Ngaba ukungavisisani okuxubeneyo kwahlukile kunokwexeshana okanye ukuNgasebenzi ngokupheleleyo?

Umxholo

• Yintoni ukudibanisa ukungahambelani?
• Ziintoni iimpawu zokungalawuleki okuxubeneyo?
• Yintoni ebangela ukungazinzi okungafaniyo kwaye ngubani osemngciphekweni?
• Kufunyaniswa njani ukunganyanzeleki?
• Unyango oluxubileyo luphathwa njani?
• Ukuzivocavoca kunye noqeqesho
• Amayeza
• Iinkqubo
• Yintoni ukungahambi okwethutyana?
• Ziintoni iimpawu?
• Yintoni ebangela oko kwaye ngubani osemngciphekweni?
• Ifunyaniswa njani kwaye inyangwa njani?
• Kukuthini ukungalawuleki ngokupheleleyo?
• Ziintoni iimpawu?
• Yintoni ebangela oko kwaye ngubani osemngciphekweni?
• Ifunyaniswa njani kwaye inyangwa njani?
• Yintoni eyenzekayo ngokulandelayo
• Ungakuthintela njani ukungalawuleki
• Iingcebiso namacebo
  

Yintoni kanye kanye ukungakwazi ukuzibamba?

Ukungahambelani nomchamo kunokwenzeka ukuba unengxaki yokulawula isinyi sakho. Unokufumanisa ukuba uvuza umchamo xa uhleka, ukhohlela, okanye uthimla. Kwiimeko ezinzima kakhulu, unokuziva unomdla wokuya kwindlu yangasese kodwa ungakwenzi ukuya kwindlu yangasese ngexesha.

Ukungakwazi ukuzibamba luphawu, hayi isifo. Kwiimeko ezininzi, ukungabikho komchamo kubangelwa ukuba ube ne-bladder engaphezulu. Malunga nezigidi ezingama-33 zabantu baseMelika bajongana nesinyi esingaphezulu kokusebenza.

Kuya kufuneka uhlakulele ukungavisisani njengoko uneminyaka yobudala. yabantu baseMelika 65 nangaphezulu baxele iimvakalelo zongxamiseko, ukuvuza komchamo, okanye zombini.

Iimpawu ozifumanayo ziya kuxhomekeka kuhlobo lokungaziphathi onalo:

• Ukungabikho koxinzelelo: Uvuza umchamo nanini na usenza nantoni na ebeka uxinzelelo kwisinyi. Oku kubandakanya ukukhwehlela, ukuthimla, ukwenza umthambo okanye ukuhleka.
• Khuthaza ukungahambelani (isinyi esisebenzayo): Isivumelwano sakho semisipha yesinyi kunye nokukhulula umchamo ngaphambi kokuba ulunge. Uyakuva isidingo esingxamisekileyo sokuhamba, kulandele ukuvuza.
• Ukuphuphuma kokungahambi kakuhle: Isinyi sakho asikwazi ukungabinanto kwaye sigcwale kakhulu, esenza ukuba uvuza.
• Ukungasebenzi kakuhle kokusebenza: Unemeko yomzimba okanye yengqondo ekuthintela ekuziva umnqweno oqhelekileyo wokuya, okanye ungangeni kwigumbi lokuhlambela ngaphambi kwexesha.
• Ukungabikho konke: Isinyi sakho asinakho ukugcina nantoni na, ke uhlala udlula umchamo.
• Ukungahambi kakuhle: Ufumana iimpawu ezimbini okanye ngaphezulu iintlobo zokungakwazi ukuzibamba, zihlala zixinzelelekile kwaye zikhuthaza ukungahambi.

Ukungabikho komthetho kunokungapheliyo okanye okwexeshana. Ukungasebenzi kakuhle okungapheliyo kwenzeka ngaphezulu kwexesha elide. Ukungahambi okwethutyana kuhamba emva kokuba uphathe unobangela.

Yintoni ukudibanisa ukungahambelani?

Ukungahambelani okuxubekileyo kuhlala kudityaniswa nomnqweno kunye nokungahambi koxinzelelo. Abasetyhini banamathuba amaninzi kunamadoda anokungaziphathi kakuhle. Phantse iipesenti ezingama-45 zabasetyhini baxela ukuba banesifo sokungakwazi ukuzibamba, kwaye malunga neepesenti ezili-14 banokudibanisa ukungalawuleki.

Ziintoni iimpawu zokungalawuleki okuxubeneyo?

Abantu abadibanise ukungahambelani bafumana iimpawu zoxinzelelo kunye nokukhuthaza ukungahambi kakuhle.

Umzekelo, unokuvuza ngelixa:

• ehleka
• ukukhohlela
• Ukuthimla
• ukwenza umthambo

Ezi mpawu zihlala zibonisa uxinzelelo lokungakwazi ukuzibamba.

Unokuziva unomdla wokuhamba ngequbuliso, emva koko uvuza. Oku kuqhelekile kukuphawula ukungahambi kakuhle.

Amaxesha amaninzi, iiseti zeempawu zimbi kunezinye.

Yintoni ebangela ukungazinzi okungafaniyo kwaye ngubani osemngciphekweni?

Ukungangqinelani okuxubileyo kuhlala kubangelwa kukudityaniswa kwezinto ezifanayo ezibangela uxinzelelo kunye nokukhuthaza ukungalawuleki.

Uxinzelelo lokungakwazi ukuzibamba kubangelwa bubuthathaka kwimisipha yomqolo exhasa isinyi kunye nobuthathaka kwiimisipha ezilawula ukukhutshwa komchamo. Ngenxa yoko, umchamo wakho - ityhubhu yokuchama idlula ngaphandle kwesinyi - ayinakuhlala ivaliwe.

Uxinzelelo lokungakwazi ukuzibamba lunokwenzeka ngenxa:

• ukukhulelwa
• ukuzala
• utyando okanye i-radiation kwilungu lobufazi (abasetyhini), i-rectum, okanye iprostate (amadoda)
• ukwenzakala esinqeni
• ukutyeba kakhulu

Khuthaza ukungahambelani kwenzeka xa izihlunu zekhontrakthi yakho yodonga lwesinyithi kakhulu.

Ingabangelwa ngu:

• ixhala
• ukuqhina
• Usulelo lwe-urinary tract (UTI)
• iimeko ezichaphazela inkqubo luvo

Kufunyaniswa njani ukunganyanzeleki?

Ugqirha wakho uya kuqala ngokubuza malunga neempawu zakho:

• Uziva nini umnqweno wokuhamba?
• Uvuza kangaphi?
• Uqhele ukwenza ntoni xa uvuza?

Ukugcina idayari yemikhwa yakho yokuhlambela kunye nokuvuza kunokukunceda uphendule imibuzo kagqirha wakho.

Ukufumanisa ukungahambelani kakuhle, ugqirha wakho unokukunika enye okanye ngaphezulu kwezi mvavanyo:

• Uvavanyo lomchamo: Ugqirha wakho uya kujonga i-UTI.
• Uvavanyo lwe-Neurological: Oku kuyakuvumela ugqirha wakho ukuba abone naziphi na iingxaki zemithambo-luvo.
• Uvavanyo loxinzelelo: Ugqirha wakho uya kugqiba ukuba ulahlekelwe ngumchamo xa ukhohlela.
• Umthamo oshiyekileyo oshiyekileyo: Ugqirha wakho uya kulinganisa ukuba ungakanani umchamo oshiyekileyo kwisinyi sakho emva kokuba uchamile.
• I-cystoscopy okanye i-urethroscopy: Oku kuvumela ugqirha wakho ukuba ajonge ngaphakathi kwesinyi kunye ne-urethra yazo naziphi na iingxaki zesakhiwo.

Unyango oluxubileyo luphathwa njani?

Olu nyango lunokunceda kwiimpawu zoxinzelelo kunye nokukhuthaza ukungahambi kakuhle:

Ukuzivocavoca kunye noqeqesho

Ukuzivocavoca kwemisipha yepelvic (Kegels): Ucinezela kwaye ukhulule izihlunu ozisebenzisayo ukubamba ukhulule umchamo. Ixesha elingaphezulu, ezi zihlunu ziya komeleza kwaye zigcine i-urethra ivaliwe.

Uqeqesho lwesinye: Uya kwigumbi lokuhlambela ngamaxesha abekiweyo, njengayo yonke imizuzu engama-45. Ngokuthe ngcembe, uyalonyusa ixesha phakathi kokundwendwela igumbi lokuhlambela. Oku kunceda ukomeleza izihlunu zesinyi sakho.

Amayeza

Ugqirha wakho unokumisela enye yezi zinto zilandelayo ukuthomalalisa izihlunu zesinyi ezingasebenziyo:

• oxybutynin (Ditropan)
• itolterodine (Detrol)
• darifenacin (Enablex)

Inaliti ze-botulinum toxin (Botox) kwi-bladder yakho inokupholisa nemisipha yesinyi engaphezulu.

Iinkqubo

Kwiimeko ezinzima zokungakwazi ukuzibamba, enye yezi zinto zilandelayo inokufuneka:

• Umvuzo: Oku kufakwa kwilungu lobufazi ukuxhasa iindonga zangasese. Oku kunokuthintela isinyi ekuweleni ezantsi kwilungu lobufazi.
• Ukufakwa kwe-urethral: Oku kufakwa ngaphakathi kwi-urethra ukunceda ukuthintela ukuvuza.
• Ukukhuthaza umgangatho wepelvic: Umbane uthunyelwa kwimisipha yomqolo enokuchaphazela ukukhutshwa kwesinyi sakho. Olu khuthazo lubangela ukuba izihlunu zisebenze, ezinokuphucula ukuvalwa kwe-urethra.
• Inaliti: Izinto zokubhabha zifakwe kwindawo ejikeleze i-urethra ukuyigcina ivaliwe kwaye kuthintela umchamo ekuvuzeni.
• Utyando: Kwiimeko ezinqabileyo, inkqubo yesilingi inokufuneka. Ugqirha wakho uya kudala i-hammock ngaphandle kwezicubu emzimbeni wakho okanye izinto ezenziwe ngumntu ukuxhasa urethra kunye nokuthintela ukuvuza.

Yintoni ukungahambi okwethutyana?

Ukudlula kuthetha okwethutyana. Olu hlobo lokungakwazi ukuzibamba lubangelwa yimeko yonyango. Kuya kufuneka ibengcono xa ingxaki inyangiwe.

Ziintoni iimpawu?

Ukuba une-incontinence yexeshana, imeko yonyango engaphantsi ikuthintela ukuba ungene kwigumbi lokuhlambela okanye uve umnqweno wokuya. Ngenxa yoko, uvuza umchamo.

Yintoni ebangela oko kwaye ngubani osemngciphekweni?

Unokuba semngciphekweni wokungahambi okwethutyana xa ufumana enye yeemeko ezilandelayo:

• UTI
• ukuvelisa umchamo ogqithisileyo
• Ukuphambuka
• ukuhla nokuncipha kwezicubu kwilungu lobufazi (lobufazi)
• ukusebenza kwesitulo

Amayeza athile anokubangela ukungalawuleki. Oku kubandakanya ezinye:

• uxinzelelo lwegazi ukunciphisa iziyobisi
• iintlungu ziyadambisa
• iziyobisi

Ifunyaniswa njani kwaye inyangwa njani?

Ugqirha wakho uya kuqala abuze malunga neempawu zakho kwaye aqwalasele nawaphi na amayeza onokuthi uwathathe.

Ukuba awunayo imeko yezonyango, enjengesifo sikaParkinson, ugqirha wakho uya kuqokelela isampuli yomchamo ukuvavanya i-UTI.

Ukuba ukunganyanzeleki akusosiphumo secala lamayeza akho kwaye awunayo i-UTI, ugqirha wakho unokuvavanya iimeko ezithile zonyango ezisisiseko.

Nje ukuba ugqirha wakho anqume unobangela wokungabinakho ukusebenza, baya kusebenza nawe ukuphuhlisa isicwangciso sonyango olwenzelwe wena. Ukunyanga oyena nobangela kunokunciphisa iimpawu zakho.

Kukuthini ukungalawuleki ngokupheleleyo?

Ukungahambelani konke kuphawulwa kukuvuza komchamo rhoqo. Olu hlobo lokungakwazi ukuzibamba lunqabile.

Ziintoni iimpawu?

Abanye abantu baya kuvuza umchamo omncinci, kwaye abanye baya kuvuza izixa ezikhulu. Kuzo zombini iimeko, ukuvuza kuya kuhlala kunjalo.

Yintoni ebangela oko kwaye ngubani osemngciphekweni?

Ukungaziphathi ngokupheleleyo kunokubangelwa ngu:

• ingxaki yokwakhiwa kwesinyi sakho
• utyando lwe-pelvic olonakalisa isinyi sakho
• ukulimala kwethambo lomqolo okanye isifo esifana ne-multiple sclerosis, esithintela imiqondiso ye-nerve ukuba ingadluli phakathi kwesinyi kunye nengqondo
• i-fistula, okanye umngxunya phakathi kwesinyi kunye nelungu lobufazi (kwabasetyhini)

Ifunyaniswa njani kwaye inyangwa njani?

Ugqirha wakho uya kuqala avavanye iimpawu zakho kwaye anqume ukuba ukuvuza kuhlala kunjalo. Ukuba into ohlangabezana nayo kukungavisisani ngokupheleleyo, ugqirha wakho unokucebisa utyando ukulungisa i-fistula okanye ukonakala kwisinyi sakho.

Kwezinye iimeko, ugqirha wakho unokucebisa ukuba usebenzise i-catheter. Le yityhubhu ecekeceke ebekwe kwi-urethra yakho ukuze ukhuphe isinyi sakho.

Ukunxiba iiphedi zococeko okanye ezinye izinto ezingafunekiyo kunokunceda ekutsaleni nakuphi na ukufuma kunye nokufihla ivumba.

Yintoni eyenzekayo ngokulandelayo

Imbonakalo yakho ixhomekeke kwinto ebangela ukungazinzi kwakho. Ukunganyangeki okuxubeneyo kuyanyangeka ngokutshintsha indlela ophila ngayo, amayeza kunye notyando. Ukungahambelani okwethutyana kuhlala kuhamba emva kokuba uphathe ingxaki kwimeko engaphantsi. Ezinye izizathu zokungahambi kakuhle, ezinje ngefistula, zinokunyangwa.

Ukuba iimpawu zakho ziba nzima okanye ziqhubeka, qhagamshelana nogqirha wakho. Banokuvavanya isicwangciso sakho sonyango kwaye, ukuba kukho imfuneko, benze iingcebiso ezintsha.

Ungakuthintela njani ukungalawuleki

Ukungabikho kwengqondo akusoloko kuthintelwa, kodwa utshintsho oluthile kwindlela yokuphila lunokunceda ukunciphisa ukungxamiseka komchamo kunye nokuvuza.

Iingcebiso namacebo

• Nciphisa ulwelo. Sela izixa ezincinane zolwelo ngexesha. Yeka ukusela iiyure ezimbini ngaphambi kokulala. Gwema i-caffeine soda, utywala, kunye nekhofi, ezenza ukuba uhambe rhoqo.
• Yitya ifibre ngakumbi. Yitya iziqhamo ezitsha, imifuno, kunye neenkozo ezipheleleyo ukuthintela ukuqhinwa, okunokubangela ukungachami komchamo.
• Kuphephe ukutya okucaphukisa isinyi sakho. Hlala kude neziqhamo ze-citrus kunye nokunye ukutya okune-asidi, kunye nokutya okune-spices kunye ne-sweeteners ezingezizo.
• Gcina ubunzima obusempilweni. Ukutyeba kakhulu kubeka uxinzelelo ngakumbi kwisinyi sakho.