Ingabe ngezinye izikhathi uzizwa ubuhlungu noma ukushisa ngenkathi uchama ? Noma mhlawumbe uqaphela umuzwa wokuchama okuhlala isikhathi eside ngisho noma usuqedile? Nakuba kungaxoxwa kabanzi, lokhu kungaba yisimo esaziwa ngokuthi i-Urethral Diverticulum (UD). Ungakhathazeki—ukuqonda lesi simo kuyisinyathelo sokuqala sokuthola impumuzo oyidingayo.
Iyini i-Urethral Diverticulum (UD)?
Kalula nje, i -Urethral Diverticulum (UD) iyisikhwama esincane, esifana nesikhwama esakheka odongeni lwe-urethra—ipayipi elithwala umchamo usuka kwesinyeni sakho uphume emzimbeni wakho. Cabanga ngakho njengebhamuza elincane noma iphakethe eliphuma ohlangothini lwebhaluni. Njengoba i -urethra yowesifazane ivame ukuba ngamasentimitha angu-4 ubude, umchamo noma ngezinye izikhathi ubomvu bungaqoqana ngaphakathi kwalesi sikhwama. Lokhu kwandisa kakhulu ingozi yokutheleleka okuphindaphindiwe kanye nezinye izinkinga.
Ingabe lesi yisimo esivamile?
Empeleni, kubhekwa njengokungavamile. Kodwa-ke, kutholakala kaningi namuhla kunangaphambili, ikakhulukazi ngenxa yamasu okuthwebula izithombe athuthukisiwe atholakala kubahlinzeki bezempilo. Uma ubika ukungakhululeki okuqhubekayo kule ndawo, la mathuluzi avumela odokotela ukuthi babone inkinga kalula kakhulu.
Ngenxa yokuthi kuyinto engavamile, abahlinzeki bezempilo bangase bangakusoli ngaso sonke isikhathi ekuqaleni, okungase kuholele ekubambezelekeni kokuxilongwa.
Ngenxa yokuthi lesi yisimo esingavamile, udokotela wakho angase angasicabangi ngokushesha. Yingakho kubalulekile ukuchaza ngokucacile zonke izimpawu zakho.
I-Urethral Diverticulum (UD) ivame ukutholakala kwabesifazane abaneminyaka ephakathi kuka-30 no-60 . Uma ukuleli qembu leminyaka, kuyasiza ukukhumbula lolu lwazi.
Yini ebangela lokhu?
Ngokuvamile kunzima ukukhomba imbangela eyodwa, kodwa izici eziningana zingase zibe nomthelela:
- Ukutheleleka okuvamile komgudu womchamo (UTIs) : Ukutheleleka okuphindaphindiwe kungenza buthaka udonga lomchamo ngokuhamba kwesikhathi, okungase kuvumele ukwakheka kwesikhwama.
- Ukuvaleka kwezindlala : Abanye bakholelwa ukuthi ukuvaleka kwezindlala ezincane ezizungeze i-urethra kungaholela kulesi simo. Kwezinye izimo, kungase kuhlotshaniswe nobuthakathaka bokuzalwa.
Ziyini izimpawu?
Abesifazane abaningi abane-Urethral Diverticulum (UD) banomuzwa wokuthi kukhona iqhubu noma inqwaba ebangela ukungakhululeki esifundeni se-pelvic eduze kwesitho sangasese sowesifazane . Ungase uzizwe sengathi usukhiphe konke esinyini sakho, bese ubona umswakama ezimpahleni zakho zangaphansi ngemuva nje kokuma. Noma, ungase uzizwe unesifiso sokuchama esiphuthumayo, esinamandla, futhi okunzima ukusilawula.
Izimpawu ezengeziwe zingafaka:
- Ukutheleleka Okuvame Ukubangelwa Yizifo Zomgudu Womchamo (UTIs) .
- Ukuvuza : Umchamo uvuza ngamaconsi amancane ngemva nje kokuqeda ukuchama.
- Ubuhlungu noma ukushisa ngesikhathi sokuchama.
- Isidingo esiphuthumayo sokuchama njalo.
- Igazi emchameni wakho.
- Ubuhlungu ngesikhathi socansi.
Okubaluleke kakhulu, lezi zimpawu zingase zingabi njalo; zingafika zidlule. Okumangazayo ukuthi abanye abantu abane-Urethral Diverticulum abanazo nhlobo izimpawu —cishe ama-20% eziguli angase angazizwa engakhululekile. Uma usola ukuthi kukhona okungahambi kahle, sicela ungakushayi indiva.
Kutholakala kanjani?
I-Urethral Diverticulum (UD) ivame ukutholakala ngesikhathi sokuhlolwa kwe-pelvic noma lapho uchazela udokotela wakho izimpawu zakho. Udokotela wakho uzokwenza ukuhlolwa ngokomzimba futhi angase acele ukuhlolwa okuthile ukuqinisekisa imbangela.
Ukuhlolwa Komzimba
Udokotela wakho uzothinta kancane udonga lwesitho sangasese sowesifazane ukuze ahlole noma yiziphi izigaxa noma ubuningi futhi abone ukuthi ukufaka umfutho kubangela ubuhlungu yini. Uma kukhona isikhwama, udokotela angase akwazi ukusicindezela kancane ukuze abone ukuthi umchamo noma ubomvu kuyaphuma yini . Ukuhlolwa komchamo kuvame ukuyalelwa ukuze kuhlolwe ukutheleleka kwamanje.
Ukuhlolwa Kwezithombe Okukhethekile
Uma udokotela wakho esola inkinga ngemva kokuhlolwa kwakho ngokomzimba, angase acele ukuhlolwa okukhethekile:
- I-MRI (I-Magnetic Resonance Imaging) : Lokhu kusebenzisa i-magnet enamandla, amaza omsakazo, kanye nekhompyutha ukudala izithombe ezinemininingwane eminingi yokwakheka komzimba wakho wangaphakathi ngaphandle kwe-X-ray. I-MRI ilungele ukuhlola indawo ye-pelvic ukuthola noma yikuphi ukuqunjelwa noma ukungalingani. Nakuba kuthatha isikhathi eside, inembe kakhulu.
- I-Ultrasound : Ngokuthumela amaza omsindo avame kakhulu ezicutshini zakho nokuqopha ama-echoes, i-ultrasound idala izithombe zezitho zakho zangaphakathi. Kusiza udokotela wakho ukubona ngeso lengqondo isakhiwo sendawo ukuze abone ukuvuvukala noma amaphakethe agcwele uketshezi.
- I-Cystoscopy : Lokhu kuhilela ukufaka ipayipi elincane elinekhamera ku-urethra noma esinyeni ukuze kubonakale ngqo. Lokhu kusiza udokotela ukuthi abone i-diverticulum kanye nokuvulwa kwayo. Lokhu kuvame ukwenziwa ehhovisi .
Iphathwa kanjani?
Ukwelashwa okuyinhloko kwe-Urethral Diverticulum (UD) ukuhlinzwa .
Nakuba ukuhlinzwa kuvame ukuba yisisombululo esingcono kakhulu, akuyona njalo into ekhethwa ngokushesha yiwo wonke umuntu. Ukuxoxa ngezinketho zakho nodokotela wakho kubalulekile ukuze unqume ukuthi yini efanele isimo sakho.
Kwabanye, uma lesi simo singabangeli ukucindezeleka okukhulu, udokotela angase asikisele ukulinda uqaphile, uma nje uya njalo ekuvakasheni okulandelayo ukuze aqaphe noma yiziphi izinguquko noma izimpawu eziya ziba zimbi kakhulu.
Mayelana Nokuhlinzwa
Le nqubo ivame ukwenziwa yi- Urologist , udokotela ochwepheshe ohlelweni lomchamo. Ngesikhathi sokuhlinzwa, umgomo uwukukhipha noma ukulungisa isikhwama ngenkathi evikela i-urethra. Kuye ngobukhulu nendawo, udokotela ohlinzayo angasusa isikhwama ngokuphelele , noma angasika entanyeni yesikhwama ukuze akhiphe okuqukethwe noma adale imbobo engene esithweni sangasese sowesifazane ukuze avimbele ukwakheka okwengeziwe. Uma unezinkinga zokungakwazi ukuzibamba ngesikhathi esifanayo, udokotela ohlinzayo angase akwazi ukubhekana nazo ngesikhathi senqubo efanayo.
Ngemva kokuhlinzwa, iziguli eziningi zithatha ama-antibiotic okungenani amahora angama-24 ukuvimbela ukutheleleka. Ungase udinge ne- catheter amasonto ambalwa ukuze uvumele isinye sakho siphume amanzi ngenkathi ululama. Nakuba i-catheter ingaba yimbi kancane, ikhuthaza ukululama okusheshayo. Udokotela wakho cishe uzohlela ukuhlolwa okulandelayo ngaphambi kokuyisusa ukuqinisekisa ukuthi indawo ilulame kahle.
Yini ongayilindela esikhathini esizayo?
Nakuba kungavamile, ezinye iziguli zingase zibe nezinkinga eziqhubekayo. Uma isikhwama singasuswanga ngokuphelele noma singavalwanga kahle, lesi simo singabuya, okungenzeka sidinge ukuhlinzwa kwesibili . Kodwa-ke, iziguli eziningi zibona imiphumela emihle kakhulu ngemva kwenqubo yokuqala. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela ngemva kokuhlinzwa futhi ube khona kuzo zonke izikhathi zokulandelela.
Inothi lokugcina
Uma ubona lezi zimpawu, sicela uxhumane nomhlinzeki wezempilo ngaphandle kokungabazaKungaba ukutheleleka okuvamile, kodwa uma kuyi-Urethral Diverticulum, ukutholakala kusenesikhathi kanye nokwelashwa okufanele kunganikeza impumuzo ebalulekile futhi kuthuthukise ikhwalithi yokuphila kwakho.
Khumbula, asikho isizathu sokuzizwa unamahloni noma wesaba ukuxoxa ngalezi zimpawu. Impilo yakho iyimpahla yakho eyigugu kakhulu, futhi ukuyinakekela kungumthwalo wakho wemfanelo. Xoxa ngazo zonke izinkinga zakho nodokotela wakho ukuze uqhubekele phambili ngempilo enempilo nekhululekile.
Amathegi: I-Urethral Diverticulum, I-Urethra, Ukutheleleka Kwendlela Yomchamo, Impilo Yabesifazane, Ukushiswa Kwe-Urinary, Ukuhlinzwa, I-MRI, I-Ultrasound, I-Cystoscopy
