Uma usemsebenzini obalulekile, noma uma ugibela ibhasi, ingabe uzizwa ungabekezeleleki ngokuzumayo ukuthi kufanele ugijime uyochama? Akukhona lokho kuphela, kodwa uzizwa wesaba nokuthi uzohamba isikhashana ngaphambi kokuba ugijimele endlini yokugezela? Empeleni lokhu kuyinkinga abantu abaningi abanayo, kodwa banamahloni okukhuluma ngayo emphakathini. Kodwa lokhu akuyona into okufanele inganakwa. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe nanamuhla.
Kuyini Ukuphuthuma Komchamo?
Kalula nje, i-Urinary Urgency yisifiso esingazelelwe, esingalawuleki sokuchama. Ngemva kwalesi sifiso, unesikhathi esincane kakhulu sokuthola indlu yokugezela. Ngezinye izikhathi, leso sikhathi asanele, futhi ungase uvuze ngisho nomchamo omncane ngaphandle kokuqaphela. Ngokwezokwelapha, lokhu sikubiza ngokuthi ukungalawuleki komchamo .
Kunezimbangela eziningi ezingaba khona zalokhu. Kodwa izindaba ezinhle ukuthi eziningi zalezi zimbangela azizimbi kangako. Futhi udokotela oqeqeshiwe angaxilonga imbangela futhi akunikeze ukwelashwa okudingayo.
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?
Kunezimbangela eziningana eziyinhloko nezivamile zokuphuthuma komchamo. Ake sibheke ukuthi ziyini.
| Imbangela | Incazelo elula |
|---|---|
| Izifo Zomgudu Womchamo (UTI) | Lena yimbangela evame kakhulu. Uma ukutheleleka ngamagciwane kungena esinyeni noma e-urethra, isinyi siyavuvukala futhi udinga ukuchama njalo. |
| Isinyi Esisebenza Kakhulu (OAB) | Lokhu kwenzeka lapho imisipha yesinye ifinyela ngokungadingekile ngaphambi kokuba isinye sigcwale ngokuphelele. Lokhu kubangela umuzwa oqhubekayo wokuphuthuma wokuchama. |
| I-Prostate Ekhulisiwe (BPH) | Lokhu kuyiqiniso ikakhulukazi kwabesilisa. Njengoba bekhula, indlala ye-prostate iyakhula, okubangela ukuthi i-urethra ivaleke futhi isinyi sizizwe sengathi sigcwala ngokushesha. |
| Ukutheleleka kwe-prostate (i-Prostatitis) | Ukuphuthuma komchamo kungenzeka futhi uma kukhona ukutheleleka ku-prostate gland. |
Ingabe lokhu kungenzeka ngaphandle kwe-UTI?
Yebo, impela. Ungaba nalesi sifiso sokuchama ngokuzumayo ngisho noma ungenayo i-UTI. Nazi ezinye izizathu zokuthi kungani lokhu kungenzeka:
- I-Vaginitis: Ukutheleleka esithweni sangasese kwabesifazane nakho kungabangela ukuba isinyi sicasuke futhi sibe kanje.
- I-Cystitis: Lesi simo singabangelwa ukuvuvukala noma ukuvuvukala kwezindonga zesinye ngenxa yezinye izimbangela, ngisho noma kungekho ukutheleleka.
- Ukunqamuka Kwesikhathi: Njengoba abesifazane bedlula esikhathini sokunqamuka kwesikhashana , i-hormone i-estrogen emizimbeni yabo iyancipha. Lokhu kungabangela ukuthi izicubu zesitho sangasese sowesifazane kanye nendlela yomchamo zibe zincane, okungathinta ukulawulwa kwesinyi.
- Izifo ezithinta uhlelo lwezinzwa: Izimo ezifana nesifo sikashukela noma i-multiple sclerosis (MS) zingalimaza izinzwa ezilawula ukusebenza kwesinyi, okuholela ekuphuthumeni komchamo.
Eminye imikhuba nezizathu ezikhulisa lesi simo
Ngezinye izikhathi, nakuba lezi zingezona imbangela eyinhloko, zingenza ukuphuthuma komchamo kube kubi nakakhulu.
- Ezinye izinto ezibangela lokhu: Abanye abantu bazizwa befisa ukuchama ngokushesha lapho bezwa umsindo wamanzi agobhozayo, begeza izandla zabo, noma besendaweni ebandayo.
- Imithi yokukhipha isisu: Eminye imithi (isibonelo, eminye imithi yokucindezela kwegazi eliphezulu) ibangela ukuthi umzimba ukhiphe amanzi nosawoti, okwenza umzimba udinge ukuchama kaningi.
- Utshwala neziphuzo ezine-caffeine: Utshwala, ikhofi, netiye kuthinta i-hormone yomzimba i-vasopressin . Le hormone ilawula inani lomchamo okhiqizwa emzimbeni. Ngakho-ke uma leyo hormone iphansi, isinyi siyagcwala ngokushesha.
- Ukubhema: Ukubhema kunganciphisa inani lomchamo elingagcinwa yisinye (umthamo wesinye).
- Ukudla okuthile: Ukudla okune-asidi njengama-oranges notamatisi, iziphuzo ezine-carbonated, kanye noshukela wokwenziwa nakho kungacasula isinyi kwabanye abantu.
- Ukukhuluphala: Uma inkomba yakho yesisindo somzimba (i-BMI) ingaphezu kuka-25, okusho ukuthi ukhuluphele ngokweqile, leso sisindo sibeka ingcindezi enkulu emisipheni yesinye sakho kanye nephansi le-pelvic. Uma le misipha iba buthakathaka, kuba nzima ukulawula umchamo wakho.
- Ukuncipha kokuzala kwesitho sangasese sowesifazane: Lesi simo singase senzeke ngenxa yokuncipha kokuzala kwesibeletho noma izindonga zesitho sangasese sowesifazane kwabesifazane, okufaka ingcindezi kwesinye.
Ulawula kanjani lesi simo?
Izindaba ezinhle ukuthi kunezindlela eziningi zokwelapha kanye nezindlela zokuphatha ezitholakalayo, kuye ngokuthi imbangela ikuphi.
Khumbula, udokotela wakho uzonquma ukwelashwa okukulungele, ngakho-ke kubalulekile ukukhuluma ngalokhu ngaphandle kokuzizwa unamahloni.
Nazi ezinye izindlela zokwelapha:
- Izinguquko endleleni yokuphila: Ukuphuza amanzi amaningi, ukunciphisa utshwala nekhofi, ukuyeka ukubhema, nokulawula isisindo sakho konke kungasiza. Ukugcina idayari yokudla neziphuzo kungakusiza ukuthi ubone ukuthi yini ebangela isimo sakho.
- Ukuqeqeshwa kwesinyi: Lokhu kuhilela ukuya endlini yangasese ngezikhathi ezithile (isib. njalo emahoreni amabili) kunokulinda isifiso sokuchama. Lokhu kuzokhipha isinyi ngaphambi kokuba sigcwale.
- Ukuzivocavoca kwe-Kegel: Lokhu kubizwa nangokuthi ukuzivocavoca phansi kwe-pelvic . Lokhu kuzivocavoca kuqinisa imisipha ye-pelvic floor. Le misipha isiza ukulawula ukuchama. Udokotela we-physiotherapist angakukhombisa ngqo ukuthi ungakwenza kanjani lokhu.
- Imithi: Udokotela wakho uzokunikeza imithi kuye ngokuthi imbangela yesimo sakho ikuphi. Isibonelo, unganikezwa ama-antibiotic e-UTI, ama-alpha-blockers ukuze ukhulule imisipha esinyeni sakho ukuze uthole i-prostate ekhulisiwe, noma eminye imithi yokukhulula imisipha esinyeni sakho ukuze uthole i-OAB.
- Izinqubo zezokwelapha kanye nokuhlinzwa: Kwezinye izimo, izinketho zokwelapha zifaka phakathi ukufaka i-catheter yomchamo ukuze kukhishwe isinyi, imijovo ye-botulinum toxin (Botox®) ye-OAB, ukuvuselelwa kwemizwa, noma ukuhlinzwa kokunciphisa i-prostate.
Kufanele ngimbone nini udokotela?
Uma ukuphuthuma kwakho kokuchama kuthinta impilo yakho yansuku zonke, umsebenzi, noma ubudlelwano nabantu, kufanele nakanjani ubone udokotela. Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma unalesi simo kanye nezimpawu ezilandelayo:
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Umkhuhlane, ukubanda, ubuhlungu besifuba | Kungaba uphawu lokuthi ukutheleleka sekusakazekele ezinso. |
| Igazi emchameni (i-hematuria), umchamo onamafu | Kungaba uphawu lokutheleleka noma esinye isimo esibucayi. |
| Ukuphuma okungavamile esithweni sangasese, isicanucanu, nokuhlanza. | Lokhu kungaba izimpawu zokutheleleka okukhulu. |
| Ukuzizwa ukhathele kakhulu (ukukhathala) nokunciphisa isisindo ngaphandle kwesizathu. | Kungaba uphawu lwesinye isimo sezempilo esiyisisekelo. |
| Ukuzizwa ulambile noma womile kakhulu kunokujwayelekile. | Kungaba uphawu lwesifo esifana nesifo sikashukela. |
Udokotela uthola kanjani imbangela?
Uma ubona udokotela, uzokwenza izinto ezinjengalezi ukuthola imbangela:
- Buza ngomlando wakho wezokwelapha kanye nezimpawu zamanje.
- Kuzohlolwa umzimba (lokhu kungafaka ukuhlolwa kwe-pelvic kwabesifazane noma ukuhlolwa kwe-digital rectal kwabesilisa).
- Ukudluliselwa kokuhlolwa komchamo kanye nokuhlolwa kokukhuliswa komchamo .
- Ungathunyelwa ukuze uyohlolwa ngezithombe, njengokuskena nge-ultrasound , ukuze ubone inani lomchamo elisele esinyeni ngemva kokuchama.
- Ngezinye izikhathi, ungase uthunyelwe ukuze uyohlolwa nge-urodynamic, okukala ukusebenza kwesinyi, noma i-cystoscopy, esebenzisa ikhamera encane ukubheka ngaphakathi kwesinye.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuthuma komchamo kuyinkinga evamile abantu abaningi ababhekana nayo. Ngakho-ke ungabi namahloni okukhuluma ngayo noma ukufuna iseluleko sezokwelapha.
- Lokhu kungabangelwa yizinto ezihlukahlukene, kusukela ekuthelelekeni okulula komgudu womchamo kuya ekushintsheni kwama-hormone kanye nezifo zezinzwa.
- Lesi simo singalawulwa kakhulu ngokushintsha indlela yokuphila elula (ukulawula ukudla) kanye nokuqeqeshwa kwesinyi.
- Uma kunezimpawu eziyisixwayiso ezifana nomkhuhlane negazi emchameni, ungalokothi ungasinaki lesi simo.
- Qiniseka ukuthi ubona udokotela wakho ukuze uthole imbangela eqondile futhi uthole ukwelashwa okufanele kakhulu.
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