Mukadzi Urinary Kushushikana Kusadzikama

Zvemukati

• Chii chinokonzeresa mukadzi weti kusagadzikana kusagadzikana?
• Ndiani anoita urinary kusagadzikana?
• Chikafu nezvinwiwa
• Utano hwakazara
• Kushaya kurapwa
• Ko mukadzi weti kusagadzikana kusagadzikana kunoonekwa sei?
• Ndeapi marapirwo aripo?
• Mararamiro anochinja
• Mishonga
• Kurapa kwekusavhiya
• Kegel kurovedza uye pelvic pasi musuru kurapa
• Biofeedback
• Vaginal pessary
• Kuvhiya
• Kurapa kwejekiseni
• Tension-yemahara yemukadzi tepi (TVT)
• Vaginal chipfuramabwe
• Anterior kana paravaginal vaginal repair (inonziwo cystocele kugadzirisa)
• Retropubic kuturika
• Ini ndinogona kurapa kusagadzikana kusagadzikana?

Chii chinonzi mukadzi weti kusagadzikana kusagadzikana?

Mukadzi weti kusagadzikana kusagadzikana ndiko kusazvipira kwekuita weti panguva ipi neipi yechiitiko inoisa kumanikidza padundira rako. Hazvina kufanana nekusagadzikana kwakawanda. Izvi zvinogona kusagadzikana mamiriro anoitika chete kana dundira riri pasi pekukurumidza kunetseka mumuviri. Mabasa anogona kuisa kushushikana pane rako dundira anosanganisira:

• kukosora
• Kuhotsira
• kuseka
• kusimudza zvinhu zvinorema kana kumhanyisa
• kukotama

Chii chinokonzeresa mukadzi weti kusagadzikana kusagadzikana?

Mukadzi weti kusagadzikana kusagadzikana kunoitika kana tsandanyama dzako dzechiuno dzichipera simba. Tsandanyama idzi dzinogadzira mbiya inoisa mitsipa muchiuno. Vanotsigira dundira rako uye vanodzora kuburitsa weti yako. Paunenge uchikwegura, tsandanyama dzechiuno dzinopera simba. Kuzvara mwana, kuvhiyiwa muchiuno, uye kukuvara muchiuno chako kunogona kunetesa mhasuru. Kuwedzera zera uye nhoroondo yekuzvitakura zvakare zvakakura njodzi.

Ndiani anoita urinary kusagadzikana?

Kushungurudzika kusagadzikana kwakanyanya kuwanda pakati pevakadzi kupfuura varume. Izvo zvinogona kuitika chero zera. Asi iyo mikana yekuvandudza kusagadzikana kusagadzikana kunowedzera nepamuviri uye paunenge uchikura.

Sekureva kweAmerican Academy yeVarapi (AAP), vangangoita makumi mashanu muzana yevakadzi vari pakati pemakore makumi mana kusvika makumi matanhatu, uye vangangoita makumi manomwe neshanu muzana evakadzi vane makore anodarika makumi manomwe neshanu, vane imwe nzira yekuzvimbirira (UI). Iwo chaiwo manhamba anogona kunge akatokwira, nekuti mamiriro acho haana kunyorwa uye ari kuongororwa, sekureva kweAAP. Inofungidzira kuti inenge hafu yevakadzi vanoona UI havaimhan'ari kuna vanachiremba.

Zvimwe zvinhu zvinogona kuwedzera njodzi yevakadzi weti kusagadzikana kusagadzikana, kana kunogona kuwedzera zviratidzo kana uchitova nazvo.

Chikafu nezvinwiwa

Izvi zvinotevera zvinogona kuita kuti kushushikana kusagadzikana kuve kwakanyanya nekuda kwekutsamwa kwedundira:

• doro
• caffeine
• pasoda
• chokoreti
• zvinotapira zvekugadzirwa
• fodya kana fodya

Utano hwakazara

Izvi zvinotevera zvehutano zvinogona kuita kuti kushushikana kusagadzikana kuve kwakanyanya:

• Urinary turakiti hutachiona
• kufutisa
• kugara uchikosora
• mishonga inowedzera weti kugadzirwa
• kukuvara kwetsinga kana kuita weti yakawandisa kubva kuchirwere cheshuga

Kushaya kurapwa

Mukadzi weti kusagadzikana kusagadzikana kunowanzo kurapwa. Asi vakadzi vazhinji havawanzo tsvaga rubatsiro. Usarega kunyara kuchikumisa kuona chiremba wako. Mukadzi weti kusagadzikana kusagadzikana kwakajairika. Chiremba wako angangodaro akasangana nazvo kakawanda mune vamwe varwere.

Ko mukadzi weti kusagadzikana kusagadzikana kunoonekwa sei?

Kuti uwane kuongororwa, chiremba wako angangoita bvunzo yepelvic mukuwedzera kune imwe kana yakawanda yemiedzo inotevera:

• Urinary kunetseka bvunzo: Chiremba wako anokukumbira kuti ukosore paunenge wakamira kuti uone kana iwe uchizvininipisa uchidonha weti.

• Pad bvunzo: Iwe uchakumbirwa kupfeka sanitary pad panguva yekurovedza muviri kuti uone kuwanda kweweti yaunodonha.

• Urinalysis: Bvunzo iyi inogonesa chiremba wako kuona kana iwe uine zvimwe zvisina kujairika mumurini rako seropa, protein, shuga, kana zviratidzo zvehutachiona.

• Post-void residual (PVR) bvunzo: Chiremba wako anozoyera kuti urini yakawanda sei mudundira rako mushure mekunge waridurura.

• Cystometry bvunzo: Uyu muyedzo unoyera kumanikidza mune rako dundira uye kuyerera kwako kweweti.

• X-ray ine dhayi yekusiyanisa: Chiremba wako achakwanisa kuona kusagadzikana mune yako weti turakiti.

• Cystoscopy: Uyu muedzo unoshandisa kamera kutarisisa mukati medu dundira kune zviratidzo zvekuzvimba, matombo, kana zvimwe zvisina kujairika.

Ndeapi marapirwo aripo?

Mhando dzinoverengeka dzokurapa dziripo. Sarudzo dzekurapa dzinosanganisira:

• mararamiro anochinja
• mishonga
• marapirwo asiri ekuvhiya
• kuvhiya

Mararamiro anochinja

Ita nzendo dzenguva dzose kuchimbuzi kuti uderedze mukana wekudonha weti. Chiremba wako anogona zvakare kukuudza kuti udzivise caffeine uye kurovedza muviri nguva dzose. Dhijitari shanduko inogona zvakare kunge iri muhurongwa. Kana iwe uchisvuta ungangodaro kurairwa kurega. Kuderedza uremu kunogona kubatsira kutora kumanikidza kubva mudumbu rako, dundira, uye nhengo dzechiuno. Chiremba wako anogona zvakare kukudziridza huremu-kurasikirwa chirongwa kana iwe uri kunyanya kufuta.

Mishonga

Chiremba wako anogona kukunyorera mishonga inodzora kufufutirwa kwedundira. Izvi zvinosanganisira zvinodhaka zvakadai se:

• Imipramine
• Duloxetine

Chiremba wako anogona zvakare kuraira kupindirana kwakagadzirirwa kurapa chinodzvinyirira dundira, senge:

• Vesicare
• Enablex
• Kudzora
• Ditropan

Kurapa kwekusavhiya

Kegel kurovedza uye pelvic pasi musuru kurapa

Kegel kurovedza muviri kunogona kubatsira kusimbisa yako mhasuru yemhasuru. Kuti uite maexercises aya, svina mhasuru dzinomisa kuyerera kweweti. Chiremba wako achakuratidza nzira chaiyo yekuita izvi zviitwa. Zvisinei, hazvizivikanwe kuti mangani maKegels anofanira kuitwa, kangani, kana kunyatsoita basa ravanogona. Kumwe kutsvagurudza kwakaratidza kuti kuita Kegel kurovedza muviri panguva uye mushure mekuzvitakura kunogona kudzikisira mikana yako yekukudziridza weti kusagadzikana kusagadzikana.

Pelvic pasi mhasuru kurapa imwe nzira inoshanda yekubatsira kudzikisira kusagadzikana. Izvi zvinogona kuitwa nerubatsiro rwemuviri murapi, akadzidziswa zvakanangana nepelvic pasi kurovedza. Kuwedzera kwezvese zviitiko zvemuviri kwakaratidzirwa kusimbisa pasi repasviro. Yoga nePilates vanozivikanwa kuve vanobatsira.

Biofeedback

Biofeedback rudzi rwekurapa iyo inoshandiswa kuwedzera kuzivikanwa kwemhasuru yako yepelvic pasi. Iyo yekurapa inoshandisa mashoma maseru anoiswa mukati kana kutenderedza yako nyinyo uye padumbu rako. Chiremba wako anoita kuti iwe uedze kumwe kufamba kwemhasuru. Iwo ma sensors anorekodha yako mhasuru chiitiko kuti ikubatsire iwe kuona chaiwo masuru epasi pechiuno. Izvi zvinogona kubatsira kuona kurovedza muviri kuti ubatsire kusimbisa yako yepelvic pasi uye nekuvandudza dundira basa.

Vaginal pessary

Maitiro aya anoda kuti ringi diki iiswe mukati memukadzi wako. Iyo inotsigira yako dundira uye kumanikidza yako urethra. Chiremba wako anokukodzera iwe neiyo chaiyo saizi yemadzimai pessary uye anokuratidza maitiro ekuibvisa iyo yekuchenesa.

Kuvhiya

Chiremba wako anogona kukurudzira kuvhiyiwa kana mamwe marapirwo akakundikana. Mhando dzekuvhiya dzinosanganisira:

Kurapa kwejekiseni

Vanachiremba jekiseni kuburitsa mumiriri mune yako urethra kuti iwedzere nzvimbo yacho kuti udzikise kusagadzikana.

Tension-yemahara yemukadzi tepi (TVT)

Vanachiremba vanoisa mesh yakatenderedza urethra yako kuti vaipe rutsigiro.

Vaginal chipfuramabwe

Vanachiremba vanoisa chipfuramabwe vakakomberedza urethra yako kuti vape rutsigiro rwayo.

Anterior kana paravaginal vaginal repair (inonziwo cystocele kugadzirisa)

Uku kuvhiya kunogadzirisa dundira iro riri kuputira mukati memukati memukadzi.

Retropubic kuturika

Uku kuvhiya kunofambisa bladder uye urethra kudzokera munzvimbo dzadzo dzakajairika

Ini ndinogona kurapa kusagadzikana kusagadzikana?

Kusagadzikana kwepfungwa kunowanzoitika pakati pevakadzi vanopfuura makore makumi mana. Marapirwo aripo anosanganisira shanduko yemararamiro, mishonga, marapiro asina kuvhiyiwa, nekuvhiyiwa Aya marapirwo haawanzo kurapa kusagadzikana kusagadzikana. Asi ivo vanogona kudzora zviratidzo uye nekuvandudza mhando yehupenyu.