Uxinzelelo ukungahambi kakuhle komchamo

Uxinzelelo lokungahambelani nomchamo kwenzeka xa isinyi sakho sivuza umchamo ngexesha lomsebenzi womzimba okanye wokuzikhandla. Kungenzeka xa ukhohlela, uthimla, uphakamisa into enzima, utshintshe indawo, okanye umthambo.

Uxinzelelo lokungakwazi ukuzibamba kwenzeka xa izicwili ezixhasa urethra wakho ziba buthathaka.

• Isinyi kunye urethra zixhaswa yimisipha yomzimba we-pelvic. Umchamo uvela kwisinyi sakho ngokusebenzisa i-urethra uye ngaphandle.
• I-sphincter sisihlunu esijikeleze ukuvulwa kwesinyi. Iyacudisa ukunqanda umchamo ukuba ungavuzi nge-urethra.

Xa iiseti zemisipha ziba buthathaka, umchamo ungadlula xa uxinzelelo lubekwe kwisinyi sakho. Ungayiqaphela xa:

• Khohlela
• Cwina
• Hleka
• Zilolonge
• Phakamisa izinto ezinzima
• Yabelana ngesondo

Imisipha ebuthathaka inokubangelwa:

• Ukubeleka
• Ukulimala kwindawo ye-urethra
• Amanye amayeza
• Utyando kwindawo ye-pelvic okanye iprostate (emadodeni)
• Ukutyeba kakhulu
• Izizathu ezingaziwayo

Ukungabikho koxinzelelo kuqhelekile kubafazi. Ezinye izinto zandisa umngcipheko, njenge:

• Ukukhulelwa kunye nokuhanjiswa kwelungu lobufazi.
• Ukunyuka kwepelvic. Yilapho i-bladder yakho, i-urethra, okanye i-slide ye-rectum kwisini. Ukuhambisa umntwana kunokubangela ukonakala kwethambo okanye izicubu kwindawo ye-pelvic. Oku kunokukhokelela kwi-pelvic prolapse inyanga okanye iminyaka emva kokuhanjiswa.

Olona phawu luphambili lokungahambi kakuhle koxinzelelo kukuhamba komchamo xa:

• Basebenza ngokwasemzimbeni
• Khohlela okanye uthimle
• Zilolonge
• Yima kwindawo ohleli kuyo okanye ulale phantsi

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba. Oku kuya kubandakanya:

• Uvavanyo lwesini kumadoda
• Uvavanyo lwePelvic kubafazi
• Uvavanyo oluqokelelweyo

Uvavanyo lunokubandakanya:

• ICystoscopy ukujonga ngaphakathi kwisinyi.
• Uvavanyo lobunzima bePad: Uzivocavoca ngelixa unxibe iphedi yococeko. Emva koko iphedi iyalinganiswa ukufumanisa ukuba ungakanani umchamo olahlekileyo.
• Idayari yokuVota: Ulandela umkhwa wakho wokuchama, ukuvuza kunye nokutya okungamanzi.
• Iipelvic okanye isisu se-ultrasound.
• I-post-void residual (PVR) yokulinganisa inani lomchamo oshiyekileyo emva kokuba uchamile.
• Urinalysis ukukhangela usulelo lwe-urinary tract.
• Uvavanyo loxinzelelo lomchamo: ume ngesinyi esipheleleyo emva koko ukhohlele.
• Izifundo ze-Urodynamic ukulinganisa uxinzelelo kunye nokuhamba komchamo.
• I-X-ray kunye nedayi eyahlukileyo ukujonga izintso zakho kunye nesinyi.

Unyango luxhomekeke kwindlela iimpawu zakho ezibuchaphazela ngayo ubomi bakho.

Zintathu iintlobo zonyango zokungazibambi xa uxinezelekile:

• Utshintsho kwindlela yokuziphatha kunye noqeqesho lwesinyi
• Uqeqesho lomsipha womzimba
• Ugqirha

Akukho mayeza kunyango lokungakwazi ukuzibamba. Abanye ababoneleli banokumisela iyeza elibizwa ngokuba yi-duloxetine. Eli yeza alivunyelwanga yi-FDA kunyango lokuphazamiseka koxinzelelo.

UKUTSHINTSHA KOKUZIPHATHA

Ukwenza olu tshintsho kunokunceda:

• Sela ulwelo oluncinci (ukuba usela ngaphezulu kwesiqhelo kulwelo). Kulumkele ukusela amanzi ngaphambi kokuba ulale.
• Kuphephe ukutsiba okanye ukubaleka.
• Thatha i-fiber ukunqanda ukuqhinwa, okunokwenza ukungahambi kakuhle komchamo kube kubi ngakumbi.
• Yeka ukutshaya. Oku kunokunciphisa ukukhohlela kunye nokucaphuka kwesinyi. Ukutshaya kukonyusa umngcipheko womhlaza wesinyi.
• Gwema utywala kunye neziselo ezinekofu ezifana nekofu. Banokukwenza ukuba isinyi sakho sigcwalise ngokukhawuleza.
• Ukunciphisa umzimba.
• Gwema ukutya kunye neziselo ezinokucaphukisa isinyi sakho. Oku kubandakanya ukutya okuqhwethayo, iziselo zekhabhon, kunye nesitrasi.
• Ukuba unesifo seswekile, gcina iswekile esegazini lakho phantsi kolawulo olufanelekileyo.

UQEQESHO OLUQHELEKILEYO

Uqeqesho lwesinye lunokukunceda ulawule isinyi sakho. Umntu uyacelwa ukuba achame rhoqo. Kancinci, ixesha lokuphumla liyonyuswa. Oku kubangela ukuba isinyi isolule kwaye ibambe umchamo ongaphezulu.

UQEQESHO LWEMPILO YOMBUDLELA

Kukho iindlela ezahlukeneyo zokomeleza izihlunu kumgangatho wakho we-pelvic.

• I-Biofeedback: Le ndlela inokukunceda ukuba ufunde kwaye ulawule izihlunu zakho zomgangatho we-pelvic.
• Ukuzivocavoca kweKegel: Ezi zivivinyo zinokukunceda ukugcina imisipha ejikeleze i-urethra yakho yomelele kwaye isebenze kakuhle. Oku kunokukunceda ukuba ungaphumi kumchamo.
• Iicones zangaphantsi: Ubeka ikhowuni kwilungu lobufazi. Emva koko uzama ukutywina izihlunu zakho zomgangatho we-pelvic ukuze ubambe ikhowuni endaweni. Ungayinxiba ikhowuni ukuya kuthi ga kwimizuzu eli-15 ngexesha, amaxesha amabini ngosuku. Ungabona ukuphucuka kweempawu zakho kwiiveki ezi-4 ukuya kwezi-6.
• Unyango lomgangatho wePelvic: Iipheraphysical therapists eziqeqeshwe ngokukodwa kule ndawo zinokuvavanya ngokupheleleyo ingxaki kwaye zincede ngokwenza umthambo kunye nonyango.

UKUQHUTYWA

Ukuba olunye unyango alusebenzi, umboneleli wakho unokucebisa utyando. Utyando lunokunceda ukuba unengxaki yokuphazamiseka koxinzelelo. Uninzi lwababoneleli bacebisa utyando kuphela emva kokuzama unyango olulondolozayo.

• Ukulungiswa kwangaphambili kobufazi kunceda ekubuyiseni iindonga zelungu lobufazi ezibuthathaka kunye nezinciphayo. Oku kusetyenziswa xa i-bladder bulges ingene kwilungu lobufazi (prolapse). I-Prolapse inokuthi inxulunyaniswe noxinzelelo lomchamo.
• I-urhin sphincter eyenziweyo: Esi sisixhobo esisetyenziselwa ukugcina umchamo ungavuzi. Isetyenziswa ikakhulu emadodeni. Ayifane isetyenziswe kubafazi.
• Inaliti zokukhupha zenza indawo ejikeleze urethra ibe nkulu. Oku kunceda ukulawula ukuvuza. Inkqubo inokufuna ukuphindwa emva kweenyanga okanye iminyaka embalwa.
• Inkwitshi eyindoda yiteyiphu enemingxunya esetyenziselwa ukubeka uxinzelelo kwi-urethra. Kulula ukuyenza kunokubeka i-sphincter yokufakelwa komchamo.
• Ukumiswa kwe-Retropubic kuphakamisa isinyi kunye ne-urethra. Oku kwenziwa ngokufuthi rhoqo ngenxa yokusetyenziswa rhoqo kunye nempumelelo ngeeslingi zetyhefu.
• Isilingi somfazi sisetape esisebenzisa ukuxhasa urethra.

Ukuba ngcono kuthatha ixesha, ke zama ukuba nomonde. Iimpawu zihlala zibangcono kunyango lwonyango. Nangona kunjalo, abayi kunyanga ukungazinzi koxinzelelo. Utyando lunokunyanga uninzi lwabantu koxinzelelo lokungakwazi ukuzibamba.

Unyango alusebenzi kakuhle ukuba une:

• Iimeko ezithintela ukuphilisa okanye ukwenza utyando lube nzima ngakumbi
• Ezinye iingxaki zangasese okanye zomchamo
• Utyando lwangaphambili olwalungasebenzi
• Isifo seswekile esilawulwa kakubi
• Isifo se-Neurologic
• Imitha yangaphambili kwi-pelvis

Iingxaki zomzimba zinqabile kwaye zihlala ziphakathi. Banokubandakanya:

• Ukucaphuka kwemilebe yelungu lobufazi
• Izilonda zolusu okanye uxinzelelo lwezilonda kubantu abangenakuzibamba kwaye abakwazi ukuphuma ebhedini okanye esitulweni
• Ivumba elibi
• Usulelo lomjelo womchamo

Imeko inokuthi ifike kwindlela yezentlalo, imisebenzi kunye nobudlelwane. Inokukhokelela ku:

• Iintloni
• Ukubekwa wedwa
• Uxinzelelo okanye uxinzelelo
• Ukuphulukana nemveliso emsebenzini
• Ukuphulukana nomdla kwizinto zesondo
• Ukuphazamiseka kokulala

Iingxaki ezinxulumene notyando zibandakanya:

• Iifistula okanye amathumba
• Isinyi okanye ukulimala kwamathumbu
• Ukopha
• Usulelo
• Ukungasebenzi kakuhle komchamo - ukuba unengxaki yokuchama kungafuneka usebenzise ipayipi. Oku kuhlala kuyinto yexeshana
• Intlungu ngexesha lokwabelana ngesondo
• Ukungasebenzi kakuhle ngokwesondo
• Ukunxiba izinto ezibekwe ngexesha lotyando, ezinje ngesilingi okanye i-sphincter eyenziweyo

Fowunela umnikezeli wakho ukuba uneempawu zoxinzelelo lokungakwazi ukuzibamba kwaye bayakukhathaza.

Ukwenza umthambo kaKegel kunokunceda ukukhusela iimpawu. Abasetyhini banokufuna ukwenza iiKegels ngexesha nasemva kokukhulelwa ukunceda ukuthintela ukungalawuleki.

Ukungakwazi ukuzibamba - uxinzelelo; Uxinzelelo lwesinyi; I-pelvic prolapse - uxinzelelo lokungakwazi ukuzibamba; Uxinzelelo lokungakwazi ukuzibamba; Ukuvuza komchamo - uxinzelelo lokungakwazi ukuzibamba; Ukuvuza komchamo-uxinzelelo lokungakwazi ukuzibamba; Umgangatho wePelvic - uxinzelelo lokungakwazi ukuzibamba

• Ukuhlala kukhathalelo lwecatheter
• Ukuzivocavoca kukaKegel-ukuzikhathalela
• Ukuzikhetha ngokwakho - umntu obhinqileyo
• Inkqubo eyinyumba
• IiCatheters zeUrinary - yintoni ekufuneka uyibuze kugqirha wakho
• Iimveliso zokungahambelani nomchamo-ukuzikhathalela
• Utyando lokungasebenzi kakuhle komchamo- ukukhutshwa kwabasetyhini
• Ukungahambi kakuhle kwe-Urinary - yintoni ongayibuza ugqirha wakho
• Iingxowa zokuhambisa umchamo
• Xa une-incontinence yomchamo

• Iphecana lomchamo labasetyhini
• Indoda yokuchama
• Uxinzelelo lokungakwazi ukuzibamba
• Uxinzelelo lokungakwazi ukuzibamba
• Isinyi nokulungisa urethral - uthotho

Umbutho weAmerican Urological Association. Unyango lonyango ngoxinzelelo lwabasetyhini ukungahambelani nomchamo (i-SUI): Isikhokelo se-AUA / SUFU (2017). www.auanet.org/guidelines/stress-urinary-incontinence-(sui)- isikhokelo. Ipapashwe ngo-2017. Ifikeleleke ngoFebruwari 13, 2020.

UHashim H, Abrams P.Uvavanyo kunye nolawulo lwamadoda ane-urinary incontinence. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 72.

UKobashi KC. Uvavanyo kunye nolawulo lwabasetyhini abane-incontinence yomchamo kunye ne-pelvic prolapse. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 71.

UPatton S, uBassaly RM. Ukungahambi kakuhle komchamo. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2020. IPhiladelphia, PA: Elsevier; Ngo-2020: 1110-1112.

Phinda uqalise i-NM. Ukungahambi kakuhle komchamo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.