Kunqamuka Kanjani Ukunqamuka Kokuya Esikhathini?

-Delile

• Izimpawu ze-OAB
• Izinga le-Estrogen lehla ngesikhathi sokunqamuka kokuya esikhathini
• I-Estrogen ithinta isinye sakho nomchamo
• Ukubeletha, ukuhlukumezeka, nezinye izimbangela
• Yini ongayenza ukuphatha i-OAB?
• Imithi
• Ingabe ukufaka esikhundleni i-estrogen kuzosiza?
• Yenza isikhathi sokubonana nodokotela wakho

Izimpawu nezimpawu zokunqamuka kokuya esikhathini

Ukunqamuka kokuya esikhathini kuchazwa njengesikhathi sokugcina sokuya esikhathini owesifazane ahlangabezana naso. Udokotela wakho kungenzeka asole ukunqamuka kokuya esikhathini uma unezinyanga eziyi-12 eziqondile ezingekho esikhathini. Uma lokho sekwenzekile, imijikelezo yakho yokuya esikhathini ngencazelo isiphelile.

Isikhathi esiholela ekunqamukeni kokuya esikhathini saziwa njenge-perimenopause. Ngesikhathi sokuphela kwesikhathi, umzimba wakho uhamba ngezinguquko emazingeni ama-hormone. Lezi zinguquko zingaqala iminyaka eminingana ngaphambi kokunqamuka kokuya esikhathini kwakho futhi zingadala izimpawu. Ngemuva kokuphela kwesikhathi ukunqamuka kokuya esikhathini, ukuphela kwesikhathi sakho.

Iningi labesifazane lifinyelela kulesi sigaba sempilo ngeminyaka engamashumi amane sekwedlule noma yamashumi amahlanu. Isilinganiso seminyaka yokunqamuka kokuya esikhathini e-U.S. Sineminyaka engama-51.

Ngaphambi nangesikhathi sokunqamuka kokuya esikhathini, ungathola izimpawu nezimpawu ezithile, kufaka phakathi:

• ushintsho esikhathini sakho olwehlukile kumjikelezo wakho ojwayelekile
• ukushisa okushisayo, noma ukuzwa okungazelelwe kokushisa engxenyeni engenhla yomzimba wakho
• inkathazo ngokulala
• ukushintsha imizwa ngocansi
• ukushintsha komzimba nomoya
• izinguquko ngesitho sakho sangasese
• izinguquko ekulawuleni isinye

Lezi zinguquko kulawulo lwakho lwesinye zingakhuphula ubungozi bokuthuthukisa isinye esisebenzayo (OAB). Abesifazane abangu-351 eChina babonise ukuthi amaphesenti angu-7.4 ane-OAB. Baphinde bathola ukuthi abesifazane abanezimpawu zokuya esikhathini baye bathande ukuba sengozini enkulu ye-OAB nezimpawu ze-OAB.

Izimpawu ze-OAB

I-OAB yigama leqoqo lezimpawu ezihlobene nokulawulwa kwesinye. Lezi zimpawu zingafaka:

• ukuchama kaningi
• ukuhlangabezana nemizwelo engazelelwe yokuchama
• ukuba nobunzima bokufika endlini yangasese ngaphandle kokuvuza umchamo kuqala
• odinga ukuchama kabili noma ngaphezulu ebusuku

Lapho usumdala, lezi zimpawu zingakhuphula ingozi yokuwa, ikakhulukazi uma uphuthuma endlini yangasese. Ukuguga nakho kuhlotshaniswa ne-osteoporosis, ngakho-ke ukuwa kuvame ukuba kubi kakhulu. Cwaninga futhi ukuthi abesifazane asebekhulile abane-OAB kanye nokungazibambi komzimba banengozi eyengeziwe yokukhubazeka, ukuzihlola okungafanele, ikhwalithi yokulala, kanye nenhlalakahle jikelele.

Yenza i-aphoyintimenti nodokotela wakho uma ubona ushintsho ezimpawu zakho zokuchama noma zesinye. Uma uvame ukuzwa umfutho ongazelelwe wokuchama lokho kunzima ukuwulawula, ungahle ube ne-OAB.

Izinga le-Estrogen lehla ngesikhathi sokunqamuka kokuya esikhathini

I-Estrogen ithinta isinye sakho nomchamo

I-OAB ngenxa yokunqamuka kokuya esikhathini ingaba nomphumela wokushintsha amazinga e-estrogen. I-Estrogen yi-hormone yabesifazane eyinhloko. Ama-ovari akho akhiqiza iningi le-estrogen yakho. Kubalulekile empilweni yakho yezocansi kanye nohlelo lokuzala. Iphinde ithinte impilo yezinye izitho nezicubu emzimbeni wakho, kufaka phakathi imisipha yakho yezitho zangasese nomgudu wokuchama.

Ngaphambi kokunqamuka kokuya esikhathini, ukunikezwa okungaguquguquki kwe-estrogen kusiza ekugcineni amandla nokuguquguquka kwezicubu zakho ezisekelayo ze-pelvic kanye nesinye. Ngesikhathi sokunqamuka kwesikhathi nokunqamuka kokuya esikhathini, amazinga akho e-estrogen ehla kakhulu. Lokhu kungadala ukuthi izicubu zakho zenze buthaka. Amazinga aphansi e-estrogen nawo angaba nomthelela ekucindezelweni kwemisipha okuzungeze i-urethra yakho.

Izinguquko emazingeni e-hormone nazo zingakhuphula ubungozi bokutheleleka nge-urinary tract (UTIs) ngesikhathi sokuphela kwesikhathi nokunqamuka kokuya esikhathini. Ama-UTI angaba nezimpawu ezifanayo njenge-OAB. Khuluma nodokotela wakho nganoma yiluphi ushintsho olusha emikhubeni yakho yokuchama.

Ukubeletha, ukuhlukumezeka, nezinye izimbangela

Ukukhula kweminyaka kuyingozi ejwayelekile yokuphazamiseka kwethambo le-pelvic, kufaka phakathi i-OAB kanye nokungahambi kahle komchamo. Ezinye izigaba zokuphila zingathinta nesinye sakho. Isibonelo, ukukhulelwa nokubeletha kungashintsha ithoni yesitho sakho sangasese, imisipha yakho yezitho zangasese, kanye nemisipha esekela isinye sakho.

Ukulimala kwemithambo yezifo nokuhlukumezeka kungadala nezimpawu ezixubekile phakathi kobuchopho nesinye. Imithi, utshwala, ne-caffeine nakho kungathinta amasiginali ebuchosheni futhi kudale ukuthi isinye sigcwale.

Yini ongayenza ukuphatha i-OAB?

Uma une-OAB, ungazizwa unesidingo sokuya endlini yangasese - okuningi. Ngokusho kweNational Association for Continence, ikota yabantu besifazane abadala iba nezinkinga zokungqubuzana nomchamo. Lokhu kusho ukuthi uvuza umchamo ngokuzibandakanya lapho uthumela isifiso sokuhamba. Ngenhlanhla, kunezinyathelo ongazithatha ukuphatha i-OAB futhi wehlise ubungozi bezingozi.

Ulayini wokuqala wokwelashwa kwe-OAB akuyona eyokwelapha. Lokhu kufaka:

Ukuzivocavoca kukaKegel: Eyaziwa nangokuthi ukuzivocavoca kwemisipha yaphansi okhalo, ama-kegels akusiza ukuthi umise izingqinamba zesifuba sakho sokungathandi. Kungathatha amasonto ayisithupha kuya kwayisishiyagalombili ngaphambi kokuba uqaphele umphumela.

Ukuqeqeshwa kwesinye: Lokhu kungasiza ngokwakha kancane isikhathi ongasilinda ukuya endlini yangasese lapho udinga ukuchama. Kungasiza futhi ukwehlisa ubungozi bokungalawuleki.

Ukuvala kabili: Linda imizuzu embalwa ngemuva kokuchama bese uyahamba futhi ukuze uqiniseke ukuthi isinye sakho asinalutho ngokuphelele.

Amapayipi wokumunca: Ukugqoka amalayili kungasiza ngokungabambeki ukuze ungaphazamisi imisebenzi.

Ukugcina isisindo esinempilo: Isisindo esengeziwe sibeka ingcindezi esinyeni, ngakho ukuncipha kungasiza ekunciphiseni izimpawu.

Imithi

Udokotela wakho angakunikeza imishanguzo uma ama-kegels nokuqeqeshwa kabusha kwesinye kungasebenzi. Le mithi isiza ukukhulula isinye futhi ithuthukise izimpawu ze-OAB.

Ingabe ukufaka esikhundleni i-estrogen kuzosiza?

Noma amazinga e-estrogen anciphile athinta isinye sakho kanye nomchamo, ukwelashwa kwe-estrogen kungahle kungabi ukwelashwa okusebenzayo. Ngokusho kweMayo Clinic, abukho ubufakazi obanele besayensi bokusekela ukusetshenziswa kwama-estrogen okhilimu noma ama-patches ukwelapha i-OAB. Ukwelashwa kwe-Hormone akuyona i-FDA evunyelwe ukwelashwa kwe-OAB noma ukungasebenzi, futhi kubhekwa "njengokusetshenziswa kwelebula engekho" kule mibandela.

Noma kunjalo, abanye besifazane bathi izindlela zokwelapha ze-estrogen ezisizayo zilawula ukuvuza kwazo ekuchameni kanye nesifiso sokuya. Lezi zindlela zokwelapha zingathuthukisa ukuhamba kwegazi futhi ziqinise izicubu ezungeze i-urethra yakho. Khuluma nodokotela wakho uma unentshisekelo ekwelashweni kokushintsha ama-hormone.

Ukusetshenziswa kwezidakamizwa ezingekho kwelebula kusho ukuthi umuthi ovunyelwe yi-FDA ngenhloso eyodwa usetshenziselwa injongo eyehlukile engavunyelwe. Kodwa-ke, udokotela usengasisebenzisa lesi sidakamizwa ngaleyo njongo. Lokhu kungenxa yokuthi i-FDA ilawula ukuhlolwa nokuvunywa kwezidakamizwa, kodwa hhayi ukuthi odokotela bazisebenzisa kanjani izidakamizwa ukwelapha iziguli zabo. Ngakho-ke, udokotela wakho angakunikeza umuthi kodwa bacabanga ukuthi kungcono kakhulu ukunakekelwa kwakho.

Yenza isikhathi sokubonana nodokotela wakho

Hlela i-aphoyintimenti nodokotela wakho uma:

• uchame izikhathi ezingaphezu kweziyisishiyagalombili ngosuku
• avuke njalo ebusuku ayochama
• ukuzwa umchamo ovuzayo kaningi
• ushintshe imisebenzi yakho ukwamukela izimpawu ze-OAB noma ukungasebenzi komchamo

Ungavumeli i-OAB iphazamise indlela othanda ngayo imisebenzi yansuku zonke. Ukwelashwa kwe-OAB kuyasebenza futhi kungakusiza ukuba uphile impilo enempilo, esebenzayo.