Ingabe nawe ukuthola kunzima ukuchama njengoba ukhula? Ingabe udinga ukuchama izikhathi eziningana ngosuku? Ingabe kufanele uvuke ebusuku uye endlini yangasese kabili noma kathathu? Ingabe uzizwa sengathi umchamo wakho wehlile futhi uzizwa sengathi awukawususi ngokuphelele umchamo wakho? Lezi yizinkinga ezivamile amadoda amaningi abhekana nazo njengoba ekhula. Isizathu esiyinhloko salokhu indlala ye-prostate ekhulisiwe. Kodwa ungakhathazeki, manje kunezindlela zokwelapha ezisebenza kahle kakhulu nezilula zalokhu. Namuhla, sizoxoxa ngenye yezindlela zokwelapha ezintsha, ezingangenisi kakhulu.
Okokuqala, ake sibone, iyini le ndlala ye-prostate?
I-prostate gland iyi-gland encane engange-walnut etholakala kwabesilisa kuphela. Itholakala ngaphansi kwesinye sakho somchamo, eduze kwe-urethra. Umchamo wakho nesidoda sakho kushiya umzimba ngaleli payipi. Umsebenzi oyinhloko we-prostate gland ukwengeza uketshezi esidoda.
Njengoba amadoda ekhula, ngokuvamile ngemva kweminyaka engu-50, indlala ye-prostate kwabesilisa abaningi iqala ukukhula. Lokhu akuwona umdlavuza. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Benign Prostatic Hyperplasia (BPH) . Inkinga ukuthi lapho le ndlala ezungeze i-urethra iba nkulu, icindezela i-urethra. Kufana nomuntu ocindezela ipayipi lamanzi. Yilapho kuba nzima khona ukuchama.
Ngakho-ke luyini lolu hlobo lokwelashwa olubizwa ngokuthi i-Prostatic Urethral Lift (PUL)?
Kalula nje, i-Prostatic Urethral Lift (PUL) iyindlela yokwelapha yesimanje ye-BPH, noma izinkinga zomchamo ezibangelwa ukwanda kwendlala ye-prostate. Kungenzeka ukuthi uke wayizwa ibizwa ngokuthi i-UroLift® .
Ngokuvamile, udokotela wakho uzoqala ngokukunikeza imithi. Kodwa-ke, uma leyo mithi ingasizi, noma uma imiphumela emibi yemithi inzima kakhulu, ungase ucabangele ukwelashwa kwe-PUL njengesinyathelo esilandelayo. Lokhu kuhilela ukususa indlala ye-prostate ekhulisiwe, ecindezela i-urethra, ngokufaka amadivayisi amancane (ama-implants) ku-urethra, njengokubamba ifasitela. I-urethra bese ivuleka futhi bese umchamo ungageleza kalula.
Yiziphi izivivinyo ezenziwayo ngaphambi kwalokhu kwelashwa?
Udokotela wakho (ngokuvamile udokotela wezifo zomchamo) uzokwenza izivivinyo eziningana ngaphambi kokunquma ukuthi lokhu kwelashwa kukufanele yini. Lokhu kuzosiza ekunqumeni usayizi we-prostate yakho kanye nobunzima besimo sakho se-BPH.
| Ukuhlolwa | Kuchazwe kalula |
|---|---|
| Ukuhlolwa kokugeleza komchamo | Ilinganisa ijubane namandla okugeleza komchamo wakho. Iphinde ilinganise ukuthi udlula kangakanani umchamo. |
| Ukuhlolwa kwevolumu eseleyo ngemuva kokungasebenzi | Ngemva kokuchama, bahlola ukuthi kusele umchamo ongakanani esinyeni sakho. Lokhu kuvame ukwenziwa ngokuskena okuncane. |
| Ukuskena kwe-ultrasound okuqondile | Ukuskena kwe-prostate kwenziwa ngokufaka ithuluzi elincane nge-rectum. Lokhu kuvumela usayizi nesimo se-gland ukuthi kuhlolwe ngokunembile. |
| I-Cystoscopy | Kufakwa ipayipi elincane kakhulu, eliguquguqukayo elinekhamera enamathiselwe nge-urethra ukuze kuhlolwe ingaphakathi le-urethra kanye nesinye. |
| Ukuhlolwa komchamo | Umchamo uyahlolwa ukuthi awunalo yini ukutheleleka komgudu womchamo (UTI). Uma kukhona ukutheleleka okunjalo, kuzodingeka uphuze imithi yalo ngaphambi kokwelashwa. |
Ukwelashwa kusebenza kanjani?
Lokhu kuyinto evame ukuthatha isikhathi esingaphansi kwehora futhi ingenziwa emtholampilo noma esikhungweni sokuhlinzwa esihambayo, kunokuba kwenziwe ekamelweni elikhulu lokuhlinza.
1. Ukulungiselela: Uzolaliswa etafuleni elikhethekile, imilenze yakho iphakanyisiwe futhi isekelwe ngezisekelo ezikhethekile. Lokhu kuzokwenza kube lula ngodokotela ukwenza ukwelashwa.
2. Ukuba ndikindiki: I-urethra nendawo ezungezile ayindikindiki ngakho awuzwa ubuhlungu (i-anesthesia yendawo). Ungase futhi ulale kancane.
3. Ukwelashwa:
- Okokuqala, kufakwa ithuluzi elincane elinekhamera (i-cystoscope) nge-urethra bese lingena endlaleni ye-prostate.
- Bese kuthi, kusetshenziswa idivayisi ekhethekile ebizwa ngokuthi i-UroLift, kufakwe izitho eziningana ezincane zensimbi engagqwali (ngokuvamile ezingu-2-6) kuzo zombili izinhlangothi zendlala ye-prostate ukuze kususwe futhi kubanjwe izicubu ezicindezela i-urethra.
- Lezi zifakelo zivula i-urethra eyayivalekile. Yilokho kuphela!
Bese kususwa yonke imishini. Uyahlolwa isikhashana, kuhlolwe ukuthi uyakwazi yini ukuchama, bese uvame ukuvunyelwa ukuya ekhaya ngalolo suku.
Ziyini izinzuzo zalokhu kwelashwa?
Kunezizathu eziningana eziqondile zokuthi kungani le ndlela yokwelapha ithandwa kakhulu ngabantu abaningi.
Okubaluleke kakhulu, akukho ukulimala ekusebenzeni kocansi ngemva kwalokhu kwelashwa. Akubangeli izinkinga ezifana nokungasebenzi kahle kwe-erectile noma ukukhishwa kwe-retrograde, okungenzeka ngemva kokuhlinzwa okunye.
| Inzuzo | Kuchazwe kalula |
|---|---|
| ukululama okusheshayo | Izimpawu ze-BPH ziphela ngokushesha okukhulu. |
| Ukusika okuncane kanye nokusika | Lokhu akuyona indlela enkulu yokuhlinzwa, ngakho-ke isikhathi sokululama sifushane futhi ubuhlungu buncane. |
| Asikho isidingo sokuhlala esibhedlela. | Ukwelashwa kuqediwe esikhathini esingaphansi kwehora, futhi abantu abaningi bangaya emakhaya ngalolo suku. |
| Ukulondoloza ukusebenza kocansi | Akukuthinti ukuvuka noma ukuphuma kocansi. Lena indaba ebalulekile kubantu abaningi. |
Yini okufanele ngiyinake ngemva kokwelashwa?
Isikhathi sokululama singahluka kumuntu nomuntu. Iningi labantu lizizwa likhululekile phakathi nesonto, kodwa kungathatha amasonto amane ukululama ngokuphelele.
- Ubuhlungu: Ezinsukwini zokuqala, ungase uzizwe usha kancane noma ubuhlungu lapho uchama. Ungaphuza imithi yobuhlungu (njenge-NSAID) enqunywe udokotela wakho ngalokhu.
- Amanzi: Phuza amanzi amaningi. Lokhu kuzosiza ekukhipheni noma yiliphi igazi emchameni wakho, kugcine umgudu wakho womchamo uhlanzekile, futhi kuvimbele ukutheleleka.
- Ukudla: Kungcono ukugwema ukudla okubabayo, ikhofi, itiye, iziphuzo ze-citrus, kanye notshwala izinsuku ezimbalwa, ngoba lokhu kungacasula isinyi.
- Umsebenzi wocansi: Buza udokotela wakho ngalokhu. Ngokuvamile kuyalulekwa ukuthi ugweme ucansi nokushaya indlwabu cishe isonto lonke.
Udinga ukubona udokotela ngokushesha ngasiphi isikhathi?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (i-ETU) wesibhedlela esiseduze.
- Uma ungakwazi nhlobo ukuchama.
- Uma kukhona ukopha okukhulu emchameni.
- Uma ukopha emchameni kungayeki ngemva kwamasonto amabili okwelashwa.
- Uma unezimpawu zokutheleleka, njengomkhuhlane, ukubanda, kanye nokuvuvukala kwamasende.
Umlayezo Wokuya Nawe Ekhaya
- I-Benign prostatic hyperplasia (BPH) yisimo esivame kakhulu, esingesona umdlavuza esenzeka njengoba amadoda ekhula, ngakho ungakhathazeki ngaso ngokungadingekile.
- I-Prostatic Urethral Lift (PUL) noma i-UroLift iyindlela yokwelapha yesimanje esebenza kahle kakhulu, ephephile, futhi engangenisi kakhulu i-BPH.
- Enye yezinzuzo ezinkulu zalokhu kwelashwa ukuthi akulimazi ukusebenza kocansi.
- Isikhathi sokululama sifushane kakhulu. Iningi labantu lingaya emakhaya ngalolo suku.
- Uma nawe unenkinga yokuchama, ungabi namahloni ngakho, kodwa bona udokotela ofanelekayo bese uxoxa ngokwelashwa okukufanele kakhulu.
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