Kodi mumatuluka mkodzo mosadzifunira? Kodi chikhodzodzo chanu chingakhale chodzaza? Tiyeni tikambirane za kulephera kudziletsa kwa mkodzo ndi Nirogi Lanka!

Kodi nthawi zina mumamva ngati madontho ochepa a mkodzo akutuluka m'zovala zanu popanda kuzindikira? Kapena, mukamaliza kukodza, mumamvabe ngati chikhodzodzo chanu sichinatuluke mokwanira? Izi zitha kukhala zovutitsa kwambiri, koma nthawi zambiri zimachitika pamene chikhodzodzo chanu cha mkodzo chadzaza kwathunthu ndipo chilibe malo otsala. Tiyeni tikambirane za vuto lotchedwa Overflow Incontinence.

Kodi Kusadziletsa Kwambiri (Overflow Incontinence) ndi Chiyani?

Mwachidule, Overflow Incontinence imachitika pamene chikhodzodzo chanu chimadzaza kwambiri nthawi zonse, zomwe zimapangitsa kuti mkodzo wochepa utuluke mosalamulirika. Zili ngati thanki yamadzi yomwe imadzaza mpaka m'mphepete mwake ndipo imayamba kusefukira yokha. Izi zitha kuchitika ngati mukumva chilakolako chofuna kukodza pafupipafupi, koma simungathe kutulutsa chikhodzodzo chanu chonse.

Anthu ambiri amaganiza kuti kutayika kwa mkodzo pamene mukukalamba ndi gawo la moyo wamba. Ngakhale kuti n’zoona kuti chiopsezo cha vutoli chikhoza kuwonjezeka ndi ukalamba, si chinthu chomwe aliyense amakumana nacho. Vuto lotchedwa "overflow incontinence" lingakhudze aliyense.

N'zomveka bwino ngati mukumva manyazi, kukhumudwa, kapena ngakhale kukhumudwa ndi izi. Komabe, simuyenera kulola vutoli kusokoneza moyo wanu watsiku ndi tsiku. Gawo lofunika kwambiri ndikuonana ndi dokotala, kuzindikira chomwe chikuyambitsa vutoli, ndikupeza chithandizo chofunikira. Nthawi zambiri, kuphatikiza kusintha kwa moyo, mankhwala, kapena njira zina zochiritsira kungakuthandizeni kuyambiranso kulamulira vutoli bwino ndi Nirogi Lanka.

Kodi pali mitundu ina ya kusadziletsa kwa mkodzo?

Inde, kusadziletsa kopitirira muyeso ndi mtundu umodzi wokha wa vuto la kulamulira chikhodzodzo. Ngakhale kuti sikofala kwambiri, pali mitundu ina yomwe imachitika kawirikawiri:

• Kusadziletsa Kudziletsa: Izi zimachitika pamene kupanikizika kwa thupi—monga kutsokomola, kuyetsemula, kapena kuseka—kukupangitsani kutulutsa mkodzo pang'ono.
• Kulimbikitsa Kusadziletsa: Izi zimaphatikizapo chilakolako champhamvu chofuna kukodza mwadzidzidzi chomwe chimakhala champhamvu kwambiri moti simungathe kufika kuchimbudzi nthawi yomweyo.
• Kusadziletsa Kosiyanasiyana: Izi zimachitika mukakumana ndi zizindikiro za kusadziletsa komanso kulephera kudziletsa nthawi imodzi.

Ndikofunikira kukumbukira kuti simuli nokha. Kafukufuku akusonyeza kuti pafupifupi munthu m'modzi mwa atatu aliwonse ku United States amakumana ndi vuto linalake la kulamulira chikhodzodzo. Pakati pa milandu iyi, kusadziletsa kochulukirachulukira kumakhudza pafupifupi 5% ya anthu.

Kodi zizindikiro za vutoli ndi ziti?

Ngati mukuganiza kuti muli ndi vuto la kusadziletsa m'mimba , chonde samalani ndi zizindikiro izi:

• Kutuluka kwa mkodzo pafupipafupi. Izi zikufanana ndi pompo yomwe sinatsekedwe bwino ndipo imapitiriza kutulutsa madontho.
• Kufuna kukodza pafupipafupi, koma nthawi iliyonse kumatuluka pang'ono.
• Kuvuta kuyambitsa kutuluka kwa mkodzo.
• Mtsinje wofooka kapena wosokonezeka pamene mukukodza.
• Kumva ngati chikhodzodzo chanu chikadali chodzaza , ngakhale mutamaliza kukodza.

Ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikirozi, ndikofunikira kukambirana ndi dokotala wanu.

N’chifukwa chiyani izi zimachitika? Kodi zimayambitsa chiyani?

Chifukwa chachikulu cha kusadziletsa ndi kusungidwa kwa mkodzo kwa nthawi yayitali. Izi zikutanthauza kuti chikhodzodzo chanu sichimatuluka kwathunthu, zomwe zimapangitsa kuti chikhale chodzaza kwambiri. Chikhodzodzo chanu ndi chiwalo chofunikira kwambiri m'dongosolo lanu la mkodzo , ndipo zinthu zingapo zingalepheretse kuti chituluke bwino:

• Kuchuluka kwa mkodzo wopangidwa: Izi zitha kuchitika chifukwa cha matenda monga matenda a shuga kapena kugwiritsa ntchito mankhwala monga diuretics .
• Kutsekeka kwa njira yotulutsira madzi m'chikhodzodzo: Kutsekeka kwa njira yotulutsira madzi m'chikhodzodzo kumalepheretsa mkodzo kutuluka bwino m'chikhodzodzo, zomwe zimapangitsa kuti madzi onse asatuluke m'chikhodzodzo.
• Minofu yofooka ya chikhodzodzo kapena kuwonongeka kwa mitsempha: Izi zimalepheretsa chikhodzodzo kuti chisakoke bwino kuti chitulutse mkodzo.

Ndani ali pachiwopsezo chachikulu?

Mwa amuna, makamaka omwe ali ndi vuto la prostate kapena omwe adachitidwa opaleshoni ya prostate, chiopsezo cha kusadziletsa kwambiri chimakhala chachikulu. Matenda monga Benign Prostatic Hyperplasia (BPH) kapena khansa ya prostate amatha kutsekereza urethra , zomwe zimapangitsa kuti mkodzo utuluke pang'ono nthawi imodzi.

Pambuyo pa opaleshoni ya khansa ya prostate (opaleshoni ya khansa ya prostate) kapena chithandizo cha radiation , kapena ngakhale atachitidwa opaleshoni ya mkodzo, minofu ya zipsera imatha kupangika. Minofu iyi ya zipsera imatha kuchepetsa mkodzo—vuto lotchedwa urethral stricture . Chifukwa chikhodzodzo sichingathe kutulutsa madzi mokwanira, chimadzazanso mwachangu, zomwe zimapangitsa kuti pakhale kutuluka kwa madzi komwe kumayambitsa vutoli.

Kuonjezera apo, mukhoza kukhala pachiopsezo chachikulu cha kusadziletsa kwa thupi ngati muli ndi:

• Matenda a shuga
• Kuwonongeka kwa mitsempha
• Kuvulala kwa msana

Kodi dokotala amazindikira bwanji izi?

Ngati muli ndi zizindikiro za kusadziletsa kopitirira muyeso , chonde onani dokotala nthawi yomweyo. Adzawunikanso mbiri yanu yachipatala, kukambirana za zizindikiro zanu, ndikuyesa thupi lanu. Kutengera ndi kapangidwe ka thupi lanu, izi zitha kuphatikizapo kuyeza m'chiuno mwa akazi kapena kuyeza kwa digito kwa amuna kuti aone prostate.

Kuti dokotala wanu akuthandizeni kupeza matenda molondola, angakupempheni kuti mulembe “buku la chikhodzodzo” kwa masiku awiri kapena atatu. Mu bukuli, muyenera kulemba:

• Zimene mumamwa.
• Kuchuluka kwa madzi omwe amamwa.
• Kodi mumakodza kangati.
• Kangati mumaona kutuluka kwa madzi.
• Kuchuluka kwa mkodzo komwe kumatayika panthawi yotulutsa madzi.

Kutengera ndi izi, dokotala wanu angakulangizeni mayeso ena owunikira matenda.

Ndi mayeso ati omwe amachitidwa?

Kuti atsimikizire kupezeka kwa vuto la kusadziletsa kopitirira muyeso , mayeso otsatirawa atha kuchitidwa:

• Kusanthula mkodzo: Tidzatenga chitsanzo cha mkodzo kuti tiwone ngati pali zizindikiro za matenda a mkodzo (UTIs) kapena magazi (hematuria).
• Ultrasound ya m'mimba: Izi zimagwiritsa ntchito mafunde amphamvu kwambiri kuti apange zithunzi zatsatanetsatane za chikhodzodzo chanu, impso, ndi ziwalo zina za m'mimba. Zimathandizanso kudziwa kuchuluka kwa mkodzo womwe umatsala mu chikhodzodzo chanu mukamaliza kukodza.
• Cystoscopy: Pa nthawiyi, chubu chopyapyala, chosinthasintha chokhala ndi kamera ndi kuwala (cystoscope) chimayikidwa kudzera mu urethra yanu kuti dokotala wanu azitha kuwona mkati mwa chikhodzodzo chanu ndi njira ya mkodzo.
• Kuchotsa mkodzo m'chikhodzodzo (VCUG): Katheta ya mkodzo imagwiritsidwa ntchito kudzaza chikhodzodzo chanu ndi utoto wosiyana, kenako X-ray. Izi zimathandiza dokotala wanu kuwona kapangidwe ndi ntchito ya chikhodzodzo chanu pamene chikudzaza ndi kutulutsa madzi.
• Kuyesa kwa Urodynamic: Mayeso angapo opangidwa kuti awone momwe chikhodzodzo chanu ndi dongosolo la mkodzo wanu zimasungira ndikutulutsa mkodzo bwino. Izi zitha kuphatikizapo mayeso a mkodzo wotsalira pambuyo poti palibe choletsa kuti muyese kuchuluka kwa mkodzo womwe watsala mu chikhodzodzo chanu mutayesa kuchotsa mkodzo.

Kodi izi zimathandizidwa bwanji ndipo chithandizo chake ndi chiyani?

Chithandizo cha kusadziletsa kudziletsa ku Nirogi Lanka chimapangidwira makamaka chifukwa cha vuto lake. Nthawi zina, kusintha moyo wanu kungathandize kuthana ndi zizindikiro zanu.

Njira zachilengedwe:

• Kuphunzitsa chikhodzodzo (kapena kusamba m'mimba nthawi yake): Mudzatsatira ndondomeko yokhazikika yogwiritsira ntchito chimbudzi (monga, maola awiri kapena atatu aliwonse). Cholinga chake ndi kutulutsa madzi m'chikhodzodzo chanu chisanadzale kwambiri, ngakhale mutakhala kuti simukufuna kupita.
• Kutulutsa madzi m'chikhodzodzo kawiri: Mukamaliza kukodza, dikirani kangapo kenako yesani kukodzanso. Kapena, mutha kupirira pang'onopang'ono kuti muwonetsetse kuti chikhodzodzo chanu chilibe kanthu.

Mankhwala azachipatala:

Kutengera chifukwa chachikulu, dongosolo lanu la chithandizo lingaphatikizepo:

• Mankhwala: Ngati prostate yotupa ikuyambitsa kutsekeka, mankhwala angathandize kuchepetsa gland.
• Opaleshoni: Ngati pali chotchinga chakuthupi m'njira yanu ya mkodzo, opaleshoni ingafunike kuti ichotsedwe.
• Kudzipaka tokha (kutsuka tokha tokha nthawi ndi nthawi - CIC): Mudzaphunzira kugwiritsa ntchito katheta kwakanthawi panthawi yoikika kuti mutulutse madzi m'chikhodzodzo chanu, ndikuchichotsa nthawi yomweyo mutatha kuchita opaleshoni.
• Kuyika katheta m'thupi: Katheta imasiyidwa mu chikhodzodzo kwa nthawi yayitali, ndipo mkodzo umatuluka m'thumba lakunja.
• Katheta wa Suprapubic: Dokotala wa opaleshoni amaika chubu chokhazikika mwachindunji mu chikhodzodzo chanu kudzera mu kabowo kakang'ono m'mimba mwanu. Mkodzo umatuluka m'thumba, ndikudutsa mkodzo wonse.
• Kusinthasintha kwa mitsempha ya Sacral (kulimbikitsa mitsempha): Waya kakang'ono kamayikidwa pafupi ndi msana wapansi kuti kapereke mphamvu zamagetsi zofatsa komanso zopitilira ku mitsempha yolamulira chikhodzodzo, zomwe zimathandiza kuti chizigwira bwino ntchito. Batire yaying'ono imayikidwa pansi pa khungu kuti izi zigwire ntchito.

Ndi mankhwala ati omwe amagwiritsidwa ntchito?

Ngati kusadziletsa kochuluka kwa prostate kumachitika chifukwa cha kukula kwa prostate, dokotala wanu angakulembereni mankhwala oletsa alpha kuti achepetse prostate ndikuwonjezera kuyenda kwa magazi. Zitsanzo ndi izi:

• Alfuzosin
• Doxazosin
• Silodosin
• Tamsulosin
• Terazosin

Kumbukirani kuti mankhwala awa ayenera kumwedwa pokhapokha ngati dokotala akuwayang'anira bwino.

Mavuto Omwe Angakhalepo

Ngati mkodzo sungathe kudziletsa mokwanira, ngakhale utatuluka pang'ono chabe, kuchuluka kwa madzi m'thupi kungayambitse kutayika kwakukulu kwa madzi tsiku lonse.

Mungagwiritse ntchito zovala zamkati zoyamwa madzi kapena zotchingira mkodzo kuti muchepetse izi, koma nkhawa zokhudzana ndi fungo kapena mawonekedwe zingakhudze kudzidalira kwanu, moyo wanu wocheza ndi anthu ena, komanso thanzi lanu la maganizo, zomwe zingayambitse nkhawa ndi kupsinjika maganizo. Kuphatikiza apo, chinyezi chosalekeza chingayambitse ziphuphu pakhungu ndi kuyabwa.

Chofunika kwambiri, kulephera kutulutsa madzi m'chikhodzodzo chanu kumawonjezera chiopsezo chanu cha matenda opatsirana m'mitsempha ya mkodzo (UTIs) omwe amakhudza chikhodzodzo, prostate, ndi impso. Mkodzo wosasungidwa ungathandizenso kupanga miyala ya m'chikhodzodzo, zomwe zimayambitsa kupweteka ndi kutupa. Kuphatikiza apo, kupanikizika kosalekeza kuchokera ku chikhodzodzo chodzaza kwambiri kumatha kubweretsa kuwonongeka kwa impso kosatha.

Kodi izi zingapewedwe bwanji?

Kuphunzitsa chikhodzodzo ndi kuchotsa mkodzo kawiri ndi njira zothandiza zopewera chikhodzodzo kuti chisadzaze kwambiri ndi kutuluka madzi. Kusamalira moyo ndikofunikira kwambiri; kukhala ndi kulemera kwabwino komanso kuonetsetsa kuti matenda monga matenda a shuga akulamulidwa bwino ndi njira zofunika zodzitetezera.

Kodi vutoli lingachiritsidwe mokwanira?

Nthawi zambiri, ngati mukulephera kudziletsa mokwanira, kuchiza matenda obwera chifukwa cha mkodzo kumathandiza kuchepetsa zizindikiro. Sizachilendo kufunikira catheter yokhazikika ya mkodzo. Chifukwa chake, gawo lofunika kwambiri lomwe mungachite ndikulankhula ndi dokotala wanu. Angakupatseni njira zabwino kwambiri zothanirana ndi vuto lanu la kusadziletsa mokwanira komanso kuchepetsa zotsatira zake pa moyo wanu watsiku ndi tsiku ndi Nirogi Lanka.

Kodi ndingadzisamalire bwanji?

Pamene mukudikira kuti chithandizo chanu chiyambe kugwira ntchito, mungagwiritse ntchito mapepala onyowa kapena zovala zamkati zodziletsa kuti mutonthozedwe. Ndikofunikanso kuteteza khungu lanu ku ziphuphu ndi kuyabwa. Kugwiritsa ntchito kirimu woteteza wokhala ndi petroleum jelly kapena zinc oxide kungathandize kupewa kupweteka ndi kusasangalala pakhungu.

Ngati kusadziletsa kwambiri kukupangitsani kupsinjika maganizo, nkhawa, kapena kuvutika maganizo, chonde ganizirani zolankhula ndi katswiri wa zamaganizo kapena katswiri wa zamaganizo. Simuyenera kukumana ndi vutoli nokha.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukukumana ndi zizindikiro zotsatirazi, chonde pitani kuchipatala mwamsanga:

• Kumva kosalekeza kuti uyenera kukodzanso nthawi yomweyo ukamaliza.
• Kupweteka m'mimba, m'munsi mwa msana, kapena m'malo oberekera pamene mukukodza.
• Kuvuta kukodza, monga kuyamba pang'onopang'ono, kutsika pang'ono kwa madzi, kusiya ndi kuyamba, kapena kulephera kukodza konse.
• Zizindikiro za matenda, monga malungo kapena kuzizira.
• Magazi mu mkodzo wanu.

Mafunso oti mufunse dokotala wanu

Musazengereze kufunsa dokotala wanu mafunso otsatirawa:

• Kodi chifukwa chachikulu cha mkodzo wanga kusungidwa ndi kusadziletsa kochuluka n’chiyani?
• Kodi mumalimbikitsa mayeso otani okhudza matenda?
• Kodi zotsatira za mayeso anga zikusonyeza chiyani?
• Kodi pali njira zina zochiritsira kunyumba kapena kusintha moyo zomwe ndiyenera kuyesa?
• Kodi njira zochiritsira zomwe mumalimbikitsa ndi ziti?
• Kodi kulowetsa catheter kapena kukulitsa mitsempha kungakhale koyenera kwa ine?
• Kodi ndi zoopsa ziti zomwe zingachitike chifukwa cha mankhwala awa?
• Kodi ndiyenera kutumizidwa kwa dokotala wa urologist?

Mfundo zomaliza

Kusadziletsa kwambiri kungakhudze moyo wanu, zomwe zingakupangitseni kusasangalala kapena kuda nkhawa kuti simuli panyumba. Komabe, kumbukirani kuti izi si zachilendo kapena zosapeŵeka za ukalamba, ndipo zimatha kuchiritsidwa bwino. Ndi chisamaliro choyenera, zizindikiro nthawi zambiri zimatha kuthetsedwa bwino kapena kuthetsedwa kwathunthu. Musazengereze kufunafuna thandizo; dokotala wanu alipo kuti akuthandizeni.

* Kusadziletsa kochuluka, kulamulira chikhodzodzo, dongosolo la mkodzo, kutuluka kwa madzi, prostate, kusunga mkodzo, thanzi la Nirogi Lanka