Emva kotyando lweprostate, amanye amadoda kufuneka ajongane nengxaki engathandekiyo nebangela ixhala: ukuchama ngokunganyanzelekanga. Abantu abaninzi baneentloni zokuthetha ngale nto esidlangalaleni. Kodwa eneneni yimeko eqhelekileyo. Eyona nto ibalulekileyo kukuba kukho unyango oluhle kakhulu loku. Ngoko masithethe ngale nto ngokukhululekileyo nangokunyanisekileyo namhlanje.
Kuthetha ukuthini oku kungakwazi ukulawula umchamo?
Ngamafutshane, ukungakwazi ukulawula umchamo kukungakwazi ukulawula ukuhamba komchamo. Le meko ingenzeka emva kotyando lomhlaza weprostate (i-prostatectomy) okanye emva konyango lwemitha.
Ngokubanzi inokwahlulwahlulwa ibe ziintlobo ezimbini eziphambili. Ukuqonda umahluko phakathi kwezi zimbini kubalulekile kunyango.
| Uhlobo lokungakwazi ukuzibamba | Icacisiwe ngokulula |
|---|---|
| Ukungakwazi ukuzibamba | Oku kwenzeka xa inani elincinci lomchamo liphuma xa kukho uxinzelelo kwisinyi. Umzekelo, ungavuza amathontsi ambalwa omchamo xa ukhohlela, uthimla, uhleka kakhulu, okanye uphakamisa into enzima . Olu hlobo luxhaphake kakhulu emva kotyando lokususa idlala lendoda. |
| Ukukhuthaza ukungakwazi ukuzibamba | Kulapho ngequbuliso uba nomnqweno onamandla wokuchama . Oku kufana nesifo esibizwa ngokuba yi-"Overactive Bladder." Usenokuvuza umchamo ngaphambi kokuba ubalekele kwigumbi lokuhlambela. Abanye abantu abaqondi nokuba isinyi sabo sigcwele. Olu hlobo lomnqweno lunokwenzeka emva konyango lwemitha. |
Iindaba ezimnandi zezokuba le meko emva kotyando idla ngokuba yeyokwexeshana . Kwiinyanga ezimbalwa ukuya kunyaka, kufuneka ukwazi ukulawula umchamo wakho kwakhona. Ugqirha wakho uza kukunika ulwalathiso ngonyango olufunekayo.
Kutheni oku kwenzeka emva kotyando?
Masiyiqonde ngolu hlobo. Isinyi sethu sibanjwe zi-sphincters ezimbini, iinkqubo zemisipha ezisebenza njengeevalvu ezimbini. Njengeempompo zamanzi ezimbini. Enye ingaphakathi, enye ingaphandle. Xa sichama, ezi valve ziyavuleka ngokusekelwe kumqondiso ovela ebuchotsheni.
Ngexesha le-vasectomy, i-sphincter yangaphakathi iyasuswa. Nangona kunjalo, i-sphincter yangaphandle, onokuyilawula, isasebenza.
Ngokwesiqhelo, ukuba ivalvu enye isebenza kakuhle, yanele ukulawula umchamo wakho. Kodwa ikwafuna izihlunu zakho zomgangatho we-pelvic kunye nemithambo-luvo ukuze zisebenze kakuhle.
Kwelinye icala, unyango lwemitha lunokonakalisa izicwili eziphilileyo kuloo ndawo, nto leyo enokuchaphazela ukusebenza kwesinyi kunye neevalvu zaso.
Le meko iza kuhlala ixesha elingakanani?
Kunzima ukutsho ngokuthe ngqo ukuba oku kuza kuthatha ixesha elingakanani. Kuyahluka kumntu nomntu. Kukho izinto ezininzi ezinokuchaphazela oku:
- iminyaka yakho.
- Imeko yakho yempilo iyonke (umzekelo, nokuba utyebile kakhulu okanye unezinye iingxaki zempilo).
- Ulawulo lwakho lomchamo belunjani ngaphambi kotyando?
Umzekelo, umntu osempilweni ongaphantsi kweminyaka engama-60 ubudala akanakukwazi ukuba nale meko ixesha elide. Kodwa kumntu oneminyaka engama-80 ubudala, inokuba yingxaki ngakumbi. Abanye abantu abakwazi ukugcina umchamo konke konke kwaye kufuneka basebenzise iipads okanye ii-diapers. Abanye banokuvuza amathontsi ambalwa omchamo ngamaxesha athile.
Kodwa khumbula, ngonyango, le meko iyaphucuka kancinci kancinci. Uninzi lwabantu luyakwazi ukuphinda lulawule umchamo kwiinyanga ezintathu.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kubukhali beempawu zakho, ukuba zikho ixesha elingakanani, kunye nohlobo onalo (uXinzelelo, uNgxaki, okanye zombini).
Ngokwesiqhelo, ugqirha uqala ngokucebisa unyango olulula, olungenalo utyando.
Izinto onokuzenza ekhaya
Kukho iimveliso onokuzithenga kwiikhemesti okanye kwiivenkile ezinkulu ukunceda ukulawula ukungakwazi kwakho ukuzibamba, ezifana neephedi zokufunxa okanye iinabukeni zabantu abadala. Kukwakho nezixhobo ezifana ne-incontinence clamp ezinokunceda ukuthintela ukuvuza. Kodwa ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokuba usebenzise nantoni na efana nale.
Ukuzilolonga kweKegel ukuqinisa isinyi
Le yenye yezona ndlela zokuqala nezibalulekileyo zonyango lwesi sifo.IiKegels zizinto eziqinisa imisipha ezantsi komgangatho wakho we-pelvic.
Cinga ngezi zihlunu njengehammock ebamba amalungu akho esinqeni. Zikwanceda ekulawuleni isinyi kunye namathumbu. Emva kokuba iprostate yakho isusiwe, ngoku kufuneka uthembele phantse ngokupheleleyo kwezi zihlunu. Yiyo loo nto ezi zihlunu zibaluleke kangaka.
Isilumkiso: Akulunganga ukwenza umthambo weKegel kakhulu. Ukuba wenza njalo, izihlunu zingaqina kakhulu, nto leyo enokubangela iingxaki ezifana neentlungu okanye ukuqhina. Ke ngoko, kungcono ukwenza olu qheliselo phantsi kwesikhokelo sengcali yezonyango okanye ugqirha wakho .
Ngamanye amaxesha, oogqirha badibanisa olu qheliselo nonyango olubizwa ngokuba yi-biofeedback, olukunceda ukuba uchonge kwaye ulawule ezi zihlunu ngokuchanekileyo.
Ngawaphi amayeza asetyenziswa koku?
Ukuba une-'Urge Incontinence' (isidingo sokuchama ngequbuliso), kukho amayeza anokunceda. Amanye ala mayeza aphumza isinyi aze anyuse umthamo womchamo onokuwubamba. Ugqirha wakho uza kukuchazela ukuba loluphi unyango olulungele wena kunye nemiphumo yalo.
Okwangoku akukho mayeza asebenzayo okunyanga i-'Stress Incontinence' (uhlobo lokuvuza komchamo xa ukhohlela okanye uthimla).
Ngaba le meko inganyangeka ngotyando?
Ewe. Ukuba ukungakwazi ukuzibamba kuyaqhubeka emva kweenyanga ezi-6 ukuya kwezili-12, ugqirha wakho unokucebisa utyando. Kukho iintlobo ezimbini eziphambili zotyando.
1. I-Urethral Sling: Oku kuquka ukwenza umngxuma omncinci kwindawo ye-perineal phakathi kwe-scrotum yakho kunye ne-anus kunye nokusebenzisa into efana ne-synthetic mesh tape ukuphakamisa i-urethra. Oku kusebenza kakuhle kubantu abangakwaziyo ukuzibamba ngoxinzelelo oluphakathi ukuya koluphakathi.
2. I-Artificial Urinary Sphincter (AUS): Le isetyenziselwa abantu abanengxaki yokungakwazi ukuzibamba ngenxa yoxinzelelo olukhulu . Esi sisixhobo esenziweyo esisebenza endaweni yevalvu yakho engasebenzi kakuhle. Sinamacandelo amathathu:
- Isiciko esifuthwayo esibekwe ecaleni kwe-urethra: Oku kugcina i-urethra ivaliwe kwaye kuthintele ukuvuza komchamo.
- Ipompo encinci ngaphakathi kwe-scrotum: Yile nto ivula kwaye ivala ibhanti.
- Ibhaluni elawula uxinzelelo lwangaphakathi kwesisu: Oku kugcina uxinzelelo kwinkqubo luhlala luhleli.
Emva kolu tyando, xa kufuneka uchame, kufuneka ucinezele ipompo kwisinqe sakho. Emva koko ibhendi iyavuleka kwaye umchamo uyaphuma. Xa ugqibile ukuchama, ibhendi iyazivaleka kwakhona ngokuzenzekelayo.
Ndifanele ndimbone nini ugqirha?
Ukuba unale mpawu emva kotyando lwe-prostate, qiniseka ukuba uthethe nogqirha wakho.
Kunokuba yintloni kwaye kube nzima ukuthetha ngale nto. Kodwa awuwedwa. Abantu abaninzi abenza olu tyando badlula kolu lwazi. Ugqirha wakho ukhona ukukunceda. Ngoko ke, endaweni yokucinga ngayo nokubandezeleka, mxelele ngayo.
Umyalezo Wokuya Ekhaya
- Ukulahlekelwa lulawulo lomchamo emva kotyando lweprostate kuyinto eqhelekileyo kwaye idla ngokuba yeyokwexeshana.
- Kukho iintlobo ezimbini eziphambili: `Ukungakwazi ukuzibamba ngoxinzelelo` (ukuvuza komchamo xa ukhohlela, ukuphakamisa izinto ezinzima) kunye `Ukungakwazi ukuzibamba ngoxinzelelo` (imfuneko engxamisekileyo yokuchama).
- Ukuzilolonga ngeKegel yindlela ebaluleke kakhulu yonyango, kodwa kufuneka kwenziwe ngokuchanekileyo nangaphantsi kwengcebiso kagqirha.
- Kukho unyango oluninzi olusebenzayo kakhulu koku, kuquka ukuzilolonga, amayeza, kunye notyando.
- Musa ukuba neentloni ngale nto kwaye ungabi wedwa, kodwa ngokuqinisekileyo thetha nogqirha wakho kwaye ufumane ingcebiso.
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