Uxinzelelo lokuchaphazeleka koxinzelelo lwabasetyhini

Umxholo

• Yintoni ebangela ukungangqinelani koxinzelelo kumchamo wabasetyhini?
• Ngubani ophuhlisa ukungahambi kakuhle komchamo?
• Ukutya neziselo
• Impilo iyonke
• Ukungabikho kwonyango
• Luchongwa njani uxinzelelo lokuchama komchamo wabasetyhini?
• Loluphi unyango olufumanekayo?
• Utshintsho kwindlela yokuphila
• Amayeza
• Unyango olungenasiphelo
• Ukuzivocavoca kukaKegel kunye nonyango lomzimba womzimba
• Ukubuyela umva
• Ipeyinti yelungu lobufazi
• Ugqirha
• Unyango olungena ngenaliti
• Iteyiphu yasimahla yelungu lobufazi (TVT)
• Inkwitshi yelungu lobufazi
• Ngaphambili okanye ukulungiswa kwepavaginal vaginal (ekwabizwa ngokuba kukulungiswa kwecystocele)
• Ukunqunyanyiswa Retropubic
• Ngaba ndingalunyanga uxinzelelo lokungakwazi ukuzibamba?

Luthini uxinzelelo lomchamo wabasetyhini?

Uxinzelelo lomchamo lokungasebenzi kakuhle komchamo kukukhutshwa ngokungathandabuzekiyo komchamo ngexesha lawo nawuphi na umsebenzi owenzayo obeka uxinzelelo kwisinyi sakho. Ayifani nokungavisisani ngokubanzi. Le meko inokungonwabi yenzeka kuphela xa isinyi siphantsi koxinzelelo lomzimba kwangoko. Imisebenzi enokubeka uxinzelelo kwi-bladder yakho ibandakanya:

• ukukhohlela
• Ukuthimla
• ehleka
• ukuphakamisa izinto ezinzima okanye ukuxina
• Ukugoba

Yintoni ebangela ukungangqinelani koxinzelelo kumchamo wabasetyhini?

Uxinzelelo lokungakwazi ukuzibamba koxinzelelo kumchamo kwenzeka xa izihlunu zakho zangasese zibuthathaka. Ezi zihlunu zenza isitya esigcina isinqe sakho. Baxhasa isinyi sakho kwaye balawula ukukhutshwa komchamo wakho. Njengoko uneminyaka yobudala le misipha ye-pelvic iyancipha. Ukubeletha, ukuhlinzwa kwe-pelvic, kunye nokulimala kwintsholongwane yakho kunokunciphisa imisipha. Ukwanda kweminyaka kunye nembali yokukhulelwa nazo zinobungozi obukhulu.

Ngubani ophuhlisa ukungahambi kakuhle komchamo?

Ukungabikho koxinzelelo kuxhaphake kakhulu phakathi kwabasetyhini kunamadoda. Inokwenzeka nakweyiphi na iminyaka. Kodwa amathuba okuphucula ukunganyanzeleki koxinzelelo anyuka ngokukhulelwa kwaye njengoko uneminyaka yobudala.

Ngokwe-American Academy of Physicians (AAP), malunga neepesenti ezingama-50 zabasetyhini abaphakathi kweminyaka engama-40 ukuya kwengama-60, kwaye phantse iipesenti ezingama-75 zabasetyhini abangaphezulu kweminyaka engama-75, banendlela ethile yokungahambisani nomchamo (UI). Amanani okwenyani anokuphakama nangakumbi, kuba imeko leyo ayichazwanga kwaye iphantsi koxilongo, ngokwe-AAP. Kuqikelelwa ukuba malunga nesiqingatha sabasetyhini abanamava e-UI abayixeleli oogqirha babo.

Izinto ezithile zinokunyusa umngcipheko wokungabikho koxinzelelo kumchamo wokuchama, okanye zinokuzonyusa iimpawu ukuba sele unayo.

Ukutya neziselo

Oku kulandelayo kunokubangela ukuba uxinzelelo olungapheliyo lube lubi ngakumbi ngenxa yokucaphuka kwesinyi:

• utywala
• ikhafeyini
• isoda
• itshokholethi
• izinto zokuthambisa ezingezizo
• icuba okanye icuba

Impilo iyonke

Ezi zinto zilandelayo zempilo zinokubangela ukuba imeko yakho yoxinzelelo ibe mandundu:

• usulelo lomchamo
• ukutyeba kakhulu
• Ukukhohlela rhoqo
• amayeza anyusa imveliso yokuchama
• ukonakala kwemithambo-luvo okanye ukuchama okugqithisileyo kwisifo seswekile

Ukungabikho kwonyango

Uxinzelelo lomchamo lokungabikho komchamo kuhlala kunyangwa. Kodwa abafazi abaninzi kunqabile bafune uncedo. Ungavumeli iintloni zikuyekise ukubona ugqirha. Uxinzelelo lokungakwazi ukuzibamba koxinzelelo kumchamo kuqhelekile. Ugqirha wakho ukhe wadibana namaxesha amaninzi kwezinye izigulana.

Luchongwa njani uxinzelelo lokuchama komchamo wabasetyhini?

Ukwenza ukuxilongwa, ugqirha wakho uya kwenza uvavanyo lwe-pelvic ngaphezu kweyodwa okanye ngaphezulu kwezi mvavanyo zilandelayo:

• Uvavanyo loxinzelelo lwe-Urinary: Ugqirha wakho uyakukucela ukuba ukhohlele ngelixa umile ukuze ubone ukuba ngaba uvuza umchamo ngokungafunekiyo.

• Uvavanyo lwepad: Uya kucelwa ukuba unxibe iphedi yococeko ngexesha lokuzilolonga ukuze ubone ukuba uvuza kangakanani umchamo.

• Uhlalutyo: Olu vavanyo lwenza ukuba ugqirha wakho abone ukuba ngaba unengxaki ethile kumchamo wakho njengegazi, iproteni, iswekile, okanye iimpawu zosulelo.

• Uvavanyo lwasemva kwe-void (PVR): Ugqirha wakho uya kulinganisa ukuba ungakanani umchamo kwisinyi sakho emva kokuba uwukhuphile.

• Uvavanyo lwecystometry: Olu vavanyo lunyanzelisa uxinzelelo kwisinyi sakho kunye nokuhamba komchamo.

• I-X-ray kunye nedayi eyahlukileyo: Ugqirha wakho uya kuba nakho ukubona ukungaqheleki kwindlela yakho yokuchama.

• ICystoscopy: Olu vavanyo lusebenzisa ikhamera ukujonga ngaphakathi kwesinyi sakho kwiimpawu zokudumba, amatye, okanye ezinye izinto ezingaqhelekanga.

Loluphi unyango olufumanekayo?

Zininzi iintlobo zonyango ezikhoyo. Izinketho zonyango zibandakanya:

• utshintsho kwindlela yokuphila
• amayeza
• unyango lwezonyango
• utyando

Utshintsho kwindlela yokuphila

Yenza uhambo oluya rhoqo kwigumbi langasese ukunciphisa ithuba lokuvuza komchamo. Ugqirha wakho unokucebisa ukuba uphephe i-caffeine kunye nokuzilolonga rhoqo. Utshintsho lokutya lunokulungelelaniswa. Ukuba uyatshaya uya kucetyiswa ukuba uyeke. Ukuphulukana nobunzima kunokunceda ukuthatha uxinzelelo esiswini sakho, kwisinyi, nakwizitho zangasese. Ugqirha wakho unokuhlakulela isicwangciso sokulahleka kwesisindo ukuba ukhuluphele.

Amayeza

Ugqirha wakho unokukunika amayeza anciphisa ukusikwa kwesinyi. Oku kubandakanya iziyobisi ezinje:

• Imipramine
• Duloxetine

Ugqirha wakho unokumisela ulamlo olwenzelwe ukunyanga isinyi esingasebenziyo, njenge:

• Vesicare
• Enablex
• Ukujikeleza
• I-Ditropan

Unyango olungenasiphelo

Ukuzivocavoca kukaKegel kunye nonyango lomzimba womzimba

Ukuzivocavoca kweKegel kunokunceda ukomeleza izihlunu zakho zangasese. Ukwenza le mithambo, cudisa izihlunu ezinqanda ukuhamba komchamo. Ugqirha wakho uya kukubonisa indlela efanelekileyo yokwenza le mithambo. Nangona kunjalo, akucaci ukuba zingaphi iiKegels ekufuneka zenziwe, ukuba zingaphi, nokuba zisebenza njani. Olunye uphando lubonakalisile ukuba ukwenza imithambo kaKegel ngexesha nasemva kokukhulelwa kunokuwanciphisa amathuba okuphucula uxinzelelo lomchamo.

Unyango lomgangatho wepelvic yenye yeendlela ezifanelekileyo zokunceda ukunciphisa ukungazinzi koxinzelelo. Oku kunokwenziwa ngoncedo lwegqirha lomzimba, eliqeqeshwe ngokukodwa kwimithambo yomgangatho we-pelvic. Ukonyuka kokusebenza komzimba ngokubanzi kubonisiwe ukomeleza umgangatho we-pelvic. I-Yoga kunye nee-Pilates zaziwa ngokuba luncedo.

Ukubuyela umva

I-Biofeedback luhlobo lonyango olusetyenziselwa ukwandisa ulwazi ngezihlunu zakho zomgangatho we-pelvic. Unyango lusebenzisa izinzwa ezincinci ezibekwe ngaphakathi okanye ngaphakathi kwilungu lobufazi nakwisisu sakho. Ugqirha wakho uya kuzama iintshukumo ezithile zemisipha. Abenzi boluvo barekhoda umsebenzi wakho wemisipha ukukunceda uchonge izihlunu ezithile zomgangatho we-pelvic. Oku kunokukunceda ekuchongeni umthambo ukunceda ukomeleza umgangatho wakho weplavic kunye nokuphucula ukusebenza kwesinyi.

Ipeyinti yelungu lobufazi

Le nkqubo ifuna iringi encinci ibekwe ngaphakathi kwilungu lakho lobufazi. Iyakuxhasa isinyi sakho kwaye icinezele urethra yakho. Ugqirha wakho uya kukulingana nobungakanani obuchanekileyo bepessary kwaye abonise indlela yokususa ukucoca.

Ugqirha

Ugqirha wakho unokucebisa ukuba utyando ukuba ezinye iindlela zonyango aziphumeleli. Iindidi zotyando zibandakanya:

Unyango olungena ngenaliti

Oogqirha batofa iarhente yokubhabha kwi-urethra yakho ukuyikhulisa indawo ukuze unciphise ukungalawuleki.

Iteyiphu yasimahla yelungu lobufazi (TVT)

Oogqirha babeka i-mesh ejikeleze i-urethra yakho ukuze bayinike inkxaso.

Inkwitshi yelungu lobufazi

Oogqirha bafaka isilingi malunga nomchamo wakho ukubonelela ngenkxaso engakumbi kuwo.

Ngaphambili okanye ukulungiswa kwepavaginal vaginal (ekwabizwa ngokuba kukulungiswa kwecystocele)

Olu tyando lulungisa isinyi esiqhuma kumsele wangasese.

Ukunqunyanyiswa Retropubic

Olu tyando luhambisa isinyi kunye ne-urethra ibuyele kwizikhundla zabo eziqhelekileyo

Ngaba ndingalunyanga uxinzelelo lokungakwazi ukuzibamba?

Ukungabikho koxinzelelo kuxhaphake kakhulu phakathi kwabasetyhini abangaphezulu kweminyaka engama-40. Unyango olukhoyo lubandakanya ukutshintsha indlela yokuphila, amayeza, unyango langaphandle kunye notyando. Olu nyango kunqabile ukuba lunyange ukungavisisani. Kodwa banokunciphisa iimpawu kunye nokuphucula umgangatho wobomi.