Zithandizo zochizira kusagwirizana kwamikodzo

Zamkati

• 1. Kupanikizika kusagwira ntchito kwamkodzo
• 2. Kusadziletsa kwamkodzo mwachangu
• Chithandizo chachilengedwe

Njira imodzi yothanirana ndi mkodzo ndikugwiritsa ntchito mankhwala, monga oxybutynin, tropium chloride, estrogen kapena imipramine, mwachitsanzo, woperekedwa ndi dokotala, ngati njira yochepetsera kutsutsana kwa chikhodzodzo kapena kusintha kwa sphincter ya mtsempha wa mkodzo , kuchepa kwa magawo a kutayika kwadzidzidzi kwa mkodzo.

Mankhwalawa amangowonetsedwa nthawi zina, momwe maubwino ake amapitilira zoopsa zake, chifukwa chazotsutsana zomwe amapereka komanso zoyipa zomwe angayambitse, monga mkamwa wouma, chizungulire, kutsekula m'mimba kapena kusungira kwamikodzo, akulimbikitsidwa pomwe mitundu ina ya chithandizo, monga masewera olimbitsa thupi, sikokwanira.

Kusadziletsa kwamikodzo ndichizolowezi chomwe chimakhudza aliyense, makamaka azimayi azaka zopitilira 45, ndipo chimayambitsa zizindikilo zosasangalatsa monga kutaya mkodzo pazovala, zomwe zimatha kuchitika pambuyo poyeserera kapena mwadzidzidzi kukakodza, komwe kumatha kuchitika pang'ono kapena zochuluka. Kumvetsetsa bwino zizindikilo, mitundu ndi zomwe zimayambitsa kusadziletsa kwamikodzo.

Mankhwala omwe angalimbikitsidwe kuti athetse kusagwirizana kwamikodzo amadalira mtundu wawo, kaya ndi azimayi kapena abambo. Zosankha ndizo:

1. Kupanikizika kusagwira ntchito kwamkodzo

Kusadziletsa kotere kumachitika nthawi iliyonse pamene kuyesayesa kumachitika ndi m'mimba kapena m'chiuno, monga kukhosomola, kuyetsemula kapena kunyamula kulemera, ndipo kumachitika makamaka chifukwa cha kufooka kwa minofu ya m'chiuno, kapena kusintha kwa mkodzo kapena chikhodzodzo.

• Estrogen: kugwiritsa ntchito estrogen, monga estradiol ngati mafuta, zomatira kapena mphete ya amayi, zitha kuchitapo kanthu pakuwonjezera kukakamiza kutseka mkodzo, magazi ndi mtundu wa minofu yomwe imayendetsa urethra ndi nyini, ikuchepetsa mwayi kusadziletsa;
• Imipramine (Tofranil): ndi mtundu wa antidepressant womwe umatha kutsitsa chikhodzodzo chikhodzodzo ndikuwonjezera kukanika kwa urethra;
• Duloxetine (Cymbi, Velija): ndi mtundu wina wa antidepressant, womwe umatha kukhudza mitsempha ya mkodzo, kumachepetsa kuchuluka kwa kusadziletsa.

Ndikofunika kukumbukira kuti pakakhala kusagwirizana, njira yayikulu yothandizira ndikuchita pakhosi la pakhosi, lotsogozedwa ndi ma physiotherapists ophunzitsidwa bwino, kuphatikiza zamankhwala monga electrostimulation kapena zolimbitsa thupi, zomwe ndizofunikira kuthana ndi vutoli. Onani zina zomwe zingachitike poletsa mkodzo, muvidiyo yotsatirayi:

Kuphatikiza apo, opaleshoni ndi njira yofunikira yothetsera kusintha kwa minofu kapena kuyika kwa chikhodzodzo ndi urethra, ndipo imayenera kuganiziridwa nthawi iliyonse pomwe zosintha sizikupezeka ndi mankhwala omwe achitike.

2. Kusadziletsa kwamkodzo mwachangu

Kusadziletsa kotere kumachitika makamaka chifukwa cha kusintha kwamatomu ndi mahomoni muukalamba. Komabe, imatha kuwonekeranso mwa achinyamata chifukwa cha zinthu monga cystitis, miyala ya chikhodzodzo kapena kusintha kwamitsempha, monga zomwe zimayambitsidwa ndi matenda ashuga, multiple sclerosis, Parkinson's, stroke, zotupa zamaubongo kapena zovulala msana, mwachitsanzo.

Njira zazikuluzikulu zothetsera vutoli ndi mankhwala omwe amagwira ntchito pochepetsa kufinya kwa chikhodzodzo ndikuthandizira kuchita kwa urethral sphincter, wotchedwa antimuscarinics. Zina mwazomwe zimagwiritsidwa ntchito kwambiri ndi izi:

• Oxybutynin (Retemic, Incontinol);
• Tropium mankhwala enaake (Spasmoplex);
• Solifenacin (Zowoneka);
• Darifenacin (Fenazic);
• Imipramine (Tofranil, Depramine, Imipra, Mepramin).

Mankhwalawa ayenera kugwiritsidwa ntchito mosamala, pokhapokha ndi chisonyezo chachipatala, chifukwa zimatha kuyambitsa zovuta zingapo, monga pakamwa pouma, chizungulire, chisokonezo ndikuchepetsa kukumbukira, makamaka kwa anthu omwe atengeke kwambiri, monga okalamba.

Zochita za physiotherapy komanso kusintha kwa nthawi yosambira ndi njira zina zomwe zimathandizira kuwongolera zizindikilo. Dziwani zambiri za mitundu ya chithandizo.

Chithandizo chachilengedwe

Chithandizo chachilengedwe chokhudzidwa ndi kwamikodzo chimayang'aniridwa pazochitika zonse, kukhala kofunikira kwambiri kuthandizira chithandizo chamankhwala ndikuchepetsa kuchepa kwamphamvu kapena kusadziletsa. Chifukwa chake, tikulimbikitsidwa:

• Chithandizo chamakhalidwe, chomwe chimakhala ndi nthawi yakupita kuchimbudzi, ngakhale palibe chochita kukodza, ngati njira yopewera kutaya mwadzidzidzi;
• Yesetsani kuchita masewera olimbitsa thupi, omwe amakhala ochepetsetsa komanso kupumula kwa minofu ya mphindi zisanu ndi zitatu, kawiri pamlungu;
• Kuchepetsa thupi, pakakhala anthu onenepa kwambiri, kuti achepetse kulemera kwambiri kwa chikhodzodzo ndi minofu ya m'chiuno;
• Kuwongolera matumbo, monga kudzimbidwa kumathandizanso kupititsa mkodzo m'matumbo. Pezani malingaliro ena pazomwe mungachite kuti muchepetse kuchepa kwamkodzo.
• Samalani ndi chakudya chanu, zakudya zosangalatsa za chikhodzodzo monga caffeine, mowa, zipatso za citrus, fodya ndi zakudya zokometsera.

Onani maupangiri ena muvidiyo yotsatirayi: