Kusadziletsa Kwa Amuna: Zomwe Muyenera Kudziwa

Zamkati

• Zizindikiro zake ndi ziti?
• Nchiyani chimayambitsa kusadziletsa kwamwamuna?
• Ndani ali pachiwopsezo cha kusadziletsa kwamwamuna?
• Kodi izi zimapezeka bwanji?
• Zosankha zamankhwala zosadziletsa
• Zosintha m'moyo
• Mankhwala osokoneza bongo ndi mankhwala
• Othandizira
• Opaleshoni
• Zipangizo zamwamuna zosadziletsa
• Kukhala ndi kusadziletsa kwamikodzo
• Chiwonetsero
• Kodi kusadziletsa kwa amuna kumatha kupewedwa?
• Muyenera
  

Kodi kusadziletsa kwamwamuna kumakhala kofala?

Kusadziletsa kwamikodzo (UI) kumayambitsa kutuluka mwangozi kwamkodzo. Si matenda, koma chizindikiro cha mkhalidwe wina. Vuto lazachipatala ili limayambitsa kutaya kwa chikhodzodzo.

Amuna ndi akazi amakumana ndi UI. Chiwerengero cha anthu omwe amapanga UI chikuwonjezeka ndi zaka. Izi ndizowona makamaka kwa amuna. Amuna achikulire nthawi zambiri amakhala ndi UI kuposa anyamata.

Akuti 11 mpaka 34 peresenti ya amuna achikulire ali ndi mtundu wina wa UI. Awiri mpaka 11 peresenti ya amuna achikulire amalimbana ndi zizindikiro za UI tsiku lililonse. Amuna ena amatha kukhala ndi mitundu yopitilira umodzi yopanda kudziletsa.

Apa, muphunzira zambiri za UI, zomwe zimayambitsa, momwe angachitire ndi momwe angasinthire moyo ndi zizindikirazo.

Zizindikiro zake ndi ziti?

Kusadziletsa kwamikodzo ndi chizindikiro cha vuto lina kapena vuto lina. Mitundu ina ya UI imatha kuyambitsa zizindikilo kuwonjezera pa kutuluka kwa mkodzo.

Mitundu iyi ya UI ndi zizindikilo zake ndi monga:

• Kusadziletsa mwachangu: Mukumva mwadzidzidzi, mukufunika kukodza, kenako ndikutuluka mwangozi.
• Kusokonezeka maganizo: Kutuluka kwa mkodzo kumabwera chifukwa chofulumira kapena kukakamiza, monga kutsokomola.
• Kusefukira kosagwirizana: Chikhodzodzo chanu chadzaza kwambiri mwakuti mwatuluka.
• Kugwira ntchito kosavomerezeka: Kulemala kwakuthupi, zopinga, kapena zovuta kufotokozera zosowa zanu kuti mukodze zimakulepheretsani kupita kuchimbudzi munthawi yake.
• Kusadziletsa kwakanthawi: UI wosakhalitsa nthawi zambiri umakhala chifukwa chakanthawi kochepa, monga matenda amkodzo. Zitha kukhala zoyipa zamankhwala kapena zovuta zina zamankhwala.
• Kusakanikirana Kosakanikirana: Kusadziletsa komwe kumagwera m'magulu awiri kapena kupitilirapo.

Amuna ndi akazi amakumana ndi zizindikiro zofananira za UI. Zizindikiro zonse zimaloza ku vuto la chikhodzodzo ndi kutayikira.

Nchiyani chimayambitsa kusadziletsa kwamwamuna?

Kuzindikira chomwe chimayambitsa matenda a UI kungakuthandizeni inu ndi dokotala kuti muyambe kulandira chithandizo.

Zomwe zimayambitsa UI nthawi zambiri zimakhala:

• chifuwa chachikulu
• kudzimbidwa
• kunenepa kwambiri
• chikhodzodzo kapena matenda amkodzo
• cholepheretsa kugunda kwamikodzo
• ofooka m'chiuno pansi kapena chikhodzodzo minofu
• kutaya mphamvu ya sphincter
• kuwonongeka kwa mitsempha
• kukulitsa prostate
• khansa ya prostate
• matenda amitsempha, omwe angasokoneze ziwonetsero za chikhodzodzo

Zina mwa zinthu zomwe zingayambitse UI ndi izi:

• kusuta
• kumwa
• osakhala wolimbikira

Ndani ali pachiwopsezo cha kusadziletsa kwamwamuna?

Ngati muli ndi chimodzi kapena zingapo mwaziwopsezozi, mutha kukhala ndi mwayi wopanga UI. Zowopsa izi ndi izi:

Zaka: Amuna amatha kukhala ndi UI akamakula. Izi zikhoza kukhala zotsatira za kusintha kwa thupi komwe kumapangitsa mkodzo kukhala wovuta kwambiri. Matenda kapena zinthu zina zimafala kwambiri ukalamba, ndipo kuchepa kwa chikhodzodzo chitha kukhala chizindikiritso.

Kusachita zolimbitsa thupi: Kuchita masewera olimbitsa thupi kumatha kukulitsa kutha kwa mkodzo, koma kusagwira ntchito kumawonjezera chiopsezo chokunenepa ndikuchepetsa mphamvu yonse. Izi zitha kupangitsa kuti matenda a UI awonjezeke.

Kunenepa kwambiri: Kulemera kwakukulu pakatikati mwanu kumatha kuyika chikhodzodzo chosafunikira pa chikhodzodzo.

Mbiri yazikhalidwe zina: Khansa ya Prostate, prostate wokulitsidwa, komanso chithandizo cha izi zitha kuyambitsa UI kwakanthawi kapena kosatha. Matenda ashuga amathanso kuyambitsa UI.

Nkhani zama Neurological: Matenda monga matenda a Parkinson, matenda a Alzheimer's, ndi multiple sclerosis amatha kusokoneza ubongo wanu kuti muwonetse bwino chikhodzodzo chanu ndi kwamikodzo.

Zolepheretsa kubadwa: Mutha kukhala ndi UI ngati thirakiti lanu silinapangidwe bwino panthawi yomwe mwana amakula.

Kodi izi zimapezeka bwanji?

Kuzindikira kwa UI ndikosavuta. Kuzindikira chomwe chimayambitsa UI kumatha kutenga nthawi yambiri. Kuti mudziwe, dokotala wanu ayamba kuwunika mbiri yanu yazachipatala. Kuchokera pamenepo, mayeso ena angafunike. Izi zikuphatikiza:

Kuyezetsa thupi: Kuyezetsa thupi kumatha kuthandiza dokotala kudziwa mavuto.

Kuyeza kwamakina a digito: Kuyeza uku kumathandiza dokotala kupeza zotchinga mu rectum yanu. Zimamuthandizanso kuzindikira kukula kwa prostate.

Mayeso ozindikira: Dokotala wanu akhoza kutenga zitsanzo za mkodzo wanu ndi magazi kuti ayese ngati pali zovuta zilizonse.

Zosankha zamankhwala zosadziletsa

Chithandizo cha UI chimadalira chifukwa cha vutoli. Dongosolo lanu lakuchipatala lingaphatikizepo kusintha kamodzi kapena zingapo kuwonjezera pa mankhwala. Nthawi zina, njira zopitilira patsogolo kapena opaleshoni zitha kukhala zofunikira.

Zosintha m'moyo

Kusamalira madzi: Kusunga nthawi yakudya ndi zakumwa mozungulira zochitika zanu kungakuthandizeni kuwongolera chidwi chanu chofuna kupita. M'malo momwa madzi ambiri kapena zakumwa zina mwakamodzi, imwani pang'ono pang'ono tsiku lililonse.

Maphunziro a chikhodzodzo: Maphunziro a chikhodzodzo amafunika kuti muchepetse mwachangu ulendo wopita kuchimbudzi nthawi iliyonse yomwe mwapeza. Chikhodzodzo chanu ndi thirakiti yanu ziyenera kukulira mphamvu.

Kukonzekera maulendo opita kuchimbudzi kungakuthandizeni kupewa zokopa. Mukapita, kukodza kawiri, kamodzi mphindi zochepa, kungakuthandizeni kuthana ndi mkodzo wambiri.

Zochita zolimbitsa thupi pansi: Zochita izi zimadziwikanso kuti zochita za Kegel. Amatha kukuthandizani kumanganso mphamvu ndikukhwimitsa minofu m'chiuno mwanu ndi dongosolo la kwamikodzo.

Zosintha zina pamachitidwe zimaphatikizapo:

• Khalani otakataka kwambiri. Ikhoza kukuthandizani kuti muchepetse thupi, kupewa kudzimbidwa, komanso kuchepetsa kupanikizika kwanu.
• Chepetsani mowa ndi caffeine. Zinthu izi zimatha kulimbikitsa chikhodzodzo chanu.
• Lekani kusuta.

Mankhwala osokoneza bongo ndi mankhwala

Mitundu ingapo yamankhwala imagwiritsidwa ntchito pochizira UI.

• Anticholinergics, monga Oxybutynin (Ditropan), imatha kutulutsa minofu ya chikhodzodzo yochulukirapo. Amathandizira chikhodzodzo chopitilira muyeso ndikulimbikitsa kusadziletsa.
• Alpha-blockers, monga tamsulosin (Flomax), amaperekedwa kwa amuna omwe ali ndi prostate yowonjezera ndikukula. Izi zitha kuthandiza amuna omwe ali ndi chidwi chofuna kutulutsa chikhodzodzo mokwanira.
• Mirabegron (Myrbetriq) amatha kumasula minofu ya chikhodzodzo ndikuthandizira kuwonjezera mkodzo womwe chikhodzodzo chanu chitha kugwira. Itha kukuthandizaninso kutulutsa chikhodzodzo nthawi iliyonse mukakodza.
• Mtundu wa poizoni wa botulinum A (Botox) utha kubayidwa mu chikhodzodzo kuti muchepetse minofu ya chikhodzodzo.

Othandizira

Mukamachita izi, zinthu zopangira zimalowetsedwa m'matumba oyandikana ndi urethra. Izi zimakakamiza urethra ndikuthandizira kutseka pomwe simukukodza.

Opaleshoni

Kuchita maopareshoni nthawi zambiri kumakhala njira yomaliza. Maopaleshoni awiri amagwiritsidwa ntchito kwambiri mwa amuna:

Bhaluni yopangira urinary sphincter (AUS): Baluniyo imayikidwa mozungulira khosi la chikhodzodzo chanu. Izi zimathandiza kutseka sphincter yamikodzo mpaka nthawi yokodza. Mukakonzeka kukodza, valavu yomwe imayikidwa pansi pa khungu lanu imawononga buluni. Mkodzo umatulutsidwa, ndipo buluni imadzaza.

Ndondomeko ya gulaye: Dokotala wanu adzagwiritsa ntchito minofu kapena zinthu zopangira kuti apange thumba lothandizira mozungulira chikhodzodzo. Mwanjira imeneyi, mkodzo umakhala wotseka ukatsokomola, kupopera, kuthamanga, kapena kuseka.

Pambuyo pa opaleshoni, amuna ambiri amachira kuchipatala. Izi zitha kutenga kulikonse kuyambira maola angapo mpaka masiku angapo. Amuna ambiri amatha kutuluka mchipatala tsiku lomwelo momwe amathandizira.

Muyenera kutsatira malangizo a dokotala kuti muchiritse ndikuchira. Musabwerere ku zochitika zonse mpaka dokotala atatsimikizira kuti ndizotheka kutero. Thupi lanu limafunikira nthawi kuti lichiritse kuchokera ku opaleshoniyi, ndipo muyenera masiku angapo kuti muzolowere zotsatira za opaleshoniyi.

Zipangizo zamwamuna zosadziletsa

Musanafufuze opareshoni yovuta, dokotala wanu akhoza kukupatsani chida chomwe chingachepetse matenda anu komanso chingalepheretse kuchitidwa opaleshoni. Izi zikuphatikiza:

Catheters: Catheter ingakuthandizeni kutulutsa chikhodzodzo mokwanira. Kachubu kocheperako, kosinthasintha kamalowetsedwa kudzera mu mtsempha wa mkodzo ndi kulowa m'chikhodzodzo. Mkodzo umatuluka, ndipo chatheter chimachotsedwa. Catheter yokhalamo ya Foley imakhalabe m'malo, koma imatha kuyambitsa matenda amkodzo.

Njira zosonkhanitsira mkodzo Catheter ya kondomu imakwera mbolo ndikusonkhanitsa mkodzo wotuluka. Itha kugwiritsidwa ntchito kwakanthawi kochepa. Kugwiritsa ntchito nthawi yayitali kumawonjezera chiopsezo chanu chotenga matenda amkodzo komanso kukwiya pakhungu.

Alonda ovala zovala zamkati: Mapepala opangira mwapadera amamatira kuzovala zanu zamkati kuti mutenge mkodzo. Chogulitsachi sichimayimitsa kutuluka, koma chitha kuthandiza kupewa madontho kapena chinyezi.

Kukhala ndi kusadziletsa kwamikodzo

Kusadziletsa kwamikodzo kumatha kusokoneza magawo ambiri m'moyo wanu. Chithandizo cha vutoli chitha kuchepetsa izi. Komabe, mungakhale ndi nkhawa pazinthu zina m'moyo wanu.

Zovuta pamoyo ndi UI zikuphatikiza:

Zochita zathupi: Kuchita masewera olimbitsa thupi, kulima dimba, komanso kukwera mapiri zonse ndizopindulitsa, koma ngati muli ndi UI, zitha kuwoneka zovuta. Gwiritsani ntchito ndi dokotala wanu kuti mukhale ndi chidaliro pa dongosolo lanu lazachipatala ndi zotsatira zake, kuti mukhale omasuka kutsatira zomwe mumakonda.

Zochita zogonana: Amuna ndi akazi ena omwe ali ndi UI amapewa kugonana. Muthabe kugonana, koma mungafunike kuchitapo kanthu pang'ono musanachitike.

Mungafune ku:

1. Pewani kumwa caffeine kapena mowa kwa maola angapo musanagonane.
2. Pewani zakumwa zonse ola limodzi musanagonane.
3. Tulutsani chikhodzodzo chanu musanagonane.
4. Ikani chopukutira pakati panu ndi mnzanuyo ndi kama ngati mukuda nkhawa ndi kutuluka.

Khalani omasuka ndi mnzanu. Kufotokozera nkhawa zanu kumatha kuchepetsa nkhawa zomwe mungakhale nazo.

Chiwonetsero

Ndikofunika kuti mukalankhule ndi dokotala za zizindikiro zilizonse zomwe mukukumana nazo komanso nthawi yomwe adayamba. Mavuto oletsa chikhodzodzo amachiritsidwa kwambiri. Pamodzi, nonse awiri mutha kupanga njira yothandizira yomwe ingakuthandizeni kuyambiranso chikhodzodzo ndikusunga moyo wanu.

Kodi kusadziletsa kwa amuna kumatha kupewedwa?

Kusadziletsa kwamikodzo sikungalephereke. Zowopsa, monga msinkhu komanso minyewa, sizingatheke.

Komabe, zochitika pamoyo zimatha kuwongoleredwa. Kuchepetsa chiopsezo chanu pazinthu zamomwe zimathandizira UI zitha kukuthandizani kupewa vutoli. Izi ndi monga:

Muyenera

• Idyani chakudya chamagulu, muzichita masewera olimbitsa thupi nthawi zambiri, ndipo muchepetse kunenepa kwambiri. Zonsezi zimathandiza kuchepetsa kupanikizika kwa chikhodzodzo ndikuthandizira kukhala ndi thanzi labwino.
• Pewani kudzimbidwa. Mavuto am'mimba, monga kudzimbidwa, atha kukulitsa chiopsezo cha UI. Chakudya chopatsa thanzi chokhala ndi michere yambiri komanso kuchita masewera olimbitsa thupi nthawi zonse kumathandiza kupewa kudzimbidwa.
• Pewani zinthu zokhumudwitsa. Mowa ndi caffeine zimatha kuyambitsa chikhodzodzo, zomwe zimatha kuyambitsa matenda a UI pakapita nthawi.
• Limbikitsani minofu ya m'chiuno. Palibe chovulaza pakuchita masewera olimbitsa thupi a Kegel nthawi zonse kuti minofu ya m'chiuno ikhale yolimba. Izi zitha kuthandiza kupewa UI mtsogolo.