Ukuchichima Kokuchichima: Kuyini Futhi Kuphathwa Kanjani?

-Delile

• Ingabe lokhu kuvamile?
• Yini ebangela lokhu nokuthi ngubani osengozini
• Iqhathanisa kanjani nezinye izinhlobo zokungabambeki
• Ukuhlonza ukungahambi kahle kokuchichima
• Izinketho zokwelashwa
• Ukuqeqeshwa kokuziphatha ekhaya
• Imikhiqizo namadivayisi ezokwelapha
• Imithi
• Ukuhlinzwa
• Ukwelashwa kwezinye izinhlobo zokungalawuleki
• Imithi yokwelashwa engenelela
• Umbono

Ingabe lokhu kuvamile?

Ukuchichima kokuchichima kwenzeka lapho isinye sakho singaphumi ngokuphelele lapho uchama. Amanani amancane omchamo osele avuza ngokuhamba kwesikhathi ngoba isinye sakho sigcwala kakhulu.

Ungasizwa noma ungasizwa isidingo sokuchama ngaphambi kokuvuza. Lolu hlobo lokungahambi kahle komchamo kwesinye isikhathi kubizwa ngokuthi yi-dribbling.

Ngaphandle kokuvuza komchamo, ungahle uhlangabezane nalokhu:

• Inkinga yokuqala ukuchama nokusakazeka okuntekenteke uma sekuqalile
• ukuvuka njalo ebusuku ukuyochama
• ukutheleleka kaningi komchamo

Ukungahambisani nomchamo kuvame kakhulu kubantu abadala asebekhulile. yabantu baseMelika abaneminyaka engama-65 nangaphezulu bayibonile.

Ukungazibambi komchamo ngokujwayelekile kungabesifazane njengakwabesilisa, kepha amadoda maningi amathuba okuthi abesifazane babe nokuchaphazeleka okuchichimayo.

Qhubeka ufunde ukuze ufunde kabanzi ngezimbangela, izinto ezinobungozi, ukwelashwa, nokuningi.

Yini ebangela lokhu nokuthi ngubani osengozini

Isizathu esiyinhloko sokuchichima kokuchichima ukugcinwa okungapheli komchamo, okusho ukuthi awukwazi ukukhipha isinye sakho. Ungadinga ukuchama kaningi kepha unenkinga yokuqala ukuchama futhi uchithe ngokuphelele isinye sakho.

Ukugcinwa komchamo okungapheli kuvame kakhulu emadodeni kunabesifazane. Emadodeni, kuvame ukubangelwa i-benign prostatic hyperplasia, okusho ukuthi i-prostate iyanda kodwa hhayi umdlavuza.

Indlala yesibeletho isezansi komchamo, ishubhu elikhipha umchamo emzimbeni womuntu.

Lapho i-prostate ikhuliswa, ifaka ingcindezi ku-urethra, okwenza kube nzima ukuchama. Isinye singabuye sisebenze ngokweqile, senze indoda enesinye esandisiwe izwe isifiso sokuchama kaningi.

Ngokuhamba kwesikhathi, lokhu kunganciphisa imisipha yesinye, kwenze kube nzima ukukhipha isinye ngokuphelele. Umchamo osele esinyeni uwenza ugcwale kaningi, bese kuphuma umchamo.

Ezinye izimbangela zokuchichima kokuchichima emadodeni nakwabesifazane zifaka:

• amatshe esinye noma izimila
• izimo ezithinta izinzwa, njenge-multiple sclerosis (MS), isifo sikashukela, noma ukulimala kwengqondo
• ukuhlinzwa okhalo lwangaphambilini
• imithi ethile
• ukuqhuma okukhulu kwesibeletho sowesifazane noma isinye

Iqhathanisa kanjani nezinye izinhlobo zokungabambeki

Ukuchichima kokuchichima kungenye yezinhlobo eziningana zokungavumelani komchamo. Ngamunye unezimbangela nezici ezihlukile:

Ukungakwazi ukucindezeleka: Lokhu kwenzeka lapho ukuvivinya umzimba, njengokugxuma, ukuhleka, noma ukukhwehlela, kubangela ukuba umchamo uvuza.

Izimbangela ezingaba khona zenziwa buthaka noma zonakalise imisipha yaphansi ye-pelvic, i-urethral sphincter, noma kokubili. Imvamisa, awusizwa isidingo sokuchama ngaphambi kokuvuza.

Abesifazane abalethe ingane ezithweni zangasese bangaba sengozini yalolu hlobo lokungalawuleki ngoba imisipha yomgogodla nezinzwa kungalimala ngesikhathi sokubeletha.

Nxusa ukungabambeki (noma isinye esisebenza ngokweqile): Lokhu kubangela isidingo esinamandla, esizumayo sokuchama noma ngabe isinye sakho asigcwele. Ungahle ungakwazi ukufika endlini yangasese ngesikhathi.

Imbangela ivame ukungaziwa, kepha ijwayele ukwenzeka kubantu abadala. Kwezinye izimo, kungumphumela oseceleni wokutheleleka noma izimo ezithile, njengesifo sikaParkinson noma i-MS.

Ukungahambelani okuxubile: Lokhu kusho ukuthi ninokucindezeleka nobabili futhi nikhuthaza ukungazibambi.

Abesifazane abane-incontinence bavame ukuba nalolu hlobo. Kuyenzeka futhi emadodeni asuswe i-prostate noma ahlinzelwa i-prostate enwetshiwe.

Ukungahambelani kahle kwe-Reflex: Lokhu kubangelwa izinzwa ezilimele ezingakwazi ukuxwayisa ubuchopho bakho lapho isinye sakho sigcwele.Imvamisa kwenzeka kubantu abanomonakalo omkhulu wezinzwa kusuka:

• ukulimala komgogodla
• I-MS
• ukuhlinzwa
• ukwelashwa ngemisebe

Ukungasebenzi kahle kokusebenza: Lokhu kwenzeka lapho inkinga engahlobene nomgudu wokuchama ikwenza ube nezingozi.

Ngokuqondile, awazi ukuthi udinga ukuchama, awukwazi ukuxhumana ukuthi udinga ukuya, noma ngokomzimba awukwazi ukuya endlini yangasese ngesikhathi.

Ukungasebenzi kahle komsebenzi kungaba umphumela ohlangothini we:

• ukuwohloka komqondo
• Isifo i-Alzheimer's
• ukugula ngengqondo
• ukukhubazeka emzimbeni
• imithi ethile

Ukuhlonza ukungahambi kahle kokuchichima

Udokotela wakho angakucela ukuthi ugcine idayari yesinye isonto noma ngaphambi kokuqokwa kwakho. Idayari yesinye ingakusiza ekutholeni amaphethini nezimbangela zokungavumelani kwakho. Izinsuku ezimbalwa, qopha:

• uphuza kangakanani
• lapho uchama
• inani lomchamo owukhiqizayo
• noma ngabe ubunesifiso sokuchama
• inani lokuvuza obe nalo

Ngemuva kokuxoxa ngezimpawu zakho, udokotela wakho angenza ukuhlolwa kokuxilongwa ukuthola uhlobo lokungazethembi onakho:

• Ukuhlolwa kokukhwehlela (noma ukuhlolwa kwengcindezi) kuhilela ukukhwehlela ngenkathi udokotela wakho ehlola ukubona ukuthi umchamo uyavuza yini.
• Ukuhlolwa komchamo kubheka igazi noma izimpawu zokutheleleka emchameni wakho.
• Ukuhlolwa kwendlala yesinye kuhlolwe i-prostate ekhulisiwe emadodeni.
• Ukuhlolwa kwe-urodynamic kukhombisa ukuthi isisu sakho singabamba umchamo ongakanani nokuthi ungakhipha ngokuphelele yini.
• Isilinganiso esisele sensalela sihlola ukuthi kungakanani umchamo osele esinyeni sakho ngemuva kokuchama. Uma inani elikhulu lihlala, kungasho ukuthi uvinjelwe emgudwini wakho wokuchama noma unenkinga yemisipha yesinye noma izinzwa.

Udokotela wakho futhi angancoma izivivinyo ezengeziwe, njenge-pelvic ultrasound noma i-cystoscopy.

Izinketho zokwelashwa

Ngokuya ngezidingo zakho ezithile, uhlelo lwakho lokwelashwa lungafaka okukodwa noma okuningi kokulandelayo:

Ukuqeqeshwa kokuziphatha ekhaya

Ukuqeqeshwa kokuziphatha ekhaya kungakusiza ufundise isinye sakho ukulawula ukuvuza.

• Nge ukuqeqeshwa kwesinye, ulinda isikhathi esithile ukuchama ngemuva kokuzwa isifiso sokuya. Qala ngokulinda imizuzu eyi-10, bese uzama ukusebenza ngendlela yakho uze uchame kuphela njalo emahoreni amabili kuya kwangu-4.
• Ukuvala kabili kusho ukuthi ngemuva kokuchama, ulinda imizuzu embalwa bese uzama ukuphinda uhambe. Lokhu kungasiza ukuqeqesha isinye sakho ukuthi sikhiphe ngokuphelele.
• Zama amakhefu okugezela ahleliwe, lapho uchama khona njalo emahoreni amabili kuya kwayi-4 esikhundleni sokulinda ukuzwa isifiso sokuya.
• Ukuzivocavoca kwe-pelvic muscle (noma i-Kegel) hlanganisa nokuqinisa imisipha oyisebenzisayo ukuyeka ukuchama. Qinisa imizuzwana emihlanu kuya kweyishumi, bese uphumule isikhathi esilinganayo. Sebenza indlela yakho kuze kube ukwenza ama-reps ayi-10, kathathu ngosuku.

Imikhiqizo namadivayisi ezokwelapha

Ungahle ukwazi ukusebenzisa le mikhiqizo elandelayo ukusiza ukumisa noma ukubamba ukuvuza:

Izingubo zangaphansi zabantu abadala ziyefana ngobuningi ezingutsheni zangaphansi ezijwayelekile kepha zidonsa ukuvuza. Ungazigqoka ngaphansi kwezingubo zansuku zonke. Amadoda angadinga ukusebenzisa i-drip collector, okuyi-padding yokumunca egcinwe endaweni yizingubo zangaphansi eziseduze.

A ipayipi yishubhu elithambile olifaka ku-urethra yakho izikhathi eziningana ngosuku ukukhipha isinye sakho.

Ukufakwa kwabesifazane kungasiza ngezinkinga ezahlukahlukene ezihlobene nokungahlangani:

• A pessary yindandatho yesitho sangasese sowesifazane eqinile oyifakayo oyigqokayo usuku lonke. Uma unesibeletho esiphume noma isinye, iringi iyasiza ukubamba isinye sakho endaweni ukuvimbela ukuvuza komchamo.
• A ukufaka urethral iyidivayisi elahlwayo efana netampon oyifaka ku-urethra ukumisa ukuvuza. Uyifaka ngaphambi kokwenza noma yikuphi ukuvivinya umzimba okuvame ukudala ukungabekezeleleki bese ususa ngaphambi kokuchama.

Imithi

Le mithi ijwayele ukusetshenziselwa ukwelapha ukungahambi kahle kokuchichima.

I-Alpha-blockers phumuza imicu yemisipha ku-prostate yendoda kanye nemisipha yentamo yesinye ukuze usize isinye singabi nalutho ngokuphelele. Ama-alpha-blocker ajwayelekile afaka:

• i-alfuzosin (Uroxatral)
• i-tamsulosin (Flomax)
• i-doxazosin (Cardura)
• i-silodosin (Rapaflo)
• terazosin

5a reductase inhibitors futhi kungaba yindlela yokwelashwa engenzeka yamadoda. Le mithi isiza ukwelapha indlala ye-prostate ekhulisiwe.

Imithi yokuchichima kokuchichima isetshenziswa kakhulu emadodeni. Bobabili abesilisa nabesifazane bangazuza ngokuhlinzwa noma ekusetshenzisweni kwama-catheters ukusiza isinye singenalutho njengoba kufanele.

Ukuhlinzwa

Uma ezinye izindlela zokwelapha zingasebenzi, ukuhlinzeka kungaba inketho, kufaka phakathi:

• izinqubo zokujikijela
• ukumiswa kwentamo yesinye
• ukuhlinzwa okuqhubekayo (inketho evamile yokwelashwa kwabesifazane)
• i-sphincter yokufakelwa komchamo

Ukwelashwa kwezinye izinhlobo zokungalawuleki

Ama-anticholinergics zisetshenziselwa ukuphatha ukwelashwa kwesinye ngokweqile ngokuvimbela ama-spasms wesinye. Ama-anticholinergics ajwayelekile afaka:

• i-oxybutynin (Ditropan XL)
• i-tolterodine (i-Detrol)
• i-darifenacin (i-Enablex)
• i-solifenacin (Vesicare)
• trospium
• i-fesoterodine (Toviaz)

I-Mirabegron (Myrbetriq) ibuyisa imisipha yesinye ukusiza ekwelapheni ukungahambisani nomqondo. Kungasiza isinye sakho sibambe umchamo omningi futhi singabi nalutho ngokuphelele.

Amapeshi thumela imithi ngesikhumba sakho. Ngaphezu kwefomu lethebulethi, i-oxybutynin (i-Oxytrol) iza njengesiqobosho sokungasebenzi kahle komchamo esisiza ukulawula imithambo yemisipha yesinye.

Umthamo ophansi we-topical estrogen ingafika ngokhilimu, isichibi, noma indandatho yesitho sangasese sowesifazane. Kungasiza abesifazane ukubuyisa nezicubu zethoni ku-urethra nasezindaweni zesitho sangasese ukusiza ngezimpawu ezithile zokungalawuleki.

Imithi yokwelashwa engenelela

Imithi yokwelashwa ingasebenza uma ezinye izindlela zokwelashwa zingakusizanga ngezimpawu zakho.

Kunezinhlobo ezimbalwa zokwelashwa okungenelela kokungahambisani nomchamo.

Lowo okungenzeka ukuthi usize ngokungavinjeli kokuchichima kubandakanya imijovo yento yokwenziwa, ebizwa ngokuthi i-bulking material, kuzicubu ezizungeze i-urethra. Lokhu kusiza ukugcina i-urethra yakho ivaliwe, enganciphisa ukuvuza komchamo.

Umbono

Uma une-incontinence echichimayo, khuluma nodokotela wakho ngezindlela zokwelashwa.

Kungase kudingeke ukuthi uzame izindlela ezimbalwa ngaphambi kokuthola okukusebenzelayo, kepha imvamisa kungenzeka ukuphatha izimpawu zakho nokunciphisa ukuphazamiseka empilweni yakho yansuku zonke.