Ukuchama - ubunzima bokugeleza

Kunzima ukuqala noma ukugcina ukusakazwa komchamo kubizwa ngokuthi ukungabaza komchamo.

Ukungabaza kwe-Urinary kuthinta abantu bayo yonke iminyaka futhi kwenzeka kubo bobabili ubulili. Kodwa-ke, kuvame kakhulu emadodeni amadala ane-prostate gland ekhulisiwe.

Ukungabaza kwe-Urinary kuvame ukukhula kancane ngokuhamba kwesikhathi. Ungahle ungakuqapheli uze ungakwazi ukuchama (okubizwa ngokugcinwa kwe-urinary). Lokhu kubangela ukuvuvukala nokungaphatheki kahle esinyeni sakho.

Isizathu esivame kakhulu sokungabaza kokuchama emadodeni amadala yi-prostate ekhulisiwe. Cishe wonke amadoda amadala anenkinga ethile ngokudonsa, ukusakaza umchamo obuthakathaka, nokuqala ukuchama.

Enye imbangela evamile ukutheleleka kwe-prostate noma i-urinary tract. Izimpawu zokutheleleka okungenzeka zifaka:

• Ukushisa noma ubuhlungu ngokuchama
• Ukuchama njalo
• Umchamo onamafu
• Umuzwa wokuphuthuma (isifiso esinamandla, esisheshayo sokuchama)
• Igazi emchameni

Inkinga nayo ingabangelwa:

• Eminye imithi (njengamakhambi emikhuhlane kanye ne-allergies, i-tricyclic antidepressants, eminye imishanguzo esetshenziselwa ukungalawuleki, namavithamini nezithasiselo ezithile)
• Ukuphazamiseka kwesistimu yezinkinga noma izinkinga zomgogodla
• Imiphumela emibi yokuhlinzwa
• Izicubu ezibucayi (ukuqina) kushubhu eliholela esinyeni
• Imisipha ekhuluphele esinqeni

Izinyathelo ongazithatha ukuzinakekela zifaka:

• Gcina umkhondo wamaphethini akho okuchama bese uletha umbiko kumhlinzeki wakho wokunakekelwa kwezempilo.
• Faka ukushisa esiswini sakho esingezansi (ngaphansi kwenkinobho yakho yesisu nangaphezulu kwethambo le-pubic). Yilapho kuhlala khona isinye. Ukushisa kukhulula imisipha futhi kusize ukuchama.
• Massage noma faka ingcindezi yokukhanya phezu kwesinye sakho ukusiza isinye singenalutho.
• Thatha okugeza okufudumele noma ishawa ukusiza ukukhuthaza ukuchama.

Shayela umhlinzeki wakho uma ubona ukungabaza kwe-urinary, ukuhamba, noma ukusakaza komchamo obuthakathaka.

Shayela umhlinzeki wakho ngokushesha uma:

• Unomkhuhlane, ukuhlanza, izinhlungu ohlangothini noma eqolo, ukuqhaqhazela, noma ukudlulisa umchamo omncane usuku olungu-1 kuya kwezi-2.
• Unegazi emchameni wakho, umchamo onamafu, isidingo esivamile noma esisheshayo sokuchama, noma ukukhishwa kupipi noma esithweni sangasese sowesifazane.
• Awukwazi ukudlulisa umchamo.

Umhlinzeki wakho uzothatha umlando wakho wezokwelapha futhi enze ukuhlolwa ukubuka i-pelvis yakho, izitho zangasese, i-rectum, isisu kanye ne-back back.

Ungabuzwa imibuzo efana nale:

• Ube nenkinga isikhathi esingakanani futhi iqale nini?
• Ingabe kubi kakhulu ekuseni noma ebusuku?
• Ngabe amandla okugeleza komchamo wakho anciphile? Ngabe unomchamo odonsayo noma ovuzayo?
• Ingabe kukhona okusizayo noma okwenza inkinga ibe yimbi kakhulu?
• Ingabe unezimpawu zokutheleleka?
• Ngabe unezinye izimo zezokwelapha noma ukuhlinzwa okungathinta ukugeleza kwakho komchamo?
• Imiphi imithi oyiphuzayo?

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukwehlukaniswa kwesinye ukunquma ukuthi ungakanani umchamo osele esinyeni sakho ngemuva kokuzama ukuchama nokuthola umchamo wesiko (isampuli yomchamo we-catheterized)
• ICystometrogram noma isifundo se-urodynamic
• I-ultrasound eguqukayo ye-prostate
• Urethral swab yesiko
• Ukuhlolwa komchamo namasiko
• Ukuvala i-cystourethrogram
• Ukuskena isinye kanye ne-ultrasound (kukala umchamo osele ngemuva ngaphandle kokuncipha)
• I-cystoscopy

Ukwelashwa kokungabaza kwe-urinary kuya ngesizathu, futhi kungafaka:

• Imithi yokuqeda izimpawu zesibeletho esikhulisiwe.
• Ama-antibiotic ukwelapha noma yikuphi ukutheleleka. Qiniseka ukuthi uthatha yonke imithi yakho njengoba uyalelwe.
• Ukuhlinzwa ukukhulula ukuvinjelwa kwe-prostate (TURP).
• Inqubo yokwelula noma yokusika izicubu ezibomvu ku-urethra.

Ukuchama okubambezelekile; Ukuzindela; Kunzima ukuqala ukuchama

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

IGerber GS, iBrendler CB. Ukuhlolwa kwesiguli se-urologic: umlando, ukuhlolwa komzimba, nokuhlolwa kwe-urinalysis. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 1.

USmith PP, uKuchel GA. Ukuguga komgudu womchamo. Ku: Gcwalisa i-HM, i-Rockwood K, i-Young J, ama-eds. Incwadi kaBrocklehurst ye-Geriatric Medicine ne-Gerontology. Umhlaka 8. IPhiladelphia, PA: Elsevier, 2017: isahluko 22.