Ingaba nawe uyavuza umchamo ungaqondanga? (Ukungakwazi ukuzibamba komchamo) Masithethe ngale nto!

Ngaba ngamanye amaxesha uyavuza umchamo xa uhleka, ukhohlela, okanye ngaphandle kwesizathu konke konke? Le yingxaki abantu abaninzi abanayo, kodwa yinto enokuba yintloni ukuthetha ngayo. Kodwa yimeko echazwa ngokwezonyango. Makhe sithethe ngayo ngokweenkcukacha namhlanje, kuba ukuba le yinto echaphazela ubomi bakho, kukho izisombululo zayo.

Yintoni i-Urinary Incontinence? Masiyiqonde kuqala!

Ngamafutshane, ukungakwazi ukuzibamba komchamo kuxa ulahlekelwa lulawulo lwesinyi sakho uze uvuza umchamo ngempazamo. Masiqale sijonge ukuba yintoni ulawulo lomchamo kunye nendlela esebenza ngayo le nkqubo emzimbeni wethu. Izintso zethu zezo zisusa inkunkuma egazini kwaye zenze umchamo. Emva koko, lo mchamo uhamba nge -ureters ezimbini uze uphele kwisinyi . Isinyi sinjengebhola encinci. Sikwisisu sethu esisezantsi. Siba sikhulu xa sizele ngumchamo, kwaye siphinda sibe mncinci xa sichama. Xa kufuneka sichame, izihlunu ezikwiindonga zesinyi ziyaqina, kwaye umsipha we-sphincter osebenza njengesihlunu esivalayo emlonyeni wesinyi uyakhululeka. Emva koko, umchamo uphuma nge -urethra . Ngoku, ezi ngxaki zolawulo lomchamo zivela xa izihlunu zesinyi zisebenza kakhulu, okanye xa zingasebenzi kakuhle. Ngamanye amaxesha, ukuba ezi zihlunu ziqina kakhulu, zinokuba namandla kunezihlunu ezifana nomlomo, kwaye umchamo unokuvuza ngaphandle kokuba uqaphele. Uyaqonda?

Kukho iintlobo ezahlukeneyo zeengxaki zokulawula umchamo.

Oku kuvuza komchamo ngengozi kunokwenzeka ngeendlela ezahlukeneyo. Kukho iintlobo ezininzi eziphambili:

1. Ukungakwazi ukuzibamba ngenxa yoxinzelelo

Khawuthelekelele uhleka kakhulu, uthimla, ukhohlela, okanye uphakamisa into enzima. Ukuba ngequbuliso uziva uxinzelelo esiswini sakho esisezantsi uze uvuza umchamo omncinci, oko kubizwa ngokuba 'kukungathinteli uxinezeleko' . Oku kuhlala kubonakala kubafazi, ingakumbi xa besondela ekupheliseni ukuya exesheni okanye emva kokubeleka.

2. Khuthaza ukungakwazi ukuzibamba

Kukho olunye uhlobo, apho umnqweno wokuchama uvela ngequbuliso kwaye unganyamezeleki. Kodwa umchamo unokuvuza ngaphambi kokuba ubalekele kwigumbi lokuhlambela. Oku kubizwa ngokuba yi -'Urge Incontinence' . Ngamanye amaxesha oku kunxulunyaniswa nesifo esibizwa ngokuba yi-"overactive bladder". Esi simo sixhaphake kakhulu kubantu abanezifo ezinxulumene nenkqubo yemithambo-luvo ezifana nesifo seswekile, istroke, i-multiple sclerosis, isifo se-Alzheimer, kunye nesifo sikaParkinson.

3. Ukungakwazi ukuzibamba ngokugqithisileyo

Okulandelayo 'yi-Overflow Incontinence'.. Oku kwenzeka xa isinyi sigcwele ngokupheleleyo, kodwa singakwazi ukukhupha amanzi ngokufanelekileyo. Ngenxa yoko, umchamo unokuvuza rhoqo kuba isinyi sigcwele. Kodwa awuziva ufuna ukuchama. Oku kungenzeka kumadoda ngenxa yokwanda kwendlala yeprostate evala i-urethra, okanye ngenxa yomonakalo kwintambo yomqolo.

4. Ukungakwazi ukuzibamba ngenxa yokusebenza

Okokugqibela, kukho 'Ukungasebenzi kakuhle kokulawula ukukhulelwa' . Oku kwenzeka xa unesifo somzimba okanye sengqondo esikuthintelayo ukuya kwigumbi lokuhlambela ngexesha. Umzekelo, umntu onesifo samathambo esicotha ukuhamba kwakhe, umntu ongakhange akwazi ukuhamba ngenxa yengozi, umntu oneengxaki zenkumbulo ezifana ne-dementia, okanye umntu othatha amayeza okuthomalalisa amenza alale usenokungakwazi ukukhumbula ukuya kwigumbi lokuhlambela ngexesha. Oku kuthetha ukuba ingxaki apha ayisiyongxaki yenkqubo yomchamo, kodwa yingxaki yokungakwazi ukuya kwigumbi lokuhlambela ngexesha ngenxa yesinye isizathu.

Ngubani ochaphazeleka kakhulu zezi ngxaki zokulawula umchamo?

Nabani na unokuba neengxaki zokulawula umchamo. Nangona kunjalo, unokuba sengozini enkulu ukuba:

• Ukuba ungumfazi .
• Ukuba uneminyaka engaphezu kwama -50 ubudala .
• Ukuba utyebile kakhulu .
• Ukuba kukho umntu kusapho lwakho okhe waba neengxaki ezinje.

Le meko ixhaphake kabini phakathi kwabasetyhini. Oku kungenxa yokuba ukukhulelwa, ukuzala, kunye nokuya exesheni kunokuchaphazela amandla emisipha ye-pelvic. Kuqhelekile ukuba umntwana okhulayo abeke uxinzelelo kwisinyi ngexesha lokukhulelwa. Ngenxa yoko, oomama abaninzi banokufumana iingxaki ezincinci zokulawula umchamo ngeli xesha.

Le meko iyichaphazela njani ingqondo yakho?

Nangona izigidi zabantu zinale ngxaki, abaninzi baneentloni okanye baneentloni zokuthetha ngayo. Oku kunokubangela ixhala malunga nendlela abanye abajonga ngayo, utshintsho kwindlela abazijonga ngayo, kwanotshintsho kwindlela abaziphethe ngayo.

Ukuba uziva uxinezelekile, uxhalabile , okanye udandathekile ngenxa yale meko, qiniseka ukuba ubonana nogqirha ngoko nangoko. Asinto yokuyifihla le.

Ziziphi iimpawu ezinokubonisa ingxaki ngesinyi sakho?

Kukho iimpawu ezininzi ezibonisa ukuba unokuba nengxaki ngesinyi sakho:

• Ukuchama ngaphezu kwesiqhelo. Uninzi lwabantu luchama malunga nezihlandlo ezisixhenxe ngemini. Kodwa amanzi owaselayoNgokuxhomekeke kubungakanani kunye nokuba usela amayeza okukhupha umchamo endalo (umz. ikofu, iti), oku kungancitshiswa ngokuphindwe kane okanye kunyuswe ngokuphindwe kalishumi.
• Ukuvuza okanye ukuvuza komchamo ngengozi ngexesha lemisebenzi eqhelekileyo efana nokuhleka, ukuthimla, ukuzilolonga, okanye ukulala ngesondo.
• Ukuvuza komchamo ngaphandle kokuziva ngathi ufuna ukuchama. Umzimba wakho awukuxeleli nokuba kufuneka uchame.
• Ukungakwazi ukubamba umchamo. Nangona ngequbuliso uziva ufuna ukuchama, awunakuyimisa loo nto.
• Ukuchama Ebhedini. Usenokufuna ukuchama ebusuku ngelixa ulele, kodwa usenokungavuki (ingakumbi ebantwaneni, kodwa nakubanye abantu abadala).
• Iimpawu zokulimala komqolo. Izinto ezinje ngobuthathaka emilenzeni, ukungaziva okanye ukuphelelwa zimvakalelo kwindawo yesini.
• Ukuva uxinzelelo okanye ukuxinana kwemisipha esiswini esisezantsi . Olu xinzelelo kunye nokuxinana kwemisipha okungathandekiyo kunokubangela imfuneko yokuchama ngequbuliso.

Zithini izizathu zokulawula umchamo okubuthathaka?

Utshintsho kwimpilo yakho, izifo ezithile, kunye nendlela ophila ngayo nazo zinokubangela ukuba olu lawulo lomchamo lube buthathaka.

Utshintsho kwimpilo

• Ukwaluphala : Kuqhelekile ukuba izihlunu zibe buthathaka njengoko sikhula.
• Ukuqhinwa : Xa ukuqhinwa kuqatha, kunokufaka uxinzelelo kwisinyi.
• Isifo seswekile : Isifo seswekile singonakalisa imithambo-luvo, nto leyo enokuchaphazela ulawulo lwesinyi.
• Ukuvaleka kwendlela yomchamo: Oku kunokubangelwa ngamatye ezintso, amatye e-ureteral, ukwanda kwe-prostate kumadoda, okanye izicubu ezibomvu emva kotyando.
• Ukutyeba kakhulu: Ukutyeba kakhulu kubeka uxinzelelo olungakumbi kwimisipha yesinyi kunye neyesinqe.
• Usulelo lweMgudu yomchamo (UTI): Xa unentsholongwane yomchamo, isinyi sakho siba nobuthathaka, nto leyo ebangela ukuba ufune ukuchama rhoqo kwaye kube nzima ukusilawula.

Ezinye iimeko zonyango

Ezinye izifo zingonakalisa izihlunu zesinyi okanye imithambo-luvo ethumela imiyalezo kwezo zihlunu ukuba ziqine okanye ziphumle.

• Isifo sika-Alzheimer.
• `Isifo seSclerosis Esininzi`.
• Isifo sikaParkinson.
• Ukukhulelwa kunye nokuzala.
• Utyando lweprostate.
• Umonakalo womqolo.
• Istroke.

Iimpembelelo zendlela yokuphila

Ukutya kunye namayeza athile anokubangela oku:

• Utywala.
• Iiswekile zokwenziwa.
• Amanye amayeza oxinzelelo lwegazi oluphezulu.
• I-Caffeine (ikofu, iti, iziselo zamandla).
• Izinto zokuthomalalisa umzimba.
• Isoda kunye neziselo ezine-carbonated.
• Ukutya okuneziqholo.
• Ukutya i-vitamin C eninzi kakhulu.
• Ukutshaya kunye nendlela yokuphila yokuhlala phantsi komhlaba nayo inokuchaphazela oku.

Ugqirha uyixilonga njani kanye kanye le meko?

Xa ubona ugqirha, uza kukubuza ngeempawu zakho. Nazi ezinye zemibuzo onokuyibuza:

• Uvuza umchamo ongakanani ungaqondanga?
• Ingaba iya kwiimpahla? Ingaba iya kwindlu yangasese? Ingakanani?
• Ingaba le ngxaki iyenzeka ngamaxesha athile emini?
• Ngaba oku kuyenzeka xa usenza izinto ezithile , njengokuhamba okanye ukuzilolonga?
• Ngaba uneentlungu okanye ukungakhululeki xa uchama?
• Ngaba ngequbuliso uziva ufuna ukuchama?
• Uchama kangaphi ngemini?
• Ngaba kunzima ukuqala ukuchama xa usiya kwigumbi lokuhlambela?
• Unjani umchamo?
• Ngaba isinyi sakho sivakala singenanto emva kokuchama?

Kwakhona, buza ngezinye iimeko zonyango kunye namayeza anokubangela oku:

• Ingaba unengxaki yemithambo-luvo, amatye ezintso okanye omchamo, okanye ingxaki yeprostate?
• Ngaba kukho amayeza owasebenzisayo okwangoku? Ngawaphi amayeza?
• Ngaba uthatha naziphi na izongezo zemifuno okanye iivithamini?
• Ngaba wakha wakhulelwa waza wabeleka ngendlela eqhelekileyo?
• Ngaba wakha watyandwa esiswini okanye kwindawo yakho ye-pelvic?
• Ngaba ukhe watyandwa i-prostate?

Ukongeza, ugqirha uza kwenza uvavanyo lomzimba. Baza kukhangela iimpawu zomonakalo womqolo, njengobuthathaka emilenzeni kunye nokungaziva kakuhle kwindawo yesini. Banokwenza uvavanyo lwe-rectal ukujonga ukuqhina. Ukuba uyindoda, baza kujonga ne-prostate yakho. Ukuba ungumfazi, bangenza uvavanyo lwe-pelvic ukujonga ukoma kwe-vaginal (i-vaginal atrophy).

Zeziphi iimvavanyo ezenziwayo ukuqinisekisa ukuxilongwa?

Ukuqinisekisa ukuxilongwa, ugqirha angenza ezi mvavanyo zilandelayo:

• Uhlalutyo lomchamo: Oku kungafumanisa izinto ezifana nesifo sesibindi, isifo sezintso, kunye nesifo seswekile. Kungajonga nosulelo lomchamo (UTIs).
• Uvavanyo lokusebenza kwezintso: Olu luvavanyo olwenziwa kumchamo okanye egazini. Lujonga ukuba izintso zakho zisebenza kakuhle kangakanani na.
• Uvavanyo lomchamo oluhlala lungasebenzi (i-PVR):Ilinganisa ukuba ingakanani imichamo eseleyo kwisinyi sakho emva kokuba uchamile.
• Ukuphuhliswa komchamo: Ukujonga iintsholongwane ezibangela usulelo lomchamo.
• Uvavanyo lwe-Urodynamic: Olu vavanyo lulinganisa ukusebenza kwemithambo-luvo, ukusebenza kwemisipha, izinga lokuhamba komchamo, kunye noxinzelelo ngaphakathi nangaphandle kwesinyi.
• Idayari yesinyi: Gcina irekhodi yamanzi oselayo ngosuku, ukuba uchama kangakanani, ukuba uchama nini, kunye nokuba uchama kangaphi.

Ngaba kukho unyango lokulungisa ezi ngxaki zokulawula umchamo?

Ewe, ngokuqinisekileyo! Unyango olungelulo utyando lolona khetho lokuqala lokunyanga iingxaki zokulawula umchamo.

• Ukusetyenziswa kwezixhobo zokulawula isinyi (umz., ipessary) ukuze kubekwe kwakhona i-urethra ukuze kuncitshiswe ukuvuza komchamo.
• Ukuqeqeshwa kwakhona kwesinyi: Oku kuthetha ukuya kwigumbi lokuhlambela ngamaxesha amiselweyo, ukunyusa kancinci kancinci amathuba phakathi kwaloo maxesha.
• I-Biofeedback: Oku kukunceda ukuba uchonge kwaye ufunde ukulawula izihlunu zakho zomgangatho we-pelvic.
• Ukunciphisa utywala kunye neziselo ezine-caffeine.
• Ukuvuselelwa kombane kwemithambo-luvo elawula ukusebenza kwesinyi.
• Ukuzivocavoca kweKegel (ukuzivocavoca kwemisipha yepelvic): Oku kubaluleke kakhulu. Kunokuqinisa izihlunu zepelvic nokuphucula ulawulo lomchamo.
• Unyango lomzimba kunye nokuzilolonga.
• Ukunciphisa umzimba: Ukuba utyebile kakhulu, ukunciphisa umzimba kunokukunceda kakhulu.

Ukuba olu nyango lungelulo utyando aluncedi, ugqirha wakho unokucebisa utyando.

• Ukubekwa kwe-mesh yotyando.
• Iinkqubo zokusila: Oku kuquka ukubeka isixhobo sokuxhasa ukujikeleza i-urethra.
• Ukunika inaliti ezandisa ubukhulu beendonga ze-urethra (ii-agents zokukhulisa urethra).
• Ukufakwa kwetyhefu ye-botulinum (Botox®) kwimisipha yesinyi. (Oku kusetyenziselwa ukungakwazi ukuzibamba)
• Ukufakelwa kwezixhobo zokuvuselela imithambo-luvo.
• Ukufakelwa kwe-sphincter yomchamo eyenziweyo (oku kudla ngokwenziwa ngamadoda)

Yeyiphi iyeza elingcono loku?

Ukuba udinga amayeza, ugqirha wakho uya kukunika amayeza afanelekileyo ngokusekelwe kuhlobo lwengxaki yakho. Musa ukuzenza unyango ngaphandle kwengcebiso kagqirha.

• Ukuba une-'Urge Incontinence':Amayeza anje nge-`Oxybutynin (Oxytrol®)`, `Tolterodine (Detrol®)`, `Darifenacin (Enablex®)`, `Solifenacin (VESIcare®)`, `Trospium (Sanctura®)` anokunikwa. La mayeza aphumza izihlunu zesinyi kwaye anciphise isidingo sokuchama ngokukhawuleza.
• Ukuba 'unengxaki yokungakwazi ukuzibamba': Amayeza anjenge-'Imipramine (Tofranil®)' kunye ne-'Pseudoephedrine (Sudafed®)' ngamanye amaxesha anokunikwa. Nangona kunjalo, la mayeza anokuba nemiphumo emibi, ngoko ke kufuneka anikwe kuphela emva kokuba ugqirha ewaqwalasele ngononophelo.
• Ukuba unengxaki yokungakwazi ukuzibamba ngokugqithisileyo, unganikwa amayeza anje ngala: `Bethanechol (Duvoid®)` (inceda ukuqinisa isinyi), `Terazosin (Hytrin®)`, `Alfuzosin (Uroxatral®)` (ikhulula indlala yeprostate), kunye ne`Finasteride (Proscar®)` (inciphisa indlala yeprostate).

Ndingalindela ntoni ngalo mbuzo?

Abantu abaninzi banokuzilawula okanye bazinyange ngokupheleleyo ezi ngxaki zomchamo ngonyango. Ngamanye amaxesha ezi ngxaki zingokwethutyana. Xa unobangela (umzekelo, usulelo lomchamo, ukukhulelwa) uphelile, ingxaki iya kuphela yodwa. Nangona kunjalo, ukuba unesifo "esingapheliyo" esihlala ixesha elide, esifana nesifo seswekile okanye "i-multiple sclerosis", ezi ngxaki zokulawula umchamo zinokuqhubeka. Kwiimeko ezinjalo, kubalulekile ukuthetha nogqirha wakho malunga neendlela ezilungileyo zokulawula ezi ngxaki. Ungakhathazeki, kukho iindlela zokulawula.

Ndingenza ntoni ukunciphisa lo mngcipheko?

Ezi ngxaki zisenokungathintelwa ngokupheleleyo, kodwa ungawunciphisa umngcipheko wakho ngokwenza oku kulandelayo:

• Yenza umthambo wokuqinisa umgangatho we-pelvic (ii-Kegel exercises). Buza ugqirha okanye ingcali yezonyango ukuba ungakwenza njani oku ngendlela efanelekileyo.
• Ukunciphisa utywala, iziselo ezine-caffeine, ukutya okuneziqholo, kunye neeswekile zokwenziwa.
• Ziphephe utshintsho olukhawulezileyo kubunzima bomzimba kwaye ugcine ubunzima obusempilweni.
• Ukongeza ifayibha engakumbi ekutyeni kwakho (kuthintela ukuqhina kwesisu)
• Nciphisa okanye uyeke ngokupheleleyo ukutshaya.
• Ukuba nomdla ngakumbi emzimbeni.

Ndingazinyamekela njani?

Abantu abaninzi basebenzisa iimpahla zangaphantsi ezikhethekileyo (iimpahla zangaphantsi zokungakwazi ukuzibamba okanye iinapukeni zabantu abadala) okanye iipads ukunqanda oku kuvuza komchamo. Kukwakho nezixhasi zesinyi ezisebenza njenge-tampon, ezingasetyenziswa kwaye zikhuselekile. Ezi zikhululekile kakhulu kwaye zinokunxitywa phantsi kweebhulukhwe. Ezinye iinapukeni zabantu abadala kunye neepads ziyalahlwa. Ezinye zinokuhlanjwa kwaye zisetyenziswe kwakhona. Nangona kunjalo , kungcono ukutshintsha ezi napukeni okanye iipads rhoqo emva kweeyure ezimbalwa ukuthintela ivumba elibi kunye nokuthintela izifo zesikhumba.

Ndifanele ndimbone nini ugqirha?

Usulelo lomchamo, ukuqhina, ukutya okutyayo, kunye namayeza athile konke oku kunokubangela ukulahlekelwa kulawulo lomchamo okwethutyana. Kodwa ukuba le ngxaki iyaqhubeka ixesha elingaphezu kweveki, okanye ukuba ichaphazela ubomi bakho bemihla ngemihla, ngokuqinisekileyo kufuneka ubone ugqirha. Musa ukuba neentloni, le yingxaki abantu abaninzi abanayo.

Ndingayibuza ntoni ugqirha?

Ungabuza ugqirha wakho imibuzo efana nale:

• Loluphi uhlobo lwengxaki yokulawula umchamo endinayo?
• Yintoni unobangela wengxaki yam?
• Ngaba oku kuya kuba ngcono ngokuzenzekelayo?
• Ingaba oku kungabuya kwakhona?
• Zeziphi iindlela zonyango ozicebisayo?
• Zeziphi iindlela zokuzilolonga endinokuzenza ekhaya?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo?

Kutheni ndingayeki ukuchama xa ndibona igumbi lokuhlambela?

Ngamanye amaxesha, ukubona indlu yangasese okanye isandi samanzi ahambayo kunokukwenza uzive unqwenela ukuchama ngequbuliso. Olu mnqweno ngequbuliso luphawu 'lokungakwazi ukuzibamba' . Oku kuqhelekile kubantu abaneengxaki zemithambo-luvo. Okwenzekayo kukuba nangona ungakulungelanga ukuchama, ingqondo yakho ithumela umyalezo ongalunganga kwimithambo-luvo ekwisinyi sakho ukuze iphumle. Oku nako kunokulawulwa ngonyango.

Okokugqibela, khumbula oku.

Iingxaki zokulawula umchamo zinokuba yinto engathandekiyo necaphukisayo. Usenokuba uyekile nokwenza imisebenzi yakho yesiqhelo ngenxa yokoyika ukuvuza okanye ukuvuza komchamo xa ungakwazi ukuya kwigumbi lokuhlambela.

Kodwa khumbula, ungoyiki ukuthetha nogqirha ngale nto. Uninzi lwexesha, ezi ngxaki zokulawula umchamo zinokulawulwa kakuhle, kwaye ngamanye amaxesha zide zinyangeke ngokupheleleyo.

Kunye, wena nogqirha wakho ninokufumana uhlobo lwengxaki onayo, unobangela wayo, kunye nonyango olusebenzayo. Ngoko ke kungcono ukufuna ingcebiso kagqirha ngaphandle kokuba neentloni okanye ukufihla ingxaki. Awuwedwa! Ukungakwazi ukuzibamba komchamo, ulawulo lomchamo, ukungakwazi ukuzibamba komchamo, isinyi, ukungakwazi ukuzibamba koxinzelelo, ukungakwazi ukuzibamba, usulelo lwendlela yomchamo