Ingabe nawe unenkinga yokuchama? Lokhu kungaba ukuqina komchamo!

Ingabe ngezinye izikhathi uzizwa unzima kancane uma uchama? Noma uzizwa sengathi umchamo wakho uyehla, noma uzizwa sengathi kusekhona okunye ngemva kokuqeda ukuchama? Lezi yizinkinga ezivamile. Kodwa isizathu salokhu kungaba ukuthi i-urethra yakho incane kancane. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-urethral stricture .

Kuyini Ukuqina Kwe-Urethral?

Kalula nje, ukuqina komchamo kuwukuncishiswa komchamo wakho. Uyazi, ukuchama yindlela umzimba wethu okhipha ngayo imfucuza. Lo mchamo uphuma ngepayipi elincane elivela esinyeni. Sibiza leli payipi ngokuthi i-urethra.

Manje bheka, endodeni , le urethra isuka kwesinyeni iye esithweni se-urethra esisesiqongweni sepenis. Kowesifazane , le tube ixhuma kusuka kwesinyeni iye esikhaleni esiphambi kwesitho sangasese sowesifazane.

Ngakho-ke, uma le ndlela yomchamo, okungukuthi, i-(Urethra), ivaleka noma incishiswa ngesizathu esithile, yilapho-ke kuvela khona i-(Urethral Stricture). Kufana nepayipi lamanzi elivaleka phakathi. Abanye abantu bakubiza nangokuthi yi-(Urethral Stricture Disease).

Sivame kangakanani lesi simo?

Ukuqina komchamo kuvame kakhulu kwabesilisa. Uma sikhuluma nje, kuthinta cishe u-1% wabesilisa. Akuvamile kangako kwabesifazane.

Ziyini izimpawu zalokhu?

Uphawu oluyinhloko lokuqina komchamo ukwehla kwesivinini sokugeleza komchamo, noma ukuncishiswa komchamo. Ungase ubhekane nalokhu okulandelayo:

• Ukuzikhandla ukuze uchame: Kufanele uzame kanzima ukuze ukhiphe umchamo.
• Ubuhlungu ngesikhathi sokuchama (i-dysuria).
• Ukutheleleka okuvamile komgudu womchamo (UTIs). Ungase ube nomkhuhlane kanye nokubanda.
• I-Prostatitis: Lokhu kungenzeka kwabesilisa.

Cabanga nje ukube ubusesimweni lapho ucindezeleke kakhulu kangangokuthi awukwazi ngisho nokuchama? Lokho bekuyoba nzima ngempela, akunjalo?

Ngezinye izikhathi, uma lokhu (Ukuqina Kwe-Urethral) kuba nzima kakhulu, ungase ubhekane nesimo lapho ungakwazi ukuchama (Ukugcinwa Komchamo Okukhulu). Lesi yisimo esidinga ukwelashwa okuphuthumayo. Ngoba, uma ungelashwa, umchamo ungabuyela emuva futhi uthinte zombili izinso, okubangela ukuba zivuvuke (i-Hydronephrosis). Futhi, kukhona ithuba lokwehluleka kwezinso (Ukwehluleka Kwezinso). Ngakho-ke, udinga ukuqaphela kakhulu ngalokhu.

Kuzwakala kanjani uma une-Urethral Stricture?

Lokhu kuncike kakhulu ebunzimeni bokuqina komchamo wakho. Kwabanye abantuUngase uzizwe sengathi udinga ukuchama njalo, njengokungathi kusadingeka uchame ngemva kokuphuma endlini yokugezela. Noma ungase ube nesifiso sokuchama esingalawuleki ngokuzumayo. Kwezinye izimo, ungase uzizwe ngisho nobuhlungu lapho uchama.

Yini ebangela lokhu?

Ezimweni eziningi, imbangela eyinhloko yokuqina komchamo ukuvuvukala okungapheli noma izicubu zesibazi ngenxa yokulimala. Lezi zicubu zesibazi zinciphisa umchamo, okwenza kube nzima ukuthi umchamo ugeleze kalula.

Lesi silonda singakheka kancane kancane ngenxa yezizathu ezilandelayo:

• Ukulimala kwepenis noma i-scrotum yakho (isikhwama esibamba amasende akho), mhlawumbe ngenxa yokuwa noma ingozi.
• Ukutheleleka, ikakhulukazi ukutheleleka okuthelelwana ngocansi (STI), njenge-chlamydia.
• Ama-catheter omchamo noma ezinye izinto zifakwa nge-urethra ngesikhathi sokuhlinzwa noma ezinye izinqubo zezokwelapha.
• Ngenxa yezimo ezifana nomdlavuza we-urethra noma we-prostate .
• Ngenxa yokuthola ukwelashwa ngemisebe .

Ngezinye izikhathi, awuqapheli ukuthi une-urethral stricture kuze kube yilapho ukuvuvukala noma ukulimala kwe-urethra sekupholile. Ngezinye izikhathi, lokhu kuncipha kungenzeka ngokushesha ngemva kokulimala.

Ungakwazi yini ukuchama uma une-urethra stricture?

Abantu abaningi bangachama ngisho nange-urethral stricture. Kodwa-ke, kungaba nzima futhi kube buhlungu. Ungase uzizwe sengathi isinye sakho asikaphumi ngokuphelele. Kodwa-ke, uma i-urethral stricture inzima, ungase ungakwazi nhlobo ukuchama. Uma unesifo somgudu womchamo kodwa ungakwazi ukuchama, kubalulekile ukufuna iseluleko sikadokotela ngokushesha.

Ubani othinteka kakhulu yilesi simo?

Noma ubani angaba nokuqina komchamo. Kodwa-ke, uma ungowesilisa futhi uneminyaka engaphezu kwengu-55, kungenzeka kakhulu ukuthi ube nalesi simo.

Wazi kanjani ukuthi une-Urethral Stricture (i-Urethral Stricture)?

Uma uzizwa sengathi uchama kancane kakhulu noma ubuthakathaka kakhulu, bona udokotela ngokushesha. Angase enze izivivinyo ezilula ukuze abone ukuthi unenkinga yini yokukhipha isisu sakho. Nakuba lezi zivivinyo zingakwazi ukusho ngokuqondile ukuthi une-urethral stricture, zingasiza ekuboneni ukuthi kunenkinga yini. Lezi yizivivinyo ezivame ukwenziwa:

• Ukuhlolwa kokugeleza komchamo: Lokhu kulinganisa izinga lokugeleza komchamo uma uya endlini yokugezela.
• Ukuhlolwa komchamo okuhlala isikhathi eside (i-PVR): Lokhu ukuhlolwa kwesithombe okukala ukuthi kusele umchamo ongakanani esinyeni sakho ngemva kokuchama. Ngokuvamile, esinyeni sakho kufanele singabi nalutho ngokuphelele ngemva kokuchama. Kodwa-ke, uma une-stricture, umchamo othile ungase usale.

Lezi zivivinyo ezilula azikwazi ukuqiniseka ukuthi ubunzima bakho bokukhipha isisu sakho bubangelwa ukuqina komchamo noma esinye isimo. Ngakho-ke, uma udokotela wakho esola ukuthi kukhona ukuqina komchamo, angase acele i-X-ray ebizwa ngokuthi i-retrograde urethrogram ukuze ayibone futhi alinganise ubude nobubanzi bayo. Kulokhu kuhlolwa, udokotela ufaka uketshezi olukhethekile (udayi wokungafani) ku-urethra yakho. Lolu ketshezi lusiza i-X-ray ukuthi ibonise ukuthi ukuqina komchamo kukuphi nokuthi bude kangakanani.

Udokotela wakho angenza nokuhlolwa okubizwa ngokuthi i-cystoscopy . Lokhu kuhilela ukufaka ithubhu elincane eliguquguqukayo (isikophu) elinekhamera enamathiselwe ekugcineni kwe-urethra yakho. I-cystoscope ivumela udokotela ukuthi abone ukuthi ikuphi ukuqina. Ngaphambi kokuhlolwa, kufakwa umuthi oqeda izinhlungu e-urethra yakho ukuze kuncishiswe ukungakhululeki.

Indlela yokwelapha (i-Urethral Stricture)?

Kunezindlela eziningana zokwelapha i-Urethral Stricture. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu ngokusekelwe esimweni sakho.

• Ukwanda Kwe-Urethral: Kule nqubo, udokotela we-urologist usebenzisa uchungechunge lwezinduku ezinde nezincane ukuze andise indawo encishisiwe, kancane kancane efaka izinduku ezikhula ngokuqina.
• Ukuhlinzwa Kwangaphakathi Kwe-Urethrotomy: Kulokhu, ummese omncane (i-scalpel) unamathiselwa ekugcineni kwe-cystoscope, bese kuthi izicubu zesibazi zisikwe futhi zisuswe.
• Ukwakhiwa Kabusha Kwe-Urethral: Lokhu kuwukuhlinzwa okukhulu kancane. Kulokhu, ingxenye encane iyasuswa bese kuthi iziphetho ezimbili eziphilile ze-urethra zixhunywe kabusha.

Into ebaluleke kakhulu ukukhuluma nodokotela wakho bese unquma ukuthi yikuphi ukwelashwa okufanele wena.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kuncike ohlotsheni lokwelashwa olutholayo. Ukwelashwa okulula okufana ne -Urethral Dilation kungase kuqale ukuqeda izimpawu zakho zingakapheli izinsuku ezimbalwa. Kodwa-ke, uma uhlinzwa, kungathatha amasonto afika kwayisishiyagalombili ukululama ngokuphelele. Udokotela wakho uzokunikeza umbono ocacile wesikhathi sakho sokululama, kuye ngokwelashwa okunconyelwe wena.

Yini ongayilindela uma une-Urethral Stricture?

Ngokwelashwa okufanele, lesi simo (Ukuqina Kwe-Urethral) sivame ukuba nemiphumela emihle. Kodwa-ke, njengoba izicubu zesilonda zingaphinde zibuye, kungadingeka ukwelashwa okuningi.Kuzodingeka ube ne-aphoyintimenti yokulandelela nodokotela wakho ukuze ubone ukuthi ululama kahle yini nokuthi izicubu zesilonda ziyakha futhi.

Kungenzeka yini ukuphila ne-(Urethral Stricture)?

Uma kungelashwa, ukuqina komchamo kungaholela ezinkingeni ezisongela ukuphila, njengokwehluleka kwezinso kanye nokutheleleka okukhulu. Ngakho-ke, uma unezimpawu zokuqina komchamo, ikakhulukazi uma izimpawu zivela ngokuzumayo, bheka udokotela ngokushesha okukhulu.

Ungakuvimbela kanjani ukwakheka kwe-urethra stricture?

Akuzona zonke izimbangela zokuqina komchamo ezingavinjelwa. Kodwa-ke, ungenza okulandelayo ukusiza ekuvimbeleni ukulimala endaweni yakho yesinqe:

• Gqoka isembozo sokuzivikela esifaneleka kahle (indebe yezemidlalo/i-jockstrap) uma udlala imidlalo noma eminye imisebenzi ethinta kakhulu.
• Uma ufaka i-catheter yomchamo, faka ijeli eningi yokugcoba.
• Gwema izifo ezithathelwana ngocansi (ama-STI). Wena kanye/noma umlingani wakho kufanele nisebenzise amakhondomu. Uma usola ukuthi unesifo socansi, bona udokotela ngokushesha. Thatha ama-antibiotic udokotela wakho akunike wona isikhathi sonke.

Khumbula, lezi yizinto esingazenza. Akuzona zonke izinto ezilawulwa yithi, kodwa kubalulekile ukuqaphela ngangokunokwenzeka.

Kufanele ubonane nini nodokotela?

Uma unezimpawu zokuqina komchamo, bona udokotela ngokushesha. Ngemva kokwelashwa, hlala uhlangana nodokotela wakho njalo ukuze uqiniseke ukuthi uphulukiswa kahle nokuthi ukuqina akubuyi. Uma usenezimpawu, angase akuncomele ukwelashwa okwengeziwe.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma unezinye zalezi zimpawu, iya ekamelweni lezimo eziphuthumayo eliseduze:

• Ukungakwazi nhlobo ukuchama.
• Ubuhlungu obandayo uma uchama.
• Igazi emchameni (i-Hematuria).
• Ukuba nezimpawu zokutheleleka, njengomkhuhlane.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Wazi kanjani ukuthi nginayo i-Urethral Stricture?
• Kungani ngithuthukise lokhu (Ukuqina Kwe-Urethral)?
• Ingakanani i-Urethral Stricture yami?
• Ngingazinakekela kanjani njengoba nginalokhu (Ukuqina Kwe-Urethral)?
• Hlobo luni lokwelashwa olunconywayo?
• Kukangaki ngidinga ukuza ngezikhathi zokulandelela?
• Liyini ithuba lokuthi (i-Urethral Stricture) yami ibuye futhi?Malini ?

Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo. Ngaleyo ndlela, ungasiqonda kangcono lesi simo.

Ekugcineni, kufanele uthi...

Ukuqina komchamo kuwukuncishiswa komchamo ngenxa yezicubu zesibazi. Nakuba lokhu kungenzeka kunoma ubani, kuvame kakhulu kwabesilisa abangaphezu kweminyaka engu-55. Lokhu kungabangela izinkinga ezikhathazayo, ngezinye izikhathi ezisongela ukuphila, njengobunzima bokuchama.

Kodwa akudingeki uhlupheke ngalezi zinkinga. Uma unezimpawu, bona udokotela. Angakwandisa lesi sikhala esincane futhi anciphise izimpawu zakho. Ngakho-ke ungesabi, into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

Ukuqina komchamo, Ukuvaleka komchamo, Izifo zomchamo, Ipayipi lomchamo, Ukuhlinzwa, Izimpawu