Ukuqina Okweqile Kwesisu? Izimpawu, Izimbangela, Nokwelashwa

Ukuqina okweqile kwesisu yisimo lapho imisipha yesisu yakho iqina kakhulu noma ngezikhathi ezingafanele, okubangela ukunxanela okusheshayo, okunamandla okuya emathisini. Lokhu kwenzeka ngoba umsipha wesisu uqina ngokungaziwa, ngisho noma isisu sakho singagcwalisiwe.

Cabanga ngakho njengomkhombandlela wobhedu olukhala uma kungekho umlilo. Isisu sakho sithumela imiyalezo ephuthumayo ebuchosheni bakho ethi "hambani manje!" ngisho noma kungase kube khona amanzi amaningi okuphuma. Lesi simo sithinta izigidi zabantu futhi sivame kakhulu kunalokho ocabanga.

Ziyini izimpawu zokuqina okweqile kwesisu?

Isimpawu esiyinhloko ukunxanela okusheshayo, okunamandla okuya emathisini okunzima ukulawula. Le mvawo ingakuhlangabeza ngokungazelelwe, ikwenze uzizwe sengathi udinga ukuthola ibhafu ngokushesha.

Nazi izimpawu eziyinhloko ongazihlangabeza:

• Ukunxanela okusheshayo, okunamandla okuya emathisini okunzima ukulimisisa
• Ukuya emathisini izikhathi ezingaphezu kwe-8 ngosuku
• Ukuvuka izikhathi ezingaphezu kwe-2 ebusuku ukuya emathisini
• Ukuphuma kwamandla uma uzizwa unxanela (okubizwa ngokuthi ukungcola okungazangelelwe)
• Ukuzizwa sengathi isisu sakho asiqedi ngokuphelele

Abanye abantu bahlangabezana nalokho okubizwa ngokuthi "ukuqina okweqile kwesisu okunamanzi," lapho kuphuma khona amanzi, kanti abanye bane "ukuqina okweqile kwesisu okwomile" ngokunxanela kodwa kungaphumuli amanzi. Zombili izinhlobo zingathinta kakhulu imisebenzi yakho yansuku zonke nekhwalithi yokulala kwakho.

Ziyini izinhlobo zokuqina okweqile kwesisu?

Ukuqina okweqile kwesisu kuza ngezinhlobo ezimbili eziyinhloko, nokuqonda ukuthi iyiphi onayo kusiza ekuholeni izinketho zokwelapha. Umehluko ukhona uma uhlangabezana nokuphuma kwamandla kanye nokunxanela.

Ukuqina okweqile kwesisu okwomile kuhilela ukunxanela okuvamile, okusheshayo ngaphandle kokuphazamiseka kwamandla. Uzizwa unesidingo esinamandla sokuya emathisini kodwa ngokuvamile ungakwazi ukuya emathisini ngesikhathi. Le nhlobo ithonya abantu abangaba ngu-2 kwaba-3 abane ukuqina okweqile kwesisu.

Ukuqina okweqile kwesisu okunamanzi kuhilela imizwa efanayo yokunxanela kodwa futhi kuhilela ukuphuma kwamandla okungazangelelwe. Lokhu kwenzeka uma umsipha wesisu uqina kakhulu kangangokuba i-urethral sphincter yakho ingakwazi ukubamba konke. Le nhlobo ingazizwa inenkinga yokuphatha usuku nosuku.

Yini ebangela ukuqina okweqile kwesisu?

Ukuqina okweqile kwesisu kwenzeka uma umsipha we-detrusor odongeni lesisu lakho uqina ngezikhathi ezingafanele. Ngokuvamile, lo msipha uhlala ukhululekile ngenkathi isisu sakho sigcwalisa futhi uqina kuphela uma unquma ngokuzwakalayo ukuya emathisini.

Izici eziningi zingaphazamisa leli phethini evamile:

• Ukonakala kwama-nerve okuvela ekusabela kweswekile, isifo sokuqina kwengqondo, noma ukulimala komgogodla
• Ukutheleleka kwesisu noma ukutheleleka kwe-urinary tract
• Ukushintsha kwamahomoni ngesikhathi se-menopause
• I-prostate eyongeziwe kubantu
• Amatshe esisu noma iziphumo
• Imithi ethile efana ne-diuretics noma i-sedatives
• Ukusetshenziswa okweqile kwe-caffeine noma utshwala
• I-constipation ebeka uxinzelelo esiswini

Ezimweni eziningi, odokotela abakwazi ukubona imbangela ethile ejulile. Lokhu kubizwa ngokuthi ukuqina okweqile kwesisu okungaziwa, futhi empeleni yilona uhlobo oluvamile. Ukushintsha okuhlobene nobudala emisebenzini yesisu futhi kudlala indima, yize ukuqina okweqile kwesisu kungeyona ingxenye evamile yokuguga.

Nini okumele ubona udokotela ngokuqina okweqile kwesisu?

Kufanele ucabange ukuya kudokotela uma ukunxanela okuya emathisini kuphazamisa imisebenzi yakho yansuku zonke noma ukulala kwakho. Ungalindi kuze izimpawu zibe nzima noma zikhulu.

Hlela i-aphoyintimenti uma uhlangabezana nokuya emathisini okuvamile okuthinta umsebenzi, imisebenzi yomphakathi, noma ukuzivocavoca. Ukuvuka izikhathi eziningi ebusuku ukuya emathisini futhi kudinga ukunakekelwa kwezokwelapha, njengoba lokhu kungathinta impilo yakho yonke nokuhlala kahle kwakho.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela igazi emathisini akho, ukushisa ngesikhathi sokuya emathisini, ubushushu, noma ubuhlungu obukhulu be-pelvic. Lezi zimpawu zingabonisa ukutheleleka noma enye inkinga enzima edinga ukwelashwa ngokushesha.

Ziyini izici ezingaholela ekuqineni okweqile kwesisu?

Izici eziningi zingandisa amathuba akho okuthola ukuqina okweqile kwesisu, yize ukuba nalezi zici ezingaholela kulokho akusho ukuthi uzoba naleli simo. Ukuziqonda kungakusiza ukuthi uthathe izinyathelo zokuvikela lapho kungenzeka.

Ubudala yiyona nto ebaluleke kakhulu eholela kulokhu, ngezimpawu eziqala ukuba khona ngemuva kweminyaka engu-40. Abafazi bahlangabezana nengozi enkulu ngenxa yokukhulelwa, ukubeletha, ne-menopause, okuthina ukwenza imisipha ye-pelvic floor ibuthakathaka futhi kuguqule amazinga e-hormone.

Ezinye izici ezingandisa ingozi yakho zihlanganisa:

• I-diabetes nezinkinga zokulawula ushukela egazini
• Isimo se-neurological efana ne-multiple sclerosis noma i-Parkinson's disease
• Ukuhlinzwa kwangaphambili kwe-pelvic noma esiswini
• I-constipation engaqedi
• Ukuba sisindayo noma ukukhuluphala
• Umlando womndeni wezinkinga zesisu
• Ukubhema, okungabangela ukukhotha okuqhubekayo
• Ukusetshenziswa okuvamile kwemithi ethile

Amadoda ane-prostate eyongeziwe futhi anezingozi ezikhulayo, njengoba leli simo lingaphazamisa ukuqeda kwesisu okuvamile nomsebenzi. Kodwa-ke, ukuqina okweqile kwesisu kungathinta noma ubani kungakhathaliseki ubudala noma ubulili.

Ziyini izinhlanganisela ezingaba khona zokuqina okweqile kwesisu?

Nakuba ukuqina okweqile kwesisu kungeyona into eyingozi ekuphileni, kungabangela izinhlanganisela eziningi ezithinta impilo yakho yomzimba nengqondo. Lezi zinkinga zivame ukuvela kancane kancane futhi zingaba zimbi uma zingaphathwa kahle.

Ukuphazamiseka kokulala kungenye yezinhlanganisela eziqala ngokushesha. Ukuya emathisini okuvamile ebusuku kungakushiya uzizwa ukhathele futhi kuthinte ukugxila kwakho emini. Lokhu kuphazamiseka kokulala kungathinta i-immune system yakho nempilo yakho yonke.

Izinhlanganisela zomphakathi nengqondo zivame ukubandakanya:

• Ukugwema imisebenzi yomphakathi ngenxa yokwesaba izingozi
• Ukukhathazeka ngokuthola amabhafhu ezindaweni zomphakathi
• Usizi oluhlobene nokulinganiselwa kwesitayela sokuphila
• Ukuncipha kokuzivocavoca nokwenza umzimba
• Izingqinamba zokukhiqiza emsebenzini
• Ukucindezeleka kobuhlobo nokunciphisa ubulili

Izinhlanganisela zomzimba zingathuthuka ngokuhamba kwesikhathi, kufaka phakathi ukuvuvukala kwesikhumba ngenxa yokunambitheka okuvamile, ukutheleleka kwe-urinary tract ngenxa yokungapheli kwesisu, nokuwa ngenxa yokusheshisa ukuya emathisini. Abanye abantu futhi bathuthukisa izinkinga zezinso uma isimo siholela ekuqokeleleni kwamandla.

Ukuqina okweqile kwesisu kungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izimo zokuqina okweqile kwesisu, ikakhulukazi lezo ezihlobene nobudala noma izimo zezokwelapha, izindlela eziningi zokuphila zingasiza ekuqedeni ingozi yakho. Lezi zindlela ezifanayo ngokuvamile zisiza ekulawuleni izimpawu uma usuvele unaleli simo.

Ukugcina isisindo esinempilo kunciphisa uxinzelelo esiswini nasemisipha ye-pelvic floor. Ukuzivocavoca njalo, ikakhulukazi imisebenzi eqinisa i-core yakho ne-pelvic floor, kungasiza ekugcineni ukusekelwa kwesisu okuhle nomsebenzi.

Izindlela zokuphatha ukudla nokusela zihlanganisa:

• Ukulinganisela ukusetshenziswa kwe-caffeine notshwala
• Ukugcina umzimba uqiniswe kodwa uhlukanise ukusela usuku lonke
• Ukugwema ukudla okucasula isisu njengokudla okunoshukela noma okunomswakama
• Ukulawula i-constipation ngokudla okunefayibha
• Ukugcina amazinga e-blood sugar enempilo uma une-diabetes

Imikhuba emihle yokuya emathisini futhi iyasisiza, njengokungasheshisi uma uya emathisini nokuthatha isikhathi sokuqeda isisu ngokuphelele. Uma ubhema, ukuyeka kunganciphisa ukukhotha okuqhubekayo okubheka uxinzelelo esiswini sakho ngokuhamba kwesikhathi.

Ukuqina okweqile kwesisu kunqunywa kanjani?

Udokotela wakho uzoqala ngomlando wezokwelapha onemininingwane kanye nokuhlolwa komzimba ukuqonda izimpawu zakho nokuqeda ezinye izimo. Uzokubuzisa ngemikhuba yakho yokuya emathisini, ukusela, imithi, nokuthi izimpawu zithinta kanjani impilo yakho yansuku zonke.

Uzocelwa ukuba ugcine idayari yesisu izinsuku eziningi. Lokhu kuhilela ukurekhoda lapho uya emathisini, lokho okuselayo, lapho uzizwa unxanela, nanoma yiziphi izingozi zokuphuma kwamandla. Lolu lwazi lusisiza udokotela wakho ukuqonda izindlela zakho ezithile.

Izivivinyo ezivamile zokuxilonga zihlanganisa:

• Ukuhlaziywa kwamandla ukuhlola ukutheleleka noma igazi
• Ukuhlolwa kwe-post-void residual ukuze ubone ukuthi kungakanani kwamandla asale ngemuva kokuya emathisini
• Ukucubungula isisu usebenzisa i-ultrasound
• Ukuhlolwa kwe-Urodynamic ukuze ukale uxinzelelo lwesisu nomsebenzi
• I-Cystoscopy ukubuka ngaphakathi kwesisu (ezimweni ezithile)

Abantu abaningi abadingi ukuhlolwa okuhlinzwa ngokushesha. Udokotela wakho ngokuvamile uzoqala ngezivivinyo ezilula futhi ancome kuphela izifundo ezinemininingwane uma ukwelashwa okuqala kungasizi noma uma becabanga ezinye izimo eziyinhloko.

Yini ukwelashwa kokuqina okweqile kwesisu?

Ukwelashwa kokuqina okweqile kwesisu ngokuvamile kuqala ngezindlela ezilula futhi kuqhubekele kwezinye izinketho ezinzima uma kudingeka. Abantu abaningi babona ukuthuthuka ngokushintsha indlela yokuphila nezinqubo zokuziphatha ngaphambi kokucubungula imithi noma izinqubo.

Ukwelashwa kokuziphatha kuqala ekuphatheni ukuqina okweqile kwesisu. Ukuqeqeshwa kwesisu kuhilela ukwandisa kancane isikhathi phakathi kokuya emathisini ukuze kusize ekuqeqeshweni kwesisu sakho. Ukuzivocavoca kwe-pelvic floor, okubizwa ngokuthi ama-Kegels, kuqinisa imisipha esiza ekulawuleni ukuya emathisini.

Izinketho zemithi zihlanganisa:

• Imithi ye-Anticholinergic eqinisa imisipha yesisu
• Ama-Beta-3 agonists asiza isisu ukuba ligcine amanzi amaningi
• I-Topical estrogen kwabafazi abase-postmenopausal
• I-Botox injections esiswini

Ukwelashwa okuthuthukile kwezimo ezinzima kuhlanganisa ukwelashwa kwe-nerve stimulation, okusebenzisa ama-electrical impulses ukuthuthukisa ukulawula kwesisu. Izinketho zokwelapha ziya khona kodwa ngokuvamile zigcinelwe abantu abangaphenduli kwezinye izindlela zokwelapha. Udokotela wakho uzohlangana nawe ukuthola ukuxuba okulungile kokwelashwa kwesimo sakho esithile.

Indlela yokuphatha ukuqina okweqile kwesisu ekhaya?

Izindlela zokuphatha ekhaya zingathuthukisa kakhulu izimpawu zakho nekhwalithi yokuphila kwakho. Lezi zindlela zisebenza kangcono uma zixubene nokwelashwa kwezokwelapha futhi zisetshenziswa njalo ngokuhamba kwesikhathi.

Ukuqeqeshwa kwesisu kungenye yezinqubo ezisebenza kakhulu ekhaya. Qala ngokuzama ukulibambezela ukuya emathisini imizuzu embalwa uma uzizwa unxanela, kancane kancane usebenza kuze kube yizikhathi ezide. Lokhu kusiza ekuqeqeshweni kwesisu sakho ukuba ligcine amanzi amaningi futhi lingaphenduli ngokushesha ekugcwaliseni okuvamile.

Ukushintsha kwesitayela sokuphila okusisiza kuhlanganisa:

• Ukwenza isimiso sokuya emathisini njalo ngemizuzu engu-2-3
• Ukwenza ukuzivocavoca kwe-pelvic floor nsuku zonke
• Ukulawula isikhathi sokusela
• Ukugqoka imikhiqizo ephuza amanzi ukuze ube nokukhathazeka
• Ukusebenzisa imephu yokuya emathisini uma uya ezindaweni ezintsha
• Ukuqeqesha izindlela zokunciphisa ukucindezeleka

Ukuphinda uqede isisu kungasiza ekuqinisekiseni ukuthi isisu sakho siqeda ngokuphelele. Lokhu kuhilela ukuya emathisini, ulinde umzuzu, bese uzama ukuya emathisini futhi. Izindlela zokusabela ngokushesha, njengokuyeka nokuthatha umoya ojulile uma ukunxanela kufika, kungakusiza ukuba ubuyisele ukulawula ngaphambi kokuya emathisini.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela kahle i-aphoyintimenti yakho kusiza udokotela wakho ukuqonda isimo sakho futhi akhe uhlelo lokwelapha olusebenza kakhulu. Qala ukugcina idayari yesisu okungenani izinsuku ezintathu ngaphambi kokuvakashela kwakho, urekhode ukuya emathisini, izingozi zokunxanela, nokusela.

Bhala yonke imithi oyithathayo, kufaka phakathi imithi yokuthengwa ngaphandle komthetho nezinhlanganisela. Imithi ethile ingathinta umsebenzi wesisu, ngakho-ke lolu lwazi lusiza udokotela wakho ukuba aqonde izici ezingase zibangele.

Lungela ukuxoxa ngalokhu:

• Lapho izimpawu zaqala nokuthi zishintshile kanjani
• Indlela izimpawu zithinta ngayo imisebenzi yakho yansuku zonke nokulala kwakho
• Ukwelashwa okudlule okuye wazzama
• Ukusela kwakho okuvamile nemikhuba yokuya emathisini
• Noma yimuphi umlando womndeni wezinkinga zesisu
• Ezinye izimo zezokwelapha onazo

Letha uhlu lwemibuzo mayelana nezinketho zokwelapha, ukushintsha kwesitayela sokuphila, nokuthi yini okulindelekile kuqhubeke. Unganqikazi ukubuza nganoma yini ekukhathazayo. Udokotela wakho ufuna ukukusiza uthole izixazululo ezisebenza esitayeleni sakho sokuphila nezintandokazi zakho.

Yini okuyinhloko mayelana nokuqina okweqile kwesisu?

Ukuqina okweqile kwesisu yisimo esivamile, esingaphatheka esingafanele ukwamukelwa njengengxenye evamile yokuguga noma impilo. Ngokuxilongwa okuhle nokuphathwa, abantu abaningi bangathuthukisa kakhulu izimpawu zabo futhi babuyisele ukuzethemba emisebenzini yabo yansuku zonke.

Okubalulekile ukungaboni ubuhlungu ngokuthula. Kukhona izindlela eziningi zokwelapha ezisebenza kahle, kusukela ekushintsheni okulula kwesitayela sokuphila kuya ekwelapheni okuthuthukile kwezokwelapha. Ukusebenzisana nodokotela wakho kusiza ukuthola ukuxuba okulungile kwezindlela zokwelapha ezidingweni zakho ezithile.

Khumbula ukuthi ukuthuthuka ngokuvamile kudinga isikhathi nokubekezela. Izindlela eziningi zokwelapha zisebenza kancane kancane, futhi kungadingeka uzame izindlela ezahlukene ukuthola lokho okusebenza kahle kuwe. Okubalulekile ukwenza leso sinyathelo sokuqala sokulungisa izimpawu zakho nokubuyisela ikhwalithi yokuphila kwakho.

Imibuzo evamile ebuzwa mayelana nokuqina okweqile kwesisu

Q.1: Ingabe ukuqina okweqile kwesisu kuvame kakhulu kwabesifazane noma kumadoda?

Ukuqina okweqile kwesisu kuthinta kokubili abesifazane namadoda, kodwa kuvame kakhulu kwabesifazane, ikakhulukazi ngemuva kwe-menopause. Abafazi bahlangabezana nezici ezingaholela kulokhu ezihlukile njengokukhulelwa, ukubeletha, nokushintsha kwamahomoni okungenza imisipha ye-pelvic floor ibuthakathaka. Kodwa-ke, amadoda ane-prostate eyongeziwe futhi avame ukuthola izimpawu zokuqina okweqile kwesisu. Isimo siqala ukuba khona ngokuqhubekayo ngokwanda kobudala kokubili ebulilini.

Q.2: Ingabe ukudla okuthile kungenza ukuqina okweqile kwesisu kube sibi?

Yebo, ukudla okuthile neziphuzo kungacasula isisu sakho futhi kwenze izimpawu zibe zimbi. Izinto ezivame ukubangela lokhu zihlanganisa i-caffeine, utshwala, ama-artificial sweeteners, ukudla okunoshukela, izithelo ze-citrus, nemikhiqizo eyenziwe ngamatamatisi. Iziphuzo ezinomoya ne-chocolate futhi zingabangela izinkinga kwabanye abantu. Ukugcina idayari yokudla kanye nedayari yesisu kungakusiza ukuthola izinto ezibangela lokhu kuwe futhi ulungise ukudla kwakho ngokufanele.

Q.3: Kuthatha isikhathi esingakanani ukwelashwa kokuqina okweqile kwesisu ukusebenza?

Isikhathi sokwelashwa sihluka kuye ngendlela oyisebenzisayo. Izindlela zokuziphatha njengokuqeqeshwa kwesisu nokwenza umzimba kwe-pelvic floor ngokuvamile zibonisa ukuthuthuka kancane ngemuva kwamasonto angu-6-12 ngokwenza njalo. Imithi inganikeza impumuzo phakathi kwezinsuku ezimbalwa kuya emaviki, kodwa izinzuzo ezigcwele ngokuvamile zithatha amasonto angu-4-8. Abanye abantu baqaphela ukuthuthuka ngokushesha, kanti abanye badinga isikhathi esiningi nokubekezela.

Q.4: Ingabe ukuqina okweqile kwesisu kungaphela ngokwalo?

Ukuqina okweqile kwesisu akunqamuki ngokuphelele ngaphandle kokwelashwa, ikakhulukazi uma kuhlobene nobudala noma izimo zezokwelapha ezingapheli. Kodwa-ke, izimpawu eziholelwa izinto zesikhashana njengokutheleleka kwe-urinary tract, imithi ethile, noma ukusetshenziswa okweqile kwe-caffeine kungase kuthuthuke uma imbangela ejulile ilungisiwe. Ukungenela ngokushesha ngokushintsha kwesitayela sokuphila nokwelashwa okuhle ngokuvamile kuholela emiphumeleni emihle yesikhathi eside kunokulinda nokulindela ukuthi izimpawu ziyaphela.

Q.5: Ingabe kuphephile ukulinganisela ukusela ukuze kunciphisa izimpawu zokuqina okweqile kwesisu?

Ukulinganisela kakhulu ukusela akunconywa futhi empeleni kungenza izimpawu zibe zimbi. Amanzi amaningi angacasula isisu sakho, futhi ukungabi namanzi okwanele kungabangela i-constipation, okubekela uxinzelelo olwengeziwe esiswini sakho. Esikhundleni salokho, zama ukusela okwanele (amaglasi angu-6-8 ngosuku) kodwa uhlukanise isikhathi. Cela okuningi ekuqaleni kosuku futhi unciphise ukusela amahora angu-2-3 ngaphambi kokulala ukuze unciphise izimpawu zobusuku.