Ingabe nawe unenkinga yokuchama? (Ukungabaza Kokuchama) Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi kudingeka ulinde isikhashana ukuthi umchamo wakho uphume? Noma ingabe uyeka ngokuzumayo ngenkathi uchama , bese kuphuma okuncane kuphela uma uzama futhi? Uma lokhu kuye kwenzeka kuwe, khona-ke ungase ube nesimo esikhuluma ngaso namuhla, 'ubunzima bokuchama '. Lokhu kwaziwa ngokwezokwelapha ngokuthi `(Ukungabaza Komchamo)`. Ake sixoxe ngalokhu ngokuningiliziwe.

Iyini le nkinga yokuchama ? (Ukungabaza Komchamo ngamagama alula)

Kalula nje, `(Ukungabaza Komchamo)` kusho ukuthi unenkinga yokuchama (okungukuthi, ukuchama). Lokhu kusho ukuthi ungase ube nobunzima bokuqala ukuchama , noma ungase ube nobunzima bokuqhubeka nokuchama ngesivinini esizinzile nesizinzile. Ngezinye izikhathi, ungase uyeke ukuchama yize usafuna ukuchama .

Lokhu kungenzeka kunoma ubani, kodwa uma uyindoda, cishe ubhekene nalesi simo.

Odokotela basebenzisa igama elithi "ukungabaza" ukubhekisela enkingeni yokuqala ukuchama noma ubunzima bokugcina ukugeleza komchamo .

Yiziphi izimpawu ozibonayo kulesi simo?

Izimpawu eziyinhloko "zokungabaza komchamo" ubunzima bokuqala ukuchama kanye nokuyeka ukuchama ngaphambi kokuba isinyi singenalutho ngokuphelele. Ngaphezu kwalokho, kungase kube nezinye izimpawu.

• Ukuzizwa sengathi udinga ukuchama , kodwa ungakwazi ukuchama .
• Isifiso sokuchama .
• Ukuzwa sengathi umchamo wakho udlula kancane kakhulu, noma njengomchamo omncane.
• Ukuconsa amanzi, ngisho noma usuqedile ukuchama .

Ezinye izimpawu ngaphandle kobunzima bokuchama

Ngezinye izikhathi lesi simo "sokungabaza umchamo" singaholela "ekugcinweni komchamo" noma ngisho nokungakwazi ukuchama . Kulesi simo, singahambisana nezimpawu ezifana nalezi:

• Ukuzwa ubuhlungu esiswini esingezansi.
• Ukuzizwa sengathi isisu sakho sivuvukele.
• Ukuvuza umchamo omncane ngaphandle kokuqaphela (okubizwa nangokuthi "Ukungakwazi ukuzibamba komchamo").

Kungani lokhu kwenzeka? Yiziphi izizathu?

Kunezizathu eziningana ezenza kube nzima ukuchama . Ake sibheke ukuthi ziyini.

Imbangela evame kakhulu ethinta amadoda

Imbangela evame kakhulu yalokhu ukwanda kwendlala ye-prostate (i-Benign Prostatic Hyperplasia - BPH).Lokhu kuvame kakhulu kwabesilisa abaneminyaka engaphezu kwengu-60. I-prostate iyindlala encane etholakala kwabesilisa kuphela. Itholakala ngaphansi kwesinye, izungeze i-urethra. Ngakho-ke uma ikhula, ingacindezela i-urethra futhi ivimbele ukugeleza komchamo .

Ezinye izizathu ezivamile

Ngaphezu kwalokho, kungase kube nezinye izizathu eziningana:

• Ukutheleleka Kwendlela Yomchamo (UTIs) noma Ukutheleleka Kwesinye: Lokhu kuvame kakhulu phakathi kwethu.
• I-Prostatitis: Lesi yisimo lapho i-prostate gland ivuvukala futhi itheleleke.
• Ukuvaleka nokuncipha kwe-urethra (Ukuqina Kwe-Urethral): I-urethra ingancipha ngaphakathi ngenxa yengozi noma ukutheleleka.
• Ukuqunjelwa okukhulu: Uma ukuqunjelwa kunzima, kungacindezela esinyeni futhi kuthinte ukuchama .
• Imithi ethile: Isibonelo, eminye imithi yokucindezeleka (i-Tricyclic Antidepressants), imithi yokungakwazi ukuzibamba ngomchamo, kanye neminye imithi yomkhuhlane kanye nokungezwani komzimba nakho kungabangela lokhu.
• Ukungakwazi ukukhulula imisipha yephansi le-pelvic kahle: Le misipha idinga ukuphumula lapho ichama . Uma ingaphumuli kahle, kungaba nzima ukuchama (Ukungasebenzi Kahle Kwephansi Le-Pelvic).
• Izifo zesimiso sezinzwa: Izifo zemizwa lapho izimpawu ezivela ebuchosheni ziya kwesinye zingasebenzi kahle. Isibonelo, isifo sohlangothi, i-multiple sclerosis (MS), noma i-neuropathy ehlobene nesifo sikashukela.
• Ukuwa Kwezitho Zesitho Sesitho Sesitho Sesitho Sesitho Sesitho Sesitho Sesitho: Lapho imisipha engaphakathi kwesitho sesisu iba buthaka, izitho ezifana nesinye zingawa phansi. Lokhu kungathinta nokuchama .

Ubani okungenzeka kakhulu ukuthi athinteke yilesi simo?

Njengoba kushiwo ngaphambili, lokhu kungenzeka kunoma ubani, kunoma yimuphi ubudala. Kodwa-ke, kuvame kakhulu kwabesilisa abangaphezu kweminyaka engama-60 ubudala abane-prostate ekhulisiwe (BPH).

Udokotela ukubona kanjani lokhu?

Uma utshela udokotela wakho womndeni (uDokotela Wokunakekelwa Okuyinhloko - PCP) ukuthi unenkinga yokuchama , uzokubuza ngezimpawu zakho, athathe umlando wempilo yakho, futhi enze ukuhlolwa ngokomzimba.

Imibuzo okufanele uyibuze

Udokotela angase abuze imibuzo efana nale:

• Sekuyisikhathi esingakanani unenkinga yokuchama ?
• Uzizwa sengathi uchama kancane kunokujwayelekile?
• Ingabe lezi zimpawu zivele ngokuzumayo, noma zanda kancane kancane?
• Ingabe ukhona umuthi ongase uwuthathe ekhemisi ukuze uthole impumuzo kulokhu?
• Wake wazizwa sengathi lobu bunzima buyanda uma udla ukudla okuthile noma wenza izinto ezithile?

Ngokusekelwe ezimpendulweni zakho zale mibuzo, udokotela angathola umbono omuhle ngesimo.

Yiziphi izivivinyo ezenziwayo?

Ngemva kwalokho, udokotela angase acele ukuhlolwa ukuze aqinisekise isimo "sokungabaza komchamo" futhi athole imbangela.

• Ukuhlolwa kwe-Urodynamic: Lokhu kuyinhlanganisela yezivivinyo eziningana. Lokhu kubheka:
• Uchama kangakanani?
• Ijubane lakho lokuchama namandla alo anjani?
• Injani ingcindezi ngaphakathi kwesinye sakho?
• Ukuhlolwa kwezithombe: Isibonelo, kungacelwa i-ultrasound scan noma i-CT scan. Lokhu kungabheka ukuthi isinye sakho sigcwalisa futhi sikhipha kanjani, futhi kungahlola nosayizi we-prostate yakho. Ngezinye izikhathi i-cystoscopy, ehilela ukufaka ikhamera encane nge-urethra yakho ukuze ibheke ngaphakathi kwesinye sakho, ingenziwa.
• Ukuhlolwa Kwe-Digital Rectal: Lokhu kuhilela ukuhlola ngesandla ubukhulu be-prostate gland.
• Ukuhlolwa Komchamo: Kuthathwa isampula yomchamo wakho bese kuhlolwa okuqukethwe (izinkomba ze-microscopic, amakhemikhali).
• Ukukhula Komchamo: Lokhu kuhlolwa kwenziwa ukuhlola ukutheleleka ngamagciwane emchameni .

Yiziphi izindlela zokwelapha ubunzima bokuchama ?

Ukwelashwa kokungabaza komchamo kuncike embangela nokuthi unazo yini ezinye izimo zezokwelapha. Udokotela wakho angaphakamisa izindlela zokwelapha ezilandelayo:

• Ukuqeqeshwa Kabusha Kwesinye / Ukuphuma Kwesinye Ngesikhathi
• Ukwelashwa Komzimba Kwephansi Le-Pelvic
• Imithi
• Ukuhlinzwa
• Ukukhuthazwa Kwezinzwa Ze-Sacral / Ukuguqulwa Kwezinzwa Ze-Sacral

Ake sibheke ngayinye yalezi ngemininingwane ethe xaxa.

Ukuqeqeshwa kwesinye (Ukuphuma Kwesinye Ngesikhathi)

Lokhu kuhilela ukuqeqesha kabusha imisipha yesinye sakho. Lokhu kuhilela ukuya ekuchameni ngezikhathi ezijwayelekile (ngokuvamile njalo emahoreni amabili). Lokhu kwenziwa ngokuthulula isinye sakho ngaphambi kokuba sigcwale. Ngisho noma ungazizwa sengathi ufuna ukuchama , kufanele uzame ukuya ngezikhathi ezivamile.

Ukwelashwa Komzimba Kwephansi Le-Pelvic

Lokhu kuhilela ukukufundisa izivivinyo ezizokusiza ukhulule imisipha ephansi kwe-pelvic yakho. Uma le misipha ikhululeke kahle, kulula ukuchama .

Imithi

Udokotela angakunika imithi yokuvimba i-prostate ekukhuleni noma yokunciphisa ekhona (isib. i-Dutasteride, i-Finasteride). Noma angakunika imithi yokukhulula imisipha yesinye kanye ne-prostate (ama-Alpha-blockers). Uma kukhona ukutheleleka, uzokunika ama-antibiotic.

Ukuhlinzwa

Uma i-urethra incishisiwe, ukuhlinzwa kungenziwa ukuze kwandiswe (Ukwanda Kwe-Urethral) noma kwakhiwe kabusha (Ukwakhiwa kabusha kwe-Urethral). Uma i-prostate gland ikhulisiwe ngenxa ye-BPH, kunezinqubo ezahlukene zokuhlinzwa zokususa izicubu ezisele. Ezinye zilula futhi zingenziwa ehhovisi likadokotela. Ezinye ukuhlinzwa okusebenzisa amandla kagesi noma e-laser. Ngezinye izikhathi ukuhlinzwa kokususa ingxenye noma yonke i-prostate gland (i-Prostatectomy) kungenziwa. Uma izitho zangasese ze-pelvic zehlile (i-Pelvic Organ Prolapse), kunezindlela zokuhlinzwa zokubuyisela izitho endaweni yazo nokuzisekela ukuze zivinjelwe ukuthi zingaphinde ziwele.

Ukukhuthazwa Kwezinzwa Ze-Sacral

Kulokhu, idivayisi encane ebizwa ngokuthi "i-Neurostimulator" ifakwa ngaphansi kwesikhumba eduze kwezinqe zakho. Le divayisi ithumela ama-electrical impulses amancane kakhulu eduze kwe-sacral nerve yakho ukuze ivuselele imisipha yesinye.

Yiziphi izinto ongazenza ekhaya?

Kwezinye izimo, ukukhuluma nodokotela wakho nokwenza izinto ezilula ekhaya kungasiza ekunciphiseni lesi simo (Ukungabaza Komchamo).

• Ukushisa: Izinto ezinjengokugeza ngamanzi ashisayo noma ukubeka ibhodlela lamanzi ashisayo noma i-heating pad esiswini sakho esingezansi zingaphumuza imisipha yaphansi kwe-pelvic, zenze kube lula ukuchama .
• Ukuhlikihla: Ngesikhathi uchama , ukuhlikihla kancane isisu sakho esingezansi (lapho kukhona khona isinyi) ngezandla zakho noma ukufaka ukucindezela okuncane kungasiza ekwandiseni isivinini namandla okugeleza komchamo wakho .
• Izithambisi Zendle Noma Izithambisi Zokuhlanza Indle: Uma uqunjelwe, ukuphuza ukudla okufanele, iziphuzo, kanye nemithi (esigabeni se-laxative) ukuze ugcine amathumbu akho ehamba kahle kuzosiza nasekusebenzeni kwesinye.

Into ebaluleke kakhulu ukuthi ngaphambi kokuzama lokhu kwelashwa ekhaya, kufanele nakanjani uthintane nodokotela futhi ukwenze kuphela uma ethi "kuphephile ngawe ukukwenza lokhu."

Izinzuzo zokugcina 'idayari yesinye'

Udokotela wakho angase akucele nokuthi ugcine "idayari yesinye," incwadi eqopha izinto ezihlobene nesinye sakho. Kuyo, kufanele uqophe izinto ezinjengalezi:

• Inani lamanzi noketshezi oluphuzayo ngosuku.
• Inani lomchamo owuchamelayo (lilinganise uma kungenzeka).
• Isivinini sokuchama (njengokuthi kuhamba kahle noma kuhamba kancane).
• Kuthatha isikhathi esingakanani ukuchama ?
• Uchama kangaki ngosuku?
• Ngaphezu kwalokho, ungase ubhekane nezinye izimpawu.

Ngokugcina idayari enjengale, wena nodokotela wakho ningakuqonda kangcono lesi simo.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Lokhu kuncike kakhulu embangeni yokungabaza kwakho umchamo kanye nokwelashwa okunikezwayo.

• Ukwelashwa ngokomzimba phansi kwe-pelvic kungathatha amasonto ambalwa ukubona imiphumela.
• Izinto zokuphumula imisipha zingathatha amahora amaningana ukuqala ukusebenza.
• Ngemva kokufakwa kwensiza yokuvuselela imizwa ye-sacral , kungathatha amasonto ambalwa ukubona imiphumela.
• Kungathatha izinyanga eziningana ukululama ngokuphelele ngemva kokuhlinzwa .

Ingabe lesi simo singavinjelwa?

Asikwazi ukuvimbela zonke izimbangela `(Ukungabaza Komchamo)`. Kodwa-ke, ukugcina imikhuba emihle yokuchama nokugwema ukuqunjelwa kungasiza ngezinga elithile. Okusho ukuthi, kufanele uchame njalo emahoreni ambalwa, ungawugcini umchamo wakho . Futhi, kufanele uthuthe kahle futhi kancane kanye ngosuku.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Bonana nodokotela ngokushesha nje lapho ubona ukuthi unenkinga yokuchama noma ukuthi ukugeleza komchamo wakho kuhamba kancane kunokujwayelekile. Ungazinaki izimpawu zakho noma ucabange ukuthi "kuzophela zodwa." Kungaba yihlazo ukukhuluma ngokuchama , kodwa kubalulekile ukuhlolwa uphawu olusha ngokushesha.

Ingabe udinga ukuya e-Emergency Treatment Unit (ETU) ?

Uma uzizwa unesifiso esinamandla sokuchama kodwa ungakwazi ukuchama , ikakhulukazi uma kuhambisana nobuhlungu esiswini sakho esingezansi noma endaweni yesitho sangasese sowesifazane, iya eGumbini Eliphuthumayo (ER) ngokushesha. Lokhu kuyinto okungafanele uyibambezele.

Imibuzo ebalulekile okufanele uyibuze udokotela

Uma uya kudokotela, ungakhohlwa ukubuza imibuzo efana nale:

• Ucabanga ukuthi yini imbangela yobunzima bami bokuchama , dokotela?
• Yiziphi izivivinyo engizincomayo ukuthi ngizenze?
• Ingabe ngidinga ukuhlolwa okwengeziwe?
• Yikuphi ukwelashwa okunconywayo kimi?
• Ingabe ubunzima bami bokuchama buyoke bube ngcono ngokuphelele?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Nakuba kungeyona into esikhuluma ngayo nsuku zonke, uma unesilinganiso esihle somchamo , kunempilo kakhulu ukukhipha ngokuphelele esinyeni sakho bese uchama , akunjalo? Kodwa ngesikhathi esifanayo, cabanga ngendlela okucasula futhi okuhlazisa ngayo uma ungakwazi ukuchama ngokukhululeka nangokuphelele bese kuba khona okuphazamisayo. Yilokho okubizwa ngokuthi `(Ukungabaza Komchamo)`.

Uma izindlela ezilula zokwelapha ekhaya zingasizi izimpawu zakho, ungabi namahloni okukhuluma nodokotela. Akukho okubi ngokunakekela impilo yakho, futhi akukho okufanele ube namahloni ngakho. Ngakho-ke, uma unenkinga, thola usizo oludingayo.

Ukugcinwa komchamo , ubunzima bokuchama , Ukungabaza Komchamo, i-BPH, i-Prostate, Ukutheleleka komgudu womchamo, Izimpawu zomchamo