Ngaba nawe ukufumanisa kunzima ukukhupha isinyi sakho ngokupheleleyo? Masithethe ngokugcinwa komchamo! | Nirogi Lanka

Ngaba ngamanye amaxesha uziva ngathi awukwazi ukukhupha isinyi sakho ngokupheleleyo xa usiya kwindlu yangasese? Okanye uziva ngathi kuphuma umchamo omncinci, okukushiya unomdla wokuphinda uye kwakhona? Ngokwezonyango, oku sikubiza ngokuba yi -Urinary Retention . Kuthetha nje ukuba isinyi sakho asiphumi kakuhle. Cinga ngesinyi sakho njengetanki lamanzi: ulwelo oluhluzwe zizintso zakho luqokelelana apho ngaphambi kokuba luphume nge-urethra.

Yintoni i-Urinary Retention, kwaye ngaba kukho iintlobo ezahlukeneyo?

Ngamafutshane, ukugcinwa komchamo kwenzeka xa isinyi sakho singaphumi ngokupheleleyo. Oku kwenzeka ngeendlela ezimbini eziphambili:

1. Ukugcinwa Komchamo Obukhali: Le yimeko engalindelekanga, engalindelekanga apho unokuzifumana ungakwazi kwaphela ukuchama. Le yimeko engxamisekileyo yezonyango efuna ingqalelo ekhawulezileyo.

2. Ukugcinwa Komchamo Okungapheliyo: Le yimeko ekhula kancinci kancinci ixesha elide, iimpawu zibonakala kancinci kancinci.

Izizathu zingabandakanya ukuvaleka kwendlela yokuchama, amayeza athile, okanye imiba enxulumene nemithambo-luvo.

Cinga ngayo njengesixhobo sokutshiza ipayipi yegadi—ukuba kukho into evala indlela, amanzi awanakukwazi ukuphuma kakuhle.

Njengoko kuphawuliwe, ukugcinwa komchamo ngokukhawuleza yingxaki yezonyango ; ukuba uhlangabezana nale meko, funa unyango ngokukhawuleza. Ukugcinwa komchamo okungapheliyo kuqheleke kakhulu kumadoda aphakathi kweminyaka engama-60 ukuya kwengama-80.

Ixhaphake kangakanani le meko?

Izifundo zibonisa ukuba ukugcinwa komchamo kunokuchaphazela malunga ne-10% yamadoda angaphezu kweminyaka engama-70 kunye ne-30% yamadoda angaphezu kweminyaka engama-80. Nangona abafazi benokuba nokugcinwa komchamo ngokukhawuleza, oku kunqabile kakhulu kubasetyhini xa kuthelekiswa namadoda.

Zithini iimpawu zokugcina umchamo?

Iimpawu zixhomekeke ekubeni imeko ikhawulezileyo okanye ayipheli.

Iimpawu zokugcinwa komchamo ngokukhawuleza

Ezi mpawu zibonakala ngequbuliso:

• Ukungakwazi ukuchama konke konke, okanye ukudlula kancinci nangona isinyi sigcwele.
• Kwiimeko ezinzima kakhulu, unokufumana iintlungu zesisu okanye iintlungu ezisezantsi kwesisu . Ukuba oku kuyenzeka, funa unyango olungxamisekileyo ngokukhawuleza ngokufowunela u-911 okanye undwendwele isibhedlele esikufutshane.

Iimpawu Zokugcinwa Komchamo Okungapheliyo

Iimpawu ziyahluka kumntu nomntu. Iimpawu eziqhelekileyo ziquka:

• Ubunzima bokuqala ukuhamba komchamo.
• Umchamo obuthathaka okanye ocothayo, okanye ubunzima bokulawula ukuhamba komchamo.
• Ukuziva ngathi kufuneka uphinde uye kwakhona emva kokugqiba.
• Umnqweno ongapheliyo wokuchama.
• Ukuvuza komchamo ngokungeyomfuneko.
• Ukufuna ukuvuka amaxesha amaninzi ebusuku ukuze uchame (i-Nocturia).

Yintoni ebangela ukugcinwa komchamo?

Kukho izinto ezininzi ezinokubangela ukugcinwa komchamo, ngokuyintloko:

• Ukuvaleka kwendlela yomchamo.
• Amayeza asetyenziswa kwezinye iimeko zempilo.
• Iingxaki ezinxulumene nemithambo-luvo eziphazamisa imiqondiso phakathi kwengqondo kunye nenkqubo yomchamo .
• Iintsholongwane okanye ukudumba okuthintela ukuhamba kwamanzi.
• Utyando (ingakumbi ukuchacha emva kotyando).

1. Ukuvaleka kwemisebenzi

Nantoni na ethintela indlela esuka kwisinyi ingena kwi-urethra inokubangela ukuba ihlale ixesha elide. Nazi ezona zinto zixhaphakileyo:

• I-Prostate Ekhulisiweyo (BPH): Njengoko i-prostate gland ikhula, inokucinezela i-urethra, nto leyo ebangela ukuvaleka. Oku kwaziwa ngokuba yi -Benign Prostatic Hyperplasia (BPH).
• Ukuvaleka kweSinyi:Ukuvaleka kwentamo yesinyi ngokukodwa apho umchamo uphuma khona.
• Ukuvaleka komchamo: Ukuvaleka okubangelwa ngamatye ezintso, amahlwili egazi, okanye iithumba.
• I-Cystocele : Imeko apho isinyi siwela khona siye kwilungu lobufazi.
• I-Rectocele: Imeko apho inxalenye ye-rectum ityhala eludongeni lwesitho sangasese sowesifazane.
• Ukuqina komchamo: Ukuncitshiswa komchamo ngenxa yezicubu ezibomvu.

2. Amayeza

Amayeza athile anokuphazamisana nokusebenza kwezihlunu zesinyi, kuquka:

• Ii-Antihistamines (umz., iBenadryl®)
• Ii-Antispasmodics (umz., iDetrol®)
• Izithomalalisi zentlungu ze -opioid (umz., iVicodin®)
• Ii-Tricyclic Antidepressants (umz., i-Elavil®)

Amanye amayeza anokuba negalelo aquka amayeza oxinzelelo lwegazi, amayeza athile engqondo (i-antipsychotics), kunye nezithambisi zokukhulula imisipha.

3. Imiba yeMithambo

Ukuchama ngumzamo odibeneyo obandakanya ingqondo, obonisa izihlunu zesinyi ukuba zinciphe kwaye izihlunu ze-sphincter ziphumle. Ukuba olu nxibelelwano luphazamisekile, ukugcinwa kwazo kwenzeka. Izizathu ziquka:

• Istroke .
• Iswekile yemellitus.
• Isifo se-Multiple Sclerosis (MS).
• Ukulimala komqolo okanye isinqe.
• Ukucinezelwa kwemithambo-luvo ngenxa yethumba okanye idiski ehluthwe yiherniated .
• Ukuzala kwabasetyhini.
• Utyando lwe-pelvic.

Ukuba ubukhe wafuna i-catheter ngaphambili, umngcipheko wakho weengxaki zomchamo ezinxulumene nemithambo-luvo unokuba phezulu.

4. Usulelo okanye Ukudumba

Iintsholongwane zinokubangela ukuba indlela yomchamo idumbe, zithintele ukuhamba kwamanzi:

• I-Prostatitis: Ukudumba kwe-prostate gland kunokucinezela i-urethra.
• Usulelo lweMgudu yomchamo (UTI): Usulelo lunokubangela ukudumba komchamo okanye lwenze buthathaka izihlunu zesinyi.
• Izifo Ezidluliselwa Ngokwabelana Ngesondo (ii-STI): Ezi zinokubangela ukudumba okukhokelela ekugcinweni kwezicubu.

5. Utyando

Ukugcinwa komchamo emva kotyando akuqhelekanga, ingakumbi emva kokutshintshwa kwesinqe okanye utyando lomqolo. Ukongeza, i-anesthesia eqhelekileyo esetyenziswa ngexesha lotyando inokuchaphazela okwethutyana ukusebenza kwesinyi.

Ziziphi izinto ezibangela umngcipheko wokugcina umchamo?

Nangona ukugcinwa komchamo kunokuchaphazela nabani na, kuxhaphake kakhulu kumadoda . Ngokukodwa, abantu abane-prostate ekhulisiweyo, eyaziwa ngokuba yi -Benign Prostatic Hyperplasia (BPH) , basengozini enkulu. Oku kungenxa yokuba i-prostate ekhulisiweyo inokucinezela i-urethra, idale ukuvaleka komzimba okuthintela umchamo ukuba ungaphumi ngokufanelekileyo.

Ziziphi iingxaki ezinokubakho zokugcina umchamo?

Ukuba le meko ayifunyaniswanga okanye ayinyangwanga, ingakhokelela kwiingxaki zempilo ezinzulu, kuquka:

• Iintsholongwane zoMchamo (UTIs): Umchamo osele kwisinyi udala indawo yokuzalela iintsholongwane, nto leyo enokubangela usulelo olunokusasazeka luye kwizintso zakho.
• Ukonakala kweSinyi: Xa isinyi sihlala sivuleke kakhulu ixesha elide, izihlunu zesinyi zinokolulwa kwaye zonakale ngonaphakade.
• Ukonakala kwezintso: Ukuba i-UTI isasazeka iye kwizintso, inokubangela ukudumba nokudumba. Olu xinzelelo lunokubangela isifo sezintso esingapheliyo ngokuhamba kwexesha.
• Ukungakwazi ukuzibamba: Xa isinyi singaphumi ngokupheleleyo, unokufumana ukuvuza okunganyanzelekanga (ukungakwazi ukuzibamba ngokugqithisileyo) ngaphandle kokuqaphela.
• Amatye Esinyini: Umchamo omileyo kwisinyi ubonelela ngendawo efanelekileyo yokwakheka kwamatye esinyini.

Ukugcinwa komchamo kuchongwa njani?

Ukugcinwa komchamo ngokukhawuleza yimeko engxamisekileyo yezonyango . Ukuba ngequbuliso uzifumana ungakwazi ukuchama, ingakumbi xa uhamba nentlungu eqatha esiswini sakho okanye kwindawo esezantsi yepelvic, funa unyango olungxamisekileyo ngokukhawuleza .

Ukuba ukrokrela ukuba une-chronic chronic waste retention, kuya kufuneka udibane nogqirha we-urologist. Ugqirha wakho udla ngoku:

• Xoxa ngeempawu zakho kunye nokuba sele ixesha elide kangakanani uzibona.
• Hlola imbali yakho epheleleyo yezonyango.
• Yenza uvavanyo lomzimba.
• Cela isampulu yomchamo ukuze kuhlolwe iimpawu zosulelo.
• Yenza uvavanyo lwedijithali lwe-rectal (DRE) ukuze uvavanye ubungakanani kunye nempilo ye-prostate yakho.

Ukuze ufumane unobangela oyintloko, ugqirha wakho unokucebisa ezinye iimvavanyo zokuxilonga:

• Uvavanyo lomchamo oluhlala emva kokungasebenzi (PVR): Olu vavanyo lulinganisa ukuba ingakanani imichamo esele kwisinyi sakho emva kokuba uzame ukuchama.
• I-Cystoscopy: Ityhubhu encinci, eguquguqukayo enekhamera (i-cystoscope) ifakwa kwi-urethra ukuvumela ugqirha wakho ukuba abone ngaphakathi kwesinyi sakho kunye ne-urethra.
• Uvavanyo lwe-Urodynamic: Olu vavanyo lulinganisa ukusebenza kwemithambo-luvo kunye nemisipha, uxinzelelo lwesinyi, kunye nesantya sokuhamba komchamo wakho.
• Uvavanyo lwe-PSA: Olu vavanyo lwegazi lulinganisa amanqanaba e-Prostate-Specific Antigen (PSA), nto leyo enceda ekuhloleni umhlaza we-prostate okanye ezinye iimeko ze-prostate.

Ukugcinwa komchamo kunyangwa njani?

Unyango eNirogi Lanka luxhomekeke ekubeni imeko ikhawulezileyo okanye ayipheli kwaye yintoni unobangela wayo.

Ukunyanga Ukugcinwa Komchamo Okubukhali

Ngenxa yokuba le yingxamiseko yezonyango, ugqirha wakho uya kufaka i-catheter ukuze akhuphe amanzi kwisinyi sakho ngoko nangoko, nto leyo edla ngokubonelela ngokukhululeka kwangoko. Nje ukuba isinyi sakho sikhutshwe, ugqirha wakho uya kuphanda unobangela aze enze isicwangciso sonyango sexesha elide.

Ukunyanga Ukugcinwa Komchamo Okungapheliyo

Unyango lwenzelwe unobangela othile kwaye lunokubandakanya enye okanye ezingaphezulu kwezi ndlela zilandelayo:

• Amayeza.
• Iinkqubo zotyando.
• Indlela yokuphila engeyiyo yotyando kunye nokungenelela kokuziphatha.

Ukuba le meko ibangelwa ziingxaki zemithambo-luvo, kunokufuneka usebenzise i-catheter ekhaya. Ugqirha wakho uza kunika uqeqesho malunga nendlela yokwenza i-self-catheterization ngokukhuselekileyo ngamaxesha athile.

Amayeza

Ugqirha wakho angakunika amayeza okulungisa unobangela, njengala:

• Kwi-BPH: Ii-alpha-blockers okanye ii-5-alpha reductase inhibitors zinokunceda ukunciphisa i-prostate okanye ziphumze izihlunu ezijikeleze yona ukuphucula ukuhamba kwegazi.
• Kwizifo: Kuya kunikwa amayeza okubulala iintsholongwane afanelekileyo ukuze kususwe izifo ezibangelwa ziintsholongwane.

Iindlela Zotyando

Utyando lunokuba yimfuneko kuxhomekeke kwisifo:

• Kwi-Enlarged Prostate: Kukho iinkqubo ezahlukeneyo ezikhoyo, ezifana ne-Transurethral Resection of the Prostate (TURP), i-Prostatic Urethral Lift, okanye i-Holmium Laser Enucleation (HoLEP), zonke zenzelwe ukususa okanye ukuthintela ukuvaleka.
• Kwi-Urethral Strictures: Ugqirha angasebenzisa i-catheter okanye ibhaluni ukwandisa indawo enciphileyo. Kwezinye iimeko, utyando lokwakha ngokutsha olubizwa ngokuba yi-urethroplasty lunokufuneka.
• Kwi-Pelvic Organ Prolapse: Ukuba i-prolapse bladder (cystocele) okanye i-rectum (rectocele) yimbangela, ugqirha unokucebisa i-pessary okanye ukulungiswa kotyando ukuze kubuyiselwe i-anatomy ye-pelvic.
• Ngamatye Esinyini: Ugqirha wakho angasebenzisa inkqubo ebizwa ngokuba yi-cystolitholapaxy ukuqhekeza nokususa amatye kwisinyini sakho.

Ugqirha wakho uya kuhlala eqala ngeendlela ezingangenisi ntsholongwane kakhulu. Nangona kunjalo, ukuba ezi azibonakali zanele, amanyathelo angcono anokuqwalaselwa, kuquka:

• Ukususwa kweprostate ngotyando (ukususwa kweprostate ngotyando).
• Ukuvuselelwa kwentambo yomqolo.
• Utyando lwesinyi.
• Ukwakhiwa ngokutsha komchamo okanye ukuphambukisa umchamo.

Unyango olungelulo utyando

Kwiimeko ezininzi, iimpawu zinokulawulwa ngaphandle kotyando:

• Ukuzivocavoca ngeKegel okanye unyango lwePelvic Floor: Ezi ndlela zinceda ukuqinisa izihlunu ezixhasa isinyi sakho.
• I-Vaginal Pessary: ​​Isixhobo sokuxhasa esisetyenziselwa abafazi ukugcina isinyi esiphumayo sikwindawo efanelekileyo.
• Uqeqesho lweSinyi: Ukudala inkqubo ecwangcisiweyo yokuchama kunye nokulawula ulwelo olusetyenziswayo ukuphucula ulawulo lwesinyi.

Ngaba ukugcinwa komchamo kungathintelwa?

Nangona ingezizo zonke izizathu ezinokuthintelwa, ungayinciphisa kakhulu ingozi yakho:

• Mamela umzimba wakho kwaye usebenzise indlu yangasese kwangoko xa uziva umnqweno. Kuphephe ukugcina umchamo wakho ixesha elide.
• Jonga indlela oziva ngayo xa uhlamba uze udibane nogqirha wakho ngokukhawuleza ukuba ubona utshintsho oluqhubekayo.
• Gcina ukutya okunempilo, hlala usebenza, kwaye usele amanzi aneleyo ukuxhasa impilo yomchamo iyonke.

Ngaba kunokwenzeka ukuba ndichame nangona ndingakwazi ukuchama?

Ewe, abanye abantu abagcina umchamo basenokukhupha umchamo omncinci. Ukugcina umchamo kuthetha ukuba awukwazi ukukhupha umchamo ngokupheleleyo kwisinyi sakho, okanye awukwazi ukukhupha umchamo kwaphela. Ngamanye amaxesha, ukuba isinyi sigcwele kakhulu, sinokugcwala, nto leyo ekhokelela ekuvuzeni okuncinci, okunganyanzelekanga.

Yintoni endimele ndiyilindele ukuba ndigcina umchamo wam?

Ukuba ufunyenwe une-retention yomchamo, kubalulekile ukulandela ngokungqongqo isicwangciso sonyango esichazwe ngugqirha wakho. Yiya kuzo zonke ii-aphoyintimenti zokulandelela ukuze ujonge inkqubela yakho kwaye uqinisekise ukuba iimpawu zakho ziyaphucuka. Kubantu abaninzi, unyango olufanelekileyo lubonelela ngokukhululeka okukhulu kwiimpawu.

Ndifanele ndimbone nini ugqirha?

Kuya kufuneka udibane nogqirha wezempilo ukuba ufumana oku kulandelayo:

• Umnqweno ongapheliyo wokuchama, ingakumbi kwangoko emva kokuba ugqibile.
• Ubunzima bokuqala umchamo wakho, okanye ukuba ukuhamba komchamo wakho kubuthathaka okanye kuyeka kwaye kuqala ngamaxesha athile.
• Intlungu kwisisu esisezantsi, kwindawo ye-pelvic, okanye ezantsi komqolo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba uziva ubambekile kumchamo, kuyinto eqhelekileyo ukuba nemibuzo. Usenokubuza ugqirha wakho oku kulandelayo:

• Ucinga ukuba yintoni imbangela eyintloko yeempawu zam?
• Ngaba ucebisa ezinye iimvavanyo zokuxilonga?
• Yeyiphi indlela yonyango oyicebisayo?
• Ndingazilawula njani ezi mpawu ebomini bam bemihla ngemihla?
• Ingaba ukugcinwa komchamo wam yimeko enokunyangeka ngokupheleleyo okanye inyangeke?

Kungavakala kungathandeki ukuxoxa ngemiba yokulawula umchamo nosapho, abahlobo, okanye noogqirha. Nangona kunjalo, nceda wazi ukuba awuwedwa. Ukugcinwa komchamo yimeko eqhelekileyo kwaye inganyangeka kakhulu. Ukuba ubona naluphi na utshintsho kwimikhwa yakho yokuchama, okanye ukuba ufumanisa ukuba awukwazi kwaphela ukuphuma umchamo, nceda ufune uncedo lwezonyango ngokukhawuleza. Kukho iindlela ezininzi zonyango ezisebenzayo ezifumanekayo zokukunceda ukulawula iimpawu zakho.

Umyalezo Wokuya Ekhaya

Ukugcinwa komchamo ngamanye amaxesha kunokuba yinto ecaphukisayo, kwaye kwiimeko zokuqala ngokukhawuleza, kunokuba yingxamiseko enkulu yezonyango. Inyathelo elibalulekileyo kukubona iimpawu zakho kwaye ufune iingcebiso zonyango ngokukhawuleza.

• Iimpawu zeNgxamiseko: Ukuba ngequbuliso awukwazi ukuchama okanye ufumana iintlungu eziqatha zesisu esisezantsi, yiya kwicandelo lengxamiseko elikufutshane ngoko nangoko.
• Iimpawu Ezihlala Zihleli: Ukuba ufumana ubunzima ekuqaliseni ukuchama, umlambo obuthathaka, okanye iminqweno ehlala ihleli, ungathandabuzi ukucwangcisa intlanganiso nogqirha wakho ukuze ahlolwe ngokufanelekileyo.
• Izizathu ezininzi ezinokubakho:Iimeko ezifana neengxaki zeprostate, iziphumo ebezingalindelekanga zamayeza, umonakalo wemithambo-luvo, okanye usulelo zinokubangela ukugcinwa kwesi sifo. Ukuchonga unobangela ochanekileyo ngundoqo kunyango olusebenzayo.
• Unyango Luyafumaneka: Ngokuxhomekeke kwisizathu, unyango lunokubandakanya amayeza, iinkqubo zotyando, okanye utshintsho kwindlela yokuphila.
• Musa Ukuyityeshela: Ukuba ayinyangwa, iingxaki ezinje ngokonakala kwezintso okanye usulelo oluphindaphindayo zinokwenzeka.

Khumbula, ukuba uziva ngale ntlungu, ungoyiki ukuthetha nogqirha wakho. Ngokufumana unyango olukhawulezileyo oluvela eNirogi Lanka, unokufumana isiqabu kwaye uphucule umgangatho wobomi bakho.