Kuphulika kwa mitsempha pamene mukuyenda, kukakokera, kapena kunjenjemera ndi vuto lalikulu
Kupsinjika maganizo kosalekeza (SUI) kumachitika mukakhala ndi zovuta zowononga mkodzo ndi zochitika zolimbitsa thupi, kutsokomola, kunyoza, kapena zochitika zina zomwe zimayikaniza chikhodzodzo. Akatswiri amanena kuti vuto lopweteka kwambiri la umuna limakhudza amayi atatu pa nthawi inayake pamoyo wawo.
Kusokonezeka maganizo kosavuta kumangokhalira kukambidwa chifukwa cha manyazi komanso manyazi.
Pamene zimakutsogolerani kuti musamachite masewera olimbitsa thupi, kuyenda, ndi zina, ndi nthawi yoyamba kulankhula ndi dokotala ndikupeza yankho.
Zizindikiro za Kupsinjika Maganizo Amtinence
Kuphulika kwa mitsempha mu SUI kumatha kuchoka ku madontho pang'ono kupita ku mkodzo wolemera kwambiri. Azimayi ena amawona SUI pokhapokha atakhala ndi zochita zambiri, monga kudumphira, kapena kupanikizika kwambiri, monga kupopera. Koma amayi ena ali ndi mkodzo wothamanga pazinthu zolimbitsa thupi, monga kuyenda kapena kuchoka pa mpando. SUI ndi yosiyana ndi kukhudzidwa kwa chilakolako chogonjera kapena matenda osokoneza chikhodzodzo, zomwe ndizodzidzimutsa, zosasinthika kuti mutenge.
Ndani Ali Pangozi ya SUI?
Akatswiri amanena kuti mmodzi mwa amayi atatu ali ndi vuto linalake pa moyo wake. SUI imakhala yofala kwambiri kwa amayi achikulire koma imakhudzanso akazi achichepere, okhudzidwa. Zowopsa za SUI zimaphatikizapo kukhala wonenepa kwambiri kapena obisala, kusuta kapena kukhala ndi chifuwa chachikulu. ZOCHITIKA zambiri mwa amayi omwe adutsa mimba ndi kubala.
Kuvulala kwa mitsempha ndi kuchitidwa opaleshoni yowonongeka kungapangitse ngozi ya SUI.
Ngakhale kuti amayi ambiri amawona SUI, sayenera kuonedwa kukhala gawo lachikulire kapena chizindikiro cha ukalamba.
Kupeza Thandizo la Kupanikizika Kwambiri Kupititsa Kumidzi
Amayi ambiri amagwiritsa ntchito mini-pads kapena pontinence pads ngati njira yowongolerera SUI. Izi zingagwire ntchito zochepa zokopa.
Koma ngati muzindikira kuti mukulepheretsa kuchita zinthu zolimbitsa thupi chifukwa cha SUI, ndi nthawi yopempha chithandizo.
- Phunzirani za zomwe mungachite: American Urological Association Foundation ili ndi tsamba lachidziwitso la odwala ndi SUI wotsogolera wodwala, malangizo okhudza chithandizo kwa abambo ndi amai, mafunso ofunsidwa kawirikawiri, ndi malingaliro a kuyankhula ndi dokotala wanu za SUI.
- Zowonongeka: Kulemba kabuku kake ka madzi ndi mkodzo kungathandize dokotala kumvetsa ndi kuyesa vuto lanu. AUA Foundation ili ndi maulamuliro aulere komanso diary yosindikizidwa pamasitomala.
- Pezani dokotala woyenera: Dokotala wamkulu wa chisamaliro angathe kupereka chithandizo chofunikira, ndipo akhoza kupereka njira zingapo zowonongolera. Koma ngati SUI ili vuto lomwe likulepheretsa moyo wanu ndipo mukusowa yankho losatha, pali njira zopaleshoni zomwe zingathetsere. Funsani kuti mutumize ku katswiri wamakina osakaniza ngati dokotala wanu sakukupatsani yankho lomwe limakupangitsani kuti mukhale ndi moyo monga mukufuna.
Zolinga za Conservative za SUI
Njira izi zingathandize kuchepetsa chiwerengero cha SUI kapena vuto lawo:
- Yesani kuphunzitsidwa kwa msana.
- Khalani ndi kulemera kwabwino.
- Kumwa madzi okwanira tsiku lililonse-osati kochepa komanso osati kwambiri-ndikofunikira kuti akhale ndi thanzi labwino, kuchepetsa kudzimbidwa komanso kusatulutsa chikhodzodzo. Kuletsa kumwa khofi, mowa, ndi zakumwa ndi zakudya zomwe zingakhale zopweteka zingapangidwe. Komabe, kafukufuku wa 2016 anapeza kuti khofi ndi kumwa mowa wa khofi sizinayanjane ndi chiopsezo chosadziletsa.
- Lekani kusuta kuti muchepetse kukakamira ndikuperekere chifuwa chachikulu.
- Zida zamagetsi: Izi zikhoza kukhala zosavuta ngati kuvala tampon. Koma palinso zipangizo zina zomwe zimapezeka, monga ziwalo zogwiritsira ntchito ziwalo ndi mazenera komanso ubongo wa pessary.
- Mankhwala: Ngakhale pali mankhwala omwe amavomerezedwa kugwiritsira ntchito mitundu ina ya kusadziletsa, sakuvomerezedwa ku SUI. Mlingo wochepa kwambiri wa masewerowa ndi estrogen ukhoza kugwiritsidwa ntchito mmimba kuti upepetse mafuta ndipo izi zingapereke mpumulo wina.
Zothetsera Opaleshoni za SUI
Kuchita opaleshoni kungathandize vutoli ndipo lingachiritse.
- Urethral bulking: Iyi ndi njira ya ofesi yomwe imayambira jekeseni pogwiritsa ntchito njira yowonongeka. Nthawi zambiri ziyenera kubwerezedwa.
- Kutsekeka kwa khosi la chikhodzodzo (retropubic colposuspension): Awa ndi opaleshoni yowonjezereka kuti ayimbenso khosi lachikhodzodzo kuseri kwa fupa la pubic.
- Slings: Njirayi ndi yowonjezereka ndipo imachitidwa kudzera mu vaginesi m'malo mogwedeza. Zipangizo zapakhomo zimayikidwa pansi pa khosi la chikhodzodzo ndi urethra kuti aziwathandiza mu nyundo. Zinthuzi zingapangidwe kapena zida za amayi. Njirayi imakhala ndi nthawi yowonongeka mofulumira kuposa opaleshoni yopachikidwa mkhosi. Nsomba yamphongo imapezekanso ngati tepi yomwe imayika phokoso pa urethra.
- Puloteni yopangira mankhwala: Izi zimagwiritsidwa ntchito makamaka kwa amuna ndipo zimafuna kuti chipangizocho chichitike.
Mawu Ochokera
Kupsinjika maganizo kosalekeza kumakhala vuto lalikulu. Mukhoza kuyesa njira zosiyanasiyana kuti mupeze zomwe zikugwirizana ndi moyo wanu. Zizindikiro zanu zingakhale bwino ndi mankhwala osamalidwa, pamene opaleshoni ingachiritse vuto. Ndi bwino kuchedwa opaleshoni chifukwa sizingapangitse kusiyana pakupeza zotsatira zabwino.
Zotsatira:
Kusokonezeka kwa Urinary Incontinence: A Monograph kuchokera ku AUA Foundation, pa 16 May 2011, American Urological Association Foundation.
> Kupanikizika Kwachinyengo kwa Urinary. MedlinePlus. https://medlineplus.gov/ency/article/000891.htm
> Sun S, Liu D, Jiao Z. Kafe ndi Kafeine Kuyambitsa ndi Kuopsa kwa Kusakanikirana kwa Urinary: Meta-analysis of Observational Studies. BMC Urology . 2016; 16: 61. lembani: 10.1186 / s12894-016-0178-y.