Ukucindezelwa Kwabesifazane Kwingcindezi Yokuchama

-Delile

• Yini ebangela ukungasebenzi kahle kwengcindezi yomchamo wabesifazane?
• Ubani othuthukisa ukungasebenzi komchamo?
• Ukudla neziphuzo
• Impilo isiyonke
• Ukuntuleka kokwelashwa
• Kutholakala kanjani ukucindezeleka komchamo wabesifazane?
• Yikuphi ukwelashwa okutholakalayo?
• Izinguquko zendlela yokuphila
• Imithi
• Imithi yokwelashwa
• Ukuzivocavoca kweKegel kanye nokwelashwa kwemisipha yaphansi
• I-Biofeedback
• Pessary yesitho sangasese sowesifazane
• Ukuhlinzwa
• Ukwelashwa ngomjovo
• Iteyipu engena-tension-free vaginal tape (TVT)
• Isihlilingi sangasese
• Ukulungiswa kwesitho sangasese sangaphambilini noma kweparaginal (okubizwa nangokuthi ukulungiswa kwe-cystocele)
• Ukumiswa kwe-Retropubic
• Ngingakwazi yini ukwelapha ukungalawuleki kwengcindezi?

Kuyini ukungasebenzi kahle kwengcindezi yomchamo wabesifazane?

Ukungavinjelwa komchamo kwabesifazane ukukhishwa komchamo ngokungazibambi nganoma yisiphi isenzo somzimba okufaka ingcindezi esinyeni sakho. Akufani nokungavumelani okuvamile. Lesi simo esingahle singakhululeki senzeka kuphela lapho isinye singaphansi kwengcindezi yomzimba ngokushesha. Imisebenzi engabeka ingcindezi esinyeni sakho ifaka:

• ukukhwehlela
• ukuthimula
• ehleka
• ukuphakamisa izinto ezisindayo noma ukuhlunga
• ukugoba

Yini ebangela ukungasebenzi kahle kwengcindezi yomchamo wabesifazane?

Ukucindezeleka komchamo wabesifazane kwenzeka lapho imisipha yakho ye-pelvic iba buthakathaka. Le misipha yakha isitsha esigcisha okhalo lwakho. Basekela isinye sakho futhi balawula ukukhishwa komchamo wakho. Njengoba ukhula le misipha yezitho zangasese iba buthakathaka. Ukubeletha, ukuhlinzwa okhalo, nokulimala okhalweni kunganciphisa imisipha. Ukukhula kweminyaka kanye nomlando wokukhulelwa nakho kuyizinto ezinkulu eziyingozi.

Ubani othuthukisa ukungasebenzi komchamo?

Ukungakwazi ukucindezeleka kuvame kakhulu kubantu besifazane kunabesilisa. Kungenzeka nganoma yisiphi isikhathi. Kepha amathuba okuba nokungazinzi kwengcindezi ayanda ngokukhulelwa futhi njengoba ukhula.

Ngokwe-American Academy of Physicians (AAP), cishe amaphesenti angama-50 abesifazane abaphakathi kweminyaka engama-40 kuya kwengama-60, futhi cishe amaphesenti angama-75 abesifazane kuneminyaka engaphezu kwengama-75, banezinhlobo ezithile zokungavumelani nomchamo (UI). Izibalo zangempela zingase zibe ngaphezulu kakhulu, ngoba isimo asibikwa kakhulu futhi sitholakala ngaphansi kwesifo, ngokusho kwe-AAP. Kulinganiselwa ukuthi cishe ingxenye eyodwa yabesifazane abahlangabezana ne-UI abayibiki kodokotela babo.

Izici ezithile zingakhuphula ubungozi bokungabekezeleleki kokucindezeleka komchamo kwabesifazane, noma zingakhulisa izimpawu uma usunayo.

Ukudla neziphuzo

Okulandelayo kungenza ukungasebenzi kahle kwengcindezi yakho kube kubi kakhulu ngenxa yokucasuka kwesinye:

• utshwala
• i-caffeine
• isoda
• ushokoledi
• ubumnandi bokufakelwa
• ugwayi noma ugwayi

Impilo isiyonke

Izici ezilandelayo zezempilo zingenza ukungabi namandla kokucindezeleka kube kubi kakhulu:

• izifo zomgudu womchamo
• ukukhuluphala ngokweqile
• ukukhwehlela njalo
• imithi yokwandisa ukukhiqizwa komchamo
• ukulimala kwemizwa noma ukuchama ngokweqile kwesifo sikashukela

Ukuntuleka kokwelashwa

Ukucindezeleka komchamo kwabesifazane ngokuvamile kuyelapheka. Kodwa abesifazane abaningi abavamile ukufuna usizo. Ungavumeli ukuphoxeka kukuvimbe ekuboneni udokotela wakho. Ukucindezeleka komchamo kwabesifazane kuvamile. Udokotela wakho kungenzeka ukuthi uke wahlangana nayo kaningi kwezinye iziguli.

Kutholakala kanjani ukucindezeleka komchamo wabesifazane?

Ukuze wenze ukuxilongwa, udokotela wakho kungenzeka enze ukuhlolwa kwe-pelvic ngaphezu kokunye noma okuningi kokuhlolwa okulandelayo:

• Ukuhlolwa kokucindezeleka kwe-Urinary: Udokotela wakho uzokucela ukuthi ukhwehlele ngenkathi umile ukuze ubone ukuthi uvuza umchamo ngokungenhloso.

• Ukuhlolwa kwepad: Uzocelwa ukuthi ugqoke iphedi yenhlanzeko ngesikhathi sokuzivocavoca ukuze ubone ukuthi uvuza kangakanani umchamo.

• Ukuhlolwa komchamo: Lokhu kuhlolwa kwenza udokotela wakho anqume ukuthi ngabe unezinkinga ezithile emchameni wakho njengegazi, amaprotheni, ushukela, noma izimpawu zokutheleleka.

• Ukuhlolwa kwe-post-void residual (PVR): Udokotela wakho uzolinganisa ukuthi ungakanani umchamo osesinyeni sakho ngemuva kokuwuthulula.

• Ukuhlolwa kweCystometry: Lokhu kuhlolwa kukala ingcindezi esinyeni sakho nasekuhambeni kwakho komchamo.

• I-X-ray enombala ohlukile: Udokotela wakho uzokwazi ukubona ukungajwayelekile kumgudu wakho wokuchama.

• I-cystoscopy: Lokhu kuhlolwa kusebenzisa ikhamera ukubheka ngaphakathi kwesinye sakho ukuthola izimpawu zokuvuvukala, amatshe, noma okunye okungajwayelekile.

Yikuphi ukwelashwa okutholakalayo?

Izinhlobo eziningana zokwelashwa ziyatholakala. Izinketho zokwelashwa zifaka:

• izinguquko endleleni yokuphila
• imithi
• ukwelashwa okungasetshenziswanga
• ukuhlinzwa

Izinguquko zendlela yokuphila

Yenza uhambo oluya njalo endlini encane ukuze unciphise amathuba okuvuza komchamo. Udokotela wakho futhi angakuphakamisa ukuthi ugweme i-caffeine nokuzivocavoca umzimba njalo. Izinguquko zokudla nazo zingakuhle. Uma ubhema cishe uzokwaziswa ukuthi uyeke. Ukwehla kwesisindo kungasiza futhi ekususeni ingcindezi esiswini sakho, esinyeni, nasezitho zangasese. Udokotela wakho angaphinde athuthukise uhlelo lokwehlisa isisindo uma ukhuluphele ngokweqile.

Imithi

Udokotela wakho angakunikeza imishanguzo enciphisa ukusikwa kwesinye. Lokhu kufaka phakathi izidakamizwa ezifana:

• Imipramine
• I-Duloxetine

Udokotela wakho angaphinde anikeze ukulamula okwenzelwe ukwelapha isinye esibi ngokweqile, njenge:

• Vesicare
• I-Enablex
• Ukuhlola
• I-Ditropan

Imithi yokwelashwa

Ukuzivocavoca kweKegel kanye nokwelashwa kwemisipha yaphansi

Ukuzivocavoca kweKegel kungasiza ekuqiniseni imisipha yakho ye-pelvic. Ukuze wenze lezi zivivinyo, cindezela imisipha evimba ukuphuma komchamo. Udokotela wakho uzokukhombisa indlela efanele yokwenza lezi zivivinyo. Kodwa-ke, akucaci ukuthi mangaki amaKegels okufanele enziwe, kangaki, noma nokuthi angasebenza kangakanani. Olunye ucwaningo lukhombisile ukuthi ukwenza izivivinyo zeKegel ngesikhathi nangemva kokukhulelwa kunganciphisa amathuba akho okuba nengcindezi yokungasebenzi komchamo.

Ukwelashwa kwemisipha yomgogodla kungenye indlela ephumelelayo yokusiza ekunciphiseni ukungalawuleki kwengcindezi. Lokhu kungenziwa ngosizo lomelaphi womzimba, oqeqeshwe ikakhulukazi ekuzivocavoca kwe-pelvic floor. Ukwanda kokusebenza komzimba jikelele kukhonjisiwe ukuqinisa iphansi le-pelvic. I-Yoga ne-Pilates kuyaziwa ukuthi kuyasiza.

I-Biofeedback

I-Biofeedback wuhlobo lwezokwelapha olusetshenziselwa ukwandisa ukuqwashisa ngemisipha yakho yaphansi. Ukwelashwa kusebenzisa izinzwa ezincane ezibekwe ngaphakathi noma ezungeze isitho sakho sangasese nasesiswini sakho. Udokotela wakho uzokuzama ukuthi unyakaze imisipha ethile. Izinzwa ziqopha umsebenzi wakho wemisipha ukukusiza ukuthi ubone imisipha ethile yaphansi ye-pelvic. Lokhu kungasiza ekuboneni izivivinyo zokusiza ukuqinisa iphansi lakho le-pelvic nokwenza ngcono ukusebenza kwesinye.

Pessary yesitho sangasese sowesifazane

Le nqubo idinga ukuthi kufakwe iringi encane ngaphakathi esithweni sakho sangasese. Izosekela isinye sakho futhi icindezele umchamo wakho.Udokotela wakho uzokulingana nosayizi olungile wepessary yesitho sangasese sowesifazane futhi uzokukhombisa ukuthi ungayisusa kanjani ekuhlanzeni.

Ukuhlinzwa

Udokotela wakho angancoma ukuhlinzwa uma ezinye izindlela zokwelapha zehluleka. Izinhlobo zokuhlinzwa zifaka:

Ukwelashwa ngomjovo

Odokotela bajova i-ejenti ye-bulking ku-urethra yakho ukuqina indawo ukuze kuncishiswe ukungabambeki.

Iteyipu engena-tension-free vaginal tape (TVT)

Odokotela bafaka i-mesh ezungeze i-urethra yakho ukuze bayisekele.

Isihlilingi sangasese

Odokotela bafaka indwayimane ezungeze i-urethra yakho ukuyixhasa ngokwengeziwe.

Ukulungiswa kwesitho sangasese sangaphambilini noma kweparaginal (okubizwa nangokuthi ukulungiswa kwe-cystocele)

Lokhu kuhlinzwa kulungisa isinye esivele sigcwale umsele wesitho sangasese sowesifazane.

Ukumiswa kwe-Retropubic

Lokhu kuhlinzwa kubuyisela isinye nomchamo ubuyele ezikhundleni zawo ezijwayelekile

Ngingakwazi yini ukwelapha ukungalawuleki kwengcindezi?

Ukungakwazi ukucindezeleka kuvame kakhulu kubantu besifazane abaneminyaka engaphezu kwengama-40. Ukwelashwa okutholakalayo kufaka phakathi izinguquko endleleni yokuphila, imishanguzo, izindlela zokwelashwa ezingezona ezokuhlinzwa, nokuhlinzwa. Lezi zindlela zokwelapha akuvamile ukuthi zelaphe ukungabambezeleka kwengcindezi. Kepha zinganciphisa izimpawu futhi zithuthukise ikhwalithi yempilo.