Ingabe nawe uyavuza umchamo ungaqapheli? Ake sixoxe ngokungakwazi ukuzibamba komchamo!

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokubamba umchamo wakho? Ingabe kuyinkinga empilweni yakho ukuvuza umchamo omncane uma uhleka, ukhwehlela, noma uvivinya umzimba? Lena inkinga abantu abaningi abanayo, kodwa abantu abaningi bazizwa benamahloni futhi bengakhululekile ukukhuluma ngayo. Kodwa ungakhathazeki, namuhla sizokhuluma ngalesi simo (Ukungabikho Kokuchama Komchamo) ngokuningiliziwe.

Kuyini Ukungakwazi Ukulawula Umchamo?

Kalula nje, ukungakwazi ukulawula umchamo ukungakwazi ukulawula umchamo wakho kanye nokuvuza komchamo ngokungazi. Lokhu kungaba nomthelela omkhulu empilweni yakho.

Umzimba wethu unesimiso somchamo. Isitho ngasinye singesawo. Konke lokhu ndawonye kuhlunga imfucuza yomzimba wethu, kuyigcine, bese kuyikhipha njengomchamo. Uma lesi simiso sisebenza kahle, ngokuvamile ungaya endlini yokugezela ngesikhathi, futhi umchamo awuphumi ngeze. Kodwa-ke, uma kukhona okungahambi kahle ngalesi simiso, khona-ke lesi simo sokungakwazi ukulawula lesi simiso siyenzeka. Kungaba nezizathu eziningana zalokhu.

Ingabe lokhu kuyinto wonke umuntu ayithuthukisayo njengoba ekhula?

Abantu abaningi bacabanga ukuthi lokhu kuyinto eyenzekayo njengoba sikhula nokuthi ayinakuvinjelwa. Kuyiqiniso ukuthi ingozi iyanda njengoba sikhula. Kodwa-ke, kungenzeka kunoma ubani kunoma yimuphi ubudala. Ingxenye engcono kakhulu ukuthi ingelashwa. Akudingeki uyeke imisebenzi yakho yansuku zonke noma uhlale usebenza ngenxa yale nkinga.

Ngokwemininingwane yamanje, cishe amaphesenti angu-62 abesifazane abangaphezu kweminyaka engu-20 banohlobo oluthile lokungakwazi ukuzibamba ngomchamo. Phakathi kwabesilisa, leli nani liphansi kancane, cishe ku-14%. Ngakho-ke ungabona ukuthi lokhu kuvame kangakanani.

Yiziphi izinhlobo zokungakwazi ukuzibamba umchamo?

Kunezinhlobo ezahlukene zalesi simo. Zinezimbangela, izimpawu, kanye nezinto ezibangela lesi sifo. Ukwazi kahle ukuthi hlobo luni onalo kubaluleke kakhulu ohlelweni lwakho lokwelashwa.

Nazi ezinye zezinhlobo eziyinhloko:

• Khuthaza ukungakwazi ukuzibamba: Yilapho unesifiso esingenakuphikiswa sokuchama. Ngokuvamile, uvuza umchamo ngaphambi kokuthi ufike endlini yangasese. Isinye esisebenza ngokweqile siyimbangela enkulu yalokhu. Cabanga nje, uma usemsebenzini, kungazelelwe kufanele uchame, futhi awukwazi ukuyeka ngisho noma ugijima.
• Ukungakwazi ukuzibamba ngokucindezeleka: Lokhu kwenzeka lapho ulahlekelwa umchamo omncane uma wenza imisebenzi efana nokuhleka, ukukhwehlela, ukuthimula, ukugijima, ukugxuma, noma ukuphakamisa izinsimbi. Ngokukhethekile, lokhu kwenzeka uma kunzima ukuchama.
• Ukungakwazi ukuzibamba ngokweqile: Kulokhu, isinyi asiphumi ngokuphelele ngemva kokuchama.Kusele okuncane. Lolu hlobo luvame kakhulu kwabesilisa abane-benign prostatic hyperplasia (BPH), noma kulabo abanezifo ezifana nesifo sohlangothi noma isifo sikashukela.
• Ukungakwazi ukuzibamba okuxubile: Njengoba igama lisho, lokhu kungaba yinhlanganisela yezinhlobo ezishiwo ngenhla. Isibonelo, ungaba nokungakwazi ukuzibamba okuxinekile kanye nokungakwazi ukuzibamba okungaphezu kwamandla esinyini. Uma unalolu hlobo lokungakwazi ukuzibamba okuxubile, qaphela kakhulu ukuthi umchamo uvuza nini. Odokotela bangakusiza ukuthola ukuthi yiluphi uhlobo onalo futhi bakusize ukuthi uluphathe ngendlela efanele.

Ziyini izimpawu? Wazi kanjani?

Uphawu oluyinhloko ukuvuza komchamo ngezikhathi ezithile, njengangaphambi kokuya endlini yangasese, lapho ukhwehlela, uhleka, noma uvivinya umzimba. Ungase uvuza umchamo omningi, noma ungase uvuza kancane. Ungase uvuza njalo, noma ungase uvuza kancane ngesikhathi. Lezi zimpawu zingase zihluke kuye ngohlobo onalo. Kodwa-ke, izimpawu ezivamile zifaka:

• Ukudinga ukuchama izikhathi ezingaphezu kweziyisishiyagalombili ngosuku (`(Ukuchama okuvamile)`).
• Uma uya endlini yokugezela, kuphuma inani elincane kuphela ngesikhathi.
• Ukuvuka ukuze uchame izikhathi ezingaphezu kwezimbili ebusuku (`(Nocturia)`).
• Ukuchama Embhedeni (i-Enuresis).
• Ukuvuza komchamo ngenkathi uzivocavoca, uhleka, ukhwehlela, uthimula, ugoba, noma wenza ucansi.

Kungani singakwazi ukulawula umchamo wethu? Yiziphi izizathu?

Kungaba nezizathu ezahlukahlukene zalokhu. Lezi zizathu zingahluka kuye ngokuthi ungowesifazane noma uyindoda. Ezinye izizathu zingezesikhashana futhi ziyaphela ngokwelashwa. Ezinye zibangelwa ukugula kwesikhathi eside. Kulezo zimo, kungase kungapheli ngokuphelele ngisho nangokwelashwa, kodwa kungaqhubeka nokuba uphawu.

Izizathu zesikhashana noma zesikhashana:

• Ukutheleleka komgudu womchamo (UTIs)
• Ngesikhathi sokukhulelwa noma ngemva kokubeletha
• Eminye imithi, isibonelo, amaphilisi amanzi (izidakamizwa zokuhlanza) kanye nemithi yokucindezeleka (imithi yokucindezeleka)
• Ezinye iziphuzo, njengekhofi notshwala
• Ukuqunjelwa

Izimbangela zesikhathi eside:

• Isinyi esisebenza ngokweqile
• Isifo sohlangothi
• Isifo Sikashukela (`(Isifo Sikashukela)`)
• Ukunqamuka kokuya esikhathini
• I-Multiple sclerosis (`(I-Multiple sclerosis - MS)`)
• Isifo sikaParkinson (`(isifo sikaParkinson)`)
• Ukwandiswa kwe-prostate
• Ukususwa kwe-prostate (ukuhlinzwa kokususa i-prostate gland)

Kungani lokhu kwenzeka ngesikhathi sokukhulelwa?

Kunezizathu eziningana ezenza lesi simo senzeke ngesikhathi sokukhulelwa:

• Ukucindezela kwesinye:Njengoba umntwana ekhula esibelethweni, isibeletho naso siyakhula. Lokhu kungacindezela esinyeni. Lokhu kungabangela ukuthi udinge ukuchama kaningi. Lesi simo singaba sibi kakhulu ngasekupheleni kokukhulelwa, njengoba umntwana esesikhundleni sakhe esikhulu.
• Imisipha yephansi le-pelvic ebuthakathaka: Imisipha yakho yephansi le-pelvic yiyo ebamba zonke izitho ze-pelvis yakho. Le misipha inganwebeka futhi ibe buthaka ngesikhathi sokukhulelwa, njengoba isibeletho sakho sikhula, noma ngemva kokubeletha.

Ubani othinteka kakhulu yilesi simo?

Kungakhula kunoma ubani. Kodwa-ke, kuvame kakhulu emaqenjini athile kanye nangezikhathi ezithile zokuphila. Kuvame kakhulu kwabesifazane, ikakhulukazi:

• Ngesikhathi sokukhulelwa
• Ngemva kokubeletha
• Ngokunqamuka kokuya esikhathini (`(Ukunqamuka kokuya esikhathini)`)

Kuzo zonke lezi zimo, imisipha yephansi le-pelvic ingaba buthaka kancane kancane futhi isinyi singashintsha, okuyikho okubangela lokhu kungakwazi ukulawula umchamo.

Ingabe le ngozi iyanda njengoba umuntu ekhula?

Yebo, le ngozi iyanda ngemva kweminyaka engu-50. Imizimba yethu iyashintsha empilweni yethu yonke. Ingozi yokuthola lesi simo iyanda njengoba ukhula, ikakhulukazi:

• Uma unesifo esihlala isikhathi eside.
• Uma ubelethe izingane.
• Uma usuqedile ukuya esikhathini.
• Uma indlala yakho ye-prostate ikhulisiwe.
• Uma uke wahlinzwa i-prostate.

Ngakho-ke, kubalulekile ukuxoxa ngalezi zingozi nodokotela wakho ukuze uthole indlela yokuphatha lesi simo futhi usivimbele ekuphazamiseni impilo yakho yansuku zonke.

Ingabe lokhu kuvamile kwabesifazane?

Yebo, lesi simo sivame kakhulu kwabesifazane. Ukukhulelwa, ukubeletha, kanye nokunqamuka kokuya esikhathini konke kungabangela izinkinga zokulawula umchamo.

Ukungakwazi ukuzibamba umchamo ngesikhathi sokukhulelwa kuvame ukuba yisikhathi esifushane futhi kuvame ukuba ngcono ngemva kokubeletha. Kodwa-ke, abanye besifazane bangase babe nokungakwazi ukuzibamba esikhathini sokubeletha. Lokhu kungenxa yokuthi imisipha yephansi le-pelvic iyanwebeka futhi ibuthakathaka ngesikhathi sokubeletha.

Ukunqamuka kokuya esikhathini nakho kuyisikhathi sezinguquko ezinkulu emzimbeni. Ama-hormone akho, ikakhulukazi i-estrogen, ayashintsha phakathi nalesi sikhathi. Lokhu kungathinta nokulawula umchamo.

Odokotela bakuthola kanjani lokhu ngqo?

Udokotela angasithola lesi simo ngokubukeza izimpawu zakho, umlando wezokwelapha, kanye nokuhlolwa ngokomzimba. Angase akubuze imibuzo efana nalokhu:

• Uchama kangaki?
• Ingabe uyavuza umchamo phakathi nokuya endlini encane?
• Kukangaki umchamo uphuma kanjalo?
• Kukhishwa umchamo ongakanani ngesikhathi?
• Kusukela nini uqaphele ukuthi lo mchamo uphuma?
• Yimiphi imithi oyiphuzayo njengamanje noma oke wayiphuza esikhathini esidlule?
• Ukhulelwe? Noma wake wakhulelwa ngaphambili?
• Bangaki abantwana obazale?

Le mibuzo ingasiza udokotela wakho ukuthi athole amaphethini akho okugeleza komchamo. Lokhu kuzomsiza ukuthi anqume ukuthi hlobo luni lokungakwazi ukuzibamba. Angase futhi acele noma enze ezinye izivivinyo ukuqinisekisa isimo.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Udokotela angase acele ukuhlolwa okufana nalokhu:

• Ukuhlolwa kwe-pelvic: Lokhu kungahlola amandla emisipha yakho ye-pelvic futhi kuhlole ezinye izinkinga zempilo ezingase zibangele lesi simo.
• Ukuhlolwa kwe-rectal ngedijithali: Lokhu kusiza ukuhlola ukuthi i-prostate ikhuphukile yini kwabesilisa.
• Ukuhlolwa komchamo: Isampula yomchamo oyinikezayo iyahlolwa ukuze kuhlolwe izifo kanye negazi emchameni (i-hematuria).
• I-ultrasound yesinye: Lokhu ukuhlolwa okungenabuhlungu okubheka esinyeni sakho nokuthi ungakhipha kahle kangakanani esinyeni sakho.
• Ukuhlolwa kokucindezeleka: Uma uzizwa sengathi udinga ukuchama uma ukhwehlela, ugijima, noma ugxuma, udokotela wakho angase akucele ukuthi wenze lezo zinto ukuze abone ukuthi uyachama ngempela yini.
• I-Cystoscopy: Kulolu vivinyo, kufakwa ipayipi elincane elinekhamera (i-cystoscope) nge-urethra yakho kanye nesinyeni sakho ukuze kuhlolwe uhlelo lwakho lomchamo. Kodwa-ke, abantu abaningi abaludingi lolu vivinyo.
• Ukuhlolwa kwe-Urodynamic: Lolu uchungechunge lwezivivinyo ezilinganisa ukuthi isinye sakho singabamba umchamo ongakanani nokuthi ungabamba kahle kangakanani bese ukhipha isinye sakho.
• Ukuhlolwa kwephedi: Udokotela angakunika iphedi ekhethekile ongayigqoka ngaphansi kwezingubo zakho zangaphansi. Izoqoqa umchamo ongaqapheli ukuthi uphumelele. Uma ukuhlolwa sekuphelile, bazohlola ukuthi umchamo ungakanani ephedi.

Udokotela wakho angase akucele nokuthi ugcine idayari yesinyi izinsuku ezimbalwa. Kuyo, kufanele ubhale phansi:

* Uchama kangaki?

* Uchama kangakanani ngesikhathi?

* Ingabe uyavuza umchamo phakathi nohambo oluya endlini yokugezela?

* Wawusenzani ngesikhathi uchama?

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Ungakhohlwa ukuhamba nale dayari uma uya kudokotela. Lolu lwazi luzokusiza ukuthi ubone iphethini futhi uthole uhlobo oluthile.

Yiziphi izindlela zokwelapha lokhu? Ingabe kungelapheka?

Kuya ngohlobo onalo. Udokotela uzoqala athole ukuthi unalo hlobo luni. Ngemuva kwalokho uzokutshela ngemithi etholakalayo futhi akusize ukhethe ekufanele kakhulu.

Izindlela zokwelapha eziyinhloko yilezi:

• Izinguquko zendlela yokuphila
• Ukwelashwa ngokomzimba
• Imithi
• Ukuhlinzwa noma ezinye izinqubo

Kunezinzuzo nezingozi zale ndlela ngayinye, futhi udokotela uzokuchazela konke.

Izinguquko zendlela yokuphila

Ngezinye izikhathi, ukwenza izinguquko ezincane endleleni yakho yansuku zonke kungasiza ekuthuthukiseni lesi simo ngaphandle kokwelashwa okunye. Kodwa-ke, lezi zinguquko zingase zingaziqedi zonke izinhlobo zokungakwazi ukuzibamba. Kufanele ukhulume nodokotela wakho ngaphambi kokuqala noma yiziphi zalezi zinto.

Izinguquko ezivamile zendlela yokuphila:

• Ukuchama ngesikhathi: Chama ngesikhathi esibekiwe, kunokulinda uze uzizwe udinga ukuchama.
• Ukuchama ngaphambi kokuzivocavoca umzimba: Ukuchama ngaphambi kokuqala noma yimuphi umsebenzi kungasiza ekunciphiseni inani lokuvuza komchamo phakathi kokuchama.
• Gwema ukuphakamisa izinto ezisindayo: Uma udinga ukuphakamisa into enkulu noma esindayo, cela usizo kothile.
• Ukuzivocavoca kwe-Kegel: Lokhu kuzivocavoca kungasiza ekuqiniseni imisipha yakho yaphansi kwe-pelvic. Buza udokotela wakho noma uchwepheshe wezokwelapha ukuthi ungakwenza kanjani.
• Gwema ukuphuza uketshezi oluningi (ikakhulukazi oluqukethe i-caffeine) ngaphambi kokuqala umsebenzi nangaphambi kokulala ebusuku.
• Sebenzisa ama-water pad noma izingubo zangaphansi ezimunca umchamo: Lokhu kumunca umchamo futhi kungagqokwa ngaphansi kwezingubo ngaphandle kokubona muntu.
• Ukuqeqeshwa kabusha kwesinyi: Lokhu kukuvumela ukuthi uchame kanye bese kwandisa kancane kancane isikhathi phakathi kokuchama.
• Gcina isisindo esinempilo esikufanele: Ukwehlisa isisindo esiswini kunciphisa ingcindezi kwesinye futhi kuthuthukisa impilo yesinye.
• Izinto zokufaka zesitho sangasese sowesifazane: Lezi zingathengwa ekhemisi ngaphandle kwencwadi kadokotela. Uma zifakwa esitho sangasese sowesifazane, ziyasiza ekweluleni i-urethra futhi zinciphise ukungakwazi ukuzibamba kokucindezeleka.

Imithi

Kunemithi eminingi enganciphisa inani lomchamo owuvuzayo. Eminye imithi isiza ekuqiniseni ukufinyela kwemisipha okubangela ukusebenza ngokweqile kwesinyi. Eminye isiza ekuphumzeni imisipha futhi isize isinyi ukuthi siphume ngokuphelele. Uma udlula esikhathini sokunqamuka kokuya esikhathini, ukwelashwa ngama-hormone, njengokhilimu we-estrogen wesitho sangasese sowesifazane, kungasiza ekubuyiseleni ukusebenza kwesinyi ngokufaka esikhundleni se-hormone ye-estrogen umzimba wakho ongasayikhiqizi.

Eminye imithi evame ukusetshenziswa:

• "I-Oxybutynin (Ditropan®, Ditropan XL®, Oxytrol®)"
• `I-Tolterodine (i-Detrol®)`
• `I-Solifenacin (VESIcare®)`
• `I-Fesoterodine (i-Toviaz®)`
• `I-Darifenacin (Enablex®)`
• `I-Trospium (i-Sanctura®)`
• `Mirabegron (Myrbetriq®)`
• `I-Vibegron (Gemtesa®)`

Odokotela bavame ukuqala ngomthamo ophansi bese kancane kancane bandisa umthamo. Lokhu kunciphisa ingozi yemiphumela emibi futhi kubavumele ukuthi babone ukuthi umuthi usebenza kahle kangakanani.

Ukuhlinzwa nezinye izindlela

Udokotela wakho angase akuphakamisele ukuhlinzwa. Lokhu kungafaka:

• Izinto ezibangela ukukhukhumala: Udokotela ufaka into ephuma emanzini ongqimbeni lwe-urethra yakho. Lokhu kwandisa ungqimba lwe-urethra yakho futhi kusiza ukulawula ukugeleza komchamo.
• Imijovo ye-Botulinum toxin (Botox®): Ukwelashwa kokungakwazi ukuzibamba kwelashwa nge-Botox®. Lokhu kukhulula imisipha yesinye. Kodwa-ke, lokhu akuyona indlela yokwelapha unomphela, futhi imijovo kumele iphindwe ngezikhathi ezithile.
• Amadivayisi okuguqula imizwa: Lawa madivayisi avuselela imizwa iye esinyeni futhi athuthukise ukulawula.
• Izinqubo zokufaka indwayimane: Kulokhu, kusetshenziswa i-mesh eyenziwe ngumuntu (eyenziwe ngokwenziwa), njenge-tepi yokuhlinzwa, noma ezinye zezicubu zomzimba wakho ukusekela i-urethra.
• I-sphincter yomchamo yokwenziwa: Lokhu kuvame ukunconywa kubantu abangakwazi ukuzibamba ngemva kokuhlinzwa ngenxa yomdlavuza wendlala. Lena idivayisi yezokwelapha efuthwayo. Ingagcina umchamo kuze kube yilapho udinga ukuya endlini yangasese.

Ingabe lesi simo sizophela ngokuphelele?

Kuya ngokuthi hlobo luni lokungakwazi ukuzibamba. Ngezinye izikhathi, lesi simo sizophela ngaphandle kokwelashwa uma imbangela (isib. ukutheleleka komgudu womchamo, imithi ethile, ukuqunjelwa) isiqediwe.

Ingabe lokhu akunakuvinjelwa ukuthi kwenzeke?

Akuzona zonke izimbangela ezingavinjelwa. Zingabangelwa izinto ezahlukahlukene empilweni. Kodwa-ke, unganciphisa ingozi yakho ngokuqinisa imisipha yakho yephansi le-pelvic ngokuzivocavoca kwe-Kegel nokugcina isisindo esinempilo esikufanele.

Uphila kanjani nalesi simo?

Kwabaningi, uma ukungakwazi ukuzibamba kubangela ukucindezeleka, ukucindezeleka, noma ukukhathazeka , kungaba usizo ukukhuluma nodokotela wezifo zengqondo noma isazi sokusebenza kwengqondo. Bangakusiza ukuphatha impilo yakho yengqondo, noma bakunikeze imithi uma kudingeka.

Kufanele ubonane nini nodokotela?

Bona udokotela ngokushesha nje lapho ubona ukuvuza komchamo okokuqala, noma ngokushesha nje lapho ubona ushintsho emikhubeni yakho yokugezela. Bangakusiza ukuthola imbangela nohlobo lwayo, futhi bakusize ukwelapha noma ukuphatha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungase ufune ukubuza udokotela imibuzo efana nale:

• Uhlobo luni lokungakwazi ukuzibamba enginalo?
• Yikuphi ukwelashwa okuncomayo?
• Iyini imiphumela emibi yemithi yokulawula umchamo?
• Iyini imiphumela emibi yalokhu kuhlinzwa noma inqubo?

Abantu abaningi banamahloni okukhuluma ngemikhuba yabo yokugeza. Ungase uzizwe unamahloni futhi unamahloni ngokungakwazi ukulawula umchamo wakho. Noma, ungase wesabe ukuvuza komchamo noma ukungakwazi ukufika endlini yokugezela ngesikhathi uma unesimo esiphuthumayo, esingakuvimbela ekwenzeni imisebenzi yakho yansuku zonke. Kodwa-ke, udokotela angakusiza ukuthola imbangela yenkinga yakho yokulawula umchamo futhi akusize ube ngcono. Akudingeki ubhekane nalokhu wedwa.

Khuluma nodokotela wakho ukuze uthole ukwelashwa okungcono kakhulu kwale nkinga yokungakwazi ukuzibamba komchamo. Ngemuva kwalokho ungaphila impilo yakho ngaphandle kokukhathazeka ngayo.

Okokugcina, izinto okufanele uzikhumbule

• Ukungakwazi ukuzibamba kuyinto evamile, kodwa ungakuthathi njengento evamile.
• Kunezizathu nezinhlobo ezahlukene zalokhu.
• Kunezindlela zokwelapha ezisebenzayo ezitholakalayo. Ngakho-ke ungabi namahloni noma wesabe ukufuna iseluleko sezokwelapha.
• Lesi simo singalawulwa ngokushintsha indlela yokuphila, ukuvivinya umzimba, imithi, kanye nokuhlinzwa.
• Awuwedwa, cela usizo.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

Ukulawulwa komchamo , ukungakwazi ukuzibamba, ukungakwazi ukuzibamba, ukungakwazi ukuzibamba, ukungakwazi ukuzibamba, ukungakwazi ukuzibamba, isifo sesinye, izifo zomchamo