Ukungalawuleki Kwabesilisa: Okufanele Ukwazi

-Delile

• Ziyini izimpawu?
• Yini ebangela ukungazibambi kowesilisa?
• Ubani osengozini yokungalawuleki kwabesilisa?
• Kutholakala kanjani lokhu?
• Izinketho zokwelashwa kokungalawuleki kwabesilisa
• Izinguquko zendlela yokuphila
• Izidakamizwa nemithi
• Ama-Bulking agents
• Ukuhlinzwa
• Izinsiza zokungalawuleki kwabesilisa
• Ukuphila ngokungavumelani nomchamo
• Umbono
• Kungavinjelwa yini ukungazibambi kowesilisa?
• Kumele
  

Ingabe ukungazibambi kwabesilisa kuvamile?

Ukungahambisani nomchamo (i-UI) kubangela ukuvuza ngengozi komchamo. Akusona isifo, kodwa kunalokho uphawu lwesinye isimo. Le nkinga yezokwelapha eyisisekelo ibangela ukulahleka kwesilawuli sesinye.

Bobabili abesilisa nabesifazane bathola i-UI. Inani labantu abakha i-UI liyakhula ngeminyaka. Lokhu kuyiqiniso ikakhulukazi kwabesilisa. Amadoda amadala maningi amathuba okuthola i-UI kunezinsizwa.

Kulinganiselwa ukuthi amaphesenti ayi-11 kuye kwangama-34 amadoda amadala anohlobo oluthile lwe-UI. Amaphesenti amabili kuya kwayi-11 wamadoda amadala abhekana nezimpawu ze-UI nsuku zonke. Abanye besilisa bangathola uhlobo olungaphezu kolulodwa lokungalawuleki.

Lapha, uzofunda kabanzi nge-UI, ukuthi ibangelwa yini, ukuthi iyelashwa kanjani, nokuthi ungazivumelanisa kanjani nempilo enezimpawu.

Ziyini izimpawu?

Ukungahambisani nomchamo kuyisibonakaliso sesinye isimo noma inkinga. Izinhlobo ezithile ze-UI zingadala izimpawu ngaphezu kokuvuza komchamo.

Lezi zinhlobo ze-UI nezimpawu zifaka:

• Ukungavumelani okuphuthumayo: Uzwa isidingo esisheshayo, esiphuthumayo sokuchama, kulandelwe ukuvuza ngengozi.
• Ukungakwazi ukucindezeleka: Ukuvuza komchamo kulethwa ukunyakaza okusheshayo noma ingcindezi, njengokukhwehlela.
• Ukuchichima kokuchichima: Isinye sakho sigcwele kangangokuba uvuza.
• Ukungasebenzi kahle kokusebenza: Ukukhubazeka ngokomzimba, izithiyo, noma ubunzima bokuxhumana nesidingo sakho sokuchama kukuvimbela ukuba ufike endlini yangasese ngesikhathi.
• Ukungavumelani kwesikhashana: Le UI yesikhashana imvamisa ingumphumela wesimo sesikhashana, njengokutheleleka komgudu womchamo. Kungaba umphumela ohlangothini wemithi noma enye inkinga yezokwelapha.
• Ukungavumelani Okuxubile: I-incontinence ewela ezigabeni ezimbili noma ngaphezulu kwalezi ezingenhla.

Abesilisa nabesifazane bathola izimpawu ezifanayo kakhulu ze-UI. Zonke izimpawu zikhomba inkinga ngokulawulwa kwesinye nokuvuza.

Yini ebangela ukungazibambi kowesilisa?

Ukuthola imbangela yezimpawu ze-UI kungakusiza wena nodokotela wakho niqale ukwelashwa.

Izimo ezivame ukudala i-UI zifaka:

• ukukhwehlela okungapheli
• ukuqunjelwa
• ukukhuluphala ngokweqile
• izifo zesinye noma zomgudu womchamo
• ukuvimba komgudu womchamo
• iphansi le-pelvic elibuthakathaka noma imisipha yesinye
• ukulahlekelwa amandla we-sphincter
• ukulimala kwemizwa
• i-prostate ekhulisiwe
• umdlavuza wendlala yabesilisa
• ukuphazamiseka kwemizwa, okungaphazamisa amasignali wokulawula isinye

Ezinye izinto zokuphila ezingaholela ku-UI zifaka:

• ukubhema
• ukuphuza
• ukungasebenzi ngokomzimba

Ubani osengozini yokungalawuleki kwabesilisa?

Uma unesici esisodwa noma eziningi zalezi zingozi, ungahle ube nethuba lokuthuthukisa i-UI. Lezi zici zobungozi zifaka:

Ubudala: Abesilisa maningi amathuba okuthi bahlakulele i-UI njengoba bekhula. Lokhu kungaba umphumela wezinguquko zomzimba ezenza ukubamba umchamo kube nzima kakhulu. Izifo ezithile noma izimo zivame kakhulu lapho umuntu esemdala, futhi ukulahleka kwesilawuli sesinye kungaba uphawu oluhambisanayo.

Ukuntuleka kokuvivinya umzimba: Ukusebenza ngokomzimba kungakhuphula ukuvuza komchamo, kepha ukungasebenzi komzimba kukhulisa ubungozi bokuzuza kwesisindo futhi kunciphise amandla jikelele. Lokhu kungenza izimpawu ze-UI zibe zimbi kakhulu.

Ukukhuluphala: Isisindo esengeziwe ku-midsection yakho singabeka ingcindezi engadingekile esinyeni sakho.

Umlando wezimo ezithile: Umdlavuza wendlala yesinye, i-prostate enwetshiwe, kanye nokwelashwa kwalezi zimo kungaholela ku-UI yesikhashana noma unomphela. Isifo sikashukela singaholela nase-UI.

Izinkinga zezinzwa: Izifo ezifana nesifo sika-Parkinson, i-Alzheimer's, kanye ne-multiple sclerosis zingaphazamisa ikhono lobuchopho bakho lokukhombisa kahle isinye sakho kanye nomgudu womchamo.

Ukukhubazeka kokuzalwa: Ungahle ube ne-UI uma umgudu wakho womchamo ungakhekanga kahle ngesikhathi sokukhula kombungu.

Kutholakala kanjani lokhu?

Ukuxilongwa kwe-UI kuqondile. Ukuthola imbangela eyisisekelo ye-UI kungathatha isikhathi esithe xaxa. Ukuze uthole ukuxilongwa, udokotela wakho uzoqala ngokuhlola umlando wakho wezokwelapha. Ukusuka lapho, izivivinyo ezengeziwe zingadingeka. Lokhu kufaka phakathi:

Ukuhlolwa komzimba: Ukuhlolwa ngokomzimba kungasiza udokotela wakho ukubona izinkinga.

Ukuhlolwa kwe-rectal digital: Lokhu kuhlolwa kusiza udokotela wakho ukuthola ukuvinjelwa ku-rectum yakho. Kuyamsiza futhi ukuthola i-prostate ekhulisiwe.

Ukuhlolwa kokuxilonga: Udokotela wakho angathatha amasampula omchamo wakho negazi lakho ukuhlolela noma yiziphi izimo ezingaphansi.

Izinketho zokwelashwa kokungalawuleki kwabesilisa

Ukwelashwa kwe-UI kuncike embangela yenkinga. Uhlelo lwakho lokwelashwa lungahle lubandakanye ushintsho olulodwa noma ngaphezulu lokuphila ngaphezu kwemithi. Kwezinye izimo, izinqubo ezithuthuke kakhulu noma ukuhlinzwa kungadingeka.

Izinguquko zendlela yokuphila

Ukuphathwa kwamanzi: Isikhathi sokudla nesiphuzo esiseduze nemisebenzi yakho kungakusiza ulawule kangcono isifiso sakho sokuhamba. Esikhundleni sokuphuza amanzi amaningi noma ezinye iziphuzo ngasikhathi sinye, phuza amanani amancane ngezikhathi ezithile usuku lonke.

Ukuqeqeshwa kwesinye: Ukuqeqeshwa kwesinye kudinga ukuthi ubambezele uhambo lwakho oluya ngasendlini yangasese njalo lapho uthola isifiso. Isinye sakho kanye nomgudu womchamo kufanele ukhule ube namandla.

Ukuhlela uhambo lokuya endlini yangasese kungakusiza ukuthi ugweme ukunxenxa. Uma uya, ukuchama kabili, kanye ngemizuzu embalwa yomunye, kungasiza ukuqeda umchamo owengeziwe.

Ukuzivocavoca umzimba okuqinisa imisipha: Lezi zivivinyo zaziwa nangokuthi yi-Kegel umzimba. Bangakusiza ukuthi wakhe kabusha amandla futhi uqinise imisipha ku-pelvis yakho nakuhlelo lwe-urinary tract.

Olunye ushintsho lwendlela yokuphila lungafaka:

• Yiba namandla ngokwengeziwe ngokomzimba. Kungakusiza ulahlekelwe isisindo, uvimbele ukuqunjelwa, futhi wehlise ingcindezi esinyeni sakho.
• Nciphisa utshwala ne-caffeine. Lezi zinto zingashukumisa isinye sakho.
• Yeka ukubhema.

Izidakamizwa nemithi

Izinhlobo eziningi zemithi zisetshenziselwa ukwelapha i-UI.

• I-Anticholinergics, efana ne-Oxybutynin (Ditropan), ingathulisa imisipha yesinye engasebenzi ngokweqile. Baphatha izishu ezingasebenzi ngokweqile futhi banxusa ukungalawuleki.
• I-Alpha-blockers, efana ne-tamsulosin (i-Flomax), inikezwa amadoda anayo futhi andise i-prostate. Lokhu kungasiza abesilisa ngokungahambelani noma ukungachichimeki kokungasebenzi ukuze bakhiphe ngokuphelele isinye sabo.
• IMirabegron (Myrbetriq) ingakhulula imisipha yesinye futhi isize ukukhulisa inani lomchamo wesinye esingabamba. Kungakusiza futhi ukuthi ukhiphe ngokuphelele isinye sakho njalo lapho uchama.
• Uhlobo lwe-botulinum toxin hlobo A (Botox) lungafakwa esinyeni sakho ukusiza ukunciphisa imisipha yesinye.

Ama-Bulking agents

Phakathi nale nqubo, izinto zokwenziwa zifakwa ezicutshini ezungeze i-urethra yakho. Le nto izofaka ingcindezi kwi-urethra yakho futhi iyisize ivaleke lapho ungachami.

Ukuhlinzwa

Ukuhlinzwa kuvame ukwelashwa kokugcina. Ukuhlinzwa okubili kusetshenziswa ikakhulu emadodeni:

Ibhaluni lokufakelwa le-urinary sphincter (AUS): Ibhaluni lifakwa entanyeni yesinye sakho. Lokhu kusiza ukuvala i-sphincter yomchamo kuze kube isikhathi sokuchama. Lapho usukulungele ukuchama, i-valve ebekwe ngaphansi kwesikhumba sakho yenza ibhaluni lingasebenzi. Kukhululwa umchamo, ibhaluni ligcwalise futhi.

Inqubo yendwayimane: Udokotela wakho uzosebenzisa izicubu noma izinto zokwenziwa ukwakha isikhwama esisekelayo entanyeni yesinye. Ngale ndlela, i-urethra ihlala ivaliwe lapho ukhwehlela, uthimula, ugijima noma uhleka.

Ngemuva kokuhlinzwa, iningi lamadoda liyalulama esibhedlela. Lokhu kungathatha noma yikuphi kusuka emahoreni amaningana kuya ezinsukwini ezimbalwa. Amadoda amaningi ayakwazi ukuphuma esibhedlela ngosuku olufanayo nenqubo.

Kufanele ulandele izinkomba zikadokotela wakho zokuphulukisa nokululama. Ungabuyeli emsebenzini ojwayelekile kuze kube udokotela wakho ukuqinisekisile ukuthi kuphephile ukwenza njalo. Umzimba wakho udinga isikhathi sokululama ekuhlinzweni, futhi udinga izinsuku ezimbalwa ukuze ujwayele imiphumela yokuhlinzwa.

Izinsiza zokungalawuleki kwabesilisa

Ngaphambi kokuba uhlole ukuhlinzwa okungajwayelekile, udokotela wakho angase asikisele idivaysi enganciphisa izimpawu zakho futhi mhlawumbe ivimbele isidingo sokuhlinzwa. Lokhu kufaka:

Ama-Catheters: Ipayipi lingakusiza uthulule ngokuphelele isinye sakho. Leli bhubhu elincanyana, eliguquguqukayo lifakwa ngomchamo lize liye esinyeni. Umchamo uyaphuma, bese kususwa ipayipi. I-catheter ehlala e-Foley ihlala endaweni, kepha ingadala ukutheleleka ngomgudu womchamo.

Izinhlelo zokuqoqa urinary: Ipayipi lekhondomu lingena phezu kwepipi bese liqoqa umchamo ophumayo. Ingasetshenziswa isikhashana kuphela. Ukusetshenziswa isikhathi eside kwandisa ubungozi bokutheleleka ngomgudu womchamo nokucasuka kwesikhumba.

Onogada bezimpahla zangaphansi: Amapayipi wokumunca aklanywe ngokukhethekile anamathela ezingutsheni zakho zangaphansi ukumunca umchamo. Lo mkhiqizo ngeke umise ukuvuza, kepha ungasiza ukuvimbela noma yimaphi amabala noma ubumanzi.

Ukuphila ngokungavumelani nomchamo

Ukungazibambi komchamo kungaphazamisa izici eziningi zempilo yakho. Ukwelashwa kwesimo esingaphansi kunganciphisa lezi zimpawu. Noma kunjalo, ungahle ube nokukhathazeka ngezici ezithile zempilo yakho.

Ukukhathazeka ngendlela yokuphila nge-UI kufaka:

Umsebenzi womzimba: Ukuzivocavoca umzimba, ukusebenza ingadi, nokuhamba izintaba konke kuyizinto zokuzuzisa zomzimba, kepha uma une-UI, kungabonakala kunzima. Sebenza nodokotela wakho ukuzethemba kuhlelo lwakho lokwelashwa kanye nemiphumela, ngakho-ke uzozizwa ukhululekile ukuphishekela imisebenzi oyithandayo.

Umsebenzi wezocansi: Abanye besilisa nabesifazane abane-UI bayakugwema ukuya ocansini. Usengaya ocansini, kepha kungadingeka ukuthi uthathe izinyathelo ezimbalwa ngaphambili.

Ungafisa ukwenza lokhu:

1. Gwema ukuphuza i-caffeine noma utshwala amahora ambalwa ngaphambi kocansi.
2. Gwema konke uketshezi ihora ngaphambi kocansi.
3. Thela isinye sakho ngokushesha ngaphambi kocansi.
4. Faka ithawula phakathi kwakho nomlingani wakho nombhede uma ukhathazekile ngokuvuza.

Vuleka umaqondana wakho. Ukukhuluma ngezinto ezikukhathazayo kungasiza ekunciphiseni noma yikuphi ukukhathazeka ongase uzizwe.

Umbono

Kubalulekile ukuthi ukhulume nodokotela wakho nganoma yiziphi izimpawu ohlangabezana nazo nokuthi zaqala nini. Izinkinga zokulawula isinye ziyelapheka kakhulu. Ngokubambisana, nobabili ningakha uhlelo lokwelashwa olukusiza ukuthi uphinde ukwazi ukulawula isinye futhi ulondoloze impilo yakho.

Kungavinjelwa yini ukungazibambi kowesilisa?

Ukungazibambi komchamo kungenzeka kungavinjelwa. Izici zobungozi, ezifana nobudala nezimo zemizwa, azikho ngaphansi kolawulo lwakho.

Kodwa-ke, izici zendlela yokuphila ziyalawuleka. Ukwehlisa ubungozi bakho bezinto zokuphila ezinikela ku-UI kungakusiza ukuvikela lesi simo. Lezi zinyathelo zifaka:

Kumele

• Yidla ukudla okulinganiselayo, uvivinye umzimba njalo, futhi wehlise isisindo esingeqile. Zonke lezi zinyathelo zisiza ukunciphisa ingcindezi esinyeni sakho futhi zibambe iqhaza emandleni nasempilweni engcono.
• Vimbela ukuqunjelwa. Izinkinga zamathumbu, njengokuqunjelwa, zingakhuphula ubungozi bakho be-UI. Ukudla okunempilo okunenqwaba ye-fiber nokuvivinya umzimba njalo kungasiza ekuvimbeleni ukuqunjelwa.
• Gwema izinto ezicasulayo. Utshwala ne-caffeine kungakhuthaza umsebenzi wesinye, ongadala izimpawu ze-UI ngokuhamba kwesikhathi.
• Qinisa imisipha yaphansi. Akukho monakalo ekwenzeni njalo izivivinyo zeKegel ukugcina imisipha yaphansi ye-pelvic iqinile. Lokhu kungasiza ukuvimbela i-UI ngokuzayo.