Ingabe nawe unenkinga yokuchama? Ake sixoxe nge-Posterior Urethral Stenosis!

Ingabe ngezinye izikhathi uba nobunzima bokuqala ukuchama, noma uzizwa sengathi i-urethra yakho incane? Ingabe ngezinye izikhathi uzizwa sengathi kusekhona umchamo ngemva kokuqeda ukuchama, noma ukuthi awukaphelelwa amandla ngokuphelele? Ungazinaki lezi zinto njengokujwayelekile. Ngoba zingaba izimpawu zenkinga yempilo eyisisekelo. Namuhla sizokhuluma ngesimo esithinta amadoda kakhulu kunabesifazane, kodwa esingalapheka ngokuphelele uma siqashelwa futhi selashwa ngesikhathi. Lokhu kubizwa ngokuthi i-Posterior Urethral Stenosis (PUS) .

Kuyini i-Postterior Urethral Stenosis?

Kalula nje, lokhu kuwukuncipha noma ukuminyana engxenyeni engemuva ye-urethra yakho, ipayipi elithwala umchamo lisuka kwesinyeni sakho liye emzimbeni wakho. Igama elithi "stenosis" lisho ukuncipha. Ngezinye izikhathi libizwa ngokuthi "ukucinywa kwe-urethra."

Manje, iyini le "urethra yangemuva"? Lena yingxenye ye-urethra eseduze kakhulu nesinye sakho somchamo. Ngokukhethekile, ifaka phakathi intamo yesinye, umsipha wangaphandle we-urethral sphincter, okuyisisipha esilawula ukuchama, kanye ne-prostate gland. I-urethra yendoda ivame ukuba ngamasentimitha angu-8 kuya kwangu-9 (cishe amasentimitha angu-20) ubude. Kowesifazane, ingaba ngamasentimitha angu-1.5 kuphela (amasentimitha angu-3-4). Ngakho-ke, ingxenye engenhla yale urethra ende emadodeni, okungukuthi, amasentimitha angu-1-2 aseduze nesinye, ibizwa ngokuthi i-urethra yangemuva.

Uma i-urethra ivalekile ngale ndlela, ikakhulukazi uma ivalekile kakhulu, kungaba nzima kakhulu ukuchama. Ngezinye izikhathi, ungase ungakwazi ngisho nokuchama nhlobo.

Ubani okungenzeka kakhulu ukuthi abone lesi simo?

I-Posterior Urethral Stenosis empeleni ivame kakhulu kwabesilisa kunabesifazane. Isizathu salokhu ukuthi, njengoba ngishilo ekuqaleni, i-urethra kwabesilisa inde. Futhi, lesi simo singase sihlobane nokwenzeka kwabesilisa ukuba nezinkinga ezihlobene ne-prostate.

Sivame kangakanani lesi simo?

Lesi akusona isimo esivamile kakhulu. Ngokuvamile, sivela ngemva kokwelashwa kwesinye isimo kuleyo ndawo. Cabanga ngakho njengokwelashwa komdlavuza wendlala, noma ngemva kwengozi enkulu kuleyo ndawo. Akuvamile kakhulu, lesi simo singaba khona kusukela ekuzalweni. Sikubiza ngokuthi "ukuzalwa kabusha". Lesi simo asivamile kakhulu kwabesifazane.

Ziyini izimpawu? Bheka ukuthi unazo yini lezi...

Bheka ukuthi unesinye noma ngaphezulu salezi zimpawu:

• Ubunzima bokuchama: Lolu uphawu oluyinhloko.
• Ukuncipha komgudu womchamo kanye nobuthakathaka.
• Ukuphuma komchamo okuncane kunokujwayelekile.
• Umuzwa wokuthi isinye asikakhishwa ngokuphelele ngisho nangemva kokuchama ( Ukugcinwa Komchamo ).
• Ubuhlungu lapho uchama (i-Dysuria).
• Ukutheleleka okuvamile komgudu womchamo (UTIs) .
• Ukutheleleka Kwendlala Yesitho Sangasese.
• Umchamo omnyama noma igazi emchameni (i-hematuria).
• Ubuhlungu besisu.

Ngisho noma unesinye noma ezimbili zalezi zimpawu, ungazinaki bese uzibuza ukuthi, "Kuyini lokho?" Kungcono ukufuna iseluleko sezokwelapha.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Njengoba ngishilo ngaphambili, lesi simo asivamile ukuzalwa naso. Kodwa isikhathi esiningi, senzeka ngenxa yengozi, ukuhlolwa kwezokwelapha, noma ukwelashwa okwenziwe kuleyo ndawo. Nazi izibonelo ezimbalwa:

• Ukuphuka kwe-pelvic kuwukuphuka kwe-pelvic endaweni ye-pelvic okubangela umonakalo endleleni yomchamo. Cabanga nje, into efana nale ingenzeka uma umuntu ewa esuka phezulu noma engozini yemoto.
• Ukwelashwa Komdlavuza Wendlala Yesitho Sangasese Sowesilisa :
• Ukwelashwa Ngemisebe
• Ukufakelwa kwembewu (i-Brachytherapy)
• Ukwelashwa Ngemisebe Yangaphandle (i-EBRT)
• Ukususwa kwe-prostate
• Ukuhlinzwa kwe- Benign Prostatic Hyperplasia (BPH) . Isibonelo ukuhlinzwa okubizwa ngokuthi i-Transurethral Resection of the Prostate (TURP) .

Ngenxa yezizathu ezinjengalezi, umgudu womchamo uyalimala, futhi njengoba lokho kulimala kuphola, kwakheka izicubu zesilonda, okubangela ukuthi i-urethra ivaleke.

Ingabe lesi simo singaba sibi kakhulu uma singelashwa?

Yebo, impela. Uma i-Posterior Urethral Stenosis ingelashwa kahle, ingaba yimbi kakhulu ngokuhamba kwesikhathi. Lokhu kungaholela ezimweni ezimbi kakhulu ezifana nalezi:

• Ukutheleleka okuvamile komgudu womchamo (UTIs).
• Ukulimala unomphela kwesinye.
• I-Vesicoureteral reflux ukugeleza komchamo emuva kusuka kwesinye kuya ezinso. Lokhu kufana namanzi avuza emuva ephuma epayipini elihamba ngendlela eyodwa.
• Ukulimala kwezinso. Lokhu kuyingozi kakhulu.

Ngakho-ke, kubaluleke kakhulu ukubona udokotela ngokushesha nje lapho ubona izimpawu. Lokhu kungasiza ekuvimbeleni izinkinga ezinkulu ezifana nalezi.

Odokotela bakuthola kanjani lokhu?

Uma uya kudokotela, uzoqala ngokubuza ngomlando wakho wezokwelapha, abuze ngezimpawu zakho, bese enza ukuhlolwa ngokomzimba. Ngaphezu kwalokho, bangase bacele nokuhlolwa okuningana ukuqinisekisa ukuxilongwa, okufana nalokhu:

• Ama-X-ray.
• Ukuhlolwa kwe-Ultrasound.
• I-Cystoscopy: Lokhu kuhilela ukudlulisa ipayipi elincane elinekhamera encane exhunywe nge-urethra ukuze kuhlolwe ingaphakathi le-urethra kanye nesinye. Nakuba kungase kuzwakale kungakhululekile, lokhu kungasiza ekuboneni ngqo ukuthi ukuvaleka kukuphi nokuthi kunjani.
• I-Retrograde Urethrogram: Lokhu futhi ukuhlolwa kwe-X-ray. Lapha, kufakwa into ekhethekile (udayi wokungafani) ku-urethra bese kuthathwa izithombe ze-X-ray. Lokhu kuvumela ukuthi noma yikuphi ukuvinjelwa ku-urethra kubonakale kahle.
• I-Voiding Cystourethrogram (VCUG): Lokhu kuhilela ukugcwalisa isinye sakho ngento ekhethekile nokuthatha ama-X-ray ngenkathi uchama. Lokhu kungasiza ekuboneni ukuthi umchamo wakho ugeleza kanjani, ukuthi kukhona yini ukuvaleka, noma ukuthi umchamo ugeleza ubuyela emuva (reflux).

Ngemva kwalezi zivivinyo, udokotela angakutshela ngqo ukuthi une -Posterior Urethral Stenosis , futhi uma kunjalo, ngezinga elingakanani.

Ingabe i-Posterior Urethral Stenosis ingelapheka ngokuphelele?

Yebo! Lezi yizindaba ezinhle kakhulu. Lesi simo singelapheka uma sitholakale kahle futhi selashwa ngendlela efanele. Ngakho-ke asikho isizathu sokwesaba.

Kuphathwa kanjani lokhu?

Ukwelashwa kuncike embangela, inani lezibazi, kanye nobude bendawo evinjiwe. Okwamanje azikho imithi etholakalayo yalokhu. Kunezindlela ezimbili zokwelapha eziyinhloko:

1. Ukwanda komchamo:

• Lokhu kuhilela ukusebenzisa amathuluzi amade, amancane (izinduku) noma into efana nebhaluni ukuze kwandiswe kancane kancane ingxenye evinjiwe ye-urethra.
• Lena inqubo elula kakhulu, engadingi ukungenelela okuningi.
• Kodwa lokhu akulona ikhambi elihlala njalo . Kungaphinde kubhajwe ngemva kwesikhashana. Ngakho-ke kungase kudingeke ukuthi wenze lokhu kwelashwa izikhathi eziningana.

2. I-Urethroplasty:

• Lokhu ukuhlinzwa . Lokhu kuhlinzwa kulungisa ingxenye eyonakele, evinjiwe yomgudu womchamo, noma kususa leyo ngxenye bese kusetshenziswa izicubu ezinempilo ukulungisa umonakalo.
• Lena indlela enikeza imiphumela ephumelelayo kakhulu kunendlela eshiwo ngenhla ethi `(Ukwanda Kwe-Urethral)`. Izinga lempumelelo lingaphezu kuka-80%. Kodwa-ke, njengoba kuwukuhlinzwa, kunengozi ethile futhi kuthatha isikhathi ukululama.

Udokotela wakho uzohlola isimo sakho bese enquma ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.

Yiziphi izinkinga ezingaba khona ngemva kokwelashwa?

Ngisho nangemva kokwelashwa, kunethuba lokuthi i-Posterior Urethral Stenosis izophinde ivele. Yingakho kubalulekile ukuqhubeka njengoba udokotela wakho esho.Kubaluleke kakhulu ukuya kuma-aphoyintimenti okulandelela ukuze ubone ukuthi uyalulama yini nokuthi zikhona yini izimpawu zenkinga ephindaphindayo.

Ukwanda Komchamo (UD) kungadinga ukuphinda izikhathi eziningana, kodwa izinga lempumelelo ye-Urethral Plasty liphezulu kakhulu.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Iningi labantu liqala ukuzizwa lingcono phakathi nesonto ngemva kokuhlinzwa "kwe-Urethral Dilation". Kodwa-ke, kungathatha amasonto amabili kuya kwamathathu ukululama ngokuphelele ekuhlinzweni "kwe-Urethroplasty".

Ingabe zikhona izindlela zokuzivikela kulesi simo? (Ukuvimbela)

Kunzima ukuvimbela zonke izici ezibangela lokhu. Isibonelo, izinto ezifana nokwelashwa komdlavuza zingenziwa uma kudingeka. Kodwa-ke, unganciphisa ingozi yakho yalesi simo ngokuzama ukugwema ukulimala, ikakhulukazi endaweni ye-pelvic .

Nazi ezinye izinto ongayenza ngakho:

• Gqoka ibhande lesihlalo noma nini lapho ugibele imoto.
• Gqoka izindwangu/imishini yokuzivikela efanele emidlalweni ethinta kakhulu (isib. i-hockey, ibhola likanobhutshuzwayo, i-karate, i-lacrosse).
• Landela ukudla okukhuthaza amathambo aqine. Yidla ukudla okucebile nge-calcium kanye ne-vitamin D.
• Buza udokotela wakho ngemithi efana nama-bisphosphonates anciphisa ukulahleka kwamathambo.
• Yenza izivivinyo zokuqinisa amathambo, ikakhulukazi imisebenzi yokuthwala isisindo.
• Yeka ukubhema futhi unciphise ukusetshenziswa kotshwala. Ukubhema nokuphuza utshwala obuningi kungathinta ukuqina kwamathambo akho.

Kwenzekani uma lesi simo sikhona? Liyini ikusasa? (Isibikezelo)

Umbono we- Posterior Urethral Stenosis ngokuvamile muhle. Ukwelashwa kungandisa, kulungise, noma kususe i-urethra evalekile. Kodwa-ke, njengoba ngishilo ekuqaleni, lesi simo singaphinde sibuye. Ngakho-ke, kubalulekile ukuqhubeka nokuhlolwa njalo njengoba kuqondiswe udokotela wakho.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nanoma yiziphi izimpawu ze- posterior urethral stenosis (PUS) , ikakhulukazi ushintsho endleleni yokuchama noma ushintsho ekubukekeni komchamo wakho, qiniseka ukuthi ubona udokotela.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma unezinye zalezi zimpawu, iya ekamelweni lezimo eziphuthumayo eliseduze ngokushesha okukhulu:

• Isimo lapho kungenakwenzeka khona ngokuphelele ukuchama.
• Ubuhlungu buba bubi nakakhulu lapho uchama.
• Igazi emchameni.
• Izimpawu zokutheleleka (isib. umkhuhlane, ukubanda, ukukhathala okukhulu).

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Kungumqondo omuhle ukubuza le mibuzo uma uya kudokotela:

• Wazi kanjani ukuthi nginesifo sokuqaqamba kwesisu esingemuva kwe-urethra?
• Yini engaba yimbangela yokuthi lokhu kwenzeke kimi?
• Kubi kangakanani ukuvaleka komgudu womchamo wami? / Kukude kangakanani?
• Ngingayinakekela kanjani impilo yami ngalesi simo?
• Yikuphi ukwelashwa ongincomayo?
• Yiziphi izingozi nezinzuzo zendlela ngayinye yokwelapha?
• Kufanele ngize kangaki ukuze ngilandelelwe?
• Ucabanga ukuthi lesi simo sizophinde senzeke kimi?
• Ingabe kukhona engingakwenza ukuvimbela lokhu ukuthi kungenzeki futhi?
• Ungangincoma uchwepheshe (Urologist) mayelana nalokhu?

Uyini umehluko phakathi kwe-'Urethral Stricture' kanye ne-'Stenosis'?

Igama elithi "Stricture" kanye nelithi "stenosis" womabili amagama asetshenziswa odokotela ukuchaza ukuncishiswa noma ukuvaleka kwendlela noma ukuvulwa. Kunomehluko omncane wobuchwepheshe. I-Urethral stricture ukuncishiswa kwengxenye ye-urethra edlula ku-corpus spongiosum, etholakala ngaphansi kwepenis. I-Stenosis ivame ukubhekisela ekuncishisweni kwengxenye ye-urethra edlula ku-prostate noma entanyeni yesinye. I-postterior urethral stenosis ingenye yalezi zimo.

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

I-Posterior Urethral Stenosis (PUS) yisimo esingavamile esingathinta noma ubani. Kodwa-ke, sivame kakhulu kwabesilisa. Sibangelwa ukwakheka kwezicubu zesilonda engxenyeni engenhla ye-urethra engamasentimitha angu-1-2, eduze kwesinye. Lokhu kungabangela izinkinga zokuchama ezihlazisayo nezibuhlungu.

Kodwa, akudingeki uphile nalezi zinkinga. I-Posterior Urethral Stenosis iyisimo esingelapheka, futhi izinga lempumelelo lokwelashwa liphezulu kakhulu.

Uma unezinye zalezi zimpawu, ikakhulukazi ngemva kokulimala kwe-pelvic noma okunye ukwelashwa okuhlobene nakho, qiniseka ukuthi ukhuluma nodokotela. Ukutholwa kusenesikhathi kungenza ukwelashwa kube lula futhi ukululama kusheshe.

Ukuvaleka komchamo , I-Postterior Urethral Stenosis, Ubunzima bokuchama, Impilo yamadoda, I-Prostate, Izifo zomchamo