Ingabe i-urethra yakho ivaliwe? Ake sifunde ngokuhlinzwa kwe-Urethroplasty!

Ingabe uzwa ukungakhululeki, ubuhlungu, noma ukugeleza komchamo okubuthakathaka kakhulu, okungenazikhawu lapho uchama? Ingabe ngezinye izikhathi uzizwa sengathi isinye sakho asikaphumi ngokuphelele? Imbangela yalesi simo ukuthi i-urethra yakho, ipayipi elithwala umchamo lisuka kwesinye liye ngaphandle komzimba, lingase livaleke noma linciphe ndawana thize. Ngakho-ke namuhla sizokhuluma nge-Urethroplasty, ukuhlinzwa okukhethekile okwenziwa esimweni esinjalo futhi okunemiphumela ephumelelayo kakhulu.

Kalula nje, iyini i-urethroplasty?

I-urethroplasty inqubo yokuhlinzwa eyenziwa e-urethra yakho. Le tube, eyingxenye yesimiso sethu somchamo, ithwala umchamo usuka kwesinyeni uwukhiphe emzimbeni. Kwabesilisa, isidoda sikhishwa ngale tube.

Ngakho-ke, ngesizathu esithile, izicubu zesilonda zakha ngaphakathi kwale urethra, bese ipayipi liqala ukuba lincane noma linciphe, okuvimbela ukugeleza komchamo. Ngokwezokwelapha, lesi simo sibizwa ngokuthi ukuqina komgudu womchamo . Lesi simo sivame kakhulu kwabesilisa kunabesifazane.

I-urethroplasty ihilela ukusika ingxenye evalekile, enezibazi ye-urethra bese uxhumanisa kabusha izingxenye ezimbili eziphilile zepayipi. Noma, uma ukuvaleka kukude, kuthathwa ingcezu yezicubu ezivela kwenye ingxenye yomzimba bese isetshenziselwa ukulungisa ingxenye evalekile.

Kunezimo eziningana eziyinhloko lapho lokhu kuhlinzwa kungadingeka khona:

• Uma une-urethra stricture .
• Uma uke wahlinzwa i-urethra yakho useyingane ngenxa yeziphambeko ezithile zokuzalwa, njenge -epispadias noma i-hypospadias, njengoba kunethuba eliphezulu lokuphinde kuvele ukuvinjelwa kwe-urethra esebenziwe ngaphambilini.
• Njengengxenye yolunye ukuhlinzwa okwakha kabusha.

Kwenziwa kanjani ukuhlinzwa? Izicubu zithathwa kuphi?

Isikhathi esithathayo kulokhu kuhlinzwa sincike ebudeni kanye nesimo sokuvaleka. Ukuvaleka okuncane kungaqedwa ngesikhathi esincane. Kodwa-ke, ukuvaleka okude kuzothatha isikhathi eside ngoba ucezu lwethishu kufanele luthathwe kwenye indawo ukuze lulungiswe.

Ngakho ake sibheke ukuthi izicubu zokulungisa i-urethra zivame ukutholakala kuphi.

Kwenzekani ngaphambi kokuhlinzwa?

Ngaphambi kokuhlinzwa, udokotela wakho kuzodingeka azi kahle ukuthi ukuvaleka kukuphi e-urethra yakho nokuthi kungakanani. Lokhu kuvame ukuhilela i-X-ray (i-retrograde urethrogram) noma inqubo eqondiswa yikhamera (i-cystoscopy) . Lokhu akuzona izivivinyo ezibuhlungu kakhulu.

Ngemuva kwalokho, ngaphambi kosuku lokuhlinzwa, uzonikezwa imiyalelo yokuthi kufanele udle futhi uphuze nini, nokuthi kufanele uyeke noma cha ukuthatha noma yimiphi imithi oyithathayo.

Ngezinye izikhathi, udokotela wakho angase akuncome ukuthi ubeke i-catheter engaphansi kwesisu ngaphambi kokuhlinzwa. Lena inqubo lapho kufakwa khona ipayipi ngesisu esingezansi, ngqo esinyeni, ukuze kukhishwe umchamo. Lokhu kuvumela i-urethra ukuthi "iphumule" kuyilapho isinye sikhipha kalula, okuvumela izicubu zesilonda ukuba zibonakale ngokucacile. Lokhu kwenza kube lula ukususa indawo ngesikhathi sokuhlinzwa.

Kwenzekani ngemva kokuhlinzwa? Sinjani isikhathi sokululama?

Ngemva kokuhlinzwa, uzogcinwa egumbini lokululama uze uvuke ekuhlinzweni kwe-anesthesia. Ezimweni eziningi, ungaya ekhaya ngalobo busuku, noma kuzodingeka uhlale esibhedlela ubusuku bonke. Uma ubuyela ekhaya, uzoba ne -catheter endaweni yayo. Lokhu kwenzelwa ukugcina umchamo wakho ugeleza ngaphandle kokuvinjelwa kuze kube yilapho i-urethra esanda kwenziwa iphola.

Kanye nalokho, uzonikezwa imithi yokwelapha izinhlungu, ama-antibiotic ukuvimbela ukutheleleka, kanye nemithi yokuvimbela ukufinyela okungadingekile kwesinyi. Uma izicubu zithathwe emlonyeni, uzotshelwa ukuthi usebenzise i-mouthwash ekhethekile ukugcina inxeba lihlanzekile.

Uzonikezwa usuku lokubonana nodokotela wakho futhi emavikini amabili noma amathathu ngemva kokuhlinzwa. Ngaleso sikhathi, kungadingeka ukuthi wenze i-X-ray ukuze uhlole ukulungiswa. Lokhu kuhilela ukugcwalisa esinyeni sakho ngesisombululo esikhethekile, ukususa i-urethra, nokuthatha izithombe ze-X-ray ngenkathi uchama.

Khumbula lezi zinto ngesikhathi sokululama

• Kufanele ugweme ukushayela noma ukuhlala isikhathi eside ngenkathi une-catheter yakho yomchamo endaweni yayo.
• Kufanele ugweme ukuhlala ugoqe imilenze noma ukwenza izinto imilenze yakho isakazeke kabanzi (njengokukhuphuka izitebhisi) . Ukuhamba ngendlela evamile nokukhwela izitebhisi kulungile.
• Ngisho nangemva kokuba i-catheter ye-urethral isisusiwe, kufanele ugweme ukuya ocansini noma ukushaya indlwabu amasonto ayisithupha kusukela ngosuku lokuhlinzwa.
• Inxeba elingaphakathi emlonyeni liphola ngokushesha okukhulu. Cishe emavikini amathathu, kwakheka izicubu ezintsha bese inxeba livaleka.
• Ngokuvamile kuzodingeka uthathe ikhefu emsebenzini noma esikoleni amasonto amabili kuya kwamathathu ngemva kokuba i-catheter yakho yomchamo isifakiwe.

Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?

Inzuzo enkulu yalokhu kuhlinzwa ukuthi kuyindlela engcono kakhulu nephumelelayo yokwelapha ukuvaleka komchamo. Ucwaningo lukhombisile ukuthi izinga lempumelelo yalokhu kuhlinzwa lingaphezu kuka-80%, kanti kwezinye izimo, lingaphezu kuka-90%.

Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Izinkinga nge-anesthesia kanye nokutheleleka kwamanxeba zivame kakhulu.

Ingozi enkulu ukuthi ukuhlinzwa kungase kungaphumeleli esikhathini eside nokuthi izibazi zizophinde zibuye futhi zibhajwe. Uma lokho kwenzeka, kungase kudingeke ukuthi uphinde uhlinzwe. Yingakho kubalulekile ukuza emtholampilo ngezinsuku udokotela akunikeza zona bese uhlolwa.

Ezinye izingozi ezingavamile:

• Ukulimala kwesikhashana kwemizwa emilenzeni, ezingalweni, kanye neminwe ngenxa yesimo ngesikhathi sokuhlinzwa.
• Ubuhlungu endaweni ephakathi kwamasende kanye nendunu ngenxa yokulimala kwemizwa.
• Umchamo noma isidoda singase siqoqeke endaweni yokuhlinzwa, okubangela ukuvuza noma ukuphuma koketshezi oluphuma endodeni.
• Ukungasebenzi kahle kwe-Erectile . Kodwa-ke, noma ngabe lokhu kwenzeka, ngokuvamile kuba okwesikhashana futhi kuxazululeka zingakapheli izinyanga ezingu-18 noma ngaphansi.

Isikhathi sokubona udokotela wakho ngokushesha

Uma unenkinga yokuchama, unezifo zomgudu womchamo ezivame ukwenzeka, noma utshelwe udokotela ukuthi uvalekile emgudwini wakho womchamo, qiniseka ukuthi ucela iseluleko sezokwelapha.

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa kwe-urethroplasty, yazisa udokotela wakho ngokushesha.

Ungesabi ukukhuluma nodokotela wakho nganoma yiziphi izimpawu okhathazekile ngazo. Ungumuntu ongcono kakhulu ukukutshela ukuthi yini engcono kakhulu okufanele uyenze ngokulandelayo.