Ukungathinti Kwe-Urethra
Uhlolojikelele
Ukuqina komgudu (u-REE-thrul) kuhilela ukwenzakala okwenza ukuba umgudu oqhuba umchamo ovela emzimbeni, obizwa ngokuthi i-urethra, ube mncinci. Ngenxa yokungqina, kune-urine encane ephuma esibindini. Lokhu kungabangela izinkinga endleleni yomchamo, njengokutheleleka.
Izimpawu
Izimpawu zokungathinti kahle kwe-urethra zingafaka:
- Ukuphuma okubuhlungu komchamo.
- I-Bladder ingapheli ngokuphelele.
- Ukuchitha umchamo.
- Ukubona kunzima noma kubhlungu ukuchitha umchamo.
- Ukuchitha umchamo njalo noma uzizwa udinga ukuchitha umchamo njalo.
- Ukutheleleka kwe-urinary tract.
Izimbangela
Ukuqina kwesikhumba, okungenza ukuba i-urethra ibe nzima, kungenzeka kube ngenxa yalokhu:
- Ukuhlinzwa okubandakanya ukufaka ithuluzi, njenge-endoscope, kwi-urethra.
- Umphako ofakwa kwi-urethra ukuze kususwe isikhunta, okuthiwa yi-catheter.
- Ukulimala noma ukulimala kwi-urethra noma emathangeni.
- I-prostate ekhulu noma ukuba uhlinzwe ukuze ususwe noma unciphise i-prostate ekhulu.
- Umhlaza we-urethra noma i-prostate.
- Ukutheleleka okuthathwa ngocansi.
- Ukwelashwa ngomgqomo.
- Isimo sesikhumba esenza ukuba kube nesikhumba esiqinile, esingabonakali kahle, esincinci, esivame ukuthinta indawo yobudoda, okuthiwa yi-lichen sclerosus.
Ukuqina kwe-urethra kuvamile kakhulu kubantu abadala kunabesifazane. Ngokuvamile imbangela ayaziwa.
Ukuxilongwa
Ukuze kwenziwe ukuxilongwa, ilungu leqembu lakho lokunakekelwa kwempilo lizokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha bese lenza ukuhlolwa. Izivivinyo ezingasiza ekutholeni ukuthi i-stricture ikuphi, ubude bayo nokuthi yini eyibangela zingafaka:
- Ukuhlolwa kwamchamo. Lokhu kubheka ukutheleleka, igazi noma umdlavuza emchameni.
- Ukuhlolwa kokugeleza kwamchamo. Lokhu kuyilinganisa ukugeleza kwamchamo nokuthi amandla alo angakanani.
- I-ultrasound ye-urethra. Lokhu kubonisa ubude be-stricture.
- I-ultrasound yepelvic. Lokhu kubheka ukuthi kusekhona yini umchamo esibindini emva kokulicima.
- I-MRI scan yepelvic. Lokhu kubheka ithambo le-pelvic ukuze kubone ukuthi lihileleke kanjani kule simo.
- I-retrograde urethrogram. Lo mvivinyo usebenzisa izithombe ze-X-ray ukuze ubone inkinga noma ukulimala kwe-urethra. Ubuye abonise ubude be-stricture nokuthi ikuphi.
- I-Cystoscopy. Lokhu kusebenzisa ithuluzi elincane, elifana nepayipi elina-lens, elibizwa nge-cystoscope. Ithuluzi libheka ngaphakathi kwe-urethra nesibindini.
Ukwelashwa
Ukwelapha kungase kuncike ohlotsheni lwesicupho, usayizi walo nokuthi izimpawu zibi kangakanani. Izindlela zokwelapha zingafaka:
- Ukufakwa kwecatheter. Ukufaka ithyube elincane elibizwa ngokuthi i-catheter esibekweni ukuze kuphume umchamo kuvame ukuba yisinyathelo sokuqala sokwelapha ukuvimbela komchamo. Ama-antibiotics aphatha ukutheleleka uma kukhona. Ukufaka i-catheter ngokwakho kungase kube yikhetho kulabo abaxilongwe ngesicupho esifushane.
- Ukubanzi, okuthiwa ukwanda. Lokhu kuqala ngentambo encane ebekwe nge-urethra bese kuya esibekweni. Izinto ezinkulu nezinkulu zidlula ngentambo ukwandisa usayizi wokuvuleka kwe-urethra kancane kancane. Le nqubo yokuhlala kwesiguli ingase ibe yikhetho lokwelapha izicupho ze-urethral eziphindaphindayo.
- Urethroplasty. Lokhu kuhilela ukususa ngokusebenza ingxenye ecindezelwe ye-urethra noma ukuyenza ibe nkulu. Inqubo ingase futhi ihilele ukwakha kabusha izicubu ezizungezile i-urethra.
Izicubu ezivela kwezinye izingxenye zomzimba, njengolwesi noma emlonyeni, zingase zisetshenziswe njengokuhlanganiswa phakathi nenqubo. Amathuba okubuyela kwesicupho se-urethral ngemuva kwe-urethroplasty aphansi.
- Endoscopic urethrotomy. Le nqubo isebenzisa ithulu elibukhulu, elifana netheyube elina lensi, elibizwa ngokuthi i-cystoscope. I-cystoscope iya e-urethra. Khona-ke ithulu libekwa nge-cystoscope ukususa isicupho noma ukuliphatha nge-laser.
Le nqubo yokusebenza inokubuyela okusheshayo kunokwenzeka kwezinye izinqubo. Ayishiyi lutho olukhulu, futhi ingozi yokutheleleka iphansi. Noma kunjalo, isicupho se-urethral singabuya ngemuva kwale nqubo.
- Ukufakwa kwe-stent noma i-catheter yesikhathi eside. Le nqubo yokwelapha ingase ibe yiyona kulabo abanesicupho esibi abangafuni ukuhlinzwa. Ithyube, elibizwa ngokuthi i-stent, libekwa e-urethra ukuze lihlale lilvulekile, Noma i-catheter eqinile ifakwa ukuze kuphume umchamo esibekweni.
Lezi zinqubo zineingozi yokucasuka kwesibeke, ukungakhululeki nokutheleleka kwezindlela zokukhishwa komchamo. Zidinga futhi ukulandelelwa eduze. Ama-stent e-urethral awasetshenziswa kancane.
footer.disclaimer