Ngaba ngamanye amaxesha uziva ngathi ngempazamo uvuza amathontsi ambalwa omchamo kwiimpahla zakho? Okanye uziva ngathi usandul' ukugqiba ukuchama ? Oku kunokuba yingxaki. Kodwa kusenokwenzeka naxa isinyi sakho somchamo sigcwele kakhulu ukuba singagcini mchamo. Namhlanje, siza kuthetha ngemeko ebizwa ngokuba yi-"Overflow Incontinence".
Yintoni le "Ukungabikho kokulawula utywala ngokugqithisileyo"?
Ngamafutshane, ukungalawuleki kokuzibamba xa isinyi sakho sigcwele kangangokuba awukwazi ukusilawula kwaye umchamo othile uphuma. Kufana netanki yamanzi ephumayo xa uyicima. Oku kunokwenzeka xa kufuneka uchame rhoqo, kodwa awukwazi ukusoloko ukhupha isinyi sakho ngokupheleleyo.
Abantu abaninzi bacinga ukuba kuyinto eqhelekileyo ukuvuza umchamo omncinci njengoko ukhula. Yinyani into yokuba umngcipheko wale meko unokwanda ngokuhamba kweminyaka. Kodwa asinto eyenzeka kuye wonke umntu. Le meko, ebizwa ngokuba yi-"Overflow Incontinence", inokwenzeka kuye nabani na.
Kuqhelekile ukuba neentloni, ucaphuke, okanye uphoxeke ngale nto. Kodwa awufuni ukuba le meko iphazamise ubomi bakho bemihla ngemihla. Eyona nto ibalulekileyo kukuthetha nogqirha ngayo, ufumane unobangela ochanekileyo, kwaye ufumane unyango olufunekayo. Usenokufumana uncedo ngamayeza endalo, amayeza, okanye olunye unyango ukunceda ukulawula le meko.
Ngaba kukho ezinye iintlobo zokungakwazi ukuzibamba komchamo?
Ewe, "Ukungabikho kokuzibamba ngokugqithisileyo" luhlobo olunye nje lokungakwazi ukuzibamba ngomchamo. Kunqabile kancinci. Kukho ezinye iintlobo eziqhelekileyo:
- Ukungakwazi ukuzibamba xa kukho umchamo omncinci xa kukho uxinzelelo esiswini, njengaxa uhleka, ukhohlela, okanye uthimla.
- `(Ukukhuthaza Ukungakwazi Ukulawula Umlomo)`: Oku kwenzeka xa ngequbuliso unqwenela ngamandla ukuchama , uze ulahlekelwe ngumchamo ngaphambi kokuba uye kwindlu yangasese.
- `(Ukungakwazi ukuzibamba okuxutyiweyo)`: Oku kunokuba neempawu zeentlobo ze`(Ukungakwazi ukuzibamba koxinzelelo)` kunye ne`(Ukuzibamba okungxamisekileyo)` ezikhankanyiweyo apha ngasentla.
Khawucinge nje, bangaphi kuthi eSri Lanka abanale ngxaki? Ezinye izifundo zibonisa ukuba malunga nomntu omnye kwabathathu eMelika unesimo esithile sokungakwazi ukuzibamba . Kulaba, malunga ne-5% kuphela abangakwazi ukuzibamba ngokugqithisileyo.
Zithini iimpawu zoku?
Ukuba ukrokrela ukuba une-Overflow Incontinence, qaphela ezi mpawu:
- Umchamo uhlala uthontsiza ezimpahleni zakho, njengempompo ethontsiza amanzi ngaphandle kokuba ivalwe kakuhle.
- Imfuneko yokuchama rhoqo , kodwa kuphuma umchamo omncinci kuphela.
- Ubunzima bokuqala ukuchama .
- Xa uchama , uyayeka kwaye awuqhubeki rhoqo.
- Nangona ucinga ukuba ugqibile ukuchama , usaziva ngathi kukho umchamo kwisinyi sakho.
Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukuthetha nogqirha ngayo.
Kutheni oku kusenzeka? Zithini izizathu?
Eyona nto ibangela ukungalawuleki kokuchama kakhulu kukugcina umchamo ixesha elide. Oku kuthetha ukuba isinyi asipheleli ngokupheleleyo. Isinyi sisitho esibaluleke kakhulu kwinkqubo yethu yomchamo. Kukho izizathu ezahlukeneyo zokuba esi sinyi singazaliswa:
- Ukwanda kokuveliswa komchamo : Oku kunokwenzeka kubantu abanezifo ezithile, ezifana nesifo seswekile, okanye abo bathatha amayeza abenza bachame kakhulu, njenge-diuretics.
- Ukuvaleka kokuphuma kwesinyi : Oku kuthintela ukuba isinyi singaphumi ngokupheleleyo.
- Ukubuthathaka kwemisipha yesinyi okanye umonakalo wemithambo-luvo: Oku kubangela ukuba isinyi singakwazi ukufinyela kakuhle kwaye sikhuphe umchamo .
Ngubani osengozini enkulu?
Amadoda, ingakumbi lawo aneengxaki zeprostate, anamathuba amaninzi okuba ne-overflowing incontinence incontinence emva kotyando lweprostate. Iimeko ezifana ne-benign prostatic hyperplasia (BPH) okanye umhlaza weprostate zinokubangela ukuba i-urethra ivaleke, nto leyo ebangela ukuba umchamo omncinci udlule kuyo.
Emva kotyando lwe-prostate ngenxa yomhlaza we-prostate, okanye emva konyango lwe-radiation, okanye emva kotyando kwi-urethra, izicubu zesilonda ngamanye amaxesha zinokwakheka. Ezi zicubu zesilonda zinokubangela ukuba i-urethra ibe mxinwa (i-urethral stricture). Xa oku kusenzeka, isinyi asikwazi ukuphuma ngokupheleleyo, ngoko ke siyazalisa kwakhona ngokukhawuleza. Xa sizaliseka, umchamo uyavuza.
Ukongeza, usemngciphekweni omkhulu wokufumana i-Overflow Incontinence ukuba unezi meko zilandelayo:
- Isifo seswekile
- Umonakalo wemithambo-luvo
- Ukulimala komqolo
Ugqirha uyibona njani le nto?
Ukuba uneempawu zokungakwazi ukuzibamba ngokugqithisileyo, kubalulekile ukubona ugqirha. Uza kukubuza ngembali yakho yempilo, akubuze ngeempawu zakho, aze akuhlole ngokwasemzimbeni. Olu vavanyo lomzimba lungabandakanya uvavanyo lwe-pelvic ukuba ungumfazi, okanye uvavanyo lwe-digital rectal (ukujonga i-prostate yakho) ukuba uyindoda.
Ukuze ufumane uxilongo oluchanekileyo, ugqirha wakho angakucela ukuba ugcine "idayari yesinyi" kangangeentsuku ezimbini ukuya kwezintathu. Kule dayari, kufuneka ubhale phantsi oku kulandelayo:
- Usela ntoni?
- Usela kangakanani?
- Uchama kangaphi?
- Uvuza kangaphi umchamo ?
- Ingakanani imichamo evuzayo?
Kunye nezi zinto, ugqirha angacebisa nezinye iimvavanyo ezininzi.
Zeziphi iimvavanyo ezenziwayo?
Ukuze ufumane ukuba unayo na i-"Overflow Incontinence", ungenza olu vavanyo lulandelayo:
- Uhlalutyo lomchamo: Kuthathwa isampulu yomchamo kuwe ize ihlolwe ukuba akukho zifo zomchamo (UTIs) kunye negazi kumchamo (hematuria).
- I-ultrasound yesisu: Le ultrasound isebenzisa amaza esandi asebenza rhoqo ukuze ithathe imifanekiso eneenkcukacha zesinyi sakho, izintso, kunye nezinye izitho ezisesiswini sakho. Ingajonga nokuba ingakanani na imichamo esele kwisinyi sakho emva kokuba uchamile .
- I-Cystoscopy: Kule nto, kufakwa ityhubhu encinci, ekhanyisiweyo enekhamera eqhotyoshelweyo (i-cystoscope) nge-urethra yakho kwisinyi sakho ukuze kuhlolwe inkqubo yakho yomchamo.
- I-Voiding Cystogram (VCUG): Kolu vavanyo , i-catheter yomchamo ifakwa nge-urethra yakho kwisinyi sakho, kufakwe into ekhethekileyo (idayi yomahluko) kuyo, kwaye kuthathwe imifanekiso ye-X-ray. Le nto ivumela ugqirha ukuba abone ukuba isinyi sakho sibukeka njani xa sizaliswa kwaye siphuma.
- Uvavanyo lwe-Urodynamic: Olu luluhlu lweemvavanyo ezijonga ukuba isinyi sakho kunye nezinye iindawo zenkqubo yakho yomchamo zibamba kwaye zikhupha umchamo kakuhle kangakanani. Oku kungabandakanya uvavanyo lomchamo olusele emva kokungasebenzi, olulinganisa ubungakanani bomchamo oseleyo kwisinyi sakho emva kokuba uchamile .
Ilawulwa njani le nto kwaye zithini iindlela zonyango?
Unyango lokungakwazi ukuzibamba ngokugqithisileyo luxhomekeke kwisizathu esichanekileyo. Ngamanye amaxesha ungayilawula imeko ngokwendalo.
Izinto onokuzenza ngokwendalo:
- Uqeqesho lwesinyi okanye ukuvaleka kwesinyi ngexesha elifanelekileyo:Oku kuquka ukuya kwindlu yangasese ngamaxesha amiselweyo imini yonke (umzekelo, qho emva kweeyure ezimbini ukuya kwezintathu) ukuze uyokuchama . Injongo kukukhupha isinyi sakho ngaphambi kokuba sigcwale, nokuba awuziva unomdla wokuchama .
- Ukuchama kabini: Kule nto, emva kokuba ugqibile ukuchama kube kanye, ulinda ixesha elide ngaphambi kokuba uzame ukuchama kwakhona. Okanye, uzama ukukhupha yonke into kwisinyi sakho ngokuzihluza (ukunyamezela).
Unyango lwezonyango:
Unyango luyahluka ngokuxhomekeke kwisizathu. Unyango lwakho lungabandakanya:
- Amayeza: Ukuba le meko ibangelwa kukwanda kweprostate, unokunikwa amayeza okuyinciphisa.
- Utyando: Ukuba kukho ukuvaleka kwendlela yomchamo, ugqirha unokufuna ukwenza utyando ukuze isuswe.
- Ukuzicoca okanye ukucoca i-catheterization ecocekileyo (CIC): Kule nto, ufaka i-catheter kwisinyi sakho rhoqo ngamaxesha athile emini ukuze ukhuphe isinyi sakho. I-catheter iyasuswa xa ugqibile.
- Ukufakwa kwe-catheter ngaphakathi: Kule nto, i-catheter ishiywa esinyini ixesha elide. Umchamo uqokelelwa kwingxowa yokukhupha umchamo ngaphandle komzimba.
- I-catheter ye-Suprapubic: Kule nkqubo, ugqirha wotyando ufaka ityhubhu esisigxina ngqo kwisinyi sakho ukusuka kwisisu sakho esisezantsi. Umchamo uqokelelwa kwingxowa. Le nkqubo ayisebenzisi i-urethra.
- I-Sacral neuromodulation (ukuvuselela imithambo-luvo): Ugqirha ufaka ucingo oluncinci kumqolo wakho ongezantsi. Lubekwa ecaleni kwemithambo-luvo edibanisa nesinye sakho kwaye lunike ukuvuselela okuthambileyo nokuqhubekayo ukunceda isinyi sakho sinciphe ngokufanelekileyo. Ibhetri encinci ifakwa phantsi kolusu lwakho.
Luhlobo luni lwamayeza asetyenziswayo?
Ukuba une-overdose yokungakwazi ukuzibamba ngenxa yokwanda kwe-prostate, ugqirha wakho unokukunika iyeza le-alpha-blocker ukunceda ukunciphisa i-prostate yakho. Umzekelo:
- `(Alfuzosin)`
- `(Doxazosin)`
- `(Silodosin)`
- `(Tamsulosin)`
- `(Terazosin)`
Ungalibali ukuba la mayeza afanele asetyenziswe kuphela emva kwengcebiso kagqirha.
Ezinye iingxaki ezinokuvela kule nto
Abantu abangakwaziyo ukuzibamba ngokugqithisileyo banokuvuza umchamo kancinci, kodwa kuba oko kwenzeka rhoqo, banokuvuza umchamo omninzi ekupheleni kosuku.
Lo mchamoUngasebenzisa impahla yangaphantsi ekhethekileyo yokufunxa kunye nee-urinary pads ukuze ufunxe umchamo. Nangona kunjalo, usenokuba nexhala malunga nevumba kunye nokuba liya kubonakala na kwiimpahla zakho. Usenokuba nexhala lokuphuma uye kuba phakathi kwabantu. Oku kunokukhokelela ekubeni nesizungu, ixhala, kunye nokudakumba. Ukuchama rhoqo kunokubangela ukurhawuzelelwa lusu kunye nezilonda.
Okubaluleke kakhulu, ukuba isinyi asiphumi ngokupheleleyo, umngcipheko wosulelo lomchamo (UTIs) uyanda, oko kuthetha usulelo lwesinyi, iprostate, kunye nezintso. Kwakhona, umchamo oseleyo unokukhokelela ekwakhekeni kwamatye esinyi. La matye anokubangela usulelo, ukudumba, kunye nentlungu. Uxinzelelo oluvela kwisinyi esihlala sizele lunokubangela nomonakalo wezintso.
Ungazikhusela njani koku? (Ukuthintela)
Ukuqeqesha isinyi kunye nokuphuma kabini kunokunceda ukuthintela isinyi sakho ukuba singaphuphumi kakhulu kwaye kubangele ukuvuza komchamo . Kubalulekile nokwenza utshintsho kwindlela yokuphila, njengokulawula iimeko zonyango ezifana nesifo seswekile kunye nokugcina ubunzima obusempilweni.
Ngaba le meko iza kunyangwa ngokupheleleyo?
Kwiimeko ezininzi, abantu abanengxaki yokungakwazi ukuzibamba ngokugqithisileyo baya kuziphucula iimpawu zabo xa imeko yokubamba umchamo inyangiwe. I-catheter yomchamo ayifuneki rhoqo. Ke ngoko, kubalulekile ukuthetha nogqirha wakho. Angacebisa iindlela ezisebenzayo zokulawula ukungakwazi ukuzibamba ngokugqithisileyo kunye nokunciphisa impembelelo yako ebomini bakho.
Ndingazinyamekela njani?
Ungasebenzisa impahla yangaphantsi efunxayo okanye iipads ukunceda ukufunxa umchamo ngelixa ufumana unyango. Kubalulekile nokukhusela ulusu lwakho kwiimpumlo kunye nokusikeka. Ukusebenzisa i-petroleum jelly okanye ikhrimu equlethe i-zinc oxide kunokunceda ukuthintela ukurhawuzelelwa lusu.
Ukuba uziva uxinezelekile, uxhalabile, okanye udandathekile ngenxa yokungakwazi ukuzibamba kakhulu, kukwangcono ukuba uthethe nogqirha okanye umcebisi okanye ingcali yezengqondo.
Ndifanele ndimbone nini ugqirha?
Ukuba unayo nayiphi na kwezi mpawu, bona ugqirha ngokukhawuleza:
- Ukuba uziva ufuna ukuchama kwakhona emva kokuba ugqibile ukuchama .
- Ukuba ufumana iintlungu esiswini sakho esisezantsi, emqolo osezantsi, okanye kwindawo yesini ngelixa uchama .
- Ubunzima bokuchama : Oku kuthetha ukuba kunzima ukuqala ukuchama .Ukungakwazi ukuzibamba komchamo, ukuchama rhoqo, okanye ukungakwazi ukuchama konke konke.
- Ukuba uneempawu zosulelo, ezinje ngomkhuhlane okanye ukubanda.
- Ukuba kukho igazi kumchamo.
Yeyiphi imibuzo omele uyibuze ugqirha?
Ungabuza ugqirha imibuzo efana nale:
- Yintoni ebangela ukugcinwa komchamo kunye nokungakwazi ukuzibamba ngokugqithisileyo?
- Zeziphi iimvavanyo ozicebisayo?
- Zithini iziphumo zovavanyo lwam?
- Ngaba kukho naluphi na unyango endinokuzama ekhaya?
- Zeziphi iindlela zonyango ozicebisayo?
- Ngaba i-catheterization okanye i-nerve stimulation ifanelekile kum?
- Zithini iingozi zezo ndlela zonyango?
- Ngaba kufuneka ndidibane nogqirha wezifo zomchamo?
Okokugqibela, izinto ekufuneka uzikhumbule
Ukungakwazi ukuzibamba ngokugqithisileyo kunokuba yimeko esongela ubomi. Kunokukwenza uzive ungakhululekanga kwaye woyike ukuya kwigumbi lokuhlambela. Kodwa ayisiyonto iqhelekileyo yokwaluphala, kwaye unyango lunokunceda. Ngonyango olufanelekileyo, ukungakwazi ukuzibamba ngokugqithisileyo kunokuphucula kakhulu, kwaye ngamanye amaxesha kwanangokupheleleyo. Ngoko ke, ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wakho. Musa ukoyika ukucela uncedo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba ukungakwazi ukuzibamba ngokugqithisileyo yinto eqhelekileyo njengoko sikhula?
Hayi. Ukungakwazi ukuzibamba ngomchamo yimeko echaphazela abantu bayo yonke iminyaka. Ukungakwazi ukuzibamba ngobuninzi kuxa isinyi sakho sisoloko sigcwele (njengokugcwala ngobuninzi) kwaye ungaqapheli nokuba (ngaphandle kokunxanwa).
💬 Kutheni ndingeva ntlungu nokuba isinyi sam sigcwele?
Kwiimeko ezininzi, imbangela ephambili yoku kukonakala kwemithambo-luvo kwisinyi ngenxa yesifo seswekile esibi. Xa imithambo-luvo iyeka ukusebenza, isignali ayihambi engqondweni xa isinyi sigcwele. Kwelinye icala, kumadoda, oku kuyenzeka naxa i-prostate gland idumba ize ivale i-urethra.
💬 Ingaba kukunxiba nje amanabukeni?
Hayi suka! Kukho unyango olusebenzayo ngakumbi koku kunokunxiba ii-diapers. Ukuba i-urethra ivaliwe, ingacocwa ngotyando (TURP). Ukuba isinyi asinciphi ngenxa yengxaki yemithambo-luvo, kunokwenzeka ukuba ukhuphe umchamo ngokwakho ngokufaka ityhubhu ecocekileyo (self-catheterization) izihlandlo ezininzi ngemini.
Ukungakwazi ukuzibamba ngokugqithisileyo , Ulawulo lomchamo, Isinyi, UmchamoUkuvuza, iProstate, Usulelo lweMzimba woMchamo, Impilo yaseSri Lanka
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