Ubuhlungu Bokubuyela Emuva Nokungalawuleki: Yini Engingayenza?

-Delile

• Ingabe ubuhlungu beqolo uphawu lokungalawuleki?
• Uthini ucwaningo?
• Yiziphi izimbangela nezici zobungozi bezinhlungu emuva kanye nokungahambelani?
• Ingabe ubuhlungu beqolo nokungazibambi kungaba umphumela wesinye isimo?
• Itholakala kanjani i-UI?
• Yiziphi izinketho zokwelashwa zobuhlungu be-back and incontinence?
• Ukuhlungu obusemhlane
• Ukungazibambi
• Uyini umbono?
• Kungavinjelwa kanjani ubuhlungu be-back and incontinence?
• Amathiphu okuvimbela
  

Ingabe kukhona ukuxhumana?

Ukungahambi kahle kwe-Urinary (UI) kuvame ukuba uphawu lwesimo esingaphansi. Ukwelapha leso simo kungalungisa izimpawu zakho ze-UI neminye imiphumela emibi ehlobene nayo.

Ukungakwazi ukuzibamba kungabangelwa:

• ukutheleleka kaningi kwe-urinary tract (UTIs)
• ukuqunjelwa
• ukukhulelwa
• ukubeletha
• umdlavuza wendlala yabesilisa

Ubuhlungu emuva buye bafundwa njengesizathu se-UI. Abaphenyi bacabanga ukuthi ukwenziwa kwemisipha esiswini sakho kungadala izinhlungu emuva. Leyo misipha ingathinta ikhono lakho lokubamba kahle noma ukukhipha umchamo.

Kodwa-ke, kudingeka olunye ucwaningo ukuthola ukuthi ngabe ubuhlungu beqolo buyimbangela noma uphawu lwe-UI.

Qhubeka ufundele ukuthola eminye imininingwane nge-UI nokuxhumeka kwayo okungenzeka kubuhlungu emuva.

Ingabe ubuhlungu beqolo uphawu lokungalawuleki?

Ukuxhumana phakathi kobuhlungu beqolo nezimpawu ze-UI akucaci. Abanye abantu babhekana nobuhlungu emuva noma ingcindezi engadala iziqephu zokungalawuleki, kepha abacwaningi abakazikhombi izimbangela.

Izimpawu eziningi ze-UI zincike ohlotsheni onalo. Izinhlobo nezimpawu ze-UI kufaka:

• Ukungakwazi ukucindezeleka: Lolu hlobo lwe-UI lubangelwa ingcindezi engazelelwe esinyeni sakho. Le ngcindezi ingahle ivele ngokuhleka, ukuthimula, ukuzivocavoca, noma ukuphakamisa izinto ezisindayo.
• Nxusa ukungazibambi: Abantu abanalolu hlobo lwe-UI bahlangabezana nesifiso esingazelelwe, esinamandla sokuchama. Futhi, abakwazi ukulawula ukulahleka komchamo. Abantu abanalolu hlobo lokungalawuleki bangadinga ukuchama kaningi.
• Ukuchichima kokuchichima: Lapho isinye sakho singenalutho ngokugcwele, ungahle uhlangabezane nokudonsa noma ukuconsa umchamo.
• Ukungasebenzi kahle kokusebenza: Ukukhubazeka ngokomzimba noma ngokwengqondo kungathinta amandla akho okufinyelela ethoyilethi ngesikhathi sokuchama.
• Ukungasebenzi ngokuphelele: Uma ungakwazi ukubamba umchamo noma uvimbele ukudlula umchamo, ungahle ube nokungabambeki okuphelele.
• Ukungahambelani okuxubile: Uma uthintwa yizinhlobo ezingaphezu kweyodwa ze-UI, ungahle ube nokuxubana okuxubekile. Isibonelo, akuvamile ukuthi umuntu abe nakho kokubili ukucindezeleka futhi akhuthaze ukungazibambi.

Uthini ucwaningo?

Abaphenyi bafunda ukuthi izinhlungu zasemuva noma izingqinamba zangemuva zingathinta kanjani noma zibangele ukungalingani. Kuze kube manje, ucwaningo alucaci. Kepha, izifundo ezimbalwa ziveze ukukhanya kokuxhumana okungaba khona.

Ucwaningo lwaseBrazil olushicilelwe e2015, lwahlola ukuhlangana phakathi kobuhlungu obuphansi emuva kanye ne-UI. Kodwa-ke, lolu cwaningo lwenziwe kubantu abaneminyaka elinganiselwa kwengu-80. Imiphumela yayingagcini, futhi kungenzeka ukuthi iminyaka esezingeni eliphezulu yabahlanganyeli bokufunda yathinta impilo yabo yomchamo.

Kwabesifazane unyaka owodwa ngemuva kokubeletha, abacwaningi bathola ukuthi ubuhlungu beqolo ne-UI kujwayelekile. Lolu cwaningo lukhombise ubuhlungu beqolo buvame kakhulu futhi bunamathuba amaningi okuphazamisa impilo yansuku zonke yowesifazane kune-UI.

Abesifazane ababekhuluphele ngokweqile, babekhulile ngeminyaka yobudala bomama, noma bebeletha isitho sangasese sowesifazane ngesikhathi sokubeletha kungenzeka ukuthi babe nezimpawu ze-UI. Ucwaningo alutholanga ukuxhumana phakathi kwabesifazane abathola ubuhlungu emuva kanye neziqephu zabo ze-UI.

Ucwaningo oluningi luyadingeka ukuthola ukuthi ngabe kukhona ukuxhumana okunamandla phakathi kwalezi zimpawu ezimbili.

Yiziphi izimbangela nezici zobungozi bezinhlungu emuva kanye nokungahambelani?

Izici ezithile zobungozi zandisa amathuba akho okuthola izimpawu zombili izinhlungu zangemuva nokungazibambi. Lezi zici zobungozi zifaka:

• Ukukhuluphala: Ukuthwala isisindo esengeziwe kubeka ingcindezi eyengeziwe emhlane wakho. Isisindo esengeziwe sandisa nengcindezi esinyeni sakho nasemisipheni eseduze. Lokhu kungaholela ekungalawulekeni kokucindezeleka, futhi ngokuhamba kwesikhathi, ukucindezeleka okwengeziwe kunganciphisa imisipha yakho yesinye.
• Ubudala: Ubuhlungu emuva buba buvame kakhulu ngeminyaka. Ngokufanayo, imisipha ethinta ukulawula isinye ilahlekelwa amandla njengoba ukhula.
• Ezinye izifo: Ezinye izimo, ezinjengesifo samathambo nesifo sikashukela, zingadala izinhlungu zomhlane nokungazibambi. Abantu abanezimo ezithile ezingokwengqondo, njengokukhathazeka nokudangala, nabo banamathuba amaningi okuzwa ubuhlungu emuva.

Ingabe ubuhlungu beqolo nokungazibambi kungaba umphumela wesinye isimo?

Yize kungavamile, ukuphazamiseka okukodwa okungadala izinhlungu emuva kanye ne-UI yi-cauda equina syndrome (CES). I-CES ithinta inqwaba yezimpande zemizwa ekugcineni komgogodla wakho. Lezi zimpande zemithambo-luvo zithumela futhi zamukele amasiginali avela ebuchosheni bakho futhi zilawule ingxenye engezansi yomzimba wakho nezitho zakho zangasese.

Lapho izimpande zemizwa zicindezelwe, ingcindezi inqamula ukuzwa nokulawula. Izinzwa ezilawula isinye sakho kanye namathumbu kuthinteka kakhulu ekulahlekelweni ukulawula okubangelwa yilesi sifo.

Idiski eqhekekile nayo ingabeka ingcindezi ezimpandeni zezinzwa. Le disc nengcindezi ezimpandeni zezinzwa kungaholela ezinhlungwini zangemuva.

Futhi, uhlobo lwesifo samathambo olubizwa nge-ankylosing spondylitis (AS) lungadala izinhlungu emuva. Lesi simo sidala ukuvuvukala emajoyini akho omgogodla. Ukuvuvukala kungaholela ekuphatheni kabi kanye nobuhlungu obukhulu obungapheli.

Itholakala kanjani i-UI?

Ukuphela kwendlela yokuthola imbangela eyisisekelo sobuhlungu beqolo kanye ne-UI ukubona udokotela wakho bese uthola ukuhlolwa okuphelele kwezokwelapha. Ukuhlolwa kungasiza udokotela wakho anqume ukuthi ngabe izimpawu zakho zihlobene yini nesimo esihlukile esidinga ukunakwa.

Ngesikhathi sokuhlolwa, kubalulekile ukuthi unikeze imininingwane nganoma yiziphi izimpawu, lapho uhlangabezana nazo, nokuthi uzikhulula kanjani.

Ngemuva kwalesi sigaba sokuqala sokuxilongwa, udokotela wakho angalawula izivivinyo eziningana. Lezi zivivinyo zingafaka ukuhlolwa kwe-imaging njenge-X-ray nokusebenza kwegazi. Ukuhlolwa kungasusa izimbangela zezimpawu zakho.

Uma udokotela wakho engakwazi ukufinyelela ekuxilongweni, bangakudlulisela ku-urologist noma kuchwepheshe wezinhlungu emuva.

Yiziphi izinketho zokwelashwa zobuhlungu be-back and incontinence?

Ukwelashwa kobuhlungu beqolo ne-UI kuncike ekutholeni imbangela eyisisekelo. Lapho wena nodokotela wakho niqonda ukuthi yini ebangela izimpawu zakho, ungakha uhlelo lokuphatha izimpawu zakho.

Ukuhlungu obusemhlane

Ukwelashwa okuvamile kobuhlungu bokubuyela emuva kufaka:

• Imithi yezinhlungu ezithengiswa ekhawunteni noma kadokotela
• izinguquko endleleni yokuphila, njengokuthola iphedi kumatilasi entsha
• ukuzivocavoca umzimba
• ukwelashwa ngokomzimba

Ezimweni ezimbi kakhulu, ukuhlinzwa kungadingeka.

Ukungazibambi

Ukwelashwa komugqa wokuqala kwe-UI kungafaka:

• ukuqeqesha isinye sakho ukubamba umchamo isikhathi eside
• ukushintsha amasu okuchama, kufaka phakathi ukuvala isinye sakho kabili ngekhefu elilodwa lokugezela ukuze ukhiphe isinye sakho
• ukuhlela amakhefu ezindlu zangasese
• ukwenza izivivinyo zemisipha yaphansi
• ukuthatha imishanguzo kadokotela ukusiza ukukhulula imisipha yesinye

Kwezinye izimo, udokotela wakho angancoma ukuthi usebenzise idivaysi yezokwelapha, njengokufakwa kwe-urethral noma i-pessary yesitho sangasese sowesifazane, ukusiza ukusekela isinye sakho nokuvimbela ukuvuza.

Izindlela zokwelashwa ezingasetshenziswa nazo zingasiza:

• imijovo yokuqhuma izinto ezungeze umchamo wakho ukuyigcina ivaliwe futhi kunciphise ukuvuza
• imijovo ye-botulinum toxin yohlobo A (Botox) ukuphumuza imisipha yakho yesinye
• izimila zokuvuselela izinzwa ukusiza ekulawuleni isinye

Uma ungatholanga impumelelo ngezinye izindlela, udokotela wakho angancoma ukuhlinzwa.

Uyini umbono?

Umbono wakho ngempilo ngobuhlungu beqolo ne-UI kuncike ekutheni wena nodokotela wakho niyakwazi yini ukubona ukuthi yini ebangela izimpawu. Uma uthola imbangela, izimpawu zakho zingelashwa.

Kwezinye izimo, izimpawu zingase zibe yisikhathi eside.

Kungaba nzima ukuthola imbangela yezimpawu zakho. Futhi, ukuyikhomba kungathatha isikhathi. Kepha ukukhululeka unomphela ezinkingeni kuwufanele umzamo.

Kungavinjelwa kanjani ubuhlungu be-back and incontinence?

Uma uhlangabezana neziqubu ezingavamile zobuhlungu beqolo ne-UI, ungakwazi ukunciphisa ubungozi besinye isiqephu.

Kodwa-ke, umugqa wakho omuhle wokuzivikela wenza ukuthi udokotela wakho axilonge lesi simo futhi ahlele uhlelo lokwelashwa.

Amathiphu okuvimbela

• Ukuzivocavoca umzimba: Ukuzivocavoca njalo kungasiza ekuvikeleni imisipha ebuthakathaka emuva, okunciphisa ubungozi bezinhlungu emuva. Ngokufanayo, ukuzivocavoca umzimba kungakhuphula imisipha yakho yaphansi. Imisipha ye-pelvic eqinile yenza ukubamba umchamo kube lula.
• Gcina isisindo esinempilo: Isisindo eseqile singadala izinhlungu zomhlane ne-UI.
• Yidla ukudla okuhlakaniphile: Ukudla ukudla okunomsoco nge-fiber eningi, amaprotheni anciphile, izithelo nemifino kungakusiza ugcine isisindo sakho nokuvivinya umzimba. Ngokufanayo, ukudla okunempilo kunciphisa ubungozi bokuqunjelwa. Ukuqunjelwa kungadala zombili izinhlungu ezisezingeni eliphansi kanye nokungasebenzi.