Nkhani yolembedwa ndi Dr Henry, mnzake wa Sphere Health

Mitundu yosiyanasiyana ya incontinence ya amuna

Ngati amuna ndi ocheperapo kusiyana ndi akazi omwe amavutika ndi kusadziletsa, ndi chifukwa cha thupi lawo. Amuna amakhala ndi mkodzo wautali, gawo loyambirira lomwe limazunguliridwa ndi prostate gland. Mwamunayo amapindulanso ndi sphincter yowonongeka komanso yamphamvu yomwe imakhudzana ndi gawo lapansi la mkodzo, zomwe zimachepetsa kuopsa kwa kusadziletsa. Kuonjezera apo, amuna samavutika ndi kuwonongeka kwa perineum chifukwa cha mimba.

Pali mitundu yosiyanasiyana ya mkodzo mwa amuna. Matenda aliwonse amadziwika ndi zizindikiro zenizeni.

Kusefukira kwa incontinence

Ndiwo mtundu wofala kwambiri wa kusadziletsa kwa amuna. Kusadziletsa kumeneku kumakhala kwachiwiri ndi kutsekeka kosatha kwa chikhodzodzo. Chikhodzodzo chidzavutika kutulutsa, chimatuluka ndikukhala chodzaza nthawi zonse. Mphamvu ya chikhodzodzo ikadutsa, kutuluka kwa mkodzo kumawonekera popanda wodwalayo kulamulira chodabwitsa. Kusadziletsa kumeneku kumachitika nthawi zambiri chifukwa cha kutsekeka kwa prostatic hyperplasia (adenoma) ya prostate. Kukula kwachilendo kwa prostate gland kungayambitse kukanikiza kwa mkodzo, ndipo motero kumayambitsa vuto ndi kutulutsa kwa chikhodzodzo, chomwe chimayamba kusungunuka ndikukhalabe chodzaza.

Kupsinjika maganizo 

Zimayambitsa kutulutsa kwadzidzidzi kwa mkodzo panthawi yolimbitsa thupi. Zitha kuchitika pamene wodwala akuseka, akutsokomola, akuthamanga, akuyenda, akuyetsemula kapena kuchita khama lina lililonse lomwe limapempha minofu ya m'mimba. Ndilofala kwambiri mwa amayi, koma limakhudzanso amuna.

Kwa amuna, kusadziletsa kupsinjika kumakhala kwachiwiri kwa opareshoni (nthawi zambiri kuchotsedwa kwathunthu kwa prostate pambuyo pa khansa: prostatectomy yayikulu).

Panthawi ya opaleshoni, minofu yomwe imayang'anira kukhazikika: striated sphincter imatha kuwonongeka. Ndiye sangathenso kukhala ndi mkodzo mu chikhodzodzo pa kukwera kwa m`mimba kuthamanga kukuchitika pa khama ndi mkodzo kutayikira kuonekera.

Incontinence ndi "mwachangu"

Amatchedwanso kulimbikitsa incontinence kapena chifukwa cha kusakhazikika kwa chikhodzodzo kapena kufulumira kukodza ndipo zimachitika pamene wodwala akumva kufunikira kofulumira kukodza popanda kuvutika ndi kutuluka. Apa, chilakolako chokodza chimakhala chofulumira komanso chosasunthika, ngakhale chikhodzodzo sichimadzaza. Zochitika zina zatsiku ndi tsiku kapena zochitika zatsiku ndi tsiku zingayambitse kusadziletsa kwamtunduwu, monga makiyi pa loko kapena kupita kwa manja pansi pa madzi ozizira.

Zomwe zimayambitsa kusadziletsa kwamtunduwu ndi matenda onse omwe angayambitse kutupa kwa chikhodzodzo ndipo chifukwa chake kukomoka kosadziwika:

• The matenda a mkodzo kapena prostatitis : izi ndizofala kwambiri. Kusadziletsa kumakhala kwakanthawi ndipo kumatha msanga ndi chithandizo choyenera cha maantibayotiki.
• THEadenoma wa prostate atha kukhalanso ndi udindo wothamangitsa incontinence. Pa chitukuko cha prostate adenoma ena minyewa ulusi adzakhala ndi kungachititse involuntary contractions wa chikhodzodzo.
• The zotupa zotupa za chikhodzodzo kapena ma polyps a chikhodzodzo omwe amafunikira chisamaliro chapadera.
• ena matenda amitsempha (multiple sclerosis, parkinson's disease) angayambitse chikhodzodzo mopitirira muyeso ndi kutuluka mwadzidzidzi.

Kusadziletsa kosakanikirana

Zimakhudza 10% mpaka 30% ya odwala, kuphatikiza zizindikiro za kusadziletsa kupsinjika ndikulimbikitsa kusadziletsa. N'zotheka kuti imodzi mwa mitundu iwiri ya kusadziletsa ndiyo yaikulu kwambiri ndipo imayenera kuchitidwa ngati chinthu chofunika kwambiri. Ndi dokotala yemwe pakukambirana adzasankha chithandizo choyenera kwambiri.

Kusagwira ntchito

Zimakhudza kwambiri okalamba. Zimachitika pamene chifukwa chake sichikugwirizana ndi ntchito ya chikhodzodzo. Wodwala sangathe kudziletsa popanda chikhalidwe cha chikhodzodzo chake kukhala chifukwa.

Odwala ena ali ndi vuto la minyewa ndipo nthawi zina amakhala ndi vuto la kusadziletsa. Ichi ndi neurogenic incontinence. Pachifukwa ichi, vutoli silimachokera ku kukanika kwa thupi monga momwe tingaganizire pa nkhani ya kupsinjika maganizo, koma chifukwa cha kusokonezeka kwa dongosolo lamanjenje monga matenda a Alzheimer's mwachitsanzo.

Choncho amuna satetezedwa ku vuto la mkodzo ngakhale kuti sakhudzidwa kwambiri ndi amayi. Ndikofunikira kuti muzitha kuyankhula za izo popanda taboos kwa dokotala mwamsanga. Malinga ndi zomwe zimayambitsa komanso mtundu wa kusadziletsa komwe kumadziwika, pali mankhwala ambiri oyenera komanso chisamaliro. Katswiri wa zachipatala akhoza kulangiza kukonzanso, kulandira mankhwala osokoneza bongo kapena ngakhale opaleshoni. Pakuti mankhwala mankhwala, wodwala ndi mochulukirachulukira chikhodzodzo kutumikiridwa anticholinergic mankhwala, mwachitsanzo, amene akhoza pamodzi ndi m`chiuno ndi m`mimba kukonzanso.

Sitiyenera kuiwala kuti kukanika kulikonse pamlingo wa mkodzo kungayambitse kuwonongeka, makamaka pamlingo wa impso, choncho kufunikira kochita kafukufuku wambiri. Kusadziletsa kwa mkodzo sikuyenera kulepheretsa munthu amene wakhudzidwa ndi izi chifukwa pali njira zothetsera vutoli (kukonzanso mwachitsanzo ngati pali vuto la kupsinjika maganizo ndi chithandizo chamankhwala kapena opaleshoni). Kuti muchite izi sitepe imodzi yokha, lankhulani ndi dokotala wanu kapena katswiri.