Isibhedlela Esingcono Kakhulu Esiseduze Nami eChennaiisithombe
Urology
Umnyango we-Urology uzinikele ekuhlinzekeni ukunakekelwa kwezokwelapha nokuhlinzwa okusezingeni eliphezulu kuzo zonke izici zohlelo lomchamo wabadala kanye nolwezingane. Sinikeza ukuphathwa okugxile esigulini umdlavuza kanye nezifo zomchamo ezingenabungozi ngokuhlanganisa nokusebenzisa ubuchwepheshe bethu obuhlangene. Lesi sikhungo senza izinqubo zokuhlinzwa ezithuthukisiwe ezihlanganisa amasu okuhlinzwa nokwakha kabusha amanje. Ithimba lethu lodokotela abahlinzayo abanolwazi olukhulu lisekelwa yimishini yezokwelapha esezingeni eliphezulu, ukuzulazula kwekhompyutha, kanye nemishini yokuthwebula izithombe. Izikhungo ze-Urology kanye ne-andrology ezibhedlela zase-Apollo zihlinzeka ngezinsizakalo zokuxilonga nezokuhlinzwa zazo zonke izifo zohlelo lokuzala futhi zibhekana nezinkinga zokuhlinzwa ezihlobene nezinso, i-ureter, isinye somchamo, i-prostate, i-urethra, ipenisi namasende, ukungasebenzi kahle kokuzala kanye nokungavuki kahle. Izifo ezivamile njengokukhula kwe-prostate, amatshe omchamo, isifo sokuqina, umdlavuza ohlobene nezitho ezishiwo ngenhla ziphathwa umnyango we-urology kanye ne-andrology. Izindawo zobuchwepheshe zifaka phakathi i-Renal Transplantation, i-Uro-oncology (umdlavuza we-urological), i-Reconstructive Urology, i-Endo-urology yezifo zamatshe (kufaka phakathi i-Flexible Ureteroscopy, i-Percutaneous Nephrolithotomy kanye ne-Laparoscopic Nephrectomy), i-Neuro-Urology enesikhungo se-urodynamic, i-Andrology yokwelapha ukungazali kwabesilisa kanye nokungasebenzi kahle kobulili (kufaka phakathi ukuhlinzwa kokufakelwa), i-Female Urology kanye ne-Paediatric Urology. Ngaphandle komsebenzi wezokwelapha, lesi sikhungo sinohlelo lokufundisa lwezemfundo olujwayelekile. Siqhuba izifundo ezigunyaziwe ze-DNB. Kunezincwadi ezivamile emaphephabhukwini kazwelonke nakwamanye amazwe ezivela emsebenzini wezokwelapha wesikhungo. Iningi labeluleki liyamenywa ukuthi linikeze izinkulumo njengabafundisi emihlanganweni nasezingqungqutheleni ezahlukahlukene zezwe nezamazwe ngamazwe. Sihlela futhi ama-workshops ahlukahlukene kanye nezingqungquthela esibhedlela njalo.
Andrology
Igama elithi Andrology lisho ukuthi ukutadisha indoda yomuntu (Andro = indoda; logy = ukutadisha). Kodwa-ke, esimweni sezokwelapha, odokotela be-Andrology bangodokotela abanakekela impilo yobulili yomuntu. Kunezigaba ezimbili eziyinhloko ze-Andrology - Ukungazali kanye nokungakwazi ukuzala (manje okwaziwa ngokuthi ukungasebenzi kahle kwe-erectile). Abantu abaningi bayasaba ukuya emitholampilo ekhethekile 'yocansi'. Yingakho, e-Indraprastha Apollo Hospitals, eDelhi sinikeza isevisi ehlangene ye-urology kanye ne-andrology. Mhlawumbe umnikelo obaluleke kakhulu wokwelashwa kwezokwelapha (okungukuthi ukusetshenziswa kwezidakamizwa ukwelapha ukungasebenzi kahle kocansi) kube ukuthi kususe inkinga ekamelweni lokulala futhi kuyiyise ekamelweni lokuphumula. Abantu manje bayaqonda ukuthi ukungasebenzi kahle kocansi kuyisifo esifana nanoma yisiphi esinye isifo emzimbeni nokuthi ukwelashwa sekuyatholakala cishe kuzo zonke izimo. E- Indraprastha Apollo Hospitals, kusetshenziswa indlela yesayensi kakhulu ukuthola uhlobo kanye nobukhulu benkinga. Ukwelashwa, kutholakala uhla oluphelele kusukela ekwelulekweni kuya ekwelashweni kwezokwelapha kuya ekwelashweni kokuhlinzwa (kufaka phakathi i-penile prosthesis) ngaphansi kophahla olulodwa. Ngakho-ke ukwelashwa okwenziwe ngokwezifiso kunganikezwa iziguli ezinenkinga yokungasebenzi kahle kocansi. Kokubili ukungasebenzi kahle kocansi kwabesilisa nabesifazane kwelashwa ngendlela yomuntu ngamunye. Izibhedlela zase-Indraprastha Apollo nazo beziyindlunkulu ye-Andrology India kuze kube muva nje. Ziphinde zihileleke ocwaningweni oluphambili kulobu buchwepheshe obusha. Ithimba lakhiwe ngamagama athile aziwa emhlabeni jikelele.
Inqubo ye-TURP eDelhi
Inqubo ye-TURP eDelhi yenziwa igajethi ebizwa ngokuthi i-resectoscope. Lokhu kudluliselwa ku-urethra yakho ize ifike ku-prostate yakho, futhi lokho kusho ukuthi akukho ukusikeka okwenziwa esikhumbeni sakho. Enqubweni ye-TURP, isiyingi socingo siyafudunyezwa ukuze kukhishwe ingxenye ye-prostate yakho. Isilinda esizacile esibizwa ngokuthi i-catheter sibe sesishunyekwa ku-urethra yakho ukuze kukhishwe izingcezu ezikhishiwe ze-prostate.
Ukuhlinzwa kwe-TURP eDelhi
I-transurethral resection ye-prostate (TURP) ukuhlinzwa okuhlanganisa ukukhipha ingxenye yesinye. I-prostate ephakathi kwepipi nesinye, futhi ihlanganisa urethra. Uma kwenzeka i-prostate inwetshiwe, ingafaka ukungezwani kwesinye kanye ne-urethra. Lokhu kungabangela imiphumela emibi enomthelela ekuchameni. Ukuze uthole ukuhlinzwa okungcono kakhulu kwe-TURP eDelhi xhumana ne-Apollo Hospitals Delhi.
- Ukunakekelwa okuphelele kwezifo zamatshe urinary
- I-Lithotripsy
- I-Percutaneous renal surgery (PCM)
- Ukuhlinzwa kwetshe kwe-intra-renal ngama-flexible scopes kanye ne-laser lithotripsy
- I-Endourology
- Ukuhlinzwa Okungenasidingo Kancane (Imbobo yokhiye noma ukuhlinzwa kwe-laparoscopic)
- I-Laparoscopic Donor nephrectomy
- I-Laser yokuhlinzwa kwe-prostatic
- I-Urodynamics
- ubuthakathaka
- ukungazali
- I-Urological Cancers
- Urology yabesifazane
- I-urology yezingane
- I-urology evuselelayo
Ukunakekelwa okuphelele kwezifo zamatshe urinary
Isifo samatshe siyinkinga evamile emhlabeni wonke. Amatshe angaphathwa yi-lithotripsy futhi noma angadinga izinqubo ezahlukahlukene ze-endourological ukususa amatshe ngaphandle kokuhlinzwa okuvulekile.
I-Lithotripsy
Indlela yokwelapha izinso namatshe e-ureter ngaphandle kokuhlinzwa, kusetshenziswa imodeli yakamuva ye-Dornier lithotriptor-Delta. Omunye wemishini engcono kakhulu etholakalayo ngenjongo. Zombili izilawuli ze-x-ray neze-Ultrasound ziyatholakala kulo mshini. Ukuma, ukugxila kanye nokulethwa kwamagagasi okwethuka konke kulawulwa uhlelo lwekhompuyutha oluthuthukisiwe olunomkhawulo wokuphepha ukuze kuvinjelwe umonakalo ngephutha lomuntu. Iziguli azidingi ukuhlala esibhedlela futhi zingaya ekhaya ngalo lolo suku.
I-Percutaneous renal surgery (PCM)
Lapha umgodi ongu-1 cm wenziwa ezinso ukususa amatshe ngemva kokuwahlephula abe yizicucu ezincane. Kunobuhlungu obuncane nokungaphatheki kahle futhi iziguli zingabuyela ekhaya emahoreni angama-48. Amatshe amakhulu nakakhulu nezimpondo zezindluzele zingaphathwa ngokuphepha ngale ndlela. Ezinye zeziguli zingase zidinge usizo lwe-lithotripsy ukuze zikhiphe amatshe ngokuphelele.
Ukuhlinzwa kwetshe kwe-intra-renal ngama-flexible scopes kanye ne-laser lithotripsy
Lapha imigudu eguquguqukayo idlula ku-urethra (lapho umuntu edlula khona umchamo) futhi amatshe akhishwa ngemva kokuphuka abe izingcezu ezincane nge-laser. Nalapha futhi iziguli zingadedelwa phakathi kwamahora angama-24 kuya kwangama-48.
I-Endourology
Zonke izici ze-Endourology (ukuhlinzwa nge-telescope, okungadingi izinqubo ezivulekile) okuhlanganisa ukwelashwa kwe-prostate (TURP), umdlavuza wesinye (TURBT), ukuqina kwe-urethral, izinso kanye namatshe omchamo (PCNL & URS) ayatholakala. I-Intracorporeal Lithotripsy (ukuphulwa kwamatshe kusetshenziswa i-endoscopes) kusetshenziswa i-pneumatic lithotripsy iyatholakala.
Ukuhlinzwa Okungenasidingo Kancane (Imbobo yokhiye noma ukuhlinzwa kwe-laparoscopic)
Ukuhlinzwa okuningi kwe-urological kungenziwa ngokuhlinzwa kwe-keyhole. Iningi lokuhlinzwa kwezinso kungakhathaliseki ukuthi kungenxa yesifo esiyingozi noma umdlavuza kungenziwa ngokuphepha nge-laparoscopically. Ngendlela efanayo okunye ukuhlinzwa komdlavuza womchamo omningi njengomdlavuza wendlala yesinye noma umdlavuza wesibeletho nakho kungenziwa ngaphandle kokusika isisu. Isibhedlela sase-Apollo sinikeza zonke izinhlobo zokuhlinzwa kwe-laparoscopic kwesifo somchamo. Inzuzo enkulu ubuhlungu obuncane, isibazi esincane noma ukungabi naso isibazi, ukuphuma ngaphambi kwesikhathi kanye nokubuyela emsebenzini ngaphambi kwesikhathi.
I-Laparoscopic Donor nephrectomy
Manje onikelayo anganikela ngenso eyodwa kobathandayo ngaphandle kobuhlungu obuningi nokungakhululeki. Ngisho nokusikwa kokubuyiswa kwezinso akubonwa futhi onikelayo angagoduka ezinsukwini ezimbili kuya kwezintathu.
I-Laser yokuhlinzwa kwe-prostatic
Amadoda ngemva kweminyaka engama-50 ahlushwa izinkinga zokuchama njengokuya endlini yangasese njalo, ukungakwazi ukulawula umchamo noma ubunzima bokuphuma komchamo njll. Kungenxa yokwanda kwe-prostate, engasuswa ngokuphepha ngendlela ye-endoscopic. Isibhedlela sase-Apollo manje sinendawo yokukhipha lezi zindlala ngokuhlinzwa nge-laser.
I-Urodynamics
Imishini ye-urodynamic ethuthuke kakhulu ekhompuyutha ngokugcwele e-Apollo, ezoxilonga zonke izinhlobo zokungakwazi ukuzithiba kanye nobunzima ekukhipheni umchamo ukuze kunikwe amandla ukwelashwa okufanele. Le mishini ihlanganisa nezinsiza ze-'EMG' eziyimfuneko ekuxilongeni izinkinga zomchamo nezamathumbu ezilandela ukulimala komgogodla, i-parkinsonism kanye nokunye ukuphazamiseka kwemizwa. Le labhorethri inezinsiza eziklanywe kahle zalo lonke uhla lwezifundo ezihlanganisa i-uroflownmetry, ukugcwalisa nokuvala i-cystometry, izifundo zephrofayili ye-urethral pressure (UPP) kanye ne-VCUG (ngaphezu kwe-EMG kanye ne-cavernosometry).
ubuthakathaka
Inkinga yabantu abadala abangaphezu kuka-10% ingaphenywa futhi yelashwe ngokugcwele. I-Indraprastha Apollo inikeza izikhungo ezikhethekile zokwelapha ngemithi, i-cavernosometry kanye ne-cavernosography, ngaphezu kwezifundo ze-Doppler zokuhlola ukugeleza kwegazi. Ukufakelwa kwepenile nakho kuyafakelwa izinga elibi lokungasebenzi kahle.
ukungazali
I-Apollo inikeza uhla oluphelele lwezinsiza zophenyo lokungazali kwabesilisa. Uphenyo lokungatholi inzalo kwabesifazane odokotela bezifo zabesifazane abanokuqeqeshwa okukhethekile kokungazali nalo luyahlinzekwa. Ukwelashwa kuhlanganiswa neyunithi yokukhulelwa esizwayo kanye nelabhorethri ye-'IVF'.
I-Urological Cancers
Odokotela abahlinzayo abaqeqeshwe kahle kanye nezazi ze-oncologist e-Indraprastha Apollo abanesipele sawo wonke amathuluzi ophenyo kuhlanganise ne-MRI & CT scan kanye ne-ultrasound kuhlanganise ne-TRUS banikeza isevisi ye-uro-oncology ephelele. Cishe ama-50% omdlavuza angalawulwa ngokuphepha ngokuhlinzwa kwe-laparoscopically (ukuhlinzwa kwe-Keyhole)
Urology yabesifazane
Ukungakwazi ukuzithiba komchamo (ukuvuza komchamo) nezinye izinkinga zomchamo njengokuphuthuma (ukuya endlini yangasese njalo) kanye nokungakwazi ukuzithiba ekucindezelekeni (ukuvuza komchamo ngokukhwehlela nokuhleka noma ukudonsa kanzima) kungaphenywa futhi kwelashwe ngezindlela ezihlasela kancane.
I-urology yezingane
Izingane zihlushwa izinkinga ezihlukahlukene ze-urological, ezidinga uphenyo. Iningi lenkinga futhi lingaphathwa ngezindlela ze-endoscopic kanye ne-laparoscopic.
I-urology evuselelayo
Ukuhlinzwa okuningi okwakha kabusha umchamo njenge-pyeloplasty, ukuhlinzwa kwe-urethral stricture, ukuhlinzwa kwe-hypospedias nokunye ukuphazamiseka kokuzalwa kwakhiwe kabusha njengenjwayelo. Okunye kwalokhu kuhlinzwa okuvuselelayo kwenziwa ngokuhlinza imbobo yokhiye.
I-Urology and Andrology specialty inazo zonke izinto ezidingekayo ezihlanganisa urodynamics machine, lithotripsy, Laser machine, flexible laparoscopic instruments njll. Isibhedlela sinochwepheshe abaqeqeshwe ngokukhethekile ukuze basize ehhovisi kanye nezinqubo zokuhlinza.
1
Kuyini i-benign prostatic hyperplasia?
I-Benign Prostatic hyperplasia (BPH) yisimo esithinta indlala yendlala yabesilisa. I-prostate iyindlala etholakala phakathi kwesinye (lapho kugcinwa khona umchamo) kanye ne-urethra (umchamo weshubhu udlula khona). Njengoba amadoda ekhula, i-prostate gland ikhula kancane kancane (noma ikhule). Njengoba i-prostate ikhula, ingase icindezele i-urethra futhi ibangele ukugeleza komchamo kuhambe kancane futhi kungabi namandla. “I-Benign” isho ukuthi ukwanda akubangelwa umdlavuza noma ukutheleleka. "Hyperplasia" isho ukwanda.
2
Yiziphi izimpawu ze-BPH?
Izimpawu eziningi ze-BPH ziqala kancane kancane. Esinye isibonakaliso isidingo sokuvuka kaningi ebusuku ukuze uchame. Esinye isibonakaliso isidingo sokukhipha umchamo njalo emini. Ezinye izimpawu zifaka phakathi ubunzima bokuqala ukugeleza komchamo kanye nokugeleza kwamanzi ngemva kokuphela kokuchama. Ubukhulu namandla omchamo kungase kwehle. Lezi zimpawu zingabangelwa ezinye izinto ngaphandle kwe-BPH. Zingaba izimpawu zezifo ezingathi sína, njengokutheleleka kwesinye noma umdlavuza wesinye. Tshela udokotela wakho uma unezinye zalezi zimpawu, ukuze anqume ukuthi yiziphi izivivinyo okufanele azisebenzise ukuthola imbangela engaba khona.
3
Udokotela wami uzoyelapha kanjani i-BPH yami?
Wonke ama-prostate akhulisiwe awadingi ngempela ukwelashwa. Izinketho zifaka phakathi imithi nezinhlobo ezahlukene zokuhlinza.
4
Angakanani amathuba ami okuthola umdlavuza wendlala?
Umdlavuza wendlala yesinye umdlavuza ovame kakhulu emadodeni futhi uyimbangela yesibili ebulalayo minyaka yonke, kulandela umdlavuza wamaphaphu. Indoda eyodwa kwabayi-10 izotholakala inomdlavuza wendlala yesinye. Amaphesenti angaphezu kuka-70 azo zonke izigameko zomdlavuza wendlala yesinye atholakala emadodeni angaphezu kweminyaka engama-65. Amadoda amnyama aseqenjini elisengozini enkulu futhi amele cishe izehlakalo ezingama-270 kumadoda ayi-100,000. Ukwengeza, umdlavuza wendlala yesinye unesixhumanisi somndeni esiqine kakhulu kuwo wonke umdlavuza omkhulu.
5
Yiziphi izimpawu zomdlavuza wendlala yesinye?
Ngokuvamile, izigaba zokuqala zomdlavuza wendlala yesinye azibangeli izimpawu ezithile. Kodwa, kwezinye izimo, amadoda anomdlavuza wendlala yesinye angase abe nezimpawu zokukhuliswa kwendlala yesinye noma lezo ngenxa yesifo esisabalele kuhlanganise negazi emchameni, ubuhlungu bamathambo njll.
6
Angakanani amathuba okusinda?
Umdlavuza wendlala yesinye ungase welapheke kakhulu uma utholwa usaqala. Indoda eyodwa kwayisikhombisa okutholakala ukuthi inomdlavuza wendlala yesinye uzobulawa yilesi sifo. Ezigabeni ezithuthukisiwe zesifo, idatha entsha evela ezivivinyweni ezimbili ezinkulu zomtholampilo iphakamisa ukuthi ukwelashwa ngamakhemikhali kwandisa ukuphila kwamadoda ahlulekile ukwelapha ama-hormone. Udokotela wakho angakunikeza isiqondiso esithile esisekelwe emaqinisweni nasezimweni zecala lakho.
7
Uhlobo luni lodokotela okufanele ngiluvakashele ukuze ngiyohlolwa umdlavuza wendlala?
Ukuhlolelwa umdlavuza wendlala yesinye kuyindlela elula. Ngenkathi abanye bangase baqale ngokuvakashela i-urologist. I-Urologist izokwazi ukukusiza ukuthi ufunde kabanzi mayelana nenqubo yokuhlola.
8
Hlobo luni lokuhlolwa oluzokwenziwa udokotela?
Ukuhlaziywa kokuqala odokotela abaningi abazokwenza yilokhu:
- Ukuhlolwa kwe-PSA. I-Prostate specific antigen (PSA) iyi-enzyme ekhiqizwa ku-prostate etholakala oketshezini lwesidoda nasegazini. Ukukala izinga le-PSA, ibhodlela elincane legazi liyakhishwa bese lithunyelwa elabhorethri ukuze lihlolwe. Izinga le-PSA eliphakeme egazini alibonisi ngempela umdlavuza wendlala yesinye, njengoba i-PSA ingase futhi iphakanyiswe ukutheleleka noma ezinye izimo ze-prostate. Amadoda amaningi ane-PSA ephakeme awanawo umdlavuza wendlala yesinye.
- Ukuhlolwa kwe-digital rectal (DRE) kufanele kwenziwe kanye nokuhlolwa kwe-PSA. I-DRE yenziwa udokotela ozofaka umunwe wegilavu ku-rectum ukuze ezwe indawo eseceleni ye-prostate lapho umdlavuza wendlala yesinye kwenzeka khona. Udokotela uzobe ehlola ukuqina kwe-prostate noma ukubunjwa okungajwayelekile noma amaqhubu asuka ku-prostate - konke okungase kubonise inkinga. I-DRE iwusizo ikakhulukazi ngoba ukuhlolwa kwe-PSA kungase kuphuthelwe amaphesenti angama-25 omdlavuza, futhi i-DRE ingase ibambe amanye alawa.
9
Umdlavuza we-prostate uvame ukwelashwa kanjani?
Kunezindlela ezahlukene zokwelapha umdlavuza we-prostate ezihlanganisa:
- Ukuhlinzwa kokususa i-prostate yonke, ukwelashwa ngemisebe ukubulala izicubu ezinomdlavuza ngaphakathi naseduze kwe-prostate
- Ukwelashwa kokuntuleka kwama-hormone ukuze kumiswe ukukhiqizwa kwama-hormone asiza amangqamuzana omdlavuza we-prostate ukuba akhule
- Ukwelashwa ngamakhemikhali ukuvimba amangqamuzana omdlavuza ukuthi angahlukani futhi angaphindaphindeki
- Ukuqapha okusebenzayo kanye/noma ukulinda ngokuqapha lapho iziguli zihlala zilandelwa ngokuqinile. Enye noma ngaphezulu yalezi zindlela zokwelapha ingasetshenziswa odokotela bakho ngezikhathi nezigaba ezahlukene zesifo. Kunezici ezahlukahlukene ezizohlolwa udokotela wakho ukuze anqume indlela yokwelapha engcono kakhulu.
10
Kuthiwani uma umdlavuza wami we-prostate uqhubeka noma ubuya ngemva kokuthola ukwelashwa kokuqala?
Ngokulinganisa amazinga ento ebizwa ngokuthi i-prostate-specific antigen egazini, udokotela wakho angalinganisa ukuqhubeka kwesifo. Uma uthola ukwelashwa komdlavuza we-prostate futhi izinombolo zakho ze-PSA ziqhubeka nokwenyuka, kungaba uphawu lokuthi ukwelashwa kwakho akusebenzi futhi kungadingeka ucabangele ukwelashwa okunamandla kakhulu. Iningi lamadoda anomdlavuza obuya ngemva kokwelashwa kwendawo noma atholakale enesifo esithuthukile aphathwa ngokwelashwa ngama-hormone. Kodwa-ke, ngesinye isikhathi, ukwelashwa ngama-hormone kungase kuyeke ukusebenza futhi amazinga e-PSA azoqala ukukhuphuka futhi. Kuleli qophelo kubaluleke kakhulu ukufuna iseluleko kudokotela we-oncologist wezokwelapha ongasebenza nethimba lakho lonke lezokunakekelwa kwempilo ukuze anqume ukwelashwa okungcono kakhulu kuwe kulesi sigaba sesifo.
11
Yiziphi izindlela ezintsha zokwelapha umdlavuza wendlala osuthuthukile?
Muva nje izinketho eziningi ezengeziwe zama-hormonal & ne-Chemotherapy seziyatholakala.
12
Kulashwa kanjani ukungasebenzi kahle kwe-erectile?
Ukuthi ukungasebenzi kahle kwe-erectile kuphathwa kanjani kuncike ekutheni izinto ezikubangelayo. Ngemva kokuba udokotela wakho ekuhlolele izinkinga zezokwelapha kanye nemithi engase ibangele ukungasebenzi kahle kwe-erectile, angase akucele ukuba uzame umuthi ukusiza ngokungasebenzi kahle kwe-erectile. Eminye yale mithi ijovwa epipini lakho. Eminye imithi ithathwa ngomlomo. Akuwona wonke umuntu ongasebenzisa le mithi. Udokotela wakho uzokusiza ukuthi unqume ukuthi ungazizama yini.
13
Yiziphi ezinye izinketho enginazo?
Uma imithi ingalungile kuwe, ungase futhi uzame ukusebenzisa amadivaysi epompo ye-vacuum, noma ungahlinzwa. Udokotela wakho angase akuthumele kudokotela oyi-urologist ukuze akhulume ngalezi zinketho.
14
Ngingazi kanjani ukuthi yiluphi ukwelashwa kokungakwazi ukuzala okufanelekela kangcono mina?
Isinqumo mayelana nokukhethwa kokwelashwa kufanele kuxoxwe nodokotela wakho. Ukukhetha kwakho ukwelashwa kuzoncika ekukhetheni komuntu siqu nasezicini zezomnotho. Nobabili wena nomlingani wakho kufanele nikhululeke ngokukhetha kwenu.
15
Ingabe kuyadingeka ukuthi umlingani wami wezocansi afakwe ezingxoxweni mayelana nokungabi namandla kwami?
Usiza udokotela ukuthi aqonde inkinga futhi kufanele avumelane nokukhetha ukwelashwa.
16
Ingabe noma iyiphi yalezi zindlela zokwelapha ingabuyisela emuva ukungasebenzi kahle?
Ukuntula amandla okuningi akubuyiseleki emuva. Nakuba kungekho neyodwa yezindlela ezintathu zokwelapha ezihlehlisa ukuntula amandla kwendoda, iyasinikeza ikhambi kule nkinga.
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Ithemba ngocwaningo
Intuthuko kuma-suppositories, imithi ekwazi ukujova, izimila, kanye nemishini ye-vacuum yandise izinketho zamadoda afuna ukwelashwa kwe-ED. Le ntuthuko isize futhi ukwandisa isibalo samadoda afuna ukwelashwa. Ukwelashwa ngofuzo kwe-ED manje kuyahlolwa ezikhungweni eziningana futhi kungase kunikeze indlela yokwelapha ehlala isikhathi eside ye-ED.
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Amaphuzu okufanele awakhumbule
- I-Erectile Dysfunction (ED) ukungakwazi okuphindaphindiwe ukuthola noma ukugcina i-erectile iqinile ngokwanele ukuya ocansini.
- I-ED ithinta amadoda aseMelika ayizigidi ezingu-15 kuya kwezingu-30.
- I-ED ngokuvamile inembangela engokomzimba.
- I-ED iyelapheka kuyo yonke iminyaka.
- Ukwelashwa kuhlanganisa i-psychotherapy, ukwelashwa kwezidakamizwa, izisetshenziswa ze-vacuum, nokuhlinzwa.
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1
Yiziphi izimpawu zokuba khona kwamatshe ezinso?
Ukuvezwa kwezimpawu kuncike endaweni, usayizi, kanye nesimo setshe. Izikhathi eziningi azinazo izimpawu. Zibizwa ngokuthi amatshe athule. Izimpawu ezivamile yilezi ezilandelayo:
- Kungazelelwe, ubuhlungu obunzima - buqala emaceleni futhi buqhubekele ezinqeni. Ngokuvamile, kuchazwa ngokuthi i-ureteric colic kanye nobuhlungu be-groin
- I-Nausea ne-Vomiting
- Igazi Emchameni
- Ukwanda kwemvamisa yomchamo
- Umuzwa wokushisa lapho kuphuma umchamo
- Ukutheleleka Emchameni
2
Obani abanokuthambekela okukhulu ezinso?
- Abantu abavame ukwakha amatshe banezici ezithile ezifanayo
- Labo abahlala endaweni eshisayo, njengasezindaweni ezishisayo
- Umlando omuhle womndeni wesifo samatshe kumuntu ohlobene naye ngegazi lokuqala
- Kunciphisa uketshezi olungena emzimbeni, okunciphisa ukuphuma komchamo, futhi kwakha umchamo ogcwele kakhulu
Izici ezihlukahlukene zidlala indima ekubunjweni kwetshe lezinso kumuntu othintekayo. Lezi zici ukudla, ukuphuza amanzi, ukuphuma komchamo, isimo sezulu, umsebenzi, kanye nofuzo, isizinda esiqinile nomndeni.
3
Yini Okufanele Ngenze Uma Ngedlule Itshe Emchameni?
Uma uthola itshe, lilethe kudokotela wakho ukuze alihlaziye. Uhlobo lwetshe onalo, luzonquma uhlelo lokudla kanye nokuvimbela udokotela wakho aluncomayo. Ungase udinge ukuhlolwa okwengeziwe kanye ne-X-ray esikhathini esizayo ukuze uqinisekise ukuthi amatshe amasha awakhi.
4
Ingabe i-ESWL iphephile?
I-ESWL inqubo ephephile ngokuphelele cishe kuzo zonke izimo
5
Ingabe kuzoba nobuhlungu ngemva kwenqubo?
Kungase kube nezinhlungu ezibuhlungu ezibuhlungu endaweni yokwelashwa ngemva kwenqubo amahora ambalwa. Ngaphezu kwalokho kuzoba nobuhlungu be-colic ngenxa yokudlula kwezinhlayiya zamatshe. Lokhu kuvame ukuphendula emithini.
6
Ingabe ukwelashwa kungenzeka esigulini esinesifo sikashukela, umfutho wegazi, isifo senhliziyo noma ukwehluleka kwezinso?
Yebo i-ESWL iyindlela ephephile yokwelapha isifo samatshe. Kodwa-ke, umuntu kufanele alawule lezi zifo lapho elapha nge-lithotripsy.
7
Ngingawavimbela kanjani amatshe omchamo?
Isinyathelo sokuqala esihle sokuvimbela ukuphuza uketshezi oluningi - amanzi angcono kakhulu. Uma ujwayele ukwenza amatshe, kufanele uzame ukuphuza uketshezi olwanele usuku lonke ukuze ukhiqize okungenani amalitha amabili omchamo njalo emahoreni angama-24. Abantu abakha amatshe e-calcium babevame ukutshelwa ukuthi bagweme imikhiqizo yobisi nokunye ukudla okune-calcium ephezulu. Nokho, ucwaningo lwamuva luye lwabonisa ukuthi ukudla okune-calcium eningi, kuhlanganise nokudla kobisi, kusiza ukuvimbela amatshe e-calcium. Ukuphuza i-calcium njengephilisi, nokho, kungase kwandise ingozi yokwakheka kwamatshe. Abesifazane abaphuza amaphilisi kavithamini D namaphilisi e-calcium ngemva kokuya esikhathini ukuze bavimbele ukukhumuzeka kwamathambo, ikakhulukazi abanomlando wamatshe emndenini, kudingeka baqaphele.
8
Itshe lami alikadluli, ingabe ngidinga ukuhlinzwa?
Ngokuvamile, udinga ukungenelela kokuhlinzwa uma amatshe akho emakhulu ngokwanele ukuvimbela ukugeleza komchamo, uma engase abe yingozi ezinso zakho noma uma ebangela izimpawu imithi engasizi ngazo.
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Kuyini ukungakwazi ukuchama?
I-Urinary incontinence ukungakwazi ukubamba umchamo okuholela ekulahlekelweni komchamo ngokuzenzakalelayo. Ukulahlekelwa komchamo kungasukela ekuvuzeni okuncane komchamo kuye ekumanzini kakhulu njalo. Lesi simo sithinta kakhulu izinga lempilo ngokuphazamisa umsebenzi, ukuhamba, ukuzijabulisa komphakathi kanye nemisebenzi yocansi.
2
Siyini isigameko sokunganqamuki komchamo?
Okungenani u-10% wabantu abaneminyaka engaphezu kwengama-65 banenkinga yokungakwazi ukuchama. Ngokwezilinganiso ze-World Health Organization, kuneziguli eziyizigidi ezingu-200 emhlabeni wonke ezinezimpawu zokungakwazi ukuzithiba komchamo kwabesilisa noma besifazane. Kodwa-ke, njengoba lesi simo sihlotshaniswa namahloni, ukuhlazeka nokuthula, isibalo esiqondile asaziwa.
3
Ingabe i-incontinence yomchamo iyingxenye engenakugwenywa yokuguga?
Ngokuguga, isifiso sokuchama singase senzeke kaningi futhi kube nzima ukulawula: noma kunjalo, ukungaziphathi kahle kungathinta amadoda nabesifazane beminyaka yonke futhi akuyona impendulo evamile ekugugeni.
4
Ingabe izehlakalo zokunganqamuki komchamo ziyefana kwabesilisa nabesifazane?
Cha, abesifazane babhekana nokungakwazi ukuzibamba izikhathi ezimbili kunabesilisa. Ukukhulelwa nokuzalwa kwengane, ukunqamuka kokuya esikhathini kanye nokwakheka komgudu womchamo wesifazane yikho okwenza lo mehluko. Nokho, kokubili abesifazane nabesilisa bangakwazi ukuzithiba ngenxa yokushaywa unhlangothi, i-multiple sclerosis nezinye izinkinga ezingokomzimba ezihlobene nokuguga.
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Yiziphi izici eziyingozi zokungakwazi ukuzibamba umchamo?
Izinto eziyingozi zokungakwazi ukuchama ziyahlukahluka, kodwa zihlanganisa:
- ukukhulelwa
- Zokubeletha
- Ukukhuluphala
- menopause
- Ukubhema ugwayi
- Ukwandisa i-Prostate kanye/noma ukuhlinzwa
- Hysterectomy
- Ukwelashwa ngemisebe ku-pelvis
- Diabetes
- Isifo sikaParkinson
- Ukulimala emhlane
- Ingozi ye-cerebral vascular
- I-Dementia.
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Ingabe zikhona izinhlobo ezahlukene zokungakwazi ukuzithiba komchamo?
Kunezinhlobo ezintathu eziyisisekelo zokungakwazi ukuzibamba umchamo:
- Nxusa ukungazibambi
- I-Stress incontinence
- Ukuchichima esinyeni
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Kuyini i-urgence incontinence?
Ukuncenga ukungakwazi ukuzithiba noma i-detrusor phezu komsebenzi kuyinkinga evamile ekhuphuka imvamisa nokuqina ngokukhula kweminyaka. Kulesi simo, isiguli sivame ukulahlekelwa umchamo ngaphandle kwezizathu ezicacile kuyilapho ngokuzumayo sizwa isidingo noma isifiso sokuchama. Lapho umuntu engakwazi ukuzithiba, isinye siyathulula ngokuzenzakalelayo lapho ulele, ngemva kokuphuza amanzi amancane, noma lapho uthinta amanzi noma ngisho nalapho ezwa egijima (njengalapho omunye egeza noma egeza izitsha).
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Yini ebangela i-incontinence?
Isizathu esivame kakhulu sokungakwazi ukuzibamba ukungakwazi ukuzibamba ukufinyela kwesinye okungafanelekile nokuzenzakalelayo. Lokhu kufinyela okungahleliwe kungase kwenzeke ngenxa yokuvuvukala noma ukucasuka phakathi kwesinye noma lapho izifo ezithile zemizwa ziphazamisa ukulawula ukufinyela kwesinye.
- Izifo ezithinta u-Urinary
- Cancer
- Isifo sikaParkinson
- Isifo i-Alzheimer
- Izidakamizwa ezithile njenge-hypnotics noma izidakamizwa
- Ukulimala (njengalokho okwenzeka ngesikhathi sokuhlinzwa)
- I-Benign Prostatic hyperplasia (BPH).
I-incontinence ye-incontinence ingenzeka futhi lapho ukuhamba kuphazamiseka (isibonelo, ezigulini ezine-arthritis), okwenza kube nzima ngeziguli ukuthi zifike endlini yokugezela ngesikhathi. Lesi simo ngezinye izikhathi sibizwa ngokuthi "i-functional" incontinence enkulu.
9
Iyini i-stress incontinence?
I-Stress incontinence iyindlela evame kakhulu yokungakwazi ukuzithiba ezigulini esezikhulile. Kubangelwa ukungasebenzi kahle kwe-urethral sphincter okubangela ukuthi umchamo uvuze esinyeni lapho umfutho ophakathi kwesisu ukhuphuka, njengalapho uhleka, ukhwehlela noma uthimula.
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Yini ebangela ukungakwazi ukuzithiba ekucindezelekeni?
Izinguquko zomzimba ezibangelwa ukukhulelwa, ukubeletha kanye nokunqamuka kokuya esikhathini kuyimbangela evamile yokungakwazi ukuzithiba kwengcindezi. Kuwuhlobo olujwayeleke kakhulu lokungakwazi ukuzibamba kwabesifazane futhi luyelapheka. Imisipha ethile, eyaziwa ngokuthi "imisipha ye-pelvic floor" isekela esinyeni. Uma le misipha iba buthaka, esinyeni singaya phansi, siphushe kancane siphume ngaphansi kwepelvis siye esithweni sangasese sowesifazane. Lokhu kuvimbela imisipha ngokuvamile ephoqelela ukuvala urethra ekucindezeleni ngokuqinile ngendlela efanele. Ngenxa yalokho, umchamo ungavuza ku-urethra ngezikhathi zokucindezeleka ngokomzimba. Ukungakwazi ukuzithiba ngokucindezeleka kwenzeka futhi uma imisipha eyenza ukukhama iba buthaka. I-stress incontinence ingaba yimbi kakhulu phakathi nesonto ngaphambi kokuya esikhathini. Ngaleso sikhathi, ukwehla kwamazinga e-estrogen kungase kuholele ekuncipheni kwemisipha ezungeze urethra, okwandisa amathuba okuvuza. Izehlakalo zokungalawuleki kwengcindezi ziyanda ngemva kokunqamuka kokuya esikhathini. Ukungakwazi ukuzithiba ngokucindezeleka kungase kwenzeke ngenxa yezidakamizwa, ukuhlukumezeka kokuhlinzwa noma ukulimala kwemisebe.
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Kuyini ukugcwala ngokweqile kwe-incontinence?
Isinye esichichimayo sivame ukubonakala emadodeni amadala. Ukungakwazi ukuzibamba komchamo ngenxa yokuchichima kwesinye isinye kuvame kakhulu emadodeni ngenxa yokwanda kokwanda kwendlala yendlala yesinye. Kulesi simo umchamo unqwabelana esinyeni kuze kufike umthamo omkhulu wesinye. Ibe isivuza ku-urethra “ngokuchichima”, imvamisa ibonakale njengokudonsa amanzi. Kodwa-ke, ukwanda kwengcindezi yangaphakathi kwesisu, okwenzeka ngesikhathi sokukhwehlela nokuthimula, kungase futhi kubangele ukulahlekelwa umchamo, ukuze ukuchichima ukungakwazi ukuzibamba kungase kudidaniswe nokungalawuleki kokucindezeleka.
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Yini ebangela ukuchichima ukungakwazi ukuzibamba?
Ukuhluleka kwesinye ukuchichima kwenzeka ngenxa yalokhu:
- Isonto lonke imisipha yesinye edalwe ukulimala kwenzwa ngenxa yesifo sikashukela noma ezinye izifo (isb., izimila, imisebe, ukuhlinzwa)
- Ukuphuma komchamo okuvimbekile, njengalezo ezibangelwa ukwanda kwe-prostate kanye namatshe omchamo
- Ngaphansi kokufinyela kwesinye okusebenzayo okubangelwa imithi ethile. Le mithi iholela ekugcinweni komchamo nge-distension yesinye.
13
Ingabe zikhona ezinye izinhlobo zokungakwazi ukuzithiba?
Lapho ukucindezeleka kanye nesifiso sokungakwazi ukuzibamba kwenzeka ndawonye, ngezinye izikhathi kubizwa ngokuthi "ukungakwazi ukuzibamba okuxubile". Lokhu kuvamile kwabesifazane. Ukungakwazi ukuzithiba “isikhashana” noma isikhashana kungase kubangelwe imithi, izifo zomgudu womchamo, ukukhubazeka kwengqondo, ukuhamba okulinganiselwe kanye nokuqunjelwa okukhulu, okungase kuphushe umgudu womchamo futhi kuvimbe ukuphuma.
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Ingabe kukhona ukwelashwa kokungakwazi ukuzithiba komchamo?
Izinhlobo eziningi zokungakwazi ukuzithiba komchamo zingelashwa ngempumelelo futhi nezimpawu ezithuthukisiwe uhlobo lokungakwazi ukuzithiba olukhona luyanqunywa. Kwezinye iziguli, ukungakwazi ukuzilawula kuvame ukwenziwa ngcono ngokuncipha kwesisindo. Ababhemayo abanokukhwehlela okungapheli banezinkinga ezimbalwa lapho beyeka ukubhema (futhi beyeka ukukhwehlela). Ezinye izidakamizwa ezivamile zingase zenze isimo sibe sibi.
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