Ukuyeka ukuya exesheni kuyichaphazela njani i-OAB?

Umxholo

• Iimpawu ze-OAB
• Amanqanaba e-Estrogen ehla ngexesha lokuyeka ukuya exesheni
• I-Estrogen ichaphazela isinyi sakho kunye ne-urethra
• Ukubeleka, ukwenzakala, kunye nezinye izinto
• Yintoni onokuyenza ukulawula i-OAB?
• Amayeza
• Ngaba ukubuyisela uncedo lwe-estrogen?
• Yenza idinga nogqirha wakho

Iimpawu kunye neempawu zokuyeka ukuya exesheni

Ukuyeka ukuya exesheni kuchazwa njengesihlandlo sokugqibela sokuya exesheni komfazi. Ugqirha wakho uya kukrokrela ukuya exesheni ukuba uneenyanga ezili-12 ezichanekileyo ngaphandle kwamaxesha. Nje ukuba yenzekile, imijikelo yakho yokuya exesheni ngokwenkcazo ifikelele esiphelweni.

Ixesha elikhokelela ekuyekeni ukuya exesheni liyaziwa njengexesha lokugqibela. Ngexesha lokugqibela, umzimba wakho uhamba ngotshintsho kumanqanaba ehomoni. Olu tshintsho lungaqala iminyaka eliqela ngaphambi kokuba uyeke ukuya exesheni kwaye kunokubangela iimpawu. Emva kokuphela kwexesha lokuya exesheni, ukuphela kwexesha lakho.

Uninzi lwabasetyhini lufikelela kweli nqanaba lobomi sele benamashumi amane eminyaka okanye iminyaka engamashumi amahlanu kwangoko. Iminyaka yobudala yokuyeka ukuya exesheni e-US ngama-51.

Ngaphambi kunye nangexesha lokuyeka ukuya exesheni, unokufumana iimpawu kunye neempawu ezithile, kubandakanya:

• utshintsho kwixesha lakho elahlukileyo kumjikelezo wakho oqhelekileyo
• ukutshisa okutshisayo, okanye ukuziva ngesiquphe kobushushu kwindawo ephezulu yomzimba wakho
• ingxaki ngobuthongo
• ukutshintsha iimvakalelo malunga nezesondo
• ukutshintsha komzimba kunye neemvakalelo
• utshintsho kwilungu lakho lobufazi
• utshintsho kulawulo lwesinyi

Olu tshintsho kulawulo lwakho lwesinyi lunokunyusa umngcipheko wokuphuhlisa isinyi esingaphezulu (OAB). Abafazi abangama-351 eTshayina babonisa ukuba iipesenti ezi-7.4 zine-OAB. Baye bafumanisa ukuba abasetyhini abaneempawu zokuya exesheni bahlala benomngcipheko ophezulu we-OAB kunye neempawu ze-OAB.

Iimpawu ze-OAB

I-OAB ligama lokuqokelela iimpawu ezinxulumene nolawulo lwesinyi. Ezi mpawu zinokubandakanya:

• ukuchama rhoqo
• ukufumana iminqweno yequbuliso yokuchama
• ukuba nobunzima bokuya kwigumbi lokuhlambela ngaphandle kokuvula umchamo kuqala
• efuna ukuchama amaxesha amabini nangaphezulu ebusuku

Ebudaleni, ezi mpawu zinokunyusa umngcipheko wokuwa, ngakumbi xa ungxamela kwindlu yangasese. Ukwaluphala kukwanxulunyaniswa ne-osteoporosis, ke ukuwa kuhlala kunzima kakhulu. Uphando kwakhona ukuba abantu abadala ababhinqileyo abane-OAB kunye nokungaziphathi kakuhle banomngcipheko okhulayo wokukhubazeka, ukuzihlola kakubi, umgangatho wokulala, kunye nokuba sempilweni ngokupheleleyo.

Yenza idinga nogqirha wakho ukuba ubona utshintsho kwiimpawu zakho zokuchama okanye zesinyi. Ukuba uhlala uziva unomdla wokuchama kunzima ukulawula, unokuba ne-OAB.

Amanqanaba e-Estrogen ehla ngexesha lokuyeka ukuya exesheni

I-Estrogen ichaphazela isinyi sakho kunye ne-urethra

I-OAB ngenxa yokuyeka ukuya exesheni inokuba sisiphumo sokutshintsha amanqanaba e-estrogen. I-Estrogen yeyona hormone iphambili yabasetyhini. Amaqanda akho avelisa uninzi lwe-estrogen yakho. Kubalulekile kwimpilo yakho yesondo kunye nenkqubo yokuzala. Ikwachaphazela impilo yamanye amalungu kunye nezicubu emzimbeni wakho, kubandakanya izihlunu zakho zangasese kunye nomchamo.

Ngaphambi kokuyeka ukuya exesheni, ukubonelelwa okuzinzileyo kwe-estrogen kunceda ekugcineni amandla kunye nokuguquguquka kwezihlunu zakho ezixhasayo zepelvic kunye nesinyi. Ngexesha lokuyeka ukuya exesheni kunye nokuyeka ukuya exesheni, amanqanaba eestrogen akho ehla kakhulu. Oku kunokubangela ukuba izicubu zakho zibuthathaka. Amanqanaba asezantsi e-estrogen nawo anokufaka isandla kuxinzelelo lwemisipha ejikeleze urethra yakho.

Utshintsho kumanqanaba eehomoni nawo anokunyusa umngcipheko wosulelo lwe-urinary tract (UTIs) ngexesha lokuya exesheni kunye nokuyeka ukuya exesheni. Ii-UTIs zinokuba neempawu ezifanayo ne-OAB. Thetha nogqirha wakho malunga naluphi na utshintsho olutsha kwimikhwa yakho yokuchama.

Ukubeleka, ukwenzakala, kunye nezinye izinto

Ukwanda kweminyaka yinto eqhelekileyo yomngcipheko wokuphazamiseka kwethambo lomqolo, kubandakanya i-OAB kunye nokungahambelani nomchamo. Ezinye izigaba zobomi zinokuchaphazela ne-bladder yakho. Umzekelo, ukukhulelwa kunye nokuzala kunokutshintsha ithoni yelungu lobufazi, izihlunu zomgangatho wakho we-pelvic, kunye nemisipha exhasa isinyi sakho.

Ukonakala kwemithambo yezifo kunye nokwenzakala kunokubangela ukungqinelana phakathi kwengqondo kunye nesinyi. Amayeza, utywala, kunye ne-caffeine inokuchaphazela imiqondiso kwingqondo kwaye ibangele ukuba i-bladder iphuphume.

Yintoni onokuyenza ukulawula i-OAB?

Ukuba unayo i-OAB, unokuziva ufuna ukuya kwigumbi lokuhlambela- kakhulu. NgokukaMbutho weSizwe weLizwekazi, ikota yabasetyhini abadala banamava okungahambelani nomchamo. Oku kuthetha ukuba uvuza ngokungafunekiyo xa uthumela umnqweno wokuhamba. Ngethamsanqa, kukho amanyathelo onokuwathatha ukulawula i-OAB kunye nokunciphisa umngcipheko weengozi.

Uluhlu lokuqala lonyango lwe-OAB alunyangi. Oku kubandakanya:

Ukuzivocavoca kukaKegel: Eyaziwa nangokuthi yimithambo ye-pelvic yomzimba, ii-kegels zikunceda ukuba unqande ukunganyanzeleki kwesinyi. Kungathabatha iiveki ezintandathu ukuya kwezisibhozo phambi kokuba uqaphele umphumo.

Ukuqeqeshwa kwakhona kwesinyi: Oku kunokukunceda ekwakheni ngokuthe ngcembe ixesha onokulilindela ukuya kwigumbi lokuhlambela xa ufuna ukuchama. Inokukunceda ukunciphisa umngcipheko wokungazinzi.

Ukuphinda kabini ukuvala: Lindela imizuzu embalwa emva kokuchama kwaye uphinde uphinde uqiniseke ukuba isinyi sakho asinalutho kwaphela.

Iipads zokufunxa: Ukunxiba ii-liners kunokunceda ekungabambekini ukuze ungaphazamisi imisebenzi.

Ukugcina ubunzima obusempilweni: Ubunzima obongezelelweyo bubeka uxinzelelo kwi-bladder, ngoko ukunciphisa umzimba kunokunceda ukunciphisa iimpawu.

Amayeza

Ugqirha wakho unokukunika amayeza ukuba i-kegels kunye ne-bladder retraining ayisebenzi. La mayeza anceda ukukhulula isinyi kunye nokuphucula iimpawu ze-OAB.

Ngaba ukubuyisela uncedo lwe-estrogen?

Nangona amanqanaba e-estrogen anciphile echaphazela isinyi kunye ne-urethra, unyango lwe-estrogen alunakuba lunyango olusebenzayo. Ngokwe-Mayo Clinic, abukho ubungqina benzululwazi obaneleyo bokuxhasa ukusetyenziswa kweekhrimu ze-estrogen okanye iipatches ukunyanga i-OAB. Unyango lweHormone aluvunyelwanga yi-FDA kunyango lwe-OAB okanye ukungavisisani, kwaye ithathwa ngokuba "kukusetyenziswa kwelebheli engekho" kwezi meko.

Okwangoku, abanye abantu basetyhini bathi unyango lwe-estrogen olusisiseko luyanceda ukulawula ukuvuza komchamo kunye nomnqweno wokuya. Olu nyango lunokuphucula ukuhamba kwegazi kwaye lomeleze izicubu ezijikeleze urethra yakho. Thetha nogqirha wakho ukuba unomdla kunyango olubuyisela i-hormone.

Ukusetyenziswa kweziyobisi ezingekho kwilebheli kuthetha ukuba ichiza elivunyiweyo yi-FDA ngenjongo enye lisetyenziselwa injongo eyahlukileyo engavunyelwanga. Nangona kunjalo, ugqirha usenokulisebenzisa iyeza ukulungiselela loo njongo. Kungenxa yokuba i-FDA ilawula ukuvavanywa kunye nokuvunywa kwamachiza, kodwa hayi indlela abagqirha abazisebenzisa ngayo iziyobisi ukunyanga izigulana zabo. Ke, ugqirha wakho unokuyalela ichiza kodwa bacinga ukuba kokona kulungileyo ukukhathalela kwakho.

Yenza idinga nogqirha wakho

Cwangcisa idinga lakho nogqirha wakho ukuba:

• uchame ngaphezu kwesibhozo amaxesha ngemini
• rhoqo uvuka ebusuku uchame
• amava okuvuza rhoqo kumchamo
• Utshintshe imisebenzi yakho ukulungiselela iimpawu ze-OAB okanye ukungahambelani nomchamo

Ungavumeli i-OAB iphazamise indlela onwabela ngayo imisebenzi yemihla ngemihla. Unyango lwe-OAB luyasebenza kwaye lunokukunceda ukuba uphile ubomi obusempilweni nobusebenzayo.