Ingabe uyavuza nomchamo uma uhleka noma ukhwehlela? Ake sixoxe 'ngokungakwazi ukuzibamba ngenxa yokucindezeleka'

Sawubona! Ingabe ngezinye izikhathi uzithola umanzisa izingubo zakho uma uhleka kakhulu, ukhwehlela, noma uthimula, noma uphakamisa into esindayo? Kwabanye, lokhu kungaba amaconsi ambalwa, kwabanye kungaba ngaphezulu kancane. Empeleni lesi yisimo abantu abaningi abanaso, kodwa abakhulumi ngaso kakhulu ngenxa yamahloni. Ngakho-ke namuhla, ake sixoxe ngokuthi yini ebangela lokhu nokuthi yini engenziwa ngakho. Lokhu yilokho okubizwa ngokuthi 'ukucindezeleka kokungakwazi ukuzibamba' kwezesayensi yezokwelapha.

Kuyini 'Ukungakwazi Ukulawula Ukucindezeleka'?

Kalula nje, ukungakwazi ukuzibamba kokucindezeleka kwenzeka lapho ulahlekelwa ukulawula isinyi sakho (indawo lapho sichama khona ) uma kunengcindezi kuso. Isibonelo, uma ukhwehlela, uthimula, uhleka, ugxuma, ugijima, noma uphakamisa okuthile, isisu sakho sisunduza esinyeni sakho. Yilapho uvuza khona umchamo.

Lokhu kuvame ukuholela ekukhishweni komchamo omncane. Kodwa-ke, kungaba namahloni futhi kwesabise ngisho nokuphuma emphakathini.

Sivame kangakanani lesi simo?

Ukungakwazi ukuzibamba ngokucindezeleka empeleni uhlobo oluvame kakhulu lokungakwazi ukuzibamba ngomchamo. Kuvamile kakhulu kwabesifazane. Izifundo zibonisa ukuthi cishe owesifazane oyedwa kwabathathu uzobhekana nalesi simo ngesikhathi esithile empilweni yakhe. Akuvamile kakhulu kwabesilisa, kodwa akusho ukuthi akwenzeki.

Zikhona yini ezinye izinhlobo zokungakwazi ukuzibamba umchamo?

Yebo, kunezinye izinhlobo eziningana ngaphandle 'kokungalawuleki kokucindezeleka'.

• Ukungakwazi ukuzibamba: Lokhu kuyisidingo esiphuthumayo nesingenakulungiseka sokuchama kanye nokuvuza komchamo. Lokhu kuvame ukubangelwa yisinyi esisebenza ngokweqile. Abantu abangaphezu kwengxenye abangakwazi ukuzibamba ngenxa yokucindezeleka nabo bangakwazi ukuzibamba ngenxa yokucindezeleka. Lokhu kubizwa ngokuthi ukungakwazi ukuzibamba okuxubile.
• Ukungakwazi ukuzibamba ngokweqile: Lokhu kwenzeka lapho umchamo uvuza ngenxa yokuthi isinyi asikwazi ukukhipha kahle size sigcwale.

Yiziphi izimbangela 'zokungalawuleki kokucindezeleka'?

Lokhu kwenzeka uma kuba nokucindezela okungazelelwe kwesinyeni kanye ne-urethra (ithubhu elithwala umchamo lisuka kwesinyeni liye ngaphandle komzimba). Lokhu kucindezela kubangela ukuthi imisipha ye-sphincter engaphakathi kwe-urethra ivuleke kancane ngokuzumayo, okuvumela umchamo ukuba uphume. Cabanga nje, noma yini engacindezela esinyeni, njengokugoba, ukugxuma, ukukhwehlela, noma ukuthimula, ingabangela ukuvuza.

Yiziphi izinto eziyingozi ezithinta lokhu?

Nakuba lesi simo singathinta noma ubani, sivame kabili kwabesifazane kunakwabesilisa. Kulinganiselwa ukuthi cishe ingxenye yabesifazane abangaphezu kweminyaka engu-65 ubudala banalesi simo. Kodwa khumbula, lokhu akuyona ingxenye evamile yokuguga. Kuwuphawu lwenkinga engelapheka.

Nazi ezinye zezinto ezibangela ingozi enkulu:

• Ukukhulelwa Nokubeletha: Ikakhulukazi ukubeletha ngesitho sangasese sowesifazane, imisipha yaphansi yesinqe ingalimala ngesikhathi sokubeletha.
• Ukunqamuka kokuya esikhathini: Imisipha ingaba buthaka ngenxa yokwehla kwe-hormone i-estrogen.
• Ukulimala kwemizwa ethangeni noma emhlane ongezansi.
• Ukukhuluphala ngokweqile: Isisindo esiningi sibeka ingcindezi engaguquki esinyeni.
• Ukuhlinzwa kwe-pelvic: Izinto ezifana nokususwa kwesibeletho.
• Ukukhwehlela okungapheli: Ukukhwehlela okuqhubekayo ngenxa yezimo ezifana ne-asthma kanye ne-bronchitis.
• Isifo Sikashukela (i-Diabetes Mellitus).
• Ukuhlinzwa komdlavuza we-prostate kwabesilisa noma ukuhlinzwa kwe-benign prostatic hyperplasia (BPH).
• Ukwehla kwesibeletho.

Ziyini izimpawu 'zokungazithibi kokucindezeleka'?

Uphawu oluyinhloko ukuvuza komchamo lapho kufakwa ingcindezi esinyeni.

• Okuncane: Amaconsi ambalwa omchamo angase alahleke ngesikhathi semisebenzi efana nokuzivocavoca okunzima, ukuhleka, ukukhwehlela, kanye nokuthimula.
• Okumaphakathi noma okukhulu: Ungase udlule isipuni esingaphezu kwesipuni somchamo ngisho nangesikhathi semisebenzi elula, njengokuma noma ukugoba. Ungase uvuze nomchamo ngesikhathi socansi.

Ukuthola kanjani lokhu?

Uma ubona udokotela, uzobuza ngezimpawu zakho bese enza ukuhlolwa ngokomzimba (ukuhlolwa kwesinqe kwabesifazane). Ungase ucelwe ukuthi ugcine "idayari yesinyi" izinsuku ezimbili noma ezintathu. Lokhu kusho ukuthi kuzodingeka ubhale phansi izinto ezifana nokuthi uphuza amanzi angakanani, ukuthi uya kangaki endlini yangasese, ukuthi uvuza nini umchamo, nokuthi wenzani ngaleso sikhathi. Lolu lwazi luzosiza udokotela ukuthola lesi simo.

Kunezivivinyo eziningana ezenzelwe lokhu:

• Ukuhlolwa kwephedi yomchamo: Uzonikezwa iphedi ekhethekile ozoyigqoka ekhaya amahora angama-24. Ngemva kokusebenzisa, iphedi iyakalwa ukuze kubonakale ukuthi umchamo uvuza malini.
• Ukuhlolwa komchamo: Kuthathwa isampula yomchamo wakho bese kuhlolwa ukuthi awunalo yini ukutheleleka kanye negazi (hematuria). Lokhu kungasiza ekunqumeni ukuthi kukhona yini enye inkinga, njengokutheleleka komgudu womchamo (UTI).
• Ukuskena kwesinye:Lokhu ukuhlolwa okuncane kwe-ultrasound okwenziwa ehhovisi likadokotela. Kwenziwa ukuze kubonakale ukuthi isinyi sakho siphuma kahle yini ngemva kokuchama .
• Ukuhlolwa kwe-Ultrasound: Kwenziwa i-ultrasound yesinqe noma isisu ukuze kuhlolwe isimo sezitho zomzimba ezifana nesinye kanye nezinso.
• I-Cystoscopy: Kule nqubo, udokotela udlulisa ithubhu elincane elifakwe ikhamera (i-scope) phansi kwe-urethra yakho bese ebheka ngaphakathi.
• Ukuhlolwa kwe-Urodynamic: Lokhu kuyinhlanganisela yezivivinyo eziningana. Kukala ukuthi uhlelo lwakho lomchamo lubamba kahle kangakanani futhi lukhipha umchamo. Lokhu kubizwa nangokuthi ukuhlolwa komchamo okusele ngemuva kwe-void . Kukala ukuthi kusele umchamo ongakanani esinyeni sakho ngemva kokuchama .

Ingabe ukuvivinya umzimba phansi kwe-pelvic (ama-Kegel) kuyasiza kulokhu?

Yebo, nakanjani! Ukuzivocavoca phansi kwe-pelvic , noma njengoba sonke sikwazi , 'ama-Kegel', kungathuthukisa kakhulu ukungalawuleki kokucindezeleka. Lokhu kuzivocavoca kuqinisa imisipha esekela uhlelo lwakho lomchamo.

Kodwa kungaba nzima ukuthola nokuzivocavoca le misipha yephansi le-pelvic. Uchwepheshe wezokwelapha ngokomzimba ochwepheshe bezinkinga zephansi le-pelvic angakufundisa ukuthi ungakwenza kanjani lokhu. Ngezinye izikhathi inqubo ebizwa ngokuthi i-biofeedback ingasetshenziswa ukuqinisekisa ukuthi usebenzisa imisipha efanele. Ukuze unciphise izimpawu, udinga ukwenza lezi zivivinyo njalo cishe amasonto amane kuya kwayisithupha.

Yini engenziwa ngalokhu ngokwemvelo?

Ngaphezu kwamaKegel, lezi zinto zingasiza futhi:

• Yidla ukudla okune-fiber eningi futhi uphuze amanzi amaningi. Lokhu kungasiza ekuvimbeleni ukuqunjelwa, okungenza lesi simo sibe sibi kakhulu.
• Uma ubhema, cela usizo lokuyeka.
• Gcina isisindo esinempilo. Uma ufuna ukunciphisa amafutha, kwenze.
• Uma unezifo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme, zilawule kahle.
• Ukuya endlini yokugezela ngesikhathi esibekiwe (ukuqeqeshwa kwesinye noma ukukhishwa kwesisu ngesikhathi esibekiwe). Lokho kusho ukuqeqesha isinye.

Yiziphi izindlela zokwelapha ezitholakalayo kwabesifazane?

Kunezindlela eziningana zokwelapha ezikhethekile kwabesifazane:

• Okhilimu be-estrogen yesitho sangasese sowesifazane, amajeli, amasongo noma ama-patches: Lokhu kusiza ukuqinisa imisipha nezicubu zesitho sangasese sowesifazane ngemva kokunqamuka kokuya esikhathini.
• Amadivayisi e-pessary afakwa esithweni sangasese sowesifazane: Lawa asebenza njengokusekela esinyeni kanye ne-urethra.
• Imijovo ye-urethral: Lokhu kuqinisa imisipha ye-urethra okwesikhashana, kugcine i-sphincter ivaliwe.
• Ukuhlinzwa: 'Indwayimane' eyenziwe ngezicubu zakho, izicubu zomnikeli, noma i-mesh ekhethekile yokuhlinzwa ibekwa ngaphansi kwe-urethra ukuze inikeze ukwesekwa.

Yiziphi izindlela zokwelapha ezitholakalayo kwabesilisa?

Lesi simo sivame ukwenzeka emadodeni ngemva kokuhlinzwa komdlavuza wendlala. Izindlela zokwelapha zamadoda zifaka:

• Ama-catheter ekhondomu (ama-catheter aseTexas): Lawa amboza ipipi bese eqoqa umchamo esikhwameni nge-catheter ekugcineni. Lokhu kungasiza ekubambeni, kodwa hhayi ekuvimbeleni, ukuvuza komchamo.
• Ukuhlinzwa kwesilayidi sabesilisa: 'Isilayidi' esenziwe nge-mesh yokuhlinzwa sibekwa nxazonke kwebhalbhu ye-urethra ukuze sinikeze ukwesekwa.
• Ukuhlinzwa kwe-sphincter yokwenziwa: Le divayisi ivala i-urethra. Uma udinga ukuchama, ungasebenzisa iphampu encane ukuyivula.

Yiziphi izinkinga ezingaba khona ngenxa 'yokungalawuleki kokucindezeleka'?

Ukungakwazi ukuzibamba kakhulu ekucindezelekeni kungabangela imizwa yokuphoxeka, ukukhathazeka, kanye nokucindezeleka. Amanabukeni abantu abadala kanye nama-urinary pad angasiza ekuvimbeleni ukuvuza komchamo, kodwa ungase ukhathazeke ngephunga nokuthi abanye bazolibona yini. Ungase wesabe ukuphuma noma ukugeza endlini yokugezela. Ukuchayeka njalo emchameni kungabangela ukuqubuka kwesikhumba kanye nezilonda.

Yini engingayenza ukuze nginciphise le ngozi?

Unganciphisa ingozi yakho yokungakwazi ukuzibamba ngomchamo ngokulandela lezi zinyathelo:

• Ungabhemi.
• Yehlisa isisindo uma ukhuluphele futhi ugcine isisindo sakho siphilile.
• Yenza izivivinyo zephansi le-pelvic nsuku zonke, ikakhulukazi ngesikhathi sokukhulelwa.
• Thatha izinyathelo zokuvimbela ukuqunjelwa.

Liyini ithemba lomuntu 'ongakwazi ukuzibamba ngenxa yokucindezeleka'?

Ukwelashwa ekhaya, njengokuzivocavoca phansi kwe-pelvic kanye nokusebenza nochwepheshe wezokwelapha ngokomzimba we-pelvic floor, kungathuthukisa kakhulu ukungalawuleki kokucindezeleka. Uma kudingeka, ezinye izindlela zokwelapha zinganciphisa kakhulu noma zimise ukuvuza ngokuphelele.

Ungakhathazeki, lesi yisimo esingelapheka. Into ebaluleke kakhulu ukukhuluma nodokotela ngaphandle kokuzizwa unamahloni.

Yini okufanele ngiyibuze udokotela wami?

Kungumqondo omuhle ukubuza le mibuzo uma ubona udokotela wakho:

• Uhlobo luni lwenkinga yokungakwazi ukuzibamba umchamo enginayo?
• Yini engenza ngibe 'nokungakwazi ukuzibamba'?
• Ithini imibiko yami yokuhlolwa?
• Yiziphi izindlela zokwelapha engingazama ngazo ekhaya?
• Yiziphi ezinye izindlela zokwelapha ezikhona?
• Ingabe kufanelekile ukuba ngihlinzwe?
• Ziyini izingozi zokuhlinzwa?

Ingabe ukungakwazi ukuzibamba ukucindezeleka kungaba kubi nakakhulu?

Yebo, ukungakwazi ukuzibamba kokucindezeleka okuncane kungaqhubekela phambili kube okumaphakathi noma okukhulu. Lokhu kuyiqiniso ikakhulukazi uma uthola isisindo esiningi (noma uma ungakanciphisi isisindo esiningi). Uma uqhubeka nokubhema, noma uma ungathathi ezinye izinyathelo zokulawula lesi simo, izimpawu zakho zingaba zimbi kakhulu.

Uyini umehluko phakathi 'kokungakwazi ukuzibamba ngenxa yokucindezeleka' kanye 'nokungakwazi ukuzibamba ngenxa yokucindezeleka'?

Izimbangela nezimpawu zalezi zinhlobo ezimbili zokungakwazi ukuzibamba umchamo zihlukile:

• Ukungakwazi ukuzibamba: Kubangelwa ukucindezeleka kwesisu, izinkinga zomchamo, kanye nobuthakathaka bephansi le-pelvic. Ngokuvamile, kulahleka umchamo omncane.
• Khuthaza Ukungakwazi Ukuzibamba: Ngenxa yezinkinga zesinyi, laba bantu bangase bavuza umchamo omningi ngokuzumayo uma bezwa isifiso sokuchama.

Kuye ngobukhulu bokungakwazi ukuzibamba kokucindezeleka, ukuvuza komchamo kungaba namahloni futhi kube namahloni. Ungase wesabe ukuya endlini yokugezela noma ukuzivocavoca. Kodwa abantu abaningi bangathuthukisa izimpawu zabo ngokwenza izivivinyo zaphansi kwe-pelvic njalo. Ezimweni eziphakathi kuya kwezinzima, amadivayisi, imijovo, noma ukuhlinzwa kungasiza.

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

Uma unezimpawu 'zokungalawuleki kokucindezeleka', ungabi namahloni noma wesabe. Lesi yisimo esivame kakhulu futhi singelashwa. Into yokuqala okufanele uyenze ukubona udokotela bese ukhuluma ngesimo sakho. Ngemuva kwalokho ungathola ukuthi yikuphi ukwelashwa okukulungele. Ama-'Kegels' ayinto enhle kakhulu ongayenza ekhaya. Futhi, ukugcina indlela yokuphila enempilo (ukulawula isisindo, ukuyeka ukubhema, ukulawula ukuqunjelwa) kubaluleke kakhulu. Awuwedwa, kukhona usizo!

Ukungakwazi ukuzibamba ngokucindezeleka , Ukungakwazi ukuzibamba ngomchamo, Impilo Yabesifazane, Isinye, Ukuzivocavoca kwe-Kegel, Imisipha Yaphansi Yesinqe, Imisipha Yaphansi Yesinqe