Kushungurudza urinary kusagadzikana

Kushungurudzika kuita weti kusagadzikana kunoitika kana yako dundira ichidonhedza weti panguva yekurovedza muviri kana kushanda nesimba. Zvinogona kuitika kana uchikosora, kuhotsira, kusimudza chinhu chinorema, kuchinja chinzvimbo, kana kurovedza muviri.

Kushungurudzika kusagadzikana kunoitika kana nyama inotsigira urethra yako yapera simba.

• Iyo dundira uye urethra zvinotsigirwa nemhasuru yepelvic pasi. Urini inoyerera ichibva mudundira rako kuburikidza neurethra yako kuenda kunze.
• Iyo sphincter imhasuru yakakomberedza kuvhurika kwedundira. Inosvina kudzivirira weti kubva mukudonha kuburikidza neiyo urethra.

Kana imwe seti yemhasuru ikava isina kusimba, weti inogona kupfuura kana kumanikidzwa kwaiswa padundira rako. Unogona kuzviona kana iwe:

• Kukosora
• Sneeze
• Sekai
• Rovedza muviri
• Simudza zvinhu zvinorema
• Itai bonde

Tsimba dzakaneta dzinogona kukonzerwa ne:

• Kuzvara mwana
• Kukuvadza kunzvimbo ye urethra
• Mimwe mishonga
• Kuvhiya munzvimbo yepelvic kana iyo prostate (mune varume)
• Kunyanya kufuta
• Zvikonzero zvisingazivikanwe

Kushungurudzika kusagadzikana kunowanzoitika kune vakadzi. Zvimwe zvinhu zvinowedzera njodzi yako, senge:

• Kubata uye kusangana nekutsi kwemukadzi.
• Pelvic inowedzera. Apa ndipo apo dundira rako, urethra, kana rectum slide mukati memukadzi. Kununura mwana kunogona kukonzera tsinga kana kukuvara kwetissue munzvimbo yepelvic. Izvi zvinogona kutungamira kukundwa kwepelvic mwedzi kana makore mushure mekusununguka.

Chiratidzo chikuru chekushushikana kusagadzikana kuri kubuda weti kana iwe:

• Vanoshanda panyama
• Kosora kana kuhotsira
• Rovedza muviri
• Mira kubva pakagara kana kurara pasi chinzvimbo

Mutapi wako wezvehutano achaita bvunzo dzepanyama. Izvi zvinosanganisira:

• Genital bvunzo muvarume
• Kuongorora kwepelvic kuvakadzi
• Rectal bvunzo

Miedzo inogona kusanganisira:

• Cystoscopy kutarisa mukati mechidzitiro.
• Pad uremu bvunzo: Unorovedza paunenge wakapfeka sanitary pad. Ipapo padhi inoyerwa kuti uone kuti warasika sei weti.
• Kuongorora diary: Iwe unoteedzera ako weti maitiro, leakage uye fluid fluid.
• Pelvic kana mudumbu ultrasound.
• Post-void residual (PVR) kuyera huwandu hweti yakasara mushure mekunge weti.
• Urinalysis kutarisa hutachiona hwehutachiona.
• Weti yekunetseka bvunzo: Unomira uine yakazara dundira uye wozokosora.
• Urodynamic zvidzidzo kuyera kumanikidza uye weti kuyerera.
• X-ray ine dhayi yekusiyana kuti utarise itsvo dzako uye dundira.

Kurapa kunoenderana nekuti zviratidzo zvako zvinokanganisa sei hupenyu hwako.

Kune matatu marudzi ekurapwa kwekushushikana kusagadzikana:

• Maitiro ekuchinja uye bladder kudzidziswa
• Pelvic pasi tsandanyama kudzidziswa
• Kuvhiya

Iko hakuna mishonga yekurapwa kwekushushikana kusagadzikana. Vamwe vanopa vanogona kunyorera mushonga unonzi duloxetine. Mushonga uyu haubvumirwe neDFA yekurapa kusagadzikana kusagadzikana.

HUNHU HUNOCHINJA

Kuita shanduko idzi kunogona kubatsira:

• Inwa mvura shoma (kana iwe ukanwa zvinopfuura zvakajairwa huwandu hwemvura). Dzivisa kunwa mvura usati warara.
• Dzivisa kusvetuka kana kumhanya.
• Tora fiber kudzivirira kuvharirwa, izvo zvinogona kuita kuti urinary incontinence iwedzere.
• Regedza kusvuta. Izvi zvinogona kudzora kukosora nekutsamwa kwedundira. Kusvuta kunowedzerawo njodzi yako yegomarara redundira.
• Dzivisa doro uye zvinwiwa zvine caffeine senge kofi. Vanogona kuita kuti dundira rako rizadze nekukurumidza.
• Deredza uremu hwakawandisa.
• Dzivisa chikafu uye zvinwiwa zvinogona kutsamwisa dundira rako. Izvi zvinosanganisira chikafu chinonaka, zvinwiwa zvine kaboni, uye macitrus.
• Kana uine chirwere cheshuga, chengeta shuga yako yeropa iri pasi pekutonga kwakanaka.

KUDZIDZISWA KWEMAHARA

Kudzidzisa dundira kunogona kukubatsira kudzora dundira rako. Munhu wacho anokumbirwa kuita weti nguva nenguva. Zvishoma nezvishoma, iyo nguva yenguva inowedzerwa. Izvi zvinoita kuti dundira riwedzere uye ubate weti yakawanda.

PELVIC FLOOR MUSCLE KUDZIDZISA

Kune nzira dzakasiyana dzekusimbisa mhasuru mune yako pelvic pasi.

• Biofeedback: Iyi nzira inogona kukubatsira iwe kudzidza kuona uye kudzora ako epasviro pasi tsandanyama.
• Kegel kurovedza muviri: Aya maekisesaizi anogona kubatsira kuchengetedza mhasuru yakatenderedza urethra yako yakasimba uye ichishanda mushe. Izvi zvinogona kubatsira kukuchengetedza kubva pakubuda weti.
• Vaginal cones: Iwe unoisa koni mukati memukadzi. Ipapo iwe unoedza kumanikidza tsandanyama dzako dzepelvic kuti ubate koni panzvimbo. Iwe unogona kupfeka koni kusvika kumaminetsi gumi nemashanu panguva, kaviri pazuva. Unogona kucherechedza kuvandudzwa kwezviratidzo zvako mumavhiki mana kusvika matanhatu.
• Pelvic pasi kurapa kwekurapa: Varapi vemuviri vakanyatsodzidziswa munzvimbo vanogona kunyatsoongorora dambudziko nekubatsira nekurovedza muviri uye kurapwa.

KUVhiyiwa

Kana mamwe marapirwo asingashande, mupi wako anogona kupa zano rekuvhiyiwa. Kuvhiya kunogona kubatsira kana iwe uchinetsa kushungurudzika kusagadzikana. Vazhinji vatapi vanopa kuvhiyiwa chete mushure mekuedza kurapwa kwakachengetedza.

• Kunze kwekugadzirisa vaginal kunobatsira kudzorera asina kusimba uye anonamira madziro emadzimai. Izvi zvinoshandiswa apo dundira rinopinda mukati memukadzi (prolapse). Prolapse inogona kuve yakabatana nekushushikana kweiyo urinary kusagadzikana.
• Chakagadzirwa weti sphincter: Ichi chigadzirwa chinoshandiswa kuchengetedza weti kuti isabude. Inoshandiswa kunyanya muvarume. Iyo isingawanzo kushandiswa mune vakadzi.
• Kubaya jekiseni kunoita kuti nharaunda yakatenderedza urethra igare. Izvi zvinobatsira kudzora kubuda. Maitiro acho angangoda kudzokororwa mushure memwedzi mishoma kana makore.
• Chipfuramabwe chechirume tepi yemahosi inoshandiswa kuisa kumanikidza paiyo urethra. Izvo zviri nyore kuita pane kuisa chakagadzirwa weti weti sphincter.
• Kusimudza Retropubic simudza dundira uye urethra. Izvi zvinoitwa zvishoma kazhinji nekuda kwekushandisa kazhinji uye kubudirira nerethral slings.
• Chikadzi urethral chipfuramabwe tambo mesh inoshandiswa kutsigira urethra.

Kuita zvirinani kunotora nguva, saka edza kuve nemoyo murefu. Zviratidzo zvinowanzo kuve zvirinani nemishonga isina kuvhiya. Nekudaro, izvo hazvizorape kunetseka kusagadzikana. Kuvhiya kunogona kurapa vanhu vazhinji vekushushikana kusagadzikana.

Kurapa hakushande zvakare kana iwe uine:

• Mamiriro ezvinhu anodzivirira kupora kana kuita kuti kuvhiya kuome zvakanyanya
• Zvimwe zvebonde kana weti
• Kuvhiyiwa kwekare kwakange kusingashande
• Chirwere cheshuga chisina kudzorwa
• Neurologic chirwere
• Radiation yapfuura kune chiuno

Zvinetso zvepanyama hazviwanzo uye zvinowanzo nyoro. Zvinogona kusanganisira:

• Kushatirwa kwemukadzi miromo (vulva)
• Maronda eganda kana ekumanikidza maronda mune vanhu vane kusagadzikana uye vasingakwanise kubuda pamubhedha kana cheya
• Kunhuwirira kusingafadzi
• Urinary turakiti hutachiona

Mamiriro acho anogona kupinda munzira yezvekudyidzana, mabasa, uye hukama. Izvo zvakare zvinogona kutungamira ku:

• Kunyadzisa
• Kuiswa kwemurwere kwake ega
• Kushungurudzika kana kushushikana
• Kurasika kwekuita basa
• Kupera kufarira kuita zvepabonde
• Kukanganiswa kwekurara

Matambudziko anosangana nekuvhiya anosanganisira:

• Fistula kana mamota
• Dundira kana kukuvara kwematumbo
• Kubuda ropa
• Utachiona
• Urinary incontinence - kana uchinetseka kuita weti ungangoda kushandisa catheter. Izvi zvinowanzoitika kwenguva pfupi
• Marwadzo panguva yekusangana
• Kusagadzikana pabonde
• Kupfeka kure kwezvinhu zvakaiswa panguva yekuvhiyiwa, senge chipfuramabwe kana chakagadzirwa sphincter

Fonera mupiki wako kana iwe uine zviratidzo zvekushushikana kusagadzikana uye ivo vanokunetsa.

Kuita Kegel kurovedza muviri kunogona kubatsira kudzivirira zviratidzo. Vakadzi vangangoda kuita Kegels panguva uye mushure mekuzvitakura kubatsira kudzivirira kusagadzikana.

Kusagadzikana - kushushikana; Kusagadzikana kwedundira; Pelvic prolapse - kusagadzikana kusagadzikana; Kushungurudzika kusagadzikana; Leakage weti - kushushikana kusagadzikana; Urinary leakage - kusagadzikana kusagadzikana; Pelvic pasi - kushushikana kusagadzikana

• Kugara catheter kuchengetedza
• Kegel kurovedza muviri - kuzvitarisira
• Kuzvidzora catheterization - mukadzi
• Maitiro asina hutachiona
• Urinary catheters - chii chekubvunza chiremba wako
• Urinary kusagadzikana zvigadzirwa - kuzvitarisira
• Urinary incontinence kuvhiyiwa - mukadzi - kubuda
• Urinary incontinence - chii chekubvunza chiremba wako
• Weti mabhegi emvura
• Paunenge uine weti kusagadzikana

• Yechikadzi weti turakiti
• Varume urinary turakiti
• Kushungurudzika kusagadzikana
• Kushungurudzika kusagadzikana
• Dundira uye kugadzirisa urethral - akateedzana

American Urological Association webhusaiti. Kuvhiya kurapwa kwevakadzi kushungurudzika kwekuvhenekesa kusagadzikana (SUI): AUA / SUFU nhungamiro (2017). www.auanet.org/guidelines/stress-urinary-incontinence-(sui)-guideline. Yakabudiswa 2017. Yakasvika munaFebruary 13, 2020.

Hashim H, Abrams P. Kuongorora uye manejimendi evarume vane weti kusagadzikana. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 72.

Kobashi KC. Kuongorora uye manejimendi evakadzi vane urinary incontinence uye pelvic prolapse. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits 71.

Patton S, Bassaly RM. Urinary kusagadzikana. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2020. Philadelphia, PA: Elsevier; 2020: 1110-1112.

Dzorerazve NM. Urinary kusagadzikana. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 23.