Ese nawe utinya kunyara hanze? Reka twige kuri iyi 'Syndrome y'isoni mu gisebe' (Paruresis)!

Ese wigeze ujya mu bwiherero rusange cyangwa mu rugo rw'inshuti yawe maze ukajya kunyara , ariko ukaba ufite isoni cyangwa ubwoba bwo kunyara ? Nubwo udashobora kwifata inkari zawe , rimwe na rimwe ntubishobore, sibyo? Nubwo ibi bishobora gusa nkaho ari urwenya kuri bamwe, mu by'ukuri ni indwara. Ibi nibyo tugiye kuvugaho uyu munsi.

'Syndrome y'isoni mu gituza' (Paruresis) ni iki?

Mu magambo make, Syndrome y'isoni mu gituza, cyangwa nk'uko abaganga bayita , Paruresis , ni indwara iterwa no guhangayika mu mibanire y'abantu . Irangwa no kudashobora cyangwa kugorwa cyane no kunyara hanze y'urugo rwawe, cyane cyane mu bwiherero rusange. Tekereza ko ufite ubushake bukomeye bwo kunyara , ariko niba hari undi muntu uri hafi yawe, cyangwa niba ubwiherero butakuzi, ntushobora kunyara uko wagerageza kose.

Ibi byitwa ikindi kintu, ushobora kuba warigeze kubyumva:

• `(Irinda Paruresis)`
• `(Indwara y'inkari zo mu gisebe - BBS)` cyangwa `(Impyiko zo mu gisebe)`
• `(Pee Phobia)` (Ubwoba bwo kunyara )
• `(Kugumana inkari mu buryo bw'imitekerereze)` (Kudakora imibonano mpuzabitsina bitewe n'impamvu zo mu mutwe)
• Ubwoba budasanzwe bwo kunyara (Urophobia)

Igikuru ni uko abantu bafite iyi ndwara batagira ikibazo cy’umubiri mu rukenyerero rwabo cyangwa mu nkari zabo . Bashobora kunyara mu buryo bw’umubiri. Ariko, bitewe n’imihangayiko ikabije, imitsi yo mu rukenyerero n’umuyoboro w’inkari irakomera kandi ntiruhuke uko bikenewe kugira ngo inkari zisohoke. Mu by’ukuri, ibi biterwa n’ubwoba mu mutwe.

Iyo itavuwe, iyi ndwara ishobora kugira ingaruka zikomeye ku mibereho myiza. Hari abantu bareka ingendo, gusabana n'inshuti, kujya ahantu hahurira abantu benshi, ndetse rimwe na rimwe bakajya ku kazi. Abaganga bakoresha uburyo bwo kuvura indwara zo mu mutwe, uburyo bwo kuvura imyitwarire, ndetse rimwe na rimwe n'uburyo bwo kuvura hippo. Hari abantu bagira ikibazo cyo kunyara hanze y'urugo, bityo bakoresha catheter , umuyoboro muto, kugira ngo bakuremo amaraso mu ruhago rwabo.

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?

Abaganga bemeza ko niba ababyeyi bawe baragize iyi ndwara (Paruresis), nawe ufite amahirwe menshi yo kuyirwara. Nanone, abantu bafite izindi ndwara zo guhangayika bari mu kaga gakomeye ko kurwara iyi ndwara ya 'shy bladder syndrome'. Ni ukuvuga ko niba ufite indwara nk'izi, ushobora kurwara iyi ndwara (Paruresis):

• Indwara yo guhangayika rusange (GAD)
• Niba warigeze kugira indwara yo mu mutwe (amateka y'indwara zo mu mutwe)
• Indwara yo kwiheba no guhangayika (OCD)
• Ibitero by'ubwoba cyangwa indwara y'ubwoba

Iyi ndwara (Paruresis) ishobora kwiyongera bitewe n'ubwoba, guhangayika, cyangwa amarangamutima akomeye. Akenshi, biragoye kunyara ahantu hahurira abantu benshi, kandi biragoye no kwituma. Abaganga babyita (Parcopresis) .

Iyi ndwara ikunze kugaragara gute?

Abaganga ntibafite imibare nyayo y'abantu bafite iyi ndwara. Ariko, ikunze kugaragara kurusha uko wabitekereza . Ubushakashatsi bumwe bwerekana ko kugeza kuri 25% by'abaturage b'Abanyamerika bafite paruresis ku rugero runaka. Ishobora kwibasira umuntu uwo ari we wese, hatitawe ku gitsina, imyaka, ndetse n'abana bato.

Ni izihe mpamvu zitera "igituba cy'isoni"?

Abaganga ntibazi neza icyabitera . Ariko, rimwe na rimwe bishobora kurwara indwara yo guhangayika nyuma yo guhungabana (PTSD) . Bamwe mu bantu barwaye paruresis bashobora kuba barahuye n'ikibazo kidashimishije cyangwa giteye ihungabana mu bwiherero rusange mu gihe cyashize. Urugero, bashobora kuba barakorewe ihohoterwa rishingiye ku gitsina, barahohoterwa, cyangwa hari umuntu wabashinyaguriye cyangwa wabateye ubwoba igihe bari barimo kunyara .

Abantu bafite isoni cyangwa bafite imico idasobanutse bashobora kugorwa cyane no kunyara imbere y'abandi. Bashobora guhangayikishwa cyane n'impumuro bahumura n'urusaku bakora iyo binyara .

Iyo ibitekerezo nk'ibi ngo "Ese azanyumva nterura ?" "Ese ndumva impumuro?" bije mu mutwe, ubwoba burushaho kwiyongera kandi inkari zigahagarara gusohoka.

Iyo ubwo bwoko bw'imihangayiko cyangwa amarangamutima bivutse, biragorana gutangira gutemba inkari. Uko ubwo bwoba bwiyongera, imitsi irushaho gukomera. Ku bantu bafite "uruhago rw'isoni", hari ibintu bimwe na bimwe bibatera imbaraga . Ni ukuvuga ko, muri bene ibyo bihe, ubu burwayi bwiyongera cyane. Urugero:

• Kugerageza kunyara imbere y'abantu uzi cyangwa utazi.
• Kugira umuntu wegeranye cyane ku buryo abandi batekereza ko bashobora kumva, kubona, cyangwa guhumurirwa inkari ze .
• Kumva nk'aho hari umuntu uri kuguhutisha .
• Kutagira ibanga ryo kunyara . Tekereza ubwiherero rusange butagira umuryango, cyangwa umuntu uhagaze iruhande rw'umuryango.
• Kugerageza kwihatira kunyara . Ibi bizatuma imitsi irushaho gukomera, bigatuma ikibazo kirushaho gukomera.

Ni ibihe bimenyetso by'ibi?

Ibimenyetso bya shy bladder syndrome bishobora kuva ku byoroheje kugeza ku bikomeye . Akenshi, ibimenyetso birushaho kwiyongera uko igihe kigenda gihita. Hari abantu bashobora kunyara gusa iyo bari bonyine mu rugo.

Abantu bafite paruresis yoroheje bashobora gusa kwihagarika mu bihe bimwe na bimwe. Urugero, umugabo ashobora kwihagarika mu kiraro cye bwite nta kibazo, ariko ntashobora kwihagarika mu kiraro rusange. Cyangwa, mu bwiherero rusange, hashobora kubaho gutinda gato mu gutangira inkari.

Abantu bafite iyi ndwara bashobora gukora ibintu nk'ibi bikurikira:

• Kunywa amazi make n'ibinyobwa mbere yo kuva mu nzu no hanze.
• Ibimenyetso by'indwara y'ubwoba birimo kuzerera, kuma mu kanwa, kubira ibyuya byinshi (hyperhidrosis), no gutera k'umutima vuba.
• Ndashaka ubwiherero aho nashobora kuba ndi njyenyine, ntekereza ko nta cyo bitwaye kugera kure ngomba gukora .
• Ushobora gukenera kugerageza amayeri yihariye kugira ngo ufashe kunyara . Urugero, kwiyumvisha amazi atemba, cyangwa gufungura robine ugerageza kunyara ukurikije urusaku rw'amazi.
• Bahagarika ingendo, kujya ku kazi, no kwitabira ibirori byo gusabana.
• Mu bihe bikomeye, agoraphobia ishobora gutera, ikakubuza kuva mu rugo rwawe. Ibi bishobora guhungabanya imibanire y'umuryango no gutuma udakomeza akazi.

Ni gute abaganga basuzuma iyi ndwara?

Ubusanzwe, umuganga ashobora gusuzuma indwara ya paruresis amubwira ibimenyetso byawe. Niba ushobora kujya mu bwiherero nta kibazo uri mu rugo, ariko ukagorwa no kunyara hanze y'ubwiherero bwawe, umuganga wawe ashobora gukeka ko hari paruresis. Kugira ngo abimenye neza, umuganga wawe ashobora kukwohereza kwa muganga w'imitekerereze cyangwa inzobere mu bijyanye n'inkari .

Muganga azabanza arebe niba hari izindi ndwara zishobora gutuma inkari ziguma mu mwanya wazo. Ibi biterwa nuko bishobora kugorana kunyara bitewe n'ibintu nk'indwara zandurira mu mitsi, ibibazo by'imitsi, cyangwa kuziba k'umuyoboro w'inkari. Kugira ngo abigenzure, muganga azasuzuma umubiri. Ashobora kandi gutegeka ko habaho isuzuma ry'inkari , gusuzuma amaraso yose (CBC) , cyangwa gukoresha ultrasound kugira ngo arebe uruhago.

Imiti imwe na imwe ishobora no gutera ingorane cyangwa kunanirwa kunyara . Kubwibyo, bwira muganga wawe imiti yose urimo gufata. Ibi bizamufasha kumenya niba ari yo itera ibimenyetso byawe.

Ni ubuhe buryo bwo kuvura indwara ya 'shy bladder syndrome'?

Ni byiza kuganira na muganga wawe ku bijyanye n'ubuvuzi bukubereye. Hari uburyo butandukanye bwo kuvura:

• Ubuvuzi bw'imyitwarire yo mu mutwe (CBT) : Ibi bikubiyemo guhindura imyitwarire yawe bigufasha kureba imihangayiko yawe mu buryo butandukanye. Mu magambo make, bigufasha guhindura uko utekereza no kugabanya ubwoba bwawe.
• Ubuvuzi bwo Kwiyuhagira mu buryo bwa Graduate Exposure Therapy : Muri ibi, wimenyereza kwiyuhagira ahantu hagenzurwa. Ukoresheje umuvuzi, inshuti, cyangwa umuntu wo mu muryango, ugerageza kwiyuhagira buhoro buhoro mu yindi misarani itari ubwiherero bwo mu rugo. Ubikora inshuro nyinshi mu cyumweru, ukongera buhoro buhoro ubwiherero rusange. Amaherezo, ushobora kwiyuhagira ahantu hose, igihe icyo ari cyo cyose ushakiye.
• Hypnotherapy : Muri ibi, ukora imyitozo ngororamubiri iyobowe mu gihe ubwenge bwawe buri mu mutuzo. ​​Ibi bigufasha kongera kwibanda ku mihangayiko yawe no kwiyigisha uburyo bwo kunyara mu bwiherero rusange.
• Imiti yo kugabanya imihangayiko : Hari igihe abaganga bashobora kuguha imiti yo kugabanya imihangayiko.
• Imyitozo yo gutekereza no guhumeka : Iyi myitozo ishobora kugufasha kugenzura imihangayiko no kuruhuka imitsi yo mu nzira y'inkari zawe.
• Ubuvuzi bw'imitekerereze , cyangwa uburyo bwo kuvuga: Ibi bishobora gufasha kuvura ibibazo by'ubuzima bwo mu mutwe bishobora gutera indwara y'uruhago rw'isoni.
• Kwisukura mu ruhago / Gusukura mu ruhago mu gihe gito : Niba udashobora gukuramo uruhago rwawe hanze y'urugo, ubu buryo burimo gushyiramo umuyoboro wo gukuramo uruhago rwawe. Ibi bigomba gukorwa uyobowe na muganga kandi uhuguwe neza.

Ese iki kibazo gishobora kwirindwa?

Nta buryo bwihariye bwo kwirinda paruresis. Ariko, niba ufite izindi ndwara zo guhangayika, ni byiza kuganira na muganga wawe ku bijyanye n'uburyo bwo kuvura cyangwa imiti ishobora kugufasha gucunga amarangamutima yawe. Ibi bishobora kugabanya ibyago byo kurwara izi ndwara.

Ejo hazaza h'abantu bafite iyi ndwara ni he? Ese bizagenda neza iyo bivuwe?

Abantu benshi babona uruhu rwo kuruhuka nyuma yo kuvurwa. Ubushakashatsi bumwe bwagaragaje ko abantu bagera kuri 80% bafite iyi ndwara bashobora kunyara mu ruhame nyuma yo kuvurwa na CBT no kwitabwaho . Hypnosis, psychotherapy, na CBT ni ingirakamaro cyane mu gufasha abantu gusobanukirwa imihangayiko yabo no guhindura imyitwarire yabo.

Ariko, iyo bitavuwe, indwara y’uruhago rw’isoni ishobora gutera ibibazo mu mibanire no mu kazi. Urugero, abantu basabwa gutanga ingero z’inkari kugira ngo bapimwe imiti bashobora gukenera gukora gahunda zidasanzwe n’umukoresha wabo. Iyo ingero z’inkari zitaboneka, hashobora kuboneka ingero z’amaraso, umusatsi, cyangwa amacandwe.

Iyo ufashe inkari zawe kubera paruresis, bishobora gutera ibibazo bikomeye ku buzima . Bimwe muri ibyo birimo:

• Indwara zo mu nzira y'inkari (UTIs) .
• Kwangirika kw'imitsi y'uruhago bishobora gutera indwara nko kunanirwa kwifata mu nkari, ari nabyo bitera kubura inkari mu buryo bugenge.
• Mu bihe bikomeye, ndetse n'ibintu biteje akaga cyane nko guturika k'uruhago bishobora kubaho.

Ni ryari ukwiye kujya kwa muganga?

Ni ngombwa kugenzura niba hari izindi ndwara zitera kunanirwa kwandura . Nubwo wamaze kwemeza ko nta mpamvu nk'izo zibaho, niba iyi ndwara y'uruhago rw'isoni irimo kugira ingaruka ku buzima bwawe bwa buri munsi, ni ngombwa kuvugana na muganga. Niba iyi ndwara ikubuza kujya ku kazi, gusohoka, cyangwa kwirinda ibirori, ni ngombwa gushaka inama kwa muganga.

By’umwihariko ibuka: Niba ufite ubushake bukomeye bwo kunyara kandi ntushobora kunyara amasaha menshi (haba mu rugo cyangwa hanze), shaka ubufasha bwihuse bwa muganga . Ni bibi cyane kugumana inkari zawe igihe kirekire. Niba ugumana inkari zawe amasaha menshi, nubwo waba ugiye mu bwiherero mu rugo, imitsi y’inkari yawe ishobora kuruhuka kandi ushobora kunanirwa gusohora inkari.

Amaherezo, ibintu byo kwibuka

Indwara yo kubura inkari (paruresis) ni indwara ishobora kugira ingaruka zikomeye ku mibereho yawe. Niba urimo kwihatira kwirinda kujya mu bwiherero hanze y'urugo rwawe, vugana na muganga wawe. Iyo utavuwe, ibimenyetso by'iyi ndwara yo guhangayika bishobora kwiyongera uko igihe kigenda. Guhagarika inkari zawe igihe kirekire bishobora gutera ibibazo bikomeye by'ubuzima, nko kwandura indwara zo mu myanya y'inkari (UTIs) n'ibibazo by'inkari. Ganira na muganga wawe ukuri ku bimenyetso byawe n'igihe bigaragaye. Ubuvuzi bushobora kugufasha kwishimira ibikorwa nko gutembera no gusabana mu buryo bwiza kandi bwishimye. Nturi wenyine, kandi hari ubufasha.

Paruresis , Syndrome y'inkari y'isoni, Kugorwa no kunyara, Gutinya abantu, Guhangayika, Ubuzima bwo mu mutwe, Gufata inkari