Ukwelashwa kuyahlukahluka kuye ngokuthi imbangela nobunzima be-ukungabambeki komchamo. Uma kunesidingo, impela, kufanele kulashwe lesi sifo esidala ukungasebenzi kahle, ngaphezu kokwelapha izimpawu.

Ukudla

Bheka isigaba se-Prevention ukuthola eminye imininingwane ngokudla okumele unciphise noma ukugweme.

Izindlela zokuziphatha

Lezi zindlela ngokuvamile zidinga ukuxhaswa kwefayela le- physiotherapist or physiotherapist noma umhlengikazi. Abanye bagxile ezinkingeni zokungalawuleki.

I-Kegel Exercises

Lo mkhuba owaziwayo uthuthukisa ithoni yemisipha i-pelvic floor (i-perineum). Bobabili abesifazane nabesilisa bangayisebenzisela ukucindezeleka noma bakhuthaze ukungazibambi.

The sokuprakthiza kufanele kwenziwe njalo amasonto amaningana ukunikeza imiphumela ezuzisayo. Ama-40% kuya kuma-75% abesifazane abawusebenzisayo baqaphela ukuthuthuka kwabo isilawuli umchamo¹. Endabeni yamadoda, lo mkhuba usetshenziswa kakhulu ngemuva kokukhishwa kwe-prostate (prostatectomy).

Amanothi. Ngokuqinisa imisipha ye-pelvic, izivivinyo zeKegel nazo zingathuthukisa ubumnandi bezocansi.

i-biofeedback

I-Biofeedback ingasiza abesifazane ukuthi bazizwe futhi balawule kangcono imisipha yabo yomgogodla we-pelvic. Le ndlela ikuvumela ukuba ubone ngeso lengqondo esikrinini sekhompyutheni ukusikwa nokuphumula kwemisipha ngesikhathi sokuzivocavoca kweKegel. Lokhu kuboniswa, okwenziwa ngosizo lwenzwa ebekwe esithweni sangasese sowesifazane, kuletha ukwazi, ngendlela eqonde ngqo, ukuqina kwesivumelwano nobude besikhathi saso.

Ukuvuselelwa kwesinye

Lokhu kungenziwa ngezindlela ezahlukahlukene, kuya ngohlobo lweukungabambeki komchamo.

• Umuntu angakwazi ukubambezela ukuchama. Ekuqaleni, lapho kutholakala isifiso sokuchama, sizama ukulinda imizuzu eyi-10 ngaphambi kokuzikhulula. Lesi sikhathi siyakhuphukela emizuzwini engama-20, inhloso kube wukuchama isikhala okungenani ngamahora ama-2 (amahora ama-4 kakhulu).
• Uma kwenzeka ukungavumelani okuchichimayo, umuntu angazijwayeza ukuzivocavoca kwe- ukukhipha kabili. Kuqukethe ukuchama, bese uzama futhi emaminithini ambalwa kamuva. Ikuvumela ukuthi ufunde ukuthi ungayikhipha kanjani kangcono i- esinyeni ukuze ugweme ukuchichima komchamo.
• Umuntu angakwazi zamukele uhlelo oluhleliwe. Imayelana nokuya endlini yangasese ngezikhathi ezibekiwe, kunokulinda uze ufune ukuchama. Umgomo ukubeka isikhala ukuchama okungenani amahora amabili, namahora amane okungenani. Lo mkhuba ubaluleke kakhulu futhi uvame ukusebenza kubantu asebekhulile abanezinkinga zokuhamba.
• Ukulawula isifiso sokuchama, unga seNethezeka ukudonsa umoya kancane. Ungaphazamisa ukunaka kwakho ngokuhlala umatasa: ngokufunda, ukwenza amagama aphambiwe noma ukugeza izitsha, isibonelo.

i-electrostimulation

Ukugqugquzela ugesi, noma ukugqugquzela ugesi, kubandakanya ukufaka i-electrode esithweni sangasese noma endunu ukuze kuvuselele futhi kukhulume imisipha yaphansi ye-pelvic. Ngokuhlanganisa le ndlela ne-biofeedback, singabona ngeso lengqondo ukuphambana kwemisipha esikrinini sekhompyutha. Lokhu-ke kukuvumela ukuthi uzizwe kangcono, ngakho-ke ukuwalawula. Le ndlela ivame ukubekelwa abantu okungezona izindlela zabo zokuziphatha ezingasebenzi.

Imithi

Eminye imishanguzo isiza ekwehliseni ukufinyela kwe- esinyeni. Ngakho-ke ziwusizo uma kwenzekaukuphuthuma ukungasebenzi komchamo : i-oxybutynin (i-Oxybutynin® ne-Ditropan®, ngokwesibonelo), i-flavoxate (i-Urispas®) ne-tolterodine (i-Detrol®). Enye yemiphumela yabo emibi ngumlomo owomile, ongadala ukuthi iziguli ziphuze kakhulu. Kunezindlela ezahlukahlukene zokuzinciphisa. Baxoxe nodokotela wakhe.

Ukwelashwa kwasendaweni nge estrogen kungasiza ukunciphisa izimpawu zabanye besifazane ngesikhathi se- menopause. I-Estrogen isetshenziswa esithweni sangasese sesimo samaqanda (isb., IVagifem®), izindandatho (i-Estring®), noma ukhilimu. Imithamo yamahomoni asetshenzisiwe mancane kakhulu endabeni yamaqanda nezindandatho. Ziphezulu kancane kokhilimu, kwesinye isikhathi ezidinga i-progestin (isb. Provera®) ukunciphisa ubungozi obuhambisana nokwelashwa kwama-hormone kwesikhathi eside. Ngeminye imininingwane, bheka ishidi lethu lokunqamuka kokuya esikhathini.

Eminye imishanguzo ingasetshenziswa ukwelapha lesi sifo esidala ukungasebenzi komchamo, ngokwesibonelo, ama-antibiotic wokutheleleka ngomgudu womchamo.

Amadivayisi nezinto ezahlukahlukene

Amadivayisi angaphandle

- Amaphedi wokumunca

- Amanabukeni abadala

- Amadivayisi wokuqoqa umchamo (amadoda)

- Izimpahla zangaphansi ezivikelayo

Amadivayisi angaphakathi

Zivame ukusetshenziswa njengecebo lokugcina.

- Ipayipi. Ithubhu eguquguqukayo futhi ezacile kakhulu exhunywe esikhwameni sangaphandle. Ishubhu lifakwa ku-urethra, evumela ukuthi umchamo udlule esikhwameni. Kwezinye izimo, iziguli zingafunda ukufaka nokususa i-catheter (kathathu noma kane ngosuku), okuqeda isidingo sokuphatha isikhwama ngaso sonke isikhathi.

- Pessary. Udokotela ufaka iringi eqinile esithweni sangasese ukuze abambe isinye endaweni futhi asivimbele sehle. Kuwusizo kwabesifazane abanokwehla kwesinye.

ukuhlinzwa

Ezimweni eziningi, ukuhlinzwa kungadingeka. Kwabesifazane, kuvame ukusetshenziselwa ukunakekela i- esinyeni endaweni noma ukuyiphakamisa lapho kuye kwehla isinye, ngokungenelela okubizwayo i-cystopexie.

Futhi:

- sebenzisa isimila sesinye, i-uterine fibroid, i-urogenital fistula noma isimila se-prostate;

- setha idivaysi yokumisa intamo yesinye nesinye kwabesifazane;

- faka i-sphincter yokufakelwa komchamo (ikakhulukazi emadodeni);

- faka idivayisi evusa imizwa ye-sacral (inzwa etholakala ngemuva kwe-sacrum).