Isinye Esisebenza ngokweqile Ezinganeni: Izimbangela, Ukuxilongwa, Nokwelapha

-Delile

• Izingane kufanele zikwazi ukulawula isinye ngasiphi iminyaka?
• Izimpawu ze-OAB
• Ukumanzisa embhedeni
• Yini ebangela i-OAB ezinganeni?
• Ukubonana nodokotela nini
• Ukwelapha i-OAB ezinganeni
• Ukuqeqeshwa kwesinye
• Imithi
• Amakhambi asekhaya

Isinye esisebenza ngokweqile

Isinye esisebenza ngokweqile (OAB), uhlobo oluthile lokungavinjelwa komchamo, isimo esivamile sobuntwana esichazwa isifiso sokuzichamela ngokuzumayo futhi esingalawuleki. Kungadala izingozi emini. Umzali futhi angabuza ingane uma ngabe idinga ukuya endlini yangasese. Noma ingane ithi cha, bazoba nesidingo esiphuthumayo sokuhamba imizuzu kamuva. I-OAB ayifani nokumanzisa embhedeni, noma i-enuresis yasebusuku. Ukumanzisa embhedeni kuvame kakhulu, ikakhulukazi ezinganeni ezisencane.

Izimpawu ze-OAB zingaphazamisa imikhuba yansuku zonke yengane. Kubalulekile ukusabela ezingozini zasemini ngokubekezela nokuqonda. Lezi zehlakalo zivame ukuthinta ukukhula kwengane kwezenhlalakahle nangokomzwelo wengane. Ezinye izinkinga zomzimba ze-OAB ezinganeni yilezi:

• ubunzima bokukhipha isinye ngokuphelele
• ingozi eyengeziwe yokulimala kwezinso
• ingozi eyengeziwe yokutheleleka ngomgudu womchamo

Khuluma nodokotela wakho uma usola ukuthi ingane yakho ine-OAB. Ezimweni eziningi, i-OAB iyahamba nesikhathi. Uma kungenjalo, kunezindlela zokwelashwa nezasekhaya ezitholakalayo ukusiza ingane yakho ukunqoba noma ukuphatha lesi simo.

Izingane kufanele zikwazi ukulawula isinye ngasiphi iminyaka?

Ukumanzi ezinganeni ezingaphansi kweminyaka emithathu kuvamile kakhulu. Iningi lezingane lizokwazi ukulawula isinye lapho seliba neminyaka emithathu, kepha lesi sikhathi singahluka. I-OAB ayitholakali kuze kube yilapho ingane ineminyaka emihlanu noma eyisithupha ubudala. Ngeminyaka engu-5, izingane ezingaphezu kwamaphesenti angama-90 ziyakwazi ukulawula umchamo wazo emini. Udokotela wakho angeke ahlolisise ukungahambisani nomchamo ebusuku kuze kube yilapho ingane yakho ineminyaka engu-7 ubudala.

Ukumanzisa embhedeni kuthinta amaphesenti angama-30 ezingane ezineminyaka emi-4 ubudala. Leli phesenti lehla unyaka nonyaka njengoba izingane zikhula.Cishe amaphesenti ayi-10 wabantwana abaneminyaka engu-7, amaphesenti ama-3 abaneminyaka eyi-12, nephesenti elilodwa labaneminyaka eyi-18 basazomanzisa umbhede ebusuku.

Izimpawu ze-OAB

Uphawu oluvame kakhulu lwe-OAB ezinganeni isifiso sokuya endlini yangasese kaningi kunokujwayelekile. Umkhuba ojwayelekile wokugezela ucishe ube yizikhathi ezine kuya kwezinhlanu ngosuku. Nge-OAB, isinye singavumelana futhi sidale ukuzwa kokudinga ukuchama, noma singagcwele. Ingane yakho kungenzeka ingakutsheli ngqo ukuthi inesifiso. Bheka izimpawu ezinjengokugwedla esihlalweni sabo, ukudansa uzungeze, noma ukugxuma usuka kolunye unyawo uye kolunye.

Ezinye izimpawu zingafaka:

• ukuhlangabezana nesifiso sokuchama, kepha ungadlulisi noma yimuphi umchamo
• ukutheleleka kaningi komchamo
• izingozi emini

Ngaphansi kokujwayelekile, ingane yakho ingahle ivuleke ukuvuza, ikakhulukazi lapho isebenza noma lapho ithimula.

Ukumanzisa embhedeni

Ukumanzisa embhedeni kwenzeka lapho ingane ingakwazi ukulawula ukuchama kwayo ebusuku. Luhlobo lokungasebenzi kahle olungahamba nesinye esisebenza ngokweqile kepha imvamisa aluhlobene nalo. Ukumanzisa ebusuku kubhekwa njengokujwayelekile uma kwenzeka ezinganeni ezineminyaka yobudala engu-5. Ezinganeni ezindala, lesi simo sibizwa ngokuthi ukungasebenzi kahle uma sihambisana nokuqunjelwa kanye nezingozi ezingcolile.

Yini ebangela i-OAB ezinganeni?

Kunezimbangela eziningi ezingaba khona ze-OAB. Ezinye izimbangela ziyehluka kuye ngeminyaka yengane. Isibonelo, ezinganeni ezineminyaka engu-4 kuye kwengu-5 ubudala, imbangela ingaba:

• shintsha esimisweni, njengokuthuthela edolobheni elisha noma ukuba nomfowenu noma udadewenu omusha endlini
• ukukhohlwa ukusebenzisa indlu yangasese ngoba benza ezinye izinto
• ukugula

Ezinye izimbangela ezinganeni zayo yonke iminyaka zingafaka:

• ukukhathazeka
• ukuphuza iziphuzo ezine-caffeine noma iziphuzo ezi-fizzy
• ukucasuka emoyeni
• unezinkinga ngokuqunjelwa
• ukutheleleka kaningi komchamo
• ukulimala kwemizwa noma ukungasebenzi kahle okwenza ingane ibe nobunzima bokubona isinye esigcwele
• ukugwema ukukhipha ngokuphelele isinye lapho usendlini encane
• okuyisisekelo sokuphefumula ubuthongo

Kwezinye izingane, kungahle kube ukubambezeleka kokuvuthwa futhi ekugcineni kuzophela ngeminyaka. Kodwa ngoba ukuphambana kwesinye kulawulwa yimithambo, kungenzeka ukuthi i-OAB ingabangelwa yisifo semizwa.

Ingane nayo ingafunda ukubamba umchamo wayo ngamabomu, okungathinta amandla ayo okukhipha ngokuphelele isinye sayo. Imiphumela yesikhathi eside yalo mkhuba kungaba ukutheleleka ngomgudu womchamo, ukwanda kwemvamisa yomchamo, nokulimala kwezinso. Bona udokotela uma ukhathazekile ngokuthi i-OAB yengane yakho ayihambanga yodwa.

Ukubonana nodokotela nini

Yenza i-aphoyintimenti nodokotela wezingane ukuze uyohlolwa uma ingane yakho inezimpawu ze-OAB. Lokhu kuyiqiniso ikakhulukazi uma ingane yakho ineminyaka engu-7 noma ngaphezulu. Iningi lezingane kule minyaka zizoba nokulawula kwesinye.

Uma ubona udokotela, bazofuna ukunikeza ingane yakho ukuhlolwa ngokomzimba futhi bezwe umlando wezimpawu. Udokotela wakho angafuna nokuhlola ukuqunjelwa futhi athathe isampula yomchamo ukuhlaziya ukutheleleka noma okunye okungajwayelekile.

Ingane yakho nayo ingadinga ukubamba iqhaza ekuhlolweni kokuvala. Lezi zivivinyo zingabandakanya ukukala ivolumu yomchamo nanoma yini eshiywe esinyeni ngemuva kokuvala, noma ukukala isilinganiso sokugeleza. Kwezinye izimo, udokotela wakho angafuna ukwenza i-ultrasound ukunquma ukuthi izingqinamba zesakhiwo sesinye kungaba yini imbangela.

Ukwelapha i-OAB ezinganeni

I-OAB ivame ukuhamba lapho ingane ikhula. Njengoba ingane ikhula:

• Bangabamba okuningi esinyeni sabo.
• Ama-alamu abo omzimba wemvelo aqala ukusebenza.
• I-OAB yabo ihlala phansi.
• Impendulo yomzimba wabo iyathuthuka.
• Ukukhiqizwa komzimba wabo kwe-antidiuretic hormone, ikhemikhali elehlisa ukukhiqizwa komchamo, kuyazinza.

Ukuqeqeshwa kwesinye

Udokotela wakho wezingane cishe uzophakamisa amasu angaqaliwe njengokuqeqeshwa kwesinye kuqala. Ukuqeqeshwa kabusha kwesinye kusho ukunamathela esimisweni sokuchama nokuzama ukuchama ukuthi unesifiso sokuya noma cha. Ingane yakho izofunda ukunaka kancane kancane isidingo somzimba wayo wokuchama. Lokhu kuzoholela ekuchithekeni okuphelele kwesinye sabo futhi ekugcineni kudlule isikhathi eside ngaphambi kokudinga ukuchama futhi.

Isampula yokuchama kungaba ukuya endlini yangasese njalo emahoreni amabili. Le ndlela isebenza kahle kakhulu ezinganeni ezinomkhuba wokugijimela endlini yangasese kaningi, kodwa hhayi ngaso sonke isikhathi zichama futhi ezingezona izingozi.

Enye indlela ibizwa ngokuthi i-voiding ephindwe kabili, okubandakanya ukuzama ukuphinda uchame futhi ngemuva kwesikhathi sokuqala ukuqinisekisa ukuthi isinye sikhishwe ngokuphelele.

Ezinye izingane nazo ziphendula ekwelashweni okwaziwa ngokuthi ukuqeqeshwa kwe-biofeedback. Iholwa ngumelaphi, lokhu kuqeqeshwa kusiza ingane ukuthi ifunde ukugxila emisipheni yesinye futhi iyiphumule ngenkathi ichama.

Imithi

Udokotela wezingane wakho mhlawumbe uzophakamisa imishanguzo uma amasu angewona ezokwelapha ehluleka ukusiza ingane yakho. Uma ingane yakho iqunjelwe, udokotela wakho angakunika i-laxative. Uma ingane yakho inegciwane, ama-antibiotics nawo angasiza.

Imithi yezingane isiza ukukhulula isinye, okunciphisa isifiso sokuya njalo. Isibonelo yi-oxybutynin, enemiphumela emibi efaka umlomo owomile nokuqunjelwa. Kubalulekile ukuxoxa ngemiphumela emibi engaba khona yale mithi nodokotela. Kungenzeka ukuthi i-OAB ibuye ngemuva kokuthi ingane yakho iyeke ukuthatha umuthi.

Amakhambi asekhaya

Amakhambi ongawenza ekhaya afaka:

• Cela ingane yakho igweme iziphuzo nokudla nge-caffeine. I-caffeine ingavuselela isinye.
• Dala uhlelo lwemiklomelo ukuze izingane zibe nesikhuthazo. Kubalulekile ukuthi ungayijezisi ingane ngokumanzisa izingozi, kepha kunalokho uvune imikhuba emihle.
• Khonza ukudla neziphuzo ezilungele isinye. Lokhu kudla kubandakanya imbewu yamathanga, ujusi we-cranberry, isikwashi esihlanjululwe namanzi.

Qaphela ukubona ukuthi ingane yakho iba nezingozi zasemini nini nokuthi kungani. Izinhlelo zokuvuza zingasiza ngokubuyisela ingane yakho esimisweni. Kungasiza futhi ukudala ukuzihlanganisa okuhle kwezokuxhumana ukuze ingane yakho izizwe ikhululekile ukukwazisa lapho kudingeka ihambe khona. Funda ukuqhubeka ukuze ufunde mayelana nokudla okungu-11 okufanele ukugweme uma une-OAB.