Umqolo obuhlungu kunye nokungakwazi ukuzibamba: Ndingenza ntoni?

Umxholo

• Ngaba iintlungu zomqolo luphawu lokungakwazi ukuzibamba?
• Luthini uphando?
• Zintoni izizathu kunye nemingcipheko yokuqaqanjelwa ngumqolo kunye nokungakwazi ukuzibamba?
• Ngaba iintlungu zangasemva kunye nokungahambelani kunokuba ngumphumo wenye imeko?
• Ichongwa njani i-UI?
• Zithini iindlela zokhetho kunyango lwangasemva kunye nokungahambelani?
• Umqolo obuhlungu
• Ukungakwazi ukuzibamba
• Yintoni imbono?
• Unokuthintela njani iintlungu zangasemva kunye nokungakwazi ukuzibamba?
• Iingcebiso zokuthintela
  

Ngaba kukho unxibelelwano?

Ukungahambi kakuhle kwe-Urinary (UI) kuhlala kungumqondiso wemeko engaphantsi. Ukunyanga loo meko kunokulungisa iimpawu zakho ze-UI kunye nezinye iziphumo ezichaphazelekayo.

Ukungakwazi ukuzibamba kunokubangelwa:

• ukusuleleka rhoqo kumchamo (UTIs)
• ukuqhina
• ukukhulelwa
• ukuzala
• umhlaza wedlala lobudoda

Intlungu ebuyayo iphinde yafundwa njengesizathu se-UI. Abaphandi bacinga ukuba ukwenziwa kwezihlunu esiswini sakho kunokubangela iintlungu. Ezi zihlunu zinokuchaphazela ukubanakho kwakho ukubamba okanye ukukhulula umchamo.

Nangona kunjalo, uphando oluthe kratya luyafuneka ukumisela ukuba ngaba iintlungu zangasemva zingunobangela okanye uphawu lwe-UI.

Qhubeka ufunda ngolwazi oluthe kratya malunga ne-UI kunye nonxibelelwano olunokubakho kwiintlungu zangasemva.

Ngaba iintlungu zomqolo luphawu lokungakwazi ukuzibamba?

Unxibelelwano phakathi kwentlungu yangasemva kunye neempawu ze-UI akucaci. Abanye abantu bafumana iintlungu zangasemva okanye uxinzelelo olunokubangela iziqendu zokungalawuleki, kodwa abaphandi abakazichazi izizathu.

Uninzi lweempawu ze-UI zixhomekeke kuhlobo onalo. Iindidi kunye neempawu ze-UI zibandakanya:

• Ukungabikho koxinzelelo: Olu hlobo lwe-UI lubangelwa luxinzelelo ngesiquphe kwisinyi sakho. Olu xinzelelo lusenokuba kukuhleka, ukuthimla, ukwenza imithambo, okanye ukuphakamisa izinto ezinzima.
• Khuthaza ukungazinzi: Abantu abanolu hlobo lwe-UI bafumana ngesiquphe, umnqweno onzima wokuchama. Kwaye, abakwazi ukulawula ukulahleka komchamo. Abantu abanolu hlobo lokungahambi kakuhle banokufuna ukuchama rhoqo.
• Ukuphuphuma kokungahambi kakuhle: Xa isinyi sakho singabinanto ngokupheleleyo, unokufumana ukuqhuba okanye ukuvuza umchamo.
• Ukungasebenzi kakuhle kokusebenza: Ukuphazamiseka emzimbeni okanye engqondweni kunokuchaphazela ukubanakho kwakho ukufikelela kwindlu yangasese ngexesha lokuchama.
• Ukungabikho konke: Ukuba awukwazi ukubamba umchamo okanye ukuthintela ukudlula umchamo, unokuba nokungangqinelani ngokupheleleyo.
• Ukungahambi kakuhle: Xa uchatshazelwa luhlobo olungaphezulu kolunye lwe-UI, unokuba une-incontinence exubekileyo. Umzekelo, akuqhelekanga ukuba umntu abe noxinzelelo kunye nokukhuthaza ukungalawuleki.

Luthini uphando?

Abaphandi bafunda ukuba iintlungu zangasemva okanye imiba yangasemva inokuchaphazela njani okanye ibangele ukungazichazi. Ukuza kuthi ga ngoku, uphando alucaci. Kodwa, izifundo ezimbalwa ziye zakhanyisa ukukhanya kunxibelelwano olunokwenzeka.

Uphononongo lwaseBrazil olupapashwe kwi-2015, luhlolisise unxibelelwano phakathi kweentlungu ezisezantsi kunye ne-UI. Nangona kunjalo, olu phononongo lwenziwe kubemi abaneminyaka yobudala ephakathi eyi-80. Iziphumo bezingagqitywanga, kwaye kunokwenzeka ukuba iminyaka yobudala babafundi abathathe inxaxheba ichaphazele impilo yabo yokuchama.

Kwabafazi unyaka omnye emva kokubeleka, abaphandi bafumanisa ukuba iintlungu zangasemva kunye ne-UI ziqhelekile. Olu phononongo lubonise iintlungu zangasemva zixhaphakile kwaye kunokwenzeka ukuba ziphazamise ubomi bemihla ngemihla bomfazi kune-UI.

Abasetyhini ababetyebe kakhulu, babekhulile ngeminyaka yoomama, okanye benokubeleka kwilungu lobufazi ngexesha lokuzalwa komntwana kunokwenzeka ukuba babe neempawu ze-UI. Isifundo asifumananga nxu lumano phakathi kwabasetyhini abafumana iintlungu zangasemva kunye neziqendu zabo ze-UI.

Olunye uphando luyafuneka ukumisela ukuba ngaba kukho unxibelelwano olukhoyo phakathi kwezi mpawu zimbini.

Zintoni izizathu kunye nemingcipheko yokuqaqanjelwa ngumqolo kunye nokungakwazi ukuzibamba?

Imingcipheko ethile yonyusa amathuba akho okufumana iimpawu zozibini iintlungu zangasemva kunye nokungakwazi ukuzibamba. Ezi zinto zibeka emngciphekweni zibandakanya:

• Ukutyeba kakhulu: Ukuthwala ubunzima obongezelelweyo kubeka uxinzelelo olongezelelweyo kumqolo wakho. Ubunzima obongezelelekileyo bukonyusa uxinzelelo kwisinyi nakwimisipha ekufutshane. Oku kunokukhokelela ekungafunekeni koxinzelelo, kwaye ekuhambeni kwexesha, uxinzelelo olongezelelekileyo lunokuzenza buthathaka izihlunu zesinyi sakho.
• Ubudala: Intlungu ebuyela emva iya ixhaphaka ngakumbi kunye nobudala. Ngokufanayo, izihlunu ezichaphazela ulawulo lwesinyi ziphelelwa ngamandla njengokuba usiya ukhula.
• Ezinye izifo: Ezinye iimeko, ezinje ngesifo samathambo kunye neswekile, zinokubangela iintlungu zomqolo kunye nokungakwazi ukuzibamba. Abantu abaneemeko ezithile zengqondo, ezinje ngoxinzelelo kunye noxinzelelo, banamathuba amahle okuba bafumane iintlungu zomqolo.

Ngaba iintlungu zangasemva kunye nokungahambelani kunokuba ngumphumo wenye imeko?

Nangona kunqabile, isifo esinye esinokubangela iintlungu zangasemva kunye ne-UI yi-cauda equina syndrome (CES). I-CES ichaphazela inqwaba yeengcambu zentsholongwane ekupheleni kwethambo lakho lomqolo. Ezi ngcambu zemithambo-luvo zithumela kwaye zifumane imiqondiso evela kwingqondo yakho kwaye zilawule isiqingatha esisezantsi somzimba wakho kunye namalungu akho e-pelvic.

Xa iingcambu zemithambo-luvo zixinekile, uxinzelelo lunqamla uvakalelo kunye nolawulo. Imithambo-luvo elawula isinyi kunye namathumbu akho ikakhulu kukufumana ilahleko yolawulo olubangelwa sesi sifo.

I-disc ephukileyo inokubeka uxinzelelo kwiingcambu zentliziyo. Le diski kunye noxinzelelo kwiingcambu zentsholongwane kunokukhokelela kwintlungu yangemva.

Kwaye, uhlobo lwe-arthritis olubizwa ngokuba yi-ankylosing spondylitis (AS) kunokubangela iintlungu zangasemva. Le meko ibangela ukudumba kumalungu akho omqolo. Ukudumba kunokukhokelela kukungonwabi kunye neentlungu ezingapheliyo.

Ichongwa njani i-UI?

Ekuphela kwendlela yokuchonga oyena nobangela weentlungu zangasemva kunye ne-UI kukubona ugqirha wakho kwaye ufumane uvavanyo olupheleleyo lonyango. Uvavanyo lunokunceda ugqirha wakho athathe isigqibo sokuba ngaba iimpawu zakho zinxulumene nemeko eyahlukileyo efuna ukuhoywa.

Ngexesha loviwo, kubalulekile ukuba unike iinkcukacha naziphi na iimpawu, xa uzifumana, kunye nendlela ozikhulula ngayo.

Emva kwesi sigaba sokuqala sokuqonda isifo, ugqirha unokuyalela uvavanyo oluninzi. Olu vavanyo lunokubandakanya uvavanyo lwe-imaging njengeX-reyi nomsebenzi wegazi. Uvavanyo lunokuphelisa unobangela weempawu zakho.

Ukuba ugqirha wakho akanakufikelela kwisifo, banokukuthumela kugqirha womchamo okanye kwingcali yeentlungu zomqolo.

Zithini iindlela zokhetho kunyango lwangasemva kunye nokungahambelani?

Unyango lweentlungu zangasemva kunye ne-UI ixhomekeke ekufumaneni unobangela. Nje ukuba wena nogqirha wakho niqonde ukuba yintoni ebangela iimpawu zakho, ungaphuhlisa isicwangciso sokulawula iimpawu zakho.

Umqolo obuhlungu

Unyango oluqhelekileyo lweentlungu zangasemva zibandakanya:

• i-counter-counter okanye amayeza eentlungu
• utshintsho kwindlela yokuphila, njengokufumana iphedi entsha yomatrasi
• umthambo
• ulungiso lwenyama

Kwiimeko ezinzima, utyando lunokuba yimfuneko.

Ukungakwazi ukuzibamba

Unyango lodidi lokuqala lwe-UI lunokubandakanya:

• ukuqeqesha isinyi sakho ukubamba umchamo ixesha elide
• Ukutshintsha iindlela zokuchama, kubandakanya ukuvala isinyi sakho kabini kwindawo yokuhlambela ukuze ukhuphe isinyi sakho
• ukuhlela ikhefu lezindlu zangasese
• ukwenza umthambo womthambo wethambo lomqolo
• ukuthatha amayeza kagqirha ukunceda ukuphumla izihlunu zesinyi

Kwezinye iimeko, ugqirha wakho unokuncoma ukusebenzisa isixhobo sonyango, njenge-urethral insert okanye i-pessary yangasese, ukukunceda ukuxhasa isinye sakho nokukhusela ukuvuza.

Unyango olungenelelayo lunokunceda:

• Inaliti yezixhobo zokubhabha zijikeleze i-urethra ukuyigcina ivaliwe kunye nokunciphisa ukuvuza
• Uhlobo lwe-botulinum toxin yohlobo lwe-A (Botox) inaliti ukukhulula umsipha wesinyi
• Ukufakwa kwento yokunyusa imithambo-luvo ekuncedeni kulawulo lwesinyi

Ukuba awuyifumani impumelelo ngezinye iindlela, ugqirha wakho unokucebisa utyando.

Yintoni imbono?

Imbono yakho ngobomi ngeentlungu zangasemva kunye ne-UI ixhomekeke ekubeni wena nogqirha wakho niyakwazi ukubona ukuba yintoni ebangela iimpawu. Ukuba ufumana unobangela, iimpawu zakho zinokunyangwa.

Ngamanye amaxesha, iimpawu zinokubakho ixesha elide.

Kunokuba nzima ukufumanisa unobangela weempawu zakho. Kwaye ukuyichonga kunokuthatha ixesha. Kodwa ukukhululeka ngokusisigxina kwiimpawu kufanelekile kumzamo.

Unokuthintela njani iintlungu zangasemva kunye nokungakwazi ukuzibamba?

Ukuba ufumana ukubakho kweentlungu ezingapheliyo kunye ne-UI, unokukwazi ukunciphisa umngcipheko wesinye isiqendu.

Nangona kunjalo, owona mgangatho wokuzikhusela kukuba ugqirha wakho afumanise imeko kwaye amisele isicwangciso sonyango.

Iingcebiso zokuthintela

• Umthambo: Ukuzivocavoca rhoqo kunokunceda ukukhusela izihlunu ezibuthathaka, ezinciphisa umngcipheko weentlungu zangasemva. Ngokufanayo, umthambo unokunyusa izihlunu zakho zangaphantsi zomzimba. Imisipha ye-pelvic eyomeleleyo yenza ukubamba umchamo kube lula.
• Gcina ubunzima obusempilweni: Ubunzima obugqithisileyo bunokubangela zombini iintlungu zangasemva kunye ne-UI.
• Yitya ukutya okufanelekileyo: Ukutya ukutya okunezakha-mzimba kunye nefibre eninzi, iiprotein ezingacacanga, iziqhamo, kunye nemifuno kunokukunceda ugcine ubunzima bakho kunye nokuzilolonga namafutha. Kwangokunjalo, ukutya okusempilweni kunciphisa umngcipheko wokuqhinwa. Ukuqunjelwa kunokubangela iintlungu ezisezantsi kunye nokungakwazi ukuzibamba.