Ingabe nawe unenkinga yokulawula umchamo wakho? Ake sifunde nge-Urge Incontinence!

Ingabe ngezinye izikhathi unesidingo sokuchama esiphuthumayo nesingenakubekezeleleka (ukuphuthuma komchamo ), ngezinye izikhathi ukhipha umchamo omncane ngaphambi kokuba ufike endlini yokugezela? Noma ingabe kufanele uchame izikhathi eziningi ngosuku, ngezinye izikhathi ezingaphezu kweziyisishiyagalombili? Ingabe kuvamile ukuthi uvuke kabili noma kathathu ebusuku ukuze uchame ? Uma lezi zinto zithinta impilo yakho, ungakhathazeki , awuwedwa. Namuhla sizokhuluma ngalesi sidingo sokuchama esiphuthumayo, noma ngokwezokwelapha, `(Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa)`.

Kuyini Ukungakwazi Ukulawula Ukukhulelwa?

Kalula nje, i-Urge Incontinence ukungakwazi ukulawula ukugeleza komchamo. Lokhu kwenzeka lapho ngokuzumayo uba nesifiso sokuchama esingazelelwe, esingalawuleki , okungaba nzima ukusilawula, futhi ngezinye izikhathi ungachama ngaphambi kokuthi ugijimele endlini yokugezela. Abanye abantu kudingeka bachame izikhathi ezingaphezu kweziyisishiyagalombili ngosuku, futhi baze bavuke izikhathi eziningana ebusuku ukuze bachame . Lokhu kungaba yinto ekhathazayo kakhulu.

Zikhona yini ezinye izinhlobo zokungakwazi ukuzibamba umchamo?

Yebo, kunezinye izinhlobo eziningana zokungakwazi ukuzibamba ngomchamo, okuhlanganisa "Ukungakwazi ukuzibamba ngomchamo". Ngayinye yazo ihilela ukulahlekelwa umchamo omncane ngokungazi. Ake sibheke ukuthi ziyini:

• Ukungakwazi ukuzibamba: Lokhu kwenzeka lapho uvuza umchamo omncane uma uhleka, ukhwehlela, uthimula, noma uphakamisa into esindayo. Cabanga ngakho njengalapho uhleka kakhulu nabangani bakho bese uvuza umchamo omncane.
• Ukungakwazi ukuzibamba okuxubile: Lokhu kungafaka kokubili "Ukungazibambi Okudingayo" kanye "Nokungazibambi Okudingayo". Lokhu kusho ukuthi unesifiso sokuchama , futhi uyavuza umchamo uma uhleka noma ukhwehlela. Kuthiwa abesifazane abangaphezu kwengxenye abangakwazi ukuzibamba nabo banesifiso "Sokungazibambi Okudingayo".
• Ukungakwazi ukuzibamba ngokweqile: Lokhu kwenzeka lapho umchamo uvuza ngoba isinyi (isikhwama esigcina umchamo ) sigcwele kakhulu, noma ngoba akunakwenzeka ukuchama ngokuphelele. Kufana namanzi achitheka ethangini eligcwele.
• Ukungakwazi ukuzibamba: Lokhu kwenzeka uma ungakwazi ukuya endlini yokugezela ngesikhathi, noma ungezwa isidingo sokuchama , ngenxa yesinye isimo (isibonelo, isimo esibuhlungu njenge-arthritis).

Kuvame kangakanani lokhu kungakwazi ukuzibamba komchamo ngokuzumayo?

Kuvamile kakhulu kunalokho ongakucabanga. Ucwaningo lubonisa ukuthi cishe amaphesenti angu-40 abesifazane kanye namaphesenti angu-30 amadoda azobhekana nalesi simo ngesikhathi esithile empilweni yawo. Ngakho-ke akusikho wena wedwa.

Iyini imbangela eyinhloko ye-`(Urge Incontinence)`?

Ngokuvamile imbangela enkulu yalokhu kuba yisinye esisebenza ngokweqile . Lokhu kwenzeka lapho imisipha yesinye sakho ifinyela kaningi kunalokho okufanele. Kunjengokungathi isinye sakho sihlala sikutshela ukuthi " chama , chama ." Uzizwa unesifiso esinamandla sokuchama ngaphambi kokuba isinye sakho sigcwale ngokuphelele.

Uma isinyi sifinyela kanje, imisipha ye-sphincter e-urethra yakho (imisipha efana ne-valve evimba umchamo ukuthi ungaphumi) ivele ivuleke. Yilapho umchamo uvuza khona.

Ziyini izimpawu ze-`(Ukufuna Ukungakwazi Ukulawula Ukukhulelwa)`?

Uphawu oluyinhloko ukulangazelela ukuchama okungazelelwe, okungalawuleki kanye nokuvuza komchamo omncane okubangelwa yilokhu.

Ngaphezu kwalokho, kungase kube nezinye izimpawu zesinyi esisebenza ngokweqile:

• Ukuchama njalo ( ukuchama izikhathi ezingaphezu kweziyisishiyagalombili emini).
• Ukuvuka ukuze uchame izikhathi ezingaphezu kwezimbili ebusuku ngesikhathi ulele (i-Nocturia).
• Ukuvuza komchamo , kungaba ngaphambi kokuya endlini yokugezela noma ngokushesha ngemva kokuchama .
• Ukuchama Embhedeni (i-Enuresis).

Ngaphezu kwalokhu kungakhululeki ngokomzimba, `(Ukukhuthaza Ukungakwazi Ukulawula Umzimba)` kungathinta nempilo yakho yengqondo. Abanye abantu bayesaba ukuphuma ngaphandle uma isimo sibi kakhulu. Uma ucabanga ngezinto ezinjengokuthi "Kuthiwani uma kungekho indlu yokugezela eduze?" "Ngizoyaphi uma kufanele ngichame ?", usengozini yokuthola izimo zengqondo ezifana `(Ukucindezeleka)`, `(Ukukhathazeka)`, kanye `(Ukucindezeleka) .

Ubani othinteka kakhulu yilesi simo?

Abesifazane banamathuba aphindwe kabili okuthola "Ukuvimbela Ukungakwazi Ukulawula Ukukhulelwa" kunabesilisa. Kubuye kuvame kakhulu njengoba sikhula. Kodwa-ke, odokotela bathi akuyona ingxenye evamile yokuguga. Lokho kusho ukuthi kungelashwa.

Kunezinye izinto eziyingozi:

• Isifo sikashukela.
• Uma uke wahlinzwa endaweni ye-pelvic, njengokususwa kwesibeletho.
• Eminye imithi, isibonelo imithi yokucindezeleka, imithi yokukhipha isisu, kanye nemithi yokwehlisa umfutho wegazi.
• Ukunqamuka kokuya esikhathini.
• Izifo zesimiso sezinzwa, isibonelo isifo i-Alzheimer's, isifo sikaParkinson, kanye ne-Multiple Sclerosis (MS).
• Inkomba Yobunzima Bomzimba (BMI) engaphezu kuka-25 (okungukuthi, ukukhuluphala ngokweqile/ukukhuluphala ngokweqile).
• Ukubhema.
• Izimo ezifana nesifo sohlangothi.
• Ukutheleleka Kwendlela Yomchamo (UTIs).
• Ukukhulelwa nokubeletha (ikakhulukazi ukubeletha ngesitho sangasese sowesifazane).
• Uma uke wathola ukwelashwa ngemisebe endaweni ye-pelvic nganoma yisiphi isizathu.
• Izinkinga ze-prostate, isibonelo, umdlavuza we-prostate noma i-benign prostatic hyperplasia.

Kungani ngingakwazi ukulawula umchamo wami ngokuzumayo?

Kungenzeka ukuthi ubunezimpawu ezincane isikhathi esithile, futhi ungase ungazi ukuthi zisanda kuqala ukuba zimbi kakhulu. Kodwa-ke, uma lezi zimpawu zivele ngemuva kokuhlinzwa kwakamuva, ingozi, noma ngemuva kokuqala umuthi omusha, kufanele nakanjani ubone udokotela. Kungaba ngenxa yokulimala kwemizwa noma enye inkinga.

Ungayibona kanjani i-`(Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa)`?

Udokotela uzohlonza lesi simo ngokuthatha umlando wakho wezokwelapha bese ekubuza ngezimpawu zakho. Bazokwenza nokuhlolwa ngokomzimba. Uma ungowesifazane, bangenza ukuhlolwa kwe-pelvic, kanti uma ungowesilisa, bangenza ukuhlolwa kwe-digital rectal.

Ukuze uthole ukuxilongwa okunembile, udokotela wakho angase akucele ukuthi ugcine "idayari yesinye" izinsuku ezimbili kuya kwezintathu. Kuyo, kufanele ubhale okulandelayo:

• Izinto oziphuzayo (njengamanzi, itiye, ikhofi).
• Uphuza malini?
• Uya kangaki endlini yokugezela?
• Uvuza kangaki umchamo , futhi uvuza malini?
• Ubuwenzani lapho uvuza umchamo ?

Ngaphezu kwalokho, udokotela angenza nezivivinyo ezifana nalezi:

• Ukuhlolwa komchamo (Ukuhlolwa komchamo) ukuhlola izinto ezifana nokutheleleka komgudu womchamo (UTIs) kanye negazi emchameni (Hematuria).
• I-ultrasound yesisu ukuze kubhekwe izitho ezifana nesinye kanye nezinso.
• Hlola uhlelo lomchamo nge-cystoscopy.
• Ukuhlolwa kwe-Urodynamic kuwukuhlolwa kokubona ukuthi uhlelo lomchamo lubamba futhi lukhipha umchamo kahle kangakanani, kanti ukuhlolwa komchamo osele ngemuva kokungasebenzi kuwukuhlolwa kokubona ukuthi kusele umchamo ongakanani esinyeni ngemva kokuchama.

Ingabe `(Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa)` kuzolulama nje?

Ukungakwazi ukuzibamba ngokuvamile akugcini nje ngokuba ngcono. Kodwa-ke, ukwelashwa kunganciphisa kakhulu izimpawu zakho.

Yikuphi ukwelashwa okungcono kakhulu kwalokhu?

Ukwelashwa "kokungakwazi ukuzibamba" kuncike ekutheni izimpawu zakho zimbi kangakanani. Udokotela wakho uzokubuza imibuzo efana nale ukuze anqume ukuthi lesi simo sithinta kangakanani impilo yakho:

• Uchama kangaki emini?
• Uvuka kangaki ebusuku ukuze uchame ngenkathi ulele?
• Ingabe uyavuza umchamo ?
• Kuvuza umchamo ongakanani ?
• Umchamo uvuza nini?
• Uphuza luphi uhlobo loketshezi?

Ngokusekelwe kulezi zimpendulo kanye nemiphumela yokuhlolwa, udokotela angase ancome izinto ezifana nalezi:

• Ukwelashwa ngokomzimba phansi kwe-pelvic. Lokhu kungafaka phakathi ukuzivocavoca kwe-Kegel kanye nokuzivocavoca kokuphumula kwemisipha phansi kwe-pelvic.
• Ukuqeqeshwa kabusha kwesinye.
• Izinguquko zendlela yokuphila.

Ukuzivocavoca kwe-Kegel

Ukuzivocavoca phansi kwe-pelvic kuyizindlela zokuqinisa imisipha esekela uhlelo lwakho lomchamo. Uma kwenziwa kahle, kunganciphisa izimpawu zakho.

Kodwa-ke, ukuhlonza nokusebenzisa imisipha efanele akulula njengoba ungase ucabange. Udokotela we-physiotherapist we-pelvic floor angakufundisa ukuthi ungakwenza kanjani lokhu kuzivocavoca ngendlela efanele. Bangasebenzisa futhi indlela ebizwa ngokuthi "i-Biofeedback" ukuhlola ukuthi ukwenza kahle yini. Ukuze ubone ukuthuthuka kwezimpawu zakho ze-"Urge Incontinence", kufanele wenze lokhu kuzivocavoca njalo cishe amasonto amane kuya kwayisithupha.

Ngezinye izikhathi, izimpawu zesinyi esisebenza ngokweqile zingaba zimbi kakhulu ngenxa yokuqina noma ukuqina kwemisipha yakho yephansi le-pelvic. Uma kunjalo, udokotela wezokwelapha angakufundisa indlela yokukhulula le misipha futhi uyihlanganise ndawonye.

Ukuqeqeshwa kabusha kwesinye

Lokhu kuhilela ukuya endlini yangasese ngezikhathi ezibekiwe kuphela. Umgomo ukulinda isikhashana ngaphambi kokuba uchame , noma ngabe unesifiso esinamandla sokuchama . Lokhu kuzoqinisa imisipha yakho yaphansi kwe-pelvic futhi kukusize ukuthi ubambe umchamo wakho isikhathi eside.

Abanye abantu kufanele bachame njalo, isibonelo, njalo emahoreni amabili. Lokhu kungenxa yokuthi bazizwa benesifiso sokuchama kuphela uma isinyi sabo sesigcwele kakhulu, okungenza kube nzima ukuchama. Ngakho-ke, ukuya njalo nokugcina isinyi singenalutho kungasiza ekunciphiseni inkinga yokuvuza.

Izinguquko zendlela yokuphila

Lezi izinguquko zendlela yokuphila ezingasiza ekunciphiseni "Ukungakwazi ukuzibamba":

• Uma ubhema, yeka.
• Ukuphuza iziphuzo ezimbalwa ezivuselela isinyi (iziphuzo ezine-caffeine njengekhofi netiye, iziphuzo ezine-carbonated njenge-soda, kanye notshwala).
• Ukugcina isisindo esinempilo esikufanele.
• Vimbela ukuqunjelwaYidla ukudla okune-fiber eningi futhi uphuze amanzi amaningi. Ukuqunjelwa kungenza ukungakwazi ukuzibamba kube kubi nakakhulu.
• Uma kunezinye izimo zezokwelapha ezingase zibangele "ukungakwazi ukuzibamba" (Urge Incontinence), funa ukwelashwa kwazo.

Ezinye Izindlela Zokwelapha

Uma ukuqeqeshwa kwesinyi kanye nokushintsha indlela yokuphila kungasizi, udokotela wakho angase ancome izindlela zokwelapha ezifana nalezi:

• Imijovo ye-Botulinum toxin (Botox ®).
• Ukwelashwa kwe-Neuromodulation.

I-Botox

I-Botox isebenza ngokukhulula imisipha esinyeni sakho, ikuvumele ukuthi ubambe umchamo omningi. Kodwa akusona isisombululo esihlala njalo. Kuzodingeka uthole imijovo njalo ezinyangeni eziyisithupha noma ngaphezulu njengoba imiphumela iphela.

Ukwelashwa kwe-Neuromodulation

Kunezindlela ezintathu zokuvuselela kancane imizwa exhuma kwesinye. Lokhu kusiza ekulawuleni indlela uhlelo lwakho lwezinzwa oluxhumana ngayo nesinye sakho. Lezi zindlela yilezi:

• Ukukhuthazwa kwemizwa ye-Percutaneous tibial nerve (PTNS): Lokhu kuhilela ukuvuselela imizwa engaphezulu nje kweqakala lakho. Lokhu kwelashwa kunikezwa kanye ngesonto cishe amasonto ayi-12. Akuyona into enkulu, futhi kungenziwa ehhovisi likadokotela, futhi kulula kunezinye izindlela.
• Ukukhuthazwa kwemizwa ye-tibial engatshalwa (ITNS): Lokhu kuhilela ukubeka ithuluzi elincane ngaphansi kwesikhumba eduze kweqakala lakho ukuze kukhuthazwe imizwa ye-tibial yangemuva. Lokhu kukuvumela ukuthi wenze lokhu kuvuselelwa ekhaya, kunokuba uye ehhovisi kanye ngesonto.
• Ukuguqulwa kwe-Sacral neuromodulation (SNM): Lokhu kuhilela ukufaka idivayisi encane emhlane wakho ongezansi. Udokotela ufaka ucingo oluncane esisekelweni somgogodla wakho bese enikeza ukuvuselelwa okuqhubekayo nokumnene emthanjeni oxhuma ngqo kwesinye. Ibhethri liphinde lifakwe ngaphansi kwesikhumba.

Ungayinciphisa kanjani ingozi `(Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa)`?

Izinto ezifanayo ezisiza ekwelapheni "i-Urge Incontinence" nazo ziyasiza ekuvimbeleni lokhu:

• Gcina isisindo esinempilo esikufanele.
• Gwema ukuqunjelwa.
• Uma ubhema, yeka.
• Yehlisa i-caffeine, iziphuzo ezine-carbonated, kanye notshwala.
• Chama njalo ukuze isinye sakho sigcine singenalutho.

Yini okufanele ilindelwe ngumuntu onokukhubazeka kokulawula ukukhulelwa ((Urge Incontinence))?

Ukuzibamba kwesifiso sokuyeka ukuzibamba kungaba yinto ecindezelayo kakhulu. Unganciphisa ukungazibambi kwesifiso sakho ngemithi yasekhaya efana nokuzivocavoca kweKegel kanye nokuqeqeshwa kwesinye isinyi. Kodwa-ke, kungathatha inyanga noma ngaphezulu ukubona umehluko, futhi izimpawu zingase zingapheli ngokuphelele. Ngakho-ke, kubalulekile ukukhuluma nodokotela.Uzobe esekutshela ukuthi isimo sakho sibi kangakanani kanye nezindlela ezingcono kakhulu zokusiphatha nokunciphisa umthelela empilweni yakho.

Kwenzekani uma `(Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa)` kungelashwa?

Uma ingelashwa, "Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa" kungaba kubi kakhulu. Kungase kudingeke uye endlini yokugezela kaningi futhi uvuza umchamo omningi. Lezi zinkinga zingaba zimbi kakhulu uma ubhema noma ungagcini isisindo esinempilo.

Ungabhekana kanjani `(Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa)`?

Ukungakwazi ukuzibamba kungabangela ukuvuza komchamo , ngakho-ke ungase ufune ukusebenzisa izingubo zangaphansi ezimuncayo noma ama-watering pad kuze kube yilapho ukwelashwa kwakho kusebenza kahle. Kodwa-ke, ukuchayeka njalo emchameni kungabangela ukuqubuka kwenabukeni kanye nezilonda. Ukuze uvikele isikhumba sakho, kungumqondo omuhle ukufaka into efana ne -petroleum jelly (Vaseline®) . Uma i-petroleum jelly iyodwa ingasizi, zama ukhilimu noma amafutha aqukethe i-zinc oxide, bese ubona udokotela.

Uma ubhekene nokucindezeleka, ukucindezeleka, noma ukukhathazeka ngenxa yokungakwazi ukuzibamba, kungaba usizo ukukhuluma nodokotela wezifo zengqondo noma isazi sokusebenza kwengqondo . Bangakusiza ukuphatha impilo yakho yengqondo.

Kufanele ngimbone nini udokotela?

Khuluma nodokotela wakho ngokushesha nje lapho ubona izimpawu zokuqala zokuthi "Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa" noma uma ubona ushintsho emikhubeni yakho yokugezela. Bangakusiza ukuthola imbangela, ukwelapha, nokuphatha izimpawu zakho. Kubalulekile futhi ukuhlola ukutheleleka komgudu womchamo (UTI) uma izimpawu zakho ziba zimbi kakhulu.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Iyini imbangela yokuthi ngine-`(Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa)`?
• Hlobo luni lokuhlolwa olwenzayo?
• Kunzima kangakanani "ukungakwazi ukuzibamba" kwami?
• Ucabanga ukuthi ngizodinga i-Botox, ukwelashwa kwemizwa, noma ukuhlinzwa?
• Ziyini izingozi ze-Botox, ukuhlinzwa kwemizwa, noma ukuhlinzwa?

Uyini umehluko phakathi kwe-`(Ukukhuthaza Ukungakwazi Ukulawula Ukucindezeleka)` kanye ne-`(Ukucindezeleka Ukungakwazi Ukulawula Ukucindezeleka)`?

Izimbangela nezimpawu zalezi zibili zihlukile:

• Ukungakwazi ukuzibamba: Lokhu kubangelwa ukucindezeleka kwesisu esinyeni. Kulokhu, umchamo uphuma kancane kancane.
• Ukungakwazi ukuzibamba: Lokhu kuvame ukubangelwa ukusebenza kakhulu kwesinyi. Kungabangela ukuvuza komchamo omningi kunokungakwazi ukuzibamba ukucindezeleka.

Ukukhuluma ngemikhuba yakho yokugeza kungaba yinto ebangela amahloni, ngakho-ke ungase ucabange ukuthi nguwe wedwa onale nkinga. Kodwa awuwedwa. Ukungakwazi ukuzibamba kuthinta abantu abaningi ngesikhathi esithile empilweni yabo.

Ukukhuluma nomndeni noma abangane abathembekile ngalokhu kungabasiza baqonde izinguquko zakho ekuziphatheni. Bangakusiza futhi ukunciphisa umthelela wokungakwazi ukuzibamba empilweni yakho ngokukusiza ukuthola indlu yokugezela uma uphumile, nangokuphazamisa abanye uma usegumbini lokugezela isikhathi eside kakhulu.

Into ebaluleke kakhulu ukukhuluma nodokotela wakho mayelana nokwelashwa okungcono kakhulu kwesimo sakho. Ngokwelashwa, ukuhlela kusengaphambili, kanye nokusekelwa abanye, unganciphisa umthelela wokungakwazi ukuzibamba empilweni yakho.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ukungakwazi ukuzibamba kuyisimo esingelapheka, ngakho ungabi namahloni noma wesabe.
• Isizathu esiyinhloko salokhu kungaba yisinye esisebenza ngokweqile.
• Ngisho nezinto ezilula njengokushintsha indlela yokuphila, ukuzivocavoca kwe-Kegel, kanye nokuqeqeshwa kwesinyi kungenza umehluko omkhulu.
• Kubalulekile ukufuna iseluleko sezokwelapha uma unezimpawu. Ukuxilongwa okufanele kanye nokwelashwa kungathuthukisa ikhwalithi yempilo yakho.
• Awuwedwa. Lesi simo sithinta abantu abaningi. Ngakho-ke thola ukwesekwa, futhi ufundise abanye ngalokhu.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

ukungakwazi ukuzibamba, isifiso sokungakwazi ukuzibamba, isinyi esisebenza ngokweqile, ukulawula isinyi, ukuchama njalo, i-nocturia, ukuvuza komchamo, izivivinyo ze-Kegel, ukuqeqeshwa kabusha kwesinyi, ukulawula umchamo, ukungakwazi ukuzibamba komchamo , impilo ye-Sinhala