Ngaba ngamanye amaxesha uziva ngathi usenomchamo emva kokuba uchame? Okanye kunzima kancinci ukuqala ukuchama , okanye kuthatha ixesha? Mhlawumbi umntwana wakho omncinci, nangona ngoku eqeqeshwe ukuya kwindlu yangasese, usamanzisa impahla yakhe emini? Ezi asizozinto ezenzekayo kwaye azinakuba neentloni ngazo. Esi sisifo esichazwa ngokwezonyango abantu abaninzi abanaso. Yile nto sithetha ngayo namhlanje.
Yintoni le nto ingasebenzi kakuhle kwi-Non-Neurogenic Voiding?
Eli gama lesiNgesi lisenokuvakala lisoyikisa kancinci, kodwa lilula kakhulu. Masilichaze.
- "I-Non-neurogenic" ithetha ukuba ayinanto yakwenza nenkqubo yemithambo-luvo . Oko kuthetha ukuba ayibangelwa ziingxaki zengqondo yakho, umqolo, okanye imithambo-luvo.
- "Ukungasebenzi kakuhle kwemisebenzi" kubhekisa kubuthathaka kwinkqubo yokuchama .
Ngamafutshane, i-Non-Neurogenic Voiding Dysfunction kukungakwazi ukukhupha yonke into kwisinyi sakho ngaphandle kweengxaki kwinkqubo yemithambo-luvo.
Le meko inokwenzeka nakubani na, kodwa ixhaphake kakhulu kubantwana abaneminyaka ephakathi kwemi-4 nemi-6 ubudala abaqeqeshwayo kwindlu yangasese nakubasetyhini abaneminyaka engaphezu kwama-40. Nangona kunjalo, inokwenzeka nakumadoda.
Zithini iimpawu zale meko?
Ezi mpawu azibonakali kubo bonke abantu ngendlela efanayo. Abanye abantu banokuba nenye okanye ezimbini, ngelixa abanye banokuba nezininzi. Makhe sijonge iimpawu eziphambili ezibonwayo.
| Uphawu | Ingcaciso elula |
|---|---|
| Iimpawu eziqhelekileyo phakathi kwabantu abadala nabantwana | |
| Ubunzima bokuqala ukuchama | Kuya kufuneka ulinde ixesha elithile emva kokuya kwindlu yangasese ukuze uchame. |
| Umchamo obuthathaka okanye ongapheliyo | Umchamo awuphumi kakhulu, uphuma kancinci kakhulu. Ngamanye amaxesha uhamba okwethutyana, uyeke, uze uphinde uhambe okwethutyana. |
| Ukuzikhandla okanye ukutyhafa ukuze uchame | Umchamo uza kuphuma kuphela ukuba ucinezela izihlunu zesisu sakho ngamandla okanye ucinezela isisu sakho esisezantsi ngesandla sakho. |
| Ukuziva ngathi isinyi asiphumi ngokupheleleyo | Kwanasemva kokuchama kakuhle, uhlala uziva ngathi kusekho okushiyekileyo. |
| Ukuchama rhoqo | Ukufuna ukuchama amaxesha amaninzi ngemini kunesiqhelo. |
| Ukunyanzelisa ukungakwazi ukuzibamba (isidingo esingxamisekileyo sokuchama) | Ngequbuliso uba nomnqweno onamandla wokuchama, kangangokuba awukwazi kulinda ukubaleka uye kwindlu yangasese. |
| Ukungakwazi ukuzibamba komchamo | Ngamanye amaxesha, xa uhleka, ukhohlela, okanye uphakamisa into enzima, amathontsi ambalwa omchamo aphuma ngengozi. |
| Ukuchama izihlandlo ezininzi ebusuku (iNocturia) | Ukuvuka ebusuku ukuze uchame izihlandlo ezingaphezu kwesinye. |
| Ukuqhinwa | Ukuqhinwa kwesisu kudla ngokubonakala kunye nale meko. |
| Iimpawu ezibonakala ngakumbi kubantwana abancinci | |
| Ukuchama kwiimpahla emini | Nangona umntwana eqeqeshwe ukuya kwindlu yangasese, usachamela kwiimpahla zakhe xa edlala okanye esikolweni. |
| Ukuzama ukuyeka ukuchama | Umntwana ngequbuliso uyeka ukudlala aze enze izinto ezifana nokunqumla imilenze yakhe, ahlale phantsi aze acinezele izithende zakhe kwindawo yesini/yescrotum. Oku kwenzelwa ukunqanda ukuphuma komchamo. |
Kutheni oku kusenzeka? Zithini izizathu zoku?
Akukho sizathu sinye sale nto. Kusenokuba nezizathu ezininzi. Ngamanye amaxesha, izizathu ezininzi ziyadibana zibangele le meko.
- Ukubuthathaka kwemisipha yesinyi: Isinyi sifana nengxowa eyenziwe ngemisipha. Xa le misipha ibuthathaka, ilahlekelwa ngamandla okutyhala wonke umchamo ngaphandle.
- Ukuvaleka kwendlela yomchamo: Ukuba kukho ukuvaleka kwindawo ethile kwinkqubo apho umchamo udlula khona, isinyi asiyi kuphuma siphele.
- Isinyi esisebenza kakhulu: Xa isinyi sizele kancinci, sithumela imiyalezo engafunekiyo engqondweni isithi, "Ndifuna ukuchama ngoku."
- Isinyi esingasebenzi kakuhle: Oku kuchasene noko. Isinyi sigcwele kodwa asithumeli umqondiso engqondweni wokuba kufuneka sichame .
- Usulelo lwendlela yomchamo (UTIs): Ezi mpawu zinokubakho ngenxa yosulelo lwendlela yomchamo.
- Ukulawula umnqweno wokuchama: Ukuba ubamba ixesha elide xa kufuneka uchame , ucinga ukuba, "Ndiza kuhamba kungekudala," isinyi sakho sinokugcwala kakhulu kwaye izihlunu zakho zibuthathaka.
- I-Benign Prostatic Hyperplasia: Njengoko amadoda ekhula, i-prostate gland inokukhula, nto leyo ebangela uxinzelelo kwi-urethra kunye nokuvaleka komchamo.
- Umhlaza weprostate: Oku kunokuba yimbangela yokuvaleka komchamo.
Eyona nto ibalulekileyo kukubona ugqirha uze ufumane ingcebiso ukuba unale mpawu, endaweni yokulinda ukuba "oku kuza kuphola ngokwako. "
Ukuba oku akunanzwa, kunokubakho imiphumo emibi kakhulu.
Esi asisosifo esisongela ubomi, kodwa ukuba asinyangwa ixesha elide, sinokukhokelela kwiingxaki ezithile.
- Usulelo oluqhelekileyo lwendlela yomchamo (UTIs): Ngenxa yokuba kusoloko kukho umchamo oshiyekileyo kwisinyi, iintsholongwane zinokukhula lula ngaphakathi kuso zize zibangele usulelo.
- Amatye ezintso okanye esinyini:Iiminerali ezikumchamo oseleyo zinokuqokelelana kwaye zenze amatye.
- Ukonakala kwezintso: Kwiimeko ezinzima, uxinzelelo kwisinyi lunokwanda, okubangela ukuba umchamo ubuyele ezintso, onakalise izintso.
Ukongeza kwezi ngxaki zomzimba, kunokubakho nempembelelo enkulu yengqondo . Ukuchama ngokunganyanzelekanga kunokwenza abantu bazive beneentloni kwaye boyike ukuncokola okanye ukuchitha ixesha nabahlobo. Oku kunokubangela iingxaki zengqondo ezifana nokuxhalaba kunye nokudakumba kwabanye abantu.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kulandela amanyathelo aliqela ukuze axilonge ngokuchanekileyo esi sifo.
1. Ukukubuza iinkcukacha: Baza kukubuza imibuzo emininzi, efana nokuba zithini iimpawu zakho, ukuba sele unazo ixesha elingakanani, ukuba uchama kangaphi ngosuku, kunye nokuba usela amanzi angakanani.
2. Uvavanyo lomzimba: Oku kungabandakanya uvavanyo lwesisu, uvavanyo lwe-pelvic kubafazi, kunye novavanyo lwedijithali lwe-rectal kumadoda.
3. Ukukucela ukuba ugcine idayari yesinyi: Usenokucelwa ukuba ubhale phantsi izinto ezifana nokuba usela amanzi angakanani, nini uchama, kunye nobungakanani bomchamo owuchithayo iintsuku ezimbalwa. Oku kunokukunika umbono olungileyo wendlela ochama ngayo.
Ukongeza, kunokwenziwa ezinye iimvavanyo ezininzi ukuze kufunyanwe unobangela ochanekileyo.
| Uvavanyo | Yenza oku nje... |
|---|---|
| Uhlalutyo lomchamo | Kuthathwa isampuli yomchamo ukuze kuhlolwe ukuba kukho usulelo na. |
| Iskeni ye-ultrasound | Emva kokuba ugqibile ukuchama, ijonga ukuba kusele umchamo ongakanani kwisinyi. Ingajonga nemeko yezintso. |
| Uvavanyo lwe-PSA | Uvavanyo lwegazi lwamadoda. Oku kwenziwa ukuba kukho ukurhaneleka kokuba kukho ingxaki yeprostate. |
| Uvavanyo lwe-Urodynamic | Uvavanyo olukhethekileyo olulinganisa ukuba ingakanani umchamo onokugcinwa sisinyi kunye nendlela izihlunu ezisebenza ngayo. |
| I-Cystoscopy | Ityhubhu encinci kakhulu enekhamera eqhotyoshelweyo idluliselwa kwi-urethra ukuze kubonwe ngqo ukuba kukho ingxaki ngaphakathi kwesinyi. |
Zithini iindlela zonyango zoku?
Eyona nto ingcono kukuba kubekho unyango olusebenzayo koku. Ugqirha wakho uza kugqiba unyango ngokusekelwe kwisizathu seempawu zakho.
Uqeqesho lwesinyi
Oku kufana nokufundisa isinyi sakho ukusebenza ngexesha. Nokuba awuziva ufuna ukuchama, kufuneka uye kwindlu yangasese ngokweshedyuli oyinikwe ngugqirha wakho (umz. rhoqo emva kweeyure ezi-2). Oku kuya kuthintela isinyi sakho ukuba singazali kakhulu.
Unyango lomgangatho we-pelvic
Olu nyango lungenziwa phantsi kwesikhokelo sengcali ye-physiotherapist. Baza kukufundisa indlela yokuphumza izihlunu zomgangatho we-pelvic xa uchama. Ungaziqinisa ezi zihlunu ngezinto ezifana nokuzilolonga kweKegel kunye nokulawula ukuvuza komchamo okungenanjongo.
Amayeza
Kukho iintlobo ngeentlobo zamayeza anokusetyenziswa ukuphumza izihlunu zesinyi, okanye ukuzithintela ukuba zingaqini ngokungeyomfuneko. Ii-Alpha-blockers kunye ne-urinary antispasmodics ziindidi ezimbini zamayeza. La mayeza kufuneka athathwe kuphela emva kwengcebiso kagqirha.
Ezinye iindlela zonyango ezithile
Ukuba unyango olungentla aluphumeleli, ugqirha angacebisa olunye unyango.
- Iinaliti zeBotulinum toxin (Botox®): Le naliti inikwa ukuphumza izihlunu zesinyi.
- Ukuvuselelwa kwemithambo-luvo: Ngamanye amaxesha kuthunyelwa imiqondiso emincinci yombane ukuze kukhuthazwe imithambo-luvo elawula ukusebenza kwesinyi.
- Ukuzicoca: Indlela yokukhupha umchamo ngokufaka ityhubhu ecocekileyo (i-catheter) kwisinyi izihlandlo ezininzi ngemini xa isinyi singakwazi ukuzikhupha. Ugqirha okanye umongikazi uza kukufundisa indlela yokwenza oku.
- Utyando: Oku kwenziwa rhoqo. Ukuba akukho nyango luphumelelayo, utyando lokwandisa isinyi (Cystoplasty) lunokwenziwa.Kungenziwa.
Singenza ntoni ukuze siphephe le meko?
Ukwenza utshintsho kwindlela yokuphila kunye nokutya kunokunceda ukuthintela le meko ukuba ingenzeki kwaye kuncede nokulawula iimpawu.
- Nciphisa ukutya neziselo ezicaphukisa isinyi: Izinto ezifana nekofu, iti, utywala, iziqhamo ze-citrus (iiorenji, iitangerines), kunye nokutya okuneziqholo kunokuvuselela isinyi. Zama ukunciphisa oku kancinci.
- Yitya ukutya okuninzi okunefayibha: Ukuqunjelwa sisizathu esiphambili sale meko. Ngoko ke, yongeza ukutya okunefayibha efana nemifuno eluhlaza, imifuno, iziqhamo, kunye neenkozo ezipheleleyo (iimbotyi, ii-oats, iitships) ekutyeni kwakho.
- Gcina ubunzima obusempilweni: Njengoko ubunzima bomzimba busanda, uxinzelelo olukwisisu luyanda, nto leyo ebeka uxinzelelo kwisinyi. Oku kunokukhokelela ekuvuzeni komchamo ngengozi.
- Kuphephe ukutshaya: I-Nicotine, ikhemikhali efumaneka kwicuba, ikhulula izihlunu zesinyi. Kwakhona, ukukhwehlela okungapheliyo okubangelwa ngabantu abatshayayo kunokufaka uxinzelelo kwisinyi.
Umyalezo Wokuya Ekhaya
- Ubunzima bokuchama yingxaki abantu abaninzi abanayo kodwa baneentloni zokuthetha ngayo. Kodwa ayisiyonto yokuba neentloni ngayo.
- Ezi mpawu azibangelwa yingxaki kwinkqubo yemithambo-luvo.
- Ukuba le meko ayihoywa, iingxaki ezifana nosulelo oluqhelekileyo lwendlela yomchamo zinokwenzeka.
- Ukuba wena okanye umntwana wakho unezinye zezi mpawu, qiniseka ukuba ubona ugqirha.
- Le meko ingalawulwa ngempumelelo kakhulu ngokutshintsha indlela yokuphila elula kunye nonyango olufanelekileyo.
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