Dzimwe nguva unonzwa sekunge uri kudonhedza madonhwe eweti netsaona pahembe dzako here? Kana kuti unonzwa sekunge wapedza kuita weti here? Izvi zvinogona kukunetsa. Asi zvinogonawo kuitika kana dundira rako reweti razara zvekuti harina kukwanisa kuchengeta weti yakawanda. Nhasi, tichataura nezvechirwere chinonzi "Overflow Incontinence".
Chii chinonzi "Kusazvidzora Kuwanda Kwemvura"?
Zvichitaurwa zviri nyore, kusazvidzora zvakanyanya kunoitika kana dundira rako rakazara zvekuti haugone kuridzora uye weti imwe inobuda. Zvakafanana netangi remvura rinofashukira paunoridzima. Izvi zvinogona kuitika kana uchifanira kuita weti kakawanda, asi haugone kubvisa weti yese nguva dzose.
Vanhu vazhinji vanofunga kuti zvakajairika kuti munhu abude weti shoma sezvaunokura. Ichokwadi kuti njodzi yechirwere ichi inogona kuwedzera nekukura. Asi hachisi chinhu chinoitika kune wese munhu. Chirwere ichi, chinonzi ``Overflow Incontinence``, chinogona kuitika kune chero ani zvake.
Zvakajairika kunzwa kunyara, kutsamwa, kana kusuruvara nezveizvi. Asi haudi kuti chirwere ichi chikanganise hupenyu hwako hwezuva nezuva. Chinhu chakakosha kutaura nachiremba nezvazvo, kuwana chikonzero chaicho, uye kuwana kurapwa kwakakodzera. Ungangokwanisa kuwana rubatsiro nemishonga yechisikigo, mishonga, kana mamwe marapirwo ekubatsira kudzora chirwere ichi.
Pane dzimwe mhando dzekutadza kudzora weti here?
Ehe, "Overflow Incontinence" imhando imwe chete yekusagona kudzora weti. Hazviwanzoitiki. Kune mhando dzakawanda dzinozivikanwa:
- Kusazvidzora pakuzvidzora: Izvi zvinoitika kana weti shoma ikarasikirwa kana paine kumanikidzwa padumbu, senge pakuseka, kukosora, kana kuhotsira.
- `(Kuda Kusazvidzora)`: Apa ndipo paunoerekana wava nechido chakasimba chekuda kuita weti , uye worasikirwa neweti usati watomboenda kuchimbuzi.
- `(Mixed Incontinence)`: Izvi zvinogona kuva nezviratidzo zvemhando dze`(Stress Incontinence)` uye `(Urge Incontinence)` dzataurwa pamusoro apa.
Chimbofungai, vangani vedu muSri Lanka vane dambudziko iri? Dzimwe ongororo dzinoratidza kuti munhu mumwe chete pavanhu vatatu muAmerica ane dambudziko rekusagona kudzora weti . Pavanhu ava, vanenge 5% chete ndivo vane dambudziko rekusagona kudzora weti zvakanyanya.
Ndezvipi zviratidzo zveizvi?
Kana uchifungidzira kuti une Overflow Incontinence, ziva zviratidzo izvi:
- Weti inogara ichidonha kubva muzvipfeko zvako, sepombi inodonha mvura isina kuvharwa zvakanaka.
- Kuda kuita weti nguva nenguva , asi weti shoma chete ndiyo inobuda.
- Kuoma kutanga kuita weti .
- Kana uchiita weti , inomira uye haiende nguva dzose.
- Kunyangwe uchifunga kuti wapedza kuita weti , uchiri kunzwa sekunge kune weti mudundira rako.
Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kutaura nachiremba nezvazvo.
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Chikonzero chikuru chekusazvidzora zvakanyanya ndechekugara kwenguva refu kweweti. Izvi zvinoreva kuti dundira harina kuzara zvachose. Dundira inhengo inokosha kwazvo mumuviri wedu weti. Pane zvikonzero zvakawanda zvinoita kuti dundira iri rizare:
- Kuwedzera kwekugadzirwa kweweti : Izvi zvinogona kuitika kuvanhu vane zvimwe zvirwere, zvakaita sechirwere cheshuga, kana avo vanotora mishonga inoita kuti vawete zvakanyanya, zvakaita se diuretics.
- Kuvharika kwenzira yekubuda nayo dundira : Izvi zvinodzivirira dundira kuti risabude zvachose.
- Kushaya simba kwetsandanyama dzedundira kana kukuvara kwetsinga: Izvi zvinoita kuti dundira risakwanise kukwenya zvakanaka uye kusundira weti kunze.
Ndiani ari panjodzi huru?
Varume, kunyanya avo vane matambudziko eprostate, vane mukana mukuru wekusagona kuzvidzora mushure mekuvhiyiwa kweprostate. Matambudziko akadai se benign prostatic hyperplasia (BPH) kana kenza yeprostate anogona kukonzera kuti urethra ivharwe, zvichikonzera kuti weti shoma ipfuure nepairi.
Mushure mekuvhiyiwa kweprostate nekuda kwekenza yeprostate, kana mushure mekurapa nemwaranzi, kana mushure mekuvhiyiwa kweurethra, dzimwe nguva mavanga anogona kuumbwa. Mavanga aya anogona kukonzera kuti urethra ive diki (urethral stricture). Kana izvi zvikaitika, dundira harigone kubuda zvachose, saka rinozadza zvakare nekukurumidza. Kana rizadza, weti inobuda.
Uye zvakare, uri panjodzi huru yekuve ne Overflow Incontinence kana uine zvirwere zvinotevera:
- Chirwere cheshuga
- Kukuvara kwetsinga
- Kukuvara kwemusana
Chiremba anoona sei izvi?
Kana uine zviratidzo zvekusagona kuzvidzora zvakanyanya, zvakakosha kuti uone chiremba. Iye achakubvunza nezvenhoroondo yehutano hwako, obvunza nezvezviratidzo zvako, uye oita bvunzo yemuviri. Ongororo iyi yemuviri inogona kusanganisira bvunzo yechiuno kana uri mukadzi, kana bvunzo yedhijitari yerectal (yekutarisa prostate yako) kana uri murume.
Kuti zvikubatsire kuongorora chirwere chako nemazvo, chiremba wako anogona kukukumbira kuti uchengetedze "dhayari redundira" kwemazuva maviri kusvika matatu. Mudhayari iyi, unofanira kunyora zvinotevera:
- Uri kunwa chii?
- Unonwa zvakawanda sei?
- Unoita weti kakawanda sei?
- Unobuda weti kakawanda sei?
- Weti yakawanda sei iri kubuda?
Pamwe chete nezvinhu izvi, chiremba anogonawo kukurudzira mimwe miedzo yakati wandei.
Miedzo ipi iri kuitwa?
Kuti uzive kana uine "Overflow Incontinence", unogona kuita bvunzo dzinotevera:
- Kuongororwa kweweti: Muenzaniso weweti unotorwa kubva kwauri woongororwa kuti hauna utachiona hweweti (UTIs) uye ropa riri muweti (hematuria).
- Ultrasound yemudumbu: Izvi zvinoshandisa mafungu eruzha ane ruzha rwakanyanya kutora mifananidzo yakadzama yedundira rako, itsvo, nedzimwe nhengo dziri mudumbu rako. Zvinogonawo kutarisa kuti weti yakawanda sei yasara mudundira rako mushure mekunge waita weti .
- Cystoscopy: Muizvi, chubhu yakatetepa, ine chiedza ine kamera yakabatanidzwa (cystoscope) inopinzwa kuburikidza neurethra yako mudundira rako kuti iongorore system yako yeweti.
- Voiding Cystogram (VCUG): Muongororo iyi , catheter yeweti inopinzwa kuburikidza neurethra yako mudundira rako, chinhu chakakosha (dhayi yekuenzanisa) chinopinzwa kuburikidza naro, uye mifananidzo yeX-ray inotorwa. Chinhu ichi chinoita kuti chiremba aone kuti dundira rako rinotaridzika sei kana razara uye rabuda.
- Kuongororwa kweUrodynamic: Iyi iongororo dzakawanda dzinoongorora kuti dundira rako nezvimwe zvikamu zvehurongwa hweweti zvinobata nekuburitsa weti zvakanaka sei. Izvi zvinogona kusanganisira bvunzo yeweti yakasara mushure mekushaya chinhu, iyo inoyera huwandu hweweti inosara mudundira rako mushure mekuita weti .
Izvi zvinodzorwa sei uye ndeapi marapirwo azvo?
Kurapwa kwekusagona kuzvidzora zvakanyanya kunoenderana nechikonzero chaicho. Dzimwe nguva unogona kugadzirisa dambudziko racho nenzira yechisikigo.
Zvinhu zvaunogona kuita nenzira yechisikigo:
- Kudzidziswa kwedundira kana kuburitsa dumbu panguva yakatarwa:Izvi zvinosanganisira kuenda kuchimbuzi panguva dzakatarwa mukati mezuva (semuenzaniso, maawa maviri kusvika matatu ega ega) kunoitira weti . Chinangwa ndechekubvisa tsvina mudundira rako risati razara, kunyangwe kana usinganzwe kuda weti .
- Kubvisa weti kaviri: Muizvi, kana wapedza kuita weti kamwe chete, unomirira kwenguva yakati rebei usati waedza kuita weti zvakare. Kana kuti, unoedza kubvisa weti zvachose mudundira rako nekudzvanya (kumira pasi).
Kurapwa:
Kurapa kunosiyana zvichienderana nechikonzero. Kurapa kwako kunogona kusanganisira:
- Mishonga: Kana chirwere ichi chikakonzerwa nekukura kweprostate, mushonga unogona kupiwa kuti uderedze.
- Kuvhiyiwa: Kana paine chinhu chakavharika munzira yeweti, chiremba angangoda kuvhiyiwa kuti chibviswe.
- Kuzvigadzira wega kana kuti kuchenesa nguva nenguva (CIC): Mukuita izvi, unoisa catheter mudundira rako nguva nenguva mukati mezuva kuti ubvise dundira rako. Catheter inobviswa kana wapedza.
- Kuiswa kwekatheta mumuviri: Mukuita izvi, katheta inosara mudundira kwenguva yakareba. Weti inounganidzwa mubhegi rekubudisira weti kunze kwemuviri.
- Catheter yeSuprapubic: Mukuita uku, chiremba anoisa chubhu inogara iripo zvakananga mudundira rako kubva mudumbu rako rezasi. Weti inounganidzwa mubhegi. Maitiro aya haashandisi urethra.
- Sacral neuromodulation (kukurudzira tsinga): Chiremba anoisa waya yakatetepa kumusana wako wepazasi. Inoiswa pamwe chete netsinga inobatanidza nedundira rako uye inopa kukurudzira kunyorova, kunoramba kuchienderera mberi kuti dundira rako rinyatsomira zvakanaka. Bhatiri diki rinoiswa pasi peganda rako.
Mishonga yerudzii inoshandiswa?
Kana uine dambudziko rekusazvidzora mumuviri nekuda kwekukura kweprostate, chiremba wako anogona kukupa mushonga we alpha-blocker kuti ubatsire kuderedza prostate yako. Semuenzaniso:
- `(Alfuzosin)`
- `(Doxazosin)`
- `(Silodosin)`
- `(Tamsulosin)`
- `(Terazosin)`
Musakanganwa kuti mishonga iyi inofanira kushandiswa chete kana mapihwa mazano nachiremba.
Mamwe matambudziko anogona kumuka kubva pane izvi
Vanhu vane dambudziko rekusazvidzora mumuviri vanogona kubuda weti shoma, asi nekuda kwekuti zvinoitika kakawanda, vanogona kubuda weti yakawanda pakupera kwezuva.
Weti iyiUnogona kushandisa zvipfeko zvemukati zvinonyudza mvura uye machira emuweti kuti unye weti. Zvisinei, unogona kunetseka nezvekunhuhwirira kwayo uye kana ichaonekwa nehembe dzako. Unganzwa kutya kubuda panze wova pedyo nevanhu. Izvi zvinogona kukonzera kusurukirwa, kuzvidya mwoyo, uye kuora mwoyo. Kugara uchinwa weti kunogonawo kukonzera mapundu nekukuvara paganda.
Chinonyanya kukosha ndechekuti, kana dundira risina kubviswa zvachose, njodzi yezvirwere zvemudumbu (UTIs) inowedzera, zvichireva hutachiona hwedundira, prostate, neitsvo. Uyewo, weti yasara inogona kutungamira pakuumbwa kwematombo edundira. Matombo aya anogona kukonzera hutachiona, kuzvimba, uye kurwadziwa. Kumanikidzwa kubva kudundira rizere nguva dzose kunogonawo kukonzera kukuvara kweitsvo.
Ungazvidzivirira sei kubva pane izvi? (Kudzivirira)
Kudzidzisa dundira uye kubvisa tsvina kaviri kunogona kubatsira kudzivirira dundira rako kuti risafashukire uye kukonzera kubuda kweweti . Zvakakoshawo kuchinja mararamiro ako, zvakaita sekurapa zvirwere zvakaita sechirwere cheshuga uye kuchengetedza huremu hwakanaka.
Ko chirwere ichi chicharapwa zvachose here?
Kazhinji, vanhu vane dambudziko rekusagona kudzora weti zvakanyanya vanozorapwa kana dambudziko rekusagona kudzora weti rapera. Katheta yemushonga weti haiwanzodiwi. Saka, zvakakosha kutaura nachiremba wako. Iye anogona kukukurudzira nzira dzinoshanda dzekugadzirisa dambudziko rako rekusagona kudzora weti zvakanyanya uye kuderedza kukanganisa kwaro muhupenyu hwako.
Ndinozvitarisira sei?
Unogona kushandisa zvipfeko zvemukati zvinonyudza kana mapedhi kuti zvibatsire kunyudza weti paunenge uchirapwa. Zvakakoshawo kudzivirira ganda rako kubva kumapundu nemavanga. Kushandisa petroleum jelly kana kirimu ine zinc oxide kunogona kubatsira kudzivirira kutsamwa kweganda.
Kana uchinzwa kushushikana, kuzvidya mwoyo, kana kuora mwoyo nekuda kwekusagona kuzvidzora zvakanyanya, zvakanakawo kutaura nachiremba wepfungwa kana mupi wezano kana chiremba wepfungwa.
Ndinofanira kuona chiremba rini?
Kana uine chimwe chezviratidzo izvi, enda kuna chiremba nekukasika:
- Kana ukanzwa kuda kuita weti zvakare mushure mekunge wapedza kuita weti .
- Kana uchinzwa kurwadziwa mudumbu rako repazasi, kumusana, kana panzvimbo yesikarudzi paunenge uchiita weti .
- Kuoma kwekuita weti : Izvi zvinoreva kuti zvakaoma kutanga kuita weti .Kutadza kuita weti, kuita weti kakawanda, kana kusakwanisa kuita weti zvachose.
- Kana uine zviratidzo zvehutachiona, zvakaita sefivha kana kutonhora.
- Kana ropa riri muweti.
Mibvunzo ipi yaunofanira kubvunza chiremba?
Unogona kubvunza chiremba mibvunzo yakaita seiyi:
- Chii chinokonzera kuchengetwa kweweti uye kusazvidzora zvakanyanya?
- Ndedzipi bvunzo dzamunokurudzira?
- Zvakabuda muongororo yangu zvinoti chii?
- Pane mishonga yandingaedza kumba here?
- Ndedzipi nzira dzekurapa dzamunokurudzira?
- Kuisa catheterization kana kuti kukurudzira tsinga kwakakodzera kwandiri here?
- Ndeipi njodzi dzekurapa ikoko?
- Ndinofanira kuona chiremba wezvemudumbu here?
Pakupedzisira, zvinhu zvekurangarira
Kusazvidzora zvakanyanya kunogona kuva chirwere chinoisa upenyu panjodzi. Zvinogona kuita kuti unzwe kusagadzikana uye utye kuenda kuchimbuzi. Asi hazvisi zvinhu zvakajairika pakukwegura, uye kurapwa kunogona kubatsira. Nekurapwa kwakakodzera, kusazvidzora zvakanyanya kunogona kuvandudzika zvakanyanya, uye dzimwe nguva kutopera zvachose. Saka, kana uine mibvunzo kana zvinokunetsa nezveizvi, taura nachiremba wako. Usatya kukumbira rubatsiro.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Kusazvidzora zvakanyanya kunowanzoitika patinokura here?
Kwete. Kusagona kudzora weti chirwere chinokanganisa vanhu vemazera ese. Kusagona kudzora weti zvakanyanya kunoitika kana dundira rako rikazara nguva dzose (sekunge rinobuda ropa zvakanyanya) uye usingatombozvizivi (usina kunzwa nyota).
💬 Sei ndisinganzwi kurwadziwa kunyangwe dundira rangu rakazara?
Kazhinji, chikonzero chikuru cheizvi kukuvara kwetsinga dzemudumbu nekuda kwechirwere cheshuga chakakomba. Kana tsinga dzikamira kushanda, chiratidzo hachiendi kuuropi kana dundira razara. Kune rumwe rutivi, kuvarume, izvi zvinoitikawo kana prostate gland ichizvimba uye ichivhara urethra.
💬 Kungopfeka manapukeni chete here?
Kwete zvachose! Kune mishonga inoshanda pane izvi kupfuura kupfeka manapukeni. Kana urethra yakavharwa, inogona kucheneswa nekuvhiyiwa (TURP). Kana dundira risiri kugadzikana nekuda kwedambudziko retsinga, zvinokwanisika kubvisa weti wega nekuisa chubhu yakachena (self-catheterization) kakawanda pazuva.
Kusazvidzora zvakanyanya , Kudzora Weti, Dundira, WetiKubuda kwemvura, Prostate, Utachiona hweWeti, Hutano hweSri Lanka











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