Urine kuputika paunenge uchifamba, kukwezva, kana kunyorera inetso yakawanda
Kushungurudzika urinary incontinence (SUI) inoitika kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiita zvekuita muviri, kukwezva, kupopota, kana zvimwe zviito zvinokonzera kuvhara. Nyanzvi dzinoti kushungurudzika kwemakemikari kusagadzikana kunokuvadza mumwe wevakadzi vatatu pane imwe nguva muupenyu hwavo.
Kushungurudzika urinary incontinence hazviwanzo kutaurwa pamusoro pekunyadziswa uye kushorwa.
Apo inokutungamirira kuti urege kudzivirira muviri, kufamba, uye mamwe mabasa, inguva yekutanga kutaura nechiremba wako uye kuwana mhinduro.
Zviratidzo zvepfungwa dzeUrinary Incontinence
Urine kuvhara muSUI kunogona kubva kubva kumadonho mashomanana kusvika pakusunungurwa kwakanyanya kwemuti. Vamwe vakadzi vanoona SUI chete pamabasa ekukwikwidza, zvakadai sokukwira, kana kuita zvakanyanya-kudzvinyirira, zvakadai sekunyomba. Asi vamwe vakadzi vane urinhi inoputika pamabasa ekuenzanisa, zvakadai sekufamba kana kubuda pachigaro. SUI yakasiyana nekukurudzira incontinence kana kuperevedza bladder syndrome, iyo inongoerekana isingagoni kudzora.
Ndiani Ari pangozi yeSUI
Nyanzvi dzinoti mumwe wevakadzi vatatu vanoona SUI pane imwe nguva muupenyu hwake. SUI inonyanya kuonekwa kuvakadzi vakwegura asi inobatawo vakadzi vaduku, vanoshanda. Zvinokonzera njodzi dzeSUI zvinosanganisira kuwandisa kwepamusoro kana kuwedzera, kusvuta kana kuva nechikwereti chisingaperi. SUI inowanzoonekwa kune vakadzi vakapinda nepamuviri nepamuviri.
Kukuvara kwemhino uye kuvhiyiwa kwepelvic kunogonawo kuwedzera njodzi yeSUI.
Kunyange zvazvo vakadzi vakawanda vanoona SUI, haifaniri kuonekwa sechinhu chinowanzoita chekukwegura kana chiratidzo chokukwegura.
Kuwana Rubatsiro Kuzvidya Mwoyo Urinary Incontinence
Vakadzi vazhinji vanoshandisa mini-pads kana incontinence pads senzira iri nyore yekugadzirisa SUI. Izvo zvinogona kushanda kwemadiki mashoma ekudonha.
Asi kana iwe ukaona kuti uri kudzivirira basa rako remuviri kana hupenyu hwemagariro nekuda kweSUI, inguva yekutsvaga rubatsiro.
- Dzidza pamusoro pezvaunogona kuita: IAmerican Urological Association Foundation ine chirwere chepamusoro chemagariro nemutungamiri wevarwere kune SUI, mazano ekurapwa kwevarume nevakadzi, kazhinji vanobvunzwa mibvunzo, uye mazano ekutaurira chiremba wenyu nezveSUI.
- Bladder diary: Kuchengeta diary yehuwandu hwemvura yako uye urine zvinogona kubatsira chiremba wako kunzwisisa nekuongorora dambudziko rako. IAUA Foundation ine mirayiridzo yakasununguka uye chinyorwa chinyorwa chinyorwa paIndaneti.
- Tsvaga chiremba akakodzera: Chiremba wekutanga wekurapa anogona kukwanisa kupa rubatsiro rwunoda, uye anogona kupa mazano akawanda anochengetedza. Asi kana SUI iri dambudziko rinogadzirisa mararamiro ako uye unoda kugadzirisa kusingaperi, kune nzira dzokuvhiya dzinogona kuitarisa. Kumbira kutumirwa kune urinary incontinence nyanzvi kana dare rako rekuchiremba risina kukupa mhinduro inokuita kuti urarame sezvaunoda kurarama.
Conservative Solutions yeSUI
Iyi nzira dzinogona kubatsira kuderedza nhamba yeSUI muchiitiko kana kukanganisa kwavo:
- Edza kupera mushure mushure.
- Ramba uine utano hwakanaka.
- Kunwa mvura yakakwana yemvura zuva rega-kwete kunyanya kudarika uye kwete kudarika-kunokosha kuti utano huve hwakanaka, kuderedza kuzvidzivirira uye kusapfutidza chiropa. Kurambidza caffeine, doro, uye zvinwiwa uye zvokudya zvinogona kunge zvinopesana zvinogona kutaurwa. Zvisinei, kuongorora kwe 2016 kwakawanikwa kuti ikhofi neaffeffeine kushandiswa kwakanga kusingabatanidzwi nehutachiwana hwekushaya.
- Rega kusvuta kuitira kuti uderedze kukwezva uye kubata chirwere chisingaperi.
- Urongwa hwekushandisa urinary: Izvi zvinogona kunge zvakajeka sekupfeka tampon. Asi pane zvimwe zvigadzirwa zvinowanikwa, zvakadai sekuiswa kwererethral uye mavara uye vaginal incontinence pessary.
- Mishonga: Kunyange zvazvo kune mishonga inobvumidzwa kushandiswa kune mamwe maitiro ekudzivirira, haibvumirwi SUI. Dhiyabhorosi inonzi dorogen inogona kushandiswa mumudzimai kuti ipe kugadzirwa uye izvi zvinogona kupa rumwe rupo rwekudzivirira.
Surgical Solutions for SUI
Kuvhiya kunogona kubatsira dambudziko iri uye rinogona kuchirapa.
- Urethral bulking: Iyi ndiyo nzira yehofisi apo zvinhu zvinoshandiswa kuburikidza neitiro ye-cystoscopic kuti iwedzere hutundu hwemasero. Inowanzofanira kudzokororwa.
- Chimiro chetsipa kusimudzirwa (retropubic colposuspension): Ichi chirwere chinowedzera kuvhiringidza kuisazve mutsipa wechipfuva mushure me pubic bone.
- Slings: Iyi nzira yakanyanya kuwanda uye inoitwa kuburikidza nemudzimai panzvimbo pekudzivirira. Nzira dzezvinhu zvinoshandiswa pasi pemukati wechipfuva uye urethra kuvatsigira mune hammock. Nyaya yacho inogona kugadziriswa kana kuti yevakadzi pachake. Iyi nzira inokurumidza kupora nguva kupfuura chirwere chekuvhara mitsipa. Chirume chemurume chinowanikwawo sematareti anoisa mhirizhonga kune urethra.
- Inflatable artificial sphincter: Izvi zvinoshandiswa zvikuru kune varume uye zvinoda kuti chigadzirwa chiongorwe chirwere.
Shoko Rinobva
Kushungurudzika urinary incontinence kunogona kuva dambudziko rinorwadza. Iwe unogona kuedza nzira dzakasiyana-siyana kuti uwane iyo inokodzera mararamiro ako zvakanakisisa. Zviratidzo zvako zvingave zviri nani kuburikidza nekurapwa kwemashure, apo chirwere chinogona kurapa dambudziko. Zvakanaka kunonoka kuvhiyiwa sezvo izvo hazvingaiti mutsauko pakuwana mhinduro yakanaka.
Sources:
Kushungurudzika Urinary Incontinence: A Monograph kubva kuAUA Foundation, May 16, 2011, American Urological Association Foundation.
> Kushungurudzika Urinary Incontinence. MedlinePlus. https://medlineplus.gov/ency/article/000891.htm
> Sun S, Liu D, Jiao Z. Kafi neKaffeine Kuwedzerwa uye Ngozi yeUriinary Incontinence: Meta-analysis ye Observational Studies. BMC Urology . 2016; 16: 61. doi: 10.1186 / s12894-016-0178-y.