Ngaba unengxaki yokuvuza komchamo ngokungazikhetheliyo? (Ukungakwazi ukuzibamba komchamo) - Nirogi Lanka

Ngaba ukhe ufumane ukuvuza komchamo ngengozi xa uhleka, ukhohlela, okanye ngamanye amaxesha ngaphandle kwesizathu esicacileyo? Awuwedwa. Le yingxaki eqhelekileyo kakhulu, kodwa abantu abaninzi bakufumanisa kunzima ukuthetha ngayo ngenxa yeentloni. Nangona kunjalo, le yimeko eyaziwayo ngugqirha. Apha eNirogi Lanka , sikholelwa kwiincoko ezivulelekileyo, kuba ukuba oku kuchaphazela ubomi bakho bemihla ngemihla, kukho izisombululo ezisebenzayo ezikhoyo.

Yintoni kanye kanye i-Urinary Incontinence? Makhe siyihlalutye!

Ngamafutshane, ukungakwazi ukuzibamba komchamo kubhekisa ekulahlekelweni kolawulo lwesinyi, okubangela ukuvuza komchamo ngokungazi. Ukuze uqonde isizathu sokuba oku kwenzeke, kuyanceda ukujonga indlela esebenza ngayo inkqubo yokuhambisa amanzi emzimbeni wakho.

Izintso zakho zihluza inkunkuma egazini lakho ukuze zenze umchamo, ohamba ngemibhobho emibini ebizwa ngokuba yi-ureters ukuze ufikelele kwisinyi . Cinga ngesinyi sakho njengebhaluni eguquguqukayo ekwisisu sakho esisezantsi; siyakhula njengoko sizalisa kwaye sincipha xa usikhupha.

Xa kufuneka uchame, izihlunu eziseludongeni lwesinyi ziyafinyela, kwaye umsipha ojikelezayo obizwa ngokuba yi- sphincter uyakhululeka ukuvumela umchamo ukuba uphume nge- urethra . Ukungakwazi ukuzibamba kwenzeka xa ezi zihlunu zesinyi zisebenza kakhulu okanye ukuba i-sphincter ayisebenzi kakuhle ngexesha elifanelekileyo. Ukuba ezi zihlunu ziyafinyela ngamandla kakhulu, zinokoyisa i-sphincter, nto leyo ekhokelela ekuvuzeni.

Iintlobo zokungakwazi ukuzibamba komchamo

Ukuvuza komchamo ngokungaziboneleli kungabonakala ngeendlela ezahlukeneyo. Nazi iintlobo eziphambili:

1. Ukungakwazi ukuzibamba ngenxa yoxinzelelo

Ukuba ufumana ukuvuza xa uhleka, ukhohlela, uthimla, okanye uphakamisa into enzima, kusenokwenzeka ukuba kungenxa yokungakwazi ukuzibamba . Oku kwenzeka kuba uxinzelelo lomzimba lubangela ukulahlekelwa kukulawula. Kuqhelekile kakhulu kwabasetyhini, ingakumbi ngexesha lokuya exesheni okanye emva kokuzala.

2. Khuthaza ukungakwazi ukuzibamba

Olu hlobo lubonakala ngokufuna ukuchama ngequbuliso, okunamandla okunzima ukukubamba, okuhlala kubangela ukuvuza ngaphambi kokuba ufikelele kwigumbi langasese. Luhlala lunxulunyaniswa "nesinyi esisebenza kakhulu" kwaye luqhelekile kubantu abaneengxaki zemithambo-luvo ezifana nesifo seswekile , istroke , i-multiple sclerosis , isifo se-Alzheimer , okanye isifo sikaParkinson .

3. Ukungakwazi ukuzibamba ngokugqithisileyo

Oku kwenzeka xa isinyi sakho sigcwele rhoqo kodwa ungakwazi ukusikhupha ngokupheleleyo. Ngenxa yoko, isinyi siyachitheka, okubangela ukuvuza okuncinci rhoqo ngaphandle kokuba uzive unqwenela ukuhamba. Oku kunokubangelwa kukuthintelwa kwe- prostate eyandayo kumadoda okanye ukwenzakala komqolo .

4. Ukungakwazi ukuzibamba ngenxa yokusebenza

Oku akuyongxaki ngenkqubo yomchamo ngokwayo, kodwa yimiqobo yomzimba okanye yengqondo ekuthintelayo ekufikeleleni kwigumbi lokuhlambela ngexesha. Imizekelo ibandakanya isifo samathambo esithintela ukuhambahamba, ukwenzakala, i-dementia , okanye ukusebenzisa amayeza okuthomalalisa okwenza kube nzima ukuphendula xa ufuna ukuchama.

Ngubani osengozini enkulu yokungakwazi ukuzibamba umchamo?

Nangona nabani na enokuba neengxaki ezinjalo, umngcipheko wakho unokuba phezulu ukuba:

• Ungumfazi .
• Uneminyaka engaphezu kwama -50 ubudala.
• Uhlushwa kukutyeba kakhulu .
• Unembali yosapho lwakho yeengxaki zokulawula isinyi.

Le meko ixhaphake kabini kubafazi, ikakhulu ngenxa yokuba ukukhulelwa, ukuzala, kunye nokuya exesheni zichaphazela njani izihlunu ze-pelvic . Uxinzelelo lomntwana okhulayo kwisinyi ngexesha lokukhulelwa luyimbangela eqhelekileyo yokungakwazi ukuzibamba okwethutyana.

Oku kuyichaphazela njani impilo yakho yengqondo?

Nangona izigidi zabantu zisokola koku, uninzi luziva luneentloni okanye luxhalabile. Oku kunokukhokelela ekuziqondeni nasekubekeni imiqathango engeyomfuneko kwindlela yokuphila.

Ukuba le meko ibangela uxinezeleko olukhulu, ixhala , okanye ukudakumba , nceda ufune uncedo lwezonyango ngokukhawuleza. Akunyanzelekanga ukuba ubandezeleke buthule.

Iimpawu zokuba unokuba nengxaki yesinyi

Dibana nogqirha ukuba ubona ezi mpawu:

• Ukuchama rhoqo. Nangona inani lokuya kwigumbi lokuhlambela lixhomekeke ekutyeni kwakho ulwelo kunye nokusela amayeza okukhupha umchamo endalo afana nekofu okanye iti, utshintsho olukhawulezileyo kwindlela osebenza ngayo luphawu olufanele luqwalaselwe.
• Ukuvuza kwamanzi ngexesha lokuzilolonga komzimba njengokuhleka, ukukhohlela, ukuzilolonga, okanye ukusondelana.
• Ukuvuza ngaphandle kwesilumkiso okanye umnqweno.
• Ubunzima bokulibazisa ukuchama xa sele umnqweno ufikile.
• Ukuchama ebhedini (i-enuresis yasebusuku), enokwenzeka ebantwaneni nakubantu abadala.
• Iimpawu ze-neurological ezifana nobuthathaka bemilenze, ukungaziva kakuhle kwindawo ye-pelvic, okanye ukuphelelwa zimvakalelo.
• Ukuziva ucinezelekile okanye ukuqina esiswini esisezantsi .

Yintoni ebangela ukungakwazi ukuzibamba komchamo?

Ukungakwazi ukuzibamba komchamo kunokubangelwa lutshintsho kwimpilo yakho, iimeko zempilo ezisisiseko, kunye neendlela zokuphila.

Utshintsho kwiMpilo

• Ukwaluphala : Njengoko ukhula, kuqhelekile ukuba izihlunu zakho zibe buthathaka .
• Ukuqhinwa : Ukuqhinwa okukhulu okanye okungapheliyo kunokubeka uxinzelelo olugqithisileyo kwisinyi sakho, okuchaphazela ukusebenza kwaso.
• Isifo seswekile : Isifo seswekile sinokukhokelela ekonakaleni kwemithambo-luvo, nto leyo edla ngokuphazamisa ulawulo lwesinyi sakho.
• Ukuvaleka Kwendlela Yomchamo: Oku kunokubangelwa ngamatye ezintso, amatye e-ureteral, ukwanda kwe-prostate kumadoda, okanye izicubu ezibomvu emva kotyando.
• Ukutyeba kakhulu: Ukuthwala ubunzima obugqithisileyo kongeza uxinzelelo kwisinyi sakho nakwimisipha yomgangatho we-pelvic ejikelezileyo.
• Usulelo lwe-Urinary Tract (UTI): I-UTI inokucaphukisa isinyi sakho, idale imfuneko engxamisekileyo yokuchama rhoqo kwaye yenze kube nzima ukulawula.

Iimeko Zezonyango Ezisisiseko

Iimeko ezithile zempilo zingonakalisa izihlunu zesinyi okanye imithambo-luvo enoxanduva lokubonisa ukuba kufuneka inciphe okanye iphumle nini.

• Isifo sika-Alzheimer.
• Isifo sokugubhuka.
• Isifo sikaParkinson.
• Ukukhulelwa kunye nokuzala.
• Utyando lweprostate.
• Umonakalo womqolo.
• Istroke.

Iimpembelelo zeNdlela yokuphila

Ukutya okuthile, iziselo, kunye namayeza nazo zinokubangela:

• Utywala.
• Izithambisi zokwenziwa.
• Amayeza athile oxinzelelo lwegazi.
• I-Caffeine (ikofu, iti, iziselo zamandla).
• Izinto zokuthomalalisa umzimba.
• Isoda kunye neziselo ezine-carbonated.
• Ukutya okuneziqholo.
• Iidosi eziphezulu zeVithamin C.
• Ukutshaya kunye nokuphila ubomi bokungahlali phantsi nako kunokufaka isandla kwezi ngxaki.

Ugqirha wakho uyifumanisa njani le meko?

Xa undwendwela ugqirha wakho, baza kuxoxa ngeempawu zakho ngokweenkcukacha. Ungabuzwa imibuzo efana nale:

• Ingakanani imichamo evuzayo, kwaye kangaphi?
• Ngaba uyavuza impahla yakho, okanye ufika kwindlu yangasese?
• Ingaba oku kwenzeka ngamaxesha athile osuku?
• Ingaba iyenzeka ngexesha lemisebenzi ethile efana nokuthimla okanye ukuzilolonga?
• Ngaba uziva iintlungu okanye ukungakhululeki xa uchama?
• Ngaba uziva unqwenela ngamandla ukuchama ngequbuliso?
• Uya kwigumbi lokuhlambela kangaphi ngemini?
• Ngaba ukufumanisa kunzima ukuqala ukuchama xa sele usegumbini langasese?
• Ingakanani amandla omchamo wakho?
• Ngaba uziva ngathi isinyi sakho siphume ngokupheleleyo emva kokuba ugqibile?

Ugqirha wakho uya kukubuza nangezinye izinto ezinokubangela oku kunye namayeza:

• Ingaba unayo nayiphi na ingxaki yemithambo-luvo, amatye ezintso okanye e-ureteral, okanye iingxaki ze-prostate?
• Ngaba kukho amayeza owusebenzisayo okwangoku? Ukuba kunjalo, ngawaphi?
• Ngaba uthatha naluphi na unyango lwezityalo okanye izongezo zeevithamini?
• Ngaba wakha wakhulelwa okanye wabeleka ngesisu?
• Ngaba ukhe watyandwa isisu okanye i-pelvic?
• Ngaba wakha watyandwa i-prostate?

Ugqirha wakho uza kwenza uvavanyo lomzimba. Banokujonga iimpawu zeengxaki zomqolo, ezinje ngobuthathaka bemilenze okanye ukungaziva kakuhle kwindawo yesini. Banokwenza uvavanyo lwe-rectal ukujonga ukuqhina okanye, kumadoda, ukuhlola i-prostate. Ukuba ungumfazi, banokwenza uvavanyo lwe-pelvic ukujonga ukubhitya kwesitho sangasese sowesifazane.

Uvavanyo lokuxilonga

Ukuqinisekisa ukuxilongwa, ugqirha wakho unokucebisa ezi mvavanyo zilandelayo:

• Uhlalutyo lomchamo: Oku kunceda ekuchongeni izifo zesibindi, izifo zezintso, isifo seswekile, kunye ne-UTI.
• Uvavanyo lokusebenza kwezintso: Uvavanyo lwegazi okanye lomchamo ukuze kubonwe ukuba izintso zakho zisebenza kakuhle kangakanani.
• Uvavanyo lomchamo oluhlala emva kokungasebenzi (PVR): Lulinganisa ukuba ingakanani intsalela yomchamo kwisinyi sakho emva kokuba uzame ukuyikhupha.
• Ukukhula komchamo: Kuhlola iintsholongwane okanye iintsholongwane ezibangela usulelo.
• Uvavanyo lwe-Urodynamic: Luvavanya ukusebenza kwemithambo-luvo kunye nemisipha, isantya somchamo wakho, kunye noxinzelelo ngaphakathi nangaphandle kwesinyi.
• Idayari yesinyi: Ingxelo yolwelo olusetyenziswayo, amaxesha okuchama, umthamo, kunye nexesha olichithayo.

Ngaba kukho unyango olufumanekayo lweengxaki zokulawula isinyi?

Ewe, ngokuqinisekileyo! Oogqirha badla ngokuqala ngeendlela zonyango ezingasebenzisi utyando.

• Izixhobo zokulawula isinyi: Ezifana nepessary, ukuxhasa i-urethra nokunciphisa ukuvuza.
• Uqeqesho lwesinyi kwakhona: Ukucwangcisa ukuya kwindlu yangasese uze wongeze kancinci kancinci ixesha eliphakathi kwazo.
• I-Biofeedback: Ikunceda ukuba uchonge kwaye uphinde ulawule izihlunu zakho zomgangatho we-pelvic.
• Ukunciphisa utywala kunye ne-caffeine.
• Ukuvuselela umbane: Kusetyenziselwa ukuvuselela imithambo-luvo elawula ukusebenza kwesinyi.
• Ukuzivocavoca kweKegel (ukuzivocavoca phantsi kwepelvic): Oku kusebenza kakhulu ekuqiniseni umgangatho wepelvic kunye nokuphucula ulawulo.
• Unyango lomzimba kunye nokuzilolonga okujoliswe kuko.
• Ukunciphisa umzimba: Ukuba utyebile kakhulu, ukunciphisa umzimba kunokukunceda kakhulu.

Ukuba unyango olungelulo utyando aluphumeleli, ugqirha wakho unokucebisa iindlela zotyando:

• Umnatha wotyando.
• Iinkqubo zokuslayida: Ukubonelela "ngeslayidi" exhasayo kwi-urethra.
• Izinto ezibangela ukudumba komchamo: Iinaliti zokuqinisa iindonga zomchamo.
• Iinaliti zeBotox®: Zisetyenziselwa izihlunu zesinyi ukunyanga ukungakwazi ukuzibamba.
• Izixhobo zokuvuselela imithambo-luvo ezifakelweyo.
• I-sphincter yomchamo eyenziweyo: Sisixhobo esisetyenziswa rhoqo ngamadoda.

Ngawaphi amayeza afanelekileyo oku?

Ukuba ufuna amayeza, ugqirha wakho uya kukunika unyango olufanelekileyo kuhlobo oluthile lwengxaki yesinyi sakho. Nceda ungaqali naluphi na unyango ngaphandle kokubonisana nogqirha oyingcali evela eNirogi Lanka okanye kumboneleli wakho wezempilo.

• Kwi-'Ukukhuthaza ukungalawuleki': Amayeza anjenge-'Oxybutynin (Oxytrol®)`, `Tolterodine (Detrol®)`, `Darifenacin (Enablex®)`, `Solifenacin (VESIcare®)`, kunye ne-`Trospium (Sanctura®)` anokunikwa. La mayeza asebenza ngokukhulula izihlunu zesinyi, enceda ekunciphiseni umnqweno wokuchama ngequbuliso.
• Kwi-'Stress incontinence': Amayeza anjenge-'Imipramine (Tofranil®)' okanye i-'Pseudoephedrine (Sudafed®)' ngamanye amaxesha anokuqwalaselwa. Ngenxa yokuba ezi zinokuba nemiphumo emibi, ugqirha wakho uya kuhlola imbali yakho yempilo ngononophelo ngaphambi kokuba ayicebise.
• Ngokuphathelele 'ukungakwazi ukuzibamba ngokugqithisileyo': Ngokuxhomekeke kwisizathu esiyintloko, ugqirha wakho unokucebisa i-'Bethanechol (Duvoid®)` ukunceda ukuxinana kwesinyi, okanye amayeza afana ne-'Terazosin (Hytrin®)`, `Alfuzosin (Uroxatral®)`, kunye ne-'Finasteride (Proscar®)` ukulawula iimpawu ezinxulumene ne-prostate.

Yintoni onokuyilindela ngale meko?

Kwabaninzi, iimpawu zokungakwazi ukuzibamba umchamo zinokulawulwa ngempumelelo okanye zisonjululwe ngokupheleleyo ngonyango. Ngamanye amaxesha, ingxaki iba yeyokwexeshana, njengaxa ibangelwa lusulelo lomchamo okanye ukukhulelwa; kwezi meko, iimpawu zihlala ziphela xa unobangela ulungisiwe.

Nangona kunjalo, ukuba uphila nezifo ezingapheliyo ezifana nesifo seswekile okanye `(Multiple Sclerosis)`, ukungakwazi ukuzibamba kusenokuqhubeka. Kwiimeko ezinjalo, ukusebenzisana ngokusondeleyo nogqirha wakho ukwenza isicwangciso solawulo kubalulekile. Nceda ungakhathazeki; zininzi iindlela ezisebenzayo zokulawula le meko.

Yintoni onokuyenza ukunciphisa umngcipheko wakho?

Nangona usenokungakwazi ukuthintela zonke iimeko zokungakwazi ukuzibamba, la manyathelo asebenzayo anokukunceda ukunciphisa umngcipheko wakho:

• Yomeleza izihlunu zakho zomgangatho we-pelvic ngokuzivocavoca ngeKegel. Cela ugqirha wakho okanye ingcali yezonyango ukuze akunike ulwalathiso malunga nendlela efanelekileyo yokuzivocavoca.
• Nciphisa izinto ezibangela ukurhawuzelelwa sisinyi ezifana notywala, iziselo ezine-caffeine, ukutya okuneziqholo, kunye nezinto eziswiti ezenziweyo.
• Gcina ubunzima obusempilweni ukuze uthintele uxinzelelo olungeyomfuneko kwisinyi sakho.
• Yongeza ifayibha ekutyeni kwakho ukuze uthintele ukuqunjelwa, nto leyo enokwenza iingxaki zesinyi zibe mandundu.
• Yeka okanye yehlisa ukutshaya ukuze unciphise umngcipheko wokukhohlela okungapheliyo, okubangela uxinzelelo kwimisipha yakho ye-pelvic.
• Hlala usebenza ngokomzimba.

Ungayilawula njani intuthuzelo yakho yemihla ngemihla?

Abantu abaninzi bafumana isiqabu ngokusebenzisa impahla yangaphantsi yokungakwazi ukuzibamba, ii-diaper zabantu abadala, okanye ii-pads ezifunxayo. Izixhasi zesinyi, ezisebenza ngendlela efanayo nee-tampon, nazo zikhuselekile kwaye ziyasebenza. Ezi mveliso ziyimfihlo kwaye zenzelwe ukunxitywa phantsi kwempahla. Nangona ezinye zilahlwa, ezinye ziyahlanjwa kwaye zingasetyenziswa kwakhona. Ukuthintela ukurhawuzelelwa lusu kunye nevumba, khumbula ukutshintsha ii-pads okanye ii-diaper zakho rhoqo imini yonke.

Ufanele uye nini kugqirha?

Iingxaki zesinyi zexesha elifutshane zinokubangelwa zizifo zomchamo, ukuqhina, ukutya, okanye iziphumo ebezingalindelekanga ezivela kumayeza. Nangona kunjalo, ukuba ezi mpawu ziyaqhubeka ixesha elingaphezu kweveki okanye zichaphazela kakhulu umgangatho wobomi bakho, nceda udibane nogqirha wezempilo. Akukho mfuneko yokuba neentloni—le yingxaki eqhelekileyo yezonyango.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Unokufumana kuluncedo ukubuza ugqirha wakho le mibuzo ilandelayo:

• Luhlobo luni lokungakwazi ukuzibamba umchamo endinalo?
• Yintoni unobangela wale ngxaki?
• Ingaba kunokwenzeka ukuba ikwazi ukuzisombulula yodwa?
• Ingaba kukho umngcipheko wokuphinda kwenzeke kwakhona?
• Zeziphi iindlela zonyango ozicebisayo?
• Ngaba kukho imithambo ethile endinokuyenza ekhaya?
• Zeziphi iinguqu zendlela yokuphila ekufuneka ndizenze?

Kutheni uziva ungxamisekile kufutshane nendlu yangasese?

Ukuba uziva ufuna kakhulu ukuchama kwangoko xa ubona indlu yangasese okanye uva amanzi ahambayo, oku kudla ngokuba luphawu 'lokungakwazi ukuzibamba' . Oku kuqhelekile phakathi kwabo baneengxaki ezithile zemithambo-luvo. Kwenzeka kuba ingqondo yakho ithumela umyalezo ngaphambi kwexesha kwisinyi sakho ukuba siphume, nokuba asizalanga. Iindaba ezimnandi zezokuba oku kunokulawulwa ngonyango olujoliswe ngqo.

Iingcinga zokugqibela ezivela eNirogi Lanka

Ukuphila ngokungakwazi ukuzibamba umchamo kunokuba nzima kwaye kuyacaphukisa. Kuyaqondakala ukuba unciphise imisebenzi yakho yentlalo ngenxa yokoyika ukuvuza okanye ukufikelela kwindlu yangasese okuncinci.

Khumbula, nceda ungoyiki ukuxoxa ngale nto nogqirha wakho. Uninzi lweemeko lunokulawulwa ngempumelelo, kwaye uninzi lunokunyangeka ngokupheleleyo.

Ngokusebenzisana neqela lakho lezempilo, unokuchonga unobangela weempawu zakho kwaye ufumane unyango olusebenzayo kwindlela yakho yokuphila. Awuwedwa, kwaye kukho uncedo olufumanekayo.

Ukuvuza komchamo, ulawulo lomchamo, ukungakwazi ukuzibamba, isinyi, ukungakwazi ukuzibamba ngoxinzelelo, ukungakwazi ukuzibamba ngomnqweno, usulelo lomchamo