Shy Bladder (Paruresis)

Zvemukati

• Ndezvipi zviratidzo zvekunyara kwedundira?
• Ndezvipi zvikonzero zvekunyara dundira?
• Ndeapi marapirwo ekunyara dundira?
• Mishonga yakatemwa
• Mishonga yekudzivirira
• Rutsigiro rwepfungwa
• Ndeapi matambudziko ekunyara kwedundira?
• Ndeapi maonero einyara dundira?

Chii chinonzi kunyara dundira?

Shy bladder, inozivikanwawo separuresis, mamiriro ezvinhu apo munhu anotya kushandisa imba yekugezera kana vamwe vari padyo. Nekuda kweizvozvo, vanosangana nekushushikana kwakakura kana vachifanira kushandisa chimbuzi munzvimbo dzeveruzhinji.

Vaya vane dundira rinonyara vanogona kuedza kudzivisa kufamba, kushamwaridzana nevamwe, uye kunyange kushanda muhofisi. Ivo vanogona zvakare kuve neyakaomarara kunetsekana pane kudiwa kwekusarongeka kwezvinodhaka bvunzo kuchikoro, kubasa, kana kumhanya.

Vanofungidzirwa kuti vanhu vane mamirioni makumi maviri muUnited States vanobatwa nechidimbu chinonyara. Kubva kuvana vadiki kusvika kune vakwegura, mamiriro acho anogona kuitika chero pazera.

Shy bladder inorapika zvakanyanya.

Ndezvipi zviratidzo zvekunyara kwedundira?

Avo vane nyara dundira vane kutya kwekuitira weti mune chimbuzi cheveruzhinji kana kutenderedza vamwe, kunyangwe kumba. Vanogona kuedza "kuzviita" ivo pachavo kushandisa chimbuzi, asi voona kuti havagone. Kazhinji, vanhu vane nyara dundira vanoedza kuchinja maitiro avo kuti varege kushandisa chimbuzi cheveruzhinji. Mienzaniso inosanganisira:

• kudzivirira mamiriro ezvinhu munharaunda, kufamba, kana mikana yebasa nekuda kwekutya kwekuita weti paruzhinji
• kunwa zvinwiwa zvishoma kuti usaite weti yakawanda
• kunzwa kunzwa kwekushushikana pakufunga kana kana kuyedza kushandisa chimbuzi cheveruzhinji, senge kukurumidza kurova kwemoyo, kudikitira, kuzunza, uye kunyange kufenda.
• kugara uchitsvaga dzimba dzekugezera dzisina kana chimbuzi chimwe chete
• kuenda kumba panguva dzekudya kwemasikati kana mamwe mabhureki kuti uite weti uye nekudzoka kune chiitiko
• kuyedza kushandisa chimbuzi kazhinji pamba kuti varege kuzoita paruzhinji

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiitaita zviratidzo,

Ndezvipi zvikonzero zvekunyara dundira?

Vanachiremba vanoronga chinonyara dundira sehukama hwevanhu. Nepo kushushikana uye dzimwe nguva kutya kungave iko kunetseka kwakabatana nekunyara dundira, vanachiremba vanogona kazhinji kubatanidza izvo zvikonzero kune akati wandei ezvinhu. Izvi zvinosanganisira:

• zvakatipoteredza zvinhu, senge nhoroondo yekusekwa, kushungurudzwa, kana kunyadziswa nevamwe zvine chekuita nekushandisa chimbuzi
• genetic maitiro ekuzvidya mwoyo
• zvemuviri zvinhu, kusanganisira nhoroondo yezvekurapa mamiriro anogona kukanganisa kugona kuita weti

Kunyangwe vanachiremba vachifunga kunyara dundira hunhu hwevanhu, hachisi chirwere chepfungwa. Zvisinei, inoratidza hutano hwepfungwa hunofanirwa kutsigirwa uye kurapwa.

Ndeapi marapirwo ekunyara dundira?

Kurapa kwekunyara dundira kunowanzo sanganisira musanganiswa wehunyanzvi hutano hwepfungwa rutsigiro uye dzimwe nguva mishonga. Chiremba wako anofanirwa kukuongorora kuti uone kuti hauna chirwere chekurapa chiri kukanganisa kugona kwako kuita weti. Kana iwe ukatambira unonyara dundira kuongororwa, iwe unofanirwa kurapwa neakazvimiririra chirongwa cheako akasarudzika zviratidzo uye zvikonzero.

Mishonga yakatemwa

Chiremba wako anogona kupa mishonga yemanyara bladder iyo inorapa iyo dundira kana chero kushushikana kuri pasi. Zvisinei, mishonga haisi nguva dzose mhinduro uye haina kuratidzirwa kuva inonyanya kushanda kune avo vane nyara bladder.

Mienzaniso yemishonga yakatemerwa kurapa chinonyadzisa dundira inosanganisira:

• kunetseka-kununura mishonga, yakadai se benzodiazepines senge alprazolam (Xanax) kana diazepam (Valium)
• antidepressants, senge fluoxetine (Prozac), paroxetine (Paxil), kana sertraline (Zoloft)
• alpha-adrenergic blockers inozorodza mhasuru yedundira rako kuti zvive nyore kushandisa chimbuzi, senge tamsulosin (Flomax)
• mishonga inoshandiswa kudzikisa kuchengetedza weti, senge bethanechol (Urecholine)

Mishonga yekudzivirira

Kunze kwekurapa kwekudzora chinonyadzisa, chiremba wako anogona zvakare kuongorora mishonga yako kuti aone kana uri kutora mishonga inogona kuita kuti zviome kuita weti. Mienzaniso yeiyi inosanganisira:

Anticholinergics, senge:

• atropine
• Glycopyrrolate (Robinul)

Noradrenergic mishonga inowedzera huwandu hwe norepinephrine mumuviri, senge:

• venlafaxine (Effexor XR)
• nortriptyline (Pamelor)
• bupropion (Wellbutrin)
• atomoxetine (Strattera)

Vanachiremba vanopa akawanda emishonga iyi seanodzvinyirira.

Rutsigiro rwepfungwa

Ruzivo rwepfungwa rutsigiro rwekunyara dundira hunogona kusanganisira kugona kwehunhu, kana CBT. Rudzi urwu rwekurapa runosanganisira kushanda nachiremba kuti uone nzira dzinonyadzisa dundira dzakashandura maitiro ako nepfungwa uye kukufumura zvishoma nezvishoma kumamiriro ezvinhu kwaunogona kubvisa kutya kwako. Maitiro aya anogona kutora chero kupi kubva pamatanhatu kusvika gumi ekurapa zvikamu. Anofungidzirwa 85 pavanhu zana vanogona kudzora bladder ravo rinonyara ne CBT. Kutora chikamu muInternet kana mu-munhu mapoka ekutsigira anogona zvakare kubatsira.

Ndeapi matambudziko ekunyara kwedundira?

Shyder bladder inogona kuva nezvose zviri zviviri munzanga uye panyama zvinetso. Kana iwe ukabata weti yako kwenguva yakareba, iwe uri panjodzi yekuwedzera yehutachiona hwehutachiona pamwe nekushomeka kwemhasuru dzepasi pevic dzinoshandiswa kuita weti. Iwe unogona zvakare kuve neitsvo matombo, salivary gland mabwe, uye nduru nekuda kwekukanganisa kwako kwemvura kunwa.

Iko kushushikana kwakabatana neanonyara dundira kunogona kukutungamira iwe kuti uchinje zvakanyanya maitiro ako kuti urege kuenda kuruzhinji. Izvi zvinokanganisa hukama hwako neshamwari uye nemhuri uye zvinokanganisa kugona kwako kushanda.

Ndeapi maonero einyara dundira?

Shy bladder chinhu chinorapika. Kana uine nyadzi dundira, unogona kudzikamisa kushushikana kwako uye nekubudirira kuita weti paruzhinji. Nekudaro, rutsigiro rwehutano uye hwepfungwa hunodiwa kuti usvike pachinangwa ichi zvinogona kutora nguva, izvo zvinogona kuve chero kubva pamwedzi kusvika pamakore.