Izimbangela Zokumanzi Embhedeni Kwabantu Abadala nokuthi Ungayiphatha Kanjani

-Delile

• Izimbangela ezingaba khona
• Izinkinga zehormonal
• Isinye esincane
• Imisipha eyeqile
• Umdlavuza
• Isifo sikashukela
• I-apnea yokulala
• Imithi
• Izakhi zofuzo
• Ukuphazamiseka kwemizwa
• Ukuvaleka noma ukuvinjelwa komgudu wakho wokuchama
• Ukutheleleka ngomgudu womchamo
• I-Anatomy
• Ukwelashwa okuyizimpawu
• Ukwelashwa kwendlela yokuphila
• Imithi
• Ukuhlinzwa
• Umbono

Ukubuka konke

Ukumanzisa embhedeni kuvame ukuhlotshaniswa nobuntwana. Ngempela, ukuthola izinkinga nge-enuresis yasebusuku, noma ukuchama ngenkathi ulele. Iningi lezingane likhula liphume kulesi simo lapho izintshayo zazo ziba zikhulu futhi zithuthuka kangcono.

Ucwaningo lubonisa ukuthi ukumanziswa kombhede kwenzeka kubantu abadala. Kodwa-ke, inani lingaphakama. Abanye abantu abadala banamahloni noma abafuni ukukhuluma nodokotela wabo ngale nkinga.

Uma uhlangabezana nokumanziswa embhedeni ngezikhathi ezithile noma ngesikhathi esisodwa njengomuntu omdala, cishe awunakhathazeka ngalokhu. Izingozi zingenzeka. I-enuresis eqhubekayo futhi ejwayelekile, noma kunjalo, iyimbangela yokukhathazeka futhi ifanele ukukhuluma nodokotela wakho. Ake sibheke ukuthi yini engase idale lesi simo nokuthi lezi zinkinga ziphathwa kanjani.

Izimbangela ezingaba khona

Izinkinga zehormonal

I-Antidiuretic hormone (ADH) isayina izinso zakho ukubambezela ukukhiqizwa komchamo. Umzimba wakho ukhiqiza i-hormone eningi ebusuku ukukulungiselela ukulala. Lokhu kusiza ukukhawulela isidingo sakho sokuchama ngenkathi ulele. Kodwa-ke, abanye abantu abakhiqizi i-ADH eyanele noma imizimba yabo ayiphenduli kahle kuyo. Ukungajwayelekile kwe-ADH kubonakala kunendima ekusingatheni umbhede ebusuku, yize kunemibono eminingi ephakamisa ukuthi kunezinto ezahlukahlukene ezihlanganayo ukudala inkinga.

Inhlanganisela yezinkinga nge-ADH, ubunzima ekuvukeni nasekulaleni, kanye nezinkinga zesikhashana zasemini, kuvame ukuholela kulesi simo.

Isivivinyo esilula singalinganisa izinga le-ADH egazini lakho. Uma izinga liphansi, udokotela wakho angakunikeza umuthi onjenge-desmopressin (i-ADH eyenziwe elebhu). Udokotela wakho angabheka nezimo ezingaphansi ezingathinta amazinga e-ADH.

Isinye esincane

Isinye esincane empeleni asincane ngosayizi kunezinye izinye. Esikhundleni salokho, izwakala igcwele ngokwamanani aphansi, okusho ukuthi isebenza sengathi incane. Lokho kusho ukuthi ungadinga ukuchama kaningi, kufaka nasebusuku. Isinye esincane singaba yinkohliso ukuphatha ngesikhathi sakho sokulala, futhi ukumanzisa umbhede kungenzeka.

Ukuqeqeshwa kwesinye kuyasiza kubantu abane-bladder encane esebenzayo. Lelisu lisiza umzimba wakho ukuthi ulindele ukuvalwa okujwayelekile ngokubamba umchamo isikhathi eside. Ungase futhi ufune ukusetha i-alamu ubusuku bonke bese uvuka uyochama.

Imisipha eyeqile

Imisipha ye-Detrusor yimisipha yesinye sakho. Bayakhululeka lapho isinye sakho sigcwalisa futhi sisebenza uma sekuyisikhathi sokukhipha. Uma le misipha ingena ngesikhathi esingalungile, ungahle ungakwazi ukulawula ukuchama. Lesi simo singabizwa ngokuthi yisinye esisebenza ngokweqile (OAB).

Ukuncipha kwemisipha yakho yesinye kungabangelwa yizimpawu zezinzwa ezingavamile phakathi kobuchopho bakho nesinye noma into ecasulayo esinyeni, njengotshwala, i-caffeine, noma imishanguzo. Le mikhiqizo ingenza imisipha ingazinzi kakhulu. Lokho kungakwenza ukuthi udinga ukuchama kaningi.

Bheka la makhambi emvelo e-OAB.

Umdlavuza

Izimila zomdlavuza wesinye kanye nowesibeletho zingavimba noma zivimbe umgudu wokuchama. Lokhu kungaholela ekuhlulekeni ukubamba umchamo, ikakhulukazi ebusuku.

Ukuthola umdlavuza kungadinga ukuhlolwa ngokomzimba, kanye nokuhlolwa kokuthwebula. I-biopsy imvamisa iyadingeka ukukhomba umdlavuza. Ukwelapha umdlavuza kungasiza ukunciphisa noma ukuqeda isimila. Lokho kungasiza ukuvimbela iziqephu ezizayo zokumanzisa umbhede.

Isifo sikashukela

Isifo sikashukela esinoshukela wegazi ongalawulwa singashintsha ukuchama. Lapho ushukela wegazi uphezulu, inani lomchamo liyakhula njengoba izinso zizama ukuphatha amazinga kashukela. Lokhu kungaholela ekumanziseni umbhede, ukuchama ngokweqile (ngaphezu kwamalitha ama-3 ngosuku), nokuchama kaningi.

Ukwelapha isifo sikashukela kuvame ukunciphisa izinhlobonhlobo zezimpawu zomchamo. Ukwelashwa kwesifo sikashukela kudinga inhlanganisela yezinguquko zendlela yokuphila, imithi yomlomo, noma imijovo ye-insulin. Uhlelo lwakho lokwelashwa luncike ohlotsheni onalo nasempilweni yakho yonke.

I-apnea yokulala

Ukuvimbela ukuphefumula kokulala kuyinkinga yokulala edala ukuthi ume bese uqala ukuphefumula kaninginingi. Ucwaningo oluthile lwathola ukuthi kubantu abanale nkinga yokulala babhekana nokumanzisa embhedeni. Ukuchama ngesikhathi sokulala kwakho kunganda kakhulu njengoba i-apnea yokulala iba yimbi.

Ukwelapha i-apnea yokulala ngokwelashwa okuqhubekayo kwengcindezi yomoya kuzokusiza uphefumule futhi ulale kangcono. Kunganciphisa nezimpawu zesibili, njengokumanzi embhedeni.

Imithi

Eminye imishanguzo kadokotela ingakwenza uchame kaningi futhi wandise ukuphambana kwesinye. Lokhu kungaholela ekumanzeni umbhede. Le mithi ifaka izinsiza zokulala, i-antipsychotic, neminye.

Ukushintsha imishanguzo kungayeka ukuchama ebusuku. Uma umuthi udingekile ukwelapha esinye isimo, ushintsho lwendlela yokuphila lungakusiza ukuvimbela ukumanzisa embhedeni. Ungalokothi umise umuthi ngaphandle kokukhuluma nodokotela wakho.

Izakhi zofuzo

Ukumanzisa embhedeni kwabiwe kusuka esizukulwaneni kuya kwesinye. Akucaci ukuthi iziphi izakhi zofuzo ezibhekene nokudlulisa lesi simo. Kepha uma unomzali ohlangabezane ne-enuresis yasebusuku, kungenzeka nawe uzithole.

Ngaphambi kokuthi udokotela axilonge i-enuresis yasebusuku engacacisiwe, bazoqhuba izivivinyo eziningana nokuhlolwa ukukhipha ezinye izimbangela ezingaba khona. Ukwelashwa kokumanziswa kombhede okungaqondakali kuncike ekwelapheni izimpawu nasekuvikeleni iziqephu ezizayo. Lokhu kungafaka phakathi izinguquko zendlela yokuphila nemithi.

Ukuphazamiseka kwemizwa

Izinkinga ezilandelayo zezinzwa zingaphazamisa ukulawulwa kwesinye:

• i-multiple sclerosis
• ukuphazamiseka kokuquleka
• Isifo sikaParkinson

Lokhu kungaholela ekuchameni kaningi noma okungalawulwa ngenkathi ulele.

Ukwelapha lesi sifo kungasiza ekunciphiseni izimpawu, kanye nezinkinga zesibili njengokumanzisa umbhede. Uma ukumanzisa embhedeni kungapheli, udokotela wakho angakunikeza ukwelashwa okuthile. Lokhu kungafaka phakathi izinguquko zendlela yokuphila, imithi, nokuningi.

Ukuvaleka noma ukuvinjelwa komgudu wakho wokuchama

Ukuvinjelwa kungaphazamisa ukuhamba komchamo, njenge:

• amatshe ezinso
• amatshe esinye
• izimila

Lokhu kungenza ukuvaleka kube nzima. Ebusuku, lokhu kungadala ukuvuza komchamo okungalindelekile nokumanzisa umbhede.

Ngokufanayo, ingcindezi evela etsheni noma isimila ingenza imisipha esivumelwaneni sesinye kungenasidingo. Lokhu kungaholela ekuchameni njalo nokungalawulwa.

Kwesinye isikhathi inqubo iyadingeka ukususa amatshe amakhulu noma ukuwaphula. Amatshe amancane ngokuvamile azodlula ngokwawo.

Ukwelashwa komdlavuza kunganciphisa ezinye izicubu, kepha ezinye zingadinga ukususwa ngokuhlinzwa. Lapho ukuvinjelwa sekususiwe, kufanele ube nokulawula okukhulu komchamo nokunganciphisi umbhede kancane.

Ukutheleleka ngomgudu womchamo

Ukutheleleka nge-urinary tract (UTI) kungadala ukuchama kaningi nokungalindelekile. I-UTI ivame ukudala ukuvuvukala nokucasuka kwesinye esingaqhubeka nokwandisa ukungazibambi nokumanzisa umbhede ebusuku.

Ukwelapha i-UTI kufanele kumise i-enuresis. Uma une-UTIs ephindaphindwayo, ungahle uzwe ukumanziswa kombhede kaningi. Sebenza nodokotela wakho ukuthola imbangela eyisisekelo yama-UTIs aphindaphindiwe ukuze uvikele ukutheleleka okuzayo nokumanzi embhedeni.

I-Anatomy

Umchamo ugeleza uvela ezinso zakho nge-ureter yakho uye esinyeni sakho. Uma sekuyisikhathi sokuchama, isinye sakho sizongena bese sithumela umchamo ngomchamo wakho nangaphandle komzimba wakho. Uma noma iyiphi into yalolo hlelo incishisiwe, isontekile, ikhishwe, noma i-misshapen, ungahlangabezana nezimpawu noma ubunzima bokuchama. Lokhu kufaka ukumanzisa embhedeni.

Udokotela wakho angasebenzisa ukuhlolwa kwe-imaging, njenge-X-ray noma i-ultrasound, ukubheka izakhiwo ezingajwayelekile. Ezinye zingalungiswa ngokuhlinzwa. Kwezinye izimo, udokotela wakho angaphakamisa izindlela zokwelashwa nezindlela zokukusiza uyeke ukuchama lapho ulele.

Ukwelashwa okuyizimpawu

Ukwelashwa kokumanzi embhedeni kwabantu abadala kungahlukaniswa ngezigaba ezintathu eziyinhloko:

Ukwelashwa kwendlela yokuphila

• Gada ukuphuza uketshezi. Zama ukubambezela uketshezi lwakho ntambama nakusihlwa. Phuza kakhulu ekuseni lapho ungasebenzisa khona indlu yangasese kalula.Setha imikhawulo yokusetshenziswa kwakusihlwa.
• Zivuse ebusuku. Ukusetha i-alamu maphakathi nobusuku kungakusiza ukuvimbela ukumanzisa embhedeni. Ukuvuka kanye noma kabili ebusuku uchame kusho ukuthi ngeke ube nomchamo omningi uma kwenzeka ingozi.
• Yenza ukuchama njalo kube yingxenye yesimiso sakho. Phakathi nosuku, setha uhlelo lokuthi uzochama nini bese unamathela kulo. Qiniseka ukuthi uyachama ngaphambi kokulala, futhi.
• Nciphisa ukucasula kwesinye. I-caffeine, utshwala, okokunandisa okufakelwayo, neziphuzo ezinoshukela kungacasula isinye futhi kuholele ekuchameni kaningi.

Imithi

Izinhlobo ezine eziyinhloko zemithi zibekiwe ukwelapha ukumanzisa abantu abadala embhedeni, ngokuya ngesizathu:

• ama-antibiotic ukwelapha izifo ezithwala umchamo
• izidakamizwa ze-anticholinergic ingathulisa imisipha yesinye ecasukile noma eyeqile
• i-desmopressin acetate ukukhulisa amazinga we-ADH ukuze izinso zakho ziyeke ukukhiqiza umchamo omningi ebusuku
• Ama-5-alpha reductase inhibitors, njenge-finasteride (Proscar), nciphisa i-prostate ekhulisiwe

Ukuhlinzwa

• Ukugqugquzela izinzwa ze-Sacral. Phakathi nale nqubo, udokotela wakho uzofaka idivaysi encane ethumela amasiginali emisipheni esinyeni sakho ukumisa ukuphambana okungadingekile.
• I-Clam cystoplasty (ukwengeza isinye). Udokotela wakho uzokusika uvule isinye bese efaka isichibi semisipha yamathumbu. Le misipha eyengeziwe isiza ukunciphisa ukungazinzi kwesinye futhi ikhulise ukulawula namandla ukuze ukwazi ukuvimbela ukumanzisa umbhede.
• Detrusor myectomy. Imisipha ye-detrusor ilawula ukufinyela esinyeni sakho. Le nqubo isusa eminye yale misipha esiza ukunciphisa ukuncipha.
• Ukulungiswa kwesitho se-pelvic. Lokhu kungadingeka uma unezitho zokuzala zabesifazane ezingekho esimeni futhi zicindezele phansi esinyeni.

Umbono

Uma ungumuntu omdala ohlangabezana nokumanziswa embhedeni njalo, lokhu kungaba uphawu lwenkinga noma inkinga. Kubalulekile ukufuna ukwelashwa ukunqanda i-enuresis yasebusuku futhi welaphe inkinga ebangela lokho.

Yenza i-aphoyintimenti nodokotela ukuze nixoxe ngokwenzekayo. Bazobuyekeza izimpawu zakho, umlando wezempilo, umlando womndeni, imithi kanye nokuhlinzwa kwangaphambilini. Udokotela anga-oda uchungechunge lwezivivinyo ukubheka imbangela eyisisekelo. Ukuthola ukwelashwa kuzohlinzeka ukukhululeka ngokubeka umkhawulo noma ukumisa ukumanzisa imibhede nanoma yiziphi ezinye izimpawu ohlangabezana nazo.