Ese Ufite Ingorane zo Kunyara? (Kutinda ku Nkari) Reka Tubiganireho! | Nirogi Lanka

Ese hari igihe wisanga uhagaze mu bwogero, utegereje ko inkari zitangira, nubwo wumva ushaka? Cyangwa wenda inkari zawe zihagarara mu buryo butunguranye, hanyuma zigakomeza gutemba nyuma yo gucika intege? Niba warabonye ibi bimenyetso, ushobora kuba uhanganye n'ikibazo kizwi nka " urinary stress" . Muri Nirogi Lanka , turashaka kugufasha gusobanukirwa icyo ibi bivuze n'uko byakwitabwaho.

Tuvuze iki iyo tuvuga gutinda ku nkari? (Ubuyobozi bworoshye bwa Nirogi Lanka)

Mu magambo make, gutinda ku nkari bivuga ingorane ushobora guhura nazo iyo ukeneye kunyara. Ibi bivuze ko ushobora kugorwa no gutangira igikorwa, cyangwa ugasanga bigoye gukomeza gutemba neza kandi mu buryo buhoraho. Hari igihe ushobora kumva ugikeneye kunyara, ariko gutemba guhagarara mu buryo butunguranye.

Nubwo ibi bishobora kubaho kuri buri wese, iyi ndwara ikunze kugaragara cyane ku bagabo.

Abaganga bakoresha ijambo "gutinda" kugira ngo basobanure iyo ntambara iyo ugerageje gutangira kwihagarika cyangwa imbaraga zisabwa kugira ngo amazi akomeze kumanuka.

Ni ibihe bimenyetso ushobora kugira?

Ibimenyetso by'ingenzi byerekana ko inkari zitinda ni ingorane zo gutangira gutemba no guhagarara kw'inkari mbere yuko uruhago rwawe rwumva ko rurimo ubusa. Byongeye kandi, ushobora guhura n'ibi bikurikira:

• Ukumva ko ugomba kugenda ariko ntushobora gutangira.
• Gukenera gukabya cyangwa gusunika kugira ngo inkari zitemba.
• Umugezi udakomeye cyane, cyangwa kubona ko usohoka nk'amazi make.
• Kutonyanga nyuma yo kubura inkari (inkari zisohoka umaze kuzirangiza).

Ibindi bimenyetso n'igihe cyo gufata ingamba

Hari igihe gutinda ku nkari bishobora gutuma inkari ziguma mu nkari , aho udashobora na gato gukuramo inkari. Niba uhuye n'ibi bikurikira, shaka ubufasha bwa muganga byihutirwa:

• Kubabara mu nda yo hasi.
• Kumva ufite ibibyimba cyangwa wuzuye mu gice cy'ikibuno.
• Kuva kw'inkari mu buryo butunguranye (bizwi nka "inkari incontinence ").

Kuki ibi bibaho? Impamvu zishobora gutera

Hari impamvu nyinshi zishobora gutuma utinya kunyara. Reka turebe izikunze kugaragara cyane.

Impamvu ikunze kugaragara ku bagabo

Impamvu ikunze gutera abagabo ni Benign Prostatic Hyperplasia (BPH) , cyangwa prostate yagutse. Ibi bikunze kugaragara ku bagabo barengeje imyaka 60. Prostate ni agahu gato kazengurutse urethra (umuyoboro utwara inkari). Iyo kabaye kanini, gakanda urethra, kakabuza inkari gutembera.

Izindi mpamvu zisanzwe

Izindi mpamvu zishobora gutera iyi ndwara zirimo:

• Indwara zo mu rukenyerero (UTI) cyangwa indwara zo mu rukenyerero: Izi ndwara zikunze kugaragara cyane kandi zishobora kugira ingaruka ku miterere y'amaraso yawe.
• Prostatite: Kubyimba cyangwa kwandura kwa prostate gland.
• Imitsi yo mu muyoboro w'inkari: Inkovu mu muyoboro w'inkari bitewe n'imvune cyangwa indwara zandujwe mu gihe cyashize, ibyo bigatuma inzira ifungana.
• Kunyara cyane: Igitutu kinini mu mara gishobora gutera inkari ku ruhago no kugira ingaruka ku kunyara.
• Imiti imwe n'imwe: Imiti nka imwe mu miti igabanya ubukana bwa tricyclic, imiti ivura uruhago rukora cyane, cyangwa ndetse n'imiti imwe n'imwe ivura ibicurane n'ubwivumbure.
• Kudakora neza kw'imyanya y'ikibuno: Kunanirwa kuruhuka neza imitsi y'ikibuno mu gihe cyo kunyara.
• Indwara z'imitsi: Indwara zigira ingaruka ku bimenyetso biva mu bwonko bwawe bijya mu ruhago rwawe, nko gucika imitsi, indwara ya Sclerosis nyinshi (MS), cyangwa indwara z'imitsi ziterwa na diyabete.
• Kugabanuka kw'uturemangingo tw'impyiko: Iyo imitsi yo mu kibuno icitse intege, ingingo nk'uruhago zishobora guhinduka, bigatuma ubushobozi bwawe bwo gusohora inkari bugabanuka.

Ni nde uri mu kaga?

Nubwo ibi bishobora kuba kuri buri wese, bikunze kugaragara cyane mu bagabo barengeje imyaka 60 barwaye indwara ya prostate yagutse (BPH).

Ni gute muganga wawe azasuzuma ibi?

Iyo uganiriye na muganga wawe w’ibanze ku bijyanye n’ibi bimenyetso, azasuzuma amateka y’ubuzima bwawe kandi akore isuzuma ry’umubiri kugira ngo amenye impamvu nyamukuru.

Ibibazo muganga wawe ashobora kukubaza:

• Umaze igihe kingana iki uhura n'ibi bibazo?
• Ese inkari zawe ziragabanuka kurusha uko bisanzwe?
• Ese ibi bimenyetso byagaragaye mu buryo butunguranye, cyangwa byagiye bikura buhoro buhoro?
• Ese hari imiti igurishwa mu iduka ry'indembe ufata kugira ngo uyivure?
• Ese wabonye ko hari ibyo kurya, ibinyobwa, cyangwa ibikorwa bimwe na bimwe bituma ibi bimenyetso birushaho kwiyongera?

Ibisubizo byawe bizafasha muganga wawe gusobanukirwa neza ubuzima bwawe.

Ibizamini byo gusuzuma indwara:

Kugira ngo wemeze ko indwara yanduye kandi umenye impamvu itera gutinda ku nkari , muganga wawe ashobora kukugira inama yo gukomeza gupimwa.

• Ibizamini bya Urodynamic: Iki ni urukurikirane rw'ibizamini byo gusuzuma ubuzima bw'inkari zawe ukoresheje:
• Ingano yose y'inkari unyuramo.
• Umuvuduko w'inkari zawe n'imbaraga zo kunyara kwawe.
• Umuvuduko uri mu ruhago rwawe.
• Ibizamini byo Gupima: Muganga wawe ashobora kukugira inama yo gupimwa hakoreshejwe ultrasound cyangwa CT scan kugira ngo arebe uko uruhago rwawe rwuzuza n'uko rusohoka, no kureba ingano ya prostate yawe. Rimwe na rimwe, igikorwa cyitwa Cystoscopy gishobora gukorwa, aho kamera nto ishyirwamo binyuze mu muyoboro w'inkari kugira ngo ibone neza aho uruhago ruherereye.
• Isuzuma rya Digital Rectal (DRE): Isuzuma ry'umubiri rigamije kugenzura ingano n'imiterere y'agahu ka prostate kawe.
• Isesengura ry'inkari: Isesengura ry'inkari kugira ngo harebwe ibitagenda neza mu buryo bwa mikorobe cyangwa ibinyabutabire.
• Gupima inkari: Ikizamini cyihariye cyo kumenya niba ufite ubwandu bwa bagiteri mu nkari zawe.

Indwara yo gucika intege mu nkari ivurwa ite muri Nirogi Lanka?

Uburyo bwo kuvura indwara yo gutinda ku nkari buterwa n'impamvu nyamukuru ndetse n'ubuzima bwawe muri rusange. Muganga wawe muri Nirogi Lanka ashobora kukugira inama y'uburyo bukurikira:

• Kongera gutoza inkari / Gusohora ku gihe
• Ubuvuzi bw'umubiri bwo hasi mu gituza
• Imiti
• Uburyo bwo kubaga
• Gukangura imitsi yo mu bwoko bwa Sacral / Sacral Neuromodulation

Reka tubisuzume birambuye.

Gusubiramo imyitozo y'inkari (Gukoresha inzoga ku gihe)

Intego hano ni ukuvugurura imitsi y'inkari yawe. Uzasabwa kunyara buri gihe cyagenwe (ubusanzwe buri masaha abiri) , nubwo waba utabyumva. Ibi bifasha gukuramo ubusa bw'inkari mbere yuko irushaho kuzura.

Ubuvuzi bw'umubiri bwo hasi mu gituza

Ubu buvuzi bukwigisha imyitozo yihariye yo kuruhuka imitsi yo mu kibuno cyawe. Kuruhuka neza iyi mitsi bituma inkari zoroha kandi zikoroha cyane.

Imiti

Bitewe n'uko indwara yawe ihagaze, muganga wawe ashobora kuguha imiti yo kugabanya ubunini bwa prostate (urugero: Dutasteride, Finasteride) cyangwa imiti igabanya alpha-blockers kugira ngo ifashe kuruhuka imitsi y'uruhago n'iya prostate. Iyo habayeho ubwandu, uzaguhabwa imiti igabanya ubukana bwa prostate.

Uburyo bwo Kubaga

Iyo urethra yawe yagabanutse, uburyo bwo gukora nka Urethral Dilation cyangwa Reconstruction bushobora kuba ngombwa. Niba prostate yagutse (BPH) ari yo mpamvu, hariho uburyo butandukanye bwo kubaga kugira ngo ukureho ingirangingo zirenze urugero—kuva ku buryo bworoshye bwo mu biro kugeza ku buryo buhanitse bwo kuvura hakoreshejwe laser cyangwa amashanyarazi. Hari ubwo hakenerwa kubagwa igice cyangwa igice cyose cya Prostatectomy . Ku ndwara nka Pelvic Organ Prolapse , kubagwa bishobora gusubiza ingingo mu mwanya wazo ukwiye.

Gukangura imitsi yo mu bwoko bwa Sacral

Muri ubu buryo, agakoresho gato ko gukangura ubwonko gashyirwa munsi y'uruhu hafi y'amatako yawe. Kohereza amashanyarazi mu mitsi yo mu gice cyo hasi kugira ngo gatunganye neza imikorere y'imitsi y'uruhago.

Ese ushobora kubikemura uri mu rugo?

Mu bihe bimwe na bimwe, muganga wawe ashobora kukugira inama yo guhindura imibereho yawe mu rugo kugira ngo bigufashe mu gihe cyo gutinda ku nkari .

• Gukoresha ubushyuhe: Kwiyuhagira mu buryo bushyushye cyangwa gukoresha agakoresho gashyushya inda yo hasi bishobora gufasha kuruhuka imitsi yo hasi mu kibuno, bigatuma inkari zigenda neza.
• Massage: Gukanda buhoro buhoro inda yo hasi (agace k'uruhago) mu gihe uri kunyara bishobora kugufasha kongera umuvuduko w'amaraso n'imbaraga.
• Imiti yoroshya umwijima cyangwa imiti yoroshya umwijima: Niba urwaye impatwe idakira, gucunga ubuzima bw'amara binyuze mu mirire cyangwa imiti yandikiwe na muganga bishobora kugabanya umuvuduko w'uruhago mu buryo butaziguye.

Icy'ingenzi kurushaho: Buri gihe banza uganire na muganga wawe mbere yo gutangira imiti iyo ari yo yose yo mu rugo kugira ngo umenye neza ko nta kibazo kirimo ku ndwara yawe.

Ibyiza byo kwandika "Inyandiko y'inkari"

Muganga wawe ashobora kugusaba kugira "Akayero k'inkari" kugira ngo ukurikirane ingeso zawe. Ugomba kwandika:

• Gufata ibinyobwa byose umunsi wose.
• Ingano y'inkari isanzwe iboneka.
• Imbaraga n'urujya n'uruza rw'umugezi wawe.
• Igihe bitwara kugira ngo utangire kunyara .
• Inshuro ujya mu bwiherero.
• Ibindi bimenyetso byose ubona.

Iyi kaye itanga amakuru y'ingenzi kuri wowe na muganga wawe kugira ngo musobanukirwe neza impamvu nyamukuru y'ibimenyetso byawe.

Ni iyihe ngengabihe yo gukira nyuma yo kuvurwa?

Gukira biterwa rwose n'impamvu yateye ikibazo cyo kutizera inkari zawe ndetse n'uburyo bwo kuvura wahisemo.

• Ubuvuzi bw'umubiri bwo mu gituza: Ushobora gutangira kubona ibisubizo nyuma y'ibyumweru byinshi ukoresha imyitozo ngororamubiri ihoraho.
• Imiti iruhura imitsi: Iyi miti ishobora gutangira gukora mu masaha make cyangwa iminsi mike.
• Umuti utera imitsi ya Sacral: Ushobora kubona impinduka zikomeye mu byumweru bike uko imiterere igenda ihinduka.
• Nyuma yo Kubagwa: Gukira burundu bishobora gufata amezi menshi bitewe n'uburyo igikorwa kimeze.

Ese iki kibazo gishobora kwirindwa?

Nubwo tudashobora gukumira impamvu zose zitera gutinda ku nkari , akenshi ushobora kubona ihumure ukomeje kugira ingeso nziza zo kunyara no kwirinda impatwe. Ibi bivuze ko ugomba kwibanda ku kunyara buri masaha make aho kubyihagarika igihe kirekire. Byongeye kandi, gerageza kugira gahunda ihoraho kandi ishimishije yo kumara amara buri munsi.

Ni ryari ukwiye kujya kwa muganga?

Jya kwa muganga ukimara kubona ko ufite ikibazo cyo kunyara cyangwa niba amaraso yawe adahagije ugereranije n'uko bisanzwe. Ntukirengagize ibi bimenyetso cyangwa ngo wibwire ko bizakemuka byonyine. Nubwo bishobora gutera isoni kuganira ku bibazo by'inkari, ni ngombwa kwihutira gusuzumisha ibimenyetso bishya cyangwa bidashira.

Ese ukeneye kujya mu cyumba cy’ubutabazi bw’ibanze (ER)?

Niba ukeneye kwihutira kunyara ariko ugasanga udashobora kuva inkari na gato, cyane cyane niba ubabara mu nda yo hasi cyangwa mu kibuno, jya mu cyumba cy’ubutabazi bw’ibanze kiri hafi yawe. Iki ni ikibazo kidakwiye gutinda.

Ibibazo by'ingenzi ugomba kubaza muganga wawe

Iyo ugiye kwa muganga wawe, menya neza ko ubaza ibibazo bikurikira:

• Utekereza ko impamvu nyamukuru ituma ndushaho kunyara ari iyihe?
• Ni ibihe bipimo byo gusuzuma indwara usaba?
• Ese hari ibindi bipimo ngomba gukorerwa?
• Ni iyihe gahunda yo kuvura ungira inama?
• Ese ingorane mfite zo kunyara zishobora gukemuka burundu iyo mvuwe?

Ubutumwa bwo kujyana mu rugo

Si ingingo tuganiraho buri munsi, ariko twese tuzi ko kugabanya uruhago rwuzuye bigabanya ububabare. Iyo ikintu kikubangamiye mu buryo bworoshye kandi bwuzuye, bishobora kugutera agahinda no kugorana. Ibi nibyo twita "Ubwoba bwo kunyara".

Niba ibintu byoroshye byo mu rugo bitagufashije kugabanya ibimenyetso by'uburwayi bwawe, ntugire isoni zo kuvugana na muganga. Nta kintu na kimwe cyo kugira isoni iyo bigeze ku gushyira ubuzima bwawe imbere muri Nirogi Lanka. Niba urimo ugorwa, nyamuneka hamagara abaganga kugira ngo bakuvure.

Amagambo ahinnye: Kudatinya inkari, kugorwa no kunyara, Kudatinya inkari, BPH, prostate, kwandura mu nzira y'inkari, ibimenyetso by'inkari