Ukungakwazi ukubamba umchamo
Ukungakwazi ukubamba umchamo (noma isinye) kwenzeka lapho ungakwazi ukugcina umchamo ungaphumi emzimbeni wakho. I-urethra yishubhu elikhipha umchamo emzimbeni wakho kusuka esinyeni sakho. Ungavuza umchamo ngezikhathi ezithile. Noma, ungahle ungakwazi ukubamba noma yimuphi umchamo.
Izinhlobo ezintathu eziyinhloko zokungahambisani nomchamo yilezi:
- Ukungakwazi ukuzibamba - kwenzeka ngesikhathi semisebenzi efana nokukhwehlela, ukuthimula, ukuhleka noma ukuzivocavoca umzimba.
- Nxusa ukungazibambi - kwenzeka ngenxa yesidingo esinamandla, esisheshayo sokuchama ngokushesha. Lapho-ke isinye siyakhama bese ulahlekelwa umchamo. Awunaso isikhathi esanele ngemuva kokuzwa isidingo sokuchama ukuze ufike endlini yangasese ngaphambi kokuba uchame.
- Ukuchichima kokuchichima - kwenzeka lapho isinyezi singenalutho futhi nomthamo womchamo weqa umthamo wawo. Lokhu kuholela ekushayeleni.
Ukungazibambi okuxubile kwenzeka lapho unakho kokubili ukucindezeleka futhi unxusa ukungasebenzi komchamo.
Ukungasebenzi kwamathumbu kulapho ungakwazi ukulawula ukudlula kwesitulo. Akuhlanganisiwe kule ndatshana.
Izimbangela zokungahambisani nomchamo zifaka:
- Ukuvinjelwa ohlelweni lokuchama
- Izinkinga zobuchopho noma zemizwa
- Ukuwohloka komqondo noma ezinye izinkinga zempilo yengqondo ezenza kube nzima ukuzizwa futhi ziphendule ekufuneni ukuchama
- Izinkinga ngohlelo lomchamo
- Izinkinga zemizwa nezemisipha
- Ubuthakathaka bemisipha ye-pelvic noma ye-urethral
- I-prostate ekhulisiwe
- Isifo sikashukela
- Ukusetshenziswa kwemithi ethile
I-incontinence ingahle ivele ngokuzumayo futhi ihambe ngemuva kwesikhathi esifushane. Noma, ingaqhubeka isikhathi eside. Izimbangela zokungavumi ngokungazelelwe noma okwesikhashana zifaka:
- IBedrest - njengalapho ululama khona lapho usuhlinzwa
- Imithi ethile (njenge-diuretics, i-anti-depressants, i-tranquilizers, ukukhwehlela namakhambi abandayo, nama-antihistamine)
- Ukudideka kwengqondo
- Ukukhulelwa
- Ukutheleleka kwendlala yesinye noma ukuvuvukala
- Ukushona kwesitulo kusuka ekuqunjelweni okukhulu, okubangela ingcindezi esinyeni
- Ukutheleleka komgudu womchamo noma ukuvuvukala
- Ukuzuza kwesisindo
Izimbangela ezingahle zibe yisikhathi eside:
- Isifo i-Alzheimer.
- Umdlavuza wesinye.
- Ukuqaqamba kwesinye.
- I-prostate enkulu emadodeni.
- Izimo zesistimu yezinzwa, njenge-multiple sclerosis noma isifo sohlangothi.
- Ukulimala kwemizwa noma kwemisipha ngemuva kokwelashwa ngemisebe okhalweni.
- Ukwanda kwepelvic kwabesifazane - ukuwa noma ukushibilika kwesinye, urethra, noma i-rectum esithweni sangasese. Lokhu kungabangelwa ukukhulelwa nokubeletha.
- Izinkinga ngomgudu womchamo.
- Ukulimala komgogodla.
- Ubuthakathaka be-sphincter, imisipha emise okwendilinga evula futhi ivale isinye. Lokhu kungabangelwa ukuhlinzwa kwendlala emadodeni, noma ukuhlinzwa esithweni sangasese sabesifazane.
Uma unezimpawu zokungalawuleki, bheka umhlinzeki wakho wezokunakekelwa kwempilo ukuze ahlolwe nohlelo lokwelashwa. Yikuphi ukwelashwa okutholayo kuncike ekutheni yini ebangele ukungazibambi kwakho nokuthi unhloboni.
Kunezindlela eziningi zokwelashwa zokungavumelani nomchamo:
Izinguquko zendlela yokuphila. Lezi zinguquko zingasiza ukuthuthukisa ukungalawuleki. Ungadinga ukwenza lolu shintsho kanye nezinye izindlela zokwelashwa.
- Gcina ukuhamba kwamathumbu akho njalo ukuze ugweme ukuqunjelwa. Zama ukwandisa i-fiber ekudleni kwakho.
- Yeka ukubhema ukunciphisa ukukhwehlela nokukhishwa kwesisu. Ukubhema futhi kwandisa ingozi yokuba nomdlavuza wesinye.
- Gwema utshwala neziphuzo ezine-caffeine ezifana nekhofi, ezingashukumisa isinye sakho.
- Yehlisa isisindo uma udinga.
- Gwema ukudla neziphuzo ezingacasula isinye sakho. Lokhu kubandakanya ukudla okubabayo, iziphuzo ezine-carbonated, nezithelo ezingamawolintshi namajusi.
- Uma unesifo sikashukela, gcina ushukela egazini lakho ulawulwa kahle.
Ngokuvuza komchamo, gqoka amapayipi okumunca noma izingubo zangaphansi. Kunemikhiqizo eminingi edizayinwe kahle okungekho omunye umuntu ozoyibona.
Ukuqeqeshwa kwesinye nokuzivocavoca kwe-pelvic. Ukuqeqeshwa kabusha kwesinye kukusiza ukuthi uthole ukulawula okungcono kwesinye. Ukuzivocavoca kweKegel kungasiza ekuqiniseni imisipha yesitezi sakho se-pelvic. Umhlinzeki wakho angakukhombisa ukuthi uzenza kanjani. Abesifazane abaningi abazenzi lezi zivivinyo ngendlela efanele, noma ngabe bakholelwa ukuthi bazenza kahle. Imvamisa, abantu bayazuza ngokuqiniswa kokuqiniswa kwesinye nokuzivocavoca kabusha ngochwepheshe baphansi.
Imithi. Ngokuya ngohlobo lokungazethembi onalo, umhlinzeki wakho angakunikeza umuthi owodwa noma ngaphezulu. Le mithi isiza ukuvimbela ukuqhuma kwemisipha, yehlisa isinye, futhi ithuthukise ukusebenza kwesinye. Umhlinzeki wakho angakusiza ufunde ukuthi ungayithatha kanjani le mithi futhi ulawule imiphumela yayo emibi.
Ukuhlinzwa. Uma ezinye izindlela zokwelapha zingasebenzi, noma une-incontinence enamandla, umhlinzeki wakho angancoma ukuhlinzwa. Uhlobo lokuhlinzwa onalo luzoncika ku:
- Uhlobo lokungavumelani onakho (njengokuncenga, ukucindezeleka, noma ukuchichima)
- Ubukhulu bezimpawu zakho
- Imbangela (efana ne-pelvic prolapse, i-prostate ekhulisiwe, isibeletho esikhulisiwe, noma ezinye izimbangela)
Uma une-incontinence echichimayo noma awukwazi ukukhipha ngokuphelele isinye sakho, kungadingeka ukuthi usebenzise ipayipi. Ungasebenzisa ipayipi elihlala isikhathi eside, noma lelo ofundiswa ukulifaka uzikhiphele lona.
Ukugqugquzela imizwa yesinye. Nxusa ukungabambeki kanye nobuningi be-urinary kwesinye isikhathi kungaphathwa ngokuvuselelwa kwezinzwa zikagesi. Amapayipi kagesi asetshenziselwa ukuhlela kabusha ukucabanga kwesinye. Kwindlela eyodwa, umhlinzeki ufaka i-stimulator ngesikhumba eduze kwethambo emlenzeni. Lokhu kwenziwa masonto onke ehhovisi lomhlinzeki. Enye indlela isebenzisa izinto ezifakwe ngebhethri ezifana ne-pacemaker efakwa ngaphansi kwesikhumba emhlane ongezansi.
Imijovo yeBotox. Ukunxenxa ukungabambeki kwesinye isikhathi kungalashwa ngomjovo we-onabotulinum A toxin (owaziwa nangokuthi yiBotox). Umjovo uthambisa imisipha yesinye futhi wandise umthamo wokugcina wesinye. Umjovo ulethwa ngoshubhu omncane onekhamera ekugcineni (i-cystoscope). Ezimweni eziningi, inqubo ingenziwa ehhovisi lomhlinzeki.
Khuluma nomhlinzeki wakho mayelana nokungahambi kahle. Abahlinzeki abaphatha ukungalawuleki ngudokotela wezifo zabesifazane kanye nama-urologists agxile kule nkinga. Bangathola imbangela futhi bancome ukwelashwa.
Shayela inombolo yakho yendawo ephuthumayo (njenge-911) noma uye egumbini lezimo eziphuthumayo uma ulahlekelwa ngokungazelelwe ngomchamo futhi une:
- Kunzima ukukhuluma, ukuhamba, noma ukukhuluma
- Ubuthakathaka obungazelelwe, ukuba ndikindiki, noma ukuncinza engalweni noma emlenzeni
- Ukulahleka kombono
- Ukulahlekelwa ukwazi noma ukudideka
- Ukulahleka kokulawulwa kwamathumbu
Shayela umhlinzeki wakho uma une:
- Umchamo onamafu noma onegazi
- Ukushayela
- Ukuchama njalo noma okuphuthumayo
- Ubuhlungu noma ukushisa lapho uchama
- Inkinga yokuqala ukugeleza komchamo wakho
- Imfiva
Ukulahlekelwa ukulawula isinye; Ukuchama okungalawuleki; Ukuchama - okungalawuleki; Ukungahambi kahle - umchamo; Isinye esisebenza ngokweqile
- Ukunakekelwa kwe-catheter ehlala ngaphakathi
- Ukuzivocavoca kukaKegel - ukuzinakekela
- Multiple sclerosis - ukukhipha
- Ukukhishwa kwe-Prostate - ukukhipha okuncane okungajwayelekile
- I-radical prostatectomy - ukukhishwa
- Ukuzilungiselela ukukhipha i-catheterization - owesifazane
- Ukuzilimaza ngokobulili - owesilisa
- Inqubo eyinyumba
- Ukudluliswa kabusha kwe-prostatethral kwe-prostate - ukukhishwa
- 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
I-Kirby AC, i-Lentz GM. Umsebenzi ophansi womgudu womchamo nokuphazamiseka: i-physiology ye-micturition, ukuvala ukungasebenzi kahle, ukungasebenzi komchamo, ukutheleleka kwe-urinary tract, kanye nesifo esibuhlungu sesinye. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 21.
INewman DK, iBurgio KL. Ukuphathwa okulondolozayo kokungavumelani kwe-urinary: ukwelashwa kokuziphatha kanye ne-pelvic kanye namadivayisi we-urethral ne-pelvic Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 80.
Resnick NM. Ukungazibambi. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 26.
UReynolds WS, uDmochowski R, uKarram MM. Ukuphathwa kokuhlinzwa kokungajwayelekile kokuhambisana nokuthotshelwa. Ku: Baggish MS, Karram MM, ama-eds. I-Atlas of Pelvic Anatomy and Gynecologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 93.
IVasavada SP, uRackley RR. Ukugqugquzela ugesi kanye ne-neuromodulation ekugcineni nokukhipha ukwehluleka. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 81.