Ngaba ngengozi uvuza amathontsi ambalwa omchamo xa uhleka kakhulu, ukhohlela, okanye uphakamisa into enzima? Ngamanye amaxesha ngequbuliso kufuneka uye kwindlu yangasese, kwaye kufuneka uchame ngaphambi kokuba ubaleke? Oku akuyongxaki nje kuwe. Nangona abantu abaninzi beneentloni zokuthetha ngayo, yimeko eqhelekileyo kakhulu . Kwizonyango, oku sikubiza ngokuba yi -Urinary Incontinence . Nangona inokuchaphazela ubomi bakho, akufuneki uphile nayo. Kukho unyango olufanelekileyo lwayo.
Kalula nje, yintoni le nto yokungakwazi ukulawula umchamo?
Masiqale siqonde indlela esebenza ngayo inkqubo yethu yomchamo. Cinga ngayo njengenkqubo efana netanki yamanzi. Umchamo owenziwe ngokucoca igazi kwizintso zethu uqokelelwa kwingxowa ebizwa ngokuba yi-bladder. Xa esi sinyi sigcwele, kuthunyelwa umyalezo engqondweni yethu othi, "Ndifuna ukuya kwindlu yangasese ngoku." Emva koko siya kwindlu yangasese size sichame. Le nkqubo yonke ilawulwa yimithambo-luvo kunye nemisipha yethu.
Ukungakwazi ukuzibamba komchamo kuxa silahlekelwa lulawulo lwesinyi sethu. Oku kuthetha ukuba silahlekelwa ngumchamo ngaphandle kolawulo xa singafuni.
Abantu abaninzi bacinga ukuba oku kuyinxalenye eqhelekileyo yokwaluphala kwaye akukho nto banokuyenza ngako. Inyani kukuba, umngcipheko wokufumana le meko uyanda ngokuhamba kweminyaka. Kodwa inokwenzeka nakubani na wanoma yimuphi ubudala. Into ebalulekileyo kukuba oku akuyonto ifanele inyanyezelwe. Kukho unyango oluhle kakhulu lokulawula le meko.
Ziziphi iintlobo eziphambili zale meko?
Kukho iintlobo ezahlukeneyo zokungakwazi ukuzibamba umchamo. Ukwazi kakuhle uhlobo onalo kubaluleke kakhulu xa ufuna unyango.
| Igama lohlobo | Kalula nje... |
|---|---|
| Ukungakwazi ukuzibamba | Olu lolona hlobo luqhelekileyo lokungakwazi ukuzibamba olufunyanwa ngabantu abaninzi. Umchamo uyavuza xa kukho uxinzelelo esiswini, njengaxa uhleka, ukhohlela, uthimla, uphakamisa iintsimbi, okanye usenza umthambo. |
| Ukukhuthaza ukungakwazi ukuzibamba | Umnqweno ongalawulekiyo wokuchama ngequbuliso, ongenakulawuleka, okubangela ukuba uvuza umchamo ngaphambi kokuba ungene kwindlu yangasese. Abanye abantu bakubiza oku ngokuthi "Isinyi Esisebenza Kakhulu." |
| Ukungakwazi ukuzibamba ngokugqithisileyo | Isinyi asiphumi ngokupheleleyo emva kokuchama, nto leyo ebangela ukuba umchamo uphume kancinci, ugeleze kancinci. Oku kuqhelekile kumadoda aneengxaki ezifana ne-benign prostatic hyperplasia. |
| Ukungakwazi ukuzibamba okuxutyiweyo | Kwimeko enjalo, iimpawu ezimbini okanye ezingaphezulu kwezi zingase zivele kunye. Umzekelo, ungachama nangona ukhohlela, kwaye unokufumana imfuneko yokuchama ngequbuliso, enganyamezelekiyo. |
Ukuba unika ingqalelo xa uchama, ungafumanisa ukuba loluphi uhlobo lwesifo onaso. Kodwa ukuze uqiniseke, kufuneka ubone ugqirha.
Zithini iimpawu zale meko?
Uphawu oluphambili kukungakwazi ukuzibamba komchamo, kodwa kusenokubakho ezinye iimpawu kuxhomekeke kwindlela eyenzeka ngayo.
- Ukufuna ukuchama rhoqo ngaphezu kwezihlandlo ezisi-8 ngemini .
- Amaxesha amaninzi, umchamo uphuma kancinci xa usiya kwindlu yangasese.
- Ukuvuka ebuthongweni ukuze uchame ngaphezulu kwesibini ebusuku (iNocturia).
- Ukuchama Ebhedini (i-Enuresis).
- Ukuvuza komchamo ngexesha lemisebenzi efana nokuzilolonga, ukuhleka, ukuthimla, ukugoba, okanye ukwenza isondo.
Kutheni singakwazi ukulawula umchamo wethu? Zithini izizathu?
Zininzi izizathu zoku. Ezinye izizathu zezokwexeshana, oko kuthetha ukuba ziya kuphela ngokupheleleyo ngonyango. Ezinye izizathu zinxulumene nezifo ezihlala ixesha elide.
Izizathu zexeshana
Xa ezi zizathu zinyangwa, iingxaki zomchamo zihlala ziphela.
- Izifo Zomchamo (UTIs): Xa kukho usulelo lomchamo, isinyi sinokuba ndindisholo, nto leyo ebangela ukuchama rhoqo kunye nokulahlekelwa lulawulo.
- Ukukhulelwa nokubeleka: Njengoko umntwana ekhula, isibeleko sibeka uxinzelelo kwisinyi. Ngexesha lokubeleka, izihlunu zomgangatho we-pelvic zinokuba buthathaka.
- Amanye amayeza: Amanye amayeza okukhupha umchamo (diuretics) okunciphisa uxinzelelo lwegazi oluphezulu kunye namanye amayeza okunciphisa uxinzelelo lwegazi anokubangela esi sifo.
- Iziselo ezithile: Ikofu, iti, kunye notywala zinokuvuselela isinyi kwaye zibangele ukuchama rhoqo.
- Ukuqhina: Xa uqhina, le ngxaki inokwenzeka kuba i-rectum epheleleyo ibeka uxinzelelo kwimithambo-luvo yesinyi.
Izizathu ezingapheliyo
Ezi zihlala ziyimpawu zesinye isifo.
- Ukuya exesheni: Xa umfazi eyeka ukuya exesheni, i-hormone ye-estrogen yomzimba iyancipha. Le hormone ibalulekile nakwimpilo yenkqubo yomchamo. Xa incipha, izihlunu zinokuba buthathaka kwaye le meko inokwenzeka.
- Istroke, Isifo seswekile, iMultiple Sclerosis (MS), isifo sikaParkinson: Kwizifo ezichaphazela inkqubo yemithambo-luvo, imithambo-luvo elawula isinyi inokonakala.
- I-Prostate Ekhulisiweyo: Njengoko i-prostate gland ikhula kumadoda asele ekhulile, inokuvala i-urethra kwaye ithintele ukukhutshwa komchamo ngokupheleleyo, nto leyo ekhokelela ekungakwazini ukuzibamba okugqithisileyo.
- Ukususwa kweprostate: Kwezinye iimeko zomhlaza, izihlunu ezilawula ukuchama zinokuchaphazeleka emva kolu tyando.
Into ebalulekileyo kukuba nokuba yintoni na imbangela, kukho unyango olufumanekayo olusebenzayo kuwe. Yiyo loo nto kubalulekile ukuthetha nogqirha ngaphandle kokuba neentloni.
Uyixilonga njani le meko? Wenza ntoni ugqirha?
Xa usiya kugqirha, uza kukubuza ngale ngxaki. Ukunyaniseka nokuthetha inyani kuya kunceda kakhulu ekufumaneni uxilongo oluchanekileyo.
Imibuzo yokubuza ugqirha
- Kufuneka uchame kangaphi ngemini?
- Umchamo uvuza nini? (Xa ukhohlela, uhleka, ngequbuliso?)
- Uchitha umchamo ongakanani ngexesha? (Amathontsi ambalwa okanye amaninzi?)
- Le ngxaki sele iqhubeka ixesha elingakanani?
- Ngaba kukho amayeza owasebenzisayo okwangoku?
- Ukhulelwe? Bangaphi abantwana oye waba nabo ngaphambili?
Uvavanyo olunokwenziwa
Uninzi lwexesha, ugqirha unokusixilonga isifo ngokujonga nje iinkcukacha ozinikileyo. Kodwa ngamanye amaxesha, uvavanyo olufana nolu lunokwenziwa ukuze kufunyanwe unobangela ochanekileyo.
| Uvavanyo | Ingcaciso elula |
|---|---|
| Uhlalutyo lomchamo | Kuthathwa isampuli yomchamo ize ihlolwe ukuba ayinasosulelo okanye igazi (hematuria). |
| Iskeni se-Ultrasound yesinyi | Kuyenziwa iskeni ukujonga imeko yesinyi kunye nokuba umchamo usekho na emva kokuchama. |
| Uvavanyo loxinzelelo | Ugqirha uza kukucela ukuba ukhohlele okanye ubeke uxinzelelo esiswini sakho aze ajonge ukuba umchamo uyaphuma na ngelo xesha. |
| I-Cystoscopy | Ityhubhu encinci enekhamera eqhotyoshelweyo idluliselwa kwi-urethra ukuze ihlole ingaphakathi lesinyi. Oku akwenziwa ngumntu wonke. |
| Uvavanyo lwe-Urodynamic | Uthotho lweemvavanyo ezikhethekileyo ezilinganisa izinto ezinje ngokuba ingakanani na imichamo enokubanjwa sisinyi kunye nokuba uxinzelelo lunjani. |
Ngamanye amaxesha ugqirha wakho uya kukucela ukuba ugcine "idayari yesinyi." Oku kuthetha ukubhala phantsi iintsuku ezimbalwa ukuba uchama kangaphi, uchama kangakanani, uchama nini ungaqondanga, kunye nento obuyenza ngelo xesha. Oku kunokukunceda ufumane umbono olungileyo ngemeko yakho.
Zithini iindlela zonyango zoku?
Eyona nto ilungileyo kukuba kukho iindlela ezininzi zonyango zoku. Ugqirha wakho uza kucebisa unyango oluhambelana kakuhle nemeko yakho kunye nesizathu sayo.
1. Utshintsho kwindlela yokuphila
Ezi zidla ngokuba ziindlela zokuqala onokuzizama. Kwabanye abantu, oku kukodwa kunokunceda ekulawuleni ingxaki kakhulu.
- Imithambo yeKegel: Le yeyona ibalulekileyo. Umthambo okhethekileyo oqinisa izihlunu zomgangatho we-pelvic. Xa ezi zihlunu ziqinile, zinceda kakhulu ekulawuleni umchamo. Ungafunda ngqo indlela yokwenza oku kwingcali ye-physiotherapist.
- Uqeqesho Olutsha Lwesinyi: Xa uziva unqwenela ukuchama ngequbuliso, linda ixesha elide uze unyuse ixesha phakathi kokuhamba uye kwindlu yangasese.
- Ukuvalwa Ngexesha:Ukuya kwindlu yangasese ngexesha elifanelekileyo, njengakwiiyure ezi-2-3, ngaphandle kokulinda ude ufumane umchamo omninzi.
- Gcina ubunzima obusempilweni: Xa utyeba, ingakumbi amanqatha esiswini, kubeka uxinzelelo olungeyomfuneko kwisinyi sakho. Ukunciphisa ubunzima kunokunceda ekunciphiseni olu xinzelelo.
- Lumka kwindlela otya ngayo: Abanye abantu bafumana isiqabu ngokunciphisa ukutya kwabo okufana nekofu, iti, utywala kunye nokutya okuneziqholo.
2. Amayeza
Ukuba utshintsho lwendlela yokuphila lodwa alwanelanga, ugqirha wakho unokukunika amayeza.
- Kwingxaki yokungakwazi ukuzibamba, kukho amayeza alawula ukushwabana kwezihlunu zesinyi (umz. iOxybutynin, iTolterodine).
- Kwiimeko ezenzeka emva kokuya exesheni, iikhrimu ze-estrogen zesini zingasetyenziswa.
- Kwingxaki yokungakwazi ukuzibamba ngokugqithisileyo, kukho amayeza anceda isinyi ukuba sikhuphe yonke into.
Kubalulekile: Ungaze usebenzise olu hlobo lwamayeza ngaphandle kwengcebiso kagqirha.
3. Utyando kunye neenkqubo
Ukuba ezinye iindlela zonyango aziphumeleli okanye imeko imbi kakhulu, ugqirha angasebenzisa ezi zinto.
- Izinto Ezibangela Ukuvuvukala: Indlela yokufaka into ekhethekileyo ejikeleze i-urethra, inciphise kancinci i-urethra kwaye ithintele ukuphuma komchamo.
- Iinaliti zeBotox: IBotox ifakwa kwimisipha yesinyi ukunciphisa umsebenzi wayo ongafunekiyo. Olu lunyango lwexeshana.
- Iinkqubo zeSling: Yinkqubo eqhelekileyo yotyando lokungakwazi ukuzibamba ngenxa yoxinzelelo. Kule nkqubo, kusetyenziswa isixhobo esikhethekileyo esifana nesling ukuxhasa i-urethra.
- I-Artificial Urinary Sphincter: Esi sisixhobo esenziweyo. Sifakwa kubantu abanezihlunu ezibuthathaka ezilawula ukuchama.
Ugqirha wakho uza kukuchazela kakuhle izinto ezilungileyo nezingalunganga zonyango ngalunye.
Umyalezo Wokuya Ekhaya
- Ukungakwazi ukuzibamba umchamo asinto yokuhlazeka. Yimeko yempilo enyangekayo abantu abaninzi abanayo.
- Musa nje ukuyamkela le nto njengento eqhelekileyo yokwaluphala. Unganceda.
- Ukwazi uhlobo lwesimo onaso kubaluleke kakhulu kunyango.
- Utshintsho olulula kwindlela yokuphila kunye nokuzilolonga ngeKegel kunokwenza umahluko omkhulu.
- Ukuba le ngxaki iphazamisana nobomi bakho bemihla ngemihla, musa ukulibazisa uze uthethe nogqirha wakho. Musa ukuvumela oku kukuthintele ekubeni uphile ubomi obukhululekileyo nobonwabisayo.
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