Ingabe nawe unenkinga yokuchama? Ake sifunde ngokugcinwa komchamo

Ingabe ngezinye izikhathi uzizwa sengathi kufanele uyeke phakathi nesikhathi sokuchama kwakho , noma ukuthi isinyi sakho asikaphumi ngokuphelele? Noma ingabe unenkinga yokuqala ukuchama ? Lena inkinga yezempilo evamile abantu abaningi abanamahloni okukhuluma ngayo, kodwa ingaba yinkinga yezempilo ebaluleke kakhulu. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi ukugcinwa komchamo, noma esaziwa ngokwezokwelapha ngokuthi "Ukugcinwa Komchamo". Ungakhathazeki, lokhu kuyinto engalawulwa uma iqondwa futhi iphathwa kahle.

Kalula nje, kuyini ukugcinwa komchamo?

Cabanga ngesinyi sakho njengethangi lamanzi. Izinso zethu zihlunga imfucuza emizimbeni yethu bese zikhiqiza umchamo (umchamo/umchamo) oqoqana kulesi sinyi. Uma sidinga ukuchama, umchamo uphuma kuleli thangi ngepayipi elibizwa ngokuthi i-urethra.

Ukugcinwa komchamo yilapho isinye sakho singaphumi ngokuphelele uma uchama. Ngezinye izikhathi kungase kube khona okusele kancane, futhi ezimweni ezimbi kakhulu, ungase ungakwazi nhlobo ukuchama.

Kunezinhlobo ezimbili eziyinhloko zalokhu.

Lesi simo sokugcina umchamo singavela ngezindlela ezimbili eziyinhloko. Izimpawu kanye nobukhali bazo kuyahlukahluka.

1. Ukugcinwa Komchamo Okubukhali: Lesi yisimo esiphuthumayo nesiphuthumayo. Uzizwa udinga ukuchama, kodwa awukwazi ngisho nokuchama kancane. Lokhu kungase kuhambisane nobuhlungu obukhulu esiswini esingezansi. Lesi yisimo esiphuthumayo sezokwelapha. Uma lokhu kwenzeka, kufanele uye egumbini lezimo eziphuthumayo (ETU) lesibhedlela ngokushesha.

2. Ukugcinwa Komchamo Okungapheli: Lesi yisimo esikhula kancane kancane ngokuhamba kwesikhathi. Ungachama, kodwa isinye sakho asiphumi ngokuphelele. Esikhathini esiningi, izimpawu azizimbi kakhulu, ngakho abanye abantu bangase bangazinaki kakhulu. Kodwa-ke, kusabalulekile ukuthola ukwelashwa kwalesi simo.

Ziyini izimpawu zalesi simo?

Manje ake sibheke izimpawu ezingabonakala kulezi zinhlobo ezimbili. Kuzobaluleka kakhulu ukuthi wazi ukuthi ungahlukanisa kanjani ngokucacile phakathi kwalezi zimpawu.

Kungani umchamo ubhajwa kanje? Yiziphi izimbangela eziyinhloko?

Kunezizathu eziningana zokuthi kungani umchamo ungagcinwa. Ake sixoxe ngezizathu eziyinhloko ngokwehlukana.

1. Ukuvaleka komgudu womchamo (Ukuvaleka)

Kalula nje, kukhona ukuvinjelwa endleleni yokugeleza komchamo. Njengoba nje ucindezela ipayipi lamanzi, ukugeleza kwamanzi kwehla. Isizathu esiyinhloko salokhu ukwanda kwendlala ye-prostate kwabesilisa (i-Enlarged Prostate noma i-Benign Prostatic Hyperplasia - BPH) . Njengoba le ndlala itholakala eduze kwe-urethra, uma ikhula, iqinisa i-urethra futhi ivimbe indlela yomchamo.

Ngaphezu kwalokho:

• Amatshe omgudu womchamo, amahlule egazi, noma umdlavuza.
• Ukuncishiswa kwe-urethra ngenxa yezicubu zesibazi (Urethral Stricture) .
• I-Cystocele (ukwehla kwesinyi esingena esithweni sangasese) kwabesifazane.
• I-Rectocele (ukuphuma kwe-rectum odongeni lwesitho sangasese sowesifazane) kwabesifazane.

2. Eminye imithi

Eminye imithi oyithathayo ngenxa yezinye izimo ingabangela nokugcinwa komchamo. Isibonelo, eminye imithi yokungezwani komzimba (ama-Antihistamine), eminye imithi yokuqeda ubuhlungu (ama-Opiates), kanye neminye imithi yokucindezeleka (ama-Tricyclic Antidepressants) ingathinta indlela imisipha yesinye sakho esebenza ngayo.

3. Izinkinga Zezinzwa

Ubuchopho businika isignali yokuthi sichame. Ubuchopho butshela imisipha esinyini ukuthi iqine kanye nemisipha ezungeze i-urethra ukuthi iphumule. Uma kukhona umonakalo ekuxhumaneni kwezinzwa phakathi kobuchopho nohlelo lomchamo, inqubo yokuchama ingaphazamiseka.

Izinto ezingabangela lokhu:

• Isifo sohlangothi
• Isifo Sikashukela (i-Diabetes Mellitus)
• Izifo ezithinta uhlelo lwezinzwa (isb. i-Multiple Sclerosis)
• Ukulimala emgogodleni noma endaweni ye-pelvic
• Ukubeletha
• Ukuhlinzwa kwe-pelvic

4. Ukutheleleka noma Ukuvuvukala

Ukuvuvukala okubangelwa ukutheleleka komgudu womchamo (UTI) , ukutheleleka kwe-prostate (prostatitis) , noma izifo ezithathelwana ngocansi (STIs) nakho kungavimba ukudlula komchamo.

5. Ukuhlinzwa

Ukugcinwa komchamo okwesikhashana kungenzeka, ikakhulukazi ngemva kokuhlinzwa okukhulu njengokufakwa kwesinqe noma ngemva kokunikezwa i-anesthesia.

Yini engenzeka uma unganakekeli ukugcinwa komchamo?

Akusiwona umqondo omuhle ukumane ungakunaki lokhu njengento ehlukile, ngoba uma ukugcinwa komchamo okungapheli kungelashwa, kungaholela kwezinye izinkinga.

• Ukutheleleka komgudu womchamo (UTIs): Uma umchamo uhlala esinyeni isikhathi eside kakhulu, amabhaktheriya avame ukukhula. Lokhu kutheleleka kungaze kufike ezinso.
• Ukulimala kwesinye: Ngenxa yokuthi sihlala sigcwele, imisipha yesinye inganwebeka, ibe buthaka, futhi yonakale.
• Ukulimala kwezinso: Ukutheleleka noma ukucindezeleka okukhulu kwesinye kungalimaza izinso futhi kubangele isifo sezinso.
• Amatshe Esinyini: Uma umchamo uqongelela endaweni eyodwa, amaminerali akuwo angaqongelela futhi akhe amatshe.

Ukuthola kanjani lokhu, Dokotela?

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela. Kungcono ukubona udokotela ogxile ezifweni zesimiso somchamo (udokotela wezifo zomchamo).

Ngudokotela:

• Uzobuzwa ngezimpawu zakho nokuthi sezinesikhathi esingakanani zikhona.
• Buza ngomlando wakho wezokwelapha ophelele.
• Uhlola umzimba.
• Isampula yomchamo iyahlolwa ukuze kubonakale ukuthi kukhona yini ukutheleleka.
• Uma uyindoda, kuhlolwa i-rectal ukuze kuhlolwe i-prostate gland.(Ukuhlolwa Kwe-Digital Rectal) kungenziwa.

Ngaphezu kwalokho, kungase kwenziwe ezinye izivivinyo ukuze kutholakale imbangela eqondile.

• Ukuhlolwa kwe-Post-void residual (PVR): Lokhu kulinganisa ukuthi kusele umchamo ongakanani esinyeni ngemva kokuqeda ukuchama.
• I-Cystoscopy: Ipayipi elinekhamera encane lidluliselwa e-urethra ukuze lihlole ingaphakathi lesinye kanye ne-urethra.
• Ukuhlolwa kwe-Urodynamic: Uchungechunge lwezivivinyo ezilinganisa ukusebenza kanye nokucindezela kwesinyi kanye nemisipha ezungezile.
• Ukuhlolwa kwe-PSA: Ukuhlolwa kwegazi ukuhlola ingozi yomdlavuza wendlala.

Yiziphi izindlela zokwelapha lokhu?

Izindlela zokwelapha zincike ekutheni unezinhlungu ezibukhali noma ezingamahlalakhona nokuthi imbangela iyini.

Ukwelashwa kokugcinwa komchamo okuphuthumayo

Njengoba lokhu kuyisimo esiphuthumayo, into yokuqala okufanele uyenze ukufaka i-catheter bese ukhipha umchamo esinyeni. Lokhu kuzonikeza impumuzo ngokushesha. Kulapho kuphela lapho imbangela ingatholakala khona futhi yelashwe.

Ukwelashwa kokugcinwa komchamo okungapheli

Kunezindlela eziningana zokwelapha lokhu.

• Imithi: Uma i-prostate ikhulisiwe, imithi inganikezwa ukuze iyinciphise noma ikhulule imisipha eyizungezile. Ama-antibiotic anganikezwa ukutheleleka.
• Ukuhlinzwa: Kuye ngembangela, ukuhlinzwa kungadingeka. Lokhu kungafaka phakathi ukususa i-prostate gland (TURP), ukulungisa ukuvaleka kwe-urethra (Urethroplasty), noma ukulungisa i-cystocele/rectocele ngokuhlinzwa.
• Ukwelashwa okungadingi ukuhlinzwa:
• Ukuzivocavoca kwe-Kegel: Ukuzivocavoca okuqinisa imisipha endaweni ye-pelvic.
• I-Vaginal Pessary: ​​Ithuluzi elifakwa esithweni sangasese sowesifazane ukuze lisekele isinyi esiphumayo.
• Ukulawula isinyi: Izinguquko zokuziphatha njengokulawula ukuthi kufanele uphuze nini uketshezi.

Abanye abantu abanezinkinga zezinzwa bafundiswa odokotela babo ukuthi bangazilungisa kanjani ekhaya besebenzisa i-catheter.