Ubomi bakho abufanele ukuba bujikeleze kwindawo yokuhlambela
Kwindoda eninzi, olunye uhambo ukuya kwindlu yokuhlambela luza kulukhupha i-bladder kwaye lubonelele ngeeyure eziliqela. Amadoda anesisindo esingapheliyo (OAB) aya kuhlala evakalelwa ngamandla ukuba ajikeleze emini nasemini. I-OAB inokuguqula ubomi, inokuchaphazela amadoda aseminyaka yonke, kwaye iphazamise umsebenzi wakho, impilo yentlalo kunye nokusebenza kwakho, nokulala kwakho. Ngombulelo, kukho iindlela ezahlukahlukeneyo ezikhoyo zokunciphisa isisu esipheleleyo kwaye uphinde uphile ubomi bakho.
Ukukhula
Nangona i-bladder engapheliyo ingabonwa njengengxaki yomfazi, uphando lwango-2009 luthi, "Ubuninzi beempawu ze-bladder (OAB) ezibonakalayo zingabonakaliyo kubini nababhinqa, kwaye impembelelo ebomini yobomi (QOL) ibaluleke kakhulu."
Enyanisweni, uqikelelo lwama-30 ekhulwini lwabantu bonke abahlala eUnited States bafumana ezinye iimpawu zokungasebenzi. Ngaphezu koko, uphando lubonisa ukuba iimpawu ziyakwazi ukungahambi okanye zingaphathwa njengezinye iimeko ezifana ne-benign prostatic hyperplasia (BPH), okanye ukwandiswa kwe-prostate gland. I-OAB ingaba ngenxa yezinye iimeko kunye.
Izimpawu kunye neMpawu
Uninzi lweempawu ze-OAB zingaphazamisa imisebenzi yakho yemihla ngemihla. U no kwenzeka:
- Ukuphuthuma kwe-Urinary: Oku kuvakalelwa ngamandla ukuvota, okungathi kunzima ukuyeka okanye ukungahoywa.
- Nxusa ukungahambisani nalokhu: Ukulahlekelwa ngumjoqo ngokungabonakaliyo emva kwesibindi esinamandla sokungena. Abanye abantu banokuvuza umncinci wamanzi, ngelixa abanye banokuphulukana ngokungenakuzenzela umthamo omkhulu womchamo.
- Iimvama zee-Urinary: Uvakalelwa ukukhupha ngaphezu kwezihlandlo ezisibhozo ngeeyure ezingama-24.
- I-Nocturia: Eli gama lichaza imfuneko yokuvuka ezimbini okanye ngaphezulu kwixesha lokusebenzisa indlu yangasese.
- Ubuhlungu be-pelvic: Ucwaningo olwenziwa ngo-2008 lubonisa ukuba iiprotheni ezivuzayo, ezibizwa ngokuba yi-cytokines, zi noxanduva lokubangela intlungu kwi-pelvis okanye kwi-bladder kunye nokuvelisa ezinye zeempawu ze-OAB.
- Ukungabikho okugqibeleleyo: Abanye abantu banokuba nobunzima bokukhupha izibilini zabo. Oku kunokukhokelela kwisibilini esingenakunyameko ngenxa yokuba i-vestile ifinyelela ngokugcwele ngokukhawuleza kwaye kufuneka ikhululeke rhoqo.
Izizathu
Njengoko kuchazwe ngasentla, imbangela ebalulekileyo ye-OAB kumadoda ingaba ngenxa ye-prostate eyandisiweyo. Njengoko kuchazwe yiNational Association of Continence (NAFC), malunga nesiqingatha sabo bonke abantu baya kuba nama-prostate awandisiweyo ngaminyaka engama-60-inani liye lafikelela kuma 90 ekhulwini ngeminyaka yobudala engama-85. Iprotate ekhulisiweyo ikhusela ukukhupha komchamo, efuna ukunyuka okuthe xaxa ukuya yokuhlambela.
Kukho nezinye izizathu ze-OAB. Iimeko ezinengqondo ezinjengokubetha, isifo sikaParkinson, kunye nokulimala kwentambo yomgudu kungabangela uxanduva. Ngaphandle koko, ezinye iimeko zonyango ezifana nesifo sikashukela , izifo ezithintekayo zokugonywa kwamanzi, okanye ukuxilongwa okungapheliyo, kunokubangela izizathu. Ukongezelela, ukungaqhelekanga kwesakhiwo kunye nokunciphisa ukuqonda kunokuchaphazela iimpawu.
Qaphela ukuba ezi zinto zingabangela-akuthethi ukuba i-OAB yakho ibangelwa nayiphi na okanye enye yale micimbi. Incoko evulekile kunye nodokotela wakho iya kunceda ukukhupha nayiphi na inkxalabo onayo kwaye ikulethe unyango olufanelekileyo.
Izinyango Zonyango
Kukho iindlela ezininzi zokhathalela ezikhoyo ukukunceda ukulawula i-OAB kunye nokunciphisa imiphumo yakho kwimpilo yakho yemihla ngemihla.
I-National Institute of Diabetes ne-Digestive and Kidney Diseases Health (NIDDK) inikeza uluhlu olubanzi lweendlela zokonyango. Ziquka:
- Uqeqesho lwe-Bladder: Kule ndlela yokwenza unyango, ugqirha wakho mhlawumbi uya kukutshela kwizonyango zezempilo ze-pelvic okanye uchwepheshe wezempilo. Aba ngabaqeqeshi abanezakhono ezizodwa kwi-bladder, ubundlobongela, kunye nempilo yesondo.
UBernadette Kamin, onguchwepheshe wezonyango kwi-Kamin Physical Therapy e-Illinois, uthi, "Kukho iindlela zokonyango eziphathekayo zonyango kubantu abano-OAB. Amadoda akufuneki ukuba aphile kunye neempawu zesibindi ezichaphazela kakhulu indlela yokuphila. Ukufumana ulwazi oluthe xaxa malunga nonyango olunjani olwenziwe ngabayeni abane-OAB, qha ga mshelana noMbutho wezeMpilo we-American Physical Therapy, umbandela onamacandelo athile ngokugqithiseleyo kwindoda ye-pelvic.
- Ukusetyenziswa kweziyobisi: Kukho iintlobo ezahlukeneyo zonyango ezifana neTolterodine, i-Oxybutynin, ne-Solifenacin ephumayo. Iziphumo eziqhelekileyo zeziphumo zibandakanya amehlo anomileyo kunye nomlomo owomileyo.
- I-Neuromodulation: I- NIDDK ithi, "Ukutsalwa kwamandla kagesi kungasetyenziselwa ukuvuselela iintsholongwane ezilawula i-bladder kunye ne-sphincter muscle." Iifulsi zinokuhanjiswa kwiindawo ezahlukeneyo, kubandakanywa nge-tailbone okanye kwiindawo ezithile kwesikhumba. Kukho uluhlu lwamacandelo e-neuromodulation, ukusuka kwiindlela ezizimeleyo zokufakelwa kokugqitywa kwe-stimulated stimulus.
- Izifungo kwi-bladder: Kwizilwanyana ezincinci, iiloto zeBotox zinokunika uncedo lwexesha elifutshane kubantu abanomdla ongathintekiyo. Ukuze uhlale uphumelele, iilenki kufuneka zilawulwe rhoqo ngamaxesha. Xoxa ngemiphumo emibi kunye nogqirha wakho.
- Ugqirha: Ngokuqhelekileyo, utyando luyinkqubo yokugqibela xa ukhetho lwangaphambili lwangaphumelelanga. Amanyathelo angenelelo angasetyenziselwa ukwandisa amandla okubamba ukugcina umchamo, okanye, kwiimeko ezingapheliyo, ukususwa kwebladder kunokuqwalaselwa.
ILizwi
Iimpawu kunye neempawu zesibindi esingaqineki kunokuthiphazamise ebomini bakho, kodwa ngokukhawuleza uxoxe nale ngxaki ugqirha wakho, ukhawuleza unokuba usendleleni yokufumana uncedo, ukulawula imeko, nokubuyisa ubomi bakho. Nceda ungazi ukuba zonke izibonelelo zonyango ziza kusebenza ngqo kwi-bat. Kungathabatha iinzame ezimbalwa zokufumana ukudibanisa okufanelekileyo kwamanyathelo okukunceda kakhulu.
> Imithombo:
> Gomelsky A, iDmochowski RR. Izibhambathiso ezingasebenzi kwiMadoda. Uphuhliso lwezonyango kwi-Urology. 2009; 1 (4): 209-221. INGXELO: 10.1177 / 1756287209350383
> Imibandela Yamadoda. Umbutho weSizwe we-Continent website. https://www.nafc.org/mens-conditions/
> Saini R, Gonzalez RR, Te AE. Isifo sobuhlungu besifo se-pelvic kunye nesisu esiqinekileyo: isiqhagamshelana sokuvuvukala. Iingxelo zeNkqubo zeNkqubo zeNkqubo zeNkqubo zoLwazi. 2008 Julayi; 9 (4): 314-9.
> I-Website ye-Urology Care Foundation. Yiyiphi i-Bladder Bladder (OAB)?