Isithintelo esivelisa isinyi

Isithintelo sendawo yokuphuma kwesithintelo (BOO) kukuvaleka kwisiseko sesinyi. Iyanciphisa okanye imise ukuhamba komchamo kwi-urethra. I-urethra yityhubhu ehambisa umchamo ngaphandle komzimba.

Le meko iqhelekile kumadoda asele ekhulile. Idla ngokubangelwa yiprostate eyandisiweyo. Amatye esinyi kunye nomhlaza wesinyi nazo zibonakala ngokuxhaphakileyo emadodeni kunabafazi. Njengokuba indoda isiba mdala, amathuba okufumana ezi zifo anda kakhulu.

Ezinye izizathu eziqhelekileyo ze-BOO zibandakanya:

• Izilonda zepelvic (umlomo wesibeleko, iprostate, isibeleko, i-rectum)
• Ukunciphisa umbhobho ohambisa umchamo ngaphandle komzimba kwisinyi (urethra), ngenxa yezicubu ezibomvu okanye iziphene ezithile zokuzalwa

Izizathu eziqhelekileyo ziquka:

• ICystocele (xa isinyi siwela kwilungu lobufazi)
• Izinto zangaphandle
• I-urethral okanye i-pelvic muscle spasms
• Inguinal (groin) hernia

Iimpawu ze-BOO zingahluka, kodwa zingabandakanya:

• Intlungu zesisu
• Imvakalelo eqhubekayo yesinyi esipheleleyo
• Ukuchama rhoqo
• Ubuhlungu ngexesha lokuchama (dysuria)
• Iingxaki zokuqala ukuchama (ukuthandabuza urinary)
• Ukucotha, ukungalingani komchamo, ngamanye amaxesha ukungakwazi ukuchama
• Ukujongwa ukuze uchame
• Usulelo lwe-Urinary tract
• Ukuvuka ebusuku ukuya kuchama (nocturia)

Umboneleli wakho wezempilo uya kubuza malunga neempawu zakho kunye nembali yezonyango. Uya kuvavanywa ngokomzimba.

Enye okanye ezingakumbi kwezi ngxaki zilandelayo zinokufumaneka:

• Ukukhula kwesisu
• ICytocele (abasetyhini)
• Isinyi esandisiweyo
• Iprostate eyandisiweyo (amadoda)

Uvavanyo lunokubandakanya:

• Amachiza egazi ukujonga iimpawu zomonakalo wezintso
• I-cystoscopy kunye ne-retrograde urethrogram (x-ray) ukukhangela ukunciphisa i-urethra
• Uvavanyo lokufumanisa ukuba umchamo ukhawuleza uphume njani emzimbeni (uroflowmetry)
• Uvavanyo ukubona ukuba ungakanani na ukuhamba komchamo kuthintelwe kunye nokuba izivumelwano zesinyi zisebenza kakuhle kangakanani (kuvavanywa i-urodynamic)
• I-Ultrasound yokufumana ukuvaleka komchamo kwaye ufumanise ukuba isinyi siphume njani
• Uhlalutyo lomchamo ukukhangela igazi okanye iimpawu zosulelo kumchamo
• Umchamo wenkcubeko ukukhangela usulelo

Unyango lwe-BOO luxhomekeke kwisizathu sayo. Umbhobho, obizwa ngokuba yi-catheter, ufakwa kwisinyi ngokusebenzisa umchamo. Oku kwenzelwa ukunciphisa ukubhloka.

Ngamanye amaxesha, i-catheter ibekwa kwindawo yesisu kwi-bladder ukukhupha isinyi. Oku kubizwa ngokuba yityhubhu yesuprapubic.

Rhoqo, uyakufuna utyando kunyango lwe-BOO lwexesha elide. Nangona kunjalo, uninzi lwezifo ezibangela le ngxaki zinokunyangwa ngamayeza. Thetha nomboneleli wakho malunga nonyango olunokwenzeka.

Uninzi lwezizathu ze-BOO ziyanyangeka ukuba zifunyaniswe kwangethuba. Nangona kunjalo, ukuba ukuxilongwa okanye unyango lulibazisekile, oku kunokubangela umonakalo ongapheliyo kwisinyi okanye kwizintso.

Tsalela umnikezeli wakho ukuba uneempawu ze-BOO.

BOO; Ukuthintela umchamo osezantsi; Prostatism; Ukugcinwa kwe-Urinary-BOO

• I-anatomy yezintso
• Iphecana lomchamo labasetyhini
• Indoda yokuchama
• Izintso - ukuhamba kwegazi kunye nomchamo

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I-Boone TB, uStewart JN, uMartinez LM. Unyango olongezelelekileyo lokugcina kunye nokususa ukungaphumeleli. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahl. 127.

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