Ingaba nawe uyavuza umchamo ungaqondanga? Masithethe ngokungakwazi ukuzibamba komchamo!

Ngaba ngamanye amaxesha uziva ngathi kunzima ukugcina umchamo wakho? Ngaba ukuvuza komchamo ngelixa uhleka, ukhohlela, okanye uzilolonga kube yingxaki ebomini bakho? Le yingxaki abantu abaninzi abanayo, kodwa abantu abaninzi baziva beneentloni kwaye beneentloni ukuthetha ngayo. Kodwa ungakhathazeki, namhlanje siza kuthetha ngale meko (Ukungabikho komchamo) ngokweenkcukacha.

Yintoni i-Urinary Incontinence?

Ngamafutshane, ukungakwazi ukulawula umchamo kukungakwazi ukulawula umchamo wakho kunye nokuvuza komchamo ngokungazi. Oku kunokuba nefuthe elikhulu ebomini bakho.

Umzimba wethu unenkqubo yomchamo. Isitho ngasinye sesawo. Konke oku kuhlangene kuhluza inkunkuma yomzimba wethu, kuyigcine, kwaye kuyikhuphe njengomchamo. Xa le nkqubo isebenza kakuhle, unokuya kwigumbi lokuhlambela ngexesha, kwaye umchamo awuphumi ngaphandle kwesizathu. Nangona kunjalo, ukuba kukho into engalunganga ngale nkqubo, ke le meko yokungakwazi ukulawula le mchamo iyenzeka. Kunokubakho izizathu ezininzi zoku.

Ngaba le yinto ephuhliswa ngumntu wonke njengoko ekhula?

Abantu abaninzi bacinga ukuba le yinto eyenzekayo njengoko sikhula kwaye ayinakunqandwa. Liyinyaniso elokuba umngcipheko uyanda njengoko sikhula. Nangona kunjalo, inokwenzeka nakubani na nokuba uneminyaka emingaphi. Eyona nto ilungileyo kukuba inokunyangeka. Akunyanzelekanga ukuba uyeke imisebenzi yakho yemihla ngemihla okanye uhlale usebenza ngenxa yale ngxaki.

Ngokwedatha yangoku, malunga nama-62% abasetyhini abangaphezu kweminyaka engama-20 ubudala banohlobo oluthile lokungakwazi ukuzibamba ngomchamo. Phakathi kwamadoda, eli nani liphantsi kancinci, malunga ne-14%. Ngoko ke ungabona ukuba oku kuxhaphake kangakanani.

Ziziphi iintlobo zokungakwazi ukuzibamba komchamo?

Kukho iintlobo ezahlukeneyo zale meko. Zinezizathu ezahlukeneyo, iimpawu, kunye nezinto ezibangela esi sifo. Ukwazi kakuhle uhlobo onalo kubaluleke kakhulu kwisicwangciso sakho sonyango.

Nazi ezinye zezona ntlobo ziphambili:

• Khuthaza ukungakwazi ukuzibamba: Kulapho unqwenela kakhulu ukuchama. Rhoqo, uvuza umchamo ngaphambi kokuba uye kwindlu yangasese. Isinyi esisebenza kakhulu sisizathu esikhulu sale nto. Khawuthelekelele, xa usemsebenzini, ngequbuliso kufuneka uchame, kwaye awukwazi ukuyeka nokuba uyabaleka.
• Ukungakwazi ukuzibamba xa uxinezelekile: Oku kwenzeka xa ulahlekelwa ngumchamo omncinci xa usenza imisebenzi efana nokuhleka, ukukhohlela, ukuthimla, ukubaleka, ukutsiba, okanye ukuphakamisa iintsimbi. Oku kwenzeka xa kunzima ukuchama.
• Ukungakwazi ukuzibamba ngokugqithisileyo: Kule nto, isinyi asiphumi ngokupheleleyo emva kokuba uchama.Kusele kancinci. Olu hlobo luxhaphake kakhulu kumadoda ane-benign prostatic hyperplasia (BPH), okanye kwabo banezifo ezifana nestroke okanye isifo seswekile.
• Ukungakwazi ukuzibamba okuxutyiweyo: Njengoko igama lisitsho, oku kungaba yindibaniselwano yeentlobo ezikhankanyiweyo apha ngasentla. Umzekelo, unokuba nokungakwazi ukuzibamba okuxinezelekileyo kunye nokungakwazi ukuzibamba okugqithisileyo. Ukuba unalo olu hlobo lokungakwazi ukuzibamba okuxutyiweyo, qaphela xa uvuza umchamo. Oogqirha banokukunceda ufumanise ukuba loluphi uhlobo onalo kwaye bakuncede ukuba ulawule ngokufanelekileyo.

Zithini iimpawu? Uyazi njani?

Uphawu oluphambili kukuvuza komchamo ngamaxesha athile, njengangaphambi kokuya kwindlu yangasese, xa ukhohlela, uhleka, okanye uzilolonga. Usenokuvuza umchamo omninzi, okanye unokuvuza kancinci. Usenokuvuza rhoqo, okanye unokuvuza kancinci ngexesha. Ezi mpawu zinokwahluka ngokuxhomekeke kuhlobo onalo. Nangona kunjalo, iimpawu eziqhelekileyo ziquka:

• Ukufuna ukuchama ngaphezulu kwezihlandlo ezisibhozo ngemini (`(Ukuchama rhoqo)`).
• Xa usiya kwigumbi lokuhlambela, kuphuma intwana encinci ngexesha.
• Ukuvuka uye kuchama ngaphezulu kwesibini ebusuku (`(Nocturia)`).
• Ukuchama Ebhedini (i-Enuresis).
• Ukuvuza komchamo ngelixa uzilolonga, uhleka, ukhohlela, uthimla, ugobile, okanye usenza isondo.

Kutheni singakwazi ukulawula umchamo wethu? Zithini izizathu?

Kunokubakho izizathu ezahlukeneyo zoku. Ezi zizathu zinokwahluka ngokuxhomekeke ekubeni ungumfazi okanye yindoda. Ezinye izizathu zezokwexeshana kwaye ziyaphela xa unyangwa. Ezinye zibangelwa zizifo ezihlala ixesha elide. Kwezo meko, zisenokungapheli ngokupheleleyo nokuba unyangwa, kodwa zisenokuqhubeka nokuba luphawu.

Izizathu zexeshana okanye zexesha elifutshane:

• Usulelo lwendlela yomchamo (UTIs)
• Ngexesha lokukhulelwa okanye emva kokubeleka
• Amanye amayeza, umzekelo, iipilisi zamanzi (i-diuretics) kunye ne-antidepressants (i-antidepressants)
• Ezinye iziselo, ezifana nekofu kunye notywala
• Ukuqhinwa

Izizathu zexesha elide:

• Isinyi esisebenza kakhulu
• Istroke
• Isifo seswekile (`(isifo seswekile)`)
• Ukuya exesheni
• I-Multiple sclerosis (`(I-Multiple sclerosis - MS)`)
• Isifo sikaParkinson (`(isifo sikaParkinson)`)
• Ukwandiswa kweprostate
• Utyando lokususa i-prostate gland (i-prostate gland)

Kutheni oku kwenzeka ngexesha lokukhulelwa?

Kukho izizathu ezininzi zokuba le meko yenzeka ngexesha lokukhulelwa:

• Uxinzelelo kwisinyi:Njengoko umntwana ekhula esibelekweni, nesibeleko siyakhula. Oku kunokubangela uxinzelelo kwisinyi. Oku kunokubangela ukuba ufune ukuchama rhoqo. Le meko inokuba mandundu ekupheleni kokukhulelwa, njengoko umntwana ekhula kakhulu.
• Imisipha yomgangatho we-pelvic ebuthathaka: Imisipha yakho yomgangatho we-pelvic yiyo ebamba zonke izitho ezikwi-pelvis yakho. Le misipha inokolulwa kwaye ibe buthathaka ngexesha lokukhulelwa, njengoko isibeleko sakho sikhula, okanye emva kokubeleka.

Ngubani ochaphazeleka kakhulu yile meko?

Ingakhula nakubani na. Nangona kunjalo, ixhaphake kakhulu kumaqela athile nangamaxesha athile obomi. Ixhaphake kakhulu kubafazi, ingakumbi:

• Ngexesha lokukhulelwa
• Emva kokubeleka
• Ngokuya exesheni (`(Ukuya exesheni)`)

Kuzo zonke ezi meko, izihlunu zomgangatho we-pelvic zinokuba buthathaka kancinci kancinci kwaye isinyi sinokutshintsha, nto leyo ebangela ukungakwazi ukulawula umchamo.

Ngaba le ngozi iyanda xa ukhula?

Ewe, le ngozi iyanda emva kweminyaka engama-50. Imizimba yethu iyatshintsha ubomi bethu bonke. Umngcipheko wokufumana le meko uyanda njengoko ukhula, ngakumbi:

• Ukuba unesifo esihlala ixesha elide.
• Ukuba uzele abantwana.
• Ukuba usele ugqibile ukuya exesheni.
• Ukuba i-prostate gland yakho ikhulisiwe.
• Ukuba ukhe watyandwa i-prostate.

Kungoko ke, kubalulekile ukuxoxa ngezi ngozi nogqirha wakho ukuze ufumane indlela yokulawula le meko kwaye ungayiphazamisi kubomi bakho bemihla ngemihla.

Ingaba oku kuqhelekile kubafazi?

Ewe, le meko ixhaphake kakhulu kubafazi. Ukukhulelwa, ukuzala, kunye nokuya exesheni konke oku kunokubangela iingxaki zokulawula umchamo.

Ukungakwazi ukuzibamba umchamo ngexesha lokukhulelwa kudla ngokuba yinto yexeshana elifutshane kwaye kudla ngokuba ngcono emva kokubeleka. Nangona kunjalo, abanye abafazi banokuba nokungakwazi ukuzibamba ngexesha lokubeleka. Oku kungenxa yokuba izihlunu zomgangatho we-pelvic ziyanwebeka kwaye zibuthathaka ngexesha lokubeleka.

Ukuya exesheni kukwalixesha lotshintsho olukhulu emzimbeni. Iihomoni zakho, ingakumbi i-estrogen, ziyatshintsha ngeli xesha. Oku kunokuchaphazela nolawulo lomchamo.

Oogqirha bakuqonda njani oku kanye kanye?

Ugqirha angaxilonga le meko ngokuphonononga iimpawu zakho, imbali yakho yezonyango, kunye novavanyo lomzimba. Angabuza imibuzo efana nale:

• Uchama kangaphi?
• Ngaba uyavuza umchamo phakathi kokutyelela indlu yangasese?
• Kukangaphi umchamo uphuma ngolo hlobo?
• Ingakanani umchamo okhutshwa ngexesha?
• Ukususela nini waqaphela ukuba lo mchamo uphuma?
• Ngawaphi amayeza owasebenzisayo ngoku okanye owakhe wawasebenzisa ngaphambili?
• Ngaba ukhulelwe? Okanye ukhe wakhulelwa ngaphambili?
• Bangaphi abantwana obazale?

Le mibuzo inokunceda ugqirha wakho ukuba achaze iipatheni zakho zokuhamba komchamo. Oku kuya kumnceda ukuba aqonde ukuba loluphi uhlobo lokungakwazi ukuzibamba onalo. Angayalela okanye enze olunye uvavanyo ukuqinisekisa imeko.

Zeziphi iimvavanyo ezenziwayo koku?

Ugqirha angayalela iimvavanyo ezifana nezi:

• Uvavanyo lwe-pelvic: Oku kunokujonga amandla emisipha yakho ye-pelvic kwaye kujonge nezinye iingxaki zempilo ezinokubangela le meko.
• Uvavanyo lwedijithali lwerectal: Oku kunceda ukujonga ukuba iprostate ikhuphukile na kumadoda.
• Uvavanyo lomchamo: Isampulu yomchamo oyinikayo iyavavanywa ukujonga usulelo kunye negazi kumchamo (i-hematuria).
• I-ultrasound yesinyi: Olu luvavanyo olungenabuhlungu olujonga isinyi sakho kunye nokuba ungakhupha kangakanani isinyi sakho.
• Uvavanyo loxinzelelo: Ukuba uziva ngathi kufuneka uchame xa ukhohlela, ubaleka, okanye utsiba, ugqirha wakho angakucela ukuba wenze ezo zinto ukuze abone ukuba uyachama ngokwenene na.
• I-Cystoscopy: Kolu vavanyo, kufakwa ityhubhu encinci enekhamera (i-cystoscope) nge-urethra yakho nakwisinyi sakho ukuze kuhlolwe inkqubo yakho yomchamo. Nangona kunjalo, uninzi lwabantu aludingi olu vavanyo.
• Uvavanyo lwe-Urodynamic: Olu luhlu lweemvavanyo ezilinganisa ukuba ingakanani umchamo onokugcinwa sisinyi sakho kunye nokuba ungasibamba kakuhle kangakanani uze emva koko ukhuphe isinyi sakho.
• Uvavanyo lwephedi: Ugqirha angakunika iphedi ekhethekileyo yokunxiba phantsi kwempahla yakho yangaphantsi. Iya kuqokelela umchamo ongawuqondiyo ukuba uwuphumelele. Xa uvavanyo luphelile, baya kujonga ukuba ungakanani umchamo okwiphedi.

Ugqirha wakho angakucela ukuba ugcine idayari yesinyi kangangeentsuku ezimbalwa. Kuyo, kufuneka ubhale phantsi:

* Uchama kangaphi?

* Uchama kangakanani ngexesha?

* Ngaba uyavuza umchamo phakathi kohambo oluya kwigumbi lokuhlambela?

* Ubusenza ntoni xa uchama?

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Ungalibali ukuhamba nale dayari xa usiya kugqirha. Olu lwazi luza kukunceda ubone ipateni kwaye ufumane uhlobo oluthile.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?

Kuxhomekeke kuhlobo onalo. Ugqirha uza kuqala afumanise ukuba loluphi uhlobo onalo. Emva koko uza kukuxelela ngonyango olufumanekayo kuwe aze akuncede ukhethe olukufaneleyo.

Iindlela eziphambili zonyango zezi:

• Utshintsho kwindlela yokuphila
• Ulungiso lwenyama
• Amayeza
• Utyando okanye ezinye iinkqubo

Kukho izinto ezilungileyo nezingalunganga kwindlela nganye kwezi, kwaye ugqirha uza kukuchazela konke.

Utshintsho kwindlela yokuphila

Ngamanye amaxesha, ukwenza utshintsho oluncinci kwimisebenzi yakho yemihla ngemihla kunokunceda ukuphucula imeko ngaphandle kolunye unyango. Nangona kunjalo, olu tshintsho lusenokunganyanga zonke iintlobo zokungakwazi ukuzibamba. Kuya kufuneka uthethe nogqirha wakho ngaphambi kokuba uqale nayiphi na kwezi zinto.

Utshintsho oluqhelekileyo kwindlela yokuphila:

• Ukuchama ngexesha elifanelekileyo: Chama ngexesha elimiselweyo, endaweni yokulinda ude uzive ufuna ukuchama.
• Ukuchama ngaphambi kokuba kwenziwe umthambo: Ukuchama ngaphambi kokuba uqale nawuphi na umsebenzi kunokunceda ukunciphisa ukuvuza komchamo phakathi kokuchama.
• Kuphephe ukuphakamisa izinto ezinzima: Ukuba ufuna ukuphakamisa into enkulu okanye enzima, cela uncedo kumntu othile.
• Ukuzivocavoca kweKegel: Olu qheliselo lunokunceda ekuqiniseni izihlunu zakho zomgangatho we-pelvic. Buza ugqirha wakho okanye ingcali yezonyango ukuba ungakwenza njani oku.
• Kuphephe ukusela ulwelo oluninzi (ingakumbi olo lune-caffeine) ngaphambi kokuba uqale umsebenzi nangaphambi kokuba ulale ebusuku.
• Sebenzisa ii-watering pads ezifunxa umchamo okanye iimpahla zangaphantsi: Ezi zifunxa umchamo kwaye zinganxitywa phantsi kwempahla kungekho mntu ubonayo.
• Ukuqeqeshwa kwakhona kwesinyi: Oku kukuvumela ukuba uchame kube kanye uze emva koko wandise ixesha phakathi kokuchama kancinci kancinci.
• Gcina ubunzima obusempilweni obukufaneleyo: Ukunciphisa ubunzima kwindawo yesisu kunciphisa uxinzelelo kwisinyi kwaye kuphucula impilo yesinyi.
• Izinto zokufaka isini: Ezi zingathengwa kwikhawuntara kwikhemesti ngaphandle kwemvume kagqirha. Xa zifakwa kwisini, zinceda ukolula i-urethra kwaye zinciphise ukungakwazi ukuzibamba ngenxa yoxinzelelo.

Amayeza

Kukho amayeza amaninzi anokunciphisa umchamo owuvuzayo. Amanye amayeza anceda ukuzinzisa ukushwabana kwemisipha okubangela ukusebenza kakhulu kwesinyi. Amanye anceda ekuphumzeni izihlunu kwaye ancede isinyi siphume ngokupheleleyo. Ukuba udlula exesheni, unyango lweehomoni, olufana nekhrimu ye-estrogen yesini, lunokunceda ukubuyisela ukusebenza kwesinyi ngokutshintsha ihomoni ye-estrogen engasayivelisiyo umzimba wakho.

Amanye amayeza asetyenziswa rhoqo:

• ``I-Oxybutynin (iDitropan®, iDitropan XL®, iOxytrol®)``
• `I-Tolterodine (iDetrol®)`
• `I-Solifenacin (VESIcare®)`
• `I-Fesoterodine (iToviaz®)`
• `UDarifenacin (Enablex®)`
• `I-Trospium (Sanctura®)`
• `Mirabegron (Myrbetriq®)`
• `I-Vibegron (Gemtesa®)`

Oogqirha badla ngokuqala ngedosi ephantsi baze bayinyuse kancinci kancinci idosi. Oku kunciphisa umngcipheko weziphumo ebezingalindelekanga kwaye kubavumela ukuba babone ukuba iyeza lisebenza kakuhle kangakanani na.

Utyando kunye nezinye iindlela

Ugqirha wakho angacebisa utyando kuwe. Oku kungabandakanya:

• Izinto ezibangela ukudumba: Ugqirha ufaka into ephuma emanzini kwi-urethra yakho. Oku kwenza i-urethra yakho ibe nkulu kwaye kunceda ukulawula ukuhamba komchamo.
• Iinaliti zeBotulinum toxin (Botox®): Ukunyangwa kweBotox® xa ungafuni ukuzibamba kuyathomalaliswa. Oku kuyaphumza izihlunu zesinyi. Nangona kunjalo, olu asilonyango oluhlala luhleli, kwaye iinaliti kufuneka ziphindwe ngamanye amaxesha.
• Izixhobo ze-Neuromodulation: Ezi zixhobo zivuselela imithambo-luvo iye kwisinyi kwaye ziphucula ulawulo.
• Iinkqubo zokusila: Kule nto, kusetyenziswa i-mesh eyenziwe ngumntu (eyenziwe ngokwenziwa), njengeteyiphu yotyando, okanye ezinye zezicwili zomzimba wakho ukuxhasa i-urethra.
• I-sphincter yomchamo eyenziweyo: Oku kudla ngokucetyiswa kubantu abangakwaziyo ukuzibamba emva kotyando lomhlaza weprostate. Esi sisixhobo sezonyango esinokufuthwa. Singawugcina umchamo ude ufune ukuya kwigumbi lokuhlambela.

Ngaba le meko iza kuphela ngokupheleleyo?

Kuxhomekeke ekubeni loluphi uhlobo lokungakwazi ukuzibamba. Ngamanye amaxesha, le meko iyaphela ngaphandle konyango xa unobangela (umz., usulelo lomchamo, amayeza athile, ukuqhina) uphelile.

Ngaba oku akunakuthintelwa ukuba kwenzeke?

Ayizizo zonke izizathu ezinokuthintelwa. Zinokubangelwa zizinto ezahlukeneyo ebomini. Nangona kunjalo, unganciphisa umngcipheko wakho ngokuqinisa izihlunu zakho zomgangatho we-pelvic ngokuzivocavoca kweKegel kunye nokugcina ubunzima obusempilweni obukufaneleyo.

Uphila njani nale meko?

Kwabaninzi abantu, ukuba ukungakwazi ukuzibamba kubangela uxinzelelo, ukudakumba, okanye ixhala , kunokuba luncedo ukuthetha nogqirha wengqondo okanye ingcali yezengqondo. Banokukunceda ulawule impilo yakho yengqondo, okanye bakunike amayeza ukuba kuyimfuneko.

Ufanele uye nini kugqirha?

Bona ugqirha kwangoko nje ukuba uqaphela ukuvuza komchamo, okanye kwangoko nje ukuba uqaphela utshintsho kwindlela ohlala ngayo kwigumbi lakho lokuhlambela. Banokukunceda ufumane unobangela kunye nohlobo lwawo, kwaye bakuncede ukuba unyange okanye ulawule loo nto.

Yeyiphi imibuzo omele uyibuze ugqirha?

Usenokubuza ugqirha imibuzo efana nale:

• Luhlobo luni lokungakwazi ukuzibamba endinalo?
• Ucebisa luphi unyango?
• Zithini iziphumo ebezingalindelekanga zamayeza okulawula umchamo?
• Zithini iziphumo ebezingalindelekanga zolu tyando okanye inkqubo?

Abantu abaninzi baneentloni zokuthetha ngemikhwa yabo yokuhlamba. Usenokuba neentloni kwaye uneentloni zokungakwazi ukulawula umchamo wakho. Okanye, usenokuba noloyiko lokuvuza komchamo okanye ukungakwazi ukufika kwigumbi lokuhlambela ngexesha ukuba unemeko engxamisekileyo, enokukuthintela ekwenzeni imisebenzi yakho yemihla ngemihla. Nangona kunjalo, ugqirha unokukunceda ufumane unobangela wengxaki yakho yokulawula umchamo kwaye akuncede uphile. Akunyanzelekanga ukuba ubandezeleke koku wedwa.

Thetha nogqirha wakho ukuze ufumane unyango olufanelekileyo kule ngxaki yokungakwazi ukuzibamba komchamo. Emva koko ungaphila ubomi bakho ngaphandle kokukhathazeka ngayo.

Okokugqibela, izinto ekufuneka uzikhumbule

• Ukungakwazi ukuzibamba yinto eqhelekileyo, kodwa musa ukuyithatha njengento eqhelekileyo.
• Kukho izizathu ezahlukeneyo kunye neentlobo zezi zinto.
• Kukho unyango olusebenzayo olufumanekayo. Ngoko ke ungabi nazintloni okanye ungoyiki ukufuna ingcebiso kagqirha.
• Le meko ingalawulwa ngokutshintsha indlela yokuphila, ukuzilolonga, amayeza, mhlawumbi notyando.
• Awuwedwa, cela uncedo.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

Ulawulo lomchamo , ukungakwazi ukuzibamba, ukungakwazi ukuzibamba, ukungakwazi ukuzibamba, ukungakwazi ukuzibamba ngenxa yoxinzelelo, isinyi, izifo zomchamo