UMary Allen
I-Urinary incontinence - ukulahlekelwa umchamo okungafunwa futhi okungalawuleki. Ukungakwazi ukuzithiba komchamo kungase kube khona kusukela ekuzalweni, kuvele kungazelelwe kamuva ekuphileni, noma kungene kancane kancane futhi kuvame ukuba kubi kakhulu. Ngakho-ke, ubunzima bokungafinyeleli komchamo buhluka kakhulu. Ezimweni ezibucayi, kukhona ukuchama okuvamile, okuhambisana nokugeleza kancane komchamo. Ezimweni ezimbi kakhulu, isinye sivele sivuze. I-Incontinence ingathinta zonke izinhlobo zezinja namakati kanye neziguli zabo bobabili ubulili.
Izimpawu Ezingaba Khona Zokungakwazi Ukuchama
- Yehlisa ukuqapha
Ukuqapha igama lezokwelapha elisetshenziselwa ukuchaza ukuphaphama noma ukuphaphama kwesiguli. Ukuchama okulawulwayo, intando ehambisanayo kufanele ibe khona. Lokhu kushoda, ngokwesibonelo, phakathi nokulala ebusuku ngemva kokubulala izinzwa, bese uyazi ukuthi asikho esinye isidingo sesenzo ngaphandle kwezinyathelo zobuhlengikazi zesikhashana. Lokhu futhi akukho emidlwaneni, isibonelo, futhi siyazi ukuthi ukugqekeza kuvame ukuvela ngokuhamba kwesikhathi. Kodwa-ke, lokhu kuyashoda nasezigulini esezikhulile, isibonelo, amandla azo angokwengqondo nangokwenyama ayancipha. Ikakhulukazi, endabeni yokuwohloka komqondo obuthakathaka, ukuqapha kungancishiswa futhi kuholele ekuchameni okungalawuleki. Ngokusho kokuhlakanipha kwakudala kwe-urological, i-continence iqala engqondweni.
- I-Polydipsia
I-Polydipsia yigama lezokwelapha elisho ukwanda kokuphuza okungavamile. Isinye isinye sinamandla alinganiselwe okubamba umchamo. Uma umzimba ukhiqiza umchamo omningi ngenxa yokwanda kokuthatha amanzi kangangokuthi umthamo wokugcina wesinye umchamo weqile, lokhu kungaholela ekulahlekelweni kokulawula umchamo. Lokhu kuthinta ikakhulukazi iziguli ezindala, lapho umsebenzi we-sphincter yesinye futhi wehla.
- I-Dysuria
I-Dysuria yigama elisetshenziselwa ukuchaza izimpawu ezibonakalayo lapho uchama. Lezi zingazibonakalisa ngendlela yokudlula kaningi komchamo omncane (pollakiuria), ukuphuthuma komchamo (stranguria), noma ukwanda kokuchama ebusuku (nocturia). Izimpawu ezinjalo zingahambisana nokulahlekelwa ukulawula ukuchama.
- I-neuropathy
I-neuropathy yigama lezokwelapha elisetshenziselwa ukuchaza izifo zesimiso sezinzwa. Lapha kugxilwe ezifweni zomgogodla eziholela ekuphazamisekeni kwemizwa yomgogodla noma umgogodla ngokwawo futhi kungabangela ukwehluleka noma ukuphazamiseka kwemisipha nokusebenza kwesinye. Iziguli ezinokuntuleka kwemizwa ziphathwa ngokuyinhloko odokotela bezinzwa. Uma ukungasebenzi kahle kwesinye isinye kuqhubeka, kuzothintwa udokotela ongudokotela.
Sifo
Ukuze kucaciswe ukungahambi kahle komchamo, ukuhlolwa komtholampilo kakade kunikeza izinkomba zokuqala zesiqondiso lapho ukuxilongwa okwengeziwe kufanele kwenzeke. Ezimweni eziningi, umchamo wokuqala kanye nokuhlaziywa kwegazi kuyanconywa. Ukuhlolwa kwe-ultrasound kwesisu kunikeza ulwazi olubalulekile mayelana nesimo nobukhulu bezitho zomchamo. Ezimweni ezikhethekile, udokotela womchamo angakwazi ukwenza isibuko sezitho zomchamo ukuze alethe ukucaciswa kokugcina.
Therapy
Ukwelashwa kwe-incontinence kungahluka njengembangela yakho. Ububanzi bokwelashwa buncike ezingeni lempilo yesiguli, ukuhlupheka komnikazi wesilwane, izingozi ezingaba khona kanye nemiphumela engemihle, kanye nezindleko zokwelashwa. Lezi zindlela kufanele kuxoxwe ngazo ekuqaleni, ngoba akubona bonke abanikazi bezilwane abanquma ngokuvumelana nokwelashwa okufanayo, kucatshangelwa izimo zokuphila ezifanele.
Ekuqaleni, kukhona ukwelashwa kwezidakamizwa okuhloswe ku-urinary tract. Uma ukwelashwa kwezidakamizwa kwehluleka noma lingekho ithemba lempumelelo eyanele, izinyathelo zokuhlinza zingaba usizo. Lezi zihlanganisa ngokuningiliziwe
- Ukwelashwa kokuhlinzwa kokungajwayelekile kwe-urethra yokuzalwa
- Ukunamathiselwa kwesinye isinye odongeni lwesisu uma kunesinye esicindezelekile
- Ukwelula kwesinye isikhathi sokusebenza ngokweqile kwesinye noma ukushwabana kwesinye isikhathi
- I-padding ye-sphincter yesinye ebuthakathakeni be-sphincter
- Ukususwa kwezimila endaweni yezitho zomchamo
- Ukususwa kwezinsimbi zesitho sangasese sowesifazane kusetshenziswa ukwelashwa nge-laser
- Ukufaka i-sphincter yesinye
- Ukufaka ibhande le-incontinence elizungeze urethra
- Ukulungiswa kokuhlinzwa kwezifo zomgogodla
Isibikezelo
I-prognosis incike ebukhulu bokungakwazi ukuzilawula kanye nokukhethwa kwendlela yokwelapha efanele. Ukubonisana okuningiliziwe kungenziwa ekubonisaneni nomchamo. Ezimweni eziningi, izinga lempilo elihle lingabuyiselwa esikhathini esifushane noma esimaphakathi.