Ingabe nawe uyavuza umchamo ungaqapheli? (Ukungakwazi ukuzibamba komchamo) Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uyavuza umchamo omncane uma uhleka, ukhwehlela, noma ungenasizathu nhlobo? Lena inkinga abantu abaningi abanayo, kodwa kuyinto engaba namahloni ukukhuluma ngayo. Kodwa kuyisimo esichazwa ngokwezokwelapha. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, ngoba uma lokhu kuyinto ethinta impilo yakho, kunezixazululo zayo.

Kuyini Ukungakwazi Ukulawula Umchamo? Ake sikuqonde kuqala!

Kalula nje, ukungakwazi ukuzibamba ngomchamo kwenzeka lapho ulahlekelwa ukulawula isinye sakho bese uvuza umchamo ngengozi. Ake siqale sibheke ukuthi kuyini ukulawula umchamo nokuthi lolu hlelo lusebenza kanjani emzimbeni wethu. Izinso zethu yizo ezisusa ukungcola egazini bese zenza umchamo. Bese, lo mchamo uhamba nge -ureter ezimbili bese uphelela esinyeni . Isinye sinjengebhola elincane. Sitholakala esiswini sethu esingezansi. Siba sikhulu uma sigcwele umchamo, futhi siba sincane futhi uma sichama. Uma sidinga ukuchama, imisipha esezindongeni zesinye iyaqina, bese umsipha we-sphincter osebenza njengomsipha ovalayo emlonyeni wesinye uyakhululeka. Bese, umchamo uphuma nge -urethra . Manje, lezi zinkinga zokulawula umchamo zivela lapho imisipha yesinye isebenza ngokweqile, noma uma ingasebenzi kahle. Ngezinye izikhathi, uma le misipha iqina kakhulu, ingaba namandla kunemisipha efana nomlomo, futhi umchamo ungavuza ngaphandle kokuthi uqaphele. Uyaqonda?

Kunezinhlobo eziningana zezinkinga zokulawula umchamo.

Lokhu kuvuza komchamo okungahlosiwe kungenzeka ngezindlela ezahlukene. Kunezinhlobo eziningana eziyinhloko:

1. Ukungakwazi ukuzibamba ngenxa yokucindezeleka

Cabanga uhleka kakhulu, uthimula, ukhwehlela, noma uphakamisa into esindayo. Uma uzizwa ucindezelekile esiswini sakho esingezansi bese uvuza umchamo omncane, kubizwa ngokuthi 'ukucindezeleka kokungakwazi ukuzibamba' . Lokhu kuvame ukubonwa kwabesifazane, ikakhulukazi lapho besondela esikhathini sokunqamuka kokuya esikhathini noma ngemva kokubeletha.

2. Khuthaza Ukungakwazi Ukuzibamba

Kukhona olunye uhlobo, lapho isifiso sokuchama sivela khona ngokuzumayo futhi singabekezeleleki. Kodwa umchamo ungase uvuze ngaphambi kokuba ugijimele endlini yokugezela. Lokhu kubizwa ngokuthi 'Urge Incontinence' . Ngezinye izikhathi lokhu kuhlotshaniswa nesimo esibizwa ngokuthi "isinye esisebenza ngokweqile". Lesi simo sivame kakhulu kubantu abanezifo ezihlobene nesimiso sezinzwa ezifana nesifo sikashukela, isifo sohlangothi, i-multiple sclerosis, isifo se-Alzheimer, kanye nesifo sikaParkinson.

3. Ukungakwazi ukuzibamba ngokweqile

Okulandelayo 'Ukungasebenzi Kokuzibamba Okugcwele'.. Lokhu kwenzeka lapho isinyi sigcwele ngokuphelele, kodwa singakwazi ukukhipha kahle. Ngenxa yalokho, umchamo ungavuza njalo ngoba isinyi sigcwele. Kodwa awuzizwa isidingo sokuchama. Lokhu kungenzeka kwabesilisa ngenxa yokukhula kwendlala ye-prostate evimba i-urethra, noma ngenxa yomonakalo emgogodleni.

4. Ukungakwazi ukuzibamba

Ekugcineni, kukhona 'Ukungasebenzi Kokuzibamba' . Lokhu kwenzeka lapho unesifo somzimba noma sengqondo esikuvimbela ukuya endlini yangasese ngesikhathi. Isibonelo, umuntu onesifo samathambo esinciphisa ukuhamba kwakhe, umuntu ongakwazi ukuhamba ngenxa yengozi, umuntu onezinkinga zokukhumbula njenge-dementia, noma umuntu othatha imithi yokudambisa emenza alale angase angakwazi ukukhumbula ukuya endlini yangasese ngesikhathi. Lokhu kusho ukuthi inkinga lapha akuyona inkinga ngohlelo lomchamo, kodwa inkinga yokungakwazi ukuya endlini yangasese ngesikhathi ngesinye isizathu.

Ubani othinteka kakhulu yilezi zinkinga zokulawula umchamo?

Noma ubani angaba nezinkinga zokulawula umchamo. Kodwa-ke, ungase ube sengozini enkulu uma:

• Uma ungowesifazane .
• Uma uneminyaka engaphezu kwengu -50 ubudala .
• Uma ukhuluphele kakhulu .
• Uma kukhona emndenini wakho oke waba nezinkinga ezinjengalezi.

Lesi simo sivame kabili kwabesifazane. Lokhu kungenxa yokuthi ukukhulelwa, ukubeletha, kanye nokunqamuka kokuya esikhathini kungathinta amandla emisipha ye-pelvic. Kujwayelekile ukuthi ingane ekhulayo icindezele esinyeni ngesikhathi sokukhulelwa. Ngakho-ke, omama abaningi bangase babe nezinkinga ezincane zokulawula umchamo phakathi nalesi sikhathi.

Lesi simo sithinta kanjani ingqondo yakho?

Nakuba izigidi zabantu zinale nkinga, abaningi banamahloni noma banamahloni okukhuluma ngayo. Lokhu kungaholela ekukhathazekeni ngendlela abanye ababheka ngayo, izinguquko endleleni abazibheka ngayo, ngisho nezinguquko ekuziphatheni kwabo.

Uma uzizwa ucindezelekile, ukhathazekile , noma ucindezelekile ngenxa yalesi simo, qiniseka ukuthi ubona udokotela ngokushesha. Lokhu akuyona into yokufihla.

Yiziphi izimpawu ezingabonisa inkinga ngesinyi sakho?

Kunezimpawu eziningana zokuthi ungaba nenkinga ngesinyi sakho:

• Ukuchama kakhulu kunokujwayelekile. Iningi labantu liyachama cishe izikhathi eziyisikhombisa ngosuku. Kodwa amanzi owaphuzayoKuye ngenani nokuthi uphuza yini imithi yokukhipha isisu yemvelo (isib. ikhofi, itiye), lokhu kungancishiswa ngokuphindwe kane noma kwandiswe ngokuphindwe kayishumi.
• Ukuvuza noma ukuvuza komchamo okungahlosiwe ngesikhathi semisebenzi evamile njengokuhleka, ukuthimula, ukuzivocavoca, noma ukuya ocansini.
• Ukuvuza komchamo ngaphandle komuzwa wokuthi udinga ukuchama. Umzimba wakho awukutsheli nokuthi udinga ukuchama.
• Ukungakwazi ukubamba umchamo. Ngisho noma uzizwa ngokuzumayo udinga ukuchama, awukwazi ukuwuyeka.
• Ukuchama Embhedeni. Kungase kudingeke ukuthi uchame ebusuku ulele, kodwa ungase ungavuki (ikakhulukazi ezinganeni, kodwa nakubanye abantu abadala).
• Izimpawu zokulimala komgogodla. Izinto ezifana nobuthakathaka emilenzeni, ukungazweli noma ukulahlekelwa umuzwa endaweni yesitho sangasese.
• Ukuzwa ukucindezeleka noma ukuqina kwemisipha esiswini esingezansi . Lokhu kucindezeleka kanye nokuqina kwemisipha okungakhululeki kungabangela isidingo sokuchama ngokuzumayo.

Yiziphi izimbangela zokulawula umchamo okubuthakathaka?

Izinguquko empilweni yakho, izifo ezithile, kanye nendlela yakho yokuphila nazo zingabangela ukuthi lokhu kulawulwa komchamo kube buthaka.

Izinguquko empilweni

• Ukuguga : Kuvamile ukuthi imisipha ibe buthaka njengoba siguga.
• Ukuqunjelwa : Uma ukuqunjelwa kukhulu, kungacindezela esinyeni.
• Isifo Sikashukela : Isifo sikashukela singalimaza imizwa, okungathinta ukulawulwa kwesinyi.
• Ukuvaleka komgudu womchamo: Lokhu kungabangelwa amatshe ezinso, amatshe e-ureteral, i-prostate ekhuphukile emadodeni, noma izicubu zesilonda ngemva kokuhlinzwa.
• Ukukhuluphala ngokweqile: Ukukhuluphala ngokweqile kubeka ingcindezi enkulu emisipheni yesinye kanye neyesinqe.
• Ukutheleleka Kwendlela Yomchamo (UTI): Uma unesifo somchamo, isinyi sakho siba nomuzwa wokuzwela, okubangela ukuthi udinge ukuchama njalo futhi kuba nzima ukusilawula.

Ezinye izimo zezokwelapha

Ezinye izifo zingalimaza imisipha yesinye noma imizwa ethumela izimpawu kuleyo misipha ukuze iqine noma iphumule.

• Isifo sika-Alzheimer.
• 'I-Multiple Sclerosis'.
• Isifo sikaParkinson.
• Ukukhulelwa nokubeletha.
• Ukuhlinzwa kwe-prostate.
• Ukulimala komgogodla.
• Isifo sohlangothi.

Amathonya endlela yokuphila

Ukudla okuthile kanye nemithi nakho kungabangela lokhu:

• Utshwala.
• Ushukela wokwenziwa.
• Eminye imithi yokwelapha umfutho wegazi ophakeme.
• I-caffeine (ikhofi, itiye, iziphuzo zamandla).
• Imithi yokudambisa ubuhlungu.
• I-soda neziphuzo ezine-carbonated.
• Ukudla okunongwe kakhulu.
• Ukuthatha i-vitamin C eningi kakhulu.
• Ukubhema kanye nendlela yokuphila yokuhlala phansi kungathinta lokhu.

Udokotela usithola kanjani lesi simo?

Uma ubona udokotela, uzokubuza ngezimpawu zakho. Nansi eminye imibuzo ongase uyibuze:

• Uvuza umchamo ongakanani ngaphandle kokuqaphela?
• Ingabe iya ezingutsheni? Ingabe iya endlini encane? Malini?
• Ingabe le nkinga iyenzeka ngezikhathi ezithile zosuku?
• Ingabe lokhu kuyenzeka uma wenza izinto ezithile , njengokuhamba noma ukuzivocavoca umzimba?
• Ingabe uzwa ubuhlungu noma ukungakhululeki lapho uchama?
• Ingabe uzizwa unesidingo sokuchama ngokuzumayo?
• Uchama kangaki ngosuku?
• Ingabe kunzima ukuqala ukuchama uma uya endlini yokugezela?
• Unjani umchamo?
• Ingabe isinyi sakho sizwakala singenalutho ngokuphelele ngemva kokuchama?

Futhi, buza ngezinye izimo zezokwelapha kanye nemithi engabangela lokhu:

• Ingabe unenkinga yezinzwa, amatshe ezinso noma omgudu womchamo, noma inkinga ye-prostate?
• Ingabe uthatha imithi okwamanje? Iyini?
• Ingabe uthatha noma yiziphi izithasiselo zemithi noma zamavithamini?
• Wake wakhulelwa wabe usubeletha ngendlela evamile?
• Wake wahlinzwa esiswini sakho noma endaweni ye-pelvic?
• Uke wahlinzwa i-prostate?

Ngaphezu kwalokho, udokotela uzokwenza ukuhlolwa ngokomzimba. Bazobheka izimpawu zokulimala komgogodla, njengobuthakathaka emilenzeni kanye nokungazweli endaweni yesitho sangasese sowesifazane. Bangase futhi benze ukuhlolwa kwe-rectal ukuhlola ukuqunjelwa. Uma ungumuntu wesilisa, bazohlola ne-prostate yakho. Uma ungowesifazane, bangase benze ukuhlolwa kwe-pelvic ukuhlola ukoma kwesitho sangasese sowesifazane (i-vaginal atrophy).

Yiziphi izivivinyo ezenziwayo ukuqinisekisa ukuxilongwa?

Ukuqinisekisa ukuxilongwa, udokotela angenza izivivinyo ezilandelayo:

• Ukuhlolwa komchamo: Lokhu kungabona izinto ezifana nesifo sesibindi, isifo sezinso, nesifo sikashukela. Kungahlola nokutheleleka komgudu womchamo (ama-UTI).
• Ukuhlolwa kokusebenza kwezinso: Lokhu ukuhlolwa okwenziwa emchameni noma egazini. Kuhlola ukuthi izinso zakho zisebenza kahle kangakanani.
• Ukuhlolwa komchamo we-Post-void residual (PVR):Kukala ukuthi kusele umchamo ongakanani esinyeni sakho ngemva kokuchama.
• Ukukhula komchamo: Ukuhlola amagciwane abangela ukutheleleka komgudu womchamo.
• Ukuhlolwa kwe-Urodynamic: Lokhu kulinganisa ukusebenza kwezinzwa, ukusebenza kwemisipha, izinga lokugeleza komchamo, kanye nengcindezi esinyini nasezindaweni ezizungezile.
• Idayari yesinye: Gcina irekhodi lokuthi uphuza amanzi angakanani ngosuku, ukuthi uchama kangakanani, ukuthi uchama nini, nokuthi uchama kangaki.

Ingabe zikhona izindlela zokwelapha zokulungisa lezi zinkinga zokulawula umchamo?

Yebo, nakanjani! Ukwelashwa okungekona ukuhlinzwa kuyindlela yokuqala yokwelapha izinkinga zokulawula umchamo.

• Ukusetshenziswa kwamadivayisi okulawula isinyi (isb., i-pessary) ukuze kubekwe kabusha i-urethra ukuze kuncishiswe ukuvuza komchamo.
• Ukuqeqeshwa kabusha kwesinyi: Lokhu kusho ukuya endlini yangasese ngezikhathi ezibekiwe, kancane kancane wandise izikhawu phakathi kwalezo zikhathi.
• I-Biofeedback: Lokhu kukusiza ukuthi ubone futhi ufunde ukulawula imisipha yakho yaphansi kwe-pelvic.
• Ukunciphisa utshwala neziphuzo ezine-caffeine.
• Ukuvuselelwa kukagesi kwezinzwa ezilawula ukusebenza kwesinyi.
• Ukuzivocavoca kwe-Kegel (ukuzivocavoca kwemisipha ye-pelvic): Lokhu kubaluleke kakhulu. Kungaqinisa imisipha ye-pelvic futhi kuthuthukise ukulawula umchamo.
• Ukwelashwa ngokomzimba kanye nokuzivocavoca.
• Ukwehlisa isisindo: Uma ukhuluphele kakhulu, ukwehlisa isisindo nakho kungakunikeza impumuzo enkulu.

Uma lezi zindlela zokwelapha ezingadingi ukuhlinzwa zingasizi, udokotela wakho angase akuncome ukuhlinzwa.

• Ukubekwa kwe-mesh yokuhlinzwa.
• Izinqubo zokufaka i-sling: Lokhu kuhilela ukubeka idivayisi yokusekela eduze kwe-urethra.
• Ukujova okwandisa ukujiya kwezindonga ze-urethra (izinto ezivimba umgudu womchamo).
• Ukufakwa kwe-botulinum toxin (Botox®) emisipheni yesinye. (Lokhu kusetshenziselwa ukungakwazi ukuzibamba)
• Ukufakelwa kwamadivayisi okuvuselela imizwa.
• Ukufakelwa kwe-sphincter yomchamo yokwenziwa (lokhu kuvame ukwenziwa kwabesilisa)

Yimuphi umuthi ongcono kakhulu kulokhu?

Uma udinga imithi, udokotela wakho uzokunikeza imithi efanele ngokusekelwe ohlotsheni lwenkinga yakho. Ungaziphilisi ngaphandle kweseluleko sikadokotela.

• Uma une-'Urge Incontinence':Imithi efana ne-`Oxybutynin (Oxytrol®)`, `Tolterodine (Detrol®)`, `Darifenacin (Enablex®)`, `Solifenacin (VESIcare®)`, `Trospium (Sanctura®)` inganikezwa. Le mithi ikhulula imisipha yesinye futhi inciphise isidingo sokuchama ngokushesha.
• Uma 'une-stress incontinence': Imithi efana ne-'Imipramine (Tofranil®)' kanye ne-'Pseudoephedrine (Sudafed®)' inganikezwa ngezinye izikhathi. Kodwa-ke, lokhu kungaba nemiphumela emibi, ngakho-ke kufanele kunikezwe kuphela ngemva kokucatshangelwa ngokucophelela ngudokotela.
• Uma unenkinga yokungakwazi ukuzibamba ngokweqile, unganikezwa imithi efana nale: `Bethanechol (Duvoid®)` (kusiza ukuqinisa isinyi), `Terazosin (Hytrin®)`, `Alfuzosin (Uroxatral®)` (ekhulula indlala ye-prostate), kanye ne-`Finasteride (Proscar®)` (enciphisa indlala ye-prostate).

Yini engingayilindela ngalo mbuzo?

Abantu abaningi bangakwazi ukulawula noma ukwelapha ngokuphelele lezi zinkinga zomchamo ngokwelashwa. Ngezinye izikhathi lezi zinkinga zingezesikhashana. Uma imbangela (isibonelo, ukutheleleka komgudu womchamo, ukukhulelwa) isihambile, inkinga izoziphelela. Kodwa-ke, uma unesifo "esingamahlalakhona" sesikhathi eside, njengesifo sikashukela noma "i-multiple sclerosis", lezi zinkinga zokulawula umchamo zingase ziqhubeke. Ezimweni ezinjalo, kubalulekile ukukhuluma nodokotela wakho ngezindlela ezingcono kakhulu zokuphatha lezi zinkinga. Ungakhathazeki, kunezindlela zokuphatha lezi zinkinga.

Yini engingayenza ukuze nginciphise le ngozi?

Lezi zinkinga zingase zingavinjelwa ngokuphelele, kodwa unganciphisa ingozi yakho ngokwenza okulandelayo:

• Yenza izivivinyo zokuqinisa phansi kwe-pelvic (izivivinyo ze-Kegel). Buza udokotela noma uchwepheshe wezokwelapha ukuthi ungakwenza kanjani lokhu ngendlela efanele.
• Ukunciphisa utshwala, iziphuzo ezine-caffeine, ukudla okunongwe kakhulu, kanye noshukela wokwenziwa.
• Gwema izinguquko ezisheshayo esisindweni somzimba futhi ugcine isisindo esinempilo.
• Ukwengeza i-fiber eningi ekudleni kwakho (kuvimbela ukuqunjelwa)
• Yehlisa noma uyeke ngokuphelele ukubhema.
• Ukuzikhandla ngokomzimba kakhudlwana.

Ngizinakekela kanjani?

Abantu abaningi basebenzisa izingubo zangaphansi ezikhethekile (izingubo zangaphansi zokungakwazi ukuzibamba noma amanabukeni abantu abadala) noma ama-pads ukuvimba lokhu kuvuza komchamo. Kukhona nezisekeli zesinyi ezisebenza njenge-tampon, ezingasetshenziswa futhi ziphephile. Lezi zikhululekile kakhulu futhi zingagqokwa ngaphansi kwamabhulukwe. Amanye amanabukeni abantu abadala nama-pads ayalahlwa. Amanye angagezwa futhi asetshenziswe kabusha. Kodwa-ke , kungcono ukushintsha la manabukeni noma ama-pads njalo emahoreni ambalwa ukuvimbela iphunga elibi nokuvimbela izifo zesikhumba.

Kufanele ngimbone nini udokotela?

Ukutheleleka komgudu womchamo, ukuqunjelwa, ukudla okudlayo, kanye nemithi ethile konke kungabangela ukulahlekelwa ukulawula umchamo okwesikhashana. Kodwa uma le nkinga iqhubeka isikhathi esingaphezu kwesonto, noma uma ithinta impilo yakho yansuku zonke, kufanele nakanjani ubone udokotela. Ungabi namahloni, lena yinkinga abantu abaningi abanayo.

Yini okufanele ngiyibuze udokotela?

Ungabuza udokotela wakho imibuzo efana nale:

• Uhlobo luni lwenkinga yokulawula umchamo enginayo?
• Iyini imbangela yenkinga yami?
• Ingabe lokhu kuzothuthuka ngokuzenzakalelayo?
• Ingabe lokhu kungabuya?
• Yiziphi izindlela zokwelapha ozincomayo?
• Yimiphi imithambo engingayenza ekhaya?
• Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila?

Kungani ngingayeki ukuchama ngokushesha nje lapho ngibona indlu yokugezela?

Ngezinye izikhathi, ukubona indlu yokugezela noma umsindo wamanzi agobhozayo kungakwenza uzizwe unesifiso sokuchama ngokuzumayo. Lesi sifiso esizumayo siwuphawu 'lokungavumi ukuchama' . Lokhu kuvamile kubantu abanezinkinga zezinzwa. Okwenzekayo ukuthi yize ungakakulungeli ngempela ukuchama, ubuchopho bakho buthumela umlayezo ongalungile emithanjeni esesinyeni sakho ukuze uphumule. Nalokhu kungalawulwa ngokwelashwa.

Ekugcineni, khumbula lokhu.

Izinkinga zokulawula umchamo zingaba yinto engakhululekile futhi ecasulayo. Kungenzeka ukuthi uyeke ngisho nokwenza imisebenzi yakho evamile ngenxa yokwesaba ukuvuza noma ukuvuza komchamo uma ungakwazi ukuya endlini yokugezela.

Kodwa khumbula, ungesabi ukukhuluma nodokotela ngalokhu. Esikhathini esiningi, lezi zinkinga zokulawula umchamo zingaphathwa kahle, futhi ngezinye izikhathi zize zelapheke ngokuphelele.

Ngokubambisana, wena nodokotela wakho ningathola uhlobo lwenkinga onayo, imbangela yayo, kanye nokwelashwa okuphumelelayo kakhulu. Ngakho-ke kungcono ukufuna iseluleko sezokwelapha ngaphandle kokuba namahloni noma ukufihla inkinga. Awuwedwa! Ukungakwazi ukuzibamba ngomchamo, ukulawula umchamo, ukungakwazi ukuzibamba ngomchamo, esinyeni, ukungakwazi ukuzibamba ngokucindezeleka, ukungakwazi ukuzibamba ngomfutho, izifo zomgudu womchamo