Ngaba nawe unengxaki yokulawula umchamo wakho? Masifunde nge-Urge Incontinence!

Ngaba ngamanye amaxesha ukhe ube nesidingo sokuchama ngequbuliso, esinganyamezelekiyo (ukungxamiseka komchamo ), ngamanye amaxesha uchithe umchamo omncinci ngaphambi kokuba ufike kwigumbi lokuhlambela? Okanye kufuneka uchame amaxesha amaninzi ngemini, ngamanye amaxesha ngaphezulu kwesibhozo? Ngaba kuqhelekile ukuba uvuke kabini okanye kathathu ebusuku ukuze uchame ? Ukuba ezi zinto zichaphazela ubomi bakho, ungakhathazeki , awuwedwa. Namhlanje siza kuthetha ngale mfuneko yokuchama ngequbuliso, okanye ngokwezonyango, `(Ukukhuthaza Ukungakwazi Ukulawula Umlomo)`.

Yintoni i-Urge Incontinence?

Ngamafutshane, i-Urge Incontinence kukungakwazi ukulawula ukuhamba komchamo. Oku kuxa ngequbuliso uba nomnqweno ongalawulekiyo wokuchama , onokuba nzima ukuwulawula, kwaye ngamanye amaxesha ungachama ngaphambi kokuba ubalekele kwigumbi lokuhlambela. Abanye abantu kufuneka bachame izihlandlo ezingaphezu kwesibhozo ngemini, kwaye bade bavuke izihlandlo ezininzi ebusuku ukuze bachame . Oku kunokuba ngamava anzima kakhulu.

Ngaba kukho ezinye iintlobo zokungakwazi ukuzibamba komchamo?

Ewe, kukho ezinye iintlobo ezininzi zokungakwazi ukuzibamba ngomchamo, kuquka "Ukufuna Ukungakwazi ukuzibamba ngomchamo". Ngayinye yazo ibandakanya ukulahleka komchamo omncinci ngokungazi. Makhe sijonge ukuba zeziphi:

• Ukungakwazi ukuzibamba xa uxinezelekile: Oku kuxa uvuza umchamo omncinci xa uhleka, ukhohlela, uthimla, okanye uphakamisa into enzima. Cinga ngako xa uhleka kakhulu nabahlobo bakho uze uvuza umchamo omncinci.
• Ukungakwazi ukuzibamba okuxutyiweyo: Oku kungabandakanya zombini "Ukufuna Ukungakwazi ukuzibamba" kunye "nokungakwazi ukuzibamba ngoxinzelelo". Oku kuthetha ukuba unomdla wokuchama , kwaye uvuza umchamo xa uhleka okanye ukhohlela. Kuthiwa ngaphezulu kwesiqingatha sabasetyhini abangakwazi ukuzibamba ngoxinzelelo nabo banakho "ukungakwazi ukuzibamba ngoxinzelelo".
• Ukungakwazi ukuzibamba ngokugqithisileyo: Oku kwenzeka xa umchamo uphuma ngenxa yokuba isinyi (ingxowa egcina umchamo ) sigcwele kakhulu, okanye ngenxa yokuba akunakwenzeka ukuba uchame ngokupheleleyo. Kufana nokuchitheka kwamanzi etankini epheleleyo.
• Ukungakwazi ukuzibamba: Oku kwenzeka xa ungakwazi ukuya kwigumbi lokuhlambela ngexesha, okanye ungaziboni ufuna ukuchama , ngenxa yesinye isifo (umzekelo, imeko ebuthathaka efana ne-arthritis).

Kuxhaphake kangakanani oku kungavumi ukuzibamba komchamo ngequbuliso?

Kuqheleke kakhulu kunokuba unokucinga. Uphando lubonisa ukuba malunga nama-40% abafazi kunye nama-30% amadoda aya kuba nale meko ngaxa lithile ebomini babo. Ngoko ke ayinguwe wedwa.

Yintoni eyona nto ibangela `(Urge Incontinence)`?

Idla ngokuba yimbangela ephambili yoku kuba sisinyi esisebenza kakhulu . Oku kuxa izihlunu zesinyi sakho zincipha rhoqo kunokuba kufanele. Kungathi isinyi sakho sisoloko sikuxelela ukuba " chama , chama ." Uziva unqwenela kakhulu ukuchama ngaphambi kokuba isinyi sakho sigcwale ngokupheleleyo.

Xa isinyi sifinyela ngolu hlobo, umsipha we-sphincter kwi-urethra yakho (umsipha ofana nevalvu othintela umchamo ukuba ungaphumi) uyavuleka. Kulapho umchamo uvuza khona.

Zithini iimpawu ze-`(Urge Incontinence)`?

Uphawu oluphambili kukufuna ukuchama ngequbuliso, okungalawulekiyo kunye nokuvuza komchamo omncinci.

Ukongeza, kunokubakho nezinye iimpawu zesinyi esisebenza kakhulu:

• Ukuchama rhoqo ( ukuchama ngaphezulu kwezihlandlo ezisibhozo emini).
• Ukuvuka uye kuchama ngaphezulu kwezihlandlo ezibini ebusuku ngelixa ulele (iNocturia).
• Ukuvuza komchamo , nokuba ngaphambi kokuba uye kwigumbi lokuhlambela okanye kwangoko emva kokuchama .
• Ukuchama Ebhedini (i-Enuresis).

Ukongeza kwezi ngxaki zomzimba, `(Ukukhuthaza Ukungakwazi Ukulawula Umzimba)` inokuchaphazela nempilo yakho yengqondo. Abanye abantu bayoyika ukuphuma ngaphandle xa imeko imbi kakhulu. Xa ucinga ngezinto ezifana nokuthi "Kuthekani ukuba akukho ndlu yangasese ikufutshane?" "Ndiza kuya phi ukuba kufuneka ndichame ?", usengozini yokufumana iimeko zengqondo ezifana `(Uxinzelelo)`, `(Uxhalaba)`, kunye `(Uxinzelelo) .

Ngubani ochaphazeleka kakhulu yile meko?

Abafazi banamathuba aphindwe kabini okuba nesifo sokungalawuleki komlomo kunamadoda. Kwakhona kuba yinto eqhelekileyo njengoko sikhula. Nangona kunjalo, oogqirha bathi asiyonto iqhelekileyo yokwaluphala. Oko kuthetha ukuba inokunyangeka.

Kukho nezinye izinto ezinobungozi:

• Isifo seswekile.
• Ukuba ukhe wenziwa utyando kwindawo ye-pelvic, njengotyando lwe-hysterectomy.
• Amanye amayeza, umzekelo, amayeza okudakumba, amayeza okukhupha umchamo, kunye namayeza okulwa noxinzelelo lwegazi.
• Ukuya exesheni.
• Izifo zenkqubo yemithambo-luvo, umzekelo isifo sika-Alzheimer, isifo sika-Parkinson, kunye ne-Multiple Sclerosis (MS).
• Isalathisi soBunzima boMzimba (BMI) esingaphezulu kwama-25 (oko kukuthi, ukutyeba/ukutyeba kakhulu).
• Ukutshaya.
• Iimeko ezinje ngestroke.
• Iintsholongwane zoMchamo (UTIs).
• Ukukhulelwa kunye nokuzala (ingakumbi ukuzala kwilungu lobufazi).
• Ukuba sele ufumene unyango lwe-radiation kwindawo ye-pelvic nangasiphi na isizathu.
• Iingxaki zeprostate, umzekelo, umhlaza weprostate okanye i-benign prostatic hyperplasia.

Kutheni ngequbuliso ndingakwazi ukulawula umchamo wam ?

Usenokuba uneempawu ezincinci okwethutyana, kwaye usenokungazi ukuba ziqale ukuba mandundu na. Nangona kunjalo, ukuba ezi mpawu zivele emva kotyando lwakutshanje, ingozi, okanye emva kokuqala amayeza amatsha, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kusenokuba kungenxa yomonakalo wemithambo-luvo okanye enye ingxaki.

Ungayiqaphela njani into yokuba `(Ukukhuthaza Ukungakwazi Ukulawula Umlomo)`?

Ugqirha uza kuyixilonga le meko ngokuthatha imbali yakho yezonyango aze akubuze ngeempawu zakho. Baza kwenza novavanyo lomzimba. Ukuba ungumfazi, bangenza uvavanyo lwe-pelvic, kwaye ukuba uyindoda, bangenza uvavanyo lwedijithali lwe-rectal.

Ukuze ufumane uxilongo oluchanekileyo, ugqirha wakho angakucela ukuba ugcine "idayari yesinyi" kangangeentsuku ezimbini ukuya kwezintathu. Kuyo, kufuneka ubhale oku kulandelayo:

• Izinto oziselayo (ezifana namanzi, iti, ikofu).
• Usela kangakanani?
• Uya kangaphi kwigumbi lokuhlambela?
• Uvuza kangaphi umchamo , kwaye uvuza kangakanani?
• Ubusenza ntoni xa uvuza umchamo ?

Ukongeza, ugqirha angenza iimvavanyo ezifana nezi:

• Uvavanyo lomchamo (Uhlalutyo lomchamo) ukujonga izinto ezinje ngezifo zomchamo (UTIs) kunye negazi kumchamo (Hematuria).
• I-ultrasound yesisu ukujonga amalungu omzimba afana nesinyi kunye nezintso.
• Jonga inkqubo yomchamo nge-cystoscopy.
• Uvavanyo lwe-Urodynamic luvavanyo lokujonga ukuba inkqubo yomchamo ibamba kwaye ikhupha umchamo kakuhle kangakanani, kwaye uvavanyo lomchamo olusele emva kokungasebenzi luvavanyo lokujonga ukuba ingakanani intsalela yomchamo kwisinyi emva kokuchama.

Ngaba `(Ukukhuthaza Ukungakwazi Ukulawula Umlomo)` kuya kuba ngcono?

Ukuzibamba rhoqo akupheleli nje ekubeni ngcono. Nangona kunjalo, unyango lunokunciphisa kakhulu iimpawu zakho.

Yeyiphi eyona ndlela ilungileyo yokunyanga oku?

Unyango lwe-"Urge Incontinence" luxhomekeke ekubeni iimpawu zakho zinzima kangakanani. Ugqirha wakho uza kukubuza imibuzo efana nale ukuze abone ukuba imeko ichaphazela kangakanani ubomi bakho:

• Uchama kangaphi emini?
• Uvuka kangaphi ebusuku ukuze uchame ngelixa ulele?
• Ingaba uyavuza umchamo ?
• Ingakanani imichamo evuzayo?
• Umchamo uvuza nini?
• Luhlobo luni lweziselo oziselayo?

Ngokusekelwe kwezi mpendulo kunye neziphumo zovavanyo, ugqirha unokucebisa izinto ezifana nezi:

• Unyango lomzimba phantsi kwepelvic. Oku kungabandakanya umthambo weKegel kunye nomthambo wokukhulula imisipha phantsi kwepelvic.
• Ukuqeqeshwa kwakhona kwesinyi.
• Utshintsho kwindlela yokuphila.

Ukuzivocavoca kweKegel

Ukuzilolonga phantsi kwe-pelvic kukuzilolonga okuqinisa izihlunu ezixhasa inkqubo yakho yokuchama. Xa kwenziwe ngokuchanekileyo, kunokunceda ukunciphisa iimpawu zakho.

Nangona kunjalo, ukuchonga nokusebenzisa izihlunu ezifanelekileyo akulula njengoko ucinga. Ingcali ye-physiotherapist ye-pelvic floor ingakufundisa indlela yokwenza ezi zivivinyo ngokuchanekileyo. Banokusebenzisa nendlela ebizwa ngokuba yi-"Biofeedback" ukujonga ukuba uzenza ngokuchanekileyo na. Ukuze ubone ukuphucuka kwiimpawu zakho ze-"Urge Incontinence", kufuneka wenze ezi zivivinyo rhoqo kangangeeveki ezine ukuya kwezintandathu.

Ngamanye amaxesha, iimpawu zesinyi esisebenza kakhulu zinokuba mandundu kukuxinana okanye ukuxinana kwezihlunu zakho zomgangatho we-pelvic. Ukuba kunjalo, ingcali yezonyango ingakufundisa indlela yokuphumza ezi zihlunu kwaye izidibanise.

Ukuqeqeshwa kwakhona kwesinyi

Oku kuquka ukuya kwigumbi lokuhlambela ngamaxesha amiselweyo kuphela. Injongo kukulinda ixesha elide ngaphambi kokuba uchame , nokuba unomdla omkhulu wokuchama . Oku kuya kuqinisa izihlunu zakho zomgangatho we-pelvic kwaye kukuncede ugcine umchamo wakho ixesha elide.

Abanye abantu kufuneka bachame rhoqo, umzekelo, qho emva kweeyure ezimbini. Oku kungenxa yokuba baziva benqwenela ukuchama kuphela emva kokuba isinyi sabo sigcwele kakhulu, nto leyo enokwenza kube nzima ukuchama. Ke ngoko, ukuya rhoqo nokugcina isinyi singenanto kunokunciphisa ingxaki yokuvuza.

Utshintsho kwindlela yokuphila

Ezi ziinguqu zendlela yokuphila ezinokunceda ekunciphiseni "Ukungakwazi ukuzibamba":

• Ukuba uyatshaya, yeka.
• Ukusela iziselo ezimbalwa ezivuselela isinyi (iziselo ezine-caffeine ezifana nekofu neti, iziselo ezine-carbonated ezifana ne-soda, kunye notywala).
• Ukugcina ubunzima obusempilweni obukufaneleyo.
• Nqanda ukuqhina kwesisuYitya ukutya okunefayibha eninzi kwaye usele amanzi amaninzi. Ukuqunjelwa kunokwenza ukungakwazi ukuzibamba kube mandundu.
• Ukuba kukho ezinye iimeko zempilo ezinokubangela "Ukungakwazi ukuzibamba" (Urge Incontinence), funa unyango.

Ezinye iindlela zonyango

Ukuba uqeqesho lwesinyi kunye notshintsho kwindlela yokuphila aluncedi, ugqirha wakho unokucebisa unyango olufana nolu:

• Iinaliti zeBotulinum toxin (Botox ®).
• Unyango lwe-neuromodulation.

I-Botox

I-Botox isebenza ngokukhulula izihlunu kwisinyi sakho, ikwenza ukwazi ukugcina umchamo omninzi. Kodwa ayisosisombululo esihlala sihleli. Kuya kufuneka uhlatywe inaliti rhoqo emva kweenyanga ezintandathu okanye ngaphezulu njengoko iziphumo ziphela.

Unyango lwe-Neuromodulation

Kukho iindlela ezintathu zokuvuselela imithambo-luvo edibana nesinyi sakho kancinci. Oku kunceda ekulawuleni indlela inkqubo yakho yemithambo-luvo enxibelelana ngayo nesinyi sakho. Ezi ndlela zezi:

• Ukukhuthazwa kwemithambo-luvo ye-Percutaneous tibial (PTNS): Oku kubandakanya ukuvuselela imithambo-luvo engaphezulu kweqakala lakho. Olu nyango lunikwa kube kanye ngeveki kangangeeveki ezili-12. Aluyonto inkulu, kwaye lunokwenziwa eofisini kagqirha, kwaye lulula kunezinye iindlela.
• Ukuvuselelwa kwemithambo-luvo ye-tibial efakelweyo (ITNS): Oku kuquka ukubeka isixhobo esincinci phantsi kwesikhumba kufutshane neqakala lakho ukuze kukhuthazwe imithambo-luvo yangasemva ye-tibial. Oku kukuvumela ukuba wenze ukuvuselelwa ekhaya, endaweni yokuba uye eofisini kanye ngeveki.
• I-Sacral neuromodulation (SNM): Oku kuquka ukufaka isixhobo esincinci kumqolo wakho ongezantsi. Ugqirha ufaka intambo encinci kwisiseko somqolo wakho aze anike ukuvuselela okungapheliyo nokuthambileyo kwimithambo-luvo eqhagamshela ngqo kwisinyi sakho. Ibhetri ikwafakwa phantsi kolusu.

Ungayinciphisa njani ingozi yokuba `(Ukukhuthaza Ukungakwazi ukuzibamba)`?

Izinto ezifanayo ezinceda ukunyanga "i-Urge Incontinence" nazo ziyanceda ekuthinteleni oku:

• Gcina ubunzima obusempilweni obukufaneleyo.
• Kuphephe ukuqhinwa.
• Ukuba uyatshaya, yeka.
• Nciphisa i-caffeine, iziselo ezine-carbonated, kunye notywala.
• Chama rhoqo ukuze isinyi sakho singabi nanto.

Yintoni ekufuneka ilindelwe ngumntu ono-(Urge Incontinence)`?

Ukunyanzelisa ukungakwazi ukuzibamba kunokuba yingxaki enkulu. Unganciphisa ukungakwazi ukuzibamba ngamayeza asekhaya afana nokuzilolonga kweKegel kunye noqeqesho lwesinyi. Nangona kunjalo, kungathatha inyanga okanye ngaphezulu ukubona umahluko, kwaye iimpawu zisenokungapheli ngokupheleleyo. Ke ngoko, kubalulekile ukuthetha nogqirha.Uza kukuxelela ukuba imeko yakho imbi kangakanani kunye neendlela ezilungileyo zokuyilawula aze anciphise impembelelo ebomini bakho.

Kuza kwenzeka ntoni ukuba `(Ukukhuthaza Ukungakwazi Ukulawula Umlomo)` akunyangelwanga?

Ukuba ayinyangwa, i-"Urge Incontinence" inokuba mandundu. Kusenokufuneka uye kwigumbi lokuhlambela rhoqo kwaye uvuza umchamo omninzi. Ezi ngxaki zinokuba mandundu ukuba uyatshaya okanye awugcini ubunzima obusempilweni.

Ungayijonga njani into yokungakwazi ukuzibamba?

Ukungakwazi ukuzibamba kunokubangela ukuvuza komchamo , ngoko ke unokufuna ukusebenzisa impahla yangaphantsi efunxayo okanye ii-urinary pads de unyango lwakho lusebenze. Nangona kunjalo, ukuchama rhoqo kumchamo kunokubangela ukurhawuzelela kunye nezilonda. Ukukhusela ulusu lwakho, licebo elihle ukusebenzisa into efana ne -petroleum jelly (Vaseline®) . Ukuba i-petroleum jelly yodwa ayincedi, zama i-cream okanye i-ointment equlethe i-zinc oxide, kwaye ubone ugqirha.

Ukuba unengxaki yoxinzelelo, ukudakumba, okanye ixhala ngenxa yokungakwazi ukuzibamba, kunokuba luncedo ukuthetha nogqirha wengqondo okanye ingcali yezengqondo . Banokukunceda ulawule impilo yakho yengqondo.

Ndifanele ndimbone nini ugqirha?

Thetha nogqirha wakho kwangoko xa ubona iimpawu zokuqala ze-"Urge Incontinence" okanye ukuba ubona utshintsho kwindlela ohlala ngayo kwigumbi lakho lokuhlambela. Banokukunceda ufumane unobangela, bawunyange, kwaye ulawule iimpawu zakho. Kubalulekile nokujonga usulelo lomchamo (UTI) ukuba iimpawu zakho ziya zisiba mandundu.

Yeyiphi imibuzo omele uyibuze ugqirha?

Usenokubuza ugqirha wakho imibuzo efana nale:

• Yintoni isizathu sokuba ndibe `(Ukufuna Ukungakwazi Ukulawula Umlomo)`?
• Luhlobo luni lovavanyo olwenzayo?
• Ingakanani i-"Uncerence Inqualtive" yam?
• Ucinga ukuba ndiza kuyidinga iBotox, unyango lwemithambo-luvo, okanye utyando?
• Zithini iingozi zeBotox, utyando lwemithambo-luvo, okanye utyando?

Yintoni umahluko phakathi kwe-`(Ukukhuthaza Ukungakwazi Ukulawula Umzimba)` kunye ne-`(Uxinzelelo Lokungazinzi Umzimba)`?

Izizathu kunye neempawu zezi zimbini zahlukile:

• Ukungakwazi ukuzibamba: Oku kubangelwa kuxinzelelo lwesisu kwisinyi. Kwimeko enjalo, umchamo uphuma kancinci kancinci.
• Ukungakwazi ukuzibamba: Oku kudla ngokubangelwa kukusebenza kakhulu kwesinyi. Kunokubangela ukuba umchamo uvuza kakhulu kunokungakwazi ukuzibamba ngenxa yoxinzelelo.

Ukuthetha ngemikhwa yakho yokuhlamba kunokuba yintloni, ngoko unokucinga ukuba nguwe wedwa onengxaki. Kodwa awuwedwa. Ukungakwazi ukuzibamba kuyabachaphazela abantu abaninzi ngaxa lithile ebomini babo.

Ukuthetha nosapho okanye abahlobo abathembekileyo ngale nto kunokubanceda baqonde utshintsho lwakho kwindlela oziphatha ngayo. Banokukunceda ukunciphisa impembelelo yokungakwazi ukuzibamba ebomini bakho ngokukunceda ufumane indlu yangasese xa uphumile, nangokuphazamisa abanye ukuba usegumbini lokuhlambela ixesha elide.

Eyona nto ibalulekileyo kukuthetha nogqirha wakho malunga nonyango olungcono kwimeko yakho. Ngonyango, ukucwangcisa kwangaphambili, kunye nenkxaso evela kwabanye, unganciphisa impembelelo yokuba nesifiso sokungakwazi ukuzibamba ebomini bakho.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ukungakwazi ukuzibamba yimeko enokunyangeka, ngoko ke musa ukuba neentloni okanye ukoyika.
• Isizathu esiphambili soku kusenokuba sisinyi esisebenza kakhulu.
• Nezinto ezilula ezifana nokutshintsha indlela yokuphila, ukuzilolonga ngeKegel, kunye noqeqesho lwesinyi zinokwenza umahluko omkhulu.
• Kubalulekile ukufuna iingcebiso zonyango ukuba uneempawu. Ukuxilongwa ngokufanelekileyo kunye nonyango kunokuphucula umgangatho wobomi bakho.
• Awuwedwa. Le meko ichaphazela abantu abaninzi. Ngoko ke fumana inkxaso, kwaye ufundise abanye ngale nto.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

ukungakwazi ukuzibamba, umnqweno wokungakwazi ukuzibamba, isinyi esisebenza kakhulu, ulawulo lwesinyi, ukuchama rhoqo, i-nocturia, ukuvuza komchamo, ukuzilolonga kweKegel, uqeqesho kwakhona lwesinyi, ulawulo lomchamo, ukungakwazi ukuzibamba komchamo , impilo yeSinhala