Ingaba uyavuza umchamo xa uhleka okanye ukhohlela? Masithethe 'ngokungakwazi ukuzibamba ngenxa yoxinzelelo'

Molo! Ngaba ngamanye amaxesha uzifumana umanzisa impahla yakho xa uhleka kakhulu, ukhohlela, okanye uthimla, okanye uphakamisa into enzima? Kwabanye, oku kungaba ngamathontsi ambalwa, kwabanye kunokuba ngaphezulu kancinci. Esi sisifo abantu abaninzi abanaso, kodwa musa ukuthetha ngaso kakhulu ngenxa yeentloni. Ngoko ke namhlanje, masithethe ngento ebangela oku kunye nento enokwenziwa ngako. Oku kubizwa ngokuba yi-'Stress Incontinence' kwisayensi yezonyango.

Yintoni 'Ukungakwazi Ukulawula Uxinzelelo'?

Ngamafutshane, ukungakwazi ukuzibamba xa uxinezelekile kuxa ulahlekelwa lulawulo lwesinyi sakho (indawo esichamela kuyo) xa kukho uxinzelelo kuso. Umzekelo, xa ukhohlela, uthimla, uhleka, utsiba, ubaleka, okanye uphakamisa into ethile, isisu sakho sityhala isinyi sakho. Kulapho uvuza khona umchamo.

Oku kudla ngokubangela ukuba kubekho umchamo omncinci. Nangona kunjalo, kunokuba yintloni kwaye koyike ukuphuma esidlangalaleni.

Ixhaphake kangakanani le meko?

Ukungakwazi ukuzibamba ngoxinzelelo lolona hlobo luqhelekileyo lokungakwazi ukuzibamba ngomchamo. Kuxhaphake kakhulu phakathi kwabasetyhini. Izifundo zibonisa ukuba malunga nomfazi omnye kwabathathu uya kuba nale meko ngaxa lithile ebomini bakhe. Ayixhaphakanga kangako kumadoda, kodwa akuthethi ukuba ayenzeki.

Ngaba kukho ezinye iintlobo zokungakwazi ukuzibamba komchamo?

Ewe, kukho ezinye iintlobo ezininzi ngaphandle 'kokungalawuleki koxinzelelo'.

• Ukungakwazi ukuzibamba: Oku kukufuna umchamo ngequbuliso nokuvuza komchamo. Oku kudla ngokubangelwa sisinyi esisebenza kakhulu. Abantu abangaphezu kwesiqingatha abangakwazi ukuzibamba ngenxa yoxinzelelo nabo bangakwazi ukuzibamba ngenxa yomnqweno wokungazibambi. Oku kubizwa ngokuba yi-mixed incontinence.
• Ukungakwazi ukuzibamba ngokugqithisileyo: Oku kulapho umchamo uphuma khona kuba isinyi asikwazi ukukhupha amanzi kakuhle de sigcwale.

Zithini izizathu 'zokungalawuleki koxinzelelo'?

Oku kwenzeka xa kukho uxinzelelo olukhawulezileyo kwisinyi nakwi-urethra (ityhubhu ethwala umchamo ukusuka kwisinyi ukuya ngaphandle komzimba). Olu xinzelelo lubangela ukuba izihlunu ze-sphincter ngaphakathi kwi-urethra zivuleke kancinci ngequbuliso, zivumele umchamo ukuba uphume. Khawucinge nje, nantoni na enokucindezela isinyi, njengokugoba, ukutsiba, ukukhohlela, okanye ukuthimla, inokubangela ukuvuza.

Ziziphi izinto ezibangela umngcipheko ezichaphazela oku?

Nangona le meko inokuchaphazela nabani na, ixhaphake kabini kubasetyhini kunakumadoda. Kuqikelelwa ukuba malunga nesiqingatha sabasetyhini abangaphezu kweminyaka engama-65 ubudala banale meko. Kodwa khumbula, oku akuyonto iqhelekileyo yokwaluphala. Luphawu lwengxaki enokunyangeka.

Nazi ezinye zezinto eziphambili ezibangela umngcipheko:

• Ukukhulelwa nokubeleka: Ingakumbi ukubeleka kwilungu lobufazi, izihlunu zomgangatho we-pelvic zinokonakala ngexesha lokubeleka.
• Ukuya exesheni: Izihlunu zinokuba buthathaka ngenxa yokuncipha kwe-hormone ye-estrogen.
• Ukulimala kwemithambo-luvo kwi-pelvis okanye emqolo ongezantsi.
• Ukutyeba kakhulu: Ubunzima obugqithisileyo buhlala bubeka uxinzelelo kwisinyi.
• Utyando lwePelvic: Izinto ezifana nokususwa kwesibeleko.
• Ukukhohlela okungapheliyo: Ukukhohlela okungapheliyo ngenxa yeemeko ezifana ne-asthma kunye ne-bronchitis.
• Isifo seswekile (isifo seswekile).
• Utyando lomhlaza weprostate kumadoda okanye utyando lwe-benign prostatic hyperplasia (BPH).
• Ukuwa kwesibeleko.

Zithini iimpawu 'zokungalawuleki koxinzelelo'?

Uphawu oluphambili kukuvuza komchamo xa uxinzelelo lufakwa kwisinyi.

• Ubuthambileyo: Amathontsi ambalwa omchamo anokulahleka ngexesha lemisebenzi efana nokuzilolonga okunzima, ukuhleka, ukukhohlela, kunye nokuthimla.
• Phakathi okanye qatha: Ungadlula ngaphezulu kwepuni yomchamo nokuba usebenza kancinci njengokuma okanye ukugoba. Ungavuza nomchamo ngexesha lokwabelana ngesondo.

Uyixilonga njani le nto?

Xa ubona ugqirha, uza kukubuza ngeempawu zakho aze enze uvavanyo lomzimba (uvavanyo lwe-pelvic lwabasetyhini). Ungacelwa ukuba ugcine "idayari ye-bladder" iintsuku ezimbini okanye ezintathu. Oku kuthetha ukuba kuya kufuneka ubhale phantsi izinto ezifana nokuba usela amanzi angakanani, uya kangaphi kwigumbi lokuhlambela, xa uvuza umchamo, kunye nento obuyenza ngelo xesha. Olu lwazi luya kunceda ugqirha ukuba afumanise imeko.

Kukho iimvavanyo ezininzi ezenzelwe oku:

• Uvavanyo lwephedi yomchamo: Uza kunikwa iphedi ekhethekileyo yokunxiba ekhaya iiyure ezingama-24. Emva kokusetyenziswa, iphedi iyalinganiswa ukuze kubonwe ukuba ingakanani na ivuzayo.
• Uhlalutyo lomchamo: Kuthathwa isampulu yomchamo wakho ize ihlolwe ukuba akukho ntsholongwane na kunye negazi (hematuria). Oku kunokunceda ekuqinisekiseni ukuba kukho enye ingxaki, njengosulelo lomchamo (UTI).
• Ukuskena isinyi:Olu luvavanyo oluncinci lwe-ultrasound olwenziwa ngqo eofisini kagqirha. Lwenziwa ukuze kubonwe ukuba isinyi sakho siphuma kakuhle na emva kokuba uchamile .
• Uvavanyo lwe-ultrasound: Kwenziwa i-ultrasound yesinqe okanye isisu ukujonga imeko yamalungu afana nesinyi kunye nezintso.
• I-Cystoscopy: Kule nkqubo, ugqirha udlulisa ityhubhu encinci enekhamera (i-scope) kwi-urethra yakho aze ajonge ngaphakathi.
• Uvavanyo lwe-Urodynamic: Olu ludibaniso lweemvavanyo ezininzi. Lulinganisa indlela inkqubo yakho yomchamo egcina ngayo kwaye ikhuphe umchamo. Oku kukwabizwa ngokuba luvavanyo lomchamo oluhlala emva kwe-void . Lulinganisa ukuba ingakanani intsalela yomchamo kwisinyi sakho emva kokuba uchamile .

Ngaba ukuzilolonga phantsi kwe-pelvic (iiKegels) kuyanceda koku?

Ewe, ngokuqinisekileyo! Ukuzilolonga phantsi kwe-pelvic , okanye njengoko sonke sizazi , 'iiKegels', kunokuphucula kakhulu ukungakwazi ukuzibamba ngenxa yoxinzelelo. Ezi zilolonga zomeleza izihlunu ezixhasa inkqubo yakho yokuchama.

Kodwa kunokuba nzima kancinci ukufumana nokuzilolonga ezi zihlunu zomgangatho we-pelvic. Ingcali yezonyango egxile kwizifo zomgangatho we-pelvic ingakufundisa indlela yokwenza oku. Ngamanye amaxesha indlela ebizwa ngokuba yi -biofeedback ingasetyenziselwa ukuqinisekisa ukuba usebenzisa izihlunu ezifanelekileyo. Ukunciphisa iimpawu, kufuneka wenze ezi zivivinyo rhoqo malunga neeveki ezine ukuya kwezintandathu.

Yintoni enokwenziwa ngale nto ngokwendalo?

Ukongeza kwiKegels, ezi zinto zinokunceda:

• Yitya ukutya okunefayibha eninzi kwaye usele amanzi amaninzi. Oku kunokunceda ekuthinteleni ukuqhinwa, nto leyo enokwenza le meko ibe mandundu.
• Ukuba uyatshaya, cela uncedo lokuyeka.
• Gcina ubunzima bakho busempilweni. Ukuba ufuna ukunciphisa amafutha, yeka.
• Ukuba unezifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu, zilawule kakuhle.
• Ukuya kwigumbi lokuhlambela ngexesha elimiselweyo (uqeqesho lwesinyi okanye ukukhupha isinyi ngexesha elimiselweyo). Oko kuthetha ukuqeqesha isinyi.

Ziziphi iindlela zonyango ezikhoyo kubafazi?

Kukho iindlela ezahlukeneyo zonyango zabasetyhini:

• Iikhrimu ze-estrogen, iijeli, iiringi okanye amabala: Ezi zinceda ukuqinisa izihlunu kunye nezicubu zelungu lobufazi emva kokuya exesheni.
• Izixhobo zepessary ezifakwa kwilungu lobufazi: Ezi zisebenza njengenkxaso yesinyi kunye nomchamo.
• Iinaliti zomchamo: Ezi ziqinisa izihlunu ze-urethra okwethutyana, zigcina i-sphincter ivaliwe.
• Utyando: 'Isilingi' esenziwe ngezicubu zakho, izicubu zomnikeli, okanye i-mesh ekhethekileyo yotyando ifakwa phantsi kwe-urethra ukuze inike inkxaso.

Zeziphi iindlela zonyango ezikhoyo kumadoda?

Le meko idla ngokuvela kumadoda emva kotyando lomhlaza weprostate. Iindlela zonyango zamadoda ziquka:

• Ii-catheter zekhondom (ii-catheter zaseTexas): Ezi zigquma ipenis kwaye ziqokelele umchamo ebhegini nge-catheter ekupheleni. Oku kunokunceda ukubamba, kodwa kungathinteli, ukuvuza komchamo.
• Utyando lwesling yamadoda: 'Isling' eyenziwe nge-mesh yotyando ibekwa ijikeleze ibhalbhu ye-urethra ukuze inike inkxaso.
• Utyando lwe-sphincter yokwenziwa: Esi sixhobo sivala i-urethra. Xa ufuna ukuchama, ungasebenzisa ipompo encinci ukuyivula.

Ziziphi iingxaki ezinokubakho ngenxa 'yokungalawuleki koxinzelelo'?

Ukungakwazi ukuzibamba kakhulu kunokubangela iimvakalelo zokuba neentloni, ixhala, kunye nokudakumba. Iinapile zabantu abadala kunye nee-urinary pads ezifunxayo zinokunceda ekumiseni ukuvuza komchamo, kodwa usenokuba nexhala ngevumba kunye nokuba abanye baya kulibona na. Usenokoyika ukuphuma okanye ukuhlamba kwigumbi lokuhlambela. Ukuchama rhoqo kunokubangela ukurhawuzelelwa lusu kunye nezilonda.

Ndingenza ntoni ukunciphisa lo mngcipheko?

Unganciphisa umngcipheko wakho wokungakwazi ukuzibamba ngomchamo ngokulandela la manyathelo:

• Musa ukutshaya.
• Yehlisa umzimba ukuba utyebile kwaye ugcine ubunzima bakho busempilweni.
• Yenza umthambo womgangatho we-pelvic yonke imihla, ingakumbi ngexesha lokukhulelwa.
• Thatha amanyathelo okuthintela ukuqhinwa.

Lithini ithemba lomntu 'ongakwaziyo ukuzibamba ngenxa yoxinzelelo'?

Unyango lwasekhaya, olufana nokuzilolonga phantsi kwe-pelvic kunye nokusebenza nogqirha we-physical therapist, lunokuphucula kakhulu ukungakwazi ukuzibamba ngenxa yoxinzelelo. Ukuba kuyimfuneko, ezinye iindlela zonyango zinokunciphisa kakhulu okanye ziyeke ngokupheleleyo ukuvuza.

Ungakhathazeki, le yimeko enokunyangeka. Eyona nto ibalulekileyo kukuthetha nogqirha ngaphandle kokuba neentloni.

Ndimele ndibuze ntoni kugqirha wam?

Kungcono ukubuza le mibuzo xa ubona ugqirha wakho:

• Loluphi uhlobo lwengxaki yokungakwazi ukuzibamba komchamo endinayo?
• Yintoni ebangela ukuba ndibe 'nokungakwazi ukuzibamba'?
• Zithini iingxelo zam zovavanyo?
• Zeziphi iindlela zonyango endinokuzizama ekhaya?
• Ziziphi ezinye iindlela zonyango ezikhoyo?
• Ngaba kufanelekile ukuba ndityandwe?
• Zithini iingozi zotyando?

Ngaba ukungakwazi ukuzibamba kusenokuba mandundu?

Ewe, ukungakwazi ukuzibamba xa unestres esincinci kunokuya kwinqanaba eliphakathi okanye elinzima. Oku kuyinyani ngakumbi ukuba ufumana ubunzima obukhulu (okanye ukuba awukanciphisi ubunzima). Ukuba uyaqhubeka nokutshaya, okanye ukuba awuthathi manyathelo okulawula imeko, iimpawu zakho zinokuba mandundu.

Yintoni umahluko phakathi 'kokungalawuleki koxinzelelo' kunye 'nokungalawuleki koxinzelelo'?

Izizathu kunye neempawu zezi ntlobo zimbini zokungakwazi ukuzibamba komchamo zahlukile:

• Ukungakwazi ukuzibamba: Kubangelwa luxinzelelo lwesisu, iingxaki zomchamo, kunye nobuthathaka bomgangatho we-pelvic. Rhoqo, umchamo omncinci uyalahleka.
• Ukunyanzelisa Ukungakwazi Ukuzibamba: Ngenxa yeengxaki zesinyi, aba bantu banokuvuza umchamo omninzi ngequbuliso xa beziva befuna ukuchama.

Ngokuxhomekeke kubukhulu bokungavumi ukuzibamba ngenxa yoxinzelelo, ukuvuza komchamo kunokuba yintloni kwaye kube yintloni. Usenokoyika ukuya kwigumbi lokuhlambela okanye ukuzilolonga. Kodwa abantu abaninzi banokuziphucula iimpawu zabo ngokwenza umthambo womgangatho we-pelvic rhoqo. Kwiimeko eziphakathi ukuya kwezinzima, izixhobo, iinaliti, okanye utyando zinokunceda.

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Ukuba uneempawu 'zokungavumi ukuzibamba', musa ukuba neentloni okanye ukoyika. Le yimeko eqhelekileyo kwaye inokunyangeka. Into yokuqala omawuyenze kukubona ugqirha uze uthethe ngemeko yakho. Emva koko ungafumanisa ukuba loluphi unyango olukulungeleyo. 'IiKegel' zizinto ezintle omawuzenze ekhaya. Kwakhona, ukugcina indlela yokuphila enempilo (ukulawula ubunzima, ukuyeka ukutshaya, ukulawula ukuqhina kwesisu) kubaluleke kakhulu. Awuwedwa, kukho uncedo!

Ukungakwazi ukuzibamba ngenxa yoxinzelelo , Ukungakwazi ukuzibamba ngenxa yomchamo, Impilo yabasetyhini, Isinyi, Ukuzilolonga ngeKegel, Imisipha yomgangatho wePelvic, Imisipha yomgangatho wePelvic