Ingabe Unenkinga Yokuchama? (Ukungabaza Kokuchama) Ake Sixoxe Ngakho! | Nirogi Lanka

Uke uzithole umi endlini yokugezela, ulinde ukuthi umchamo wakho uqale, noma ngabe uzizwa unesifiso? Noma mhlawumbe umchamo wakho uyeka ukugeleza phakathi, bese uqhubeka nokuvuza ngemva kokucindezeleka? Uma uke wabhekana nalezi zimpawu, kungenzeka ukuthi ubhekene nesimo esaziwa ngokuthi ukungabaza umchamo . Kwa- Nirogi Lanka , sifuna ukukusiza uqonde ukuthi kusho ukuthini lokhu nokuthi kungaphathwa kanjani.

Sisho ukuthini uma sithi Ukungabaza Komchamo? (Umhlahlandlela olula ovela eNirogi Lanka)

Kalula nje, ukungabaza umchamo kubhekisela ebunzimeni ongase ubhekane nabo lapho udinga ukuchama. Lokhu kusho ukuthi ungase ube nobunzima bokuqala inqubo, noma ukuthola kunzima ukugcina ukugeleza okuzinzile nokungaguquguquki. Ngezinye izikhathi, ungase uzizwe sengathi usadinga ukuchama, kodwa ukugeleza kuyama ngokuzumayo.

Nakuba lokhu kungenzeka kunoma ubani, lesi simo sivame ukubonakala kwabesilisa.

Odokotela basebenzisa igama elithi “ukungabaza” ukuchaza lowo mzabalazo othize lapho uzama ukuqala ukuchama noma umzamo odingekayo ukuze kugcinwe ukugeleza kwegazi.

Yiziphi izimpawu ongase uzizwe?

Izinkomba eziyinhloko zokungabaza umchamo ubunzima bokuqala ukugeleza komchamo kanye nokuma kokugeleza ngaphambi kokuba isinyi sakho sizizwe singenalutho ngokuphelele. Ngaphezu kwalokho, ungase ubhekane nalokhu:

• Umuzwa wokuthi udinga ukuhamba, kodwa ungakwazi ukuqala.
• Isidingo sokuzikhandla noma sokusunduza ukuze umchamo ugeleze.
• Umfudlana obuthakathaka kakhulu, noma ukuqaphela ukuthi uphuma njengethonsi elincane.
• Ukuvuza kwamanzi ngemva kokungasebenzi (umchamo uyavuza ngemva kokuqeda).

Ezinye izimpawu nokuthi kufanele uthathe nini isinyathelo

Ngezinye izikhathi, ukungabaza komchamo kungaholela ekugcinweni komchamo , lapho ungakwazi khona ngokuphelele ukukhipha isinye sakho. Uma uhlangabezana nalokhu okulandelayo, funa usizo lwezokwelapha ngokushesha:

• Ubuhlungu esiswini sakho esingezansi.
• Umuzwa wokuqunjelwa noma ukugcwala endaweni yesinqe.
• Ukuvuza komchamo okungahleliwe (okwaziwa ngokuthi ukungalawuleki komchamo ).

Kungani lokhu kwenzeka? Izimbangela ezingaba khona

Kunezizathu eziningana zokuthi kungani ungase ube nokungabaza ngomchamo. Ake sibheke ezivame kakhulu.

Imbangela evamile emadodeni

Imbangela evame kakhulu yamadoda yi- Benign Prostatic Hyperplasia (BPH) , noma i-prostate ekhulisiwe. Lokhu kuvame kakhulu kwabesilisa abangaphezu kweminyaka engama-60. I-prostate iyindlala encane ezungeze i-urethra (ipayipi elithwala umchamo). Uma ikhula, icindezela i-urethra, ivimbele ukugeleza komchamo.

Ezinye izinto ezivamile

Ezinye izimbangela ezingaba khona zifaka:

• Ukutheleleka Kwendlela Yomchamo (UTIs) noma Ukutheleleka Kwesinye: Lokhu kuvame kakhulu futhi kungathinta ukugeleza kwegazi lakho.
• I-Prostatitis: Ukuvuvukala noma ukutheleleka kwendlala ye-prostate.
• Ukuqina Kwe-Urethral: Ukuvaleka ngaphakathi kwe-urethra ngenxa yokulimala noma ukutheleleka kwangaphambilini, okunciphisa umsele.
• Ukuqunjelwa Okukhulu: Ukucindezela okukhulu emathunjini kungacindezela esinyeni futhi kuthinte ukuchama.
• Imithi Ethile: Imithi efana neminye imithi yokucindezeleka ye-tricyclic, imithi yesinyi esisebenza ngokweqile, noma ngisho neminye imithi yokwelapha umkhuhlane kanye nokungezwani komzimba.
• Ukungasebenzi Kahle Kwesitho Sangaphansi Kwesitho Sangaphansi: Ukungakwazi ukukhulula imisipha yesitho sangaphansi kahle ngesikhathi sokuchama.
• Izimo ze-neurological: Izimo ezithinta izimpawu ezivela ebuchosheni bakho ziye kwesinye, njenge-stroke, i-Multiple Sclerosis (MS), noma i-neuropathy ehlobene nesifo sikashukela.
• Ukuncipha Kwezitho Zesitho Se ...

Ubani osengozini?

Nakuba lokhu kungenzeka kunoma ubani, kuvame kakhulu phakathi kwabesilisa abangaphezu kweminyaka engama-60 ababhekene ne-prostate ekhulisiwe (BPH).

Udokotela wakho uzokuthola kanjani lokhu?

Uma ukhuluma nodokotela wakho oyinhloko ngalezi zimpawu, uzobuyekeza umlando wakho wezokwelapha futhi enze ukuhlolwa ngokomzimba ukuze athole imbangela eyinhloko.

Imibuzo udokotela wakho angase ayibuze:

• Sekuyisikhathi esingakanani ubhekene nalezi zinkinga?
• Ingabe umchamo wakho ubuthakathaka kunokuvamile?
• Ingabe lezi zimpawu zivele ngokuzumayo, noma ziye zavela kancane kancane?
• Ingabe uthatha imithi ethengiswa ngaphandle kwemithi kadokotela ukuze welaphe lokhu?
• Uke waphawula ukuthi ukudla okuthile, iziphuzo, noma imisebenzi ethile kwenza lezi zimpawu zibe zimbi kakhulu?

Izimpendulo zakho zizosiza udokotela wakho ukuthi aqonde kangcono iphrofayili yakho yezempilo.

Ukuhlolwa kokuxilonga:

Ukuze kuqinisekiswe ukuxilongwa nokuthola imbangela ethile yokungabaza umchamo , udokotela wakho angase ancome ukuhlolwa okwengeziwe.

• Ukuhlolwa kwe-Urodynamic: Lolu uchungechunge lwezivivinyo zokuhlola impilo yakho yomchamo ngokuhlola:
• Inani eliphelele lomchamo owudlulayo.
• Izinga lokugeleza kwamanzi kanye namandla okuchama kwakho.
• Ingcindezi ngaphakathi kwesinye sakho.
• Ukuhlolwa Kwezithombe: Udokotela wakho angase ancome ukuthi kwenziwe i-ultrasound noma i-CT scan ukuze abone ukuthi isinye sakho sigcwalisa futhi sikhipha kanjani, kanye nokuhlola usayizi we-prostate yakho. Ngezinye izikhathi, inqubo ebizwa ngokuthi i -Cystoscopy ingenziwa, lapho kufakwa khona ikhamera encane nge-urethra ukuze kubonwe ulwelwesi lwesinye.
• Ukuhlolwa Kwe-Digital Rectal (DRE): Ukuhlolwa ngokomzimba ukuhlola usayizi kanye nokuthungwa kwe-prostate gland yakho.
• Ukuhlolwa komchamo: Ukuhlaziywa kwesampula yomchamo ukuthola ukukhubazeka okuncane kakhulu noma kwamakhemikhali.
• Ukukhula Komchamo: Ukuhlolwa okuqondile kokuthola ukuthi unesifo esibangelwa amagciwane yini emchameni wakho.

Iphathwa kanjani i-Urinary Hesitancy eNirogi Lanka?

Ukwelashwa Kokungabaza Komchamo kuncike embangela eyinhloko kanye nephrofayili yakho yezempilo iyonke. Udokotela wakho eNirogi Lanka angase asikisele ukungenelela okulandelayo:

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

Ake sibheke lokhu ngokuningiliziwe.

Ukuqeqeshwa Kabusha Kwesinye (Ukuphuma Kwesinye Ngesikhathi)

Umgomo lapha ukuqeqesha kabusha imisipha yesinye sakho. Uzocelwa ukuthi uchame ngezikhathi ezihleliwe (ngokuvamile njalo emahoreni amabili) , noma ngabe awuzizwa unesifiso. Lokhu kusiza ukukhipha isisu ngaphambi kokuba sigcwale kakhulu.

Ukwelashwa Komzimba Kwephansi Le-Pelvic

Lokhu kwelashwa kukufundisa ukuzivocavoca okuqondile ukuze ukhulule imisipha phansi kwe-pelvic yakho. Ukukhulula kahle le misipha kwenza ukuchama kube lula futhi kukhululeke kakhudlwana.

Imithi

Kuye ngokuthi unesifo esingakanani, udokotela wakho angase akunike imithi yokulawula ubukhulu be-prostate (isib. i-Dutasteride, i-Finasteride) noma ama-alpha-blockers ukusiza ukukhulula imisipha yesinye kanye neye-prostate. Uma kukhona ukutheleleka, uzonikezwa imithi yokulwa namagciwane.

Izinqubo Zokuhlinzwa

Uma i-urethra yakho inciphile, inqubo efana ne -Urethral Dilation noma i-Reconstruction ingadingeka. Uma i-prostate ekhulisiwe (i-BPH) iyimbangela, kunezindlela ezahlukene zokuhlinzwa zokususa izicubu ezidlulele—kusukela ezinqubweni zehhovisi ezingangenisi kakhulu kuya ekwelashweni okuthuthukisiwe kwe-laser noma kagesi. Kwezinye izimo, kungadingeka i -Prostatectomy engaphelele noma ephelele. Ezimweni ezifana ne -Pelvic Organ Prolapse , ukuhlinzwa kungabuyisela izitho endaweni yazo efanele.

Ukukhuthazwa Kwezinzwa Ze-Sacral

Kule nqubo, kufakwa idivayisi encane yokuvuselela izinzwa ngaphansi kwesikhumba eduze kwezinqe zakho. Ithumela ukushaya kukagesi okuthambile emithanjeni ye-sacral ukuze ilawule kahle ukusebenza kwemisipha yesinye.

Ungakwazi yini ukuphatha lokhu ekhaya?

Kwezinye izimo, udokotela wakho angase ancome izinguquko ezilula zendlela yokuphila ongazilungisa ekhaya ukuze usize ngokungabaza komchamo .

• Ukusetshenziswa Kokushisa: Ukugeza okufudumele noma ukusebenzisa i-heating pad esiswini sakho esingezansi kungasiza ekukhululeni imisipha yakho yaphansi kwe-pelvic, okwenza ukuchama kube bushelelezi.
• Ukuhlikihla: Ukuhlikihla kancane isisu esingezansi (indawo yesinyi) ngenkathi uchama kungasiza ekuthuthukiseni izinga lokugeleza kwakho kanye namandla.
• Izithambisi Zendle Noma Izithambisi Zokulalisa Indle: Uma uhlushwa ukuqunjelwa okungapheli, ukuphatha impilo yamathumbu ngokudla noma ngemithi enikezwe udokotela kunganciphisa ngokungaqondile ingcindezi esinyeni.

Okubaluleke kakhulu: Njalo xhumana nodokotela wakho ngaphambi kokuqala noma yiziphi izindlela zokwelapha zasekhaya ukuqinisekisa ukuthi ziphephile esimweni sakho.

Izinzuzo 'zeDayari Yesinye'

Udokotela wakho angase akucele ukuthi ugcine "Idayari Yesinye" ukuze ulandelele imikhuba yakho. Kufanele ubhale phansi:

• Ukudla okuphelele koketshezi usuku lonke.
• Isilinganiso somthamo womchamo okhiqizwayo.
• Amandla nokugeleza komfudlana wakho.
• Isikhathi esithathayo ukuqala ukuchama .
• Ukuvama kokuvakasha kwakho endlini yokugezela.
• Noma yiziphi ezinye izimpawu ozizwayo.

Le dayari inikeza ulwazi olubalulekile kuwe nakudokotela wakho ukuze niqonde kangcono imbangela yezimpawu zenu.

Iyini isikhathi sokululama ngemva kokwelashwa?

Ukululama kuncike ngokuphelele embangeni yokungabaza kwakho koMchamo kanye nohlelo lokwelashwa olukhethiwe.

• Ukwelashwa Komzimba Kwe-Pelvic Floor: Ungase uqale ukuqaphela imiphumela ngemva kwamasonto amaningana okuqeqeshwa njalo.
• Imithi Ephumuza Imisipha: Le mithi ingaqala ukusebenza zingakapheli amahora ambalwa kuya ezinsukwini ezimbalwa.
• Isishukumisi Semizwa Se-Sacral: Ungase uqaphele intuthuko enkulu emavikini ambalwa njengoba izilungiselelo zilungiswa.
• Ngemva Kokuhlinzwa: Ukululama okuphelele kungathatha izinyanga eziningana kuye ngokuthi inqubo iyinkimbinkimbi kangakanani.

Ingabe lesi simo singavinjelwa?

Nakuba singenakukwazi ukuvimbela zonke izimbangela zokungabaza komchamo , ungathola impumuzo ngokugcina imikhuba emihle yesinyi nokuvimbela ukuqunjelwa. Lokhu kusho ukuthi kufanele uhlose ukuchama njalo emahoreni ambalwa kunokukugcina isikhathi eside. Ngaphezu kwalokho, zama ukugcina isimiso samathumbu esivamile nesikhululekile nsuku zonke.

Kufanele ubonane nini nodokotela?

Bonana nodokotela ngokushesha nje lapho ubona ukuthi unenkinga yokuchama noma uma ukugeleza kwakho koketshezi kubuthakathaka njalo kunokujwayelekile. Ungazinaki lezi zimpawu noma ucabange ukuthi zizozixazulula zodwa. Nakuba kungaba namahloni ukuxoxa ngezinkinga zesinyi, kubalulekile ukuhlolwa ngokushesha nganoma yiziphi izimpawu ezintsha noma eziqhubekayo.

Ingabe udinga ukuvakashela Igumbi Lezimo Eziphuthumayo (ER)?

Uma unesidingo esiphuthumayo sokuchama kodwa uthola ukuthi awukwazi nhlobo ukuchama, ikakhulukazi uma uzwa ubuhlungu esiswini sakho esingezansi noma endaweni ye-pelvic, iya eGumbini Eliphuthumayo eliseduze ngokushesha. Lesi yisimo okungafanele sibambezeleke.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Uma uvakashela udokotela wakho, qiniseka ukuthi ubuza imibuzo elandelayo:

• Ucabanga ukuthi iyini imbangela eyinhloko yobunzima bami bokuchama ?
• Yiziphi izivivinyo zokuxilonga ozincomayo?
• Ingabe kukhona ukuhlolwa okwengeziwe okufanele ngikwenze?
• Yiluphi uhlelo lokwelashwa olungiphakelayo?
• Ingabe inkinga yami yokuchama cishe izophela ngokuphelele ngokwelashwa?

Umlayezo Wokuya Nawe Ekhaya

Akuyona indaba esiyixoxa nsuku zonke, kodwa sonke siyazi ukuthi kusiza kanjani ukukhipha isinyi esiphelele ngokukhululeka. Uma into ethile iphazamisa ikhono lakho lokuchama kalula nangokugcwele, kungaba yinto ekhungathekisayo futhi engakhululekile. Yilokhu esikubiza ngokuthi Ukungabaza Komchamo.

Uma ukulungiswa okulula kwasekhaya kungazithuthukisi izimpawu zakho, sicela ungabi namahloni okukhuluma nodokotela. Akukho okufanele ube namahloni ngakho uma kukhulunywa ngokubeka impilo yakho phambili ngeNirogi Lanka. Uma unenkinga, sicela uxhumane nodokotela ukuze uthole ukunakekelwa okudingayo.

Amagama angukhiye: Ukungabaza komchamo, ubunzima bokuchama, Ukungabaza komchamo, i-BPH, i-prostate, ukutheleleka komgudu womchamo, izimpawu zomchamo