Kodi inunso mumavutika kulamulira mkodzo wanu? Tiyeni tiphunzire za Urge Incontinence!

Kodi nthawi zina mumakhala ndi chilakolako chofuna kukodza mwadzidzidzi (kuthamanga kwa mkodzo ), nthawi zina kukodza pang'ono musanapite ku bafa? Kapena mumayenera kukodza kangapo patsiku, nthawi zina kupitirira kasanu ndi katatu? Kodi ndi zachilendo kuti mudzuke kawiri kapena katatu usiku kuti mukodze ? Ngati zinthuzi zikukhudza moyo wanu, musadandaule , simuli nokha. Lero tikambirana za kufunikira kofuna kukodza mwadzidzidzi, kapena m'mawu azachipatala, `(Kulimbikitsa Kusadziletsa)`.

Kodi Kusadziletsa Kudziletsa Kudziletsa N'chiyani ?

Mwachidule, Kusadziletsa Kudziletsa ndi kulephera kulamulira kayendedwe ka mkodzo. Apa ndi pamene mwadzidzidzi mumakhala ndi chilakolako chosalamulirika chofuna kukodza , chomwe chingakhale chovuta kuchilamulira, ndipo nthawi zina mumatha kukodza musanathamangire kuchimbudzi. Anthu ena amakodza nthawi zoposa zisanu ndi zitatu patsiku, ndipo amadzuka kangapo usiku kuti akodze . Izi zitha kukhala zovuta kwambiri.

Kodi pali mitundu ina ya kusadziletsa kwa mkodzo?

Inde, pali mitundu ina yambiri ya kusadziletsa kwa mkodzo, kuphatikizapo ``Kusadziletsa kwa Urge''. Iliyonse mwa iyo imakhudza kutaya pang'ono kwa mkodzo mosadziletsa. Tiyeni tiwone zomwe zili:

• Kusadziletsa Kudziletsa: Apa ndi pamene mumatulutsa mkodzo pang'ono mukaseka, kutsokomola, kuyetsemula, kapena kunyamula chinthu cholemera. Taganizirani ngati mukuseka mokweza ndi anzanu ndipo mukutulutsa mkodzo pang'ono.
• Kusadziletsa kosiyanasiyana: Izi zitha kuphatikizapo "Kusadziletsa koopsa" ndi "Kusadziletsa koopsa". Izi zikutanthauza kuti mumakhala ndi chilakolako chofuna kukodza , ndipo mumatulukanso mkodzo mukamaseka kapena kutsokomola. Akuti akazi oposa theka omwe ali ndi chilakolako chofuna kudziletsa alinso ndi "Kusadziletsa koopsa".
• Kusadziletsa Kudziletsa: Apa ndi pamene mkodzo umatuluka chifukwa chikhodzodzo (thumba lomwe limasunga mkodzo ) chadzaza kwambiri, kapena chifukwa chakuti sizingatheke kukodza kwathunthu. Zili ngati madzi akutuluka mu thanki yodzaza.
• Kusadziletsa Kudziletsa: Izi zimachitika pamene simungathe kupita kuchimbudzi nthawi yake, kapena simukufuna kukodza , chifukwa cha vuto lina (monga matenda ofooketsa monga nyamakazi).

Kodi kulephera kudziletsa kwa mkodzo mwadzidzidzi kumeneku n’kofala bwanji?

Ndi zofala kwambiri kuposa momwe mungaganizire. Kafukufuku akusonyeza kuti pafupifupi 40% ya akazi ndi 30% ya amuna adzakumana ndi vutoli nthawi ina m'miyoyo yawo. Choncho si inu nokha.

Kodi chifukwa chachikulu cha `(Urge Incontinence)` ndi chiyani?

Kawirikawiri chifukwa chachikulu cha izi ndi chikhodzodzo chogwira ntchito mopitirira muyeso . Apa ndi pamene minofu ya chikhodzodzo chanu imakokana pafupipafupi kuposa momwe iyenera kukhalira. Zili ngati chikhodzodzo chanu chikukuuzani nthawi zonse kuti " kodza , kukodza ." Mumamva chilakolako champhamvu chokodza chikhodzodzo chanu chisanadzale konse.

Chikhodzodzo chikakokana chonchi, minofu ya sphincter mu urethra yanu (minofu yonga valavu yomwe imaletsa mkodzo kutuluka) imatseguka. Pamenepo ndi pamene mkodzo umatuluka.

Kodi zizindikiro za `(Kusadziletsa Kudziletsa)` ndi ziti?

Chizindikiro chachikulu ndi chilakolako chadzidzidzi chosalamulirika chofuna kukodza komanso kutulutsa mkodzo pang'ono.

Kuphatikiza apo, pakhoza kukhala zizindikiro zina za chikhodzodzo chogwira ntchito mopitirira muyeso:

• Kukodza pafupipafupi ( kukodza nthawi zoposa zisanu ndi zitatu masana).
• Kudzuka kukakodza kawiri pa usiku uku ukugona (Nocturia).
• Kutuluka kwa mkodzo , kaya musanapite kuchimbudzi kapena nthawi yomweyo mutakodza .
• Kunyowetsa pabedi (Enuresis).

Kuwonjezera pa kusasangalala kumeneku, `(Urge Incontinence)` ingakhudzenso thanzi lanu la maganizo. Anthu ena amaopa kutuluka panja pamene vutoli lili lalikulu. Mukaganizira zinthu monga "Nanga bwanji ngati palibe bafa pafupi?" "Ndipita kuti ndikakodza ?", mulinso pachiwopsezo chokhala ndi matenda amisala monga `(Stress)`, `(Anxiety)`, ndi `(Depression) .

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Azimayi ali ndi mwayi wowirikiza kawiri wa kukhala ndi "Urge Incontinence" kuposa amuna. Zimafalanso kwambiri tikamakalamba. Komabe, madokotala amati si chinthu chachibadwa cha ukalamba. Izi zikutanthauza kuti chingathe kuchiritsidwa.

Palinso zinthu zina zomwe zingakubweretsereni chiopsezo:

• Matenda a shuga.
• Ngati mwachitidwa opaleshoni m'chiuno, monga kuchotsa chiberekero.
• Mankhwala ena, mwachitsanzo oletsa kuvutika maganizo, okodzetsa, ndi oletsa kuthamanga kwa magazi.
• Kusamba.
• Matenda a mitsempha, mwachitsanzo matenda a Alzheimer's, matenda a Parkinson, ndi Multiple Sclerosis (MS).
• Body Mass Index (BMI) yoposa 25 (monga kunenepa kwambiri).
• Kusuta.
• Matenda monga sitiroko.
• Matenda a mkodzo (UTI).
• Mimba ndi kubereka (makamaka kubereka m'njira ya kumaliseche).
• Ngati mudalandirapo kale chithandizo cha radiation ku dera la m'chiuno pazifukwa zilizonse.
• Mavuto a prostate, mwachitsanzo, khansa ya prostate kapena benign prostatic hyperplasia.

N’chifukwa chiyani mwadzidzidzi ndinalephera kulamulira mkodzo wanga ?

Mwina mwakhala ndi zizindikiro zazing'ono kwa kanthawi, ndipo simungadziwe ngati zangoyamba kumene kukula. Komabe, ngati zizindikirozi zayamba kuonekera pambuyo pa opaleshoni yaposachedwa, ngozi, kapena mutayamba kumwa mankhwala atsopano, muyenera kuonana ndi dokotala. Zitha kukhala chifukwa cha kuwonongeka kwa mitsempha kapena vuto lina.

Kodi mungazindikire bwanji `(Kulimbikitsa Kusadziletsa)`?

Dokotala adzazindikira vutoli mwa kutenga mbiri yanu yachipatala ndikukufunsani za zizindikiro zanu. Adzakuyezaninso thupi. Ngati ndinu mkazi, akhoza kuyeza chiuno, ndipo ngati ndinu mwamuna, akhoza kuyeza rectal.

Kuti dokotala wanu akuthandizeni kupeza matenda molondola, angakupempheni kuti mulembe "buku la chikhodzodzo" kwa masiku awiri kapena atatu. M'bukuli, muyenera kulemba zotsatirazi:

• Zinthu zomwe mumamwa (monga madzi, tiyi, khofi).
• Kodi mumamwa mowa wochuluka bwanji?
• Kodi mumapita ku bafa kangati?
• Kodi mumatuluka mkodzo kangati, ndipo umatuluka madzi otani?
• Munkachita chiyani pamene munkatulutsa mkodzo ?

Komanso, dokotala akhoza kuchita mayeso monga:

• Kuyezetsa mkodzo (Urinalysis) kuti muwone ngati pali matenda a mkodzo (UTIs) ndi magazi mu mkodzo (Hematuria).
• Kujambula ultrasound m'mimba kuti muwone ziwalo monga chikhodzodzo ndi impso.
• Yang'anani mkodzo pogwiritsa ntchito cystoscopy.
• Kuyesa kwa Urodynamic ndi mayeso oti awone momwe mkodzo umagwirira ndi kutulutsa mkodzo, ndipo mayeso a mkodzo wotsalira pambuyo pochotsa mkodzo ndi mayeso oti awone kuchuluka kwa mkodzo womwe umatsala mu chikhodzodzo mutakodza.

Kodi `(Kulimbikitsa Kusadziletsa)` kudzakhala bwino?

Kuletsa kudziletsa nthawi zambiri sikumangotha, koma chithandizo chingachepetse kwambiri zizindikiro zanu.

Kodi chithandizo chabwino kwambiri cha izi ndi chiyani?

Chithandizo cha "Urge Incontinence" chimadalira momwe zizindikiro zanu zilili zoopsa. Dokotala wanu adzakufunsani mafunso ngati awa kuti adziwe momwe vutoli likukhudzira moyo wanu:

• Kodi mumakodza kangati masana?
• Kodi mumadzuka kangati usiku kuti mukodze pamene mukugona?
• Kodi mumatulutsa mkodzo ?
• Kodi mkodzo umatuluka wochuluka bwanji?
• Kodi mkodzo umatuluka liti?
• Kodi mumamwa zakumwa zamtundu wanji?

Kutengera ndi mayankho awa ndi zotsatira za mayeso, dokotala angakulimbikitseni zinthu monga:

• Kuchita masewera olimbitsa thupi pansi pa chiuno. Izi zingaphatikizepo masewera olimbitsa thupi a Kegel ndi masewera olimbitsa thupi opumula minofu pansi pa chiuno.
• Kuphunzitsanso chikhodzodzo.
• Kusintha kwa moyo.

Masewero olimbitsa thupi a Kegel

Maseŵero olimbitsa thupi a pansi pa chiuno ndi masewera olimbitsa thupi omwe amalimbitsa minofu yomwe imathandizira dongosolo lanu la mkodzo. Akachitidwa bwino, angathandize kuchepetsa zizindikiro zanu.

Komabe, kuzindikira ndi kugwiritsa ntchito minofu yoyenera sikophweka monga momwe mungaganizire. Katswiri wa zamaganizo a pansi pa chiuno angakuphunzitseni momwe mungachitire masewera olimbitsa thupi awa moyenera. Angagwiritsenso ntchito njira yotchedwa ``Biofeedback'' kuti aone ngati mukuchita bwino. Kuti muwone kusintha kwa zizindikiro zanu za ``Urge Incontinence'', muyenera kuchita masewera olimbitsa thupi awa nthawi zonse kwa milungu pafupifupi inayi kapena isanu ndi umodzi.

Nthawi zina, zizindikiro za chikhodzodzo chogwira ntchito mopitirira muyeso zimatha kukulirakulira chifukwa cha kulimba kapena kulimba kwa minofu ya pansi pa chiuno. Ngati zili choncho, katswiri wa zamaganizo angakuphunzitseni momwe mungamasulire minofu iyi ndikuyigwirizanitsa pamodzi.

Kuphunzitsanso chikhodzodzo

Izi zimaphatikizapo kupita kuchimbudzi nthawi yokhazikika yokha. Cholinga chake ndikudikira pang'ono musanakodze , ngakhale mutakhala ndi chilakolako chachikulu chokodza . Izi zidzalimbitsa minofu ya pansi pa chiuno chanu ndikukuthandizani kusunga mkodzo wanu kwa nthawi yayitali.

Anthu ena amakodza pafupipafupi, mwachitsanzo, maola awiri aliwonse. Izi zili choncho chifukwa amamva chilakolako chokodza kokha chikhodzodzo chawo chikadzaza kwambiri, zomwe zimapangitsa kuti zikhale zovuta kukodza. Chifukwa chake, kupita pafupipafupi ndikusunga chikhodzodzo chopanda kanthu kungathandize kuchepetsa vuto la kutuluka kwa madzi.

Kusintha kwa moyo

Izi ndi kusintha kwa moyo komwe kungathandize kuchepetsa "Kusadziletsa Kudziletsa":

• Ngati mukusuta, siyani kusuta.
• Kumwa zakumwa zochepa zomwe zimatsitsimula chikhodzodzo (zakumwa zokhala ndi caffeine monga khofi ndi tiyi, zakumwa zokhala ndi carbonated monga soda, ndi mowa).
• Kusunga kulemera koyenera komwe kungakuyenerereni.
• Pewani kudzimbidwaIdyani zakudya zokhala ndi ulusi wambiri ndipo imwani madzi ambiri. Kudzimbidwa kungapangitse kuti kusadziletsa kukhale kovuta kwambiri.
• Ngati pali matenda ena omwe angayambitse "Kusadziletsa Kudziletsa Kudziletsa", funani chithandizo.

Mankhwala Ena

Ngati maphunziro a chikhodzodzo ndi kusintha kwa moyo sikuthandiza, dokotala wanu angakulangizeni mankhwala monga:

• Jakisoni wa poizoni wa Botulinum (Botox ®).
• Chithandizo cha neuromodulation.

Botox

Botox imagwira ntchito pomasula minofu ya chikhodzodzo chanu, zomwe zimakupatsani mwayi wosunga mkodzo wambiri. Koma si njira yokhazikika. Muyenera kulandira jakisoni miyezi isanu ndi umodzi iliyonse kapena kuposerapo pamene zotsatira zake zikutha.

Chithandizo cha neuromodulation

Pali njira zitatu zolimbikitsira pang'onopang'ono mitsempha yomwe imalumikizana ndi chikhodzodzo chanu. Izi zimathandiza kuwongolera momwe mitsempha yanu imalumikizirana ndi chikhodzodzo chanu. Njira izi ndi izi:

• Kulimbikitsa mitsempha ya m'munsi mwa chidendene (PTNS): Izi zimaphatikizapo kuyambitsa mitsempha yomwe ili pamwamba pa bondo lanu. Chithandizochi chimaperekedwa kamodzi pa sabata kwa milungu pafupifupi 12. Si nkhani yaikulu, ndipo ikhoza kuchitika ku ofesi ya dokotala, ndipo ndi yosavuta kuposa njira zina.
• Kulimbikitsa mitsempha ya tibial yomwe ingabzalidwe (ITNS): Izi zimaphatikizapo kuyika kachipangizo kakang'ono pansi pa khungu pafupi ndi bondo lanu kuti kalimbikitse mitsempha ya posterior tibial. Izi zimakupatsani mwayi wochita izi kunyumba, m'malo mopita ku ofesi kamodzi pa sabata.
• Kusinthasintha kwa mitsempha ya Sacral (SNM): Izi zimaphatikizapo kuyika chipangizo chaching'ono kumbuyo kwanu. Dokotala amaika waya waung'ono pansi pa chingwe cha msana wanu ndipo amapereka mphamvu yokhazikika komanso yofewa ku mitsempha yomwe imalumikizana mwachindunji ndi chikhodzodzo chanu. Batire imayikidwanso pansi pa khungu.

Kodi mungachepetse bwanji chiopsezo cha `(Kuletsa Kudziletsa)`?

Zinthu zomwezo zomwe zimathandiza kuchiza "Kusadziletsa Kudziletsa" zimathandizanso kupewa izi:

• Khalani ndi kulemera koyenera komwe kungakuyenerereni.
• Pewani kudzimbidwa.
• Ngati mukusuta, siyani kusuta.
• Chepetsani kumwa caffeine, zakumwa zoledzeretsa, ndi mowa.
• Kodzani pafupipafupi kuti chikhodzodzo chanu chisakhale ndi kanthu.

Kodi munthu amene ali ndi vuto la `(Urge Incontinence)` ayenera kuyembekezera chiyani?

Kuletsa kusadziletsa kungakhale kovuta kwambiri. Mutha kuchepetsa chilakolako chanu chosadziletsa pogwiritsa ntchito mankhwala apakhomo monga masewera olimbitsa thupi a Kegel ndi maphunziro a chikhodzodzo. Komabe, zingatenge mwezi umodzi kapena kuposerapo kuti muwone kusiyana, ndipo zizindikiro sizingathetsedwe kotheratu. Chifukwa chake, ndikofunikira kulankhula ndi dokotala.Iye adzakuuzani momwe vuto lanu lilili lalikulu komanso njira zabwino zothanirana nalo ndikuchepetsa mavuto omwe angakukhudzeni.

Kodi chimachitika ndi chiyani ngati `(Kulimbikitsa Kusadziletsa)` sikulandira chithandizo?

Ngati simulandira chithandizo, "Urge Incontinence" ikhoza kukulirakulira. Mungafunike kupita kuchimbudzi pafupipafupi ndikutulutsa mkodzo wambiri. Mavutowa akhoza kukulirakulira ngati mukusuta kapena simukulemera bwino.

Kodi mungatani ndi vuto la `(Urge Incontinence)`?

Kusadziletsa kungayambitse kutuluka kwa mkodzo , choncho mungafune kugwiritsa ntchito zovala zamkati zoyamwa kapena zotchingira mkodzo mpaka chithandizo chanu chitagwira ntchito. Komabe, kukhudzana mobwerezabwereza ndi mkodzo kungayambitse ziphuphu ndi zilonda. Kuti muteteze khungu lanu, ndi bwino kugwiritsa ntchito chinthu monga petroleum jelly (Vaseline®) . Ngati petroleum jelly yokha siithandiza, yesani kirimu kapena mafuta okhala ndi zinc oxide, ndikuonana ndi dokotala.

Ngati mukukumana ndi nkhawa, kuvutika maganizo, kapena nkhawa chifukwa cha kusadziletsa kwanu, zingakhale zothandiza kulankhula ndi katswiri wa zamaganizo kapena katswiri wa zamaganizo . Angakuthandizeni kusamalira thanzi lanu la maganizo.

Kodi ndiyenera kupita kwa dokotala liti?

Lankhulani ndi dokotala wanu nthawi yomweyo mutangoyamba kuzindikira zizindikiro za "Kufuna Kudziletsa" kapena ngati mwawona kusintha kwa machitidwe anu osambira. Angakuthandizeni kupeza chomwe chikuyambitsa, kuchichiza, komanso kuthana ndi zizindikiro zanu. Ndikofunikiranso kuyang'ana matenda a mkodzo (UTI) ngati zizindikiro zanu zikukulirakulira.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mungafune kufunsa dokotala wanu mafunso monga awa:

• Kodi chifukwa chake ndili ndi `(Urge Incontinence)` n'chiyani?
• Kodi mumachita mayeso amtundu wanji?
• Kodi "Kusadziletsa kwanga" ndi koopsa bwanji?
• Kodi mukuganiza kuti ndifunika Botox, chithandizo cha mitsempha, kapena opaleshoni?
• Kodi zoopsa za Botox, neurosurgery, kapena opaleshoni ndi ziti?

Kodi kusiyana pakati pa `(Urge Incontinence)` ndi `(Stress Incontinence)` ndi kotani?

Zizindikiro ndi zifukwa za izi ndi zosiyana:

• Kusadziletsa Kudziletsa: Izi zimachitika chifukwa cha kupanikizika kwa m'mimba pa chikhodzodzo. Pankhaniyi, mkodzo umatuluka pang'onopang'ono.
• Kusadziletsa Kudziletsa: Izi nthawi zambiri zimachitika chifukwa cha chikhodzodzo chogwira ntchito mopitirira muyeso. Zingayambitse kutuluka kwa mkodzo wambiri kuposa kusadziletsa kupanikizika.

Kulankhula za momwe mumachitira m'bafa kungakhale kochititsa manyazi, kotero mungaganize kuti ndinu nokha amene muli ndi vutoli. Koma simuli nokha. Kusadziletsa kumakhudza anthu ambiri nthawi ina m'miyoyo yawo.

Kulankhula ndi achibale kapena anzanu odalirika za izi kungathandize kumvetsetsa kusintha kwa khalidwe lanu. Angakuthandizeninso kuchepetsa zotsatira za kusadziletsa pa moyo wanu mwa kukuthandizani kupeza bafa mukapita kunja, komanso kusokoneza ena ngati muli m'bafa kwa nthawi yayitali.

Chofunika kwambiri ndikulankhula ndi dokotala wanu za chithandizo chabwino kwambiri cha vuto lanu. Ndi chithandizo, kukonzekera pasadakhale, ndi chithandizo chochokera kwa ena, mutha kuchepetsa zotsatira zomwe kulephera kudziletsa kumakhudza pa moyo wanu.

Zinthu zofunika kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

• Kusadziletsa kudziletsa ndi vuto lochiritsika, choncho musamachite manyazi kapena kuopa.
• Chifukwa chachikulu cha izi chingakhale chikhodzodzo chogwira ntchito mopitirira muyeso.
• Ngakhale zinthu zosavuta monga kusintha moyo, kuchita masewera olimbitsa thupi a Kegel, ndi kuchita masewera olimbitsa thupi a chikhodzodzo zingapangitse kusiyana kwakukulu.
• Ndikofunikira kufunafuna upangiri wa dokotala ngati muli ndi zizindikiro. Kuzindikira matenda moyenera ndi kulandira chithandizo kungakuthandizeni kukhala ndi moyo wabwino.
• Simuli nokha. Vutoli limakhudza anthu ambiri. Choncho pezani chithandizo, ndipo phunzitsani ena za izi.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

kusadziletsa , chilakolako chosadziletsa, chikhodzodzo chogwira ntchito mopitirira muyeso, kulamulira chikhodzodzo, kukodza pafupipafupi, nocturia, kutuluka kwa mkodzo, masewera olimbitsa thupi a Kegel, kuphunzitsanso chikhodzodzo, kulamulira mkodzo, kusadziletsa , thanzi la Sinhala