Ngaba nawe uyoyika ukuchama ngaphandle? Masifunde ngale 'Shy Bladder Syndrome' (Paruresis)!

Ngaba wakha waya kwindlu yangasese kawonke-wonke okanye endlwini yomhlobo wakho waza kwafuneka uchame , kodwa waba neentloni okanye woyika ukuchama ? Nangona ungakwazi ukubamba umchamo wakho , ngamanye amaxesha awukwazi ukukwenza, akunjalo? Nangona oku kungabonakala ngathi kuhlekisa kwabanye abantu, eneneni yimeko yempilo. Siza kuthetha ngale nto namhlanje.

Yintoni i-'Shy Bladder Syndrome' (Paruresis)?

Ngamafutshane, iShy Bladder Syndrome, okanye njengoko oogqirha beyibiza njalo , iParuresis , sisifo sokuxhalaba ngokwentlalo . Sibonakaliswa kukungakwazi okanye ubunzima obukhulu bokuchama ngaphandle kwekhaya lakho, ingakumbi kwiindawo zangasese zikawonke-wonke. Khawuthelekelele ukuba unomdla omkhulu wokuchama , kodwa ukuba kukho omnye umntu okufutshane, okanye ukuba indlu yangasese awuyazi, awukwazi ukuchama nokuba uzama kangakanani.

Oku kubizwa ngokuba yinto eyahlukileyo, mhlawumbi ukhe weva ngayo:

• `(I-Avoidant Paruresis)`
• `(Isifo seBashful Bladder - BBS)` okanye `(Izintso zeBashful)`
• `(Ukoyika ukuchama)` (Ukoyika ukuchama )
• `(Ukugcinwa komchamo ngokwengqondo)` (Ukungakwazi ukuzibamba ngenxa yezizathu zengqondo)
• Uloyiko lokuchama (uloyiko olungaqhelekanga lokuchama)

Eyona nto ibalulekileyo kukuba abantu abanale meko abanazo iingxaki zomzimba ngesinyi sabo okanye kwinkqubo yabo yomchamo . Banokuchama ngokwasemzimbeni. Nangona kunjalo, ngenxa yokuxhalaba kakhulu, izihlunu zesinyi kunye ne-urethra ziyaqina kwaye aziphumli njengoko kufuneka ukuvumela umchamo ukuba uphume. Ukuchaneka, oku kubangelwa luloyiko engqondweni.

Ukuba ayinyangwa, le meko inokuba nefuthe elikhulu kumgangatho wobomi. Abanye abantu bayayeka ukuhamba, ukunxulumana nabahlobo, ukuya kwiindawo zikawonke-wonke, kwaye ngamanye amaxesha baya emsebenzini. Oogqirha basebenzisa unyango lwengqondo, unyango lokuziphatha, kwaye ngamanye amaxesha i-hypnosis njengonyango. Abanye abantu banobunzima bokuchama ngaphandle kwekhaya, ngoko ke basebenzisa i-catheter , ityhubhu encinci, ukukhupha isinyi sabo.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Oogqirha bakholelwa ukuba ukuba abazali bakho babenale meko (iParuresis), nawe unethuba elikhulu lokuba nayo. Kwakhona, abantu abanezinye iingxaki zokuxhalaba basengozini enkulu yokuba nale 'shy bladder syndrome'. Oko kukuthi, ukuba unezi meko, unamathuba amaninzi okuba nayo (iParuresis):

• Ingxaki Yokuxhalaba Okuqhelekileyo (i-GAD)
• Ukuba ukhe wagula ngengqondo ngaphambili (Imbali yokugula ngengqondo)
• Isifo Sokuxhalaba Okugqithisileyo (OCD)
• Uhlaselo Loloyiko okanye Ingxaki Yoloyiko

Le meko (iParuresis) inokwenziwa mandundu luloyiko, ixhala, okanye iimvakalelo ezinamandla. Ngokuqhelekileyo, kunzima ukuchama kwiindawo zikawonke-wonke, kwaye kunzima nokukhupha indle. Oogqirha bayibiza ngokuba yi-Parcopresis .

Ixhaphake kangakanani le meko?

Oogqirha abanazo izibalo ezichanekileyo zokuba bangaphi abantu abanale meko. Nangona kunjalo, ixhaphake kakhulu kunokuba unokucinga . Ezinye izifundo zibonisa ukuba ukuya kuthi ga kwi-25% yabemi baseMelika bane-paruresis ethile. Inokuchaphazela nabani na, kungakhathaliseki ukuba yindoda okanye ngumfazi, mdala okanye ngumntwana omncinci.

Zithini izizathu 'zesinyi esineentloni'?

Oogqirha abazi ukuba yintoni kanye kanye ebangela oku. Nangona kunjalo, ngamanye amaxesha kunokubangelwa yi -post-traumatic stress disorder (PTSD) . Abanye abantu abane-paruresis basenokuba babe namava angathandekiyo okanye abuhlungu kwigumbi langasese likawonke-wonke ngaphambili. Umzekelo, basenokuba baxhatshazwa ngokwesondo, baxhatshazwa, okanye umntu wabahlekisa okanye waboyikisa ngelixa bechama .

Abantu abaneentloni okanye abanobuntu obuthuleyo banokukufumanisa kunzima kakhulu ukuchama phambi kwabanye. Basenokuxhalaba kakhulu ngevumba abalivumbayo kunye nesandi abasenzayo xa bechama .

Xa iingcinga ezinje "Owu, uza kundiva ndichama ?" "Ndiza kunuka?" zifika engqondweni, uloyiko luyanda kwaye umchamo uyayeka ukuphuma.

Xa kuvela olu hlobo loxinzelelo okanye iimvakalelo, kuba nzima ngakumbi ukuqala ukuhamba komchamo. Njengoko olu loyiko lukhula, izihlunu ziyaqina ngakumbi. Kubantu abane-'syndrome', ezinye iimeko ziba yingozi kakhulu. Oko kukuthi, kwiimeko ezinjalo, obu bunzima buyanda nangakumbi. Umzekelo:

• Ukuzama ukuchama phambi kwabantu obaziyo okanye ongabaziyo.
• Ukuba nomntu osondeleyo kangangokuba abanye bacinga ukuba bayakuva, bayakubona, okanye bayawuva umchamo wabo .
• Ukuziva ngathi kukho umntu okungxamisayo .
• Ukungabikho kwemfihlo yokuchama . Khawucinge ngendlu yangasese kawonke-wonke engenamnyango, okanye umntu omi ecaleni komnyango.
• Ukuzama ukuzinyanzela ukuba uchame . Oku kuya kubangela ukuba izihlunu ziqine ngakumbi, nto leyo eya kwenza ingxaki ibe mandundu.

Zithini iimpawu zoku?

Iimpawu ze-shy bladder syndrome zinokuqala kwezincinci ukuya kwezinzima . Ngokuqhelekileyo, iimpawu ziya zisiba mandundu ngokuhamba kwexesha. Abanye abantu bakwazi ukuchama kuphela xa bebodwa ekhaya.

Abantu abane-paruresis encinci banokukwazi ukuchama kuphela kwiimeko ezithile. Umzekelo, indoda inokukwazi ukuchama kwindawo yokutyela yangasese ngaphandle kweengxaki, kodwa isenokungakwazi ukuchama kwindawo yokuchama kawonke-wonke. Okanye, kwigumbi langasese likawonke-wonke, kunokubakho ukulibaziseka okuncinci ekuqaliseni umchamo.

Abantu abanale meko banokwenza izinto ezifana nezi:

• Ukusela amanzi amancinci kunye nolwelo ngaphambi kokuba uphume endlwini naxa ungaphandle.
• Iimpawu zokuhlaselwa luloyiko ziquka isiyezi, umlomo owomileyo, ukubila kakhulu (hyperhidrosis), kunye nokubetha kwentliziyo ngokukhawuleza.
• Ndikhangela indlu yangasese apho ndinokuba ndedwa khona, ndicinga ukuba ayinamsebenzi ukuba kufuneka ndiye kude kangakanani .
• Kusenokufuneka uzame amaqhinga akhethekileyo okukunceda uchame . Umzekelo, ukuba nomfanekiso-ngqondweni wamanzi equkuqela, okanye ukuvula itephu uze uzame ukuchama uphulaphule isandi samanzi.
• Bayayeka ukuhambahamba, ukuya emsebenzini, nokuya kwimicimbi yoluntu.
• Kwiimeko ezinzima, i-agoraphobia inokuvela, ikuthintele ukuba uphume ekhayeni lakho. Oku kunokuphazamisa ubudlelwane bentsapho kwaye kwenze kube nzima ukugcina umsebenzi.

Oogqirha bayixilonga njani le meko?

Ngokwesiqhelo, ugqirha unokuxilonga i-paruresis ngokuthetha ngeempawu zakho. Ukuba ungaya kwigumbi lokuhlambela ngaphandle kweengxaki ekhaya, kodwa ube nengxaki yokuchama ngaphandle kwegumbi lakho lokuhlambela, ugqirha wakho unokukrokrela i-paruresis. Ukuze axilonge oku ngokuchanekileyo, ugqirha wakho unokukuthumela kwingcali yezengqondo okanye kwingcali ye-urologist .

Ugqirha uza kuqala ajonge ukuba kukho naziphi na ezinye iimeko zomzimba ezibangela ukugcinwa komchamo. Oku kungenxa yokuba kunokuba nzima ukuchama ngenxa yezinto ezifana nosulelo, iingxaki zemithambo-luvo, okanye ukuvaleka komchamo. Ukuze ajonge ezi zinto, ugqirha uza kwenza uvavanyo lomzimba. Usenokuyalela ukuba kwenziwe uvavanyo lomchamo , ukubalwa kwegazi elipheleleyo (i-CBC) , okanye i-ultrasound ukuze kujongwe isinyi.

Amanye amayeza anokubangela ubunzima okanye ukungakwazi ukuchama . Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo. Oku kuya kumnceda abone ukuba ngaba abangela iimpawu zakho.

Ziziphi iindlela zonyango ze-'shy bladder syndrome'?

Kungcono ukuthetha nogqirha wakho malunga nonyango olukulungeleyo. Kukho iindlela ezahlukeneyo zonyango:

• Unyango Lokuziphatha Olusebenzisa Ingqondo (CBT) : Oku kuquka ukutshintsha indlela oziphatha ngayo ngokukunceda ukuba ujonge ixhala lakho ngendlela eyahlukileyo. Ngamafutshane, kukunceda utshintshe indlela ocinga ngayo kwaye unciphise uloyiko lwakho.
• Unyango Lokuchama Oluphumeleleyo : Kule nto, uziqhelanisa nokuchama kwindawo elawulwayo. Ngogqirha wengqondo, umhlobo, okanye ilungu losapho, uzama kancinci kancinci ukuchama kwezinye izindlu zangasese ngaphandle kwendlu yangasese yakho yasekhaya. Ukwenza oku izihlandlo ezininzi ngeveki, kancinci kancinci ukwandisa ukuvezwa kwakho kwizindlu zangasese zikawonke-wonke. Ekugqibeleni, ungachama naphi na, nanini na xa ufuna.
• Unyango lwe-Hypnotherapy : Kule ndlela, wenza umthambo wokuphumla okhokelwayo ngelixa ingqondo yakho ikwimeko yokuphumla. Oku kukuvumela ukuba uphinde ugxile kwixhala lakho kwaye uzifundise indlela yokuchama kwiindawo zangasese zikawonke-wonke.
• Amayeza okunciphisa ixhala : Ngamanye amaxesha oogqirha banokukunika amayeza okulawula ixhala.
• Ukucamngca kunye nokuzilolonga ngokuphefumla : Oku kunokukunceda ukulawula ixhala kunye nokukhulula izihlunu kwindlela yakho yokuchama.
• Unyango lwengqondo , okanye unyango lokuthetha: Oku kunokunceda ekunyangeni imiba yempilo yengqondo enokubangela imeko 'yesinyi esinamahloni'.
• Ukuzicoca nge-catheterization/ Ukucoca i-catheterization engapheliyo : Ukuba awukwazi ukukhupha isinyi sakho ngaphandle kwekhaya, le ndlela ibandakanya ukufaka ityhubhu yokukhupha isinyi sakho. Oku kufuneka kwenziwe phantsi kweliso likagqirha nangoqeqesho olufanelekileyo.

Ngaba le meko ingathintelwa?

Akukho ndlela ithile yokuthintela i-paruresis. Nangona kunjalo, ukuba unezinye iingxaki zokuxhalaba, kulungile ukuthetha nogqirha wakho malunga nonyango okanye amayeza anokukunceda ukulawula iimvakalelo zakho. Oku kunokunceda ukunciphisa umngcipheko wezi meko.

Liyintoni ikamva labantu abanale meko? Ngaba iya kuba ngcono ngonyango?

Abantu abaninzi bafumana isiqabu kwi-paruresis yabo emva konyango. Ezinye izifundo zibonise ukuba abantu abafikelela kwi-80% abanale meko bayakwazi ukuchama esidlangalaleni emva kwe-CBT kunye nonyango lokuchama . I-Hypnosis, i-psychotherapy, kunye ne-CBT zisebenza kakhulu ekuncedeni abantu baqonde ixhala labo kwaye batshintshe indlela abaziphatha ngayo.

Nangona kunjalo, ukuba ayinyangwa, i-shy bladder syndrome inokukhokelela kwiingxaki zentlalo nezendawo yokusebenza. Umzekelo, abantu ekufuneka banike iisampulu zomchamo ukuze kuvavanywe amayeza banokufuna ukwenza amalungiselelo akhethekileyo nomqeshi wabo. Ukuba isampuli yomchamo ayifumaneki, kunokufumaneka isampuli yegazi, yeenwele, okanye yamathe endaweni yoko.

Xa ubamba umchamo wakho ngenxa ye-paruresis, oko kunokubangela iingxaki zempilo ezinzulu . Ezinye zezi ziquka:

• Iintsholongwane zoMchamo (UTIs) .
• Ukonakala kwemisipha yesinyi kunokukhokelela kwiimeko ezinje ngokungakwazi ukuzibamba komchamo, okukukulahlekelwa ngumchamo ngokungalawulekiyo.
• Kwiimeko ezinzima kakhulu, neemeko eziyingozi kakhulu ezifana nokugqabhuka kwesinyi zinokwenzeka.

Ufanele uye nini kugqirha?

Kubalulekile ukujonga ukuba kukho naziphi na ezinye iimeko zempilo ezibangela ukuba ungakwazi ukuchama . Nokuba sele uqinisekisile ukuba azikho ezi zinto zibangela ukuba umzimba wakho ungasebenzi kakuhle, ukuba le meko 'yesinyi esinamahloni' ichaphazela ubomi bakho bemihla ngemihla, ngokuqinisekileyo kufanelekile ukuthetha nogqirha. Ukuba le meko ikuthintela ukuba uye emsebenzini, uphume, okanye uphephe imicimbi yoluntu, ngokuqinisekileyo kufanelekile ukufuna ingcebiso kagqirha.

Khumbula ngakumbi: Ukuba unomdla omkhulu wokuchama kwaye awukwazi ukuchama iiyure ezininzi (nokuba usekhaya okanye ngaphandle), funa uncedo lonyango ngokukhawuleza . Kuyingozi kakhulu ukugcina umchamo wakho ixesha elide. Ukuba ubambe umchamo wakho iiyure ezininzi, nokuba uya kwigumbi lokuhlambela ekhaya, izihlunu zesinyi sakho zinokukhululeka kwaye usenokungakwazi ukuphuma umchamo.

Okokugqibela, izinto ekufuneka uzikhumbule

I-shy bladder syndrome (i-paruresis) yimeko enokuba nefuthe elikhulu kubomi bakho. Ukuba uzifumana wenza umgudu okhethekileyo wokuphepha ukusebenzisa indlu yangasese ngaphandle kwekhaya lakho, thetha nogqirha wakho. Ukuba awunyangwa, iimpawu zesi sifo sokuxhalaba zinokuba mandundu ngokuhamba kwexesha. Ukubamba umchamo wakho ixesha elide kunokukhokelela kwiingxaki zempilo ezinzulu, ezinje ngosulelo lomchamo (UTIs) kunye neengxaki zesinyi. Vula kwaye unyaniseke kugqirha wakho malunga neempawu zakho kunye nokuba zenzeka nini. Unyango lunokukunceda ukonwabele imisebenzi efana nokuhambahamba kunye nokunxibelelana nabantu ngokukhululeka nangolonwabo. Awuwedwa, kwaye kukho uncedo.

I- Paruresis, iShy Bladder Syndrome, Ubunzima bokuchama, Uloyiko loluntu, Ixhala, Impilo Yengqondo, Ukugcinwa Komchamo