Kodi mumayenera kukodza pafupipafupi? Palibe choletsa? Tiyeni tikambirane za Chikhodzodzo Chogwira Ntchito Kwambiri (OAB)

Mukukonzekera kupita kwinakwake... kapena muli ndi ntchito yofunika... ndipo mwadzidzidzi mukumva kufunikira kukodza. Simuli ndi nthawi yothamangira kuchimbudzi. Nthawi zina mumatha kusamba zovala zanu osazindikira. Kodi zinthuzi zimakupangitsani kumva osamasuka komanso manyazi? Kotero lero tikambirana za nkhani yofunika kwambiri kwa inu. Chikhodzodzo Chogwira Ntchito Kwambiri, kapena OAB mwachidule. Ngakhale kuti ichi ndi chinthu chomwe anthu ambiri sakonda kulankhula za icho ndipo amachita manyazi nacho, ndi vuto lofala kwambiri. Komanso, pali mankhwala abwino ochichiritsira.

Kodi kwenikweni chikhodzodzo chogwira ntchito mopitirira muyeso (OAB) n'chiyani?

Mwachidule, chikhodzodzo chochita zinthu mopitirira muyeso si matenda, koma zizindikiro zambiri. Chomwe chimachitika apa ndi chakuti chikhodzodzo chanu chimayamba kugwira ntchito mopitirira muyeso. Kawirikawiri, chikhodzodzo chikadzaza, ubongo umatumiza chizindikiro, kutiuza kuti tiyenera kukodza. Komabe, mwa munthu amene ali ndi OAB, minofu ya chikhodzodzo imayamba kufooka ngakhale chikhodzodzocho chikadzala. Pamenepo ndi pamene pamakhala kufunikira kosalamulirika komanso kofulumira kukodza.

Izi ndi zizindikiro zazikulu zomwe zimawonedwa ndi OAB.

Ndani amene ali ndi mwayi waukulu wokumana ndi vutoli?

Ngakhale kuti matenda a OAB amatha kukhudza anthu azaka zilizonse, amapezeka kwambiri mwa anthu azaka zopitirira 65. Azimayi amathanso kudwala matendawa msanga kuposa amuna, mwina kuyambira ali ndi zaka 45.

Izi n’zofala kwambiri moti anthu mamiliyoni ambiri padziko lonse lapansi amavutika ndi vutoli. Koma anthu ambiri amachita manyazi kulankhula za vutoli, choncho safuna chithandizo. Ndi zomvetsa chisoni kwambiri. Chifukwa ichi ndi chinthu chomwe chingathetsedwe kwambiri ndi chithandizo.

N’chifukwa chiyani izi zimachitika? Kodi zimayambitsa matenda a OAB ndi ziti?

Minofu ya detrusor ndi minofu yomwe ili pakhoma la chikhodzodzo chanu. OAB imayamba chifukwa cha matenda enaake kapena kuvulala komwe kumakhudza minofu iyi. Tiyeni tiwone zomwe zimayambitsa.

• Kuvulala m'mimba: Pa nthawi ya mimba ndi kubereka, makamaka mwa akazi, minofu ya m'chiuno imatha kutambasuka ndikufooka. Minofu imeneyi ndi yomwe imasunga chikhodzodzo ndi ziwalo zina pamalo ake. Chikhodzodzo chikafooka, chikhodzodzo chimatha kugwa pang'ono, zomwe zimakhudza ntchito yake.
• Kuwonongeka kwa mitsempha: Taganizirani izi, chikhodzodzo chathu ndi ubongo zimalumikizana kudzera m'mitsempha. Kodi chimachitika ndi chiyani ngati ubongo walandira chizindikiro cholakwika chotulutsa chikhodzodzo chake panthawi yolakwika? Ndicho chimene chikuchitika apa. Mitsempha iyi ikhoza kuonongeka ndi matenda ena ndi ngozi. Mwachitsanzo:
• Opaleshoni ya m'chiuno kapena kumbuyo
• Matenda a msana (herniated discs)
• Chithandizo cha radiation
• Matenda a Parkinson
• Matenda a sclerosis ambiri
• Stroke
• Mankhwala ena, mowa, ndi caffeine: Izi zimatha kuchepetsa mphamvu ya mitsempha yanu ndikukhudza zizindikiro zomwe zimapita ku ubongo wanu. Mankhwala ochepetsa kukodza (mankhwala omwe amawonjezera kukodza) ndi caffeine (tiyi, khofi) angayambitsenso chikhodzodzo chanu kudzaza mwachangu, zomwe zingayambitse kukodza kosalamulirika.
• Matenda:Ngati vuto la mkodzo (UTI) lachitika, lingayambitse mitsempha ya m'chikhodzodzo ndikupangitsa kuti chikhodzodzo chizigwira ntchito mosayenera.
• Kulemera kowonjezereka: Pamene thupi lanu likulemera, limaika mphamvu yowonjezera pa chikhodzodzo chanu. Kupanikizika kumeneku kungapangitsenso kuti zikhale zovuta kulamulira mkodzo wanu.
• Kusowa kwa estrogen pambuyo pa kusamba: Kusabereka msanga kungachitikenso chifukwa cha kusintha kwa mahomoni komwe kumachitika m'thupi la akazi pambuyo pa kusamba.

Kodi mwapeza bwanji izi, Dokotala?

Mukapita kwa dokotala za zizindikiro izi, chinthu choyamba chomwe angachite ndikumvetsera mosamala zomwe mukunena. Kenako, adzayang'ana mosamala malo anu a m'chiuno ndi malo ozungulira anus yanu. Angakufunseni mafunso monga:

• Kodi zizindikiro zanu ndi ziti?
• Kodi zizindikirozi zakhala zikuchitika kwa nthawi yayitali bwanji?
• Kodi pali aliyense m'banja mwanu amene ali ndi vutoli?
• Ndi mankhwala ati omwe mumagwiritsa ntchito? (kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala)
• Kodi mumamwa chiyani patsiku? Kodi mumamwa liti?
• Kodi zakudya zanu zili bwanji?

Nthawi zina dokotala wanu angakutumizireni kwa dokotala wa urologist.

Mayeso ozindikira matenda

Dokotala wanu angakulangizeni mayeso angapo ngati awa kuti atsimikizire matendawa.

• Kusanthula mkodzo: Kuyesa kumeneku kumayesa mkodzo wanu ngati muli ndi matenda, maselo a magazi, ndi zina zotero. Ngati chinthu chonga UTI chikuyambitsa matenda anu a OAB, kuyesaku kungathe kuzindikira.
• Kuyesa kwa Urodynamic: Mayesowa amatha kuyeza zinthu zambiri, monga kuchuluka kwa mkodzo womwe umatsala mu chikhodzodzo mukatha kukodza, liwiro lomwe mkodzo umatuluka, komanso kupanikizika kwa chikhodzodzo mukadzaza.
• Kujambula kwa Ultrasound: Uku ndi kujambula kosapweteka komwe kungapangitse zithunzi zatsatanetsatane za chikhodzodzo chanu ndi ziwalo zozungulira.
• Kujambula kwa CT: Izi zingapangitsenso kuti chikhodzodzo chizioneka ngati cha mbali zitatu (3D).
• Cystoscopy: Izi zimaphatikizapo kulowetsa chida chopyapyala, chokhala ndi kamera chotchedwa cystoscope kudzera mu urethra yanu kuti chiwone mkati mwa chikhodzodzo chanu. Mudzapatsidwa jeli yochepetsera kuuma musanachite opaleshoniyi, kotero palibe chifukwa chodera nkhawa. Nthawi zambiri, mungapatsidwe mankhwala oletsa ululu pa opaleshoniyi.

Kodi mankhwala ochizira izi ndi otani?

Nkhani yabwino ndi yakuti pali njira zosiyanasiyana zothandizira odwala matenda a OAB, kuphatikizapo kusintha kwa moyo ndi khalidwe, mankhwala, ndi mankhwala othandizira mitsempha.

1. Kusintha kwa moyo ndi khalidwe

Musanayambe kumwa mankhwala, pali zinthu zambiri zomwe mungachite nokha. Izi ndi njira zoyamba zothandizira.

Sungani diary ya chikhodzodzo.

Dokotala wanu angakupempheni kuti mulembe zolemba zanu za mkodzo kwa masiku angapo. Izi zikuthandizani kumvetsetsa nthawi yomwe vuto lanu likuipiraipira komanso zomwe mumadya kapena kumwa. Lembani izi:

• Mukumwa chiyani?
• Kodi mumamwa mowa wochuluka bwanji?
• Kodi ndi zinthu ziti zomwe mungadye?
• Kodi mumakodza kangati?
• Ngati mkodzo watuluka, liti ndipo mochuluka bwanji?
• Kodi nthawi zambiri mumamva kufunika kochita zinthu mwachangu?
• Kodi munatuluka mkodzo chifukwa cha kutsokomola, kutsekula m'mimba, kapena kuseka?

Kusamalira zomwe mumadya ndi kumwa

Zakudya ndi zakumwa zina zimatha kuyambitsa chikhodzodzo ndikuwonjezera zizindikiro za OAB. Yesetsani kuchepetsa kapena kuchotseratu zakudya izi:

• Tiyi
• Khofi
• Mowa
• Zakumwa zoziziritsa kukhosi zokhala ndi caffeine
• Zipatso za citrus ndi zakumwa za zipatso (malalanje, ma tangerines)
• Chokoleti
• Tomato ndi zakudya zomwe zili ndi tomato
• Zakudya zokometsera komanso zokazinga
• Zinthu zomwe zili ndi zotsekemera zopangidwa (zakumwa zochepetsa thupi, chingamu zina)

Kusunga matumbo kugwira ntchito bwino

Kudzimbidwa kungapangitse kuti chikhodzodzo chanu chikhale chopanikizika kwambiri ndikuwonjezera zizindikiro za OAB. Choncho yesani zinthu izi kuti matumbo anu akhale athanzi:

• Idyani zakudya zokhala ndi ulusi wambiri (mpunga wofiirira, nyemba, oats, nyemba, ndiwo zamasamba, zipatso).
• Imwani magalasi ena awiri kapena anayi a madzi patsiku.
• Kuchita masewera olimbitsa thupi nthawi zonse.

Kuchepetsa kulemera ndi kusiya kusuta

Kuchepetsa thupi kwambiri kungachepetse kupanikizika kwa chikhodzodzo. Komanso, ngati mukusuta, kungakhudze minofu ya chikhodzodzo. Chifukwa chake, kusiya kusuta n'kofunika kwambiri.

Kodi mungaphunzitse bwanji chikhodzodzo? (Kuphunzitsanso chikhodzodzo)

Iyi ndi njira yofunika kwambiri komanso yothandiza. Mukakhala ndi OAB, chikhodzodzo chanu chimazolowera kudzitulutsa chokha chikadzaza pang'ono. Chomwe tikuchita ndi maphunzirowa ndikuphunzitsa chikhodzodzo kuti chisunge mkodzo wochulukirapo. Mwachidule, zili ngati 'kubwezeretsa' chikhodzodzo.

Kodi mungachite bwanji izi?

1. Pezani kalembedwe kanu ka mkodzo: Choyamba, yang'anani buku lanu la mkodzo ndikupeza kuti nthawi zambiri mumakodza. Tiyerekeze kuti mumapita kuchimbudzi ola lililonse.

2. Pang'onopang'ono onjezerani nthawi: Kenako, yesani kuyimitsa kwa mphindi zingapo ngakhale mutakhala kuti mukufuna kukodza. Ngati poyamba mwayamba kukodza kwa ola limodzi, yesetsani kwa ola limodzi ndi mphindi 15.

3. Lamulirani chilakolako: Chilakolakocho chikabwera nthawi zina, pumirani mpweya wozama ndikutulutsa mpweya pang'onopang'ono. Ganizirani malo omwe angakutonthozeni. Dikirani mpaka chilakolakocho chitapita. Kenako pitani kuchimbudzi monga mwachizolowezi.

4. Gwirani ntchito motsatira ndondomeko:Mukatha kugwira bwino ntchito yanu yatsopano (monga ola limodzi ndi mphindi 15) kwa pafupifupi sabata imodzi, onjezerani nthawi ndi mphindi zina 15. Pang'onopang'ono onjezerani nthawi mpaka mutatha kugwira mkodzo wanu kwa maola awiri kapena anayi .

Njira zowongolera zilakolako

• Siyani zomwe mukuchita ndipo khalani pansi ngati mungathe. Khalani chete.
• Limbitsani minofu yanu ya m'chiuno (monga momwe zimakhalira mu masewera olimbitsa thupi a Kegel) kangapo mwachangu.
• Pumulani thupi lanu lonse. Pumulani mpweya wambiri.
• Tangoganizani zoletsa chilakolako chofuna kukodza.
• Chilakolako chikatha, pang'onopang'ono pitani kuchimbudzi monga mwachizolowezi. Musachite mantha.

Chithandizo chamankhwala ndi njira zina

Ngati kusintha moyo kokha sikukwanira kuthetsa vutoli, dokotala wanu angakulangizeni njira zina zochiritsira.

Mankhwala

Pali mankhwala omwe amathandiza kumasula minofu ya chikhodzodzo ndikuwongolera kupweteka kosafunikira. Mankhwalawa amalola chikhodzodzo kusunga mkodzo wambiri.

• Mankhwala oletsa cholinergic: Mankhwala monga Oxybutynin (Ditropan®), Tolterodine (Detrol®), Solifenacin (VESIcare®).
• Mankhwala a Beta-3 adrenergic: Mankhwala monga Mirabegron (Myrbetriq®), Vibegron (Gemtesa®).

Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ngati dokotala wapereka upangiri .

Kulimbikitsa Mitsempha

Ngati njira zina zothandizira sizikuyenda bwino, pali njira zina zothandizira zomwe zimatumiza zizindikiro zamagetsi pang'onopang'ono ku mitsempha yomwe imalamulira chikhodzodzo, ndikubwezeretsa ntchito yake.

• Kulimbikitsa mitsempha ya Sacral: Njira yolimbikitsira mitsempha poika chipangizo chaching'ono pansi pa khungu.
• Kulimbikitsa mitsempha ya tibial percutaneous: Njira yomwe imapereka kutsitsimula kudzera mu mitsempha pafupi ndi kakolo.

Majakisoni a Poizoni wa Botulinum

Botox® ndi mtundu wotchuka kwambiri. Botox imalowetsedwa mu khoma la chikhodzodzo kudzera mu cystoscope. Izi zimamasula minofu ya chikhodzodzo. Zotsatira za mankhwalawa zimatha kwa miyezi pafupifupi 6, kotero jakisoni wobwerezabwereza amafunika.

Kodi mungatani kuti musamavutike panthawi ya chithandizo?

Pamene mukudikira kuti chithandizo chanu chiyambe kugwira ntchito, kapena ngati simungathe kuletsa kutuluka kwa madzi nthawi zina, mungamve kusasangalala komanso manyazi. Koma pali njira zothetsera vutoli. Kugwiritsa ntchito mapepala apadera kapena matewera a akuluakulu (mankhwala oletsa kudziletsa) kudzakuthandizani kubwerera ku zochita zanu za tsiku ndi tsiku molimba mtima.

• Sinthani nthawi zonse:Kusintha pedi mukamaliza kukodza kungathandize kupewa fungo ndi matenda a pakhungu.
• Pakani zoteteza pakhungu: Kupaka kirimu woteteza pakhungu musanaike papepala kungathandize kupewa kuwonongeka kwa khungu komwe kumachitika chifukwa cha mkodzo.
• Valani zovala zotayirira komanso zakuda: Izi zipangitsa kuti pepalalo lisaoneke bwino. Komanso, ngakhale litanyowa mwanjira ina, silidzaoneka bwino mu zovala zakuda.