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October 10, 2025
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Ukuqothuka kwe-urine ngesikhathi sokucindezeleka kwenzeka lapho uqothula khona i-urine ngesikhathi semisebenzi ebekela ingcindezi esibindini sakho. Lokhu kungenzeka lapho ukhwehlela, uthimula, uhleka, uqeqesha, noma uphethe into enzima. Ingenye yezinkinga ezivamile zokulawula isikhwama, ikakhulukazi kubesifazane, futhi awuwedwa uma ubhekene nalokhu.
Isimo sithola igama laso ngoba “ukucindezeleka” okungokomzimba noma ingcindezi esiswini sakho kubangela ukuqothuka. Akuxhunyanisiwe nokucindezeleka ngokomzwelo, nakuba ukubhekana nokuqothuka okungalindelekile kungase kuzwakale kukucindezela ngezinye izikhathi.
Isimpumu yinhloko ukuqothuka kwe-urine okungakhethiwe okwenzeka ngokukhethekile ngesikhathi semisebenzi yomzimba. Ungase uqaphele inani elincane le-urine liphuma lapho umzimba wakho ubhekene nengcindezi noma ukuhamba okungazelelwe.
Nawa ama-simo avamile lapho ukuqothuka kwe-urine ngesikhathi sokucindezeleka kwenzeka khona:
Inani lokuqothuka lingahluka kusuka ezintweni ezimbalwa kuphela kuya ekutheni kudingeke ushintshe i-underwear yakho. Abanye abantu baqothula kuphela ngesikhathi semisebenzi enzima, kanti abanye bangase babe nezinkinga ngezinye izenzo ezilula njengokuma ngokushesha.
Kubalulekile ukuqaphela ukuthi ukuqothuka kwe-urine ngesikhathi sokucindezeleka kuhlukile ekuqothukeni kwe-urine ngenxa yokucindezeleka. Ngokuqothuka kwe-urine ngesikhathi sokucindezeleka, ngokuvamile awuzizwa isifiso esiqinile, esiqinile sokuya e-toilet ngaphambi kokuba kuqale ukuqothuka - ukuqothuka kwenzeka nje ngesikhathi semisebenzi yomzimba.
Ukungenisa kwesisu ngenxa yokucindezeleka kwenzeka lapho imisipha namalungu asekela isiphithiphithi sakho futhi alawula ukugeleza kwesisu ebuthakathaka noma elimele. Cabanga ngalezi zinto njengenduku yokusekela egcina konke endaweni efanele - uma leso sikhuthazo sibuthakathaka, kungase kube khona ukuvuza.
Izinto eziningi zingase zifake isandla ekubuthakathekeni lokhu:
Ezimweni ezingavamile, ukungenisa kwesisu ngenxa yokucindezeleka kungase kuqale ngenxa yezimo ze-neurological ezithinta izibonakaliso zezinzwa eziya esiphthiphithini, noma ngenxa yemithi ethile ethonya ukusebenza kwemisipha. Iziphoso zokuzalwa ezithinta umzila wesisu zingase futhi ziholele ekungeniseni kwesisu ngenxa yokucindezeleka, nakuba lokhu kungavamile.
Ngezinye izikhathi izinto eziningi zisebenza ndawonye ukudala inkinga. Isibonelo, ungase ube nobuthakathaka obuncane bemisipha ovela ekubeletheni obuqala ukubonakala ngesikhathi se-menopause lapho ukushintsha kwamahomoni kuqhubeka nokuphazamisa amandla ezicubu.
Kufanele ucabange ukuya kudokotela wakho uma ukuvuza kwesisu kuchaphazela imisebenzi yakho yansuku zonke noma ikhwalithi yokuphila kwakho. Abantu abaningi banqikaza ukufuna usizo ngoba bazizwa behluleka, kodwa odokotela babona le simo njalo futhi bangakunikeza izixazululo ezisebenzayo.
Nazi izimpawu zokuthi sekufanele ulungiselele i-aphoyintimenti:
Kufanele ufune ukunakekelwa kwangaphambi kwesikhathi uma uthola ukungakwazi ukuzithiba okungazelelwe, okukhulu kanye nobuhlungu behlombe, umkhuhlane, noma ezinye izimpawu ezinkulu. Lokhu kungabonisa isimo esibucayi esingaphansi esidinga ukuhlolwa okusheshayo.
Khumbula ukuthi ukungakwazi ukuzithiba okubangelwa ukucindezeleka kuyisimo sezokwelapha, akuyona into okumele nje uhlale nayo. Ukwelashwa kwangaphambi kwesikhathi kuvame ukubangela imiphumela emihle, ngakho unganqikazi ukufuna usizo.
Ukuqonda imingcele yakho yokusabela kungakusiza ukuthi uthathe izinyathelo zokuvikela futhi wazi ukuthi nini kufanele uqaphele kakhulu ngezimpawu. Eminye imingcele yokusabela awukwazi ukuyishintsha, kuyilapho eminye ungase ukwazi ukuyithonya ngokukhetha indlela yokuphila.
Imikhawulo yokusabela evamile kakhulu ihlanganisa:
Izimbangela ezingavamile kodwa eziphawulekayo zihlanganisa izifo zezicubu ezihlanganisa izicubu, njenge-Ehlers-Danlos syndrome, engathinta amandla ezicubu ezisekelayo emzimbeni wakho wonke. Amanye amaphilisi, ikakhulukazi amanye amaphilisi egazini kanye nemiphumela yemisipha, angase futhi abe nomthelela ekubeni buthakathaka kwemisipha.
Ukuba nezimbangela akusho ukuthi uzophuka ngokuqinisekile isifo sokuphuma kwesisu. Abantu abaningi abanemibhangela eminingi abazange babe nezinkinga, kanti abanye abanemibhangela embalwa baye baphuka lesi simo.
Nakuba ukuphuma kwesisu ngokwako kungabi yingozi, kungabangela izinhlungu eziningi ezihlobene nempilo yakho yomzimba kanye nokuthula kwakho kwengqondo. Ukuqonda lezi zinkinga ezingase zenzeke kungakusiza ukuba ufune ukwelashwa ngokushesha.
Izinhlungu ezivamile kakhulu zihlanganisa:
Ezimweni ezingavamile, ukuphuma kwesisu okukhulu okungaphathwe kungase kube nomthelela ezinhlungwini ezinzima kakhulu. Lokhu kungase kuhlanganise izinkinga ezingapheli zokukhipha amanzi uma uhlala ugcina ukusetshenziswa kwamanzi, noma ukucindezeleka okukhulu okuthinta impilo yakho yonke nokhuseleko.
Abanye abantu bathuthukisa okuthiwa yi- "mixed incontinence," lapho i-stress incontinence ivela khona kanye ne-urge incontinence. Lo mhlanganiso ungaba nzima ukulawula futhi ungadinga izindlela zokwelapha ezihleliwe kakhulu.
Izindaba ezinhle ukuthi izinhlupheko eziningi zingavikeleka noma zibuyiswe ngokwelashwa okufanele. Ukungenelela kwasekuqaleni kuvame ukuvimbela lezi zinkinga ekuthuthukiseni endaweni yokuqala.
Nakuba ungakwazi ukuvimbela zonke izimo ze-stress incontinence, ikakhulukazi ezihlobene nobudala noma i-genetics, amasu amaningi e-lifestyle anganciphisa kakhulu ingozi yakho. Ukuvimbela kugxila ekugcineni imisipha eqinile yephevic floor nokuqeda izinto ezibekela umthwalo omkhulu esibindini sakho.
Nawa amasu okuvimbela asebenza kakhulu:
Ngesikhathi sokukhulelwa, ukusebenza nodokotela we-physical therapist oqeqeshwe empilweni yephevic kungakusiza ukulungiselela imisipha yakho ngesikhathi sokubeletha nokuphulukisa. Ukufunda amasu afanele okuphakamisa nokuqinisa i-core kuvikelekile iphevic floor yakho impilo yonke.
Kubantu abasemisebenzini engozi enkulu, ukusebenzisa amasu afanele omzimba lapho uthwala futhi uthatha ikhefu njalo kungasiza ekugwemeni ukuqina kwemisipha. Abanye abesifazane bayazuza ngokugqoka izingubo zangaphansi ezisekelayo ngesikhathi bemisebenzi yomzimba eqinile.
Ukuhlolwa kokungcola kokucindezela kuvame ukubandakanya ukuxoxa ngezimpawu zakho, ukuhlolwa komzimba, futhi ngezinye izikhathi ukuhlolwa okukhethekile. Udokotela wakho uzofuna ukuqonda ukuthi izimpawu zakho zenzeka nini nokuthi zenzeka kanjani ukuhlukanisa ukungcola kokucindezela ezinkingeni zebladder ezinye.
Inkqubo yokuhlola ivame ukubandakanya:
Kwezinye izimo, udokotela wakho angakuncoma ukuhlolwa okuengeziwe. Ukuhlolwa kokusala ngemuva kokukhishwa kuyilinganisa ukuthi mangaki amanzi asala e-bladder yakho ngemuva kokukhishwa. Ukuhlolwa kwe-Urodynamic kungahlola ukuthi i-bladder yakho ne-urethra igcina futhi ikhipha kanjani amanzi, nakuba lokhu kuvame ukugcinelwa izimo eziyinkimbinkimbi kakhulu.
Ngokwengxenye, ukuhlolwa kwezithombe njengoba i-ultrasound noma i-MRI kungase kudingeke uma udokotela wakho engabaza izinkinga zesakhiwo. I-Cystoscopy, lapho i-tube encane enenkhangeleka ihlola ngaphakathi kwe-bladder, ivame ukwenziwa kuphela uma ezinye izimo zithathwa njengokungabaza.
Umgomo wokuhlola awukona nje ukuphawula ukungcola kokucindezela, kodwa futhi ukuthola ubukhulu bawo nokususa ezinye izimo ezilawuleka. Lolu lwazi lusiza udokotela wakho ukuba ancome indlela yokwelapha efanele kakhulu isimo sakho esithile.
Ukuphathwa kokungabi namandla emithambo yomchamo ngokuvamile kuqala ngezindlela ezingathuthukisi, bese kuqhubeka nezindlela ezinzima uma kudingeka. Abantu abaningi babona ukuthuthuka okukhulu ngezindlela ezingelona ubuhlinzwa, futhi abaningi bathola impumuzo ephelele.
Izindlela zokuqala zifaka:
Uma izindlela ezingathuthukisi zingakuniki impumuzo eyanele, udokotela wakho angakuncoma amadivayisi ezokwelapha noma izinqubo. Ama-Pessaries yizinto ezikwazi ukususwa ezisekela umchamo futhi zingasebenza kakhulu kwabanye abantu. Ama-Urethral inserts yizinto ezincane ezisetshenziswa okwesikhashana ngesikhathi semisebenzi ethile.
Kukhona izinketho zokubuyisela eziyatholakala ezimweni ezinzima. Lezi zihlanganisa izinqubo ezingekho ngokweqile njengokuhlinzwa kwe-sling, okuhlinzeka ngokusekela i-urethra, kuya ekuhlinzweni okuyinkimbinkimbi okuhambisa umchamo. Ukuhlinzwa okuthile okucelwe kuncike esakhiweni sakho, ubukhulu bezimpawu, nempilo yakho yonke.
Ngokwengxenye, abanye abantu bangase bazuze ekwelapheni okuhlanganisiwe okufaka isikhala eduze kwe-urethra, noma ezindleleni ezintsha njengokukhuthaza imithambo ye-sacral. Lezi zinketho zivame ukucatshangelwa lapho ezinye izindlela zingaphumelelanga.
Uhlelo lwakho lokwelashwa luzokwenziwa ngokuvumelana nesimo sakho, izintandokazi, nendlela yokuphila. Abantu abaningi bathola ukuthi ukuhlanganisa izindlela eziningi kusebenza kangcono kunokuthembela endleleni eyodwa yokwelapha.
Ukulawula ekhaya kugxile ezindleleni ezisebenzayo zokunciphisa izimpawu nokuthuthukisa ukuzethemba kwakho emisebenzini yansuku zonke. Izindlela eziningi zalezi zisebenza kahle kanye nezinye izindlela zokwelapha futhi zingathuthukisa kakhulu ikhwalithi yokuphila kwakho.
Izindlela zokuphatha zansuku zonke zihlanganisa:
Ukulinganisela kokudla nendlela yokuphila kungasiza futhi. Ukunciphisa i-caffeine ne-alcohol kunganciphisa ukuvuvukala kwesisu kwabanye abantu. Ukugcina ukuhamba kwesisu okujwayelekile kuvimbela ukucindezela okwengeziwe esiswini ngenxa yokuboshwa.
Cabanga ukuqapha idayari yezimpawu ukuze ubone izimbangela zakho ezithile. Ungase uqaphele ukuthi imisebenzi ethile, ukudla, noma izikhathi zosuku zihambisana nokuchitha okuningi. Ulwazi lolu lungakusiza ukuthi uhlele kangcono futhi uxoxe ngezindlela zokuphatha nodokotela wakho.
Amaqembu wokusekela, noma ngokomuntu siqu noma ku-inthanethi, anganikeza iziphakamiso ezisebenzayo nokusekelwa ngokomzwelo kulabo abayaqonda lokho okubhekana nakho. Abantu abaningi bathola induduzo enkulu ekwazini ukuthi abayedwa kule simo.
Ukulungiselela kahle i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola ulwazi oluwusizo kakhulu nezincomo zokwelashwa. Udokotela wakho uzobonga ulwazi oluqondile mayelana nezimpawu zakho nokuthi zikuthinta kanjani ekuphileni kwakho.
Ngaphambi kwendwendwelo yakho, butha lolu lwazi lubalulekile:
Bhala phansi imibuzo ethile ofuna ukuyibuza. Lokhu kungafaka izinketho zokwelashwa, isikhathi esilindelekile sokuthuthuka, ukuguqulwa kwendlela yokuphila okungasiza, noma ukukhathazeka ngemisebenzi ethile noma izimo.
Cabanga ukuthi ulethe umngane othembekile noma ilungu lomndeni ukuze likusize, ikakhulukazi uma uzizwa ukhathazekile ngokuxoxa ngezimpawu zakho zomuntu siqu. Bangakusiza ukuba ukhumbule ulwazi olukhulu e-aphoyintimenti.
Ungagqoki noma usebenzisi imikhiqizo yokuhlanza i-feminine ngaphambi kokuhlolwa kwe-pelvic, njengoba lokhu kungaphambana nemiphumela yokuhlola. Gqoka izingubo ezanelisayo, ezilula ukuzisusa uma kuhlolwa.
I-Stress incontinence iyimo elivamile, eliphulukiswayo elisebenzisa izigidi zabantu, ikakhulukazi abesifazane. Into ebaluleke kakhulu okumele uyikhumbule ukuthi awudingi ukuyamukela njengengxenye engaphepheki yokuphila noma ukuguga.
Ukwelashwa okuphumelelayo kukhona, kusukela ekuzivocavoca okulula ongakwenza ekhaya kuya ezindleleni zokwelapha zezimo ezinzima kakhulu. Abantu abaningi babona ukuthuthuka okukhulu ngokwelashwa okuqondene, futhi abaningi bafinyelela ekuphumuleni okuphelele ezimpahleni zabo.
Uma uqala ukunakekela ukungcola okubangelwa ukucindezeleka, imiphumela yakho cishe iyoba ngcono. Ukwelashwa kwasekuqaleni kuvame ukuvimbela isimo ekubeni libi kakhulu futhi kukusiza ukugwema izinhlupheko zomzwelo kanye nomphakathi ezingathuthuka ngokuhamba kwesikhathi.
Khumbula ukuthi lokhu kuyisimo sezempilo esifanele ukunakekelwa ngochwepheshe, hhayi into okufanele uhlane ngayo. Abahlinzeki bezempilo banolwazi ekwelapheni ukungcola futhi bafuna ukukusiza uphinde uthole ukuzethemba nokuthula emisebenzini yakho yansuku zonke.
Ukungcola okubangelwa ukucindezeleka okuthambile ngezinye izikhathi kuphucuka ngaphandle kokwelashwa, ikakhulukazi uma kwathuthukiswa ngesikhathi sokukhulelwa futhi usasezikhathini zokutakula emva kokubeletha. Noma kunjalo, izimo eziningi azipheli ngokuphelele ngokwazo futhi zingabi zimbi ngokuhamba kwesikhathi ngaphandle kokungenelela. Ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle kunekulinda ukubona ukuthi izimpawu ziyathuthuka ngokwemvelo.
Yebo, uma kwenziwa kahle futhi njalo, ukuzivocavoca kwe-Kegel kungathuthukisa kakhulu noma kuqede izimpawu zokungcola okubangelwa ukucindezeleka kwabantu abaningi. Izifundo zibonisa ukuthi cishe amaphesenti angu-70 abesifazane babona ukuthuthuka ngokuzivocavoca okufanele kwe-pelvic floor. Ikhona ukufunda indlela efanele nokuqeqesha njalo izinyanga eziningi ukuze ubone izinzuzo ezigcwele.
Ukuhlinzwa kungaba yindlela ephumelelayo kakhulu ekwelapheni ukungcola okuqalwa yi-stress, ngezinga lokuphelela elikhulu phakathi kwama-80-90% emikhakheni eminingi. Noma kunjalo, akukho ukuhlinzwa okuqinisekisiwe ngama-100%, futhi abanye abantu bangase babuye babe nezimpawu ngokuhamba kwesikhathi. Uhlobo oluthile lokuhlinzwa, isakhiwo sakho somzimba, nokuhle kwezempilo kwakho konke kuwuthinta umphumela wokugcina.
Yebo, kuyinto evamile kakhulu ukuba nokungcola okuqalwa yi-stress ngesikhathi sokukhulelwa nangemva kokubeletha. Izicubu zakho ze-pelvic floor kanye nezicubu ezisekelayo zidinga isikhathi sokuphulukana nokudonsa nokucindezela kokukhulelwa nokubeletha. Abesifazane abaningi babona ukuthuthuka ezinyangeni ezilandela ukubeletha, ikakhulukazi ngokuqeqeshwa kwe-pelvic floor, kodwa abanye bangase badinge ukwelashwa okwengeziwe.
Nakuba kungavamile kakhulu kunabesifazane, amadoda angaba nokungcola okuqalwa yi-stress, ngokuvamile ngemva kokuhlinzwa kwe-prostate noma ukulimala kwendawo ye-pelvic. Izindlela zokwelapha zifana nalezo ezisetshenziswa kwabesifazane, kufaka phakathi ukuqeqeshwa kwe-pelvic floor, ukuguqulwa kwesitayela sokuphila, futhi ngezinye izikhathi izinqubo zokuhinzwa. Amadoda kufanele afune ukuhlolwa njengoba nje abesifazane kufanele benze uma behlangabezana nezimpawu.
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