Uma umchamo uvuza, ubani ongaxhumana naye?

Okokuqala kudokotela wakhe jikelele. Khona-ke ngokushesha okukhulu, kuzodinga umbono wochwepheshe ukusungula ukuxilongwa.

Kwabesifazane, kufanele uhlukanise phakathi kokucindezeleka kokungakwazi ukuzithiba komchamo futhi ukhuthaze ukungakwazi ukuzithiba (okubizwa nangokuthi “ukukhuthala” noma “isinye esisebenza ngokweqile”).

Ukungakwazi ukuzithiba kwengcindezi yomchamo kudinga ukuvuselelwa kanye nokuhlinzwa, kuyilapho ukungakwazi ukuzithiba kwelashwa ngemithi futhi, uma kwenzeka ukwehluleka, nge-neuro-modulation. Kafushane, izindlela zokwelapha ezimbili ezihluke ngokuphelele neziphikisanayo. Okusho ukuthi uma senzela omunye, sibhekana nenhlekelele.

Ithini indima kadokotela ojwayelekile? Kuthiwani ngodokotela womchamo?

Uma kuwukungakwazi ukuzibamba komchamo ngenxa yokuphuthuma - okusho ukuthi uma esinyeni sigcwele isiguli siyavuza - udokotela ojwayelekile angelapha nge-anticholinergic.

Kodwa ezimweni eziningi, ukungakwazi ukuphuma komchamo kuwumthwalo wemfanelo wochwepheshe. Ngokushesha nje lapho ebona ukuthi akukho ukutheleleka emgudwini womchamo nokuthi kwakukhona ukungakhululeki kwangempela, udokotela wathumela isiguli sakhe kudokotela womchamo. 

Cishe u-80% weziguli ezikhala ngokuvuza komchamo ziyafika emsebenzini wethu. Ikakhulukazi ngoba kuyadingeka ukwenza ukuhlolwa kwe-urodynamic ukwenza ukuxilongwa. 

Kuyini ukuhlolwa kwe-urodynamic?

Ukuhlolwa kwe-urodynamic kuhlanganisa izivivinyo ezintathu: i-flowmetry, i-cystomanometry kanye nephrofayili yengcindezi ye-urethral.

I-Flowmetry ivumela ukuhlonza ukugeleza komchamo kwesiguli. Umphumela uvezwa ngendlela yejika lapho i-urologist inquma izinga lokugeleza okuphezulu, isikhathi sokuchama kanye nevolumu yokukhipha.

Ukuhlolwa kwesibili i-cystomanometry. Sigcwalisa isinye ngoketshezi futhi sibheke ukuthi sishintsha kanjani, okusho ukuthi ingcindezi engaphakathi kwesinye isinye. Lokhu kuhlolwa kukuvumela ukuthi ubone ukuthi akhona yini “umfutho wegazi okhuphukayo” ongachaza ukungakwazi ukuzibamba, futhi wazi ukuthi esinyeni sinoketshezi oluningi noma cha. Ngokufanayo, sizokwazi ukuhlola ukuthi isiguli siyasizwa yini isidingo.

Okwesithathu, senza a Iphrofayili yomfutho we-urethral (PPU). Kungumbuzo wokubheka ukuthi izingcindezi zisakazwa kanjani ngaphakathi kwe-urethra. Ngokusebenza, inzwa yokucindezela ikhishwa ngesivinini esiqhubekayo, kusukela kwesinye kuya ngaphandle. Lokhu kusivumela ukuthi sihlole ukuntuleka kwe-sphincter noma, ngokuphambene nalokho, i-sphincter hypertension.

Iyiphi inqubo yokuhlinzwa evame kakhulu kwabesifazane?

Uma kwenzeka ukucindezeleka komchamo we-urinary incontinence, ngaphambi kokunikeza ukungenelela, ukwelashwa ngokuvamile kuqalwa ngokuvuselela. Lokhu kusebenza cishe esimweni esisodwa kwezimbili.

Uma lokhu kungenele, imichilo ifakwa ngaphansi kwe-urethra. Umgomo uwukwenza indiza eqinile engakwazi ukumelana nokucindezela kwe-urethra. Ngakho lapho i-urethra ingaphansi kwengcindezi, ingancika kokuthile okuqinile futhi inikeze ukukhululeka. 

Ngivame ukusebenzisa isiqhathaniso esilula ukuze ngichaze inqubo ezigulini zami. Zicabange uthatha ipayipi lengadi elivulekile futhi amanzi ayageleza. Uma unyathela ipayipi ngonyawo futhi kunesihlabathi ngaphansi, ipayipi izocwila phakathi futhi amanzi azoqhubeka nokugeleza. Kodwa uma iphansi liwukhonkolo, isisindo sakho sinqamula ukucindezela kwamanzi futhi ukugeleza kuyama. Yilokhu esizama ukukufeza ngokubeka imicu ngaphansi kombhobho.

Kuthiwani ngamadoda?

Kubantu, kuyodingeka kuqala ukuthi kunqunywe ukuthi ukuchichima kokungahambi kahle noma uma kungukungaphumeleli kwe-sphincter. Kubaluleke kakhulu ukwenza ukuxilongwa ngokushesha ukuze unganikezi ukwelashwa okungafanele.

Endabeni yokungalawuleki kokuchichima, isinye asichithi. Ngakho-ke kukhona "ukuchichima" okuvuzayo. Ukuvinjelwa kubangelwa i-prostate. Udokotela womchamo ususa lesi sithiyo ngokuhlinzwa noma ngokunikeza umuthi wokunciphisa usayizi wendlala yesinye.

Isizathu sesibili sokungakwazi ukuzibamba emadodeni ukungasebenzi kahle kwe-sphincter. Ngokuvamile kuba umphumela wokuhlinzwa, njenge-radical prostatectomy.

Lonke ulwazi mayelana nokuxilongwa nokwelashwa kwe-incontinence yomchamo lungatholakala ku- Ifayela Lephasiphothi Yezempilo Ekhethekile.