Ukungazibambi komchamo ngezinombolo
Ukuvama kokungakwazi ukuchama komchamo
Ukuvama kokungakwazi ukuzithiba komchamo kulinganiselwa ku-5% kubantu abaningi1. Lokhu kubhebhetheka kuphezulu kakhulu kubantu abaneminyaka engaphezu kwengama-65: ama-49 kuye kwangama-77% abantu abalaliswe esibhedlela noma abahlala endaweni yezempilo nenhlalo bangathinteka yilesi sifo.2.
Lokhu kubhebhetheka kulindeleke ukuthi kukhule, njengoba inani labantu abaneminyaka engaphezu kwengama-65 lizokhula ngokuphawulekayo emashumini eminyaka ezayo. Ngakho-ke kubalulekile ukwenza konke okusemandleni ukukuvimbela, ukukubona kanye nokwelapha.
Izindleko zokunganqamuki komchamo
E-France, izindleko eziphelele zokungakwazi ukuzithiba komchamo zilinganiselwa ku-4,5 billion euros. Lezi zindleko zingaqhathaniswa nalezo zezimo ezifana ne-osteoarthritis noma inyumoniya3.
I-Stress incontinence yomchamo
EFrance, cishe 3 million abesifazane babo bonke ubudala bathintwa izinkinga zokungakwazi ukuzibamba umchamo.
1 kwabesifazane abangu-5 uphethwe yiukucindezeleka komchamo, enenani eliphakeme eliphakeme phakathi kweminyaka engama-55 nengama-60.
Cishe u-10% wabesifazane abasebasha abangenalutho (okungukuthi abangakaze babelethe) bayathinteka, kodwa lesi sibalo singakhuphuka sifinyelele ku-30% uma begijima kakhulu.4. Lezi zibalo cishe azibukelwa phansi ngoba ziyindaba engavumelekile: abesifazane bavame ukungabaza ukukhuluma ngayo nobelaphi babo, ikakhulukazi njengoba besebancane.5.
Ukuvama kokuvuza ngesikhathi sokuzivocavoca kwabesifazane abasubathi kuyahlukahluka phakathi kuka-0% wegalofu kanye no-80% we-trampoline. Ngakho-ke kuncike kakhulu Uhlobo lomsebenzi : Ukuzivocavoca umzimba okubangela ukweqa okuphindaphindiwe (i-trampoline, i-gymnastics, umdanso, ukugijima) engeza ingcindezi eyengeziwe ku-perineum engaphindaphindwa ngo-10.
Isinye esisebenza ngokweqile
Isinye esisebenza ngokweqile sibonakala ngokuchama njalo (phakathi kuka-7 no-20 izikhathi ngosuku nobusuku), okungase kuhambisane ukuvuza komchamo ngenxa yokufuna ukuchama.
Ukusabalala kwalesi simo kulinganiselwa ukuthi kukhona I-17% yabantu kodwa izophawulwa kakhulu ngemva kweminyaka yobudala engama-65. Isexwayiso: cishe amaphesenti angu-67 abantu abanesinye esisebenza ngokweqile ababi nakho ukungakwazi ukuzibamba umchamo (lokhu kubizwa ngokuthi esinyeni esomile esisebenza ngokweqile)6.
Ukukhulelwa nokungakwazi ukuchama
Cishe bayisi-6 kwabesifazane abayishumi abakhulelwe thola “izifiso ezicindezelayo” okunzima ukuzibambezela. Ku-1 kuya ku-2 ezimweni ezingu-10, lezi “zimo eziphuthumayo” zibangela nokuvuza komchamo7. kusukela kwe-2st i-trimester, 3 kuya ku-4 kwabesifazane abakhulelwe abayi-10 ube “nokucindezeleka” kokungakwazi ukuzithiba komchamo (okungukuthi, ukudlala imidlalo, ukuphakamisa umthwalo osindayo, noma ukuhleka nje)8...
Ukuze ulungise lokhu, qaphela lokho Izikhathi eziyisi-7 zabakhulelwe imizuzu engama-45, abantu ngabanye noma amaqembu, bakhokhelwa Umshuwalense Wezempilo.
Futhi ngemva kokuzalwa? Ezinsukwini ezilandela ukuzalwa komntwana, 12% yabesifazane ebelethe okokuqala ekhala ngokuvuza komchamo9.
Ukukhiqizwa komchamo kanye nokuchama
I-diuresis evamile, okungukuthi umthamo womchamo okhiqizwa izinso, ubhekwa njengehlanganisiwe phakathi kuka-0,8 no-1,5 L ngamahora angama-24. Ngenxa yamandla aso okunwebeka, esinyeni singaqukatha kufika ku-0,6 L ngokwesilinganiso.
Kusuka ku-0,3 L, noma kunjalo, isifiso sokuchama izizwa. Isinye singase siqhubeke sigcwale njenge udinga ukuchama kwenziwa kakhulu ukucindezela, kodwa i-continence ihlale iqinisekiswa ngokuzibandakanya ngokuzithandela. Isidingo singaba esiphuthumayo (cishe ama-400 ml) ngaleso sikhathi buhlungu (cishe 600 ml). Imvamisa evamile yokuchama yi izikhathi ezi-4 kuye kwezi-6 ngosuku.
I-Kegel Exercises
The sokuprakthiza by Kegel zihloselwe ukuqinisa i-perineum futhi zikhonjiswe ezimweni zokucindezeleka kokuphazamiseka komchamo. Kumele zenziwe njalo amasonto ambalwa ukuze zinikeze umphumela onenzuzo. U-40% kuya ku-75% wabesifazane abayisebenzisayo baphawula ukuthuthuka ekuziphatheni kwabo ukulawula umchamo emavikini alandelayo.
Ukungakwazi ukuzithiba komchamo, ukuhlukaniswa nokucindezeleka
Ucwaningo luveze ukuthi phakathi kwabesifazane aba-3 abaqashiwe abaneminyaka engu-364 kuya ku-18 abangakwazi ukuzithiba kakhulu, u-60% kwadingeka shintsha uhlobo lomsebenzi1 ngenxa yalobu kukhubazeka.
Abantu abangakwazi ukuzibamba bavame ukubhekana nokukhathazeka, okuhumushela kokuthile ukuzihlukanisa. Ngenxa yokwesaba iphunga elibi, ukuhlazeka esidlangalaleni uma kwenzeka ingozi, abantu abangakwazi ukuzibamba bavame ukuhlehla kubo.
Ngokocwaningo olwenziwa eCanada, u-15,5% wabesifazane abangakwazi ukuzithiba baphathwa yisifo umkhombe10. Leli zinga likhuphukela ku-30% kwabesifazane abaphakathi kweminyaka eyi-18 nengama-44 futhi liqhathaniswa nezinga lokudangala lika-9,2% kwabesifazane basezwenikazi i-Afrika.
I-Incontinence ezinganeni
Abazali bavame ukucabanga ukuthi izingane kufanele zihlanzeke ngaphambi kokungena esikoleni, okungukuthi lapho zineminyaka emi-3 ubudala, kodwa iqiniso lihluke kakhulu njengoba kukhula ukuzinza kokulawula isinye. kuze kube yiminyaka engu-5.
Ngakho-ke asikho isidingo sokukhathazeka uma ingane ingakwazi ukuzibamba ngaphambi kwale minyaka: uhlelo lwakhe lomchamo kungenzeka lungakavuthwa. Ngakho-ke ukungakwazi ukuzithiba komchamo angeke kuthinte izingane ezingaphansi kweminyaka emi-5 ubudala.
Ngakho, eminyakeni engu-3, 84% amantombazane kanye 53% abafana bathole inhlanzeko emini. Ngemva konyaka, lezi zibalo zifinyelela ku-98% no-88% ngokulandelana11.
Ngakolunye uhlangothi, ukungakwazi ukuzibamba komchamo ebusuku kungakhathaza I-10 kuya ku-20% yezingane ezineminyaka engu-5 ubudala. Isifo sibe sehla kancane kancane ngokuhamba kweminyaka ukuze sifinyelele ku-1% wezingane ezineminyaka engu-15.
Okubhekwayo 1. LOH KY, SIVALINGAM N. Ukungakwazi ukuchama kubantu asebekhulile. Iphephabhuku lezokwelapha laseMalaysia. [Buyekeza]. 2006 Okthoba; 61(4) : 506-10 ; umbuzo 11. 2. SAXER S, HALFENS, RJ, DE BIE, RA, DASSEN, T. Ukuvama kanye nezehlakalo zokungakwazi ukuzibamba umchamo kubahlali base-Switzerland abahlala emakhaya asebekhulile lapho bemukelwa nangemuva kwezinyanga eziyisithupha, eziyi-12 nezingu-24. Ijenali yobuhlengikazi bezempilo. 2008 Sep; 17(18) : 2490-6 3. I-DENIS P. I-Epidemiology kanye nemiphumela ye-medico-economic yokungakwazi ukuzithiba kwendunu kubantu abadala. i-e-memoir evela ku-National Academy of Surgery [serial on the Internet]. 2005; 4: Itholakala ku: http://www.biusante.parisdescartes.fr/acad-chirurgie/ememoires/005_2005_4_2_15x20.pdf. 4. K. Eliasson, A. Edner, E. Mattsson, Ukungakwazi ukuzibamba komchamo kwabesifazane abasebancane kakhulu futhi ikakhulukazi abangenalutho abanomlando wokuqeqeshwa kwe-trampoline okunethonya elivamile elihlelekile: izenzakalo kanye nezici eziyingozi, Int Urogynecol J Pelvic Floor Dysfunct, 19 (2008 ), amakhasi 687-696. 5. GW Lam, A. Foldspang, LB Elving, S. Mommsen, Isimo senhlalo, ukuzithiba komphakathi, nokubonwa kwenkinga okuhlobene nokungakwazi ukuzithiba komchamo wesifazane, u-Dan Med Bull, 39 (1992), amakhasi 565–570 6. UTubaro A. Ukuchaza isinye esisebenza ngokweqile: izifo ezithathelwanayo kanye nomthwalo wezifo. Urology. 2004; 64: 2. 7. Cutner A, Cardozo LD, Benness CJ. Ukuhlolwa kwezimpawu zomchamo ekuqaleni kokukhulelwa. Br J Obstet Gynaecol 1991; 98: 1283–6 8. C. Chaliha no-SL Stanton « Izinkinga ze-Urological ekukhulelweni » I-BJU International. I-athikili ishicilelwe okokuqala ku-inthanethi: 3 APR 2002 9. Chaliha C, Kalia V, Stanton SL, Monga A, Sultan AH. Ukubikezela kwangaphambi kokubeletha komchamo wangemva kokubeletha kanye nokungafinyeleli kwe-fecal. Obstet Gynecol 1999; 94: 689±94 10. Vigod SN, Stewart DE, Ukucindezeleka Okukhulu ekungakwazini komchamo kwabesifazane, I-Psychosomatics, 2006 11. U-Largo RH, uMolinari L, von Siebenthal K et al. Ingabe ushintsho olukhulu ekuqeqeshweni kwendlu yangasese luthinta ukukhula kwamathumbu nesinye? I-Dev Med Ingane Neurol. 1996 Dec; 38 (12): 1106–16 |