Kurudzira kusagadzikana

Kurudzira kusagadzikana kunoitika kana iwe uine chakasimba, nekukasira chinoda kuita weti icho chakanonoka kunonoka. Dundira rinobva rasvisvina, kana kutsemuka, uye unobva warasa weti.

Sezvo dundira rako richizadza weti kubva kuitsvo, inotambanudza kuita nzvimbo yemuti. Iwe unofanirwa kunzwa kuda kwekutanga kuita weti kana paine zvishoma isingasviki 1 kapu (240 milliliters) weti mune yako bladder. Vanhu vazhinji vanogona kubata zvinopfuura makapu maviri (480 milliliters) weti muchiropa.

Tsandanyama mbiri dzinobatsira kudzivirira kuyerera kwerini:

• Iyo sphincter imhasuru yakakomberedza kuvhurika kwedundira. Inosvina kudzivirira weti kuti isabude murethra. Iyi ndiyo chubhu iyo weti inopfuura nepakati kubva padundira rako kuenda kunze.
• Dundira rusvingo mhasuru inozorora kuitira kuti dundira riwedzere uye ribate weti.

Paunenge uchiita weti, dundira remadziro mhasuru inosvina kumanikidza weti kubva mudundira. Sezvo izvi zvichiitika, iyo sphincter mhasuru inozorora kubvumira iyo weti kuti ipfuure nepakati.

Ese aya masisitimu anofanirwa kushanda pamwechete kudzora weti:

• Tsinga dzako dzedundira uye zvimwe zvikamu zveweti yako yeti
• Tsinga dzinodzora yako weti system
• Kugona kwako kunzwa uye kupindura kune iyo shungu yekuita weti

Dundira rinogona kubatira kakawanda kubva kumatambudziko etsinga kana kutsamwa kwedundira.

KUMBIRA KUSANGANA

Nekukurudzira kusagadzikana, unodonhedza weti nekuti mhasuru yedundira inosvina, kana chibvumirano, panguva isiri iyo. Izvi zvinowanzoitika zvisinei nekuti weti yakawanda sei mudundira.

Kurudzira kusagadzikana kunogona kubva ku:

• Gomarara redundira
• Dundira kuzvimba
• Chinhu chinovhara weti kubva pakusiya dundira
• Matombo edundira
• Utachiona
• Brain kana matambudziko etsinga, senge multiple sclerosis kana sitiroko
• Kukuvara kwetsinga, senge kubva kukuvara kwemuzongoza

Mune varume, kurudzira kusagadzikana kunogona kunge kuri nekuda kwe:

• Shanduko inoshanduka inokonzerwa neyakawedzera prostate, inonzi benign prostatic hyperplasia (BPH)
• Yakawedzera prostate ichivhara weti kubva pakuyerera ichibva mudundira

Muzviitiko zvakawanda zvekusakurudzira kusagadzikana, hapana chikonzero chinogona kuwanikwa.

Kunyangwe kukurudzira kusagadzikana kungaitika kune chero munhu pazera ripi zvaro, zvinowanzoitika kune vakadzi nevakuru vakuru.

Zviratidzo zvinosanganisira:

• Kusakwanisa kudzora paunopfuura weti
• Kuva neweti kakawanda masikati neusiku
• Inoda kuita weti nekukurumidza uye nekukurumidza

Munguva yekuongorora kwepanyama, wako mupi wezvehutano anotarisa padumbu rako uye rectum.

• Vakadzi vanozoita bvunzo dzechiuno.
• Varume vanozoitwa bvunzo dzebonde.

Muzviitiko zvakawanda, bvunzo dzepanyama hadziwane chero matambudziko. Kana paine huta hurongwa hunokonzera, mamwe matambudziko anogona kuwanikwa.

Miedzo inosanganisira zvinotevera:

• Cystoscopy kuona mukati mechidzitiro chako.
• Pad bvunzo. Iwe unopfeka padhi kana mapedhi kuti utore yako yese yakabuda weti. Ipapo padhi inoyerwa kuti uone kuti warasika sei weti.
• Pelvic kana mudumbu ultrasound.
• Uroflow kudzidza kuti uone kuwanda uye nekukurumidza sei iwe kuita weti.
• Tumira zvakasara zvakasara kuyera huwandu hweti yakasara mudundira rako mushure mekunge weti.
• Urinalysis kutarisa ropa mumurini.
• Urine tsika yekutarisa hutachiona.
• Urinary kunetseka bvunzo (iwe unomira uine yakazara dundira uye kukosora).
• Weti cytology kutonga kunze gomarara redundira.
• Urodynamic zvidzidzo kuyera kumanikidza uye weti kuyerera.
• X-ray ine dhayi yekusiyana kuti utarise itsvo dzako uye dundira.
• Kuongorora diary kuti utarise yako yemvura inwiwa, weti kuburitsa, uye weti kuwanda.

Kurapa kunoenderana nekuipa kwezviratidzo zvako uye kuti zvinokanganisa sei hupenyu hwako.

Kune mana makuru ekurapa nzira dzekukurudzira kusagadzikana:

• Bladder uye pelvic pasi tsandanyama kudzidziswa
• Mararamiro anochinja
• Mishonga
• Kuvhiya

KUDZORERWA KWEMAHARA

Kugadzirisa kukurudzira kusagadzikana kazhinji kunotanga nekudzidzisazve dundira. Izvi zvinobatsira iwe kuti uzive kana iwe uchinge warasa weti nekuda kwedundira spasms. Ipapo iwe unodzidzira hunyanzvi hwaunoda kubata nekusunungura weti.

• Iwe unogadza purogiramu yenguva apo iwe uchifanira kuyedza kuita weti. Iwe unoedza kudzivirira kuita weti pakati penguva dzino.
• Imwe nzira ndeyekuzvimanikidza kumirira maminetsi makumi matatu pakati penzendo kuenda kuchimbuzi, kunyangwe iwe uine shungu yekuita weti pakati penguva idzi. Izvi zvinogona kunge zvisingaite mune dzimwe nguva.
• Sezvo iwe unova nani pakumirira, zvishoma nezvishoma wedzera iyo nguva nemaminetsi gumi neshanu kusvikira wave kuita weti maawa matatu kusvika mana.

PELVIC FLOOR MUSCLE KUDZIDZISA

Dzimwe nguva, Kegel kurovedza muviri, biofeedback, kana kusimudzira kwemagetsi kunogona kushandiswa nekudzidzisazve dundira. Idzi nzira dzinobatsira kusimbisa mhasuru dzepamoyo wako wepelvic:

Kegel kurovedza muviri - Izvi zvinonyanya kushandiswa kurapa vanhu vane kusagadzikana kusagadzikana. Nekudaro, izvi zviitwa zvinogona kubatsirawo kubvisa zviratidzo zvekusakurudzira kusagadzikana.

• Iwe unosvina yako yepasviro pasi tsandanyama sekunge iwe urikuyedza kumisa kuyerera kwerini.
• Ita izvi kwemasekonzi matatu kusvika mashanu, wozorora kwemasekonzi mashanu.
• Dzokorora kagumi, katatu pazuva.

Vaginal cones - Ichi chihuremu chakayerwa chinoiswa mukati memukadzi kuti chisimbise mhasuru dzepelvic.

• Iwe unoisa koni mukati memukadzi.
• Ipapo iwe unoedza kumanikidza tsandanyama dzako dzepelvic kuti ubate koni panzvimbo.
• Unogona kupfeka koni kusvika pamaminetsi gumi nemashanu panguva, kaviri pazuva.

Biofeedback - Iyi nzira inogona kukubatsira iwe kudzidza kuona uye kudzora yako yepasviro pasi tsandanyama.

• Vamwe varapi vanoisa sensor mukati memukadzi (yevakadzi) kana iyo anus (yevanhurume) kuitira kuti vagone kutaura pavanenge vachisvisvina tsandanyama dzechiuno.
• Monitoring inoratidza girafu inoratidza kuti ndedzipi tsandanyama dziri kusvina uye idzo dziri kuzorora.
• Iye murapi anogona kukubatsira iwe kuti uwane tsandanyama dzakakodzera dzekuita Kegel kurovedza muviri.

Kukurudzira kwemagetsi - Izvi zvinoshandisa runyoro rwemagetsi parizvino kubatanidza tsandanyama dzako dzedundira.

• Ikozvino kununurwa uchishandisa anal kana vaginal probe.
• Iyi kurapa inogona kuitwa kuhofisi yemupi kana kumba.
• Zvirongwa zvekurapa zvinowanzotora maminetsi makumi maviri uye zvinogona kuitwa mazuva ese kusvika mana.

Percutaneous tibial nerve kukurudzira (PTNS) - Iyi kurapwa inogona kubatsira vamwe vanhu vane yakanyanyisa dundira.

• Tsono yekugadzirisa inoiswa kuseri kwechidzitiro, uye kukurudzira kwemagetsi kunoshandiswa kwemaminitsi makumi matatu.
• Kazhinji kazhinji, kurapwa kunoitika vhiki nevhiki kweanenge mavhiki gumi nemaviri, uye pamwe pamwedzi mushure meizvozvo.

UPENYU HUCHINJA

Teerera kune yakawanda mvura yaunonwa uye kana paunonwa.

• Kunwa mvura yakakwana kunobatsira kuchengetedza hwema kure.
• Inwa mvura shomanana panguva imwe chete mukati mezuva, saka dundira rako haridi kubata weti yakawanda panguva imwe chete. Imwai asingasviki maawa masere (240 milliliters) panguva imwe chete.
• Usanwa zvinwiwa zvakawanda nezvikafu.
• Sipira zvishoma zvemvura pakati pekudya.
• Rega kunwa zvinwiwa anenge maawa maviri usati warara.

Izvo zvakare zvinogona kubatsira kumisa kudya chikafu kana zvinwiwa izvo zvinogona kutsamwisa dundira, senge:

• Caffeine
• Zvikafu zvine acidic, senge michero yemucitrus nemajusi
• Zvikafu zvinonaka
• Zvigadzirwa zvinotapira
• Doro

Dzivisa zviitiko zvinotsamwisa urethra uye dundira. Izvi zvinosanganisira kutora mabhawa ekupura kana kushandisa sipo dzakaomarara.

MISHONGA

Mishonga inoshandiswa kurapa kukurudzira kusagadzikana kudzikamisa kuora kwedundira uye kubatsira kuvandudza basa redundira. Kune mhando dzakasiyana dzemishonga inogona kushandiswa yoga kana pamwechete.

• Mishonga yeanticholinergic inobatsira kusunungura tsandanyama dzechironda. Zvinosanganisira oxybutynin (Oxytrol, Ditropan), tolterodine (Detrol), darifenacin (Enablex), trospium (Sanctura), uye solifenacin (VESIcare).
• Beta agonist mishonga inogona zvakare kubatsira kudzikamisa mhasuru dzechironda. Mushonga chete werudzi urwu parizvino ndeye mirabegron (Myrbetriq).
• Flavoxate (Urispas) mushonga unodzikamisa mhasuru. Zvisinei, zvidzidzo zvakaratidza kuti haisi nguva dzose inoshanda pakudzora zviratidzo zvekukurudzira kusagadzikana.
• Tricyclic antidepressants (imipramine) inobatsira kusunungura muswe wakatsetseka wedundira.
• Botox jekiseni inowanzo shandiswa kurapa yakanyanyisa kushanda dundira. Mushonga uyu unopinzwa mudundira kuburikidza necystoscope. Maitiro acho anowanzoitwa muhofisi yemupi.

Iyi mishonga inogona kuve nemhedzisiro senge dzungu, kuzvimbirwa, kana kuoma mukanwa. Taura nemupi wako kana iwe ukaona zvinokanganisa mhedzisiro.

Kana uine hutachiona, mupi wako achapa mishonga inorwisa mabhakitiriya. Ive neshuwa yekutora iyo yakazara huwandu sekurairwa.

Kuvhiya

Kuvhiya kunogona kubatsira rako rekudzivirira dura weti yakawanda. Iyo inogona zvakare kubatsira kudzikamisa kumanikidza pane yako dundira. Kuvhiya kunoshandiswa kune vanhu vasingapindure kumishonga kana vane mhedzisiro inosangana nemishonga.

Sacral nerve kukurudzira kunosanganisira kuisa chidiki pasi peganda rako. Chidimbu ichi chinotumira madiki emagetsi kumutsipa wesacral (imwe yemitsipa inobuda pazasi pemusana wako). Iwo magetsi emagetsi anokwanisa kugadziridzwa kubatsira kubvisa zviratidzo zvako.

Kuwedzera cystoplasty kunoitwa senge yekupedzisira nzira yekunyanyisa kukurudzira kusagadzikana. Mukuvhiya uku, chikamu chemuura chinowedzerwa kudundira. Izvi zvinowedzera kukura kwedundira uye zvinoita kuti ichengetedze weti yakawanda.

Zvinogona kuitika zvinosanganisira:

• Ropa rinovhara
• Kuvhara ura
• Utachiona
• Zvishoma zvinowedzera njodzi yemamota
• Kusakwanisa kudurura dundira rako - ungangoda kudzidza kuisa catheter mubhodhoro kudhonza weti
• Urinary turakiti hutachiona

Urinary incontinence idambudziko renguva refu (risingaperi). Nepo kurapwa kuchirapa mamiriro ako, iwe unofanirwa achiri kuona mupi wako kuti ave nechokwadi chekuti uri kuita mushe uye ongorora matambudziko anogona.

Kunyatsoita kwaunoita kunoenderana nezviratidzo zvako, kuongororwa, uye kurapwa. Vanhu vazhinji vanofanirwa kuyedza marapirwo akasiyana (mamwe panguva imwe chete) kudzikisa zviratidzo.

Kuita zvirinani kunotora nguva, saka edza kuve nemoyo murefu. Nhamba shoma yevanhu inoda kuvhiyiwa kuti vadzore zviratidzo zvavo.

Zvinetso zvepanyama hazviwanzoitiki. Mamiriro acho anogona kupinda munzira yezvekudyidzana, mabasa, uye hukama. Zvinogona zvakare kukuita kuti unzwe zvakashata pamusoro pako.

Kazhinji, mamiriro aya anogona kukonzera kuwedzera kwakanyanya mukumanikidza kwedundira, izvo zvinogona kukonzera kukuvara kweitsvo.

Fonera mupiki wako kana:

• Zviratidzo zvako zviri kukonzera matambudziko kwauri.
• Iwe unonzwa kushushikana kwepelinha kana kupisa nekuita weti.

Kutanga matekinoroji ekudzidzisira dundira kutanga kunogona kubatsira kubvisa zviratidzo zvako.

Chakawandisa dundira; Detrusor kusagadzikana; Detrusor hyperreflexia; Rinoshatirwa dundira; Spasmodic dundira; Isina kugadzikana dundira; Kusagadzikana - kukurudzira; Dundira spasms; Urinary kusagadzikana - kurudzira

• 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

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