Okudingeka Ukwazi Ngokuncenga Ukungazibambi

-Delile

• Yini ebangela ukungazibambi?
• Kufanele ubone nini udokotela?
• Kutholakalaphi ukuthambekela kokungalawuleki?
• Ngabe kukhona amakhambi asekhaya okungahambisani nokuncenga?
• Izinguquko zendlela yokuphila
• Ukuzivocavoca kukaKegel
• Ukuqeqeshwa kwesinye
• Yiziphi izindlela zokwelapha ezitholakalayo?
• Imijovo yeBotox
• Izikhuthazi zemizwa
• Ipayipi lomchamo
• Yiziphi izingqinamba ezihlotshaniswa nokungahambelani kokuncenga?

Kuyini ukungalawuleki kokukhuthaza?

Nxusa ukungazibambi kwenzeka uma unesifiso sokuzichamela ngokuzumayo. Ngokuncenga ukungabambeki, izinkontileka zesinyama somchamo lapho kungafaneleki, okwenza umchamo othile uvuze ngemisipha ye-sphincter ebambe isinye sivaliwe. Amanye amagama alesi simo yilawa:

• isisindo esisebenza ngokweqile (OAB)
• ukuphazima kwesinye
• isinye spasmodic
• isinye esicasulayo
• ukungazinzi kwe-detrusor

Yize lokhu kuyinkinga ejwayelekile futhi kungathinta noma ngubani, abesifazane nabantu abadala basengozini enkulu yokuyiveza.

Kubalulekile ukukhumbula ukuthi ukunxenxa isikhubekiso akusona isifo ngasese. Kuyisibonakaliso sendlela yokuphila noma yezinkinga zezokwelapha noma izinkinga zomzimba.

Ukukhuthaza ukungabambezeli kungenye yohlaka olukhulu lokungahambisani nomchamo. Kunezinhlobo ezahlukahlukene zokungabambeki komchamo, kusuka ekuvuzeni inani elincane lomchamo ngokukhwehlela noma ukuthimula uye esinyeni esisebenza ngokweqile (OAB).

Udokotela wakho angakwazi ukuhlonza uhlobo oluthile lokungabambeki kanye nembangela yakho, futhi bangaphakamisa nezindlela zokwelashwa ezingase zivele.

Yini ebangela ukungazibambi?

Ezimweni eziningi zokungavumelani, udokotela akakwazi ukukhomba imbangela ngqo. Noma kunjalo, ezinye izimbangela ezingaba khona zingafaka:

• ukutheleleka kwesinye
• ukuvuvukala kwesinye
• amatshe esinye
• ukuvinjelwa kokuvuleka kwesinye
• i-prostate ekhulisiwe
• umdlavuza wesinye
• izifo zesistimu yezinzwa, njenge-multiple sclerosis (MS)
• ukulimala ohlelweni lwezinzwa, njengokuhlukunyezwa umgogodla noma isifo sohlangothi

Kufanele ubone nini udokotela?

Kubantu abaningi, ukunxenxa ukungazibambi kumane nje kuyinkinga engadingi ukuvakashelwa udokotela.

Kodwa-ke, uma unesimo esibi kakhulu sokungavumelani, kufanele ufune ukwelashwa ngokushesha. Izimpawu zakho zingakhombisa:

• ukutheleleka kwesinye
• ukuvuvukala kwesinye
• isithiyo
• amatshe esinyeni noma ezinso

Ezinye izimpawu okufanele uziqaphele eceleni kokungafuni kwakho ukungahambisani nobuhlungu esifundeni se-pelvic, ukushisa noma ubuhlungu ngokuchama, noma izimpawu eziqhubeka izinsuku ezimbalwa.

Ngaphezu kwalokho, uma ukunxenxa isikhubekiso kuphazamisa imisebenzi yakho yansuku zonke, ungahle ufune ukuvakashela udokotela wakho ukuxoxa ngezindlela zokwelashwa noma ezinye izindlela zokuphatha isimo sakho.

Kutholakalaphi ukuthambekela kokungalawuleki?

Ukuhlonza ukungazibambi nokuzenzela uhlelo lokwelashwa, umhlinzeki wakho wezokunakekelwa kwempilo uzokubuza ngomlando wakho wezokwelapha nomlando wokungalawuleki. Kungenzeka benze ukuhlolwa komzimba, kufaka phakathi ukuhlolwa kwe-pelvic, futhi bathathe isampula yomchamo.

Umhlinzeki wakho wezokunakekelwa kwempilo angenza izivivinyo ezengeziwe uma kunesidingo, kufaka phakathi:

• Ukuhlolwa kwesiteji se-pelvic. Lokhu kuvivinya amandla emisipha yakho yaphansi ye-pelvic.
• Ukuhlolwa komchamo. Lokhu kuhlolwa kubheka izimpawu zokutheleleka noma ezinye izinkinga
• Isiko lomchamo. Uma kusolwa ukutheleleka ngomgudu womchamo, lokhu kuhlolwa kunganquma uhlobo lwegciwane elikhona.
• I-urinary bladder ultrasound. Lokhu kuvumela udokotela wakho ukuthi abuke ukwakheka kwesinye futhi abone ukuthi kusale umchamo ongakanani esinyeni ngemuva kokuchama.
• I-cystoscopy. Ikhamera encane esikalini se-fiberoptic ifakwa ku-urethra yakho futhi isetshenziselwe ukuhlola umchamo nesinye sakho.
• Izifundo ze-X-ray. Izifundo ezahlukahlukene ze-X-ray zivumela udokotela wakho ukuthi abone ukungahambelani:
  • I-pyelogram efakwa ngaphakathi (IVP). Idayi ijojowe egazini lakho, bese kuthathwa ama-X-ray e-fluoroscopic womgudu wakho wokuchama ukulandela udayi njengoba udlulela ohlelweni lwakho lokuchama.
  • Isifundo sezinso, ureter, nesinye (KUB). Lolu cwaningo lwe-X-ray olucacile lwefilimu lungasetshenziselwa ukuxilonga izimo ezithinta izinhlelo zomchamo nezamathumbu.
  • Iskena se-CT. Kusetshenziswa amakhompyutha nemishini ye-X-ray ejikelezayo ukuthatha izithombe eziningiliziwe zezitho zakho.
• Izifundo ze-Urodynamic. Lezi zifundo zisetshenziselwa ukuhlola ukuthi isebenza kanjani isinye kanye nomchamo wakho.
  • ICystometrogram. Lokhu kuhlolwa kusungula usayizi wesinye sakho nokuthi ngabe isinye sakho sisebenza kahle yini.
  • Uroflowmetry. Lokhu kuhlolwa kunquma ukuthi ukhulula umchamo ongakanani nokuthi ukhishwa masinyane kangakanani.
• Ukuhlolwa kwengcindezi. Umhlinzeki wakho wezokunakekelwa kwempilo uzokucela ukuthi wenze imisebenzi edala izimpawu zokungavumelani.

Umhlinzeki wakho wezokunakekelwa kwempilo angakucela futhi ukuthi ugcine idayari yesinye ukulandelela okukhipha uketshezi lwakho nomkhiqizo womchamo. Lolu lwazi lungasiza ukudalula amaphethini womsebenzi angathonya uhlelo lwakho lokwelashwa.

Ukwelashwa kuyahlukahluka futhi kuya ngezimpawu zakho ezihlukile nesimo sakho. Umuntu ngamunye uzoba nohlelo lokwelashwa oluhluke kancane.

Udokotela wakho kungenzeka ancoma ukuthi uzame ukwelashwa kokuziphatha, njengokuqeqeshwa kwesinye nokuzivocavoca kwesinye, ngaphambi kokuphakamisa ukwelashwa okuthe xaxa. Udokotela wakho futhi angancoma ukwenza izivivinyo zeKegel.

Ngabe kukhona amakhambi asekhaya okungahambisani nokuncenga?

Iningi labantu abane-incontinence yokuncenga bangaphila ngaphandle kokwelashwa. Kodwa-ke, isimo singase singakhululeki futhi sithinte kabi impilo yakho yansuku zonke. Ungahle uthande ukucabanga ukuzama ezinye zezindlela eziningi zokwelashwa ezitholakalayo zokuzikhuthaza.

Ezinye izindlela zokwelashwa zingenziwa ngokuzimela ekhaya. Khuluma nodokotela wakho uma izimpawu zakho ziba zimbi noma zingathuthuki.

Izinguquko zendlela yokuphila

Ukushintsha ukudla okudlayo kunganciphisa ukucasuka kwesinye. Kufanele unciphise ukuphuza kwakho utshwala, i-caffeine, nokudla okubabayo, okune-asidi, noma okuqukethe okokunandisa okufakelwayo.

Zama ukudla ifayibha eyengeziwe ukuvimbela ukuqunjelwa, okungabeka ingcindezi esinyeni noma kukwenze ube nesifiso sokukhipha isinye sakho.

Ngaphezu kwalokho, zama ukunciphisa isisindo uma ukhuluphele ngokweqile. Uma unesifo sikashukela, uzofuna ukuzama ukugcina izinga likashukela egazini elizinzile nelamukelekayo.

Uma ubhema ugwayi, cabanga ukuyeka. Ukukhwehlela okungaba nomphumela kungaholela ekucindezelweni ukungazinzi ngaphezulu kokungavumelani kokuncenga.

Ungahle uthande ukugqoka iphedi yokumunca ngenkathi wenza imisebenzi ekhulisa ubungozi bokuvuza.

Lungisa imikhuba yakho yokuphila ukuze ube nempilo ephelele.

Ukuzivocavoca kukaKegel

Ukuzivocavoca kweKegel imvamisa kuyindlela yokuqala yokwelashwa yokungasebenzi komchamo. Le nqubo iqinisa imisipha ebandakanyekile ekubambeni umchamo, ikakhulukazi imisipha yaphansi.

Zama ukuthola inkontileka phansi okhalweni lwangasese imizuzwana emi-5 kuya kwengu-10, bese uphumula isikhathi esilinganayo. Ukwenza inkontileka kufulethi le-pelvic kuyindlela efanayo esetshenziswa lapho umisa ngokuzithandela ukugeleza komchamo phakathi.

Uma ungaqiniseki ukuthi wenza kahle, zama ukumisa umchamo wakho phakathi. Ukwenza ukuzivocavoca kweKegel kufanele kuphindaphinde leyo mizwa yokumisa umchamo wakho.

Ukumane ugxile esifundeni sakho se-pelvic kanye nenkontileka kuzokwenza kusebenze imisipha efanele.Phinda lokhu kulandelana ukuphindaphinda okuningi ngangokunokwenzeka, kathathu noma ngaphezulu ngosuku.

Ungenza izivivinyo zeKegel nganoma yisiphi isikhathi futhi kunoma iyiphi indawo. Uma wenganyelwe ngudokotela, ungasebenzisa izigaxa zeKegel, eziyizigaxa ezinesisindo eziphethwe esithweni sangasese ngokuthola inkontileka phansi. Njengoba imisipha yakho iba namandla, usebenzisa izinsimbi ezisindayo.

Enye indlela yokuqinisa phansi kwe-pelvic inguqulo kagesi yokuzivocavoca kukaKegel. Lapha udokotela uzofaka iphenyo ekuvulekeni kwesitho sangasese sowesifazane noma sangasese ukuze kuvuselele imisipha yaphansi yomkhaba ukuba ingene. Lokhu kusiza ukubaqinisa. Kodwa-ke, kuthatha izinyanga ezimbalwa nokwelashwa okuningi ukuze kusebenze.

Ukuqeqeshwa kwesinye

Ukuvuselela isinye sakho kungaqinisa imisipha ebandakanyeka ekuchameni. Enye inqubo ifaka ukuchama ngezikhathi ezithile, ezihleliwe usuku ngalunye. Awukwazi ukuchama ngezinye izikhathi, noma ngabe unesifiso sokuhamba.

Ekuqaleni, ungahamba njalo ngehora bese wengeza isikhathi sokulinda ngezikhawu zehora kuze kube uyakwazi ukwenza amahora amathathu kuya kwayi-4 ngaphandle kokuvuza.

Enye inqubo ukubambezela ukuchama lapho kufika isifiso. Lokhu kuqinisa ikhono lakho lokubamba umchamo. Ungazama futhi ukuchama bese uphinde uhambe ngokushesha ngemuva kwalokho ufunde ukuthi ungasikhipha kanjani ngokuphelele isinye.

Yiziphi izindlela zokwelapha ezitholakalayo?

Udokotela wakho angakunika ezinye izindlela zokwelashwa, njengemithi noma ukuhlinzwa, ukusiza ngamandla emisipha nokusebenza kwe-sphincter. Nazi ezinye izinketho ezimbalwa:

Imijovo yeBotox

Inani elincane leBotox (i-botulinum toxin) lingamisa imisipha yesinye ekuthengisweni ngokweqile. Kungadingeka imijovo eminingi. Lokhu kusiza ukukhulula imisipha yesinye se-urinary, kodwa futhi kubeka engcupheni yokugcinwa komchamo.

Izikhuthazi zemizwa

Izikhuthazi zemizwa ngamadivayisi amancane afana namashini wenhliziyo. Idivayisi ehlala njalo, efakwe ngaphansi kwesikhumba sesisu sakho, inocingo oluholayo oluxhuma lufinyelele emsipheni we-sacral. Ithumela imithambo elula emithanjeni ukusiza ukulawula ukusebenza kwesinye sakho.

Ipayipi lomchamo

I-catheter yomchamo kungenye inketho yasekhaya eqondene ngqo nalabo abanezinhlobo ezithile zokungabambeki, kufaka phakathi ukungalawuleki kokuchichima. Udokotela wakho uzokufundisa ukuthi ungayifaka kanjani ipayipi le-catheter, elizosiza ukukhipha isinye ngokuphelele lapho uchama.

Yiziphi izingqinamba ezihlotshaniswa nokungahambelani kokuncenga?

Ngoba ukunxenxa ukungalawuleki ngokuvamile kuyisimo esingelapheki esingenazinkinga ezinkulu, zikhona izingozi ezimbalwa ezihambisana nokungafuni ukwelashwa.

Uma nje ungenazo ezinye izimpawu kanye nokungahambelani kwakho, njengokubuhlungu noma ukushisa ngenkathi uchama, kunengozi encane.

Kepha ukungavunyelwa ukunxenxeka kungalapheka, futhi kungaphazamisa imisebenzi yempilo yansuku zonke kanye nobudlelwano.

Ngokwengeziwe, udinga ukubona udokotela uma ukutheleleka, amatshe esinye, noma omunye umthombo wokuvuvukala kuyimbangela okusolwayo yokungavumelani kwakho. Uma sikhona, ukutheleleka kwesinye kungasakazeka kuze kufike ezinso, ekuhambeni kwegazi, nakwezinye izindawo zomzimba.