Wakambonzwa sekunge wakaoma kutanga kuita weti here, kana kuti uchiri kuita weti mudundira rako mushure mekunge wapedza kuita weti ? Pamwe weti yako inoyerera zvishoma nezvishoma uye inoramba ichibuda. Unofanira kumuka kakawanda husiku here kuti uite weti ? Izvi hazvisi zviratidzo zvekusateerera. Kuvharirwa kweBladder Outlet (BOO) ingangodaro iri chikonzero chekurapa chekusagadzikana uku. Nhasi, tichataura nezvazvo nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Dundira?
Funga nezvedundira rako sebharumu rakazadzwa nemvura. Paburi rebharumu iri ndipo panobuda weti muurethra. Kuvharika kwedundira zvinoreva kuti pane kuvharika kweimwe nzira uko weti inobuda mudundira. Kuvharika uku kunononotsa kuyerera kweweti, kana kuti kunogona kuimisa zvachose.
Dambudziko iri rinowanzoitika kuvarume vane makore anopfuura 65. Asi rinogonawo kuitika kuvakadzi, vechidiki, vana vadiki, uye kunyange mumwana ari mudumbu. Dambudziko iri, rinoitika mudumbu, rinonziwo Fetal Lower Urinary Tract Obstruction (LUTO). Idambudziko rakaoma uye risingawanzoitiki.
Vakadzi, kunyanya avo vane dundira rakabuda (Cystocele), vane mukana mukuru wekuva nedambudziko iri.
Ndezvipi zviratidzo zvechirwere ichi?
Munhu ane Blidder Outlet Obstruction anogona kusangana nematambudziko akasiyana-siyana. Kana zviratidzo izvi zvikabatana, tinozviti Lower Urinary Tract Symptoms (LUTS). Tarisa uone kana uine zviratidzo izvi zvakare.
| Chiratidzo | Izvi zvinorevei? |
|---|---|
| Kuoma kutanga kuita weti | Kunyangwe ukaedza kuita weti , zvinotora masekondi mashoma kana kupfuura kuti weti itange kubuda. |
| Dundira harisi kubuda zvachose | Kunyangwe wapedza kuita weti, unonzwa sekunge mukati mayo muchiri weti. |
| Kuyerera kweweti kusina simba, kunoitika nguva nenguva | Weti haibudi nesimba, inobuda zvishoma nezvishoma. Dzimwe nguva rwizi runomira kwenguva yakati, rwotangazve. |
| Kuita weti kakawanda husiku | Kana wakarara zvakanaka, unofanira kumuka kuti uite weti kaviri kana katatu husiku kana kupfuura. |
| Kuda kuita weti kakawanda | Ndinofanira kuita weti kakawanda pazuva, asi ishoma chete inobuda nguva imwe neimwe. |
| Kuda kuita weti nekukurumidza | Pandinongonzwa kuda kuita weti , handigoni kuibata uye ndinofanira kumhanyira kuchimbuzi. |
| Kurwadziwa mudumbu repazasi kana kumativi ese ekumashure | Kuzara kwedundira nekuda kwekusachengeta weti kunogona kukonzera kurwadziwa mudumbu rezasi kana kurwadziwa kumativi ese emusana nekuda kwemigumisiro paitsvo. |
| Marwadzo panguva yekuzviitira weti | Kupisa kana kurwadziwa pakuita weti (kunyanya kana paine hutachiona) |
Sei izvi zvichiitika? Ndezvipi zvikonzero zveizvi?
Panogona kuva nezvikonzero zvakasiyana-siyana zvekuvhara nzira yeweti iyi.
Chikonzero chikuru chinobata varume
Chikonzero chikuru chechirwere ichi kuvarume ikukura kweprostate gland . Mukurapa tinoidaidza kuti Benign Prostatic Hyperplasia (BPH).Prostate igland diki riri pasi pedundira, rakakomberedza urethra. Sezvaunokura, kazhinji mushure memakore makumi mashanu, gland iri rinotanga kukura zvishoma nezvishoma. Iyi haisi kenza. Zvisinei, gland iri parinokura, rinotanga kuvhara urethra. Ndipo panotanga kuoma kuita weti.
Zvimwe zvikonzero zvakajairika
Kuwedzera kuBPH, zvimwe zvinhu zvakawanda zvinogona kukanganisa izvi.
- Kuoma kwemudumbu: Mavanga anogona kuumbwa muurethra nekuda kwehutachiona, tsaona, kana kuvhiyiwa, zvichiita kuti nzira ive diki.
- Matombo eDundira: Kana zvicherwa zvikaungana mudundira zvoita matombo, zvinogona kugara muurethra zvovhara nzira yeweti.
- Kudonha kwenhengo dzechiuno: Mune vamwe vakadzi, kunyanya vakadzi vakwegura vane vana vakawanda, dundira kana chibereko zvinogona kudonha zvichidzika munhengo yemukadzi. Izvi zvinogona kukonzera kuti urethra ikotame uye ivharike.
- Kuzvimbirwa Zvakanyanya: Mumunhu ane kuvimbirwa kwakanyanya, tsvina inozadza rectum inogona kudzvanya dundira neurethra.
- Zvirwere zvegomarara: Kuvharika uku kunogonawo kukonzerwa nezvirwere zvegomarara zvakaita segomarara reprostate, gomarara redundira, uye gomarara remuromo wechibereko.
- Matambudziko etsinga: Dambudziko iri rinogonawo kuitika kana tsandanyama dzedundira dzisingashande zvakanaka nekuda kwedambudziko reuropi, musana, kana tsinga dzakabatana nedundira.
Chinhu chinonyanya kukosha ndechekuti kana uine zviratidzo izvi, usangofungidzira kuti, "Izvi zvakajairika sezvaunokura," wobva waona chiremba. Nekuti kana chikonzero chawanikwa chete, ndipo panogona kurapwa zvakanaka.
Chiremba anoongorora sei chirwere ichi chaizvo?
Kana ukaona chiremba ane zviratidzo izvi, anotanga anyatsoteerera zviratidzo zvako. Zvadaro, vachakuongorora. Munguva iyi, vanogona kukurudzira bvunzo dzinoverengeka kuti vaone chikonzero chaicho.
| Bvunzo | Chii chaunoona pane izvi? |
|---|---|
| Kuongororwa kweweti | Weti yako ichaongororwa kuti haina hutachiona, ropa, kana zvimwe zvirwere. |
| Kuongororwa kweRopa | Tsvaga kana itsvo dzichikanganiswa nekuchengetwa kweweti (kutarisa zvinhu zvakaita semazinga e creatinine). |
| Kuskena kweUltrasound | Izvi zvinoongorora itsvo, dundira, uye prostate (muvarume). Zvinogona kutarisa kana paine kuvharika, matombo edundira, uye weti yasara mushure mekushaya chinhu. |
| Cystoscopy | Muizvi, chubhu diki ine kamera diki inopfuudzwa muurethra yako, uye chiremba anotarisa zviri kuitika mukati medundira rako neurethra pachiratidziro. Izvi zvinogona kuona zvakajeka kana paine kuvharika, kutetepa, kana matombo chero kupi. |
| Kuedzwa kweUrodynamic | Iyi iongororo yakakosha inoyera kumanikidzwa uye mashandiro emhasuru dzedundira sezvarinozadza uye richidurura. |
Ndezvipi zvinorapwa izvi?
Chinhu chakanaka ndechekuti kune nzira dzakasiyana dzekurapa Blidder Outlet Obstruction, zvichienderana nechikonzero. Chiremba wako ndiye achasarudza nzira yakakodzera iwe.
- Mhando dzemishonga:
- Pakuvharika kwemasero eprostate (BPH), mishonga yakaita se alpha-blockers inozorodza tsandanyama dzakatenderedza gland inopihwa.
- Dzimwe nguva mishonga yakaita seFinasteride, inoderedza saizi yeprostate, inopiwawo.
- Mamwe marapirwo:
- Vakadzi vanogona kuwana zororo kubva kumatambudziko anokonzerwa nekudonha kwenhengo dzechiuno nemudziyo unonzi pessary, uyo unoiswa mukati memukadzi.
- Kurapa muviri kusimbisa tsandanyama dzepasi pechiuno kunobatsirawo vamwe vanhu.
- Kuvhiya nedzimwe nzira:
- Kuisa mvura mumuviri: Kana urethra yakavharwa zvachose, chubhu yenguva pfupi (Foley catheter) inopinzwa mudundira kuti ibudise weti. Vamwe vanhu vanozviitira kuiisa mumvura vari kumba.
- Kuvhiyiwa kubvisa kuvharika: Pazvirwere zvakaita seBPH, michina inopfuudzwa nemuurethra kubvisa zvikamu zvakavharika zveprostate (kuvhiyiwa kwakadai seTURP).
- Laser Lithotripsy: Kana paine matombo mudundira, anopwanywa obviswa nekushandisa laser beams.
- Urethroplasty: Kana urethra yakatetepa (stricture), kuvhiyiwa kunoitwa kuti chikamu chakatetepa chidzoke.
Kazhinji, kuvhiyiwa uku kunoitwa nenzira dzisinganyanyi kukuvadza . Izvi zvinoreva kuti kunoitwa pasina maburi makuru uye nepaburi diki, saka kugara muchipatara kupfupi uye kupora kunokurumidza.
Unofanira kutsvaga rubatsiro rwechiremba nekukasika rini?
Izvi zvakakosha zvikuru. Dzimwe nguva, izvi zvinogona kunge zviri zvekukurumidzira.
Kana uine kurwadziwa kusingatsungiririki mudumbu rako rezasi , kana kuti usingakwanise kuita weti kunyangwe mushure memaawa akawanda uchiedza , idambudziko. Zvakare, kana uine zviratidzo zvehutachiona hweweti, zvakaita sefivha, kutonhora, uye kudedera , enda kuchipatara chiri pedyo (ETU) nekukurumidza .
Kana chirwere ichi chikasarapwa, chinogona kukonzera matambudziko akakomba akadai sekutapukira kwemudumbu, kukuvara kweitsvo, kutadza kushanda zvakanaka kweitsvo, uye matombo edundira. Saka usaregeredza zviratidzo zvacho.
Mharidzo Yekuenda Nayo Kumba
- Usaregeredza matambudziko ekuita weti (kusashanda zvakanaka, kuoma kutanga, kuita weti kakawanda) uchifunga kuti "zvakajairika sezvaunokura."
- Kunyangwe chikonzero chikuru cheizvi chiri chekuti prostate gland yevarume inokura nekukura, chirwere ichi chinogonawo kuitika kuvakadzi nevarume vechidiki nekuda kwezvimwe zvikonzero.
- Kana chirwere ichi chikarapwa nekukurumidza, chinogona kukonzera kukuvara kweitsvo zvachose, saka kuongororwa nekukurumidza uye kurapwa kwakakosha zvikuru.
- Kana uine zviratidzo izvi, usanyara kana kutya kuona chiremba. Kazhinji, chirwere ichi chinogona kudzorwa zvakanaka nemishonga kana nzira dziri nyore.
- Kana uchinzwa kurwadziwa kusingatsungiririki kana kuti ukaramba uchiita weti zvachose, idambudziko. Enda kuchipatara kuEmergency Department (ETU) nekukasika.
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