Ngaba nawe ukufumanisa kunzima ukuchama kakuhle? Masifunde nge-Non-Neurogenic Voiding Dysfunction - Nirogi Lanka

Ngaba ngamanye amaxesha uziva ngathi ukuhamba komchamo wakho kuyathandabuza okanye kuyavaleka xa uzama ukuya? Okanye mhlawumbi, nokuba sele ugqibile, ngaba usenayo loo mvakalelo yokuba isinyi sakho asikabi nanto kwaphela? Usenokude ufumane ukuvuza komchamo okungalindelekanga. Nceda wazi ukuba awuwedwa—ezi ngxaki zixhaphakile. Namhlanje, eNirogi Lanka, sifuna ukuthetha ngezi ngxaki zokungafumani nto ezenzeka ngaphandle kweengxaki zemithambo-luvo . Ngokwezonyango, sibhekisa koku njengeNon -Neurogenic Voiding Dysfunction .

Yintoni i-Non-Neurogenic Voiding Dysfunction?

Ngamafutshane, le meko ithetha ukuba isinyi sakho asikwazi ukukhupha yonke into. Igama elithi "non-neurogenic" libonisa ukuba oku akubangelwa ziingxaki zenkqubo yakho yemithambo-luvo—ezifana nengqondo yakho, umqolo, okanye imithambo-luvo. "Ukungasebenzi kakuhle kwemithambo-luvo" kubhekisa ekuphazamisekeni kwenkqubo eqhelekileyo yokuchama.

Oku kunokuchaphazela nabani na. Kudla ngokubangelwa kubuthathaka kwemisipha yesinyi, ukuvaleka kwendlela yomchamo, okanye imikhwa yokuziphatha ixesha elide. Nangona kunjalo, eNirogi Lanka , oku sikubona rhoqo kubantwana abancinci abaneminyaka eyi-4-6 abaqeqeshwa kwindlu yangasese kunye nabasetyhini abaneminyaka engaphezu kwama-40 . Cinga ngoku: phantse umntwana omnye kwabahlanu abaneminyaka eyi-4-6 uba neempawu zomchamo emini ngenxa yesi simo. Ukongeza, ngaphezulu kwe-6% yabasetyhini abaneminyaka engaphezu kwama-40 bayachaphazeleka yiyo.

Zithini Iimpawu Zokungasebenzi Kakuhle Kwe-Non-Neurogenic Voiding?

Ziphe ixesha ukuze ubone ukuba uzibona na kwezi mpawu:

• Ngaba unengxaki yokuqalisa ukuchama okanye uzifumana udiniwe ukuze uchame?
• Ingaba umchamo wakho ubuthathaka, okanye uqala uphinde ume ngokuphindaphindiweyo?
• Ngaba kufuneka utyhale usebenzisa izihlunu zesisu okanye ucinezele isisu sakho esisezantsi ukuze uncede ukhuphe isinyi sakho?
• Ngaba uvakalelwa kukuba isinyi sakho asikaphumi ngokupheleleyo emva kokuba ugqibile?
• Ngaba unengxaki yokuqhinwa ? (Oku kudla ngokunxulunyaniswa kakhulu.)
• Ingaba uchama rhoqo okanye kancinci kunesiqhelo?
• Ngaba ukhe wadibana nokuvuza komchamo ngengozi (ukungakwazi ukuzibamba komchamo)?
• Ngaba unesifiso sokuchama ngequbuliso, esingapheliyo (ukufuna ukungakwazi ukuzibamba)?
• Ngaba kufuneka uvuke ngaphezu kwesihlandlo esinye ebusuku ukuze uchame (i-nocturia)?

Iimpawu ezithile ebantwaneni:

Ukuba umntwana wakho uhlangabezana nale meko, unokubona ezi mpawu zilandelayo:

• Ukuchama ebhedini emini okanye iingozi (nokuba sele uqeqeshwe ukuya kwindlu yangasese).
• Iindlela "zokubamba" zokulibazisa ukuchama, ezifana nezi:
• Benqamleza imilenze yabo ngokuqinileyo.
• Ukuquleka okanye ukugoba.
• Ukucinezela izithende okanye izandla zabo kwindawo yezihlunu zabo.

Ukuba ubona umntwana wakho esenza ezi zinto, nceda udibane nogqirha wezempilo eNirogi Lanka.

Yintoni Ebangela Le Ngxaki?

Zininzi izinto ezinokubangela le ngxaki:

• Imisipha yesinyi ebuthathaka.
• Ukuvaleka okanye ukuvaleka kwendlela yomchamo.
• Isinyi esisebenza kakhulu (OAB).
• Isinyi esingasebenzi kakuhle (apho ungaziboni umnqweno wokuchama ide isinyi sigcwale kakhulu).
• Ukuqhinwa (into ebalulekileyo enegalelo).
• Iintsholongwane zoMchamo (UTIs).
• Ukulibazisa ukuchama rhoqo de isinyi sigcwale kabuhlungu.
• Kumadoda, i-prostate ekhulisiweyo (i-Benign Prostatic Hyperplasia - i-BPH).
• Umhlaza weprostate.

Kubantwana, imeko ebizwa ngokuba yi-"Dysfunctional Elimination Syndrome" inokuba yimbangela, apho izihlunu zesinyi kunye nomgangatho we-pelvic zingahambelani kakuhle.

Ziziphi Iingxaki Ezinokuvela?

Xa isinyi sakho singaphumi ngokupheleleyo, umchamo oseleyo unokuba neentsholongwane, nto leyo ekhokelela kwiintsholongwane ezifana ne-UTI. Usenokuba semngciphekweni omkhulu wamatye ezintso okanye amatye esinyi. Ukuba awunyangwa, oku kunokuqhubela phambili kumonakalo wezintso.

Okubaluleke kakhulu, iingxaki zokuchama nazo zinokubangela iingxaki ngokweemvakalelo. Izigulane ezininzi ziziva zihlazekile okanye zixhalabile ngenxa yokungakwazi ukuzibamba. Ukuba ezi mpawu ziphazamisana nobomi bakho bemihla ngemihla, ungaziva ungumthwalo kwabanye okanye uyeke imisebenzi yoluntu. Oku kuzihlukanisa ekugqibeleni kunokukhokelela kwiinkxalabo ezinzulu ezifana nokuxhalaba nokudakumba.

Oogqirha Bayifumanisa Njani Le Nto?

Apha eNirogi Lanka, iingcali zethu zinokuxilonga ngokuchanekileyo ukungasebenzi kakuhle kwe-voiding engeyiyo i-neurogenic. Siza kuhlola imbali yakho yezonyango size senze uvavanyo olupheleleyo lomzimba. Kwezinye iimeko, singenza uvavanyo lwe-pelvic kubafazi okanye uvavanyo lwe-digital rectal kumadoda.

Ukongeza, ugqirha wakho unokukucela ukuba ugcine "idayari yesinyi" ukuze ulandelele:

• Usela amanzi angakanani imihla ngemihla?
• Uchama nini?
• Ungakanani umchamo owukhuphayo ngexesha elinye?
• Umchamo uvuza nini kwaye njani ngengozi?

Ngolu lwazi, ugqirha wakho unokwenza iimvavanyo ezimbalwa ezongezelelweyo ukuqinisekisa ukuxilongwa.

Zeziphi iimvavanyo ezenziwayo?

Ugqirha wakho angenza olunye okanye ngaphezulu kwezi vavanyo zilandelayo:

• Uvavanyo lwe-Prostate-specific antigen (PSA): Olu luvavanyo lwegazi lokujonga ukuba amanqanaba e-PSA aphakanyisiwe na. Amanqanaba aphezulu anokubonisa ingxaki enokubakho kwi-prostate gland.
• Uhlalutyo lomchamo: Oku kunceda ekuqinisekiseni ukuba unayo na intsholongwane yomchamo (UTI).
• I-Ultrasound: Olu vavanyo lulinganisa ukuba ingakanani intsalela yomchamo kwisinyi sakho emva kokuba ugqibile ukuchama. Lunokuvavanya nokuba le meko ichaphazela izintso zakho na.
• Uvavanyo lwe-Urodynamic: Olu vavanyo lulinganisa ukuba ingakanani imichamo enokubanjwa sisinyi sakho kunye nokuba izihlunu zesinyi sakho, i-urethra, kunye nomgangatho we-pelvic zisebenza kakuhle kangakanani.
• I-Cystoscopy: Ngexesha le nkqubo, ugqirha ufaka ityhubhu encinci, eguquguqukayo enekhamera kwi-urethra yakho ukuze ahlole isinyi kunye nomgudu womchamo ukuba kukho naziphi na iingxaki.

Kubantwana, olu vavanyo alunazo iingxaki ezininzi. Ugqirha wakho unokucebisa ukuba ugcine idayari yesinyi, kunye novavanyo lwegazi olusisiseko, uvavanyo lomchamo, i-ultrasound, kunye novavanyo lwe-urodynamic olukhethiweyo.

Iphathwa njani? (eNirogi Lanka)

Unyango lwe-non-neurogenic voiding dysfunction luyahluka ngokuxhomekeke kwisizathu esiyintloko kwaye lungabandakanya:

1. Uqeqesho lwesinyi

Ungaziqeqesha izihlunu zesinyi sakho ukuba zibambe umchamo ixesha elide. Oku kuquka ukuya kwigumbi lokuhlambela ngamaxesha amiselweyo imini yonke, nokuba awuziva umnqweno. Oku kuthintela isinyi ukuba singagcwali kakhulu. Ingcali yezonyango egxile kwimpilo yomgangatho we-pelvic ingakunceda ngale nkqubo.

2. Unyango lomgangatho we-pelvic

Ingcali yezonyango ingakufundisa indlela yokuphumza izihlunu zakho zomgangatho we-pelvic ukuze kube lula ukuchama. Basenokusebenzisa izinzwa ze-biofeedback kwindawo yesini okanye emqolo ukuqinisekisa ukuba udibanisa izihlunu ngendlela efanelekileyo.

Baza kukufundisa nokuzilolonga ngeKegel ukuqinisa umgangatho wakho we-pelvic. Izihlunu ezomeleleyo zinceda ekuthinteleni ukungakwazi ukuzibamba komchamo kunye nomnqweno onamandla wokuchama ngequbuliso.

3. Amayeza

Amayeza athile anokunceda ukulawula iingxaki zomchamo, ezinje:

• Ii-Alpha-blockers, ezifana ne-tamsulosin (Flomax®).
• Ii-antispasmodics zomchamo, ezifana ne-oxybutynin (Ditropan®) kunye ne-tolterodine (Detrol®).

4. Ityhefu yeBotulinum

Ugqirha wakho angakufaka i-Botulinum toxin (Botox®) kwisinyi sakho. Oku kukhulula izihlunu zesinyi kwaye kunceda ekunciphiseni umnqweno wokuchama ngequbuliso (ukukhuthaza ukungakwazi ukuzibamba).

5. Ukuvuselelwa kwemithambo-luvo ye-Percutaneous tibial (PTNS)

Ngamanye amaxesha isinyi sidinga "ukuqiniswa" ukuze sivuselele imithambo-luvo. Kwi-PTNS, ugqirha ubeka i-electrode kufutshane ne-tibial nerve eqatheni lakho. Imiqondiso yombane ethambileyo ithunyelwa nge-electrode, ehamba iye kwimithambo-luvo ye-sacral kwi-pelvis. Oku kulungisa imiqondiso engaqhelekanga ebangela ukungasebenzi kakuhle kwesinyi, kukunceda ukuba uphinde ulawule.

6. Ukuvuselelwa kwemithambo-luvo yeSacral

Kule nkqubo, ugqirha wotyando ubeka i-electrode phantsi kolusu kufutshane neempundu zakho. Iprobe encinci ithumela iimpulse zombane ezithambileyo kwi-sacral nerve ukunceda ukuvuselela nokulungelelanisa izihlunu zesinyi.

7. Ukuzicoca nge-catheterization

Ugqirha wakho angakufundisa indlela yokusebenzisa i-catheter yomchamo ukuze ukhuphe isinyi sakho ngamaxesha athile acwangcisiweyo.

8. Utyando

Ukuba ezinye iindlela zonyango aziphumeleli, ugqirha wakho unokucebisa utyando lokwandisa isinyi (cystoplasty) ukuze kwandiswe ubukhulu besinyi sakho, nto leyo evumela ukuba sigcine umchamo omninzi.

Unyango lokuqala lweSinyi esiSebenzayo ngokugqithisileyo esingesiso isifo semithambo-luvo

Unyango lokuqala ludla ngokuquka:

• Ukunciphisa izinto ezibangela ukucaphuka kwesinyi (iti, ikofu, utywala, ukutya/iziselo ezineziqholo okanye ezine-asidi eninzi).
• Uqeqesho lwesinyi.

Ukuba olu tshintsho lokuziphatha alwanelanga, ugqirha wakho unokucebisa amayeza asekelwe kuhlobo oluthile lokungasebenzi kakuhle komzimba:

• I-Anticholinergics
• I-Alpha-blockers
• Ii-agonists ze-Beta 3 receptor

Iphathwa njani le meko ebantwaneni?

Ukunyanga isinyi esisebenza kakhulu ebantwaneni, iingcali zonyango zingasebenzisa ii-alpha-blockers kunye namayeza okulwa ne-cholinergic. Abanye abantwana bakwazuza ngokufunda umthambo womgangatho we-pelvic.

Ugqirha wakho angacebisa noqeqesho lwesinyi. Oku kuquka ukukhuthaza umntwana wakho ukuba asebenzise indlu yangasese ngamaxesha athile acwangcisiweyo kwaye umfundise indlela efanelekileyo yokuma xa ehleli kwindlu yangasese.

Uza kuziva ungcono nini emva konyango?

Ixesha lokuchacha lixhomekeke kunyango oluthile. Uqeqesho lwesinyi kunye nonyango lomgangatho we-pelvic lunokuqala ukubonisa iziphumo kwiiveki okanye kwiinyanga ezimbalwa. Ukuvuselelwa kwemithambo-luvo kudla ngokuqala ukusebenza kwiiveki ezimbalwa, ngelixa amayeza kufuneka aqale ukubonisa iziphumo kwiintsuku okanye kwiiveki. Ugqirha wakho uya kukunika ixesha elicacileyo ngokusekelwe kwimeko yakho ethile.

Ufanele uye nini kugqirha?

Nceda uqhagamshelane nogqirha ngokukhawuleza xa ubona ezi mpawu zilandelayo:

• Ukungakwazi ukuchama ixesha elide.
• Utshintsho kumchamo wakho, njengevumba elibi, ukuba namafu, okanye igazi kumchamo (i-hematuria).
• Intlungu okanye ukutsha ngexesha lokuchama (i-dysuria).
• Iimpawu ezingapheliyo zokuqunjelwa.
• Iimpawu zosulelo, kuquka umkhuhlane, ukubanda, okanye intloko ebuhlungu engapheliyo.

Xa udibana nogqirha wakho, ungabuza le mibuzo:

• Uxilongwe njani ukungasebenzi kakuhle kwe-Non-neurogenic voiding disorder yam?
• Yintoni unobangela wale meko?
• Yeyiphi indlela yonyango ondicebisa yona?
• Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yolu nyango?
• Kuza kuthatha ixesha elingakanani ukubona iziphumo zolu nyango?
• Zeziphi iinguqu endinokuzitshintsha kwindlela endiphila ngayo ukuze ndinciphise ezi mpawu?
• Zeziphi iingxaki ekufuneka ndiziqaphele?
• Ngaba kufuneka ndithunyelwe kwi-Urologist?

Ngaba oku kungathintelwa?

Ukwenza uhlengahlengiso oluthile lwendlela yokuphila kunye nokutya kunokukunceda ukulawula okanye ukuthintela ukungasebenzi kakuhle kwe-Non-neurogenic voiding:

• Nciphisa izinto ezibangela ukucaphuka kwesinyi: I-caffeine (ikofu, iti), iziqhamo ze-citrus, ukutya okuneziqholo, kunye notywala zinokucaphukisa isinyi kwaye ziyenze mandundu ingxaki yomchamo.
• Yandisa ukutya ifayibha: Ukuqhina kunokubangela okanye kuyenze mandundu le meko. Faka ukutya okufana neembotyi, iziqhamo, imifuno, kunye neenkozo ezipheleleyo (ii-oats, irayisi emdaka, ipasta yengqolowa epheleleyo) ekutyeni kwakho. Nangona amayeza okuhambisa isisu anokunceda, soloko uthetha nogqirha ngaphambi kokuba uwasebenzise, ​​ingakumbi ebantwaneni.
• Gcina ubunzima obusempilweni: Ukuba i-BMI yakho ingaphezulu kwama-25, ubunzima obongezelelweyo bunokubangela uxinzelelo kwisinyi sakho, nto leyo enokubangela ukuvuza komchamo.
• Yeka ukutshaya: I-Nicotine inokucaphukisa izihlunu zesinyi. Ukongeza, abantu ababhemayo banokuba nesifo sokukhohlela okungapheliyo, nto leyo enyusa uxinzelelo lwesisu kwisinyi.

Yintoni onokuyilindela ukuba unengxaki yokungasebenzi kakuhle kwe-voiding engeyiyo i-neurogenic?

Ithemba labo banale meko ngokubanzi lihle. Ngonyango olufanelekileyo, uninzi lwabantu luya kuphinda lulawule isinyi sabo. Utyando olufana ne-cystoplasty aluqhelekanga.

Yintoni umahluko phakathi kokungasebenzi kakuhle kwe-Non-neurogenic kunye ne-Neurogenic Voiding Dysfunction?

Ukungasebenzi kakuhle kwe-neurogenic voiding (isinyi se-neurogenic) kubhekisa kwiimeko ezibangelwa kukonakala kwenkqubo yemithambo-luvo, njengeengxaki zengqondo, imithambo-luvo, okanye umqolo ezithintela ulawulo olufanelekileyo lwesinyi.

Ngokwahlukileyo koko, ingxaki yokungaphumli kakuhle kwemithambo-luvo esiyixoxayo ayinxulumananga nayo nayiphi na imeko yemithambo-luvo engaphantsi.

Umyalezo obalulekileyo ovela eNirogi Lanka: Ukungasebenzi kakuhle kwe-vacuum cleaner ngaphandle kwe-neurogenic kunokuchaphazela kakhulu abantwana kunye nabantu abadala. Kuyinto eqhelekileyo ukuziva uneentloni okanye uxhalabile, kwaye uloyiko lwengozi lunokukhokelela ekubeni uyeke imisebenzi yakho yemihla ngemihla. Nceda ukhumbule, akufuneki uvumele le meko yehlise umgangatho wobomi bakho. Ukuba wena okanye umntu omthandayo uhlangabezana nezi mpawu, nceda uqhagamshelane nogqirha. Bakho ukukunceda uchonge unobangela kwaye ufumane isicwangciso sonyango esisebenzayo.

Isishwankathelo: Umyalezo Wokuya Ekhaya

Siyathemba ukuba olu shwankathelo lwe-Non-neurogenic voiding dysfunction lube luncedo. Kubalulekile ukukhumbula ukuba oku akubangelwanga kukonakala kwemithambo-luvo. Kusenokubangelwa bubuthathaka bemisipha yesinyi, ukuvaleka kwendlela yomchamo, imikhwa emibi, okanye ukuqhina.

• Iimpawu: Ubunzima bokuchama, umchamo obuthathaka, ukukhupha isinyi ngokupheleleyo, ukuvuza okunganyanzelekanga, okanye iingozi zasemini ebantwaneni.
• Uxilongo: Uvavanyo lwezonyango, idayari yesinyi, i-ultrasound, kunye novavanyo lwe-urodynamic.
• Unyango: Utshintsho kwindlela yokuphila, uqeqesho lwesinyi, umthambo womgangatho we-pelvic, amayeza, kunye nezinye iindlela zonyango ezikhethekileyo.
• Kubalulekile: Ukuba uneempawu, musa ukuba neentloni—funa ingcebiso yogqirha. Unyango lwakwangoko lunceda ukuthintela iingxaki ezihlala ixesha elide.

Ukuba unemibuzo engaphezulu, nceda ungathandabuzi ukubuza ugqirha wakho. Hlala usempilweni ngeNirogi Lanka!

Amagama angundoqo: Ukungasebenzi kakuhle kokukhupha umchamo ngaphandle kwe-neurological, ubunzima bokukhupha umchamo, impilo yesinyi, usulelo lomchamo, ukuqhinwa, iingxaki zomchamo kubantwana, ukungakwazi ukuzibamba komchamo, ukusebenza kwesinyi ngokugqithisileyo, uqeqesho lwesinyi.