Ingabe kufanele uchame njalo? Akukho ukulawula? Ake sixoxe nge-Overactive Bladder (OAB)

Ulungiselela ukuya ndawana thize... noma usemsebenzini obalulekile... bese ngokuzumayo uzizwa udinga ukuchama. Awunaso ngisho nesikhathi sokugijimela endlini yokugezela. Ngezinye izikhathi ungaze ukhumule izingubo zakho ungaqapheli. Ingabe lezi zinto zikwenza uzizwe ungakhululekile futhi unamahloni? Ngakho-ke namuhla sizokhuluma ngesihloko esibaluleke kakhulu kuwe. Leso yi-Overactive Bledder, noma i-OAB ngamafuphi. Nakuba lokhu kuyinto abantu abaningi abangathandi ukukhuluma ngayo futhi abazizwa benamahloni ngayo, kuyisimo esivamile kakhulu. Futhi, kunezindlela ezinhle zokwelapha lesi simo.

Kuyini ngempela i-Overactive Bladder (OAB)?

Kalula nje, isinye esisebenza ngokweqile asisona isifo, kodwa iqoqo lezimpawu. Okwenzekayo lapha ukuthi isinye sakho sisebenza ngokweqile. Ngokuvamile, lapho isinye sigcwele, ubuchopho buthumela isignali, busitshela ukuthi kudingeka sichame. Kodwa-ke, kumuntu one-OAB, imisipha yesinye iqala ukufinyela ngokuzumayo ngisho nalapho isinye singagcwele ngokuphelele. Yilapho-ke isidingo esiphuthumayo sokuchama esingalawuleki.

Lezi yizimpawu eziyinhloko ezibonakala nge-OAB.

Ubani onamathuba amaningi okubhekana nalesi simo?

Nakuba i-OAB ingathinta abantu banoma yimuphi ubudala, ivame kakhulu kubantu abangaphezu kweminyaka engu-65. Abesifazane nabo bangaba nalesi simo ngaphambi kwesikhathi kunabesilisa, mhlawumbe baqale cishe eminyakeni engu-45.

Lokhu kuvame kakhulu kangangokuthi izigidi zabantu emhlabeni wonke zihlushwa yilesi simo. Kodwa abantu abaningi banamahloni okukhuluma ngaso, ngakho abafuni ukwelashwa. Lokho kuyihlazo langempela. Ngoba lokhu kuyinto engalawulwa kakhulu ngokwelashwa.

Kungani lokhu kwenzeka? Yiziphi izimbangela ze-OAB?

Umsipha we-detrusor ungumsipha odongeni lwesinye sakho. I-OAB ibangelwa izimo ezithile noma ukulimala okuthinta lo msipha. Ake sibheke izimbangela eziyinhloko.

• Ukulimala kwesisu: Ngesikhathi sokukhulelwa nokubeletha, ikakhulukazi kwabesifazane, imisipha endaweni ye-pelvic inganwebeka futhi ibe buthaka. Le misipha yiyo ebamba isinye nezinye izitho endaweni yayo. Uma iba buthaka, isinye singawa kancane, kuthinte ukusebenza kwaso.
• Ukulimala kwemizwa: Cabanga ngakho, isinyi sethu kanye nobuchopho bethu kukhulumisana ngezinzwa. Kwenzekani uma ubuchopho buthola isignali engalungile yokukhipha isinyi ngesikhathi esingafanele? Yilokho okwenzekayo lapha. Lezi zinzwa zingonakaliswa yizimo ezithile zezokwelapha kanye nezingozi. Isibonelo:
• Ukuhlinzwa kwe-pelvic noma umhlane
• Izinkinga zomgogodla (ama-disc ahlungiwe)
• Ukwelashwa ngemisebe
• Isifo sikaParkinson
• I-multiple sclerosis
• Isifo sohlangothi
• Imithi ethile, utshwala, kanye ne-caffeine: Lokhu kunganciphisa ijubane lesimiso sakho sezinzwa futhi kuthinte izimpawu eziya ebuchosheni bakho. Ama-diuretics (imithi ekhulisa ukuchama) kanye ne-caffeine (itiye, ikhofi) nakho kungabangela ukuthi isinyi sakho sigcwale ngokushesha, okungaholela ekuchameni okungalawuleki.
• Izifo:Uma kwenzeka into efana nokutheleleka komgudu womchamo (UTI), ingavuselela imizwa esesinyeni futhi ibangele ukuthi isinyi sifinyele ngokungadingekile.
• Isisindo esengeziwe: Njengoba isisindo somzimba wakho sanda, sibeka ingcindezi eyengeziwe esinyeni sakho. Lokhu kucindezela kungenza kube nzima ukulawula umchamo wakho.
• Ukuntuleka kwe-estrogen ngemva kokunqamuka kokuya esikhathini: I-OAB ingenzeka futhi ngenxa yezinguquko zamahomoni ezenzeka emizimbeni yabesifazane ngemva kokunqamuka kokuya esikhathini.

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela ngalezi zimpawu, into yokuqala azokwenza ukulalela ngokucophelela lokho okushoyo. Ngemuva kwalokho, uzohlola ngobumnene indawo yakho yesinqe kanye nendawo ezungeze indunu yakho. Angase akubuze imibuzo efana nale:

• Ziyini izimpawu zakho?
• Sekuyisikhathi esingakanani lezi zimpawu ziqhubeka?
• Ingabe ukhona emndenini wakho onalesi simo?
• Yimiphi imithi oyisebenzisayo? (kufaka phakathi imithi ethengiswa ngaphandle kwemithi kadokotela)
• Uphuzani ngosuku? Uphuza nini?
• Udla kanjani?

Ngezinye izikhathi udokotela wakho angakuthumela kudokotela wezifo zomchamo.

Ukuhlolwa kokuxilonga

Udokotela wakho angase ancome ukuhlolwa okuningana okufana nalokhu ukuqinisekisa ukuxilongwa.

• Ukuhlolwa Komchamo: Lokhu kuhlolwa kuhlola umchamo wakho ukuthi awutholi yini izifo, amaseli egazi, njll. Uma into efana ne-UTI ibangela i-OAB yakho, lokhu kuhlolwa kungakuthola.
• Ukuhlolwa kwe-Urodynamic: Lokhu kuhlolwa kungalinganisa izinto eziningi, njengokuthi kusele umchamo ongakanani esinyeni ngemva kokuchama, isivinini umchamo ophuma ngaso, kanye nokucindezela kwesinyeni uma sigcwala.
• Ukuskena nge-ultrasound: Lokhu ukuskena okungenabuhlungu okungaveza izithombe ezinemininingwane zesinyi sakho nezitho ezizungezile.
• I-CT scan: Lokhu kungaveza nezithombe zesinye ezinezinhlangothi ezintathu (3D).
• I-Cystoscopy: Lokhu kuhilela ukufaka ithuluzi elincane, elifakwe ikhamera elibizwa ngokuthi i-cystoscope nge-urethra yakho ukuze kuhlolwe ingaphakathi lesinye sakho. Uzonikezwa ijeli yokudambisa izinhlungu ngaphambi kwenqubo, ngakho-ke asikho isidingo sokukhathazeka. Akuvamile kakhulu ukuthi unikezwe i-anesthesia ephelele kule nqubo.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi kunezindlela zokwelapha ezahlukahlukene ezitholakalayo zokusiza ukuphatha i-OAB, okuhlanganisa indlela yokuphila kanye nezinguquko zokuziphatha, imithi, kanye nokwelashwa kokuvuselela izinzwa.

1. Izinguquko endleleni yokuphila kanye nokuziphatha

Ngaphambi kokuthatha imithi, kunezinto eziningi ongayenza wena. Lezi yizinyathelo zokuqala zokwelashwa.

Gcina idayari yesinye.

Udokotela wakho angase akucele ukuthi ugcine idayari yezindlela zakho zokuchama izinsuku ezimbalwa. Lokhu kuzokusiza ukuthi uqonde ukuthi isimo sakho siba sibi kangakanani nokuthi udlani noma uphuzani. Bhala phansi okulandelayo:

• Uphuzani?
• Uphuza malini?
• Yiziphi izinto okufanele uzidle?
• Uchama kangaki?
• Uma umchamo ukhishwa, nini futhi kungakanani?
• Uvame kangakanani ukuzwa isidingo sokuphuthuma?
• Ingabe uvuza umchamo ngenxa yokukhwehlela, ukuthimula, noma ukuhleka?

Ukunakekela lokho okudlayo nokuphuzayo

Ukudla neziphuzo ezithile kungavuselela isinyi futhi kwandise izimpawu ze-OAB. Zama ukunciphisa noma ukukuqeda ngokuphelele lokhu kudla:

• Itiye
• Ikhofi
• Utshwala
• Iziphuzo ezibandayo ezine-caffeine
• Izithelo ze-citrus neziphuzo zezithelo (amawolintshi, ama-tangerines)
• Ushokoledi
• Ukudla okuqukethe utamatisi notamatisi
• Ukudla okubabayo nokune-asidi
• Izinto eziqukethe izinto ezibangela ubumnandi bokwenziwa (iziphuzo zokunciphisa umzimba, ezinye izinsini zokuhlafuna)

Ukugcina amathumbu esebenza kahle

Ukuqunjelwa kungabeka ingcindezi eyengeziwe esinyeni sakho futhi kwandise izimpawu ze-OAB. Ngakho zama lezi zinto ukuze ugcine amathumbu akho ephilile:

• Yidla ukudla okucebile nge-fiber (irayisi elinsundu, ubhontshisi, i-oats, ubhontshisi, imifino, izithelo).
• Phuza izingilazi zamanzi ezingu-2-4 ezengeziwe ngosuku.
• Vivinya umzimba njalo.

Ukulawula isisindo kanye nokuyeka ukubhema

Ukwehlisa isisindo esiningi kunganciphisa ingcindezi esinyeni. Futhi, uma ubhema, kungathinta imisipha yesinye. Ngakho-ke, ukuyeka ukubhema nakho kubaluleke kakhulu.

Ungaqeqesha kanjani isinyi kabusha? (Ukuqeqesha isinyi kabusha)

Lena indlela ebaluleke kakhulu futhi ephumelelayo. Uma une-OAB, isinye sakho sijwayele ukuzithulula uma sesigcwele kancane. Esikwenzayo ngalolu qeqesho ukufundisa isinye ukuthi sibambe umchamo omningi. Kalula nje, kufana 'nokusetha kabusha' isinye.

Ungakwenza kanjani lokhu?

1. Thola iphethini yakho yamanje: Okokuqala, bheka idayari yakho yomchamo bese uthola ukuthi uvame ukuchama kangaki. Ake sithi uya endlini yangasese njalo ngehora.

2. Khulisa isikhathi kancane kancane: Okulandelayo, zama ukumisa imizuzu embalwa noma ngabe uzizwa udinga ukuchama. Uma uqala ukuchama ngemva kwehora, gxila ihora nemizuzu engu-15.

3. Lawula isifiso: Uma leso sifiso esingavamile sifika, thatha umoya ojulile bese ukhipha umoya kancane. Cabanga ngendawo ekuthulisa. Linda kuze kudlule isifiso. Bese uya endlini yokugezela njengenjwayelo.

4. Sebenza ngokwesimiso:Uma usukwazi ukubambelela kahle esimisweni sakho esisha (isb., ihora eli-1 nemizuzu eyi-15) cishe isonto, yandisa isikhathi ngeminye imizuzu eyi-15. Yandisa kancane kancane isikhathi uze ukwazi ukubamba umchamo wakho amahora ama-2 kuya kwayi-4 .

Amasu okulawula izifiso

• Yeka okwenzayo bese uhlala phansi uma ukwazi. Hlala uthule.
• Qinisa futhi ukhulule imisipha yakho ye-pelvic (njengasekuvivinyweni kwe-Kegel) izikhathi eziningana ngokushesha.
• Phumuza umzimba wakho wonke. Phefumula kakhulu.
• Cabanga nje ngokucindezela isifiso sokuchama.
• Uma isifiso sesidlulile, kancane kancane uye endlini yokugezela njengokujwayelekile. Ungesabi.

Ukwelashwa kwezokwelapha kanye nezinye izindlela

Uma izinguquko zendlela yokuphila zodwa zinganele ukulawula lesi simo, udokotela wakho angase ancome ezinye izindlela zokwelapha.

Imithi

Kunemithi esiza ukukhulula imisipha yesinye futhi ilawule ukufinyela okungafunwa. Le mithi ivumela isinye ukuthi sibambe umchamo omningi.

• Imithi yokulwa ne-cholinergic: Imithi efana ne-Oxybutynin (Ditropan®), i-Tolterodine (Detrol®), i-Solifenacin (VESIcare®).
• Imithi ye-adrenergic ye-Beta-3: Imithi efana ne-Mirabegron (Myrbetriq®), i-Vibegron (Gemtesa®).

Le mithi kufanele isetshenziswe kuphela ngokwelulekwa ngudokotela .

Ukukhuthazwa Kwemizwa

Uma ezinye izindlela zokwelapha zingaphumeleli, kunezindlela zokwelapha ezithumela izimpawu zikagesi ezithambile emithanjeni elawula isinyi, zibuyisele ukusebenza kwazo.

• Ukuvuselelwa kwemizwa ye-Sacral: Indlela yokuvuselela imizwa ngokufaka ithuluzi elincane ngaphansi kwesikhumba.
• Ukuvuselelwa kwemizwa ye-Percutaneous tibial: Indlela enikeza ukuvuselelwa ngemizwa eseduze neqakala.

Imijovo Yobuthi beBotulinum

I-Botox® uhlobo oluthandwa kakhulu. I-Botox ifakwa odongeni lwesinye nge-cystoscope. Lokhu kukhulula imisipha yesinye. Imiphumela yalokhu kwelashwa ihlala cishe izinyanga eziyisithupha, ngakho-ke kudingeka imijovo ephindaphindwayo.

Ungakuphatha kanjani ukungakhululeki ngesikhathi sokwelashwa?

Ngesikhathi ulinde ukuthi ukwelashwa kwakho kusebenze, noma uma ungakwazi ukulawula ukuvuza ngezikhathi ezithile, ungase uzizwe ungakhululekile futhi unamahloni. Kodwa kunezixazululo. Ukusebenzisa ama-pad noma amanabukeni akhethekile abantu abadala (imikhiqizo yokungakwazi ukuzibamba) kuzokusiza ukuthi ubuyele esimisweni sakho sansuku zonke ngokuzethemba.

• Shintsha njalo:Ukushintsha iphedi ngemva kokuchama kungasiza ekuvimbeleni iphunga kanye nokutheleleka kwesikhumba.
• Faka isivikelo sesikhumba: Ukufaka ukhilimu wokuvimbela esikhumbeni ngaphambi kokufaka iphedi kungasiza ekuvimbeleni ukulimala kwesikhumba okubangelwa umchamo.
• Gqoka izingubo ezikhululekile nezinombala omnyama: Lokhu kuzokwenza i-pad ingabonakali kahle. Futhi, noma ngabe imanzi ngandlela thile, ngeke ibonakale kakhulu ezingutsheni ezinombala omnyama.