Ngaba nawe unengxaki yokuchama? Masifunde ngokugcinwa komchamo

Ngaba ngamanye amaxesha uziva ngathi kufuneka uyeke phakathi kokuchama kwakho , okanye ukuba isinyi sakho asikaphumi ngokupheleleyo? Okanye ngaba unengxaki yokuqalisa ukuchama ? Le yingxaki eqhelekileyo yempilo abantu abaninzi abaneentloni zokuyithetha, kodwa inokuba yingxaki yempilo ebaluleke kakhulu. Namhlanje sithetha ngale meko ibizwa ngokuba yi-urinary retention, okanye eyaziwa ngokwezonyango njenge-"Urinary Retention". Ungakhathazeki, le yinto enokulawulwa ukuba iqondwa kwaye inyangwa ngokufanelekileyo.

Ngamafutshane, yintoni ukugcinwa komchamo?

Cinga ngesinyi sakho njengetanki yamanzi. Izintso zethu zihluza inkunkuma emizimbeni yethu zize zivelise umchamo (umchamo/umchamo) oqokelelana kwesi sinyi. Xa kufuneka sichame, umchamo uphuma kwesi sinyi ngetyhubhu ebizwa ngokuba yi-urethra.

Ukugcinwa komchamo kuxa isinyi sakho singaphumi ngokupheleleyo xa uchama. Ngamanye amaxesha kusenokuba kukho okushiyekileyo, kwaye kwiimeko ezinzima ngakumbi, usenokungakwazi ukuchama konke konke.

Kukho iintlobo ezimbini eziphambili zale nto.

Le meko yokugcina umchamo inokwenzeka ngeendlela ezimbini eziphambili. Iimpawu kunye nobunzima bazo ziyahluka.

1. Ukugcinwa Komchamo Obukhali: Le yimeko eyenzeka ngequbuliso , ngequbuliso. Uziva ufuna ukuchama, kodwa awukwazi nokuchama kancinci. Oku kusenokuhamba nentlungu eqatha esiswini esisezantsi. Le yingxaki yezonyango. Ukuba oku kuyenzeka, kufuneka uye kwigumbi likaxakeka (ETU) lesibhedlele ngoko nangoko.

2. Ukugcinwa Komchamo Okungapheliyo: Le yimeko ekhula kancinci kancinci ngokuhamba kwexesha. Uyakwazi ukuchama, kodwa isinyi sakho asiphumi ngokupheleleyo. Uninzi lwexesha, iimpawu azikho nzima, ngoko abanye abantu basenokungayinaki kangako. Nangona kunjalo, kusabalulekile ukufumana unyango lwale meko.

Zithini iimpawu zale meko?

Ngoku makhe sijonge iimpawu ezinokubonakala kwezi ntlobo zimbini. Kuya kuba baluleke kakhulu kuwe ukwazi ukwahlula ngokucacileyo phakathi kwezi.

Kutheni umchamo unamathela ngolu hlobo? Zithini izizathu eziphambili?

Kukho izizathu ezininzi zokuba umchamo ungagcinwa. Makhe sixoxe ngezizathu eziphambili ngokwahlukeneyo.

1. Ukuvaleka kwendlela yomchamo (Ukuvaleka)

Ngamafutshane, kukho ukuvaleka kwendlela yokuphuma komchamo. Njengokuba xa ucinezela umbhobho wamanzi, ukuhamba kwamanzi kuyehla. Isizathu esiphambili soku kukwanda kwe-prostate gland kumadoda (i-Enlarged Prostate okanye i-Benign Prostatic Hyperplasia - BPH) . Ekubeni le gland ikufutshane ne-urethra, xa ikhula, iyayiqinisa i-urethra kwaye ivale indlela yomchamo.

Ukongeza:

• Amatye omchamo, amahlwili egazi, okanye umhlaza.
• Ukuncitshiswa kwe-urethra ngenxa yezicubu ezibomvu (Urethral Stricture) .
• I-Cystocele (ukuphuma kwesinyi kwilungu lobufazi) kwabasetyhini.
• I-Rectocele (ukuphuma kwe-rectum eludongeni lwe-vaginal) kubasetyhini.

2. Amanye amayeza

Amanye amayeza owasebenzisayo kwezinye iimeko anokubangela ukugcinwa komchamo. Umzekelo, amanye amayeza okubangela ukunganyamezelani (ii-Antihistamines), amanye amayeza okuphelisa iintlungu (ii-Opiates), kunye namanye amayeza okudakumba (ii-Tricyclic Antidepressants) anokuchaphazela indlela ezisebenza ngayo izihlunu zesinyi sakho.

3. Imiba yeMithambo

Ingqondo isinika umyalezo wokuba sichame. Ingqondo ixelela izihlunu ezikwisinyi ukuba ziqine kwaye izihlunu ezijikeleze i-urethra ziphumle. Ukuba kukho umonakalo kunxibelelwano lwemithambo-luvo phakathi kwengqondo kunye nenkqubo yomchamo, inkqubo yokuchama inokuphazamiseka.

Izinto ezinokubangela oku:

• Istroke
• Isifo Seswekile (iDiabetes Mellitus)
• Izifo ezichaphazela inkqubo yemithambo-luvo (umz. iMultiple Sclerosis)
• Ukwenzakala emgogodleni okanye kwindawo ye-pelvic
• Ukuzalwa komntwana
• Utyando lwePelvic

4. Iintsholongwane okanye ukudumba

Ukudumba okubangelwa lusulelo lomchamo (UTI) , usulelo lweprostate (prostatitis) , okanye usulelo oludluliselwa ngesondo (STIs) nako kunokuthintela ukuhamba komchamo.

5. Utyando

Ukugcinwa komchamo okwexeshana kunokwenzeka, ingakumbi emva kotyando olukhulu olufana nokutshintshwa kwesinqe okanye emva kokuba kwenziwe i-anesthesia.

Yintoni enokwenzeka ukuba awuyikhathaleli indlela umchamo ogcinwa ngayo?

Akuyonto ilungileyo ukungayinaki le nto njengento eyahlukileyo, kuba ukuba ukugcinwa komchamo ixesha elide akunyangelwanga, kunokukhokelela kwezinye iingxaki.

• Usulelo lwendlela yomchamo (UTIs): Xa umchamo uhlala kwisinyi ixesha elide, iintsholongwane zinokwanda kakhulu. Ezi ntsholongwane zinokuhamba ziye kwizintso.
• Ukonakala kwesinyi: Ngenxa yokuba sihlala sigcwele, izihlunu zesinyi zinokolulwa, zibe buthathaka, kwaye zonakale.
• Ukonakala kwezintso: Usulelo okanye uxinzelelo olugqithisileyo kwisinyi lunokonakalisa izintso kwaye lubangele isifo sezintso.
• Amatye Esinyini: Xa umchamo uqokelelana kwindawo enye, iiminerali ezikuwo zinokuqokelelana zenze amatye.

Uyifumana njani le nto, Gqirha?

Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha. Kungcono ukubona ugqirha ogxile kwizifo zenkqubo yomchamo (urologist).

Ngugqirha:

• Uza kubuzwa ngeempawu zakho kunye nokuba sele zikho ixesha elingakanani.
• Buza ngembali yakho epheleleyo yezonyango.
• Wenza uvavanyo lomzimba.
• Isampulu yomchamo iyavavanywa ukuze kubonwe ukuba kukho usulelo na.
• Ukuba uyindoda, thatha uvavanyo lwe-rectal ukuze ujonge i-prostate gland.(Uvavanyo lweDijithali lweRectal) lungenziwa.

Ukongeza, kunokwenziwa olunye uvavanyo ukuze kuchongwe unobangela ochanekileyo.

• Uvavanyo lwe-Post-void residual (PVR): Olu vavanyo lulinganisa ukuba ingakanani intsalela yomchamo kwisinyi emva kokuba ugqibile ukuchama.
• I-Cystoscopy: Ityhubhu enekhamera encinci idluliselwa kwi-urethra ukuze ihlole ingaphakathi lesinyi kunye ne-urethra.
• Uvavanyo lwe-Urodynamic: Uthotho lweemvavanyo ezilinganisa umsebenzi kunye noxinzelelo lwesinyi kunye nemisipha ejikelezileyo.
• Uvavanyo lwe-PSA: Uvavanyo lwegazi lokujonga umngcipheko womhlaza weprostate.

Zithini iindlela zonyango zoku?

Iindlela zonyango zixhomekeke ekubeni unentlungu ebukhali okanye engapheliyo kwaye yintoni unobangela.

Unyango lokugcina umchamo ngokukhawuleza

Ekubeni oku kuyingxamiseko, into yokuqala ekufuneka yenziwe kukufaka i-catheter kunye nokukhupha umchamo kwisinyi. Oku kuya kunceda ngoko nangoko. Kulapho kuphela apho unobangela unokuthi uchongwe kwaye unyangwe.

Unyango lokugcina umchamo ixesha elide

Kukho iindlela ezahlukeneyo zonyango zoku.

• Amayeza: Ukuba iprostate ikhulile, unokunikwa amayeza okuyinciphisa okanye ukuphumza izihlunu ezijikeleze yona. Amayeza okubulala iintsholongwane anokunikwa kwiintsholongwane.
• Utyando: Ngokuxhomekeke kwisizathu, utyando lunokufuneka. Oku kungabandakanya ukususa i-prostate gland (TURP), ukulungisa ukuvaleka kwe-urethra (Urethroplasty), okanye ukulungisa i-cystocele/rectocele ngotyando.
• Unyango olungelulo utyando:
• Ukuzivocavoca ngeKegel: Ukuzivocavoca okuqinisa imisipha kwindawo ye-pelvic.
• I-Vaginal Pessary: ​​Isixhobo esifakwa kwilungu lobufazi ukuxhasa isinyi esiphumayo.
• Ulawulo lwesinyi: Utshintsho kwindlela yokuziphatha njengokulawula ixesha lokusela ulwelo.

Abanye abantu abaneengxaki zemithambo-luvo bafundiswa ngoogqirha babo indlela yokuzilungisa ngokwabo ekhaya besebenzisa i-catheter.