Khuthaza ukungazinzi

Ukubongoza ukungazibambi kwenzeka xa unamandla, ngesiquphe isidingo sokuchama ekunzima ukulibazisa. I-bladder iyakhama, okanye i-spasms, kwaye uphulukana nomchamo.

Njengoko isinyi sakho sigcwalisa umchamo kwizintso, wolula ukwenza indawo yokuchama. Kufuneka uve umnqweno wokuqala wokuchama xa kukho indebe engaphantsi kwe-1 (240 milliliters) yomchamo kwisinyi sakho. Uninzi lwabantu lunokubamba ngaphezulu kweekomityi ezi-2 (480 milliliters) zomchamo kwisinyi.

Izihlunu ezibini zinceda ukuthintela ukuhamba komchamo:

• I-sphincter sisihlunu esijikeleze ukuvulwa kwesinyi. Iyacudisa ukunqanda umchamo ukuba ungangeni kwi-urethra. Le yile ityhubhu edlula umchamo ukusuka kwisinyi ukuya ngaphandle.
• Isisipha sodonga lwesinyi siphumle ukuze isinyi sikwazi ukwandisa sibambe umchamo.

Xa uchama, imisipha yodonga lwesinyi iyanyanzela ukunyanzela umchamo ukuba uphume esinyini. Njengoko oku kusenzeka, umsipha we-sphincter uphumla ukuvumela umchamo ukuba udlule.

Zonke ezi nkqubo kufuneka zisebenze kunye ukulawula umchamo:

• Izihlunu zakho zesinyi kunye nezinye iinxalenye zendlela yakho yokuchama
• Imithambo-luvo elawula inkqubo yakho yokuchama
• Amandla akho okuziva kunye nokuphendula kumnqweno wokuchama

I-bladder inokuphinda ikhontrakthi rhoqo ukusuka kwiingxaki zenkqubo ye-neva okanye ukucaphuka kwesinyi.

KHAWULELA UKUQINISEKISA

Ngokunqwenela ukungakwazi ukuzibamba, uvuza umchamo ngenxa yokuba izihlunu zesinyi ziyakhama, okanye isivumelwano, ngamaxesha angalunganga. Oku kuphikisana kuhlala kwenzeka nokuba umchamo ungakanani esinyini.

Ukubongoza ukungazibambi kunokuvela:

• Umhlaza wesinyi
• Ukudumba kwesinyi
• Into ethintela umchamo ekushiyeleni isinyi
• Amatye esinyi
• Usulelo
• Iingxaki zobuchopho okanye zemithambo-luvo, ezinje nge-multiple sclerosis okanye i-stroke
• Ukulimala kwamathambo, njengokulimala kwethambo lomqolo

Emadodeni, khuthaza ukungaziphathi kakuhle kunokuba ngenxa:

• Utshintsho lwesinyi olubangelwa yiprostate eyandisiweyo, ebizwa ngokuba yi-benign prostatic hyperplasia (BPH)
• Iprostate eyandisiweyo ethintela umchamo ukuba ungaphumi kwisinyi

Kwiimeko ezininzi zokungahambi kakuhle, akukho sizathu sinokufunyanwa.

Nangona ukukhuthaza ukungazibambi kunokwenzeka nakubani na nangaliphi na ubudala, kuqhelekile kubafazi nakubantu abadala abadala.

Iimpawu zibandakanya:

• Ukungakwazi ukulawula xa upasa umchamo
• Ukuchama rhoqo emini nasebusuku
• Kufuneka ucofe ngokukhawuleza nangokukhawuleza

Ngexesha lovavanyo lomzimba, umboneleli wakho wezempilo uya kujonga isisu sakho kunye nerektamu.

• Abasetyhini baya kuba novavanyo lwe-pelvic.
• Amadoda aya kuvavanywa amalungu esini.

Kwiimeko ezininzi, uvavanyo lomzimba aluyi kufumana ngxaki. Ukuba kukho izizathu zenkqubo ye-nervous, ezinye iingxaki zinokufumaneka.

Uvavanyo lubandakanya oku kulandelayo:

• ICystoscopy ukujonga ngaphakathi kwesinyi sakho.
• Uvavanyo lwePad. Unxiba iphedi okanye iipads ukuqokelela wonke umchamo wakho ovuza. Emva koko iphedi iyalinganiswa ukufumanisa ukuba ungakanani umchamo olahlekileyo.
• Iipelvic okanye isisu se-ultrasound.
• Uroflow funda ukubona ukuba ungakanani kwaye ukhawuleza kangakanani ukuchama.
• Thumela intsalela eseleyo yokulinganisa isixa somchamo oshiyekileyo kwisinyi sakho emva kokuba uchamile.
• Uhlalutyo lomchamo ukujonga igazi kumchamo.
• Umchamo inkcubeko ukukhangela usulelo.
• Uvavanyo loxinzelelo lomchamo (ume ngesinyi esipheleleyo kunye nokukhohlela).
• I-cytology yomchamo yokulawula umhlaza wesinyi.
• Izifundo ze-Urodynamic ukulinganisa uxinzelelo kunye nokuhamba komchamo.
• I-X-ray kunye nedayi eyahlukileyo ukujonga izintso zakho kunye nesinyi.
• Idayari evaliweyo ukuvavanya ukungenisa kwakho ulwelo, ukuphuma komchamo, kunye nokuchama rhoqo.

Unyango luxhomekeke ekubeni zimbi kangakanani iimpawu zakho kwaye zibuchaphazela njani ubomi bakho.

Zine iindlela eziphambili zokunyanga ukungahambelani:

• Isinye kunye nokuqeqeshwa kwemisipha yomqolo
• Utshintsho kwindlela yokuphila
• Amayeza
• Ugqirha

UKUQEQESHWA KWEBANDLA

Ukulawula ukungaziphathi rhoqo kuhlala kuqala ngokufunda kwakhona kwesinyi. Oku kunceda ukuba uqaphele xa uphulukana nomchamo ngenxa ye-bladder spasms. Emva koko uphinde ufunde izakhono ozifunayo ukuze ubambe kwaye ukhulule umchamo.

• Useta ishedyuli yamaxesha apho kuya kufuneka uzame ukuchama. Uzama ukunqanda ukuchama phakathi kwala maxesha.
• Enye indlela kukunyanzela ukuba ulinde imizuzu engama-30 phakathi kohambo ukuya kwigumbi lokuhlambela, nokuba unomdla wokuchama phakathi kwala maxesha. Oku akunakwenzeka kwezinye iimeko.
• Njengoko usiba ngcono ekulindeni, ngokuthe ngcembe landisa ixesha ngemizuzu eli-15 de uchame zonke iiyure ezi-3 ukuya kwezi-4.

UQEQESHO LWEMPILO YOMBUDLELA

Ngamanye amaxesha, ukuzilolonga kukaKegel, i-biofeedback, okanye ukukhuthaza umbane kunokusetyenziswa ekubuyiseni isinyi. Ezi ndlela zinceda ukomeleza izihlunu zomgangatho wakho we-pelvic:

Ukuzivocavoca kweKegel -Ezi zisetyenziselwa ukuphatha abantu ngoxinzelelo lokungakwazi ukuzibamba. Nangona kunjalo, le mithambo inokunceda ekunciphiseni iimpawu zokungahambi kakuhle.

• Ucinezela izihlunu zakho zangasese njengoko uzama ukunqanda ukuhamba komchamo.
• Yenza oku imizuzwana emi-3 ukuya kwemi-5, emva koko uphumle imizuzwana emi-5.
• Phinda amaxesha ama-10, amaxesha amathathu ngosuku.

Iicones zelungu lobufazi - Le yicones enesisindo efakwa kwilungu lobufazi ukomeleza izihlunu zomgangatho we-pelvic.

• Ubeka ikhowuni kwilungu lobufazi.
• Emva koko uzama ukutywina izihlunu zakho zomgangatho we-pelvic ukuze ubambe ikhowuni endaweni.
• Unxiba ikhowuni ukuya kuthi ga kwimizuzu eli-15 ngexesha, amaxesha ama-2 ngosuku.

I-Biofeedback -Le ndlela inokukunceda ukuba ufunde kwaye ulawule izihlunu zakho zomgangatho we-pelvic.

• Abanye abanyangi babeka isivamvo kwilungu lobufazi (kubafazi) okanye kwi-anus (yamadoda) ukuze bakwazi ukuxela xa becofa izihlunu zomgangatho we-pelvic.
• Ukubeka iliso kuya kubonisa igrafu ebonisa ukuba zeziphi izihlunu ezixineneyo neziphumlileyo.
• Ingcali inokukunceda ufumane izihlunu ezifanelekileyo zokwenza imithambo kaKegel.

Ukuvuselelwa kombane- Oku kusebenzisa amandla ombane athambileyo ukwenza isivumelwano semisipha yesinyi.

• Okwangoku kuhanjiswa kusetyenziswa iprogu yangasemva okanye yelungu lobufazi.
• Olu nyango lunokwenziwa kwiofisi yomboneleli okanye ekhaya.
• Iiseshoni zonyango zihlala zihlala imizuzu engama-20 kwaye zinokwenziwa rhoqo emva kweentsuku ezi-1 ukuya kwezi-4.

I-Pututibial tibial nerve stimulation (PTNS) - Olu nyango lunokunceda abanye abantu abane-bladder engaphezulu.

• Inaliti yokuhlanjwa komzimba ibekwa emva kweqatha, kunye nokukhuthaza umbane kusetyenziswa imizuzu engama-30.
• Rhoqo, unyango luya kwenzeka ngeveki malunga neeveki ezili-12, kwaye mhlawumbi ngenyanga emva koko.

UTSHINTSHO KWIMPILO

Nika ingqalelo ukuba usela kangakanani na kwaye xa usela amanzi.

• Ukusela amanzi aneleyo kuya kunceda ukugcina amavumba kude.
• Sela intwana yolwelo ngexesha lonke lemini, ngoko ke isinyi sakho akufuneki sisingathe isixa esikhulu somchamo ngaxeshanye. Phuza ngaphantsi kwee-ounces eziyi-8 (240 milliliters) ngexesha elinye.
• Musa ukusela isixa esikhulu samanzi kunye nokutya.
• Sipha izixa ezincinane zolwelo phakathi kokutya.
• Yeka ukusela amanzi malunga neeyure ezimbini ngaphambi kokulala.

Inokukunceda ukuyeka ukutya ukutya okanye iziselo ezinokucaphukisa isinyi, ezinje:

• Icaffeine
• Ukutya okune-asidi eninzi, ezinje ngeziqhamo ze-citrus kunye neencindi zazo
• Ukutya okunezinongo
• Izinto zokuthambisa ezingezizo
• Utywala

Gwema imisebenzi ecaphukisa i-urethra kunye ne-bladder. Oku kubandakanya ukuthatha ibhafu yokuhlambela okanye ukusebenzisa iisepha ezinzima.

AMAYEZA

Amayeza asetyenziselwa ukunyanga ukungahambelani nokuyekelela ukuxinana kwesinyi kunye nokunceda ukuphucula ukusebenza kwesinyi. Kukho iintlobo ezininzi zamayeza anokusetyenziswa yedwa okanye ngokudibeneyo:

• Amayeza anticholinergic anceda ukuphumla izihlunu zesinyi. Babandakanya i-oxybutynin (Oxytrol, Ditropan), tolterodine (Detrol), darifenacin (Enablex), trospium (Sanctura), kunye ne-solifenacin (VESIcare).
• Iziyobisi ze-Beta agonist zinokunceda ukukhulula izihlunu zesinyi. Iyeza kuphela kolu hlobo okwangoku yi-mirabegron (Myrbetriq).
• I-Flavoxate (i-Urispas) sisiyobisi esithoba umsipha. Nangona kunjalo, uphononongo lubonakalisile ukuba akusoloko kusebenza kulawulo lweempawu zokungahambi kakuhle.
• I-Tricyclic antidepressants (imipramine) inceda ukukhulula umsipha ogudileyo wesinyi.
• Inaliti yeBotox isetyenziselwa ukunyanga isinyi esingaphezulu kokusebenza. Iyeza ufakwa esinyini ngokusebenzisa cystoscope. Inkqubo ihlala isenziwa kwiofisi yomboneleli.

La mayeza anokuba neziphumo ebezingalindelekanga ezinje ngesiyezi, ukuqhina, okanye umlomo owomileyo. Thetha nomboneleli wakho ukuba ubona iziphumo ebezingalunganga.

Ukuba unentsholongwane, umboneleli wakho uya kukumisela i-antibiotics. Qiniseka ukuba uyayithatha yonke imali njengoko iyalelwe.

UKUGQIBELA

Utyando lunokukunceda ukugcina isitya sakho somchamo ngakumbi. Inokukunceda ekunciphiseni uxinzelelo kwisinyi sakho. Utyando lusetyenziselwa abantu abangaphenduliyo kumayeza okanye abaneziphumo ebezingalindelekanga ezinxulumene namayeza.

Ukuvuselelwa kwentliziyo ye-Sacral kubandakanya ukutyala into encinci phantsi kolusu lwakho. Eli ziko lithumela iimpompo zombane ezincinci kwi-sacral nerve (enye yeemithambo ephuma kumqolo wakho). Iimpompo zombane zinokuhlengahlengiswa ukunceda ukukhulula iimpawu zakho.

I-cystoplasty yokwandiswa yenziwa njengendawo yokugqibela yokunyanzeliswa kokungaziphathi kakuhle. Kolu tyando, inxalenye yamathumbu yongezwa kwisinyi. Oku kwandisa ubungakanani besinyi kwaye kuyivumela ukuba igcine umchamo ongaphezulu.

Iingxaki ezinokubakho zibandakanya:

• Amahlwili egazi
• Ukucinywa kwamathumbu
• Usulelo
• Kancinci umngcipheko wamathumba
• Ukungakwazi ukukhupha isinyi sakho-unokufuna ukufunda indlela yokufaka i-catheter kwisinyi ukuze ukhuphe umchamo
• Usulelo lwe-Urinary tract

Ukungahambi kakuhle komchamo yingxaki yexesha elide (engapheliyo). Ngelixa unyango lunokuyinyanga imeko yakho, kuya kufuneka ubone umboneleli wakho ukuqinisekisa ukuba wenza kakuhle kwaye ujonge iingxaki ezinokubakho.

Uqhuba kakuhle kangakanani kuxhomekeke kwiimpawu zakho, ukuxilongwa, kunye nonyango. Abantu abaninzi kufuneka bazame iindlela ezahlukeneyo zonyango (ezinye ngaxeshanye) ukunciphisa iimpawu.

Ukuba ngcono kuthatha ixesha, ke zama ukuba nomonde. Inani elincinci labantu lifuna utyando ukulawula iimpawu zabo.

Iingxaki zomzimba zinqabile. Imeko inokuthi ifike kwindlela yezentlalo, imisebenzi kunye nobudlelwane. Inokukwenza uzive ungazifanelanga.

Rhoqo, le meko inokubangela ukonyuka okukhulu koxinzelelo lwesinyi, oko kunokukhokelela ekonakaleni kwezintso.

Fowunela umnikezeli wakho ukuba:

• Iimpawu zakho zikubangela iingxaki.
• Unobunzima be-pelvic okanye utshisa ngokuchama.

Ukuqala ubuchule bokugcina isinyi kwangoko kunokunceda ekunciphiseni iimpawu zakho.

Isinyi kakhulu; Ukungazinzi kweDetrusor; Detrusor hyperreflexia; Isinyi esingenakucaphuka; Ispasmodic bladder; Isinyi esingazinzanga; Ukungakwazi ukuzibamba - ukukhuthaza; Ukuphazamiseka kwesinyi; Ukungahambi kakuhle komchamo-khuthaza

• 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

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