Nxusa ukungazibambi

Nxusa ukungazibambi kwenzeka uma unesidingo esinamandla, ngokuzumayo sokuchama okunzima ukubambezeleka. Isinye bese sikhama, noma sidumbeke, ulahlekelwe umchamo.

Njengoba isinye sakho sigcwala umchamo ovela ezinso, welula ukwenza indawo yomchamo. Kufanele uzwe isifiso sokuqala sokuchama lapho kunenkomishi engaphansi kwengu-1 (240 milliliters) yomchamo esinyeni sakho. Abantu abaningi bangabamba ngaphezu kwezinkomishi ezimbili (480 milliliters) zomchamo esinyeni.

Imisipha emibili isiza ukuvimbela ukuphuma komchamo:

• I-sphincter imisipha ezungeze ukuvuleka kwesinye. Iyakhama ukuvimbela umchamo ungangeni ku-urethra. Lesi yishubhu umchamo odlula usuka esinyeni sakho uye ngaphandle.
• Imisipha yodonga lwesinye iyakhululeka ukuze isinye sikwazi ukukhulisa futhi sibambe umchamo.

Uma uchama, imisipha yodonga lwesinye iyakhama ukuphoqa umchamo ukuthi uphume esinyeni. Njengoba lokhu kwenzeka, isicubu se-sphincter siyakhululeka ukuvumela umchamo ukuba udlule.

Zonke lezi zinhlelo kumele zisebenzisane ukulawula ukuchama:

• Imisipha yakho yesinye nezinye izingxenye zomgudu wakho wokuchama
• Izinzwa ezilawula uhlelo lwakho lokuchama
• Amandla akho okuzwa nokuphendula ekuchameni

Isinye singavumelana kaningi kakhulu ngezinkinga zesistimu yezinzwa noma ukucasuka kwesinye.

KHUTHAZA UKUPHAMBANA

Ngokungalawuleki, uvuza umchamo ngoba imisipha yesinye iyakhama, noma inkontileka, ngezikhathi ezingafanele. Lezi zingqinamba zivame ukwenzeka noma ngabe umchamo ungakanani esinyeni.

Nxusa ukungazibambi kungavela ku:

• Umdlavuza wesinye
• Ukuvuvukala kwesinye
• Okuthile okuvimba umchamo ekushiyeni isinye
• Amatshe esinye
• Ukutheleleka
• Izinkinga zobuchopho noma zemizwa, njenge-multiple sclerosis noma isifo sohlangothi
• Ukulimala kwemithambo, njengokulimala komgogodla

Emadodeni, ukunxenxa ukungazibambi futhi kungabangelwa:

• Izinguquko zesinye ezibangelwa i-prostate ekhulisiwe, ebizwa nge-benign prostatic hyperplasia (BPH)
• I-prostate enwetshiwe evimba umchamo ekugelezeni kusuka esinyeni

Ezimweni eziningi zokungavumelani, akukho sizathu esingatholakala.

Yize ukunxenxa ukungazibambi kungenzeka kunoma ngubani kunoma yisiphi isikhathi, kuvame kakhulu kwabesifazane nakwabadala.

Izimpawu zifaka:

• Ukungakwazi ukulawula lapho udlulisa umchamo
• Ukuchama kaningi emini nasebusuku
• Kudingeka ukuchama ngokuzuma nangokuphuthumayo

Ngesikhathi sokuhlolwa komzimba, umhlinzeki wakho wokunakekelwa kwezempilo uzobheka isisu sakho kanye ne-rectum yakho.

• Abesifazane bazoba nokuhlolwa kwezitho zangasese.
• Abesilisa bazohlolwa izitho zangasese.

Ezimweni eziningi, ukuhlolwa komzimba ngeke kutholakale izinkinga. Uma kunezimbangela zesistimu yezinzwa, ezinye izinkinga zingatholakala.

Ukuhlolwa kufaka okulandelayo:

• I-cystoscopy ukubuka ngaphakathi kwesinye sakho.
• Ukuhlolwa kwepad. Ugqoka iphedi noma amapayipi ukuqoqa wonke umchamo wakho oputshukile. Ngemuva kwalokho kuyalinganiswa iphedi ukuthola ukuthi ulahlekelwe kangakanani umchamo.
• I-pelvic noma i-ultrasound yesisu.
• Ucwaningo lwe-Uroflow ukubona ukuthi uchama kangakanani nokuthi ushesha kangakanani.
• Thumela okusele okungenalutho ukukala inani lomchamo osele esinyeni sakho ngemuva kokuchama.
• Ukuhlolwa komchamo ukuhlola igazi emchameni.
• Isiko lomchamo lokuhlola ukutheleleka.
• Ukuhlolwa kwengcindezi ngomchamo (ume ngesinye nokukhwehlela okugcwele).
• I-cytology yomchamo ukukhipha umdlavuza wesinye.
• Izifundo ze-Urodynamic ukukala ukucindezela nokugeleza komchamo.
• I-X-ray enombala ohlukile wokubuka izinso zakho nesinye.
• Ukuvula idayari ukuhlola ukungena kwakho kuketshezi, ukuphuma komchamo, nobuningi bokuchama.

Ukwelashwa kuya ngokuthi izimpawu zakho zimbi kangakanani nokuthi ziyithinta kanjani impilo yakho.

Kunezindlela ezine zokwelashwa eziyinhloko zokungahambisani nokukhuthazeka:

• Ukuqeqeshwa kwemisipha esinyeni nasesinqeni
• Izinguquko zendlela yokuphila
• Imithi
• Ukuhlinzwa

UKUVUSELELWA KWESIPHUMA

Ukulawula ukungalawuleki kokuvame ukuqala kakhulu ngokuqeqeshwa kabusha kwesinye. Lokhu kukusiza ukuthi wazi lapho ulahlekelwa umchamo ngenxa yokuqaqamba kwesinye. Ngemuva kwalokho uphinde ufunde amakhono owadingayo ukuze ubambe futhi udedele umchamo.

• Ubeka uhlelo lwezikhathi lapho kufanele uzame khona ukuchama. Uzama ukugwema ukuchama phakathi kwalezi zikhathi.
• Enye indlela ukuziphoqa ukuthi ulinde imizuzu engama-30 phakathi kohambo oluya endlini yangasese, noma ngabe unesifiso sokuchama phakathi kwalezi zikhathi. Lokhu kungenzeka kungenzeki kwezinye izimo.
• Njengoba uba ngcono ekulindeni, kancane kancane wandise isikhathi ngemizuzu engu-15 uze uchame njalo emahoreni amathathu kuya kwayi-4.

UKUQEQESHWA KOMSELELO WOMSELELO WOMBANGO

Kwesinye isikhathi, ukuzivocavoca kukaKegel, i-biofeedback, noma ukugqugquzela ugesi kungasetshenziswa ekubuyiseni isinye. Lezi zindlela zisiza ukuqinisa imisipha yesitezi sakho se-pelvic:

Ukuzivocavoca kweKegel - Lokhu kusetshenziselwa ukwelapha abantu abane-incontinence yokucindezeleka. Kodwa-ke, lokhu kuvivinya umzimba kungasiza futhi ekunciphiseni izimpawu zokungalawuleki.

• Ucindezela imisipha yakho yaphansi okhalo njengoba uzama ukumisa ukugeleza komchamo.
• Yenza lokhu imizuzwana emi-3 kuye kwemi-5, bese uphumule imizuzwana emi-5.
• Phinda izikhathi eziyi-10, kathathu ngosuku.

Izigaxa zesitho sangasese sowesifazane - Lesi yisigaxa esinesisindo esifakwa esithweni sangasese ukuze kuqiniswe imisipha yaphansi yokhalo.

• Ubeka isigaxa esithweni sangasese sowesifazane.
• Ngemuva kwalokho uzama ukukhama imisipha yakho ye-pelvic ukubamba isigaxa endaweni.
• Ungagqoka isigaxa imizuzu engaba ngu-15 ngesikhathi, izikhathi ezi-2 ngosuku.

I-Biofeedback - Le ndlela ingakusiza ukuthi ufunde ukukhomba nokulawula imisipha yakho yaphansi ye-pelvic.

• Abanye abelaphi bafaka inzwa esithweni sangasese (sabesifazane) noma endunu (yamadoda) ukuze bakwazi ukusho lapho bekhama imisipha yaphansi.
• Ukuqapha kuzobonisa igrafu ekhombisa ukuthi imiphi imisipha ekhanyayo futhi ephumulile.
• Umelaphi angakusiza uthole imisipha efanele yokwenza izivivinyo zeKegel.

Ukugqugquzela ugesi - Lokhu kusebenzisa amandla kagesi amnene ukuvumelanisa imisipha yakho yesinye.

• Okwamanje kuhanjiswa kusetshenziswa iphenyi yangemuva noma yesitho sangasese sowesifazane.
• Lokhu kwelashwa kungenziwa ehhovisi lomhlinzeki noma ekhaya.
• Izikhathi zokwelashwa zivame ukuthatha imizuzu engama-20 futhi zingenziwa njalo ezinsukwini ezi-1 kuye kwezi-4.

I-Pututibial tibial nerve stimulation (PTNS) - Le ndlela yokwelapha ingasiza abanye abantu abane-bladder engasebenzi ngokweqile.

• Inaliti yokutholwa ibekwa ngemuva kweqakala, futhi ukuvuselelwa kagesi kusetshenziselwa imizuzu engama-30.
• Imvamisa, ukwelashwa kuzokwenzeka masonto onke cishe amasonto ayi-12, futhi mhlawumbe njalo ngenyanga ngemuva kwalokho.

IZINGUQUKO ZOKUPHILA

Naka ukuthi uphuza kangakanani amanzi nokuthi uphuza nini.

• Ukuphuza amanzi anele kuzosiza ukugcina iphunga liseduze.
• Phuza uketshezi oluncane ngesikhathi usuku lonke, ngakho-ke isinye sakho asidingi ukuphatha umchamo omningi ngasikhathi sinye. Phuza ngaphansi kwama-oun angu-8 (240 milliliters) ngasikhathi sinye.
• Ungaphuzi uketshezi oluningi ngokudla.
• Sipha amanani amancane oketshezi phakathi kokudla.
• Yeka ukuphuza uketshezi cishe amahora amabili ngaphambi kokulala.

Kungasiza futhi ukuyeka ukudla ukudla noma iziphuzo ezingacasula isinye, njenge:

• Ikhafeyini
• Ukudla okune-acid kakhulu, njengezithelo ezisawolintshi namajusi
• Ukudla okubabayo
• Okokunandisa okufakelwayo
• Utshwala

Gwema imisebenzi ecasula umchamo nesinye. Lokhu kufaka phakathi ukugeza ama-bubble noma ukusebenzisa izinsipho ezinzima.

IMITHI

Imithi esetshenziselwa ukwelapha ukunxenxa ukungahambisani nokuxegisa ukuvinjelwa kwesinye futhi isize ukuthuthukisa ukusebenza kwesinye. Kunezinhlobo eziningana zemithi ezingasetshenziswa zodwa noma zihlangene:

• Imithi elwa ne-anticholinergic isiza ukukhulula imisipha yesinye. Kubandakanya i-oxybutynin (Oxytrol, Ditropan), tolterodine (Detrol), darifenacin (Enablex), trospium (Sanctura), ne-solifenacin (VESIcare).
• Izidakamizwa ze-Beta agonist nazo zingasiza ukukhulula imisipha yesinye. Umuthi okuwukuphela kwawo walolu hlobo njengamanje yi-mirabegron (Myrbetriq).
• I-Flavoxate (i-Urispas) yisidakamizwa esinciphisa ukuqhuma kwemisipha. Kodwa-ke, ucwaningo luye lwabonisa ukuthi akusebenzi ngaso sonke isikhathi ekulawuleni izimpawu zokungalawuleki.
• I-Tricyclic antidepressants (imipramine) isiza ukukhulula imisipha ebushelelezi yesinye.
• Imijovo ye-Botox ijwayele ukusetshenziselwa ukwelapha isinye esisebenza ngokweqile. Umuthi ufakwa esinyeni nge-cystoscope. Inqubo ivame ukwenziwa ehhovisi lomhlinzeki.

Le mithi ingaba nemiphumela emibi njengesiyezi, ukuqunjelwa, noma umlomo owomile. Khuluma nomhlinzeki wakho uma ubona imiphumela emibi ekhathazayo.

Uma unesifo, umhlinzeki wakho uzokunikeza ama-antibiotic. Qiniseka ukuthi uthatha lonke inani njengoba kuqondisiwe.

UKUHLINZA

Ukuhlinzwa kungasiza isitolo sakho sesinye umchamo owengeziwe. Kungasiza futhi ukukhulula ingcindezi esinyeni sakho. Ukuhlinzwa kusetshenziselwa abantu abangaphenduli emithini noma abanemiphumela engemihle ehambisana nemithi.

Ukuvuselelwa kwezinzwa ze-Sacral kuhilela ukufaka iyunithi encane ngaphansi kwesikhumba sakho. Le yunithi ithumela imidumba emincane kagesi emthanjeni we-sacral (enye yezinzwa eziphuma ngaphansi komgogodla wakho). Amapulse kagesi angalungiswa ukusiza ukukhulula izimpawu zakho.

I-cystoplasty yokwengezwa yenziwa njengendawo yokugcina yokwehluleka ukuzibamba okunzima. Kulokhu kuhlinzwa, ingxenye yamathumbu ingezwa esinyeni. Lokhu kwandisa usayizi wesinye futhi kuvumela ukuthi kugcine umchamo omningi.

Izinkinga ezingaba khona zifaka:

• Amahlule egazi
• Ukuvaleka kwamathumbu
• Ukutheleleka
• Khuphuka kancane ingozi yamathumba
• Ukungakwazi ukukhipha isinye - ungadinga ukufunda ukuthi ungabeka kanjani ipayipi lesinye esinyeni ukuze ukhiphe umchamo
• Ukutheleleka ngomgudu womchamo

Ukungasebenzi komchamo kuyinkinga yesikhathi eside (engapheli). Yize ukwelashwa kungaselapha isimo sakho, kusamele ubone umhlinzeki wakho ukuze aqiniseke ukuthi wenza kahle futhi uhlole izinkinga ezingaba khona.

Ukwenza kahle kangakanani kuya ngezimpawu zakho, ukuxilongwa, kanye nokwelashwa. Abantu abaningi kumele bazame izindlela ezahlukahlukene zokwelashwa (ezinye ngasikhathi sinye) ukunciphisa izimpawu.

Ukuba ngcono kuthatha isikhathi, ngakho zama ukubekezela. Inani elincane labantu lidinga ukuhlinzwa ukuze kulawulwe izimpawu zabo.

Izinkinga zomzimba azivamile. Isimo singangena endleleni yemisebenzi yomphakathi, imisebenzi, kanye nobudlelwano. Kungakwenza futhi uzizwe kabi ngawe.

Kukaningi nje, lesi simo singadala ukwanda okukhulu kwengcindezi yesinye, okungaholela ekulimaleni kwezinso.

Shayela umhlinzeki wakho uma:

• Izimpawu zakho zikudalela izinkinga.
• Unokuphatheka okhalweni noma ukushisa ngokuchama.

Ukuqala amasu wokuqeqesha isinye kusenesikhathi kungasiza ekunciphiseni izimpawu zakho.

Isinye esisebenza ngokweqile; Ukungazinzi kweDetrusor; I-Detrusor hyperreflexia; Isinye esingathukutheli; Isinye Spasmodic; Isinye esingazinzile; Ukungakwazi ukuzibamba - ukunxusa; Ukuqunjelwa kwesinye; Ukungahambisani nomchamo - ukunxusa

• 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

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