Kusukela engxenyeni yokuqala yomlando, usuvele ufunde mayelana nezimbangela, izinhlobo kanye nokuxilongwa kokungabikho komzimba kwamantombazane. Manje sizocabangela ukuthi yiziphi izindlela zokwelapha ukungalingani kwamagciwane kwabesifazane, indlela yokubhekana nalokhu ukugula ekhaya nokuthi yiziphi ezinye izifundo okudingeka zenziwe kulokhu.
Ukuhlolwa kwe-Urodynamic
Uphenyo ngalolu hlobo alubizi nje kuphela isiguli, kodwa esikhungweni sezokwelapha ngokwaso. Ngakho-ke, ukuxilongwa kwalesi sifo kuphela uma kudingeka ukuhlinzeka ngokuhlinzwa noma lapho ukwelashwa okulindelekile kunganikezi imiphumela ukuze kucacise izimbangela zesifo.
Ukuhlolwa kwe-Urodynamic kunikeza ithuba lokuthola lonke ulwazi olukhona mayelana nendlela umsebenzi wesifazane wesisu ngayo. Le ndlela yokuxilonga isetshenziswa kuphela uma zonke izivivinyo zangaphambilini zingaphenduli imibuzo yodokotela, okungukuthi, imbangela yokuvuza komchamo ayengenqunywa, futhi uma udokotela esolwa ukuthi isiguli sixubene nokungahambisani nomugudu. Izivivinyo ezingasetshenziswa ekuhlolisweni kwemvelo, ngezinye izikhathi zishintsha. Udokotela angakunikeza ekusetshenzisweni okunjalo kokuxilonga:
I-cystometrography (i-cystometry, i-uroflowmetry) yinkinga yezivivinyo ukucacisa ukucindezela kwesinye isinye ngesilinganiso sokugcwalisa kwayo. Nge-cystometry, ungathola okulandelayo:
- amandla amakhulu okucindezela we-urethra, ekhombisa ukucindezelwa okujwayelekile ukuvalwa okuphelele kwesibindi sokubamba;
- ukucindezeleka ukuvuza, okucacisa ukuthi isisindo se-sphincter sicindezelwe kangakanani, kuyilapho kungenzeka ukugcina umchamo.
Ukuxilongwa nge-Ultrasound noma i-X-ray, lapho i-fluid residual in the isambiso inqunywa ngemuva kokuphuma komgogodla. Izindlela ezinjalo zokuxilonga zenza kube lula ukucacisa isimo se-urethra nesinye isisu, ukukhwehlela nokuvuthwa.
Uma ngazo zonke izindlela esesizicabangile kakade, kwakungenakwenzeka ukuthola ukuthi yini ebangela ukungahlolisisi kwamagciwane kumuntu wesifazane, bese kusetshenziswa izivivinyo eziningi kakhulu. Izifundo, esizozicubungula ngokuqhubekayo, ziyasebenza kuphela kwiziguli ezithile ezinokungabikho komzimba.
I-cystoscopy yi-endoscope encane yokutadisha izakhi zangaphakathi zesisu nesisu.
I-Cystourethrogram iyi-X-ray yokuxilonga indlela esetshenziselwa isambatho esingenalutho ngokuphambene okuqukethe i-iodine ukuze uthole isithombe sezindonga zangaphakathi ze-urethra nesinye. Ngalokhu kuhlola, ungakwazi ukunquma zonke iziphambeko ezingokwenyama ezingxenyeni ezingezansi zesistimu ye-urinary, ezihlobene nokungahambisani kwamagciwane kumuntu wesifazane.
Ukuphathwa kwe-incontinence kuphathwa kanjani kwabesifazane?
Kunezindlela eziningana zokwelapha lesi sifo. Ukwelashwa okungcono kunazo zonke kulwa nombangela wokungabikho kwamagciwane, kuyilapho ucabangela isimo sezempilo sesiguli.
Izici ezibalulekile zokwelashwa
- Ngokuyinhloko, ukungahambisani nokuvuthwa kwe-urinary kungalawulwa noma kuphulukiswe.
- Abesifazane abaningi abathola ukungathembeki baqala ukuzizwa beba ngcono emva kokushintsha kwendlela yokuphila, ukubuka isimiso sokuphuma, ukusebenzisa amadivaysi afana nama-pessaries, ukwenza ama-Kegel umzimba. Uma kungekho ushintsho emithi, baqala ukwelashwa ngokungahloniphi.
- Uma ukungahambisani kahle kwenzeka ngenxa yesifiso esingenakuvinjelwa, khona-ke kufanele uphinde uqeqe isisu sakho ukuze kuvame ukusebenza. Izidakamizwa kulokhu zingasiza, yize kukhona nemiphumela engathandeki.
Shintsha isitayela sempilo yomsebenzi
Ukunyakaza kwe-Kegel kungasiza bonke abesifazane ngokungahambisani nomzimba, kungakhathaliseki uhlobo lokugula. Ukuqeqeshwa okunjalo kusiza ukuqinisa imisipha ye-pelvic, okusiza ukukhuthaza ukukhishwa komchamo, kuyasiza kakhulu ukwenza izivivinyo ezinjengokungavumelani. Kubalulekile ukwenza ukunyakaza okuvamile nokujwayelekile ukuze umphumela ungalindeli.
Ukuzivocavoca kwe-Kegel kungahlanganiswa namasu okubuyela emuva e-biofeedback ukuze uqiniseke ukuthi isiguli sifundisa lezo zinhlanzi ozidingayo. Ungazilawula: umunwe wesandla kumele ufakwe ngaphakathi kwesiswini ukuze amandla okuphazamiseka kwemisipha yomzimba we-pelvic azwakale. Ukuze uvimbele ukungahlambuluki kwamagciwane uma ukhwehlela noma uphazamise, kufanele ngokushesha uhlanganise imisipha yezinsika eziningana. Ungaphinda uwele imilenze yakho.
Mhlawumbe udinga ukuqeda amakhilogremu engeziwe ukuze ubhekane nokungahlambuluki.
Ungazama ukushintsha indlela yakho yokuphila ngokungahlambuluki. Zama ukukhomba ukudla okucasula isambatho futhi ungabasebenzisi, isibonelo, ushokoledi, izinongo, uviniga, imifino, imikhiqizo yobisi, utamatisi. Zama ukungaphuzi i-caffeine no-alcohol.
Kunezinhlobo ezintathu zemikhuba yokushintshwa kokungasebenzi komchamo: ukuvuthwa kokuvuthwa, ukuqeqeshwa kwesisu kanye nokuvuthwa komzimba.
Amadivayisi wezokwelapha
I-Pessary iyinsimbi yerabhabhu efakwe ngaphakathi kwesiswini kuze kube umlomo wesibeletho ukudala ingcindezi eyengeziwe futhi isekele i-urethra ngokusebenzisa udonga lwamasipha. Ngaphezu kwalokho, idivaysi enjalo ivumela i-urethra ukuba ihlale endaweni evaliwe, ne-liquid in the vesti. I-Pessary iwusizo ngokukhethekile ekungabikho kokuzidela. Abesifazane abaningi basebenzise ngokuzithandela ezenzweni ezisebenzayo, isibonelo, lapho begijima. Ama-pessaries amaningi angasetshenziswa ngaso sonke isikhathi. Nokho, uma usebenzisa le ndlela, ukunakekelwa kufanele kuthathwe ohlelweni lwe-genitourinary yezifo. Kuyadingeka ukuthi kuhlolwe njalo ngudokotela oya khona.
Ukwelapha okuhlinzwa
Kunezinhlobo eziningana zemisebenzi yokuhlinza eyenza ukuphathwa kokungasebenzi kwamagciwane kwabesifazane, okuhlobene nemisipha ephansi ye-pelvic. Kuwo wonke umsebenzi, kunomgomo owodwa - ukuletha izitho zesistimu ye-urinary zibe zimo ezijwayelekile. Ngemuva kwaloko, ukuhleka, ukuhleka nokukhwehlela akuvami ukuholela ekungeneni kwe-urinary.
Uma ucindezela ukungahambisani nokuzibandakanya kusetshenziselwa ukuvuselela isimiso sezinzwa ze-sacral, uma ezinye izindlela zingenzi umphumela oyifunayo.
Ngaphambi kokusebenzisa ukuhlinza, kudingeka ubeke ngokucophelela ukuxilongwa, uphinde uthole ezinye izindlela zokwelapha futhi uqonde kahle izinzuzo zokungenelela kokuhlinzwa.
Ungazivikela kanjani ekuthuthukiseni ukungahambisani nomzimba?
Ukunciphisa ingozi yokuthuthukisa lesi sifo:
- sigcine isisindo somzimba esinempilo;
- ungabhemi, ngoba ngenxa yalokhu, ukukhwehlela kwabesifazane, futhi lokhu kwandisa ingozi yokungabi namagciwane;
- njalo uqeqesha imisipha yesigcawu.
Ungalwela kanjani ukugcina umchamo ngokwakho ekhaya?
Uma une-urinary incontinence, ungaqala ukulwa nalesi sifo.
- Yenza isimiso sokugaya ngesikhatsi samahora angu-4 noma ama-2, konke kuxhomeke ezidingo zakho.
- Yiya ehhovisi likadokotela bese ukhuluma naye yonke imithi oyithathayo. Eminye imithi ingathuthukisa ukungathinteki.
- Gcina idayari lapho uzobhala phansi zonke izimpawu kanye nokubonakaliswa kwesifo, izimo nezimo lapho kuneziqu zokuvuza. Ngakho udokotela uzokwazi kakhulu isimo sakho futhi uzokwazi ukukusiza ngokushesha.
- Uma inkinga enjalo ivela ngokuvakashelwa ngesikhathi esifanele endlini yangasese ngenkathi uchama umchamo, kudingeka udinga ukuthi ungene kanjani endlini yangasese ngokushesha. Ukugqoka izingubo ezikhishwa ngokushesha futhi kalula. Uma kungenjalo kungenzeka, gcina ibhodlela noma udada eduze kombhede.
- Ungaphuzi iziphuzo nge-caffeine (iziphuzo zamandla, amatafula, ikhofi).
- Ungaphuzi utshwala.
- Uma wenza ukunyakaza okusebenzayo, sebenzisa i-tampon, isibonelo, uma ugijima noma udansa.
- Zama ukuphuza inani elivamile lemanzi, hhayi okuningi hhayi okuncane. Uma kunokuntuleka komzimba emzimbeni, ukuphelelwa yisikhathi kungase kwenzeke. Ngamanzi amaningi, isidingo sokuvuthwa sanda futhi siqina.
Ukumisa noma ukunciphisa ukungabikho komzimba kungase kube izinyathelo ezengeziwe. Noma kunjalo, udinga ukukhumbula ukuthi ukuze uqaphele umphumela udinga isikhathi nokusebenza okuvamile.
- Nsuku zonke, qinisa imisipha yesigcawu se-pelvic ne-Kegel's draining.
- Uma unesisindo esengeziwe, zizinakekele. Khumbula ukuthi ukulahlekelwa kwesisindo esiphumelele kakhulu akuyona ukudla okuqinile, ukudla okunempilo nokuzivocavoca.
- Ungavumeli ukuqotshwa.
- Uma ubhema, zama ukukhipha lo mkhuba.