Ingabe uhlangabezana nokuvuza komchamo okungahleliwe? Lokhu kubizwa ngokuthi i-Functional Incontinence! Ake sixoxe ngakho noNirogi Lanka.

Ingabe ngezinye izikhathi uhlangabezana nokuvuza okuncane komchamo ngaphambi kokuba ufike endlini yangasese? Awuwedwa neze; yize lokhu kuyinto evamile abaningi abakuthola kunzima ukuyixoxa, sicela wazi ukuthi asikho isidingo sokuzizwa unamahloni. Ngokwezokwelapha, sibhekisela kulokhu njengokuthi `(Ukungasebenzi Kokuzibamba Okusebenzayo)` . Kalula nje, lokhu kusho ukuthi inkinga ayikho ngesinyi sakho uqobo, kodwa kunalokho ukuthi ezinye izici zenza kube nzima ngawe ukufinyelela endlini yangasese ngesikhathi. KwaNirogi Lanka, sifuna ukukusiza ukuthi uqonde lokhu kangcono, ngakho ake sibheke imininingwane ngokuningiliziwe.

Kuyini Ukungakwazi Ukulawula Ukukhulelwa Okusebenzayo?

Kalula nje, ukungakwazi ukuzibamba komzimba kwenzeka uma ulahlekelwa ukulawula isinyi sakho, okuholela ekuphumeni komchamo okungahleliwe. Into ebalulekile okufanele uyiqonde ukuthi lokhu akubangelwa inkinga engaphakathi kwendlela yakho yomchamo uqobo. Kunalokho, kwenzeka ngoba isimo somzimba noma sengqondo esingaphansi senza kube nzima ngawe ukufinyelela endlini yangasese ngesikhathi noma ukuqaphela isifiso sokuchama. Cabanga ngale ndlela: ungase uzizwe unesifiso sokuya, kodwa ngenxa yezithiyo noma imikhawulo yangaphandle, awukwazi ukufika endlini yangasese, okuholela engozini.

Lesi simo ngezinye izikhathi sibizwa ngokuthi yi-Functional Urinary Incontinence; womabili la magama achaza isimo esifanayo sezokwelapha.

Sivame kangakanani lesi simo?

Ngokuvamile, ukungakwazi ukuzibamba ngomchamo kuvame kakhulu kunalokho abantu abaningi abakuqaphelayo. Imibiko isikisela ukuthi cishe abantu abayizigidi ezingu-30 emazweni afana ne-United States babhekene nohlobo oluthile lokungakwazi ukuzibamba ngomchamo. Ungacabanga ukuthi abantu abaningi eSri Lanka nabo babhekana nalezi zinselele nsuku zonke. Ukungakwazi ukuzibamba ngomchamo kuyindlela eyodwa yale nkinga ebanzi. Sicela wazi ukuthi awuwedwa kulokhu; inani elikhulu labantu okwamanje libhekene nalesi simo esifanayo.

Yiziphi izimpawu zokungakwazi ukuzibamba?

Ungabona kanjani ukuthi unenkinga yokungakwazi ukuzibamba? Qaphela lezi zimpawu ezilandelayo:

• Ukugeleza komchamo okuncane okuvamile, okungahlosiwe.
• Ukukhipha isisu sakho sonke ngengozi ngezikhathi ezithile ngaphandle kwesixwayiso.
• Ukungakwazi ukubamba umchamo wakho uze ufike endlini yangasese.
• Ukubona iphunga lomchamoezingutsheni zakho noma eduze kwendawo yakho yokuhlala.

Uma ubona noma yiziphi zalezi zimpawu, kubalulekile ukuzinaka futhi uxoxe ngazo nomhlinzeki wakho wezempilo eNirogi Lanka.

Iyini imbangela yokungakwazi ukuzibamba?

Kunezici eziningana ezingabangela ukungalawuleki kokusebenza:

• Izinkinga Zokuqonda: Izimo ezifana ne-dementia (ukulahlekelwa inkumbulo okuqhubekayo), i-delirium (isimo sokudideka kwengqondo ngokuzumayo), noma ukukhubazeka kwengqondo kungathinta ikhono lobuchopho bakho lokucubungula isidingo sokuchama noma ukuthola indlu yangasese.
• Izinkinga Zezinzwa: Izimo ezifana ne-Multiple Sclerosis (MS), isifo sikaParkinson, noma isifo sohlangothi zingaphazamisa izimpawu ezivela ebuchosheni bakho ziye kwesinye.
• Ukulinganiselwa Komzimba: Izimo ezifana ne-arthritis zingenza kube nzima ukuhambisa, ukuphatha izinkinobho, ama-zipper, noma izingubo ngokushesha ngokwanele ukuze ufike endlini yangasese ngesikhathi.
• Ubuthakathaka Bephansi Le-Pelvic: Imisipha ebuthakathaka ingenza kube nzima ngokomzimba ukuvimba umchamo.
• Izithiyo Zemvelo: Izinselele ezifana nokuhamba ngezitebhisi, ukukhanya okungekuhle, noma izindawo ezinabantu abaningi lapho izindlu zangasese zingafinyeleleki khona zingaholela ezingozini.
• Izinkinga Zezicubu: Ukuncipha kwezicubu zesitho sangasese sowesifazane noma izifo ezitholakala endaweni ethile.
• Imithi: Imithi ethile, njengemithi yokudambisa noma amaphilisi okulala, inganciphisa ukuqaphela kwakho isifiso sokuhamba, kuyilapho imithi yokukhipha isisu ikhulisa ukukhiqizwa komchamo.
• Ukutheleleka Kwendlela Yomchamo (UTIs): Imbangela evame kakhulu edinga usizo lwezokwelapha.
• Ukuqunjelwa: Ukuqunjelwa okukhulu kungacindezela esinyeni, okuholela ekungakwazi ukuzibamba.

"Njengoba ubona, kunezimbangela eziningi ezingaba khona; akuyona into eyodwa kuphela edlala indima."

Ubani osengozini enkulu yokungakwazi ukuzibamba?

Nakuba noma ubani engabhekana nalokhu, ingozi yakho ingaba phezulu uma unesifo sengqondo noma sezinzwa, unesifo samathambo, uphuza imithi efana nemithi yokukhipha isisu noma imithi yokudambisa ubuhlungu, noma uneminyaka engaphezu kwengu-65. Uma ungasebenzi ngokomzimba noma uhlala esikhungweni sokunakekelwa, ungase ube sengozini enkulu.

Kuhlonzwa kanjani ukungakwazi ukuzibamba okusebenzayo?

Uma usola ukuthi unalezi zimpawu, sicela uxhumane nodokotela. Udokotela wakho uzokwenza ukuhlolwa okujulile ngokomzimba futhi akubuze imibuzo eminingana ukuze aqonde kangcono isimo sakho.

• Ingabe okwamanje uphathwa ezinye izimo zezokwelapha?
• Kuyini ukudla okudlayo okuvamile? Udla futhi uphuza malini nsuku zonke?
• Uphuza amanzi angakanani ngosuku, futhi yiziphi ezinye izinhlobo zoketshezi oziphuzayo?
• Ingabe uphuza utshwala noma i-caffeine (itiye, ikhofi)?
• Uzivocavoca kangakanani, futhi hlobo luni lwemisebenzi yomzimba oyenzayo?
• Ingabe unenkinga yokuhambahamba noma ukuhambahamba endaweni okuyo?

Kubaluleke kakhulu ukuphendula le mibuzo ngokwethembeka , njengoba lokhu kuvumela udokotela wakho ukuthi aqonde kahle isimo sakho.

Hlobo luni lokuhlolwa oluzokwenziwa?

Udokotela wakho angase akucele ukuthi uhlolwe ukuze kutholakale imbangela eqondile yesimo sakho.

• Ukuhlolwa Komchamo : Kulolu vivinyo, kuhlaziywa isampula yomchamo wakho ukuze kuhlolwe izifo noma ezinye izinkinga.
• Ukuhlolwa kokungasebenzi kahle kwephansi le-pelvic : Lokhu kuhlolwa kuhlola ukuthi imisipha yakho yephansi le-pelvic isebenza kahle kangakanani futhi kuhlola amandla ayo ewonke.
• Ukuhlolwa kwe-Urodynamic : Lokhu ukuhlolwa okuphelele. Kuhlola ukuthi isinye sakho kanye nemizwa yaso kanye nemisipha kusebenza kanjani, kulinganisa izinga lokugeleza komchamo , kanye nengcindezi ngaphakathi naseduze kwesinye.

Kwezinye izimo, udokotela wakho angakudlulisela kudokotela wezifo zomchamo (uchwepheshe wezinhlelo zomchamo nezokuzala) noma kudokotela wezifo zomchamo (uchwepheshe ogxile ezinkingeni zephansi le-pelvic kwabesifazane).

Ungakunciphisa kanjani ukungakwazi ukuzibamba?

Manje, ake sixoxe ngendlela yokunciphisa noma yokuphatha ukungakwazi ukuzibamba. Izindlela zokwelapha zincike ngokuphelele embangela eyinhloko.

Isibonelo, uma une-arthritis eyenza kube nzima ukukhumula izingubo, ukugqoka izingubo ezinamabhande okhalweni anwebekayo noma ama-Velcro closures kungaba usizo kakhulu. Uma une-UTI (ukutheleleka komgudu womchamo), udokotela wakho uzokunikeza ama-antibiotic . Uma imithi yakho yamanje inegalelo kule nkinga, khuluma nodokotela wakho ukuze uhlole ezinye izindlela zokwelapha.

Ngaphezu kwalokho, amasu alandelayo angasiza:

• Amaphedi okungakwazi ukuzibamba noma izingubo zangaphansi : Lokhu kuyatholakala emakhemisi. Imikhiqizo efana ne-Depends® iyizinketho ezidumile. Ukusebenzisa lokhu kungasiza ekuvimbeleni izingubo ukuthi zingamanzi futhi kunciphise noma yikuphi ukungakhululeki noma ukuhlazeka.
• Ukuqeqeshwa kwesinye : Okubizwa nangokuthi ukugoba ngesikhathi , lokhu kuhilela ukuya endlini yangasese ngezikhathi ezihleliwe (isib. njalo emahoreni amabili), noma ngabe awuzizwa unesifiso. Lokhu kusiza ukugcina isinye sakho singenalutho ngaphambi kokuba sigcwale. Ngokuhamba kwesikhathi, ungase ukwazi ukwandisa kancane kancane izikhawu phakathi kwalezi zikhathi.
• I-catheter yomchamo : Ezimweni ezimbi kakhulu, udokotela wakho angase ancome i-catheter yomchamo yesikhashana noma yesikhathi eside. Lokhu kuhilela ukufaka ipayipi elincane neliguquguqukayo nge-urethra liye esinyeni ukuze kukhishwe umchamo esikhwameni sokuqoqa.
• I-catheter yekhondomu : Lena inketho yamadoda, lapho idivayisi efana nekhondomu igqokwa phezu kwepenisi, ixhunywe epayipini eliphuma lingene esikhwameni sokuqoqa.
• Ukwelashwa ngokomzimba phansi kwe-pelvic : Uchwepheshe angakufundisa ukuzivocavoca (njengokuzivocavoca kwe-Kegel ) ukuqinisa imisipha yakho phansi kwe-pelvic. Ukuqinisa le misipha kungakusiza ukuthi ubambe umchamo wakho isikhathi eside uze ufike endlini yangasese.

Uma usekhaya, gcina indlela eya endlini yangasese icacile.Gcina iminyango ivulekile futhi ususe imfucuza phansi ukuze unciphise ingozi yokukhubeka noma ukushelela. Uma umbono wakho ungemuhle, faka izibani ezengeziwe eduze kwekhaya lakho, noma ugcine ithoshi elincane eduze. Uma uphumile, kuwumkhuba omuhle ukuhlonza indawo yezindlu zangasese ngaphambi kokuba uzizwe unesidingo sokuzisebenzisa.

Ingabe ukungalawuleki kokusebenza kungavinjelwa?

Nakuba singeke sikwazi ukuvimbela njalo izimbangela eziyisisekelo zokungakwazi ukuzibamba—njengezimo ezithile zemisipha, zemizwa, noma zokuqonda—noma ukuvimba ukuqala kwezimo ezifana nokuwohloka komqondo, ungagxila ekunciphiseni izici zakho eziyingozi. Isibonelo, ukugcina indlela yokuphila enempilo nokuhlala usebenza ngokomzimba kuyizinyathelo ezinhle zokuthola impilo enhle iyonke.

Yini engingayilindela uma nginenkinga yokungakwazi ukuzibamba?

Uma ukungakwazi ukuzibamba kwakho ukusebenza kuhlotshaniswa nesimo esingamahlalakhona, njengesifo sikaParkinson, kungadingeka ukuthi uphathe le nkinga isikhathi eside. Kodwa-ke, lokhu akusho ukuthi kufanele uhlupheke. Kubalulekile ukusebenzisana eduze nodokotela wakho ukuze uphathe izimpawu zakho ngempumelelo. Kunezindlela eziningi eziqinisekisiwe ezitholakalayo zokukusiza ukuthi ugcine izinga lakho lempilo lisezingeni eliphezulu.

Ngizinakekela kanjani?

Uma uphila nokungakwazi ukuzibamba, lezi zinyathelo zingakusiza ukuthi uzinakekele:

• Gcina idayari yesinye : Bhala phansi inani loketshezi oludlayo, izinhlobo zokudla neziphuzo onazo (ikakhulukazi i-caffeine nezinto ezibabayo), ukuvama nesikhathi sokuchama kwakho, ubude besikhala ngasinye, kanye nanoma yiziphi izimo zokuvuza. Lolu lwazi lubaluleke kakhulu ku- Bladder Training futhi lusiza udokotela wakho ukuqonda kahle isimo sakho.
• Gwema izinto ezicasula isinyi : I-caffeine (etholakala etiyeni, ekhofini, nashokoledi), utshwala, ama-carbonated soda, ukudla okunongwe, kanye namajusi ane-acid njengotamatisi, i-lime, noma i-orange kungacasula isinyi sakho futhi kwandise isifiso sokuchama. Zama ukunciphisa lokhu ukuze ubone ukuthi uyayibona yini intuthuko.
• Gcina isisindo esinempilo : Isisindo esiningi esiswini singabeka ingcindezi engadingekile esinyeni sakho. Ukwehlisa isisindo esincane kungasiza ekunciphiseni le ngcindezi.
• Hamba njalo : Ukuhamba kugcina umzimba wakho usebenza futhi kukusiza ukuthi uhlale uqaphela izimpawu zesinyi sakho kanye nesidingo sokuthola izindawo. Zama ukuhamba okungenani imizuzu engama-30 ngosuku.
• Yeka ukubhema : Ukubhema kubangela ukukhwehlela okungapheli, okungaholela ekuvuza okungahleliwe, futhi ngokuvamile kuyingozi empilweni yesinye. Ukuyeka kungaba yisinyathelo esihle sokuphatha lesi simo.

Kufanele ngimbone nini umhlinzeki wami wezempilo?

Uma uhlangabezana nezimpawu zokungakwazi ukuzibamba —njengokuvuza ngaphambi kokuba ufike endlini yangasese— kungcono ukubonisana nomhlinzeki wezempilo ngokushesha nje lapho lezi zimpawu zivela. Sicela ungabi namahloni noma wesabe; udokotela wakho ubhekana nalokhu njalo. Ukuthola imbangela yenkinga kuyisinyathelo sokuqala sokuphathwa okuphumelelayo nokuthola kabusha ukulawula ikhwalithi yempilo yakho.

Imibuzo okufanele uyibuze udokotela wakho

Uma uvakashela udokotela wakho, cabanga ngokubuza le mibuzo:

• Iyini imbangela eyisisekelo yokungakwazi kwami ​​ukuzibamba?
• Yiziphi izivivinyo zokuxilonga ezizokwenziwa ukuqinisekisa lokhu?
• Imiphumela yokuhlolwa izotholakala nini ?
• Ingabe kukhona imisebenzi okufanele ngiyigweme?
• Ingabe kukhona ukudla noma iziphuzo ezithile okufanele ngizinciphise?
• Ngingakuphatha kanjani lokhu ngempumelelo ekhaya?
• Ngingakuphatha kanjani lokhu uma ngingekho ekhaya?
• Ingabe kukhona ezinye izimpawu zokuxwayisa okufanele ngiziqaphele?

Ukubuza le mibuzo kuzokusiza ukuthi uqonde kangcono uhambo lwakho lwezempilo.

Zikhona yini ezinye izinhlobo zokungakwazi ukuzibamba komchamo?

Yebo, i-Functional Incontinence uhlobo olulodwa nje. Nazi ezinye ezimbalwa okufanele uzazi:

• Ukungakwazi ukuzibamba ngokweqile : Lokhu kwenzeka lapho isinye sakho sigcwala kakhulu futhi ungakwazi ukusikhipha ngokuphelele. Isinye siyagcwala ngokweqile, okuholela ekuvuzeni njalo, noma ngabe awuzizwa unesifiso esinamandla sokuhamba.
• Ukungakwazi ukuzibamba ngokucindezeleka : Lokhu kwenzeka lapho ingcindezi yomzimba—njengokukhwehlela, ukuhleka, ukuthimula, ukuphakamisa izinto ezisindayo, noma ukuzivocavoca—ibangela ukuba umchamo uvuze ngokungazikhetheli.
• Khuthaza ukungakwazi ukuzibamba : Lokhu kubonakala ngesidingo esiphuthumayo, esinamandla, nesingenakulawuleka sokuchama, okuvame ukwenza kube nzima ukufinyelela endlini yangasese ngesikhathi.

Lezi yizinhlobo eziyinhloko; abanye abantu bangase babhekane nenhlanganisela yalezi zimo.

Umlayezo Wokuya Nawe Ekhaya

Ukungakwazi ukuzibamba kungathinta kakhulu impilo yakho yansuku zonke. Nakuba kuvame kakhulu kunokuba abantu beqaphela, kuyaqondakala ukuthi ungase uzizwe unamahloni noma ungabaza ukuxoxa ngakho. Ungase unciphise nemisebenzi yakho yokuxhumana nabantu ngenxa yokwesaba ukungatholi indlu yangasese ngesikhathi.

Khumbula, awuwedwa kulokhu.

• Ukungakwazi ukuzibamba kahle akulona iphutha lakho. Kungabangelwa izici ezahlukene zomzimba noma zengqondo.
• Isinyathelo esibaluleke kakhulu ukuthikhuluma nodokotela wakho ngokukhululekile ngaphandle kokwesaba noma amahloni.
• Uma imbangela isitholakele, kunezindlela eziningi ezisebenzayo zokuphatha nokulawula lesi simo.
• Ukulungiswa kwendlela yokuphila elula, ukuvivinya umzimba okuthile, kanye nokwelashwa kwezokwelapha uma kudingeka kungakusiza ukuthi uphile impilo ephumelelayo neyanelisayo.
• Kukhona ukwesekwa okutholakalayo. Funa isiqondiso sochwepheshe kwezokwelapha eNirogi Lanka.

Uma wena noma othile omaziyo ebhekene nalezi zimpawu, sicela uxhumane nodokotela ukuze uthole iseluleko. Ngokunakekelwa okufanele, ungalondoloza izinga lempilo yakho.

Amathegi: Ukungakwazi ukuzibamba, ukuvuza komchamo, ukulahlekelwa ukulawula isinyi, ukunakekelwa kwasebekhulile, izimo zezinzwa, i-dementia