Into ekufuneka uyazi malunga nokuKhuthaza ukungahambelani

Umxholo

• Yintoni ebangela ukungahambi kakuhle?
• Ufanele umbone nini ugqirha?
• Kufunyaniswa njani ukungahambi kakuhle?
• Ngaba lukhona ulungiso lwasekhaya lokukhuthaza ukungahambi kakuhle?
• Utshintsho kwindlela yokuphila
• Ukuzivocavoca kukaKegel
• Ukuqeqeshwa kwakhona kwesinyi
• Zeziphi iindlela zonyango ezikhoyo?
• Inaliti yeBotox
• Izikhuthazi zemithambo-luvo
• Ipayipi yomchamo
• Zeziphi iingxaki ezinxulunyaniswa nokungahambi kakuhle?

Yintoni incontinence incontinence?

Ukubongoza ukungazibambi kwenzeka xa unomdla wokuchama ngequbuliso. Ekuvuseleleni ukungabinakho ukuzibamba, iikhontrakthi ze-urinary bladder xa zingafanelekanga, zibangela umchamo othile ukuba uvuza ngezihlunu ze-sphincter ezibambe isinyi zivaliwe. Amanye amagama ale meko ngala:

• isinyi esingaphezulu (OAB)
• i-bladder spasms
• ispasmodic bladder
• isinyi esinomsindo
• ukungabikho kozinzo

Ngelixa lo ngumbandela oqhelekileyo kwaye unokuchaphazela nabani na, abantu basetyhini kunye nabantu abadala basemngciphekweni omkhulu wokukhula.

Kubalulekile ukuba ukhumbule ukuba ukukhuthaza ukungahambelani akusisifo ngasinye. Luphawu lwendlela yokuphila okanye imiba yezonyango okanye iingxaki zomzimba.

Ukubongoza ukungalawuleki sisiqwengana sesakhelo esikhulu sokungasebenzi kakuhle komchamo. Kukho iindlela ezininzi zokungavumelani nomchamo, ukusukela ekuvuzeni isixa esincinci somchamo ngokukhohlela okanye ukuthimla kwisinyi esingaphezulu (OAB).

Ugqirha wakho unokuchonga uhlobo oluthile lokungakwazi ukuzibamba kunye nonobangela, kwaye banokucebisa ngeendlela zonyango ezinokubakho.

Yintoni ebangela ukungahambi kakuhle?

Kwiimeko ezininzi zokungahambi kakuhle, ugqirha akakwazi ukukhomba isizathu esifanelekileyo. Nangona kunjalo, ezinye izinto ezinokubangela zibandakanya:

• usulelo lwesinyi
• ukudumba kwesinyi
• amatye esinyi
• isithintelo sokuvuleka kwesinyi
• iprostate eyandisiweyo
• umhlaza wesinyi
• izifo zenkqubo ye-nervous, njenge-multiple sclerosis (MS)
• ukwenzakala kwinkqubo ye-nervous, enje nge trauma yomqolo okanye ukubetha

Ufanele umbone nini ugqirha?

Kubantu abaninzi, ukukhuthaza ukungazibambi yinto nje ephazamisayo engadingi kutyelelo lukagqirha.

Nangona kunjalo, ukuba unetyala elinobuzaza lokungahambi kakuhle, kuya kufuneka ufumane unyango kwangoko. Iimpawu zakho zinokubonisa:

• usulelo lwesinyi
• ukudumba kwesinyi
• isithintelo
• amatye esinyini okanye kwizintso

Ezinye zeempawu zokujonga ngaphandle kokuzibamba kwakho ziintlungu kwingingqi ye-pelvic, ukutshisa okanye iintlungu ngokuchama, okanye iimpawu eziqhubeka iintsuku ezininzi.

Ukongeza, ukuba ukungahambi kakuhle kuthintela imisebenzi yakho yemihla ngemihla, unokufuna ukutyelela ugqirha wakho ukuze axoxe ngeendlela zonyango okanye ezinye iindlela zokulawula imeko yakho.

Kufunyaniswa njani ukungahambi kakuhle?

Ukufumanisa ukungahambelani kunye nokuphuhlisa isicwangciso sonyango, umboneleli wakho wezempilo uya kukubuza malunga nembali yakho yonyango kunye nembali yokungasebenzi. Baya kuthi benze uvavanyo lomzimba, kubandakanya uvavanyo lwe-pelvic, kwaye bathathe isampulu yomchamo.

Umboneleli wakho wezempilo unokwenza uvavanyo olongezelelweyo xa kukho imfuneko, kubandakanya:

• Uvavanyo lomgangatho wePelvic. Olu vavanyo lokomelela kwezihlunu zakho zomgangatho we-pelvic.
• Uhlalutyo lomchamo. Olu vavanyo lujonga iimpawu zosulelo okanye ezinye iingxaki
• Inkcubeko yomchamo. Ukuba ukrokrela ukosuleleka kwendlela yokuchama, olu vavanyo lunokumisela ubunzima bentsholongwane ekhoyo.
• I-urinary bladder ultrasound. Oku kuvumela ugqirha wakho ukuba ajonge i-anatomy yesinyi kwaye abone ukuba ungakanani umchamo oshiyekileyo kwisinyi emva kokuchama.
• ICystoscopy. Ikhamera encinci kumgangatho we-fiberoptic ifakwe kwi-urethra yakho kwaye isetyenziselwe ukuvavanya i-urethra kunye ne-bladder.
• Izifundo ze-X-ray. Izifundo ezahlukeneyo ze-X-ray zivumela ugqirha wakho ukuba afumanise ukungasebenzi kakuhle:
  • Ipiramidi efakwa ngaphakathi (IVP). Idayi itofelwe kwigazi lakho, kwaye ii-X-reyi ze-fluoroscopic zithathwa kumatshini wakho wokuchama ukulandela idayi njengoko isiya kwi-urinary system yakho.
  • Intso, ureter, kunye nesinyi (KUB) isifundo. Olu phononongo lwe-X-ray olucacileyo lungasetyenziselwa ukufumanisa iimeko ezichaphazela iinkqubo zokuchama kunye nezesisu.
  • Ukuskena i-CT. Iikhompyuter kunye noomatshini beX-re abajikelezayo zisetyenziselwa ukuthatha imifanekiso eneenkcukacha zamalungu akho.
• Izifundo ze-Urodynamic. Olu phononongo lusetyenziselwa ukuvavanya indlela esisebenza ngayo isinyi kunye urethra.
  • Inkqubo yeCystometometry. Olu vavanyo lubeka ubungakanani besinyi kunye nokuba isinyi sakho sisebenza ngokufanelekileyo na.
  • Uroflowmetry. Olu vavanyo luchaza ukuba ukhulula kangakanani umchamo kwaye ukhutshwa ngokukhawuleza kangakanani.
• Uvavanyo loxinzelelo. Umboneleli wakho wezempilo uya kukucela ukuba wenze imisebenzi ebangela iimpawu zakho zokungahambi kakuhle.

Umboneleli wakho wezempilo angakucela ukuba ugcine idayari yesinyi ukulandela umkhondo wokungena kwamanzi kunye nokuchama. Olu lwazi lunokunceda ukuveza iipateni zomsebenzi ezinokuthi zibe nefuthe kwisicwangciso sakho sonyango.

Unyango luyahluka kwaye luxhomekeke kwiimpawu zakho ezikhethekileyo kunye nemeko. Umntu ngamnye uya kuba nesicwangciso sonyango esahlukileyo.

Ugqirha wakho uya kuncoma ukuba uzame unyango lwezokuziphatha, njengokuqeqeshwa kwesibindi kunye nokuzilolonga kwe-bladder, ngaphambi kokucebisa unyango olungenayo. Ugqirha wakho unokucetyiswa ukuba wenze umthambo kaKegel.

Ngaba lukhona ulungiso lwasekhaya lokukhuthaza ukungahambi kakuhle?

Uninzi lwabantu abanomdla wokungakwazi ukuzibamba banokuhlala ngaphandle konyango. Nangona kunjalo, imeko inokungonwabi kwaye ichaphazele kakubi ubomi bakho bemihla ngemihla. Unokufuna ukuqaphela ukuzama ezinye zeendlela zonyango ezininzi onokukhetha ukuzikhathaza ngazo.

Olunye unyango lunokulawulwa ngokwalo ekhaya. Thetha nogqirha wakho ukuba iimpawu zakho ziba zimbi okanye aziphucuki.

Utshintsho kwindlela yokuphila

Ukutshintsha ukutya okutyayo kunokunciphisa ukucaphuka kwesinyi. Kuya kufuneka unciphise ukutya kwakho utywala, icaffeine, kunye nokutya okune-spices, acid, okanye okunee-sweeteners ezingezizo.

Zama ukutya ifibre ngakumbi ukuthintela ukuqhinwa, okunokubeka uxinzelelo kwisinyi okanye kukwenze ube nomnqweno wokukhupha isinyi sakho.

Ukongeza, zama ukunciphisa umzimba ukuba utyebe kakhulu. Ukuba unesifo seswekile, uya kufuna ukuzama ukugcina inqanaba leswekile yegazi elizinzileyo nelamkelekileyo.

Ukuba uyatshaya, cinga ngokuyeka. Ukukhwehlela okunokubangela kunokukhokelela kuxinzelelo lokungakwazi ukuzibamba ngaphezulu kokungafuneki.

Unokufuna ukunxiba iphedi yokufunxa ngelixa usenza imisebenzi eyonyusa umngcipheko wokuvuza.

Lungisa imikhwa yakho yokuphila ukuze ube sempilweni ngokubanzi.

Ukuzivocavoca kukaKegel

Ukuzivocavoca kweKegel kuhlala kuyindlela yokuqala yonyango yokungahambelani nomchamo. Inkqubo yomeleza izihlunu ezibandakanyekileyo ekubambeni umchamo, ngakumbi izihlunu zomgangatho we-pelvic.

Zama ukontraka kumgangatho we-pelvic imizuzwana emi-5 ukuya kweli-10, emva koko uphumle ixesha elifanayo. Ukungenelela kumgangatho we-pelvic yindlela efanayo esetyenzisiweyo xa uyeke ngokuzithandela ukuhamba komchamo phakathi.

Ukuba awuqinisekanga ukuba uyenza ngokuchanekileyo, zama ukumisa umchamo wakho phakathi. Ukwenza umthambo weKegel kufuneka uphindaphinde uvakalelo lokumisa umchamo wakho.

Ukugxila ngokulula kumgangatho wakho we-pelvic kunye nekhontrakthi iyakwenza ukuba kusebenze izihlunu ezifanelekileyo. Phinda olu landelelwano ngokuphindaphinda kangangoko unako, amaxesha amathathu okanye nangaphezulu ngemini.

Unokwenza umthambo kaKegel nangaliphi na ixesha kwaye nakweyiphi na indawo. Ukuba ukonganyelwa ngugqirha, ungasebenzisa ii-cones ze-Kegel, ezinama-cones anesisindo agcinwe kwilungu lobufazi ngokungena kumgangatho we-pelvic. Njengoko izihlunu zakho zisomelela, usebenzisa ubunzima obunzima.

Olunye ukhetho lokomeleza umgangatho we-pelvic luguqulelo lombane lokuzilolonga kukaKegel. Apha ugqirha uyakufaka iprosesa kwindawo evulekileyo yelungu lobufazi okanye lempundu ukuze akhuthaze izihlunu zomgangatho we-pelvic ukuba zenze isivumelwano. Oku kunceda ukubomeleza. Nangona kunjalo, kuthatha iinyanga ezininzi kunye nonyango oluninzi ukuze lusebenze.

Ukuqeqeshwa kwakhona kwesinyi

Ukuphinda usebenze isinyi sakho kunokuqinisa izihlunu ezichaphazelekayo ngokuchama. Enye indlela ibandakanya ukuchama ngamaxesha athile kuphela, amiselweyo mihla le. Awunakho ukuchama ngamanye amaxesha, nokuba unomnqweno wokuhamba.

Ekuqaleni, unokuhamba iyure nganye kwaye wandise ixesha lokulinda ngesiqingatha seyure de ube uyenza iiyure ezi-3 ukuya kwezi-4 ngaphandle kokuvuza.

Enye indlela kukulibazisa ukuchama xa umnqweno ubetha. Oku komeleza amandla akho okubamba umchamo. Unokuzama nokuchama kwaye uphinde uphinde emva kwangoko ukuze ufunde ukukhupha isinyi ngokupheleleyo.

Zeziphi iindlela zonyango ezikhoyo?

Ugqirha wakho unokukunika ezinye iindlela zokonyango, ezinje ngamayeza okanye uqhaqho, ukunceda amandla emisipha kunye nokusebenza kwe-sphincter. Nazi ezinye iindlela ezimbalwa onokukhetha kuzo:

Inaliti yeBotox

Inani elincinci leBotox (i-toxin ye-botulinum) inokumisa izihlunu zesinyi ekubeni zingasebenzi kakhulu. Inaliti ezininzi zinokufuneka. Oku kunceda ukukhulula izihlunu zesinyi, kodwa kukwaqhuba umngcipheko wokugcina umchamo.

Izikhuthazi zemithambo-luvo

Izikhuthazi zemithambo-luvo zizixhobo ezincinci ezifana nezixhobo zentliziyo. Isixhobo esisigxina, esifakwe phantsi kwesikhumba sesisu sakho, sinocingo olukhokelayo olutsibela kwi-nerve ye-sacral. Ithumela ukukhanya okulula kwimithambo-luvo ukunceda ukulawula ukusebenza kwesinyi sakho.

Ipayipi yomchamo

I-catheter yomchamo lolunye ukhetho lwasekhaya ngokukodwa kwabo baneentlobo ezithile zokungaziphathi, kubandakanya ukuphuphuma kokungathinteki. Ugqirha wakho uya kukufundisa indlela yokufaka i-catheter, eya kuthi incede ukukhupha isinyi ngokupheleleyo xa uchama.

Zeziphi iingxaki ezinxulunyaniswa nokungahambi kakuhle?

Ngenxa yokuba ukukhuthaza ukungazibambi kuhlala kuyinto engapheliyo engenazo iingxaki ezinzulu, kukho iingozi ezimbalwa ezinxulunyaniswa nokungafuni unyango.

Ngethuba nje ungenayo enye impawu kunye nokungahambelani kwakho, njengentlungu okanye ukutshisa xa uchama, akukho mngcipheko omncinci.

Kodwa ukunganyangeki okungafunekiyo kunokuba nzima, kwaye kunokuphazamisa imisebenzi yobomi bemihla ngemihla kunye nobudlelwane.

Ukongeza, kuya kufuneka ubone ugqirha ukuba ngaba usulelo, amatye esinyi, okanye omnye umthombo wokudumba sisizathu esikrokrisayo sokungasebenzi kakuhle kwakho. Ukuba kukho, usulelo lwesinyi lunokusasazeka luye kwizintso, kwigazi, nakwezinye iindawo zomzimba.