Chithandizo chimasiyanasiyana malinga ndi zomwe zimayambitsa komanso kuopsa kwakekusadziletsa kwamikodzo. Ngati ndi kotheka, ndithudi, matenda ochititsa incontinence ayenera kuchiritsidwa, kuphatikizapo kuchiza zizindikiro.

Food

Onani gawo la Kupewa kuti mudziwe zambiri za zakudya zomwe mungachepetse kapena kuzipewa.

Njira zamakhalidwe

Njira izi nthawi zambiri zimafunikira thandizo la a physiotherapist or physiotherapist kapena namwino. Ena amadziwika kwambiri ndi vuto la kusadziletsa.

Kegel Zochita

Mchitidwe wozindikirika uwu umawongolera kamvekedwe ka minofu pansi pa chiuno (perineum). Amayi ndi abambo amatha kugwiritsa ntchito kupsinjika kapena kulimbikitsa kusadziletsa.

The kubowola ziyenera kuchitika pafupipafupi kwa milungu ingapo kuti mupereke zotsatira zopindulitsa. 40% mpaka 75% ya amayi omwe amagwiritsa ntchito amawona kusintha kwawo ulamuliro kwamikodzo¹. Kwa amuna, mchitidwewu umagwiritsidwa ntchito makamaka akachotsa prostate (prostatectomy).

Mfundo. Polimbitsa minofu ya m'chiuno, masewera olimbitsa thupi a Kegel amathanso kusintha zosangalatsa zakugonana.

wachidwi

Biofeedback imatha kuthandiza amayi kumva ndikuwongolera kugundana kwawo kwa minofu ya m'chiuno bwino. Njira iyi imakupatsani mwayi wowonera pakompyuta kutsika ndi kupumula kwa minofu mukamachita masewera olimbitsa thupi a Kegel. Kuwoneka kumeneku, komwe kumachitika mothandizidwa ndi sensa yomwe imayikidwa mu nyini, kumabweretsa chidziwitso, m'njira yolondola kwambiri, mphamvu ya kugunda ndi nthawi yake.

Kukonzanso kwa chikhodzodzo

Izi zikhoza kuchitika m'njira zosiyanasiyana, malingana ndi mtundu wakusadziletsa kwamikodzo.

• Mmodzi akhoza kuchedwa pokodza. Poyamba, chilakolako chofuna kukodza chikamveka, timayesetsa kudikira mphindi 10 tisanadzipulumutse tokha. Nthawiyi imachulukitsidwa mpaka mphindi 20, cholinga chake ndikutsegula m'mimba mwa maola awiri (maola anayi kwambiri).
• Pankhani ya kusefukira kwa incontinence, munthu akhoza kuchita masewera olimbitsa thupi kukhetsa kawiri. Zimapangidwa ndi kukodza, ndikuyesanso mphindi zingapo pambuyo pake. Zimakuthandizani kuti muphunzire momwe mungachotsere bwino zanu chikhodzodzo pofuna kupewa kusefukira kwa mkodzo.
• Mmodzi akhoza khalani ndi dongosolo lokhazikika. Ndi za kupita kuchimbudzi pa nthawi zoikika, m’malo modikirira mpaka mutafuna kukodza. Cholinga chake ndikuchotsa pokodza kwa maola awiri, ndi maola anayi osapitirira. Mchitidwewu ndi wofunika kwambiri ndipo nthawi zambiri umakhala wothandiza kwa okalamba omwe ali ndi vuto loyenda.
• Kuti muchepetse chilakolako chofuna kukodza, mungathe seKhazikani mtima pansi kupuma pang'ono. Muthanso kusokoneza chidwi chanu mwa kukhala otanganidwa: powerenga, kuchita ma crosswords kapena kutsuka mbale, mwachitsanzo.

electrostimulation

Kukondoweza kwamagetsi, kapena kukondoweza kwamagetsi, kumaphatikizapo kulowetsa electrode mu nyini kapena kuthako kuti alimbikitse ndi kutulutsa minofu ya pansi pa chiuno. Mwa kuphatikiza njira iyi ndi biofeedback, titha kuwona kugunda kwa minofu pakompyuta. Izi ndiye zimakuthandizani kuti mumve bwino, motero muzitha kuwawongolera. Njirayi nthawi zambiri imasungidwa kwa anthu omwe njira zamakhalidwe sizigwira ntchito.

Mankhwala

Mankhwala ena amathandizira kuchepetsa kukomoka chikhodzodzo. Choncho ndi zothandiza ngatikusadziletsa kwachangu mkodzo : oxybutynin (Oxybutynin® ndi Ditropan®, mwachitsanzo), flavoxate (Urispas®) ndi tolterodine (Detrol®). Chimodzi mwa zotsatira zake ndi pakamwa pouma, zomwe zingayambitse odwala kumwa kwambiri. Pali njira zingapo zochepetsera. Kambiranani ndi dokotala wake.

Chithandizo chapafupi ndi esitirojeni zingathandize kuchepetsa zizindikiro za amayi ena panthawi ya kusintha kwa thupi. Estrogen imayikidwa kumaliseche ngati mazira (mwachitsanzo, Vagifem®), mphete (Estring®), kapena zonona. Mlingo wa mahomoni omwe amagwiritsidwa ntchito ndi ochepa kwambiri pankhani ya mazira ndi mphete. Amakhala okwera pang'ono ku zonona, zomwe nthawi zina zimafunikira progestin (monga Provera®) kuti achepetse kuopsa kokhudzana ndi chithandizo chamankhwala chanthawi yayitali. Kuti mudziwe zambiri, onani tsamba lathu la Menopause.

Mankhwala ena angagwiritsidwe ntchito pochiza matenda omwe amachititsa kuti mkodzo usatuluke, mwachitsanzo, maantibayotiki a matenda a mkodzo.

Zida zosiyanasiyana ndi zina

Zipangizo zakunja

-Mapaketi a Absorbent

- Matewera kwa akulu

- Zipangizo zotolera mkodzo (amuna)

- Zovala zamkati zoteteza

Zida zamkati

Nthawi zambiri amagwiritsidwa ntchito ngati njira yomaliza.

- Catheter. Ndi chubu chosinthika komanso chowonda kwambiri cholumikizidwa ndi thumba lakunja. Thumba limalowetsedwa mu mkodzo, zomwe zimalola mkodzo kudutsa m'thumba. Nthawi zina, odwala amatha kuphunzira kuyika ndi kuchotsa catheter (katatu kapena 3 pa tsiku), zomwe zimathetsa kufunika konyamula thumba nthawi zonse.

- Pessary. Adotolo amalowetsa mphete yolimba mu nyini kuti chikhodzodzo chisasunthike komanso kuti chisatsike. Ndizothandiza kwa amayi omwe ali ndi mphukira ya chikhodzodzo.

opaleshoni

Nthawi zambiri, opaleshoni ingafunike. Kwa amayi, nthawi zambiri amagwiritsidwa ntchito posamalira chikhodzodzo m'malo kapena kukweza pamene pakhala kutsika kwa chikhodzodzo, mwa kuthandizira kotchedwa cystopexie.

Akhozanso:

- opareshoni chotupa cha chikhodzodzo, uterine fibroid, urogenital fistula kapena chotupa cha prostate;

- khazikitsani chipangizo choyimitsa khosi la chikhodzodzo ndi chikhodzodzo mwa akazi;

- kukhazikitsa sphincter ya mkodzo (makamaka mwa amuna);

- kukhazikitsa chipangizo chomwe chimayambitsa mitsempha ya sacral (mitsempha yomwe ili kumbuyo kwa sacrum).