Ukususela kwinxalenye yokuqala yenkcazo, sele usufunde ngezizathu ezinokwenzeka, iintlobo kunye nokuxilongwa kokungahambisani nomzimba kwamabhinqa. Ngoku siza kuqwalasela ukuba zeziphi iindlela zokuphatha ukungabikho kwamanzi emanzini, indlela yokujongana nalesi sifo ekhaya kwaye zeziphi ezinye iifundo ezifunekayo kwimeko.
Urodynamic uvavanyo
Uphando lwalolu hlobo aluxabisekanga kuphela isigulane, kodwa kwiziko lempilo ngokwalo. Ngaloo ndlela, ukuxilongwa kwesi sifo kuphela ukuba utyando luyadingeka ukuba unyango okanye xa unyango olulondolozayo aluvelisi iziphumo ukuze kucaciswe izizathu zesifo.
Uvavanyo lwe-Urodynamic lunikeza ithuba lokufumana lonke ulwazi olukhoyo malunga nendlela yokusebenza kwebhinqa yowesifazane. Le ndlela yokuxilonga isetyenziswe kuphela xa zonke iimvavanyo zangaphambilini aziphendulanga imibuzo yegqirha, oko kukuthi, imbangela yokuvuza komchamo ayengagqitywanga, kwaye ukuba ugqirha ugxeka ukuba isigulane sidibanise ukungabikho komzimba. Iimvavanyo ezingabandakanywa kwisifundo sendalo, ngamanye amaxesha sitshintsha. Ugqirha unokukuthumela kwiindlela ezinjalo zokuxilonga:
I-Cystometrography (i-cystometry, uroflowmetry) yinkqutyana yeemvavanyo ukufumana uxinzelelo kwi-bladder kwizigaba ezahlukeneyo zokuzaliswa kwayo. Nge-cystometry, unokufumana oku kulandelayo:
- Amandla amakhulu okuxinwa kwe-urethra, ebonisa uxinzelelo oluqhelekileyo lokuvalwa okupheleleyo kwe-lumen;
- ukunyuka kwengcinezelo, ebonisa ukuba i-sphincter muscle ixineke kangakanani, ngelixa kunokwenzeka ukugcina umchamo.
Ukuxilongwa kwe-Ultrasound okanye i-X-ray, apho i-residual fluid in bladder inqunywe emva kokuphuma kwamanzi. Ezi ndlela zoxilongo zenza ukuba kube lula ukucacisa indawo ye-urethra kunye ne-vestile phantsi kwengxaki, ukukhwehlela kunye nokuhamba.
Ukuba ngazo zonke iindlela esele sithethe ngazo, kwakungenakwenzeka ukufumana isizathu sokungabikho komchamo kwintombazana, kwaye kusetshenziswe iimvavanyo ezininzi. Izifundo, esiza kuziqwalasela ngokuqhubekayo, zisebenza kuphela kwizigulane ezithile zokungahambisani nomzimba.
I-Cystoscopy iyisistimoscope esincinci ukufunda izakhiwo zangaphakathi zesisu kunye ne-urethra.
I-Cystourethrogram yindlela ye-X-ray yokuxilonga esetyenziswa nge-vestile engenanto ngokuhlukezela okuqulethe iodine ukufumana umfanekiso weendonga zangaphakathi ze-urethra ne-vestile. Ngolu vavanyo, unako ukucacisa zonke iimpazamo zomzimba zecandelo elincinci le-urinary system, edibene nokungahambisani kwamanzi kumanzi.
Kutheni ukuphathwa kakubi kubasetyhini?
Kukho iindlela ezininzi zokuphatha esi sifo. Uphulo olungcono kakhulu lulwa nombangela wokungahambisani nomzimba, ngelixa liqwalasela imeko yempilo yesigulane.
Iinkalo ezibalulekileyo zonyango
- Ngokwenene, ukungahambisani nokuvuthwa kwamanzi kungaphathwa okanye kuphathwe.
- Abasetyhini abaninzi abanamava abaqala ukuziva bengcono emva kokuguquka kwendlela yokuphila, ukujonga ishedyuli yokuphuma, ukusebenzisa izixhobo ezifana neepessaries, ukwenza i-Kegel yokuzivocavoca. Ukuba akukho tshintsho kumachiza, baqala ukuphazamisa ukungabikho komzimba.
- Ukuba ukungabikho komsebenzi kubangelwa ngenxa yesibindi esingenakunqandeka, ngoko kufuneka uqhube uqeqesha isilwanyana sakho ukuze kusebenze ngokuqhelekileyo. Izidakamizwa kule nto zinokukunceda, nangona kukho imiphumo engathandekiyo.
Shintsha isitala yobomi bomsebenzi
Ukunyakaza kweKegel kunokunceda wonke umntu wesifazane ngokungahambisani nokugula, kungakhathaliseki uhlobo lokugula. Ukuzivocavoca okunjalo kunceda ukuqinisa imisipha ye-pelvic, eyanceda ukukhuthaza ukukhutshwa komchamo, kubaluleke kakhulu ukwenza loo ndlela yokuzivocavoca. Kubalulekile ukuba uqhube ukuhamba rhoqo rhoqo ukuze umphumo ungalindelanga.
Iindlela ze-Kegel zingabandakanywa neendlela eziphambili ze-biofeedback ukuqinisekisa ukuba isigulane siqeqesha loo misipha enokuyidingayo. Ungayilawula: umunwe wesandla kufuneka ungeniswe kwisisini ukuze amandla okuphulwa kwemisipha yomzimba we-pelvic aqondwe. Ukuthintela ukungahambisi kwamanzi xa ukhwehlela okanye udibanise, kufuneka ukhawuleze uhluthe izihlunu zeeplvic ngezihlandlo eziliqela. Unokuwela imilenze yakho.
Mhlawumbi kufuneka ulahle ama-pounds angaphezulu ukuze ubhekane nokungazinzi.
Unokuzama ukutshintsha indlela ophila ngayo ngokungahlambuluki. Zama ukufumanisa ukutya okucaphukisa i-bladder kwaye ungabasebenzisi, umzekelo, ushokoledi, iziqholo, iviniga, i-citrus, iimveliso zobisi, utamatisi. Zama ukusela i-caffeine notywala.
Kukho iintlobo ezintathu zemikhwa yokutshintshwa kwe-urinary incontinence: ukuvuthwa kwe-urination, ukuqeqeshwa kwe-bladder kunye ne-urination pogram.
Izixhobo zonyango
I-Pessary yile divaysi yerabha efakwe kwisisu ukuya kwintsholongwane ukwenzela ukudala uxinzelelo olongezelelweyo kunye nokuxhasa uretha ngokusebenzisa udonga lwe-muscular. Ngaphezu koko, isixhobo esinjalo sivumela i-urethra ukuba ihlale kwindawo evuliwe, kunye ne-liquid in the bladder. I-Pessary ibaluleke ngakumbi ekungeneni. Abasetyhini abaninzi bayisebenzisa ngokufanelekileyo kwizenzo ezisebenzayo, umzekelo, xa begijima. Iipessaries ezininzi zingasetyenziswa lonke ixesha. Nangona kunjalo, xa usebenzisa le ndlela, kufuneka unyathelwe kwinkqubo ye-genitourinary yezifo. Kufuneka ukuba rhoqo uhlolisiswe ngudokotela oya kwiindawo.
Unyango o
Kukho iintlobo ezininzi zenkqubo yokuhlinzwa eyenza ukunyanzeliswa kwe-urinary kwabasetyhini, ezidibaniswa nezihlunu zeplasvic ezibuthathaka. Kuzo zonke iinkqubo, kukho enye injongo - ukuzisa iziko ze-urinary system zibe zikarhulumente eziqhelekileyo. Emva koko, ukunyunyuza, ukuhleka nokukhwehlela kakhulu akunakudlulela ekungabikho komzimba.
Xa unxusa ukungahambisani nokuziphatha kunokusebenzisa ukuvuselela inkqubo ye-sacral nervous, ukuba ezinye iindlela azizenzi umphumo oyifunayo.
Ngaphambi kokusebenzisa utyando, kufuneka ubeke ngokuchanekileyo ukuxilongwa, ufumane ezinye iindlela zokwelapha kwaye uqonde ngokufanelekileyo iingenelelo zokungenelela ngoncedo.
Unokuzikhusela njani ekuveliseni ukungabikho komchamo?
Ukunciphisa umngcipheko wokuphuhlisa esi sifo:
- ukugcina ubunzima bomzimba obuhle;
- Musa ukubhema, kuba ngenxa yoko, abafazi bayabhobhoza, kwaye oku kwandisa umngcipheko wokungabikho kwamanzi;
- rhoqo uqeqesha imisipha yomgangatho weplavic.
Indlela yokulwa nokugcina umchamo wena ekhaya?
Ukuba unokungcola kwamanzi, uqala ukulwa nalesi sifo.
- Yenza ishedyuli yokucoca ngexesha le-4 okanye iiyure ezingama-2, konke kuxhomekeke kwiimfuno zakho.
- Yiya kwiofisi yegqirha uze uthethe naye malunga nawo onke amayeza owathathayo. Amanye amayeza angakwazi ukwandisa ukungabikho.
- Gcina idayari apho uza kubhala phantsi zonke iimpawu kunye nokubonakalisa kwesi sifo, imeko kunye neemeko apho kukho ukuvuza kwamanzi. Ngoko ugqirha uya kuqaphela kakhulu imeko yakho kwaye uya kuba nako ukunceda ngokukhawuleza.
- Ukuba loo ngxaki ivela ngokutyelela ngexesha elisekhaya ngasese ngexesha lokucoca umchamo, ngoko kufuneka ucinge ngendlela yokufikelela kwindlu yangasese ngokukhawuleza. Ukugqoka iimpahla ezikhawuleza kwaye zisuswe kalula. Ukuba akukho nto inokwenzeka, gcina ibhokhwe okanye udada kufuphi nombhede.
- Musa ukusela uphuzo kunye ne-caffeine (iziphuzo zamandla, iikoyi, ikhofi).
- Musa ukusela utywala.
- Ukuba wenza ukunyakaza okusebenzayo, sebenzisa i-tampon, umzekelo, xa ugijima okanye udansa.
- Zama ukusela isiselo esiqhelekileyo samanzi, kungekhona kakhulu kwaye kungekho nto. Ukuba kukho ukungabikho kwamanzi emzimbeni, ukubola kwamanzi kuya kwenzeka. Ngamanzi amaninzi, isidingo sokuvuthwa sanda kwaye siyaqina.
Ukumisa okanye ukunciphisa ukunganyaniseki kungamanyathelo angaphezulu. Nangona kunjalo, kufuneka ukhumbule ukuba ukuze uqaphele umphumo ufuna ixesha kunye nokuqhutywa rhoqo.
- Yonke imihla, qinisa imisipha yomgangatho weplavic kunye noKegel.
- Ukuba unesisindo esithe xaxa, zinyamekele. Khumbula ukuba ukulahlekelwa kwesisindo esona sisisiseko asikho ukutya okunzulu, ukutya okunomsoco kunye nokuzilolonga.
- Ungavumeli ukutyunjwa.
- Ukuba utshaya, zama ukukrazula le mkhuba.