Cindezela ukungahambisani nomchamo

Ukucindezelwa ukungasebenzi komchamo kwenzeka lapho isinye sakho sivuza umchamo ngesikhathi somzimba noma sokuzikhandla. Kungenzeka uma ukhwehlela, uthimula, uphakamisa okuthile okusindayo, ushintshe indawo, noma uvivinya umzimba.

Ukungakwazi ukucindezela kwenzeka lapho izicubu ezisekela i-urethra yakho ziba buthakathaka.

• Isinye ne-urethra kusekelwa yimisipha yaphansi ye-pelvic. Umchamo ugeleza uvela esinyeni sakho ngokusebenzisa umchamo wakho uye ngaphandle.
• I-sphincter imisipha ezungeze ukuvuleka kwesinye. Iyakhama ukuvimbela umchamo ukuthi ungavuzi ngomchamo.

Lapho noma yimiphi imisipha iba buthakathaka, umchamo ungadlula lapho ingcindezi ifakwa esinyeni sakho. Ungakuqaphela lapho:

• Khwehlela
• Thimula
• Ahleke
• Ukuzivocavoca umzimba
• Phakamisa izinto ezisindayo
• Yenza ucansi

Imisipha ebuthakathaka ingabangelwa:

• Ukubeletha
• Ukulimala endaweni ye-urethra
• Eminye imithi
• Ukuhlinzwa endaweni ye-pelvic noma e-prostate (emadodeni)
• Ukukhuluphala ngokweqile
• Izimbangela ezingaziwa

Ukungakwazi ukucindezeleka kuvamile kubantu besifazane. Ezinye izinto zandisa ubungozi bakho, njenge:

• Ukukhulelwa nokubeletha kwesitho sangasese sowesifazane.
• Ukwanda kwepelvic. Yilapho lapho isinye sakho, i-urethra, noma i-rectum slide yakho iye esithweni sangasese. Ukuletha ingane kungadala ukulimala kwezinzwa noma kwezicubu endaweni ye-pelvic. Lokhu kungaholela ezinyangeni noma eminyakeni ngemuva kokubeletha kwe-pelvic.

Uphawu olukhulu lokungalawuleki kwengcindezi ukuvuza umchamo lapho:

• Basebenza ngokomzimba
• Khwehlela noma uthimule
• Ukuzivocavoca umzimba
• Yima endaweni yokuhlala noma elele phansi

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba. Lokhu kuzobandakanya:

• Ukuhlolwa kwezitho zobulili emadodeni
• Ukuhlolwa kwepelvic kwabesifazane
• Ukuhlolwa okuphelele

Ukuhlolwa kungafaka:

• I-cystoscopy yokubheka ngaphakathi kwesinye.
• Ukuhlolwa kwesisindo sePad: Uzivocavoca ngenkathi ugqoke iphedi yenhlanzeko. Ngemuva kwalokho kuyalinganiswa iphedi ukuthola ukuthi ulahlekelwe kangakanani umchamo.
• Idayari yokuvota: Ulandela imikhuba yakho yokuchama, ukuvuza nokudla uketshezi.
• I-pelvic noma i-ultrasound yesisu.
• I-post-void residual (PVR) ukukala inani lomchamo osele ngemuva kokuchama.
• Ukuhlolwa kwe-urinalysis ukuhlola ukutheleleka komgudu womchamo.
• Ukuhlolwa kwengcindezi ngomchamo: Ume nesinye ngokugcwele bese ukhwehlela.
• Izifundo ze-Urodynamic ukukala ukucindezela nokugeleza komchamo.
• I-X-ray enombala ohlukile wokubuka izinso zakho nesinye.

Ukwelashwa kuya ngokuthi izimpawu zakho ziyithinta kanjani impilo yakho.

Kunezinhlobo ezi-3 zokwelashwa kokungasebenzi kahle kwengcindezi:

• Izinguquko zokuziphatha nokuqeqeshwa kwesinye
• Ukuqeqeshwa kwemisipha yomzimba we-pelvic
• Ukuhlinzwa

Ayikho imishanguzo yokwelapha ukungasebenzi kahle kwengcindezi. Abanye abahlinzeki banganika umuthi obizwa nge-duloxetine. Lo muthi awuvunyelwe yi-FDA ekwelapheni ukungasebenzi kahle kwengcindezi.

UKUZIPHATHA KUYashintsha

Ukwenza lolu shintsho kungasiza:

• Phuza uketshezi oluncane (uma uphuza okungaphezu koketshezi olujwayelekile). Gwema ukuphuza amanzi ngaphambi kokulala.
• Gwema ukweqa noma ukugijima.
• Thatha i-fiber ukugwema ukuqunjelwa, okungenza ukungasebenzi kahle komchamo kube kubi kakhulu.
• Yeka ukubhema. Lokhu kunganciphisa ukukhwehlela nokukhishwa kwesisu. Ukubhema futhi kwandisa ingozi yokuba nomdlavuza wesinye.
• Gwema utshwala neziphuzo ezine-caffeine ezifana nekhofi. Bangenza ukuthi isinye sakho sigcwalise ngokushesha.
• Nciphisa isisindo esiningi.
• Gwema ukudla neziphuzo ezingacasula isinye sakho. Lokhu kubandakanya ukudla okubabayo, iziphuzo ezine-carbonated, namawolintshi.
• Uma unesifo sikashukela, gcina ushukela egazini lakho ulawulwa kahle.

UKUQEQESHWA KWE-BLADDER

Ukuqeqeshwa kwesinye kungakusiza ulawule isinye sakho. Umuntu ucelwa ukuthi achame ngezikhathi ezithile. Kancane kancane, isikhathi siyanda. Lokhu kubangela ukuthi isinye sinwebe futhi sibambe umchamo omningi.

UKUQEQESHWA KOMSELELO WOMSELELO WOMBANGO

Kunezindlela ezahlukahlukene zokuqinisa imisipha esitezi sakho se-pelvic.

• I-Biofeedback: Le ndlela ingakusiza ukuthi ufunde ukukhomba nokulawula imisipha yakho ye-pelvic floor.
• Ukuzivocavoca kweKegel: Lezi zivivinyo zingasiza ukugcina imisipha ezungeze i-urethra yakho iqinile futhi isebenza kahle. Lokhu kungakusiza ukuthi ungavuzi umchamo.
• Izigaxa zesitho sangasese sowesifazane: Ubeka isigaxa esithweni sangasese sowesifazane. Ngemuva kwalokho uzama ukukhama imisipha yakho ye-pelvic ukubamba isigaxa endaweni. Ungagqoka isigaxa imizuzu engaba ngu-15 ngesikhathi, kabili ngosuku. Ungaqaphela ukuthuthuka kwezimpawu zakho emavikini amane kuya kwayisithupha.
• Ukwelashwa ngokomzimba phansi kwepelvic: Abelaphi bomzimba abaqeqeshwe ngokukhethekile kule ndawo bangayihlola ngokugcwele inkinga futhi basize ngokuzivocavoca nokwelashwa.

UKUHLOLA

Uma ezinye izindlela zokwelapha zingasebenzi, umhlinzeki wakho angaphakamisa ukuhlinzwa. Ukuhlinzwa kungasiza uma unenkinga yokungasebenzi kahle kwengcindezi. Abahlinzeki abaningi basikisela ukuhlinzwa kuphela ngemuva kokuzama ukwelashwa okulondolozayo.

• Ukulungiswa kwesitho sangasese sowesifazane ngaphambili kusiza ekubuyiseni izindonga zesitho sangasese sowesifazane ezibuthakathaka nezixegayo. Lokhu kusetshenziswa lapho isinye singena esithweni sangasese (i-prolapse). I-Prolapse ingahle ihlotshaniswe nengcindezi yokungasebenzi kahle komchamo.
• I-sphincter yomchamo wokufakelwa: Lesi isisetshenziswa esisetshenziselwa ukugcina umchamo ungavuzi. Isetshenziswa ikakhulu emadodeni. Akuvamile ukusetshenziswa kwabesifazane.
• Imijovo ye-Bulking yenza indawo ezungeze i-urethra ibe nkulu. Lokhu kusiza ukulawula ukuvuza. Inqubo ingadinga ukuphindwa ngemuva kwezinyanga noma iminyaka embalwa.
• Indwayimane yowesilisa iyiteyiphu enezikhala esetshenziselwa ukufaka ingcindezi ku-urethra. Kulula ukukwenza kunokubeka i-sphincter yokufakelwa komchamo wokufakelwa.
• Ukumiswa kwe-Retropubic kuphakamisa isinye kanye ne-urethra. Lokhu kwenziwa kaningi ngenxa yokusetshenziswa njalo nempumelelo ngama-slings we-urethral.
• Indwayimane yowesifazane urethral iyi-tape enezikhala esetshenziselwa ukusekela i-urethra.

Ukuba ngcono kuthatha isikhathi, ngakho zama ukubekezela. Izimpawu zivame ukuba ngcono ngezindlela zokwelashwa ezingezona ezokuhlinzwa. Kodwa-ke, ngeke zikwelaphe ukungasebenzi kahle kwengcindezi. Ukuhlinzwa kungaphulukisa abantu abaningi ekungalawuleki kwengcindezi.

Ukwelashwa akusebenzi kahle uma une:

• Izimo ezivimbela ukuphulukiswa noma ukwenza ukuhlinzwa kube nzima kakhulu
• Ezinye izinkinga zangasese noma zomchamo
• Ukuhlinzwa kwangaphambilini okungasebenzanga
• Isifo sikashukela esilawulwa kabi
• Isifo se-Neurologic
• Imisebe yangaphambilini esinqeni

Izinkinga zomzimba azivamile futhi zivame ukuba mnene. Zingafaka:

• Ukucasulwa kwezindebe zesifazane (i-vulva)
• Izilonda zesikhumba noma izilonda zengcindezi kubantu abane-incontinence futhi abangakwazi ukuphuma embhedeni noma esihlalweni
• Iphunga elingathandeki
• Ukutheleleka ngomgudu womchamo

Isimo singangena endleleni yemisebenzi yomphakathi, imisebenzi, kanye nobudlelwano. Futhi kungaholela ku:

• Amahloni
• Ukuzihlukanisa
• Ukudangala noma ukukhathazeka
• Ukulahleka komkhiqizo emsebenzini
• Ukuphelelwa yintshisekelo kwezocansi
• Ukuphazamiseka kokulala

Izinkinga ezihambisana nokuhlinzwa zifaka:

• Ama-fistula noma amathumba
• Ukulimala kwesinye noma kwamathumbu
• Ukopha
• Ukutheleleka
• Ukungasebenzi komchamo - uma unenkinga yokuchama kungadingeka ukuthi usebenzise ipayipi. Lokhu kuvame ukuba kwesikhashana
• Ubuhlungu ngesikhathi sokuya ocansini
• Ukungasebenzi ngokocansi
• Ukugqoka izinto ezibekwe ngesikhathi sokuhlinzwa, njengesihlilingi noma i-sphincter yokufakelwa

Shayela umhlinzeki wakho uma unezimpawu zokungasebenzi kahle kwengcindezi futhi bakukhathaze.

Ukwenza izivivinyo zeKegel kungasiza ukuvimbela izimpawu. Abesifazane bangafuna ukwenza amaKegels ngesikhathi nangemva kokukhulelwa ukusiza ukuvimbela ukungasebenzi.

Ukungahambi kahle - ukucindezeleka; Ukucindezeleka kwe-bladder incontinence; I-pelvic prolapse - ukungasebenzi kwengcindezi; Ukungakwazi ukucindezeleka; Ukuvuza komchamo - ukungasebenzi kwengcindezi; Ukuvuza kwe-Urinary - ukungasebenzi kwengcindezi; Iphansi le-pelvic - ukungalingani kwengcindezi

• Ukunakekelwa kwe-catheter ehlala ngaphakathi
• Ukuzivocavoca kukaKegel - ukuzinakekela
• Ukuzilungiselela ukukhipha i-catheterization - owesifazane
• Inqubo eyinyumba
• Ama-catheters e-Urinary - yini ongayibuza udokotela wakho
• Imikhiqizo yokungasebenzi kwe-Urinary - ukuzinakekela
• Ukuhlinzwa okungasebenzi kwe-Urinary - ukukhishwa kwabesifazane
• Ukungahambisani nomchamo - yini ongayibuza udokotela wakho
• Izikhwama zokudonsa umchamo
• Lapho une-incontinence yokuchama

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa
• Ukucindezeleka ukungazibambi
• Ukucindezeleka ukungazibambi
• Ukulungisa isinye nokulungisa urethral - uchungechunge

Iwebhusayithi yeAmerican Urological Association. Ukwelashwa kokuhlinzwa kwengcindezi yabesifazane ukungahambisani nomchamo (i-SUI): Umhlahlandlela we-AUA / SUFU (2017). www.auanet.org/guidelines/stress-urinary-incontinence-(sui)- guideline. Ishicilelwe ngo-2017. Ifinyelelwe ngoFebhuwari 13, 2020.

UHashim H, Abrams P. Ukuhlolwa nokuphathwa kwamadoda anokungavumelani nomchamo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 72.

UKobashi KC. Ukuhlolwa nokuphathwa kwabesifazane abane-incontinence yokuchama kanye ne-pelvic prolapse. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 71.

UPatton S, uBassaly RM. Ukungakwazi ukubamba umchamo. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kukaConn 2020. IPhiladelphia, PA: Elsevier; 2020: 1110-1112.

Resnick NM. Ukungakwazi ukubamba umchamo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.