Ukuphuphuma kokungahambi kakuhle: Yintoni le kwaye ithathwa njani?

Umxholo

• Ngaba oku kuqhelekile?
• Yintoni ebangela oku kwaye ngubani osemngciphekweni
• Ithelekiswa njani nezinye iintlobo zokungakwazi ukuzibamba
• Ukuchonga ukungahambelani okuphuphumayo
• Izinketho zonyango
• Uqeqesho lokuziphatha ekhaya
• Iimveliso kunye nezixhobo zonyango
• Amayeza
• Ugqirha
• Unyango lwezinye iintlobo zokungahambi kakuhle
• Unyango olungenelelayo
• Imbonakalo

Ngaba oku kuqhelekile?

Ukuphuphuma kokungalawuleki kwenzeka xa isinyi sakho singabinanto ngokupheleleyo xa uchama. Inani elincinci lomchamo oshiyekileyo liphuma kamva kuba isinyi sakho sigcwele kakhulu.

Unako okanye ungaziva isidingo sokuchama ngaphambi kokuba kuvele ukuvuza. Olu hlobo lokungahambelani nomchamo ngamanye amaxesha kubizwa ngokuba kukuqhuba.

Ngaphandle kokuvuza komchamo, unokufumana:

• ingxaki yokuqalisa ukuchama kunye nomsinga obuthathaka wakuba uqale
• ukuvuka rhoqo ebusuku ukuze uchame
• ukusuleleka rhoqo kumchamo

Ukungabikho komchamo kuqhelekile kubantu abadala. yabantu baseMelika abaneminyaka engama-65 nangaphezulu bayifumene.

Ukungabikho komchamo ngokubanzi kubasetyhini njengamadoda, kodwa amadoda kunokwenzeka ngakumbi kunabafazi ukuba baphuphume kukungakwazi ukuzibamba.

Qhubeka ufunda ukuze ufunde ngakumbi ngezizathu, izinto ezinobungozi, unyango kunye nokunye.

Yintoni ebangela oku kwaye ngubani osemngciphekweni

Esona sizathu siphambili sokungahambi kakuhle kukungagcinwa komchamo okungapheliyo, okuthetha ukuba awukwazi ukukhupha isinyi sakho. Kuya kufuneka uchame rhoqo kodwa ube nengxaki yokuqala uchame kwaye ukhuphe ngokupheleleyo isinyi sakho.

Ukugcinwa komchamo okungapheliyo kuxhaphake kakhulu emadodeni kunabafazi. Emadodeni, ihlala ibangelwa yi-benign prostatic hyperplasia, oko kuthetha ukuba iprostate iyandiswa kodwa ayisiyomhlaza.

IProstate ibekwe emazantsi e-urethra, ityhubhu ekhupha umchamo emzimbeni womntu.

Xa iprotrate ikhula, ibeka uxinzelelo kwi-urethra, yenze kube nzima ukuba uchame. Isinyi sinokuphinda sisebenze kakhulu, senze ukuba indoda enesinyi esandisiweyo ive umnqweno wokuchama rhoqo.

Ngokuhamba kwexesha, oku kunokuyenza buthathaka imisipha yesinyi, yenze kube nzima ukukhupha isinyi ngokupheleleyo. Umchamo oshiyekileyo kwisinyi uyenza igcwale rhoqo, kwaye umchamo uyavuza.

Ezinye izizathu zokungahambi kakuhle kwamadoda nabasetyhini zibandakanya:

• amatye esinyi okanye amathumba
• iimeko ezichaphazela iimbilini, njenge-multiple sclerosis (MS), isifo sikashukela, okanye ukulimala kwengqondo
• utyando lwangaphambili lwangasese
• amayeza athile
• Ukwanda kakhulu kwesibeleko somfazi okanye isinyi

Ithelekiswa njani nezinye iintlobo zokungakwazi ukuzibamba

Ukuphuphuma okungafunekiyo yenye yeendlela ezininzi zokungahambi kakuhle komchamo. Nganye inezizathu ezahlukeneyo kunye neempawu:

Ukungabikho koxinzelelo: Oku kwenzeka xa umsebenzi womzimba, njengokutsiba, ukuhleka, okanye ukukhohlela, kubangela ukuba umchamo uvuze.

Izizathu ezinokubakho zibuthathaka okanye zonakalise izihlunu zeplavic, urethral sphincter, okanye zombini. Ngokwesiqhelo, awuva sidingo sokuchama ngaphambi kokuba kwenzeke ukuvuza.

Abasetyhini abazise umntwana kwilungu lobufazi banokuba semngciphekweni wolu hlobo lokungakwazi ukuzibamba ngenxa yokuba izihlunu zomgangatho we-pelvic kunye neerves zingonakaliswa ngexesha lokubeleka.

Khuthaza ukungahambelani (okanye isinyi esisebenzayo): Oku kubangela isidingo esomeleleyo, ngesiquphe sokuchama nokuba isinyi sakho asizalanga. Usenokungakwazi ukuyenza ngexesha lokuhlambela.

Unobangela uhlala ungaziwa, kodwa uhlala usenzeka kubantu abadala. Ngamanye amaxesha, sisiphumo secala losulelo okanye iimeko ezithile, njengesifo sika-Parkinson okanye i-MS.

Ukungahambi kakuhle: Oku kuthetha ukuba unoxinzelelo kwaye unqwenela ukungazibambi.

Abasetyhini abane-incontinence bahlala benolu hlobo. Kuyenzeka nakumadoda athe wasuswa iprostate okanye watyandelwa iprotate eyandisiweyo.

Ukungahambi kakuhle kwe-Reflex: Oku kubangelwa yimithambo eyonakeleyo engakwaziyo ukulumkisa ingqondo yakho xa isinyi sakho sigcwele. Oku kuhlala kwenzeka kubantu abanomonakalo omkhulu we-neurological ukusuka:

• ukwenzakala emqolo
• NKSK
• utyando
• Unyango ngemitha

Ukungasebenzi kakuhle kokusebenza: Oku kuyenzeka xa umba ongahambelaniyo nomchamo ubangela ukuba ube neengozi.

Ngokukodwa, awuyazi ukuba kufuneka uchame, awunakho ukunxibelelana ukuba kufuneka uye, okanye ngokwasemzimbeni awukwazi ukuya kwigumbi lokuhlambela ngexesha.

Ukungasebenzi kakuhle kokusebenza kunokuba sisiphumo secala:

• Isifo sengqondo esiyingozi
• Isifo se-Alzheimer
• isigulo sengqondo
• ukukhubazeka emzimbeni
• amayeza athile

Ukuchonga ukungahambelani okuphuphumayo

Ugqirha wakho unokucela ukuba ugcine idayari yesinyi iveki okanye phambi kokuqeshwa kwakho. Idayari yesinyi inokukunceda ufumane iipateni kunye nezizathu ezinokubangela ukungahambi kakuhle kwakho. Kwiintsuku ezimbalwa, rekhoda:

• usela kangakanani
• xa uchama
• umyinge womchamo owenzayo
• nokuba unomdla wokuchama
• inani lokuvuza onalo

Emva kokuxoxa ngeempawu zakho, ugqirha wakho angenza uvavanyo lokuqonda isifo ukuze abone uhlobo lokungaziphathi onalo:

• Uvavanyo lokukhohlela (okanye uvavanyo loxinzelelo) kubandakanya ukukhwehlela ngelixa ugqirha wakho ejonga ukubona ukuba umchamo uyavuza na.
• Uvavanyo lomchamo lujonga igazi okanye iimpawu zosulelo kumchamo wakho.
• Uvavanyo lwe-Prostate lutshekisa iprostate eyandisiweyo emadodeni.
• Uvavanyo lwe-urodynamic lubonisa ukuba ungakanani umchamo onokuthi ubambe isinyi sakho nokuba ungabinanto ngokupheleleyo.
• Umlinganiso oshiyekileyo oshiyekileyo ujonga ukuba ungakanani umchamo oshiyekileyo kwisinyi sakho emva kokuba uchamile. Ukuba isixa esikhulu sihleli, oko kunokuthetha ukuba unebhlokhi kumjelo wakho wokuchama okanye ingxaki kwimisipha yesinyi okanye kwimithambo-luvo.

Ugqirha wakho unokuphinda acebise uvavanyo olongezelelweyo, njenge-pelvic ultrasound okanye i-cystoscopy.

Izinketho zonyango

Ngokuxhomekeke kwiimfuno zakho ezithile, isicwangciso sakho sonyango sinokubandakanya enye okanye ngaphezulu koku kulandelayo:

Uqeqesho lokuziphatha ekhaya

Uqeqesho lokuziphatha ekhaya lunokukunceda ufundise isinyi sakho ukulawula ukuvuza.

• Kunye uqeqesho lwesinyi, ulinda isixa esithile sexesha lokuchama emva kokuba uziva unqwenela ukuya. Qala ngokulinda imizuzu eyi-10, kwaye uzame ukusebenza ngendlela yakho ukuya kukuchama kuphela iiyure ezi-2 ukuya kwezi-4.
• Ukuphinda kabini ukuvala kuthetha ukuba emva kokuchama, ulinda imizuzwana embalwa kwaye uzame ukuphinda uhambe. Oku kunokunceda ukuqeqesha isinyi sakho ukuba sikhuphe ngokupheleleyo.
• Zama ikhefu lokuhlambela elicwangcisiweyo, apho uchama khona iiyure ezi-2 ukuya kwezi-4 endaweni yokulinda ukuba uve umnqweno wokuya.
• Imithambo yePelvic (okanye iKegel) kubandakanya ukuqinisa izihlunu ozisebenzisayo ukuyeka ukuchama. Qinisa imizuzwana emi-5 ukuya kweli-10, emva koko uphumle ixesha elifanayo. Sebenza indlela yakho ukuya kwenza i-10 reps, kathathu ngemini.

Iimveliso kunye nezixhobo zonyango

Unokwazi ukusebenzisa ezi mveliso zilandelayo ukunceda ukumisa okanye ukubamba ukuvuza:

Iimpahla zangaphantsi zabantu abadala ziyafana ngobuninzi kwimpahla yangaphantsi eqhelekileyo kodwa zifunxa ukuvuza. Ungazinxiba phantsi kwempahla yemihla ngemihla. Amadoda anokufuna ukusebenzisa ingqokelela yedriphu, eyisixhobo sokufunxa esibambe endaweni ngeengubo zangaphantsi ezifanelekileyo.

A ipayipi yityhubhu ethambileyo oyifaka kwi-urethra yakho izihlandlo ezininzi ngemini ukukhupha isinyi sakho.

Ukufakwa kwabasetyhini kunokunceda kwimicimbi eyahlukeneyo enxulumene nokungahambelani:

• A ipesika yindandatho yelungu lobufazi eqinileyo oyifakayo kwaye uyinxiba imini yonke. Ukuba unesibeleko esaphukileyo okanye isinyi, iringi iyanceda ukubamba isinyi sakho endaweni ukuthintela ukuvuza komchamo.
• A ukufakwa kwerethral sisixhobo esilahlayo esifana netampon oyifaka kwi-urethra yokumisa ukuvuza. Uyifaka ngaphambi kokwenza nayiphi na into eyenziwa ngumzimba edla ngokubangela ukungazibambi kwaye uyisuse ngaphambi kokuchama.

Amayeza

La mayeza aqhelekileyo asetyenziselwa ukunyanga ukungahambi kakuhle.

Iibhloko zeAlpha phumla imisipha yemisipha kwiprostate yendoda nakwimisipha yentamo yesinyi ukunceda isinyi lingenanto ngokupheleleyo. I-alpha-blockers eqhelekileyo ibandakanya:

• alfuzosin (Uroxatral)
• itamsulosin (Flomax)
• doxazosin (Cardura)
• isilodosin (iRapaflo)
• terazosin

5a ukunciphisa i-inhibitors inokuba yindlela yokwenza unyango kubantu. La mayeza anceda ukunyanga i-prostate gland eyandisiweyo.

Amayeza okuphuphuma kokungalawuleki asetyenziswa ikakhulu emadodeni. Bobabini abesilisa nabasetyhini banokuzuza kuqhaqho okanye ekusebenziseni iicatheters ukunceda isinyi singenanto njengoko kufanelekile.

Ugqirha

Ukuba olunye unyango alusebenzi, utyando lunokukhetha, kubandakanya:

• iinkqubo isilingi
• Ukumiswa kwentamo yesinyi
• utyando lweprolapse (ukhetho oluqhelekileyo kunyango lwabasetyhini)
• i-sphincter yokufakelwa komchamo

Unyango lwezinye iintlobo zokungahambi kakuhle

I-Anticholinergics zisetyenziselwa ukunceda ukuphatha isinyi esingaphezulu kokusebenza ngokuthintela i-bladder spasms. I-anticholinergics eqhelekileyo ibandakanya:

• Oxybutynin (Ditropan XL)
• itolterodine (Detrol)
• darifenacin (Enablex)
• isisombululo (Vesicare)
• trospium
• ifesoterodine (iToviaz)

IMirabegron (iMyrbetriq) ibuyisa isihlunu sesinyi ukunceda ukunyanga ukungahambelani. Inokukunceda ukuba isinyi sakho sibambe umchamo ongaphezulu kwaye ungabinanto ngokupheleleyo.

Iipatches thumela amayeza ngesikhumba sakho. Ukongeza kwifom yeethebhulethi, i-oxybutynin (i-Oxytrol) iza njengesiqwengana somchamo esinceda ukulawula ukuphazamiseka kwemisipha yesinyi.

Idosi esezantsi yedosi yestrogen inokuza kwikrimu, isiziba, okanye iringi yelungu lobufazi. Inokunceda abasetyhini babuyisele kunye neethoni zethoni kwi-urethra nakwiindawo zangasese ukunceda kwiimpawu ezithile zokungahambi kakuhle.

Unyango olungenelelayo

Unyango olungenelelayo lunokusebenza ukuba olunye unyango alukhange luncede kwiimpawu zakho.

Kukho iintlobo ezimbalwa zonyango olungenelelayo lokungabikho komchamo.

Eyona nto inokukunceda ekunyanzelweni kokungakwazi ukuzibamba kubandakanya inaliti yezinto zokwenziwa, ezibizwa ngokuba yi-bulking material, kwizicubu ezijikeleze urethra. Oku kunceda ukugcina i-urethra ivaliwe, enokunciphisa ukuvuza komchamo.

Imbonakalo

Ukuba une-incontinence ephuphumayo, thetha nogqirha wakho malunga nokhetho lonyango.

Kuya kufuneka uzame iindlela ezimbalwa ngaphambi kokuba ufumane ezisebenzayo kuwe, kodwa kuhlala kunokwenzeka ukulawula iimpawu zakho kunye nokunciphisa ukuphazamiseka kubomi bakho bemihla ngemihla.