Ese nawe ufite ikibazo cyo kugenzura inkari zawe? Reka twige ku bijyanye no kudakoresha indyo yuzuye!

Ese hari igihe ujya ugira ikibazo cyo kunyara gitunguranye kandi kidashoboka (kwihutira kunyara ), rimwe na rimwe ugatangira inkari nke mbere yuko ugera mu bwiherero? Cyangwa se ugomba kunyara inshuro nyinshi ku munsi, rimwe na rimwe inshuro zirenga umunani? Ese ni ibisanzwe ko ubyuka kabiri cyangwa gatatu mu ijoro kugira ngo unyara ? Niba ibi bintu bigira ingaruka ku buzima bwawe, ntugahangayike , ntabwo uri wenyine. Uyu munsi turaganira kuri iki kibazo cyo kunyara gitunguranye, cyangwa mu buryo bw'ubuvuzi, `(Gusaba Kwirinda Kwihagarika)`.

Indwara yo kudakoresha imibonano mpuzabitsina (Urge Incontinence) ni iki?

Muri make, Gushaka Kudakora Imibonano mpuzabitsina ni ukudashobora kugenzura uko inkari zitembera. Ibi bibaho iyo ugize ubushake butunguranye bwo kunyara butunguranye, budashobora kugenzurwa, bishobora kugorana kubigenzura, rimwe na rimwe ushobora kunyara mbere yuko wiruka ujya mu bwiherero. Hari abantu bagomba kunyara inshuro zirenga umunani ku munsi, ndetse bakabyuka inshuro nyinshi nijoro kugira ngo banyara . Ibi bishobora kuba ikibazo giteye agahinda cyane.

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

Yego, hari ubundi bwoko bwinshi bwo kudakora inkari, harimo "Gushaka kudakora inkari". Buri bumwe muri bwo bugira ingaruka ku gutakaza inkari nke ku bushake. Reka turebere hamwe ibyo ari byo:

• Kunanirwa kwihagarika: Ibi ni igihe uva inkari nke iyo useka, ukorora, witsamuye, cyangwa uteruye ikintu kiremereye. Tekereza nk'igihe useka cyane uri kumwe n'inshuti zawe hanyuma ukava inkari nke.
• Kudakora imibonano mpuzabitsina bivanze: Ibi bishobora kuba birimo "Gushaka kwihagarika" na "Kudakora imibonano mpuzabitsina bivanze". Ibi bivuze ko ufite n'ubushake bwo kunyara , kandi ukanava inkari iyo useka cyangwa ukoroye. Bivugwa ko abagore barenga kimwe cya kabiri bafite ikibazo cyo kudakora imibonano mpuzabitsina na bo bafite "Kudakora imibonano mpuzabitsina bivanze".
• Kunanirwa kwihagarika: Aha ni igihe inkari zisohoka bitewe nuko uruhago (agafuka k'inkari ) rwuzuye cyane, cyangwa kubera ko bidashoboka ko inkari zose zisohoka. Ni nk'amazi asohoka mu kigega cyuzuye.
• Kunanirwa kwihagarika: Aha ni igihe udashobora kujya mu bwiherero ku gihe, cyangwa wumva udakeneye kunyara , bitewe n'indi ndwara (urugero, indwara igabanya imbaraga nka rubagimpande).

Uku kunanirwa kwihagarika inkari bikunze kugaragara gute?

Bikunze kugaragara cyane kurusha uko wabitekereza. Ubushakashatsi bwerekana ko abagore bagera kuri 40% na 30% by'abagabo bazahura n'iki kibazo mu gihe runaka mu buzima bwabo. Rero si wowe wenyine.

Ni iyihe mpamvu nyamukuru itera `(Urge Incontinence)`?

Akenshi impamvu nyamukuru ibitera ni uruhago rukora cyane . Iki ni cyo gihe imitsi yo mu ruhago rwawe ikora cyane kurusha uko bikwiye. Ni nk'aho uruhago rwawe ruhora rukubwira ngo " kora , kora ." Uba wumva ushaka cyane kunyara mbere yuko uruhago rwawe rwuzura burundu.

Iyo uruhago rucitse gutya, imitsi ya sphincter iri mu muyoboro wawe w'inkari (imitsi isa n'iy'umunyu ibuza inkari gusohoka) irafunguka. Ni bwo inkari zisohoka.

Ni ibihe bimenyetso bya `(Urge Incontinence)`?

Ikimenyetso nyamukuru ni ubushake butunguranye bwo kunyara budashobora kugenzurwa, maze inkari nke zigasohoka.

Byongeye kandi, hashobora kubaho ibindi bimenyetso by'uko uruhago rukora cyane:

• Kwihagarika kenshi ( kwihagarika inshuro zirenga umunani ku manywa).
• Kubyuka ukajya kunyara inshuro zirenze ebyiri mu ijoro usinziriye (Nocturia).
• Inkari zisohoka, haba mbere yo kujya mu bwiherero cyangwa nyuma yo kunyara .
• Kunyara ku buriri (Enuresis).

Uretse ubu bubabare bw'umubiri, `(Urge Incontinence)` ishobora no kugira ingaruka ku buzima bwawe bwo mu mutwe. Hari abantu batinya gusohoka iyo indwara ikomeye. Iyo utekereje ku bintu nka "Bite se niba nta bwiherero buri hafi?" "Nzajya he niba ngomba kunyara ?", uba ufite ibyago byo kurwara indwara zo mu mutwe nka `(Stress)`, `(Anxiety)`, na `(Depression) .

Ni nde ugerwaho n'iki kibazo cyane?

Abagore bafite amahirwe abiri yo kurwara "Urge Incontinence" kurusha abagabo. Nanone bigenda birushaho kwiyongera uko tugenda dusaza. Ariko, abaganga bavuga ko atari ikintu gisanzwe cyo gusaza. Ibyo bivuze ko gishobora kuvurwa.

Hari n'ibindi bintu bishobora gutera ibyago:

• Diyabete.
• Niba warabazwe mu gice cy'ikibuno, nko kubagwa igitsina.
• Imiti imwe n'imwe, urugero nk'imiti igabanya ubukana bw'indwara zo mu mutwe, imiti igabanya ubukana bw'amaraso, n'imiti igabanya umuvuduko w'amaraso.
• Gucura.
• Indwara z'imitsi, urugero nk'indwara ya Alzheimer, indwara ya Parkinson, na Multiple Sclerosis (MS).
• Igipimo cy'uburemere bw'umubiri (BMI) kiri hejuru ya 25 (ni ukuvuga 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).
• Niba warigeze guhabwa ubuvuzi bw'imirasire mu gice cy'ikibuno ku mpamvu iyo ari yo yose.
• Ingorane za prostate, urugero, kanseri ya prostate cyangwa hyperplasia y’uburemere bw’ingirabuzimafatizo.

Kuki nahise ntashobora kugenzura inkari zanjye ?

Ushobora kuba umaze igihe ugaragaza ibimenyetso bito, kandi ushobora kuba utazi niba byatangiye gukomera cyane. Ariko, niba ibi bimenyetso byaragaragaye nyuma yo kubagwa vuba aha, impanuka, cyangwa nyuma yo gutangira imiti mishya, ugomba kujya kwa muganga. Bishobora guterwa no kwangirika kw'imitsi cyangwa ikindi kibazo.

Ni gute wamenya `(Gushaka Kudakoresha Indonke)`?

Umuganga azasuzuma iyi ndwara agufashe akubaze ibimenyetso by'uburwayi bwawe. Azakora kandi isuzuma ry'umubiri. Niba uri umugore, bashobora gupima ikibuno, naho niba uri umugabo, bashobora gupima igitsina cy'umugabo mu buryo bwa digitale.

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

• Ibintu unywa (nk'amazi, icyayi, ikawa).
• Unywa angahe?
• Ujya mu bwiherero kangahe?
• Uva inkari kangahe, kandi ziva zingana iki?
• Wakoraga iki igihe wavaga inkari ?

Byongeye kandi, muganga ashobora kandi gukora ibizamini nka:

• Isuzuma ry'inkari (Urinalysis) kugira ngo harebwe ibintu nk'indwara zo mu nzira y'inkari (UTIs) n'amaraso mu nkari (Hematuria).
• Ultrasound yo mu nda kugira ngo harebwe ingingo nk'uruhago n'impyiko.
• Suzuma uturemangingo tw'inkari ukoresheje cystoscopy.
• Ikizamini cya Urodynamic ni ikizamini cyo kureba uburyo inkari zifata neza kandi zigasohora inkari, naho ikizamini cy’inkari zisigaye nyuma yo kubura inkari ni ikizamini cyo kureba ingano y’inkari zisigaye mu ruhago nyuma yo kunyara.

Ese `(Gusaba Kudakoresha Incontinence)` bizagenda bikira?

Gusaba kudafata indonke akenshi ntibihita bigabanuka gusa, ariko kuvurwa bishobora kugabanya cyane ibimenyetso by'indwara.

Ni ubuhe buryo bwiza bwo kuvura ibi?

Uburyo bwo kuvura indwara yo kwihagarika biterwa n'ubukana bw'ibimenyetso byawe. Muganga wawe azakubaza ibibazo nk'ibi kugira ngo amenye ingaruka z'iyi ndwara ku buzima bwawe:

• Unyara kangahe ku manywa?
• Ubyuka kangahe nijoro ukajya kunyara usinziriye?
• Ese inkari zisohoka?
• Inkari zingana iki zirimo kuva?
• Ni ryari inkari zisohoka?
• Unywa ubwoko ki bw'ibinyobwa?

Hashingiwe kuri ibi bisubizo n'ibisubizo by'ibizamini, muganga ashobora kukugira inama y'ibintu nk'ibi:

• Ubuvuzi bw'umubiri bwo mu gituza. Ibi bishobora kuba birimo imyitozo ngororamubiri ya Kegel n'imyitozo yo kuruhuka imitsi yo mu gituza.
• Kongera gutoza inkari.
• Impinduka mu mibereho.

Imyitozo ngororamubiri ya Kegel

Imyitozo ngororamubiri yo mu gituza ni imyitozo ikomeza imitsi ishyigikira uturemangingo tw'inkari zawe. Iyo ikozwe neza, ishobora kugabanya ibimenyetso by'indwara.

Ariko, kumenya no gukoresha imitsi ikwiye ntabwo byoroshye nkuko wabitekereza. Umuganga w’imitsi yo mu kibuno ashobora kukwigisha uburyo bwo gukora iyi myitozo neza. Ashobora kandi gukoresha uburyo bwitwa "Biofeedback" kugira ngo arebe ko uyikora neza. Kugira ngo urebe ko ibimenyetso byawe bya "Urge Incontinence" byarushijeho kuzamuka, ugomba gukora iyi myitozo buri gihe mu byumweru bine kugeza kuri bitandatu.

Hari igihe ibimenyetso by'inkari zikora cyane bishobora kwiyongera bitewe no gufungana cyangwa gufungana kw'imitsi yo hasi mu kibuno. Niba ari uko bimeze, umuganga w'imitsi ashobora kukwigisha uburyo bwo kuruhuka iyi mitsi no kuyihuza.

Kongera gutoza inkari

Ibi bikubiyemo kujya mu bwiherero gusa ku masaha yagenwe. Intego ni ugutegereza igihe gito mbere yo kunyara , kabone n'iyo waba ufite ubushake bukomeye bwo kunyara . Ibi bizakomeza imitsi yo hasi mu kibuno cyawe kandi bigufashe kugumana inkari zawe igihe kirekire.

Hari abantu bagomba kunyara kenshi, urugero, buri masaha abiri. Ibi biterwa nuko bumva bashaka kunyara gusa iyo uruhago rwabo rwuzuye cyane, ibyo bikaba byagorana kunyara. Kubwibyo, kujyayo kenshi no kugumana uruhago rufite ubusa bishobora kugabanya ikibazo cyo kuva amazi.

Impinduka mu mibereho

Izi ni impinduka mu mibereho zishobora gufasha kugabanya "Ubusabe bwo Kudakoresha Ingufu":

• Niba unywa itabi, rireke.
• Kunywa ibinyobwa bike bitera imbaraga mu ruhago (ibinyobwa birimo kafeyine nka ikawa n'icyayi, ibinyobwa birimo karubone nka soda, na alcool).
• Kugumana ibiro byiza bikubereye.
• Irinde impatweKurya indyo irimo fibre nyinshi kandi unywe amazi menshi. Kwihagarika impatwe bishobora gutuma ikibazo cyo kudakora imibonano mpuzabitsina kirushaho kwiyongera.
• Niba hari izindi ndwara zishobora gutera "Urge Incontinence", shaka ubuvuzi.

Ubundi buryo bwo kuvura

Niba imyitozo y'inkari no guhindura imibereho yawe bidafasha, muganga wawe ashobora kukugira inama yo kuvura indwara nk'izi:

• Inshinge za Botulinum Toxin (Botox ®).
• Uburyo bwo kuvura indwara z'ubwonko.

Botox

Botox ikora mu kuruhura imitsi yo mu ruhago rwawe, bigatuma ushobora kubika inkari nyinshi. Ariko si igisubizo kirambye. Uzakenera guterwa inshinge buri mezi atandatu cyangwa arenga uko ingaruka zigenda zishira.

Uburyo bwo kuvura ubwonko

Hari uburyo butatu bwo gukangura buhoro buhoro imitsi ihuza n'uruhago rwawe. Ibi bifasha mu kugena uburyo uturemangingo tw'imitsi yawe dukorana n'uruhago rwawe. Ubu buryo ni ubu:

• Gukangura imitsi yo mu bwoko bwa Percutaneous tibial nerve stimulation (PTNS): Ibi bikubiyemo gukangura imitsi iri hejuru gato y'akaguru kawe. Ubu buvuzi butangwa rimwe mu cyumweru mu gihe cy'ibyumweru bigera kuri 12. Ntabwo ari ikibazo gikomeye, kandi bushobora gukorerwa kwa muganga, kandi biroroshye kurusha ubundi buryo.
• 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 bigufasha gukora ibyo bikangura uri mu rugo, aho kujya mu biro rimwe mu cyumweru.
• Uburyo bwo guhindura imitsi mu ruhu (SNM): Ibi bikubiyemo gushyira agakoresho gato mu mugongo wawe wo hasi. Muganga ashyiramo insinga nto mu gice cyo hasi cy'umugongo wawe maze agatanga uburyo bwo gukangura imitsi ihuza uruhago rwawe buri gihe. Bateri nayo ishyirwa munsi y'uruhu.

Ni gute wagabanya ibyago byo kutagira imibonano mpuzabitsina (Urge Incontinence)?

Ibintu bimwe bifasha kuvura "Uburibwe bwo Kudakoresha Igifu" nabyo bifasha mu kubyirinda:

• Komeza kugira ibiro bizima bikubereye.
• Irinde impatwe.
• Niba unywa itabi, rireke.
• Gabanya kafeyine, ibinyobwa birimo karubone, na alcool.
• Korora kenshi kugira ngo uruhago rwawe rugume rufite ubusa.

Ni iki umuntu ufite `(Urge Incontinence)` agomba kwitega?

Gusaba kudakoresha indorerwamo bishobora gutera imihangayiko ikomeye. Ushobora kugabanya ubushake bwo kudakoresha indorerwamo ukoresheje imiti yo mu rugo nka Kegel imyitozo ngororamubiri no gukora imyitozo ngororamubiri. Ariko, bishobora gufata ukwezi cyangwa irenga kugira ngo umenye itandukaniro, kandi ibimenyetso bishobora kudashira burundu. Kubwibyo, ni ngombwa kuvugana na muganga.Hanyuma azakubwira uburyo indwara yawe ikomeye n'uburyo bwiza bwo kuyifata no kugabanya ingaruka ku buzima bwawe.

Bigenda bite iyo `(Urge Incontinence)` idavuwe?

Iyo itavuwe, "Urge Incontinence" ishobora kwiyongera. Ushobora gukenera kujya mu bwiherero kenshi kandi ukavoma inkari nyinshi. Ibi bibazo bishobora kwiyongera iyo unywa itabi cyangwa udafite ibiro bihagije.

Ni gute wakwitwara mu gihe ufite ikibazo cyo kudakoresha indonke?

Kudakoresha uburyo bwo kwirinda indwara bishobora gutuma inkari zisohoka, bityo ushobora gukoresha imyenda y'imbere cyangwa udupira tw'inkari duto kugeza igihe umuti wawe uzaba ukoze neza. Ariko, kugaragara kenshi mu nkari bishobora gutera uduheri n'ibisebe. Kugira ngo urinde uruhu rwawe, ni byiza kwisiga ikintu nka petroleum jelly (Vaseline®) . Niba petroleum jelly yonyine idafasha, gerageza amavuta yo kwisiga arimo zinc oxide, hanyuma uganire na muganga.

Niba ufite stress, depression, cyangwa impagarara bitewe no kudakora imibonano mpuzabitsina, byaba byiza uganiriye n'umuganga w'inzobere mu by'imitekerereze cyangwa imitekerereze y'abantu . Bashobora kugufasha gucunga ubuzima bwawe bwo mu mutwe.

Ni ryari ngomba kujya kwa muganga?

Vugana na muganga wawe ukimara kubona ibimenyetso bya "Urge Incontinence" cyangwa niba ubonye impinduka mu ngeso zawe zo mu bwiherero. Bashobora kugufasha kubona icyabiteye, kukivura no gucunga ibimenyetso byawe. Ni ngombwa kandi gusuzuma indwara ya UTI (UTI) niba ibimenyetso byawe bikomeye.

Ni ibihe bibazo ugomba kubaza muganga?

Ushobora kubaza muganga wawe ibibazo nk'ibi:

• Ni iyihe mpamvu ngira `(Gushaka kwifata)`?
• Ni ubuhe bwoko bw'ibizamini ukora?
• "Uburibwe bwanjye bwo kwihagarika bukabije" bungana iki?
• Uratekereza ko nzakenera Botox, ubuvuzi bw'imitsi, cyangwa kubagwa?
• Ni izihe ngaruka mbi zo gukoresha Botox, kubaga ubwonko, cyangwa kubagwa?

Ni irihe tandukaniro riri hagati ya `(Urge Incontinence)` na `(Stress Incontinence)`?

Impamvu n'ibimenyetso by'ibi byombi biratandukanye:

• Kunanirwa kwihagarika: Ibi biterwa n'umuvuduko w'igifu ku ruhago. Muri iki gihe inkari zisohoka buhoro buhoro.
• Gushaka Kudakoresha Indorerwamo: Ibi akenshi biterwa no gukora cyane k'uruhago. Bishobora gutuma inkari nyinshi zisohoka kurusha kudakoresha indorerwamo.

Kuvuga ku ngeso zawe zo mu bwiherero bishobora kugutera isoni, bityo ushobora gutekereza ko ari wowe wenyine ufite iki kibazo. Ariko nturi wenyine. Gushaka kwifata bigira ingaruka ku bantu benshi mu gihe runaka mu buzima bwabo.

Kuganira n'umuryango cyangwa inshuti wizeye kuri ibi bishobora kubafasha gusobanukirwa impinduka zawe mu myitwarire. Bashobora kandi kugufasha kugabanya ingaruka zo kudakora ku buzima bwawe binyuze mu kugufasha kubona ubwiherero igihe uri hanze, no mu kurangaza abandi niba uri mu bwiherero igihe kirekire.

Igikuru ni ukuganira na muganga wawe ku bijyanye n'ubuvuzi bwiza ku kibazo cyawe. Ukoresheje uburyo bwo kuvura, gutegura mbere y'igihe, no gufashwa n'abandi, ushobora kugabanya ingaruka zo kudakora imibonano mpuzabitsina ku buzima bwawe.

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

• Guhagarika kwifata ni indwara ivurwa, bityo ntugatinye cyangwa ngo ugire ubwoba.
• Impamvu nyamukuru ibi bishobora kuba ari uruhago rukora cyane.
• Ndetse n'ibintu byoroheje nko guhindura imibereho, imyitozo ngororamubiri ya Kegel, no gukora imyitozo ngororamubiri mu ruhago bishobora kugira ingaruka zikomeye.
• Ni ngombwa gushaka inama kwa muganga niba ufite ibimenyetso. Gusuzuma no kuvura neza bishobora gutuma ubuzima bwawe burushaho kuba bwiza.
• Ntabwo uri wenyine. Iki kibazo kigira ingaruka ku bantu benshi. Shaka ubufasha, kandi wigishe abandi kuri ibi.

Ndizera ko aya makuru azaba ingirakamaro kuri wewe. Komeza ugire ubuzima bwiza!

` kudakora imibonano mpuzabitsina, gushaka kudakora imibonano mpuzabitsina, uruhago rukora cyane, kugenzura uruhago, kwihagarika kenshi, nocturia, kuva amaraso mu nkari, imyitozo ngororamubiri ya Kegel, kongera imyitozo mu ruhago, kugenzura inkari, kudakora imibonano mpuzabitsina , ubuzima bwa Sinhala