Ukuvuvukala Kwesibofu: Izimpawu, Izimbangela, Nokwelashwa

Ukuvuvukala kwesibofu kuyinkinga yokuvuvukala kwesibofu sakho, okuvamise ukubangelwa yisifo sebhaktheriya. Cabanga ngakho njengokuvuvukala nokuqina kwesibofu sakho, kufana nendlela umlomo wakho ozizwa ngayo uma unehlwempu.

Leli gciwane lilimaza izigidi zabantu unyaka ngamunye, ikakhulukazi abesifazane. Nakuba kungazizwa kungakhululekile futhi kukhathaze uma kwenzeka kuwe, ukuvuvukala kwesibofu kuvame ukulula ukwelashwa futhi akunikeli ezinzwaneni ezinkulu uma kuphathwa ngokushesha.

Ukuvuvukala Kwesibofu Yini?

Ukuvuvukala kwesibofu kwenzeka uma udonga lwesibofu sakho luvuvukala, ngokuvamile ngenxa yebhaktheriya ezingena nge-urethra yakho. Isibofu sakho ngokuvamile yindawo ehlanzekile, ngakho-ke uma amabhaktheriya ekhula lapho, umzimba wakho uyaphendula ngokuvuvukala ukuze ulwe nesifo.

Eziningi zezi zimo zibangelwa amabhaktheriya e-E. coli, avame ukuhlala ngokungenabungozi ezibofwini zakho kodwa angabangela izinkinga uma eya endleleni yakho yokumisa. Abesifazane bahlangabezana nokuvuvukala kwesibofu njalo kunabesilisa ngoba i-urethra yabo mifushane, okwenza kube lula kumabhaktheriya ukufinyelela esibofwini.

Izindaba ezinhle ukuthi ukuvuvukala kwesibofu kulula ukwelashwa. Ngokunakekelwa okuhle, abantu abaningi bazizwa bephilile kakhulu ezinsukwini ezimbalwa nje ngemuva kokuqala ukwelashwa.

Ziyini Izimpawu Zokuvuvukala Kwesibofu?

Uphawu oluvamile kakhulu lokuvuvukala kwesibofu yisizwelo esishisayo uma uya emathunzini, ngokuvamile kuchazwa njengokuzizwa sengathi udlula izikhali ezibukhali. Ungase futhi uqaphele ukuthi udinga ukuya emathunzini njalo kunokujwayelekile, ngisho noma isibofu sakho sizizwa sifana sengathi siyimfumba.

Nazi izimpawu ongazihlangabezana nazo ngokuvuvukala kwesibofu:

• Ukuzwela okushisayo noma okuhlungu uma uya emathunzini
• Isifiso esivamile sokuya emathunzini, ngisho ngemuva nje kokuya
• Ukuphuma kancane nje komchamo njalo
• Umnandi, omnyama, noma onencasa ebukhali
• Igazi lomchamo wakho (okwenza libe pinki noma libomvu)
• Ubuhlungu noma ukucindezela kwesibofu, ikakhulukazi kwabesifazane
• Ukungakhululeki kwesisu esingezansi
• Ukuzizwa ungaphilile noma ukhathele

Abanye abantu nabo bahlangabezana nokuvuvukala okuncane noma ukuthamba. Uma uthola ukuvuvukala okuphezulu, ubuhlungu obukhulu emhlane, noma uzizwa ugula kakhulu, lokhu kungaba izimpawu zokuthi isifo siye esikhaleni sakho, okudinga ukunakekelwa ngokushesha kwezokwelapha.

Ziyini Izinhlobo Zokuvuvukala Kwesibofu?

Ukuvuvukala kwesibofu kuwela ezinhlotsheni ezimbili eziyinhloko: okuthakazelisayo kanye nokungenabungozi. Ukuvuvukala kwesibofu okuthakazelisayo, okubangelwa amabhaktheriya, yilona uhlobo oluvamile kakhulu ohlangabezana nalo.

Ukuvuvukala kwesibofu okuvela kumabhaktheriya kuhlanganisa cishe u-85% wazo zonke izimo. Lokhu kwenzeka uma amabhaktheriya, ngokuvamile i-E. coli evela endleleni yakho yokugaya ukudla, engela ohlelweni lwakho lokuphuma komchamo futhi akhule esibofwini sakho.

Ukuvuvukala kwesibofu okungenabungozi kungabangelwa izinto eziningi. Izinto ezikhuthazayo ezikhemikhali njenge-bubble bath, imikhiqizo yokuhlambalaza yabesifazane, noma imithi ethile ingavuvukala isibofu sakho. Ukwelashwa ngomgogodla wokwelapha umdlavuza kungabangela nalolu hlobo lokuvuvukala.

Ukuvuvukala kwesibofu okuhlala njalo kuyinkinga engavamile, ehlala njalo lapho isibofu sakho sihlala sivuvukala ngaphandle kwesizathu esicacile sebhaktheriya. Lolu hlobo ludinga ukwelashwa okukhethekile nokuphathwa okuqhubekayo nodokotela we-urologist.

Yini Ebangela Ukuvuvukala Kwesibofu?

Imbangela eyinhloko yokuvuvukala kwesibofu yi-bacteria eya endleleni yakho yokumisa nge-urethra yakho iye esibofwini sakho. Umzimba wakho ngokuvamile uhlanza inani elincane lamabhaktheriya uma uya emathunzini, kodwa ngezinye izikhathi amabhaktheriya angakhula ngokushesha kunokuba umzimba wakho ukhone ukuwasusa.

Izinto eziningi zingandisa amathuba akho okuthola ukuvuvukala kwesibofu okuvela kumabhaktheriya:

• Ukuya ocansini, okungasusa amabhaktheriya e-urethra yakho
• Ukuzisula ngemuva kuya phambili ngemuva kokusebenzisa igumbi lokugezela
• Ukubamba umchamo isikhathi eside
• Ukungaphuzi amanzi anele
• Izinhlobo ezithile zokulawula ukubeletha, njenge-diaphragms
• Ukukhulelwa, ngenxa yokushintsha kwamahomoni nokucindezela esibofwini
• I-Menopause, lapho amazinga aphansi e-estrogen ashintsha khona indlela yakho yokumisa
• Ukuba ne-catheter yomchamo

Ngokungavamile, ukuvuvukala kwesibofu kungathuthukiswa ezinye izimbangela. Imithi ye-chemotherapy, ukwelashwa ngomgogodla, noma izimo ze-autoimmune zingavuvukala isibofu sakho ngaphandle kokubandakanyeka kwamabhaktheriya. Abanye abantu bathuthukisa ukuvuvukala kwesibofu njengendlela yokusabela kwimikhiqizo yokunakekelwa komuntu siqu noma ukudla okuthile.

Nini Okufanele Ubone Udokotela Ngokuvuvukala Kwesibofu?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nokushiseka uma uya emathunzini kanye nezifiso ezivamile zokuya emathunzini ezingapheli phakathi kwamahora angu-24-48. Ukwelashwa okusheshayo kungavimbela isifo ekubeni sibi noma ukusabalala.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthola noma yiziphi izimpawu ezinkulu:

• Ukuvuvukala okungaphezu kuka-101°F (38.3°C)
• Ubuhlungu obukhulu emhlane noma eceleni
• Ukuphefumula nokugabha
• Igazi lomchamo wakho elibomvu obomvu
• Izimpawu ezibi kakhulu naphezu kokunakekelwa ekhaya
• Ukungenakukwazi ukuya emathunzini naphezu kokuzizwa unesifiso

Uma ukhulelwe, une-diabetes, noma une-immune system ebuthakathaka, ungalindi ukubona uma izimpawu ziphulukana zodwa. Lezi zimo zingenza ukutheleleka kwesibofu kube sibi kakhulu, ngakho-ke ukwelashwa okusheshayo kubalulekile kakhulu.

Ziyini Izingozi Zokuvuvukala Kwesibofu?

Ukuba owesifazane yingozi enkulu yokuvuvukala kwesibofu. Abesifazane banethuba elingaphezu kwesikhathi esingu-30 sokuthola ukutheleleka kwesibofu kunabesilisa ngoba i-urethra yabo imifushane nje cishe amasentimitha angu-3.8, uma kuqhathaniswa nawo-20 amasentimitha kwabesilisa.

Ubudala bakho buphinde bube nomthelela emazingeni akho engozi. Abesifazane abasebasha, abasebenzisana ngocansi bahlangabezana nokuvuvukala kwesibofu njalo, kanti abadala bobabili ubulili bahlangabezana nengozi eyenyuke ngenxa yokungapheli kokukhulula isibofu nokushintsha kwemisebenzi ye-immune.

Izinto eziningi zingandisa amathuba akho okuthola ukuvuvukala kwesibofu:

• Ukuya ocansini okwenziwe muva nje noma umlingani omusha wocansi
• Ukusebenzisa izinto zokulawula ukubeletha ezifana ne-diaphragms noma i-spermicides
• Ukuba ngemuva kwe-menopause ngenxa yokwehla kwamazinga e-estrogen
• Ukuba ne-diabetes, engabuqeda ubukhulu besistimu yakho ye-immune
• Ukusebenzisa imithi ye-immunosuppressive
• Ukuba namatye esikhaleni noma ezinye izinkinga zendlela yokumisa
• Ukusebenzisa i-catheter yomchamo
• Umbhalo wangaphambili wokutheleleka kwesibofu

Uma une-cystitis ephindaphindayo (izigameko ezintathu noma ngaphezulu ngonyaka), udokotela wakho angakuncoma ukuhlolwa okuqhubekayo ukuze uthole izimbangela eziyimfihlo noma ukwelashwa okuvimbelayo.

Ziyini Izinhlanganisela Ezingaba khona Zokuvuvukala Kwesibofu?

Eziningi zezimo zokuvuvukala kwesibofu ziyaphela ngokuphelele ngokwelashwa okuhle futhi azibangeli izinkinga ezihlala njalo. Noma kunjalo, ukutheleleka okungaphathwe noma okuphindaphindayo ngezinye izikhathi kungabangela izinhlanganisela ezinkulu.

Inhlanganisela ekhathazayo kakhulu iwukuthi ukutheleleka kusabalala phezulu ezikhaleni zakho, kubangela i-pyelonephritis. Lokhu kutheleleka kwesikhala kungabangela umonakalo ophakade uma kungaphathwa ngokushesha futhi kungadingeka ukungena esibhedlela ukuze uthole ama-antibiotics ngomgogodla.

Nazi izinhlanganisela ezingaba khona okufanele uzazi:

• Ukutheleleka kwesikhala (i-pyelonephritis) ngokuvuvukala nobuhlungu emhlane
• Ukutheleleka okuphindaphindayo kwesibofu okuba nzima ukwelapha
• Ukulimala kwesikhala okuvela ekutholakaleni okuphindaphindayo
• I-sepsis, ukutheleleka kwegazi okubulala (okungavamile kodwa okubi kakhulu)
• Izinhlanganisela zokukhulelwa uma ukuvuvukala kwesibofu kwenzeka ngesikhathi sokukhulelwa
• Izinkinga zesibofu ezihlala njalo kubantu abane-infections ezivamile

Abesifazane abakhulelwe bahlangabezana nezingozi ezengeziwe, njengoba ukutheleleka kwesibofu okungaphathwe kungabangela ukubeletha ngaphambi kwesikhathi noma izingane ezisindayo ezincane. Kungakho abesifazane abakhulelwe behlolwa njalo amabhaktheriya emichameni yabo, ngisho noma bengenawo ama-symptoms.

Ukuvuvukala Kwesibofu Kungavikeleka Kanjani?

Unganciphisa kakhulu ingozi yakho yokuthola ukuvuvukala kwesibofu ngokwenza izinguquko ezilula ezenzweni zakho zansuku zonke. Ikhona ukudala indawo okwenza kube nzima kumabhaktheriya ukuzibonakalisa endleleni yakho yokumisa.

Ukuphuza amanzi amaningi yindlela ephumelelayo kakhulu yokuvimbela. Hlose okungenani izigqoko eziyi-6-8 nsuku zonke ukusiza ukuhlanza amabhaktheriya ohlelweni lwakho ngaphambi kokuba akhule.

Nazi izindlela ezivimbelayo ezifakazelwe ongazisebenzisa:

• Ukuya emathunzini ngokushesha ngemuva kokutholakala kocansi ukuhlanza amabhaktheriya
• Ukuzisula ngaphambili kuya ngemuva ngemuva kokusebenzisa igumbi lokugezela
• Ungabambi umchamo uma uzizwa unesifiso sokuya
• Gqoka i-underwear yekotoni nezingubo eziqondile
• Gwema imikhiqizo yokunakekelwa yabesifazane engase ikhuthaze njenge-douches
• Geza ngomgogodla kunokugeza uma kungenzeka
• Cabanga ngokushintsha izindlela zokulawula ukubeletha uma usebenzisa i-diaphragms
• Hlala uthanda amanzi usuku lonke

Abanye abantu bathola ukuthi ukuphuza ijusi le-cranberry noma ukuthatha izithasiselo ze-cranberry kusiza ekuvimbeleni ukutheleleka okuphindaphindayo, nakuba ubufakazi besayensi buxubile. Uma ukhonjwa ukutheleleka okuvamile kwesibofu, udokotela wakho angakuncoma ama-antibiotics aphansi njengendlela yokuvimbela.

Ukuvuvukala Kwesibofu Kuhlolwa Kanjani?

Udokotela wakho ngokuvamile angakwazi ukuxilonga ukuvuvukala kwesibofu ngokusekelwe ezimpawu zakho kanye nevivinyo lomchamo oluqondile. Inqubo ilula futhi ngokuvamile inikeza izimpendulo ezisheshayo mayelana nalokho okubangela ukungakhululeki kwakho.

Okokuqala, umhlinzeki wakho wezokunakekelwa kwezempilo uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Bazofuna ukwazi ukuthi izimpawu zakho zaqala nini, zingakanani, nokuthi uke waba nezinkinga ezifanayo ngaphambili.

Ivivinyo eliyinhloko lokuhlaziya yi-urinalysis, lapho unikeza khona isampula yomchamo ehlolwa amabhaktheriya, amaseli amhlophe, nezinye izimpawu zokutheleleka. Kuzodingeka uhlanze indawo yakho yokuzala kuqala futhi unikeze isampula "yesiphakathi" ukuze ugweme ukungcola.

Uma une-infections ephindaphindayo noma izimpawu zakho zibi kakhulu, udokotela wakho angakukhipha ezinye izivivinyo:

• Ukukhiqizwa komchamo ukuze ubone amabhaktheriya athile futhi uhlole ukusebenza kwama-antibiotics
• Izivivinyo zokubonisa njenge-ultrasound noma i-CT scan ukuhlola izinkinga zesakhiwo
• I-cystoscopy, lapho ikhamera encane ihlola khona ngaphakathi kwesibofu sakho
• Ivivinyo le-post-void residual ukuze ubone ukuthi ukhulula ngokuphelele isibofu sakho

Lezi zivivinyo ezengeziwe zisiza ekutholeni noma yiziphi izimo ezingaba khona ezingase zibangele ukutheleleka kwakho okuphindaphindayo futhi ziqondise izindlela zokwelapha eziqondiswe ngcono.

Yini Ukwelashwa Kwe-Cystitis?

Ukuvuvukala kwesibofu okuvela kumabhaktheriya ngokuvamile kuphendula kahle ekwelapheni kwama-antibiotics, kanti abantu abaningi bazizwa bephilile kakhulu ezinsukwini ezingu-1-3 zokuqala ukusebenzisa imithi. Udokotela wakho uzokhetha i-antibiotic ngokusekelwe kumabhaktheriya avame ukubangela ukutheleleka kwakho kanye nezindlela zokumelana nezindawo.

Ama-antibiotics avamile asetshenziswa ekwelapheni ukuvuvukala kwesibofu afaka i-trimethoprim-sulfamethoxazole, i-nitrofurantoin, noma i-fosfomycin. Inqubo yokwelapha ngokuvamile ihlala izinsuku ezingu-3-7, kuye ngemithi nobunzima bokutholakala kwakho.

Uhlelo lwakho lokwelashwa lungafaka:

• Ama-antibiotics omdlavuza athathwe ngenkathi yonke eyalelwe
• Imithi yokunciphisa ubuhlungu njenge-ibuprofen yokungakhululeki nokuvuvukala
• I-Phenazopyridine ukuze ihlukanise ubuhlungu bendlela yokumisa (ishintsha umchamo ube orange)
• Ukusetshenziswa kwamanzi okwandisiwe ukuze kusize ukuhlanza amabhaktheriya ohlelweni lwakho
• Ukwelashwa ngokushisa nge-heating pad ngenxa yokungakhululeki kwesibofu

Kubalulekile ukuthatha yonke inqubo yakho ye-antibiotic, ngisho noma uzizwa ukhulu ngemuva kosuku olulodwa noma amabili. Ukumisa ngokushesha kungavumela amabhaktheriya ukuba abuyele futhi athuthukise ukungamelwa imithi.

Ngokuvuvukala kwesibofu okuphindaphindayo, udokotela wakho angakuncoma ama-antibiotics aphansi izinyanga eziningi noma akuncome ukuthatha ama-antibiotics ngemuva kokutholakala kocansi njengokuvimbela.

Indlela Yokwelashwa Ekhaya Ngesikhathi Sokuvuvukala Kwesibofu?

Ngenkathi ama-antibiotics elapha ukutheleleka okusekelayo, izindlela zokwelapha ekhaya eziningi zingakusiza uzizwe ukhululekile ngenkathi umzimba wakho uyahlanza. Lezi zindlela zokusekela zisebenza kanye nemithi yakho eyalelwe ukuze zinciphisa izimpawu.

Ukuphuza amanzi engeziwe yinto ebaluleke kakhulu ongayenza ekhaya. Hlose iglasi lamanzi njalo ngehora ngenkathi uvukile ukuze uhlanze umchamo wakho futhi uhlanze amabhaktheriya esibofwini sakho.

Nazi izindlela zokunakekelwa ekhaya eziphumelelayo:

• Faka i-heating pad esiswini sakho esingezansi noma emhlane imizuzu engu-15-20
• Geza ngamanzi afudumele ukuze uthambise ukungakhululeki kwesibofu
• Gwema i-caffeine, utshwala, nokudla okunoshukela okungase kukhuthaze isibofu sakho
• Ukuya emathunzini njalo, ngisho noma kungakhululeki
• Gqoka izingubo eziqondile, ezikhululekile
• Zama imithi yokunciphisa ubuhlungu njenge-ibuprofen
• Cabanga ngejusi le-cranberry elingenashukela, nakuba ubufakazi bukhulu

Gwema ama-bubble bath, imikhiqizo yokuhlambalaza yabesifazane, ne-douches ngenkathi uyahlanza, njengoba lokhu kungase kukhuthaze isibofu sakho esivele sibuhlungu. Abantu abaningi baqaphela ukuthuthuka okukhulu phakathi kwamahora angu-24-48 okuqala ukwelashwa.

Kufanele Uzilungiselele Kanjani Ukuya Udokotela?

Ukufika ulungile ekuqokweni kwakho kusiza udokotela wakho ukwenze ukuxilongwa okuqondile futhi uqale ukwelashwa okufanele ngokushesha. Ukuzilungiselela kancane kungenza ukuvakasha kwakho kube nempumelelo futhi kuqinisekise ukuthi uthola ukunakekelwa okudingayo.

Ngaphambi kokuqokwa kwakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi zingakanani. Qaphela noma yiziphi izinto ezenza zibe ngcono noma zibe zimbi, njengokuphuza amanzi noma ukuya emathunzini.

Letha lolu lwazi ekuqokweni kwakho:

• Uhlu oluphelele lwemithi yakho yangamanje nezithasiselo
• Umbhalo wokutheleleka kwesibofu kwangaphambili kanye nokwelashwa
• Ukuya ocansini kwamuva noma ukushintsha kwabelingani bocansi
• Noma yimiphi imikhiqizo emisha yokunakekelwa komuntu siqu oqalile ukuyisebenzisa
• Imibuzo mayelana nezindlela zokuvimbela uma une-infections ephindaphindayo
• Ulwazi lwesikhathi sakho sokuya esikhathini uma ungowesifazane

Ungayi emathunzini okungenani ihora elilodwa ngaphambi kokuqokwa kwakho uma kungenzeka, njengoba cishe uzodinga ukunikeza isampula yomchamo. Uma ubuhlungu kakhulu, shayela phambili ukuze ubone ukuthi unganikeza isampula ngokushesha uma ufika.

Cabanga ngokuletha uhlu lwemibuzo mayelana nezindlela zokwelapha, izindlela zokuvimbela, nokuthi nini kufanele ufunwe ukunakekelwa okulandelayo.

Iyini Iphuzu Eliyinhloko Ngokuvuvukala Kwesibofu?

Ukuvuvukala kwesibofu kuyinkinga evamile, elula ukwelashwa elimaza izigidi zabantu unyaka ngamunye. Nakuba izimpawu zingase zingakhululeki futhi zikhathaze, ukwelashwa okusheshayo ngama-antibiotics ngokuvamile kuqeda ukuvuvukala kwesibofu okuvela kumabhaktheriya phakathi kwezinsuku ezimbalwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa okusheshayo kuvimbela izinhlanganisela futhi kukwenze uzizwe ukhulu ngokushesha. Unganqikazi ukuxhumana nodokotela wakho uma uhlangabezana nokushiseka uma uya emathunzini kanye nezifiso ezivamile zokuya emathunzini.

Izindlela zokuvimbela njengokuhlala uthanda amanzi, ukwenza ukuhlanzeka okuhle, nokuya emathunzini ngemuva kokutholakala kocansi kunganciphisa kakhulu ingozi yakho yokuthola ukuvuvukala kwesibofu. Uma uhlangabezana ne-infections ephindaphindayo, sebenzisana nodokotela wakho ukuze uthole izimbangela eziyimfihlo futhi uthuthukise uhlelo lokuvimbela oluqondene nesimo sakho.

Ngokwelashwa okuhle nezindlela zokuvimbela, abantu abaningi abane-cystitis bangalindela ukuphulukiswa okugcwele futhi bangathatha izinyathelo zokuvimbela izigameko zesikhathi esizayo.

Imibuzo Evamile Ngokuvuvukala Kwesibofu

Ingabe ukuvuvukala kwesibofu kungaphela ngokwalo ngaphandle kwama-antibiotics?

Nakuba izimo ezilula zokuvuvukala kwesibofu ngezinye izikhathi ziyaphela ngaphandle kokwelashwa, akunconywa ukulinda ubona. Ukuvuvukala kwesibofu okuvela kumabhaktheriya okungaphathwe kungaba sibi futhi kusabalale ezikhaleni zakho, kubangele izinhlanganisela ezinkulu. Ama-antibiotics aphezulu kakhulu futhi ngokuvamile anikeza impumuzo phakathi kwezinsuku ezingu-1-3, okwenza ukwelashwa kube yikhetho eliphephile.

Ukuvuvukala kwesibofu kuhlala isikhathi esingakanani ngokwelashwa?

Abantu abaningi baqaphela ukuthuthuka okukhulu phakathi kwamahora angu-24-48 okuqala ukwelashwa kwama-antibiotics ngokuvuvukala kwesibofu okuvela kumabhaktheriya. Ukuqeda ngokuphelele ngokuvamile kwenzeka phakathi kwezinsuku ezingu-3-7, kuye ngobunzima bokutholakala kwesifo kanye ne-antibiotic ethile esetshenziswayo. Uma izimpawu ziqhubeka ngaphezu kwalesi sikhathi, xhumana nodokotela wakho ukuze uhlolwe.

Ingabe ukuvuvukala kwesibofu kuyatheleleka noma kuyisifo esithathelwana ngocansi?

Ukuvuvukala kwesibofu ngokwalo akuyona into etheleleka futhi akucabangi njengesifo esithathelwana ngocansi. Noma kunjalo, ukuya ocansini kungandisa ingozi yakho yokuthola ukuvuvukala kwesibofu ngokususa amabhaktheriya endleleni yakho yokumisa. Amabhaktheriya abangela ukuvuvukala kwesibofu ngokuvamile avela endleleni yakho yokugaya ukudla kunokuba evela kumlingani.

Ingabe amadoda angathola ukuvuvukala kwesibofu?

Yebo, amadoda angathola ukuvuvukala kwesibofu, nakuba kungavamile kakhulu kunabesifazane. Uma ukuvuvukala kwesibofu kwenzeka kumadoda, ngokuvamile kuhlobene nezinkinga ze-prostate, amatye esikhaleni, noma ezinye izinkinga zendlela yokumisa. Amadoda anezimpawu zokuvuvukala kwesibofu kufanele abone umhlinzeki wezokunakekelwa kwezempilo ukuze ahlolwe, njengoba imbangela eyingqayizivele ingase idinge ukwelashwa okukhethekile.

Kungani ngihlala ngithola ukuvuvukala kwesibofu ngokuphindaphindiwe?

Ukuvuvukala kwesibofu okuphindaphindayo kungabangelwa izinto eziningi kufaka phakathi ukungapheli kokukhulula isibofu, ukushintsha kwamahomoni, izindlela ezithile zokulawula ukubeletha, noma izimo zezempilo eziyimfihlo njenge-diabetes. Abanye abantu banezinto zesakhiwo ezibenza babe nezifo. Udokotela wakho angakusiza uthole izimbangela ezithile futhi uthuthukise uhlelo lokuvimbela oluqondene nesimo sakho.