Kodi mumayeneranso kupita kuchimbudzi pafupipafupi? Kapena mumamvabe kuti chikhodzodzo chanu chadzaza ngakhale mutamaliza kukodza? Mwina mkodzo wanu umatuluka pang'onopang'ono ndipo umasiya. Anthu ambiri ali ndi mavuto awa, koma salankhula zambiri za izi chifukwa amachita manyazi kapena amaganiza kuti 'izi ndi zachilendo'. Koma izi si zinthu zoti munyalanyaze. Lero tikulankhula za zizindikiro zomwe zimachitika m'munsi mwa dongosolo la mkodzo, kapena monga momwe madokotala amatchulira, LUTS (Zoyipa za Mkodzo Wotsika).
Kodi zizindikiro zimenezi ndi ziti?
LUTS si matenda amodzi okha, koma zizindikiro zambiri. Izi zitha kugawidwa m'magulu awiri akuluakulu. Izi zikutanthauza mavuto osungira mkodzo ndi mavuto otulutsa madzi m'thupi. Taganizirani ngati thanki yamadzi, mavuto odzaza madzi, mavuto otulutsa madzi m'thupi. Umu ndi momwe zilili.
| Gulu la zizindikiro | Zinthu zomwe mumawona nthawi zambiri |
|---|---|
| Zizindikiro Zosungira |
|
| Zizindikiro Zosagwira Ntchito |
Ndani ali ndi vutoli? Kodi zifukwa zake ndi ziti?
Zizindikiro zimenezi zimatha kuchitika mwa akazi ndi amuna, komanso mwa anthu a msinkhu uliwonse. Komabe,Vutoli limapezeka kwambiri anthu akamakalamba, makamaka pakati pa amuna.
Mwachidule, zizindikirozi zimatha kuchitika chifukwa cha kutsekeka, matenda, kapena kukwiya m'thupi lathu.
Nazi zina mwa zifukwa zazikulu:
- Benign Prostatic Hyperplasia (BPH): Prostate gland, yomwe ili pansi pa chikhodzodzo, imakula amuna akamakula. Izi zimatha kufinya urethra ndikuletsa kutuluka kwa mkodzo. Ichi ndiye chifukwa chachikulu cha LUTS mwa amuna.
- Matenda a mkodzo (UTI): Matenda a bakiteriya akayamba kulowa m'mkodzo, zizindikiro monga kukodza pafupipafupi ndi kutentha thupi zimachitika.
- Mavuto a impso: Miyala ya impso kapena matenda a impso angayambitsenso zizindikiro izi.
- Matenda a mitsempha: Matenda a ubongo kapena msana, monga multiple sclerosis kapena stroke, amatha kukhudza mitsempha yomwe imalamulira ntchito ya chikhodzodzo.
- Matenda ena: Matenda monga matenda a shuga, kuthamanga kwa magazi, kunenepa kwambiri, komanso kupuma movutikira m'tulo angayambitsenso matenda a LUTS.
- Zizolowezi zina: Kusuta fodya wokhala ndi nikotini, kumwa khofi, tiyi wokhala ndi caffeine, ndi kumwa mowa kungakwiyitse chikhodzodzo ndikuwonjezera zizindikirozi.
Kodi dokotala amapeza bwanji izi?
Mukapita kwa dokotala kuti akakuuzeni za zizindikirozi, palibe chifukwa choopa. Iye adzamvetsera mosamala zizindikiro zanu, adzakuyesani mayeso ofunikira, ndikupeza chomwe chikuyambitsa.
Dokotala angakufunseni mafunso monga: "Kodi zizindikiro zanu ndi ziti? Kodi zakhala zikuchitika kwa nthawi yayitali bwanji? Kodi zimakhudza bwanji moyo wanu watsiku ndi tsiku? Kodi mumamwa madzi angati patsiku? Ndi mankhwala ati omwe mumamwa? Kodi pali aliyense m'banja mwanu amene wakhala ndi mavutowa?" Ndikofunikira kwambiri kuyankha mafunso awa moona mtima.
Pambuyo pake, mayeso angapo ngati awa angachitike kuti apeze chifukwa chenicheni.
| Mayeso | Mukuona chiyani pamenepa? |
|---|---|
| Kusanthula mkodzo | Yang'anani mkodzo ngati muli ndi matenda ndi tinthu ta magazi. |
| Mayeso a Magazi | Yesani momwe impso zimagwirira ntchito, ndipo mwa amuna, milingo ya PSA (Prostate-Specific Antigen) imayendera. |
| Kujambula kwa Ultrasound | Yang'anani momwe impso, chikhodzodzo, ndi prostate gland zilili (mwa amuna). Muthanso kuyeza kuchuluka kwa mkodzo womwe watsala mu chikhodzodzo mutakodza (Post-void residual volume). |
| Mayeso a Urodynamic | Mayeso apadera omwe amayesa kuthamanga kwa chikhodzodzo, mphamvu, ndi mphamvu ya minofu. |
| Cystoscopy | Chubu chopyapyala kwambiri chokhala ndi kamera chimadutsa mu urethra kuti chione mkati mwa chikhodzodzo ndi urethra. |
Mukuchita chiyani ngati chithandizo?
Chithandizo chimadalira chifukwa cha zizindikiro zanu komanso momwe zimakhudzira moyo wanu.
Kusintha kwa Moyo
Kawirikawiri, dokotala amakulangizani kaye kuti musinthe zinthu zina zosavuta pa moyo wanu.
- Kusintha kuchuluka kwa madzi omwe mumamwa patsiku ndi nthawi yomwa (monga kuchepetsa kumwa madzi ambiri musanagone usiku).
- Chepetsani kapena siyani kugwiritsa ntchito khofi, tiyi, mowa, ndi ndudu.
- Kulamulira kulemera kwa thupi.
- Kuchita masewera olimbitsa thupi omwe amalimbitsa minofu ya pansi pa chiuno, ndiko kuti, masewera olimbitsa thupi a Kegel .
- Kukhazikitsa chizolowezi chopita kuchimbudzi nthawi yoyenera (Kuphunzitsa chikhodzodzo).
Mankhwala
Ngati kusintha kwa moyo kokha sikuletsa zizindikiro, dokotala wanu angakupatseni mankhwala oyenera chifukwa cha vutoli. Mwachitsanzo:
- Mankhwala opumulitsa minofu ya chikhodzodzo (Alpha-blockers)
- Mankhwala ochepetsa prostate gland (5-alpha reductase inhibitors)
- Maantibayotiki opatsirana
- Mankhwala oletsa kupweteka m'chikhodzodzo
Opaleshoni
Ngati njira zina zothandizira sizikuyenda bwino, makamaka ngati mkodzo watsekeka kapena ngati pali kusasangalala kwakukulu chifukwa cha kukula kwa prostate, opaleshoni ingakulimbikitseni.
Kodi muyenera kupita kwa dokotala liti?
Chofunika kwambiri ndi kusanyalanyaza zizindikiro izi. Zingakhale zizindikiro zoyamba za vuto lina la thanzi. Chifukwa chake, ndikofunikira kwambiri kuyamba chithandizo mwachangu momwe mungathere.
Pitani kwa dokotala nthawi yomweyo, makamaka ngati muli ndi zizindikiro zotsatirazi:
- Ngati pali magazi mu mkodzo.
- Ngati pali ululu kapena kutentha kwambiri mukamakodza.
- Ngati vutoli likusokoneza tulo lanu nthawi zonse.
- Ngati izi zikukupangitsani kukhala ndi nkhawa kapena kuvutika maganizo.
- Ngati izi zakhudza ubale wanu ndi anthu, moyo wa m'banja, kapena moyo wanu wogonana.
- Ngati izi zikukukhudzani mpaka kufika poti simungathe kuchita zinthu zomwe mumakonda kapena kutuluka m'nyumba.
Uthenga Wopita Nawo Kunyumba
- Matenda a mkodzo (LUTS) ndi vuto lofala kwa anthu ambiri, koma si chinthu choti munthu anganyalanyaze.
- Zizindikiro zazikulu ndi monga kukodza pafupipafupi, kufooka kwa mkodzo, komanso kukodza kosalamulirika.
- Zomwe zimayambitsa matendawa zingakhale matenda osiyanasiyana monga matenda a mkodzo, kukula kwa prostate (mwa amuna), ndi matenda a shuga.
- Musachite manyazi ndipo lankhulani ndi dokotala wanu za izi. Chinthu chabwino kwambiri choti muchite ndikupeza chomwe chikuyambitsa vutoli ndikuchiza mwachangu.
- Makamaka ngati pali magazi mu mkodzo, kungakhale chizindikiro cha matenda aakulu, choncho funsani upangiri wa dokotala nthawi yomweyo.
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