Ngemva kokuhlinzwa kwe-prostate, amanye amadoda kufanele abhekane nenkinga engakhululekile necindezelayo: ukuchama ngokungazi. Abantu abaningi banamahloni okukhuluma ngalokhu emphakathini. Kodwa empeleni kuyisimo esivamile kakhulu. Into ebaluleke kakhulu ukuthi kunezindlela zokwelapha ezinhle kakhulu zalokhu. Ngakho-ke ake sixoxe ngalokhu ngokukhululekile nangokwethembeka namuhla.
Kusho ukuthini lokhu kungakwazi ukulawula umchamo?
Kalula nje, ukungakwazi ukulawula ukugeleza komchamo ukungakwazi ukulawula ukugeleza komchamo. Lesi simo singavela ngemva kokuhlinzwa komdlavuza wendlala (i-prostatectomy) noma ngemva kokwelashwa ngemisebe.
Ngokuvamile ingahlukaniswa ngezinhlobo ezimbili eziyinhloko. Ukuqonda umehluko phakathi kwalokhu okubili kubalulekile ekwelapheni.
| Uhlobo lokungakwazi ukuzibamba | Kuchazwe kalula |
|---|---|
| Ukungakwazi ukuzibamba ukucindezeleka | Lokhu kwenzeka lapho inani elincane lomchamo liphuma uma kukhona ingcindezi esinyeni. Isibonelo, ungase uvuza amaconsi ambalwa omchamo uma ukhwehlela, uthimula, uhleka kakhulu, noma uphakamisa into esindayo . Lolu hlobo luvame kakhulu ngemva kokuhlinzwa ukuze kususwe indlala yesilisa. |
| Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa | Lokhu kwenzeka lapho ngokuzumayo uba nesifiso esinamandla sokuchama . Lokhu kufana nesimo esibizwa ngokuthi "Isinyi esisebenza ngokweqile." Ungase uvuza umchamo ngaphambi kokuthi ugijimele endlini yokugezela. Abanye abantu abaqapheli nokuthi isinyi sabo sigcwele. Lolu hlobo lwesifiso luvame ukwenzeka ngemva kokwelashwa ngemisebe. |
Izindaba ezinhle ukuthi lesi simo ngemva kokuhlinzwa ngokuvamile singesesikhashana . Phakathi nezinyanga ezimbalwa kuya onyakeni, kufanele ukwazi ukulawula umchamo wakho futhi. Udokotela wakho uzokuqondisa ekwelashweni okudingekayo.
Kungani lokhu kwenzeka ngemva kokuhlinzwa?
Masiqonde ngale ndlela. Isinyi sethu sibanjwe yizinhlayiya ezimbili, izinhlelo zemisipha ezisebenza njengama-valve amabili. Njengezimpompi ezimbili zamanzi. Elinye lingaphakathi, elinye lingaphandle. Uma sichama, la ma-valve ayavuleka ngokusekelwe esignalini evela ebuchosheni.
Ngesikhathi sokuhlinzwa kwe-vasectomy, i-sphincter yangaphakathi iyasuswa. Kodwa-ke, i-sphincter yangaphandle, ongayilawula, isasebenza.
Ngokuvamile, uma ivalvu eyodwa isebenza kahle, kwanele ukulawula umchamo wakho. Kodwa futhi kudinga imisipha yakho yaphansi yesinqe kanye nemizwa ukuze kusebenze kahle.
Ngakolunye uhlangothi, ukwelashwa ngemisebe kungalimaza nezicubu ezinempilo endaweni, okungathinta ukusebenza kwesinyi kanye nama-valve aso.
Lesi simo sizohlala isikhathi esingakanani?
Kunzima ukusho ukuthi lokhu kuzothatha isikhathi esingakanani. Kuyahlukahluka kumuntu nomuntu. Kunezici eziningana ezingathinta lokhu:
- iminyaka yakho.
- Isimo sakho sempilo iyonke (isibonelo, kungakhathaliseki ukuthi ukhuluphele noma unezinye izimo zezokwelapha).
- Bekunjani ukulawula umchamo wakho ngaphambi kokuhlinzwa?
Isibonelo, umuntu ophilile oneminyaka engaphansi kwengu-60 cishe akanaso lesi simo isikhathi eside. Kodwa kumuntu oneminyaka engaphezu kwengu-80, kungaba yinkinga kakhulu. Abanye abantu abakwazi ukugcina umchamo nhlobo futhi kufanele basebenzise ama-pad noma ama-diaper. Abanye bangase bavuza amaconsi ambalwa omchamo ngezikhathi ezithile.
Kodwa khumbula, ngokwelashwa, lesi simo siyathuthuka kancane kancane. Iningi labantu liyakwazi ukuthola amandla okulawula umchamo zingakapheli izinyanga ezintathu.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ebunzimeni bezimpawu zakho, ukuthi sezinesikhathi esingakanani zikhona, nokuthi unesifo sohlobo luni (Ukucindezeleka, Ukucindezeleka, noma kokubili).
Ngokuvamile, udokotela uqala ngokusikisela izindlela zokwelapha ezilula, ezingadingi ukuhlinzwa.
Izinto ongazenza ekhaya
Kunemikhiqizo ongayithenga emakhemisi noma ezitolo ezinkulu ukusiza ukulawula ukungalawuleki kwakho, njengamaphedi okumunca noma amanabukeni abantu abadala. Kukhona futhi amadivayisi afana ne-incontinence clamp angasiza ekuvimbeleni ukuvuza. Kodwa kufanele nakanjani ukhulume nodokotela wakho ngaphambi kokusebenzisa noma yini efana nale.
Ukuzivocavoca kwe-Kegel ukuqinisa isinyi
Lokhu kungenye yezindlela zokuqala nebaluleke kakhulu zokwelapha lesi simo.Ama-Kegels ayizivivinyo eziqinisa imisipha engezansi kwephansi le-pelvic.
Cabanga ngale misipha njenge-hammock ebamba izitho zakho ze-pelvic. Futhi iyasiza ekulawuleni isinyi kanye namathumbu. Ngemva kokususwa kwe-prostate yakho, manje kufanele uthembele cishe ngokuphelele kule misipha. Yingakho lokhu kuzivocavoca kubaluleke kangaka.
Isexwayiso: Akukuhle ukwenza izivivinyo zeKegel ngokweqile. Uma wenza kanjalo, imisipha ingaba lukhuni kakhulu, okungaholela ezinkingeni ezifana nobuhlungu noma ukuqunjelwa. Ngakho-ke, kungcono ukwenza lezi zivivinyo ngaphansi kwesiqondiso sochwepheshe wezokwelapha ngokomzimba noma udokotela wakho .
Ngezinye izikhathi, odokotela bahlanganisa lokhu kuzivocavoca nokwelashwa okubizwa ngokuthi i-biofeedback, okukusiza ukuthi ubone futhi ulawule le misipha ngokunembe kakhudlwana.
Yimiphi imithi esetshenziswa kulokhu?
Uma une-'Urge Incontinence' (isidingo sokuchama ngokuzumayo), kunemithi engasiza. Eminye yale mithi ikhulula isinyi futhi yandise inani lomchamo esingawubamba. Udokotela wakho uzokuchazela ukuthi yimuphi umuthi ofanele wena kanye nemiphumela yawo emibi.
Okwamanje ayikho imithi ephumelelayo ye-'Stress Incontinence' (uhlobo lokuvuza komchamo lapho ukhwehlela noma uthimula).
Ingabe lesi simo singalapheka ngokuhlinzwa?
Yebo. Uma ukungakwazi ukuzibamba kwengcindezi kuqhubeka ngemva kwezinyanga eziyi-6 kuya kweziyi-12, udokotela wakho angase akuncome ukuthi uhlinzwe. Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa.
1. I-Urethral Sling: Lokhu kuhilela ukwenza i-incision encane endaweni ye-perineal phakathi kwe-scrotum yakho ne-anus nokusebenzisa into efana ne-synthetic mesh tape ukuphakamisa i-urethra. Lokhu kusebenza kahle kubantu abangakwazi ukuzibamba ngokucindezeleka okuncane kuya kokuphakathi.
2. I-Artificial Urinary Sphincter (AUS): Lokhu kusetshenziselwa abantu abanenkinga enkulu yokungakwazi ukuzibamba. Empeleni lokhu kuyithuluzi lokwenziwa elisebenza esikhundleni se-valve yakho engasebenzi kahle. Inezingxenye ezintathu:
- I-cuff efuthwayo ebekwe eduze kwe-urethra: Lokhu kugcina i-urethra ivaliwe futhi kuvimbele ukuvuza komchamo.
- Iphampu encane ngaphakathi kwe-scrotum: Yilokhu okuvula nokuvala ibhande.
- Ibhaluni elilawula ukucindezeleka kwangaphakathi kwesisu: Lokhu kugcina ukucindezeleka ohlelweni kungaguquguquki.
Ngemva kwalokhu kuhlinzwa, uma udinga ukuchama, kufanele ucindezele iphampu esinqeni sakho. Bese ibhande liyavuleka bese umchamo uphuma. Uma usuqedile ukuchama, ibhande liyavaleka ngokuzenzakalelayo futhi.
Kufanele ngimbone nini udokotela?
Uma unalezi zimpawu ngemva kokuhlinzwa kwe-prostate, qiniseka ukuthi ukhuluma nodokotela wakho.
Kungaba namahloni futhi kube nzima ukukhuluma ngalokhu. Kodwa awuwedwa. Abantu abaningi abenza lokhu kuhlinzwa badlula kulolu lwazi. Udokotela wakho ukhona ukukusiza. Ngakho-ke, esikhundleni sokuhlala ucabanga ngakho nokuhlupheka, mtshele ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukulahlekelwa ukulawula umchamo ngemva kokuhlinzwa kwe-prostate kuvamile futhi kuvame ukuba okwesikhashana.
- Kunezinhlobo ezimbili eziyinhloko: `Ukungakwazi ukuzibamba ngokucindezeleka` (ukuvuza komchamo lapho ukhwehlela, ukuphakamisa into esindayo) kanye `Ukungakwazi ukuzibamba ngokucindezela` (isidingo esiphuthumayo sokuchama).
- Ukuzivocavoca kwe-Kegel kuyindlela ebaluleke kakhulu yokwelapha, kodwa kumele kwenziwe ngendlela efanele futhi ngaphansi kweseluleko sikadokotela.
- Kunezindlela eziningi zokwelapha eziphumelela kakhulu kulokhu, okuhlanganisa ukuvivinya umzimba, imithi kanye nokuhlinzwa.
- Ungabi namahloni ngalokhu futhi ungahlupheki wedwa, kodwa qiniseka ukuthi ukhuluma nodokotela wakho futhi uthole iseluleko.
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