Ese urimo kuva inkari mu buryo butunguranye? (Kudakoresha inkari) - Nirogi Lanka

Ese hari igihe uhura n'ikibazo cyo kuva inkari mu buryo butunguranye iyo useka, ukorora, cyangwa rimwe na rimwe nta mpamvu igaragara? Ntabwo uri wenyine. Iki ni ikibazo gikunze kugaragara, nyamara abantu benshi birabagora kukivugaho bitewe n'isoni. Ariko, iki ni ikibazo cyemewe n'abaganga. Muri Nirogi Lanka , twemera ibiganiro bifunguye, kuko niba ibi bigira ingaruka ku buzima bwawe bwa buri munsi, hari ibisubizo byiza biboneka.

Kutagira indonke mu nkari ni iki mu by'ukuri? Reka tubisobanure!

Mu magambo make, kunanirwa kwifata mu nkari bivuga kubura uburyo bwo kugenzura uruhago rw'inkari, bigatuma inkari zisohoka mu buryo butabishaka. Kugira ngo usobanukirwe impamvu ibi bibaho, ni byiza kureba uburyo imiyoboro y'amazi mu mubiri wawe ikora.

Impyiko zawe ziyungurura imyanda mu maraso yawe kugira ngo zikore inkari, hanyuma zikanyura mu miyoboro ibiri yitwa ureters kugira ngo zigere mu ruhago . Tekereza ku ruhago rwawe nk'agapira koroshye kari mu nda yawe yo hasi; karakura uko kuzuye kagagabanuka umaze kuyisohora.

Iyo ukeneye kunyara, imitsi yo mu rukuta rw'uruhago irafungana, maze imitsi y'uruziga yitwa sphincter iraruhuka kugira ngo inkari zisohoke mu muyoboro w'inkari . Kunanirwa kwihagarika bibaho iyo iyi mitsi y'uruhago ikoze cyane cyangwa iyo sphincter idakora neza mu gihe gikwiye. Iyo iyi mitsi ifunganye cyane, ishobora gutsinda sphincter, bigatuma iva.

Ubwoko bw'indwara yo kutagira impatwe mu nkari

Gusohoka kw'inkari mu buryo butunguranye bishobora kugaragara mu buryo butandukanye. Dore ubwoko bw'ingenzi:

1. Kunanirwa kwihagarika (stress)

Niba uhura n'amazi igihe useka, ukorora, witsamuye, cyangwa uterura ikintu kiremereye, birashoboka ko ari ukunanirwa kwifata . Ibi bibaho kuko umuvuduko w'umubiri utera kubura ubushobozi bwo kwifata. Bikunze kugaragara ku bagore, cyane cyane mu gihe cyo gucura cyangwa nyuma yo kubyara.

2. Gusaba kudakoresha indonke

Ubu bwoko burangwa no gushaka cyane kunyara mu buryo butunguranye kandi bigorana kubyifatamo, akenshi bigatuma umuntu ava amazi mbere yuko agera mu bwiherero. Akenshi bifitanye isano n'"uruhago rukora cyane" kandi bikunze kugaragara ku bantu bafite indwara z'imitsi nka diyabete , indwara yo gucika imitsi , indwara ya sclerosis nyinshi , indwara ya Alzheimer , cyangwa indwara ya Parkinson .

3. Kutagira isuku yo kwihagarika cyane

Ibi bibaho iyo uruhago rwawe rwuzuye buri gihe ariko ntubashe kurukuraho rwose. Kubera iyo mpamvu, uruhago ruraseseka, bigatera kuva amazi make kenshi kandi udafite icyifuzo cyo kugenda. Ibi bishobora guterwa no kuziba nko kwaguka kwa prostate ku bagabo cyangwa ibikomere by'umugongo .

4. Kutagira isuku mu mikorere y'umubiri

Ibi si ikibazo kiri mu buryo bw'inkari ubwazo, ahubwo ni imbogamizi z'umubiri cyangwa zo mu mutwe zituma utagera mu bwiherero ku gihe. Ingero zirimo rubagimpande rugabanya ubushobozi bwo kugenda, imvune, kwiheba , cyangwa gukoresha imiti igabanya ububabare ituma bigorana gusubiza ubushake bwo kunyara.

Ni nde ufite ibyago byinshi byo kutagira indyo yuzuye mu nkari?

Nubwo umuntu uwo ari we wese ashobora guhura n'ibi bibazo, ibyago byawe bishobora kuba byinshi niba:

• Uri umugore .
• Ufite imyaka irenga 50 .
• Urwaye umubyibuho ukabije .
• Ufite amateka yo mu muryango wawe yo kurwanya uruhago rw'inkari.

Iyi ndwara ikunze kugaragara ku bagore inshuro ebyiri, ahanini bitewe n’uburyo gutwita, kubyara, no gucura bigira ingaruka ku mitsi yo mu kibuno . Umuvuduko w’umwana urimo gukura ku ruhago mu gihe cyo gutwita ni impamvu ikunze gutuma umuntu ananirwa kwifata by’igihe gito.

Ibi bigira ingaruka zite ku buzima bwawe bwo mu mutwe?

Nubwo abantu babarirwa muri za miriyoni bahura n'iki kibazo, benshi bumva bafite isoni cyangwa bahangayitse. Ibi bishobora gutuma biyumva nabi ndetse bigatuma babura ubuzima busanzwe.

Niba iyi ndwara ikutera stress ikomeye, guhangayika , cyangwa kwiheba , nyamuneka shaka ubufasha bwa muganga vuba. Ntabwo ari ngombwa ko ubabara mu ibanga.

Ibimenyetso byerekana ko ushobora kuba ufite ikibazo cy'inkari

Shaka muganga niba ubonye ibi bimenyetso:

• Guhora wihagarika kenshi. Nubwo umubare w'abantu bajya mu bwiherero uterwa n'amazi unywa ndetse n'imiti igabanya ubukana bw'amaraso nk'ikawa cyangwa icyayi, impinduka zitunguranye mu miterere y'umubiri wawe ni ikimenyetso cyo kuzirikana.
• Gusohoka kw'amazi mu gihe cy'imyitozo ngororamubiri nko guseka, gukorora, gukora imyitozo ngororamubiri, cyangwa kwegerana.
• Kuva nta nteguza cyangwa icyifuzo.
• Kugorwa no gutinda kwihagarika iyo ubushake butangiye.
• Kunyara ku buriri (enuresis yo mu ijoro), bishobora kubaho ku bana no ku bakuru.
• Ibimenyetso by'imitsi nko kunanirwa kw'amaguru, gucika intege mu gice cy'ikibuno, cyangwa kubura ibyiyumvo.
• Kumva igitutu cyangwa gukazwa mu nda yo hasi .

Ni iki gitera kunanirwa kwihagarika inkari?

Kunanirwa kwihagarika inkari bishobora guterwa n'impinduka mu buzima bwawe, uburwayi bwawe, n'imibereho yawe.

Impinduka mu buzima

• Gusaza : Uko ugenda usaza, ni ibisanzwe ko imitsi yawe icika intege .
• Impatwe : Impatwe ikomeye cyangwa idakira ishobora gushyira umuvuduko ukabije ku ruhago rwawe, bigahindura imikorere yarwo.
• Diyabete : Diyabete ishobora kwangiza imitsi, ibyo bikaba bikunze kubangamira uburyo uruhago rwawe rugenzura.
• Kuziba inzira y'inkari: Ibi bishobora guterwa n'amabuye mu mpyiko, amabuye yo mu muyoboro w'inkari, prostate yagutse ku bagabo, cyangwa inkovu nyuma yo kubagwa.
• Ubwinshi burenze urugero: Kwitwara ibiro byinshi byongera umuvuduko ku ruhago rwawe no ku mitsi yo hasi y'ikibuno ikikije.
• UTI: UTI ishobora kubabaza uruhago rwawe, bigatuma ukenera kunyara kenshi kandi byihutirwa, bigatuma bigorana kuyigenzura.

Ingorane z'uburwayi zishingiyeho

Hari indwara zimwe na zimwe zishobora kwangiza imitsi y'uruhago cyangwa imitsi ikora ku buryo bwo gutanga ibimenyetso igihe cyo kwifata cyangwa kuruhuka.

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

Ingaruka ku mibereho

Ibiribwa bimwe na bimwe, ibinyobwa, n'imiti na byo bishobora gutera ikibazo:

• Inzoga.
• Ibiryo biryoshye by'ubukorano.
• Imiti imwe n'imwe igabanya umuvuduko w'amaraso.
• Kafeyine (ikawa, icyayi, ibinyobwa bitanga imbaraga).
• Imiti igabanya ububabare.
• Soda n'ibinyobwa birimo karubone.
• Ibiryo biryoshye.
• Ingano nyinshi ya Vitamine C.
• Kunywa itabi no kubaho mu buzima bwo kwicara nabyo bishobora gutera ibi bibazo.

Ni gute muganga wawe asuzuma iyi ndwara?

Iyo ugiye kwa muganga wawe, bazakubwira ibimenyetso byawe birambuye. Ushobora kubazwa ibibazo nk'ibi:

• Inkari zisohoka zingana iki, kandi kangahe?
• Ese ujya mu mwenda wawe ugwa mu mazi, cyangwa ugera mu bwiherero?
• Ese ibi bibaho mu masaha runaka y'umunsi?
• Ese bibaho mu bikorwa runaka nko kwitsamura cyangwa gukora imyitozo ngororamubiri?
• Ese ujya ugira ububabare cyangwa ukumva utameze neza mu gihe uri kunyara?
• Ese wumva ushaka cyane kunyara mu buryo butunguranye?
• Ujya mu bwiherero kangahe ku munsi?
• Ese bikugora gutangira kunyara umaze kugera mu bwiherero?
• Ingufu z'inkari zawe zimeze zite?
• Ese wumva umeze nk'aho uruhago rwawe rwavuyemo ubusa nyuma yo kurangiza?

Muganga wawe azabaza n'izindi mpamvu zishobora gutera iyi ndwara n'imiti:

• Ese ufite indwara z'imitsi, impyiko cyangwa amabuye yo mu muyoboro w'inkari, cyangwa ibibazo bya prostate?
• Ese hari imiti urimo gufata ubu? Niba ari yo, ni iyihe?
• Ese hari imiti ikomoka ku bimera cyangwa inyunganiramirire ya vitamine ufata?
• Ese wigeze utwita cyangwa warabyaye mu gitsina?
• Ese wabazwe mu nda cyangwa mu kibuno?
• Ese wigeze ubagwa prostate?

Muganga wawe azagukorera isuzuma ry’umubiri. Ashobora gusuzuma ibimenyetso by’ibibazo by’umugongo, nko kunanirwa kw’amaguru cyangwa kutagira ibinya mu myanya ndangagitsina. Ashobora gusuzuma impyiko kugira ngo arebe niba nta kuribwa mu nda cyangwa, ku bagabo, kugira ngo asuzume prostate. Niba uri umugore, ashobora gusuzuma igitsina cye kugira ngo arebe niba nta kuri kw’igitsina cye.

Ibizamini byo gusuzuma indwara

Kugira ngo wemeze ko ufite indwara, muganga wawe ashobora kukugira inama yo gukoresha ibipimo bikurikira:

• Gusuzuma inkari: Ibi bifasha kumenya indwara z'umwijima, impyiko, diyabete, na UTI.
• Ibizamini by'imikorere y'impyiko: Ibizamini by'amaraso cyangwa inkari kugira ngo harebwe uburyo impyiko zawe zikora neza.
• Ikizamini cy'inkari zisigaye nyuma yo kubura (PVR): Gipima ingano y'inkari zisigaye mu ruhago rwawe nyuma yo kugerageza kuzikuramo.
• Gutera inkari: Gusuzuma bagiteri cyangwa mikorobe zitera ubwandu.
• Gupima urodynamic: Bisuzuma imikorere y'imitsi n'imitsi, umuvuduko w'inkari zawe, n'umuvuduko uri mu ruhago no mu nkengero zarwo.
• Agatabo k'inkari: Inyandiko igaragaza amazi wanyoye, inshuro wanyoye, ingano y'amazi, n'igihe wanyoye.

Ese hari uburyo bwo kuvura ibibazo byo kurwanya uruhago rw'inkari buhari?

Yego rwose! Abaganga bakunze gutangirira ku buryo bwo kuvura butari ubwo kubaga.

• Ibikoresho byo kugenzura inkari: Nk'agakoresho ko mu muhogo, kugira ngo bifashe urethra no kugabanya imyunyungugu.
• Gusubiramo imyitozo y'inkari: Guteganya kujya mu bwiherero no kongera buhoro buhoro igihe hagati yabyo.
• Biofeedback: Igufasha kumenya no kongera kugenzura imitsi yo hasi mu kibuno cyawe.
• Kugabanya inzoga na kafeyine.
• Gukangura amashanyarazi: Bikoreshwa mu gukangura imitsi igenga imikorere y'uruhago.
• Imyitozo ngororamubiri ya Kegel (imyitozo ngororamubiri yo hasi mu kibuno): Iyi myitozo ngororamubiri ifite akamaro kanini mu gukomeza hasi mu kibuno no kunoza uburyo bwo kuyigenzura.
• Ubuvuzi bw'umubiri n'imyitozo ngororamubiri igamije.
• Kugabanya ibiro: Niba ufite umubyibuho ukabije, kugabanya ibiro bishobora gutanga ihumure rikomeye.

Niba uburyo bwo kuvura butari ubwo kubaga budatanga umusaruro, muganga wawe ashobora kukugira inama yo kubaga:

• Umwobo wo kubaga.
• Uburyo bwo gukurura: Gutanga "sling" ishyigikira urethra.
• Imiti igabanya umuyoboro w'inkari: Inshinge zo gukurura inkuta z'inkari.
• Inshinge za Botox®: Zikoreshwa ku mitsi y'uruhago mu kuvura ikibazo cyo kudakora imibonano mpuzabitsina.
• Ibikoresho byo gukangura imitsi byashyizwemo.
• Umuti w'inkari w'ubukorano: Igikoresho gikunze gukoreshwa ku bagabo.

Ni iyihe miti myiza kuri ibi?

Niba ukeneye imiti, muganga wawe azaguha uburyo bwo kuvura indwara y'inkari yawe. Ntugatangire imiti iyo ari yo yose utabanje kugisha inama abaganga b'inzobere ba Nirogi Lanka cyangwa abashinzwe ubuvuzi.

• Ku 'Gutuma umuntu adakora imibonano mpuzabitsina': Imiti nka 'Oxybutynin (Oxytrol®)`, 'Tolterodine (Detrol®)`, 'Darifenacin (Enablex®)`, 'Solifenacin (VESIcare®)`, na 'Trospium (Sanctura®)` ishobora gutangwa. Iyi miti ikora mu kuruhura imitsi y'uruhago, igafasha kugabanya ubushake butunguranye bwo kunyara.
• Ku bijyanye no kudakoresha imiti igabanya ubukana bw'indwara zo mu mutwe (stress incontinence): Hari igihe imiti nka `Imipramine (Tofranil®)` cyangwa `Pseudoephedrine (Sudafed®)` ishobora kwitabwaho. Kubera ko ibi bishobora kugira ingaruka mbi, muganga wawe azasuzuma amateka y'ubuzima bwawe mbere yo kukugira inama.
• Ku bijyanye no 'Kudakora imibonano mpuzabitsina': Bitewe n'impamvu nyamukuru, muganga wawe ashobora kukugira inama yo gukoresha imiti ya 'Bethanechol (Duvoid®)` kugira ngo ifashe uruhago kwihagarika, cyangwa imiti nka 'Terazosin (Hytrin®)`, 'Alfuzosin (Uroxatral®)`, na 'Finasteride (Proscar®)` kugira ngo ucunge ibimenyetso bifitanye isano na prostate.

Ni iki wakwitega kuri iyi ndwara?

Kuri benshi, ibimenyetso byo kunanirwa kwihagarika inkari bishobora gukemurwa neza cyangwa bigakemuka neza hakoreshejwe uburyo bwo kuvura. Hari igihe ikibazo kiba icy'igihe gito, urugero nk'iyo giterwa n'indwara zo mu nzira y'inkari cyangwa gutwita; muri ibi bihe, ibimenyetso akenshi birakemuka iyo impamvu nyamukuru imaze gukemurwa.

Ariko, niba ubana n'indwara zidakira nka diyabete cyangwa `(Multiple Sclerosis)`, kunanirwa kwifata bishobora gukomeza. Muri ibyo bihe, gukorana bya hafi na muganga wawe kugira ngo utegure gahunda yo kugufasha. Ntugahangayike; hari uburyo bwinshi bwiza bwo gucunga iyi ndwara.

Ni iki wakora kugira ngo ugabanye ibyago byawe?

Nubwo ushobora kutabasha gukumira buri kibazo cyo kudafata neza, izi ntambwe zishobora kugufasha kugabanya ibyago byo kurwara:

• Komeza imitsi yo hasi mu kibuno cyawe ukoresheje imyitozo ngororamubiri ya Kegel. Baza muganga wawe cyangwa umuganga w’imitsi kugira ngo akuyobore ku buryo bukwiye bwo gukora imyitozo ngororamubiri.
• Gabanya ibintu bitera ububabare mu ruhago nk'inzoga, ibinyobwa birimo kafeyine, ibiryo biryoshye, n'ibindi biryoshye by'ubukorano.
• Komeza kugira ibiro byiza kugira ngo wirinde igitutu kidakenewe ku ruhago rwawe.
• Ongera fibre mu mirire yawe kugira ngo wirinde impatwe, bishobora kongera ibibazo by'uruhago.
• Reka cyangwa ugabanye kunywa itabi kugira ngo ugabanye ibyago byo kurwara inkorora idakira, ibi bikaba bitera imitsi yo mu kibuno cyawe guhangayika.
• Komeza gukora siporo y'umubiri.

Ni gute wakwitwara neza mu buzima bwawe bwa buri munsi?

Abantu benshi babona ihumure bakoresheje imyenda y'imbere idakora, imyenda y'abantu bakuru, cyangwa imyenda ifata amasaro. Ibyuma bifasha ku nda, bikora kimwe na tampons, nabyo ni amahitamo meza kandi afite akamaro. Ibi bikoresho ni ibintu byihariye kandi byagenewe kwambarwa munsi y'imyenda. Nubwo bimwe bishobora gukoreshwa mu gihe cyo kubikora, ibindi birashobora kumeswa kandi bigakoreshwa. Kugira ngo wirinde ububabare n'impumuro mbi ku ruhu, ibuka guhindura amasaro yawe buri gihe umunsi wose.

Ni ryari ukwiye kujya kwa muganga?

Ibibazo by'inkari by'igihe gito bishobora guterwa n'indwara zo mu nzira y'inkari, impatwe, indyo, cyangwa ingaruka mbi zikomoka ku miti. Ariko, niba ibi bimenyetso bikomeje mu gihe kirenga icyumweru cyangwa bigira ingaruka zikomeye ku mibereho yawe, nyamuneka gisha inama umuganga. Nta mpamvu yo kugira isoni—iki ni ikibazo gikunze kugaragara ku buvuzi.

Ni ibihe bibazo ugomba kubaza muganga wawe?

Ushobora gusanga ari ingirakamaro kubaza muganga wawe ibibazo bikurikira:

• Ni ubuhe bwoko bw'indwara yo kunanirwa kwihagarika inkari ndimo?
• Ni iyihe mpamvu nyamukuru y'iki kibazo?
• Ese birashoboka ko byakemuka ubwabyo?
• Ese hari ibyago byo kongera kugaragara kwabyo?
• Ni ubuhe buryo bwo kuvura usaba?
• Ese hari imyitozo ngororamubiri yihariye nshobora gukora mu rugo?
• Ni izihe mpinduka mu mibereho nkwiye gushyira mu bikorwa?

Kuki ubona byihutirwa hafi y'ubwiherero?

Iyo uhuye n'ikibazo gikomeye cyo kunyara ukimara kubona ubwiherero cyangwa kumva amazi atemba, ibi akenshi biba ari ikimenyetso cy'uko 'Urge Incontinence' . Ibi bikunze kugaragara ku bantu bafite ibibazo bimwe na bimwe by'imitsi. Biterwa n'uko ubwonko bwawe bwohereza ikimenyetso mbere y'igihe ku ruhago rwawe kugira ngo ruvemo, nubwo rutari rwuzuye. Inkuru nziza ni uko ibi akenshi bishobora gukemurwa n'ubuvuzi bwihariye.

Ibitekerezo bya nyuma bivuye muri Nirogi Lanka

Kubaho ufite ikibazo cyo kudakora imibonano mpuzabitsina bishobora kugorana kandi bikakubabaza. Birumvikana niba waragabanyije ibikorwa byawe byo gusabana n'abandi bitewe no gutinya ko amazi ashobora kuva cyangwa ko ubwiherero buke.

Wibuke ko udatinya kubiganiraho na muganga wawe. Indwara nyinshi zishobora gukemurwa neza, kandi nyinshi zishobora kuvurwa neza.

Mu gufatanya n'itsinda ry'abaganga, ushobora kumenya icyateye ibimenyetso byawe no kubona uburyo bwiza bwo kuvura ubuzima bwawe. Ntabwo uri wenyine, kandi hari ubufasha buhari.

Kuva mu nkari, kugenzura inkari, kunanirwa kwihagarika inkari, uruhago, kudahagarika inkari, kudashaka kwihagarika inkari, kwandura indwara zo mu nzira y'inkari