Oonobangela bokumanzi ebhedini kubantu abadala kunye nendlela yokuyinyanga

Umxholo

• Izinto ezinokubangela
• Imiba yehormonal
• Isinyi esincinci
• Imisipha egqithisileyo
• Umhlaza
• Iswekile yemellitus
• Ukulala ngokuphefumla
• Amayeza
• Imfuza
• Ukuphazamiseka kwemithambo-luvo
• Ukuvaleka okanye ukuphazamiseka kwindlela yakho yokuchama
• Usulelo lwe-Urinary tract
• Umzimba
• Unyango lweempawu
• Unyango lwendlela yokuphila
• Amayeza
• Ugqirha
• Imbonakalo

Ushwankathelo

Ukumanzisa ibhedi kuhlala kunxulunyaniswa nobuntwana. Ewe kunjalo, ukuya kuvava iingxaki nge-enuresis yasebusuku, okanye ukuchama xa ulele. Uninzi lwabantwana lukhula ngaphandle kwale meko xa izitshixo zazo zikhula kwaye ziphuculwe ngcono.

Uphando lubonisa ukuba ukumanzisa ebhedini kwenzeka kubantu abadala. Nangona kunjalo, inani linokuphakama. Abanye abantu abadala baneentloni okanye abafuni kuthetha noogqirha malunga nengxaki.

Ukuba unamaxesha athile okanye ukunkcenkceshela ebhedini umntu omdala, ngekhe ubenexhala. Iingozi zinokwenzeka. Ukuqhubeka nokuhlala u-enuresis, nangona kunjalo, sisizathu sokukhathazeka kwaye kufanelekile ukuba uthethe nogqirha wakho. Makhe sijonge ukuba yintoni enokubangela imeko kunye nendlela ephathwa ngayo le micimbi.

Izinto ezinokubangela

Imiba yehormonal

Ihomoni ye-Antidiuretic (ADH) isayina izintso zakho ukunciphisa imveliso yomchamo. Umzimba wakho uvelisa ngakumbi ihomoni ebusuku ukulungiselela ukulala. Oku kunceda ukunciphisa umda wakho wokuchama ngelixa ulele. Nangona kunjalo, abanye abantu abavelisi i-ADH eyaneleyo okanye imizimba yabo ayiphenduli kakuhle kuyo. Ukungaqheleki kwe-ADH kubonakala ngathi kunegalelo ekumanziseni ixesha lokulala ebusuku, nangona kukho iithiyori ezininzi eziphakamisa izinto ezahlukeneyo ezidityanisiweyo ukudala ingxaki.

Ukudityaniswa kweengxaki nge-ADH, ubunzima ekuvukeni nasekulaleni, kunye nemicimbi yesinyi emini, zihlala zikhokelela kule meko.

Uvavanyo olulula lunokulinganisa inqanaba le-ADH egazini lakho. Ukuba inqanaba liphantsi, ugqirha wakho unokumisela amayeza anje nge-desmopressin (elebhu eyenziwe nge-ADH). Ugqirha wakho unokujonga iimeko ezingaphantsi ezinokuthi zichaphazele amanqanaba e-ADH.

Isinyi esincinci

I-bladder encinci ayisiyonto encinci ngobukhulu kunezinye izitshixo. Endaweni yokuba izive igcwele ngokwamanani asezantsi, oko kuthetha ukuba isebenza ngokungathi incinci. Oko kuthetha ukuba unokufuna ukuchama rhoqo, kubandakanya nasebusuku. I-bladder encinci inokuba yinkohliso ukuyilawula xa ulele, kwaye ukumanzisa ebhedini kunokwenzeka.

Uqeqesho lwesinyi luncedo kubantu abane-bladder encinci esebenzayo. Esi sicwangciso sinceda umzimba wakho ukuba ulindele ukuphuma rhoqo ngokubamba umchamo ixesha elide. Unokufuna ukuseta i-alamu ubusuku bonke kwaye uvuke ukuze uchame.

Imisipha egqithisileyo

Imisipha ye-Detrusor yimisipha yesinyi sakho. Bayaphumla xa isinyi sakho sigcwalisa kwaye sisebenza xa ilixesha lokuba sikhuphe. Ukuba ezi zivumelwano zemisipha ngexesha elingalunganga, ngekhe ukwazi ukulawula ukuchama. Le meko inokubizwa ngokuba yi-bladder engaphezulu (OAB).

Ukuqhawulwa kwemisipha yesinyi kunokubangelwa kukungaqhelekanga kwemithambo-luvo phakathi kwengqondo yakho kunye nesinyi sakho okanye isicaphukisi sesinyi, njengotywala, ikhaffeine, okanye amayeza. Ezi mveliso zingenza izihlunu zingazinzi. Oko kunokukwenza ukuba ufuna ukuchama rhoqo.

Jonga la mayeza endalo e-OAB.

Umhlaza

Izidumba ezivela kwisinyi kunye nomhlaza wesibeletho zinokuthintela okanye ziphazamise indlela yokuchama. Oku kunokukhokelela kukungakwazi ukubamba umchamo, ngakumbi ebusuku.

Ukuchonga umhlaza kunokufuna uvavanyo lomzimba, kunye novavanyo oluthile lokucinga. I-biopsy ihlala iyimfuneko yokuchonga umhlaza. Ukunyanga umhlaza kunokunceda ukunciphisa okanye ukuphelisa ithumba. Oko kunokunceda ukukhusela iziqendu ezizayo zokumanzi kwebhedi.

Iswekile yemellitus

Iswekile eneswekile yegazi engalawulekiyo inokutshintsha ukuchama. Xa iiswekile zegazi ziphezulu, isixa somchamo siyonyuka njengoko izintso zizama ukulawula amanqanaba eswekile. Oku kunokukhokelela ekumanzeni ibhedi, ukuchama kakhulu (ngaphezulu kwe-3 yeelitha ngosuku), kunye nokuchama rhoqo.

Ukunyanga isifo seswekile kuhlala kunciphisa iintlobo zeempawu zomchamo. Unyango lwesifo seswekile ludinga indibaniselwano yotshintsho kwindlela yokuphila, amayeza omlomo, okanye inaliti ye-insulin. Isicwangciso sakho sonyango sixhomekeke kuhlobo onalo nakwimpilo yakho iyonke.

Ukulala ngokuphefumla

Ukuthintela ukuphefumla kukungalali kakuhle okubangela ukuba uyeke kwaye uqale ukuphefumla kaninzi. Olunye uphononongo lufumanise ukuba kubantu abanale ngxaki yokulala banamava okumanzisa ibhedi. Ukuchama ngexesha lokulala kwakho kunokuba rhoqo rhoqo njengoko i-apnea yokulala iya isiba mbi.

Ukunyanga i-apnea yokulala ngonyango oluqhubekayo lonyango kuya kukunceda uphefumle kwaye ulale ngcono. Inokunciphisa kwakhona iimpawu zesekondari, ezinje ngokumanzisa ebhedini.

Amayeza

Amanye amayeza amiselweyo anokukwenza ukuba uchame rhoqo kwaye wandise ukungafani kwesinyi. Oku kunokukhokelela ekumanzeni ibhedi. La mayeza abandakanya izixhobo zokulala, i-antipsychotic, kunye nabanye.

Ukutshintsha amayeza kunokuyeka ukuchama ebusuku. Ukuba amayeza ayimfuneko ukunyanga enye imeko, utshintsho kwindlela yokuphila lunokukunceda ukuthintela ukumanzisa ebhedini. Ungaze uyeke iyeza ngaphandle kokuthetha nogqirha wakho.

Imfuza

Ukumanziswa kwebhedi kwabelwana ngako ukusuka kwisizukulwana kuye kwesinye. Akucaci ukuba zeziphi iintlobo zofuzo ezinoxanduva lokudlula kule meko. Kodwa ukuba unomzali oye wafumana i-enuresis yasebusuku, kunokwenzeka ukuba nawe ube namava.

Phambi kokuba ugqirha afumane isifo i-enuresis yasebusuku engachazwanga, baya kuqhuba iimviwo kunye neemvavanyo ukulawula ezinye izizathu ezinokubakho. Unyango lokuncitshiswa kwebhedi okungachazwanga luxhomekeke kunyango kunye nasekukhuseleni iziqendu ezizayo. Oku kunokubandakanya utshintsho lwendlela yokuphila kunye namayeza.

Ukuphazamiseka kwemithambo-luvo

Ezi ngxaki zilandelayo ze-neurological zingaphazamisa ukulawulwa kwesinyi:

• isifo sokugubhuka
• iingxaki zokubanjwa
• Isifo sikaParkinson

Oku kunokukhokelela ekuchameni rhoqo okanye okungalawulekiyo ngelixa ulele.

Ukunyanga esi sifo kunokunceda ukunciphisa iimpawu, kunye neengxaki zesekondari ezinjengokumanzi kwebhedi. Ukuba ukumanzisa ebhedini akuyeki, ugqirha wakho unokumisela unyango oluthile. Oku kunokubandakanya utshintsho kwindlela yokuphila, amayeza, kunye nokunye.

Ukuvaleka okanye ukuphazamiseka kwindlela yakho yokuchama

Iibhloko zinokuthintela ukuhamba komchamo, njenge:

• amatye ezintso
• amatye esinyi
• amathumba

Oku kunokwenza ukuba kube nzima ukuhamba. Ebusuku, oku kunokubangela ukuvuza komchamo okungalindelekanga kunye nokumanzisa ibhedi.

Kwangokunjalo, uxinzelelo oluvela kwilitye okanye kwithumba linokwenza izihlunu kwisivumelwano sesinyi ngokungeyomfuneko. Oku kunokukhokelela ekuchameni rhoqo nokungalawulekiyo.

Ngamanye amaxesha inkqubo iyafuneka ukususa amatye amakhulu okanye ukuwaqhekeza. Amatye amancinci aqhelekileyo aya kudlula ngokwawo.

Unyango lomhlaza lunokunciphisa amanye amathumba, kodwa abanye banokufuna ukususwa ngotyando. Nje ukuba izithintelo zisuswe, kuya kufuneka ube nolawulo olukhulu lokuchama kunye nokumanzisa umbhede kancinci

Usulelo lwe-Urinary tract

Usulelo lwe-urinary tract (UTI) lunokubangela ukuchama rhoqo kunye nokungalindelekanga. I-UTI ihlala ibangela ukuvuvukala kunye nokucaphuka kwesinyi okungayenza mandundu ngakumbi ukungangqinelani kunye nokumanzisa ebhedini ebusuku.

Ukunyanga i-UTI kufuneka kumise i-enuresis. Ukuba une-UTIs ephindaphindayo, unokufumana ukumanzisa ebhedini rhoqo. Sebenza nodokotela wakho ukufumana isizathu esisisiseko se-UTIs eziphindaphindiweyo ukuze unqande izifo ezizayo kunye nokumanzi kwebhedi.

Umzimba

Umchamo uvela kwizintso zakho nge-ureter yakho uye kwisinyi sakho. Xa ilixesha lokuchama, isinyi sakho siyakungena kwaye sithumele umchamo nge-urethra nangaphandle komzimba wakho. Ukuba kukho nayiphi na into yenkqubo encitshisiweyo, ejijekileyo, ekinkiweyo, okanye engalunganga, unokufumana iimpawu okanye ubunzima bokuchama. Oku kubandakanya ukumanzisa ebhedini.

Ugqirha wakho unokusebenzisa iimvavanyo zokucinga, ezinje nge-X-ray okanye i-ultrasound, ukukhangela izakhiwo ezingaqhelekanga. Ezinye zinokulungiswa ngoqhaqho. Kwezinye iimeko, ugqirha wakho unokucebisa unyango lwendlela yokuphila kunye neyeza ukukunceda uyeke ukuchama xa ulele.

Unyango lweempawu

Unyango lokumanzisa abantu ebhedini lungahlulwa lube ziindidi ezintathu eziphambili:

Unyango lwendlela yokuphila

• Ukubeka iliso ekungeneni kolwelo. Zama ukunciphisa ukungenisa ulwelo emva kwemini nangokuhlwa. Sela ngakumbi kwakusasa xa unokusebenzisa igumbi lokuhlambela ngokulula. Beka imida yokusetyenziswa ngokuhlwa.
• Zivuse ebusuku. Ukuseta i-alamu ezinzulwini zobusuku kunokukunceda ukuthintela ukumanzisa ibhedi. Ukuvuka kube kanye okanye kabini ngobusuku ukuze uchame kuthetha ukuba awuyi kuba nomchamo omninzi ukuba kwenzeke ingozi.
• Yenza ukuchama rhoqo kube yinxalenye yesiqhelo sakho. Ngexesha lasemini, setha ishedyuli yokuba uza kuchama nini kwaye unamathele kuyo. Qinisekisa ukuba uchama ngaphambi kokulala, nawe.
• Sika kwizicatshulwa zesinyi. I-Caffeine, utywala, iiswiti ezingezizo, kunye neziselo ezineswekile zinokucaphukisa isinyi sakho kwaye zikhokelele ekuchameni rhoqo.

Amayeza

Iindidi ezine eziphambili zamayeza zimiselwe ukunyanga ukumanzisa abantu abadala ebhedini, kuxhomekeke kwisizathu:

• iyeza lokubulala iintsholongwane ukunyanga usulelo lomchamo
• iziyobisi ezichasene ne-anticholinergic unokuzolisa ukucaphuka okanye izihlunu zesinyi ezingaphezulu
• desmopressin acetate ukuphucula amanqanaba e-ADH ukuze izintso zakho ziyeke ukuvelisa umchamo omninzi ebusuku
• I-5-alpha reductase inhibitors, ezinje nge-finasteride (Proscar), nciphisa iprostate eyandisiweyo

Ugqirha

• Ukukhuthaza imithambo-luvo ye-Sacral. Ngethuba lale nkqubo, ugqirha wakho uza kufaka isixhobo esincinci esithumela imiqondiso kwimisipha yesinyi sakho ukuyeka izichaso ezingafunekiyo.
• I-Clam cystoplasty (i-bladder augmentation). Ugqirha wakho uza kunqumla isinyi sakho aze afake isicatshulwa sentambo yamathumbu. Esi sihlunu songezelelweyo sinceda ukunciphisa ukungazinzi kwesinyi kunye nokwandisa ulawulo kunye nomthamo ukuze uthintele ukumanzisa ibhedi.
• Detrusor myectomy. Imisipha ye-detrusor ilawula ukucinywa kwisinyi sakho. Le nkqubo isusa ezinye zezihlunu ezinceda ukunciphisa ukucutha.
• Ukulungiswa kwamalungu epelvic. Oku kunokufuneka ukuba unamalungu omfazi okuzala aphume kwindawo kwaye ucinezela isinyi.

Imbonakalo

Ukuba ungumntu omdala ufumana ukumanziswa kwebhedi rhoqo, oku kunokuba luphawu lwengxaki okanye ingxaki. Kubalulekile ukufuna unyango lokumisa i-enuresis yasebusuku kwaye uphathe umba obangela oko.

Yenza idinga nogqirha ukuba nixoxe ngokwenzekayo. Baza kujonga iimpawu zakho, imbali yezempilo, imbali yosapho, amayeza kunye notyando lwangaphambili. Ugqirha unokuyalela uthotho lweemvavanyo ukukhangela oyena nobangela. Ukufumana unyango kuya kunika isiqabu ngokunciphisa okanye ukuyeka ukumanzisa ebhedini kunye nezinye iimpawu ohlangabezana nazo.