Okuhlangenwe nakho okuningi kokubili izinsizi nezinkinga zokugaya
Uma uhlangabezana nezinkinga zesibindi njenge-urination njalo ngaphezu kwe- syndrome eyathukuthela (IBS), awunabo. Funda kabanzi mayelana nokuqoqa phakathi kwalababili nokuthi yini okungenzeka ukuthi iyimbangela yokucindezeleka kwakho okubili.
Izimpawu zesibindi kanye ne-IBS
Izimpawu ze-Urinary zingase zihlangane nabaningi kwengxenye yabantu abane-IBS.
Lezi zimpawu zihlanganisa:
- Ukuvuthwa njalo
- Ukuchithwa okungaqediwe kwesisindo
- I-Nocturia (idinga ukuphuma embhedeni ukuze uchama)
- Ukuphuthuma kwe-Urinary
Kukhona nobufakazi bokuthi abesifazane abano-IBS nabo bangase babe nokungahlambuluki kwamagciwane kunabesifazane abangenayo i-IBS.
Ayaziwa ngokuqinisekile ukuthi kungani abantu abane-IBS besengozini ephezulu yezinkinga zokuvuthwa kanye nokunye. Ngokuqinisekile, ukusondela kwezitho ezibhekene nokuqedwa kusikisela ukuthi kukhona ukuxhumana phakathi kwemizwa nezinhlanzi ezihlukahlukene zesistimu ngayinye. Ezinye izizathu ezenzekayo zokuhlangana phakathi kwamathumbu kanye nezimpawu zesibindi zihlanganisa ukuvuvukala okuhlanganyelwe noma ukusatshalaliswa kwesistimu eyinkimbinkimbi enkulu. Ukuba nokuqonda kangcono izimbangela eziyinhloko kungaholela ekwelapheni okuphumelelayo kakhudlwana, okuhlinzeka ngokukhululeka kwesifo esidingekayo. Ukuthuthukisa ukusebenza kwesinye sezinhlelo ezimbili kungaholela ekuthuthukiseni ukusebenza komunye.
Izimo Zase-Urinary Zingaba Khona Ne-IBS
Izimo ezilandelayo zempilo ngayinye zingathinta ukusebenza kwesigqila kanye / noma isilonda:
- I-Cystitis ye-interstitial (IC ): Ngaphandle kwalokho eyaziwa ngokuthi i-syndrome ebuhlungu yesibindi, i-cystitis yangaphakathi yinkinga lapho umuntu ehlangana khona nokuvuthwa okuvamile nokuhlupheka okungapheli okuhambisana nesibindi. Kokubili i-IC ne-IBS iye yahlotshaniswa ne- visceral hypersensitivity . Ngokubheka izimbangela zokuchaza ukungaxhunyanisi phakathi kwe-IC ne-IBS, abacwaningi bebebuke indima yokuvuvukala , "ukuzwela okukhulu" phakathi kwemizwa yesisu nesisu, kanye nokunye ukungasebenzi komphakathi. Uma unesi-IC eceleni kwe-IBS, sebenze nodokotela wakho ohlelweni lwezokwelapha olubhekana nazo zombili izimo. Lokhu kungabandakanya imithi, izinguquko zokudla, kanye nokwelashwa okunjengokwelapha ngokomzimba noma i- biofeedback .
- I-Pelvic Floor Dysfunction (PFD) : Lesi esinye isimo esingabangela kokubili i-IBS nokuvuthwa njalo. Ku-PFD, imisipha etholakala ekhanda elibhekene nokuxhumanisa ukugcoba nokuhlukunyezwa akusebenzi ngendlela efanele. Ukuba nomsebenzi onjalo kungase kuchaze ukuthi kungani umuntu eyobhekana nezimpawu zamathumba kanye nesibindi ngesikhathi esisodwa. Uma uthola ukuthi unesisindo sokushisa phansi, khuluma nodokotela wakho mayelana nezinketho zokwelashwa, njengoba izinketho eziningi ezikhona zitholakala ngokuya ngobukhulu bezimpawu zakho.
- I-Prostatitis engapheli / Isifo Sengqondo Esivamile Sama-Pelvic Pain Syndrome : Amanye amadoda angase athole ngokwawo uhlobo olungapheli lwe-prostatitis eceleni kwe-IBS. I-prostatitis / i-Chronicle syndrome (CP / CPPS) engapheliyo imiphumela yezimpawu ezihlukahlukene, kufaka phakathi ubuhlungu be-urinary, ukuphuthuma komchamo, nokungabi khona kwe-incontinence. Kukhona imithi etholakalayo yokwehlisa izimpawu ze-CP / CPPS, ngakho qiniseka ukuthi usebenza nodokotela wakho ohlelweni lwezokwelapha.
- Khuthaza ukungabi nalutho : Lesi sifo se-urinary sibonisa izimpawu zokuphuthuma komchamo kanye nokuhamba komchamo okungavamile. Ngeshwa, azikho ucwaningo oluningi mayelana nalokhu kuhlanganiswa. Ukugqugquzela ukungahambisani nokudinga kudinga usizo oluphelele lwezokwelapha, njengoba izimo zempilo ezihlukahlukene zingase zibe yimpande yezimpawu.
Okufanele Ukwenze Uma Unayo Bobabili
Into ebaluleke kunazo zonke okufanele uyenze uma ubhekene nezimbilini kanye nezimpawu zesibindi ukuthi uqinisekise ukuthi udokotela wakho unake. Ngenxa yesikhalazo esikoleni esidala mayelana "nezimpawu zokugezela" abantu abaningi banamahloni kakhulu ukuxoxa ngezinkinga zabo nodokotela babo. Ungabi namahloni-ukubhujiswa kuyinto evamile yokuba ngumuntu, njengoba udokotela wakho eyazi kahle. Udokotela wakho uzokusiza ukuba uthole ukuxilongwa futhi akunike uhlelo lokubhekana nenkinga ngayinye.
Udokotela wakho uzokwenza uhlelo lwakho lwezokwelapha ngokusho ukuthi iyiphi inkinga yesibindi osizwayo. Uma inkinga yakho ephindwe kabili ibonakala sengathi ihlotshaniswa nokukhubazeka kwe-pelvic, udokotela wakho angancoma ukwelashwa ngokomzimba noma i-biofeedback.
Uma izimpawu zakho zibonakala zihlobene kakhulu ne-visceral hypersensitivity, zingase zincome imithi ehlose isimiso sezinzwa (ikakhulukazi i-serotonin ye-neurotransmitter). Enye indlela yokusebenzisa imithi ene- anticholinergic imiphumela . Njengoba ungakwazi khona kukhona izinto ezihlukahlukene ezingahle zizame ukuletha ukukhululeka kwezimpawu, ngakho qiniseka ukuthi utshela udokotela wakho lokho okusebenzisanayo ngokwemibandela yakho "yokugezela."
> Imithombo:
> Malykhina AP, Wyndaele J, Andersson K, De Wachter S, iDmochowski RR. Ingabe isambatho sokuvuthwa nesibindi esikhulu sisebenzisana, ekuguleni noma empilweni? Neurourology Urodynamics 2012 31: 352-358.
> Persson R, Wensaas KA, Hanevik K, Eide GE, Langeland N, Rortveit G. Ubuhlobo phakathi kwe-syndrome ehlukumezayo, i-dyspepsia esebenzayo, ukukhathala okungapheli kanye nesifo esibi kakhulu sesisu: isifundo esilawulwayo eminyakeni engu-6 emva kokutheleleka okunamandla kwamathumbu. BMC Gastroenterology. 2015; 15: 66.
> Wang J, Varma MG, Creasman JM, Subak LL, Brown JS, Thom DH, Van Den Eeden, SK. Ukukhathazeka kwepelvic kanye nekhwalithi yokuphila kwabesifazane abane-self-reported reportedly irritable syndrome ezidakamizwa ezitholakala ezitholakala emzimbeni.
> Ya-Jun Guo Y, Ho C, Chen S, Yang S, Chiu H, Huang K. Izimpawu zamakhansela ezincane zamantombazane anomzimba wesifo sofuba. I-International Journal of Urology 2010 17: 175-181.