Matsewar fitsari

Matsanancin fitsari mahaukaci ne na fitsarin. Urethra bututu ne da ke fitar da fitsari daga cikin mafitsara.

Matsalar fitsari na iya haifar da kumburi ko kayan tabo daga tiyata. Hakanan zai iya faruwa bayan kamuwa da cuta ko rauni. Ba da daɗewa ba, ana iya haifar da shi ta matsi daga ƙari mai girma kusa da mafitsara.

Sauran abubuwan da ke ƙara haɗarin wannan yanayin sun haɗa da:

• Kamuwa da cutar ta hanyar jima'i (STI)
• Hanyoyin da ke sanya bututu a cikin bututun mahaifa (kamar catheter ko cystoscope)
• Cutar hyperplasia mai saurin rauni (BPH)
• Rauni ga yankin ƙashin ƙugu
• Maimaita urethritis

Matsalolin da suke a lokacin haihuwa (na haihuwa) ba safai ba. Yanayin ma ba safai yake faruwa ba ga mata.

Kwayar cutar sun hada da:

• Jini a cikin maniyyi
• Fitar daga fitsarin
• Fitsarin jini ko duhu
• Qarfin fitsari da yawan yin fitsari
• Rashin iya zubarda mafitsara (riƙe fitsari)
• Fitsari mai zafi ko fitsari
• Rashin ikon yin fitsari
• Frequencyara yawan mita ko gaggawa don yin fitsari
• Jin zafi a cikin ƙananan ciki da yankin pelvic
• Ruwan fitsari a hankali (na iya bunkasa kwatsam ko a hankali) ko fesa fitsari
• Kumburin azzakari

Gwajin jiki na iya nuna mai zuwa:

• Rage rafin fitsari
• Fitar daga fitsarin
• Barin mafitsara
• Ymara girman ƙwayoyin lymph a cikin makwancin ciki
• Ya kara girma ko taurin prostate
• Taurari a saman farjin azzakari
• Redness ko kumburin azzakari

Wani lokaci, jarrabawar ba ta nuna rashin daidaito ba.

Gwaje-gwaje sun haɗa da masu zuwa:

• Cystoscopy
• Voidara saura saura (PVR)
• Retrograde urethrogram
• Gwajin chlamydia da gonorrhea
• Fitsari
• Yawan fitsari
• Al'adar fitsari

Mayila za a iya fadada jijiyar fitsari (yayin da aka fadada) yayin aikin cystoscopy. Za a yi amfani da maganin rage kuzari na jiki a yankin kafin aikin. Ana saka wani sirantaccen sihiri a cikin bututun fitsarin don shimfida shi. Kuna iya iya magance tsananin ku ta hanyar koyon yadda ake fadada fitsarin a gida.

Idan bututun fitsari ba zai iya gyara yanayin ba, kuna iya buƙatar tiyata. Nau'in tiyatar zai dogara ne da wuri da tsawon tsayayyar. Idan kunkuntar yankin gajere ne kuma ba kusa da tsokoki da ke kula da fita daga mafitsara ba, za a iya yanka ko fadada shi.

Za'a iya buɗe urethroplasty don tsaurara tsawan tsayi. Wannan tiyatar ta ƙunshi cire yankin cuta. Daga nan sai a sake gina mafitsara. Sakamakon ya bambanta, ya danganta da girma da wurin tsananin, yawan jiyya da kuka sha, da kuma kwarewar likitan.

A cikin mummunan yanayi lokacin da baza ku iya yin fitsari ba, ana iya sanya catheter mai kama da jiki. Wannan magani ne na gaggawa. Wannan yana bawa mafitsara damar malala ta cikin ciki.

A halin yanzu babu magungunan magani don wannan cutar. Idan babu wasu magunguna da ke aiki, za a iya yin juyawar fitsari da ake kira appendicovesicostomy (Tsarin Mitrofanoff) ko wani nau'in tiyata. Wannan zai baka damar zubar da mafitsara ta bangon ciki ta amfani da catheter ko jakar stoma.

Sakamakon yana da kyau sosai tare da magani. Wani lokaci, ana buƙatar maimaita magani don cire tabon nama.

Matsanancin fitsari na iya toshe magudanar fitsari kwata-kwata. Wannan na iya haifar da fitsarin kwatsam. Dole ne a bi da wannan yanayin da sauri. Toshewar lokaci na iya haifar da mafitsara ta dindindin ko cutar koda.

Kira mai bada sabis na kiwon lafiya idan kuna da alamun rashin ƙarfi na fitsari.

Yin jima'i mafi aminci zai iya rage haɗarin kamuwa da cututtukan STI da matsewar fitsari.

Yin maganin tsananin fitsari da sauri na iya hana rikicewar koda ko mafitsara.

• Mace fitsarin mata
• Maganin fitsarin namiji

Babu TM, Urban MA, Augenbraun MH. Urethritis. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi 107.

Dattijo JS. Tushewar fitsari. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi 555.

Virasoro R, Jordan GH, McCammon KA. Yin aikin tiyata don rashin lafiya na azzakari da fitsari. A cikin: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: babi na 82.