Chii Chinonzi Overactive Bladder? Zviratidzo, Zvinokonzera, & Kurapa

Overactive bladder chirwere umo tsandanyama dzebladder dzako dzinokombama kazhinji kana panguva isina kukodzera, zvichiita kuti uve nechido chakasimba chekuenda kuchimbuzi. Izvi zvinoitika nekuti tsandanyama yebladder inokombama pasina kuziva, kunyange kana bladder yako isina kuzara.

Fungidzira se alarm yemoto inorira pasina moto. Bladder yako inotumira masaini ekukurumidza kuuropi rwako ichiti "enda zvino!" kunyange zvazvo kungave kusina mvura yakawanda yekubudisa. Chirwere ichi chinotapura mamirioni evanhu uye chakajairika kupfuura zvaunofunga.

Ndezvipi zviratidzo zve overactive bladder?

Chiratidzo chikuru ndechechido chakasimba chekuenda kuchimbuzi icho chakaoma kudzora. Manzwiro aya anogona kukurova pasina kuziva, achikumanikidza kuti uende kuchimbuzi nekukurumidza.

Heano mamwe ezviratidzo zvaunogona kuona:

• Chido chakasimba chekuenda kuchimbuzi icho chakaoma kumirira
• Kuenda kuchimbuzi kanopfuura ka8 zuva nezuva
• Kumuka kanopfuura kaviri usiku kuenda kuchimbuzi
• Kubuda kwemvura kana uchida kuenda kuchimbuzi (inodaidzwa kuti urge incontinence)
• Kunzwa sekunge bladder yako haina kubuda zvizere

Vamwe vanhu vanonzwa zvinotaurwa kuti "wet" overactive bladder, uko kubuda kwemvura kunoitika, nepo vamwe vane "dry" overactive bladder ine chido asi pasina kubuda kwemvura. Marudzi maviri aya anogona kukanganisa zvikuru mabasa ako ezuva nezuva nekugara zvakanaka.

Ndeapi marudzi e overactive bladder?

Overactive bladder ine marudzi maviri makuru, uye kunzwisisa kuti ndeipi yaunayo kunobatsira kutungamira sarudzo dzekurapa. Musiyano uripo kana uchibuda mvura pamwe nechido.

Dry overactive bladder inosanganisira chido chakawanda, chakasimba pasina kubuda kwemvura. Unonzwa kuda kwakasimba kuenda kuchimbuzi asi kazhinji unokwanisa kusvika kuchimbuzi nenguva. Rudzi urwu runotapura vanhu 2 kubva pa3 vane overactive bladder.

Wet overactive bladder inosanganisira manzwiro akafanana echido asi inosanganisirawo kubuda kwemvura pasina kuziva. Izvi zvinoitika kana tsandanyama yebladder ikakombama zvakasimba zvekuti urethral sphincter yako haikwanisi kubata zvese. Rudzi urwu runogona kunzwa sekunge rwakaoma kudzora zuva nezuva.

Chii chinokonzera overactive bladder?

Overactive bladder inoitika kana tsandanyama ye detrusor iri mudenga re bladder yako ikakombama panguva isina kukodzera. Kazhinji, tsandanyama iyi inoramba yakasununguka apo bladder yako iri kuzara uye inokombama chete kana uchizvisarudzira kuenda kuchimbuzi.

Zvinhu zvakawanda zvinogona kukanganisa muenzaniso uyu wakajairwa:

• Kukuvadzwa kwetumhu kubva ku diabetes, stroke, kana kukuvara kwe spinal cord
• Zvirwere zve bladder kana urinary tract infections
• Kuchinja kwemahomoni panguva yekukwegura
• Prostate yakakura muvarume
• Mabwe e bladder kana zvirwere
• Mishonga yakati wandei senge diuretics kana sedatives
• Kushandisa caffeine kana doro zvakanyanya
• Kutambura ne constipation kunomanikidza bladder

Muzviitiko zvakawanda, vanachiremba havawanikwe chikonzero chaicho. Izvi zvinonzi idiopathic overactive bladder, uye ndiro rudzi rwakajairika. Kuchinja kwezera mubasa rebladder kunotambawo basa, kunyange overactive bladder isiri chikamu chakajairika chekukwegura.

Rini unofanira kuona chiremba nekuda kwe overactive bladder?

Unofanira kufunga nezvekuona chiremba kana chido chekuenda kuchimbuzi chikakanganisa mabasa ako ezuva nezuva kana kurara. Usamirira kusvika zviratidzo zvikava zvakakomba kana zvakanyanya.

Rongedza nguva yekuona chiremba kana uri kuenda kuchimbuzi kazhinji zvichikanganisa basa, mabasa evanhu, kana kurovedza muviri. Kumuka kanopfuura kamwe usiku kuenda kuchimbuzi kunodawo kutarisirwa kwechiremba, sezvo izvi zvingakanganisa hutano hwako hwese nekunaka kwako.

Tsvaga rubatsiro rwechiremba nekukurumidza kana ukaona ropa mumvura yako, kupisa panguva yekuenda kuchimbuzi, fivha, kana kurwadziwa kwakasimba kwepelvic. Zviratidzo izvi zvinogona kuratidza chirwere kana chimwe chinhu chakakomba chinoda kurapwa nekukurumidza.

Ndezvipi zvinhu zvinowedzera njodzi ye overactive bladder?

Zvinhu zvakawanda zvinogona kuwedzera mukana wako wekuwana overactive bladder, kunyange kuva nezvinhu izvi zvinowedzera njodzi hazvirevi kuti uchawana chirwere ichi. Kunzwisisa izvi kunogona kukubatsira kutora matanho ekudzivirira apo zvichibvira.

Zera ndiro chinhu chikuru chinowedzera njodzi, nezviratidzo zvichiwedzera mushure memakore 40. Vakadzi vane njodzi yakakura nekuda kwekumisikidza, kubereka, uye kukwegura, izvo zvinogona kusimbisa tsandanyama dze pelvic floor uye kuchinja mahomoni.

Zvimwe zvinhu zvinogona kuwedzera njodzi yako zvinosanganisira:

• Diabetes uye matambudziko ekudzora shuga yeropa
• Zvirwere zve neurolojia senge multiple sclerosis kana Parkinson's disease
• Kuopereta kwepelvic kana abdominal kare
• Constipation yakagara kwenguva refu
• Kuita uremu kana kufuta
• Nhoroondo yemhuri yezvirwere zve bladder
• Kusvuta, izvo zvinogona kukonzera kukosora kwenguva refu
• Kushandisa mishonga yakati wandei nguva dzose

Varume vane prostate yakakura vane njodzi yakakurawo, sezvo chirwere ichi chinogona kukanganisa kubuda kwemvura yakajairwa nebasa. Zvisinei, overactive bladder inogona kutapura chero munhu pasinei nezera kana pabonde.

Ndezvipi zvinogona kuitika nekuda kwe overactive bladder?

Kunyangwe overactive bladder isiri chirwere chinouraya, inogona kukonzera matambudziko akawanda anokanganisa hutano hwako hwemuviri nepfungwa. Matambudziko aya kazhinji anoitika zvishoma nezvishoma uye anogona kuipa pasina kurapwa kwakakodzera.

Kukanganiswa kwekurara chimwe chezvinhu zvinokurumidza kuitika. Kuenda kuchimbuzi kazhinji usiku kunogona kukusiya uchinetseka uye kukanganisa kuisa pfungwa dzako masikati. Kushaya hope uku kunogona kukanganisa sisitimu yako yekudzivirira uye hutano hwese.

Matambudziko epfungwa nemagariro evanhu kazhinji anosanganisira:

• Kudzivisa mabasa evanhu nekuda kwekutya zviitiko
• Kunetseka nezvekuwana chimbuzi munzvimbo dzavanhu
• Kuora mwoyo nekuda kwezvipingamupinyi zvemararamiro
• Kuderedzwa kwekurovedza muviri
• Matambudziko ebasa
• Kusawirirana muhukama nekuderera kwehukama hwepedyo

Matambudziko emuviri anogona kuitika nekufamba kwenguva, kusanganisira kukuvadzwa kwe ganda kubva pakunyama kwenguva refu, urinary tract infections kubva pakusabuda kwemvura zvizere, nekudonhera kubva pakumhanya kuenda kuchimbuzi. Vamwe vanhu vanowanawo matambudziko eitsvo kana chirwere ichi chikakonzera mvura kudzoka.

Overactive bladder inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira zviitiko zvese zve overactive bladder, kunyanya izvo zvine chekuita nekuchembera kana zvirwere, nzira dzakawanda dzekugara dzakanaka dzinogona kubatsira kuderedza njodzi yako. Nzira idzi dzakafanana kazhinji dzinobatsira kudzora zviratidzo kana uine chirwere ichi kare.

Kuchengetedza uremu hwakanaka kunoderedza kumanikidza pabladder yako netsandanyama dze pelvic floor. Kurovedza muviri nguva dzose, kunyanya mabasa anosimbisa core yako ne pelvic floor, kunogona kubatsira kuchengetedza rutsigiro rwe bladder nebasa.

Nzira dzekudya nemvura dzinosanganisira:

• Kuderedza kushandisa caffeine nedoro
• Kuchengetedza mvura yakakwana asi kuparadzira kunwa kwemvura zuva rese
• Kudzivisa zvokudya zvinokonzera kutsamwa kwe bladder senge zvokudya zvinopisa kana zvine acid
• Kudzora constipation kuburikidza nekudya fiber
• Kuchengetedza shuga yeropa yakakwana kana uine diabetes

Maitiro akanaka ekuenda kuchimbuzi anobatsirawo, senge kusakurumidza kana uchienda kuchimbuzi uye kutora nguva yekubudisa mvura zvizere. Kana uchisvuta, kurega kunogona kuderedza kukosora kwenguva refu kunomanikidza bladder yako nekufamba kwenguva.

Overactive bladder inoziviswa sei?

Chiremba wako anotanga nenhoroondo yakakwana yezvokurapa nekuongororwa kwemuviri kunzwisisa zviratidzo zvako uye kubvisa zvimwe zvirwere. Vachakubvunza nezvemaitiro ako ekuenda kuchimbuzi, kunwa kwemvura, mishonga, uye kuti zviratidzo zvinokanganisa sei hupenyu hwako hwezuva nezuva.

Iwe ungakumbirwa kuchengeta bhuku rebladder kwemazuva mazhinji. Izvi zvinosanganisira kunyora nguva yaunenge uchienda kuchimbuzi, zvaunonwa, nguva yaunonzwa uchida kuenda kuchimbuzi, uye chero kubuda kwemvura. Ruvimbo urwu runobatsira chiremba wako kunzwisisa maitiro ako chaiwo.

Kuongororwa kwakajairika kunosanganisira:

• Kuongororwa kwemvura kuongorora zvirwere kana ropa
• Post-void residual test kuona kuti mvura yakawanda yakasara mushure mekuenda kuchimbuzi
• Bladder scan uchishandisa ultrasound
• Urodynamic testing kuyera kumanikidza kwe bladder nebasa
• Cystoscopy kutarisa mukati me bladder (mumamiriro ezvinhu akati wandei)

Vanhu vazhinji havadi kuongororwa kwakakura pakarepo. Chiremba wako anowanzo tanga nekuongororwa kwakapfava uye anokurudzira chete kuongororwa kwakawanda kana kurapwa kwekutanga kukasa kana vachifunga nezvimwe zvirwere.

Kurapa kwe overactive bladder ndekupi?

Kurapa kwe overactive bladder kazhinji kunotanga nenjere uye kunofambira mberi kune zvimwe zvinhu zvakakomba kana zvichidiwa. Vanhu vazhinji vanoona kugadziriswa nekushandura mararamiro nemabasa ekufunga usati wafunga nezvemishonga kana maitiro.

Kurapa kwepfungwa kunoumba hwaro hwekudzora overactive bladder. Kudzidzisa bladder kunosanganisira kuwedzera nguva pakati pekuenda kuchimbuzi kuti udzidzise bladder yako. Kurovedza pelvic floor, kunonziwo Kegels, kunosimbisa tsandanyama dzinoshanda pakudzora kuenda kuchimbuzi.

Sarudzo dzemishonga dzinosanganisira:

• Mishonga ye anticholinergic inosunungura tsandanyama dzebladder
• Beta-3 agonists inobatsira bladder kuchengeta mvura yakawanda
• Topical estrogen ye vakadzi vakapfuura menopause
• Botox injections mutsandanyama yebladder

Kurapa kwakakomba kwezviitiko zvakakomba kunosanganisira nerve stimulation therapies, inoshandisa magetsi ekugadzirisa kudzora bladder. Kune sarudzo dzekuopereta asi kazhinji dzinosara kune vanhu vasina kupindura kurapwa kwakasiyana. Chiremba wako acashanda newe kuwana musanganiswa wakakodzera wekurapa kwemamiriro ako chaiwo.

Maitiro ekudzora overactive bladder pamba?

Nzira dzekudzora pamba dzinogona kuvandudza zviratidzo zvako nekugara zvakanaka. Nzira idzi dzinonyanya kushanda kana dzakabatana ne kurapwa kwechiremba uye dzakaitwa nguva dzose nekufamba kwenguva.

Kudzidzisa bladder imwe yemabasa epamba anokosha. Tanga nekuedza kumirira kuenda kuchimbuzi kwemaminitsi mashoma kana uchida kuenda, zvishoma nezvishoma uchifambira mberi kune nguva refu. Izvi zvinobatsira kudzidzisa bladder yako kuchengeta mvura yakawanda uye kupindura zvishoma kune kuzara kwakajairwa.

Kushandura mararamiro kunobatsira kunosanganisira:

• Kuronga nguva yekuenda kuchimbuzi maawa maviri kusvika matatu ega ega
• Kuita maekisesaizi e pelvic floor zuva nezuva
• Kudzora nguva yekunwa mvura
• Kupfeka zvinhu zvinonyorova kuti uve nechivimbo
• Kushandisa mepu yechimbuzi kana uchienda kunzvimbo itsva
• Kuita nzira dzekudzikamisa kushushikana

Double voiding inogona kubatsira kuve nechokwadi chekuti bladder yako inobuda zvizere. Izvi zvinosanganisira kuenda kuchimbuzi, kumirira chinguva, wobva wabva wakaedza kuenda kuchimbuzi zvakare. Nzira dzekukurumidza kupindura, senge kumira uye kutora mweya wakadzika kana chido chikasvika, zvinogona kukubatsira kudzora usati waenda kuchimbuzi.

Unofanira kugadzirira sei nguva yako yekuona chiremba?

Kugadzirira zvakanaka nguva yako yekuona chiremba kunobatsira chiremba wako kunzwisisa mamiriro ako uye kugadzira chirongwa chekurapa chakakodzera. Tanga kuchengeta bhuku rebladder kwemazuva matatu usati wawana chiremba, uchinyora nguva yekuenda kuchimbuzi, zviitiko zvechido, uye kunwa kwemvura.

Nyora mishonga yese yaunotora, kusanganisira mishonga yekutengesa uye zvinowedzerwa. Mishonga yakati wandei inogona kukanganisa basa rebladder, saka ruzivo urwu runobatsira chiremba wako kuziva zvinhu zvinogona kukonzera.

Gadzirira kutaura nezve:

• Nguva zviratidzo zvakavamba uye kuti zvakachinja sei
• Kuti zviratidzo zvinokanganisa sei mabasa ako ezuva nezuva nekurara
• Kurapa kwawakamboedza kare
• Kunwa kwako kwemvura nemazuva ako ekuenda kuchimbuzi
• Chero nhoroondo yemhuri yezvirwere zve bladder
• Zvimwe zvirwere zvaunazvo

Uya ne rondedzero yemibvunzo nezve sarudzo dzekurapa, kushandura mararamiro, uye zvaunofanira kutarisira kuenda mberi. Usazengurire kubvunza nezve chero chinhu chinokunetsa. Chiremba wako anoda kukubatsira kuwana mhinduro dzinoshanda nemararamiro ako nezvaunoda.

Chii chinonyanya kukosha nezve overactive bladder?

Overactive bladder chirwere chakajairika, chinorapika icho usingafanire kugamuchira sechibvumirano chekukwegura kana hupenyu. Nekuongororwa kwakakodzera nekudzora, vanhu vazhinji vanogona kuvandudza zviratidzo zvavo uye kuwana chivimbo mumabasa avo ezuva nezuva.

Chinonyanya kukosha ndechekusazvikuvadza. Kurapa kwakawanda kunoshanda kuripo, kubva pakushandura mararamiro kusvika kurapwa kwakakomba kwechiremba. Kushanda nemutapi wenyu kunokubatsira kuwana musanganiswo wakakodzera we nzira dzekushandisa zvinodiwa zvako.

Yeuka kuti kuvandudzwa kazhinji kunotora nguva nekutsungirira. Kurapa kunonyanya kushanda zvishoma nezvishoma, uye ungada kuedza nzira dzakasiyana kuwana izvo zvinoshanda kwauri. Chinhu chakakosha kutora danho rekutanga rekugadzirisa zviratidzo zvako uye kudzosa kunaka kwako kwehupenyu.

Mibvunzo inobvunzwa kazhinji nezve overactive bladder

Q.1: Overactive bladder yakajairika here muvakadzi kana varume?

Overactive bladder inotapura vakadzi nevarume, asi yakajairika zvishoma muvakadzi, kunyanya mushure memenopause. Vakadzi vane njodzi dzakasiyana senge kumisikidza, kubereka, uye kuchinja kwemahomoni kunogona kusimbisa tsandanyama dze pelvic floor. Zvisinei, varume vane prostate yakakura vanowanzova nezviratidzo zve overactive bladder. Chirwere ichi chinova chakajairika nezera mune ese ari maviri marudzi.

Q.2: Zvokudya zvakati wandei zvinogona kuita kuti overactive bladder ive yakanyanya here?

Hongu, zvokudya zvakati wandei nezvinwiwa zvinogona kukonzera kutsamwa kwe bladder yako uye kuwedzera zviratidzo. Zvinhu zvinowanzoita izvi zvinosanganisira caffeine, doro, zvinwiwa zvine artificial sweeteners, zvokudya zvinopisa, michero yecitrus, uye zvigadzirwa zve tomato. Zvinwiwa zvine carbon dioxide ne chocolate zvinogonawo kukonzera matambudziko kune vamwe vanhu. Kuchengeta bhuku rezvokudya pamwe nebhu re bladder kunogona kukubatsira kuziva zvinhu zvinokunetsa uye kugadzirisa kudya kwako nenzira yakakodzera.

Q.3: Zvinotora nguva yakareba sei kuti kurapwa kwe overactive bladder kushande?

Nguva yekurapa inosiyana zvichienderana nenzira yaunenge uchishandisa. Mabasa ekufunga senge kudzidzisa bladder ne kurovedza pelvic floor kazhinji anoratidza kugadziriswa zvishoma nezvishoma kwemavhiki matanhatu kusvika ku12 nekushanda nguva dzose. Mishonga inogona kupa zororo mukati memazuva mashoma kusvika kumavhiki, asi zvakanaka zvizere kazhinji zvinotora mavhiki mana kusvika masere. Vamwe vanhu vanoona kugadziriswa nekukurumidza, nepo vamwe vachida nguva yakawanda nekutsungirira.

Q.4: Overactive bladder inogona kupera pachayo here?

Overactive bladder haina kupera zvachose pasina kurapwa, kunyanya kana iri nekuda kwekuchembera kana zvirwere zvakagara kwenguva refu. Zvisinei, zviratidzo zvinokonzerwa nezvinhu zvekanguva senge urinary tract infections, mishonga yakati wandei, kana kushandisa caffeine zvakanyanya kunogona kuvandudzwa kana chikonzero chacho chagadziriswa. Kurapwa nekukurumidza nekushandura mararamiro nekurapwa kwakakodzera kazhinji kunotungamira kumigumisiro yakanaka kwenguva refu kupfuura kumirira uye kutarisira kuti zviratidzo zviyambe.

Q.5: Zvakachengeteka here kuderedza kunwa kwemvura kuderedza zviratidzo zve overactive bladder?

Kuderedza kunwa kwemvura zvakanyanya hakukurudzirwi uye kunogona kuita kuti zviratidzo zvive zvakanyanya. Mvura yakakora inogona kukonzera kutsamwa kwe bladder yako, uye kushaya mvura kunogona kukonzera constipation, izvo zvinowedzera kumanikidza pabladder yako. Pane kudaro, edza kunwa mvura yakakwana (makombe matanhatu kusvika masere pazuva) asi nguva yakakodzera. Nwa zvakawanda mangwanani uye deredza kunwa maawa maviri kusvika matatu usati warara kuderedza zviratidzo zvousiku.