Ingabe i-Incontinence ehlanganisiwe yehlukile kokungavumelani kwesikhashana noma okuphelele?

-Delile

• Kuyini ukuxubana okuxubekile?
• Ziyini izimpawu zokungahambelani okuxubile?
• Yini ebanga ukungazibambi okuxubekile futhi ngubani osengozini?
• Kutholakala kanjani ukungahambelani kokuxubana?
• Kuphathwa kanjani ukungavumelani okuxubekile?
• Ukuzivocavoca nokuqeqesha
• Imithi
• Izinqubo
• Kuyini ukungahambelani kwesikhashana?
• Ziyini izimpawu?
• Kubangelwa yini futhi ngubani osengozini?
• Itholakala kanjani futhi yelashwe kanjani?
• Kuyini ukungahambisani ngokuphelele?
• Ziyini izimpawu?
• Kubangelwa yini futhi ngubani osengozini?
• Itholakala kanjani futhi yelashwe kanjani?
• Kwenzekani ngokulandelayo
• Ungakuvimbela kanjani ukungalawuleki
• Amathiphu namasu
  

Kuyini ngempela ukungalawuleki?

Ukungazibambi komchamo kungenzeka uma unenkinga yokulawula isinye sakho. Ungathola ukuthi uvuza umchamo lapho uhleka, ukhwehlela, noma uthimula. Ezimweni ezinzima kakhulu, ungazizwa unesifiso sokuya endlini yangasese kodwa ungafiki endlini yangasese ngesikhathi.

Ukungakwazi ukuzibamba kuwuphawu, hhayi isifo. Ezimweni eziningi, ukungahambisani nomchamo kubangelwa ukuba nesinye esikhuthele ngokweqile. Cishe abantu baseMelika abayizigidi ezingama-33 babhekana nesinye esisebenza ngokweqile.

Kufanele uthuthukise ukungazibambi njengoba ukhula. KwabaseMelika 65 nangaphezulu babike imizwa yokuphuthuma, ukuvuza komchamo, noma kokubili.

Izimpawu ohlangabezana nazo zizoya ngohlobo lokungahambi kahle onalo:

• Ukungakwazi ukucindezeleka: Uvuza umchamo noma kunini lapho wenza noma yini efaka ingcindezi esinyeni sakho. Lokhu kufaka phakathi ukukhwehlela, ukuthimula, ukuzivocavoca umzimba noma ukuhleka.
• Gqugquzela ukungahambi kahle (isinye esisebenza ngokweqile): Imisipha yakho yesinye inkontileka futhi ikhiphe umchamo ngaphambi kokuba ulungele. Uzozwa isidingo esiphuthumayo sokuhamba, kulandelwe ukuvuza.
• Ukuchichima kokuchichima: Isinye sakho asikwazi ukungabi nalutho ngokugcwele futhi sigcwala kakhulu, okwenza uvuze.
• Ukungasebenzi kahle kokusebenza: Unesimo somzimba noma somqondo esivimbela ukuba uzwe isifiso esijwayelekile sokuya, noma ungangeni endlini yangasese ngaphambi kwesikhathi.
• Ukungasebenzi ngokuphelele: Isinye sakho asikwazi ukugcina lutho, ngakho uhlala udlulisa umchamo.
• Ukungahambelani okuxubile: Uhlangabezana nezimpawu zezinhlobo ezimbili noma ngaphezulu zokungabambeki, imvamisa ukucindezelwa nokunxenxa ukungalawuleki.

Ukungakwazi ukuzibamba kungaba okungapheli noma okudlulayo. Ukungakwazi ukuzibamba okungapheli kwenzeka esikhathini eside. Ukungazibambi kwesikhashana kuhamba ngemuva kokuphatha imbangela.

Kuyini ukuxubana okuxubekile?

Ukuxubana okuxubekile imvamisa kuyinhlanganisela yesifiso kanye nokungahambi kahle kwengcindezi. Abesifazane banamathuba amaningi kunamadoda okuba nokungazibambi ngokuvamile. Cishe abesifazane abangamaphesenti angama-45 babika ukuthi bane-incontinence, kanti cishe amaphesenti ayi-14 anokuxubana okungafani.

Ziyini izimpawu zokungahambelani okuxubile?

Abantu abanokuxubana okuxubile bavame ukuzwa izimpawu zokucindezeleka futhi bakhuthaze ukungazibambi.

Isibonelo, ungavuza ngenkathi:

• ehleka
• ukukhwehlela
• ukuthimula
• ukuzivocavoca umzimba

Lezi zimpawu zivame ukukhombisa ukungasebenzi kahle kwengcindezi.

Ungase futhi uzizwe unesifiso esingazelelwe sokuhamba, bese uvuza. Lokhu ngokuvamile kuyisici sokungavumelani nokuncenga.

Imvamisa, iqoqo lezimpawu libi kakhulu kunelinye.

Yini ebanga ukungazibambi okuxubekile futhi ngubani osengozini?

Ukungazibambi okuxubile kuvame ukubangelwa inhlanganisela yezici ezifanayo ezibangela ukucindezeleka nokukhuthaza ukungazibambi.

Ukungakwazi ukucindezela kubangelwa ubuthakathaka emisipheni yethambo lephaphu elisekela isinye nobuthakathaka emisipheni elawula ukuphuma komchamo. Ngenxa yalokhu, umchamo wakho - umchamo weshubhu udlula uphume esinyeni sakho - awukwazi ukuhlala uvaliwe.

Ukungakwazi ukucindezeleka kungenzeka ngenxa ye:

• ukukhulelwa
• ukubeletha
• ukuhlinzwa noma imisebe esithweni sangasese (abesifazane), i-rectum, noma i-prostate (amadoda)
• ukulimala okhalweni
• ukukhuluphala ngokweqile

Nxusa ukungazibambi kwenzeka lapho imisipha esenkontilekeni sakho sodonga inkontileka kakhulu.

Kungabangelwa:

• ukukhathazeka
• ukuqunjelwa
• ukutheleleka kwe-urinary tract (UTI)
• izimo ezithinta isimiso sezinzwa

Kutholakala kanjani ukungahambelani kokuxubana?

Udokotela wakho uzoqala ngokubuza mayelana nezimpawu zakho:

• Uzizwa nini ufisa ukuya?
• Uvuza kangaki?
• Ngabe uvame ukwenzani uma uvuza?

Ukugcina idayari yemikhuba yakho yokugezela nokuvuza kungakusiza uphendule imibuzo kadokotela wakho.

Ukuthola ukungahambelani okuxubile, udokotela wakho angakunika eyodwa noma eziningi zalezi zivivinyo:

• Ukuhlolwa komchamo: Udokotela wakho uzohlola i-UTI.
• Ukuhlolwa kwe-Neurological: Lokhu kuzovumela udokotela wakho ukuthi abone noma yiziphi izinkinga zemizwa.
• Ukuhlolwa kwengcindezi: Udokotela wakho uzonquma ukuthi ulahlekelwa yimuphi umchamo ngenkathi ukhwehlela.
• I-post-void residual volume: Udokotela wakho uzolinganisa ukuthi ungakanani umchamo osele esinyeni sakho ngemuva kokuchama.
• I-cystoscopy noma i-urethroscopy: Lokhu kuvumela udokotela wakho ukuthi abheke ngaphakathi kwesisu sakho kanye ne-urethra nganoma yiziphi izinkinga zesakhiwo.

Kuphathwa kanjani ukungavumelani okuxubekile?

Lezi zindlela zokwelapha zingasiza ngezimpawu zokucindezeleka futhi zikhuthaze ukungazibambi:

Ukuzivocavoca nokuqeqesha

Ukuzivocavoca kwe-pelvic muscle (Kegels): Uyakhama futhi ukhulule imisipha oyisebenzisayo ukubamba ukhiphe umchamo. Ngokuhamba kwesikhathi, le misipha izoqinisa futhi igcine i-urethra yakho ivaliwe.

Ukuqeqeshwa kwesinye: Uya endlini yangasese ngezikhathi ezibekiwe, njengayo yonke imizuzu engama-45. Kancane kancane, ukhulisa isikhathi phakathi kokuvakasha endlini yangasese. Lokhu kusiza ukuqinisa imisipha yakho yesinye.

Imithi

Udokotela wakho angakunikeza okukodwa kokulandelayo ukuze wehlise imisipha yesinye engasebenzi ngokweqile:

• i-oxybutynin (Ditropan)
• i-tolterodine (i-Detrol)
• i-darifenacin (i-Enablex)

Imijovo ye-botulinum toxin (Botox) esinyeni sakho nayo ingathulisa imisipha yesinye engasebenzi ngokweqile.

Izinqubo

Ezimweni ezimbi kakhulu zokungalawuleki, okunye kokulandelayo kungadingeka:

• Ipayipi: Lokhu kufakwa esithweni sangasese ukuxhasa izindonga zangasese. Lokhu kungavimbela ukuthi isinye singawi sibheke ezansi esithweni sangasese.
• Ukufakwa kwe-Urethral: Lokhu kufakwa ngaphakathi kwe-urethra ukusiza ukuvimbela ukuvuza.
• Ukukhuthaza phansi kwepelvic: Kuthunyelwa amandla kagesi emisipheni yezitho zangasese engathinta ukukhishwa kwesinye sakho. Lokhu kukhuthaza kubangela ukuba imisipha isebenze, okungathuthukisa ukuvalwa kwe-urethra.
• Imijovo: Izinto zokukhwabanisa zifakwa endaweni ezungeze i-urethra ukuyigcina ivaliwe futhi ivimbele umchamo ukuthi ungavuzi.
• Ukuhlinzwa: Ezimweni ezingavamile, inqubo yokudonsa indle ingadingeka. Udokotela wakho uzokwakha i-hammock ngaphandle kwezicubu emzimbeni wakho noma ngezinto ezenziwe ngumuntu ukuxhasa i-urethra nokuvimbela ukuvuza.

Kuyini ukungahambelani kwesikhashana?

Ukudlula kusho okwesikhashana. Lolu hlobo lokungalawuleki lubangelwa yisimo sezempilo. Kufanele kube ngcono uma inkinga isilashwa.

Ziyini izimpawu?

Uma une-incontinence yesikhashana, isimo sezempilo esiyisisekelo sikuvimbela ukuba ufike endlini yangasese noma uzizwe unesifiso sokuya. Ngenxa yalokhu, uvuza umchamo.

Kubangelwa yini futhi ngubani osengozini?

Ungaba sengozini yokungazibambezeli kwesikhashana uma uhlangabezana nalezi zimo ezilandelayo:

• UTI
• ukukhiqizwa okweqile komchamo
• i-delirium
• ukuncipha nokuncipha kwezicubu ezithweni sangasese (i-atrophy yesitho sangasese sowesifazane)
• ukungqubuzana kwendle

Imithi ethile ingaholela ekungalawuleki. Lokhu kufaka phakathi okunye:

• umfutho wegazi ukunciphisa izidakamizwa
• ukudambisa izinhlungu
• imishanguzo

Itholakala kanjani futhi yelashwe kanjani?

Udokotela wakho uzoqala abuze mayelana nezimpawu zakho futhi abuyekeze noma imiphi imithi okungenzeka uyayiphuza.

Uma ungenaso isimo sezempilo esiyisisekelo, njengesifo sikaParkinson, udokotela wakho uzoqoqa isampula yomchamo ukuze ahlolele i-UTI.

Uma i-incontinence kungewona umphumela ohlangothini lomunye wemithi yakho futhi ungenayo i-UTI, udokotela wakho angahlola izimo ezithile zezokwelapha ezingaphansi.

Lapho nje udokotela wakho esethole imbangela yokungasebenzi kwakho, bazosebenzisana nawe ukwenza uhlelo lokwelashwa olwenzelwe umuntu ngamunye. Ukwelapha imbangela kunganciphisa izimpawu zakho.

Kuyini ukungahambisani ngokuphelele?

Ukungabambezeli okuphelele kubonakala ngokuvuza okuqhubekayo komchamo. Lolu hlobo lokungalawuleki luyivelakancane.

Ziyini izimpawu?

Abanye abantu bazovuza umchamo omncane, kanti abanye bazovuza amanani amakhulu. Kuzona zozimbili lezi zimo, ukuvuza kuzohlala njalo.

Kubangelwa yini futhi ngubani osengozini?

Ukungabambezeli okuphelele kungabangelwa:

• inkinga yokwakheka nesinye sakho
• ukuhlinzwa okhalo okonakalisa isinye sakho
• ukulimala komgogodla noma isifo esifana ne-multiple sclerosis, esivimbela amasiginali ezinzwa ukuthi angadluli phakathi kwesinye nobuchopho bakho
• i-fistula, noma imbobo phakathi kwesinye nesitho sangasese sowesifazane (kwabesifazane)

Itholakala kanjani futhi yelashwe kanjani?

Udokotela wakho uzoqala ahlole izimpawu zakho bese enquma ukuthi ukuvuza akuhlali yini. Uma lokhu okuhlangabezana nakho kungukungavumelani ngokuphelele, udokotela wakho angancoma ukuhlinzwa ukuze kulungiswe i-fistula noma umonakalo esinyeni sakho.

Kwezinye izimo, udokotela wakho angancoma ukuthi usebenzise i-catheter. Le yipayipi elincanyana elibekwe emthanjeni wakho ukuze ukhiphe isinye sakho.

Ukugqoka ama-sanitary pads noma eminye imikhiqizo yokumunca kungasiza ukudonsa kunoma yikuphi ukuswakama futhi kufihle iphunga.

Kwenzekani ngokulandelayo

Umbono wakho uncike ekutheni yini ebanga ukungazethembi kwakho. Ukungazibambi okuxubile kuyelapheka ngezinguquko zendlela yokuphila, umuthi nokuhlinzwa. Ukungazibambezeli okwesikhashana kuvame ukuphela uma welapha inkinga isimo esingaphansi. Kungalashwa ezinye izimbangela zokungalawuleki okuphelele, njenge-fistula.

Uma izimpawu zakho ziba zimbi noma ziqhubeka, thintana nodokotela wakho. Bangakwazi ukuhlola uhlelo lwakho lokwelashwa futhi, uma kudingeka, benze izincomo ezintsha.

Ungakuvimbela kanjani ukungalawuleki

Ukungazibambi akuvinjelwa ngaso sonke isikhathi, kepha izinguquko ezithile zendlela yokuphila zingasiza ekunciphiseni ukuphuthuma komchamo nokuvuza.

Amathiphu namasu

• Nciphisa uketshezi. Phuza amanani amancane kuphela oketshezi ngesikhathi. Yeka ukuphuza amahora amabili ngaphambi kokulala. Gwema i-caffeine soda, utshwala nekhofi, okwenza uhambe kaningi.
• Yidla ifayibha eyengeziwe. Yidla izithelo ezintsha, imifino, nezinhlamvu ezigcwele ukuvimbela ukuqunjelwa, okungadala ukungavumelani komchamo.
• Gwema ukudla okucasula isinye sakho. Hlala kude nezithelo ezisawolintshi nokunye ukudla okune-asidi, kanye nokudla okubabayo namaswidi okufakelwa.
• Gcina isisindo esinempilo. Ukukhuluphala ngokweqile kubeka ingcindezi eyengeziwe esinyeni sakho.