Uninzi olunamava kunye neengxaki ze-urinary
Ukuba ufumana iingxaki zebladder ezifana nokuvuthwa ngokukhawuleza ukongeza kwimeko yesifo sengqondo (i-IBS), awuyedwa. Funda kabanzi malunga nokugqithwa phakathi kwezi zibini kunye nokuba yiyiphi isizathu esiyimbangela yokubandezeleka kwakho.
Iimpawu zeBladder kunye ne-IBS
Iimpawu ze-Urinary zinokufunyanwa ngabaninzi kwisiqingatha sabantu abane-IBS.
Ezi zimpawu ziquka:
- Ukuvuthwa rhoqo
- Ukugqitywa okungazalwanga kwe-bladder
- I-Nocturia (idinga ukuphuma ebhedeni ukuza)
- Ukunyanzeliswa kwe-Urinary
Kukho ubungqina bokuba abafazi abane-IBS nabo banokuthi bangabikho kokungabikho kokuvuthwa kwe- urinary kunabesifazane abangenayo i-IBS.
Ayaziwa ngokuqinisekileyo ukuba kutheni abantu abane-IBS basengozini ephezulu yeengxaki ze-urinary kunye nangona kunjalo. Ngokuqinisekileyo, ukusondela kwamalungu achaphazelekayo ekupheliseni kubonisa ukuba kukho intsebenziswano phakathi kweentlobo kunye nemisipha yenkqubo nganye. Ezinye izizathu ezikhoyo zokubambisana phakathi kwamathumbu kunye neempawu zebladder zibandakanya ukuvuvukala okwabelwanayo okanye inkqubo yesantya ekwabelwana ngayo. Ukuba nokuqonda okungcono izizathu ezingundoqo kunokubangela unyango olungakumbi, ukubonelela ngokukhululeka kwesifo. Ukuphucula ukusetyenziswa kwesinye seenkqubo ezimbini kunokukhokelela ekuphuculeni ukusebenza komnye.
Izimo zeeUreko ezinokuthi zibekho kunye ne-IBS
Iimeko ezilandelayo zempilo nganye ziyakuchaphazela ukusebenza kwebladder kunye / okanye isilwanyana:
- I-Cystitis ye-Interstitial (IC ): Ngenye indlela eyaziwa njenge-syndrome ebuhlungu i-bladder syndrome, i-cystitis ye-interstitial isimo apho umntu ahlala ehlanjululwa rhoqo kunye nokukhathazeka okungapheliyo kunye nokuphazamiseka okuhambelana nesibindi. Bobabini IC kunye ne-IBS zidibene ne- visceral hypersensitivity . Ngokuchonga izizathu zokucacisa ukungafihli phakathi kwe-IC kunye ne-IBS, abaphandi baye bajonga indima yokuvuvukala , "ukuchithwa kwe-cross-sensitization" phakathi kweentlungu zesisu kunye nesibindi, kunye nokunye ukungasebenzi komsebenzi. Ukuba unayo IC eceleni kwe-IBS, sebenza kunye nogqirha wakho kwisicwangciso sonyango ejongene nale mibandela. Oku kungabandakanya imishanguzo, utshintsho lokutya, kunye nonyango olunjengeliyoyonyango okanye i- biofeedback .
- Umgangatho wesifo sePelvic (PFD) : Lo mnye umqathango onokubangela ukuba zombini i-IBS kunye nokuvuthwa rhoqo. Kwi-PFD, izihlunu ezitholakalayo kwintlaka ejongene nokulungelelanisa ukucoka nokuxhatshazwa akusebenzi njengoko kufanelekile. Ukuba ne-dysfunction enjalo ingachaza kakuhle isizathu sokuba umntu abe neengxaki zesisu kunye nesibhanxa esisodwa. Ukuba ufumanisa ukuba unobungozi beplavic phantsi, uthetha nogqirha wakho malunga nokukhethwa kwonyango, njengoko kukho iindlela ezahlukeneyo zokukhetha ezikhoyo ngokuxhomekeka kubukhulu beempawu zakho.
- Iprostatitis engapheliyo / Isifo esingapheliyo sePilvic Pain Syndrome : Amanye amadoda angazitholela le ndlela engapheliyo yeprotatitis ecaleni kwe-IBS. I-prostatitis / Chronic-pain syndrome (CP / CPPS) engapheliyo iphumela kwiziganeko ezahlukeneyo, kubandakanywa ubuhlungu be-urinary, ukuphuthuma kwe-urinary kunye nokungabikho. Kukho amayeza atholakalayo ekunciphiseni iimpawu zePC / CPPS, ngoko qi niseka ukuba usebenze nogqirha wakho kwiplani yokonyango.
- Nxulela Ukungenayo : Le miphunga ye- urinary ibangela iimpawu zokuphuthuma kwamanzi kunye nokuhamba kwemigudu engabonakaliyo. Ngelishwa, akukho phando lophando malunga nalolu hlobo. Ukukhuthaza ukungahambisani nokufuna i-intontinence idinga ngokupheleleyo, njengokuba iintlobo ezahlukeneyo zeemeko zempilo zingaphantsi kweempawu.
Oko Ukwenza Ukuba Unayo
Into ebaluleke kakhulu ukuba uyenze ukuba ufumana izibilini zombini kunye nezibonakaliso zebladder ukuqinisekisa ukuba uzisa ugqirha wakho. Ngenxa yesihlunu esikolweni esidala malunga "neempawu zokuhlambela" abantu abaninzi banamahloni ukuxoxa ngemiba yabo kunye noogqirha babo. Musa ukuhlazeka-ukupheliswa yinto eqhelekileyo yokuba ngumntu, njengoko ugqirha wakho uyazi kakuhle. Ugqirha wakho uya kunceda ufumane ukuxilongwa kwaye anike isicwangciso sokulungisa ingxaki nganye.
Ugqirha wakho uya kulungelelanisa isicwangciso sakho sokonyango ngokubhekiselele kuyo ingxaki yebladder uhlangabezana nayo. Ukuba ingxaki yakho ephindwe kabini ibonakala ihambelana nokusebenza komgangatho weplavic, ugqirha wakho unokuncoma unyango lomzimba okanye i-biofeedback.
Ukuba iimpawu zakho zibonakala zixhamene ne-visceral hypersensitivity, zingancoma unyango olujolise kwinkqubo yenzwa (ngakumbi i-neurotransmitter serotonin). Enye indlela yokusetyenziswa yonyango enempembelelo ye-anticholinergic . Njengoko unakho kukho iindidi zezinto ezahlukeneyo ezinokuzama ukukukhupha impawu, ke qiniseka ukuxelela ugqirha wakho oko uhlangabezana nayo ngokwemiba yakho yokuhlamba.
> Imithombo:
> Malykhina AP, Wyndaele J, Andersson K, De Wachter S, iDmochowski RR. Ingaba ibhanti ye-urinary kunye nesibilini esikhulu, ukugula okanye kwimpilo? I-Neurourology Urodynamics 2012 31: 352-358.
> Persson R, Wensaas KA, Hanevik K, Eide GE, Langeland N, Rortveit G. Ulwalamano oluphakathi kwesifo sesifo sesisu, i-dyspepsia esebenzayo, ukukhathala okungapheliyo kunye nesifo esingenasiphelo sesifo: isifundo esilawulwayo emva kweminyaka engama-6 emva kokusuleleka kwesisu esiswini. BMC Gastroenterology. 2015; 15: 66.
> Wang J, Varma MG, Creasman JM, Subak LL, Brown JS, Thom DH, Van Den Eeden, SK. Iziphazamiso zeplastiki kunye nomgangatho wobomi kubasetyhini abaneengxaki zesifo esilumkileyo esilumkileyo esiswini.
> Ya-Jun Guo Y, Ho C, Chen S, Yang S, Chiu H, Huang K. Izibonakaliso ezincinci zamagorha kumabhinqa anezifo zesifo somzimba. International Journal of Urology 2010 17: 175-181.