Isithintelo esidayisa isinye

Isithintelo sokuvala isinye (BOO) ukuvinjelwa phansi kwesinye. Iyanciphisa noma imise ukugeleza komchamo ungene kwi-urethra. I-urethra yishubhu elikhipha umchamo emzimbeni.

Lesi simo sivamile emadodeni asekhulile. Ngokuvamile kubangelwa i-prostate ekhulisiwe. Amatshe esinye nomdlavuza wesinye nakho kubonakala kakhulu emadodeni kunabesifazane. Njengoba indoda iguga, amathuba okuthola lezi zifo anda kakhulu.

Ezinye izimbangela ezivamile ze-BOO zifaka:

• Izicubu zomzimba (umlomo wesibeletho, i-prostate, isibeletho, i-rectum)
• Ukuncipha kweshubhu elikhipha umchamo emzimbeni kusuka esinyeni (urethra), ngenxa yezicubu ezibomvu noma ukukhubazeka okuthile kokuzalwa

Izimbangela ezingavamile kakhulu zifaka:

• ICystocele (lapho isinye siwela esithweni sangasese)
• Izinto zangaphandle
• Ukuphazamiseka kwemisipha ye-Urethral noma ye-pelvic
• Inguinal (groin) hernia

Izimpawu ze-BOO zingahluka, kepha zingafaka:

• Ubuhlungu besisu
• Umuzwa oqhubekayo wesinye esigcwele
• Ukuchama njalo
• Ubuhlungu ngesikhathi sokuchama (i-dysuria)
• Izinkinga zokuqala ukuchama (ukungabaza kwe-urinary)
• Ukuhamba kancane, ukungalingani komchamo, kwesinye isikhathi ukungakwazi ukuchama
• Eqonde ukuchama
• Ukutheleleka ngomgudu womchamo
• Ukuvuka ebusuku ukuyochama (nocturia)

Umhlinzeki wakho wokunakekelwa kwezempilo uzokubuza ngezimpawu zakho nomlando wezokwelapha. Uzohlolwa ngokomzimba.

Inkinga eyodwa noma eziningi ezilandelayo zingatholakala:

• Ukukhula kwesisu
• ICystocele (abesifazane)
• Isinye esandisiwe
• I-prostate ekhulisiwe (amadoda)

Ukuhlolwa kungafaka:

• Amakhemikhali egazi ukubheka izimpawu zokulimala kwezinso
• I-cystoscopy ne-retrograde urethrogram (x-ray) ukubheka ukuncipha kwe-urethra
• Uvivinyo lokuthola ukuthi umchamo ugeleza ngokushesha kangakanani emzimbeni (uroflowmetry)
• Ukuhlolwa ukubona ukuthi ukugeleza komchamo kuvinjelwe kangakanani nokuthi izinkontileka zesinye (ukuhlolwa kwe-urodynamic)
• I-Ultrasound ukuthola ukuvinjelwa komchamo bese uthola ukuthi isinye singena kahle kanjani
• Ukuhlolwa komchamo ukubheka igazi noma izimpawu zokutheleleka emchameni
• Isiko lomchamo lokuhlola ukutheleleka

Ukwelashwa kwe-BOO kuya ngesizathu sayo. Ishubhu, ebizwa ngokuthi i-catheter, ifakwa esinyeni ngomchamo. Lokhu kwenzelwa ukukhulula ukuvinjelwa.

Kwesinye isikhathi, ipayipi lifakwa endaweni yesisu esinyeni ukuze likhiphe isinye. Lokhu kubizwa ngokuthi ishubhu le-suprapubic.

Imvamisa, uzodinga ukuhlinzwa ukuze welashwe isikhathi eside i-BOO. Kodwa-ke, izifo eziningi ezidala le nkinga zingelashwa ngemithi. Khuluma nomhlinzeki wakho mayelana nokwelashwa okungenzeka.

Izimbangela eziningi ze-BOO zingelashwa uma zitholakale kusenesikhathi. Kodwa-ke, uma ukuxilongwa noma ukwelashwa kubambezeleka, lokhu kungadala ukulimala okungapheli esinyeni noma ezinso.

Shayela umhlinzeki wakho uma unezimpawu ze-BOO.

BOO; Ukuvinjelwa okuphansi komgudu womchamo; Ukuqamba; Ukugcinwa kwe-Urinary - BOO

• Ukwakheka kwezinso
• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa
• Izinso - ukugeleza kwegazi nomchamo

U-Andersson KE, u-Wein AJ. Ukuphathwa kwe-Pharmacologic yesitoreji esiphansi somgudu womchamo nokuhluleka kokukhipha. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 120.

UBerney D. Amapheshana ezitho zangasese zomchamo nowesilisa. Ku: Cross SS, ed. I-Underwood's Pathology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 20.

I-Boone TB, uStewart JN, uMartinez LM. Izindlela zokwelapha ezingeziwe zokugcina nokukhipha ukwehluleka. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 127.

UCapogrosso P, uSalonia A, uMontorsi F. Ukuhlolwa nokuphathwa kokuhlinzwa kwe-benign prostatic hyperplasia. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 145.