Ese nawe ufite ikibazo cyo kunyara? (Kutinda ku nkari) Reka tubiganireho!

Ese hari igihe utegereza akanya gato kugira ngo inkari zawe zisohoke? Cyangwa uhita uhagarika mu buryo butunguranye mu gihe uri kunyara , hanyuma gato kagasohoka iyo wongeye kugerageza? Niba ibi byarakubayeho, ushobora no kugira ikibazo tuvuga uyu munsi, 'kugorwa no kunyara '. Ibi bizwi mu buvuzi nka `(Urinary Hesitancy)`. Reka tubiganireho birambuye.

Ni iki kigoye mu kunyara ? (Kutinda ku nkari mu magambo make)

Mu magambo make, `(Kutinda kunyara)` bivuze ko ufite ingorane zo kunyara (ni ukuvuga kunyara). Ibi bivuze ko ushobora kugira ingorane zo gutangira kunyara , cyangwa ushobora kugira ingorane zo gukomeza kunyara ku muvuduko uhamye kandi uhamye. Hari igihe ushobora guhagarika kunyara nubwo waba ugishaka kunyara .

Ibi bishobora kuba kuri buri wese, ariko niba uri umugabo, ushobora guhura n'iki kibazo.

Abaganga bakoresha ijambo "gutinda" bashaka kuvuga ingorane zo gutangira kunyara cyangwa ingorane zo kugumana inkari .

Ni ibihe bimenyetso ubona muri iki kibazo?

Ibimenyetso by'ingenzi bya "Kutinda ku nkari" ni ukugorwa no gutangira kunyara no guhagarika kunyara mbere yuko uruhago rushira burundu. Byongeye kandi, hari n'ibindi bimenyetso bishobora kubaho.

• Kumva ukeneye kunyara ariko ntushobore kunyara .
• Gushaka kunyara .
• Kumva inkari zawe zigenda buhoro cyane, cyangwa nk'aho inkari zawe zigenda buhoro.
• Gutemba, ndetse no nyuma yo kurangiza kunyara .

Ibindi bimenyetso usibye kugorwa no kunyara

Hari igihe iyi ndwara yo "Kutinda ku nkari" ishobora gutera "Kugumana inkari" cyangwa se kunanirwa kunyara . Muri iki gihe, ishobora guherekezwa n'ibimenyetso nk'ibi:

• Kumva ububabare mu nda yo hasi.
• Kumva nk'aho inda yawe yabyimbye.
• Kuva inkari nke utabizi (byitwa "Incontinence y'inkari").

Kuki ibi bibaho? Impamvu ni izihe?

Hari impamvu nyinshi zishobora gutuma kunyara bigorana. Reka turebere hamwe izo ari zo.

Impamvu ikunze kwibasira abagabo

Impamvu ikunze kugaragara ni ukwiyongera kwa prostate gland (Benign Prostatic Hyperplasia - BPH).Ibi bikunze kugaragara ku bagabo barengeje imyaka 60. Prostate ni agahu gato gafite abagabo gusa. Gaherereye munsi y'uruhago, gakikije urethra. Rero iyo gakuze, gashobora gukanda urethra no kubuza inkari gutembera.

Izindi mpamvu zisanzwe

Byongeye kandi, hashobora kuba hari izindi mpamvu nyinshi:

• Indwara zo mu nkari (UTI) cyangwa indwara zo mu rukenyerero: Izi ni indwara zikunze kugaragara muri twe.
• Prostatite: Iyi ni indwara aho prostate ibyimba ikandura.
• Inkovu n'ubugari bw'umuyoboro w'inkari (Urethral Stricture): Umuyoboro w'inkari ushobora gucikamo ibice uhereye imbere bitewe n'impanuka cyangwa ubwandu.
• Kunyara cyane: Iyo kunyara cyane, bishobora gushyira igitutu ku ruhago no kugira ingaruka ku kunyara .
• Imiti imwe n'imwe: Urugero, imiti imwe n'imwe igabanya ubukana bw'indwara zo kwiheba (Tricyclic Antidepressants), imiti ivura indwara zo kutagira inkari, hamwe n'imiti imwe n'imwe ivura ibicurane na aleriji na byo bishobora gutera ibi.
• Kudashobora kuruhuka imitsi yo hasi mu kibuno neza: Iyi mitsi igomba kuruhuka iyo irimo kunyara . Iyo idatuje neza, bishobora kugorana kunyara (Kudakora neza kw'ikibuno mu kibuno).
• Indwara z'imitsi: Indwara z'imitsi aho ibimenyetso biva mu bwonko bijya mu ruhago bidakora neza. Urugero, indwara zo mu bwonko, indwara zo mu bwonko ziterwa na MS (multiple sclerosis), cyangwa indwara z'imitsi ziterwa na diyabete.
• Kugabanuka kw'uturemangingo tw'impyiko: Iyo imitsi yo mu kibuno icitse intege, ingingo nk'uruhago zishobora kugabanuka. Ibi bishobora no kugira ingaruka ku kunyara .

Ni nde ushobora kugira ingaruka kuri iki kibazo?

Nkuko byavuzwe mbere, ibi bishobora kuba ku muntu uwo ari we wese, ku myaka iyo ari yo yose. Ariko, bikunze kugaragara ku bagabo barengeje imyaka 60 bafite prostate yagutse (BPH).

Ni gute umuganga abimenya?

Iyo ubwiye umuganga w’umuryango wawe (Umuganga w’ibanze - PCP) ko ufite ikibazo cyo kunyara , azakubaza ibimenyetso byawe, agufashe amateka y’ubuzima bwawe, kandi agukorere isuzuma ry’umubiri.

Ibibazo byo kukubaza

Umuganga ashobora kubaza ibibazo nk'ibi:

• Umaze igihe kingana iki uhura n'iki kibazo cyo kunyara ?
• Ese wumva urimo kunyara buhoro kurusha uko bisanzwe?
• Ese ibi bimenyetso byaje mu buryo butunguranye, cyangwa byagiye byiyongera buhoro buhoro?
• Ese hari umuti ushobora gufata muri farumasi kugira ngo ubone ubutabazi kuri ibi?
• Ese wigeze wumva ko ubu burwayi bwiyongera iyo urya ibiryo bimwe na bimwe cyangwa ukoze ibintu bimwe na bimwe?

Ukurikije ibisubizo byawe kuri ibi bibazo, muganga ashobora kumenya neza uko ibintu bimeze.

Ni ibihe bizamini bikorwa?

Nyuma y’ibyo, muganga ashobora gutegeka ko hakorwa ibizamini kugira ngo hemezwe imiterere y’indwara yo gucika intege mu nkari no gushaka impamvu.

• Ibizamini bya Urodynamic: Iki ni uruvange rw'ibizamini byinshi. Ibi bireba:
• Unyara zingana iki?
• Umuvuduko wawe wo kunyara n'imbaraga zawe byifashe bite?
• Umuvuduko uri mu ruhago rwawe umeze ute?
• Ibizamini byo gupima: Urugero, scan ya ultrasound cyangwa CT scan ishobora gutangwa. Ibi bishobora kureba uburyo uruhago rwawe rwuzuza n'uko rusohoka, ndetse bishobora no kugenzura ingano ya prostate yawe. Hari igihe cystoscopy, ikubiyemo gushyiramo kamera nto mu muyoboro w'inkari kugira ngo irebe imbere mu ruhago rwawe, ishobora gukorwa.
• Isuzuma rya digitale rectal: Ibi bikubiyemo gusuzuma ingano ya prostate n'intoki.
• Isesengura ry'inkari: Hafatwa icyitegererezo cy'inkari zawe hanyuma ibikubiye muri zo (ibipimo bya microscope, imiti) bigapimwa.
• Gupima inkari: Iki kizamini gikorwa kugira ngo harebwe niba hari ubwandu bwa bagiteri mu nkari .

Ni ubuhe buryo bwo kuvura ingorane zo kunyara ?

Uburyo bwo kuvura ikibazo cyo gutinda ku nkari buterwa n'impamvu ndetse niba ufite izindi ndwara. Muganga wawe ashobora kukugira inama yo kuvura ibi bikurikira:

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

Reka turebe buri kimwe muri ibi mu buryo burambuye.

Kwitoza imyanya y'inkari (Gukoresha inzoga ku gihe)

Ibi bikubiyemo kongera kumenyereza imitsi y'inkari. Ibi bikubiyemo kujya kunyara buri gihe (ubusanzwe buri masaha abiri). Ibi bikorwa ukuraho uruhago rwawe mbere yuko rwuzura. Nubwo waba wumva udashaka kunyara , ugomba kugerageza kujyayo buri gihe.

Ubuvuzi bw'umubiri bwo hasi mu gituza

Ibi bikubiyemo kukwigisha imyitozo izagufasha kuruhuka imitsi yo mu kibuno cyawe. Iyo iyi mitsi iruhutse neza, biroroha kunyara .

Imiti

Muganga ashobora kuguha imiti yo guhagarika prostate gukura cyangwa kugabanya iyisanzwe (urugero: Dutasteride, Finasteride). Cyangwa ashobora kuguha imiti yo kugabanya imitsi y'uruhago n'iya prostate (Alpha-blockers). Niba hari ubwandu, azaguha imiti igabanya ubukana bw'udukoko.

Kubaga

Iyo urethra yagabanutse, hashobora kubagwa kugira ngo yongererwe (Urethral Dilation) cyangwa yongere ivugururwe (Urethral Reconstruction). Iyo prostate gland yagutse bitewe na BPH, hari uburyo butandukanye bwo kubaga kugira ngo ikureho ingingo zirenze urugero. Bumwe ni ubworoshye kandi bushobora gukorerwa kwa muganga. Ubundi ni ukubaga hakoreshejwe ingufu z'amashanyarazi cyangwa laser. Hari igihe kubaga kugira ngo hakorwe igice cyangwa prostate gland yose (Prostatectomy). Iyo ingingo zo mu kibuno zagabanutse (Pelvic Organ Prolapse), hari kubagwa kugira ngo ingingo zisubire mu mwanya wazo no kuzishyigikira kugira ngo zitazongera kugwa.

Gukangura imitsi yo mu bwoko bwa Sacral

Muri ibi, agakoresho gato kitwa "Neurostimulator" gashyirwa munsi y'uruhu hafi y'amatako yawe. Iki gikoresho cyohereza amashanyarazi meza cyane hafi y'imitsi yo mu ruhago rwawe kugira ngo gitere imitsi y'uruhago.

Ni ibihe bintu ushobora gukora mu rugo?

Mu bihe bimwe na bimwe, kuganira na muganga wawe no gukora ibintu byoroheje mu rugo bishobora kugufasha kugabanya iyi ndwara (Kubura akanya ko kunyara).

• Ubushyuhe: Ibintu nko kwiyuhagira bishyushye cyangwa gushyira icupa ry'amazi ashyushye cyangwa agakoresho ko gushyushya ku nda yo hasi bishobora kuruhura imitsi yo hasi mu kibuno, bigatuma byoroha kunyara .
• Massage: Mu gihe uri kunyara , gukanda buhoro buhoro inda yo hasi (aho uruhago ruri) n'intoki zawe cyangwa gushyiramo umuvuduko muto bishobora gufasha kongera umuvuduko n'imbaraga by'inkari zawe .
• Imiti yoroshya umwijima cyangwa imiti yoroshya umwijima: Niba ufite impatwe, gufata ibiryo, ibinyobwa n'imiti ikwiye (mu cyiciro cy'imiti yoroshya umwijima) kugira ngo amara yawe akomeze kugenda neza bizafasha imikorere y'uruhago.

Igikuru ni uko mbere yo kugerageza ubu buryo bwo kuvura mu rugo, ugomba kugisha inama muganga kandi ukabikora gusa ari uko ababwiye ati "nta kibazo kuri wewe kubikora."

Ibyiza byo kwandika "agasabo k'inkari"

Muganga wawe ashobora kandi kugusaba kugira "ikaye y'inkari", igitabo cyandika ibintu bifitanye isano n'inkari yawe. Muri cyo, ugomba kwandika ibintu nk'ibi:

• Ingano y'amazi n'ibinyobwa unywa ku munsi.
• Ingano y'inkari unyara (ipima niba bishoboka).
• Umuvuduko wo kunyara (nk'uko bigenda neza cyangwa buhoro).
• Bifata igihe kingana iki kugira ngo umuntu yoroherwe ?
• Unyara kangahe ku munsi?
• Byongeye kandi, ushobora kugira ibindi bimenyetso.

Mu kubika ikaye nk'iyi, wowe na muganga wawe mushobora gusobanukirwa neza iki kibazo.

Nzakira vuba gute nyuma yo kuvurwa?

Ibi biterwa cyane n'impamvu ituma utinya kuvura inkari ndetse n'uburyo wahawe imiti.

• Ubuvuzi bw'umubiri bwo mu gituza (Pelvic Floor Physical Therapy) bushobora gufata ibyumweru byinshi kugira ngo bubone umusaruro.
• Imiti iruhura imitsi ishobora gufata amasaha menshi kugira ngo itangire gukora.
• Nyuma yo guterwa igikoresho gikangura imitsi yo mu bwoko bwa sacral , bishobora gufata ibyumweru byinshi kugira ngo haboneke umusaruro.
• Bishobora gufata amezi menshi kugira ngo umuntu akire neza nyuma yo kubagwa .

Ese iki kibazo gishobora kwirindwa?

Ntidushobora gukumira impamvu zose zitera `(Gutinda ku nkari)`. Ariko, gukomeza kugira ingeso nziza zo kunyara no kwirinda impatwe bishobora gufasha ku rugero runaka. Ni ukuvuga ko ugomba kunyara buri masaha make, ntugafatire inkari zawe . Nanone, ugomba kugira imyitozo ngororamubiri myiza kandi yoroheje rimwe ku munsi.

Ni ibihe bihe byiza byo kujya kwa muganga?

Jya kwa muganga ukimara kubona ko ufite ikibazo cyo kunyara cyangwa ko inkari zawe zigenda buhoro kurusha uko bisanzwe. Ntukirengagize ibimenyetso byawe cyangwa ngo wibwire ko "bizashira ubwabyo." Bishobora gutera isoni kuvuga ku kunyara , ariko ni ngombwa guhita usuzuma ikimenyetso gishya.

Ese ukeneye kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ?

Niba wumva ushaka cyane kunyara ariko ntushobora gusohora inkari , cyane cyane iyo bijyana no kubabara mu nda yo hasi cyangwa mu gitsina, jya mu cyumba cy’ubutabazi bwihuse (ER). Iki ni ikintu udakwiye gutinda.

Ibibazo by'ingenzi ugomba kubaza muganga

Iyo ugiye kwa muganga, ntukibagirwe kubaza ibibazo nk'ibi:

• Utekereza ko impamvu ituma ngira ikibazo cyo kunyara ari iyihe, muganga?
• Ni ibihe bipimo nsabwa gukora?
• Ese nkeneye gukora ibindi bizamini?
• Ni ubuhe buryo bwo kuvura nsabwa?
• Ese ingorane zanjye zo kunyara zizigera zirushaho kuba nziza?

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Nubwo atari ikintu twese tuvugaho buri munsi, iyo ufite inkari nyinshi, ni byiza cyane kuvanamo burundu uruhago rwawe no kunyara , sibyo? Ariko icyarimwe, tekereza ukuntu bibabaza kandi biteye isoni iyo udashobora kunyara neza kandi burundu kandi hari ikintu kikubangamira. Ibyo nibyo byitwa `(Kutinda kunyara)`.

Niba imiti yoroshye yo mu rugo idafasha ibimenyetso byawe, ntugatinye kuvugana na muganga. Nta kibazo kiri mu kwita ku buzima bwawe, kandi nta cyo ugomba kugira isoni. Niba ufite ikibazo, shaka ubufasha ukeneye.

Kugumana inkari, kugorwa no kunyara , gutinda ku nkari, BPH, Prostate, kwandura indwara zo mu nkari, ibimenyetso by'inkari