Ukuphila kwakho akudingeki ukuba kuhambisane nokugeza
Kwabesilisa abaningi, uhambo olulodwa oluya endlini yokugezela luzosusa lesi sambatho futhi luhlinzeke ukuphumula kwamahora amaningana. Amadoda ane isisindo esingaphezulu (OAB) azohlale ezwa isifiso esinamandla sokugwinya usuku lonke nobusuku. U-OAB ungaguqula ukuphila, uthinte amadoda abo bonke ubudala, futhi ulahlekelwe phansi emsebenzini wakho, impilo yomphakathi kanye nokusebenza okusebenzayo, nokulala kwakho. Ngokujabulisayo, kunezinhlobo ezihlukahlukene zezindlela ezitholakalayo ukuze unciphise isambiso esingasebenzi futhi uphinde uphile impilo yakho.
Ukuvama
Ngenkathi isambatho esingasebenzi ngokweqile singabhekwa njengenkinga yowesifazane, isifundo se-2009 sithi, "Ukusabalalisa kwezibonakaliso ezingasebenzi ngokweqile (OAB) kubaluleke kakhulu kubo bobabili besilisa nabesifazane, futhi umthelela emgangathweni wokuphila (QOL) ubukhulu ngokulinganayo."
Eqinisweni, kulinganiselwa ukuthi amaphesenti angaba ngu-30 kuwo wonke amadoda ahlala e-United States abhekana nezimpawu zesinye isisu. Ngaphezu kwalokho, lolu cwaningo lubika ukuthi izimpawu cishe zingaphathwa kabi noma ziphathwa njengezinye izimo ezifana ne-benign prostatic hyperplasia (BPH), noma ukukhuliswa kwe-prostate gland. I-OAB ingase ibe ngenxa yezizathu ezithile.
Izimpawu Nezibonakaliso
Izimpawu eziningi ze-OAB zingaphazamisa imisebenzi yakho yansuku zonke. Ungase uhlangane:
- Ukuphuthuma kwe-Urinary: Lokhu kuyisimo esijulile sokuvuthwa, okungase kube nzima ukumisa noma ukungazinaki.
- Khuthaza ukungahambisani nalokhu: Lokhu kulahlekelwa ngokungahambi kahle komchamo ngokulandela isifiso esinamandla sokuvuthwa. Abanye abantu bangase bavuza kancane umchamo, kanti abanye bangase bathole ukulahlekelwa okungenhloso ngokweqile kumthamo omkhulu we-urine.
- Imvamisa ye-Urinary: Uzwa isifiso sokuvuthisa izikhathi ezingaphezu kwesishiyagalombili ngesikhathi samahora angu-24.
- I-Nocturia: Leli gama lichaza isidingo sokuvuka izikhathi ezimbili noma ngaphezulu phakathi nobusuku ukusebenzisa indlu yangasese.
- Ubuhlungu be-pelvic: Ucwaningo olwenziwa ngo-2008 luchaza ukuthi amaprotheni okuvuvukala, aziwa ngokuthi ama-cytokines, angaba nomthwalo wemfanelo wokubangela ubuhlungu ekhanda noma ngesinye isisu futhi enze ezinye izimpawu ze-OAB.
- Ukungena okuphelele: Abanye abantu bangase babe nobunzima bokukhipha izibopho zabo. Lokhu kungaholela esikhwameni esingasebenzi ngokweqile ngoba isifiso sifinyelela amandla akhe okugcwele masinyane futhi sidinga ukukhululeka kaningi.
Izimbangela
Njengoba kushiwo ngaphambili, imbangela eyinhloko ye-OAB emadodeni ingase ibe ngenxa ye-prostate ekhulisiwe. Njengoba kuchazwe iNational Association of Continence (NAFC), cishe ingxenye yesigamu sabo bonke abantu bayoba nesifo se-prostate eseneminyaka engu-60 ubudala-isibalo senyukela ku-90% sino-85 ubudala. I-prostate ekhulisiwe ivimbela ukugeleza komchamo, okudinga ukuhamba okwengeziwe indlu yokugezela.
Kunezinye izimbangela ze-OAB kanye. Izimo ze-neurological ezifana nokushaya, isifo sikaParkinson, nokulimala komgogodla kungase kube nomthwalo wemfanelo. Ngaphezu kwalokho, ezinye izimo zezokwelapha ezifana nesifo sikashukela , izifo ezivame ukwelashwa kwe-urinary, noma ukuqunjelwa okungapheli, kungaba yizimbangela eziyinhloko. Ukwengeza, ukungahleleki kwesakhiwo nesisindo sokunciphisa umzimba kungathinta izimpawu.
Qaphela ukuthi lezi zimbangela eziyinhloko-akusho ukuthi i-OAB yakho ibangelwa yiyiphi noma enye yalezi zinkinga. Ingxoxo evulekile nodokotela wakho izosiza ukukhulula noma ikuphi ukukhathazeka onakho futhi ikulethe ukwelashwa okufanele.
Izinketho zokwelapha
Kunezinqubo eziningi zokwelapha ezitholakalayo ukukusiza ukuphatha i-OAB nokunciphisa imiphumela yayo empilweni yakho yansuku zonke.
I-National Institute of Diabetes and Digestive and Kidney Diseases Health (NIDDK) inikeza uhlu olunzulu lwezinqubo zokwelapha. Zihlanganisa:
- Ukuqeqeshwa kwesisu: Kule ndlela yokwelapha, udokotela wakho cishe uzokutshela ochwepheshe wezempilo we-pelvic noma ochwepheshe bezempilo. Laba baqeqeshiwe ngokuqeqeshwa okukhethekile emzimbeni wesibindi, isilonda, kanye nezocansi.
UBernadette Kamin, isazi sezokwelapha eKamin Physical Therapy e-Illinois, uthi, "Kunamathuba okuphatha ukwelapha okwelashwa kwamadoda ase-OAB. Amadoda akufanele aphile ngezimpawu zesibindi ezithinta kakhulu indlela yabo yokuphila. Ukuze uthole ulwazi oluthe xaxa mayelana nokuthi yiluphi ukwelashwa okungokwenyama ongayenza kumadoda ane-OAB, xhumana ne-American Physical Therapy Association, inhlangano enezigaba ezikhethekile ekusebenzeni komzimba wesilisa nowesifazane. "
- Izidakamizwa zokwelapha: Kunezinhlobo ezihlukahlukene zemithi efana ne-Tolterodine, i-Oxybutynin, ne-Solifenacin ephumula isisu. Imiphumela emibi yalezi zidakamizwa zihlanganisa amehlo omile nomlomo owomile.
- I-Neuromodulation: I- NIDDK ithi, "Amapulisi amancane kagesi angasetshenziselwa ukuvuselela izinzwa ezilawula imisipha ye-swell and sphincter." Amapulsi angathunyelwa ezindaweni ezihlukahlukene, kuhlanganise ngetayilbone noma kumasayithi athile esikhumbeni. Kukhona amadivaysi e-neuromodulation amaningi, kusukela ezindleleni eziqaphile zokufakelwa kokuhlinzwa kwe-nerve stimulator engunaphakade.
- Ukujova kwesisu: Ngezilinganiso ezincane, ama- Botox injection anganikeza ukuphumula okwesikhashana kubantu abanokukhubazeka okukhulu. Ukuze uhlale uphumelela, amajojo kufanele ahlinzekwe ngezikhathi ezithile. Xoxani ngezidakamizwa ezingase zibe nomdokotela wakho.
- Ukuhlinzwa: Ngokuvamile, ukuhlinza kuyindlela yokugcina lapho ukhetho lwangaphambilini lwezokwelapha lungaphumelelanga. Ukungenelela kokuhlinzwa kungasetshenziselwa ukwandisa umthamo wesibhado ukugcina umchamo, noma, ezimweni ezingapheli, ukususwa kwesigqila kungacatshangwa.
Izwi elivela
Izibonakaliso zesimiso sesisindo esingasebenzi ngokweqile kungaphazamisa empilweni yakho, kodwa ngokushesha lapho uxoxisana nalezi zimpawu nodokotela wakho, okusheshayo ungaba emgwaqweni wokuthola usizo, ukulawula isimo, nokubuyisela impilo yakho. Sicela wazi ukuthi zonke izikwelapha zizosebenza kahle ku-bat. Kungathatha imizamo embalwa ukuthola inhlanganisela efanele yokungenelela ukuze ikusize kakhulu.
> Imithombo:
> Gomelsky A, i-Dmochowski RR. Izibophezelo ezingasebenzi kakhulu kubantu abesilisa. Ukuthuthukiswa Kwezokwelapha Urology. 2009; 1 (4): 209-221. I-DOI: 10.1177 / 1756287209350383
Imibandela Yamadoda. National Association for Continence iwebhusayithi. https://www.nafc.org/mens-conditions/
> Saini R, Gonzalez RR, Te AE. Isifo sobuhlungu besisu se-pelvic nesigulo esingasebenzi: isixhumanisi sokuvuvukala. Imibiko ye-Urology yamanje. 2008 Jul; 9 (4): 314-9.
> Urology Care Foundation Iwebhusayithi. Yisiphi Isibilini Esingeqile (OAB)?