Ngaba kufuneka uchame rhoqo? Akukho ndlela yokulawula? Masithethe nge-Overactive Bladder (OAB)

Ulungiselela ukuya ndaweni ithile... okanye unomsebenzi obalulekileyo... uze ngequbuliso uzive ufuna ukuchama. Awunalo nexesha lokubaleka uye kwigumbi lokuhlambela. Ngamanye amaxesha unokude ukhuphe impahla yakho ungaqondanga. Ngaba ezi zinto zikwenza uzive ungakhululekanga kwaye uneentloni? Ngoko ke namhlanje siza kuthetha ngesihloko esibaluleke kakhulu kuwe. Esi sisinyi esisebenza kakhulu, okanye i-OAB ngamafutshane. Nangona le yinto abantu abaninzi abangathandiyo ukuthetha ngayo kwaye bazive beneentloni ngayo, yimeko eqhelekileyo kakhulu. Kwakhona, kukho unyango olufanelekileyo lwayo.

Yintoni kanye kanye i-Overactive Bladder (OAB)?

Ngamafutshane, i-Overactive Bledder ayisosifo, kodwa yingqokelela yeempawu. Okwenzekayo apha kukuba i-bladder yakho iyasebenza kakhulu. Ngokwesiqhelo, xa i-bladder igcwele, ingqondo ithumela umyalezo, isixelela ukuba kufuneka sichame. Nangona kunjalo, kumntu one-OAB, izihlunu ze-bladder ziqala ukufinyela ngequbuliso nangona i-bladder ingazalanga ngokupheleleyo. Kulapho ke kuvela khona imfuneko engxamisekileyo yokuchama engalawulekiyo.

Ezi zezona mpawu ziphambili ezibonwayo kwi-OAB.

Ngubani onokuba nethuba elingcono lokufumana le meko?

Nangona i-OAB inokuchaphazela abantu bayo nayiphi na iminyaka, ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-65 ubudala. Abafazi nabo banokufumana le meko kwangethuba kunamadoda, mhlawumbi baqale malunga neminyaka engama-45 ubudala.

Oku kuqhelekile kangangokuba izigidi zabantu kwihlabathi liphela zihlushwa yile meko. Kodwa abantu abaninzi baneentloni kakhulu ukuthetha ngayo, ngoko ke abafuni unyango. Yinto ebuhlungu leyo. Kuba le yinto enokulawulwa kakhulu ngonyango.

Kutheni oku kusenzeka? Zithini izizathu ze-OAB?

Umsipha we-detrusor ngumsipha oseludongeni lwesinyi sakho. I-OAB ibangelwa ziimeko ezithile okanye ukwenzakala okuchaphazela lo msipha. Makhe sijonge izizathu eziphambili.

• Ukulimala kwesisu: Ngexesha lokukhulelwa nokubeleka, ingakumbi kubasetyhini, izihlunu ezikwindawo ye-pelvic zinokolulwa kwaye zibe buthathaka. Ezi zihlunu zezona zibamba isinyi kunye nezinye izitho endaweni yazo. Xa zibuthathaka, isinyi sinokuwa kancinci, nto leyo echaphazela ukusebenza kwaso.
• Ukonakala kwemithambo-luvo: Cinga nje, isinyi sethu kunye nengqondo zinxibelelana ngemithambo-luvo. Kwenzeka ntoni ukuba ingqondo ifumana umyalezo ongalunganga wokukhupha isinyi sayo ngexesha elingafanelekanga? Yiloo nto eyenzekayo apha. Le mithambo-luvo ingonakalisa ngenxa yeemeko ezithile zonyango kunye neengozi. Umzekelo:
• Utyando lwePelvic okanye umqolo
• Iingxaki zomqolo (iidiski ze-herniated)
• Unyango ngemitha
• Isifo sikaParkinson
• Isifo sokugubhuka
• Istroke
• Amayeza athile, utywala, kunye ne-caffeine: Ezi zinokucothisa inkqubo yakho yemithambo-luvo kwaye zichaphazele imiqondiso eya engqondweni yakho. I-Diuretics (amayeza anyusa ukuchama) kunye ne-caffeine (iti, ikofu) nazo zinokubangela ukuba isinyi sakho sizale ngokukhawuleza, nto leyo enokubangela ukuba uchame ngokungalawulekiyo.
• Iintsholongwane:Xa kuvela into efana nosulelo lwendlela yomchamo (UTI), inokuvuselela imithambo-luvo yesinyi kwaye ibangele ukuba isinyi sinciphe ngokungeyomfuneko.
• Ubunzima obungaphezulu: Njengoko ubunzima bomzimba wakho busanda, bubeka uxinzelelo olongezelelweyo kwisinyi sakho. Olu xinzelelo lunokwenza kube nzima ukulawula umchamo wakho.
• Ukunqongophala kwe-estrogen emva kokuya exesheni: I-OAB inokwenzeka ngenxa yotshintsho lweehomoni oluvela emizimbeni yabasetyhini emva kokuya exesheni.

Uyifumana njani le nto, Gqirha?

Xa usiya kugqirha malunga nezi mpawu, into yokuqala aza kuyenza kukumamela ngononophelo into oza kuyithetha. Emva koko, uza kuhlola ngobunono indawo yakho ye-pelvic kunye nendawo ejikeleze i-anus yakho. Angabuza imibuzo efana nale:

• Zithini iimpawu zakho?
• Zingakanani ixesha ezi mpawu ziqhubeka?
• Ngaba kukho umntu onayo le meko kusapho lwakho?
• Ngawaphi amayeza owasebenzisayo? (kuquka amayeza athengiswa ngaphandle kwemvume kagqirha)
• Usela ntoni ngosuku? Usela nini?
• Injani indlela otya ngayo?

Ngamanye amaxesha ugqirha wakho unokukuthumela kwi-urologist.

Uvavanyo lokuxilonga

Ugqirha wakho unokucebisa iimvavanyo ezininzi ezifana nezi ukuqinisekisa ukuxilongwa.

• Uhlalutyo lomchamo: Olu vavanyo lujonga umchamo wakho ukuba awunazo na izifo, iiseli zegazi, njl. Ukuba kukho into efana ne-UTI ebangela i-OAB yakho, olu vavanyo lunokuyifumanisa.
• Uvavanyo lwe-Urodynamic: Olu vavanyo lunokulinganisa izinto ezininzi, njengokuba kusele umchamo omngakanani kwisinyi emva kokuba uchamile, isantya umchamo ophuma ngaso, kunye noxinzelelo kwisinyi xa sizaliseka.
• Iskeni ye-ultrasound: Le yiskeni engenabuhlungu enokuvelisa imifanekiso eneenkcukacha zesinyi sakho kunye namalungu angqongileyo.
• I-CT scan: Oku kunokuvelisa imifanekiso ye-three-dimensional (3D) yesinyi.
• I-Cystoscopy: Oku kuquka ukufaka isixhobo esincinci, esinekhamera esibizwa ngokuba yi-cystoscope kwi-urethra yakho ukuze kuhlolwe ingaphakathi lesinyi sakho. Uza kunikwa ijeli yokudambisa iintlungu ngaphambi kwenkqubo, ngoko ke akukho mfuneko yokukhathazeka. Kunqabile kakhulu ukuba unikwe i-anesthesia epheleleyo kule nkqubo.

Zithini iindlela zonyango zoku?

Iindaba ezimnandi zezokuba kukho iindlela ezahlukeneyo zonyango ezifumanekayo ukunceda ukulawula i-OAB, kubandakanya utshintsho kwindlela yokuphila kunye nokuziphatha, amayeza, kunye nonyango lokuvuselela imithambo-luvo.

1. Utshintsho kwindlela yokuphila nokuziphatha

Ngaphambi kokuba uthathe amayeza, zininzi izinto onokuzenza ngokwakho. La ngamanyathelo okuqala onyango.

Gcina idayari yesinyi.

Ugqirha wakho angakucela ukuba ugcine idayari yeendlela zakho zokuchama kangangeentsuku ezimbalwa. Oku kuya kukunceda uqonde xa imeko yakho iba mandundu kunye nento oyityayo okanye oyiselayo. Bhala oku kulandelayo:

• Usela ntoni?
• Usela kangakanani?
• Zeziphi izinto onokuzitya?
• Uchama kangaphi?
• Ukuba umchamo ukhutshiwe, nini kwaye ungakanani?
• Uziva kangaphi ufuna ungxamiseko?
• Ngaba uvuza umchamo ngenxa yokukhohlela, ukuthimla, okanye ukuhleka?

Ukukhathalela oko ukutyayo nokuselayo

Ezinye ukutya neziselo zinokuvuselela isinyi kwaye zonyuse iimpawu ze-OAB. Zama ukunciphisa okanye ukuyekisa ngokupheleleyo oku kutya:

• Iti
• Kofu
• Utywala
• Iziselo ezibandayo ezine-caffeine
• Iziqhamo zeCitrus kunye neziselo zeziqhamo (iiorenji, iitangerines)
• Itshokolethi
• Iitumato kunye nokutya okuqulethe iitumato
• Ukutya okuneziqholo kunye ne-asidi
• Izinto eziqulethe izithambisi zokwenziwa (iziselo zokuthoba umzimba, ezinye iitshungama zokuhlafuna)

Ukugcina amathumbu esebenza kakuhle

Ukuqunjelwa kunokubangela uxinzelelo olungaphezulu kwisinyi sakho kwaye konyuse iimpawu ze-OAB. Ngoko zama ezi zinto ukugcina amathumbu akho esempilweni:

• Yitya ukutya okutyebileyo kwi-fiber (irayisi emdaka, iimbotyi, ii-oats, iimbotyi, imifuno, iziqhamo).
• Sela iiglasi zamanzi ezi-2-4 ngaphezulu ngosuku.
• Zilolonge rhoqo.

Ukulawula ubunzima kunye nokuyeka ukutshaya

Ukunciphisa ubunzima obugqithisileyo kunokunciphisa uxinzelelo kwisinyi. Kwakhona, ukuba uyatshaya, kunokuchaphazela izihlunu zesinyi. Ngoko ke, ukuyeka ukutshaya kubaluleke kakhulu.

Ungayiqeqesha njani kwakhona i-bladder? (Uyiqeqesha kwakhona i-bladder)

Le yindlela ebaluleke kakhulu nesebenzayo. Xa une-OAB, isinyi sakho siqhele ukuzikhupha xa sigcwele kancinci. Esikwenzayo ngolu qeqesho kukufundisa isinyi ukuba sibambe umchamo omninzi. Ngamafutshane, kufana 'nokubuyisela' isinyi.

Ungakwenza njani oku?

1. Fumana indlela osebenza ngayo ngoku: Okokuqala, jonga idayari yomchamo wakho uze ufumane ukuba uhlala uchama kangaphi. Masithi uya kwigumbi lokuhlambela rhoqo ngeyure.

2. Yandisa ixesha kancinci kancinci: Okulandelayo, zama ukuyeka imizuzu embalwa nokuba uziva ufuna ukuchama. Ukuba uqala ukuchama emva kweyure, jonga iyure nemizuzu eli-15.

3. Lawula loo mnqweno: Xa loo mnqweno ufika, phefumla nzulu uze ukhuphe umoya kancinci. Cinga ngendawo ekuzolisa. Linda ude umnqweno udlule. Emva koko yiya kwigumbi lokuhlambela njengesiqhelo.

4. Sebenza ngokweshedyuli:Emva kokuba ukwazile ukugcina ishedyuli yakho entsha ngokukhululeka (umz., iyure e-1 nemizuzu eli-15) kangangeveki, yongeza ixesha ngeminye imizuzu eli-15. Yongeza ixesha kancinci kancinci ude ukwazi ukubamba umchamo wakho iiyure ezi-2 ukuya kwezi-4 .

Amaqhinga okulawula iminqweno

• Yeka into oyenzayo uhlale phantsi ukuba unako. Hlala uthule.
• Qinisa kwaye uphumze izihlunu zakho ze-pelvic (njengakwi-Kegel exercises) izihlandlo ezininzi ngokukhawuleza.
• Phumla umzimba wakho wonke. Tsala umphefumlo onzulu.
• Cinga nje ngokuthintela umnqweno wokuchama.
• Nje ukuba umnqweno uphele, yiya kwigumbi lokuhlambela kancinci kancinci njengesiqhelo. Musa ukoyika.

Unyango lwezonyango kunye nezinye iindlela

Ukuba utshintsho lwendlela yokuphila lodwa alwanelanga ukulawula imeko, ugqirha wakho unokucebisa ezinye iindlela zonyango.

Amayeza

Kukho amayeza anceda ekuphumzeni izihlunu zesinyi aze alawule ukushwabana okungafunekiyo. La mayeza avumela isinyi ukuba sibambe umchamo omninzi.

• Amayeza e-Anticholinergic: Amayeza afana ne-Oxybutynin (Ditropan®), iTolterodine (Detrol®), iSolifenacin (VESIcare®).
• Amayeza e-Beta-3 adrenergic: Amayeza afana neMirabegron (Myrbetriq®), iVibegron (Gemtesa®).

La mayeza afanele asetyenziswe kuphela xa ecetyiswa ngugqirha .

Ukuvuselelwa Kwemithambo-luvo

Ukuba ezinye iindlela zonyango aziphumeleli, kukho iindlela zonyango ezithumela imiqondiso yombane ethambileyo kwimithambo-luvo elawula isinyi, ibuyisele ukusebenza kwayo.

• Ukuvuselela imithambo-luvo yeSacral: Indlela yokuvuselela imithambo-luvo ngokufakela isixhobo esincinci phantsi kolusu.
• Ukuvuselela imithambo-luvo ye-Percutaneous tibial: Indlela enika ukuvuselela ngemithambo-luvo ekufutshane neqakala.

Iinaliti zeBotulinum Toxin

I-Botox® lolona hlobo ludumileyo. I-Botox ifakwa eludongeni lwesinyi nge-cystoscope. Oku kuyaphumza izihlunu zesinyi. Iziphumo zolu nyango zihlala malunga neenyanga ezi-6, ngoko ke kufuneka i-injection ephindaphindiweyo.

Ungayilawula njani intlungu ngexesha lonyango?

Ngelixa ulinde ukuba unyango lwakho luqale ukusebenza, okanye ukuba awukwazi ukulawula ukuvuza okungaqhelekanga, ungaziva ungakhululekanga kwaye uneentloni. Kodwa kukho izisombululo. Ukusebenzisa iipads okanye ii-diapers ezikhethekileyo zabantu abadala (iimveliso zokungakwazi ukuzibamba) kuya kukunceda ubuyele kwimisebenzi yakho yemihla ngemihla ngokuzithemba.

• Tshintsha rhoqo:Ukutshintsha iphedi emva kokuchama kunokunceda ekuthinteleni ivumba kunye nosulelo lolusu.
• Faka ukhuseleko lolusu: Ukufaka ikhrimu yokuthintela ulusu ngaphambi kokufaka iphedi kunokunceda ukuthintela umonakalo wolusu obangelwa ngumchamo.
• Nxiba impahla ekhululekileyo nemnyama: Oku kuya kwenza ukuba iphedi ingabonakali kangako. Kwakhona, nokuba imanzi ngandlela thile, ayizukubonakala kangako kwiimpahla ezimnyama.