Ingabe nawe unenkinga yokukhipha ngokuphelele isinyi sakho? Ake sixoxe ngokugcinwa komchamo!

Ingabe ngezinye izikhathi uzizwa sengathi awukwazi ukuchama ngokuphelele? Noma umane uchame kancane bese uzizwa sengathi kufanele uphinde uchame? Lokhu yilokho esikubiza ngokuthi ukugcinwa komchamo, noma ngokwezokwelapha okubizwa ngokuthi "Ukugcinwa Komchamo". Okwenzekayo kulokhu ukuthi isinye sakho asiphumi ngokuphelele. Isinye sethu sifana nethangi lamanzi. Umchamo ohlungwa yizinso emanzini nasezintweni esiziphuzayo, uqoqwa kulesi sinye. Bese uphuma nge-urethra.

Kuyini ukugcinwa komchamo? Ingabe zikhona izinhlobo?

Kalula nje, ukugcinwa komchamo kwenzeka lapho isinye sakho singaphumi ngokuphelele uma uchama. Lokhu kungenzeka ngezindlela ezimbili eziyinhloko. 1. Ukugcinwa komchamo okuphuthumayo: Lesi yisimo esiphuthumayo, esiphuthumayo. Ungase ungakwazi ukuchama nhlobo. Lesi yisimo esidinga ukwelashwa okuphuthumayo. 2. Ukugcinwa komchamo okungapheli: Lesi yisimo esikhula kancane kancane ngokuhamba kwesikhathi. Izimpawu nazo zivela kancane kancane. Lokhu kungabangelwa izinto ezifana nokuvinjelwa komgudu womchamo, imithi ethile, kanye nezinkinga zesimiso sezinzwa.

Cabanga ngalokhu, njengalapho into inamathela epayipini lamanzi, amanzi ayayeka ukugeleza.

Ukugcinwa komchamo okuphuthumayo kuvame ukuba yisimo esiphuthumayo . Uma lokhu kwenzeka, kufanele ubonane nodokotela ngokushesha. Ukugcinwa komchamo okungapheli kuvame kakhulu kwabesilisa abaneminyaka ephakathi kuka-60 no-80.

Sivame kangakanani lesi simo?

Ucwaningo lubonisa ukuthi cishe abesilisa abayi-10% abangaphezu kweminyaka engu-70 kanye nabesilisa abayi-30% abangaphezu kweminyaka engu-80 bangase babe nalesi simo. Nakuba abesifazane nabo bengase babe nenkinga yokungakwazi ukuzibamba ngomchamo, lokhu akuvamile kakhulu kunabesilisa.

Ziyini izimpawu zokugcinwa komchamo?

Lezi zimpawu zingahluka kuye ngokuthi unezimpawu ezibukhali noma ezingamahlalakhona.

Izimpawu Zokugcinwa Komchamo Okubukhali

Kulokhu, izimpawu zivela ngokuzumayo.

• Ukungakwazi ukuchama, noma ukuchama okuncane kakhulu ngisho noma isinyi sigcwele.
• Ezimweni ezimbi kakhulu, ungase uzwe ubuhlungu besisu kanye nobuhlungu besisu esingezansi. Uma lokhu kwenzeka kuwe, kufanele ubonane nodokotela ngokushesha.

Izimpawu Zokugcinwa Komchamo Okungapheli

Izimpawu zingahluka kumuntu nomuntu. Ezinye izimpawu ezivamile zifaka:

• Ubunzima bokuqala ukuchama.
• Umchamo obuthakathaka, ohamba kancane, noma ongalawuleki.
• Ukuzizwa sengathi udinga ukuchama futhi ngemva nje kokuqeda ukuchama.
• Ukuzizwa sengathi udinga ukuchama ngaso sonke isikhathi.
• Ukuvuza umchamo omncane ngaphandle kokuqaphela.
• Ukuvuka izikhathi eziningana ebusuku ukuze uchame (i-Nocturia).

Yiziphi izimbangela zokugcina umchamo?

Kungaba nezizathu eziningana zokugcina umchamo. Eziyinhloko yilezi:

• Kukhona uhlobo oluthile lokuvinjelwa endleleni yomchamo ophuma emzimbeni.
• Eminye imithi oyithathayo ngenxa yezinye izimo.
• Izinkinga ezihlobene nemizwa eziphazamisa ukushintshana kwemiyalezo phakathi kobuchopho nohlelo lomchamo .
• Ukutheleleka noma ukuvuvukala okuvimbela ukugeleza komchamo.
• Ukuhlinzwa (ikakhulukazi ngemva kokuhlinzwa okuthile).

1. Ukuvinjelwa

Uma into ethile ivimba ukugeleza komchamo kusuka kwesinyeni kuya e-urethra, ingabangela ukuvaleka komchamo. Lokhu kuvaleka kuyimbangela eyinhloko yokugcina umchamo. Ezinye zezimbangela ezingaba khona zokuvaleka okunjalo yilezi:

• I-prostate Ekhulisiwe : Kwabesilisa, i-prostate gland ingakhula futhi icindezele i-urethra, okubangela ukuvaleka. Lokhu kubizwa nangokuthi i-Benign Prostatic Hyperplasia ( BPH ).
• Ukuvinjelwa Kwesinyi: Ukuvaleka endaweni lapho umchamo uphuma khona esinyeni (intamo yesinye).
• Ukuvaleka Kwe-Ureter: Ukuvaleka kwe-urethra ngenxa yamatshe omchamo, amahlule egazi, izimila, noma ezinye izimbangela.
• I-Cystocele : Isimo lapho isinyi kwabesifazane sehlela phansi singene esithweni sangasese sowesifazane.
• I-Rectocele: Isimo lapho ingxenye ye-rectum kwabesifazane isunduzela odongeni lwesitho sangasese sowesifazane.
• Ukuqina Kwe-Urethral: Ukuncipha kwe-urethra ngenxa yezicubu zesilonda.

2. Imithi

Eminye imithi ingabangela nokugcinwa komchamo. Isibonelo:

• Ama-antihistamine (isib. iBenadryl®)
• Ama-antispasmodics (njenge-Detrol®)
• Amaphilisi okudambisa ubuhlungu e-opiate (isb., i-Vicodin®)
• Ama-antidepressant e-Tricyclic (njenge-Elavil®)

Lokhu kungashintsha indlela imisipha yesinye esebenza ngayo. Ezinye izinhlobo zemithi zifaka:

• Eminye imithi yokucindezeleka kwegazi okuphezulu.
• Eminye imithi yokwelapha isifo sengqondo (ama-Antipsychotics).
• Iziphumuli zemisipha.

3. Izinkinga Zezinzwa

Ungase ungazi, kodwa ubuchopho bethu buhilelekile ekuchameni. Ubuchopho buthumela isignali emisipheni esesinyeni ukuthi iqine, okuyilapho umchamo uphuma khona. Ngesikhathi esifanayo, ubuchopho butshela imisipha ezungeze i-urethra (imisipha ye-sphincter) ukuthi iphumule. Yilapho umchamo uphuma kalula khona. Ngakho-ke, uma kukhona inkinga kulokhu kuxhumana phakathi kobuchopho nemizwa, izinkinga zokuchama zingavela. Izimbangela ezingaba khona zezinkinga ezihlobene nemizwa:

• Isifo sohlangothi .
• Isifo Sikashukela (i-Diabetes Mellitus)`.
• I-Multiple Sclerosis (MS).
• Ukulimala komgogodla noma indawo ye-pelvic ngenxa yengozi noma ukulimala.
• Ukucindezelwa komgogodla ngenxa yesimila noma idiski ehlungiwe.
• Ukubeletha okuvamile `(Ukubeletha Kwesitho Sangasese)`.
• Ukuhlinzwa okuthile okwenziwe endaweni ye-pelvic.

Uma wake waba ne-catheter (ithubhu lomchamo) esikhathini esidlule, usengozini enkulu yokuba nezinkinga zemizwa.

4. Ukutheleleka noma Ukuvuvukala

Ukutheleleka kanye nokuvuvukala nakho kungavimba ukugeleza komchamo nge-urethra. Izibonelo:

• I-Prostatitis: Ukutheleleka noma ukuvuvukala kwendlala ye-prostate, okubangela ukuthi ivuvuke futhi icindezele i-urethra, okuvimbela ukugeleza komchamo.
• Ukutheleleka Kwendlela Yomchamo (UTI): Ukutheleleka ohlelweni lomchamo kungabangela ukuthi i-urethra ivuvuke noma isinyi sibe buthaka. Kokubili lokhu kungabangela ukugcinwa komchamo.
• Izifo Ezithathelwana Ngocansi (ama-STI): Lezi zifo zingabangela nokuvuvukala kanye nokuvaleka komchamo.

5. Ukuhlinzwa

Ukugcinwa komchamo nakho kungenzeka ngemva kokuhlinzwa okuthile. Isibonelo, ukufakelwa inqulu noma ukuhlinzwa komgogodla. Futhi, ukugcinwa komchamo okwesikhashana kungenzeka ngenxa yokubulala izinzwa okuvamile ngesikhathi sokuhlinzwa.

Yiziphi izici eziyingozi zokugcina umchamo?

Nakuba ukugcinwa komchamo kungenzeka kunoma ubani, kuvame kakhulu kwabesilisa . Le ngozi iphezulu kakhulu kwabesilisa abane-prostate gland ekhulisiwe (i-Benign Prostatic Hyperplasia noma i-BPH), ngoba i-prostate gland yabo icindezela i-urethra futhi ivimbele ukugeleza komchamo.

Yiziphi izinkinga ezingaba khona ngenxa yokugcina umchamo?

Uma lesi simo singabonwa noma singalashwa, izinkinga ezilandelayo zingavela:

• Ukutheleleka komgudu womchamo (UTIs): Uma umchamo uqoqana esinyeni, kudala indawo enhle yokukhula kwamagciwane. Lokhu kungaholela ekuthelelekeni komgudu womchamo, okungasakazekela ezinso.
• Ukulimala kwesinye: Uma umchamo omningi uqongelela esinyeni, imisipha yesinye inganwebeka futhi yonakale.
• Ukulimala kwezinso:Uma ukutheleleka komgudu womchamo kusakazekela ezinso, izinso zingavuvukala futhi zivuvuke. Lokhu kucindezela kungalimaza izinso futhi kubangele isifo sezinso.
• Ukuvuza komchamo okungahleliwe: Uma isinye sakho singakaphumi ngokuphelele, ungase uvuza nomchamo othile ngaphandle kokuqaphela.
• Amatshe Esinyini: Amatshe esinyini angakheka uma umchamo uqongelela esinyeni.

Ukugcinwa komchamo kutholakala kanjani?

Ukugcinwa komchamo okuphuthumayo kuyisimo esiphuthumayo sezokwelapha . Uma unenkinga yokuchama ngokuzumayo, ikakhulukazi uma unesihlungu esiswini sakho noma emhlane ongezansi, kufanele ufune iseluleko sezokwelapha ngokushesha . Uma ukugcinwa komchamo okungapheli, kufanele ubone udokotela wezifo zomchamo. Uzokwenza lokhu okulandelayo:

• Bazokubuza ngezimpawu zakho nokuthi usunesikhathi esingakanani unazo.
• Umlando wakho wezokwelapha ophelele uzotholakala.
• Uhlola umzimba.
• Isampula yomchamo iyahlolwa ukuze kubonakale ukuthi kukhona yini ukutheleleka.
• Ukuhlolwa kwe-rectal kwedijithali kwenziwa ukuze kuhlolwe i-prostate gland.

Ngaphezu kwalokho, udokotela angenza ezinye izivivinyo ukuthola imbangela yokugcina umchamo:

• Ukuhlolwa Komchamo Osele Ngemva Kokungasebenzi (i-PVR): Lokhu kulinganisa ukuthi kusele umchamo ongakanani esinyeni sakho ngemva kokuchama.
• I-Cystoscopy: Lokhu kuhilela ukuhlola ingaphakathi lesinye kanye ne-urethra kusetshenziswa i-cystoscope, ishubhu elingangepensela, elinokukhanya kanye nekhamera noma ilensi.
• Ukuhlolwa kwe-Urodynamic: Lokhu kuhlolwa kulinganisa ukusebenza kwezinzwa nemisipha, ingcindezi esinyini nasezindaweni ezizungezile, kanye nesilinganiso sokugeleza komchamo.
• Ukuhlolwa kwe-PSA: Lokhu kuhlolwa kwegazi kuhlola umdlavuza we-prostate ngokulinganisa izinga le-Prostate-Specific Antigen (PSA).

Iyini indlela yokwelapha ukugcinwa komchamo?

Ukwelashwa kokugcinwa komchamo kuncike ekutheni unesifo sokungakwazi ukuzibamba esibi noma esingamahlalakhona, kanye nembangela.

Ukwelashwa kokugcinwa komchamo ngokuzumayo

Ngenxa yokuthi lesi yisimo esiphuthumayo sezokwelapha, udokotela uzofaka i-catheter (ithubhu) esinyeni sakho ukuze asikhiphe amanzi. Lokhu kufanele kukunikeze impumuzo ngokushesha. Ngemva kwalokho, imbangela izotholakala bese kuqaliswa ukwelashwa okufanele.

Ukwelashwa kokugcinwa komchamo okungapheli

Ukwelashwa kuncike embangela. Kungase kuhilele inhlanganisela yokukodwa noma ngaphezulu kwalokhu okulandelayo:

• Imithi.
• Ukuhlinzwa.
• Izinketho ezingezona ezokuhlinzwa (izinguquko zokuziphatha).

Uma ugcina umchamo, ikakhulukazi ngenxa yezinkinga ezihlobene nezinzwa, ungase ukwazi ukusebenzisa i-catheter okwesikhashana ekhaya. Uma kunjalo, udokotela wakho uzokufundisa ukuthi ungayilungisa kanjani i-catheter ngokwakho.

Imithi

Udokotela wakho angase akunike imithi yokwelapha imbangela eyinhloko yokugcina umchamo wakho. Isibonelo:

• Nge-prostate ekhulisiwe: Imithi efana ne-alpha-blockers kanye ne-5-alpha reductase inhibitors inciphisa i-prostate gland noma ikhulule imisipha eyizungezile.
• Kwabathelelekayo: Kunikezwa ama-antibiotic ukwelapha izifo ezibangela ukugcinwa komchamo.

Ukuhlinzwa

Kuye ngembangela, ukuhlinzwa kungadingeka ukuze kwelashwe ukugcinwa komchamo. Udokotela wakho angancoma ukuhlinzwa kwezimo ezilandelayo:

• I-prostate ekhulisiwe: Kunezinhlobo eziningana zokuhlinzwa zokwelapha lokhu. Isibonelo, ukususwa kwe-prostate nge-transurethral (TURP), ukukhushulwa kwe-urethral ye-prostate nge-prostatic, noma i-holmium laser enucleation ye-prostate (HoLEP). Zonke lezi zindlela (nezinye) zingasusa ukuvaleka okubangela ukuvaleka.
• Ukuqina komchamo: Udokotela angasebenzisa i-catheter noma ibhaluni ukuvula izicubu zesilonda ezibangela ukuncipha. Enye indlela ukwenza ukuhlinzwa okubizwa ngokuthi i-urethroplasty, okuhilela ukuvula nokulungisa umchamo.
• I-Cystocele noma i-Rectocele: Uma izimpawu zakho zibangelwa ukuwohloka kwesinyi noma i-rectum, udokotela wakho angase akuncome i-pessary (ithuluzi elibamba isinyi phezulu) noma ukuhlinzwa ukuze kubuyiselwe izitho endaweni yazo. Kuyatholakala ukuhlinzwa kunoma yiluphi uhlobo lokuwohloka kwesitho se-pelvic.
• Amatshe omgudu womchamo: Udokotela wakho angase asebenzise inqubo ebizwa ngokuthi i-cystolitholapaxy ukuze aqhekeze futhi asuse amatshe esinyeni noma e-urethra.

Udokotela uzoqala azame izindlela nezindlela zokwelapha ezingadingi ukungenelela okukhulu. Kodwa-ke, uma lokhu kungasizi, izindlela ezidinga ukungenelela okukhulu zingacatshangelwa, njenge:

• Ukususwa okuphelele kwendlala ye-prostate (i-Prostatectomy).
• Ukuvuselelwa Kwentambo Yomgogodla.
• Ukuhlinzwa kwesinye.
• Ukwakhiwa Kabusha Komchamo Nokuphambuka.

Ukwelashwa Okungahlinzwa

Ngezinye izikhathi, izindlela ezingezona ezokuhlinzwa zinganikeza ukukhululeka ezimpawini. Izibonelo:

• Ukuzivocavoca kwe-Kegel noma ukwelashwa kwemisipha yephansi le-pelvic:Ukuzivocavoca kwe-Kegel kanye nokwelashwa ngokomzimba kuqinisa imisipha yephansi le-pelvic.
• I-Vaginal Pessary: ​​Ithuluzi elifana nendandatho elisetshenziselwa ukusekela isinyi uma siphela.
• Ukulawulwa komchamo: Ungalawula ukugcinwa komchamo ngokulawula ukuthi udinga ukuchama nini nokuhlela ukuthi uzophuza nini uketshezi.

Ingabe ukugcinwa komchamo kungavinjelwa?

Nakuba lokhu kungenakuvinjelwa ngokuphelele, kunezinto ongazenza ukuze unciphise ingozi:

• Iya endlini yangasese ngokushesha nje lapho uzizwa udinga ukuchama. Ungawuvali umchamo wakho.
• Qaphela imikhuba yakho yokuchama. Tshela udokotela wakho uma ubona noma yiziphi izinguquko.
• Yidla ukudla okulinganiselayo, gcina isisindo esinempilo, futhi uphuze amanzi amaningi.

Ungakwazi yini ukuchama ngisho noma ugcina umchamo wakho?

Yebo, abanye abantu bangachama kancane. Ukugcinwa komchamo kusho ukuthi awukwazi ukuchama nhlobo, noma isinye sakho asiphumi ngokuphelele uma uchama. Ngezinye izikhathi, isinye sigcwele umchamo futhi sigcwala, ngakho-ke omunye umchamo ungavuza.

Yini okufanele ngiyilindele uma ngigcina umchamo?

Uma kutholakale ukuthi unesifo sokugcina umchamo, kubalulekile ukulandela uhlelo lokwelashwa lukadokotela wakho ngqo. Hamba uyohlolwa ukuze ubone ukuthi izimpawu zakho ziyathuthuka yini. Kwabaningi, ukwelashwa okufanele kuzosiza ekunciphiseni izimpawu.

Kufanele ngimbone nini udokotela?

Bona udokotela uma unanoma yikuphi kwalokhu:

• Uma uzizwa sengathi udinga ukuchama njalo, ikakhulukazi ngemva nje kokuqeda ukuchama.
• Uma unenkinga yokuqala ukuchama, noma uma umchamo wakho ubuthakathaka noma umile.
• Uma uzwa ubuhlungu esiswini esingezansi, endaweni yesitho sangasese sowesifazane, noma emhlane ongezansi.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma une-retention yomchamo, kuvamile ukuba nemibuzo. Ungabuza udokotela wakho izinto ezifana nalezi:

• Ucabanga ukuthi yini imbangela yezimpawu zami?
• Ingabe uncoma ukuhlolwa okwengeziwe?
• Hlobo luni lokwelashwa olunconywayo?
• Ngingazilawula kanjani kangcono izimpawu zami?
• Ingabe ukugcinwa komchamo wami kuzophulukiswa ngokuphelele?

Kungaba nzima ukukhuluma nomndeni, abangane, nodokotela ngezinkinga zakho zokulawula umchamo. Kodwa awuwedwa. Ukugcinwa komchamo kuyisimo esivamile futhi esingelapheka. Uma ubona ushintsho emikhubeni yakho yokuchama, noma uma ungakwazi nhlobo ukuchama, bona udokotela. Kunezindlela eziningana zokwelapha ezingasiza ekulawuleni izimpawu zakho.

Umyalezo Wokugcina Wokuya Nasekhaya

Ukugcinwa komchamo kuyisimo esingacasula ngezinye izikhathi, futhi singaba sibi kakhulu esimweni esiphuthumayo. Into ebaluleke kakhulu ukuqaphela izimpawu bese ucela iseluleko sezokwelapha ngokushesha.

• Izimpawu Eziphuthumayo: Uma uzwa izimpawu ezingazelelwe njengokungakwazi ukuchama noma ubuhlungu besisu esingezansi , hamba esibhedlela ngokushesha .
• Uma unezimpawu eziqhubekayo njengobunzima bokuqala ukuchama, ukugeleza komchamo obuthakathaka, noma isidingo sokuphuza njalo, ungabi namahloni futhi ubone udokotela ukuze akuhlole.
• Kungaba nezimbangela eziningi: izinkinga ze-prostate, imithi, izinkinga zemizwa, izifo, njll. Ukwelashwa okufanele kunganikezwa kuphela ngokuthola imbangela eqondile.
• Kunezindlela zokwelapha: Kuye ngembangela, lesi simo singelashwa ngemithi, ukuhlinzwa, noma izinguquko zendlela yokuphila.
• Ungakushayi indiva: Uma kungelashwa, izinkinga ezifana nokulimala kwezinso kanye nokutheleleka zingavela.

Ngakho-ke, uma unalolu hlobo lokungakhululeki, ungesabi ukukhuluma nodokotela. Ungathola impumuzo ngokwelashwa okusheshayo.