Ukungahambi kwamadoda: Into Ofanele Uyazi

Umxholo

• Ziintoni iimpawu?
• Yintoni ebangela ukungakwazi ukuzibamba kwamadoda?
• Ngubani osemngciphekweni wokungalawuleki kwamadoda?
• Kufunyaniswa njani oku?
• Iinketho zonyango zokungakwazi ukuzibamba
• Utshintsho kwindlela yokuphila
• Iziyobisi kunye namayeza
• Iiarhente zokukhupha
• Ugqirha
• Izixhobo zokungaziphathi kwamadoda
• Ukuphila ngokungahambelani nomchamo
• Imbonakalo
• Ngaba ukuthintelwa kwamadoda kungathintelwa?
• Kufuneke u
  

Ngaba ukungaziphathi kakuhle kwamadoda kuqhelekile?

Ukungahambi kakuhle kwe-Urinary (UI) kubangela ukuvuza ngengozi komchamo. Ayisosifo, kodwa endaweni yoko luphawu lwenye imeko. Lo mbandela wezonyango ubangela ilahleko kulawulo lwesinyi.

Omabini la madoda nabasetyhini bafumana i-UI. Inani labantu abaphuhlisa i-UI liyanda ngokobudala. Oku kuyinyani ngokukodwa kumadoda. Amadoda amadala kunokwenzeka ukuba afumane i-UI kunamadoda aselula.

Kuqikelelwa ukuba i-11 kuye kwiipesenti ezingama-34 zamadoda amadala aneendlela ezithile ze-UI. Iipesenti ezimbini ukuya kwezili-11 zamadoda amadala ajongana neempawu ze-UI yonke imihla. Amanye amadoda anokufumana ngaphezulu kohlobo olunye lokungakwazi ukuzibamba.

Apha, uya kufunda ngakumbi nge-UI, yintoni ebangela oko, indlela yokuyinyanga, kunye nendlela yokuziqhelanisa nobomi kunye neempawu.

Ziintoni iimpawu?

Ukungahambi kakuhle komchamo luphawu lwenye imeko okanye umba. Iindidi ezithile ze-UI zinokubangela iimpawu ukongeza ukuvuza komchamo.

Ezi ntlobo ze-UI kunye neempawu zibandakanya:

• Ukungxamiseka okungalunganga: Uziva ngesiquphe, ngokungxamisekileyo isidingo sokuchama, kulandele ukuvuza ngengozi.
• Ukungabikho koxinzelelo: Ukuvuza komchamo kuziswa kukuhamba ngokukhawuleza okanye uxinzelelo, njengokukhohlela.
• Ukuphuphuma kokungahambi kakuhle: Isinyi sakho sigcwele kangangokuba uyavuza.
• Ukungasebenzi kakuhle kokusebenza: Ukukhubazeka ngokwasemzimbeni, imiqobo, okanye ubunzima ekunxibelelaneni nemfuno yakho yokuchama kuthintela ukuba ungangeni kwindlu yangasese ngexesha.
• Ukungahambi okwethutyana: Le UI yethutyana ihlala isisiphumo sexesha elifutshane, njengosulelo lomchamo. Isenokuba sisiphumo esisecaleni samayeza okanye omnye umcimbi wezonyango.
• Ukuxhathisa okuxubileyo: Ukungakwazi ukuzibamba okuwela ezibini okanye nangaphezulu kwezi ndidi zingasentla.

Amadoda nabasetyhini bafumana iimpawu ezifanayo ze-UI. Zonke iimpawu zalatha umba kulawulo lwesinyi kunye nokuvuza.

Yintoni ebangela ukungakwazi ukuzibamba kwamadoda?

Ukufumanisa oyena nobangela weempawu ze-UI kunokukunceda wena nogqirha wakho ukuba uqale unyango.

Imiqathango edala i-UI ibandakanya:

• ukukhwehlela okungapheliyo
• ukuqhina
• ukutyeba kakhulu
• isinyi okanye usulelo lomchamo
• isithintelo kwindlela yokuchama
• ubuthathaka kumgangatho we-pelvic okanye kwimisipha yesinyi
• ukulahleka kwamandla e-sphincter
• umonakalo wemithambo-luvo
• iprostate eyandisiweyo
• umhlaza wedlala lobudoda
• ukuphazamiseka kwemithambo-luvo, okunokuphazamisa imiqondiso yokulawula isinyi

Ezinye izinto zokuphila ezinokukhokelela kwi-UI zibandakanya:

• ukutshaya
• ukusela
• ukungasebenzi ngokwasemzimbeni

Ngubani osemngciphekweni wokungalawuleki kwamadoda?

Ukuba unenye okanye nangaphezulu kwezi zinto zinomngcipheko, unokuba nakho ukuphuhlisa i-UI. Ezi zinto zibeka emngciphekweni zibandakanya:

Ubudala: Amadoda kunokwenzeka ngakumbi ukuba aphuhlise i-UI njengoko bekhula. Oku kunokuba sisiphumo seenguqu zomzimba ezenza ukubamba umchamo kube nzima ngakumbi. Izifo ezithile okanye iimeko ziya zixhaphaka kunye nokuguga, kunye nelahleko yolawulo lwesinyi inokuba luphawu olunxulumene noko.

Ukungabikho kwemisebenzi yomzimba: Ukusebenza ngokwasemzimbeni kunokunyusa ukuvuza komchamo, kodwa ukungasebenzi komzimba kuyonyusa umngcipheko wokufumana ubunzima kunye nokunciphisa amandla ngokubanzi. Oku kunokwenza ukuba iimpawu ze-UI zibi ngakumbi.

Ukutyeba kakhulu: Ubunzima obongezelelweyo kwi-midsection yakho bunokubeka uxinzelelo olungafunekiyo kwisinyi sakho.

Imbali yeemeko ezithile: Umhlaza wedlala lobudoda, iprostate eyandisiweyo, kunye nonyango lwezi meko zinokukhokelela kwi-UI yethutyana okanye esisigxina. Isifo seswekile sinokukhokelela kwi-UI.

Imiba ye-Neurological: Izifo ezifana nesifo sika-Parkinson, isifo se-Alzheimer, kunye ne-multiple sclerosis zinokuphazamisa amandla akho engqondo okubonisa kakuhle isinyi kunye nomchamo wakho.

Iziphene zokuzalwa: Unokufumana i-UI ukuba umchamo wakho we-urinary awuzange wenze ngokuchanekileyo ngexesha lokukhula komntwana.

Kufunyaniswa njani oku?

Ukuchongwa kwe-UI ngokuthe ngqo. Ukufumanisa oyena nobangela we-UI kungathatha ixesha elininzi. Ukufumana isifo, ugqirha wakho uya kuqala ngokuvavanya imbali yakho yonyango. Ukusuka apho, iimvavanyo ezongezelelweyo zinokufuneka. Oku kubandakanya:

Uvavanyo lomzimba: Uvavanyo lomzimba lunokunceda ugqirha wakho abone iingxaki.

Uvavanyo lweedigital rectal: Olu vavanyo lunceda ugqirha wakho ukuba afumane iibhlokhi kwi-rectum yakho. Ikwanceda ukuba abone iprotrate eyandisiweyo.

Uvavanyo lokuchonga: Ugqirha wakho angathatha iisampulu zomchamo wakho kunye negazi ukuvavanya naziphi na iimeko ezingaphantsi.

Iinketho zonyango zokungakwazi ukuzibamba

Unyango lwe-UI luxhomekeke kwisizathu sengxaki. Isicwangciso sakho sonyango sinokubandakanya olunye okanye utshintsho lwendlela yokuphila ukongeza kunyango. Kwezinye iimeko, iinkqubo eziphambili okanye utyando zinokufuneka.

Utshintsho kwindlela yokuphila

Ulawulo lwamanziIxesha lokutya kunye nokusela okusela malunga nemisebenzi yakho kunokukunceda ulawule ngcono umnqweno wakho wokuhamba. Endaweni yokusela isixa esikhulu samanzi okanye ezinye iziselo ngaxeshanye, sela izixa ezincinci rhoqo ngamaxesha onke emini.

Uqeqesho lwesinye: Uqeqesho lwesinyi lufuna ukuba ulibazise ngokukhawuleza uhambo oluya ngasese ngalo lonke ixesha ufumana isikhuthazo. Isinyi kunye nomchamo wakho kufuneka ukhule womelele.

Ukucwangcisa uhambo lokuya kwindlu yangasese kunokukunceda uphephe iminqweno. Xa usiya, ukuchama kabini, kube kanye ngaphakathi kwemizuzu embalwa kwenye, kunokunceda ekupheliseni umchamo ongaphezulu.

Umgangatho womzimba wokomeleza imithambo: Le mithambo yaziwa ngokuba kukuzilolonga kukaKegel. Banokukunceda ukuba wakhe amandla kwakhona kwaye uqinise izihlunu kwi-pelvis yakho kunye nenkqubo ye-urinary tract.

Olunye utshintsho kwindlela yokuphila lunokubandakanya:

• Yiba namandla ngokwasemzimbeni. Inokukunceda ukunciphisa umzimba, ukuthintela ukuqunjelwa, kunye nokunciphisa uxinzelelo kwisinyi sakho.
• Nciphisa utywala kunye necaffeine. Ezi zinto zinokukhuthaza isinyi sakho.
• Yeka ukutshaya.

Iziyobisi kunye namayeza

Iindidi ezininzi zamayeza zisetyenziselwa ukunyanga i-UI.

• I-Anticholinergics, enje nge-Oxybutynin (Ditropan), inokuzolisa izihlunu zesinyi ezingaphezulu kokusebenza. Banyanga i-bladders engasebenziyo kwaye bakhuthaza ukungahambelani.
• I-Alpha-blockers, enjenge-tamsulosin (i-Flomax), inikwa amadoda anayo kwaye andise iprostate. Oku kunokunceda amadoda ngokunyanzelwa okanye ukungaphumeleli ukungabinakho ukungabinakho ukungabinanto ngokupheleleyo kwisinyi.
• I-Mirabegron (i-Myrbetriq) inokuphumla izihlunu zesinyi kwaye ikuncede ukwandisa inani lomchamo wesinyi onokuthi ubambe. Inokukunceda ukuba ungabinanto ngokupheleleyo xa usenza umchamo.
• Uhlobo lwe-Botulinum toxin yohlobo A (Botox) lunokujojolwa kwisinyi sakho ukunceda ukunciphisa izihlunu zesinyi.

Iiarhente zokukhupha

Ngexesha lale nkqubo, izinto zokwenziwa zifakelwe kwizicubu ezijikeleze urethra yakho. Lo mbandela uza kufaka uxinzelelo kwi-urethra yakho kwaye uncede uvale xa ungachami.

Ugqirha

Ugqirha luhlala lunyango lokugqibela. Utyando ezimbini zisetyenziswa ikakhulu emadodeni:

Iibhaluni ze-urinary sphincter (AUS) ezingezizo: Ibhaluni ifakwe kufutshane nentamo yesinyi sakho. Oku kunceda ukuvala i-sphincter ye-urinary kude kube lixesha lokuchama. Xa ukulungele ukuchama, ivelufa ebekwe phantsi kolusu lwakho iyayithoba ibhaluni. Umchamo ukhutshiwe, kwaye ibhaluni iyagcwalisa

Inkqubo yesling: Ugqirha wakho uya kusebenzisa izicubu okanye izinto zokwenziwa ukwenza isingxobo esixhasayo esijikeleze intamo yesinyi. Ngale ndlela, i-urethra ihlala ivaliwe xa ukhohlela, uthimla, ubaleka okanye uhleka.

Emva kotyando, uninzi lwamadoda luyachacha esibhedlele. Oku kungathatha naphi na ukusuka kwiiyure ezininzi ukuya kwiintsuku ezininzi. Amadoda amaninzi ayakwazi ukuphuma esibhedlele kwangolo suku lwenkqubo.

Kuya kufuneka ulandele umkhombandlela kagqirha wakho wokuphilisa kunye nokuchacha. Ungabuyeli kwimisebenzi yesiqhelo ude ugqirha wakho aqinisekise ukuba kukhuselekile ukwenza njalo. Umzimba wakho udinga ixesha lokuphola kuqhaqho, kwaye kufuneka iintsuku ezimbalwa ukuze uqhelane neziphumo zotyando.

Izixhobo zokungaziphathi kwamadoda

Ngaphambi kokuba uhlolisise ukuhlinzwa okungafunekiyo, ugqirha wakho unokucebisa isixhobo esinokunciphisa iimpawu zakho kwaye mhlawumbi ukukhusela isidingo sokuhlinzwa. Oku kubandakanya:

Catheters: I-catheter inokukunceda ungabinanto ngokupheleleyo kwisinyi. Le tyhubhu ibhityileyo, iguquguqukayo ifakwe ngaphakathi kwi-urethra nakwisinye. Umchamo uyaphuma, kuze kususwe i-catheter. I-catheter ye-Foley ehlala ngaphakathi ihleli, kodwa inokubangela usulelo lomchamo.

Iinkqubo zokuqokelela umchamo: I-catheter yekhondom ilingana nepipi kwaye iqokelela umchamo ophumayo. Inokusetyenziselwa ixesha elifutshane kuphela. Ukusetyenziswa ixesha elide kwandisa umngcipheko wosulelo lomchamo kunye nokucaphuka kolusu.

Ngaphantsi koonogada: Iipads zokufunxa ezenziwe ngokukodwa zinamathela kwimpahla yakho yangaphantsi ukufunxa umchamo. Le mveliso ayizukumisa ukuvuza, kodwa inokunceda ukuthintela nawaphi na amabala okanye ubumanzi.

Ukuphila ngokungahambelani nomchamo

Ukungabikho komchamo kunokuphazamisa uninzi lweenkalo zobomi bakho. Unyango lweemeko ezisisiseko lunokunciphisa ezi mpawu. Nangona kunjalo, usenokuba nexhala malunga neenkalo ezithile zobomi bakho.

Indlela yokuphila enexhala nge-UI ibandakanya:

Umsebenzi womzimba: Ukuzilolonga, ukwenza igadi, kunye nokuhamba intaba konke kunomvuzo, kodwa ukuba une-UI, zinokubonakala zinzima. Sebenza nogqirha wakho ukufumana ukuzithemba kwisicwangciso sakho sonyango kunye neziphumo, ke uya kuziva ukhululekile ukulandela imisebenzi oyithandayo.

Umsebenzi wesondo: Amanye amadoda nabasetyhini abane-UI bayakuphepha ukulala ngesondo. Usenokwabelana ngesondo, kodwa kusenokufuneka ukuba uthathe amanyathelo ambalwa kwangaphambili.

Unganqwenela uku:

1. Gwema ukusela i-caffeine okanye utywala iiyure eziliqela ngaphambi kokulala ngesondo.
2. Gwema yonke into engamanzi kwiyure ngaphambi kwesondo.
3. Khuphela isinyi sakho kwangoko ngaphambi kokwabelana ngesondo.
4. Beka itawuli phakathi kwakho neqabane lakho kunye nebhedi ukuba ukhathazekile ngokuvuza.

Vuleka neqabane lakho. Ukuthetha ngexhala lakho kunokunceda ekunciphiseni unxunguphalo onokuziva ngalo.

Imbonakalo

Kubalulekile ukuba uthethe nogqirha wakho malunga naziphi na iimpawu ohlangabezana nazo kwaye zaqala nini. Iingxaki zokulawula isinyi ziyanyangeka kakhulu. Ngokudibeneyo, nina nobabini ninokuphuhlisa isicwangciso sonyango esikunceda ukuba uphinde ulawule isinyi sakho kwaye ugcine umgangatho wobomi bakho.

Ngaba ukuthintelwa kwamadoda kungathintelwa?

Ukungasebenzi kakuhle komchamo akunakuthinteleka. Izinto ezinobungozi, ezinje ngobudala kunye neemeko zemithambo-luvo, azikho kulawulo lwakho ngokupheleleyo.

Nangona kunjalo, izinto zokuphila ziyalawuleka. Ukwehlisa umngcipheko kwindlela yokuphila enegalelo kwi-UI kunokukunceda uthintele imeko. La manyathelo abandakanya:

Kufuneke u

• Yitya ukutya okuseleyo, wenze umthambo rhoqo, kwaye unciphise umzimba. Onke la manyathelo anceda ukunciphisa uxinzelelo kwisinyi sakho kunye negalelo kumandla angcono nakwimpilo.
• Thintela ukuqhina. Imiba yesisu, njengokuqhinwa, inokunyusa umngcipheko we-UI. Ukutya okusempilweni kunye nefayibha eninzi kunye nokuzilolonga rhoqo kunokunceda ukuthintela ukuqhina.
• Gwema izinto ezikucaphukisayo. Utywala kunye ne-caffeine inokuvuselela umsebenzi wesinyi, onokubangela iimpawu ze-UI ngokuhamba kwexesha.
• Yomeleza izihlunu zeplavic. Akukho monakalo ekwenzeni rhoqo imithambo ye-Kegel yokugcina izihlunu zomgangatho we-pelvic zomelele. Oku kunokunceda ukukhusela i-UI kwixa elizayo.