Ingabe ngephutha uvuza amaconsi ambalwa omchamo uma uhleka kakhulu, ukhwehlela, noma uphakamisa into esindayo? Ngezinye izikhathi ngokuzumayo udinga ukuya endlini yangasese, futhi kufanele uchame ngaphambi kokuba ukwazi ngisho nokugijima? Lokhu akuyona inkinga kuwe kuphela. Nakuba abantu abaningi benamahloni okukhuluma ngakho, kuyisimo esivamile kakhulu . Kwezokwelapha, lokhu sikubiza ngokuthi i-Urinary Incontinence . Nakuba kungathinta impilo yakho, akudingeki uphile nakho. Kunezindlela ezinhle zokwelapha ngakho.
Kalula nje, kuyini lokhu kungakwazi ukulawula umchamo?
Ake siqale siqonde ukuthi uhlelo lwethu lomchamo lusebenza kanjani. Cabanga ngalo njengohlelo olufana nethangi lamanzi. Umchamo owakhiwa ngokuhlunga igazi ezinso zethu uqoqwa esikhwameni esibizwa ngokuthi isinye. Uma lesi sinye sesigcwele, kuthunyelwa isignali ebuchosheni bethu ethi, "Ngidinga ukuya endlini yangasese manje." Bese siya endlini yangasese bese siyachama. Lonke lolu hlelo lulawulwa yizinzwa nemisipha yethu.
Ukungakwazi ukuzibamba umchamo yilapho silahlekelwa ukulawula isinyi sethu. Kusho ukuthi silahlekelwa umchamo ngaphandle kokulawula uma singafuni.
Abantu abaningi bacabanga ukuthi lokhu kuyingxenye evamile yokuguga nokuthi akukho abangakwenza ngakho. Yiqiniso, ingozi yokuthola lesi simo iyanda ngokuguga. Kodwa kungenzeka kunoma ubani wanoma yimuphi ubudala. Into ebalulekile ukuthi lokhu akuyona into okufanele ibekezelelwe. Kunezindlela zokwelapha ezinhle kakhulu zokuphatha lesi simo.
Yiziphi izinhlobo eziyinhloko zalesi simo?
Kunezinhlobo ezahlukene zokungakwazi ukuzibamba umchamo. Ukwazi kahle ukuthi hlobo luni lomuthi onalo kubaluleke kakhulu lapho ufuna ukwelashwa.
| Igama lohlobo | Kalula nje... |
|---|---|
| Ukungakwazi ukuzibamba ukucindezeleka | Lolu uhlobo oluvame kakhulu lokungakwazi ukuzibamba olutholwa abantu abaningi. Umchamo uyavuza uma kunengcindezi esiswini, njengalapho uhleka, ukhwehlela, uthimula, uphakamisa izinsimbi, noma uvivinya umzimba. |
| Ukukhuthaza Ukungakwazi Ukulawula Ukukhulelwa | Isifiso esingazelelwe, esingalawuleki sokuchama, okubangela ukuthi uvuza umchamo ngaphambi kokuthi ungene endlini yangasese. Abanye abantu bakubiza nangokuthi "Isinyi Esisebenza Kakhulu." |
| Ukungakwazi ukuzibamba ngokweqile | Isinye asiphumi ngokuphelele ngemva kokuchama, okubangela ukugeleza komchamo okuhamba kancane nokugeleza kancane. Lokhu kuvamile kwabesilisa abanezimo ezifana ne-benign prostatic hyperplasia. |
| Ukungakwazi ukuzibamba okuxubile | Kulesi simo, izimpawu ezimbili noma ngaphezulu kwezingenhla zingase zivele ndawonye. Isibonelo, ungase uchame ngisho nalapho ukhwehlela, futhi ungase uzizwe unesidingo esiphuthumayo, esingabekezeleleki sokuchama. |
Uma uqaphela ukuthi uchama nini, ungathola umbono ongemuhle wokuthi hlobo luni lwesifo onaso. Kodwa ukuze wazi ngokuqinisekile, udinga ukubona udokotela.
Ziyini izimpawu zalesi simo?
Uphawu oluyinhloko ukungalawuleki komchamo, kodwa kungase kube nezinye izimpawu kuye ngokuthi kwenzeka kanjani.
- Ukudinga ukuchama izikhathi ezingaphezu kwezingu-8 ngosuku .
- Ngokuvamile, umchamo uphuma kancane uma uya endlini yangasese.
- Ukuvuka ebuthongweni ukuze uchame izikhathi ezingaphezu kwezimbili ebusuku (i-Nocturia).
- Ukuchama Embhedeni (i-Enuresis).
- Ukuvuza komchamo ngesikhathi semisebenzi efana nokuzivocavoca umzimba, ukuhleka, ukuthimula, ukugoba, noma ukuya ocansini.
Kungani singakwazi ukulawula umchamo wethu? Yiziphi izizathu?
Kungaba nezizathu eziningi zalokhu. Ezinye izimbangela zingezesikhashana, okusho ukuthi zizophela ngokuphelele ngokwelashwa. Ezinye izimbangela zihlobene nezifo zesikhathi eside.
Izimbangela zesikhashana
Uma lezi zimbangela sezelashwa, izinkinga zomchamo zivame ukuphela.
- Ukutheleleka Kwendlela Yomchamo (UTIs): Uma kwenzeka ukutheleleka kwendlela yomchamo, isinyi singaba ndikindiki, okubangela ukuchama njalo nokulahlekelwa ukulawula.
- Ukukhulelwa Nokubeletha: Njengoba umntwana ekhula, isibeletho sicindezela esinyeni. Ngesikhathi sokubeletha, imisipha yaphansi kwe-pelvic ingase ibe buthakathaka.
- Eminye imithi: Eminye imithi yokukhipha isisu yomfutho wegazi ophakeme kanye neminye imithi yokucindezeleka ingabangela lesi simo.
- Iziphuzo ezithile: Ikhofi, itiye, notshwala kungavuselela isinyi futhi kubangele ukuchama njalo.
- Ukuqunjelwa: Uma uqunjelwa, le nkinga ingavela ngoba i-rectum egcwele ibeka ingcindezi ezinzwa esinyeni.
Izimbangela Ezingapheli
Lezi ngokuvamile ziyizimpawu zesinye isifo.
- Ukunqamuka Kwesikhathi: Uma owesifazane eyeka ukuya esikhathini, i-hormone ye-estrogen yomzimba iyancipha. Le hormone ibalulekile nasempilweni yesistimu yomchamo. Uma incipha, imisipha ingaba buthaka futhi lesi simo singavela.
- Isifo Sohlangothi, Isifo Sikashukela, Isifo Sokuqaqamba Kwamalunga Esiningi (MS), Isifo SikaParkinson: Ezifweni ezithinta uhlelo lwezinzwa, izinzwa ezilawula isinyi zingalimala.
- I-Prostate Ekhulisiwe: Njengoba i-prostate gland ikhula kwabesilisa asebekhulile, ingavimba i-urethra futhi ivimbele ukukhishwa komchamo ngokuphelele, okuholela ekungakwazini ukuzibamba ngokweqile.
- Ukususwa Kwe-prostate: Kwezinye izimo zomdlavuza, imisipha elawula ukuchama ingathinteka ngemva kwalokhu kuhlinzwa.
Into ebalulekile ukuthi kungakhathaliseki ukuthi imbangela iyini, kukhona ukwelashwa okungatholakala okukusebenzelayo. Yingakho kubalulekile ukukhuluma nodokotela ngaphandle kokuzizwa unamahloni.
Uthola kanjani lesi simo? Wenzani udokotela?
Uma uya kudokotela, uzokubuza ngale nkinga. Ukwethembeka nokukhuluma iqiniso kuzosiza kakhulu ekutholeni ukuxilongwa okunembile.
Imibuzo okufanele uyibuze udokotela
- Kukangaki ngosuku okudingeka uchame?
- Umchamo uvuza nini? (Uma ukhwehlela, uhleka, ngokuzumayo?)
- Ukhipha umchamo ongakanani ngesikhathi? (Amaconsi ambalwa noma amaningi?)
- Sekuyisikhathi esingakanani le nkinga iqhubeka?
- Ingabe uthatha imithi okwamanje?
- Ukhulelwe? Bangaki abantwana osube nabo ngaphambili?
Ukuhlolwa okungenziwa
Esikhathini esiningi, udokotela angakwazi ukuthola isifo ngemininingwane oyinikezayo. Kodwa ngezinye izikhathi, ukuhlolwa okufana nalokhu kungenziwa ukuthola imbangela eqondile.
| Ukuhlolwa | Incazelo elula |
|---|---|
| Ukuhlolwa komchamo | Kuthathwa isampula yomchamo bese kuhlolwa ukuthi awunalo yini ukutheleleka noma igazi (i-hematuria). |
| Ukuskena kwe-Ultrasound yesinyi | Kwenziwa iskeni ukuze kuhlolwe isimo sesinye nokuthi umchamo usasele yini ngemva kokuchama. |
| Ukuhlolwa Kokucindezeleka | Udokotela uzokucela ukuthi ukhwehlele noma ubeke ingcindezi esiswini sakho bese ehlola ukuthi umchamo uyaphuma yini ngaleso sikhathi. |
| I-Cystoscopy | Ipayipi elincane elinekhamera lidluliselwa e-urethra ukuze lihlole ingaphakathi lesinye. Lokhu akuyona into eyenziwa yiwo wonke umuntu. |
| Ukuhlolwa kwe-Urodynamic | Uchungechunge lwezivivinyo ezikhethekile ezilinganisa izinto ezifana nokuthi isinye singabamba umchamo ongakanani nokuthi ingcindezi injani. |
Ngezinye izikhathi udokotela wakho uzokucela ukuthi ugcine "idayari yesinye." Lokhu kusho ukubhala phansi izinsuku ezimbalwa ukuthi uchama kangaki, uchama kangaki, uchama nini ungaqapheli, nokuthi wenzani ngaleso sikhathi. Lokhu kungakusiza ukuthi uthole umbono omuhle ngesimo sakho.
Yiziphi izindlela zokwelapha lokhu?
Into engcono kakhulu ukuthi kunezindlela eziningi zokwelapha lokhu. Udokotela wakho uzoncoma ukwelashwa okuhambisana kahle nesimo sakho kanye nesizathu sakho.
1. Izinguquko Zendlela Yokuphila
Lezi ngokuvamile ziyizindlela zokuqala ongazizama. Kwabanye abantu, lokhu kukodwa kungasiza ekulawuleni inkinga ngezinga elikhulu.
- Ukuzivocavoca kwe-Kegel: Lokhu kubaluleke kakhulu. Ukuzivocavoca okukhethekile okuqinisa imisipha yephansi le-pelvic. Uma le misipha iqinile, isiza kakhulu ekulawuleni umchamo. Ungafunda kahle ukuthi ungakwenza kanjani lokhu kudokotela we-physiotherapist.
- Ukuqeqeshwa Kabusha Kwesinye: Uma uzizwa unesifiso sokuchama ngokuzumayo, linda isikhashana bese wandisa kancane kancane isikhathi phakathi kokuya endlini yangasese.
- Ukuphelelwa yisikhathi:Ukuya endlini yangasese ngesikhathi esifanele, njengasezikhathini ezimbili kuya kwezingu-3, ngaphandle kokulinda kuze kube yilapho umchamo wakho uphuma kakhulu.
- Gcina isisindo esinempilo: Uma ukhuluphala, ikakhulukazi amafutha esiswini, kubeka ingcindezi engadingekile esinyeni sakho. Ukunciphisa isisindo kungasiza ekunciphiseni le ngcindezi.
- Qaphela ukudla kwakho: Abanye abantu bathola impumuzo ngokunciphisa ukudla kwabo izinto ezifana nekhofi, itiye, utshwala, nokudla okunongwe kakhulu.
2. Imithi
Uma izinguquko zendlela yokuphila zodwa zinganele, udokotela wakho angase akunike imithi.
- Uma ungafuni ukuzibamba, kunemithi elawula ukufinyela kwemisipha yesinyi (isib. i-Oxybutynin, i-Tolterodine).
- Ezimweni ezenzeka ngemva kokunqamuka kokuya esikhathini, amakhrimu e-estrogen yesitho sangasese sowesifazane angasetshenziswa.
- Uma ungazithinti ngokweqile, kunemithi esiza ukukhipha isisu ngokuphelele.
Okubalulekile: Ungalokothi usebenzise lolu hlobo lomuthi ngaphandle kweseluleko sikadokotela.
3. Ukuhlinzwa Nezinqubo
Uma ezinye izindlela zokwelapha zingaphumeleli noma isimo sibi kakhulu, udokotela angase asebenzise lezi zinto.
- Izinto Zokubhoboza: Indlela yokufaka into ekhethekile eduze kwe-urethra, inciphise kancane i-urethra futhi ivimbele umchamo ukuthi ungaphumi.
- Imijovo yeBotox: I-Botox ifakwa emisipheni yesinye ukuze kuncishiswe umsebenzi wayo ongafuneki. Lokhu ukwelashwa kwesikhashana.
- Izinqubo Zokuhlinza: Inqubo evamile yokuhlinzwa yokungakwazi ukuzibamba ngenxa yokucindezeleka. Kule nqubo, kusetshenziswa idivayisi ekhethekile efana ne-sling ukuze isekele i-urethra.
- I-Artificial Urinary Sphincter: Lesi yisisetshenziswa sokwenziwa. Sifakwa kubantu abanemisipha ebuthakathaka elawula ukuchama.
Udokotela wakho uzochaza kahle izinzuzo nezingozi zalokhu kwelashwa ngakunye.
Umlayezo Wokuya Nawe Ekhaya
- Ukungakwazi ukuzibamba umchamo akuyona into okufanele ube namahloni ngayo. Kuyisifo esingelapheka abantu abaningi abanaso.
- Ungakwamukeli lokhu njengengxenye evamile yokuguga. Ungasiza.
- Ukwazi ukuthi hlobo luni lwesimo onaso kubaluleke kakhulu ekwelashweni.
- Izinguquko ezilula zendlela yokuphila kanye nokuzivocavoca kwe-Kegel kungenza umehluko omkhulu.
- Uma le nkinga iphazamisa impilo yakho yansuku zonke, ungalibali bese ukhuluma nodokotela wakho. Ungavumeli lokhu kukuvimbele ukuba uphile impilo ekhululekile nejabulisayo.
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