Mlembi: Monica Porter
Tsiku La Chilengedwe: 17 Kuguba 2021
Sinthani Tsiku: 23 Novembala 2024
Anonim
Zomwe Zimayambitsa Kuthira Bedi Kwa Akuluakulu ndi Momwe Mungazithandizire - Thanzi
Zomwe Zimayambitsa Kuthira Bedi Kwa Akuluakulu ndi Momwe Mungazithandizire - Thanzi

Zamkati

Chidule

Kuyamwitsa pogona nthawi zambiri kumalumikizidwa ndi ubwana. Zowonadi, kuti mukhale ndi mavuto ndi enuresis yausiku, kapena kukodza mukamagona. Ana ambiri amakula msanga pamene chikhodzodzo chawo chimakula ndikukula bwino.

Kafukufuku akuwonetsa kuti kuyamwa kwa kama kumachitika mwa akuluakulu. Komabe, chiwerengerocho chikhoza kukhala chachikulu. Achikulire ena mwina amachita manyazi kapena sakufuna kukambirana ndi adokotala za vutoli.

Ngati mukukhala wothira pabedi nthawi imodzi kapena kamodzi, mwina simungakhale ndi nkhawa. Ngozi zitha kuchitika. Kulimbikira komanso enuresis pafupipafupi, komabe, ndi chifukwa chodandaulira ndipo kuyenera kukambirana ndi dokotala wanu. Tiyeni tiwone zomwe zingayambitse vutoli komanso momwe mavutowa amathandizidwira.

Zomwe zingayambitse

Nkhani za mahomoni

Mahomoni oletsa antidiuretic (ADH) amawonetsa impso zanu kuti muchepetse kupanga mkodzo. Thupi lanu limapanga mahomoni ambiri usiku kuti akonzekere kugona. Izi zimathandiza kuchepetsa kufunika kokodza mukamagona. Komabe, anthu ena satulutsa ADH yokwanira kapena matupi awo samayankha bwino. Zovuta za ADH zimawoneka kuti zimathandizira kunyowetsa pabedi usiku, ngakhale pali malingaliro angapo omwe akuwonetsa kuti zinthu zingapo zimaphatikizira zomwe zimayambitsa vutoli.


Kuphatikiza kwamavuto ndi ADH, zovuta pakudzuka ndi kugona, komanso zovuta za chikhodzodzo masana, nthawi zambiri zimabweretsa izi.

Kuyesa kosavuta kumatha kuyeza kuchuluka kwa ADH m'magazi anu. Ngati mulingo uli wotsika, dokotala wanu akhoza kukupatsani mankhwala monga desmopressin (ADH yopangidwa ndi labotale). Dokotala wanu angayang'anenso pazomwe zingakhudze milingo ya ADH.

Chikhodzodzo chaching'ono

Chikhodzodzo chaching'ono kwenikweni sichichepera kwenikweni kuposa chikhodzodzo china. M'malo mwake, imamveka bwino pamitundu yotsika, kutanthauza kuti imagwira ntchito ngati yaying'ono. Izi zikutanthauza kuti mungafunikire kukodza pafupipafupi, kuphatikiza usiku. Chikhodzodzo chaching'ono chimatha kukhala chovuta kuchisamalira mukamagona, ndipo kumayambira pogona kumatha kuchitika.

Maphunziro a chikhodzodzo ndi othandiza kwa anthu omwe ali ndi chikhodzodzo chochepa. Njirayi imathandiza thupi lanu kuyembekezera kutuluka nthawi zonse ndikukhala ndi mkodzo kwa nthawi yayitali. Mwinanso mutha kuyika alamu usiku wonse ndikudzuka kuti mukakonde.

Minofu yochulukirapo

Minofu ya Detrusor ndi minofu ya chikhodzodzo chanu. Amasangalala pamene chikhodzodzo chanu chadzaza ndi mgwirizano ikakwana nthawi yopanda kanthu. Ngati minofu imeneyi imagwira nthawi yolakwika, simungathe kuwongolera kukodza. Vutoli limatha kutchedwa chikhodzodzo chopitirira muyeso (OAB).


Minyewa yanu ya chikhodzodzo imatha chifukwa cha mitsempha yosazolowereka pakati pa ubongo wanu ndi chikhodzodzo kapena zopweteketsa chikhodzodzo, monga mowa, tiyi kapena khofi, kapena mankhwala. Izi zitha kupangitsa kuti minofu ikhale yolimba. Izi zitha kukupangitsani kukodza pafupipafupi.

Onani mankhwalawa achilengedwe a OAB.

Khansa

Ziphuphu zochokera ku chikhodzodzo ndi khansa ya prostate zimatha kuletsa kapena kulepheretsa kwamikodzo. Izi zitha kubweretsa kulephera kusunga mkodzo, makamaka usiku.

Kuzindikira khansa kungafune kuyezetsa thupi, komanso mayeso ena ojambula. Kafukufukuyu amafunika kuti azindikire khansa. Kuchiza khansa kumatha kuchepetsa kapena kuchotsa chotupacho. Izi zitha kuthandiza kupewa magawo amtsogolo akunyowetsa bedi.

Matenda a shuga

Matenda ashuga omwe ali ndi shuga osadziletsa amatha kusintha pokodza. Shuga wamagazi akakhala wokwera, mkodzo umawonjezeka pamene impso zimayesetsa kusungunula milingo ya shuga. Izi zitha kuyambitsa kuyamwa pabedi, kukodza kwambiri (kuposa malita atatu patsiku), komanso kukodza pafupipafupi.


Kuchiza matenda ashuga nthawi zambiri kumachepetsa mitundu yazizindikiro zamikodzo. Kuchiza matenda ashuga kumafunikira kuphatikiza kusintha kwa moyo, mankhwala akumwa, kapena jakisoni wa insulin. Njira yanu yothandizira imadalira mtundu womwe muli nawo komanso thanzi lanu lonse.

Kugonana

Matenda obanika kutulo ndi vuto la kugona lomwe limakupangitsani kuti muyime ndikuyamba kupuma mobwerezabwereza. Kafukufuku wina adapeza kuti mwa anthu omwe ali ndi vuto lakugona amakhala akumwa. Kukodza mukamagona kungakhale kofala kwambiri pamene matenda obanika kutulo akukulirakulira.

Kulimbana ndi matenda obanika kutulo ndi kupitiriza kupatsirana kwa mpweya kumakuthandizani kupuma ndi kugona bwino. Ikhozanso kuchepetsa zisonyezo zachiwiri, monga kunyowetsa bedi.

Mankhwala

Mankhwala ena amatha kukupangitsani kukodza pafupipafupi ndikuwonjezera chikhodzodzo chikhodzodzo. Izi zitha kubweretsa kuyambitsa pabedi. Mankhwalawa amaphatikizapo zothandizira kugona, ma antipsychotic, ndi ena.

Kusintha mankhwala kumatha kusiya kukodza usiku. Ngati mankhwalawa ndi ofunikira kuthana ndi vuto lina, kusintha kwa moyo kumatha kukuthandizani kupewa kuyamwa. Osayimitsa mankhwala osalankhula ndi dokotala.

Chibadwa

Kuyamwitsa pogona kumagawidwa kuyambira mibadwomibadwo. Sizikudziwika kuti ndi majini ati omwe amachititsa kuti vutoli lisachitike. Koma ngati muli ndi kholo lomwe linakumana ndi enuresis usiku, mumatha kukumana nalo.

Dokotala asanazindikire enuresis osadziwika usiku, amayesa mayeso angapo ndi mayeso kuti athetse zina zomwe zingayambitse. Chithandizo chonyowetsa osamveka bwino pabedi chimadalira kuchiza zizindikiro ndikupewa magawo amtsogolo. Izi zitha kuphatikizira kusintha kwamachitidwe ndi mankhwala.

Matenda amitsempha

Mavuto otsatirawa a m'mitsempha amatha kusokoneza chikhodzodzo:

  • matenda ofoola ziwalo
  • matenda olanda
  • Matenda a Parkinson

Izi zingayambitse kukodza pafupipafupi kapena kosalamulirika mukamagona.

Kuthana ndi vutoli kungathandize kuchepetsa zizolowezi, komanso zovuta zina monga kunyowetsa bedi. Ngati kuyamwa pabedi sikuyima, dokotala wanu akhoza kukupatsani chithandizo. Izi zitha kuphatikiza kusintha kwa moyo, mankhwala, ndi zina zambiri.

Kutseka kapena kutsekeka kwamatenda anu kwamikodzo

Kutseka kumatha kusokoneza kuyenderera kwamkodzo, monga:

  • impso miyala
  • miyala ya chikhodzodzo
  • zotupa

Izi zitha kupangitsa kuti zovuta zizikhala zovuta. Usiku, izi zimatha kuyambitsa kutuluka kwamkodzo mosayembekezereka ndikunyowetsa bedi.

Momwemonso, kukakamizidwa ndi mwala kapena chotupa kumatha kupangitsa minofu mu chikhodzodzo mosafunikira. Izi zingayambitse kukodza pafupipafupi komanso kosalamulirika.

Nthawi zina pamafunika njira yochotsera miyala ikuluikulu kapena kuwaphwanya. Miyala yaying'ono imadutsa yokha.

Chithandizo cha khansa chimatha kuchepetsa zotupa zina, koma zina zimafunika kuchotsedwa ndikuchitidwa opaleshoni. Ma blockages akangochotsedwa, muyenera kukhala ndi mphamvu zowongolera kwamikodzo komanso osanyowetsa bedi.

Matenda a mkodzo

Matenda a mkodzo (UTI) amatha kuyambitsa kukodza pafupipafupi komanso mosayembekezereka. UTI nthawi zambiri imayambitsa kutupa ndi kukwiya kwa chikhodzodzo komwe kumatha kukulitsa kusagwirizana komanso kuyamwa usiku.

Kuchiza UTI kuyenera kuyimitsa enuresis. Ngati muli ndi UTIs mobwerezabwereza, mumatha kunyowa pafupipafupi. Gwiritsani ntchito ndi dokotala kuti mupeze chomwe chimayambitsa ma UTI obwerezabwereza kuti muteteze matenda amtsogolo komanso kuyamwitsa pabedi.

Anatomy

Mkodzo umayenda kuchokera ku impso zanu kudzera mu ureter wanu kupita ku chikhodzodzo. Nthawi yakukodza ikakwana, chikhodzodzo chanu chitha kugwira ntchito ndikutumiza mkodzo kudzera mu mtsempha ndi kutuluka mthupi lanu. Ngati china chilichonse cha kachitidwe kameneka kachepetsedwa, kokhotakhota, kinked, kapena kusokonekera, mutha kukhala ndi zizindikilo kapena zovuta pokodza. Izi zimaphatikizapo kunyowetsa bedi.

Dokotala wanu amatha kugwiritsa ntchito mayeso oyerekeza, monga X-ray kapena ultrasound, kuti ayang'ane mawonekedwe achilendo. Zina zitha kukhazikitsidwa ndi opaleshoni. Nthawi zina, dokotala wanu amatha kupereka chithandizo chamankhwala ndi mankhwala kuti akuthandizeni kusiya kukodza mukamagona.

Chithandizo chazizindikiro

Chithandizo chakunyowetsa bedi wamkulu chitha kugawidwa m'magulu atatu akulu:

Chithandizo cha moyo

  • Onetsetsani kudya kwa madzi. Yesetsani kuchepetsa kudya kwanu kwamadzi masana ndi madzulo. Imwani m'mawa kwambiri mukamagwiritsa ntchito bafa mosavuta. Ikani malire oti mugwiritse ntchito madzulo.
  • Dzidzimutseni usiku. Kuyika alamu pakati pausiku kungakuthandizeni kupewa kuyamwa. Kudzuka kamodzi kapena kawiri usiku kukodza kumatanthauza kuti simudzakhala ndi mkodzo wochuluka ngati ngozi yachitika.
  • Pangani kukodza pafupipafupi kukhala gawo lazomwe mumachita. Masana, khazikitsani nthawi yomwe mudzakonde ndikutsatira. Onetsetsani kuti mukukodza musanagone, inunso.
  • Dulani zosokoneza za chikhodzodzo. Caffeine, mowa, zotsekemera zopangira, ndi zakumwa zotsekemera zimatha kukwiyitsa chikhodzodzo ndikupangitsa kukodza pafupipafupi.

Mankhwala

Mitundu inayi yayikulu yamankhwala imaperekedwa kuti ichiritse poyamwa anthu akulu, kutengera chifukwa:

  • maantibayotiki kuchiza matenda amkodzo
  • mankhwala anticholinergic Amatha kutulutsa minofu ya chikhodzodzo yotopetsa
  • desmopressin nthochi kuti mulimbikitse milingo ya ADH kuti impso zanu zileke kutulutsa mkodzo wochuluka usiku
  • 5-alpha reductase inhibitors, monga finasteride (Proscar), amachepetsa prostate wokulitsa

Opaleshoni

  • Kukondoweza kwa mitsempha ya Sacral. Pogwiritsa ntchito njirayi, dokotala wanu adzaika kachipangizo kakang'ono kamene kamatumiza zizindikiritso kuminyewa ya chikhodzodzo kuti zileke kuthana ndi zosafunikira.
  • Clam cystoplasty (kuwonjezera chikhodzodzo). Dokotala wanu adzatsegula chikhodzodzo chanu ndikuyika chigamba cha m'mimba. Minofu yowonjezerayi imathandizira kuchepetsa kusakhazikika kwa chikhodzodzo ndikuwonjezera kuwongolera komanso kuthekera kuti muteteze kuyamwa kwa kama.
  • Detrusor myectomy. Minofu yosungunulira imayang'anira kutsutsana kwa chikhodzodzo. Njirayi imachotsa ina mwa minyewa yomwe imathandizira kuchepetsa kupindika.
  • Kukonzanso kwa ziwalo za m'mimba. Izi zitha kukhala zofunikira ngati muli ndi ziwalo zoberekera zazimayi zomwe sizili bwino ndipo zikukanikiza chikhodzodzo.
  • Maganizo ake

    Ngati ndinu wamkulu akukumana ndi kunyowetsa pabedi pafupipafupi, izi zitha kukhala chizindikiro cha vuto kapena vuto. Ndikofunika kufunafuna chithandizo kuti muchepetse usiku komanso kuti muthane ndi zomwe zikuyambitsa.

    Pangani msonkhano ndi dokotala kuti mukambirane zomwe zikuchitika. Awonanso zizindikiro zanu, mbiri yaumoyo, mbiri ya banja, mankhwala ndi maopaleshoni am'mbuyomu. Dokotala amatha kuyitanitsa mayeso angapo kuti athe kupeza chomwe chikuyambitsa. Kupeza chithandizo kumakupatsani mpumulo poletsa kapena kuyimitsa kunyowetsa bedi ndi zina zomwe mukukumana nazo.

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