Ingabe ubulokhu uzizwa unzima kancane ukuchama muva nje? Ingabe ukugeleza komchamo akusheshi njengakuqala, ingabe uyabhajwa, noma uzizwa sengathi awukachami nhlobo? Lolu hlobo lokungakhululeki lungenzeka kakhulu kwabesilisa. Esinye sezizathu eziyinhloko zalokhu ukuvaleka kwe-urethra, noma njengoba sikubiza ngokwezokwelapha , ukuncipha kwe-urethra (Urethral Stricture) . Ngakho-ke namuhla sikhuluma nge-Urethral Dilation, ukuhlinzwa okulula, okuncane okwenziwa njengesixazululo sale nkinga.
Kalula nje, kuyini ukuvuleka kwe-Urethral?
Ukwanda komchamo kuyindlela elula yezokwelapha enweba ingxenye encane noma evalekile ye-urethra. Cabanga uma ucezu lodaka lubhajwe epayipini lamanzi endlini yakho, ukugeleza kwamanzi kuzoncipha, akunjalo? Yilokho okwenzekayo nalapha. Ipayipi elikhipha umchamo emzimbeni wakho libizwa ngokuthi i-urethra. Izicubu zesibazi zingakheka ndawana thize ngaphakathi kwaleli payipi futhi zivale indlela. Lokhu kubizwa ngokuthi i-urethral stricture .
Kungaba nezizathu eziningana zalolu hlobo lokuvinjelwa:
- Ukutheleleka.
- Ukuvuvukala.
- Ingozi noma ukulimala (ukuhlukumezeka) emgudwini womchamo.
- Ngezinye izikhathi, isizathu esicacile singase singatholakali.
Ngakho-ke, ekwelashweni kwe-Urethral Dilation, udokotela we-Urologist usebenzisa izinsimbi ezincane kakhulu, ezinde, ezifana nenduku (imisindo) ukuze andise kancane kancane indawo lapho i-urethra yakho ivaliwe khona. Ngezinye izikhathi, lokhu kwenziwa ngokufaka idivayisi encane efana nebhaluni bese uyifutha ngokuphindaphindiwe.
Into ebalulekile ukuthi ngemva kokuvula i-urethra kanye, ukuvaleka kungase kuphinde kuvele. Uma lokhu kwenzeka, ngokuvamile kungcono ukusebenzisa ikhambi elihlala njalo, njenge -urethroplasty , kunokuphinda ukukhulisa. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Ingabe lokhu kufana nokuhlinzwa kwe-urethrotomy?
Ukuhlinzwa kwe-urethrotomy uhlobo lokuvulwa komchamo. Kule nqubo, udokotela ufaka ishubhu elilingana nepensela, elifakwe ikhamera (i-cystoscope) emchameni wakho ukuze ahlole ukuvaleka. Ngemuva kwalokho, esebenzisa ummese omncane kakhulu (i-scalpel) kuleyo nto efanayo, udokotela usika izicubu zesilonda ezibangela ukuvaleka, okwandise umchamo.
Ngingakulungiselela kanjani lokhu kwelashwa?
Lokhu akuyona indlela enkulu yokuhlinzwa. Kodwa ngaphambi kwalokho, kufanele ubonane nodokotela wakho futhi uthole iseluleko. Lapho,
- Isimo sakho sempilo jikelele siyahlolwa.
- Izinto ezifana nomfutho wegazi kanye nokushaya kwenhliziyo kuyahlolwa.
- Kungenziwa i -cystoscopy noma olunye uhlolo lwezithombe ukuze kubonakale ukuthi i-urethra ivalekile kangakanani.
- Kuzohlolwa umchamo ukuze kuhlolwe ukutheleleka. Uma kukhona ukutheleleka, kuzodingeka uthathe imithi yalo ngaphambi kwalokhu kwelashwa.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela kanye nemithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela kanye namavithamini), njengoba eminye imithi, njenge-aspirin, ingandisa ingozi yokopha.
- Udokotela wakho uzokutshela ukuthi kufanele uyeke ukudla noma ukuphuza isikhathi esingakanani ngaphambi kokwelashwa. Ngokuvamile, uma unikezwa i-anesthesia ejwayelekile, kungcono ukungadli noma ukuphuza lutho okungenani amahora ayisithupha.
| Ulwazi mayelana nokwelashwa | Incazelo |
|---|---|
| Ingabe ukuhlinzwa okukhulu? | Cha. Lokhu akuyona indlela enkulu yokuhlinzwa. Ungaya ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela. |
| Kuzothatha isikhathi esingakanani? | Ngokuvamile kuthatha isikhathi esingaphansi kwehora. |
| Kubuhlungu? | Ngeke uzwe ubuhlungu ngesikhathi sokwelashwa ngoba uzonikezwa i-anesthesia. Ungase uzwe ubuhlungu obuncane noma ukushisa lapho uchama izinsuku ezimbalwa ngemva kwalokho. Lokhu kungalawulwa ngemithi yobuhlungu evamile. |
Kwenzekani ngemva kokwelashwa?
Ngemva kokwelashwa, ungase ufake i-catheter yomchamo ukuze ikusize ukhiphe umchamo kuze kube yilapho i-urethra yakho iphola. Udokotela wakho noma umhlengikazi uzokutshela ukuthi ungayinakekela kanjani. Kufanele ukwazi ukuchama kalula ngemva kokususwa kwe-catheter ezinsukwini ezimbalwa.
Uma une-catheter endaweni yayo, ungase uzizwe unesifiso sokuchama ngisho noma isinye sakho singenalutho. Ungakhathazeki ngalokhu. Kuvamile futhi ukuba negazi elincane emchameni wakho (hematuria). Kodwa-ke, uma i-catheter yakho ivaliwe futhi umchamo ungaphumi,Udinga ukwazisa udokotela ngokushesha.
Injani imiphumela?
Inzuzo eyinhloko yalokhu kwelashwa ukuthi ukungakhululeki kokugcinwa komchamo sekuphelile, futhi ungachama kalula futhi kahle.
Nokho, lokhu akulona ikhambi elihlala njalo. Ngokuhamba kwesikhathi, ukuvaleka kungaphinde kubuye. Ngakho-ke, kungadingeka uphinde lokhu kwelashwa noma ufune olunye ukwelashwa okufanele.
Ngokuphathelene nempumelelo, kunesilinganiso sempumelelo esingu-60% sokuvinjelwa okuncane okungaphansi kwamasentimitha amabili. Kodwa-ke, leli phesenti lingase lehle ngokuhamba kwesikhathi.
Yini okufanele ngiyiqaphele ngemva kokwelashwa?
Isikhathi sokululama siyahlukahluka kumuntu nomuntu. Ngokuvamile, uzozizwa ungcono kakhulu ezinsukwini ezimbalwa.
- Ukubuyela emsebenzini: Ungaqhubeka nemisebenzi evamile ezinsukwini ezimbalwa. Kodwa-ke, uma unomsebenzi onzima ngokomzimba, cela udokotela wakho izinsuku ezimbalwa ezengeziwe zokuphumula.
- Ukuzivocavoca: Gwema ukuzivocavoca okunzima kuze kube yilapho udokotela wakho ekunike imvume.
- Ucansi: Kuwukuhlakanipha ukugwema ucansi okungenani isonto lonke ngemva kokwelashwa. Khuluma nodokotela wakho ngalokhu futhi.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokwelashwa, ungazinaki. Shayela udokotela wakho ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukungakwazi ukuchama.
- Ipayipi le-urethra elifakiwe livaliwe futhi umchamo awuphumi.
- Ukubonisa izimpawu zokutheleleka njengomkhuhlane, ukubanda, kanye nokuthuthumela.
- Uma ubuhlungu buqhubeka buba bubi kakhulu.
- Uma kukhona ukuvuvukala okungavamile.
Uma izimpawu zokugcinwa komchamo ziphinde zibuye ngisho nangemva kokululama, bona udokotela.
Umlayezo Wokuya Nawe Ekhaya
- Ukwanda komchamo kuyinqubo yezokwelapha engangenisi uketshezi, ephephile eyenziwayo ukwelapha ukuqina komchamo.
- Lokhu akuyona indlela enkulu yokuhlinzwa, futhi ungaya ekhaya ungalali esibhedlela.
- Ubuhlungu obuncane kanye nokungakhululeki ngemva kokwelashwa kuzophela ezinsukwini ezimbalwa.
- Lokhu kwelashwa kungase kungabi yisisombululo esihlala njalo, futhi uma ukuvaleka kuphinde kubuye ngokuhamba kwesikhathi, kungadingeka ukuthi uhlinzwe kabusha noma uhlinzwe kabusha.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ukungakwazi ukuchama, umkhuhlane, ubuhlungu obukhulu) ngemva kokwelashwa, yazisa udokotela wakho ngokushesha.
- Uma unemibuzo noma ukukhathazeka ngesimo sakho, xoxa ngakho ngokukhululekile nodokotela wakho. Bahlala bekulungele ukukusiza.
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