Ingabe nawe uzizwa unzima kakhulu lapho uchama ? Ingabe i-urethra izwakala incane? Noma ingabe uzizwa sengathi isinye sakho asikaphumi ngokuphelele ngisho nangemva kokuqeda ukuchama ? Lezi akuzona izimpawu ezinhle okufanele uzishaye indiva. Namuhla sikhuluma ngesihloko esibaluleke kakhulu abantu abaningi abangafuni ukukhuluma ngaso. Leso yisimo esibizwa ngokuthi i-Posterior Urethral Stenosis.
Kalula nje, iyini i-Posterior Urethral Stenosis (PUS)?
Lokhu kungase kuzwakale njengegama lesayensi, kodwa empeleni kulula kakhulu ukuliqonda. I-Posterior Urethral Stenosis (PUS) , ngezinye izikhathi ebizwa ngokuthi i-Urethral Stenosis noma i-Urethral Stricture , yisimo lapho ingxenye ye-urethra (i-posterior urethra) eseduze nesinye incipha, noma ivalwe ngokunembile.
Njengoba nje lapho into inamathela epayipini lamanzi, ukugeleza kwamanzi kuyehla, futhi yilokhu okwenzekayo lapho umchamo wethu uvaleka. Ngezinye izikhathi lokhu kuvimbeka kungaba nzima kakhulu kangangokuthi kuba nzima kakhulu ukuchama , futhi ngezinye izikhathi kungaholela nasekungakwazini ukuchama nhlobo.
Lesi simo sivame kakhulu kwabesilisa kunabesifazane . Isizathu salokhu ukuthi i-urethra yabesilisa yinde kakhulu kuneyabesifazane. Ngenkathi i-urethra yendoda ingamasentimitha angu-8-9 ubude, eyabesifazane ingamasentimitha angu-1.5 ubude. Ngakho-ke, ingxenye engamasentimitha angu-1-2 ye-urethra yabesilisa, eseduze kakhulu nesinye, cishe ingavaleka ngale ndlela. Lesi sigaba sihlanganisa nengxenye edlula endlaleni ye-prostate.
Sivame kangakanani lesi simo?
I-Posterior Urethral Stenosis empeleni ayivamile kangako. Esikhathini esiningi, lesi simo senzeka njengomphumela ongemuhle wokwelashwa kwesinye isimo kuleyo ndawo. Akuvamile kakhulu, lesi simo singaba khona lapho kuzalwa (esizalwa naso). Akuvamile kakhulu kwabesifazane.
Ingabe nawe unalezi zimpawu?
Umuntu onalesi simo angase abonise uphawu olulodwa noma ngaphezulu kwezingezansi. Bheka ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubunzima bokuchama | Ukugcinwa komchamo , ubunzima bokuchama , kanye nomuzwa wokuthi isinye asikakhishwa ngokuphelele ngisho nangemva kokuchama (lokhu kubizwa ngokuthi ukugcinwa komchamo ngokwezokwelapha). |
| Ubuhlungu lapho uchama | Ukushisa noma ubuhlungu lapho uchama (lokhu kubizwa ngokuthi i-dysuria ). |
| Ukutheleleka komgudu womchamo (UTI) | Ukutheleleka njalo komgudu womchamo. |
| Ukutheleleka kwe-prostate | Ukutheleleka kwendlala yesinye. |
| Igazi noma umchamo omnyama | Umchamo omnyama noma igazi emchameni (lokhu kubizwa ngokuthi i-Hematuria) . |
| Ubuhlungu besisu esingezansi | Ubuhlungu obungapheli esiswini esingezansi. |
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?
Njengoba sishilo ngaphambili, lesi simo asivamile ukuba khona lapho umntwana ezalwa. Kodwa-ke, ngokuvamile sibangelwa ingozi noma ukwelashwa okwenziwa kuleyo ndawo.
Nazi ezinye zezizathu eziyinhloko:
- Ukuphuka kwe-pelvic: Ingozi enkulu ebangela ukulimala kwethambo lakho le-pelvic kanye nokulimala kwe-urethra yakho.
- Ukwelashwa komdlavuza we-prostate: Lesi simo singase senzeke kamuva ngenxa yokwelashwa komdlavuza we-prostate njengokwelashwa ngemisebe, i-brachytherapy, ukwelashwa ngemisebe yangaphandle (i-EBRT), kanye nokususwa kwe-prostate ngokuhlinzwa (i-prostatectomy).
- Ukuhlinzwa kwe-BPH:Lesi simo singabangelwa nokuhlinzwa okufana ne-TURP (Transurethral Resection of the Prostate) kwe-Benign Prostatic Hyperplasia (BPH).
Kwenzekani uma ingelashwa?
Lena yinto ebaluleke kakhulu. Uma ucabanga ukuthi, "Kuzoba ngcono ngokwakho" noma ngabe unalezi zimpawu, isimo singaba sibi kakhulu. Uma lokho kwenzeka, izinkinga ezinkulu ezifana nalezi:
- Ukutheleleka okuvamile komgudu womchamo (UTIs).
- Ukulimala unomphela kwesinye.
- Umchamo ugeleza usuka kwesinyeni uye ezinso (vesicoureteral reflux).
- Ukulimala kwezinso.
Yingakho sithi uma unalezi zimpawu, ungachithi isikhathi uye kudokotela. Uma ungayinaki into encane, ungagcina ubhekene nenkinga enkulu kamuva.
Dokotela, ukuxilonga kanjani lokhu?
Uma uya kudokotela, uzoqala alalele ngokucophelela izimpawu zakho. Uzobuza nangomlando wakho wezokwelapha. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba. Ukuze aqinisekise uhlobo oluqondile lwesimo sakho, angenza nezivivinyo eziningana, njengokuthi:
- Ukuhlolwa kwe-X-ray
- Ukuskena nge-ultrasound
- I-Cystoscopy (ukuhlolwa kwe-urethra kusetshenziswa ipayipi elincane elinekhamera)
- I-urethrogram yokubuyisela emuva
- I-voiding cystourethrogram (i-VCUG)
Ingabe lesi simo singalapheka ngokuphelele?
Yebo, impela. Kunezindlela zokwelapha lokhu. Lesi akusona isifo esingelapheka ngemithi. Kodwa-ke, singelashwa ngezindlela ezimbili. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe ngokusekelwe esimweni sesimo sakho, inani lezicubu zesilonda, kanye nobude bokuvinjelwa.
1. Ukwanda komchamo
Lokhu kuhilela ukwandisa ingxenye evinjiwe ye-urethra kusetshenziswa izinto ezikhethekile (njengezinduku ezinde nezincane) noma ibhaluni. Lena inqubo elula kakhulu. Kodwa-ke, akuyona ikhambi elihlala njalo. Kungase kudingeke ukuthi wenze lokhu kwelashwa izikhathi eziningana.
2. Ukuhlinzwa (Urethroplasty)
Lesi yisisombululo esiphumelela kakhulu nesihlala njalo. Kulokhu kuhlinzwa, ingxenye eyonakele, evinjiwe ye-urethra iyalungiswa noma ingxenye entsha itshalwe. Izinga lempumelelo yalokhu kuhlinzwa lingaphezu kuka-80%.
Kwenzekani ngemva kokwelashwa?
Ngemva kokuvulwa komchamo, ngokuvamile uzoqala ukuzizwa ungcono phakathi nesonto. Ngemva kokuhlinzwa kwe-urethroplasty, kungathatha amasonto amabili kuya kwamathathu ukululama ngokuphelele.
Into ebalulekile ukuthi, lesi simo ngezinye izikhathiKungaphinde kuvele ngisho nangemva kokwelashwa. Ngakho-ke, ungakhohlwa ukuya ezikhungweni zokulandelela njengoba udokotela wakho ekutshelile. Ngaleyo ndlela, angaqapha isimo sakho futhi abone noma yiziphi izinkinga kusenesikhathi.
Zikhona yini izindlela zokugwema lokhu?
Akuzona zonke izimbangela esixoxe ngazo ekuqaleni ezingavinjelwa. Isibonelo, kunzima ukuvimbela lokhu ukuthi kwenzeke ngemva kokwelashwa komdlavuza. Kodwa-ke, unganciphisa le ngozi ngokugwema ukulimala endaweni yesinqe.
- Gqoka ibhande lakho lesihlalo njalo uma uhamba ngemoto.
- Uma udlala imidlalo enomthelela omkhulu njenge-hockey noma ibhola , gqoka izingubo zokuzivikela ezifanele kanye nemishini .
- Yidla ukudla okucebile nge-calcium kanye ne-vitamin D, okuqinisa amathambo.
- Zibandakanye ekuzilolongeni okuqinisa amathambo (ikakhulukazi ukuzivocavoca kokuphakamisa izinsimbi).
- Yeka ukubhema nokuphuza utshwala ngokweqile . Lokhu kuthinta ukuqina kwamathambo akho.
- Uma kudingeka, buza udokotela wakho ngemithi yokuqinisa amathambo (ama-bisphosphonates).
Kufanele ngiye nini e-Emergency Treatment Unit (ETU)?
Lokhu kubaluleke kakhulu. Uma unezinye zezimpawu ezilandelayo, ungachithi isikhathi bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
| Isimo Esiphuthumayo - Yiya esibhedlela ngokushesha! | |
|---|---|
| 🚨 | Uma ungakwazi ukuchama ngokuphelele . |
| 🚨 | Uma ubuhlungu ngesikhathi sokuchama bukhula . |
| 🚨 | Uma kukhona igazi emchameni . |
| 🚨 | Uma unezimpawu zokutheleleka, njengomkhuhlane kanye nokubanda . |
Yimiphi imibuzo okufanele uyibuze udokotela?
Uma siya kudokotela, ngezinye izikhathi siyakhohlwa ukuthi sifuna ukubuza ini. Ngakho-ke, bhala phansi le mibuzo ephepheni.
- Kungani udokotela ecabanga ukuthi nginalesi simo?
- Iyini imbangela yesimo sami?
- Kunzima kangakanani ukuvaleka komgudu womchamo wami?
- Iyiphi indlela engcono kakhulu yokwelapha kimi?
- Yiziphi izinzuzo kanye nokungalungi kokwelashwa ngakunye?
- Kufanele ngizinakekele kanjani ngemva kokwelashwa?
- Kufanele ngibuye ngokushesha kangakanani ukuze ngilandelele?
- Ucabanga ukuthi lesi simo sizophinde senzeke kimi?
- Ingabe kukhona engingakwenza ukuvimbela lokhu ukuthi kungenzeki futhi?
- Ingabe ngidinga ukubona uchwepheshe (udokotela wezifo zomchamo) ngalokhu?
Umlayezo Wokuya Nawe Ekhaya
- I-Posterior Urethral Stenosis (PUS) iwukuncishiswa kwe-urethra eduze kwesinyi. Ivame kakhulu kwabesilisa kunabesifazane.
- Izimpawu eziyinhloko ubunzima bokuchama , ubuhlungu, ukuvaleka komgudu womchamo , kanye nokutheleleka njalo komgudu womchamo.
- Ngokuvamile, lesi simo sibangelwa ingozi noma ukuhlinzwa kwangaphambilini noma ukwelashwa okuhlobene nendlala ye-prostate.
- Lokhu kungelapheka ngokuphelele ngokwelashwa. Ukuhlinzwa (i-Urethroplasty) kuyindlela yokwelapha ephumelela kakhulu.
- Uma unezimpawu, ungazinaki. Ukwenza kanjalo kungalimaza ngisho nezinso zakho. Ngakho-ke, qiniseka ukuthi ubona udokotela.
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