Ese nawe uva inkari utabizi? (Kutagira indonke mu nkari) Reka tubiganireho!

Ese hari igihe uva inkari nke iyo useka, ukorora, cyangwa nta mpamvu na mba ufite? Iki ni ikibazo abantu benshi bahura nacyo, ariko ni ikintu gishobora gutera isoni kukivugaho. Ariko ni indwara ishobora gusobanurwa mu buryo bw'ubuvuzi. Reka tubiganireho birambuye uyu munsi, kuko niba iki ari ikintu kigira ingaruka ku buzima bwawe, hari ibisubizo byacyo.

Kutagira indonke mu nkari ni iki? Reka tubanze tubisobanukirwe!

Muri make, kudakora imibonano mpuzabitsina ni igihe utakaza ubushobozi bwo kugenzura uruhago rwawe hanyuma ukagwa inkari mu buryo butunguranye. Reka tubanze turebe icyo kugenzura inkari ari cyo n'uko iyi sisitemu ikora mu mubiri wacu. Impyiko zacu nizo zikura imyanda mu maraso zigakora inkari. Hanyuma, izi nkari zinyura mu miyoboro ibiri y'inkari zikagera mu ruhago . Uruhago rumeze nk'agapira gato. Ruba mu nda yacu yo hasi. Ruba runini iyo rwuzuye inkari, kandi rukongera kuba ruto iyo tunyara. Iyo dukeneye kunyara, imitsi yo mu rukuta rw'uruhago irakomera, maze imitsi ya sphincter ikora nk'imitsi ifunga umunwa w'uruhago iraruhuka. Hanyuma, inkari zisohoka zinyuze mu muyoboro w'inkari . Ubu, ibi bibazo byo kugenzura inkari biza iyo imitsi y'uruhago ikoze cyane, cyangwa iyo idakora neza. Rimwe na rimwe, iyo iyi mitsi ikomera cyane, ishobora gukomera kurusha imitsi imeze nk'umunwa, kandi inkari zishobora kuvamo utabizi. Urabyumva?

Hari ubwoko butandukanye bw'ibibazo byo kugenzura inkari.

Uku kuzana inkari mu buryo butateguwe bishobora kubaho mu buryo butandukanye. Hari ubwoko bwinshi bw'ingenzi:

1. Kunanirwa kwihagarika (stress)

Tekereza useka cyane, witsamura, ukorora, cyangwa uterura ikintu kiremereye. Niba wumva igitutu mu nda yawe yo hasi hanyuma ukava inkari nke, byitwa 'stress incontinence' . Ibi bikunze kugaragara ku bagore, cyane cyane iyo begereje gucura cyangwa nyuma yo kubyara.

2. Gusaba kudakoresha indonke

Hari ubundi bwoko bw'inkari, aho umuntu yumva ashaka kunyara mu buryo butunguranye kandi budashobora kwihanganira. Ariko inkari zishobora kuva mbere yuko wiruka ujya mu bwiherero. Ibi byitwa 'Urge Incontinence' . Hari igihe ibi bifitanye isano n'indwara yitwa "overactive ubridge". Iyi ndwara ikunze kugaragara cyane ku bantu bafite indwara zijyanye n'imitsi nka diyabete, stroke, multiple sclerosis, Alzheimer's, na Parkinson's.

3. Kutagira isuku yo kwihagarika cyane

Igikurikiraho ni 'Kutagira inzitizi mu gihe cyo kwihagarika'.. Iki ni igihe uruhago rwuzuye rwose, ariko ntirushobora gusohora neza. Kubera iyo mpamvu, inkari zishobora kuva kenshi kubera ko uruhago rwuzuye. Ariko ntukumva ukeneye kunyara. Ibi bishobora kubaho ku bagabo bitewe n'uko prostate yagutse ifunga urethra, cyangwa bitewe no kwangirika k'umugongo.

4. Kutagira isuku mu mikorere y'umubiri

Amaherezo, hari 'Kudakora imibonano mpuzabitsina' . Ibi bibaho iyo ufite ikibazo cy'umubiri cyangwa ubwonko kikubuza kujya mu bwiherero ku gihe. Urugero, umuntu ufite rubagimpande igabanya kugenda kwe, umuntu utabashije kugenda kubera impanuka, umuntu ufite ibibazo byo kwibuka nka dementia, cyangwa umuntu ufata imiti igabanya ububabare ishobora gutuma asinzira ashobora kudashobora kwibuka kujya mu bwiherero ku gihe. Ibi bivuze ko ikibazo hano atari ikibazo cy'inkari, ahubwo ni ikibazo cyo kudashobora kujya mu bwiherero ku gihe kubera indi mpamvu.

Ni nde ukunze kwibasirwa cyane n'ibi bibazo byo kuboneza inkari?

Umuntu wese ashobora kugira ibibazo byo kuboneza inkari. Ariko, ushobora kuba uri mu kaga gakomeye niba:

• Niba uri umugore .
• Niba ufite imyaka irenga 50 .
• Niba ufite umubyibuho ukabije .
• Niba hari umuntu wo mu muryango wawe wagize ibibazo nk'ibi.

Iyi ndwara ikunze kugaragara ku bagore inshuro ebyiri. Ibi biterwa nuko gutwita, kubyara, no gucura bishobora kugira ingaruka ku mbaraga z'imitsi yo mu kibuno. Ni ibisanzwe ko umwana ukura ashyira igitutu ku ruhago mu gihe atwite. Kubwibyo, ababyeyi benshi bashobora kugira ibibazo bito byo kugenzura inkari muri iki gihe.

Ni gute iki kibazo gikora ku bwenge bwawe?

Nubwo abantu babarirwa muri za miriyoni bafite iki kibazo, benshi bagira isoni zo kukivugaho. Ibi bishobora gutera impungenge ku kuntu abandi bababona, impinduka mu buryo bitekerezaho, ndetse no guhinduka mu myitwarire yabo.

Niba wumva ufite stress, uhangayitse cyangwa wihebye bitewe n'iki kibazo, hita ubonana na muganga. Ibi si ibintu byo guhisha.

Ni ibihe bimenyetso bishobora kugaragaza ikibazo cy'uruhago rwawe?

Hari ibimenyetso byinshi bigaragaza ko ushobora kuba ufite ikibazo mu ruhago rwawe:

• Kunyara cyane kuruta uko bisanzwe. Abantu benshi baranyara inshuro zirindwi ku munsi. Ariko amazi unywaBitewe n'ingano n'uko unywa imiti karemano yo mu bwoko bwa diuretic (urugero: ikawa, icyayi), ibi bishobora kugabanukaho inshuro enye cyangwa bikiyongeraho inshuro icumi.
• Kuva cyangwa kuva inkari mu buryo butunguranye mu gihe cy'imirimo isanzwe nko guseka, kwitsamura, gukora imyitozo ngororamubiri, cyangwa gukora imibonano mpuzabitsina.
• Inkari zisohoka nta kumva ko ukeneye kunyara. Umubiri wawe ntunakubwira ko ugomba kunyara.
• Kunanirwa gufata inkari. Nubwo wumva ukeneye kunyara mu buryo butunguranye, ntushobora kuzihagarika.
• Kunyara ku buriri. Ushobora gukenera kunyara nijoro usinziriye, ariko ushobora kutabyuka (cyane cyane ku bana, ndetse no ku bantu bakuru bamwe na bamwe).
• Ibimenyetso by'imvune y'umugongo. Ibintu nk'intege nke mu maguru, gucika intege cyangwa kubura ibyiyumvo mu gice cy'igitsina.
• Kumva umuvuduko cyangwa imitsi ifunganye mu nda yo hasi . Uyu muvuduko n'imitsi ifunganye bishobora gutera gukenera kunyara mu buryo butunguranye.

Ni izihe mpamvu zituma habaho kudakora neza kw'inkari?

Impinduka mu buzima bwawe, indwara zimwe na zimwe, ndetse n'imibereho yawe nabyo bishobora gutuma ubu buryo bwo kugenzura inkari bugabanuka.

Impinduka mu buzima

• Gusaza : Ni ibisanzwe ko imitsi icika intege uko dusaza.
• Kurya impatwe : Iyo impatwe ikabije, ishobora gushyira igitutu ku ruhago.
• Diyabete : Diyabete ishobora kwangiza imitsi, ibyo bikaba byagira ingaruka ku mikorere y'uruhago.
• Kuziba kw'inzira y'inkari: Ibi bishobora guterwa n'amabuye mu mpyiko, amabuye yo mu muyoboro w'inkari, prostate yiyongera ku bagabo, cyangwa inkovu nyuma yo kubagwa.
• Kubyibuha birenze urugero: Kubyibuha cyane bitera igitutu kinini ku mitsi y'uruhago n'iy'ikibuno.
• UTI: Iyo ufite indwara yo mu rukenyerero, uruhago rwawe rurushaho kugira ubukana, bigatuma ukenera kunyara kenshi kandi bikagorana kuyigenzura.

Indwara zimwe na zimwe

Indwara zimwe na zimwe zishobora kwangiza imitsi y'uruhago cyangwa imitsi yohereza ubutumwa kuri iyo mitsi kugira ngo ikomeze cyangwa iruhuke.

• Indwara ya Alzheimer.
• "Sclerosis nyinshi".
• Indwara ya Parkinson.
• Gutwita no kubyara.
• Kubagwa kwa prostate.
• Kwangirika k'umugongo.
• Indwara yo mu bwonko (stroke).

Ingaruka ku mibereho

Ibiryo bimwe na bimwe n'imiti nabyo bishobora gutera ibi:

• Inzoga.
• Isukari y'ubukorano.
• Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso.
• Kafeyine (ikawa, icyayi, ibinyobwa bitanga imbaraga).
• Imiti igabanya ububabare.
• Soda n'ibinyobwa birimo karubone.
• Ibiryo biryoshye.
• Gufata vitamine C nyinshi cyane.
• Kunywa itabi no kubaho mu buzima bwo kwicara nabyo bishobora kugira ingaruka kuri ibi.

Ni gute muganga asuzuma iyi ndwara neza?

Iyo ugiye kwa muganga, azakubaza ibimenyetso byawe. Dore bimwe mu bibazo ushobora kwibaza:

• Uva inkari zingana iki utabizi?
• Ese ijya ku myenda? Ese ijya mu bwiherero? Ingana iki?
• Ese iki kibazo kibaho mu bihe bimwe na bimwe by'umunsi?
• Ese ibi bibaho iyo ukora ibintu runaka , nko kugenda n'amaguru cyangwa gukora siporo?
• Ese ubabara cyangwa ntugire ikibazo iyo uri kunyara?
• Ese wumva ukeneye kunyara mu buryo butunguranye?
• Unyara kangahe ku munsi?
• Ese biragoye gutangira kunyara iyo ugiye mu bwiherero?
• Uburyo inkari zigenda zite?
• Ese uruhago rwawe rumeze nk'ururimo ubusa nyuma yo kunyara?

Nanone, ibaze ibyerekeye izindi ndwara n'imiti bishobora gutera ibi:

• Ese ufite ikibazo cy'imitsi, ufite amabuye mu mpyiko cyangwa mu nzira y'inkari, cyangwa ufite ikibazo cya prostate?
• Ese hari imiti urimo gufata ubu? Ni iyihe?
• Ese ufata inyunganiramirire y'ibimera cyangwa vitamine?
• Ese wigeze utwita ukabyara bisanzwe?
• Ese wigeze ubagwa mu nda yawe cyangwa mu gice cy'ikibuno cyawe?
• Ese wabazwe prostate?

Byongeye kandi, muganga azakora isuzuma ry’umubiri. Bazareba ibimenyetso by’uko uruti rw’umugongo rwangiritse, nko kugira intege nke mu maguru no kugira ibinya mu myanya ndangagitsina. Bashobora kandi gukora isuzuma ry’impyiko kugira ngo barebe niba nta impatwe irimo. Niba uri umugabo, bazasuzuma kandi prostate yawe. Niba uri umugore, bashobora gukora isuzuma ry’ikibuno kugira ngo barebe niba hari ubwumye mu gitsina (imyororokere y’igitsina).

Ni ibihe bipimo bikorwa kugira ngo byemezwe ko indwara yanduye?

Kugira ngo yemeze ko indwara isanzwe ihari, muganga ashobora gukora ibizamini bikurikira:

• Isesengura ry'inkari: Ibi bishobora kumenya ibintu nk'indwara z'umwijima, impyiko, na diyabete. Bishobora kandi gusuzuma indwara zo mu nzira y'inkari (UTI).
• Ibizamini by'imikorere y'impyiko: Ibi ni ibizamini bikorerwa ku nkari cyangwa amaraso. Bigenzura uburyo impyiko zawe zikora.
• Ikizamini cy'inkari nyuma yo kubura (PVR):Ipima ingano y'inkari zisigaye mu ruhago rwawe nyuma yo kunyara.
• Gupima inkari: Kugenzura mikorobe zitera indwara zo mu nzira y'inkari.
• Gupima urodynamic: Ibi bipima imikorere y'imitsi, imikorere y'imitsi, umuvuduko w'inkari, n'umuvuduko w'inkari mu ruhago no mu nkengero zarwo.
• Ikaye y'inkari: Andika umubare w'amazi unywa ku munsi, umubare w'inkari unywa, igihe unyara, n'inshuro unyara.

Ese hari uburyo bwo gukemura ibi bibazo byo kugabanya inkari?

Yego rwose! Uburyo bwo kuvura butari ukubaga ni bwo buryo bwa mbere bwo kuvura ibibazo byo kuboneza inkari.

• Gukoresha ibikoresho byo kugenzura uruhago (urugero: pessary) kugira ngo umwobo w'inkari ugabanye amazi ava mu nkari.
• Gusubiramo imyitozo y'inkari: Ibi bivuze kujya mu bwiherero ku masaha yagenwe, ukongera buhoro buhoro intera iri hagati y'ayo masaha.
• Biofeedback: Ibi bigufasha kumenya no kumenya kugenzura imitsi yo hasi mu kibuno cyawe.
• Kugabanya inzoga n'ibinyobwa birimo kafeyine.
• Gukangura imitsi ikoresha amashanyarazi igenzura imikorere y'uruhago.
• Imyitozo ngororamubiri ya Kegel (imyitozo ngororamubiri y'imitsi yo mu kibuno): Iyi ni ingenzi cyane. Ishobora gukomeza imitsi yo mu kibuno no kunoza uburyo inkari zigenzurwa.
• Ubuvuzi bw'umubiri n'imyitozo ngororamubiri.
• Kugabanya ibiro: Niba ufite umubyibuho ukabije, kugabanya ibiro nabyo bishobora gutanga ihumure rikomeye.

Niba ubwo buryo bwo kuvura butari ubwo kubaga budakora, muganga wawe ashobora kukugira inama yo kubagwa.

• Gushyiramo mesh yo kubaga.
• Uburyo bwo gukurura: Ibi bikubiyemo gushyira igikoresho gishyigikira hafi y'umuyoboro w'inkari.
• Gutera inshinge zongera ubunini bw'inkuta z'umuyoboro w'inkari (imiti igabanya umuyoboro w'inkari).
• Gutera uburozi bwa botulinum (Botox®) mu mitsi y'uruhago. (Ibi bikoreshwa mu gihe umuntu adashaka kwifata)
• Gutera ibikoresho byo gukangura imitsi.
• Gutera sphincter y'inkari y'ubukorano (ibi bikunze gukorwa ku bagabo)

Ni uwuhe muti mwiza kuri ibi?

Niba ukeneye imiti, muganga wawe azakwandikira imiti ikwiye bitewe n'imiterere y'ikibazo cyawe. Ntukivure utabanje kugisha inama muganga.

• Niba ufite ikibazo cyo kutabasha kwifata mu gihe cy'imibonano mpuzabitsina (Urge Incontinence):Imiti nka `Oxybutynin (Oxytrol®)`, `Tolterodine (Detrol®)`, `Darifenacin (Enablex®)`, `Solifenacin (VESIcare®)`, `Trospium (Sanctura®)` irashobora gutangwa. Iyi iruhura imitsi y'uruhago kandi ikagabanya gukenera kunyara byihutirwa.
• Niba ufite "stress incontinence": Hari igihe ushobora guhabwa imiti nka `Imipramine (Tofranil®)` na `Pseudoephedrine (Sudafed®)`. Ariko, iyi miti ishobora kugira ingaruka mbi, bityo ikagomba gutangwa gusa nyuma yo gusuzuma neza kwa muganga.
• Niba ufite ikibazo cyo kudakora cyane, ushobora guhabwa imiti nka: `Bethanechol (Duvoid®)` (ifasha gukaza uruhago), `Terazosin (Hytrin®)`, `Alfuzosin (Uroxatral®)` (iruhura prostate gland), na `Finasteride (Proscar®)` (igabanya prostate gland).

Ni iki nakwitega kuri iki kibazo?

Abantu benshi bashobora kugenzura cyangwa gukiza burundu ibi bibazo by'inkari bakoresheje uburyo bwo kuvura. Hari igihe ibi bibazo biba iby'igihe gito. Iyo impamvu (urugero, indwara yo mu nzira y'inkari, gutwita) imaze kurangira, ikibazo kizashira cyonyine. Ariko, niba ufite indwara "idakira" y'igihe kirekire, nka diyabete cyangwa "multiple sclerosis", ibi bibazo byo mu nzira y'inkari bishobora gukomeza. Muri ibyo bihe, ni ngombwa kuvugana na muganga wawe ku buryo bwiza bwo gukemura ibi bibazo. Ntugahangayike, hari uburyo bwo kubikemura.

Nakora iki kugira ngo ngire icyo nkora kugira ngo ngire icyo nkora?

Ibi bibazo bishobora kudashoboka kwirindwa burundu, ariko ushobora kugabanya ibyago byawe ukora ibi bikurikira:

• Kora imyitozo yo gukomeza hasi mu kibuno (imyitozo ya Kegel). Baza muganga cyangwa umuganga w’imiti y’umubiri uburyo bwo kubikora neza.
• Kugabanya inzoga, ibinyobwa birimo kafeyine, ibiryo biryoshye, n'isukari y'ubukorano.
• Irinde impinduka zitunguranye mu buremere bw'umubiri kandi ukomeze kugira ibiro byiza.
• Kongera fibre nyinshi mu mirire yawe (bikumira impatwe)
• Kugabanya cyangwa guhagarika burundu kunywa itabi.
• Kugira imyitozo ngororamubiri ihagije.

Nitwara nte?

Abantu benshi bakoresha imyenda y'imbere yihariye (imyenda y'imbere idakora cyangwa imyenda y'abantu bakuru) cyangwa udupfundikizo kugira ngo bahagarike iyi nkari. Hariho kandi ibikoresho by'inkari bikora nk'agapfundikizo, bishobora gukoreshwa kandi birinzwe. Ibi biroroshye cyane kandi bishobora kwambarwa munsi y'ipantaro. Amwe mu mapfundikizo n'udupfundikizo tw'abantu bakuru ashobora gukoreshwa rimwe. Andi ashobora kumeswa agakoreshwa. Ariko , ni byiza guhindura utu dupfundikizo cyangwa udupfundikizo buri masaha make kugira ngo hirindwe impumuro mbi no kwirinda indwara z'uruhu.

Ni ryari ngomba kujya kwa muganga?

Indwara zo mu nzira y'inkari, kuribwa mu nda, ibiryo urya, n'imiti imwe n'imwe byose bishobora gutuma umuntu atakaza uburyo bwo kugenzura inkari mu gihe gito. Ariko niba iki kibazo kimaze icyumweru kirenga, cyangwa niba kigira ingaruka ku buzima bwawe bwa buri munsi, ugomba kujya kwa muganga. Ntugatinye, iki ni ikibazo abantu benshi bafite.

Ni iki ngomba kubaza muganga?

Ushobora kubaza muganga wawe ibibazo nk'ibi:

• Ni ubuhe bwoko bw'ikibazo cyo kugenzura inkari mfite?
• Ni iyihe mpamvu y'ikibazo cyanjye?
• Ese ibi bizagenda neza mu buryo bwikora?
• Ese ibi bishobora kugaruka?
• Ni ubuhe buryo bwo kuvura usaba?
• Ni iyihe myitozo nshobora gukora mu rugo?
• Ni izihe mpinduka ngomba kugira mu mibereho yanjye?

Kuki ntareka kwihagarika nkimara kubona ubwiherero?

Hari igihe kubona ubwiherero cyangwa urusaku rw'amazi atemba bishobora gutuma wumva ushaka kunyara mu buryo butunguranye. Ubu bushake butunguranye ni ikimenyetso cyo 'Gushaka Kudakora' . Ibi bikunze kugaragara ku bantu bafite indwara z'imitsi. Ikibaho ni uko nubwo utari witeguye kunyara, ubwonko bwawe bwohereza ubutumwa butari bwo ku mitsi yo mu ruhago rwawe kugira ngo iruhuke. Ibi nabyo bishobora kugenzurwa hakoreshejwe uburyo bwo kuvura.

Amaherezo, ibuka ibi.

Ibibazo byo kurwanya inkari bishobora kugorana cyane kandi bikakubabaza. Ushobora no kuba warahagaritse imirimo yawe isanzwe utinya ko inkari zishobora kuva cyangwa zigasohoka mu gihe udashobora kugera mu bwiherero.

Ariko ibuka ko utagomba gutinya kuvugana na muganga kuri ibi. Akenshi, ibibazo byo mu nkari bishobora gukemurwa neza, ndetse rimwe na rimwe bigakira burundu.

Muri kumwe, wowe na muganga wawe mushobora kumenya ubwoko bw'ikibazo ufite, icyakiteye, n'uburyo bwiza bwo kuvura. Rero ni byiza gushaka inama kwa muganga nta soni cyangwa guhisha ikibazo. Ntabwo uri wenyine! Kunanirwa kwihagarika inkari, kugenzura inkari, kunanirwa kwihagarika inkari, uruhago, kunanirwa kwihagarika, kudashaka kwihagarika, kwandura indwara zo mu nzira y'inkari.