Izimbangela Zokushisha Lapho Uchama

I-Dysuria (ukuchama okubuhlungu) igama elibanzi elibhekisela kunoma yiluphi uhlobo lokungakhululeki komchamo. Lobu buhlungu bungabangelwa esinyeni, urethra, noma i-perineum. 

Ishubhu elidlulisela ukuchama lisuka emzimbeni wakho liye ngaphandle laziwa ngokuthi i-urethra. I-perineum yindawo ephakathi kwescrotum/vagina kanye nendunu kulabo abanomthondo.

Ukuchama okubangela ubuhlungu kudlange kakhulu phakathi kwabantu namuhla. Ubuhlungu, ukushisa, noma ukuluma kungabangelwa izinkinga ezihlukahlukene zezokwelapha. Ake sichaze izimbangela ngokuningiliziwe.

Ubani othola i-dysuria (ukuchama okubuhlungu)?

I-Dysuria, noma ukuchama okubuhlungu, kungathinta abantu babo bonke ubudala nobulili. Kodwa-ke, izici ezithile zingandisa ingozi, okuhlanganisa izifo ze-urinary tract (UTIs), izifo ezithathelwana ngocansi (STIs), amatshe ezinso, imithi ethile, nezimo ezifana ne-interstitial cystitis noma izifo zangasese.

Yini ebangela ukuchama kube buhlungu?

• Ukutheleleka komgudu womchamo

Ukuzwa ukushisa lapho uchama kubuhlungu kuwuphawu oluvamile lwe-urinary tract infection (UTI). Ukutheleleka komgudu womchamo kungabangelwa ukutheleleka ngebhaktheriya. Ukuvuvukala komgudu womchamo nakho kungaba yimbangela.

I-urethra, isinye, i-ureter, nezinso zakha umgudu womchamo. Umchamo uthuthwa usuka ezinso uye kwesinye nge-ureters. Ubuhlungu bomchamo bungabangelwa ukuvuvukala kunoma iyiphi yalezi zitho.

Abantu abane-canal yesitho sangasese sowesifazane basengozini kakhulu kunalabo abanepipi ukuze babe ne-UTI. Lokhu kungenxa yokuthi labo abanesitho sangasese sowesifazane baba nomgudu womchamo omfushane. Amagciwane kufanele ahambe ibanga elifushane ukuze angene esinyeni lapho umgudu womchamo umfishane.

Ngaphezu kwalokho, ukutheleleka kwe-urinary tract zivame kakhulu kwabesifazane abakhulelwe nabesifazane asebefinyelele esikhathini sokunqamuka kokuya esikhathini.

• Izifo ezithathelwana ngocansi (STIs) 

Ungase ube nezinhlungu lapho uchama uma unezifo ezithathelwana ngocansi (STI). Ezinye izifo ezithathelwana ngocansi ezingabangela ukuchama okubuhlungu zihlanganisa i-herpes yangasese, i-gonorrhoea, ne-chlamydia.

Kubalulekile ukuthi uhlolelwe izifo ezithathelwana ngocansi, ikakhulukazi njengoba azibonisi zimpawu. Abantu abaningi abaya ocansini kufanele bahlolelwe izifo ezithathelwana ngocansi e- Isibhedlela se-urology eHyderabad.

• I-Epididymitis

I-epididymitis, noma ukuvuvukala kwe-epididymis kulabo abanepipi, nakho kungabangela ukuchama okubuhlungu. I-epididymis, ebekwe ngemuva kwamasende, igcina futhi ithuthe isidoda kumasende.

• I-Prostatitis

Ubuhlungu bokuchama bungabangelwa izifo ezihlukahlukene zezokwelapha. I-Prostatitis ingabangela ukuchama okubuhlungu kubantu abane-prostate. I-prostate gland ivuvukala kulesi sifo. Kuba yimbangela evamile yokusha, ukuhlaba, nobuhlungu emgudwini womchamo.

• Isifo samathambo

I-Urethritis yisimo lapho kukhona ukuvuvukala ku-urethra, ngokuvamile ngenxa yokutheleleka kwebhaktheriya. I-urethritis ibonakala ngobuhlungu bomchamo kanye nesifiso esikhulayo sokuchama.

• Ukuvuvukala kwe-pelvis (PID)

I-PID ithinta amashubhu e-fallopian, ama-ovari, umlomo wesibeletho, nesibeletho. Ubuhlungu besisu, ukuya ocansini okungakhululekile, nomchamo obuhlungu ngezinye zezimpawu ezimbalwa.

I-PID yisimo esiyingozi esidalwa yigciwane eliqala esithweni sangasese bese lidlulela ezithweni zokuzala.

• I-Cystitis

Esinye isizathu sokuchama okubuhlungu yi-cystitis noma ukuvuvukala kolwelwesi lwesinye. I-Interstitial cystitis yaziwa nangokuthi i-painful bladder syndrome (IC). Lolu hlobo lwe-cystitis luvame kakhulu. Izimpawu ze-IC zihlanganisa ubuhlungu kanye nokungakhululeki esifundeni sesinye kanye ne-pelvic.

Ukwelashwa ngemisebe kungase kubangele ubuhlungu besinye nomchamo kubantu abathile, kubangele iRadiation cystitis.

• I-uropathy evimbelayo

Lapho i-ureter, isinye, noma i-urethra ivaleka, umchamo ugeleza ubuyele ezinsweni, okubangela ukonakala komchamo. Nakuba izimbangela zihluka, kubalulekile ukufuna usizo lwezokwelapha ngokushesha nje lapho izimpawu zivela.

Esinye isifo, ukuqina kwe-urethra, kubangela ukuvinjelwa kwe-urethra, okuholela ekuchameni okufanayo kanye nezinkinga zokungakhululeki.

• Amatshe ezinso

Inqwaba yezinto eziqinile emgudwini womchamo zaziwa ngokuthi amatshe ezinso. Kungaba nzima ukuchama kamnandi uma unezinso.

• Imithi

Njengomphumela ongemuhle, izidakamizwa ezimbalwa, njengokwelashwa komdlavuza nama-antibiotics, zingabangela ukuchama okubuhlungu. Noma yimiphi imiphumela emibi evela emithini oyiphuzayo kufanele kuxoxwe ngayo nodokotela wakho.

• Izimpahla zokuhlanzeka

Ukuchama okubuhlungu akubangelwa ukutheleleka njalo. Kungase futhi kuvezwe yizinto ozisebenzisayo endaweni yakho yangasese. Izinsipho, izinto zokuthambisa, namabhavu amabhamuza, ikakhulukazi, zingacasula izicubu zesitho sangasese sowesifazane.

Odayi abasetshenziswa ezintweni zokuhlanza izingubo nezinye izinto zangasese bangacasula isikhumba futhi babangele ukuchama okubuhlungu.

Yiziphi izimpawu ze-dysuria (ukuchama okubuhlungu)?

Izimpawu zokuchama okubuhlungu zingahluka phakathi kwabesilisa nabesifazane, kodwa abantu babo bobubili ubulili ngokuvamile bakuchaza njengokuzwa ukusha, ukuluma, noma ukulunywa. Phakathi kwalokhu, ukushiswa kuwuphawu oluvame ukubikwa ngaso ngesikhathi sokuchama.

• Ukungakhululeki noma Ukuzwa Ukusha: I-Dysuria ivame ukuvela njengokungakhululeki okuqhubekayo noma ukuzwa okushisayo ngesikhathi sokuchama. Lokhu kuzwa kungase kuqale kokumnene kuye kokuqina futhi kungase kuzwakale ku-urethra, esinyeni, noma endaweni ezungezile ye-pelvic.
• Isifiso Esivamile Sokuchama: Abantu abane-dysuria bavame ukuzwa imvamisa eyengeziwe yokuchama. Isidingo sokuchama singase siphakame kaningi kunokuvamile, ngisho noma umthamo womchamo odlulisiwe uncane.
• Ukuphuthuma: Kanye nokwanda kwemvamisa, i-dysuria ingabuye ihambisane nesidingo esinamandla nesiphuthumayo sokuchama. Umuzwa wokuphuthuma ungase uvele kungazelelwe futhi kube nzima ukuhlehlisa.
• Ubuhlungu noma Ukucindezela Kwesisu Esingezansi: Abanye abantu bangase bazwe ubuhlungu noma ingcindezi ngaphansi kwesisu noma esifundeni se-pelvic. Lokhu kuphatheka kabi kungaba okuphikelelayo noma okuphakathi futhi kungase kubi nakakhulu lapho uchama.
• Umchamo Oguquguqukayo noma Onegazi: I-Dysuria ingabangela izinguquko ekubukeni komchamo. Kungase kubonakale kuguqubele, okubonisa ukuba khona kobomvu noma amagciwane, noma kungase kube nokubomvu okubomvu ngenxa yegazi emchamweni.
• Iphunga Elibi: Umchamo ohlaselwe yi-dysuria ungaba nephunga elinamandla, elingathandeki. Leli phunga lingase libe umphumela wokutheleleka okucashile noma ukuvuvukala komgudu womchamo.
• Ukuchithwa: Kwezinye izimo, i-dysuria ingase ihambisane nokukhishwa okungavamile ku-urethra. Lokhu kuphuma kungahluka ngombala nokuvumelana futhi kungase kube inkomba yokutheleleka noma okunye ukuphazamiseka komgudu womchamo.
• Ubuhlungu be-Pelvic noma Ukungakhululeki: I-Dysuria ngezinye izikhathi ingase ihlotshaniswe nobuhlungu be-pelvic noma ukungakhululeki, okungase kudlulele emhlane ophansi. Lobu buhlungu bungaba buthuntu noma bubukhali futhi bungaphikelela ngale kokuchama.
• I-General Malaise: Abantu abane-dysuria bangase bazizwe bengaphilile, bekhathele, noma babe nomkhuhlane wezinga eliphansi. Lezi zimpawu zivame ukwenzeka uma i-dysuria ibangelwa ukutheleleka okucashile.

Itholakala kanjani i-dysuria (ukuchama okubuhlungu)?

Ukuhlonza i-dysuria, noma ukuchama okubuhlungu, kuhilela ukuhlolwa okuphelele kochwepheshe bezempilo. Inqubo yokuxilonga ngokuvamile ihlanganisa inhlanganisela yokuhlolwa komlando wezokwelapha, ukuhlolwa ngokomzimba, nokuhlolwa okwengeziwe kokuxilonga uma kudingeka. Inhloso ukuhlonza imbangela eyinhloko ye-dysuria futhi unikeze ukwelashwa okufanele. Nakhu okufingqiwe kwezindlela zokuxilonga ezivame ukusetshenziswa:

• Umlando Wezokwelapha: Umhlinzeki wezempilo uzoqala ngokuthatha umlando wezokwelapha onemininingwane eminingi, okuhlanganisa ulwazi mayelana nezimpawu zesiguli, ubude kanye nemvamisa yeziqephu ze-dysuria, noma yiziphi izimpawu ezihambisanayo, nanoma yiziphi izifo zakamuva zomgudu womchamo noma izenzo zocansi.
• Ukuhlaziywa Kwesampula Yomchamo: Isampula lomchamo ngokuvamile liqoqwa ukuze kuhlaziywe. Lokhu kuhlola kungathola ukuba khona kwamangqamuzana egazi abomvu namhlophe, amagciwane, noma ezinye izinto ezingase zibonise ukutheleleka noma ukuvuvukala emgudwini womchamo.
• Izifundo ze-Imaging: Uma ukuhlolwa kokuqala kuphakamisa imbangela eyisisekelo eyinkimbinkimbi, izifundo ze-imaging zingahle ziyalwe. Lokhu kungase kuhlanganise i-ultrasound, i-CT scan, noma i-MRI ukuze ubone ngeso lengqondo umgudu womchamo futhi uhlole noma yikuphi ukungahambi kahle, okufana namatshe ezinso noma ukungahambi kahle kwesakhiwo.
• I-cystoscopy: Ezimweni ezithile, i-cystoscopy inganconywa. Le nqubo ihilela ukufaka ishubhu elincanyana ngekhamera ku-urethra ukuze kuhlolwe i-urethra nesinye ngenxa yanoma ikuphi okungavamile, okufana nokuqinile noma izimila.
• Ukuhlolwa kwe-STI: Uma kusolwa izifo ezithathelwana ngocansi (STIs), kungase kwenziwe ukuhlolwa okwengeziwe ukuze kuhlolwe izifo ezivamile njenge-chlamydia, i-gonorrhea, noma i-herpes.

Yimaphi amathuba okwelapha ukuchama okungakhululekile?

Isinyathelo sokuqala ekwelapheni ubuhlungu ukuthola ukuthi bubangelwa yini. Ukuze ubhekane nokuchama okubuhlungu, udokotela wakho angase akunikeze imithi. Ama-antibiotic angasetshenziswa ekwelapheni izifo zomgudu womchamo, izifo ezibangelwa amagciwane kanye nezifo ezithathelwana ngocansi. Udokotela wakho angase futhi akunikeze umuthi ozokusiza ukuthi ubhekane nesinye sakho esivuvukele.

Uma uqala ukuphuza umuthi wokugula okubangelwa amagciwane, ukuchama kwakho okubuhlungu kuvamise ukuba ngcono ngokushesha. Lapho uthatha imithi, landela iziqondiso zikadokotela wakho ngaso sonke isikhathi. Ezinye izifo, njenge-interstitial cystitis, zibangela ubuhlungu obunzima kakhulu ukubulawula. Imiphumela yokwelashwa kwe-pharmacological ingase ithathe isikhathi eside. Kungathatha izinyanga ezine zomuthi ngaphambi kokuthi uqale ukuzizwa ungcono. Nokho, ingelashwa ngenqubo efanele kanye nemithi.

Ukwelashwa kokuchama okubuhlungu kuya ngembangela ewumsuka. Amagciwane afana ne-UTI noma ama-STI ngokuvamile aphathwa ngama-antibiotic anqunywe uchwepheshe wezempilo. Ukuphuza amanzi amaningi nokugwema izinto ezicasulayo ezifana ne-caffeine noma ukudla okubabayo nakho kungasiza ekudambiseni ukungakhululeki. Kwezinye izimo ezibangela i-dysuria, ukwelashwa kungase kuhluke futhi kufanele kunqunywe udokotela.

Uzombona nini umhlinzeki wakho wezempilo?