Ingabe nawe ukuthola kunzima ukuchama kahle? Ake sifunde nge-Non-Neurogenic Voiding Dysfunction - Nirogi Lanka

Ingabe ngezinye izikhathi uzizwa sengathi ukugeleza komchamo wakho kuyanqikaza noma kuvinjiwe uma uzama ukuya? Noma mhlawumbe, ngisho nangemva kokuqeda, usenawo lowo muzwa ohlala isikhathi eside wokuthi isinyi sakho asikaphumi ngokuphelele? Ungase uzwe nokuvuza komchamo okungalindelekile. Sicela wazi ukuthi awuwedwa—lezi zinkinga zivame kakhulu. Namuhla, eNirogi Lanka, sifuna ukukhuluma ngalezi zinkinga zokuphuma komlomo ezivela ngaphandle kwezinkinga zezinzwa . Ngokwezokwelapha, sibhekisela kulokhu njengokungasebenzi kahle kokuphuma komlomo okungeyona i-Neurogenic .

Kuyini Ukungasebenzi Kahle Kokuvotela Okungeyona I-Neurogenic?

Kalula nje, lesi simo sisho ukuthi isinye sakho asikwazi ukukhipha ngokuphelele. Igama elithi "okungeyona i-neurogenic" libonisa ukuthi lokhu akubangelwa yizinkinga zesimiso sakho sezinzwa—njengobuchopho bakho, umgogodla, noma imizwa. "Ukungasebenzi kahle komgudu womchamo" kubhekisela ekuphazamisekeni kwenqubo evamile yokuchama.

Lokhu kungathinta noma ubani. Kuvame ukubangelwa imisipha yesinyi ebuthakathaka, ukuvaleka kwendlela yomchamo, noma imikhuba yokuziphatha yesikhathi eside. Kodwa-ke, eNirogi Lanka , sibona lokhu kaningi ezinganeni ezincane ezineminyaka engu-4-6 eziqeqeshwa endlini yangasese kanye nabesifazane abaneminyaka engaphezu kuka-40 . Cabanga ngalokhu: cishe ingane eyodwa kwezinhlanu ezineminyaka engu-4-6 ihlangabezana nezimpawu zomchamo emini ngenxa yalesi simo. Ngaphezu kwalokho, abesifazane abangaphezu kuka-6% abangaphezu kweminyaka engu-40 bathinteka yiso.

Yiziphi Izimpawu Zokungasebenzi Kahle Kokuvoca Okungeyona I-Neurogenic Voiding?

Zinike isikhashana ukuze ubone ukuthi uzibona yini unezinye zalezi zimpawu:

• Ingabe unenkinga yokuqala ukuchama noma uzithola ucindezeleka ukuze uchame?
• Ingabe umchamo wakho ubuthakathaka, noma uqala futhi ume ngokuphindaphindiwe?
• Ingabe udinga ukusunduza usebenzisa imisipha yesisu sakho noma ukucindezela isisu sakho esingezansi ukuze usize ukukhipha isisu sakho?
• Uzizwa sengathi isinyi sakho asikaphumi ngokuphelele ngemva kokuqeda?
• Ingabe unesifo sokuqunjelwa ? (Lokhu kuvame ukuhlotshaniswa kakhulu.)
• Ingabe uchama kaningi noma kancane kunokujwayelekile?
• Ingabe uhlangabezana nokuvuza komchamo ngengozi (ukungakwazi ukuzibamba)?
• Ingabe unesifiso sokuchama esiphuthumayo nesinamandla (ukukhuthaza ukungakwazi ukuzibamba)?
• Ingabe kufanele uvuke izikhathi ezingaphezu kwesisodwa ebusuku ukuze uchame (i-nocturia)?

Izimpawu Ezithile Ezinganeni:

Uma ingane yakho ibhekene nalokhu, ungase uqaphele lezi zindlela ezilandelayo zokuziphatha:

• Ukuchama embhedeni emini noma izingozi (ngisho nangemva kokuqeqeshwa ukuya endlini yangasese).
• Izindlela "zokubamba" zokulibazisa ukuchama, njenge:
• Beqa imilenze yabo ngokuqinile.
• Ukuquleka noma ukugoba.
• Ukucindezela izithende noma izandla zabo endaweni yezinqe zabo.

Uma ubona ingane yakho yenza lezi zinto, sicela uxhumane nochwepheshe wezempilo eNirogi Lanka.

Yini Ebangela Lesi Simo?

Kunezici eziningana ezingaholela kule nkinga:

• Imisipha yesinye ebuthakathaka.
• Ukuvinjelwa noma ukuvaleka kwendlela yomchamo.
• Isinyi esisebenza ngokweqile (i-OAB).
• Isinyi esingasebenzi kahle (lapho ungezwa khona isifiso sokuchama kuze kube yilapho isinyi sesigcwele kakhulu).
• Ukuqunjelwa (isici esibalulekile esibangela).
• Ukutheleleka Kwendlela Yomchamo (UTIs).
• Ukuhlala uphuza umchamo kuze kube yilapho isinyi sigcwele ubuhlungu.
• Kwabesilisa, i-prostate ekhulisiwe (i-Benign Prostatic Hyperplasia - i-BPH).
• Umdlavuza we-prostate.

Ezinganeni, isimo esibizwa ngokuthi "i-Dysfunctional Elimination Syndrome" singaba imbangela, lapho imisipha yesinye kanye nephansi le-pelvic kungahambisani kahle.

Yiziphi Izinkinga Ezingavela?

Uma isinye sakho singaphumi ngokuphelele, umchamo osele ungagcina amagciwane, okuholela ezifweni ezifana ne-UTI. Ungase ube sengozini enkulu yamatshe ezinso noma amatshe esinyeni. Uma kungelashwa, lokhu kungaqhubekela ekulimaleni kwezinso okungenzeka.

Okubaluleke kakhulu, izinkinga zokuchama nazo zingathinta ngokomzwelo. Iziguli eziningi zizizwa zinamahloni noma zikhathazekile ngenxa yokulahlekelwa ukuzithiba. Uma lezi zimpawu ziphazamisa impilo yakho yansuku zonke, ungase uzizwe njengomthwalo kwabanye noma uyeke imisebenzi yomphakathi. Lokhu kuzihlukanisa kungagcina kuholele ekukhathazekeni okukhulu njengokukhathazeka nokucindezeleka.

Odokotela Bakuthola Kanjani Lokhu?

KwaNirogi Lanka, ochwepheshe bethu bangahlonza ngokunembile ukungasebenzi kahle kokuphuma kwegazi okungeyona i-neurogenic. Sizobuyekeza umlando wakho wezokwelapha futhi senze ukuhlolwa okujulile komzimba. Kwezinye izimo, singase senze ukuhlolwa kwe-pelvic kwabesifazane noma ukuhlolwa kwe-digital rectal kwabesilisa.

Ngaphezu kwalokho, udokotela wakho angakucela ukuthi ugcine "idayari yesinye" ukuze ulandelele:

• Uphuza amanzi angakanani nsuku zonke?
• Uchama nini?
• Ukhipha umchamo ongakanani ngesikhathi esisodwa?
• Umchamo uvuza nini futhi kanjani ngokungahlosile?

Ngalolu lwazi, udokotela wakho angenza izivivinyo ezimbalwa ezengeziwe ukuqinisekisa ukuxilongwa.

Yiziphi izivivinyo ezenziwayo?

Udokotela wakho angenza ukuhlolwa okulandelayo okukodwa noma ngaphezulu:

• Ukuhlolwa kwe-Prostate-specific antigen (PSA): Lokhu ukuhlolwa kwegazi ukuhlola ukuthi amazinga e-PSA aphakeme yini. Amazinga aphezulu angase abonise inkinga engaba khona nge-prostate gland.
• Ukuhlolwa komchamo: Lokhu kusiza ekunqumeni ukuthi unesifo somgudu womchamo (UTI).
• I-Ultrasound: Lokhu kuhlolwa kulinganisa ukuthi kusele umchamo ongakanani esinyeni sakho ngemva kokuqeda ukuchama. Kungahlola nokuthi lesi simo sithinta izinso zakho yini.
• Ukuhlolwa kwe-Urodynamic: Lokhu kuhlolwa kulinganisa ukuthi ingakanani umchamo isinye sakho esingawubamba nokuthi imisipha yesinye sakho, i-urethra, kanye nephansi le-pelvic isebenza kahle kangakanani.
• I-Cystoscopy: Phakathi nale nqubo, udokotela ufaka ipayipi elincane neliguquguqukayo elinekhamera e-urethra yakho ukuze ahlole esinyeni kanye nomgudu womchamo ukuze athole noma yikuphi ukukhathazeka.

Ezinganeni, lezi zivivinyo zivame ukungaphazamisi kakhulu. Udokotela wakho angase asikisele ukuthi ugcine idayari yesinye, kanye nokuhlolwa kwegazi okuyisisekelo, ukuhlolwa komchamo, i-ultrasound, kanye nokuhlolwa kwe-urodynamic okungenzeka kube nokukhetha.

Iphathwa kanjani? (Nirogi Lanka)

Ukwelashwa kokungasebenzi kahle kokuphuma kwegazi okungeyona i-neurogenic kuyahlukahluka kuye ngembangela eyinhloko futhi kungafaka:

1. Ukuqeqeshwa kwesinyi

Ungaqeqesha imisipha yesinye sakho ukubamba umchamo isikhathi eside. Lokhu kuhilela ukuya endlini yokugezela ngezikhathi ezihleliwe usuku lonke, noma ngabe awuzizwa unesifiso. Lokhu kuvimbela isinye ukuthi singagcwali ngokweqile. Uchwepheshe wezokwelapha ngokomzimba ochwepheshe bezempilo yephansi le-pelvic angakusiza ngale nqubo.

2. Ukwelashwa phansi kwe-pelvic

Uchwepheshe wezokwelapha ngokomzimba angakufundisa ukuthi ungayiphumuza kanjani imisipha yakho yaphansi kwe-pelvic ukuze kube lula ukuchama. Bangase basebenzise izinzwa ze-biofeedback endaweni yesitho sangasese sowesifazane noma se-rectal ukuqinisekisa ukuthi ubamba imisipha efanele.

Bazokufundisa nokuzivocavoca kwe-Kegel ukuqinisa phansi kwe-pelvic yakho. Imisipha eqinile isiza ekuvimbeleni ukungakwazi ukuzibamba komchamo kanye nesifiso esinamandla sokuchama ngokuzumayo.

3. Imithi

Imithi ethile ingasiza ekuphatheni izinkinga zomchamo, njenge:

• Ama-Alpha-blockers, njenge-tamsulosin (Flomax®).
• Ama-antispasmodics omchamo, njenge-oxybutynin (Ditropan®) kanye ne-tolterodine (Detrol®).

4. Ubuthi be-Botulinum

Udokotela wakho angase afake i-Botulinum toxin (Botox®) esinyeni sakho. Lokhu kukhulula imisipha yesinye futhi kusize ekunciphiseni isifiso sokuchama ngokuzumayo (ukukhuthaza ukungakwazi ukuzibamba).

5. Ukukhuthazwa kwemizwa ye-percutaneous tibial (PTNS)

Ngezinye izikhathi isinyi sidinga "ukukhushulwa" ukuze sivuselele imizwa. Ku-PTNS, udokotela ubeka i-electrode eduze kwe-tibial nerve eqakaleni lakho. Izimpawu zikagesi ezithambile zithunyelwa nge-electrode, ehamba iye emithanjeni ye-sacral e-pelvis. Lokhu kulungisa izimpawu ezingavamile ezibangela ukungasebenzi kahle kwesinyi, kukusiza ukuthi uphinde uthole ukulawula.

6. Ukuvuselelwa kwemizwa ye-Sacral

Kule nqubo, udokotela ohlinzayo ubeka i-electrode ngaphansi kwesikhumba eduze kwezinqe zakho. I-probe encane ithumela ama-electron athambile emthanjeni we-sacral ukusiza ukuvuselela nokuxhumanisa imisipha yesinye.

7. Ukuzihlikihla nge-catheter

Udokotela wakho angakufundisa ukuthi ungasebenzisa kanjani i-catheter yomchamo ukuze ukhiphe isinye sakho ngezikhathi ezihleliwe.

8. Ukuhlinzwa

Uma ezinye izindlela zokwelapha zingasebenzi, udokotela wakho angase akuncomele ukuhlinzwa kokukhulisa isinyi (cystoplasty) ukuze kwandiswe ubukhulu besinyi sakho, okusivumela ukuthi sibambe umchamo omningi.

Ukwelashwa kokuqala kwe-Non-neurological Overactive Isinyi

Ukwelashwa kokuqala ngokuvamile kufaka phakathi:

• Ukunciphisa izinto ezicasula esinyeni (itiye, ikhofi, utshwala, ukudla/iziphuzo ezibabayo noma ezine-asidi ephezulu).
• Ukuqeqeshwa kwesinye.

Uma lezi zinguquko zokuziphatha zinganele, udokotela wakho angase ancome imithi ngokusekelwe kohlobo oluthile lokungasebenzi kahle kwakho:

• Imithi yokulwa ne-cholinergic
• Ama-blocker e-Alpha
• Ama-agonist e-Beta 3 receptor

Lesi simo selashwa kanjani ezinganeni?

Ukuze belaphe isinyi esisebenza ngokweqile ezinganeni, ochwepheshe bezokwelapha bangasebenzisa ama-alpha-blockers kanye nemithi yokulwa ne-cholinergic. Ezinye izingane ziyazuza ngokufunda ukuzivocavoca phansi kwe-pelvic.

Udokotela wakho angase futhi akuncome ukuqeqeshwa kwesinyi. Lokhu kuhlanganisa nokukhuthaza ingane yakho ukuba isebenzise indlu yangasese ngezikhathi ezihleliwe kanye nokuyifundisa ukuma kahle ngenkathi ihleli endlini yangasese.

Uzozizwa ungcono isikhathi esingakanani ngemva kokwelashwa?

Isikhathi sokululama sincike ekwelashweni okuthile. Ukuqeqeshwa kwesinyi kanye nokwelashwa phansi kwe-pelvic kungase kuqale ukukhombisa imiphumela emavikini ambalwa noma ezinyangeni ezimbalwa. Ukuvuselelwa kwemizwa ngokuvamile kuqala ukusebenza emavikini ambalwa, kuyilapho imithi kufanele iqale ukukhombisa imiphumela zingakapheli izinsuku noma amasonto. Udokotela wakho uzokunikeza isikhathi esicacile ngokusekelwe esimweni sakho esithile.

Kufanele ubonane nini nodokotela?

Sicela uthintane nochwepheshe wezempilo ngokushesha nje lapho ubona izimpawu ezilandelayo:

• Ukungakwazi ukuchama isikhathi eside.
• Izinguquko emchameni wakho, njengephunga elinamandla, ukufiphala, noma igazi emchameni (i-hematuria).
• Ubuhlungu noma ukushisa ngesikhathi sokuchama (i-dysuria).
• Izimpawu eziqhubekayo zokuqunjelwa.
• Izimpawu zokutheleleka, okuhlanganisa umkhuhlane, ukubanda, noma ikhanda elibuhlungu elingapheli.

Uma uhlangana nodokotela wakho, ungase ufune ukubuza le mibuzo:

• Kutholakale kanjani ukungasebenzi kahle kwami ​​​​kokuphuma kwegazi okungeyona i-neurogenic?
• Iyini imbangela eyinhloko yalesi simo?
• Iyiphi indlela yokwelashwa ongincomayo?
• Yimiphi imiphumela emibi engaba khona yalokhu kwelashwa?
• Kuzothatha isikhathi esingakanani ukubona imiphumela yalokhu kwelashwa?
• Yiziphi izinguquko zendlela yokuphila engingayenza ukuze nginciphise lezi zimpawu?
• Yiziphi izinkinga okufanele ngiziqaphele?
• Ingabe kufanele ngithunyelwe kudokotela wezifo zomchamo?

Ingabe lokhu kungavinjelwa?

Ukwenza izinguquko ezithile zendlela yokuphila kanye nokudla kungakusiza ukuphatha noma ukuvimbela ukungasebenzi kahle kwe-Non-neurogenic voiding:

• Nciphisa izinto ezicasula esinyeni: I-caffeine (ikhofi, itiye), izithelo ze-citrus, ukudla okubabayo, kanye notshwala kungacasula esinyeni futhi kubhebhethekise izinkinga zomchamo.
• Khulisa ukudla i-fiber: Ukuqunjelwa kungabangela noma kubhebhethekise lesi simo. Faka ukudla okufana nobhontshisi, izithelo, imifino, kanye nokusanhlamvu okuphelele (ama-oats, irayisi elinsundu, i-pasta kakolweni ophelele) ekudleni kwakho. Nakuba imithi yokuhlanza ingasiza, khuluma nodokotela njalo ngaphambi kokuyisebenzisa, ikakhulukazi ezinganeni.
• Gcina isisindo esinempilo: Uma i-BMI yakho ingaphezu kuka-25, isisindo esengeziwe singacindezela esinyeni sakho, okungase kuholele ekuvuza komchamo.
• Yeka ukubhema: I-Nicotine ingacasula imisipha yesinye. Ngaphezu kwalokho, ababhemayo bathambekele kakhulu ekukhwehleleni okungapheli, okwandisa ukucindezeleka kwesisu esinyeni.

Yini ongayilindela uma unenkinga yokungasebenzi kahle kwe-voiding okungeyona i-neurogenic?

Umbono walabo abanalesi simo ngokuvamile muhle. Ngokwelashwa okufanele, abantu abaningi baphinde balawule isinyi sabo. Ukuhlinzwa okufana ne-cystoplasty akuvamile kakhulu.

Uyini umehluko phakathi kokungasebenzi kahle kwe-Non-neurogenic kanye ne-Neurogenic Voiding?

Ukungasebenzi kahle kokuphuma kwegazi ngenxa ye-neurogenic (isinyi se-neurogenic) kubhekisela ezimweni ezibangelwa ukulimala kwesistimu yezinzwa, njengezinkinga zobuchopho, imizwa, noma umgogodla ezivimbela ukulawulwa okufanele kwesinyi.

Ngokuphambene nalokho, ukungasebenzi kahle kwe-Non-neurogenic voiding esixoxa ngakho akuhlobene nanoma yisiphi isimo sezinzwa esiyisisekelo.

Umyalezo obalulekile ovela eNirogi Lanka: Ukungasebenzi kahle kokuphuma kwegazi okungeyona i-neurogenic kungathinta kakhulu izingane kanye nabantu abadala. Kungokwemvelo ukuzizwa unamahloni noma ukhathazekile, futhi ukwesaba ingozi kungakuholela ekuhoxeni emisebenzini yakho yansuku zonke. Sicela ukhumbule, akudingeki uvumele lesi simo sehlise izinga lempilo yakho. Uma wena noma othandekayo wakho nihlangabezana nalezi zimpawu, sicela uxhumane nodokotela. Bakhona ukukusiza ukuthi uthole imbangela futhi uthole uhlelo lokwelapha olusebenzayo.

Isifinyezo: Umyalezo Wokuya Nawe Ekhaya

Sithemba ukuthi lokhu kubuyekezwa kokungasebenzi kahle kwe-Non-neurogenic voiding kube usizo. Kubalulekile ukukhumbula ukuthi lokhu akubangelwa ukulimala kwezinzwa. Kungase kubangelwe ubuthakathaka bemisipha yesinye, ukuvinjelwa komgudu womchamo, imikhuba emibi, noma ukuqunjelwa.

• Izimpawu: Ubunzima bokuchama, ukugeleza komchamo obuthakathaka, ukuphuma kwegazi okungaphelele kwesinye, ukuvuza okungahleliwe, noma izingozi zasemini ezinganeni.
• Ukuxilongwa: Ukuhlolwa kwezokwelapha, idayari yesinyi, i-ultrasound, kanye nokuhlolwa kwe-urodynamic.
• Ukwelashwa: Ukuguqulwa kwendlela yokuphila, ukuqeqeshwa kwesinye, ukuvivinya umzimba phansi kwe-pelvic, imithi, kanye nezinye izindlela zokwelapha ezikhethekile.
• Okubalulekile: Uma unezimpawu, ungabi namahloni—funa iseluleko sochwepheshe bezokwelapha. Ukwelashwa kusenesikhathi kusiza ukuvimbela izinkinga zesikhathi eside.

Uma uneminye imibuzo, sicela ungangabazi ukubuza udokotela wakho. Hlala uphilile nge-Nirogi Lanka!

Amagama abalulekile: Ukungasebenzi kahle kokuphuma komoya ngaphandle kwe-neurological, ubunzima bokuphuma komoya womchamo, impilo yesinye, izifo zomgudu womchamo, ukuqunjelwa, izinkinga zomchamo zezingane, ukungakwazi ukuzibamba komchamo, ukusebenza kwesinye ngokweqile, ukuqeqeshwa kwesinye.