I-Shadder Bladder (iParuresis)

Umxholo

• Ziintoni iimpawu zesinyi esineentloni?
• Yintoni unobangela wesinyi esineentloni?
• Luthini unyango lwesinyi esinentloni?
• Amayeza amiselweyo
• Amayeza okuphepha
• Inkxaso yezempilo yengqondo
• Zeziphi iingxaki zesinyi esineentloni?
• Iyintoni imbonakalo yesinyi esineentloni?

Yintoni i-bladder bladder?

I-bladder eneentloni, ekwabizwa ngokuba yi-paruresis, yimeko apho umntu esoyika ukusebenzisa igumbi lokuhlambela xa abanye bekufuphi. Ngenxa yoko, banamaxhala abalulekileyo xa kufuneka basebenzise igumbi langasese kwiindawo zikawonke-wonke.

Abo bane-bladder bladder banokuzama ukunqanda ukuhamba, ukunxulumana nabanye, kwaye nokusebenza eofisini. Banokuba nobunzima bokuchama kwiimfuno zovavanyo lweziyobisi ngokungafunekiyo esikolweni, emsebenzini, okanye kwiimbaleki.

Kuqikelelwa ukuba bangama-20 ezigidi abantu eUnited States abachaphazeleka yi-bladder bladder. Ukusuka kubantwana abasele bekhulile ukuya kwabadala, le meko inokwenzeka nokuba kunjani na ubudala.

I-bladder eneentloni iyanyangeka kakhulu.

Ziintoni iimpawu zesinyi esineentloni?

Abo bane-bladder eneentloni banoloyiko lokuchama kwindawo yangasese yoluntu okanye kufutshane nabanye, nasekhaya. Banokuzama "ukuzenzela" ngokwabo basebenzise indlu yangasese, kodwa bafumane ukuba abanako. Rhoqo, abantu abane-bladder eneentloni baya kuzama ukutshintsha indlela abaziphethe ngayo ukunqanda ukusebenzisa indlu yangasese yoluntu. Imizekelo ibandakanya:

• ukunqanda iimeko zentlalo, ukuhamba, okanye amathuba emisebenzi ngenxa yokoyika ukuba uchame esidlangalaleni
• ukusela ulwelo oluncinci ukunqanda ukuba uchame kakhulu
• kuva iimvakalelo zoxinzelelo ekucingeni okanye xa uzama ukusebenzisa indlu yangasese yoluntu, enje ngokubetha kwentliziyo ngokukhawuleza, ukubila, ukugungqa, kunye nokuquleka
• soloko ukhangela izindlu zangasese ezingenanto okanye ezinendlu yangasese enye kuphela
• ukugoduka ngekhefu lesidlo sasemini okanye elinye ikhefu ukuyokuchama emva koko ubuyele emsebenzini
• ukuzama ukusebenzisa indlu yangasese rhoqo ekhaya ukuze bangayi kubakho esidlangalaleni

Ukuba amava akho ezi mpawu rhoqo okanye utshintshe kakhulu imikhwa yakho yentlalontle ngenxa yesinyi esineentloni, kuya kufuneka ubonane nogqirha.

Yintoni unobangela wesinyi esineentloni?

Oogqirha bahlela i-bladder eneentloni njenge-phobia yentlalo. Ngelixa unxunguphalo kwaye ngamanye amaxesha uloyiko lunokuba ziimvakalelo ezinxulunyaniswa nesinyazi esineentloni, oogqirha banokuhlala bedibanisa oonobangela kwizinto ezininzi. Oku kubandakanya:

• Imeko yendalo esingqongileyo, enje ngembali yokugezelwa, ukungcungcuthekiswa, okanye ukuhlaziswa ngabanye ngokunxulumene nokusebenzisa indlu yangasese
• imeko yemfuza yokuxhalaba
• izinto zomzimba, kubandakanya nembali yeemeko zonyango ezinokuchaphazela amandla okuchama

Nangona oogqirha becinga ukuba i-bladder bladder yi-phobia yentlalo, ayisosifo sengqondo. Nangona kunjalo, iyabonisa imeko yempilo yengqondo efanele inkxaso nenkxaso.

Luthini unyango lwesinyi esinentloni?

Unyango lwe-bladder eneentloni zihlala zibandakanya indibaniselwano yenkxaso yezempilo yengqondo kwaye ngamanye amaxesha amayeza. Ugqirha wakho kufuneka akuvavanye ukuqinisekisa ukuba awunayo ingxaki yonyango echaphazela amandla akho okuchama. Ukuba ufumana ukuxilongwa kwe-bladder bladder, kuya kufuneka uphathwe ngesicwangciso esizimeleyo seempawu zakho ezizodwa kunye nezizathu.

Amayeza amiselweyo

Ugqirha wakho unokukunika amayeza esinyazi esinyazi esiphatha isinyi okanye naluphi na uxinzelelo. Nangona kunjalo, amayeza ayisoloko eyimpendulo kwaye khange abonakaliswe ukuba asebenza ngokukodwa kwabo bane-bladder eneentloni.

Imizekelo yamayeza amiselweyo ukunyanga isinyi esineentloni kubandakanya:

• uxinzelelo-lokunciphisa amayeza, anjenge-benzodiazepines njenge-alprazolam (Xanax) okanye i-diazepam (Valium)
• i-anti-depressants, efana ne-fluoxetine (Prozac), i-paroxetine (Paxil), okanye i-sertraline (iZoloft)
• i-alpha-adrenergic blockers ephumza umsipha wesinyi sakho ukwenza kube lula ukusebenzisa indlu yangasese, njenge-tamsulosin (Flomax)
• amayeza asetyenziselwa ukunciphisa ukugcinwa komchamo, njenge-bethanechol (Urecholine)

Amayeza okuphepha

Ukongeza kunyango lokunciphisa isinyi esineentloni, ugqirha wakho unokuphinda aphonononge amayeza akho ukumisela ukuba ngaba uthatha amayeza anokwenza kube nzima ngakumbi ukuchama. Imizekelo yoku ibandakanya:

Anticholinergics, enje:

• atropine
• iglycopyrrolate (iRobinul)

Unyango lwe-Noradrenergic olonyusa inani le-norepinephrine emzimbeni, njenge:

• venlafaxine (i-Effexor XR)
• Umda we-nortriptyline (Pamelor)
• Ibupropion (Wellbutrin)
• atomoxetine (eStrattera)

Oogqirha bamisela uninzi lala mayeza njengezidambisi zengqondo.

Inkxaso yezempilo yengqondo

Inkxaso yezempilo yengqondo yesinyi esinentloni inokubandakanya unyango lokuziphatha, okanye i-CBT. Olu hlobo lonyango lubandakanya ukusebenza nonyango ukuze lubone iindlela iintloni ezinyibilikayo ezitshintshe indlela oziphethe ngayo kunye neengcinga kunye nokukuveza kancinci kwiimeko apho unokunciphisa uloyiko lwakho. Le ndlela inokuthatha naphi na kwiiseshoni zonyango ezi-6 ukuya kwezili-10. Uqikelelo lwabantu abangama-85 kwabali-100 abanokulawula isinyi sabo esineentloni nge-CBT. Ukuthatha inxaxheba kwi-intanethi okanye kumaqela enkxaso yomntu nako kunokunceda.

Zeziphi iingxaki zesinyi esineentloni?

I-bladder eneentloni inokuba nobunzima ekuhlaleni nakwimizimba. Ukuba ubambe umchamo wakho ixesha elide, usemngciphekweni wokosulelwa ngumchamo kunye nokubuthathaka kwezihlunu zomgangatho we-pelvic ezisetyenziselwa ukuchama. Unokuba namatye eentso, amatye e-salivary gland, kunye namatye e-gallstones ngenxa yokunciphisa ukungena kwakho kwamanzi.

Ukuxhalaba okunxulunyaniswa nesinye esineentloni kunokukhokelela ekubeni utshintshe kakhulu indlela oziphethe ngayo ukunqanda ukuphuma uye esidlangalaleni. Oku kunokuchaphazela ubudlelwane bakho nabahlobo kunye nosapho kwaye kuthintele amandla akho okusebenza.

Iyintoni imbonakalo yesinyi esineentloni?

I-bladder eneentloni iyanyangeka. Ukuba une-bladder eneentloni, unokunciphisa uxinzelelo lwakho kwaye uchame ngempumelelo esidlangalaleni. Nangona kunjalo, inkxaso yezonyango kunye neyengqondo efunekayo ukuze ufikelele kule njongo inokuthatha ixesha, elinokuba naphi na ukusuka kwiinyanga ukuya kwiminyaka.