Ingabe uvuza umchamo omncane ungaqapheli? Ingabe lokho kusho ukuthi isinyi sakho sigcwele? Ake sixoxe ngokungakwazi ukuzibamba ngokweqile!

Ingabe ngezinye izikhathi uzizwa sengathi uvuza amaconsi ambalwa omchamo ngengozi ezingutsheni zakho? Noma uzizwa sengathi usanda kuqeda ukuchama ? Lokhu kungaba yinkinga encane. Kodwa kungenzeka futhi lapho isinye sakho somchamo sigcwele kakhulu ukuba singabamba omunye umchamo. Namuhla, sizokhuluma ngesimo esibizwa ngokuthi "i-Overflow Incontinence".

Kuyini lokhu "Ukungakwazi ukuzibamba ngokweqile"?

Kalula nje, ukungalawuleki kokuzibamba kwenzeka lapho isinyi sakho sigcwele kangangokuthi awukwazi ukusilawula futhi umchamo othile uvuza. Kufana nethangi lamanzi elichichimayo uma ulicima. Lokhu kungenzeka uma kufanele uchame njalo, kodwa awukwazi njalo ukukhipha isinyi sakho ngokuphelele.

Abantu abaningi bacabanga ukuthi kuyinto evamile ukuvuza umchamo omncane njengoba ukhula. Yiqiniso, ingozi yalesi simo inganda njengoba ukhula. Kodwa akuyona into eyenzeka kuwo wonke umuntu. Lesi simo, esibizwa ngokuthi "i-Overflow Incontinence", singenzeka kunoma ubani.

Kuvamile ukuzizwa unamahloni, uthukuthele, noma ukhungathekile ngalokhu. Kodwa awufuni ukuthi lesi simo siphazamise impilo yakho yansuku zonke. Into ebaluleke kakhulu ukukhuluma nodokotela ngaso, uthole imbangela eqondile, bese uthola ukwelashwa okudingekayo. Ungase ukwazi ukuthola usizo ngemithi yemvelo, imithi, noma ezinye izindlela zokwelapha ukusiza ukulawula lesi simo.

Zikhona yini ezinye izinhlobo zokungakwazi ukuzibamba umchamo?

Yebo, "Ukungakwazi ukuzibamba ngokweqile" uhlobo olulodwa nje lokungakwazi ukuzibamba umchamo. Kuyivelakancane kancane. Kunezinhlobo ezivame kakhulu:

• Ukungakwazi ukuzibamba: Lokhu kwenzeka lapho kulahleka inani elincane lomchamo uma kunengcindezi esiswini, njengalapho uhleka, ukhwehlela, noma uthimula.
• `(Khuthaza Ukungakwazi Ukuzibamba)`: Lokhu kwenzeka lapho ngokuzumayo uba nesifiso esinamandla sokuchama , bese ulahlekelwa umchamo ngaphambi kokuthi ungene endlini yangasese.
• `(Ukungakwazi ukuzibamba okuxubile)`: Lokhu kungaba nezimpawu `(Ukungakwazi ukuzibamba okuxineneyo)` kanye `(Ukungakwazi ukuzibamba okunxushunxushu)` okukhulunywe ngakho ngenhla.

Cabanga nje, bangaki kithi eSri Lanka abanale nkinga? Ezinye izifundo zisikisela ukuthi cishe umuntu oyedwa kwabathathu eMelika unesimo esithile sokungakwazi ukuzibamba . Kulaba, cishe u-5% kuphela onokungakwazi ukuzibamba ngokweqile.

Ziyini izimpawu zalokhu?

Uma usola ukuthi une-Overflow Incontinence, qaphela lezi zimpawu:

• Umchamo uhlala uconsa ezingutsheni zakho, njengamanzi aconsa empompini ongavaliwe kahle.
• Isidingo sokuchama njalo , kodwa kuphuma inani elincane lomchamo .
• Ubunzima bokuqala ukuchama .
• Uma uchama , kuyayeka futhi akuqhubeki njalo.
• Ngisho noma ucabanga ukuthi usuqedile ukuchama , usazizwa sengathi kukhona umchamo esinyeni sakho.

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukukhuluma nodokotela ngakho.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Imbangela eyinhloko yokungakwazi ukuzibamba ngokweqile ukugcinwa komchamo isikhathi eside. Lokhu kusho ukuthi isinye asisilo singenalutho ngokuphelele. Isinye siyisitho esibaluleke kakhulu ohlelweni lwethu lomchamo. Kunezizathu eziningana zokuthi kungani lesi sinye singagcwala:

• Ukwanda kokukhiqizwa komchamo : Lokhu kungenzeka kubantu abanezifo ezithile, njengesifo sikashukela, noma labo abaphuza imithi ebenza bachame kakhulu, njengemithi yokukhipha isisu.
• Ukuvaleka kokuphuma kwesinye : Lokhu kuvimbela isinye ukuthi singaphumi ngokuphelele.
• Ubuthakathaka bemisipha yesinye noma ukulimala kwemizwa: Lokhu kubangela ukuthi isinye singakwazi ukufinyela kahle futhi sikhiphe umchamo .

Ubani osengozini enkulu?

Amadoda, ikakhulukazi lawo anezinkinga ze-prostate, anamathuba amaningi okuthi athole ukungakwazi ukuzibamba ngemva kokuhlinzwa kwe-prostate. Izimo ezifana ne-benign prostatic hyperplasia (BPH) noma umdlavuza we-prostate zingabangela ukuthi i-urethra ivaleke, okuholela ekutheni umchamo omncane udlule kuyo.

Ngemva kokuhlinzwa kwe-prostate ngenxa yomdlavuza we-prostate, noma ngemva kokwelashwa ngemisebe, noma ngemva kokuhlinzwa kwe-urethra, izicubu zesibazi ngezinye izikhathi zingakheka. Lezi zicubu zesibazi zingabangela ukuthi i-urethra ibe mncane (i-urethral stricture). Uma lokhu kwenzeka, isinye asikwazi ukuphuma ngokuphelele, ngakho-ke siyaphinda sigcwale ngokushesha. Uma sigcwala, umchamo uyavuza.

Ngaphezu kwalokho, usengozini enkulu yokuthola i-Overflow Incontinence uma unalezi zimo:

• Isifo sikashukela
• Ukulimala kwemizwa
• Ukulimala komgogodla

Udokotela ukubona kanjani lokhu?

Uma unezimpawu zokungakwazi ukuzibamba ngokweqile, kubalulekile ukubona udokotela. Uzobuza ngomlando wempilo yakho, abuze ngezimpawu zakho, futhi enze ukuhlolwa ngokomzimba. Lokhu kuhlolwa ngokomzimba kungafaka ukuhlolwa kwe-pelvic uma ungowesifazane, noma ukuhlolwa kwe-digital rectal (ukuhlola i-prostate yakho) uma ungowesilisa.

Ukuze kutholakale ukuthi unesifo esingakanani, udokotela wakho angakucela ukuthi ugcine "idayari yesinye" izinsuku ezimbili kuya kwezintathu. Kule dayari, kufanele ubhale:

• Uphuzani?
• Uphuza malini?
• Uchama kangaki?
• Uvuza kangaki umchamo ?
• Ingakanani umchamo ovuzayo?

Kanye nalezi zinto, udokotela angase ancome nezinye izivivinyo eziningana.

Yiziphi izivivinyo ezenziwayo?

Ukuze uthole ukuthi une-"Overflow Incontinence" yini ngempela, ungenza lezi zivivinyo ezilandelayo:

• Ukuhlolwa komchamo: Kuthathwa isampula yomchamo kuwe bese kuhlolwa izifo zomgudu womchamo (UTIs) kanye negazi emchameni (hematuria).
• I-ultrasound yesisu: Lokhu kusebenzisa amaza omsindo avame kakhulu ukuthatha izithombe ezinemininingwane zesinye sakho, izinso, nezinye izitho esiswini sakho. Kungabuye kuhlole ukuthi kusele umchamo ongakanani esinyeni sakho ngemva kokuchama .
• I-Cystoscopy: Kulokhu, kufakwa ipayipi elincane, elikhanyayo elinekhamera enamathiselwe (i-cystoscope) nge-urethra yakho iye esinyeni sakho ukuze kuhlolwe uhlelo lwakho lomchamo.
• I-Voiding Cystogram (VCUG): Kulesi sivivinyo , i-catheter yomchamo ifakwa nge-urethra yakho iye kwesinye, kufakwe into ekhethekile (idayi yokungafani) ngayo, bese kuthathwa izithombe ze-X-ray. Le nto ivumela udokotela ukuthi abone ukuthi isinye sakho sibukeka kanjani uma sigcwala futhi siphuma.
• Ukuhlolwa kwe-Urodynamic: Lolu uchungechunge lwezivivinyo ezihlola ukuthi isinyi sakho nezinye izingxenye zesistimu yakho yomchamo zibamba futhi zikhipha umchamo kahle kangakanani. Lokhu kungafaka ukuhlolwa komchamo osele ngemuva kokungasebenzi, okulinganisa inani lomchamo osele esinyeni sakho ngemva kokuchama .

Lokhu kulawulwa kanjani futhi yiziphi izindlela zokwelapha?

Ukwelashwa kokungakwazi ukuzibamba ngokweqile kuncike embangela eqondile. Ngezinye izikhathi ungakwazi ukubhekana nalesi simo ngokwemvelo.

Izinto ongazenza ngokwemvelo:

• Ukuqeqeshwa kwesinyi noma ukuhlanza ngesisu okuhleliwe:Lokhu kuhilela ukuya endlini yangasese ngezikhathi ezibekiwe usuku lonke (isibonelo, njalo emahoreni amabili kuya kwamathathu) ukuze uyochama . Umgomo uwukukhipha konke okusesinyeni sakho ngaphambi kokuba sigcwale, noma ngabe awuzizwa unesifiso sokuchama .
• Ukuchama kabili: Kulokhu, ngemva kokuqeda ukuchama kanye, ulinda isikhashana ngaphambi kokuzama ukuchama futhi. Noma, uzama ukukhipha ngokuphelele isinye sakho ngokuzikhandla (ukuthwala phansi).

Ukwelashwa kwezokwelapha:

Ukwelashwa kuyahlukahluka kuye ngembangela. Ukwelashwa kwakho kungafaka:

• Imithi: Uma lesi simo sibangelwa ukwanda kwe-prostate, kunganikezwa imithi yokuyinciphisa.
• Ukuhlinzwa: Uma kukhona ukuvaleka kwendlela yomchamo, udokotela kungadingeka ahlinze ukuze kususwe.
• Ukuzithutha noma ukuhlanzwa kwe-catheter okuhlanzekile okuhlala isikhathi eside (CIC): Kulokhu, ufaka i-catheter esinyeni sakho ngezikhathi ezithile phakathi nosuku ukuze ukhiphe isinye sakho. I-catheter iyasuswa uma usuqedile.
• Ukufakwa kwe-catheter ngaphakathi: Kulokhu, i-catheter ishiywa esinyeni isikhathi eside. Umchamo uqoqwa esikhwameni sokukhipha umchamo ngaphandle komzimba.
• I-catheter ye-Suprapubic: Kule nqubo, udokotela ohlinzayo ufaka ipayipi elihlala njalo ngqo esinyeni sakho lisuka esiswini sakho esingezansi. Umchamo uqoqwa esikhwameni. Le nqubo ayisebenzisi i-urethra.
• Ukuguqulwa kwe-Sacral neuromodulation (ukuvuselelwa kwemizwa): Udokotela ufaka ucingo oluncane emhlane wakho ongezansi. Lubekwa eduze kwenzwa exhuma kwesinye futhi lunikeze ukuvuselelwa okuthambile nokuqhubekayo ukusiza isinye sakho sinciphe kahle. Ibhethri elincane lifakwa ngaphansi kwesikhumba sakho.

Yimiphi imithi esetshenziswayo?

Uma unesifo sokungakwazi ukuzibamba ngokweqile ngenxa yokwanda kwe-prostate, udokotela wakho angase akunike umuthi we-alpha-blocker ukusiza ukunciphisa i-prostate yakho. Isibonelo:

• `(Alfuzosin)`
• `(I-Doxazosin)`
• `(Silodosin)`
• `(I-Tamsulosin)`
• `(Terazosin)`

Ungakhohlwa ukuthi le mithi kufanele isetshenziswe kuphela ngokweseluleko sikadokotela.

Ezinye izinkinga ezingase zivele kulokhu

Abantu abangakwazi ukuzibamba ngokweqile bangase bavuza umchamo ngamanani amancane, kodwa ngenxa yokuthi kwenzeka njalo, bangase bavuza umchamo omningi ekupheleni kosuku.

Lo mchamoUngasebenzisa izingubo zangaphansi ezikhethekile ezimunca umchamo kanye nama-watering pad ukuze umunce umchamo. Kodwa-ke, ungase ukhathazeke ngephunga nokuthi lizobonakala yini ezingutsheni zakho. Ungase uzizwe wesaba ukuphuma ube phakathi kwabantu. Lokhu kungaholela ekubeni nesizungu, ukukhathazeka, kanye nokucindezeleka. Ukuchayeka njalo emchameni nakho kungabangela ukuqubuka kwesikhumba kanye nezilonda.

Okubaluleke kakhulu, uma isinye singakhishwa ngokuphelele, ingozi yokutheleleka ngomgudu womchamo (UTIs) iyanda, okusho ukutheleleka kwesinye, i-prostate, kanye nezinso. Futhi, umchamo osele ungaholela ekwakhekeni kwamatshe esinyeni. Lawa matshe angabangela ukutheleleka, ukuvuvukala, kanye nobuhlungu. Ukucindezela okuvela kwesinyeni esihlala sigcwele kungadala nomonakalo wezinso.

Ungazivikela kanjani kulokhu? (Ukuvimbela)

Ukuqeqeshwa kwesinye kanye nokuphuma kabili kwesisu kungasiza ekuvimbeleni ukuthi isinye sakho singagcwali kakhulu futhi kubangele ukuvuza komchamo . Kubalulekile futhi ukwenza izinguquko ezithile endleleni yokuphila, njengokuphatha izimo zezokwelapha ezifana nesifo sikashukela kanye nokugcina isisindo esinempilo.

Ingabe lesi simo sizophulukiswa ngokuphelele?

Ezimweni eziningi, abantu abangakwazi ukuzibamba ngokweqile bazothuthukisa izimpawu zabo uma isimo sokugcina umchamo singelashwa. I-catheter yomchamo ayidingeki kakhulu. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho. Angancoma izindlela eziphumelela kakhulu zokulawula ukungakwazi ukuzibamba ngokweqile nokunciphisa umthelela wako empilweni yakho.

Ngizinakekela kanjani?

Ungasebenzisa izingubo zangaphansi ezimuncayo noma amaphedi ukusiza ekumunceni umchamo ngenkathi uthola ukwelashwa. Kubalulekile futhi ukuvikela isikhumba sakho ekuqubukeni nasekusikeni. Ukusebenzisa i-petroleum jelly noma ukhilimu oqukethe i-zinc oxide kungasiza ekuvimbeleni ukucasuka kwesikhumba.

Uma uzizwa ucindezelekile, ukhathazekile, noma ucindezelekile ngenxa yokungakwazi ukuzibamba ngokweqile, kungumqondo omuhle futhi ukukhuluma nodokotela wezokwelapha noma umeluleki noma isazi sokusebenza kwengqondo.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi zimpawu, xhumana nodokotela ngokushesha:

• Uma uzizwa udinga ukuchama futhi ngemva kokuqeda ukuchama .
• Uma uzwa ubuhlungu esiswini sakho esingezansi, emhlane ongezansi, noma endaweni yokuzala ngesikhathi uchama .
• Ubunzima bokuchama : Lokhu kusho ukuthi kunzima ukuqala ukuchama .Ukungakwazi ukuzibamba umchamo, ukuchama njalo, noma ukungakwazi nhlobo ukuchama .
• Uma unezimpawu zokutheleleka, njengomkhuhlane noma ukubanda.
• Uma kukhona igazi emchameni.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungabuza udokotela imibuzo efana nale:

• Yini ebangela ukugcinwa komchamo kanye nokungakwazi ukuzibamba ngokweqile?
• Yiziphi izivivinyo ozincomayo?
• Ithini imiphumela yokuhlolwa kwami?
• Ingabe kukhona ukwelashwa engingazama ekhaya?
• Yiziphi izindlela zokwelapha ozincomayo?
• Ingabe ukufakwa kwe-catheter noma ukuvuselelwa kwemizwa kufanelekile kimi?
• Ziyini izingozi zalezo zindlela zokwelapha?
• Ingabe kufanele ngibone udokotela wezifo zomchamo?

Okokugcina, izinto okufanele uzikhumbule

Ukungakwazi ukuzibamba ngokweqile kungaba yisimo esisongela impilo. Kungakwenza uzizwe ungakhululekile futhi wesabe ukuya endlini yangasese. Kodwa akuyona ingxenye evamile yokuguga, futhi ukwelashwa kungasiza. Ngokwelashwa okufanele, ukungakwazi ukuzibamba ngokweqile kungathuthuka kakhulu, futhi ngezinye izikhathi ngisho ngokuphelele. Ngakho-ke, uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wakho. Ungesabi ukucela usizo.

Ukungakwazi ukuzibamba ngokweqile , Ukulawula Umchamo, Isinye, UmchamoUkuvuza, Indlala Yesilisa, Ukutheleleka Kwendlela Yomchamo, Impilo YaseSri Lanka