be-urethra yangemuva ngemva kokulimala, ukuncishiswa, noma ukuncishiswa (i-urethral stricture). Lokhu kusho ukuthi ingxenye eyonakele iyalungiswa futhi ukugeleza komchamo kuyabuyiselwa ngaphandle kokuvinjelwa.
Kungani lokhu kuhlinzwa kuyadingeka?
Kunezizathu ezimbili eziyinhloko zokwenza lokhu kuhlinzwa.
1. Ukulimala ngengozi: Ikakhulukazi izingozi ezinkulu eziphula ithambo le-pelvic. Ezweni lakithi, ukulimala okunjalo kuvamile ngenxa yezingozi zesithuthuthu, ukuwa kusuka phezulu, nokulimala okuchotshoziwe. Ezingozini ezinjalo, le ngxenye ye-urethra ingaphuka, ivuvuke, futhi ibe nezibazi. Ngokuhamba kwesikhathi, lezi zibazi zingabangela ukuthi i-urethra inciphe futhi kwenze kube nzima ukuchama.
2. Ukwelashwa Komdlavuza Wendlala Yesilisa: Ngemva kokuhlinzwa ukuze kususwe indlala yesinye (i-radical prostatectomy) noma ukwelashwa ngemisebe, i-urethra ingase inciphe ngenxa yezibazi ezihambisana nayo.
Uma i-urethra incipha ngale ndlela, ukugeleza komchamo kungancipha, umchamo ungavuza ngamaconsi amancane, noma uvaleke ngokuphelele. Lesi yisimo esibuhlungu kakhulu nesiyingozi.
Udokotela unquma kanjani ukuthi udinga lolu kuhlinzwa?
Uma unalezi zimpawu, into yokuqala udokotela wakho angayenza ukwenza izivivinyo ezimbalwa ukuqinisekisa isimo esiqondile. Ukuze benze lokhu, bangenza okukodwa noma ngaphezulu kwalokhu kuhlolwa okulandelayo:
- I-Retrograde Urethrogram: Lokhu kusebenzisa uketshezi olukhethekile (udayi wokungafani) kanye ne-X-rays ukuthola ukuthi ukuvaleka kukuphi futhi isikhathi esingakanani ku-urethra.Ukuze ngiyinakekele kahle.
- I-Voiding Cystourethrogram: Lokhu kusebenzisa nedayi yokuhlukanisa ukuze kubhekwe ukuthi umchamo uphuma kanjani esinyeni. Lokhu kungasiza ekunqumeni ubukhulu bokuvinjelwa.
- I-Cystoscopy: Kulokhu, ithubhu elincane elifakwe ikhamera (i-scope) lidluliselwa e-urethra ukuze libone ngqo ingaphakathi le-urethra kanye nesinye.
- Ukuskena kwe-MRI (Magnetic Resonance Imaging): Kwezinye izimo ezikhethekile, ukuskena kwe-MRI kungenziwa uma kudingeka ulwazi olujulile.
Into ebaluleke kakhulu ukuthi uma lesi simo sibangelwa ingozi, odokotela bazolinda kuze kube yilapho ezinye izingozi ezinkulu emzimbeni wakho sezipholile. Phakathi naleso sikhathi, ipayipi lingafakwa lisuka esiswini lingene ngqo esinyeni ukuze kukhishwe umchamo. Silibiza ngokuthi i-Suprapubic Catheter .
Kufanele uzilungiselele kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udinga futhi ukulungiselela. Ukulandela lezi zinyathelo kubaluleke kakhulu ukuze ukuhlinzwa kuphumelele.
| Okufanele ukulungiselele | Okufanele ngikwenze |
|---|---|
| Izinto zokunciphisa igazi | Uma uthatha lolu hlobo lwemithi, kufanele ukhulume nethimba lakho lezokwelapha futhi uyeke ukuyithatha okwesikhashana ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, njengoba beluleka. |
| Ukudla nokuphuza ngaphambi kokuhlinzwa | Ungadli noma uphuze lutho ngemva kwamabili ngosuku lokuhlinzwa. |
| Imithi yasekuseni | Udokotela ukuvumela kuphela ukuthi uthathe umuthi ovunyelwe nguwe ekuseni kanye nesiphuzo samanzi. |
| Ama-antibiotic | Ukuze kuvinjelwe ukutheleleka, udokotela angase anikeze ama-antibiotics ukuze aqale ngosuku olungaphambi kokuhlinzwa. |
Kwenzeka kanjani ngempela ukuhlinzwa?
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ngeke uzwe lutho, uzobe ulele.
Inqubo evame kakhulu esetshenziswa odokotela abahlinzayo ibizwa ngokuthi i-Anastomotic Urethroplasty . Lena inqubo elula kakhulu.
Ingxenye elimele, enezibazi, noma encishisiwe ye-urethra iyasikwa bese isuswa, bese kuthi iziphetho ezimbili eziphilile zithungwe ndawonye. Kufana nokususa ipayipi eliphukile bese uxhumanisa kabusha izingcezu ezimbili ezinhle ezisele.
Kodwa, ake sithi ngemva kokususa izicubu zesibazi, isikhala phakathi kweziphetho ezimbili ezisele ezinempilo sikhulu kakhulu, okwenza kube nzima ukuzithunga ndawonye. Wenzani uma lokho kwenzeka?
Ezimweni ezinjalo, udokotela ohlinzayo uthatha ingxenye encane yezicubu kwenye ingxenye yomzimba wakho bese eyisebenzisa ukugcwalisa isikhala. Ngokuvamile, lokhu kuyizicubu ezingaphakathi kwesifuba sakho (buccal mucosa) . Ukuthatha ingxenye encane emlonyeni wakho akubuhlungu kakhulu. Kufana nobuhlungu obuncane uma uthola isilonda esihlathini sakho. Futhi, amanxeba angaphakathi emlonyeni wakho aphola ngokushesha okukhulu, ngokuvamile phakathi nesonto.
Kwenzekani ngemva kokuhlinzwa futhi yiziphi izingozi?
Ngemva kokuhlinzwa, uzoqashwa esibhedlela cishe amahora angama-24. I-catheter encane, ethambile izofakwa ngepenisi yakho iye esinyeni sakho kuze kube yilapho imithungo iphola, okuzothatha cishe amasonto ama-3-4. Lokhu akumnandi kancane, kodwa kubalulekile ukuze ukulungiswa kuphole kahle. Ngemva kwamasonto ama-3-4, kuzothathwa i-X-ray ukuze kuhlolwe ukuthi ukulungiswa kuphole yini, bese i-catheter izosuswa.
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezincane.
- Ukopha
- Izifo
- Ukuqina okuphindaphindiwe
Ukungakwazi ukuzibamba umchamo kuyingozi futhi akuvamile kakhulu uma kwenziwa ukuhlinzwa. Kodwa-ke, ingozi inganda kancane uma kwenziwa ukuhlinzwa ngemva kokwelashwa komdlavuza.
Enye inkinga ebalulekile ukungasebenzi kahle kwe-erectile (ED) . Amanye amadoda kungenzeka ukuthi ayenalesi simo ngaphambi kwalokhu kuhlinzwa, ngemuva kokuphuka kwe-pelvic noma ukwelashwa komdlavuza. Lokhu kuhlinzwa ngeke kwelaphe i-ED. Kungase kudinge ezinye izindlela zokwelapha kamuva. Khuluma nodokotela wakho ngalokhu ngokukhululekile.
Impumelelo yokuhlinzwa kanye nokululama
Lezi yizindaba ezinhle kakhulu. Lokhu kuhlinzwa kube yizinga eliphezulu kakhulu lempumelelo.Kungukuhlinzwa okukhona. Imiphumela mihle kakhulu, ikakhulukazi uma kwenziwa udokotela ohlinzayo onolwazi.
- Izinga lempumelelo lokuhlinzwa kokulimala okwenzeka engozini liphakathi kuka -92% - 97% .
- Izinga lempumelelo lokuhlinzwa ngemva kokwelashwa komdlavuza liphakathi kuka -70% - 85% .
Ukubuyela empilweni evamile...
- Ukushayela: Ungaqala ukushayela uma ungasebenzisi iziqeda-buhlungu futhi ngemva kokususwa kwepayipi le-catheter.
- Ukubuyela emsebenzini: Iningi labantu libuyela emsebenzini ngemva kokususwa kwe-catheter, kodwa kunconywa umsebenzi olula kuphela amasonto ayi-6-8 .
- Ukuzivocavoca: Ukuhamba kahle ngemva kokuhlinzwa, kodwa gwema imisebenzi enzima njengokuphakamisa izinsimbi noma ukudlala igalofu amasonto angu-6-8 .
- Umsebenzi wocansi: Ungaqhubeka nomsebenzi wocansi ngemva kwamasonto ayi-8 ngemuva kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukwakhiwa kabusha kwe-Urethral Posterior kuyindlela ekhethekile yokuhlinzwa eyenziwa kwabesilisa abanomsele womchamo ngenxa yokulimala kwe-pelvic noma ukwelashwa komdlavuza we-prostate.
- Umgomo walokhu kuhlinzwa ukulungisa ingxenye eyonakele ye-urethra nokubuyisela ukugeleza komchamo okuvamile.
- Lokhu ukuhlinzwa okuvame ukuba nezinga eliphezulu lempumelelo, ngakho-ke asikho isidingo sokwesaba.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela ngaphambi nangemva kokuhlinzwa, ikakhulukazi mayelana ne-catheter kanye nemikhawulo yokusebenza.
- Ungalokothi unqikaze ukukhuluma ngokukhululekile nangokwethembeka nodokotela wakho nganoma yiziphi izinkinga ongase ube nazo, njengokungakwazi ukuzibamba noma ukungasebenzi kahle kocansi. Ukuthola ulwazi olufanele kanye nokusekelwa kuyingxenye ebalulekile yenqubo yokuphulukiswa.
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