Ngaba nawe unengxaki yokuchama? (Ukuthandabuza Ukuchama) Masithethe ngale nto!

Ngaba ngamanye amaxesha kufuneka ulinde ixesha elithile ukuba umchamo wakho uphume? Okanye ngaba uyeka ngequbuliso xa uchama , kuze kuphume kancinci xa uzama kwakhona? Ukuba oku kuye kwenzeka kuwe, usenokuba nengxaki esithetha ngayo namhlanje, 'ubunzima bokuchama '. Oku kwaziwa ngokwezonyango njenge-'(Ukuthandabuza Komchamo)'. Makhe sithethe ngale nto ngokweenkcukacha.

Yintoni le inzima xa uchama ? (Ukuthandabuza umchamo ngamazwi alula)

Ngamafutshane, `(Ukuthandabuza Komchamo)` kuthetha ukuba unobunzima bokuchama (oko kukuthi, ukuchama). Oku kuthetha ukuba unokuba nobunzima bokuqala ukuchama , okanye unokuba nobunzima bokuqhubeka nokuchama ngesantya esizinzileyo nesizinzileyo. Ngamanye amaxesha, unokuyeka ukuchama nangona usafuna ukuchama .

Oku kunokwenzeka nakubani na, kodwa ukuba uyindoda, unamathuba amaninzi okuba nale meko.

Oogqirha basebenzisa igama elithi "ukuthandabuza" xa bethetha ngobunzima bokuqalisa ukuchama okanye ubunzima bokugcina ukuhamba komchamo .

Ziziphi iimpawu ozifumanayo kule meko?

Iimpawu eziphambili "zokuthandabuza umchamo" kubunzima bokuqala ukuchama kunye nokuyeka ukuchama ngaphambi kokuba isinyi siphele. Ukongeza, ezinye iimpawu zinokuvela.

• Ukuziva ngathi ufuna ukuchama , kodwa ungakwazi ukuchama .
• Umnqweno wokuchama .
• Ukuziva ngathi umchamo wakho udlula kancinci kakhulu, okanye ngathi ngumjelo omncinci womchamo .
• Ukuvuza amanzi, nokuba sele ugqibile ukuchama .

Ezinye iimpawu ngaphandle kobunzima bokuchama

Ngamanye amaxesha le meko "yokuthandabuza umchamo" inokukhokelela "ekugcinweni komchamo" okanye ukungakwazi ukuchama . Kwimeko enjalo, inokukhatshwa ziimpawu ezifana nezi:

• Ukuziva iintlungu esiswini esisezantsi.
• Ukuziva ngathi isisu sakho sidumbile.
• Ukuvuza umchamo omncinci ngaphandle kokuqaphela (okukwabizwa ngokuba yi-"Urinary Incontinence").

Kutheni oku kusenzeka? Zithini izizathu?

Kukho izizathu ezahlukeneyo zokuba kutheni kunokuba nzima ukuchama . Makhe sijonge ukuba zeziphi.

Eyona nto ixhaphakileyo echaphazela amadoda

Eyona nto ixhaphakileyo yile nto kukwanda kwe-prostate gland (Benign Prostatic Hyperplasia - BPH).Oku kuxhaphake kakhulu kumadoda angaphezulu kweminyaka engama-60 ubudala. I-prostate yindlala encinci efumaneka kumadoda kuphela. Ifumaneka ngaphantsi kwesinyi, ijikeleze i-urethra. Ngoko ke xa ikhula, inokucinezela i-urethra kwaye ithintele ukuhamba komchamo .

Ezinye izizathu eziqhelekileyo

Ukongeza, kunokubakho ezinye izizathu ezininzi:

• Izifo zoMchamo (UTIs) okanye izifo zesinyi: Ezi zixhaphake kakhulu phakathi kwethu.
• I-Prostatitis: Le yimeko apho i-prostate gland idumba ize yosuleleke.
• Ukuvaleka nokuncitshiswa kwe-urethra (Urethral Stricture): I-urethra inokuncipha ngaphakathi ngenxa yengozi okanye usulelo.
• Ukuqhina okukhulu: Xa ukuqhina kunzima, kunokufaka uxinzelelo kwisinyi kwaye kuchaphazele ukuchama .
• Amayeza athile: Umzekelo, amanye amayeza okudakumba (iiTricyclic Antidepressants), amayeza okungakwazi ukuzibamba umchamo, kunye namanye amayeza omkhuhlane kunye nee-allergies nawo anokubangela oku.
• Ukungakwazi ukukhulula izihlunu zomgangatho we-pelvic ngokufanelekileyo: Ezi zihlunu kufuneka ziphumle xa zichama . Ukuba aziphumli ngokufanelekileyo, kunokuba nzima ukuchama (i-Pelvic Floor Dysfunction).
• Izifo zenkqubo yemithambo-luvo: Izifo zemithambo-luvo apho imiqondiso esuka ebuchotsheni iye kwisinyi ingasebenzi kakuhle. Umzekelo, istroke, i-multiple sclerosis (MS), okanye i-neuropathy enxulumene nesifo seswekile.
• Ukuwa kweSitho sePelvic: Xa izihlunu ezikwisitho sepelvic zibuthathaka, amalungu anjengesinyi anokuwa. Oku kunokuchaphazela nokuchama .

Ngubani onokuthi achaphazeleke kakhulu yile meko?

Njengoko bekutshiwo ngaphambili, oku kunokwenzeka nakubani na, nokuba uneminyaka emingaphi. Nangona kunjalo, kuxhaphake kakhulu kumadoda angaphezu kweminyaka engama-60 ubudala ane-prostate ekhulisiweyo (BPH).

Ugqirha uyibona njani le nto?

Xa uxelela ugqirha wakho wosapho (uGqirha weNkathalelo ePhambili - PCP) ukuba unengxaki yokuchama , uza kukubuza ngeempawu zakho, athathe imbali yakho yempilo, aze enze uvavanyo lomzimba.

Imibuzo ekufuneka uyibuze

Ugqirha angabuza imibuzo efana nale:

• Kudala kangakanani unengxaki yokuchama ?
• Ngaba uziva ngathi uchama kancinci kunesiqhelo?
• Ingaba ezi mpawu zivele ngequbuliso, okanye zanda kancinci kancinci?
• Ngaba ikho na imithi onokuyithatha kwikhemesti ukuze ufumane isiqabu koku?
• Ngaba wakha waziva ngathi obu bunzima buyanda xa usitya ukutya okuthile okanye wenza izinto ezithile?

Ngokusekelwe kwiimpendulo zakho kule mibuzo, ugqirha unokufumana umbono olungileyo ngemeko.

Zeziphi iimvavanyo ezenziwayo?

Emva koko, ugqirha unokuyalela iimvavanyo ezithile ukuqinisekisa imeko "yokuthandabuza umchamo" aze afumane unobangela.

• Uvavanyo lwe-Urodynamic: Olu ludibaniso lweemvavanyo ezininzi. Ezi zijonga oku:
• Uchama kangakanani?
• Isantya sakho sokuchama kunye namandla aso anjani?
• Injani uxinzelelo ngaphakathi kwesinyi sakho?
• Uvavanyo lokufota: Umzekelo, i-ultrasound scan okanye i-CT scan ingayalelwa. Ezi zinokujonga indlela i-bladder yakho ezalisa kwaye ikhupha ngayo, kwaye zinokujonga ubungakanani be-prostate yakho. Ngamanye amaxesha i-cystoscopy, equka ukufaka ikhamera encinci kwi-urethra yakho ukuze ijonge ngaphakathi kwi-bladder yakho, inokwenziwa.
• Uvavanyo lweDijithali lweRectal: Oku kuquka ukuhlola ngesandla ubukhulu beprostate gland.
• Uhlalutyo lomchamo: Kuthathwa isampulu yomchamo wakho kwaye okuqulathwe kuwo (iimpawu zemicroscopic, iikhemikhali) kuyavavanywa.
• Ukukhula komchamo: Olu vavanyo lwenzelwe ukujonga ukuba kukho usulelo lwebhaktheriya emchameni .

Ziziphi iindlela zonyango zokufumana ubunzima bokuchama ?

Unyango lokuthandabuza umchamo luxhomekeke kwisizathu kunye nokuba unayo nayiphi na eminye imiba yezempilo. Ugqirha wakho angacebisa olu nyango lulandelayo:

• Ukuqeqeshwa kwakhona kwesinyi / Ukuphuma ngexesha elifanelekileyo
• Unyango lomzimba lomgangatho wePelvic
• Amayeza
• Utyando
• Ukukhuthazwa kweMithambo yeSacral / iSacral Neuromodulation

Makhe sijonge nganye kwezi nkcukacha zincinci.

Uqeqesho lwesinyi (Ukukhupha isinyi ngexesha elifanelekileyo)

Oku kuquka ukuqeqesha izihlunu zesinyi sakho kwakhona. Oku kuquka ukuya kuchama rhoqo (ngesiqhelo rhoqo emva kweeyure ezimbini). Oku kwenziwa ngokususa isinyi sakho ngaphambi kokuba sizalise. Nokuba awuziva unqwenela ukuchama , kufuneka uzame ukuya rhoqo.

Unyango lomzimba lomgangatho wePelvic

Oku kuquka ukukufundisa imithambo eya kukunceda uphumze izihlunu ezikwinqanaba le-pelvic floor yakho. Xa ezi zihlunu ziphumle kakuhle, kulula ukuchama .

Amayeza

Ugqirha angakunika amayeza okuthintela ukukhula kweprostate okanye okunciphisa leyo sele ikhona (umz. iDutasteride, iFinasteride). Okanye angakunika amayeza okukhulula izihlunu zesinyi kunye neprostate (iiAlpha-blockers). Ukuba kukho usulelo, uza kukunika amayeza okubulala iintsholongwane.

Utyando

Ukuba i-urethra inciphile, utyando lunokwenziwa ukuze luyinwebe (Urethral Dilation) okanye luphinde luyinwebe (Urethral Reconstruction). Ukuba i-prostate gland ikhulisiwe ngenxa ye-BPH, kukho iindlela ezahlukeneyo zotyando zokususa izicubu ezigqithisileyo. Ezinye zilula kwaye zingenziwa eofisini kagqirha. Ezinye zityando ezisebenzisa amandla ombane okanye elaser. Ngamanye amaxesha utyando lokususa inxalenye okanye yonke i-prostate gland (Prostatectomy) lunokwenziwa. Ukuba amalungu e-pelvic awile (Pelvic Organ Prolapse), kukho utyando lokubuyisela amalungu endaweni yawo nokuxhasa ukuthintela ukuba angawi kwakhona.

Ukukhuthazwa kweMithambo yeSacral

Kule nto, isixhobo esincinci esibizwa ngokuba yi-"Neurostimulator" sifakwa phantsi kwesikhumba kufutshane neempundu zakho. Esi sixhobo sithumela ii-electrical impulses ezincinci kakhulu kufutshane ne-sacral nerve yakho ukuze sivuselele izihlunu zesinyi.

Zeziphi izinto onokuzenza ekhaya?

Kwezinye iimeko, ukuthetha nogqirha wakho nokwenza izinto ezilula ekhaya kunokunceda ekunciphiseni le meko (Ukuthandabuza Umchamo).

• Ubushushu: Izinto ezinje ngokuhlamba ngamanzi ashushu okanye ukubeka ibhotile yamanzi ashushu okanye i-heating pad kwisisu sakho esisezantsi zinokuphumza izihlunu zomgangatho we-pelvic, zenze kube lula ukuchama .
• Ukuphulula: Xa uchama , ukuphulula isisu sakho esisezantsi (apho kukho isinyi) ngezandla zakho okanye ukufaka uxinzelelo oluthambileyo kunokunceda ukwandisa isantya namandla okuhamba komchamo wakho .
• Izinto Zokuthambisa Indle okanye Izinto Zokulalisa Indle: Ukuba unesisu, ukuthatha ukutya okufanelekileyo, iziselo, kunye namayeza (kwicandelo le-laxative) ukugcina amathumbu akho ehamba kakuhle kuya kunceda nokusebenza kwesinyi.

Eyona nto ibalulekileyo kukuba ngaphambi kokuba uzame olu nyango lwasekhaya, ngokuqinisekileyo kufuneka udibane nogqirha kwaye ulwenze kuphela xa esithi "kukhuselekile ukuba ulwenze."

Iingenelo zokugcina 'idayari yesinyi'

Ugqirha wakho angakucela ukuba ugcine "idayari yesinyi," incwadi ebhala izinto ezinxulumene nesinyi sakho. Kuyo, kufuneka ubhale izinto ezinje:

• Ubungakanani bamanzi kunye nolwelo oluselayo ngosuku.
• Ubungakanani bomchamo owuchamelayo (linganisa ukuba kunokwenzeka).
• Isantya sokuchama (njengokuba kuhamba kakuhle okanye kancinci).
• Kuthatha ixesha elingakanani ukuchama ?
• Uchama kangaphi ngemini?
• Ukongeza, unokufumana ezinye iimpawu.

Ngokugcina idayari enje, wena kunye nogqirha wakho ninokuqonda ngcono le meko.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Oku kuxhomekeke kakhulu kwisizathu sokuba ungathandisisi umchamo wakho kunye nonyango olunikiweyo.

• Unyango lomzimba phantsi kwepelvic lungathatha iiveki ezininzi ukuze kubonakale iziphumo.
• Izinto zokukhulula izihlunu zingathatha iiyure ezininzi ukuqala ukusebenza.
• Emva kokuba isixhobo sokuvuselela imithambo-luvo yesacral sifakiwe, kungathatha iiveki ezininzi ukubona iziphumo.
• Kungathatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo emva kotyando .

Ngaba le meko ingathintelwa?

Asinakuthintela zonke izizathu ze-`(Ukuthandabuza Komchamo)`. Nangona kunjalo, ukugcina imikhwa emihle yokuchama kunye nokuphepha ukuqhina kunokunceda ngandlela ithile. Oko kukuthi, kufuneka uchame rhoqo emva kweeyure ezimbalwa, ungawugcini umchamo wakho . Kwakhona, kufuneka ube nentshukumo entle nethambileyo yamathumbu kanye ngemini.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Bona ugqirha kwangoko wakubona ukuba unengxaki yokuchama okanye ukuba umchamo wakho uhamba kancinci kunesiqhelo. Musa ukuzityeshela iimpawu zakho okanye ucinge ukuba "ziya kuphela zodwa." Kunokuba yintloni ukuthetha ngokuchama , kodwa kubalulekile ukuba uhlolwe uphawu olutsha ngoko nangoko.

Ngaba kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba uziva unqwenela ngamandla ukuchama kodwa ungakwazi ukuphuma umchamo , ingakumbi ukuba uhamba nentlungu esiswini sakho esisezantsi okanye kwindawo yesini, yiya kwiGumbi loNgxamiseko (ER) ngoko nangoko. Le yinto ongafanele uyilibazise.

Imibuzo ebalulekileyo yokubuza ugqirha

Xa usiya kugqirha, ungalibali ukubuza imibuzo efana nale:

• Ucinga ukuba yintoni ebangela ukuba ndibe nengxaki yokuchama , gqirha?
• Zeziphi iimvavanyo ezicetyiswayo ukuba ndizenze?
• Ngaba kufuneka ndenze naluphi na uvavanyo olongezelelweyo?
• Loluphi unyango olucetyiswayo kum?
• Ngaba ubunzima bam bokuchama buya kuze buphucuke ngokupheleleyo?

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Nangona kungeyonto esithetha ngayo yonke imihla, xa une -urine eyaneleyo yomchamo , kusempilweni kakhulu ukukhupha yonke into kwisinyi sakho uze uchame , akunjalo? Kodwa kwangaxeshanye, cinga ngendlela ekucaphukisayo nekwenza uzive uhlazekile ngayo xa ungakwazi ukuchama ngokukhululeka nangokupheleleyo kwaye kukho into ephazamisayo. Yiloo nto ibizwa ngokuba yi-'(Ukuthandabuza Umchamo)'.

Ukuba amayeza alula asekhaya awancedi iimpawu zakho, ungabi nazintloni zokuthetha nogqirha. Akukho nto imbi ngokunyamekela impilo yakho, kwaye akukho nto unokuba neentloni ngayo. Ngoko ke, ukuba unengxaki, fumana uncedo olufunayo.

Ukugcinwa komchamo , ubunzima bokuchama , Ukuthandabuza komchamo, i-BPH, i-Prostate, Usulelo lomchamo, Iimpawu zomchamo