Ingabe nawe unenkinga yokuchama ngokushesha njengoba wawuvame ukwenza? Ingabe umchamo wakho ubuthakathaka? Mhlawumbe uconsa kancane ngenxa yobuhlungu obuncane? Uma unenkinga enjalo, imbangela ingaba ukuvaleka kwe -urethra yakho. Kwezokwelapha, lokhu sikubiza ngokuthi (urethral stricture) . Ungesabi uma uzwa leli gama, lesi yisimo esithinta abantu abaningi. Ngakho-ke namuhla sizokhuluma ngokwelashwa okulula nokuphumelelayo kwalokhu.
Kalula nje, kuyini ukuvuleka kwe-Urethral?
Ukwanda Kwe-Urethral kuyindlela yokwelapha ukwandisa i-urethra . I-urethra yipayipi lapho umchamo uphuma khona emzimbeni wakho. Njengoba nje ukungcola kubhajwa epayipini lamanzi, ukugeleza kwamanzi kuyancipha, lapho izicubu zesilonda zakheka ngaphakathi kwe-urethra yethu ngesizathu esithile futhi ivalekile, ukugeleza komchamo nakho kuyancipha futhi kube nzima. Lokhu kubizwa ngokuthi i-urethral stricture . Ngakho-ke lokhu kwelashwa okulula okubizwa ngokuthi ukwanda kwe-urethra kwandisa kancane indawo evalekile futhi.
Kungani umgudu womchamo uvaleka kanje?
Kungase kube nezizathu eziningana zalokhu.
- Ukutheleleka: Ngenxa yokutheleleka okuthile emgudwini womchamo.
- Ukuvuvukala: Ukuvuvukala komgudu womchamo ngenxa yesizathu esithile.
- Ukulimala : Ngemva kwengozi noma ukuhlinzwa kuleyo ndawo.
- Ngaphandle kwesizathu: Ngezinye izikhathi lesi simo singavela ngisho noma kungekho sizathu esicacile esingatholakala.
Lesi simo sivame kakhulu kwabesilisa kunabesifazane. Lokhu kungenxa yokuthi i-urethra yabesilisa inde.
Kwenziwa kanjani lokhu kwelashwa?
Kulokhu, udokotela wakho, udokotela wezifo zomchamo , usebenzisa ithuluzi elide nelincane (elibizwa ngokuthi ithuluzi elizwakalayo ngokwezokwelapha) eliba likhulu kancane kancane ukuze landise kancane i-urethra evalekile. Enye indlela ukufaka into efana nebhaluni elincane bese ulifutha kancane kancane ukuze landise indawo evalekile.
Kukhona enye inqubo efanayo ebizwa ngokuthi i-urethrotomy . Kule nqubo, ipayipi elingangepensela elinomfanekiso wekhamera ekugcineni (i-cystoscope) lidluliselwa e-urethra ukuze libone kahle ukuthi kwenzekani. Le thuluzi lisebenzisa ummese omncane (i-scalpel) ukusika i-urethra.Basika futhi basuse izicubu zesilonda ezibanjiwe futhi benze umgwaqo ube ngcono.
Kodwa kukhona into eyodwa. Uma ukwenza lokhu kanye bese uphinda uvaleke, kunethuba elikhulu lokuthi kuzophinde kwenzeke noma ngabe ukwenza futhi. Uma kunjalo, udokotela wakho angase akuncomele ukuhlinzwa okungathi sína (urethroplasty) . Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Kufanele uzilungiselele kanjani lokhu?
Ngaphambi kwalokhu kwelashwa, kuzodingeka ubone udokotela. Lapho, impilo yakho iyonke, umfutho wegazi, kanye nokushaya kwenhliziyo kuzohlolwa.
- Ukuhlolwa: Kungenziwa i -cystoscopy noma olunye ukuhlolwa kwesithombe ukuze kubonakale ukuthi i-urethra ivinjiwe kahle kangakanani.
- Ukuhlolwa komchamo : Kuzokwenziwa ukuhlaziywa komchamo ukuze kuhlolwe amagciwane . Uma kukhona ukutheleleka ngamagciwane, kuzodingeka uthathe ama-antibiotic ngaphambi kwalokhu kwelashwa.
- Ukuqwashisa Ngemithi: Lokhu kubaluleke kakhulu. Kufanele nakanjani utshele udokotela wakho nganoma yimiphi imithi oyiphuzayo, okuhlanganisa imithi yesifo sikashukela, umfutho wegazi, imithi yobuhlungu ethengiswa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi ye -Ayurvedic . Eminye imithi, njenge- aspirin, yandisa ingozi yokopha.
- Ukudla Neziphuzo: Uma ulaliswa ukuze ulale kule nqubo, ngokuvamile uzocelwa ukuthi ungadli noma uphuze lutho okungenani amahora ayisithupha ngaphambi kwenqubo. Uma unemithi yansuku zonke, cela udokotela wakho ukuthi ungayiphuza yini kanye namanzi.
Kwenzekani ngesikhathi sokwelashwa nangemva kwalokho?
Okokuqala, lokhu akuyona inqubo enkulu yokuhlinzwa. Ezimweni eziningi, ungaya ekhaya ngosuku olufanayo ngemuva kokwelashwa (inqubo yokulaliswa esibhedlela) .
Lokhu kuvame ukwenziwa ngenkathi ulaliswa i-anesthesia (ulele). Ngakho-ke ngeke uzwe ubuhlungu. Ngezinye izikhathi, uma kwenziwa ngenkathi uvukile, kufakwa i -lubricant eqeda izinhlungu e-urethra ukuze ikusize uzizwe ubuhlungu obuncane.
Ngemva kokuba ukuvaleka sekuvuliwe, udokotela angafaka ithubhu elifakwe ikhamera (i-cystoscope) esinyeni ukuze ahlole ezinye izinkinga. Yonke inqubo ithatha isikhathi esingaphansi kwehora.
Ngemva kokwelashwa, kuzosetshenziswa ithubhu elincane (i-catheter yomchamo) ukusiza umchamo uphume kalula kuze kube yilapho i-urethra iphola.Izohlala endaweni yayo. Ungakhathazeki ngalokhu. Le tube ingasuswa ezinsukwini ezimbalwa. Ngemva kwalokho, uzokwazi ukuchama kalula.
| Okufanele ukulindele ngemva kokwelashwa | Incazelo |
|---|---|
| Ubuhlungu | Kungase kube nokushisa nobuhlungu e-urethra kanye nalapho uchama. Lokhu kuzophela ezinsukwini ezimbalwa. Amaphilisi obuhlungu avamile angasetshenziswa. |
| I-catheter ye-urethral (i-catheter) | Ingashiywa endaweni yayo izinsuku ezimbalwa. Kujwayelekile ukuzwa igazi elithile emchameni ( i-hematuria ) kanye nokuqaqamba kwesinyi . |
| Ukubuyela emsebenzini | Umsebenzi olula ungaqalwa kabusha ezinsukwini ezimbalwa. Kunconywa ukuthi uyeke umsebenzi onzima kanye nemisebenzi yocansi okungenani isonto kuze kube yilapho uthola iseluleko sezokwelapha. |
| Isikhathi sokufonela udokotela wakho ngokushesha | |
| Izimo eziphuthumayo |
|
Kusebenza kangakanani lokhu kwelashwa?
Ukwelashwa kwe -Urethral Dilation kuphumelela kakhulu esikhathini esifushane. Kunesilinganiso sempumelelo esingaba ngu-60% sokuvaleka okungaphansi kwamasentimitha amabili. Inzuzo enkulu ukuthi izimpawu zokuvaleka komchamo ziyanyamalala futhi ungachama kalula futhi ngaphandle kobuhlungu.
Kodwa-ke, lokhu kungase kungabi yisisombululo esihlala njalo sawo wonke umuntu. Ngokuhamba kwesikhathi, i-urethra ingase ivaleke futhi. Ngemuva kwalokho kungase kudingeke ukuthi uphinde welashwe noma olunye ukwelashwa okufanele. Udokotela wakho uzokunikeza ikhambi elingcono kakhulu lalokhu ngokwesimo sakho. Ngakho-ke, ungagcini noma yimiphi imibuzo engqondweni futhi uxoxe ngakho konke nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukwanda komchamo kuyindlela elula nesheshayo yokwelapha ukuqina komchamo .
- Lokhu akuyona indlela enkulu yokuhlinzwa, futhi ungalulama ngokushesha. Ungabuyela emisebenzini evamile ezinsukwini ezimbalwa.
- Kujwayelekile ukuzwa ubuhlungu nokusha emgudwini womchamo ngemva kokwelashwa. Lokhu kuzophela ezinsukwini ezimbalwa.
- Lokhu kungase kungabi yisixazululo esihlala njalo. Kwabanye abantu, lesi simo singase sibuye ngokuhamba kwesikhathi.
- Uma uhlangabezana nezimpawu ezingavamile njengomkhuhlane, ubuhlungu obukhulu, noma ukungakwazi ukuchama, yazisa udokotela wakho ngokushesha.
👩🏽⚕️ Imibuzo Evame Ukubuzwa (FAQ) evela kuDokotela
💬 Dokotela, yini imbangela yalobu bunzima bokuchama? Ingabe lesi yisimo esibucayi?
Isizathu sokuba ube nenkinga yokuchama kungaba ukuncipha kwe-urethra. Lokhu sikubiza ngokuthi 'ukuqina kwe-urethra'. Ungakhathazeki, lesi yisimo esivamile. Njengoba nje umsele ovalekile unganciphisa ukugeleza kwamanzi, i-urethra yakho kungenzeka ukuthi ivinjiwe yizicubu zesilonda. Lokhu kungabangelwa izinto ezifana nokutheleleka, ukuvuvukala, noma ukulimala kwangaphambilini. Ngezinye izikhathi, asikho isizathu esicacile.
💬 Ngakho-ke, odokotela, ikuphi ukwelashwa kwalokhu? Kwenziwa kanjani?
Nokho, indlela elula yokwelapha esiyenzela lokhu ibizwa ngokuthi 'Ukwanda Kwe-Urethral'. Lokho kusho ukwandisa kancane i-urethra evalekile. Sikwenza lokhu njengodokotela ochwepheshe, sisebenzisa amathuluzi amancane akhula kancane kancane, bese sandisa kancane indawo evalekile. Ngezinye izikhathi lokhu kungenziwa ngokufaka into efana nebhaluni elincane ngaphakathi bese ulifutha. Lokhu kungakusiza ukuthi uphinde ugeleze umchamo wakho.
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