Isixazululo esingcono kakhulu sokuvaleka komgudu womchamo: Ake sifunde ngokuhlinzwa kwe-Urethroplasty ngamagama alula

Ingabe nawe unenkinga yokuchama? Ingabe umchamo ubuthakathaka kakhulu futhi uhamba kancane? Noma uyaconsa? Ingabe ngezinye izikhathi uzizwa sengathi kusekhona umchamo ngemva kokuqeda ukuchama? Uma unezinye zalezi zimpawu, isizathu singase sibe ukuvaleka noma ukuncipha kwe-urethra yakho. Lokhu kwaziwa ngokwezokwelapha ngokuthi `(Urethral Stricture)`. Ngakho-ke namuhla sizokhuluma ngesisombululo esiphumelela kakhulu nesihlala njalo sale nkinga. Lokho ukuhlinzwa okubizwa ngokuthi `Urethroplasty`.

Kalula nje, iyini i-urethroplasty?

Ukuze siqonde lokhu, ake siqale sibheke ukuthi uhlelo lwethu lomchamo lusebenza kanjani. Umchamo ukhiqizwa emzimbeni wethu ezinso. Bese kuthi lowo mchamo uqoqeke esinyeni somchamo. Uma isinyi sigcwele, sizizwa sidinga ukuchama. Bese kuba khona ipayipi elithwala umchamo lisuka kwesinyeni liye ngaphandle komzimba. Lelo payipi libizwa ngokuthi i-urethra . Endodeni, isidoda siphuma emzimbeni ngaleli payipi.

Manje cabanga ukuthi kwenzekani uma le urethra ivalekile noma incishisiwe ngesizathu esithile? Njengoba nje ukungcola kubhajwa ngaphakathi kwepayipi lamanzi, kuba nzima ngamanzi ukugeleza, futhi umchamo awukwazi ukuphuma kalula. Ukuhlinzwa okwenziwa ukuze kulungiswe futhi kulungiswe leyo urethra evalekile noma encishisiwe kubizwa ngokuthi i-Urethroplasty .

Kule nqubo, udokotela ohlinzayo usika izicubu zesilonda ezivimba i-urethra bese exhumanisa izingxenye ezimbili ezinempilo zepayipi. Ngezinye izikhathi, uma ukuvaleka kukude kakhulu, isiqephu sezicubu esithathwe kwenye ingxenye yomzimba sisetshenziselwa ukwakha kabusha ingxenye. Kufana nokususa isiqephu sepayipi lamanzi elidala bese ulifaka isiqephu esisha.

Kungani lokhu kuhlinzwa kuyadingeka?

Kunezizathu eziningana eziyinhloko zokwenza i-urethroplasty. Ake sibheke ukuthi ziyini.

• Ukuqina komchamo: Lena imbangela evame kakhulu. Ukuvaleka kwezibazi ngaphakathi komchamo kungabangela ukuthi ube mncane ngenxa yokutheleleka, ingozi, ukuhlinzwa kwangaphambilini, noma esinye isizathu. Lesi simo sivame kakhulu kwabesilisa kunabesifazane.
• Izimo zokuzalwa: Ezinye izingane zizalwa zinezinkinga ezithile nge-urethra. I-Epispadias kanye ne-hypospadias ziyizimo ezimbili ezinjalo. Nakuba lezi zingalungiswa ngokuhlinzwa ebuntwaneni, kamuva zingaba nokuvinjelwa ezindaweni lapho kwenziwa khona ukuhlinzwa.
• Okunye Ukuhlinzwa Okwakha Kabusha: Lokhu kuhlinzwa kungase kudingeke ngezinye izikhathi kumuntu oke wahlinzwa okunye okwakha kabusha endaweni yezitho zangasese.

Ingabe i-urethroplasty iwukuhlinzwa okukhulu?

Lokhu kuncike kakhulu ekutheni ingakanani i-urethra yakho okudingeka ilungiswe. Uma ukuvaleka kuncane, ukuhlinzwa kokuyisika nokuhlanganisa izinhlangothi ezimbili ze-urethra ndawonye kuthatha isikhathi esincane. Kodwa uma ukuvaleka kukude, ucezu lwezicubu (i-graft) oluvela kwenye ingxenye yomzimba lungasetshenziswa ukulungisa i-urethra. Khona-ke ukuhlinzwa kuba nzima kakhulu futhi kuthatha isikhathi eside.

Utholaphi le thishu?

Kunezindawo eziningana lapho odokotela abahlinzayo bevame ukuthola khona izicubu ngale njongo.

• Ngaphakathi emlonyeni wakho: Yebo, uzwe kahle. Lesi zicubu zivame ukuthathwa odongeni olubushelelezi lwesihlathi sakho (i-buccal mucosa) noma ngaphakathi kwezindebe zakho. Lena indlela ephumelela kakhulu.
• Esithweni sakho sangasese: Uma uyindoda, ingxenye yesikhumba esivela endodeni yakho ingathathwa. Uma kwenzeka ukuhlinzwa okwakha kabusha, ingxenye yesikhumba esivela esithweni sakho sangasese noma elabini ingathathwa.
• I-Rectal: Ngesikhathi ungaphansi kwe-anesthesia ngesikhathi sokuhlinzwa, ingcezu yezicubu ingathathwa odongeni lwangaphakathi lwe-rectum nge-rectum.

Ungesabi lokhu. Konke lokhu kwenziwa ngaphansi kokuhlinzwa okuphelele ukuze ungezwa ubuhlungu.

Kwenzekani ngaphambi kokuhlinzwa?

Ngemva kokunquma ukwenza ukuhlinzwa kwe-Urethroplasty, udokotela wakho uzoqala enze izivivinyo eziningana ukuze anqume ukuthi ukuvaleka kukuphi e-urethra yakho nokuthi kungakanani.

Zombili lezi zivivinyo ziyashesha futhi azibuhlungu. Udokotela uzobe esehlela ukuhlinzwa. Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, uzokunikeza imiyalelo yokuthi yimiphi imithi okufanele uyithathe, ukuthi yini okufanele uyidle, nokuthi uzile isikhathi esingakanani.

Ngezinye izikhathi, ungadinga i-Suprapubic Catheter ngaphambi kokuhlinzwa.Udokotela wakho angase akuncome. Lokhu kuhilela ukufaka ipayipi ngqo esinyeni sakho kusuka esiswini sakho esingezansi bese ulikhipha amanzi. Lokhu kunikeza i-urethra "ukuphumula." Izicubu zesibazi zibonakala ngokucacile, okwenza kube lula ukuzisusa ngokuphelele ngesikhathi sokuhlinzwa.

Kwenzekani ngesikhathi sokuhlinzwa?

Ngosuku lokuhlinzwa kwakho, uzoyiswa egumbini lokuhlinzwa. Lapho, udokotela wezinzwa uzokunikeza umuthi wokubulala izinzwa ojwayelekile . Lokhu kusho ukuthi uzoba sebuthongweni obujulile kuze kube yilapho ukuhlinzwa kuphelile. Ngeke uzwe lutho.

Udokotela ohlinzayo ube esesika isikhumba ukuze afinyelele i-urethra. Lokhu kusikwa kuvame ukwenziwa ngaphansi kwepenis, esikhumbeni, noma ngokuvamile endaweni ephakathi kwesikhumbeni kanye ne-anus (i-perineum).

Okulandelayo, indawo evinjiwe noma enezibazi iyahlonzwa, futhi kuye ngobude bayo nendawo yayo, indawo iyasikwa bese isuswa noma yakhiwe kabusha. Uma ukuvinjelwa kukude, kusetshenziswa i-graft ukwakha kabusha indawo, njengoba kuxoxwe ngakho ngaphambili, emlonyeni, ezithweni zangasese, noma endukwini.

Ngemva kokulungiswa sekuqediwe, kufakwa i-catheter ukuze kukhishwe umchamo kuze kube yilapho i-urethra iphola. I-incision iyavalwa bese ithungwa. Lawa ma-suture avame ukwenziwa ngohlobo lwentambo encibilika emzimbeni. Ngakho akudingeki ubuye uzosuswa ama-stitch.

Kwenzekani ngemva kokuhlinzwa?

Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama uze uvuke ekuhlinzweni kwe-anesthesia. I-urethroplasty ivame ukuhlala esibhedlela usuku noma ezimbili, futhi ungaya ekhaya. Ngezinye izikhathi ungaya ekhaya ngalolo suku. Kodwa-ke, awukwazi ukushayela wena, futhi kuzodingeka othile akushayele ekhaya.

Uma usuya ekhaya, kuzodingeka uthathe lezi zinto:

• I-catheter yomchamo
• Ama-Painkiller
• Ama-antibiotic ukuvimbela ukutheleleka
• Imithi yokuvimbela ukuqaqamba kwesinyi inganikezwa.
• Uma kukhishwa izicubu emlonyeni, kuzosetshenziswa isihlanzi somlomo esikhethekile ukugcina inxeba lihlanzekile.

Kuzodingeka ubone udokotela wakho futhi cishe emavikini amabili kuya kwamathathu ngemva kokuhlinzwa kwakho. Ngaleso sikhathi, ungase uthole enye i-X-ray ukuze uhlole ukulungiswa. Lokhu kuhilela ukususa i-catheter, ukugcwalisa esinyeni sakho ngesisombululo esikhethekile, nokuthatha izithombe ze-X-ray ngenkathi uchama. Lezi zithombe zizokusiza ekunqumeni intuthuko yakho yokuphulukiswa.

Yiziphi izinzuzo, izingozi, kanye nezinkinga zalokhu kuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezithile.

Izinzuzo

Inzuzo enkulu yalokhu kuhlinzwa ukuthi izinga layo lempumelelo liphezulu kakhulu . Ucwaningo lukhombisile ukuthi izinga lempumelelo yalokhu kuhlinzwa lingaphezu kuka- 80% . Kwezinye izimo, kuye ngohlobo lokuvaleka, izinga lempumelelo lingadlula u-90% . Lokhu kusho ukuthi uma abantu abayi-10 behlinzwa, abangu-8 noma abangu-9 bazolulama ngokugcwele.

Izingozi Nezinkinga

Kunezinkinga ezivamile nge-anesthesia kanye nengozi yokutheleleka ehambisana nanoma yikuphi ukuhlinzwa. Ngaphezu kwalokho, kunezinye izingozi eziqondene ngqo nalokhu kuhlinzwa. Ake sizihlolisise.

Kuzothatha isikhathi esingakanani ukululama? Ngingabuyela nini emsebenzini?

Lena inkinga abantu abaningi abanayo. Kunezinto ezimbalwa okudingeka uzazi mayelana nesikhathi sokululama.

• Ngesikhathi i-catheter isendaweni: Phakathi nalesi sikhathi (cishe amasonto ama-2-3), kufanele ugweme ukushayela noma ukuhlala isikhathi eside . Futhi, gwema ukuquleka noma ukwenza izinto imilenze yakho isakazeke kabanzi (njengokukhuphuka izitebhisi) . Kodwa-ke, kulungile ukuhamba ngendlela evamile nokwenza imisebenzi yasekhaya elula.
• Izilonda zomlomo: Uma ususwe izicubu emlonyeni wakho, ungakhathazeki. Izilonda zomlomo ziphola ngokushesha kakhulu. Cishe emavikini amathathu, izicubu ezintsha zizokhula futhi zivale indawo.
• Ukubuyela emsebenzini: Uzokwazi ukubuyela emsebenzini ngemva kokususwa kwe-catheter. Lokhu kusho ukuthi kuzodingeka uthathe ikhefu cishe amasonto ama-2-3 . Uma unomsebenzi onzima ngokomzimba, kungathatha isikhathi eside.
• Umsebenzi wocansi: Lokhu kubaluleke kakhulu. Kufanele ugweme ngokuphelele ukuya ocansini noma ukushaya indlwabu amasonto ayisithupha ngemuva kokuhlinzwa. Lokhu kubalulekile ukuze inxeba liphole kahle.

Kunini lapho udinga ukubonana nodokotela?

Uma unenkinga yokuchama, ukutheleleka njalo kwe-urinary tract (UTIs), noma uma udokotela ekutshelile ukuthi uvalekile e-urethra yakho, kufanele nakanjani ubone udokotela futhi uxoxe ngalokhu.

Uma uke wahlinzwa i-urethroplasty futhi uhlangabezana nanoma yiziphi izimpawu ezilandelayo eziyisixwayiso , kufanele uxhumane nodokotela wakho ngokushesha.

• Uma uthola umkhuhlane .
• Uma ukuhlinzwa kubonakale kuvulekile .
• Uma kukhona amabala egazi amaningi ezimpahleni zakho zangaphansi.
• Uma kukhona uketshezi olufana nobovu oluphuma esigaxeni.
• OkungalindelekileUma kukhona ubuhlungu obukhulu .
• Uma i-catheter yakho ivaliwe futhi umchamo ungaphumi.

Uma unokungabaza nganoma yini efana nale, ungayinaki. Shayela udokotela wakho noma isibhedlela ngokushesha ukuze uthole iseluleko.