Ingabe nawe wesaba ukuchama ngaphandle? Ake sifunde ngale 'Shy Bladder Syndrome' (Paruresis)!

Wake waya endlini yangasese yomphakathi noma endlini yomngane wakho kwadingeka ukuthi uchame , kodwa waba namahloni kakhulu noma wesaba ukuchama ? Ngisho noma ungakwazi ukubamba umchamo wakho , ngezinye izikhathi awukwazi ukukwenza, akunjalo? Nakuba lokhu kungase kubonakale kuyihlaya kwabanye abantu, empeleni kuyisimo sezokwelapha. Sizokhuluma ngalokhu namuhla.

Iyini i-'Shy Bladder Syndrome' (Paruresis)?

Kalula nje, i-Shy Bladder Syndrome, noma njengoba odokotela beyibiza kanjalo , i-Paruresis , iyinkinga yokukhathazeka emphakathini . Ibonakala ngokungakwazi noma ubunzima obukhulu bokuchama ngaphandle kwekhaya lakho, ikakhulukazi ezindlini zangasese zomphakathi. Cabanga ukuthi unesifiso esinamandla sokuchama , kodwa uma kukhona omunye umuntu eduze, noma uma indlu yangasese ungayazi, awukwazi ukuchama kungakhathaliseki ukuthi uzama kangakanani.

Lokhu kubizwa ngokuthi okunye, kungenzeka ukuthi uke wezwa ngakho:

• `(I-Paruresis Egwemayo)`
• `(Isifo Sesinyi Esibambile - BBS)` noma `(Izinso Ezibambile)`
• `(Ukwesaba ukuchama)` (Ukwesaba ukuchama )
• `(Ukugcinwa Komchamo Okuphazamisayo)` (Ukungakwazi ukuzibamba ngenxa yezizathu zengqondo)
• Ukwesaba ukuchama (ukwesaba ukuchama okungavamile)

Into ebaluleke kakhulu ukuthi abantu abanalesi simo abanazo izinkinga zomzimba ngesisu sabo noma ngohlelo lomchamo . Bangakwazi ukuchama ngokomzimba. Kodwa-ke, ngenxa yokukhathazeka ngokweqile, imisipha esinyeni kanye ne-urethra iyaqina futhi ayiphumuli njengoba kudingeka ukuze umchamo uphume. Uma sikhuluma iqiniso, lokhu kubangelwa ukwesaba engqondweni.

Uma ingelashwa, lesi simo singaba nomthelela omkhulu ezingeni lempilo. Abanye abantu bayayeka ukuhamba, ukuhlangana nabangani, ukuya ezindaweni zomphakathi, futhi ngezinye izikhathi ngisho nokuya emsebenzini. Odokotela basebenzisa ukwelashwa kwengqondo, ukwelashwa kokuziphatha, futhi ngezinye izikhathi i-hypnosis njengezindlela zokwelapha. Abanye abantu banenkinga yokuchama ngaphandle kwekhaya, ngakho basebenzisa i-catheter , ipayipi elincane, ukuze bakhiphe isinye sabo.

Ubani onamathuba amaningi okuthola lesi simo?

Odokotela bakholelwa ukuthi uma abazali bakho babenalesi simo (i-Paruresis), nawe unethuba elikhulu lokuba naso. Futhi, abantu abanezinye izinkinga zokukhathazeka basengozini enkulu yokuba nalesi 'sifo sesinye esinamahloni'. Okusho ukuthi, uma unezimo ezinjengalezi, kungenzeka kakhulu ukuthi ube naso (i-Paruresis):

• Isifo Sokukhathazeka Okujwayelekile (i-GAD)
• Uma uke waba nesifo sengqondo ngaphambilini (Umlando Wokugula Kwengqondo)
• Isifo Sokucindezeleka Okungapheli (OCD)
• Ukuhlaselwa Yizinhlungu Zokwethuka noma Isifo Sokwethuka

Lesi simo (i-Paruresis) singenziwa sibe sibi kakhulu ukwesaba, ukukhathazeka, noma imizwa enamandla. Ngokuvamile, kunzima ukuchama ezindaweni zomphakathi, futhi kunzima nokuzikhulula. Odokotela basibiza ngokuthi (i-Parcopresis) .

Sivame kangakanani lesi simo?

Odokotela abanazo izibalo eziqondile zokuthi bangaki abantu abanalesi simo. Kodwa-ke, sivame kakhulu kunalokho ongakucabanga . Ezinye izifundo ziphakamisa ukuthi abantu baseMelika abangafika ku-25% bane-paruresis ethile. Kungathinta noma ubani, kungakhathaliseki ubulili, ubudala, ngisho nezingane ezincane.

Yiziphi izimbangela 'zesinye esinamahloni'?

Odokotela abazi kahle ukuthi yini ebangela lokhu. Kodwa-ke, ngezinye izikhathi kungakhula nge -post-traumatic stress disorder (PTSD) . Abanye abantu abane-paruresis kungenzeka ukuthi bake baba nokuhlangenwe nakho okungathandeki noma okubuhlungu endlini yangasese yomphakathi esikhathini esidlule. Isibonelo, kungenzeka ukuthi bake bahlukunyezwa ngokocansi, bahlukunyezwa, noma othile wabahlekisa noma wabathusa ngesikhathi bechama .

Abantu abanamahloni noma abanobuntu obuthule bangase bakuthole kunzima kakhulu ukuchama phambi kwabanye. Bangase bakhathazeke kakhulu ngephunga abaliphungayo nomsindo abawenzayo lapho bechama .

Uma kufika imicabango efana nokuthi "O, uzongizwa yini ngichama ?" "Ingabe ngizonuka?" engqondweni, ukwesaba kuyakhula futhi umchamo uyayeka ukuphuma.

Uma kuvela lolu hlobo lokukhathazeka noma imizwa, kuba nzima kakhulu ukuqala ukugeleza komchamo. Njengoba lokhu kwesaba kukhula, imisipha iyaqina kakhulu. Kubantu abane-'bladder enamahloni', ezinye izimo ziba zimbi kakhulu. Okusho ukuthi, ezimweni ezinjalo, lobu bunzima buyanda kakhulu. Isibonelo:

• Ukuzama ukuchama phambi kwabantu obaziyo noma ongabazi.
• Ukuba nomuntu oseduze kakhulu kangangokuthi abanye bacabanga ukuthi bayakuzwa, bayakubona, noma bayakuhogela umchamo wabo .
• Ukuzizwa sengathi othile uyakusheshisa .
• Ukuntuleka kobumfihlo bokuchama . Cabanga ngendlu yangasese yomphakathi engenamnyango, noma othile emi eduze komnyango.
• Ukuzama ukuziphoqa ukuthi uchame . Lokhu kuzokwenza imisipha iqine kakhulu, okwenza inkinga ibe yimbi kakhulu.

Ziyini izimpawu zalokhu?

Izimpawu ze-shy bladder syndrome zingahluka kusukela kwezincane kuya kwezinzima kakhulu . Ngokuvamile, izimpawu ziya ziba zimbi kakhulu ngokuhamba kwesikhathi. Abanye abantu bakwazi ukuchama kuphela uma bebodwa ekhaya.

Abantu abane-paruresis encane bangakwazi ukuchama kuphela ezimweni ezithile. Isibonelo, indoda ingase ikwazi ukuchama esitobhini sangasese ngaphandle kwezinkinga, kodwa ingase ingakwazi ukuchama endaweni yokuchama yomphakathi. Noma, endlini yangasese yomphakathi, kungase kube nokubambezeleka okuncane kokuqala umfudlana womchamo.

Abantu abanalesi simo cishe bangenza izinto ezifana nalezi:

• Ukuphuza amanzi amancane kanye noketshezi ngaphambi kokuphuma endlini nangaphandle.
• Izimpawu zokuhlaselwa uvalo zifaka phakathi isiyezi, umlomo owomile, ukujuluka ngokweqile (i-hyperhidrosis), kanye nokushaya kwenhliziyo okusheshayo.
• Ngifuna indlu yangasese lapho ngingaba ngedwa khona, ngicabanga ukuthi akunandaba ukuthi kufanele ngihambe ibanga elingakanani .
• Kungase kudingeke uzame amaqhinga akhethekile okukusiza ukuthi uchame . Isibonelo, ukucabanga ngamanzi agobhozayo, noma ukuvula impompi bese uzama ukuchama ngenxa yomsindo wamanzi.
• Bayayeka ukuhamba, ukuya emsebenzini, nokuya emicimbini yomphakathi.
• Ezimweni ezimbi kakhulu, i-agoraphobia ingakhula, ikuvimbele ukuphuma ekhaya. Lokhu kungaphazamisa ubudlelwano bomndeni futhi kwenze kube nzima ukugcina umsebenzi.

Odokotela bakuthola kanjani lesi simo?

Ngokuvamile, udokotela angakwazi ukuxilonga i-paruresis ngokukhuluma ngezimpawu zakho. Uma ungaya endlini yangasese ngaphandle kwezinkinga ekhaya, kodwa unenkinga yokuchama ngaphandle kwendlu yakho yokugezela, udokotela wakho angase asole i-paruresis. Ukuze axilonge lokhu ngendlela efanele, udokotela wakho angakudlulisela kudokotela wezengqondo noma kudokotela wezifo zomchamo .

Udokotela uzoqala ahlole ukuze abone ukuthi zikhona yini ezinye izimo zomzimba ezibangela ukugcinwa komchamo. Lokhu kungenxa yokuthi kungaba nzima ukuchama ngenxa yezinto ezifana nokutheleleka, izinkinga zemizwa, noma ukuvaleka komchamo. Ukuze ahlole lokhu, udokotela uzokwenza ukuhlolwa ngokomzimba. Angase futhi acele ukuhlolwa komchamo , ukubalwa kwegazi okuphelele (i-CBC) , noma i-ultrasound ukuze kubhekwe esinyeni.

Eminye imithi ingabangela ubunzima noma ukungakwazi ukuchama . Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo. Lokhu kuzosiza ukuthi anqume ukuthi ibangela izimpawu zakho.

Yiziphi izindlela zokwelapha 'i-shy bladder syndrome'?

Kungcono ukukhuluma nodokotela wakho mayelana nokuthi yikuphi ukwelashwa okukulungele. Kunezindlela eziningana zokwelapha:

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) : Lokhu kuhilela ukushintsha ukuziphatha kwakho ngokukusiza ukuthi ubheke ukukhathazeka kwakho ngendlela ehlukile. Kalula nje, kukusiza ukuthi ushintshe indlela ocabanga ngayo futhi unciphise ukwesaba kwakho.
• Ukwelashwa Okudlule Ekuvaleni : Kulokhu, uzijwayeza ukuchama endaweni elawulwayo. Ngochwepheshe wezokwelapha, umngane, noma ilungu lomndeni, kancane kancane uzama ukuchama kwezinye izindlu zangasese ngaphandle kwendlu yakho yangasese yasekhaya. Ukwenza lokhu izikhathi eziningana ngesonto, kancane kancane wandisa ukuchama kwakho ezindlini zangasese zomphakathi. Ekugcineni, ungachama noma kuphi, noma nini lapho ufuna.
• Ukwelapha nge-Hypnotherapy : Kulokhu, wenza izivivinyo zokuphumula eziqondiswayo ngenkathi ingqondo yakho isesimweni sokuphumula. Lokhu kukuvumela ukuthi ugxile ekukhathazekeni kwakho futhi uzifundise ukuthi ungachama kanjani ezindlini zangasese zomphakathi.
• Imithi yokwehlisa ukukhathazeka : Ngezinye izikhathi odokotela bangase bakunike imithi yokulawula ukukhathazeka.
• Ukuzindla nokuzivocavoca ngokuphefumula : Lokhu kungakusiza ukulawula ukukhathazeka nokukhulula imisipha yomgudu wakho womchamo.
• Ukwelashwa kwengqondo , noma ukwelashwa ngokukhuluma: Lokhu kungasiza ekwelapheni izinkinga zempilo yengqondo ezingase zibangele isimo 'sesinye esinamahloni'.
• Ukuzithutha / Ukuhlanzeka Ukuthutha Kwesikhashane Okuhlala Njalo : Uma ungakwazi ukukhipha isikhashane sakho ngaphandle kwekhaya, le ndlela ihilela ukufaka ipayipi ukuze ukhiphe isikhashane sakho. Lokhu kufanele kwenziwe ngaphansi kokuqashwa ngudokotela kanye nokuqeqeshwa okufanele.

Ingabe lesi simo singavinjelwa?

Ayikho indlela ethile yokuvimbela i-paruresis. Kodwa-ke, uma unezinye izinkinga zokukhathazeka, kungumqondo omuhle ukukhuluma nodokotela wakho mayelana nokwelashwa noma imithi engakusiza ukuphatha imizwa yakho. Lokhu kungasiza ekunciphiseni ingozi yalezi zimo.

Liyini ikusasa labantu abanalesi simo? Ingabe lizoba ngcono ngokwelashwa?

Abantu abaningi bathola impumuzo ekuhlukunyezweni kwabo ngemuva kokwelashwa. Ezinye izifundo zibonise ukuthi abantu abangafika ku-80% abanalesi simo bayakwazi ukuchama emphakathini ngemva kwe-CBT kanye nokwelashwa ngokuchayeka . I-Hypnosis, i-psychotherapy, kanye ne-CBT zisebenza kahle kakhulu ekusizeni abantu baqonde ukukhathazeka kwabo futhi bashintshe ukuziphatha kwabo.

Kodwa-ke, uma ingelashwa, i-shy bladder syndrome ingaholela ezinkingeni zomphakathi kanye nasemsebenzini. Isibonelo, abantu okudingeka banikeze amasampula omchamo ukuze bahlolwe izidakamizwa bangadinga ukwenza amalungiselelo akhethekile nomqashi wabo. Uma bengakwazi ukunikeza isampula yomchamo, bangase bakwazi ukunikeza isampula yegazi, izinwele, noma amathe esikhundleni salokho.

Uma ubamba umchamo wakho ngenxa ye-paruresis, kungabangela izinkinga ezinkulu zempilo . Ezinye zalezi zinkinga zifaka:

• Ukutheleleka Kwendlela Yomchamo (UTIs) .
• Ukulimala kwemisipha yesinye kungaholela ezimweni ezinjengokungakwazi ukuzibamba umchamo, okuwukulahlekelwa umchamo okungalawuleki.
• Ezimweni ezimbi kakhulu, ngisho nezimo eziyingozi kakhulu njengokuqhuma kwesinyi zingavela.

Kufanele ubonane nini nodokotela?

Kubalulekile ukuhlola ukuthi zikhona yini ezinye izimo zempilo ezibangela ukungakwazi kwakho ukuchama . Ngisho nangemva kokuqinisekisa ukuthi azikho izimbangela ezinjalo zomzimba, uma lesi simo 'sesinye esinamahloni' sithinta impilo yakho yansuku zonke, kufanelekile ukukhuluma nodokotela. Uma lesi simo sikuvimbela ukuya emsebenzini, ukuphuma, noma ukugwema imicimbi yomphakathi, kufanelekile ngempela ukufuna iseluleko sezokwelapha.

Khumbula ikakhulukazi: Uma unesifiso esinamandla sokuchama futhi ungakwazi ukuchama amahora amaningana (kungaba sekhaya noma ngaphandle), funa usizo lwezokwelapha ngokushesha . Kuyingozi kakhulu ukubamba umchamo wakho isikhathi eside. Uma ubamba umchamo wakho amahora amaningana, noma ngabe uya endlini yangasese ekhaya, imisipha yesinye sakho ingase ikhululeke futhi ungase ungakwazi ukuchama.

Okokugcina, izinto okufanele uzikhumbule

I-shy bladder syndrome (i-paruresis) yisimo esingaba nomthelela omkhulu empilweni yakho. Uma uzithola wenza umzamo okhethekile wokugwema ukusebenzisa indlu yangasese ngaphandle kwekhaya lakho, khuluma nodokotela wakho. Uma ungelashwa, izimpawu zalesi sifo sokukhathazeka zingaba zimbi kakhulu ngokuhamba kwesikhathi. Ukubamba umchamo wakho isikhathi eside kungaholela ezinkingeni ezinkulu zempilo, njengokutheleleka komgudu womchamo (UTIs) nezinkinga zesinye. Vula futhi uthembeke kudokotela wakho mayelana nezimpawu zakho nokuthi zenzeka nini. Ukwelashwa kungakusiza ukuthi ujabulele imisebenzi efana nokuhamba nokuzijabulisa nabantu ngokunethezeka nangenjabulo. Awuwedwa, futhi kukhona usizo.

I - Paruresis, i-Shy Bladder Syndrome, Ubunzima bokuchama, Ukwesaba Umphakathi, Ukukhathazeka, Impilo Yengqondo, Ukugcinwa Komchamo