Ukulimala okubuhlungu kwesinye kanye nomchamo

Ukulimala okubuhlungu kwesinye kanye nomchamo kuhilela ukulimala okubangelwa amandla angaphandle.

Izinhlobo zokulimala kwesinye zifaka:

• Ukuhlukumezeka okungaqondakali (njengokushaya emzimbeni)
• Amanxeba angena ngaphakathi (njengenhlamvu noma amanxeba okugwazwa)

Inani lokulimala esinyeni kuncike ku:

• Sasigcwele kangakanani isinye ngesikhathi sokulimala
• Yini ebangele ukulimala

Ukulimala esinyeni ngenxa yokuhlukumezeka akuvamile. Isinye sitholakala ngaphakathi kwamathambo okhalo. Lokhu kuyivikela emandleni amaningi angaphandle. Ukulimala kungahle kwenzeke uma kukhona ukushayeka okhalweni okunzima ngokwanele ukuphula amathambo. Kulokhu, izingcezu zethambo zingabhoboza udonga lwesinye. Ngaphansi kuka-1 kokungu-10 okwephuka okhalweni kuholela ekulimaleni kwesinye.

Ezinye izimbangela zokulimala kwesinye noma kwe-urethra zifaka:

• Ukuhlinzwa kwe-pelvis noma i-groin (njengokulungiswa kwe-hernia nokususwa kwesibeletho).
• Izinyembezi, ukusikeka, imihuzuko nokunye ukulimala komchamo. I-Urethra yishubhu elikhipha umchamo emzimbeni. Lokhu kuvame kakhulu emadodeni.
• Ukulimala eStraddle. Lokhu kulimala kungenzeka uma kukhona amandla aqondile alimaza indawo engemuva kwesikhwama.
• Ukulimala kokunciphisa. Lokhu kulimala kungenzeka ngesikhathi sengozi yemoto. Isinye sakho singalimala uma sigcwele futhi ubophe ibhande.

Ukulimala kwesinye noma kwe-urethra kungadala ukuthi umchamo uvuza esiswini. Lokhu kungaholela ekuthelelekeni.

Ezinye izimpawu ezivamile yilezi:

• Ubuhlungu besisu esingezansi
• Ubumnene besisu
• Ukulimaza endaweni yokulimala
• Igazi emchameni
• Ukukhishwa kwe-urethral okunegazi
• Kunzima ukuqala ukuchama noma ukungakwazi ukukhipha isinye
• Ukuvuza komchamo
• Ukuchama kabuhlungu
• Ubuhlungu be-pelvic
• Ukusakaza okuncane, okubuthakathaka komchamo
• Ukuhlukaniswa kwesisu noma ukuqunjelwa

Ukushaqeka noma ukuphuma kwegazi kwangaphakathi kungenzeka ngemuva kokulimala kwesinye. Lesi yisimo esiphuthumayo sezokwelapha. Izimpawu zifaka:

• Ukwehla kokuqapha, ukozela, ikhoma
• Ukunyuka kwenhliziyo
• Nciphisa umfutho wegazi
• Isikhumba esiphaphathekile
• Ukujuluka
• Isikhumba esiphundu uma usithinta

Uma kungekho umchamo omncane noma omncane okhishwayo, kungaba nengozi eyengeziwe yokutheleleka nge-urinary tract (UTI) noma ukulimala kwezinso.

Ukuhlolwa kwesitho sangasese kungakhombisa ukulimala ku-urethra. Uma umhlinzeki wezokunakekelwa kwempilo esola ukulimala, ungahle ube nokuhlolwa okulandelayo:

• I-retrograde urethrogram (i-x-ray ye-urethra esebenzisa idayi) yokulimala kwe-urethra
• I-retrograde cystogram (imaging of bladder) yokulimala kwesinye

Ukuhlolwa kungakhombisa futhi:

• Ukulimala kwesinye noma ukuvuvukala (distended) kwesinye
• Ezinye izimpawu zokulimala kwe-pelvic, njengokulimala phezu kwepenisi, i-scrotum, ne-perineum
• Izimpawu zokopha noma ukushaqeka, kufaka phakathi ukuncipha kwengcindezi yegazi - ikakhulukazi ezimweni zokuphuka okhalo
• Ubumnene nokugcwala kwesinye lapho kuthintwa (kubangelwa ukugcinwa komchamo)
• Amathambo we-pelvic wethenda futhi angazinzile
• Umchamo emgodini wesisu

I-catheter ingafakwa uma ukulimala kwe-urethra kukhishwe ngaphandle. Leli yipayipi elikhipha umchamo emzimbeni. I-x-ray yesinye esebenzisa idayi ukugqamisa noma yimuphi umonakalo ingenziwa.

Izinhloso zokwelashwa uku:

• Izimpawu zokulawula
• Khama umchamo
• Lungisa ukulimala
• Vimbela izinkinga

Ukwelashwa okuphuthumayo kokopha noma ukushaqeka kungafaka:

• Ukumpontshelwa igazi
• Uketshezi olufakwa ngaphakathi (IV)
• Ukuqapha esibhedlela

Ukuhlinzwa okuphuthumayo kungenziwa ukulungisa ukulimala nokukhipha umchamo kusuka esiswini sesisu uma kwenzeka ukulimala okubanzi noma i-peritonitis (ukuvuvukala kwesisu esiswini).

Ukulimala kungalungiswa ngokuhlinzwa ezimweni eziningi. Isinye singakhishwa yi-catheter ngokusebenzisa i-urethra noma udonga lwesisu (olubizwa ngokuthi ishubhu le-suprapubic) esikhathini esiyizinsuku kuye emasontweni. Lokhu kuzovimbela umchamo ukuthi ungakhuli esinyeni. Kuzophinda futhi kuvumele isinye noma i-urethra elimele ukuthi yelaphe futhi ivimbele ukuvuvukala kwe-urethra ekuvimbeleni ukugeleza komchamo.

Uma i-urethra isikiwe, uchwepheshe we-urological angazama ukubeka ipayipi endaweni. Uma lokhu kungenakwenziwa, ithubhu lizofakwa odongeni lwesisu ngqo esinyeni. Lokhu kubizwa ngokuthi ishubhu le-suprapubic. Izoshiywa endaweni yayo kuze kuphele ukuvuvukala bese i-urethra ingalungiswa ngokuhlinzwa. Lokhu kuthatha izinyanga ezi-3 kuye kwezi-6.

Ukulimala kwesinye nomchamo ngenxa yokuhlukumezeka kungaba kuncane noma kubulale. Izinkinga ezinkulu zesikhashana noma zesikhathi eside zingenzeka.

Ezinye zezinkinga ezikhona zokulimala kwesinye kanye ne-urethra yilezi:

• Ukopha, ukushaqeka.
• Ukuvinjelwa kokugeleza komchamo. Lokhu kubangela ukuthi umchamo ubuyele emuva futhi ulimaze eyodwa noma zombili izinso.
• Ukuqubuka okuholela ekuvinjelweni kwe-urethra.
• Izinkinga zikhipha ngokuphelele isinye.

Shayela inombolo ephuthumayo yendawo (911) noma uye egumbini lezimo eziphuthumayo uma ulimele esinyeni noma emthanjeni.

Shayela umhlinzeki wakho uma izimpawu ziba zimbi kakhulu noma kuvela izimpawu ezintsha, kufaka phakathi:

• Nciphisa ukukhiqizwa komchamo
• Imfiva
• Igazi emchameni
• Ubuhlungu obukhulu besisu
• Uhlangothi olunzima noma ubuhlungu bomhlane
• Ukushaqeka noma ukopha

Vimbela ukulimala kwangaphandle esinyeni nakwirethra ngokulandela lezi zeluleko zokuphepha:

• Ungafaki izinto ku-urethra.
• Uma udinga i-self-catheterization, landela imiyalo yomhlinzeki wakho.
• Sebenzisa imishini yokuphepha ngesikhathi somsebenzi nokudlala.

Ukulimala - isinye kanye ne-urethra; Isinye esilinyiwe; Ukulimala kwe-urethral; Ukulimala kwesinye; Ukwephuka kwesisu; Ukuphazanyiswa kwe-urethral; Ukuqothulwa kwesinye

• I-catheterization yesinye - owesifazane
• I-catheterization yesinye - owesilisa
• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

AmaBrandes SB, Eswara JR. Ukuhlukumezeka okuphezulu komchamo. UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 90.

Shewakramani SN. Uhlelo lweGenitourinary. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 40.