I-athikili ebhalwe nguDkt Henry, umlingani weSphere Health

Izinhlobo ezahlukene zokungakwazi ukuzibamba kwabesilisa

Uma amadoda emancane amathuba okuba abe yizisulu zokungakwazi ukuzithiba kunabesifazane, kungenxa yokwakheka kwawo komzimba. Amadoda ane-urethra ende, ingxenye yawo yokuqala ezungezwe i-prostate gland. Indoda iphinde izuze ku-sphincter ene-striated futhi enamandla ethinta ingxenye engezansi ye-urethra, enciphisa izingozi zokungakwazi ukuzithiba. Ngaphezu kwalokho, amadoda awahlushwa ukuwohloka kwe-perineum okubangelwa ukukhulelwa.

Kunezinhlobo ezahlukene zokungakwazi ukuzibamba umchamo emadodeni. Isifo ngasinye sibonakala ngezimpawu eziqondile kakhulu.

Ukungakwazi ukuzithiba okuchichimayo

Iwuhlobo olujwayeleke kakhulu lokungakwazi ukuzibamba emadodeni. Lokhu kungakwazi ukuzibamba kungokwesibili ekuvinjweni okungapheli kwesinye. Isinye sizobe sesiba nobunzima bokuphuma, sizohlakazeka futhi sihlale sigcwele ngaso sonke isikhathi. Lapho umthamo wesinye udlula, ukuvuza komchamo kuzovela ngaphandle kokuba isiguli sikwazi ukulawula lesi simo. Lokhu kungakwazi ukuzibamba ngokuvamile kubangelwa ukuvinjelwa yi-benign prostatic hyperplasia (adenoma) ye-prostate. Ukuthuthukiswa okungavamile kwe-prostate gland kungabangela ukucindezelwa kwe-urethra, futhi ngaleyo ndlela kubangele inkinga ngokukhishwa kwesinye, esizovame ukuhlakazeka futhi sihlale sigcwele.

I-Stress incontinence 

Kubangela ukuphuma komchamo kungazelelwe ngesikhathi sokuzikhandla ngokomzimba. Kungenzeka lapho isiguli sihleka, sikhwehlela, sigijima, sihamba, sithimula noma senza noma yimuphi omunye umzamo ocela imisipha yesisu. Kuvame kakhulu kwabesifazane, kodwa futhi kungathinta amadoda.

Kwabesilisa, ukungakwazi ukuzithiba ekucindezelekeni cishe kuyingxenye yokuhlinzwa (imvamisa ukususwa okuphelele kwendlala yesinye kulandela umdlavuza: i-radical prostatectomy).

Ngesikhathi sokuhlinzwa, umsipha obhekene ne-continence: i-striated sphincter ingalimala. Khona-ke ayisakwazi ukuqukatha umchamo esinyeni ngesikhathi sokukhuphuka komfutho wesisu okwenzeka ngesikhathi sokuzikhandla nokuvuza komchamo.

I-Incontinence "ngokuphuthuma"

Kubizwa nangokuthi khuthaza incontinence noma ngokuntengantenga kwesinye noma ukuphuthuma kokuchama futhi kwenzeka lapho isiguli sizwa isidingo esiphuthumayo sokuchama ngaphandle kokuhlushwa ukuvuza. Lapha, isifiso sokuchama siyaphuthuma futhi asinqandeki, ngisho noma isinye singagcwele. Imicimbi ethile yansuku zonke noma izimo zingaholela kulolu hlobo lokungazithinti, njengokhiye okhiyekayo noma ukudlula kwezandla ngaphansi kwamanzi abandayo.

Izimbangela zalolu hlobo lwe-incontinence yizo zonke izifo ezingadala ukuvuvukala kwesinye futhi ngenxa yalokho ukufinyela okuzenzakalelayo:

• The izifo ze-urinary tract noma i-prostatitis : lezi ezivame kakhulu. I-incontinence iba yisikhashana futhi izoshabalala ngokushesha ngokwelashwa okufanele ngama-antibiotic.
• THEi-adenoma wendlala yesinye kungase futhi kube nesibopho sokuphuthuma incontinence. Ngesikhathi sokukhula kwe-prostate adenoma kuzovela imicu ethile yezinzwa futhi ingase ibangele ukufinyela kwesinye ngokuzenzakalelayo.
• The izilonda zesimila esinyeni noma ama-polyps esinyeni adinga ukuphathwa okuthile.
• Abanye izifo zemizwa (i-multiple sclerosis, isifo sika-parkinson) singabangela isinye ukusebenza ngokweqile kanye nokuvuza okuphuthumayo.

I-Incontinence ehlanganisiwe

Ithinta cishe i-10% kuya ku-30% yeziguli, ihlanganisa izimpawu zokungakwazi ukuzithiba kwengcindezi kanye nokugqugquzela ukungakwazi ukuzithiba. Kungenzeka ukuthi eyodwa yalezi zindlela ezimbili zokungazithinti ibusa kakhulu futhi ifanele ukuthathwa njengento ebaluleke kakhulu. Ngudokotela othi ngesikhathi sokubonisana uzonquma ukwelashwa okufanele kakhulu.

Ukungakwazi ukuzithiba okusebenzayo

Ithinta kakhulu abantu asebekhulile. Kwenzeka lapho imbangela ingahlangene nokusebenza kwesinye. Isiguli asikwazi ukuzibamba ngaphandle kokuthi isimo sesinye sakhe kube yimbangela.

Ezinye iziguli zinezinkinga zemizwa futhi kwezinye izimo zingase zibe nokungakwazi ukuzithiba. Lokhu ukungazinzi kwe-neurogenic. Kulokhu, inkinga ayiveli ekungasebenzi kahle ngokomzimba njengoba singacabanga endabeni yokungalawuleki kokucindezeleka, kodwa ngenxa yokungasebenzi kahle kwesimiso sezinzwa njengesifo i-Alzheimer's ngokwesibonelo.

Ngakho-ke amadoda awavikelekile ekungakwazini ukuchama nakuba engathinteki kangako kunabesifazane. Kubalulekile ukuthi ukwazi ukukhuluma ngakho ngaphandle kwama-taboos kudokotela wakho ngokushesha ngangokunokwenzeka. Kuye ngezimbangela kanye nohlobo lokungakwazi ukuzithiba okuhlonziwe, kunezindlela eziningi zokwelapha nokunakekelwa okufanele. Uchwepheshe wezokunakekelwa kwempilo angancoma ukuhlunyeleliswa, ukwelashwa ngezidakamizwa noma ngisho nokuhlinzwa. Ukuze uthole ukwelashwa kwezidakamizwa, isiguli esinesinye esisebenza ngokweqile sizonikezwa izidakamizwa ze-anticholinergic, isibonelo, ezingahlanganiswa nokuvuselelwa kwe-pelvic kanye ne-perineal.

Akufanele kukhohlwe ukuthi noma yikuphi ukungasebenzi kahle ezingeni le-urinary system kungaholela ekuwohlokeni, ikakhulukazi ezingeni lezinso, ngakho-ke isidingo sokwenza ukuhlolwa okujwayelekile. Ukungakwazi ukuzithiba komchamo akufanele kukhubaze umuntu othintekile yikho njengoba kunezixazululo (ukubuyisela esimweni ngokwesibonelo esimweni sokungakwazi ukuzithiba kwengcindezi kanye nokwelashwa okusebenzayo noma okuhlinzayo). Ukuze wenze lokhu isinyathelo esisodwa kuphela, khuluma nodokotela wakho noma uchwepheshe.