Ukunyaniseka kwe-Urreral

Ukuqiniswa kwe-Urreral kukunciphisa ngokungaqhelekanga kwe-urethra. I-Urethra yityhubhu ehambisa umchamo ngaphandle komzimba kwisinyi.

Ukuqiniswa kwe-urethral kungabangelwa kukudumba okanye izicwili ezibomvu kuqhaqho. Inokwenzeka kwakhona emva kosulelo okanye ukonzakala. Ngokuqhelekileyo, kunokubangelwa uxinzelelo oluvela kwi-tumor ekhulayo kufuphi ne-urethra.

Ezinye izinto ezonyusa umngcipheko wale meko zibandakanya:

• Ukosulelana ngesondo (STI)
• Iinkqubo ezibeka ityhubhu kwi-urethra (njenge-catheter okanye i-cystoscope)
• I-Benign prostatic hyperplasia (BPH)
• Ukulimala kwindawo ye-pelvic
• I-urethritis ephindaphindiweyo

Ukunqaba okukhoyo ekuzalweni (kokuzalwa) kunqabile. Le meko inqabile nakwabasetyhini.

Iimpawu zibandakanya:

• Igazi kwisidoda
• Ukukhutshwa kwi-urethra
• Umchamo wegazi okanye omnyama
• Umnqweno onamandla wokuchama kunye nokuchama rhoqo
• Ukungakwazi ukukhupha isinyi (ukugcinwa komchamo)
• Ukuchama kabuhlungu okanye ubunzima ukuchama
• Ukuphulukana nolawulo lwesinyi
• Ukwanda rhoqo okanye ukungxama ngokuchama
• Intlungu emazantsi esisu kunye neendawo zangasese
• Ukucotha komchamo (kunokukhula ngesiquphe okanye ngokuthe chu) okanye ukutshiza umchamo
• Ukudumba kwelungu lobudoda

Uvavanyo lomzimba lunokubonisa oku kulandelayo:

• Ukuncipha komjelo womchamo
• Ukukhutshwa kwi-urethra
• Isinyi esandisiweyo
• I-lymph nodes eyandisiweyo okanye yethenda kwi-groin
• Iprostate eyandisiweyo okanye ethembekileyo
• Ukuqina kubuso obungaphantsi kwepenisi
• Ubomvu okanye ukudumba kwelungu lobudoda

Ngamanye amaxesha, uvavanyo alubonakalisi kuqheleka.

Uvavanyo lubandakanya oku kulandelayo:

• ICystoscopy
• Umthamo oshiyekileyo wePostvoid (PVR)
• Phinda wenze i-urethrogram
• Uvavanyo lwe-chlamydia kunye ne-gonorrhea
• Uhlalutyo lomchamo
• Ukuhamba kwenqanaba lokuchama
• Inkcubeko umchamo

I-urethra inokwandiswa (ihlanjululwe) ngexesha le-cystoscopy. Iyeza lophononongo oluphezulu luya kusetyenziswa kuloo ndawo ngaphambi kwenkqubo. Isixhobo esibhityileyo sifakwa kwi-urethra ukuyolula. Unokwazi ukunyanga ukungqinisisa kwakho ngokufunda ukunciphisa i-urethra ekhaya.

Ukuba i-urethral dilation ayinakulungisa imeko, unokufuna utyando. Uhlobo lotyando luya kuxhomekeka kwindawo kunye nobude besiseko. Ukuba indawo emxinwa imfutshane kwaye ingekuko kufutshane nezihlunu ezilawula ukuphuma kwesinyi, ukungqinisisa kunokusikwa okanye kuhluthwe.

I-urethroplasty evulekileyo inokwenziwa kwimigqaliselo emide. Olu tyando lubandakanya ukususa indawo enesifo. I-urethra iphinda yakhiwe kwakhona. Iziphumo ziyahluka, kuxhomekeke kubungakanani kunye nendawo yokuqiniswa, inani lonyango onalo, kunye namava ogqirha.

Kwiimeko ezibukhali xa ungadluli umchamo, kunokufakwa i-catheter ye-suprapubic. Olu lonyango olungxamisekileyo. Oku kuvumela isinyi ukuba siphume esiswini.

Okwangoku akukho lonyango lwamachiza kwesi sifo. Ukuba akukho lunye unyango olusebenzayo, ukuphambukiswa komchamo okubizwa ngokuba yi-appendicovesicostomy (inkqubo yeMitrofanoff) okanye olunye uhlobo lotyando lunokwenziwa. Oku kukuvumela ukuba ukhuphe isinyi sakho kudonga lwesisu usebenzisa i-catheter okanye ibhegi ye-stoma.

Isiphumo sihlala sihle kakhulu kunyango. Ngamanye amaxesha, unyango kufuneka luphindwe ukuze kususwe izicwili ezibomvu.

Ukuqiniswa kwe-Urreral kunokuthintela ngokupheleleyo ukuhamba komchamo. Oku kunokubangela ukugcinwa komchamo ngequbuliso. Le meko kufuneka inyangwe ngokukhawuleza. Ukuvaleka ixesha elide kungakhokelela kwisinyi esisigxina okanye ekonakaleni kwezintso.

Fowunela umboneleli wakho wokhathalelo lwempilo ukuba uneempawu zoxinzelelo lwe-urethral.

Ukuziqhelanisa nokwabelana ngesondo okukhuselekileyo kunokuwunciphisa umngcipheko wokufumana ii-STI kunye nokunyanzelwa urethral.

Ukunyanga uxinzelelo lwe-urethral ngokukhawuleza kunokuthintela iingxaki zezintso okanye zesinyi.

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

I-Babu TM, i-Urban MA, iAugenbraun MH. Isifo samathambo. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 107.

Umdala JS. Ukuvalwa kwendlela yokuchama. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 555.

IVirasoro R, iJordani GH, iMcCammon KA. Utyando lwesifo se-penis kunye ne-urethra. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 82.