Ukungahambi kakuhle komchamo

Ukuchaphazeleka kwe-Urinary (okanye isinyi) kwenzeka xa ungakwazi ukugcina umchamo ungaphumi kwi-urethra yakho. I-urethra yityhubhu ehambisa umchamo emzimbeni wakho kwisinyi sakho. Unokuvuza umchamo amaxesha ngamaxesha. Okanye, awungekhe ubambe nawuphi na umchamo.

Ezi ntlobo zintathu ziphambili zokungahambelani nomchamo zezi:

• Uxinzelelo lokungakwazi ukuzibamba - kwenzeka ngexesha lemisebenzi efana nokukhohlela, ukuthimla, ukuhleka, okanye ukuzilolonga.
• Ukubongoza ukungazibambi-kwenzeka njengesiphumo esomeleleyo, ngesiquphe sokuchama kwangoko. Emva koko isinyi iyakhama kwaye ulahlekelwa ngumchamo. Awunalo ixesha elaneleyo emva kokuba uziva isidingo sokuchama ukuya kwigumbi lokuhlambela ngaphambi kokuba uchame.
• Ukuphuphuma kokungalawuleki- kwenzeka xa isinyi singabinanto kwaye umthamo womchamo ungaphezulu kwamandla alo. Oku kukhokelela ekuqhubeni.

Ukungalingani okuxubekileyo kwenzeka xa unoxinzelelo kunye nokukhuthaza ukungahambi kakuhle komchamo.

Ukungahambelani kwamathumbu kuxa ungakwazi ukulawula ukuhamba kwesitulo. Ayigutyungelwanga kweli nqaku.

Izizathu zokungahambi kakuhle komchamo zibandakanya:

• Ukuvaleka kwinkqubo yokuchama
• Iingxaki zobuchopho okanye zemithambo-luvo
• Isifo sengqondo esixhalabisayo okanye ezinye iingxaki zempilo yengqondo ezenza kube nzima ukuziva kwaye uphendule kumnqweno wokuchama
• Iingxaki ngenkqubo yokuchama
• Iingxaki zemithambo-luvo kunye nezihlunu
• Ubuthathaka bemisipha ye-pelvic okanye ye-urethral
• Iprostate eyandisiweyo
• Seswekile
• Ukusetyenziswa kwamayeza athile

Ukungakwazi ukuzibamba kungabakho ngesiquphe kwaye kuhambe emva kwexesha elifutshane. Okanye, ingaqhubeka ixesha elide. Izizathu zokungaziphathi ngesiquphe okanye okwethutyana zibandakanya:

• Indawo yokulala - njengaxa uchacha emva kotyando
• Amanye amayeza (anjenge-diuretics, i-anti-depressants, i-tranquilizers, ukukhwehlela kunye neyeza ezibandayo, kunye ne-antihistamines)
• Ukudideka kwengqondo
• Ukukhulelwa
• Usulelo lweprostate okanye ukudumba
• Ukunyanzelwa kwesitulo ukusuka ekuqunjelweni ngamandla, nto leyo ebangela uxinzelelo kwisinyi
• Usulelo lwe-Urinary tract okanye ukudumba
• Ukutyeba kwakho

Oonobangela abanokuba lixesha elide:

• Isifo se-Alzheimer.
• Umhlaza wesinyi.
• Ukuqaqamba kwesinyi.
• Iprostate enkulu emadodeni.
• Iimeko zenkqubo yemithambo-luvo, enjenge-multiple sclerosis okanye i-stroke.
• Umonakalo wamathambo okanye womsipha emva konyango lwemitha kwi-pelvis.
• Ukunyuka kwepelvic kwabasetyhini-ukuwa okanye ukutyibilika kwesinyi, urethra, okanye i-rectum kwilungu lobufazi. Oku kunokubangelwa kukukhulelwa nokubeleka.
• Iingxaki kwindlela yokuchama.
• Ukulimala kwentambo yomqolo.
• Ubuthathaka be-sphincter, izihlunu ezinesangqa esivula kwaye sivale isinyi. Oku kunokubangelwa ngotyando lweprostate emadodeni, okanye ngoqhaqho kwilungu lobufazi kubafazi.

Ukuba unempawu zokungahambi kakuhle, jonga umboneleli wakho wezempilo kuvavanyo kunye nesicwangciso sonyango. Loluphi unyango olufumanayo luxhomekeke kwinto ebangelwe kukungakwazi ukuzibamba kunye nokuba unaluphi uhlobo.

Kukho iindlela ezininzi zonyango lokungavumelani nomchamo:

Utshintsho kwindlela yokuphila. Olu tshintsho lunokunceda ukuphucula ukungahambelani. Kuya kufuneka wenze olu tshintsho kunye nolunye unyango.

• Gcina ukuhamba kwamathumbu rhoqo ukunqanda ukuqhinwa. Zama ukwandisa ifayibha ekutyeni kwakho.
• Yeka ukutshaya ukunciphisa ukukhwehlela kunye nokucaphuka kwesinyi. Ukutshaya kukonyusa umngcipheko womhlaza wesinyi.
• Gwema utywala kunye neziphuzo ezinekofu ezifana nekhofi, ezinokuvuselela isinyi sakho.
• Nciphisa ubunzima ukuba ufuna njalo.
• Gwema ukutya kunye neziselo ezinokucaphukisa isinyi sakho. Oku kubandakanya ukutya okune-spices, i-carbonated drinks, kunye neziqhamo ze-citrus kunye neencindi zazo.
• Ukuba unesifo seswekile, gcina iswekile esegazini lakho phantsi kolawulo olufanelekileyo.

Xa uvuza umchamo, nxiba iiphedi zokufunxa okanye izambatho zangaphantsi. Zininzi iimveliso eziyilwe kakuhle ekungekho mntu uza kuziqaphela.

Uqeqesho lwesinyi kunye nomthambo womthambo. Ukuqeqeshwa kwakhona kwesinyi kukunceda ufumane ulawulo olungcono kwisinyi sakho. Ukuzivocavoca kweKegel kunokunceda ukomeleza izihlunu zomgangatho wakho we-pelvic. Umboneleli wakho angakubonisa ukuba uzenze njani. Abasetyhini abaninzi abayenzi le mithambo ngokuchanekileyo, nokuba bakholelwa ukuba bayenza ngokuchanekileyo. Rhoqo, abantu baxhamla ekomelezeni ngokusesikweni isinyi kunye nokuphinda baqeqeshe ngengcali yomgangatho we-pelvic.

Amayeza. Kuxhomekeke kuhlobo lokungakwazi ukuzibamba onakho, umboneleli wakho unokumisela iyeza elinye okanye nangaphezulu. La machiza anceda ukuthintela ukungqubana kwemisipha, ukuphumla isinyi, kunye nokuphucula ukusebenza kwesinyi. Umboneleli wakho unokukunceda ufunde ukuba ungawathatha njani na la mayeza kwaye ulawule iziphumo ebezingalindelekanga.

Ugqirha. Ukuba olunye unyango alusebenzi, okanye unokungasebenzi kakuhle, umboneleli wakho unokucebisa ukuba utyandwe. Uhlobo lotyando onalo luya kuxhomekeka:

• Uhlobo lokungakwazi ukuzibamba onalo (njengokukhuthaza, uxinzelelo, okanye ukugcwala)
• Ubunzima beempawu zakho
• Isizathu (njengokuphuma kweplavic, iprostate eyandisiweyo, isibeleko esandisiweyo, okanye ezinye izizathu)

Ukuba une-incontinence ephuphumayo okanye awunakho ukukhupha ngokupheleleyo isinyi sakho, kungafuneka usebenzise i-catheter. Unokusebenzisa i-catheter ehlala ixesha elide, okanye ufundiswe ukuyifaka kwaye uzikhuphele ngokwakho.

Ukuvuselelwa kwentliziyo yesinye. Ukubongoza ukungazibambi kunye nokuhamba rhoqo kwe-urinary ngamanye amaxesha kunokunyangwa ngokuvuselela amandla wombane. Iipulse zombane zisetyenziselwa ukuhlengahlengisa ii-bladder reflexes. Kwindlela enye, umboneleli ufaka isikhuseli kulusu kufutshane ne-nerve emlenzeni. Oku kwenziwa ngeveki kwiofisi yomboneleli. Enye indlela isebenzisa izixhobo ezisebenza ngebhetri ezifakwe kwisincedisi-ntliziyo esibekwe phantsi kolusu kumqolo ongezantsi.

Inaliti yeBotox. Ukubongoza ukungazibambi ngamanye amaxesha kunokunyangwa ngenaliti ye-onabotulinum A toxin (ekwabizwa ngokuba yiBotox). Inaliti iyayiphumlisa imisipha yesinyi kwaye inyuse umthamo wokugcina wesinyi. Inaliti ihanjiswa ngombhobho omncinci onekhamera ekupheleni (icystoscope). Kwiimeko ezininzi, inkqubo inokwenziwa kwiofisi yomboneleli.

Thetha nomboneleli wakho malunga nokungahambi kakuhle. Ababoneleli abaphatha ukungalawuleki zii-gynecologists kunye nee-urologists ezijolise kule ngxaki. Banokufumana unobangela kwaye bancomele unyango.

Fowunela inombolo yongxamiseko yendawo yakho (enje nge-911) okanye uye kwigumbi likaxakeka ukuba uphulukane nolawulo kumchamo ngequbuliso kwaye une:

• Kunzima ukuthetha, ukuhamba, okanye ukuthetha
• Ubuthathaka ngequbuliso, ukuba ndindisholo, okanye ukubetha engalweni okanye emlenzeni
• Ukuphulukana nombono
• Ukuphulukana nokuqonda okanye ukudideka
• Ukuphulukana nolawulo lwamathumbu

Fowunela umnikezeli wakho ukuba unayo:

• Kunamafu okanye ngumchamo onegazi
• Ukuqhuba
• Rhoqo okanye ngokungxamisekileyo isidingo sokuchama
• Intlungu okanye ukutshisa xa uchama
• Ingxaki yokuqalisa ukuhamba komchamo
• Ifiva

Ukuphulukana nolawulo lwesinyi; Ukuchama okungalawulekiyo; Umchamo - ongalawulekiyo; Incontinence - wokuchama; Isinyi esibi kakhulu

• Ukuhlala kukhathalelo lwecatheter
• Ukuzivocavoca kukaKegel-ukuzikhathalela
• Multiple sclerosis - ukukhutshwa
• Ukuthengiswa kwakhona kweprostate- ukukhutshwa okungafunekiyo okuncinci
• I-radical prostatectomy-ukukhutshwa
• Ukuzikhetha ngokwakho - umntu obhinqileyo
• Ukuzikhathaza umzimba ngokwakho-yindoda
• Inkqubo eyinyumba
• Ukuthengiswa ngokutsha kweprostate-ukukhutshwa
• 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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IVasavada SP, uRackley RR. Ukuvuselelwa kombane kunye ne-neuromodulation kugcino kunye nokususa ukungaphumeleli. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahl 81.