Ingabe nawe uyavuza umchamo ungaqapheli? Lokhu kubizwa ngokuthi ukungalawuleki kokusebenza! Singaxoxa ngalokhu?

Ingabe ngezinye izikhathi uyavuza umchamo ungaqapheli? Noma uyachama ngaphambi kokuba ugijimele endlini yangasese? Lena inkinga abantu abaningi abanayo, kodwa kungaba namahloni ukukhuluma ngayo. Ungakhathazeki, awuwedwa. Ngokwezokwelapha, lesi simo sibizwa ngokuthi "Ukungasebenzi Kokuzibamba Okusebenzayo" . Kalula nje, akubangelwa inkinga enkulu ngesinyi sakho (lapho umchamo uqoqana khona), kodwa kungenxa yokuthi awukwazi ukufika endlini yangasese ngesikhathi ngenxa yesinye isizathu. Ake sixoxe ngalokhu ngokuningiliziwe .

Kuyini Ukungakwazi Ukulawula Ukukhulelwa Okusebenzayo?

Kalula nje, "(Ukungasebenzi kahle kokulawula indle)" yilapho ulahlekelwa ukulawula isinyi sakho bese uvuza umchamo ngengozi. Kodwa lokhu akubangelwa yisifo esiqondile sohlelo lwakho lomchamo. Kwenzeka lapho unenkinga yokuya endlini yangasese ngesikhathi, noma uqaphela ukuthi udinga ukuchama , ngenxa yesinye isimo somzimba noma sengqondo. Cabanga nje, unesifiso esinamandla kakhulu sokuchama , kodwa ayikho indlela yokuya endlini yangasese, yilokhu-ke okungenzeka.

Lokhu kubizwa nangokuthi "Ukungasebenzi Komchamo Okusebenza Kahle". Kokubili kusho into efanayo.

Sivame kangakanani lesi simo?

Empeleni, ngokuvamile, ukungavimbi komchamo, noma "Ukungavimbi komchamo", kuvame kakhulu kunalokho ongakucabanga. Ngokusho kweminye imibiko, cishe abantu abayizigidi ezingu-30 ezweni elinjengeMelika banohlobo oluthile "lokungavimbi komchamo". Ngakho ungacabanga ukuthi bangaki abantu eSri Lanka abahlushwa yilolu hlobo lokungakhululeki. "Ukungavimbi komchamo okusebenzayo" kungenye yalezi zinhlobo. Ngakho-ke lokhu akuyona into eyenzeka kuwe kuphela, abantu abaningi bahlushwa yilesi simo.

Yiziphi izimpawu zokungakwazi ukuzibamba?

Nokho, singayibona kanjani le nkinga ethi "(Ukungasebenzi kahle kokulawula)"? Bheka ukuthi lezi zinto ziyakwehlela yini:

• Ukuvuza komchamo (ukuconsa) kaningi ngaphandle kokuqaphela .
• Ngezinye izikhathi sonke isinyi siyaphela ngaphandle kokuqaphela.
• Angikwazi ukubamba umchamo wami ngize ngiye endlini yangasese.
• Uzizwa sengathi kukhona iphunga lomchamo elivela ezingutsheni zakho noma endlini.

Uma unesinye noma ngaphezulu salezi zimpawu, kuwumqondo omuhle ukuzinaka.

Iyini imbangela yokungakwazi ukuzibamba?

Manje ake sibheke ukuthi yini ebangela lesi simo "sokungazithibi okusebenzayo". Empeleni kungaba nezimbangela eziningi.

• Izinkinga zokuqonda : Lokhu kufaka phakathi i-dementia (ukulahlekelwa inkumbulo okuqhubekayo), i-delirium (ukudideka kwengqondo okungazelelwe), kanye nokukhubazeka kwengqondo. Isibonelo, umuntu onesifo se-dementia angase abe nobunzima bokuchama .Ungase ungakhumbuli ukuthi yini okudingeka uyenze, noma ungase ungakwazi ukuthola ukuthi indlu yangasese ikuphi.
• Izinkinga ze-neurological: Izimo ezithinta ubuchopho, umgogodla, noma uhlelo lwezinzwa, njenge-multiple sclerosis (MS), isifo sikaParkinson (esibangela ukuthuthumela), kanye nesifo sohlangothi. Lezi zimo zingabangela izimpawu ezidingekayo ukulawula isinyi sakho ukuthi siyeke ukusebenza kahle.
• Izifo ezithinta imisipha, okwenza kube nzima ukuya endlini yangasese noma ukugqoka : Isibonelo, `(Arthritis)` (ubuhlungu bamalunga). Manje cabanga ukuthi umama noma ubaba wakho une-`(Arthritis)`. Banobunzima bokugoba nokwelula imilenze yabo. Bese kuthi, uma kunzima ngomuntu ogqoke isiketi ukusiphakamisa, ngomuntu ogqoke ibhulukwe ukusivula, noma ukusivala nge-zip, kuthatha isikhathi ukuya endlini yangasese uzilungiselele. Yilapho-ke ongahamba khona kancane ungaqapheli.
• Imisipha yesinyi noma yephansi le-pelvic ebuthakathaka : Uma le misipha ibuthakathaka, kunzima ukubamba umchamo.
• Izithiyo zomzimba : Izinto ezifana nezitebhisi, ukukhanya okungekho kahle, noma ubunzima bokuthola indlu yangasese endaweni enabantu abaningi. Cabanga ngomuntu osekhulile osesihlalweni sabakhubazekile, futhi akuzona zonke izindlu zangasese ezifinyeleleka kalula esihlalweni sabakhubazekile.
• Ukuncipha noma ukutheleleka kwezicubu zesitho sangasese sowesifazane.
• Imithi ethinta ikhono lokucabanga : Amaphilisi okulala, njll. Lokhu kungakwenza ulale futhi kukwenze ukhohlwe ukuchama .
• Imithi Yokuhlanza : Le mithi inikezwa ezinye izifo.
• Ukutheleleka Kwendlela Yomchamo (UTIs) : Lokhu futhi kuyimbangela evame kakhulu.
• Ukuqunjelwa : Ngisho noma ukuqunjelwa kukhulu, ingcindezi inganqwabelana esinyeni, okubangela izimo ezinjengalezi.

"Uyabona, kunezizathu eziningi kakhulu. Ngakho-ke lokhu akugcini entweni eyodwa kuphela."

Ubani onamathuba amaningi okuthuthukisa ukungakwazi ukuzibamba?

Nakuba lesi simo singakhula kunoma ubani, abanye abantu basengozini enkulu.

• Uma unesifo esithinta ukusebenza kobuchopho (`(Isifo sokucabanga)`).
• Uma unesifo sezinzwa.
• Uma unesifo esithinta imisipha namalunga, njenge-arthritis.
• Uma uphuza imithi ethile, isibonelo, imithi yokukhipha isisu, noma imithi ekwenza ulale.
• Abantu abangaphezu kweminyaka engama-65 : Lesi simo sivame kakhulu kubantu asebekhulile abahlala emakhaya asebekhulile. Ingozi iyanda njengoba umzimba ushintsha.
• Le ngozi iphakeme kakhulu nakulabo abangasebenzi kahle ngokomzimba.

Kuhlonzwa kanjani lokhu? (Kuhlonzwa kanjani ukungalawuleki kokusebenza?)

Uma ucabanga ukuthi unalezi zimpawu, yini okufanele uyenze ngokulandelayo? Kufanele nakanjani ubone udokotela. Udokotela noma umhlengikazi uzokuxilonga futhi akubuze imibuzo ethile. Le mibuzo ingafaka:

• Ingabe okwamanje welashwa ezinye izimo zezokwelapha?
• Uyini umkhuba wakho wokudla? Udla futhi uphuza malini?
• Uphuza amanzi angakanani ngosuku? Uphuzani?
• Ingabe uphuza utshwala noma i-caffeine (itiye, ikhofi)?
• Uvivinya umzimba ongakanani? Hlobo luni lokuzivocavoca olwenzayo?
• Ungakwazi yini ukuhambahamba kalula?

Kubaluleke kakhulu ukuphendula le mibuzo ngokwethembeka , ngoba yilapho kuphela udokotela ezokwazi ukuqonda isimo esiqondile.

Hlobo luni lokuhlolwa oluzokwenziwa?

Udokotela angenza izivivinyo ezithile ukuze athole imbangela eqondile.

• Ukuhlolwa komchamo : Lokhu kuhilela ukuthatha isampula yomchamo wakho ukuze kuhlolwe ukutheleleka noma ezinye izinkinga.
• Ukuhlolwa kokungasebenzi kahle kwephansi le-pelvic : Lokhu kuhlola ukuthi imisipha yakho yephansi le-pelvic isebenza kahle kangakanani nokuthi iqine kangakanani.
• Ukuhlolwa kwe-Urodynamic : Lokhu ukuhlolwa okuyinkimbinkimbi kakhulu. Kulinganisa izinto ezifana nokuthi izinzwa nemisipha esinyeni sakho zisebenza kanjani, ukuthi umchamo wakho ugeleza ngokushesha kangakanani, kanye nengcindezi esesinyeni sakho nasezindaweni ezizungezile.

Ngezinye izikhathi udokotela wakho angakudlulisela kuchwepheshe wezinhlelo zomchamo nezokuzala (“udokotela wezifo zomchamo”) noma uchwepheshe wokwelapha izinkinga zaphansi kwe-pelvic kwabesifazane (“udokotela wezifo zomchamo”).

Ukunciphisa kanjani ukungakwazi ukuzibamba?

Kulungile, manje ake sibone ukuthi yini engenziwa ukunciphisa noma ukulawula lesi simo "sokungalawuleki kokusebenza". Izindlela zokwelapha zincike esibangweni.

Isibonelo, uma unesifo samathambo futhi ukuthola kunzima ukukhumula izingubo zakho, kungcono ukugqoka izingubo okulula ukuzikhumula, ezithambile, noma ezithambile. Uma unesifo somgudu womchamo (UTI), udokotela wakho uzokunikeza ama-antibiotic. Uma eminye imithi ibangela lesi simo, ungakhuluma nodokotela wakho ukuze ubone ukuthi ikhona yini eminye imithi.

Ngaphezu kwalokho, izinto ezinjengalezi zingasiza futhi:

• Amaphedi okungakwazi ukuzibamba noma izingubo zangaphansi : Lokhu kuyatholakala emakhemisi. Kukhona nomkhiqizo odumile obizwa ngokuthi i-Depends®. Ukusebenzisa lokhu kungasiza ekunciphiseni ingozi yokumanzisa izingubo kanye nokungakhululeki uma uchama ngengozi.
• Ukuqeqeshwa kwesinyi : Lokhu kubizwa nangokuthi ukugoba ngesikhathi. Kulokhu, ucelwa ukuthi uchameNgisho noma kungadingeki, iya endlini yangasese ngezikhathi ezijwayelekile phakathi nosuku (ngokuvamile njalo emahoreni amabili). Lokhu kuzokusiza ukuthi ukhiphe isinye sakho ngaphambi kokuba sigcwale. Ungandisa kancane kancane izikhawu phakathi kwalezi zikhathi.
• I-catheter yomchamo : Kwezinye izimo ezinzima, udokotela angase ancome i-catheter yomchamo yesikhashana noma yesikhathi eside. Lokhu kuhilela ukufaka ipayipi elincane neliguquguqukayo nge-urethra liye esinyeni, ukuqoqa umchamo esikhwameni.
• I-catheter yekhondomu : Lokhu kuyinto engasetshenziswa ngamadoda. Inamathele epenis njengekhondomu, bese umchamo uqoqwa esikhwameni ngepayipi elixhunywe kuyo.
• Ukwelashwa ngokomzimba phansi kwe-pelvic : Uchwepheshe uzokufundisa ukuzivocavoca (njengokuzivocavoca kwe-Kegel) ukuqinisa imisipha yakho phansi kwe-pelvic. Ukuqinisa le misipha kungakusiza ukuthi ubambe umchamo wakho isikhashana ngaphambi kokuba uye endlini yangasese.

Uma usekhaya, gcina indlela eya endlini yangasese icacile. Gcina iminyango ivulekile futhi phansi kungabonakali izinto ezingadingekile ukuze unciphise amathuba okukhubeka nokushelela. Uma unenkinga yokubona, faka izibani ezengeziwe nxazonke zendlu noma ugcine ithoshi elincane eduze. Kungumkhuba omuhle futhi ukufuna izindlu zangasese ngaphambi kokuba uphume.

Ingabe lokhu kungavinjelwa? (Ingabe ukungalawuleki kokusebenza kungavinjelwa?)

Eqinisweni, asikwazi ukuvimbela ezinye zezinto ezibangela `(Ukungasebenzi kahle kokulawula ukunyakaza komzimba)`, okungukuthi, izifo ezithinta imisipha, uhlelo lwezinzwa, noma ukusebenza kobuchopho (`(Izimo zemisipha, zemizwa noma zokuqonda)`). Lokhu kusho ukuthi asinayo indlela eqondile yokuvimba isifo esifana `(Dementia)` ukuba singakhuli. Kodwa-ke, singazama ukunciphisa ezinye izinto eziyingozi. Isibonelo, izinto ezifana nokuphila impilo enempilo nokunakekela ukufaneleka komzimba wakho.

Yini engingayilindela uma nginenkinga yokungakwazi ukuzibamba?

Uma une-functional incontinence ngenxa yesimo esingamahlalakhona, njenge-Parkinson's disease, kungase kudingeke uphile naso impilo yakho yonke. Kodwa lokho akusho ukuthi kufanele uhlupheke. Kulezi zimo, kubalulekile ukukhuluma nodokotela wakho mayelana nendlela yokuphatha kangcono izimpawu zakho. Kunezindlela eziningi zokwenza impilo ibe lula.

Ngizinakekela kanjani mina? (Ngizinakekela kanjani mina?)

Uma une-"(Ukungasebenzi kahle kokulawula indle)", lezi zinto zingakusiza ukuthi uzinakekele:

• Gcina idayari yesinye : Lokhu kuzofaka inani lamanzi ophuzayo ngosuku, lokho okudlayo nokuphuzayo (ikakhulukazi i-caffeine, ukudla okubabayo), ukuthi uchama kangaki, ukuthi uchama nini, nokuthi uchama isikhathi esingakanani.Bhala phansi izinto ezifana nokuthi uchama kangaki, ukuthi uchama kangaki, njll. Lolu lwazi luzosiza kakhulu ekuqeqesheni isinyi kanye nokuthi udokotela wakho aqonde isimo sakho.
• Gwema ukudla neziphuzo ezivuselela isinyi : I-caffeine (etholakala etiyeni, ekhofini, nashokoledi), utshwala, ama-soda, ukudla okunongwe, kanye namajusi ezithelo ze-citrus njengotamatisi, ama-lime, nama-orange kungavuselela isinyi futhi kukwenze ufune ukuchama kaningi. Zama ukunciphisa lokhu kancane bese ubona ukuthi uyawubona yini umehluko.
• Gcina isisindo esinempilo kuwe : Amafutha amaningi esiswini angabeka ingcindezi engadingekile esinyeni sakho. Ukunciphisa isisindo kungasiza futhi.
• Hamba njalo : Ukuhamba kugcina umzimba wakho usebenza futhi kukusiza ukuthi uqaphele lapho isinyi sakho sigcwele futhi lapho udinga ukuthola indlu yangasese. Zama ukuhamba okungenani imizuzu engama-30 ngosuku.
• Yeka ukubhema : Ngezinye izikhathi, ukukhwehlela ngenkathi ubhema kungabangela ukuvuza komchamo. Ukubhema nakho kuyingozi esinyeni. Ngakho-ke, ukuyeka ukubhema kungasiza ekunciphiseni lesi simo.

Kufanele ngimbone nini umhlinzeki wami wezempilo?

Kungcono ukubona udokotela ngokushesha nje lapho uqala ukuzwa izimpawu "zokungasebenzi kahle kokulawula umgudu wokuphefumula", njengokuvuza komchamo ngokungazi, noma ukuya endlini yangasese isikhashana. Ungabi namahloni noma wesabe. Lokhu kuvamile kudokotela. Ngemuva kwalokho ungathola imbangela, uphathe lesi simo ngendlela ekufanele, futhi uthole usizo lokuvimbela ukuvuza okungazikhetheli.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungakhohlwa ukubuza imibuzo efana nale:

• Iyini imbangela yokuthi ngibe nalesi simo "sokungazithibi okusebenzayo"?
• Hlobo luni lokuhlolwa okwenziwayo ukuqinisekisa lokhu?
• Sizoyazi nini imiphumela yokuhlolwa?
• Ingabe kukhona imisebenzi okufanele ngiyigweme ?
• Yikuphi ukudla neziphuzo okufanele ngizigweme ?
• Kufanele ngizinakekele kanjani uma ngisekhaya?
• Kufanele ngizinakekele kanjani uma ngiphuma endlini?
• Zikhona yini ezinye izimpawu okufanele ngiziqaphele ?

Ngokubuza le mibuzo, ungaqonda kangcono isimo.

Zikhona yini ezinye izinhlobo zokungakwazi ukuzibamba umchamo?

Yebo, `(Ukungasebenzi kahle kokulawula)` uhlobo olulodwa kuphela. Kunezinhlobo eziningana ezifana nalezi. Ake sifunde okuncane ngalokho futhi.

• Ukungakwazi ukuzibamba ngokweqile : Lokhu kwenzeka lapho isinye sakho sigcwele, kodwa awukwazi ukusikhipha ngokuphelele. Ungase uvuza umchamo ngoba isinye sakho sigcwele, kodwa ungase ungaqapheli ukuthi udinga ukuya endlini yangasese.
• Ukungakwazi ukuzibamba kokucindezeleka (`(Ukungakwazi ukuzibamba kokucindezeleka)`): Lokhu kwenzeka uma kukhona ukucindezeleka okungazelelwe (ukucindezeleka) esinyeni, isibonelo, lapho ukhwehlela, uhleka, uthimula, uphakamisa into esindayo, noma wenza izivivinyo ezithile, okubangela ukuba umchamo uphume ngaphandle kokuqaphela.
• Khuthaza ukungakwazi ukuzibamba : Lokhu kwenzeka lapho uba nesifiso sokuchama esingazelelwe, esingalawuleki, kodwa awukwazi ukusibamba uze ufike endlini yangasese.

Lezi ezinye izinhlobo eziyinhloko ezibonakala. Abanye abantu bangase babe nezinhlobo ezingaphezu kweyodwa ezihlanganisiwe.

Umyalezo Wokugcina Wokuya Nasekhaya

Ukungakwazi ukuzibamba komzimba kungaba ukuphazamiseka okukhulu empilweni yakho yansuku zonke. Nakuba kuvame kakhulu kunalokho ocabanga, ungase uzizwe unamahloni noma unamahloni okukhuluma ngakho. Ungase ugweme ngisho nemisebenzi yakho yansuku zonke kanye nokuxhumana nabantu ngenxa yokwesaba ukungakwazi ukufika endlini yangasese ngokushesha.

Khumbula, awuwedwa onalezi zinkinga.

• Ukungakwazi ukuzibamba kahle akuyona into ongayenza nganoma yini. Kungaba nezimbangela zomzimba noma zengqondo.
• Into ebaluleke kakhulu ukukhuluma nodokotela ngalokhu ngaphandle kokuba namahloni noma ukwesaba.
• Uma imbangela eqondile isitholakele, kunezindlela eziningi zokuphatha nokulawula lesi simo.
• Izinguquko ezilula zendlela yokuphila, ukuvivinya umzimba, kanye nemithi ngezinye izikhathi uma kudingeka, kungakusiza ukuthi uphile ngempumelelo nalesi simo.
• Kukhona abantu abangakusiza. Ngakho-ke thola iseluleko esifanele sezokwelapha.

Uma wena noma othile omaziyo enalezi zimpawu, sicela ufune iseluleko sezokwelapha ukuze nawe ukwazi ukuphila impilo esezingeni eliphezulu ngalesi simo.

Ukungakwazi ukuzibamba, Ukuphuma Komchamo, Ukulahlekelwa Ukulawulwa Komchamo, Ukuchama , Ukunakekelwa Kwabadala, I-Neurology, I-Dementia