Kufashukira Kusapindirana: Chii Icho uye Inoitiswa Sei?

Zvemukati

• Izvi zvakajairika here?
• Chii chinokonzeresa izvi uye ndiani ari panjodzi
• Iyo inofananidzwa sei nedzimwe mhando dzekusagadzikana
• Kuongorora kufashukira kusagadzikana
• Kurapa nzira
• Kumba-kudzidzira hunhu
• Zvigadzirwa uye zvekurapa zvigadzirwa
• Mishonga
• Kuvhiya
• Kurapa kwemamwe marudzi ekusagadzikana
• Kupindira kurapa
• Outlook

Izvi zvakajairika here?

Kufashukira kusagadzikana kunoitika kana dundira rako risingadurure zvakakwana paunenge uchiita weti. Zvishoma zvemuti wakasara weti unodonha kunze mushure nekuti bladder rako rinozara zvakanyanya.

Unogona kana kusanzwa kudiwa kwekuita weti zvisati zvaitika kuvuza. Rudzi urwu rwekusada kuita weti dzimwe nguva kunonzi kudonhedza.

Kunze kwekudonha kwerini, iwe unogona zvakare kuona:

• kunetseka kutanga kuita weti uye isina simba rukova kana yangotanga
• kumuka nguva nenguva pakati pehusiku kuti uite weti
• kazhinji urinary turakiti hutachiona

Urinary incontinence yakajairika muvakuru vakura. yevaAmerica vane makore makumi matanhatu nemashanu zvichikwira vakazviona.

Urinary kusagadzikana kazhinji mune vakadzi sevarume, asi varume vane mikana yakawanda kudarika vakadzi kuti vawedzere kusagadzikana.

Ramba uchiverenga kuti udzidze zvakawanda nezvezvikonzero, njodzi zvinhu, kurapwa, uye zvimwe.

Chii chinokonzeresa izvi uye ndiani ari panjodzi

Chikonzero chikuru chekufashukira kusagadzikana kusingaperi kwekuchengeta weti, zvinoreva kuti haugone kudurura dundira rako. Ungangoda kuita weti kakawanda asi uchinetseka kutanga kuita weti uye kubvisa zvachose dundira rako.

Kugara urinary chengetedzo kwakanyanya muvarume kupfuura kuvakadzi. Muvarume, zvinowanzo kukonzerwa nehana prostatic hyperplasia, zvinoreva kuti prostate yakawedzerwa asi kwete cancer.

Prostate iri pazasi peiyo urethra, chubhu inotakura weti kubva mumuviri wemunhu.

Kana iyo prostate yawedzera, inoisa kumanikidza paiyo urethra, ichiita kuti zvive zvakaoma kuita weti. Iyo dundira inogona zvakare kuita yakanyanyisa, ichiita kuti murume ane chihombe chakawedzerwa anzwe kuda kuita weti kakawanda.

Nekufamba kwenguva, izvi zvinogona kunetesa mhasuru yedundira, zvichiita kuti zvive zvakaoma kuburitsa dundira zvachose. Weti yasara mudundira inoita kuti igozara kazhinji, uye weti inodonha ichibuda.

Zvimwe zvikonzero zvekufashukira kusagadzikana muvarume nevakadzi zvinosanganisira:

• matombo edundira kana mamota
• mamiriro anokanganisa tsinga, senge multiple sclerosis (MS), chirwere cheshuga, kana kukuvara kwehuropi
• kuvhiyiwa kwepachivi kwakapfuura
• mimwe mishonga
• kuwanda kwakanyanya kwechibereko chemukadzi kana dundira

Iyo inofananidzwa sei nedzimwe mhando dzekusagadzikana

Kufashukira kusagadzikana ndeimwe yemhando dzinoverengeka dzekusagadzikana kweweti. Imwe neimwe ine zvikonzero zvakasiyana uye hunhu.

Kushungurudzika kusagadzikana: Izvi zvinoitika kana kuita kwekuita, sekusvetuka, kuseka, kana kukosora, kuchikonzera kuti weti idonhe.

Zvinokonzeresa kukonzeresa kana kukuvara musuru wepelvic tsandanyama, urethral sphincter, kana ese ari maviri. Kazhinji, iwe haunzwe kudiwa kwekuita weti zvisati zvaitika kubuda.

Vakadzi vakasununguka mwana kusangana nekutsi kwemukadzi vanogona kunge vari panjodzi yerudzi urwu rwekusazvibata nekuti mhasuru dzepelvic tsinga uye tsinga zvinogona kukuvara panguva yekusununguka.

Kurudzira kusagadzikana (kana yakanyanyisa kuita bladder): Izvi zvinokonzera kusimba, nekukasira kwekuda kuita weti kunyangwe rako dundira risina kuzara. Iwe unogona kusakwanisa kuzviisa kuimba yekugezera munguva.

Chikonzero kazhinji hachizivikanwe, asi chinowanzoitika kune vakura vakuru. Mune zvimwe zviitiko, zvinokanganisa hutachiona kana mamwe mamiriro, kunge chirwere cheParkinson kana MS.

Kusanganiswa kusagadzikana: Izvi zvinoreva kuti une zvese zviri zviviri kushushikana uye kukurudzira kusagadzikana.

Vakadzi vane kusagadzikana kazhinji vane mhando iyi. Izvo zvinoitikawo mune varume vakabviswa prostate kana vakavhiyiwa prostate yakawedzerwa.

Reflex kusagadzikana: Izvi zvinokonzerwa netsinga dzakakuvara dzisingakwanise kuyambira uropi hwako kana dundira rako razara. Zvinowanzoitika kune vanhu vane kukuvara kwakanyanya kwemitsipa kubva ku:

• musana kukuvara
• MS
• kuvhiya
• kurapwa kwemwaranzi

Kushanda kusagadzikana: Izvi zvinoitika kana nyaya isina hukama neurineni ichikonzera kuti uve netsaona.

Kunyanya, iwe hauzive iwe unofanirwa kuita weti, haugone kutaura kuti iwe unofanirwa kuenda, kana kuti panyama haugone kusvika kuchimbuzi munguva.

Kushanda kusagadzikana kunogona kuve mhedzisiro mhedzisiro ye:

• kuora mwoyo
• Chirwere cheAlzheimer
• chirwere chepfungwa
• kuremara mumuviri
• mimwe mishonga

Kuongorora kufashukira kusagadzikana

Chiremba wako anogona kukumbira kwauri kuti uchengete diary redundira kwevhiki kana kupfuura usati wasarudzwa. Diary redundira rinogona kukubatsira iwe kuwana mapatani uye zvinogona kukonzeresa kusagadzikana kwako. Kwemazuva mashoma, rekodhi:

• unonwa zvakadii
• paunenge uchiita weti
• huwandu hweweti hwaunogadzira
• kunyangwe iwe uine shuwa yekuita weti
• huwandu hwekudonha kwawaive nako

Mushure mekukurukura zviratidzo zvako, chiremba wako anogona kuita ongororo yekuongorora kuti awane mhando yekusagadzikana kwauinako:

• Chiyero chekukosora (kana bvunzo yekunetseka) chinosanganisira kukosora apo chiremba wako achiongorora kuti aone kana weti ichidonha.
• Kuongorora weti kunotarisa ropa kana zviratidzo zvehutachiona mumuti wako.
• Kuongorora kweprostate kunoongorora kuwedzerwa kweprostate muvarume.
• Chiyero cheurodynamic chinoratidza kuti weti yako dundira inogona kubata sei uye kuti inogona kudurura zvakakwana.
• Chiyero chemashure-chisina kukwana chinotarisa kuti weti yakawanda sei yasara mudundira rako mushure mekunge weti. Kana huwandu hwakawanda hukasara, zvinogona kureva kuti iwe wakavharika mune yako weti turakiti kana dambudziko nedunduru tsinga kana tsinga.

Chiremba wako anogona zvakare kukurudzira kumwe bvunzo, senge pelvic ultrasound kana cystoscopy.

Kurapa nzira

Zvichienderana nezvamunoda chaizvo, chirongwa chenyu chekurapa chinogona kusanganisira chimwe kana zvimwe zvinotevera.

Kumba-kudzidzira hunhu

Kumba-kudzidzira hunhu hunogona kukubatsira iwe kudzidzisa dundira rako kudzora kubuda.

• With kudzidzisa dundira, iwe unomirira imwe nhambo yenguva yekuita weti mushure mekunzwa kuda kuenda. Kutanga nekumirira maminetsi gumi, uye edza kushanda nzira yako kusvika kungoitira weti maawa maviri kusvika mana.
• Kaviri voiding zvinoreva kuti mushure mekunge weti, unomirira maminetsi mashoma uye woedza kuendazve. Izvi zvinogona kubatsira kudzidzisa dundira rako kubuda zvachose.
• Edza yakarongwa yekugezera mabhureki, uko kwaunoitira weti maawa maviri kusvika mana pane kumirira kuti unzwe kuda kuenda.
• Pelvic mhasuru (kana Kegel) kurovedza muviri zvinosanganisira kusimbisa mhasuru dzaunoshandisa kurega kuita weti. Simbisa ivo kwemaminitsi mashanu kusvika kugumi, uye wozorora kwenguva yakafanana. Shanda nzira yako kusvika pakuita gumi reps, katatu pazuva.

Zvigadzirwa uye zvekurapa zvigadzirwa

Iwe unogona kukwanisa kushandisa zvinotevera zvigadzirwa kubatsira kumira kana kubata kuvuza:

Nguo dzevanhu vakuru akafanana muhuwandu kune zvipfeko zvemukati zvakajairika asi unotora zvinobuda. Iwe unogona kuzvipfeka pasi pezvipfeko zvezuva nezuva. Varume vangangoda kushandisa drip collector, inova inova absorbent padding yakachengetwa munzvimbo neyakavhara-pedyo zvipfeko zvemukati.

A Pombi chubhu nyoro iwe yaunopinza mune yako urethra kanoverengeka pazuva kuti ubudise dundira rako.

Kuisa kwevakadzi kunogona kubatsira nenyaya dzakasiyana-siyana dzine chekuita nekusabatana:

• A pessary iringi yakaoma yemukadzi mhete yaunopinza nekupfeka zuva rese. Kana iwe uine chibereko chakaputika kana dundira, mhete inobatsira kubata dundira rako munzvimbo kudzivirira weti kubuda.
• A urethral yekuisa mudziyo unoraswa wakafanana netampon yaunoisa mukati menzara kumisa kubuda. Unoisa mukati usati waita chero chiitiko chemuviri chinowanzo kukonzera kusagadzikana uye kuchibvisa usati wacha.

Mishonga

Iyi mishonga inowanzo shandiswa kurapa kufashukira kusagadzikana.

Alpha-blockers zorora tsandanyama dzemhasuru muprostate yemurume uye mhasuru yemitsipa yemutsipa kubatsira dundira kushaya chinhu zvizere. Kazhinji alpha-blockers anosanganisira:

• alfuzosin (Uroxatral)
• tamsulosin (Flomax)
• doxazosin (Cardura)
• silodosin (Rapaflo)
• terazosin

5a reductase inhibitors inogona zvakare kuve inogona kurapwa nzira kune varume. Iyi mishonga inobatsira kurapa yakawedzera prostate gland.

Mishonga yekufashukira kusagadzikana inonyanya kushandiswa muvarume. Vese varume nevakadzi vanogona kubatsirwa nekuvhiyiwa kana kushandiswa kwechetheters kubatsira dundira risina chinhu sezvazvinofanira kuita.

Kuvhiya

Kana mamwe marapirwo asiri kushanda, kuvhiya kunogona kuve sarudzo, kusanganisira:

• maitiro echipfuramabwe
• bladder mutsipa kuturika
• prolapse kuvhiyiwa (yakajairwa kurapwa sarudzo yevakadzi)
• chakagadzirwa weti sphincter

Kurapa kwemamwe marudzi ekusagadzikana

Anticholinergics anoshandiswa kubatsira kurapa yakanyanyisa kushanda dundira kuburikidza nekudzivirira bladder spasms. Kazhinji anticholinergics inosanganisira:

• oxybutynin (Ditropan XL)
• tolterodine (Detrol)
• darifenacin (Enablex)
• solifenacin (Vesicare)
• trospium
• fesoterodine (Toviaz)

Mirabegron (Myrbetriq) inodzoreredza mhasuru yedundira kubatsira kurapa kukurudzira kusagadzikana. Inogona kubatsira yako dundira kubata yakawanda weti uye isina chinhu zvizere.

Zvigamba isa mushonga kuburikidza neganda rako. Pamusoro pefomu yepiritsi, oxybutynin (Oxytrol) inouya sechirineti incontinence chigamba chinobatsira kudzora mhasuru mhasuru spasms.

Yakadzika-dhizaini yemusoro estrogen inogona kuuya mukirimu, chigamba, kana mhete yemadzimai. Izvo zvinogona kubatsira vakadzi kudzoreredza uye toni turu mune iyo urethra uye nzvimbo dzechikadzi kubatsira nezvimwe zviratidzo zvekusagadzikana.

Kupindira kurapa

Kupindira kwekurapa kunogona kushanda kana mamwe marapirwo asina kubatsira nezviratidzo zvako.

Kune mashoma marudzi eanopindira ekurapa kweiyo weti kusagadzikana.

Iyo ingangobatsire nekufashukira kusagadzikana kunosanganisira majekiseni ezvekugadzira zvinhu, zvinodaidzwa kuti bulking zvinhu, munyama yakatenderedza urethra. Izvi zvinobatsira kuchengeta yako urethra yakavharwa, iyo inogona kudzikisira weti kubuda.

Outlook

Kana iwe uchipfachukira kusagadzikana, taura nachiremba wako nezvesarudzo dzekurapa.

Iwe ungatofanira kuyedza nzira shomana usati wawana imwe inokushandira iwe, asi zvinowanzo goneka kudzora zviratidzo zvako uye kudzikisira kukanganisa mukati mehupenyu hwako hwezuva nezuva.