Kusefukira Kwosefukira: Kodi Ndi Chiyani ndipo Amachitidwa Motani?

Zamkati

• Kodi izi ndizofala?
• Zomwe zimayambitsa izi ndi omwe ali pachiwopsezo
• Momwe amafanizira ndi mitundu ina ya kusadziletsa
• Kuzindikira kusadziletsa kosagwirizana
• Njira zothandizira
• Maphunziro akakhalidwe kunyumba
• Zida ndi zida zamankhwala
• Mankhwala
• Opaleshoni
• Chithandizo cha mitundu ina ya kusadziletsa
• Njira zochiritsira
• Chiwonetsero

Kodi izi ndizofala?

Kusefukira kwamadzimadzi kumachitika pamene chikhodzodzo chanu sichitha kwathunthu mukakodza. Mkodzo wochepa wotsala umatuluka pambuyo pake chifukwa chikhodzodzo chadzaza kwambiri.

Mutha kumva kuti mukufunika kukodza madzi asadatuluke. Kusadziletsa kwamtunduwu nthawi zina kumatchedwa kuyendetsa.

Kupatula kutuluka kwamkodzo, mungathenso kukumana ndi izi:

• vuto kuyamba kukodza ndi mtsinje wofooka ukangoyamba
• kudzuka pafupipafupi usiku kukodza
• matenda opatsirana pafupipafupi

Kusadziletsa kwamikodzo kumakhala kofala kwambiri kwa achikulire. a ku America azaka 65 kapena kupitilira apo adachitapo.

Kusadziletsa kwamkodzo nthawi zambiri kumakhala mwa amayi monga amuna, koma amuna amakhala othekera kwambiri kuposa kudziletsa kwa amayi.

Pitilizani kuwerenga kuti mudziwe zambiri pazomwe zimayambitsa, zoopsa, chithandizo, ndi zina zambiri.

Zomwe zimayambitsa izi ndi omwe ali pachiwopsezo

Chomwe chimayambitsa kusefukira kwapafupipafupi ndikusungira kwamikodzo kwanthawi yayitali, zomwe zikutanthauza kuti simungataye chikhodzodzo chanu. Mungafunike kukodza kawirikawiri koma mumakhala ndi vuto loyambira kukodza ndikutsitsa chikhodzodzo chanu.

Kusunga kwamikodzo kosatha kumakhala kofala kwambiri mwa amuna kuposa akazi. Amuna, nthawi zambiri amayamba chifukwa cha chosaopsa cha prostatic hyperplasia, zomwe zikutanthauza kuti prostate imakulitsidwa koma osati khansa.

Prostate ili kumapeto kwa mkodzo, chubu chomwe chimatulutsa mkodzo m'thupi la munthu.

Prostate ikakulitsidwa, imapanikiza mkodzo, ndikupangitsa kuti kukhale kovuta kukodza. Chikhodzodzo chimatha kukhala chopitilira muyeso, kupangitsa munthu wokhala ndi chikhodzodzo chokulirapo kumva kufunitsitsa kukodza nthawi zambiri.

Popita nthawi, izi zitha kufooketsa chikhodzodzo, ndikupangitsa kuti kukhale kovuta kutulutsa chikhodzodzo kwathunthu. Mkodzo wotsalira mu chikhodzodzo umapangitsa kuti ukhale wodzaza pafupipafupi, ndipo mkodzo umatuluka.

Zina mwazomwe zimapangitsa kuti amuna ndi akazi azisangalala ndi monga:

• miyala ya chikhodzodzo kapena zotupa
• zinthu zomwe zimakhudza mitsempha, monga multiple sclerosis (MS), matenda ashuga, kapena kuvulala kwaubongo
• opaleshoni yam'chiuno yam'mbuyomu
• mankhwala ena
• Kutuluka kwakukulu kwa chiberekero cha mkazi kapena chikhodzodzo

Momwe amafanizira ndi mitundu ina ya kusadziletsa

Kusefukira kwaubweya ndi imodzi mwamitundu ingapo yokhudzetsa mkodzo. Chilichonse chimakhala ndi zifukwa zosiyanasiyana:

Kusokonezeka maganizo: Izi zimachitika pamene zolimbitsa thupi, monga kudumpha, kuseka, kapena kutsokomola, kumayambitsa mkodzo kutuluka.

Zomwe zingayambitse ndizofooka kapena kuwonongeka kwa minofu ya m'chiuno, urethral sphincter, kapena zonse ziwiri. Nthawi zambiri, simumva kufunika kokodza madzi asadatuluke.

Amayi omwe abereka mwana kumaliseche atha kukhala pachiwopsezo cha kusadziletsa kotereku chifukwa minofu ndi mitsempha ya m'chiuno imatha kuwonongeka pobereka.

Limbikitsani kusadziletsa (kapena chikhodzodzo chowonjezera): Izi zimayambitsa kusowa kwamphamvu, mwadzidzidzi kukodza ngakhale chikhodzodzo chanu sichodzaza. Simungathe kupita ku bafa munthawi yake.

Chifukwa chake nthawi zambiri sichidziwika, koma chimakonda kuchitikira achikulire. Nthawi zina, ndi zotsatira zoyipa za matenda kapena zovuta zina, monga matenda a Parkinson kapena MS.

Kusakanikirana kosakanikirana: Izi zikutanthauza kuti muli ndi nkhawa komanso mumalimbikitsa kusadziletsa.

Amayi osadziletsa nthawi zambiri amakhala ndi mtundu uwu. Zimapezekanso mwa amuna omwe anachotsedwa prostate kapena omwe anachitidwa opaleshoni ya prostate yowonjezera.

Kusasinthasintha kwapadera: Izi zimachitika chifukwa cha mitsempha yowonongeka yomwe singachenjeze ubongo wanu chikhodzodzo chikadzaza. Nthawi zambiri zimachitika kwa anthu omwe awonongeka kwambiri ndimitsempha kuchokera:

• msana kuvulala
• MS
• opaleshoni
• chithandizo cha radiation

Kugwira ntchito kosavomerezeka: Izi zimachitika ngati vuto lomwe silikugwirizana ndi thirakiti limakupangitsani kuchita ngozi.

Makamaka, simukudziwa kuti muyenera kukodza, simungathe kulumikizana kuti mukuyenera kupita, kapena mwakuthupi simutha kupita kuchimbudzi munthawi yake.

Kuchita kusadziletsa kungakhale zotsatira zoyipa za:

• matenda amisala
• Matenda a Alzheimer
• matenda amisala
• kulemala kwa thupi
• mankhwala ena

Kuzindikira kusadziletsa kosagwirizana

Dokotala wanu akhoza kukupemphani kuti muzisunga zolemba za chikhodzodzo kwa sabata imodzi kapena kuposerapo musanafike. Zolemba za chikhodzodzo zingakuthandizeni kupeza njira ndi zomwe zingayambitse kusadziletsa kwanu. Kwa masiku angapo, lembani:

• kuchuluka kwa zomwe mumamwa
• mukakodza
• kuchuluka kwa mkodzo womwe umatulutsa
• ngakhale mutakhala ndi chidwi chokodza
• kuchuluka kwa kutuluka komwe mudali nako

Pambuyo pokambirana za zizindikilo zanu, dokotala wanu akhoza kuyesa kuyezetsa matenda kuti adziwe mtundu wa kusadziletsa komwe muli nako:

• Kuyesedwa kwa chifuwa (kapena kupsinjika) kumaphatikizapo kutsokomola pomwe dokotala akuyang'ana kuti awone ngati mkodzo ukutuluka.
• Kuyezetsa mkodzo kumayang'ana magazi kapena zizindikiro za matenda mumkodzo wanu.
• Kuyesa kwa prostate kumafufuza kukula kwa prostate mwa amuna.
• Kuyezetsa urodynamic kumawonetsa kuchuluka kwa mkodzo wanu chikhodzodzo komanso momwe ungathere.
• Muyeso wotsalira wotsalira umayang'ana kuchuluka kwa mkodzo womwe umatsalira mu chikhodzodzo mutatha kukodza. Ngati ndalama zambiri zatsalira, zitha kutanthauza kuti mwatseka m'makina anu kapena vuto la chikhodzodzo kapena misempha.

Dokotala wanu angalimbikitsenso mayesero ena, monga pelvic ultrasound kapena cystoscopy.

Njira zothandizira

Kutengera zosowa zanu, dongosolo lanu lamankhwala lingaphatikizepo chimodzi kapena zingapo zotsatirazi:

Maphunziro akakhalidwe kunyumba

Maphunziro apanyumba atha kukuthandizani kuphunzitsa chikhodzodzo kuti muchepetse kutuluka.

• Ndi maphunziro a chikhodzodzo, mumadikirira nthawi yina kuti mukodze mutamva kuti mukufuna kupita. Yambani podikirira mphindi 10, ndipo yesani kuyenda mpaka kukodza maola awiri kapena anayi aliwonse.
• Kutseka kawiri zikutanthauza kuti mukakodza, mumadikirira mphindi zochepa ndikuyesanso kupitanso. Izi zitha kuthandiza kuphunzitsa chikhodzodzo kutulutsa kwathunthu.
• Yesani nthawi yopumira, komwe mumakodza maola awiri kapena anayi aliwonse m'malo modikirira kuti mupite.
• Masewera olimbitsa thupi (kapena Kegel) Phatikizani kulimbitsa minofu yomwe mumagwiritsa ntchito kuti musiye kukodza. Aimitseni kwa masekondi 5 mpaka 10, kenako kupumula kwa nthawi yofanana. Gwiritsani ntchito njira yanu mpaka kufika maulendo 10, katatu patsiku.

Zida ndi zida zamankhwala

Mutha kugwiritsa ntchito zotsatirazi kuti muthandize kuyimitsa kapena kupeza zotuluka:

Zovala zamkati za achikulire ndizofanana ndizovala zamkati zamkati koma zimatenga zotuluka. Mutha kuvala pansi pazovala za tsiku ndi tsiku. Amuna angafunike kugwiritsa ntchito chosonkhetsa madzi, chomwe chimakhala chophatikizira chophatikizika chomwe chimakhala ndi zovala zamkati zoyenera.

A mapaipi ndi chubu chofewa chomwe mumayika mu urethra kangapo patsiku kuti muchotse chikhodzodzo chanu.

Kuyika kwa azimayi kumatha kuthandizira pazinthu zosiyanasiyana zokhudzana ndi kusadziletsa:

• A pessary ndi mphete yolimba ya nyini yomwe mumayika ndikuvala tsiku lonse. Ngati muli ndi chiberekero kapena chikhodzodzo chocheperako, mpheteyo imathandizira kusunga chikhodzodzo chanu popewa kutuluka kwa mkodzo.
• A urethral Ikani ndi chida chotayidwa chofanana ndi tampon chomwe mumayika mu urethra kuti muchepetse kutuluka. Mumayiyika musanachite zolimbitsa thupi zomwe nthawi zambiri zimayambitsa kusadziletsa ndikuzichotsa musanakodze.

Mankhwala

Mankhwalawa amagwiritsidwa ntchito kwambiri pochiza kusadziletsa.

Alpha-blockers pumulitsani ulusi wa minofu mu prostate yamunthu ndi minyewa ya khosi la chikhodzodzo kuthandiza chikhodzodzo kusowa kwathunthu. Alpha-blockers wamba ndi awa:

• alfuzosin (Uroxatral)
• tamsulosin (Flomax)
• doxazosin (Cardura)
• silodosin (Rapaflo)
• terazosin

5a reductase inhibitors itha kukhalanso njira yothandizila amuna. Mankhwalawa amathandizira kutulutsa khungu lokulitsa la prostate.

Mankhwala othandizira kusefukira amagwiritsidwa ntchito kwambiri mwa amuna. Amuna ndi akazi atha kupindula ndi maopareshoni kapena kugwiritsa ntchito catheters kuthandiza chikhodzodzo chopanda momwe ziyenera kukhalira.

Opaleshoni

Ngati mankhwala ena sakugwira ntchito, kuchitira opaleshoni mwina ndi njira, kuphatikiza:

• njira zoponyera
• Kuyimitsa chikhodzodzo m'khosi
• Kuchulukitsa opaleshoni (njira yodziwika yothandizira azimayi)
• yokumba kwamikodzo sphincter

Chithandizo cha mitundu ina ya kusadziletsa

Wotsutsa amagwiritsidwa ntchito kuthandizira kutulutsa chikhodzodzo mopitirira muyeso poletsa kutuluka kwa chikhodzodzo. Anticholinergics wamba ndi awa:

• oxybutynin (Ditropan XL)
• mavitamini (Detrol)
• darifenacin (Enablex)
• solifenacin (Vesicare)
• trospium
• mankhwala a fesoterodine (Toviaz)

Zamgululi (Myrbetriq) amachepetsa minofu ya chikhodzodzo kuti athandize kuthana ndi vuto lodziletsa. Ikhoza kuthandizira chikhodzodzo chanu kukhala ndi mkodzo wambiri ndikukhalanso kwathunthu.

Zigamba perekani mankhwala kudzera pakhungu lanu. Kuphatikiza pa mawonekedwe apiritsi, oxybutynin (Oxytrol) imabwera ngati chigamba chotsatsira mkodzo chomwe chimathandiza kuthana ndi mitsempha ya chikhodzodzo.

Mankhwala otsika kwambiri a estrogen akhoza kubwera mu kirimu, chigamba, kapena mphete ya amayi. Zitha kuthandizira azimayi kubwezeretsa ndi kutulutsa minofu mu mkodzo ndi kumaliseche kuti zithandizire pazizindikiro zosadziletsa.

Njira zochiritsira

Njira zochiritsira zitha kukhala zothandiza ngati mankhwala ena sanakuthandizireni pazizindikiro zanu.

Pali mitundu ingapo yamankhwala ochiritsira osagwirizana ndi mkodzo.

Omwe amatha kuthana ndi kusadziletsa kumaphatikizapo jakisoni wa zinthu zopangira, zotchedwa bulking zakuthupi, mu minofu yozungulira urethra. Izi zimathandiza kuti urethra yanu ikhale yotseka, yomwe imatha kuchepetsa kutuluka kwa mkodzo.

Chiwonetsero

Ngati mukuchulukirachulukira, lankhulani ndi dokotala wanu za njira zamankhwala.

Muyenera kuyesa njira zingapo musanapeze zomwe zingakuthandizeni, koma nthawi zambiri zimakhala zotheka kusamalira zizindikilo zanu ndikuchepetsa zosokoneza m'moyo wanu watsiku ndi tsiku.