Ese uva inkari nke utabizi? Ibyo bivuze ko uruhago rwawe rwuzuye? Reka tuvuge ku kibazo cyo kudakoresha indorerwamo nyinshi!

Ese hari igihe wumva urimo gutemba inkari nke ku myenda yawe ku buryo butunguranye? Cyangwa wumva urimo kurangiza kunyara ? Ibi bishobora kukubangamira. Ariko bishobora no kubaho iyo uruhago rwawe rwuzuye cyane ku buryo rudashobora gufata izindi nkari. Uyu munsi, turaganira ku ndwara yitwa "Overflow Incontinence".

Iyi "Kutagira imyitwarire yo kwihagarika ku rugero rurenze urugero" ni iki?

Mu magambo make, kudakora imibonano mpuzabitsina cyane ni igihe uruhago rwawe rwuzuye ku buryo udashobora kurugenzura kandi inkari zimwe na zimwe zigasohoka. Ni nk'ikigega cy'amazi gisohoka iyo ugizimye. Ibi bishobora kubaho iyo ugomba kunyara kenshi, ariko ntushobora guhora usohora amazi yose mu ruhago rwawe.

Abantu benshi batekereza ko ari ibisanzwe kuva inkari nke uko ugenda ukura. Nibyo koko, ibyago byo kurwara iyi ndwara bishobora kwiyongera uko umuntu akura. Ariko si ibintu bibaho kuri buri wese. Iyi ndwara, yitwa "Overflow Incontinence" (Kutagira indyo yuzuye y'amaraso) ishobora kugera kuri buri wese.

Ni ibisanzwe kumva ufite isoni, uburakari, cyangwa ubabaye kubera ibi. Ariko ntushaka ko iki kibazo kibangamira ubuzima bwawe bwa buri munsi. Icy'ingenzi ni ukuganira na muganga kuri cyo, ukamenya impamvu nyayo, hanyuma ukabona ubuvuzi bukenewe. Ushobora kubona ubufasha ku miti isanzwe, imiti, cyangwa ubundi buryo bwo kuvura kugira ngo ugenzure iki kibazo.

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

Yego, "Kunanirwa kwihagarika inkari" ni bumwe mu bwoko bw'indwara yo kunanirwa kwihagarika inkari. Ni gake cyane. Hari ubundi bwoko bukunze kugaragara:

• Kunanirwa kwihagarika: Ibi bibaho iyo inkari nke zibuze iyo hari igitutu ku nda, nko mu gihe useka, ukorora, cyangwa witsamuye.
• `(Gusaba Kudakora Imibonano mpuzabitsina)`: Iki ni cyo gihe uhita ugira ubushake bukomeye bwo kunyara , hanyuma ukabura inkari mbere yuko ujya mu bwiherero.
• `(Incontinence Ivanze)`: Ibi bishobora kugira ibimenyetso by'ubwoko bwa `(Stress Incontinence)` na `(Urge Incontinence)` byavuzwe haruguru.

Tekereza gato, ni bangahe muri twe muri Sri Lanka bafite iki kibazo? Ubushakashatsi bumwe bwerekana ko hafi umuntu umwe kuri batatu muri Amerika afite ikibazo cyo kudakora inkari . Muri abo, abagera kuri 5% gusa ni bo bafite ikibazo cyo kudakora inkari.

Ni ibihe bimenyetso by'ibi?

Niba ukeka ko ufite ikibazo cyo kwihagarika mu nda, menya ibimenyetso bikurikira:

• Inkari zihora zigwa mu myenda yawe, nk'uko robine igwa amazi idafunze neza.
• Gukenera kunyara kenshi , ariko inkari nke gusa ni zo zisohoka.
• Kugorwa no gutangira kunyara .
• Iyo uri kunyara , birahagarara kandi ntibikomeza kugenda.
• Nubwo wumva ko warangije kunyara , uracyafite inkari mu ruhago rwawe.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa cyane kubibwira muganga.

Kuki ibi bibaho? Impamvu ni izihe?

Impamvu nyamukuru ituma inkari zidakora neza ni ukugumana inkari igihe kirekire. Ibi bivuze ko inkari idapfa burundu. Inkari ni urugingo rw'ingenzi cyane mu mikorere y'inkari zacu. Hari impamvu nyinshi zishobora gutuma iyi nkari yuzura:

• Ubwiyongere bw'inkari : Ibi bishobora kuba ku bantu bafite indwara zimwe na zimwe, nka diyabete, cyangwa abafata imiti ituma banyara cyane, nka diuretics.
• Kuziba kw'inkari : Ibi bibuza uruhago kuvamo burundu.
• Kugabanuka kw'imitsi y'uruhago cyangwa kwangirika kw'imitsi: Ibi bituma uruhago rudashobora kwifata neza no gusohora inkari .

Ni nde uri mu kaga gakomeye kurusha abandi?

Abagabo, cyane cyane abafite ibibazo bya prostate, bafite amahirwe menshi yo kutagira isuku nyuma yo kubagwa prostate. Indwara nka benign prostatic hyperplasia (BPH) cyangwa kanseri ya prostate zishobora gutuma urethra iziba, bigatuma inkari nke zinyuramo.

Nyuma yo kubagwa prostate kubera kanseri ya prostate, cyangwa nyuma yo kuvurwa hakoreshejwe imirasire, cyangwa nyuma yo kubagwa kuri urethra, hari igihe inkovu zishobora kuvuka. Iyi nkovu ishobora gutuma urethra iba nto (stricture y'umuyoboro w'inkari). Iyo ibi bibaye, uruhago ntirushobora kuvamo burundu, bityo rwongera kuzura vuba. Iyo rwuzuye, inkari zirava.

Byongeye kandi, uba uri mu kaga gakomeye ko kugira ikibazo cyo kwihagarika cyane niba ufite izi ndwara:

• Diyabete
• Kwangirika kw'imitsi
• Gukomereka k'umugongo

Ni gute umuganga abimenya?

Niba ufite ibimenyetso byo kudakora imibonano mpuzabitsina cyane, ni ngombwa kujya kwa muganga. Azakubaza amateka y'ubuzima bwawe, abaza ibimenyetso byawe, kandi agukorere isuzuma ry'umubiri. Iki kizamini gishobora kuba kirimo isuzuma ry'ikibuno niba uri umugore, cyangwa isuzuma rya digitale rectal (kugira ngo urebe prostate yawe) niba uri umugabo.

Kugira ngo umuganga wawe agufashe gusuzuma neza indwara, ashobora kugusaba kubika "agasanduku k'inkari" mu gihe cy'iminsi ibiri cyangwa itatu. Muri aka gasanduku, ugomba kwandika:

• Urimo kunywa iki?
• Unywa angahe?
• Unyara kangahe ?
• Uva inkari kangahe?
• Inkari zingana iki zirimo kuva?

Uretse ibi bintu, muganga ashobora kandi gutanga inama ku bindi bipimo byinshi.

Ni ibihe bizamini birimo gukorwa?

Kugira ngo umenye neza niba ufite "Incontinence yo mu bwonko ikabije", ushobora gukora ibizamini bikurikira:

• Isuzuma ry'inkari: Isuzuma ry'inkari rifatwa rigasuzumwa indwara zo mu nkari (UTI) n'amaraso mu nkari (hematuria).
• Ultrasound yo mu nda: Iyi ultrasound ikoresha amajwi menshi cyane kugira ngo ifate amafoto arambuye y'uruhago rwawe, impyiko, n'izindi ngingo zo mu nda yawe. Ishobora kandi kugenzura ingano y'inkari zisigaye mu ruhago rwawe nyuma yo kunyara .
• Cystoscopy: Muri ibi, umuyoboro muto, urimo urumuri ufite kamera (cystoscope) ushyirwa mu ruhago rwawe binyuze mu muyoboro w'inkari kugira ngo usuzume uturemangingo tw'inkari zawe.
• Indwara yo kuva amaraso (VCUG): Muri iki kizamini , katheteri y'inkari ishyirwa mu ruhago rwawe binyuze mu muyoboro w'inkari, hagaterwamo ikintu cyihariye (irangi ritandukanye), hanyuma hagafatwa amashusho ya X-ray. Iki kintu gituma muganga areba uko uruhago rwawe rumeze iyo rwuzuye kandi rumaze gusohora.
• Ikizamini cya Urodynamic: Iki ni urukurikirane rw'ibizamini bigenzura uburyo uruhago rwawe n'ibindi bice by'inkari zawe bifata kandi bikarekura inkari . Ibi bishobora kuba birimo ikizamini cy'inkari zisigaye nyuma yo kuvamo ubusa, gipima ingano y'inkari zisigaye mu ruhago rwawe nyuma yo kunyara .

Ibi bigenzurwa bite kandi ni ubuhe buryo bwo kuvura?

Uburyo bwo kuvura indwara yo kudakoresha inzoga nyinshi buterwa n'impamvu nyayo. Hari igihe ushobora guhangana n'iyi ndwara mu buryo busanzwe.

Ibintu ushobora gukora mu buryo busanzwe:

• Kwitoza ikinya cyangwa kugabanya imyanya y'inkari ku gihe:Ibi bikubiyemo kujya mu bwiherero ku masaha yagenwe umunsi wose (urugero, buri masaha abiri cyangwa atatu) kugira ngo wongere inkari . Intego ni ugusohora uruhago rwawe mbere yuko rwuzura, nubwo waba udafite icyifuzo cyo kunyara .
• Guhagarika imibonano mpuzabitsina kabiri: Muri ibi, iyo umaze kurangiza kunyara rimwe, utegereza igihe gito mbere yo kongera kugerageza kunyara . Cyangwa, ugerageza gukuramo burundu uruhago rwawe ubyitondeye (wihanganira).

Ubuvuzi:

Uburyo bwo kuvura buratandukanye bitewe n'impamvu. Ubuvuzi bwawe bushobora kuba burimo:

• Imiti: Iyo iyi ndwara itewe no kwiyongera kwa prostate, imiti ishobora gutangwa kugira ngo igabanuke.
• Kubagwa: Iyo hari ikibazo mu nzira y'inkari, muganga ashobora kubazwa kugira ngo gikureho.
• Kwicaterisha cyangwa gusukura katheteri (CIC): Muri ibi, ushyira katheteri mu ruhago rwawe buri kanya umunsi wose kugira ngo usukemo uruhago rwawe. Katheteri irakurwaho iyo urangije.
• Gushyiramo katheta mu mubiri: Muri ibi, katheta isigara mu ruhago igihe kirekire. Inkari zikusanyirizwa mu gafuka k'inkari hanze y'umubiri.
• Catheter yo mu gice cyo hejuru cy'umura: Muri ubu buryo, umuganga ubaga ashyira umuyoboro uhoraho mu ruhago rwawe uturutse mu nda yo hasi. Inkari zikusanyirizwa mu gafuka. Ubu buryo ntibukoresha urethra.
• Uguhindura imitsi mu buryo bwa sacral (gukangura imitsi): Muganga ashyira umugozi muto mu mugongo wawe wo hasi. Ushyirwa ku mutsi uhuza n'uruhago rwawe kandi ugatanga uburyo bworoshye kandi buhoraho bwo gufasha uruhago rwawe kwifata neza. Bateri nto ishyirwa munsi y'uruhu rwawe.

Ni ubuhe bwoko bw'imiti ikoreshwa?

Niba ufite ikibazo cyo kudakora cyane bitewe no kuba prostate yariyongereye, muganga wawe ashobora kukwandikira umuti ugabanya prostate kugira ngo ufashe kugabanya prostate yawe. Urugero:

• `(Alfuzosin)`
• `(Doxazosin)`
• `(Silodosin)`
• `(Tamsulosin)`
• `(Terazosin)`

Ntiwibagirwe ko iyi miti igomba gukoreshwa gusa ku nama za muganga.

Izindi ngorane zishobora guterwa n'ibi

Abantu bafite ikibazo cyo kudakora cyane bashobora kuva inkari mu rugero ruto, ariko kubera ko bibaho kenshi, bashobora kuva inkari nyinshi mu mpera z'umunsi.

Izi nkariUshobora gukoresha imyenda y'imbere n'udupira tw'inkari byihariye bikurura inkari kugira ngo winjize inkari. Ariko, ushobora kuba uhangayikishijwe n'impumuro yayo n'uko izagaragara mu myenda yawe. Ushobora kumva utinya gusohoka ukajya kuba hafi y'abantu. Ibi bishobora gutera irungu, guhangayika no kwiheba. Kujya mu nkari kenshi nabyo bishobora gutera uduheri n'ibisebe ku ruhu.

Icy'ingenzi kurushaho, iyo uruhago rudafunguye burundu, ibyago byo kwandura indwara zo mu nkari (UTI) biriyongera, bivuze ko indwara zo mu ruhago, prostate, n'impyiko ziterwa n'inkari. Nanone, inkari zisigaye zishobora gutuma habaho amabuye mu ruhago. Ayo mabuye ashobora gutera indwara, kubyimba no kubabara. Igitutu cy'inkari ihora yuzuye gishobora no kwangiza impyiko.

Wakwirinda gute ibi? (Kwirinda)

Kwitoza inkari no kuzikuramo kabiri bishobora gufasha gukumira ko inkari zawe zitagira amazi menshi kandi bigatuma inkari zisohoka. Ni ngombwa kandi guhindura imibereho yawe, nko guhangana n'indwara nka diyabete no kugira ibiro bizima.

Ese iyi ndwara izakira burundu?

Kenshi na kenshi, abantu bafite ikibazo cyo kudakoresha inkari cyane barushaho kugira ibimenyetso byoroshye iyo bamaze kuvurwa. Catheter y'inkari ntabwo ikenewe cyane. Kubwibyo, ni ngombwa kuvugana na muganga wawe. Ashobora kukugira inama y'uburyo bwiza bwo gucunga ikibazo cyawe cyo kudakoresha inkari cyane no kugabanya ingaruka zacyo ku buzima bwawe.

Nitwara nte?

Ushobora gukoresha imyenda y'imbere cyangwa udutambaro duto kugira ngo bigufashe kwinjiza inkari mu gihe uri kuvurwa. Ni ngombwa kandi kurinda uruhu rwawe uduheri n'udusebe. Gukoresha peteroli jelly cyangwa amavuta arimo zinc oxide bishobora gufasha gukumira ububabare bw'uruhu.

Niba wumva ufite stress, uhangayitse, cyangwa wihebye bitewe no kudakora cyane, ni byiza kandi kuvugana n'umuganga cyangwa umujyanama cyangwa inzobere mu by'imitekerereze.

Ni ryari ngomba kujya kwa muganga?

Niba ufite kimwe muri ibi bimenyetso, hita ubonana na muganga:

• Niba wumva ukeneye kongera kunyara nyuma yo kurangiza kunyara .
• Niba ubabara mu nda yo hasi, mu mugongo wo hasi, cyangwa mu gitsina igihe uri kunyara .
• Kugorwa no kunyara : Ibi bivuze ko bigoye gutangira kunyara .Kunanirwa kwihagarika inkari, kunyara kenshi, cyangwa kunanirwa kunyara na gato.
• Niba ufite ibimenyetso by'indwara, urugero nk'umuriro cyangwa ubukonje.
• Niba hari amaraso mu nkari.

Ni ibihe bibazo ugomba kubaza muganga?

Ushobora kubaza muganga ibibazo nk'ibi:

• Ni iki gitera kubura inkari no kudakora cyane?
• Ni ibihe bizamini usaba?
• Ibisubizo by'ibizamini byanjye bivuga iki?
• Ese hari uburyo bwo kuvura nagerageza mu rugo?
• Ni ubuhe buryo bwo kuvura usaba?
• Ese gukamura imitsi mu buryo bwa catheter cyangwa uburyo bwo kuyitera?
• Ni izihe ngaruka mbi z'ubwo buvuzi?
• Ese nkwiye kujya kwa muganga w’inkari?

Amaherezo, ibintu byo kwibuka

Kunanirwa kwihagarika bishobora gushyira ubuzima mu kaga. Bishobora gutuma wumva umerewe nabi kandi utinya kujya mu bwiherero. Ariko si ikintu gisanzwe mu gusaza, kandi kuvurwa bishobora gufasha. Iyo ubuvuzi bukwiye, kunanirwa kwihagarika bishobora koroha cyane, ndetse rimwe na rimwe bikaba byanatera imbere burundu. Rero, niba ufite ikibazo cyangwa impungenge kuri ibi, vugana na muganga wawe. Ntutinye gusaba ubufasha.

Kutagira indonke nyinshi , Kugenzura inkari, Inkari, InkariKuva amaraso, Prostate, kwandura indwara zo mu nkari, Ubuzima bwa Sri Lanka