Kusokonezeka maganizo

Kupsinjika kwamitsempha kwam'mitsempha kumachitika pamene chikhodzodzo chanu chimatulutsa mkodzo mukamachita masewera olimbitsa thupi kapena mukuchita masewera olimbitsa thupi. Zitha kuchitika mukatsokomola, kuyetsemula, kukweza china cholemera, kusintha malo, kapena kuchita masewera olimbitsa thupi.

Kupsinjika kwamavuto kumachitika minofu yomwe imathandizira urethra wanu ikafooka.

• Chikhodzodzo ndi urethra zimathandizidwa ndi minofu ya m'chiuno. Mkodzo umayenda kuchokera mu chikhodzodzo kudzera mu mtsempha mpaka panja.
• Sphincter ndi minofu kuzungulira kutseguka kwa chikhodzodzo. Imafinya kuti mkodzo usatuluke mumtsempha.

Minofu iliyonse ikayamba kufooka, mkodzo umatha kudutsa mukapanikizika chikhodzodzo. Mutha kuzindikira izi mukamachita izi:

• Tsokomola
• Finyani
• Kuseka
• Chitani masewera olimbitsa thupi
• Kwezani zinthu zolemera
• Gonana

Minofu yofooka imatha chifukwa cha:

• Kubereka
• Kuvulaza dera la urethra
• Mankhwala ena
• Kuchita opaleshoni m'chiuno kapena prostate (mwa amuna)
• Kukhala wonenepa kwambiri
• Zifukwa zosadziwika

Kupsinjika maganizo kumakhala kofala kwa akazi. Zinthu zina zimawonjezera chiopsezo chanu, monga:

• Mimba ndi kubereka kumaliseche.
• Kuphulika kwa m'mimba. Apa ndipamene chikhodzodzo, urethra, kapena rectum imalowa mumaliseche. Kubereka mwana kumatha kuwononga mitsempha kapena minofu m'chiuno. Izi zitha kubweretsa kutalika kwa m'chiuno miyezi kapena zaka mutabereka.

Chizindikiro chachikulu chokhala ndi nkhawa ndikutuluka mkodzo pamene:

• Amakhala otakataka
• Tsokomola kapena yetsemula
• Chitani masewera olimbitsa thupi
• Imani pomwe mwakhala kapena kugona pansi

Wothandizira zaumoyo wanu adzakuyesani. Izi ziphatikizapo:

• Kuyezetsa magazi mwa amuna
• Kuyesedwa kwa m'mimba mwa akazi
• Kuyesa kwamphamvu

Mayeso atha kuphatikiza:

• Cystoscopy kuyang'ana mkati mwa chikhodzodzo.
• Kuyesa kulemera kwa Pad: Mumachita masewera olimbitsa thupi mutavala pad. Kenako pad imayeza kuti mupeze kuchuluka kwa mkodzo womwe mwataya.
• Zolemba zowotcha: Mumayang'ana momwe mumakhudzira mkodzo, kutayikira komanso kudya madzi.
• Pelvic kapena m'mimba ultrasound.
• Chotsalira cha post-void (PVR) kuti muyese kuchuluka kwa mkodzo mutatsala pang'ono kukodza.
• Kuthira urinal kuti muwone ngati matenda ali ndi matenda mumkodzo.
• Kupsinjika kwamitsempha: Mukuyima ndi chikhodzodzo chonse kenako ndikutsokomola.
• Maphunziro a Urodynamic kuti athe kuyeza kuthamanga ndi kukodza kwamkodzo.
• X-ray yokhala ndi utoto wosiyana kuti muwone impso zanu ndi chikhodzodzo.

Chithandizo chimadalira momwe matenda anu amakhudzira moyo wanu.

Pali mitundu itatu yamankhwala yothandizira kupsinjika kwamaganizidwe:

• Khalidwe limasintha ndikusintha chikhodzodzo
• Maphunziro a minofu yapansi
• Opaleshoni

Palibe mankhwala ochizira kupsinjika mtima. Operekera ena amatha kupatsa mankhwala otchedwa duloxetine. Mankhwalawa savomerezedwa ndi FDA pochiza kupsinjika kwa nkhawa.

KUSINTHA KUSINTHA

Kupanga kusintha kumeneku kungathandize:

• Imwani madzi ochepa (ngati mumamwa madzi ochulukirapo). Pewani kumwa madzi musanagone.
• Pewani kudumpha kapena kuthamanga.
• Tengani CHIKWANGWANI kuti mupewe kudzimbidwa, komwe kumapangitsa kukomoka kwamikodzo kukhala koyipa.
• Siyani kusuta. Izi zitha kuchepetsa kutsokomola ndi chikhodzodzo. Kusuta kumawonjezeranso chiopsezo cha khansa ya chikhodzodzo.
• Pewani zakumwa zoledzeretsa ndi khofi monga khofi. Amatha kupanga chikhodzodzo chanu mwachangu.
• Kuchepetsa thupi.
• Pewani zakudya ndi zakumwa zomwe zingakhumudwitse chikhodzodzo chanu. Izi zimaphatikizapo zakudya zokometsera zokometsera, zakumwa za kaboni, ndi zipatso.
• Ngati muli ndi matenda ashuga, sungani bwino magazi anu m'magazi.

MAPHUNZIRO OTHANDIZA

Kuphunzitsa chikhodzodzo kungakuthandizeni kuyang'anira chikhodzodzo. Munthuyo amafunsidwa kuti azikodza pafupipafupi. Pang'onopang'ono, nthawi yayitali yawonjezeka. Izi zimapangitsa chikhodzodzo kutambasula ndikugwira mkodzo wambiri.

PELVIC Pansi PAMASO MAFUNSO

Pali njira zosiyanasiyana zolimbikitsira minofu yanu m'chiuno.

• Biofeedback: Njira iyi ingakuthandizeni kuphunzira kuzindikira ndikuwongolera minofu yanu ya m'chiuno.
• Zochita za Kegel: Zochita izi zitha kuthandiza kuti minofu yomwe ili mozungulira urethra ikhale yolimba ndikugwira ntchito bwino. Izi zitha kukuthandizani kuti musatuluke mumkodzo.
• Matenda achikazi: Mumayika kondomu mumaliseche. Ndiye mumayesa kufinya minofu yanu ya m'chiuno kuti mugwirizane ndi kondomu. Mutha kuvala kondomu mpaka mphindi 15 nthawi imodzi, kawiri patsiku. Mutha kuwona kusintha kwa zizindikilo zanu m'masabata 4 mpaka 6.
• Pelvic floor Therapy: Othandizira athupi ophunzitsidwa bwino m'derali amatha kuwunika bwino vutoli ndikuthandizira pakuchita masewera olimbitsa thupi.

ZOCHITIKA

Ngati mankhwala ena sakugwira ntchito, omwe amakupatsani mwayi atha kupereka opaleshoni. Kuchita opaleshoni kumatha kuthandizira ngati mukuvutika ndi nkhawa. Ambiri opereka chithandizo amati opareshoni atayesa chithandizo chamankhwala chokhazikika.

• Kukonzekera kwakatikati kwa ukazi kumathandiza kubwezeretsa makoma ofooka komanso otsika. Izi zimagwiritsidwa ntchito pamene chikhodzodzo chimalowa m'maliseche (prolapse). Prolapse itha kuphatikizidwa ndi kupsinjika kwamikodzo kosakwanira.
• Kupanga kwamikodzo sphincter: Ichi ndi chida chogwiritsira ntchito mkodzo kuti usatuluke. Amagwiritsidwa ntchito makamaka mwa amuna. Sagwiritsidwa ntchito kawirikawiri mwa amayi.
• Ma jakisoni opangitsa kuti dera loyandikana ndi urethra likhale lolimba. Izi zimathandiza kuchepetsa kutayikira. Njirayo imafunika kubwereza pambuyo pa miyezi ingapo kapena zaka.
• Gulaye wamwamuna ndi tepi wamatepi yemwe amagwiritsidwa ntchito kuyika mkodzo. Ndikosavuta kuchita kuposa kuyika kwamikodzo sphincter yokumba.
• Kuyimitsidwa kwa retropubic kumakweza chikhodzodzo ndi urethra. Izi sizichitika pafupipafupi chifukwa chogwiritsa ntchito pafupipafupi ndi zotsekemera za urethral.
• Kuponyera kwa urethral kwachikazi ndi tepi yamagetsi yomwe imagwiritsidwa ntchito kuthandizira urethra.

Kukhala bwino kumatenga nthawi, choncho yesetsani kukhala oleza mtima. Zizindikiro nthawi zambiri zimakhala bwino chifukwa chothandizidwa popanda chithandizo. Komabe, sachiza kupsinjika kwa nkhawa. Opaleshoni imatha kuchiritsa anthu ambiri kupsinjika kwamavuto.

Chithandizo sichikugwiranso ntchito ngati muli ndi:

• Zinthu zomwe zimalepheretsa kuchira kapena kupanga opaleshoni kukhala kovuta kwambiri
• Mavuto ena akumaliseche kapena kwamikodzo
• Opaleshoni yapitayi yomwe sinagwire ntchito
• Matenda a shuga olakwika
• Matenda a Neurologic
• Kutulutsa koyambirira m'chiuno

Zovuta zakuthupi ndizochepa ndipo nthawi zambiri zimakhala zofatsa. Zitha kuphatikiza:

• Kuyabwa kwa milomo ya nyini (maliseche)
• Zilonda za khungu kapena zilonda zopanikizika mwa anthu omwe ali ndi vutoli ndipo sangathe kutuluka pabedi kapena pampando
• Fungo losasangalatsa
• Matenda a mkodzo

Vutoli limatha kusokoneza zochitika zina, ntchito, komanso maubale. Zingayambitsenso ku:

• Manyazi
• Kudzipatula
• Kukhumudwa kapena kuda nkhawa
• Kutaya zipatso pantchito
• Kutaya chidwi pakugonana
• Kusokonezeka kwa tulo

Zovuta zokhudzana ndi opaleshoni ndizo:

• Fistula kapena abscesses
• Chikhodzodzo kapena kuvulala kwamatumbo
• Magazi
• Matenda
• Kusadziletsa kwamikodzo - ngati zikukuvutani pokodza mungafunike kugwiritsa ntchito catheter. Izi nthawi zambiri zimakhala zakanthawi
• Zowawa panthawi yogonana
• Kulephera kugonana
• Kuvala zinthu zomwe zimayikidwa nthawi ya opaleshoni, monga gulaye kapena zopangira zopangira zinthu

Itanani omwe akukuthandizani ngati muli ndi zipsinjo zakukumana ndi nkhawa ndipo akukuvutitsani.

Kuchita masewera olimbitsa thupi a Kegel kungathandize kupewa zizindikilo. Amayi angafune kuchita Kegels nthawi yapakati komanso pambuyo pathupi kuti athandize kupewa kudziletsa.

Kusadziletsa - kupsinjika; Kupsinjika kwa chikhodzodzo; Kutuluka kwa m'mimba - kupsinjika kwamaganizidwe; Kupsinjika mtima; Kutuluka kwa mkodzo - kupsinjika kwa nkhawa; Kutuluka kwamikodzo - kupsinjika kwamaganizidwe; Pansi pamatenda - kupsinjika kwamavuto

• Kusamalira catheter wokhala
• Zochita za Kegel - kudzisamalira
• Kudziletsa catheterization - wamkazi
• Njira yosabala
• Ma catheters amkodzo - zomwe mungafunse dokotala wanu
• Zamgululi incontinence - kudzikonda chisamaliro
• Kuchita kwamitsempha kosafunikira - wamkazi - kumaliseche
• Kusadziletsa kwamkodzo - zomwe mungafunse dokotala wanu
• Matumba otulutsa mkodzo
• Mukakhala ndi vuto la kukodza mkodzo

• Thirakiti lachikazi
• Njira yamkodzo wamwamuna
• Kupsinjika mtima
• Kupsinjika mtima
• Kukonza chikhodzodzo ndi urethral - mndandanda

Tsamba la American Urological Association. Chithandizo cha opsinjika chachikazi chodetsa nkhawa kukodza kwamisempha (SUI): Chitsogozo cha AUA / SUFU (2017). www.auanet.org/guidelines/stress-urinary-incontinence-(sui)-guideline. Idasindikizidwa 2017. Idapezeka pa February 13, 2020.

Hashim H, Abrams P. Kuwunika ndikuwongolera amuna omwe ali ndi vuto lodzikodza. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 72.

Kobashi KC. Kuwunika ndi kuwongolera azimayi omwe ali ndi vuto lodzitetezera kwamikodzo komanso kufalikira kwa m'chiuno. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 71.

[Adasankhidwa] Patton S, Bassaly RM. Kusadziletsa kwamikodzo. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2020. Philadelphia, PA: Elsevier; 2020: 1110-1112.

Yambitsaninso NM. Kusadziletsa kwamikodzo. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 23.