Ese hari igihe uhura n'ubushake butunguranye bwo kunyara butuma bigorana kugera mu bwiherero ku gihe, rimwe na rimwe bigatera kuva amaraso? Ese ujya mu bwiherero kenshi umunsi wose—wenda inshuro zirenga umunani? Ese kubyuka inshuro nyinshi nijoro ujya mu bwiherero wumva ari ibisanzwe? Niba ibi bibazo bihungabanya ubuzima bwawe bwa buri munsi, nyamuneka ntugahangayike ; nturi wenyine. Muri Nirogi Lanka , turi hano kugira ngo tugufashe gusobanukirwa iki kibazo gitunguranye kandi gikomeye cyo kunyara, kizwi nka Urge Incontinence mu buvuzi.
Ese mu by'ukuri ikibazo cyo kutabasha kwifata ni iki?
Muri make, Gushaka Kudakoresha Inkari ni ubwoko bw'indwara yo kudakoresha Inkari aho uhura n'ubushake butunguranye kandi bukomeye bwo kunyara bigorana kubigenzura. Akenshi, ushobora kuva amaraso mbere yuko ugera mu bwiherero. Ku bantu benshi bakurikiranwa na Nirogi Lanka, ibi bishobora gusobanura ko ugomba kujya mu bwiherero inshuro zirenga umunani ku manywa kandi ukabyuka inshuro nyinshi mu ijoro ryose. Ni ikibazo giteye inkeke, ariko menya ko utari wenyine mu guhangana n'iki kibazo.
Ese hari ubundi bwoko bw'indwara yo kunanirwa kwihagarika inkari?
Yego, hari ubwoko butandukanye bwo kunanirwa kwifata inkari uretse kudashaka kwifata. Buri bumwe bugira ingaruka ku kubura inkari ku bushake, ariko impamvu ziratandukanye. Reka turebe ubwoko bukunze kugaragara:
- Kunanirwa kwihagarika:Ibi bibaho iyo gukora imyitozo ngororamubiri cyangwa ibikorwa—nk'uko useka, ukorora, witsamura, cyangwa uterura ibintu biremereye—bishyize igitutu ku ruhago rwawe, bigatera amazi ava.
- Kudakoresha imibonano mpuzabitsina bivanze: Iyi ni uruvange rw'ihungabana ry'ubushake n'ihungabana ry'imibonano mpuzabitsina. Ushobora guhura n'ikibazo cyihutirwa cyo kugenda cyangwa kuva amaraso mu buryo butunguranye bitewe n'imikorere y'umubiri. Ubushakashatsi bwerekana ko abagore barenga kimwe cya kabiri bafite ibimenyetso by'ubushake bwo gukora imibonano mpuzabitsina banahura n'ikibazo cyo kudakoresha imibonano mpuzabitsina.
- Kunanirwa kwihagarika: Ibi bibaho iyo uruhago rwawe rudasohoka burundu, bigatuma habaho kuva amazi mu buryo buto kandi kenshi iyo rwuzuye.
- Kunanirwa kwihagarika: Ubu bwoko bw'indwara akenshi buterwa n'ibintu byo hanze, nko kugira ibibazo byo kugenda (urugero: rubagimpande) bikubuza kugera mu bwiherero ku gihe, kabone n'iyo inkari zawe zaba zikora neza.
Kunanirwa kwifata bikunze kugaragara gute?
Bikunze kugaragara cyane kurusha uko wabitekereza. Ubushakashatsi bwerekana ko abagore bagera kuri 40% na 30% by'abagabo bazagira ibi bimenyetso mu gihe runaka mu buzima bwabo. Ni ikibazo gihangayikishije ubuzima rusange, kandi muri Nirogi Lanka, tubona abarwayi benshi batsinze uru rugendo neza.
Ni iyihe mpamvu nyamukuru ituma umuntu ananirwa kwifata?
Impamvu nyamukuru ikunze kuba inzogera ikora cyane (OAB) . Muri iki kibazo, imitsi y'uruhago irakurura nta bushake nubwo uruhago rutaruzura, bigatuma umuntu yumva akeneye guhita anyara. Iyo uruhago rukurura muri ubu buryo, imitsi ya sphincter (agace k'inkari gafungiramo) ishobora kuruhuka, bigatuma habaho kuva amaraso mu buryo butunguranye.
Ni ibihe bimenyetso by'uko umuntu adashobora kwifata?
Ikimenyetso kiranga iyo umuntu ashaka cyane kunyara, bigakurikirwa no kuva amaraso mu buryo butunguranye.
Izindi bimenyetso bifitanye isano n'uko uruhago rukora cyane harimo:
- Kwihagarika cyane (inshuro zirenga umunani ku manywa).
- Nocturia (kubyuka inshuro zirenze ebyiri nijoro kugira ngo yoroherwe).
- Kuva ako kanya nyuma yo kumva ubushake cyangwa nyuma yo kuva mu bwiherero.
- Kunyara ku buriri (enuresis).
Uretse ibimenyetso by'umubiri, iyi ndwara ishobora kugira ingaruka zikomeye ku buzima bwawe bwo mu mutwe. Ni ibisanzwe kumva uhangayikishijwe no kuba kure y'ubwiherero, bishobora gutuma wigunga bitari ngombwa, uhangayike, ndetse ukagira n'ihungabana. Nyamuneka hamagara muganga wawe niba ibi bigira ingaruka ku mibereho yawe.
Ni nde wibasirwa cyane n'iki kibazo?
Abagore bafite amahirwe akubye kabiri y’abagabo yo kugira ikibazo cyo kudakora imibonano mpuzabitsina, kandi bikunze kwiyongera uko imyaka igenda ishira. Ariko, ni ngombwa kwibuka ko iki atari ikintu cyanze gishoboka mu gusaza.Uburyo bwiza bwo kuvura burahari. Hari ibintu byinshi bishobora gutera ibyago, kandi itsinda ryacu rya Nirogi Lanka riri hano kugira ngo rigufashe gusuzuma uko ikibazo cyawe kimeze.
- Diyabete.
- Kubagwa mu kibuno, nko kubagwa igitsina.
- Imiti imwe n'imwe, irimo imiti igabanya ubukana bw'imitsi, imiti igabanya ubukana bw'amaraso, n'imiti igabanya umuvuduko w'amaraso.
- Gucura.
- Indwara z'imitsi, nka Alzheimer's, Parkinson's, na Multiple Sclerosis (MS).
- Igipimo cy'Uburemere bw'Umubiri (BMI) kiri hejuru ya 25 (umubyibuho ukabije cyangwa umubyibuho ukabije).
- Kunywa itabi.
- Indwara nk'indwara yo mu bwonko.
- Indwara zo mu nzira y'inkari (UTI).
- Gutwita no kubyara (cyane cyane kubyara mu gitsina).
- Ubuvuzi bwakozwe mbere mu gice cy'ikibuno hakoreshejwe imirasire ku mpamvu iyo ari yo yose.
- Ibibazo bya prostate, nka kanseri ya prostate cyangwa Benign Prostatic Hyperplasia (BPH).
Kuki ntabasha kugenzura uruhago rwanjye mu buryo butunguranye?
Birashoboka ko umaze igihe uhura n'ibimenyetso bito bito byagiye birushaho kwiyongera. Ariko, niba ibi bimenyetso biherutse kugaragara nyuma yo kubagwa, gukomereka, cyangwa gutangira imiti mishya, ugomba kugisha inama muganga vuba. Ibi bishobora kuba ibimenyetso byo kwangirika kw'imitsi cyangwa izindi mpungenge z'uburwayi zisaba ubuvuzi bw'inzobere.
Ni gute indwara yo kudakoresha imibonano mpuzabitsina ipimwa?
Muganga wawe azasuzuma iyi ndwara asuzuma amateka y'ubuzima bwawe no kuganira ku bimenyetso byawe. Uzakorerwa isuzuma ry'umubiri; abagore bashobora gukenera gupimwa ikibuno, mu gihe abagabo bashobora gukenera gupimwa mu buryo bwa digitale kugira ngo bapime prostate.
Kugira ngo umuganga wawe agufashe gusuzuma neza indwara, ashobora kugusaba kubika "ikaye y'inkari" mu minsi ibiri cyangwa itatu, aho wandika:
- Ibyo unywa byose (amazi, icyayi, ikawa, nibindi).
- Ingano y'amazi akoreshwa.
- Inshuro ujya mu bwiherero.
- Inshuro uhura n'imvura iva mu nkari n'ingano iteganyijwe.
- Icyo wakoraga igihe habaga amazi.
Byongeye kandi, muganga wawe ashobora gukora ibizamini nk'ibi bikurikira:
- Isuzuma ry'inkari kugira ngo harebwe niba hari UTI cyangwa hematuria (amaraso mu nkari).
- Ultrasound yo mu nda kugira ngo isuzumane n'uruhago rwawe n'impyiko.
- Isuzuma ry'inkari (cystoscopy) rigamije gusuzuma inzira y'inkari zawe.
- Isuzuma ry'inkari rigamije gusuzuma uburyo uruhago rwawe rubika kandi rugasohora inkari neza, ndetse n'isuzuma ry'inkari zisigaye nyuma yo kuvamo inkari kugira ngo harebwe niba hari inkari zisigaye mu ruhago nyuma yo kuvamo inkari.
Ese gutinda kwihagarika ubwabyo birashira?
Muri rusange, Urge Incontinence ntabwo ikemura ubwayo. Ariko, iyo uvuwe neza, ushobora kugabanya cyane ibimenyetso by'indwara.
Ni ubuhe buryo bwiza bwo kuvura ibi?
Uburyo bwo kuvura indwara yo kutagira indonke (Urge Incontinence) buterwa n'uburemere bw'ibimenyetso byawe. Muganga wawe azasuzuma uburyo iyi ndwara igira ingaruka ku buzima bwawe bwa buri munsi abaza ibibazo nk'ibi:
- Unyara kangahe ku manywa?
- Ubyuka kangahe nijoro ujya kunyara?
- Ese uhura n'ikibazo cyo kuva amazi?
- Inkari zisohoka zingana iki?
- Ni mu bihe bihe gutemba kw'amazi bibaho?
- Ni ubuhe bwoko bw'ibinyobwa unywa?
Bashingiye ku bisubizo byawe n'ibisubizo by'ibizamini, abaganga ba Nirogi Lanka bashobora kukugira inama:
- Ubuvuzi bw'umubiri bwo mu gituza, burimo imyitozo ngororamubiri ya Kegel n'uburyo bwo kuruhuka imitsi yo mu kibuno.
- Kongera gutoza inkari.
- Impinduka mu mibereho.
Imyitozo ngororamubiri ya Kegel
Imyitozo ngororamubiri ya Kegel igamije gukomeza imitsi ishyigikira uturemangingo tw'inkari zawe. Kubikora neza bishobora gutuma ibimenyetso bigabanuka cyane.
Ariko, kumenya no gukoresha imitsi ikwiye bishobora kugorana. Umuganga w’inzobere mu by’ubuzima bw’ikibuno arashobora kugufasha. Bashobora gukoresha biofeedback kugira ngo barebe ko ukora imyitozo neza. Ushobora gukenera gukora iyi myitozo buri gihe mu byumweru bine kugeza kuri bitandatu kugira ngo umenye ko ibimenyetso byawe bya Urge Incontinence byarushijeho kwiyongera.
Hari igihe imitsi ibabara cyangwa ihungabana bishobora gutera ibimenyetso by'inkari zikora cyane. Muri ibyo bihe, umuganga w'imitsi ashobora kukwigisha uburyo bwo kuruhuka no guhuza iyi mitsi neza.
Kongera gutoza inkari
Ibi bisaba kujya mu bwiherero ku gihe gikwiye. Intego ni ukwitoza gutegereza igihe kirekire nubwo waba wumva ushaka cyane kunyara. Ibi bifasha gukomeza imitsi yo mu kibuno cyawe no kunoza ubushobozi bwawe bwo gufata inkari.
Hari abantu basanga bagomba kujyayo kenshi cyane, nko buri masaha abiri, kuko bumva bashaka iyo uruhago rwabo rwuzuye, akenshi biba byaratinze. Gukoresha imisatsi yo mu rukenyerero buri gihe kandi ku gihe bishobora gufasha gucunga neza uruhago no kugabanya imyanda.
Impinduka mu mibereho
Impinduka mu mibereho zifasha mu gucunga ikibazo cyo kudakoresha indonke zirimo:
- Kureka kunywa itabi.
- Kugabanya gufata ibintu bitera ububabare mu ruhago (ibinyobwa birimo kafeyine nka ikawa n'icyayi, soda zirimo karubone, na alcool).
- Kugumana ibiro byiza kandi bikubereye.
- Kwirinda impatwe urya ibiryo bikungahaye kuri fibre no kugumana amazi meza. Impatwe ishobora kongera imbaraga. Gusaba kudakoresha impatwe.
- Kuvura izindi ndwara zishobora kuba zitera ikibazo cyo kudakoresha indorerwamo.
Ubundi buryo bwo kuvura
Niba imyitozo y'inkari no guhindura imibereho idatanga ubutabazi buhagije, muganga wawe muri Nirogi Lanka ashobora kukugira inama yo kuvura indwara ziteye imbere zikurikira:
- Inshinge za Botulinum Toxin (Botox®).
- Uburyo bwo kuvura indwara z'ubwonko.
Botox
Botox ikora mu kuruhura imitsi y'inkari yawe, ikayifasha kubika inkari nyinshi neza. Menya neza ko iki atari igisubizo kirambye; uko ingaruka zigenda zishira, ubusanzwe uzakenera inshinge zisubirwamo buri mezi atandatu.
Guhindura imitsi y'ubwonko
Hari uburyo butatu bw'ibanze bwo gukangura buhoro buhoro imitsi ifitanye isano n'uruhago rwawe. Ibi bifasha mu kugenga itumanaho riri hagati y'imitsi yawe n'uruhago rwawe. Muri ubu buryo harimo:
- Gukangura imitsi yo mu maguru (PTNS): Muri ubu buryo, umutsi uri hejuru y'akaguru kawe urashishikarizwa. Wahabwa ubu buryo rimwe mu cyumweru mu gihe cy'ibyumweru 12. Ni uburyo bworoshye kandi bukoreshwa mu buryo budatera indwara, bukorerwa kwa muganga wawe.
- Gukangura imitsi yo mu matiba ishobora guterwa (ITNS): Ibi bikubiyemo gushyira agakoresho gato munsi y'uruhu hafi y'akaguru kawe kugira ngo gakangure imitsi yo mu matiba y'inyuma. Ibi bituma habaho gukangura mu buryo bworoshye, mu rugo, bigakuraho gukenera kujya mu biro buri cyumweru.
- Uburyo bwo guhindura imitsi mu ruhu (SNM): Agakoresho gato gashyirwa mu mugongo wawe wo hasi. Muganga wawe ashyira umugozi muto hafi y’ishingiro ry’umugongo wawe kugira ngo akomeze kandi atume imitsi ifatanye n’uruhago rwawe ikora neza. Hari kandi n’icyuma gito gishyirwa munsi y’uruhu kugira ngo gikoreshwe.
Uburyo bwo kugabanya ibyago byo kudakoresha indonke
Intambwe nyinshi zikoreshwa mu kuvura ikibazo cyo kudakora imibonano mpuzabitsina na zo zishobora gufasha mu kubyirinda:
- Komeza kugira ibiro bizima bikwiranye n'umubiri wawe.
- Fata ingamba zo kwirinda no gucunga impatwe.
- Niba unywa itabi, shyira imbere kurireka.
- Gabanya gufata kafeyine, ibinyobwa birimo karubone, na alcool.
- Itoze kujya mu bwiherero buri gihe kugira ngo ukomeze kugira ubusa mu ruhago rwawe.
Icyo wakwitega mu gihe ufite ikibazo cyo kudakoresha indonke (Aspirant Incontinence)
Kubaho ufite ikibazo cyo kudakoresha imyitozo ngororamubiri bishobora kugorana mu byiyumvo. Nubwo ubuvuzi bwo mu rugo nk'imyitozo ngororamubiri ya Kegel n'imyitozo ngororamubiri y'inkari ari ingirakamaro, bishobora gufata ukwezi cyangwa kurenzaho kugira ngo haboneke impinduka, kandi ibimenyetso bishobora kutagenda neza. Niyo mpamvu kugisha inama umuganga wawe ni ingenzi. Bazasuzuma ubukana bw'indwara yawe kandi bagufashe gutegura gahunda nziza yo kuyicunga kugira ngo igabanye ingaruka zayo ku buzima bwawe bwa buri munsi.
Bigenda bite iyo ikibazo cyo kudakoresha indonke kidakemutse?
Iyo bitavuwe, kudakora imibonano mpuzabitsina bishobora kwiyongera uko igihe kigenda gihita. Ushobora gusanga ukeneye kwiyuhagira kenshi, kandi ingano y'inkari zishobora kwiyongera. Ibintu bifitanye isano n'ubuzima nko kunywa itabi no kugabanya ibiro bishobora gutuma ibi bimenyetso birushaho kugorana.
Gukemura ikibazo cyo kudakoresha indonke mu buzima bwa buri munsi
Mu gihe uri kuvurwa, ushobora gusanga ari byiza gukoresha imyenda y'imbere cyangwa udutambaro tw'inkari duto kugira ngo ucunge amazi ava. Menya neza ko guhora uhura n'inkari bishobora gutera uburibwe bw'uruhu cyangwa uduheri. Kugira ngo urinde uruhu rwawe, shyiramo agakoresho nka petroleum jelly (Vaseline®) . Niba uburibwe bukomeje, tekereza ku mavuta cyangwa amavuta arimo zinc oxide , kandi menya neza ko ubiganiriyeho na muganga wawe.
Niba kunanirwa kwifata bigutera stress, ihungabana, cyangwa guhangayika, vugana n'umuvuzi cyangwa inzobere mu by'imitekerereze y'abantu.bashobora kugufasha cyane. Bashobora kuguha ibikoresho by'ingenzi byagufasha gucunga ubuzima bwawe bwo mu mutwe.
Ni ryari wagombye kubonana na muganga?
Nyamuneka hamagara muganga wawe ukimara kubona ibimenyetso byo kudakora imibonano mpuzabitsina cyangwa impinduka mu bwiherero bwawe. Gufata ingamba hakiri kare bifasha kumenya impamvu nyamukuru kandi bigatuma ibimenyetso bifatwa neza. Ni ngombwa kandi gukuraho indwara nka UTI (UTI) mu gihe ibimenyetso byawe bikomeye.
Ibibazo byo Kubaza Muganga wawe
Ushobora gusanga ari ingirakamaro kubaza muganga wawe ibibazo bikurikira:
- Ni iyihe mpamvu nyamukuru ituma ntashaka kwifata?
- Ni ibihe bipimo byihariye byo gusuzuma indwara usaba?
- Indwara yanjye ikabije gute?
- Ese wansaba Botox, ubuvuzi bw'imitsi, cyangwa kubagwa ku barwayi banjye?
- Ni izihe ngaruka zishobora guterwa n'ubu buryo bwo kuvura?
Itandukaniro riri hagati yo kudakoresha imibonano mpuzabitsina n'ihungabana ryo kudakoresha imibonano mpuzabitsina
Impamvu n'imiterere y'ibimenyetso by'izi ndwara ebyiri biratandukanye cyane:
- (Kudahagarika umutima): Ibi bibaho iyo uruhago rwawe rushyizwemo igitutu cy’umubiri. Akenshi bitera inkari kuva nke.
- (Gushaka Kudakoresha Indagihe): Ibi akenshi biterwa n'`(Uruhago rukora cyane)`. Bitandukanye no kudakoresha indagihe, iyi ndwara ishobora gutera kuva kw'inkari nyinshi.
Kuvuga ku ngeso zawe zo mu bwiherero bishobora gutuma wumva ubabaye, bishobora gutuma utekereza ko ari wowe wenyine uhanganye n'ikibazo. Ariko nturi wenyine. `(Urge Incontinence)` ni indwara ifata abantu benshi mu gihe runaka mu buzima bwabo.
Kubisangiza abo mu muryango wawe cyangwa inshuti zawe byizewe bishobora kubafasha gusobanukirwa impinduka mu myitwarire yawe. Bashobora kugufasha kubona ubwiherero igihe uri hanze cyangwa kwitonda niba ukeneye kumarana umwanya mu bwiherero, ibi bifasha kugabanya ingaruka zo kutagira isuku mu buzima bwawe bwa buri munsi.
Icy'ingenzi kurushaho, vugana n'umuganga kugira ngo umenye gahunda nziza yo kuvura ijyanye n'ibyo ukeneye. Binyuze mu buvuzi, gutegura neza no gushyigikirwa n'abandi, ushobora gucunga neza ingaruka za `(Urge Incontinence)` ku mibereho yawe.
Ubutumwa bwo kujyana mu rugo
- Gushaka kunyara mu buryo butunguranye kandi budashobora kugenzurwa ni indwara ivurwa. Ntugatinye cyangwa ngo wumve ufite isoni.
- Impamvu nyamukuru akenshi iba ari `(Uruhago rukora cyane)`.
- Guhindura imibereho yoroheje, imyitozo ngororamubiri ya Kegel, no kongera kumenyereza uruhago bishobora gutanga ihumure rikomeye.
- Niba ufite ibimenyetso, gushaka inama kwa muganga ni ingenzi cyane. Gusuzuma no kuvura neza bishobora gutuma ubuzima bwawe burushaho kuba bwiza.
- Ntabwo uri wenyine. Iki kibazo kirakunze kugaragara, bityo shakisha ubufasha kandi wigishe abo ubana nabo.
Turizera ko aya makuru yagufashije. Komeza ugire ubuzima bwiza hamwe na Nirogi Lanka!
👩🏽⚕️ Ibibazo Bikunze Kubazwa (Ibibazo Bikunze Kubazwa)
💬 Guhagarika kwihagarika ni iki?
Iyi ni indwara irangwa no gushaka cyane kunyara mu buryo butunguranye, bigatuma umuntu ava amaraso mu buryo butunguranye mbere yuko agera mu bwiherero. Ikunze kugaragara ku bantu bakuze.
💬 Ni iyihe mpamvu nyamukuru itera iyi ndwara?
Impamvu nyamukuru ni inshinge zikora cyane, aho imitsi y'uruhago ikora buhoro buhoro kandi ikanakora kenshi cyane.
💬 Ese iyi ndwara ishobora kuvurwa?
Yego, abaganga bashobora kuvura iki kibazo neza bakoresheje imiti yihariye, imyitozo ngororamubiri yo mu kibuno (Kegel), ndetse nibiba ngombwa, n'uburyo bwo kuvura amenyo budakoresha imiti myinshi.
Amagambo ahinnye: kudakora imibonano mpuzabitsina, kudakora imibonano mpuzabitsina, gukora cyane mu ruhago, kugenzura uruhago, kwihagarika kenshi, nocturia, kuva amaraso mu nkari, imyitozo ngororamubiri ya Kegel, kongera imyitozo mu ruhago, Nirogi Lanka, kwihuta mu nkari, amakuru y'ubuzima
