Kodi inunso mumavutika kukodza bwino? Tiyeni tiphunzire za vuto losagwiritsa ntchito mphamvu ya mitsempha pokodza!

Kodi nthawi zina mumamva ngati mukuvutika kukodza ? Kapena mumamva ngati chikhodzodzo chanu sichinatuluke konse mutamaliza kukodza ? Mwina mukutulutsa mkodzo mosayembekezereka. Izi si vuto kwa inu nokha, komanso kwa anthu ambiri. Lero, tikambirana za kusadziletsa kwa mkodzo komwe sikumayambitsidwa ndi mavuto aliwonse amitsempha . Mwachipatala, timatcha izi kuti "Non-Neurogenic Voiding Dysfunction".

Kodi Kulephera Kugwira Ntchito Mopanda Kukhudza Mitsempha ndi Chiyani?

Mwachidule, iyi ndi vuto lomwe simungathe kutulutsa madzi onse m'chikhodzodzo chanu. Mawu akuti "osayambitsa matenda a mitsempha" pano amatanthauza kuti vutoli siliyambitsidwa ndi vuto lililonse la mitsempha yanu, kutanthauza, ubongo wanu, msana wanu, kapena mitsempha. "Kusagwira ntchito bwino kwa mkodzo" kumatanthauza kuti njira yokodza siichitika bwino.

Vutoli limatha kuchitika mwa aliyense. Nthawi zambiri, izi zitha kuchitika chifukwa cha minofu yofooka ya chikhodzodzo, kutsekeka kwinakwake mu mkodzo, kapena zizolowezi zoipa zomwe takhala tikuzolowera kwa nthawi yayitali. Komabe, vutoli limapezeka kwambiri mwa ana aang'ono omwe aphunzitsidwa chimbudzi pakati pa zaka 4 ndi 6 komanso mwa akazi azaka zopitilira 40. Tangoganizirani, pafupifupi mwana m'modzi mwa asanu aliwonse azaka zapakati pa 4 ndi 6 ayenera kukodza masana chifukwa cha `(Kulephera kugwira ntchito kwa mkodzo kosakhudzana ndi mitsempha)`. Komanso, akazi opitilira 6% azaka zopitilira 40 ali ndi vutoli.

Kodi zizindikiro za vutoli ndi ziti? (Zizindikiro za Kulephera Kugwira Ntchito Yosagwiritsa Ntchito Mitsempha)

Onani ngati muli ndi makhalidwe awa:

• Kodi n'kovuta kuyamba kukodza ? Kapena umafunika kudzikakamiza ukakodza ?
• Kodi njira ya mkodzo ndi yopapatiza kwambiri? Kapena kodi njira ya mkodzo imayamba, imaima kwakanthawi, kenako n’kuyambiranso?
• Kodi muyenera kulimbitsa minofu yanu ya m'mimba mukamakodza ? Kapena muyenera kugwira mimba yanu yapansi ndi manja onse awiri?
• Kodi mumamva ngati chikhodzodzo chanu sichinatuluke ngakhale mutamaliza kukodza ?
• Kodi muli ndi vuto la kudzimbidwa ? (Izi nthawi zambiri zimagwirizana)
• Kodi mukukodza kwambiri kuposa nthawi zonse (kukodza pafupipafupi) kapena zochepa?
• Kodi mwangozi mumatuluka mkodzo (kusadziletsa)?
• Kodi mwadzidzidzi mukumva kufunika kofuna kukodza mwachangu (kulimbikitsa kusadziletsa)?
• Kukodza kangapo usiku ukugonaKodi muyenera kudzuka kuti muchite izi (nocturia)?

Makhalidwe apadera omwe ana aang'ono angakhale nawo:

Ngati ana aang'ono ali ndi vutoli, angasonyeze zinthu monga:

• Kunyowetsa zovala zanu masana (ngakhale mutaphunzira chimbudzi).
• Pali zinthu zosiyanasiyana zomwe zingachite kuti mkodzo usungike . Mwachitsanzo:
• Miyendo yanga yapingasidwa.
• Kugona pansi mutakhala pansi.
• Akugwirizira miyendo yawo pamodzi, kaya ndi manja awo kapena ndi zidendene zawo.

Ngati mukuona mwana wanu akuchita zinthu zimenezi, muyenera kuda nkhawa pang'ono.

Kodi n’chiyani chimayambitsa izi? (Zifukwa za Kulephera Kugwira Ntchito Yosagwiritsa Ntchito Mitsempha)

Pali zifukwa zazikulu zingapo zomwe zimayambitsa vutoli:

• Kufooka kwa minofu ya chikhodzodzo.
• Pali kutsekeka kwinakwake m'dongosolo lanu la mkodzo.
• Chikhodzodzo chogwira ntchito mopitirira muyeso (chikhodzodzo chogwira ntchito mopitirira muyeso).
• Chikhodzodzo sichikugwira ntchito bwino, zomwe zikutanthauza kuti palibe kumva ngati mukufuna kukodza ('chikhodzodzo chosagwira ntchito bwino').
• Kudzimbidwa (ichi ndi chifukwa chofunikira kwambiri).
• Matenda a mkodzo (UTI).
• Ngakhale kuti muyenera kukodza , mumanyalanyaza ndipo mumadikira mpaka chikhodzodzo chanu chitadzaza musanakodze pambuyo pake.
• Mwa amuna, ndi prostate gland yokulirapo (Benign Prostatic Hyperplasia - BPH).
• Khansa ya prostate.

Kwa ana aang'ono, izi zitha kuchitikanso chifukwa cha matenda otchedwa "dysfunctional elimination syndrome," omwe ndi pamene minofu ndi mitsempha ya m'chikhodzodzo sizigwira ntchito bwino.

Kodi mavuto omwe angakhalepo chifukwa cha vutoli ndi ati?

Ngati chikhodzodzo chanu sichitulutsa madzi onse, mabakiteriya omwe ali mu mkodzo wotsala angayambitse matenda. Mwachitsanzo, matenda a mkodzo (UTIs). Mulinso ndi mwayi waukulu wokhala ndi miyala ya impso kapena miyala ya chikhodzodzo. Nthawi zina, ngati vutoli likukulirakulira, lingayambitsenso kuwonongeka kwa impso.

Chofunika kwambiri ndichakuti kukhala ndi vuto linalake la kukodza kungakukhudzeninso maganizo. Anthu ambiri amachita manyazi komanso amada nkhawa chifukwa sangathe kulamulira mkodzo wawo. Mungaganizenso kuti, "Kodi ndine wolemetsa kwa ena?" Ngati muyenera kusiya zochita zanu za tsiku ndi tsiku ndi zizindikirozi nthawi zonse. Ngati mumakhala kutali ndi anthu chifukwa cha izi, mungakumanenso ndi mavuto aakulu monga nkhawa ndi kuvutika maganizo.

Kodi madokotala amazindikira bwanji vuto la kulephera kugwira ntchito kwa ziwalo zina osati chifukwa cha neurogenic voiding?

Dokotala akhoza kuzindikira vuto la kusagwira bwino ntchito kwa ziwalo za m'mimba mwa kufunsa za mbiri yanu yachipatala ndikukupimani thupi. Akhozanso kuchita mayeso a m'chiuno mwa akazi kapena mayeso a digito a m'matumbo mwa amuna.

Kuphatikiza apo, dokotala wanu angakufunseni kuti musunge "diary ya chikhodzodzo." M'menemo, mudzalemba:

• Kodi mumamwa madzi angati patsiku?
• Kodi mumakodza nthawi yanji?
• Kodi mumatulutsa mkodzo wochuluka bwanji nthawi imodzi?
• Kodi mkodzo umatuluka liti mwangozi ndipo umatuluka bwanji?

Ndi chidziwitso ichi, dokotala angachitenso mayeso ena angapo kuti atsimikizire matendawa.

Ndi mayeso ati omwe amachitidwa?

Dokotala akhoza kuchita chimodzi kapena zingapo mwa izi:

• Kuyesa kwa Prostate-specific antigen (PSA): Uku ndi kuyesa kwa magazi. Kumafufuza kuchuluka kwa PSA. Ngati kuchuluka kwa PSA kuli kokwera, pakhoza kukhala vuto ndi prostate gland.
• Kusanthula mkodzo: Izi zingathandize kudziwa ngati muli ndi matenda a mkodzo (UTI).
• Kujambula kwa Ultrasound: Kujambula kumeneku kumayang'ana kuchuluka kwa mkodzo womwe watsala mu chikhodzodzo chanu mutakodza . Kungayang'anenso ngati vutoli lakhudza impso zanu.
• Kuyesa kwa Urodynamic: Mayesowa amayesa kuchuluka kwa mkodzo womwe chikhodzodzo chanu chingasunge komanso momwe minofu ya chikhodzodzo chanu, urethra, ndi pansi pa chiuno zimagwirira ntchito limodzi.
• Cystoscopy: Mu mayeso awa, dokotala amaika chida chachitali, chopyapyala (chokhala ndi kamera yolumikizidwa) kudzera mu urethra wanu kuti aone ngati pali mavuto mu urethra wanu ndi chikhodzodzo.

Kwa ana aang'ono, mayesowa nthawi zambiri salowa m'thupi. Dokotala angakupempheni kuti mulembe mkodzo wanu, ndipo angakulimbikitseni kuti muyeze magazi, mkodzo wanu, ultrasound, ndi mayeso ena a urodynamic.

Kodi izi zimachiritsidwa bwanji? (Kodi zimachiritsidwa bwanji?)

Chithandizo cha vutoli (Non-neurogenic voiding dysfunction) chimasiyana malinga ndi chomwe chimayambitsa. Chithandizo chingaphatikizepo:

1. Kuphunzitsa chikhodzodzo

Mukhoza kuphunzitsa minofu ya chikhodzodzo chanu kuti chisunge mkodzo kwa nthawi yayitali. Izi zikutanthauza kuti muyenera kupita kuchimbudzi nthawi zonse tsiku lonse, ngakhale simukumva ngati mukufunikira . Izi zingathandize kuti chikhodzodzo chanu chisasefukire. Dokotala wodziwa bwino za mavuto a pansi pa chiuno angakuthandizeni ndi izi.

2. Masewero olimbitsa minofu ya pansi pa chiuno (Chithandizo cha pansi pa chiuno)

Katswiri wodziwa bwino ntchito ya thupi angakuphunzitseni momwe mungamasulire minofu yanu ya pansi pa chiuno kuti muzitha kukodza mosavuta. Angaikenso "zowunikira za biofeedback" mu nyini yanu kapena m'matumbo kuti atsimikizire kuti mukuchita masewera olimbitsa thupi oyenera.

Adzakuphunzitsaninso masewera olimbitsa thupi a Kegel kuti mulimbikitse minofu yanu ya pansi pa chiuno. Minofu yolimba ya pansi pa chiuno imathandiza kupewa kusadziletsa kwa mkodzo komanso kukuthandizani kusadziletsa.

3. Mankhwala

Pali mankhwala omwe angathandize kuthetsa mavuto a mkodzo. Zitsanzo:

• Alpha-blockers, mwachitsanzo tamsulosin (Flomax®).
• Mankhwala oletsa kutsekeka kwa mkodzo, monga oxybutynin (Ditropan®) ndi tolterodine (Detrol®).

4. Poizoni wa Botulinum

Dokotala wanu akhoza kubaya botulinum toxin (Botox®) mu chikhodzodzo chanu. Izi zimathandiza kuti minofu ya chikhodzodzo isamayende bwino komanso kuchepetsa chilakolako chofuna kudziletsa.

5. Kulimbikitsa mitsempha ya tibial (PTNS)

Nthawi zina, mumafunika kupatsa mitsempha yanu "mphamvu" pang'ono kuti mulimbikitse minofu ya chikhodzodzo chanu. Mu PTNS, dokotala wanu amaika electrode pafupi ndi mitsempha yanu ya tibial m'kakolo mwanu. Kenako, amatumiza zizindikiro zamagetsi zofewa kwambiri ku electrode. Izi zimalimbikitsa mitsempha ya tibial, yomwe imapita ku mitsempha ya sacral m'chiuno mwanu. Izi zimaletsa zizindikiro zachilendo kuchokera ku mitsempha ya sacral kupita ku sphincter ya mkodzo, chikhodzodzo, ndi minofu ya pansi pa chiuno, kukuthandizani kuti mubwezeretsenso chikhodzodzo.

6. Kulimbikitsa mitsempha ya Sacral

Mu njira imeneyi, dokotala wanu adzaika ma electrode pansi pa khungu pamwamba pa matako anu. Ma electrode awa amatumiza zizindikiro zamagetsi pang'ono ku mitsempha ya sacral kudzera mu waya woonda (probe) womwe umalowa pansi pa khungu. Zizindikirozi zimapangitsa kuti minofu ya chikhodzodzo chanu igwire ntchito.

7. Kudzipaka tokha

Mukhoza kuyika katheta ya mkodzo mu chikhodzodzo chanu nthawi ndi nthawi ndikusonkhanitsa mkodzo wanu mu thumba. Dokotala wanu adzakuwonetsani momwe mungachitire izi (kudzipangira nokha).

8. Opaleshoni

Ngati njira zina zothandizira sizikugwira ntchito, dokotala wanu angakulangizeni opaleshoni yowonjezera chikhodzodzo (cystoplasty). Opaleshoniyi imapangitsa chikhodzodzo chanu kukhala chachikulu kuti chizitha kusunga mkodzo wambiri.Ndingathe kuchita zambiri.

Kodi chithandizo choyamba cha chikhodzodzo chopanda ntchito ya mitsempha ndi chiyani?

Mankhwala oyamba a vutoli nthawi zambiri ndi awa:

• Kuchepetsa zakudya ndi zakumwa zomwe zimawononga chikhodzodzo (tiyi, khofi, mowa, zakudya zokometsera kapena zamchere).
• Kuphunzitsa chikhodzodzo.

Ngati kusintha kwa khalidwe kumeneku sikuthandiza, madokotala angapereke mankhwala ngati awa, kutengera mtundu wa vuto la kusagwira ntchito kwa mkodzo popanda kugwiritsa ntchito mankhwala a neuron:

• Mankhwala oletsa kutopa
• Alpha-blockers
• Beta 3 receptor agonists

Kodi vutoli limachiritsidwa bwanji kwa ana aang'ono?

Mankhwala oletsa kutupa m'mimba (alpha-blockers) ndi mankhwala oletsa cholinergic angathandize kuchiza chikhodzodzo chogwira ntchito mopitirira muyeso mwa ana aang'ono. Ana ena angaphunzitsidwenso kuchita masewera olimbitsa thupi pansi pa chiuno.

Dokotala angalimbikitsenso kuphunzitsa mwana kugwiritsa ntchito chikhodzodzo. Mwachitsanzo, kulimbikitsa mwana kupita kuchimbudzi nthawi yoikika ndikumuphunzitsa kaimidwe koyenera kuchimbudzi.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Zimasiyana malinga ndi chithandizo. Kuchita masewera olimbitsa thupi a chikhodzodzo ndi pansi pa chiuno kumatha kuyamba kugwira ntchito pakatha milungu ingapo kapena miyezi ingapo. Kulimbikitsa mitsempha nthawi zambiri kumayamba kugwira ntchito pakatha milungu ingapo. Mankhwala ayenera kuyamba kugwira ntchito pakatha masiku kapena milungu ingapo. Dokotala wanu adzakupatsani lingaliro labwino la izi.

Kodi ndiyenera kupita kwa dokotala liti?

Lankhulani ndi dokotala mwamsanga mukangoyamba kuzindikira mavuto awa okhudzana ndi kupita kuchimbudzi:

• Kulephera kukodza kwa nthawi yayitali.
• Kusintha kwa mkodzo wanu: Mwachitsanzo, fungo lamphamvu, mtundu wakuda, kapena magazi mu mkodzo (hematuria).
• Ululu pokodza (dysuria).
• Zizindikiro zosalekeza za kudzimbidwa.
• Zizindikiro za matenda: malungo, kuzizira, mutu.

Mukapita kwa dokotala, mungafunsenso mafunso awa:

• Kodi mukudziwa bwanji kuti ndili ndi vuto la `(Non-neurogenic voiding dysfunction)`?
• Kodi chifukwa cha vutoli ndi chiyani?
• Kodi mukundilangiza chithandizo chanji?
• Kodi zotsatirapo zake ndi ziti?
• Kodi zitenga nthawi yayitali bwanji kuti muwone zotsatira za chithandizo chimenecho?
• Ndi kusintha kotani kwa moyo komwe mumalimbikitsa kuti ndichepetse zizindikiro zanga?
• Ndi mavuto ati omwe ndiyenera kusamala nawo?
• Kodi ndiyenera kupita kwa dokotala wa urologist?

Kodi izi zingapewedwe?

Mungathandize kupewa vutoli (Non-neurogenic voiding dysfunction) mwa kusintha moyo wanu ndi zakudya zanu. Izi zingaphatikizepo:

• Kuchepetsa zakudya ndi zakumwa zomwe zimawononga chikhodzodzo: Zakumwa zokhala ndi caffeine (khofi, tiyi), zipatso za citrus (monga malalanje, mandimu), zakudya zokometsera, ndi mowa zonse zimatha kuyambitsa vuto la chikhodzodzo ndikuyambitsa mavuto a kukodza .
• Kudya zakudya zokhala ndi ulusi wambiri: Kudzimbidwa kungayambitse kapena kuipitsa vutoli. Mutha kupeza ulusi wambiri mwa kudya nyemba, zipatso, ndiwo zamasamba, ndi tirigu wambiri (buledi wa tirigu wonse, oats, quinoa, mpunga wofiirira, ndi pasitala wa tirigu wonse). Muthanso kumwa mankhwala otseketsa (` laxatives ') chifukwa cha kudzimbidwa. Komabe, muyenera kulankhula ndi dokotala wanu musanamwe mankhwala otseketsa kapena kupatsa mwana.
• Kusunga kulemera kwanu koyenera: Ngati thupi lanu lili ndi BMI yoposa 25 (kulemera kwambiri), ikhoza kukakamiza chikhodzodzo chanu ndikuyambitsa kutuluka kwa mkodzo .
• Kusiya kusuta: Nikotini, chinthu chachikulu chomwe chimapezeka mu fodya, chingathandize minofu ya m'chikhodzodzo. Osuta fodya alinso ndi chiopsezo chachikulu chokhala ndi chifuwa chosatha, chomwe chingayambitse kupanikizika pa chikhodzodzo.

Kodi ndingayembekezere chiyani ngati ndili ndi vuto la kusagwira ntchito bwino kwa mkodzo popanda kugwiritsa ntchito mankhwala a neuron?

Chiyembekezo cha anthu omwe ali ndi vutoli ndi chabwino. Ndi chithandizo, anthu ambiri amatha kulamulira chikhodzodzo chawo. Opaleshoni yokulitsa chikhodzodzo (cystoplasty) siifunikira kawirikawiri.

Kodi pali kusiyana kotani pakati pa vuto la kusagwira ntchito bwino kwa ubongo ndi kusagwira ntchito bwino kwa ubongo?

Kulephera kugwira ntchito kwa chikhodzodzo cha neurogenic (komwe kumadziwikanso kuti chikhodzodzo cha neurogenic) ndi vuto lomwe limakhudza dongosolo lanu la mitsempha. Izi zikutanthauza kuti simungathe kulamulira chikhodzodzo chanu chifukwa cha vuto la ubongo wanu, mitsempha, kapena msana.

Komabe, "Kulephera kugwira ntchito kwa mkodzo popanda kukhudza mitsempha" komwe tidakambirana lero ndi vuto lomwe limachitika popanda kukhudzidwa kwa mitsempha.

Chofunika kwambiri kukumbukira: Non-Neurogenic voiding dysfunction (NNODD) ndi vuto lomwe lingayambitse imfa lomwe lingakhudze ana ndi akuluakulu. Likhoza kukhala lochititsa manyazi komanso losasangalatsa. Lingakupangitseninso kumva ngati simukukodza nthawi yomwe mukufunikira. Komabe, simukufuna kuti vutoli likhudze moyo wanu. Ngati inu kapena wokondedwa wanu mukukumana ndi zizindikirozi, lankhulani ndi dokotala. Angakuthandizeni kupeza chomwe chikuyambitsa ndikuchiza.

Chidule (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsa bwino zomwe takambirana lero, "Kulephera Kugwira Ntchito Popanda Kutsegula Mitsempha". Izi ndi vuto la mitsempha yokha.Chofunika kwambiri ndichakuti, zinthu monga minofu yofooka ya chikhodzodzo, kutsekeka kwa mkodzo, zizolowezi zoipa, ndi kudzimbidwa zingayambitse izi.

• Zizindikiro: Kuvuta kukodza , kusadziletsa mkodzo , kusatulutsa madzi okwanira m'chikhodzodzo, kukodza kosadzifunira, kukodza masana mwa ana, ndi zina zotero.
• Kuzindikira: Kudzera mu mayeso azachipatala, diary ya mkodzo, ultrasound, ndi mayeso a urodynamic.
• Chithandizo: Kusintha kwa moyo, kuchita masewera olimbitsa thupi pachikhodzodzo, kuchita masewera olimbitsa thupi pansi pa chiuno, mankhwala, ndi njira zina zochiritsira.
• Chofunika: Ngati muli ndi zizindikiro, musachite manyazi ndipo funsani upangiri kwa dokotala. Kuyamba chithandizo msanga kungalepheretse mavuto.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala. Khalani ndi thanzi labwino!

Kusagwira bwino ntchito kwa mkodzo, kusadziletsa, chikhodzodzo, matenda a mkodzo, kudzimbidwa, mavuto a mkodzo wa ana, kulamulira mkodzo, kusadziletsa, chikhodzodzo chogwira ntchito mopitirira muyeso, kuphunzitsa chikhodzodzo