Iyini i-bladder yomchamo eqhubekayo?

I-bhelu le-impisi iyithulu, iyilungu elinamandla elidlala indima ebalulekile ohlelweni lokukhishwa kwemchamo. Umsebenzi wayo oyinhloko uqobo ukugcina umchamo ovelwe yizinkalankala kuze kuphume emzimbeni. Ibhelu lingakwazi ukwelula kakhulu, likuvumela ukuba libeke imingcele eyahlukene yemchamo. Ngokuvamile, ibhelu lomuntu omdala lingagcina cishe ama-milliliters angu-300 kuya ku-500 wamanzi.

Ngokwakhe, ibhelu litholakala esiswini esisezantsi, ngemuva nje kwempumputhe. Lineqophe elihlukile lezicubu elibizwa ngokuthi epithelium eguquguqukayo, elikuvumela ukuba lilule futhi lihlale kalula. I-detrusor muscle, isigaba samandla aphansi, lisiza ibhelu ukuba licindezele ngesikhathi sokuthamba.

Umbono oyinhloko wezempilo yebhelu ulapho ibhelu ligcwele ngesilinganiso. Lokhu kwenzeka lapho ibhelu lingagcwaliswanga kepha line-urine eyanele ukwenza ukucindezela okuthile. Uma odokotela bekhuluma ngebhelu eligcwele ngesilinganiso, bakhuluma ngesimo esingathinta indlela esithamba ngayo, okuholela emizweni yokuphikelela noma ukudinga ukuya njalo. Ukuqonda lesi simo kubalulekile ekuxilongeni izinkinga nokwenza izinhlelo zokwelapha ezisebenzayo kulabo abathintekayo. Ukwazi ngebhelu eligcwele ngesilinganiso kubalulekile ekuqondeni impilo yomchamo.

data-mce-fragment="1">Ukuqonda Ukuqina Okungaphelele kwe-Bladder

Ukuqina okungaphelele kwe-bladder kwenzeka lapho ibhelu lingagcwaliswanga noma lingaluthi, ngokuvamile kutholakala ngesikhathi sokuhlola izithombe njenge-ultrasounds.

1. Indima ye-Bladder:
   Ibhelu ligcina umchamo kuze kuphume. Ikhono layo lokugeleza nokukhishwa ngokuphumelelayo kuncike ekubambisaneni okuhle phakathi kwamandla ebhelu nesistimu yomchamo.

2. Lapho Kwenzeka:
   Ukuqina okungaphelele kungase kwenzeke uma kunomchamo osale ngemuva kokukhishwa noma uma ibhelu lingagcwaliswa ngokwanele, ngokuvamile ngenxa yezinto zesikhashana noma ezingapheli.

3. Ukubuka Izithombe:
   Ngesikhathi se-ultrasound, ibhelu eligcwele ngesilinganiso lingase libonakale njengebhelu elinomchamo kepha alingagcwaliswanga ngokugcwele noma lingaluthi.

4. Uthinta Umsebenzi:
   Uma kushiywa kungalungiswa, ukuqina okungaphelele okuphindaphindayo kungase kuqine izindonga zebhelu, okungase kunciphisa ukuguquguquka kwazo namandla abo ngokuhamba kwesikhathi.

5. Ubaluleka Wokunisela:
   Ukungeneleli kwamanzi kungase kube yimbangela yokuba ibhelu libonakale ligcwele ngesilinganiso, ikakhulukazi ngesikhathi sokufunda izithombe.

6. Ukuqondakala Kwesimo:
   Nakuba isibonelo esisodwa singase singabi yinkinga, ukuqina okungaphelele okuqhubekayo kungase kubonise inkinga engaphansi okudingeka kuhlolwe.

data-mce-fragment="1">Ukuhlola Nokuhlola

1. Umlando Wezokwelapha: Odokotela baqala ngokubuza ngemikhuba yakho yokuthamba. Bafuna ukwazi ukuthi uya e-bathroom kangaki uma uzizwa sengathi ibhelu lakho liyaphuma futhi uma unezinhlungu lapho uthamba. Bangase futhi babeze ngezifo zakamuva, imithi, noma ukuhlinzwa okungase kuthinte indlela ibhelu lakho elisebenza ngayo.
2. Ukuhlolwa Komzimba: Ukuhlolwa komzimba kusiza ukuthola izimpawu zezinkinga zebhelu. Ngokwesibonelo, ukucindezela esiswini esisezantsi kungabonisa uma ibhelu lizwakala liqina noma libuhlungu. Ngezinye izikhathi, ukuhlolwa kwesigxobo noma kwesigxobo kungase kwenziwe ukuhlola izinkinga ngebhelu noma izindawo eziseduze.
3. Izivivinyo Zezithombe: I-Ultrasound: Uvivinyo oluvamile kakhulu lokuhlola ukuqina kwe-bladder. Lusebenzisa amaza omsindo ukukhiqiza izithombe, ebonisa ukuthi ibhelu ligcwele kangakanani futhi uma kunomchamo osale ngemuva kokuthamba. I-CT scan noma i-MRI: Lezi zindlela zokuhlola izithombe zingase zisetshenziswe ezimweni eziyinkimbinkimbi ukunikeza imibono emininingi ebhelu nasezitho ezizungezile.
4. Uvivinyo lwe-Post-Void Residual Volume (PVR): Lovivinyo luqala ukuthi kunomchamo ongaphi osale ebhelwini ngemuva kokuthamba. Lungase lenziwe usebenzisa i-ultrasound noma i-catheter. Inani elikhulu lomchamo osale lingase libonise ukuqina okungaphelele kwe-bladder.
5. Izivivinyo zomchamo: I-sample yomchamo ingase ihlolwe ukuqeda ukutheleleka, ukuvuvukala, noma ezinye izinto ezingavamile ezingase zifake isandla ekuqineni okungaphelele.
6. I-Cystoscopy: Kwezinye izimo, umphumela omncane onekhamera (cystoscope) ufakwa e-urethra ukubuka ngaphakathi kwe-bladder. Lokhu kusiza ukuthola izinkinga zesakhiwo, ukuphahlazeka, noma izinto ezingavamile.
7. Ukunisela nokuqapha ukusebenza kwe-bladder: Abaguli bangase bacelwe ukulandelela ukungenisa kwabo amanzi nezethambiso zabo izinsuku ezimbalwa. Lolu lwazi lusisiza odokotela ukuthi baqonde ukuthi amazinga okunisela nemikhuba ithonya kanjani ukusebenza kwe-bladder.

data-mce-fragment="1">Izindlela Zokwelapha Nokuphatha

data-mce-fragment="1">Ukushintsha Kwendlela Yokuphila

• Ukunisela: Ukugcina ukungenisa okwanele kwamanzi kusiza ukuqinisekisa ukuthi ibhelu ligcwele futhi liyaphuma kahle.

• Ukuqeqeshwa kwe-Bladder: Izindlela ezinjengokuqeqeshwa kwesikhathi noma ukuzivocavoca kwe-pelvic floor zingathuthukisa ukulawula nokusebenza kwe-bladder.

• Ukugwema Izinto Ezicasulayo: Ukunciphisa i-caffeine, utshwala, nokudla okunoshukela kungase kusize uma ukucasuka kwe-bladder kufake isandla enkingeni.

Imithi

• Nge-overactive bladder: imithi ye-anticholinergic noma i-beta-3 adrenergic ingase isize ukuthuthukisa ukuphumula kwamandla ebhelu nokunciphisa ukungaphuli.
• Ngokutheleleka: Ama-antibiotics abhalwa uma ukutheleleka kwe-urinary tract (UTI) kubangela ukuqina okungaphelele.
• Ama-Alpha-Blockers: Ezimweni ezihilela ukukhula kwe-prostate kumadoda, le miithi iphumula intamo yebhelu futhi ilungisa ukugeleza komchamo.

Ukuphuma Kwebhelu

• I-Catheterization: Uma ukugcinwa komchamo kubangela ibhelu ukuba ligcwele kancane, ukusebenzisa i-catheter yesikhashana kungase kusize ukuliphuma.

  I-Suprapubic catheter: Ezimweni ezinzima, umphumela omncane ungase ufakwe ngqo ebhelwini ngesisu ukuze usize ekukhishweni.

Izindlela Zokuhlinzwa

Ezimweni zezinto ezingavamile zesakhiwo noma ukuphahlazeka okuqhubekayo, ukuhlinzwa kungase kudingeke. Lokhu kungase kuhlanganise:

• Ukuhlinzwa kwe-Urethral Dilatation: Ukuqina izindawo eziqine.

• Ukuhlinzwa kwe-Bladder Neck: Ukulungisa ukuphahlazeka.

Ukuqapha Okuvamile

Ukuvakashela okulandelayo nokuhlolwa okuphindaphindayo, njengokulinganisa umthamo we-post-void residual, kusiza ukuqinisekisa ukuthi ibhelu lisebenza kahle ngokuhamba kwesikhathi.

Imfundo Yomgculi

Ukufundisa abaguli ngesimo, izimbangela zaso, nezindlela zokuzilawula siqu kuqinisekisa impumelelo yesikhathi eside. Ukungenelela kwangaphambi kwesikhathi ngezimpawu eziphindaphindayo nakho kugcizelelwa.

data-mce-fragment="1">Isifinyeto

Ukuphatha ibhelu eligcwele ngesilinganiso kuhilela ukuthola ukuthi yini ebangela inkinga, ukunciphisa izimpawu, nokuvimbela izinkinga ezengeziwe. Ukwenza izinguquko zendlela yokuphila njengokunisela okwanele, ukuqeqesha ibhelu lakho, nokugwema izinto ezicasulayo kubalulekile empilweni engcono yebhelu.

I-physical therapy, ikakhulukazi ukuzivocavoca kwe-pelvic floor, kungasiza ekuqinisiseni amandla asekelayo ibhelu. Ukuhlola okuvamile nokufundisa abaguli kuyisihluthulelo ekuqondeni impilo engcono yebhelu. Ukusebenzisa lezi zindlela ndawonye kungasiza ekubuyiseni ukusebenza okuvamile kwe-bladder, ukunciphisa ubuhlungu, nokuthuthukisa ikhwalithi yempilo yomguli.

data-mce-fragment="1">Imibuzo Evamile

1. Ingabe ibhelu eliqine lingabangela umonakalo ophakade?

Uma kushiywa kungaphathwa isikhathi eside, ibhelu eliqine lingabangela umonakalo njengokunciphisa ukusebenza kwe-bladder, ukuqina kwezindonga ze-bladder, noma ukutheleleka kwe-urinary tract. Ukwelashwa ngesikhathi esifanele kungasiza ukuvimbela umonakalo wesikhathi eside.

2. Yiziphi izimpawu zebhelu eliqine?

Izimpawu zebhelu eliqine zingase zihlanganise ubunzima bokuthamba, umuzwa wokungaphuli ngemuva kokuthamba, ubuhlungu besisu esisezantsi, noma ukuphikelela kokuthamba ngaphandle kokukwazi ukukhishwa komchamo omningi.

3. Ibhelu eliqine lingaphathwa kanjani?

Ukwelapha ibhelu eliqine kuncike embangeleni engaphansi kepha kungase kuhlanganise imithi, i-catheterization ukuphuma ibhelu, ukuqeqeshwa kwe-bladder, noma ukulungisa izimo ezinjengokukhula kwe-prostate noma ukutheleleka.