Ukuqina kwe-Urethral

Ukuqiniswa kwe-urethral ukuncipha okungavamile kwe-urethra. I-Urethra yishubhu elikhipha umchamo emzimbeni lisuka esinyeni.

Ukuqina kwe-urethral kungabangelwa ukuvuvukala noma izicubu ezibomvu ekuhlinzweni. Kungenzeka futhi ngemuva kokutheleleka noma ukulimala. Ngokuvamile, kungabangelwa ingcindezi evela kwisimila esikhulayo eduze kwe-urethra.

Ezinye izinto ezandisa ubungozi balesi simo zifaka:

• Izifo ezithathelwana ngocansi (STI)
• Izinqubo ezibeka ithubhu ku-urethra (njenge-catheter noma i-cystoscope)
• I-Benign prostatic hyperplasia (BPH)
• Ukulimala endaweni ye-pelvic
• I-urethritis ephindaphindiwe

Ukuqina okukhona ngesikhathi sokuzalwa (kokuzalwa) akuvamile. Isimo futhi asivamile kwabesifazane.

Izimpawu zifaka:

• Igazi esidunjini
• Ukukhishwa kusuka ku-urethra
• Umchamo onegazi noma omnyama
• Isifiso esinamandla sokuchama nokuchama kaningi
• Ukungakwazi ukukhipha isinye (ukugcinwa kwe-urinary)
• Ukuchama kabuhlungu noma ukuchama kanzima
• Ukulahlekelwa ukulawula isinye
• Imvamisa ekhuphukile noma ukuphuthuma kokuchama
• Ubuhlungu esingezansi esiswini nasendaweni ye-pelvic
• Ukusakazwa kancane komchamo (kungahle kuthuthuke ngokuzuma noma kancane kancane) noma ukufafaza umchamo
• Ukuvuvukala komthondo

Ukuhlolwa ngokomzimba kungakhombisa okulandelayo:

• Ukwehla kokusakazwa komchamo
• Ukukhishwa kusuka ku-urethra
• Isinye esandisiwe
• Ama-lymph node akhulisiwe noma amathenda emgodini
• I-prostate ekhulisiwe noma ethambile
• Ubulukhuni engxenyeni engaphansi kwepenisi
• Ukubomvu noma ukuvuvukala kwepipi

Kwesinye isikhathi, ukuhlolwa akuvezi okungajwayelekile.

Ukuhlolwa kufaka okulandelayo:

• I-cystoscopy
• Ivolumu ye-Postvoid residual (PVR)
• Phinda wenze kabusha i-urethrogram
• Ukuhlolwa kwe-chlamydia ne-gonorrhea
• Ukuhlolwa komchamo
• Izinga lokugeleza komchamo
• Isiko lomchamo

I-urethra inganwetshwa (ihlanjululwe) ngesikhathi se-cystoscopy. Umuthi oyindikimba oyisihloko uzosetshenziswa endaweni ngaphambi kwenqubo. Kufakwa insimbi encanyana emthanjeni ukuze iyelule. Ungahle ukwazi ukuphatha ukuqina kwakho ngokufunda ukukhulisa i-urethra ekhaya.

Uma ukuncipha komchamo kungakwazi ukulungisa isimo, ungadinga ukuhlinzwa. Uhlobo lokuhlinzwa luzoya ngendawo nobude besiqiniseko. Uma indawo encishisiwe imfushane futhi ingekho eduze kwemisipha elawula ukuphuma esinyeni, ukuqina kunganqunywa noma kuhlulwe.

I-urethroplasty evulekile ingenziwa ngezingqinamba ezinde. Lokhu kuhlinzwa kuhilela ukususa indawo enesifo. I-urethra bese yakhiwa kabusha. Imiphumela iyahlukahluka, kuya ngosayizi nendawo yokuqina, inani lezindlela zokwelashwa osuke waba nazo, kanye nesipiliyoni sodokotela ohlinzayo.

Ezimweni ezibucayi lapho ungakwazi ukudlulisa umchamo, kungabekwa ipayipi le-suprapubic. Lokhu ukwelashwa okuphuthumayo. Lokhu kuvumela isinye ukukhipha isisu.

Okwamanje azikho izindlela zokwelapha lesi sifo. Uma kungekho okunye ukwelashwa okusebenzayo, ukuphambukiswa komchamo okubizwa nge-appendicovesicostomy (inqubo ye-Mitrofanoff) noma olunye uhlobo lokuhlinzwa kungenziwa. Lokhu kukuvumela ukhiphe isinye sakho odongeni lwesisu usebenzisa ipayipi noma isikhwama se-stoma.

Umphumela uvame ukuba muhle ngokwelashwa. Kwesinye isikhathi, ukwelashwa kudinga ukuphindwa ukuze kususwe izicubu ezibomvu.

Ukuqina kwe-urethral kungavimba ngokuphelele ukugeleza komchamo. Lokhu kungadala ukugcinwa komchamo okungazelelwe. Lesi simo kufanele silashwe ngokushesha. Ukuvinjelwa kwesikhathi eside kungaholela esinyeni unomphela noma ekulimaleni kwezinso.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unezimpawu zokuqina kwe-urethral.

Ukwenza ucansi oluphephile kunganciphisa ubungozi bokuthola izifo zocansi kanye nokuqina kwe-urethral.

Ukwelapha ukuqina kwe-urethral ngokushesha kungavimbela ubunzima bezinso noma besinye.

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

IBabu TM, i-Urban MA, i-Augenbraun MH. Isifo samathambo. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 107.

Umdala JS. Ukuvinjelwa komgudu womchamo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 555.

IVirasoro R, iJordani GH, iMcCammon KA. Ukuhlinzwa kwezifo ezinobungozi bendoda kanye ne-urethra. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 82.