Ukuchama-ubunzima bokuhamba

Kunzima ukuqala okanye ukugcina umjelo womchamo ubizwa ngokuba kukuthandabuza ukuba ngumchamo.

Ukuthandabuza kwe-Urinary kuchaphazela abantu bayo yonke iminyaka kwaye kwenzeka kuzo zombini izini. Nangona kunjalo, ixhaphake kakhulu kumadoda amadala ane-prostate gland eyandisiweyo.

Ukuthandabuza kwe-Urinary kuhlala kukhula kancinci ngokuhamba kwexesha. Awunakuwuqaphela de ube ungakwazi ukuchama (okubizwa ngokuba kukugcina umchamo). Oku kubangela ukudumba nokungahambi kakuhle kwisinyi sakho.

Unobangela oqhelekileyo wokuthandabuza kwamachiza emadodeni amadala yiprostate eyandisiweyo. Phantse onke amadoda amadala anengxaki ethile yokuqhuba, umchamo obuthathaka, kunye nokuqala ukuchama.

Esinye isizathu esiqhelekileyo kukosuleleka kweprostate okanye komchamo. Iimpawu zosulelo olunokwenzeka zibandakanya:

• Ukutsha okanye iintlungu ngokuchama
• Ukuchama rhoqo
• Kufike umchamo
• Imvo yongxamiseko (eyomeleleyo, ekhawulezileyo yokufuna ukuchama)
• Igazi kumchamo

Ingxaki inokubangelwa:

• Amanye amayeza (anje ngamayeza emikhuhlane kunye ne aleji, i-tricyclic anti-depressants, amanye amayeza asetyenziselwa ukungasebenzi, kunye nezinye iivithamini kunye nezongezo)
• Ukuphazamiseka kwenkqubo yemithambo-luvo okanye iingxaki ngentambo yomqolo
• Iziphumo ebezingalindelekanga zotyando
• Izicwili ezibomvu (ukungqinisisa) kumbhobho okhokelela kwisinyi
• Imisipha ye-Spastic kwi-pelvis

Amanyathelo onokuwathatha ukuze uzikhathalele aquka:

• Gcina umkhondo weepateni zakho zokuchama kwaye uzise ingxelo kumboneleli wakho wezempilo.
• Faka ubushushu kwisisu sakho esezantsi (ezantsi kwesisu sakho nangaphezulu kwethambo le-pubic). Yilapho i-bladder ihleli khona. Ubushushu buphucula izihlunu kunye nokunceda ukuchama.
• Ukuphulula okanye ukusebenzisa uxinzelelo lokukhanya phezu kwesinyi sakho ukunceda isinyi singenanto.
• Thatha ibhafu eshushu okanye ishawa ukunceda ukukhuthaza ukuchama.

Fowunela umboneleli wakho ukuba ubona ukuthandabuza ekuchameni, ukuqhuba, okanye umjelo womchamo obuthathaka.

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Unomkhuhlane, ukugabha, icala okanye iintlungu zomqolo, ukugungqa ukugodola, okanye ukuhambisa umchamo omncinci kangangeentsuku ezi-1 ukuya kwezi-2.
• Unegazi kumchamo wakho, umchamo onamafu, imfuno rhoqo okanye engxamisekileyo yokuchama, okanye ukukhutshwa kwilungu lobudoda okanye lobufazi.
• Awunakho ukugqithisa umchamo.

Umboneleli wakho uya kuthatha imbali yakho yezonyango kwaye enze uvavanyo ukujonga i-pelvis yakho, amalungu esini, i-rectum, isisu kunye nomqolo osezantsi.

Unokubuzwa imibuzo efana nale:

• Unexesha elingakanani unengxaki kwaye iqale nini?
• Ngaba kubi kusasa okanye ebusuku?
• Ngaba amandla okuhamba komchamo wakho anciphile? Ngaba unayo okanye uvuza umchamo?
• Ngaba ikhona into encedayo okanye eyenza ingxaki ibe mbi ngakumbi?
• Ngaba unempawu zosulelo?
• Ngaba unazo ezinye iimeko zonyango okanye utyando olunokuchaphazela ukuhamba kwakho komchamo?
• Ngawaphi amayeza owasebenzisayo?

Uvavanyo olunokwenziwa luya kubandakanya:

• I-Catheterization ye-bladder ukumisela ukuba ungakanani umchamo oshiyekileyo kwisinyi sakho emva kokuzama ukuchama kunye nokufumana umchamo wenkcubeko (isampuli yomchamo we-catheterized)
• ICystometrogram okanye isifundo se-urodynamic
• Utshintsho lwe-ultrasound yeprostate
• Urethral swab yenkcubeko
• Uhlalutyo kunye nenkcubeko
• Ukuhamba ngecystourethrogram
• Ukuskena isinyi kunye ne-ultrasound (amanyathelo umchamo oshiye ngasemva ngaphandle kokuthanjiswa)
• ICystoscopy

Unyango lokuthandabuza umchamo luxhomekeke kwisizathu, kwaye kunokubandakanya:

• Amayeza okususa iimpawu zeprostate eyandisiweyo.
• Antibiotic ukunyanga naluphi na usulelo. Qiniseka ukuba uthatha onke amayeza akho njengoko kuyalelwe.
• Ugqirha lokukhulula ukuvaleka kweprostate (TURP).
• Inkqubo yokwehlisa okanye ukusika izicwili ezibomvu kwi-urethra.

Ukulibaziseka kokuchama; Ukuthandabuza; Ubunzima bokuqalisa ukuchama

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

IGerber GS, iBrendler CB. Uvavanyo lwesigulana se-urologic: imbali, uvavanyo lomzimba, kunye novavanyo lokuchama. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2016: isahluko 1.

USmith PP, uKuchel GA. Ukwaluphala kwendlela yokuchama. Ku: Gcwalisa i-HM, i-Rockwood K, i-Young J, ii-eds. Incwadi ka-Brocklehurst ye-Geriatric Medicine kunye neGerontology. Ngomhla we-8. IPhiladelphia, PA: Elsevier, 2017: isahluko 22.