Ingabe ubuye ubhekane nokuvuza komchamo okungavamile uma uchama ? Noma ingabe uthola izifo zomchamo njalo? Lokhu kungaba yinto ehlazisayo futhi ehlazisayo ukukhuluma ngakho. Kodwa yisimo sezokwelapha esidinga ukuxoxwa ngaso futhi selashwe. Namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Urethrocutaneous Fistula, esingabangela izimpawu ezinjengalezi.
Kalula nje, iyini i-Urethrocutaneous Fistula?
Kulungile, ake sikubeke kalula. Ipayipi elikhipha umchamo emzimbeni wakho libizwa ngokuthi i-urethra. I-urethrocutaneous fistula iwukuxhumana okungavamile noma imbobo ekhula phakathi kwe-urethra nezitho zakho zangasese. Kufana nembobo encane emgodini wamanzi ovuza amanzi ngakolunye uhlangothi.
Lo mgodi ungaxhuma kwi-urethra usuka noma kuphi esikhumbeni sendawo yakho yokuzala. Lokhu kusho ukuthi uma uchama , umchamo othile uyavuza uphuma kule mbobo entsha. Lokhu akugcini nje ngokubangela ukuvuza komchamo, kodwa futhi kwandisa ingozi yokutheleleka njalo kwemigudu yomchamo (UTIs).
Lesi simo asivamile ukuba khona lapho umntwana ezalwa. Sivame ukwenzeka ngemva kokuhlinzwa, ukutheleleka, noma ingozi.
Ingabe lesi simo sibucayi?
Yebo, lesi akusona isimo okufanele sithathwe kalula. I-Urethrocutaneous Fistula ayipholi yodwa . Okusho ukuthi, ayinakwelashwa ngokuthatha umuthi wodwa. Ukuze uyelaphe, kudingeka ukuhlinzwa (ukuhlinzwa) nakanjani. Ngakho-ke, uma unezimpawu, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu.
Ziyini izimpawu? Ukubona kanjani lokhu?
Kunezimpawu ezimbili eziyinhloko nezisobala kakhulu zalesi simo. Ungase ube nazo zombili, noma ungase ube neyodwa kuphela.
| Uphawu oluyinhloko | Kusho ukuthini lokhu? |
|---|---|
| Ukuvuza komchamo okuvela endaweni engavamile | WenaUma umchamo uvuza embotsheni encane esikhumbeni, kungaba ngesikhathi sokuchama noma ngezinye izikhathi, ngaphandle kwendlela evamile, kubizwa ngokuthi ukungalawuleki komchamo . |
| Ukutheleleka okuvamile komgudu womchamo (UTIs) | Amagciwane afana namagciwane angangena kalula emgudwini womchamo ngale mbobo esanda kwakheka, okubangela izifo ezivame ukutheleleka njengokuvuvukala komchamo kanye nokulunywa. |
Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?
Isizathu esiyinhloko salokhu ukuhlinzwa kwangaphambilini. Lokhu kungaba yinkinga ngemva kokuhlinzwa kwesimo esibizwa ngokuthi "hypospadias" esikhona lapho kuzalwa, ikakhulukazi kubafana. Ngaphandle kwalokho, kunezinye izizathu futhi.
- Okunye ukuhlinzwa: Kungaphinde kwenzeke kaningi ngemva kokunye ukuhlinzwa okubandakanya i-urethra, isibonelo, i-urethroplasty noma mhlawumbe ukusoka.
- Ukutheleleka: Ngezinye izikhathi ukutheleleka kungabangela ubomvu ukuthi buqoqeke ngaphakathi kwezicubu bese kwakheka ithumba. Ngemva kokuba ithumba selipholile, indawo ingase iphume amanzi, ishiye isikhala esincane, esifana nomhubhe esixhumanisa nesikhumba.
- Ukulimala: Lesi simo singabangelwa futhi ingozi ehilela into ebuthuntu endaweni yokuzala (isb., ukushaywa kanzima yibhola lekhilikithi) noma 'ukulimala kwe-straddle' okubangelwa ukuwa endaweni efana nezibambo zebhayisikili.
- Ezinye izimbangela ezingavamile: Akuvamile kakhulu, lesi simo singaba khona kusukela ekuzalweni. Kukhona futhi ingozi yokuthuthukisa izimo ezinjalo ngenxa yesifo sikashukela esingaphathwanga kahle.
Udokotela ukuthole kanjani lokhu ngempela?
Uma uya kudokotela, angase akusole lokhu ngokusekelwe ezimpawini zakho. Kunezivivinyo ezimbalwa ezingenziwa ukuqinisekisa ukusola kwakho. Ungesabi lezi zivivinyo, zenzelwe ukuthola ukuthi inkinga ikuphi nokuthi ibukeka kanjani.
| Ukuhlolwa | Kalula nje, kwenzekani ngalokhu? |
|---|---|
| I-Voiding Cystourethrogram (VCUG) | Kufakwa idayi ekhethekile esinyeni sakho, futhi uma uchama , kuthathwa i-X-ray yomzila womchamo. Lokhu kuzokukhombisa ngokucacile ukuthi kukhona yini ukuvuza. |
| Ukubuyisela emuva i-Urethrograms | Lokhu kufana nokwangaphambilini. Idayi idluliselwa e-urethra ukuze kubonakale ukuthi lokhu kuxhumana okungavamile kukuphi. |
| I-CT Scan | Lokhu kungathatha izithombe ezicacile kakhulu, ze-3D zangaphakathi lomzimba wakho. Kungahlola nezinye izinkinga, njengezimpumputhe, ezizungeze i-fistula. |
| I-Cystoscopy | Ipayipi elincane kakhulu, elifakwe ikhamera (i-cystoscope) lidluliselwa e-urethra bese lihlolwa ngaphakathi. |
Iphathwa kanjani?
Njengoba sishilo ngaphambili, okuwukuphela kokwelashwa okuphumelelayo kwalokhu ukuhlinzwa. Kodwa-ke, uhlobo lokuhlinzwa olwenziwayo lungahluka kumuntu nomuntu. Kuya ngobukhulu be-fistula, indawo ekuyo, nokuthi ngabe kunezingaphezu kweyodwa.
- Ama-fistula amancane (angaphansi kwamamilimitha amabili): Lawa ngokuvamile angelashwa ngokuhlinzwa okulula. Udokotela uzothunga imbobo ivalwe.
- I-fistula enkulu: Lokhu kudinga ukuhlinzwa okuyinkimbinkimbi kancane. Uma isikhumba esizungeze imbobo singaphilile ngokwanele, udokotela ohlinzayo kungadingeka athathe i-skin flap kwenye ingxenye yomzimba ayifake endaweni, okudala ungqimba oluhle noluqinile "olungangenisi manzi".
Ngemva kokuhlinzwa, kuzodingeka ufake i-catheter yomchamo ukuze ukhiphe umchamo esinyeni sakho ngenkathi ululama. Cishe kuzodingeka uhlale esibhedlela ubusuku bonke.
Ingabe ngizolulama ngokushesha ngemva kokuhlinzwa?
Yebo, izinga lempumelelo yalokhu kuhlinzwa liphezulu kakhulu. Ngokusho kocwaningo olulodwa, izinga lempumelelo licishe libe ngu-89%. Umzimba womuntu wonke uhlukile, ngakho-ke isikhathi sokululama singahluka kancane. Ngokuvamile,
- Ukuvuvukala kanye nokuklwebheka okwenzeka ngemva kokuhlinzwa kuzophela phakathi namasonto ambalwa.
- Kungathatha cishe amasonto ayisithupha ukululama ngokuphelele.
Uma izimpawu ziqhubeka ngemva kokuhlinzwa kokuqala, udokotela angase anqume ukwenza ukuhlinzwa okuyinkimbinkimbi kakhulu. Kodwa-ke, kubalulekile ukulinda okungenani izinyanga eziyisithupha ukuze indawo kusukela ekuhlinzeni kokuqala iphole ngokuphelele ngaphambi kokwenza ukuhlinzwa kwesibili.
| Izinto okufanele uziqaphele ngemva kokuhlinzwa | |
|---|---|
| Ukulandelela okuvamile | Ngemva kokuhlinzwa, qiniseka ukuthi uya emtholampilo ngezinsuku udokotela akunikeza zona. Udokotela kudingeka aqaphele ukuthi uyalulama kanjani. |
| Uma unalezi zimpawu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha. | |
| |
Umlayezo Wokuya Nawe Ekhaya
- I-Urethrocutaneous fistula iwukuxhumana okungajwayelekile phakathi kwe-urethra yakho nesitho sakho sangasese sowesifazane. Lokhu kungabangela ukuvuza komchamo kanye nokutheleleka okuvamile.
- Lokhu ngeke kuziphole ngokwako . Kudingeka ukuhlinzwa nakanjani.
- Ungesabi, ukuhlinzwa kwalokhu kuphumelele kakhulu.
- Uma unalezi zimpawu, ungabi namahloni noma ungabi namahloni, kodwa khuluma nodokotela ochwepheshe bezifo zesinyi kanye nomgudu womchamo (udokotela wezifo zomchamo) . Ukuthola ukwelashwa kusenesikhathi kungakusiza ukuthi ululame ngokushesha.
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