Urethral kuomesa

Urethral kuomarara ndiko kushomeka kushoma kweiyo urethra. Urethra ndiyo chubhu inotakura weti kubva mumuviri kubva mudundira.

Urethral kuomarara kunogona kukonzerwa nekuzvimba kana turu turu kubva kuvhiya. Izvo zvinogona zvakare kuitika mushure mehutachiona kana kukuvara. Kazhinji, zvinogona kukonzerwa nekumanikidzwa kubva kune bundu riri kukura pedyo nererethra.

Zvimwe zvinhu zvinowedzera njodzi yeichi chiitiko zvinosanganisira:

• Zvirwere zvepabonde (STI)
• Maitiro anoisa chubhu murethra (senge catheter kana cystoscope)
• Benign prostatic hyperplasia (BPH)
• Kukuvadza kunzvimbo yepelvic
• Kudzokorora urethritis

Zvimisikidzo zviripo pakuzvarwa (kuberekwa) hazviwanzo. Mamiriro acho haawanzo nevakadzi.

Zviratidzo zvinosanganisira:

• Ropa mune urume
• Kubuda kubva murethra
• Ropa kana rima weti
• Yakasimba kukurudzira kuita weti uye kugara uchiita weti
• Kusakwanisa kuburitsa dundira (kuchengetedza weti)
• Kunorwadza weti kana kunetseka kuita weti
• Kurasikirwa kwedundira kutonga
• Kuwedzera kuwanda kana kukurumidza kuita weti
• Marwadzo mudumbu rezasi uye nharaunda
• Inononoka weti rwizi (inogona kukura nekukasira kana zvishoma nezvishoma) kana kupuruzira weti
• Kuzvimba kwenhengo yemurume

Kuongorora kwemuviri kunogona kuratidza zvinotevera:

• Yakadzikira weti weti
• Kubuda kubva murethra
• Yakawedzera dundira
• Yakawedzera kana nyoro lymph node mune iyo groin
• Yakawedzera kana nyoro prostate
• Kuomarara pane yepasi pechirume
• Kutsvuka kana kuzvimba kwenhengo yemurume

Dzimwe nguva, bvunzo dzinoburitsa pachena kusagadzikana.

Miedzo inosanganisira zvinotevera:

• Cystoscopy
• Postvoid yakasara (PVR) vhoriyamu
• Dzorerazve urethrogram
• Kuyedzwa kwechlamydia uye gonorrhea
• Kuongorora urinal
• Urinary kuyerera chiyero
• Urine tsika

Iyo urethra inogona kuwedzerwa (kuwedzeredzwa) panguva yecystoscopy. Musoro wekushungurudza mushonga unozoshandiswa kunzvimbo isati yaitwa. Chishandiso chakaonda chakaiswa murethra kutambanudza. Iwe unogona kukwanisa kurapa kuomarara kwako nekudzidza kudzikisa urethra kumba.

Kana urethral dilation isingakwanise kugadzirisa mamiriro acho, ungangoda kuvhiyiwa. Rudzi rwekuvhiya runoenderana nenzvimbo uye kureba kwesimba. Kana iyo nzvimbo yakatetepa iri pfupi uye isiri padyo nemhasuru dzinodzora kubuda kubva mudundira, iko kusimba kunogona kutemwa kana kuwedzeredzwa.

Yakavhurika urethroplasty inogona kuitirwa kwenguva refu strictures. Kuvhiya uku kunosanganisira kubvisa nzvimbo ine chirwere. Urethra inozovakwazve. Mhedzisiro yacho inosiyana, zvinoenderana nesaizi uye nzvimbo yechisimba, huwandu hwekurapwa kwawakave nahwo, uye neruzivo rwechiremba.

Mune zviitiko zvakakomba kana iwe usingakwanise kupfuudza weti, iyo suprapubic catheter inogona kuiswa. Uku kurapwa kwekukurumidzira. Izvi zvinobvumira dundira kubuda nepadumbu.

Ikozvino hapana mishonga yekurapa yechirwere ichi. Kana pasina kumwe kurapa kunoshanda, kuchinjisa urinary kunonzi appendicovesicostomy (Mitrofanoff maitiro) kana imwe mhando yekuvhiya inogona kuitwa. Izvi zvinokutendera kuti ubudise dundira rako kuburikidza nemadziro emimba uchishandisa catheter kana stoma bhegi.

Mhedzisiro yacho inowanzo kuve yakanaka nekurapa. Dzimwe nguva, kurapwa kunofanirwa kudzokororwa kubvisa zvinyama zvinyoro.

Urethral kuomesa kunogona kuvhara zvachose weti kuyerera. Izvi zvinogona kukonzera kungoerekana kwaita weti. Aya mamiriro anofanira kurapwa nekukurumidza. Yakareba-kuvharirwa kunogona kutungamira mukusingaperi dundira kana kukuvara kweitsvo.

Fonera wako mupi wezvehutano kana iwe uine zviratidzo zvekurethral kuomarara.

Kudzidzira bonde rakachengeteka kunogona kudzora mukana wekutapurirana njovhera uye urethral kuomarara.

Kurapa urethral kuomesa nekukurumidza kunogona kudzivirira itsvo kana dambudziko redundira.

• Yechikadzi weti turakiti
• Varume urinary turakiti

Babu TM, Urban MA, Augenbraun MH. Urethritis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 107.

Mukuru JS. Kuvhiringidzwa kweiyo weti turakiti. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 555.

Virasoro R, Jordani GH, McCammon KA. Kuvhiya kwekunetseka kusagadzikana kwepenis uye urethra. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chits. 82.