Ese nawe uva inkari utabizi? Ibi byitwa kudakora neza kw'umubiri! Ese tuvuge kuri ibi?

Ese hari igihe uva inkari utabizi? Cyangwa ujya kunyara mbere yo kwiruka ujya mu musarani? Iki ni ikibazo abantu benshi bahura nacyo, ariko gishobora gutera isoni kubivugaho. Ntugahangayike, ntabwo uri wenyine. Mu buryo bw'ubuvuzi, iyi ndwara yitwa "Kudakora neza kw'inkari" . Mu magambo make, ntabwo biterwa n'ikibazo gikomeye kiri mu ruhago rwawe (aho inkari zihurira), ahubwo ni ukubera ko udashobora kugera ku musarani ku gihe kubera izindi mpamvu. Reka tubiganireho birambuye .

Kutagira indonke mu mubiri ni iki?

Mu magambo make, "(Kudakora akazi ko kwihagarika)" ni igihe utakaza ubushobozi bwo kugenzura uruhago rwawe hanyuma ukava inkari mu buryo butunguranye. Ariko ibi ntibiterwa n'indwara itaziguye y'urusobe rw'inkari zawe. Bibaho iyo ugorwa no kujya mu bwiherero ku gihe, cyangwa ukamenya ko ugomba kunyara , bitewe n'indi ndwara y'umubiri cyangwa yo mu mutwe. Tekereza, ufite ubushake bukomeye bwo kunyara , ariko nta buryo bwo kujya mu bwiherero buhari, noneho ibi nibyo bishobora kubaho.

Ibi kandi byitwa "Kutagira Impatwe Ikora ku Ndangamutima". Byombi bisobanura ikintu kimwe.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, muri rusange, kunanirwa kwihagarika inkari, cyangwa "Kunanirwa kwihagarika inkari", bikunze kugaragara cyane kurusha uko wabitekereza. Nk’uko raporo zimwe na zimwe zibivuga, abantu bagera kuri miliyoni 30 mu gihugu nka Amerika bafite ubwoko bumwe bwa "Kunanirwa kwihagarika inkari". Bityo rero ushobora kwiyumvisha umubare w’abantu benshi muri Sri Lanka barwaye ubu bwoko bw’ubu burwayi. "Kunanirwa kwihagarika inkari" ni bumwe muri ubwo bwoko. Ibi rero si ibintu bibaho gusa, abantu benshi barwaye iyi ndwara.

Ni ibihe bimenyetso by'indwara yo kudakoresha imyitozo ngororamubiri (functional Incontinence)?

None se, ni gute twamenya iyi ndwara ya "Functional Incontinence"? Reba niba ibi bintu bikubaho:

• Inkari zikunze kuva amazi (zigatonyanga) ntabisobanukirwe .
• Hari igihe uruhago rwose rusohora nta bwenge.
• Sinshobora kwifata inkari zanjye kugeza igihe ngiye mu bwiherero.
• Ukumva impumuro y'inkari iva mu myenda yawe cyangwa mu nzu.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza kubyitondera.

Ni iyihe mpamvu ituma umuntu adakora neza mu mikorere y'umubiri?

Noneho reka turebe icyatera iyi ndwara ya "Functional Incontinence". Mu by'ukuri hari impamvu nyinshi zishobora gutera.

• Indwara zo mu mutwe : Izi zirimo kwibagirwa (kwibagirwa buhoro buhoro), kwibagirwa (kwibagirwa mu buryo butunguranye), n'ubumuga bwo mu mutwe. Urugero, umuntu ufite ikibazo cyo kwibagirwa ashobora kugorwa no kunyara .Ushobora kuba utibuka icyo ugomba gukora, cyangwa ntubone aho ubwiherero buri.
• Indwara z'imitsi: Indwara zigira ingaruka ku bwonko, uruti rw'umugongo, cyangwa uturemangingo tw'imitsi, nka sclerosis nyinshi (MS), indwara ya Parkinson (itera gutigita), na stroke. Izi ndwara zishobora gutuma ibimenyetso bikenewe kugira ngo uruhago rwawe ruhagarike gukora neza.
• Indwara zigira ingaruka ku mitsi, bigatuma bigorana kujya mu bwiherero cyangwa kwambara : Urugero, `(Arthritis)` (ububabare bw'ingingo). Noneho tekereza ko mama wawe cyangwa so wawe afite `(Arthritis)`. Bagorwa no kunanura amaguru n'amaboko yabo. Hanyuma, iyo bigoye ko umuntu wambaye ijipo ayiterura, umuntu wambaye ipantaro ayifungura, cyangwa kuyifunga, bifata igihe kujya mu bwiherero no kwitegura. Icyo gihe ni bwo ushobora kugenda gato utabizi.
• Imitsi y'uruhago idakomeye cyangwa imitsi yo hasi mu kibuno : Iyo iyi mitsi idakomeye, biragoye gufata inkari.
• Inzitizi zifatika : Ibintu nk'ingazi, urumuri rudahagije, cyangwa kugorwa no kubona ubwiherero ahantu hahurira abantu benshi. Tekereza umuntu ugeze mu zabukuru uri mu igare ry'abamugaye, kandi si ubwiherero bwose bushobora kugerwa n'abamugaye.
• Kugabanya cyangwa kwandura ibice by'igitsina.
• Imiti igira ingaruka ku bushobozi bwo gutekereza : Ibinini byo gusinzira, nibindi. Ibi bishobora gutuma usinziriza kandi bigatuma wibagirwa kunyara .
• Imiti igabanya ubukana bw'imitsi : Iyi miti itangwa ku ndwara zimwe na zimwe.
• Indwara zo mu nzira y'inkari (UTIs) : Iyi nayo ni impamvu ikunze kugaragara cyane.
• Impatwe : Nubwo impatwe iba ikomeye, igitutu gishobora kwiyongera ku ruhago, bigatera indwara nk'izi.

"Urabona, hari impamvu nyinshi cyane. Ibi rero ntibigarukira ku kintu kimwe gusa."

Ni nde ushobora kugira ikibazo cyo kudakora neza kw'umubiri?

Nubwo iyi ndwara ishobora kugaragara ku muntu uwo ari we wese, hari abantu bafite ibyago byinshi byo kuyirwara.

• Niba ufite indwara igira ingaruka ku mikorere y'ubwonko (`(indwara yo gutekereza)`).
• Niba ufite indwara y'imitsi.
• Niba ufite ikibazo kigira ingaruka ku mitsi n'ingingo, urugero nka rubagimpande.
• Niba ufata imiti imwe n'imwe, urugero, imiti igabanya ububabare bw'imitsi, cyangwa imiti ituma usinzirira.
• Abantu barengeje imyaka 65 : Iyi ndwara ikunze kugaragara cyane cyane mu bageze mu za bukuru baba mu bigo byita ku bageze mu za bukuru. Ingaruka ziyongera uko imyaka igenda ihinduka uko umubiri ugenda uhinduka.
• Izi ngaruka nazo ziri hejuru ku bantu badakora imyitozo ngororamubiri cyane.

Ibi bipimwa gute? (Ni gute indwara yo kudakora neza kw'umubiri ipimwa ite?)

Niba ubona ko ufite ibi bimenyetso, ni iki wakora nyuma yaho? Ugomba kujya kwa muganga rwose. Muganga cyangwa umuforomo azagusuzuma kandi akubaze ibibazo bimwe na bimwe. Ibi bibazo bishobora kuba birimo:

• Ese ubu uri kuvurwa izindi ndwara?
• Ni iyihe gahunda yawe yo kurya? Urya ibingana iki kandi unywa bingana iki?
• Unywa amazi angahe ku munsi? Unywa iki?
• Ese unywa inzoga cyangwa kafeyine (icyayi, ikawa)?
• Ukora siporo zingana iki? Ni iyihe siporo ukora?
• Ese ushobora kugenda mu buryo bworoshye?

Ni ingenzi cyane gusubiza ibi bibazo mu buryo buboneye , kuko ari bwo muganga azabasha gusobanukirwa neza uko ikibazo giteye.

Ni ubuhe bwoko bw'ibizamini bizakorwa?

Muganga ashobora gukora ibizamini kugira ngo amenye impamvu nyayo.

• Gupima inkari : Ibi bikubiyemo gufata icyitegererezo cy'inkari zawe kugira ngo harebwe niba nta bwandu cyangwa ibindi bibazo.
• Ibizamini by’imikorere mibi y’imitsi yo mu kibuno : Ibi bireba uburyo imitsi yo mu kibuno ikora neza n’uko ikomeye.
• Ikizamini cya Urodynamic : Iki ni ikizamini kigoye cyane. Gipima ibintu nk'uko imitsi n'imitsi yo mu ruhago rwawe bikora, uko inkari zawe zitembera vuba, n'umuvuduko w'amaraso mu ruhago rwawe no mu nkengero zarwo.

Hari igihe umuganga wawe ashobora kukwohereza ku muganga w’inzobere mu by’inkari n’imyororokere ("Urologist") cyangwa inzobere mu kuvura ibibazo byo hasi mu kibuno ku bagore ("Urogynecologist").

Ni gute wagabanya ikibazo cyo kudakora neza kw'umubiri?

Noneho reka turebe icyakorwa kugira ngo tugabanye cyangwa tugenzure iyi ndwara ya "Functional Incontinence". Uburyo bwo kuvura buterwa n'impamvu.

Urugero, niba urwaye rubagimpande kandi bikakugora gukuramo imyenda, ni byiza kwambara imyenda yoroshye gukuramo, elastic, cyangwa Velcro. Niba ufite indwara yo mu nzira y'inkari (UTI), muganga wawe azakwandikira imiti igabanya ubukana. Niba hari imiti imwe n'imwe itera iyi ndwara, ushobora kuvugana na muganga wawe kugira ngo arebe niba hari indi miti ihari.

Byongeye kandi, ibintu nk'ibi nabyo bishobora gufasha:

• Udutambaro two mu nda cyangwa imyenda yo mu nda : Ibi biraboneka muri farumasi. Hariho kandi ikirango kizwi cyane cyitwa Depends®. Gukoresha ibi bishobora kugabanya ibyago byo kunyara no kubabara mu myenda iyo ukoze imibonano mpuzabitsina ku bushake.
• Gutoza inkari : Ibi kandi byitwa kwihagarika ku gipimo cy'igihe. Muri ibi, usabwa kunyaraNubwo byaba atari ngombwa, jya mu bwiherero ku masaha asanzwe umunsi wose (ubusanzwe buri masaha abiri). Ibi bizagufasha gukuramo ubusa bw'inkari yawe mbere yuko yuzura. Ushobora kongera buhoro buhoro igihe hagati y'ibi bihe.
• Katheta y'inkari : Mu bihe bikomeye, muganga ashobora gusaba katheta y'inkari y'igihe gito cyangwa iy'igihe kirekire. Ibi bisaba gushyira umuyoboro muto kandi woroshye unyuze mu muyoboro w'inkari mu ruhago, ugakusanya inkari mu gafuka.
• Katheteri y'agakingirizo : Iki ni ikintu gishobora gukoreshwa n'abagabo. Gifata ku gitsina cy'umugabo nk'agakingirizo, kandi inkari zigashyirwa mu gafuka binyuze mu muyoboro uhujwe na cyo.
• Ubuvuzi bw'umubiri bwo mu gituza : Inzobere izakwigisha imyitozo ngororamubiri (nk'imyitozo ya Kegel) kugira ngo ikomeze imitsi yo mu gituza cyawe. Gukomeza iyi mitsi bishobora kugufasha kugumana inkari zawe igihe runaka mbere yo kujya mu bwiherero.

Iyo uri mu rugo, komeza inzira ijya mu bwiherero ifunguye. Ugomba gufungura imiryango no gukuraho ibintu bitari ngombwa kugira ngo ugabanye ibyago byo kugwa no kunyerera. Niba ufite ikibazo cyo kubona, shyiramo amatara y'inyongera hirya no hino mu nzu cyangwa ushyireho itara rito hafi yaho. Ni umuco mwiza kandi gushaka ubwiherero mbere yo gusohoka.

Ese ibi bishobora kwirindwa? (Ese kutagira imyitozo ngororamubiri ishobora kwirindwa?)

Mu by’ukuri, ntidushobora gukumira bimwe mu bintu bitera `(Kutagira indonke ikora neza)`, ni ukuvuga indwara zigira ingaruka ku mitsi, uturemangingo tw’imitsi, cyangwa imikorere y’ubwonko (`(Imikaya, ubwonko cyangwa imiterere y’ubwenge)`). Ibi bivuze ko nta buryo butaziguye dufite bwo guhagarika indwara nka `(Dementia)`. Ariko, dushobora kugerageza kugabanya bimwe mu bintu bishobora gutera ibyago. Urugero, ibintu nko kugira ubuzima bwiza no kwita ku buzima bwawe.

Ni iki nakwitega mu gihe mfite ikibazo cyo kudakora neza kw'umubiri?

Niba ufite ikibazo cyo kudakora neza kw'umubiri bitewe n'indwara idakira, nka Parkinson's disease, ushobora kuzakomeza kuyibana ubuzima bwawe bwose. Ariko ibyo ntibivuze ko ugomba kubabara. Muri ibi bihe, ni ngombwa kuganira na muganga wawe ku buryo bwiza bwo gucunga ibimenyetso byawe. Hari uburyo bwinshi bwo koroshya ubuzima.

Nikwiyitaho nte? (Nikwiyitaho nte?)

Niba ufite ``(Incontinence Functional Incontinence)``, ibi bintu bishobora kugufasha kwiyitaho:

• Andika mu gasanduku k'inkari : Ibi bizaba birimo amazi unywa ku munsi, ibyo urya n'ibyo unywa (cyane cyane kafeyine, ibiryo biryoshye), inshuro unyara , igihe unyara , n'igihe unyara.Andika ibintu nko kunyara inshuro nyinshi, kunyara inshuro nyinshi, nibindi. Aya makuru azagufasha cyane mu guhugura uruhago no kugira ngo muganga wawe asobanukirwe n'uko umeze.
• Irinde ibiryo n'ibinyobwa bitera imbaraga mu ruhago : Kafeyine (iboneka mu cyayi, ikawa, na shokora), inzoga, soda, ibiryo birungo, n'imitobe y'imbuto z'indimu nka inyanya, indimu n'amacunga bishobora gutera imbaraga mu ruhago no gutuma ushaka kunyara kenshi. Gerageza kugabanya ibi gato urebe niba hari itandukaniro ubonye.
• Gumana ibiro byiza kuri wewe : Ibinure byinshi mu nda bishobora gushyira igitutu kidakenewe ku ruhago rwawe. Kugabanya ibiro nabyo bishobora gufasha.
• Tembera buri gihe : Tembera bifasha umubiri wawe gukomeza gukora kandi bigufasha kumenya igihe uruhago rwawe rwuzuye n'igihe ukeneye gushaka ubwiherero. Gerageza kugenda nibura iminota 30 ku munsi.
• Reka kunywa itabi : Hari igihe gukorora unywa itabi bishobora no gutuma inkari zisohoka. Kunywa itabi nabyo byangiza uruhago. Kubwibyo, kureka kunywa itabi nabyo bishobora kugabanya iyi ndwara.

Ni ryari nkwiye kubonana n'umuganga wanjye?

Ni byiza kujya kwa muganga ukimara kubona ibimenyetso bya "Functional Incontinence", nko kuva inkari mu buryo butunguranye, cyangwa kujya mu bwiherero igihe gito. Ntugatinye cyangwa ngo ugire ubwoba. Ibi ni ibisanzwe kuri muganga. Hanyuma ushobora kumenya impamvu, ugakemura ikibazo mu buryo bukunogeye, kandi ugahabwa ubufasha bwo kwirinda kuva mu buryo butunguranye.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ntukibagirwe kubaza ibibazo nk'ibi:

• Ni iyihe mpamvu ituma ngira iyi ndwara ya "Functional Incontinence"?
• Ni ubuhe bwoko bw'ibizamini biri gukorwa kugira ngo byemezwe ibi?
• Ni ryari tuzamenya ibyavuye mu bizamini?
• Ese hari ibikorwa nkwiye kwirinda ?
• Ni ibihe biribwa n'ibinyobwa nkwiye kwirinda ?
• Nkwiye kwiyitaho nte ndi mu rugo?
• Nkwiye kwiyitaho nte iyo mvuye mu rugo?
• Ese hari ibindi bimenyetso nkwiye kwitondera ?

Ubajije ibi bibazo, ushobora gusobanukirwa neza uko ibintu bimeze.

Ese hari ubundi bwoko bw'indwara yo kunanirwa kwihagarika inkari?

Yego, `(Kutagira indonke ikora)` ni ubwoko bumwe gusa. Hariho ubundi bwoko bwinshi nk'ubu. Reka tubyigeho gato.

• Kunanirwa kwifata mu gihe cy’inkari : Iki ni cyo gihe uruhago rwawe rwuzuye, ariko ntubashe kurukuraho rwose. Ushobora kuva inkari kubera ko uruhago rwawe rwuzuye, ariko ushobora kutamenya ko ugomba kujya mu bwiherero.
• Kunanirwa kwifata mu gihe cy'ihungabana (`(Kunanirwa kwifata mu gihe cy'ihungabana)`): Ibi bibaho iyo habayeho umuvuduko utunguranye (stress) ku ruhago, urugero, iyo urimo gukorora, useka, witsamura, uterura ikintu kiremereye, cyangwa ukora imyitozo ngororamubiri imwe n'imwe, bigatuma inkari zisohoka utabizi.
• Gusaba kudakora imibonano mpuzabitsina : Iki ni igihe ugize ubushake butunguranye bwo kunyara budashobora kwigengesera, ariko ntushobora kubyifatamo kugeza ugeze mu bwiherero.

Izi ni izindi ndwara z'ingenzi zigaragara. Hari abantu bashobora kuba bafite ubwoko burenze bumwe muri ubwo bwoko.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Kutagira isuku mu mubiri bishobora kubangamira ubuzima bwawe bwa buri munsi. Nubwo ari ibintu bisanzwe kurusha uko ubitekereza, ushobora kumva ufite isoni cyangwa isoni zo kubivugaho. Ushobora no kwirinda ibikorwa byawe bya buri munsi ndetse n'imibanire yawe n'abandi kubera gutinya ko utazagera ku musarani vuba.

Wibuke ko atari wowe wenyine ufite ibi bibazo.

• Kutagira isuku mu mubiri si ikintu ushobora gukoraho ikintu icyo ari cyo cyose. Bishobora guterwa n'impamvu z'umubiri cyangwa iz'imitekerereze.
• Igikuru ni ukuganira na muganga kuri ibi nta soni cyangwa ubwoba.
• Iyo impamvu nyayo imaze kumenyekana, hari uburyo bwinshi bwo gucunga no kugenzura iyi ndwara.
• Guhindura imibereho yoroheje, imyitozo ngororamubiri, rimwe na rimwe n'imiti nibiba ngombwa, bishobora kugufasha kubaho neza muri iki kibazo.
• Hari abantu bashobora kugufasha. Shaka inama z'abaganga zikwiye.

Niba wowe cyangwa undi muntu uzi afite ibi bimenyetso, nyamuneka shaka inama kwa muganga kugira ngo nawe ubashe kubaho ubuzima bwiza ufite iyi ndwara.

` Kudakora neza kw'inkari, Gusohora inkari, Kubura uburyo bwo kugenzura inkari, Kunyara , Kwita ku bageze mu zabukuru, Ubumenyi bw'imitsi, Dementia