Ngaba nawe unengxaki yokukhupha yonke into kwisinyi sakho? Masithethe ngokugcinwa komchamo!

Ngaba ngamanye amaxesha uziva ngathi awukwazi ukuchama ngokupheleleyo? Okanye uyachama kancinci uze uzive ngathi kufuneka uphinde uchame? Oku sikubiza ngokuba yi-urinary retention, okanye ngokwezonyango okubizwa ngokuba yi-"Urinary Retention". Okwenzekayo koku kukuba isinyi sakho asiphumi ngokupheleleyo. Isinyi sethu sifana netanki yamanzi. Umchamo ohluzwa zizintso emanzini nakwizinto esiziselayo, uqokelelwa kwesi sinyi. Emva koko uphuma nge-urethra.

Kuthetha ukuthini ukugcinwa komchamo? Ngaba kukho iintlobo ezahlukeneyo?

Ngamafutshane, ukugcinwa komchamo kuxa isinyi sakho singaphumi ngokupheleleyo xa uchama. Oku kunokwenzeka ngeendlela ezimbini eziphambili. 1. Ukugcinwa komchamo ngokukhawuleza: Le yimeko ekhawulezileyo nekhawulezileyo. Usenokungakwazi ukuchama konke konke. Le yimeko efuna unyango olungxamisekileyo. 2. Ukugcinwa komchamo okungapheliyo: Le yimeko ekhula kancinci kancinci ngokuhamba kwexesha. Iimpawu nazo zibonakala kancinci kancinci. Oku kunokubangelwa zizinto ezifana nokuthintelwa kwendlela yomchamo, amayeza athile, kunye neengxaki zenkqubo yemithambo-luvo.

Khawuthelekelele oku, njengokuba xa into ibambeka kumbhobho wamanzi, amanzi ayayeka ukuhamba.

Ukugcinwa komchamo ngokukhawuleza kudla ngokuba yingxaki engxamisekileyo . Ukuba oku kuyenzeka, kufuneka ubone ugqirha ngoko nangoko. Ukugcinwa komchamo okungapheliyo kuxhaphake kakhulu kumadoda aphakathi kweminyaka engama-60 nama-80.

Ixhaphake kangakanani le meko?

Izifundo zibonisa ukuba malunga ne-10% yamadoda angaphezu kweminyaka engama-70 kunye nama-30% amadoda angaphezu kweminyaka engama-80 anokuba nale meko. Nangona abafazi benokuba nengxaki yokungakwazi ukuzibamba, ayixhaphakanga kangako kunamadoda.

Zithini iimpawu zokugcina umchamo?

Ezi mpawu zinokwahluka ngokuxhomekeke ekubeni uneempawu ezibukhali okanye ezingapheliyo.

Iimpawu zokugcinwa komchamo ngokukhawuleza

Kule meko, iimpawu zibonakala ngequbuliso.

• Ukungakwazi ukuchama, okanye ukuchama kancinci kakhulu nokuba isinyi sigcwele.
• Kwiimeko ezinzima kakhulu, unokufumana iintlungu zesisu kunye nentlungu esezantsi kwesisu . Ukuba oku kuyenzeka kuwe, kufuneka ubone ugqirha ngokukhawuleza.

Iimpawu Zokugcinwa Komchamo Okungapheliyo

Iimpawu zingahluka kumntu nomntu. Ezinye zeempawu eziqhelekileyo ziquka:

• Ubunzima bokuqala ukuchama.
• Umchamo obuthathaka, ocothayo, okanye ongalawulekiyo.
• Ukuziva ngathi ufuna ukuchama kwakhona emva kokuba ugqibile ukuchama.
• Ukuziva ngathi kufuneka uchame rhoqo.
• Ukuvuza umchamo kancinci ngaphandle kokuqaphela.
• Ukuvuka amaxesha amaninzi ebusuku ukuze uchame (i-Nocturia).

Zithini izizathu zokugcina umchamo ungasebenzi?

Kunokubakho izizathu ezininzi zokugcina umchamo. Ezona ziphambili zezi:

• Kukho uhlobo oluthile lokuvaleka kwendlela yomchamo ophuma emzimbeni.
• Amanye amayeza owasebenzisayo kwezinye iimeko.
• Iingxaki ezinxulumene nemithambo-luvo eziphazamisana nokutshintshiselana kwemiyalezo phakathi kwengqondo kunye nenkqubo yomchamo .
• Iintsholongwane okanye ukudumba okuthintela ukuhamba komchamo.
• Utyando (ingakumbi emva kotyando oluthile).

1. Ukuvaleka

Ukuba kukho into ethintela ukuhamba komchamo ngokukhululekileyo ukusuka kwisinyi ukuya kwi-urethra, inokubangela ukuvaleka komchamo. Oku kungavaleki yeyona nto ibangela ukugcinwa komchamo. Ezinye zezizathu ezinokubangela ukuvaleka komchamo zezi:

• I-Prostate Ekhulisiweyo : Kumadoda, i-prostate gland inokukhula ize icinezele i-urethra, nto leyo ebangela ukuvaleka. Oku kukwabizwa ngokuba yi-Benign Prostatic Hyperplasia ( BPH ).
• Ukuvaleka kweSinyi: Ukuvaleka kwindawo apho umchamo uphuma khona kwisinyi (intamo yesinyi).
• Ukuvaleka komchamo: Ukuvaleka komchamo ngenxa yamatye omchamo, amahlwili egazi, iithumba, okanye ezinye izizathu.
• I-Cystocele : Yimeko apho isinyi kubasetyhini siwela phantsi siye kwilungu lobufazi.
• I-Rectocele: Imeko apho inxalenye ye-rectum kubasetyhini ityhala eludongeni lwelungu lobufazi.
• Ukuqina komchamo: Ukuncitshiswa komchamo ngenxa yezicubu ezibomvu.

2. Amayeza

Amanye amayeza anokubangela ukugcinwa komchamo. Umzekelo:

• Ii-Antihistamines (umz. iBenadryl®)
• Ii-Antispasmodics (umz. iDetrol®)
• Iipilisi zokuphelisa iintlungu ze-opiate (umz., iVicodin®)
• Ii-tricyclic antidepressants (ezifana ne-Elavil®)

Ezi zinokutshintsha indlela esebenza ngayo izihlunu zesinyi. Ezinye iintlobo zamayeza ziquka:

• Amanye amayeza oxinzelelo lwegazi oluphezulu.
• Amanye amayeza okugula ngengqondo (Antipsychotics).
• Izinto zokukhulula izihlunu.

3. Imiba yeMithambo

Usenokungazi, kodwa ingqondo yethu ikwabandakanyeka ekuchameni. Ingqondo ithumela umyalezo kwiimisipha ezikwisinyi ukuba ziqine, nto leyo ethetha xa umchamo uphuma. Kwangaxeshanye, ingqondo ixelela izihlunu ezijikeleze i-urethra (izihlunu ze-sphincter) ukuba ziphumle. Kulapho umchamo uphuma lula khona. Ngoko ke, ukuba kukho ingxaki kolu nxibelelwano phakathi kwengqondo nemithambo-luvo, iingxaki zokuchama zinokubakho. Izizathu ezinokubakho zeengxaki ezinxulumene nemithambo-luvo:

• Istroke .
• Isifo seswekile (iDiabetes Mellitus)`.
• Isifo se-Multiple Sclerosis (MS).
• Ukonakala komqolo okanye indawo ye-pelvic ngenxa yengozi okanye ukwenzakala.
• Ukucinezelwa komqolo ngenxa yethumba okanye idiski ehluthwe yi-herniated.
• Ukuzala okuqhelekileyo `(Ukuzala Kwangasese)`.
• Ezinye iintlobo zotyando zenziwe kwindawo ye-pelvic.

Ukuba ukhe wasebenzisa i-catheter (ityhubhu yomchamo) ngaphambili, usengozini enkulu yokuba neengxaki zemithambo-luvo.

4. Usulelo okanye Ukudumba

Iintsholongwane kunye nokudumba kunokuthintela ukuhamba komchamo kwi-urethra. Imizekelo:

• I-Prostatitis: Usulelo okanye ukudumba kwe-prostate gland, okubangela ukuba idumbe kwaye icinezele i-urethra, ivale ukuhamba komchamo.
• Usulelo lwendlela yomchamo (UTI): Usulelo kwinkqubo yomchamo lunokubangela ukuba i-urethra idumbe okanye isinyi sibe buthathaka. Zombini ezi zinto zinokubangela ukugcinwa komchamo.
• Izifo Ezidluliselwa Ngokwabelana Ngesondo (ii-STI): Ezi zifo zinokubangela ukudumba kunye nokuvaleka komchamo.

5. Utyando

Ukugcinwa komchamo nako kunokwenzeka emva kotyando oluthile. Umzekelo, ukutshintshwa kwesinqe okanye utyando lomqolo. Kwakhona, ukugcinwa komchamo okwethutyana kunokwenzeka ngenxa ye-anesthesia jikelele ngexesha lotyando.

Ziziphi izinto ezibangela umngcipheko wokugcina umchamo?

Nangona ukugcinwa komchamo kunokwenzeka nakubani na, kuxhaphake kakhulu kumadoda . Le ngozi iphezulu kakhulu kumadoda ane-prostate gland enkulu (i-Benign Prostatic Hyperplasia okanye i-BPH), kuba i-prostate gland yabo icinezela kwi-urethra kwaye ivale ukuhamba komchamo.

Ziziphi iingxaki ezinokubakho ngenxa yokugcina umchamo?

Ukuba le meko ayiqatshelwa okanye ayinyangwa, ezi ngxaki zilandelayo zinokwenzeka:

• Usulelo lwendlela yomchamo (UTIs): Xa umchamo uqokelelana esinyini, udala indawo efanelekileyo yokukhula kweebhaktheriya. Oku kunokukhokelela kusulelo lwendlela yomchamo, olunokusasazeka luye kwizintso.
• Ukonakala kwesinyi: Xa umchamo omninzi uqokelelana kwisinyi, izihlunu zesinyi zinokolulwa kwaye zonakale.
• Umonakalo wezintso:Ukuba usulelo lomchamo lusasazeka luye kwizintso, izintso zinokudumba kwaye zivuvuke. Olu xinzelelo lunokonakalisa izintso kwaye lubangele isifo sezintso.
• Ukuvuza komchamo ngokungazi: Xa isinyi sakho singaphumi ngokupheleleyo, unokuvuza nomchamo othile ungaqondanga.
• Amatye Esinyini: Amatye esinyini anokwakheka xa umchamo uqokelelana kwisinyini.

Ukugcinwa komchamo kuchongwa njani?

Ukugcinwa komchamo ngokukhawuleza yingxaki yezonyango . Ukuba unengxaki yokuchama ngequbuliso, ingakumbi ukuba unentlungu esiswini sakho okanye emqolo ongezantsi, kufuneka ufune iingcebiso zonyango ngoko nangoko . Ukuba ukugcinwa komchamo okungapheliyo, kufuneka ubone ugqirha wezifo zomchamo. Uya:

• Baza kukubuza ngeempawu zakho kunye nokuba unexesha elingakanani unazo.
• Imbali yakho epheleleyo yezonyango iya kufunyanwa.
• Wenza uvavanyo lomzimba.
• Isampulu yomchamo iyavavanywa ukuze kubonwe ukuba kukho usulelo na.
• Uvavanyo lwedijithali lwerectal lwenziwa ukuze kuhlolwe i-prostate gland.

Ukongeza, ugqirha angenza ezinye iimvavanyo ukuze afumane unobangela wokugcina umchamo:

• Uvavanyo lomchamo osele emva kokungasebenzi (i-PVR): Olu vavanyo lulinganisa ukuba ingakanani imichamo eseleyo kwisinyi sakho emva kokuba uchamile.
• I-Cystoscopy: Oku kuquka ukuhlola ingaphakathi lesinyi kunye ne-urethra kusetyenziswa i-cystoscope, ityhubhu enobukhulu obufana nepensile, enokukhanya kunye nekhamera okanye ilensi.
• Uvavanyo lwe-Urodynamic: Olu vavanyo lulinganisa ukusebenza kwemithambo-luvo kunye nemisipha, uxinzelelo ngaphakathi nangaphandle kwesinyi, kunye nesantya sokuhamba komchamo.
• Uvavanyo lwe-PSA: Olu vavanyo lwegazi lujonga umhlaza weprostate ngokulinganisa inqanaba le-Prostate-Specific Antigen (PSA).

Luluphi unyango lokugcina umchamo?

Unyango lokugcinwa komchamo luxhomekeke ekubeni unesifo sokungakwazi ukuzibamba esibukhali okanye esingapheliyo, kunye nesizathu.

Unyango lokugcinwa komchamo ngequbuliso

Ngenxa yokuba le yingxamiseko yezonyango, ugqirha uza kufaka i-catheter (ityhubhu) kwisinyi sakho ukuze ayikhuphe amanzi. Oku kufanele kunike uncedo ngoko nangoko. Emva koko, unobangela uya kuchongwa kwaye unyango olufanelekileyo luya kuqaliswa.

Unyango lokugcina umchamo ixesha elide

Unyango luxhomekeke kwisizathu. Lungabandakanya indibaniselwano yesinye okanye ngaphezulu kwezi zilandelayo:

• Amayeza.
• Utyando.
• Iindlela ezingezizo zotyando (utshintsho kwindlela yokuziphatha).

Ukuba ugcina umchamo wakho, ingakumbi ngenxa yeengxaki ezinxulumene nemithambo-luvo, unokukwazi ukusebenzisa i-catheter okwethutyana ekhaya. Ukuba kunjalo, ugqirha wakho uza kukufundisa indlela yokuzilungisa ngokwakho i-catheter.

Amayeza

Ugqirha wakho angakunika amayeza okunyanga unobangela wokugcina umchamo wakho ungasebenzi kakuhle. Umzekelo:

• Kwi-prostate ekhulisiweyo: Amayeza anjenge-alpha-blockers kunye ne-5-alpha reductase inhibitors anciphisa i-prostate gland okanye aphumze izihlunu ezijikeleze yona.
• Kwizifo: Ii-antibiotics zinikwa ukunyanga izifo ezibangela ukugcinwa komchamo.

Utyando

Ngokuxhomekeke kwisizathu, utyando lunokuba yimfuneko ukunyanga ukugcinwa komchamo. Ugqirha wakho unokucebisa utyando kwezi meko zilandelayo:

• I-prostate ekhulisiweyo: Kukho iintlobo ezahlukeneyo zotyando zokunyanga oku. Umzekelo, ukususwa kwe-prostate nge-transurethral resection (TURP), ukuphakanyiswa kwe-urethral prostatic, okanye i-holmium laser enucleation ye-prostate (HoLEP). Zonke ezi ndlela (kunye nezinye) zinokususa ukuvaleka okubangela ukuvaleka.
• Ukuqina komchamo: Ugqirha angasebenzisa i-catheter okanye ibhaluni ukuvula izicubu ezibangela ukuncitshiswa. Enye indlela kukwenza utyando olubizwa ngokuba yi-urethroplasty, olubandakanya ukuvula nokulungisa umchamo.
• I-Cystocele okanye i-Rectocele: Ukuba iimpawu zakho zibangelwa sisinyi esiphumayo okanye esiphumayo okanye i-rectum, ugqirha wakho unokucebisa i-pessary (isixhobo esibamba isinyi phezulu) okanye utyando lokubuyisela amalungu omzimba endaweni yawo. Lukhona utyando kulo naluphi na uhlobo lwe-pelvic organ prolapse.
• Amatye omchamo: Ugqirha wakho angasebenzisa inkqubo ebizwa ngokuba yi-cystolitholapaxy ukuqhekeza nokususa amatye kwisinyi okanye kwi-urethra.

Ugqirha uza kuqala azame iindlela zonyango ezingangenisi ntsholongwane kangako. Nangona kunjalo, ukuba ezi azincedi, iindlela ezingenesi ntsholongwane zinokuqwalaselwa, ezinje:

• Ukususwa ngokupheleleyo kwe-prostate gland (i-Prostatectomy).
• Ukuvuselelwa kwentambo yomqolo.
• Utyando lwesinyi.
• Ukwakhiwa kwakhona komchamo kunye nokuphambuka.

Unyango olungelulo utyando

Ngamanye amaxesha, iindlela ezingezizo ezotyando zinokunceda kwiimpawu. Imizekelo:

• Ukuzivocavoca kweKegel okanye unyango lwemisipha yomgangatho we-pelvic:Ukuzivocavoca ngeKegel kunye nonyango lomzimba kuyazomeleza izihlunu zomgangatho we-pelvic.
• I-Vaginal Pessary: ​​Isixhobo esifana nesangqa esisetyenziselwa ukuxhasa isinyi ukuba siyawa.
• Ulawulo lomchamo: Ungalawula ukugcinwa komchamo ngokulawula ukuba kufuneka uchame nini kwaye ucwangcise ixesha lokusela ulwelo.

Ngaba ukugcinwa komchamo kungathintelwa?

Nangona oku kungenakuthintelwa ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko:

• Yiya kwindlu yangasese ngokukhawuleza xa uziva ufuna ukuchama. Musa ukuyibamba umchamo wakho.
• Nika ingqalelo kwimikhwa yakho yokuchama. Xelela ugqirha wakho ukuba ubona naluphi na utshintsho.
• Yitya ukutya okunesondlo, gcina ubunzima obusempilweni, kwaye usele amanzi amaninzi.

Ngaba ungachama nangona ugcina umchamo wakho?

Ewe, abanye abantu banokuchama kancinci. Ukugcinwa komchamo kuthetha ukuba awukwazi ukuchama konke konke, okanye isinyi sakho asiphumi ngokupheleleyo xa uchama. Ngamanye amaxesha, isinyi sigcwele umchamo kwaye siphuphuma, ngoko ke umchamo othile unokuvuza.

Yintoni endimele ndiyilindele ukuba ndigcina umchamo wam?

Ukuba ufunyaniswe ukuba unesifo sokugabha, kubalulekile ukulandela isicwangciso sonyango sikagqirha wakho ngokuchanekileyo. Yiya kuvavanyo lokulandelela ukuze ubone ukuba iimpawu zakho ziyaphucuka na. Kubantu abaninzi, unyango olufanelekileyo luya kunceda ekunciphiseni iimpawu.

Ndifanele ndimbone nini ugqirha?

Bona ugqirha ukuba unayo nayiphi na kwezi:

• Ukuba uziva ngathi kufuneka uchame rhoqo, ingakumbi emva nje kokuba ugqibile ukuchama.
• Ukuba unengxaki yokuqalisa ukuchama, okanye ukuba umchamo wakho ubuthathaka okanye uyeka ukusebenza.
• Ukuba unentlungu esiswini esisezantsi, kwindawo yesini, okanye emqolo ongezantsi.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba ugcina umchamo wakho, kuyinto eqhelekileyo ukuba nemibuzo. Ungabuza ugqirha wakho izinto ezifana nezi:

• Ucinga ukuba yintoni imbangela yeempawu zam?
• Ngaba ucebisa uvavanyo olongezelelweyo?
• Luhlobo luni lonyango olucetyiswayo?
• Ndingazilawula njani kakuhle iimpawu zam?
• Ngaba ukugcinwa komchamo wam kuya kunyangeka ngokupheleleyo?

Kunokuba nzima ukuthetha nosapho, abahlobo kunye noogqirha malunga neengxaki zakho zokulawula umchamo. Kodwa awuwedwa. Ukugcinwa komchamo yimeko eqhelekileyo nenganyangekayo. Ukuba ubona utshintsho kwindlela ochama ngayo, okanye ukuba awukwazi ukuchama konke konke, bona ugqirha. Kukho unyango oluninzi olunokukunceda ukulawula iimpawu zakho.

Umyalezo Wokugqibela Wokuya Ekhaya

Ukugcinwa komchamo yimeko enokuba yinto ecaphukisayo ngamanye amaxesha, kwaye inokuba yingozi kakhulu xa kukho imeko engxamisekileyo. Eyona nto ibalulekileyo kukubona iimpawu kwaye ufune iingcebiso zonyango ngokukhawuleza.

• Iimpawu zengxamiseko: Ukuba ufumana iimpawu ezikhawulezileyo ezifana nokungakwazi ukuchama okanye iintlungu zesisu esisezantsi , yiya esibhedlele ngoko nangoko .
• Ukuba uneempawu ezingapheliyo ezifana nobunzima bokuqala ukuchama, umchamo obuthathaka, okanye isidingo sokuchama rhoqo, musa ukuba neentloni kwaye ubone ugqirha ukuze akuhlole.
• Zininzi izinto ezibangela oku: iingxaki zeprostate, amayeza, iingxaki zemithambo-luvo, usulelo, njl. Kuphela kukufumana unobangela ochanekileyo apho unyango olufanelekileyo lunokunikwa khona.
• Kukho unyango: Ngokuxhomekeke kwisizathu, le meko inokunyangeka ngamayeza, utyando, okanye utshintsho kwindlela yokuphila.
• Musa ukuyityeshela: Ukuba ayinyangwa, iingxaki ezinje ngokonakala kwezintso kunye nosulelo zinokwenzeka.

Ngoko ke, ukuba unengxaki enjalo, ungoyiki ukuthetha nogqirha. Ungafumana isiqabu ngonyango olukhawulezileyo.