I-Meatal stenosis

I-Meatal stenosis ukuncipha kokuvuleka kwe-urethra, ishubhu lapho umchamo ushiya khona umzimba.

I-Meatal stenosis ingathinta abesilisa nabesifazane. Kuvame kakhulu kwabesilisa.

Kwabesilisa, kuvame ukubangelwa ukuvuvukala nokucasuka (ukuvuvukala). Ezimweni eziningi, le nkinga ivela ezinganeni ezisanda kuzalwa ngemuva kokusokwa. Izicubu ezibomvu ezingajwayelekile zingakhula ngaphesheya kokuvuleka kwe-urethra, zibangele ukuthi inciphe. Inkinga kungenzeka ingatholakali kuze kube ingane iyaqeqeshwa ethoyilethi.

Emadodeni amadala, lesi simo singabangelwa ukuhlinzwa ku-urethra, ukusetshenziswa okuqhubekayo kwe-catheter yokuhlala, noma inqubo yokwelapha i-prostate gland ekhulisiwe (BPH).

Kwabesifazane, lesi simo sikhona ngesikhathi sokuzalwa (kokuzalwa). Ngaphansi kokujwayelekile, i-meatal stenosis ingathinta nabesifazane abadala.

Izingozi zifaka:

• Ukuba nezinqubo eziningi ze-endoscopic (cystoscopy)
• Okunzima, isikhathi eside i-atrophic vaginitis

Izimpawu zifaka:

• Amandla angajwayelekile nokuqondiswa kokusakazwa komchamo
• Ukumanzisa embhedeni
• Ukopha (hematuria) ekugcineni kokuchama
• Ukungakhululeki ngokuchama noma ukuhluza ngokuchama
• Ukungazibambi (emini noma ebusuku)
• Ukubonakala okuncane okubonakalayo kubafana

Emadodeni nakubafana, umlando nokuhlolwa komzimba kwanele ukwenza ukuxilongwa.

Emantombazaneni, kungenziwa i-cystourethrogram evalayo. Ukuncipha kungatholwa futhi ngesikhathi sokuhlolwa komzimba, noma lapho umhlinzeki wezokunakekelwa kwempilo ezama ukubeka ipayipi le-Foley.

Ezinye izivivinyo zingafaka:

• Izinso nesinye se-ultrasound
• Ukuhlaziywa komchamo
• Isiko lomchamo

Kwabesifazane, i-meatal stenosis ivame ukwelashwa ehhovisi lomhlinzeki. Lokhu kwenziwa kusetshenziswa i-anesthesia yendawo ukunaka indawo leyo. Ngemuva kwalokho ukuvulwa kwe-urethra kunwetshwa (kuhlanjululwe) ngezinsimbi ezikhethekile.

Kubafana, ukuhlinzekwa kweziguli okuncane okubizwa ngokuthi yi-meatoplasty yindlela yokwelashwa oyithandayo. Ukwehlukaniswa kwenyama nakho kungahle kufanele kwezinye izimo.

Iningi labantu lizochama ngokwejwayelekile ngemuva kokwelashwa.

Izinkinga zingafaka:

• Ukusakaza okungavamile komchamo
• Igazi emchameni
• Ukuchama njalo
• Ukuchama kabuhlungu
• Ukungakwazi ukubamba umchamo
• Ukutheleleka ngomgudu womchamo
• Ukulimala kwesinye noma ukusebenza kwezinso ezimweni ezinzima

Shayela umhlinzeki wakho uma ingane yakho inezimpawu zalesi sifo.

Uma ingane yakho yomfana isanda kusokwa, zama ukugcina inabukeni lihlanzekile futhi lomile. Gwema ukuveza ipipi elisanda kusokwa kunoma yiziphi izinto ezicasulayo. Kungadala ukuvuvukala nokuncipha kokuvula.

Urethral inyama stenosis

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa
• I-Meatal stenosis

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UMarien T, uKadihasanoglu M, uMiller NL. Izinkinga zezinqubo ze-endoscopic ze-benign prostatic hyperplasia. Ku: Taneja SS, Shah O, eds. Izinkinga Zokuhlinzwa Kwe-Urologic. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 26.

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