Ingabe uvame ukuthola izifo zomgudu womchamo? Uzizwa sengathi kufanele uphinde uchame ngemva kokuqeda ukuchama? Noma uzwa ubuhlungu ngesikhathi socansi? Abesifazane abaningi bachitha isikhathi sabo bengakhululekile ngezinkinga ezinjalo. Ngezinye izikhathi isizathu salokhu singaba yinto ehlukile kunalokho esikucabangayo. Namuhla sizokhuluma ngesimo esinjalo, esingaziwa kangako kodwa esingathinta abesifazane. Leso yi-Urethral Diverticulum.
Kalula nje, iyini i-Urethral Diverticulum (UD)?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi uhlelo lwethu lomchamo lusebenza kanjani. Umchamo, oqoqana esinyeni sethu, uphuma emzimbeni ngepayipi elincane elibizwa ngokuthi i-urethra . Kwabesifazane, le urethra imfushane kakhulu, cishe amasentimitha angu-4 ubude.
Manje ake ucabange ukuthi kuleli payipi lapho umchamo uya khona, okungukuthi, i-urethra, kwakheka into efana nesikhwama esincane noma iqhubu odongeni. Livuvukala njengebhaluni. Yilokho esikubiza ngokuthi i-Urethral Diverticulum (UD) . Lesi sikhwama esingadingekile esakheka.
Njengoba lesi sikhwama sitholakala ngqo emgudwini womchamo, umchamo ungasigcwalisa uma uchama. Ngezinye izikhathi, singaze sigcwale amagciwane kanye nobomvu. Lokhu kungaholela ezifweni ezivame ukutheleleka kanye nezinye izinkinga eziningi, njengobuhlungu.
Ingabe lesi yisimo esehlela abantu abaningi?
Akunjalo ngempela. Lesi yisimo esingavamile. Kodwa inani labantu abatholakala benalesi simo liphezulu kancane manje kunangaphambili. Isizathu salokhu ukuthi ubuchwepheshe bezokwelapha obuthuthukisiwe sebuyatholakala manje. Ikakhulukazi ngezindlela zokuskena ezifana ne-MRI ne-Ultrasound, sekuyinto engenzeka ukuthola lezi zinkinga emzimbeni ngokucacile.
Kodwa-ke, ngenxa yokuthi akuvamile, ngezinye izikhathi ngisho noma kunezimpawu, odokotela bangase banganaki lesi sici. Ngakho-ke, ezinye iziguli zingase zingahlolwa ngokunembile. Lesi simo sivame ukubonakala kakhulu kwabesifazane abaneminyaka ephakathi kuka-30 no-60 .
Yini ebangela lokhu?
Akulula ngaso sonke isikhathi ukuthola imbangela eqondile yalokhu, kodwa kunezinto ezimbalwa odokotela abakholelwa ukuthi zingenzeka:
- Ukutheleleka okuvamile komgudu womchamo: Uma unezifo ezivame ukutheleleka kwesinye kanye ne-urethra, udonga lwe-urethra lungaba buthaka. Lobu buthakathaka yilapho ingxenye efana nesikhwama iqala khona ukwakheka.
- Ukuvaleka kwezindlala ezizungeze i-urethra: Lapho izikhala zezindlala ezincane ezizungeze i-urethra zivaleka, uketshezi lunganqwabelana ngaphakathi kwazo, lutheleleke, futhi ngokuhamba kwesikhathi, lolu hlobo lwesikhwama lungakheka.
- Inkinga yokuzalwa: Akuvamile kakhulu, lesi simo singabangelwa ubuthakathaka obukhona lapho kuzalwa.
- Umthelela ngesikhathi sokubeletha: Kunethuba elincane lokuthi lesi simo singase senzeke ngenxa yokucindezeleka noma umonakalo endaweni ngesikhathi sokubeletha.
Ingabe nawe unalezi zimpawu?
Abesifazane abaningi abane-urethral diverticulum bangase bazizwe bengakhululekile, besinda, noma beneqhubu endaweni yesitho sangasese sowesifazane. Kodwa-ke, kungase kube nesinye noma ngaphezulu sezimpawu ezilandelayo. Ake sibheke lezi ukuze siziqonde kahle.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukutheleleka njalo komgudu womchamo | Ngenxa yokuthi umchamo uhlala ngaphakathi kwalelo sikhwama, amagciwane angasakazeka kalula futhi izifo zingavela ngisho kanye noma kabili ngenyanga. |
| Ukuvuza komchamo (ukuvuza komchamo) ngisho nangemva kokuchama | Ngemva kokuqeda ukuchama, umchamo owawugcwele esikhwameni uzophuma kancane kancane. Lokhu kungamanzisa izingubo zakho zangaphansi. |
| Ubuhlungu ngesikhathi sokuchama | Ungase uzizwe ushisa futhi ubuhlungu lapho uchama, ikakhulukazi uma unesifo. |
| Ukuphuthuma | Udinga ukuchama ngokuzumayo nangokungalawuleki. Udinga nokuchama kaningi ngosuku. |
| Igazi emchameni | Ngezinye izikhathi umchamo ungaba pinki noma ube bomvu. |
| Ubuhlungu ngesikhathi socansi | Ngenxa yendawo okuyo lesi sikhwama, ukusicindezela ngesikhathi socansi kungabangela ubuhlungu obukhulu. |
Into ebalulekile ukuthi lezi zimpawu azifani ngaso sonke isikhathi. Ngezinye izinsuku zingase zibe zincane, ngezinye izinsuku zibe zimbi kakhulu. Futhi, cishe amaphesenti angama-20 abesifazane abanalesi simo bangase bangabi nazo nhlobo izimpawu.
Udokotela usithola kanjani lesi simo?
Ngokuvamile, udokotela usola lokhu uma ubatshela ngezimpawu zakho, noma ngesikhathi sokuhlolwa kwe-pelvic. Ngemva kwalokho, benza izivivinyo ezimbalwa ukuthola imbangela eqondile.
1. Ukuhlolwa Komzimba
Okokuqala, udokotela uzohlola izindonga zesitho sakho sangasese sowesifazane ukuze abone ukuthi kukhona yini amaqhubu noma amasaka. Uzozama futhi ukuthola indawo eqondile yobuhlungu. Uma bezwa inqwaba efana nesaka, bazoyicindezela kancane ukuze babone ukuthi umchamo noma ubomvu kuyaphuma yini. Bazokwenza nokuhlolwa komchamo ukuze bahlole ukutheleleka.
2. Ukuskena nezinye izivivinyo
Uma kuvela ukusola ngemva kokuhlolwa ngokomzimba, ukuhlolwa okuthuthukile okufana nalokhu kungasetshenziswa ukuqinisekisa lokho.
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging): Lena indlela esebenzisa insimu yamagnetic namagagasi omsakazo ukukhiqiza izithombe ezicacile zangaphakathi komzimba, ngaphandle kokusebenzisa ama-X-ray. Lokhu kungahlola isitho sakho sangasese sowesifazane kanye nendawo ezungeze i-urethra yakho ukuze kubonakale ukuthi une-cyst nokuthi inkulu kangakanani.
- Ukuskena nge-Ultrasound: Lokhu kuhilela ukuthumela amaza omsindo avame kakhulu emzimbeni nokusebenzisa ama-echo ukudala izithombe zezitho zangaphakathi. Njengoba kunjalo ngokuskena okusetshenziselwa ukuhlola ingane ngesikhathi sokukhulelwa, lokhu kungahlola namaqhubu noma ukuvuvukala okuzungeze i-urethra.
- I-Cystoscopy: Lokhu kuhilela ukudlulisa ipayipi elincane elinekhamera encane exhunywe e-urethra ukuze kuhlolwe ingaphakathi le-urethra kanye nesinye. Lokhu kukuvumela ukuthi ubone kahle ukuthi imbobo ikuphi. Esikhathini esiningi, lokhu kuhlolwa kungenziwa ehhovisi likadokotela.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okungcono kakhulu nokuhlala njalo kwe-urethral diverticulum ukukhipha isikhwama ngokuhlinzwa .
Kodwa-ke, akubona bonke abantu abadinga ukuhlinzwa ngokushesha. Abanye besifazane, ikakhulukazi uma izimpawu zabo zingezimbi kakhulu, bakhetha ukulinda babone. Bayalinda ukuze babone ukuthi i-cyst iba nkulu yini noma ukuthi izimpawu zabo ziba zimbi kakhulu. Kodwa-ke, uma unquma ukwenza kanjalo, kubalulekile ukubona udokotela wakho ngesikhathi esifanele ukuze uqaphe isimo sakho.
Indlela ukuhlinzwa okwenziwa ngayo
Lokhu kuhlinzwa kuvame ukwenziwa udokotela wezifo zomchamo, udokotela ogxile ohlelweni lomchamo. Ngenxa yokuthi le ndawo ibucayi kakhulu, ukuhlinzwa kumele kwenziwe ngaphandle kokulimaza i-urethra.
Ngesikhathi sokuhlinzwa, udokotela ucabangela izici eziningi, njengobukhulu besikhwama nendawo yaso, bese ekhetha enye yalezi zindlela ezilandelayo.
1. Ukususwa ngokuphelele kwesikhwama: Lena yindlela evame kakhulu. Kusikwa isilonda ngesitho sangasese sowesifazane, isikhwama siyasikwa ngokuphelele bese sisuswa, bese kulungiswa i-urethra.
2. Ukuvula nokuthulula isikhwama: Kwezinye izimo, intamo yesikhwama iyasikwa, okuqukethwe kuyothululwa, bese isikhwama siyalungiswa ukuze singaphinde sakheke.
3. Ukuvuleka kwesitho sangasese sowesifazane: Enye indlela ukudala imbobo ehlala njalo kusukela esikhwameni kuya esitho sangasese sowesifazane. Bese, okuqukethwe okuqongelela ngaphakathi kuyohlala kuphuma ngesitho sangasese sowesifazane.
Into enhle ukuthi uma unezinye izinkinga, njengokungakwazi ukuzibamba umchamo, phakathi nalolu hlinzo, udokotela angazilungisa ngezinye izikhathi.
Ngemva kokuhlinzwa
Ngemva kokuhlinzwa, kuzodingeka uthathe ama-antibiotic cishe usuku lonke. Futhi, i-catheter izofakwa esinyeni sakho ukuze ikusize ukhiphe umchamo kalula kuze kube yilapho indawo yokuhlinzwa iphola. Lokhu kuvame ukushiywa endaweni cishe amasonto amabili kuya kwamathathu. Ngemva kwaleso sikhathi, udokotela uzokwenza olunye ukuhlolwa ukuze abone ukuthi inxeba selipholile yini bese esusa i-catheter.
Isimo sizoba njani esikhathini esizayo?
Iningi labantu liyalulama ngokuphelele ngemva kokuhlinzwa. Kodwa-ke, akuvamile kakhulu, abanye abantu bangase babe nezinkinga. Isibonelo, uma i-cyst ingasuswanga ngokuphelele, izinkinga zingase ziphinde zivele. Uma lokho kwenzeka, kungadingeka ukuthi uhlinzwe okwesibili. Kodwa-ke, ngokuxilongwa okufanele nokwelashwa ngudokotela oqeqeshiwe, lesi simo singalapheka ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- I-urethral diverticulum iyisikhwama esingafuneki esakheka eceleni kwe-urethra. Singagcwala umchamo noma ubomvu.
- Izimpawu eziyinhloko zifaka phakathi ukutheleleka njalo komgudu womchamo, ukuvuza komchamo ngemva kokuchama, ubuhlungu ngesikhathi sokuchama, kanye nobuhlungu ngesikhathi socansi.
- Abanye abantu bangase bangabi nazo izimpawu.
- Uma uqhubeka nokuba nezimpawu ezinjengalezi, ungabi namahloni noma ube namahloni, futhi nakanjani vakashela udokotela wakho.
- Lesi simo singahlolwa ngokunembile ngokuhlolwa okufana nokuhlolwa ngokomzimba, i-MRI, i-Ultrasound, kanye ne-Cystoscopy.
- Lesi simo singalapheka cishe ngokuphelele ngokuhlinzwa, ngakho-ke asikho isidingo sokukhathazeka.
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