Izindlela zokwelapha ukungasebenzi kahle komchamo

-Delile

• 1. Cindezela ukungasebenzi komchamo
• 2. Ukungasebenzi kahle komchamo
• Ukwelashwa kwemvelo

Enye yezindlela zokwelapha ukungabambeki komchamo ukusetshenziswa kwemithi, njenge-oxybutynin, i-tropium chloride, i-estrogen noma i-imipramine, ngokwesibonelo, ebekwe ngudokotela, njengendlela yokwehlisa ukuphambana kwesinye noma ukuthuthukisa isenzo se-sphincter ye-urethra , ukunciphisa iziqephu zokulahleka komchamo ngokungazibandakanyi.

Le mithi ikhonjiswa kuphela kwezinye izimo, lapho izinzuzo zidlula ubungozi, ngenxa yokuphikisana okuvezayo nemiphumela emibi engayibangela, njengomlomo owomile, isiyezi, uhudo noma ukugcinwa komchamo, kunconywa lapho ezinye izinhlobo ze ukwelashwa, njengokuvivinya umzimba, akwanele.

Ukungazibambi komchamo yisimo esivamile esingathinta noma ngubani, ikakhulukazi abesifazane abaneminyaka engaphezu kwengama-45, futhi kubangele izimpawu ezingathandeki njengokulahleka komchamo ezingutsheni, okungavela ngemuva kokuzikhandla noma ngemuva kokushaywa ngokuzumayo ukuchama, okungenzeka ngokuncane noma inani elikhulu. Ziqonde kangcono izimpawu, izinhlobo kanye nezimbangela zokungavumelani komchamo.

Imithi engabhekiswa ukuqeda ukungasebenzi komchamo incike ohlotsheni lwayo, kungaba ngabesifazane noma abesilisa. Izinketho zifaka:

1. Cindezela ukungasebenzi komchamo

Lolu hlobo lokungalawuleki luvela noma nini lapho kwenziwa umzamo ngesisu noma okhalweni, njengokukhwehlela, ukuthimula noma ukuthwala isisindo, futhi kuvela ikakhulukazi ngenxa yokwehla kwezicubu zomzimba, noma izinguquko esimweni se-urethra noma esinyeni.

• I-Estrogen: ukusetshenziswa kwe-estrogen, okufana ne-estradiol ngendlela yokugcoba, indandatho noma indandatho yesitho sangasese sowesifazane, kungenza ngokwandisa ingcindezi yokuvala i-urethra, ukugeleza kwegazi kanye nekhwalithi yezicubu ezibeka umchamo nesitho sangasese sowesifazane, kunciphise amathuba ukungazibambi;
• Imipramine (Tofranil): wuhlobo lwe-anti-depressant olukwaziyo ukwehlisa ukusikwa kwesinye futhi lukhulise ukumelana nomchamo;
• I-Duloxetine (UCymbi, Velija): kungenye indlela yokulwa nokucindezelwa, okungaba nomthelela ezinzwa ze-urethra, kunciphise imvamisa yokungalawuleki.

Kubalulekile ukukhumbula ukuthi ekungalawuleki kokuxineka, indlela eyinhloko yokwelashwa ukwenza i-pelvic floor physiotherapy, eqondiswa ngama-physiotherapists aqeqeshiwe, kufaka phakathi izindlela zokwelapha ezinjenge-electrostimulation noma izivivinyo zemisipha, ezibalulekile ukwelapha kahle le nkinga. Bheka ukuzivocavoca okuthile okungenziwa ngokungavumelani nokuchama komchamo, kuvidiyo elandelayo:

Ngaphezu kwalokho, ukuhlinzekwa kungenye indlela ebalulekile yokulungisa ushintsho emisipheni noma ekubekeni kwesinye kanye nomchamo, futhi kufanele kubhekwe noma kunini lapho intuthuko ingatholakali ngezindlela zokwelapha ezenziwayo.

2. Ukungasebenzi kahle komchamo

Lolu hlobo lokungalawuleki lwenzeka ikakhulukazi ngenxa yezinguquko zokwakheka nokwamahomoni ekugugeni. Kodwa-ke, ingavela nakubantu abasha ngenxa yezimo ezinjenge-cystitis, amatshe esinye noma izinguquko zemizwa, njengalezo ezibangelwa yisifo sikashukela, i-multiple sclerosis, i-Parkinson's, isifo sohlangothi, izicubu zobuchopho noma ukulimala komgogodla, isibonelo.

Izindlela zokwelapha ezisetshenziswa ekwelapheni lesi simo yimithi esebenza ngokunciphisa ukusikwa okungathinteki kwesinye nokwenza ngcono isenzo se-urethral sphincter, esibizwa ngokuthi i-antimuscarinics. Ezinye zezinto ezisetshenziswa kakhulu yilezi:

• I-Oxybutynin (I-Retemic, Incontinol);
• I-Tropium chloride (Spasmoplex);
• I-Solifenacin (Vesicare);
• I-Darifenacin (Fenazic);
• Imipramine (Tofranil, Depramine, Imipra, Mepramin).

Le mithi kufanele isetshenziswe ngokuqapha, kuphela ngenkomba yezokwelapha, ngoba ingadala imiphumela emibi eminingi, njengomlomo owomile, isiyezi, ukudideka nokuncipha kwenkumbulo, ikakhulukazi kubantu abangenwa kalula, njengabantu abadala.

Ukuzivocavoca umzimba nge-Physiotherapy nokulungiswa kwesikhathi sokugezela nakho kungezinye izindlela ezisiza ukulawula izimpawu. Funda kabanzi ngezinhlobo zokwelashwa.

Ukwelashwa kwemvelo

Ukwelashwa kwemvelo kokungavumelani nomchamo kuthambekele kuwo wonke amacala, kubaluleke kakhulu ukusiza ekwelashweni kwemithi nasekunciphiseni imvamisa noma umfutho wokungalawuleki. Ngakho-ke, kunconywa:

• Ukwelashwa kokuziphatha, okubandakanya ukubeka izikhathi zokuya endlini yangasese, noma ngabe singekho isifiso sokuchama, njengendlela yokuvimbela ukulahleka okungazelelwe;
• Zijwayeze ukuzilolonga okuphelele, okuqukethe ukusikwa kanye nokuxegiswa kwemisipha engaphelele emihlanganweni yemizuzu engama-30, kabili ngesonto;
• Ukwehla kwesisindo, ezimweni zabantu abakhuluphele ngokweqile, ukunciphisa isisindo esiningi ngokweqile emisipheni yesisu nokhalo;
• Ukulawula amathumbu, njengoba ukuqunjelwa nakho kungakhubaza ukungasebenzi komchamo. Thola amathiphu amaningi ngalokho okufanele ukwenze ukulawula ukungasebenzi kahle komchamo kokuya esikhathini.
• Qaphela ukudla kwakho, ukudla kwesinye okuthakazelisayo okufana ne-caffeine, utshwala, izithelo ezisawolintshi, ugwayi nokudla okubabayo.

Bona amanye amathiphu kuvidiyo elandelayo: