Ese nawe ufite ikibazo cyo kunyara neza? Reka twige ku kibazo cyo kubura imyakura kitari iy'imitsi!

Ese hari igihe wumva ufite ikibazo cyo kunyara ? Cyangwa wumva uruhago rwawe rutarasohoka burundu nyuma yo kurangiza kunyara ? Wenda urimo kuva inkari mu buryo butunguranye. Iki si ikibazo kuri wowe gusa, ahubwo ni ikibazo ku bantu benshi. Uyu munsi, tugiye kuvuga ku kunanirwa kwihagarika inkari bidaterwa n'ibibazo by'imitsi . Mu buvuzi, ibi tubyita "Kudakora neza kw'imitsi bidaterwa n'imitsi".

Ikibazo cyo kubura imyakura kitari iy'imitsi ni iki?

Mu magambo make, iyi ni indwara aho udashobora gukuramo burundu uruhago rwawe. Ijambo "ntiritera imitsi" hano risobanura ko iyo ndwara idaterwa n'ibibazo by'imitsi yawe, ni ukuvuga ubwonko bwawe, uruti rw'umugongo, cyangwa imitsi. "Kudakora neza kw'inkari" bivuze ko inzira yo kunyara idakora neza.

Iyi ndwara ishobora kugaragara ku muntu uwo ari we wese. Akenshi, ibi bishobora guterwa n'imitsi y'uruhago idakora neza, kuziba ahantu runaka mu nzira y'inkari, cyangwa ingeso mbi twari tumenyereye kuva kera. Ariko, iyi ndwara ikunze kugaragara cyane ku bana bato batojwe ubwiherero bari hagati y'imyaka 4 na 6 no ku bagore barengeje imyaka 40. Tekereza, umwana umwe kuri batanu bari hagati y'imyaka 4 na 6 bagomba kunyara ku manywa kubera iyi `(Kudakora neza kw'imyakura idashingiye ku mitsi)`. Nanone, abagore barenga 6% barengeje imyaka 40 bafite iyi ndwara.

Ni ibihe bimenyetso by'iyi ndwara? (Ibimenyetso by'imikorere mibi yo kubura imyakura idashingiye ku mitsi)

Reba niba ufite kimwe muri ibi biranga:

• Ese gutangira kunyara biragoye? Cyangwa ugomba kwihata iyo urimo kunyara ?
• Ese inzira y'inkari irafunganye cyane? Cyangwa inzira y'inkari iratangira, igahagarara akanya gato, hanyuma ikongera igatangira?
• Ese ugomba gukaza imitsi yo mu nda yawe iyo uri kunyara ? Cyangwa ugomba gufata inda yo hasi n'amaboko yombi?
• Ese wumva uruhago rwawe rutarasohoka ndetse na nyuma yo kurangiza kunyara ?
• Ese urwaye impatwe ? (Ibi bikunze kuba bifitanye isano)
• Ese unyara cyane kurusha uko bisanzwe (ukanyara kenshi) cyangwa bike?
• Ese inkari zisohoka mu buryo butunguranye (kunanirwa kwihagarika inkari)?
• Ese uhita wumva ukeneye kwihutira kunyara (gusaba kudahagarika imibonano mpuzabitsina)?
• Kunyara inshuro zirenze imwe nijoro usinziriyeEse ugomba guhaguruka kugira ngo ubikore (nocturia)?

Imiterere yihariye abana bato bashobora kugira:

Iyo abana bato bafite iyi ndwara, bashobora kugaragaza ibintu nk'ibi:

• Gutose imyenda yawe ku manywa (ndetse na nyuma yo kwimenyereza ubwiherero).
• Hari ibintu bitandukanye bishobora gukorwa kugira ngo inkari zigume mu mubiri . Urugero:
• Amaguru yanjye yarenze.
• Kwicara ku ntebe wicaye.
• Bafatanye amaguru yabo, haba bakoresheje amaboko cyangwa inkweto.

Niba ubona umwana wawe akora ibi bintu, wagombye kugira impungenge gato.

Ni iki gitera ibi? (Impamvu zo kudakora neza kw'imyakura idashingiye ku mitsi)

Hari impamvu nyinshi z'ingenzi zitera iki kibazo:

• Intege nke z'imitsi yo mu ruhago.
• Hari ahantu runaka mu buryo bw'inkari zawe hafunganye.
• Uruhago rukora cyane (uruhago rukora cyane).
• Uruhago ntirukora neza, bivuze ko nta kumva ko ukeneye kunyara ("uruhago rudakora neza").
• Kudafata impatwe (iyi ni impamvu y'ingenzi cyane).
• Indwara zo mu nzira y'inkari (UTI).
• Nubwo ukeneye kunyara , urabyirengagiza ugategereza kugeza igihe uruhago rwawe rwuzuye mbere yo kunyara nyuma.
• Ku bagabo, ni prostate gland yagutse (Benign Prostatic Hyperplasia - BPH).
• Kanseri ya porositate.

Ku bana bato, ibi bishobora guterwa n'indwara yitwa "dysfunctional elimination syndrome," iyo imitsi n'imitsi yo mu ruhago bidakorana neza.

Ni izihe ngorane zishobora guterwa n'iyi ndwara?

Iyo uruhago rwawe rutavuyemo burundu, bagiteri ziri mu nkari zisigaye zishobora gutera indwara. Urugero, indwara zo mu nzira y'inkari (UTIs). Uba ufite amahirwe menshi yo kurwara amabuye mu mpyiko cyangwa amabuye mu ruhago. Hari igihe iki kibazo kiramutse kirushijeho gukomera, gishobora no kwangiza impyiko.

Igikuru ni uko kugira ikibazo runaka mu gihe cyo kunyara nabyo bishobora kukugiraho ingaruka mu mutwe. Abantu benshi bumva bafite isoni kandi bahangayikishijwe n'uko badashobora kugenzura inkari zabo. Ushobora no gutekereza uti "Ese ndi umutwaro ku bandi?" Niba ugomba guhagarika ibikorwa byawe bya buri munsi ufite ibi bimenyetso igihe cyose. Niba wirinda kuba mu muryango kubera ibi, ushobora no guhura n'ibibazo bikomeye nko guhangayika no kwiheba.

Ni gute abaganga basuzuma ikibazo cyo kubura imyakura kitari icyo mu bwonko?

Muganga ashobora gusuzuma ikibazo cyo kubura imyanya ndangagitsina atari indwara y’imitsi abajije amateka y’ubuzima bwawe no gukora isuzuma ry’umubiri. Ashobora kandi gupima abagore cyangwa abagabo mu buryo bwa digitale.

Byongeye kandi, muganga wawe ashobora kugusaba kubika "ikaye y'inkari." Muri yo, uzandikamo ibi bikurikira:

• Unywa amazi angahe ku munsi?
• Unyara saa ngahe?
• Usohora inkari zingana iki icyarimwe?
• Ni ryari kandi ni gute inkari zisohoka zitabigambiriye?

Hamwe n'aya makuru, muganga ashobora kandi gukora ibindi bipimo byinshi kugira ngo yemeze ko arwaye.

Ni ibihe bizamini bikorwa?

Muganga ashobora gukora kimwe cyangwa byinshi muri ibi bizamini:

• Ikizamini cya PSA (Prostate-specific antigen): Iki ni ikizamini cy'amaraso. Gishaka kureba urugero rwa PSA ruri hejuru. Iyo urugero rwa PSA ruri hejuru, hashobora kubaho ikibazo kuri prostate gland.
• Gusuzuma inkari: Ibi bishobora gufasha kumenya niba ufite indwara yo mu nzira y'inkari (UTI).
• Gupima inkari mu ruhago nyuma yo kunyara: Ibi bireba ingano y'inkari zisigaye mu ruhago rwawe nyuma yo kunyara . Bishobora kandi kureba niba ikibazo cyaragize ingaruka ku mpyiko zawe.
• Gupima urodynamic: Ibi bizamini bipima ingano y'inkari uruhago rwawe rushobora gufata n'uburyo imitsi yo mu ruhago rwawe, urethra, n'uruhago rwawe ikorana neza.
• Cystoscopy: Muri iki kizamini, muganga ashyiramo igikoresho kirekire kandi gito (gifite kamera) anyuze mu muyoboro w'inkari kugira ngo arebe niba hari ibibazo biri mu muyoboro w'inkari n'uruhago rwawe.

Ku bana bato, ibi bizamini akenshi ntibikunze kubangamira cyane. Muganga ashobora kugusaba kwandika ikaye y'inkari, kandi ashobora gusa kukugira inama yo gupima amaraso, gusuzuma inkari, gukoresha ultrasound, no gupima urodynamic.

Ibi bivurwa bite? (Bivurwa bite?)

Uburyo bwo kuvura iyi ndwara (Non-neurotic neuropathy voiding disorder) buratandukanye bitewe n'impamvu. Ubu buryo bwo kuvura bushobora kuba burimo:

1. Gutoza inkondo

Ushobora gutoza imitsi y'inkari zawe kugumana inkari igihe kirekire. Ibi bivuze ko ugomba kujya mu bwiherero buri gihe umunsi wose, nubwo waba wumva utabikeneye . Ibi bishobora gufasha guhagarika uruhago rwawe kuzura. Umuganga w'inzobere mu kuvura ibibazo byo hasi mu kibuno ashobora kugufasha muri ibi.

2. Imyitozo ngororamubiri yo kuvura imitsi yo hasi mu gituza (Pelvic floor therapy)

Umuganga w’inzobere mu by’imitsi ashobora kukwigisha uburyo bwo kuruhuka imitsi yo hasi mu kibuno kugira ngo ubashe kunyara byoroshye. Ashobora kandi gushyira "ibipimo bya biofeedback" mu gitsina cyawe cyangwa mu nda kugira ngo amenye neza ko urimo gukora imyitozo ngororamubiri ikwiye.

Bazakwigisha kandi imyitozo ngororamubiri ya Kegel kugira ngo ukomeze imitsi yo mu kibuno cyawe. Imitsi ikomeye yo mu kibuno ifasha mu kwirinda kunanirwa kwihagarika inkari no gutuma umuntu adakomeza kwihagarika.

3. Imiti

Hari imiti ishobora gufasha mu kugabanya ibibazo byo mu nkari. Ingero:

• Alpha-blockers, urugero nka tamsulosin (Flomax®).
• Imiti igabanya ububabare mu nkari, nka oxybutynin (Ditropan®) na tolterodine (Detrol®).

4. Uburozi bwa Botulinum

Muganga wawe ashobora gutera uburozi bwa botulinum (Botox®) mu ruhago rwawe. Ibi biruhura imitsi y'uruhago kandi bigagabanya ubushake bwo kudakora neza.

5. Gukangura imitsi yo mu matiba hakoreshejwe uruhu (PTNS)

Hari igihe uba ugomba guha imitsi yawe "imbaraga" kugira ngo ikaze imitsi y'inkari. Muri PTNS, muganga wawe ashyira electrode hafi y'imitsi ya tibial mu kaguru kawe. Hanyuma, yohereza ibimenyetso byoroheje by'amashanyarazi kuri electrode. Ibi bitera imbaraga imitsi ya tibial, hanyuma ikajya mu mitsi ya sacral mu kibuno cyawe. Ibi bihagarika ibimenyetso bidasanzwe biva mu mitsi ya sacral bijya mu mitsi y'inkari, uruhago, n'imitsi yo hasi mu kibuno, bigufasha kongera kugenzura uruhago.

6. Gukangura imitsi yo mu bwoko bwa sacral

Muri ubu buryo, muganga wawe azabaga ashyira electrode munsi y'uruhu hejuru gato y'amatako yawe. Izi electrode zohereza ibimenyetso byoroheje by'amashanyarazi ku mitsi yo mu gice cy'imbere cy'uruhago binyuze mu mugozi muto (probe) ujya munsi y'uruhu. Izi bimenyetso bitera imitsi yo mu ruhago rwawe kwifata.

7. Kwishyira mu katheteri (self-catheterization)

Ushobora gushyira catheter y'inkari mu ruhago rwawe buri gihe hanyuma ugafata inkari zawe mu gafuka. Muganga wawe azakwereka uko wabikora (kwicatheterization).

8. Kubagwa

Iyo ubundi buryo bwo kuvura budakora, muganga wawe ashobora kukugira inama yo kubaga uruhago rwongereyeho (cystoplasty). Ubu buryo bwo kubaga butuma uruhago rwawe rurushaho kuba runini kugira ngo rushobore kubika inkari nyinshi.Nshobora kwihanganira byinshi.

Ni ubuhe buryo bw'ibanze bwo kuvura uruhago rudakoresha imitsi cyane?

Ubusanzwe ibi bikurikira ni byo bikunze kugaragara ku rwego rwa mbere rw'ubuvuzi bw'iyi ndwara:

• Kugabanya ibiryo n'ibinyobwa byangiza uruhago (icyayi, ikawa, inzoga, ibiryo birimo ibirungo cyangwa aside).
• Imyitozo y'inkari.

Iyo izi mpinduka mu myitwarire zidafashije, abaganga bashobora kuguha imiti nk'iyi, bitewe n'ubwoko bw'ikibazo cyo kubura imyakura kitari icy'imitsi:

• Indwara zo kurwanya kolineriji
• Alpha-blockers
• Beta 3 receptor agonists

Iyi ndwara ivurwa ite ku bana bato?

Imiti igabanya ubukana bw'inkari (Alpha-blockers) n'imiti igabanya koleriji (cholineriques) ishobora gufasha kuvura uruhago rukora cyane mu bana bato. Hari abana bashobora no kwigishwa gukora imyitozo ngororamubiri yo hasi mu kibuno.

Muganga ashobora kandi gusaba umwana gutoza uruhago. Urugero, gushishikariza umwana kujya mu bwiherero ku masaha yagenwe no kumwigisha imiterere ikwiye ku bwiherero.

Nzumva meze neza nyuma y'igihe kingana iki?

Bihinduka bitewe n'uburyo bwo kuvura. Imyitozo ngororamubiri n'imyitozo yo hasi mu kibuno bishobora gutangira gukora mu byumweru cyangwa amezi make. Gukangura imitsi akenshi bitangira gukora mu byumweru bike. Imiti igomba gutangira gukora mu minsi cyangwa ibyumweru bike. Muganga wawe azaguha igitekerezo cyiza kuri ibi.

Ni ryari ngomba kujya kwa muganga?

Vugana na muganga ako kanya ukimara kubona ibi bibazo byo kujya mu bwiherero:

• Kunanirwa kunyara igihe kirekire.
• Impinduka mu nkari zawe: Urugero, impumuro ikomeye, ibara ryijimye, cyangwa amaraso mu nkari (hematuria).
• Kubabara iyo uri kunyara (dysuria).
• Ibimenyetso bihoraho byo kutagira impatwe.
• Ibimenyetso by'ubwandu: umuriro, ubukonje, kuribwa umutwe.

Iyo ugiye kwa muganga, ushobora no kubaza ibi bibazo:

• Wamenya ute ko mfite `(Ntabwo ari ikibazo cy’imitsi)`?
• Impamvu y'uburwayi bwanjye ni iyihe?
• Ni ubuhe buryo bwo kuvura wangiriye inama?
• Ingaruka mbi z'ubwo buvuzi ni izihe?
• Bizatwara igihe kingana iki kugira ngo ubone ibisubizo by'ubwo buvuzi?
• Ni izihe mpinduka mu mibereho yanjye wangira inama yo kugabanya ibimenyetso by'indwara?
• Ni izihe ngorane ngomba kwitondera?
• Ese nkwiye kujya kwa muganga w’inkari?

Ese ibi bishobora kwirindwa?

Ushobora gufasha mu kwirinda iyi ndwara (Non-neurogenic voiding dysfunction) uhindura imibereho yawe n'imirire yawe. Ibi bishobora kuba birimo:

• Kugabanya ibiryo n'ibinyobwa byangiza uruhago: Ibinyobwa birimo kafeyine (ikawa, icyayi), imbuto z'indimu (nk'amacunga, indimu), ibiryo biryoshye, n'inzoga byose bishobora gutera ibibazo mu ruhago no gutera ibibazo byo kunyara .
• Kurya ibiryo byinshi birimo fibre: Kwishimagura bishobora gutera cyangwa bikarushaho kuba bibi. Ushobora kubona fibre urya ibishyimbo byinshi, imbuto, imboga, n'ibinyampeke (umugati w'ingano, ingano, quinoa, umuceri w'umukara, na pasta y'ingano). Ushobora kandi gufata imiti yo kwishimagura (` laxatives ') kugira ngo urware impatwe. Ariko, ugomba kuvugana na muganga wawe mbere yo gufata imiti yo kwishimagura cyangwa kuyiha umwana.
• Kugukomeza kugira ibiro byiza: Niba ufite ibiro birenga 25 (ufite ibiro byinshi), bishobora gutera igitutu ku ruhago rwawe no kuva inkari .
• Kureka kunywa itabi: Nikotine, ikintu nyamukuru kiri mu itabi, ishobora gukangura imitsi yo mu ruhago. Abanywa itabi nabo bafite amahirwe menshi yo kugira inkorora idakira, ishobora gushyira igitutu ku ruhago.

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

Abantu bafite iyi ndwara bafite icyizere cyiza. Iyo bavuwe, abantu benshi bashobora kugenzura uruhago rwabo. Kubagwa kugira ngo uruhago rwongere ubunini (cystoplasty) ntibikunze kuba ngombwa.

Ni irihe tandukaniro riri hagati y’imikorere mibi y’imitsi n’imikorere mibi y’imitsi?

Indwara yo kubura imyakura mu ruhago rw'imitsi (izwi kandi nka neurogenic ubridge) ni indwara igira ingaruka ku mitsi yawe. Ibi bivuze ko udashobora kugenzura ubridge bwawe bitewe n'ikibazo kiri mu bwonko bwawe, imitsi, cyangwa uruti rw'umugongo.

Ariko, "Kudakora neza kw'imitsi mu bwonko" twavuze uyu munsi ni indwara ibaho nta ruhare rw'imitsi.

Ikintu cy'ingenzi ugomba kwibuka: Indwara yo kubura imyakura idashingiye ku mitsi (NNODD) ni indwara ishobora gushyira ubuzima mu kaga ishobora kwibasira abana n'abantu bakuru. Ishobora gutera isoni no kubabaza. Ishobora kandi gutuma wumva utari kujya mu nda igihe bikenewe. Ariko, ntushaka ko iyi ndwara igira ingaruka ku mibereho yawe. Niba wowe cyangwa uwo ukunda afite ibi bimenyetso, vugana na muganga. Bashobora kugufasha kubona impamvu no kuyivura.

Incamake (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ubu usobanukiwe neza icyo twavuze uyu munsi, "Kudakora neza kw'imitsi mu bwonko". Iki ni ikibazo gusa mu mitsi.Iki ni cyo kintu cy'ingenzi kurusha ibindi. Kugabanuka kw'imitsi y'uruhago, kuziba kw'inkari, ingeso mbi, no kutagira impatwe bishobora gutera ibi.

• Ibimenyetso: Kugorwa no kunyara , kunanirwa kwihagarika , kuvamo uruhago rwose, kunyara ku bushake, kunyara ku manywa ku bana, nibindi.
• Gusuzuma: Binyuze mu bipimo by'ubuvuzi, ikaye y'inkari, ultrasound, no gupima urodynamic.
• Uburyo bwo kuvura: Guhindura imibereho, imyitozo ngororamubiri, imyitozo ngororamubiri yo mu kibuno, imiti, n'ubundi buryo bwihariye bwo kuvura.
• Icy'ingenzi: Niba ufite ibimenyetso, ntugatinye gushaka inama kwa muganga. Gutangira kuvurwa hakiri kare bishobora gukumira ingorane.

Niba ufite ikindi kibazo kuri ibi, ntutindiganye kubaza muganga. Komeza ugire ubuzima bwiza!

` Kudakora neza kw'imyakura bidaterwa n'imitsi, kunanirwa kwihagarika inkari, uruhago, indwara zo mu nzira y'inkari, impatwe, ibibazo by'inkari z'abana, kugenzura inkari, kunanirwa kwihagarika inkari, uruhago rukora cyane, imyitozo ngororamubiri