Bhesi Rakawandisa

Bhebhi rinoshanda zvakanyanya, rinonziwo OAB, rinokonzera kukurumidza kuda kubuda weti izvo zvingave zvakaoma kudzora. Panogona kuve nechido chekubuda weti kakawanda mukati mezuva neusiku. Panogonawo kuve nekurasikirwa kweweti isingatarisirwe, inonzi kusagadzikana kwekukurumidza. Vanhu vane bhebhi rinoshanda zvakanyanya vanogona kunzwa vachizvifunga. Izvo zvinogona kuvaita kuti varegedze kusangana nevamwe kana kudzikamisa basa ravo nehupenyu hwavo hwemagariro. Nhau dzakanaka ndedzekuti inogona kurapwa. Shanduko dzakareruka dzehunhu dzinogona kudzora zviratidzo zvebhebhi rinoshanda zvakanyanya. Izvi zvinogona kusanganisira shanduko mukudya, kubuda weti panguva yakatarwa uye kushandisa mhasuru dzepasi pechibereko kudzora bhebhi. Kune zvimwezve marapirwo ekuedza.

Kana uine nhumbu inoshanda zvakanyanya, unogona: Kunzwa chido chekuenda kunzvimbo yekushambidza kamwe kamwe, izvo zvakaoma kudzora. Kurasikirwa nemvura yekushambidza pasina chinangwa mushure mekudikanwa kukuru kwekuenda kunzvimbo yekushambidza, izvo zvinonzi kuenda kunzvimbo yekushambidza nekukurumidza. Kuenda kunzvimbo yekushambidza kazhinji kazhinji. Izvi zvinogona kureva kanomwe kana kupfuura mumaawa makumi maviri nemana. Kumuka kanopfuura kaviri usiku kuenda kunzvimbo yekushambidza, izvo zvinonzi nocturia. Kunyangwe kana ukakwanisa kusvika kune imba yekushambidza nenguva paunonzwa chido chekuenda kunzvimbo yekushambidza, kudikanwa kwekuenda kunzvimbo yekushambidza kazhinji zuva neusiku kunogona kukanganisa hupenyu hwako. Kunyange zvazvo zvakajairika pakati pevakuru vakwegura, nhumbu inoshanda zvakanyanya haisi chikamu chakajairika chekukwegura. Zvingave zvisiri nyore kutaura nezve zviratidzo zvako. Asi kana zviratidzo zvichikunetsa kana kukanganisa hupenyu hwako, taura nachiremba wako. Kune kurapwa kunogona kubatsira.

Kunyangwe zvichisiyana pakati pevakuru vakwegura, bladder inopfuura haisi chikamu chakajairika chekukwegura. Zvingasava nyore kutaura nezve zviratidzo zvako. Asi kana zviratidzo zvichikunetsa kana kukanganisa hupenyu hwako, taura nachiremba wako. Kune kurapwa kunogona kubatsira.

Itsvo yekuchenesa inogadzira weewee, iyo inoyerera kuenda kumukati mebhegi. Kana uchichenesa, weewee rinopfuura kubva mubhegi kuburikidza nehwamanda inonzi urethra (u-REE-thruh). Tsandanyama iri mu urethra inonzi sphincter inovhura kubudisa weewee kunze kwemuviri.

Muvanhu vakapihwa vakadzi pakuumbwa, kuvhurwa kwe urethra kuri pamusoro pekuvhurwa kwevagina. Muvanhu vakapihwa varume pakuumbwa, kuvhurwa kwe urethra kuri pamusoro pemhuno yepenis.

Sezvo bhegi richizadzwa, zviratidzo zvema nerve zvinotumira kuuropi zvinokonzera kuda kuchenesa. Kana uchichenesa, izvi zviratidzo zvema nerve zvinoita kuti tsandanyama dzepamuviri nemitsvo ye urethra, inonzi urinary sphincter muscles, dzisununguke. Tsandanyama dzebhegi dzinokombwa, zvinonziwo kuita kontrakiti, kudzvanya weewee kunze.

Bhegi rinokonzera kukurumidza kuitika kana tsandanyama dzebhegi dzichiita kuti dzisungirane dzoga kunyangwe kana huwandu hweewee mubhegi huri shoma. Izvi zvinonzi involuntary contractions. Zvinokonzera kuda kukurumidza kuchenesa.

Zviitiko zvakati wandei zvinogona kuva chikamu chebhegi rinokurumidza kuitika, kusanganisira:

• Zviitiko zvinokanganisa bhegi, senge zvironda kana matombo ebhegi.
• Zviitiko zvinokanganisa uropi nemutadzi wemutsipa, senge stroke ne multiple sclerosis.
• Chidhakwa.
• Zvinhu zvinokanganisa weewee kubva mubhegi, senge prostate yakakura, kuvimbiswa kana kuita opresheni yekurapa kusakwanisa kudzora kuchenesa, kunonzi incontinence.
• Kushanduka kwehomoni panguva ye menopause.
• Urinary tract infections, izvo zvinogona kukonzera zviratidzo senge zvebhegi rinokurumidza kuitika.

Zviratidzo zvebhegi rinokurumidza kuitika zvinogonawo kusanganiswa ne:

• Kudonha kwehungwaru nekukwegura. Izvi zvinogona kuita kuti bhegi rive rakaoma kushandisa zviratidzo zvinowana kubva kuuropi.
• Kunwa caffeine kana doro zvakanyanya.
• Mishonga inokonzera muviri kuita weewee yakawanda kana kuti inoda kutora mvura yakawanda.
• Kusakwanisa kuenda kuchimbuzi nekukurumidza.
• Kusachenesa bhegi zvizere. Izvi zvinoita kuti pasave ne nzvimbo yakakwana mubhegi yeweewee yakawanda.

Dzimwe nguva chikonzero chebhegi rinokurumidza kuitika hachizivikanwi.

Kukwegura kuwedzera njodzi yebladder yakanyanya kushanda. Saizvozvo kuva mukadzi. Zvirwere zvakadai sekukura kwe prostate nedayabete zvinogona zvakare kuwedzera njodzi.

Vanhu vakawanda vane kudzikira mukukwanisa kufunga, sekunge avo vakambova ne stroke kana vane chirwere cheAlzheimer, vanowana bladder yakanyanya kushanda. Izvo ndizvo nekuti havawanzoona zviratidzo zvekudiwa kwekuita weewee. Kunwa mvura pane rondedzero, nguva nekukurudzira kuita weewee, nguo dzinonyorova, uye zvirongwa zvematumbo zvinogona kubatsira kudzora mamiriro acho.

Vanhu vamwe vane bladder yakanyanya kushanda vanotova nematambudziko ekudzora matumbo. Udza nyanzvi yako yehutano kana uri kutambura nekudzora matumbo ako.

'Chero rudzi rwekusagadzikana kwekuita kunogona kukanganisa hupenyu hwakanaka. Kana zviratidzo zvebhari rako rakasimba zvich kukanganisa hupenyu hwako, ungavewo uine: Kunetseka. Kusuwa kwemoyo kana kuora mwoyo. Matambudziko ehukoshi. Kusagadzikana kwehope uye kuita kwehope kwakaputswa. Vanhu vakapihwa vakadzi pakuumbwa avo vane bhari rakasimba vangavewo vane mamiriro anozivikanwa sekusagadzikana kwakasanganiswa. Izvi zvine kukurumidza uye kusagadzikana kwetsvina. Kusagadzikana kwetsvina ndiko kurasikirwa kamwe kamwe kweweti kubva pakufamba kwemuviri kana chiitiko chinoisa kumanikidza pabhari. Mienzaniso yacho ndeyekukosora, kukwenya, kuseka kana kurovedza muviri.'

Sarudzo idzi dzehutano dzakanaka dzinogona kuderedza njodzi yako yekuvhara kwepombi:

• Ita maekisesaizi ekusimudzira tsandanyama dzepamuviri. Aya anonzi Kegel maekisesaizi.
• Ita zvemuviri zuva nezuva nguva dzose.
• Dzora caffeine ne doro.
• Chengetera uremu hwakanaka.
• Tarisa mamiriro ezvinhu anoramba aripo, anonzi kuzvara, akadai sedhiyabhotesi, izvo zvinogona kuwedzera zviratidzo zvekuvhara kwepombi.
• Rega kusvuta.

Kana uine chido chisina kujairika chekuenda kuchimbuzi, nyanzvi yako yehutano inotarisa hutachiona kana ropa mumukaka wako. Nyanzvi yako yehutano inogonawo kutarisa kana uri kubudisa mukaka wako wese paunenge uchienda kuchimbuzi.

Sangano rako rinogona kusanganisira:

• Nhoroondo yezvechiremba.
• Kuongororwa kweneurological kutsvaga matambudziko ekunzwa kana matambudziko ekuita.
• Kuongororwa kwemuviri, kunogona kusanganisira kuongororwa kwe rectum nekuongororwa kwe pelvic muvakadzi.
• Sampuli yemukaka wekuongorora hutachiona, zvikamu zveropa kana zvimwe zvinetso.

Nyanzvi yako yehutano inogona kukurudzira bvunzo dzekuona kuti bhara rako rinoshanda zvakanaka sei uye kana richigona kubudisa zvese, zvinonzi bvunzo dzeurodynamic. Nyanzvi kazhinji inoita bvunzo idzi. Asi bvunzo ingangoita kuti isafanirwe kuita chirwere kana kutanga kurapwa.

Bvunzo dzeUrodynamic dzinosanganisira:

• Kuyeresa mukaka wakasara mubhara. Bvunzo iyi inokosha kana usingagone kubudisa mukaka wako wese paunenge uchienda kuchimbuzi. Mukaka wakasara mubhara, unonzi postvoid residual urine, unogona kukonzera zviratidzo zvakaita sezvebharara rinoshanda zvakanyanya.

  Kuyeresa mukaka wakasara mushure mekubuda, nyanzvi yako yehutano inogona kuda ultrasound scan yebhara rako. Ultrasound scan inoshandura mafungu esound kuita mufananidzo. Mufananidzo unoratidza kuti mukaka wakawanda sei wakasara mubhara rako mushure mekuenda kuchimbuzi.

  Dzimwe nguva, chubhu chidiki, chinonzi catheter, chinopfuudzwa neurethra uye kupinda mubhara rako kubvisa mukaka wakasara. Zvadaro mukaka unogona kuyereswa.

• Kuyeresa kumhanya kwemukaka. Kuyeresa kuti unobudisa mukaka wakawanda sei nekukurumidza sei, unogona kukumbirwa kuenda kuchimbuzi muchishandisa chishandiso chinonzi uroflowmeter. Uroflowmeter inobata uye inoyeresa mukaka. Wobva washandisa data kugadzira girafu yekuchinja kumhanya kwako.

Kuyeresa mukaka wakasara mubhara. Bvunzo iyi inokosha kana usingagone kubudisa mukaka wako wese paunenge uchienda kuchimbuzi. Mukaka wakasara mubhara, unonzi postvoid residual urine, unogona kukonzera zviratidzo zvakaita sezvebharara rinoshanda zvakanyanya.

Kuyeresa mukaka wakasara mushure mekubuda, nyanzvi yako yehutano inogona kuda ultrasound scan yebhara rako. Ultrasound scan inoshandura mafungu esound kuita mufananidzo. Mufananidzo unoratidza kuti mukaka wakawanda sei wakasara mubhara rako mushure mekuenda kuchimbuzi.

Dzimwe nguva, chubhu chidiki, chinonzi catheter, chinopfuudzwa neurethra uye kupinda mubhara rako kubvisa mukaka wakasara. Zvadaro mukaka unogona kuyereswa.

Maitiro aya anogona kuratidza kuti bhara rako rakagara sei paunotanga kuda kuenda kuchimbuzi. Anogonawo kuratidza kana bhara rako richisimba kana risina kufanira.

Mupi wako wehutano anotarisa mhinduro dzebvunzo dzako newe uye anokurudzira chirongwa chekurapa.

Kusianganiswa kwemishonga kunogona kunge kuri kwakanaka pakuderedza zviratidzo zvebhadha inoshanda zvakanyanya.

Mitsinga yemhasuru dzepamuviri inotsigira nhengo dzemukati. Idzo nhengo dzinosanganisira chisu, bhadha ne rectum. Kudzidzisa Kegel kunogona kubatsira kusimbisa mitsinga yemhasuru dzepamuviri.

Mitsinga yemhasuru dzepamuviri yevakadzi inotsigira bhadha neura uye inokanganisa basa revatano. Kudzidzisa Kegel kunogona kubatsira kusimbisa idzi mhasuru.

Kurapa kwemufambiro ndiko kusarudzwa kwekutanga mukubatsira kudzora bhadha inoshanda zvakanyanya. Kazhinji inoshanda uye haina zvinokanganisa. Kurapa kwemufambiro kunogona kusanganisira:

• Biofeedback. Panguva ye biofeedback, pepa remazuva rinonamirwa paganda pamusoro pebhadha rako rinobatanidzwa newaya yakabatana nechiso. Izvi zvinokubvumira kuona kana mhasuru dzako dzebhadha dzichiita. Izvi zvinogona kukubatsira kuziva kuti zvinonzwa sei kana mhasuru dzichiita kuti ugone kudzidza kuzvidzora.
• Kudzidzisa bhadha. Kudzidzisa bhadha kunosanganisira kuenda kuimba yekugezera panguva dzakatarwa. Shandisa bhuku rebhadha kuona kuti unowanzofamba kangani. Wobva wawedzera maminitsi gumi nemashanu panguva pakati pekuenda kuimba yekugezera. Geza kunyange usati uchinzwa chido. Izvi zvinogona kudzidzisa bhadha rako kuti riite mvura yakawanda usati uchinzwa chido chekugeza.
• Kurema kwakanaka. Kana uri wakakora, kuderedza uremu kunogona kuunza nyore zviratidzo. Kuderedza uremu kunogona kubatsira kana iwe uinewo stress urinary incontinence.
• Intermittent catheterization. Kana iwe usingakwanisi kubvisa bhadha rako zvakanaka, kushandisa chubhu inonzi catheter panguva dzimwe nguva kubvisa bhadha rako zvachose kunobatsira bhadha rako kuita zvisingakwanisi kuita pachayo. Bvunza chiremba wako kana nzira iyi iri kwauri.
• Kudzidzisa mhasuru dzepamuviri. Kudzidzisa Kegel kunosimbisa mhasuru dzako dzepamuviri uye urinary sphincter. Mhasuru dzakasimba dzinogona kukubatsira kumisa bhadha kubva pakuzviita pachayo.

Chiremba wako kana chiremba wekurapa anogona kukubatsira kudzidza kuita maekisesaizi eKegel. Kudzidzisa Kegel kwakafanana nemamwe marudzi ekudzidzisa. Kwakanaka sei kushanda kunotsamira pakuzviita nguva dzose. Zvinogona kutora mavhiki matanhatu usati watanga kushanda.

Kudzidzisa mhasuru dzepamuviri. Kudzidzisa Kegel kunosimbisa mhasuru dzako dzepamuviri uye urinary sphincter. Mhasuru dzakasimba dzinogona kukubatsira kumisa bhadha kubva pakuzviita pachayo.

Chiremba wako kana chiremba wekurapa anogona kukubatsira kudzidza kuita maekisesaizi eKegel. Kudzidzisa Kegel kwakafanana nemamwe marudzi ekudzidzisa. Kwakanaka sei kushanda kunotsamira pakuzviita nguva dzose. Zvinogona kutora mavhiki matanhatu usati watanga kushanda.

Pashure pekuenda kumwedzi, kurapwa kwevaginal estrogen kunogona kubatsira kusimbisa mhasuru nemakumbo mu urethra nevaginal area. Vaginal estrogen inouya mumakrimu, suppositories, mahwendefa kana zvidzitiro. Inogona kuvandudza zviratidzo zvebhadha inoshanda zvakanyanya.

Mishonga inozorodza bhadha inogona kubatsira kuderedza zviratidzo zvebhadha inoshanda zvakanyanya uye kuderedza zviitiko zve urge incontinence. Aya mishonga anosanganisira:

• Fesoterodine (Toviaz).
• Mirabegron (Myrbetriq).
• Oxybutynin, iyo inogona kutorwa sehwendefa (Ditropan XL) kana kushandiswa sepepa reganda (Oxytrol) kana gel (Gelnique).
• Solifenacin (Vesicare).
• Tolterodine (Detrol).
• Trospium.

Zvinokanganisa zvakajairika zvemazhinji emishonga iyi zvinosanganisira maziso akaoma nemuromo wakaoma. Asi kunwa mvura yekunwa kunogona kuita kuti zviratidzo zvebhadha inoshanda zvakanyanya zviwedzere. Constipation imwezve inokanganisa inogona kuita kuti zviratidzo zvebhadha zviwedzere. Maitiro ekuburitsa kwenguva refu emishonga iyi, kusanganisira pepa reganda kana gel, anogona kukonzera zvinokanganisa zvishoma.

Chiremba wako anogona kukurudzira kuti unwe mvura shoma kana kusvira candy isina shuga kana kucheka gum isina shuga kuti uderedze muromo wakaoma. Ungashandisa eyedrops kuchengetedza maziso ako akanyorova.

Mishonga inowanikwa pasina chinyorwa, senge mouthwashes yakagadzirirwa kuderedza muromo wakaoma, inogona kubatsira pakaoma kwenguva refu. Kudya kudya kwakapfuma mufiber kana kushandisa stool softeners kunogona kubatsira kudzivirira constipation.

OnabotulinumtoxinA (ON-ah-boch-yoo-lih-num-tox-in-A), inonziwo Botox, ndiyo protein kubva kubhakitiriya inokonzera chirwere chebotulism. Zvikamu zviduku zvinopfurwa mumitsinga yebhadha zvinogona kuzorodza mhasuru uye kuwedzera huwandu hwemvura yebhadha inogona kubata.

Zvidzidzo zvinoratidza kuti Botox inogona kubatsira urge incontinence yakakomba. Mhedzisiro kazhinji inogara mwedzi mitanhatu kana kupfuura. Kana mhedzisiro ikapfuura, unoda jekiseni rimwezve.

Zvinokanganisa kubva kujekiseni idzi zvinosanganisira urinary tract infections uye kuchengetedza mvura. Kana uri kufunga nezve kurapwa kweBotox, unofanirwa kuva wakagadzirira kuisa catheter iwe pachako kana watanga kuchengetedza mvura.

Panguva yesacral nerve stimulation, chishandiso chakaiswa nekuvhiya chinopa magetsi kune mitsipa inodzora basa rebhadha. Idzi dzinonzi sacral nerves. Yuniti inochengetwa pasi peganda kumashure, kwakafanana nepakati pehomwe yembatya. Mufananidzo uyu, chishandiso chinoratidzwa kunze kwechinguva kuti chibvumire kuona zvakanaka kweyuniti.

Ma pulses emagetsi akapfava kune mitsipa yebhadha anogona kuvandudza zviratidzo zvebhadha inoshanda zvakanyanya.

Imwe nzira inoshandisa waya yakasimba yakamiswa pedyo ne sacral nerves apo inopfuura pedyo ne tailbone yako. Sacral nerves inotakura zviratidzo kubhadha rako.

Nzira iyi isingakonzere kukuvara kazhinji inoitirwa kuyedza kwewaya yakamiswa pasi peganda kumashure kwako. Chiremba wako anozoshandisa chishandiso chemaoko chakabatanidzwa newaya kutumira magetsi kune bhadha rako. Izvi zvakafanana nezvinoita pacemaker yemoyo.

Kana kuyedza kukubatsira zviratidzo zvako, pulse generator ine bhatiri inochengetwa nekuvhiya. Chishandiso chinoramba mumuviri mako kubatsira kudzora mitsipa.

Nzira iyi inoshandisa tsono yakasimba inoiswa kuburikidza neganda pedyo ne ankle. Inotumira magetsi kubva kune nerve mumutsipa, inonzi tibial nerve, kusvika kumusana. Iko inobatanidza nemitsipa inodzora bhadha.

Kurapwa kwePTNS kunopiwa kamwe pavhiki kwemavhiki gumi nemaviri kurapa zviratidzo zvebhadha inoshanda zvakanyanya. Pashure peizvozvo, kurapwa kwemavhiki matatu kusvika mana kunobatsira kuchengetedza zviratidzo zvakadzikama.

Maitiro anosanganisira:

• Kuita kuvhiya kuwedzera kuti bhadha inogona kubata sei. Nzira iyi inoshandisa zvidimbu zveura kutsiva chikamu chebhadha. Vanhu vane kuvhiya uku vanogona kuoda kushandisa catheter dzimwe nguva kweupenyu hwavo hwese kubvisa bhadha ravo.
• Kubvisa bhadha. Nzira iyi inoshandiswa sechinhu chekupedzisira. Inosanganisira kubvisa bhadha uye kuita bhadha nekuvhiya kuti iitsive, inonzi neobladder. Kana zvingasanganisira kuita gomba mumuviri, rinonzi stoma, kuti unamatire bhegi paganda kuti riunganidze mvura.

Kurarama nechirwere che overactive bladder kunogona kuoma. Zvirongwa zvekusimudzira ruzivo rwevatengi uye zvikwata zvinotsigira zvakaita seNational Association for Continence zvinogona kukupa iwe zviwanikwa zvepamhepo neruzivo. Mativi aya anokubatanidza nevamwe vanhu vane overactive bladder uye urge incontinence. Mativi anotsigira anopa mukana wekutaura nezvezvinokunetsa uye kudzidza nzira itsva dzekukunda. Kudzidzisa mhuri yako neshamwari dzako nezve overactive bladder uye maitiro ayo anokukanganisa kunogona kukubatsira kugadzira network yako yekutsigira uye kuderedza manzwiro ekunyara. Kana watanga kutaura nezvazvo, unogona kushamisika kuziva kuti chirwere ichi chakajairika sei chaizvo.