Ingabe ngezinye izikhathi uzizwa sengathi usenomchamo osele ngemva kokuchama? Noma kunzima kancane ukuqala ukuchama , noma kuthatha isikhathi? Mhlawumbe ingane yakho encane, yize manje isiqeqeshwe ukuya endlini yangasese, isamanzisa izingubo zayo emini? Lezi akuzona nje izinto ezenzekayo futhi akuzona izinto okufanele zibe namahloni ngazo. Lesi yisimo esichazwa ngokwezokwelapha abantu abaningi abanaso. Yilokhu esikhuluma ngakho namuhla.
Kuyini lokhu kungasebenzi kahle kwe-Non-Neurogenic Voiding?
Leli gama lesiNgisi lingase lizwakale liyesabisa kancane, kodwa empeleni lilula kakhulu. Ake silichaze.
- "Okungakhiqizi imizwa" kusho ukuthi akuhlobene nhlobo nohlelo lwezinzwa . Lokho kusho ukuthi akubangelwa yizinkinga zobuchopho bakho, umgogodla, noma imizwa.
- "Ukungasebenzi kahle komgudu womchamo" kubhekisela ebuthakathakeni enqubweni yokuchama .
Kalula nje, i-Non-Neurogenic Voiding Dysfunction iwukungakwazi ukukhipha ngokuphelele isinye sakho ngaphandle kwezinkinga ohlelweni lwezinzwa.
Lesi simo singavela kunoma ubani, kodwa sivame kakhulu ezinganeni eziphakathi kweminyaka engu-4 nengu-6 eziqeqeshwe ukuya endlini yangasese kanye nakwabesifazane abangaphezu kweminyaka engu-40. Kodwa-ke, singavela nakwabesilisa.
Ziyini izimpawu zalesi simo?
Lezi zimpawu azenzeki kubo bonke ngendlela efanayo. Abanye abantu bangase babe neyodwa noma ezimbili, kanti abanye bangase babe neziningana. Ake sibheke izimpawu eziyinhloko ezibonakala.
| Isibonakaliso | Incazelo elula |
|---|---|
| Izici ezivamile phakathi kwabantu abadala nezingane | |
| Ubunzima bokuqala ukuchama | Kufanele ulinde isikhashana ngemva kokuya endlini yangasese ukuze uchame. |
| Ukugeleza komchamo okubuthakathaka noma okungahleliwe | Umchamo awuphumi kakhulu, uphuma kancane kakhulu. Ngezinye izikhathi uhamba isikhashana, ume, bese uphinda uhambe isikhashana. |
| Ukuzikhandla noma ukukhama ukuze uchame | Umchamo uzophuma kuphela uma ucindezela imisipha yesisu sakho kanzima noma ucindezela isisu sakho esingezansi ngesandla sakho. |
| Ukuzwa kokukhipha isinye okungaphelele | Ngisho nangemva kokuchama kahle, uvame ukuzizwa sengathi kusele okuncane. |
| Ukuchama njalo | Ukudinga ukuchama izikhathi eziningi ngosuku kunokujwayelekile. |
| Ukukhuthaza ukungakwazi ukuzibamba (isidingo esiphuthumayo sokuchama) | Ngokungazelelwe uba nesifiso esinamandla sokuchama, kangangokuthi awukwazi ukulinda ukugijimela endlini yangasese. |
| Ukungakwazi ukuzibamba komchamo | Ngezinye izikhathi, uma uhleka, ukhwehlela, noma uphakamisa into esindayo, amaconsi ambalwa omchamo akhishwa ngengozi. |
| Ukuchama izikhathi eziningana ebusuku (i-Nocturia) | Ukuvuka ebusuku ukuze uchame izikhathi ezingaphezu kwesisodwa. |
| Ukuqunjelwa | Ukuqunjelwa kuvame ukubonakala kanye nalesi simo. |
| Izimpawu ezibonakala kakhulu ezinganeni ezincane | |
| Ukuchama ezingutsheni emini | Ngisho noma ingane iqeqeshwe ukuya endlini yangasese, isachamela ezingutsheni zayo ngenkathi idlala noma esikoleni. |
| Ukuzama ukuyeka ukuchama | Ingane iyeka ukudlala ngokuzumayo bese yenza izinto ezifana nokugoqa imilenze, ihlale phansi bese icindezela izithende zayo endaweni yesitho sangasese sowesifazane/se-scrotum. Lokhu kwenzelwa ukuvimba ukugeleza komchamo. |
Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?
Akukho sizathu esisodwa salokhu. Kungase kube nezizathu eziningana. Ngezinye izikhathi, izizathu eziningana ziyahlangana ukuze zibangele lesi simo.
- Ubuthakathaka bemisipha yesinye: Isinye sifana nesikhwama esenziwe ngemisipha. Uma le misipha ibuthakathaka, ilahlekelwa amandla okukhipha wonke umchamo.
- Ukuvaleka komgudu womchamo: Uma kukhona ukuvaleka endaweni ethile ohlelweni lapho umchamo ugeleza khona, isinyi ngeke siphume ngokuphelele.
- Isinyi esisebenza ngokweqile: Uma isinyi sesigcwele kancane, sithumela izimpawu ezingadingekile ebuchosheni zithi, "Ngidinga ukuchama manje."
- Isinye esingasebenzi kahle: Lokhu kuphambene nalokho. Isinye sigcwele kodwa asithumeli isignali ebuchosheni yokuthi sidinga ukuchama .
- Ukutheleleka komgudu womchamo (UTIs): Lezi zimpawu zingase zivele ngenxa yokutheleleka komgudu womchamo.
- Ukulawula isifiso sokuchama: Uma ubamba isikhathi eside kakhulu uma udinga ukuchama , ucabanga ukuthi, "Ngizohamba maduze," isinyi sakho singagcwala kakhulu futhi imisipha yakho ingaba buthakathaka.
- I-Benign Prostatic Hyperplasia: Njengoba amadoda ekhula, indlala ye-prostate ingakhula, okubangela ingcindezi ku-urethra kanye nokuvaleka komchamo.
- Umdlavuza we-prostate: Lokhu kungabangela nokuvaleka komgudu womchamo.
Into ebaluleke kakhulu ukubona udokotela bese ucela iseluleko uma unalezi zimpawu, kunokulinda ukuthi "lokhu kuzolunga ngokwakho. "
Uma lokhu kunganakwa, kungase kube nemiphumela emibi kakhulu.
Lesi akusona isifo esisongela ukuphila, kodwa uma singelashwa isikhathi eside, singaholela ezinkingeni ezithile.
- Ukutheleleka okuvamile komgudu womchamo (UTIs): Ngenxa yokuthi kuhlale kukhona umchamo osele esinyeni, amabhaktheriya angakhula kalula ngaphakathi kuso futhi abangele ukutheleleka.
- Amatshe ezinso noma esinyeni:Amaminerali asemchameni osele avame ukunqwabelana futhi akhe amatshe.
- Ukulimala kwezinso: Ezimweni ezimbi kakhulu, ingcindezi esinyeni inganda, okubangela ukuthi umchamo uphindele emuva ezinso, kulimaze izinso.
Ngaphezu kwalezi zinkinga zomzimba, kungaba nomthelela omkhulu ngokwengqondo . Ukuchama ngokungazikhetheli kungenza abantu bazizwe benamahloni futhi besaba ukuhlangana noma ukuchitha isikhathi nabangani. Lokhu kungaholela ezinkingeni zengqondo ezifana nokukhathazeka nokucindezeleka kwabanye abantu.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzolandela izinyathelo eziningana ukuze ahlole lesi simo ngokunembile.
1. Ukukubuza imininingwane: Bazokubuza imibuzo eminingi, njengokuthi yiziphi izimpawu zakho, ukuthi usunesikhathi esingakanani unazo, ukuthi uchama kangaki ngosuku, nokuthi uphuza amanzi angakanani.
2. Ukuhlolwa komzimba: Lokhu kungafaka phakathi ukuhlolwa kwesisu, ukuhlolwa kwesinqe kwabesifazane, kanye nokuhlolwa kwe-digital rectal kwabesilisa.
3. Ukukucela ukuthi ugcine idayari yesinye: Ungase ucelwe ukuthi ubhale phansi izinto ezifana nokuthi uphuza amanzi angakanani, ukuthi uchama nini, kanye nenani lomchamo odlula kuwo izinsuku ezimbalwa. Lokhu kungakunikeza umbono omuhle wendlela ochama ngayo.
Ngaphezu kwalokho, kungenziwa ezinye izivivinyo eziningana ukuthola imbangela eqondile.
| Ukuhlolwa | Mane nje wenze lokhu... |
|---|---|
| Ukuhlolwa komchamo | Kuthathwa isampula yomchamo ukuze kuhlolwe ukuthi awunalo yini ukutheleleka. |
| Ukuskena nge-ultrasound | Uma usuqedile ukuchama, ihlola ukuthi kusele umchamo ongakanani esinyeni. Ingahlola nesimo sezinso. |
| Ukuhlolwa kwe-PSA | Ukuhlolwa kwegazi kwabesilisa. Lokhu kwenziwa uma kukhona okusolwayo ngenkinga ye-prostate. |
| Ukuhlolwa kwe-Urodynamic | Ukuhlolwa okukhethekile okulinganisa ukuthi isinye singabamba umchamo ongakanani nokuthi imisipha isebenza kanjani. |
| I-Cystoscopy | Ipayipi elincane kakhulu elinekhamera enamathiselwe lidluliselwa e-urethra ukuze kubonakale ngqo ukuthi kukhona yini inkinga ngaphakathi kwesinye. |
Yiziphi izindlela zokwelapha lokhu?
Into engcono kakhulu ukuthi kube nokwelashwa okusebenzayo kwalokhu. Udokotela wakho uzonquma ukwelashwa ngokusekelwe embangeni yezimpawu zakho.
Ukuqeqeshwa kwesinye
Lokhu kufana nokufundisa isinyi sakho ukusebenza ngesikhathi. Ngisho noma ungazizwa udinga ukuchama, kufanele uye endlini yangasese ngesheduli enikezwe udokotela wakho (isib. njalo emahoreni ama-2). Lokhu kuzovimbela isinyi sakho ukuthi singagcwali kakhulu.
Ukwelashwa phansi kwe-pelvic
Lokhu kwelashwa kungenziwa ngaphansi kokuqondiswa udokotela we-physiotherapist. Bazokufundisa ukuthi ungayiphumuza kanjani kahle imisipha yephansi le-pelvic uma uchama. Ungaqinisa futhi le misipha ngezinto ezifana nokuzivocavoca kwe-Kegel nokulawula ukuvuza komchamo okungahleliwe.
Imithi
Kunezinhlobo ezahlukene zemithi engasetshenziswa ukukhulula imisipha yesinye, noma ukuyivimba ukuthi ingavuvukali ngokungadingekile. Ama-alpha-blockers kanye nama-antispasmodics omchamo yizinhlobo ezimbili zemithi enjalo. Le mithi kufanele ithathwe kuphela ngeseluleko sikadokotela.
Ezinye izindlela zokwelapha ezithile
Uma ukwelashwa okungenhla kungaphumeleli, udokotela angase asikisele okunye ukwelashwa.
- Imijovo ye-Botulinum toxin (Botox®): Lo mjovo unikezwa ukuze kuphumule imisipha yesinye.
- Ukuvuselelwa kwemizwa: Ngezinye izikhathi kuthunyelwa izimpawu zikagesi ezincane ukuze kukhuthazwe imizwa elawula ukusebenza kwesinyi.
- Ukuzithutha: Indlela yokukhipha umchamo ngokufaka ipayipi elihlanzekile (i-catheter) esinyeni izikhathi eziningana ngosuku lapho esinyeni singakwazi ukuzithulula. Udokotela noma umhlengikazi uzokufundisa ukuthi ungakwenza kanjani lokhu.
- Ukuhlinzwa: Lokhu kwenziwa kaningi kakhulu. Uma kungekho okunye ukwelashwa okuphumelelayo, ukuhlinzwa kokukhulisa isinyi (i-Cystoplasty) kungenziwa.Kungenziwa.
Yini esingayenza ukuze sigweme lesi simo?
Ukwenza izinguquko ezithile endleleni yokuphila kanye nokudla kungasiza ekuvimbeleni lesi simo ukuthi singenzeki futhi kusize nasekulawuleni izimpawu.
- Nciphisa ukudla neziphuzo ezicasula isinyi: Izinto ezifana nekhofi, itiye, utshwala, izithelo ze-citrus (amawolintshi, ama-tangerine), kanye nokudla okubabayo kungavuselela isinyi. Zama ukunciphisa lokhu kancane.
- Yidla ukudla okune-fiber eningi: Ukuqunjelwa kuyimbangela enkulu yalesi simo. Ngakho-ke, engeza ukudla okune-fiber eningi njengemifino eluhlaza, imifino, izithelo, kanye nokusanhlamvu okuphelele (ubhontshisi, i-oats, ubhontshisi) ekudleni kwakho.
- Gcina isisindo esinempilo: Njengoba isisindo somzimba sanda, ingcindezi esiswini iyanda, okufaka ingcindezi esinyeni. Lokhu kungaholela ekuvuza komchamo okungahlosiwe.
- Gwema ukubhema: I-Nicotine, ikhemikhali etholakala kugwayi, ikhulula imisipha yesinye. Futhi, ukukhwehlela okungapheli okubangelwa ababhemayo kungacindezela esinyeni.
Umlayezo Wokuya Nawe Ekhaya
- Ubunzima bokuchama buyinkinga abantu abaningi abanayo kodwa banamahloni okukhuluma ngayo. Kodwa akuyona into okufanele ibe namahloni ngayo.
- Lezi zimpawu azibangelwa yinoma iyiphi inkinga ohlelweni lwezinzwa.
- Uma lesi simo singanakwa, izinkinga ezifana nokutheleleka njalo komgudu womchamo zingavela.
- Uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, qiniseka ukuthi ubona udokotela.
- Lesi simo singaphathwa ngempumelelo enkulu ngokushintsha indlela yokuphila elula kanye nokwelashwa okufanele.
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