Ukuqaphela Nokuphatha Ukulahlekelwa Ukulawula Isisindo
Ukungahambi kahle kwe-Urinary, noma ukulahlekelwa ngokuzumayo kokulawula kwesisu, akuyona into abesifazane noma amadoda abakhuluma ngakho okuningi ngaphandle kobudlelwane obuseduze. Akukhona nje ukuhlazeka, kungabangela ukucindezeleka kulabo abangakwazi ukuveza isizathu.
Izimbangela ze-Incontinence ye-Urinary
Kukhona noma yiziphi izizathu zokuthi kungani umuntu kufanele alahlekelwe ngokungazelelwe kokulawula kwesisu.
Ezinye ziyizinkinga zesikhathi esifushane ezigcina ukuzixazulula ngokwabo; ezinye ziyingozi futhi zidinga ukungenelela kwezokwelapha.
Phakathi kwezimbangela ezivame kakhulu:
- Izifo zohlobo lwe- rinary kanye nokutheleleka kwesisu kungabangela ukungabi khona kwezinto njengoba kungathinta uhlelo olulawula isifiso sethu noma ikhono lokupenda.
- Izinkinga ze-Sphincter zingase zibekwe icala njengoba imisipha elawula ukuvulwa nokuvala i-urethra ingalimaza ngokungazelelwe. Lokhu kuvamile ngesikhathi nangemva kokukhulelwa. Imisipha ye-vestiva engasebenzi ingase ibe yinkinga.
- Izifo ze-neurologic , kuhlanganise nokulimala komgogodla, spondylosis yomlomo wesibeletho, noma i-degenerative, multiple sclerosis , nayo ihlotshaniswa nokungaziphathi kahle.
- I-neuropathy yesifo sikashukela ingalimaza izinzwa ze-urinary tract, okuholela ekulahlekelweni kokulawula kwesinye.
- Ukukhubazeka kokuhamba kungenza kube nzima ukufika endlini yokugezela ngokushesha.
- Izinkinga zengqondo, njengokucindezeleka, zingaphazamisa amaphethini avamile okuvuthwa komuntu.
Izinhlobo ze-Incontinence ye-Urinary
Ukuthola imbangela, odokotela bazozama ukubona izimo kanye nezici ezenza kube nokungaziphathi kahle. Izimo zichazwa kabanzi kanje:
- Ukukhuthaza ukungahambisani nokuzizwa kuyisifiso esiphuthumayo nesicindezelayo sokuthi awukwazi ukuyeka. Kungenzeka ebusuku, okubangela ukuba unamanzi embhedeni, noma ezimweni zenhlalo lapho ungenayo inketho yokuzilandulela ngokuphuthumayo.
- Isibilini esingaphezu kokusebenza , esibizwa nangokuthi i-OAB, yisisusa esiphuthumayo sokuchama ukuthi awukwazi ukunqanda. Kuvame ukubhekwa njengengxenye encane yokukhuthaza ukungahambisani.
- Ukucindezeleka ukungaziphathi kahle yilokho okwenzekayo lapho ukhwehlela, uhleka, uphazamisa, noma unama-jolt ngokomzwelo.
- Ukungaqhubeki kokungahambisani nalesi yisikhathi lapho uzwa ukuthi isisu sakho sigcwele kodwa singakhipha kuphela amancane omchamo.
- Ukungaxhunywanga okuhlanganisiwe kuhlanganisa amaningana noma zonke izimo ezibalwe ngenhla.
Ukuxilongwa kwe-Incontinence ye-Urinary
Ucwaningo olunzulu lokungabikho kwamagciwane luzohlanganisa ukuhlolwa ngokomzimba, ukubuyekezwa okuphelele komlando wakho wezempilo, ibhethri yokuhlolwa kwelebhu, nokuhlolwa kwe-urodynamic ukuhlola ukuthi indlela yakho yesigqila neyomchamo isebenza kahle kangakanani. Ungacelwa futhi ukuba ugcine idayari yokuvakasha ukuze ubhale phansi amaphethini akho wokuvuthwa ngehora-nge-hora ngesisekelo kunoma yikuphi kusuka emahoreni angu-48 kuya kwangu-72.
Ukwelapha ukungena kwe-Urinary
Izinguquko zokuziphatha, kuhlanganise nokudla nokuzivocavoca, zingasiza abanye abantu ukuthi babuyisele ukulawulwa kwesibindi uma kwenziwa njalo. Kwezinye izimo, izidakamizwa zingabekwa ukuba zengeze lezi zindlela.
Enye inqubo enjalo ukuqeqeshwa kwesibindi okubandakanya uhlelo oluhlelekile lokuhleleka oluzocelwa ukuba lulandele. Njalo emahoreni amabili kuya kwamatsatfu emini, ungaya endlini yokugezela ukuze ufike lapho.
Uqopha ukuvakashelwa ngalunye, uveza ukuphuthuma noma inkinga okungenzeka ukuthi uke wabhekana nakho.
Umgomo ukwandisa ikhono lesikhumba sakho futhi uhambe kuphela uma udinga (ngokuphambene nokugijima endlini yokugezela njalo lapho ucabanga ukuthi ungase ufike). Lokhu kukusiza ukuthi ufunde ukuthi ungayizwa kanjani isilwane esiphelele futhi uqede ukuhamba okunye endlini yangasese uma isikhumba sakho nje singagcwele.
Kunamanye amasu, kokubili ukwelashwa nokusekela, odokotela abasebenzisa:
- Ukuqeqeshwa kwemisipha yama-pelvic kukufundisa ukuthi ungakwenza kanjani cindezela bese ukhulula imisipha yakho ye-kegel ukulawula kangcono ukugeleza kwamanzi. Lokhu kusiza ikakhulukazi kwabesifazane abalahlekelwe ukulawulwa kwesinye kwesisu ngemuva kokukhulelwa.
- Ukuguqula ukungena kwamanzi kuvikela inani lamanzi ophuzayo ophuzayo kanye nanoma yiziphi iziphuzo ezinomphumela wokushisa. Lokhu kuhlanganisa iziphuzo ze-caffeinated (ikhofi, itiye, i-cola) engagqugquzeli ukuchama kuphela kodwa futhi ingamcasula isisu. Le nqubo ibuye ikulungiselele imicimbi yezenhlalakahle ngokuvimbela ukungena kwamanzi amabili kuya kwamathathu ngaphambi kokushiya.
- I-pessary (i-block encane ehlanganisiwe efakwe ngaphakathi kwesiswini) ingahle isetshenziselwe abesifazane basemuva-menopausal abanezinkinga zokulawula isisu. Lokhu kungaphezulu kwedivayisi yokwengeza esikhundleni sehlobo lokwelapha.
- Amadivaysi angama-incontinence angasetshenziswa kumadoda ahlulekile ezinye izinhlobo zokwelapha. Izinketho zihlanganisa i-sphincter yokufakelwa (i-cuff inflatable ecindezela i-urethra) nesigxobo sesilisa (idivayisi eguguzayo esekela i-urethra).
- Ama-bulking agents ayimithi , njenge-collagen, ejoqwe nxazonke ze-urethra ukuqinisa imisipha ne-tishu. Abesifazane bangadinga kuphela ukuhlinzekwa kwezinsizakalo zendawo kule nqubo, kanti izincazelo zingadinga i-anesthesia ejwayelekile noma yesifunda.
- Ukumangalelwa kwe-Retropubic kuyindlela yokuhlinzwa esetshenziselwa abesifazane ukuba baphakamise intamo yesigqoko sesigqila kanye ne-urethra.
- Ukuthungwa kwesifo se-suburethral kuyinto inqubo yokuhlinza encane encane ehlose ukwandisa ukucindezelwa kwe-urethra kwabesifazane. Lokhu kusetshenziselwa kakhulu ukuphatha ukungabi nokucindezeleka kokucindezeleka.
Umthombo:
> Shamliyan, T .; U-Wyman, J .; Bliss, D .; et al. "Ukuvimbela ukungaziphathi kahle kwamakhompiyutha nama-fecal kubantu abadala." Umbiko wobufakazi / Ukuhlola kobuchwepheshe. Disemba 2007; 161: 1-379.