Kuchokera kumayambiriro a nkhaniyi, mwaphunzira kale za zomwe zingayambitse, mitundu ndi kuganizira za kukopa kwa ubongo kwa amayi. Tsopano tikambirana momwe njira zothandizira anthu kuti asamakhale ndi vuto lakumaliseche kwa amayi, momwe angachitire matendawa panyumba komanso maphunziro ena omwe ayenera kuchitidwa.
Kuyeza kwa Urodynamic
Kufufuzira za chikhalidwe ichi sikofunika kwambiri kwa wodwala yekha, koma ku bungwe la zamankhwala palokha. Choncho, matendawa ndi operewera ngati opaleshoni imafunika opaleshoni kapena ngati mankhwala osamalitsa samapereka zotsatira kuti afotokoze zomwe zimayambitsa matendawa.
Kuyeza kwa Urodynamic kumapereka mpata wopezera zonse zomwe zilipo za momwe chikhodzodzo cha mkazi chimagwirira ntchito. Njira imeneyi ya kugwiritsira ntchito imagwiritsidwa ntchito pokhapokha ngati mayesero onse oyambirira asayankhe mafunso a dokotala, ndiye kuti chifukwa cha kukhetsa mkodzo sichinatsimikizidwe, ndipo ngati dokotala akuganiza kuti wodwalayo akusokoneza kusuta. Mayesero omwe angaphatikizidwe mu phunziro la chilengedwe, nthawizina amasintha. Dokotala akhoza kukutumizirani njira zoterezi:
Cystometrography (cystometry, uroflowmetry) ndi mayesero angapo kuti azindikire kupanikizika kwa chikhodzodzo pa madigiri osiyana ake. Ndi cystometry, mukhoza kupeza zotsatirazi:
- mphamvu yowonjezereka ya urethra, yomwe imasonyeza kupanikizika koyenera kwa kutsekedwa kwathunthu kwa chiwalo cha urethral;
- kupweteka, komwe kumatsimikizira kuchuluka kwa minofu ya sphincter, pamene n'zotheka kusunga mkodzo.
Kufufuza kwa ultrasound kapena X-ray, kumene kusungunuka kwa madzi m'thupi mwa chikhodzodzo kumatsimikiziridwa pambuyo pa kuyambira kwa ubongo. Njira zoterezi zimapangitsa kuti muzindikire kuti mimba ndi chikhodzodzo zimakhala zotani, kukakokera ndi kukodza.
Ngati mwa njira zonse zomwe takambirana kale, sizingatheke kuti tipeze chifukwa choyendetsa mkodzo mwazimayi, ndipo mayesero ochulukirapo amagwiritsidwa ntchito. Maphunziro, omwe tidzakambirane nawo, amagwiritsa ntchito odwala ena okhaokha omwe alibe vutoli.
Cystoscopy ndi kugwiritsira ntchito endoscope yopyapyala kuti aphunzire zipangizo za chikhodzodzo ndi urethra.
Cystourethrogram ndi njira ya X-ray yomwe imagwiritsidwa ntchito ndi chikhodzodzo chopanda kanthu chomwe chimakhala ndi ayodini kuti mupeze chithunzi cha makoma apakati a urethra ndi chikhodzodzo. Ndi kuyesedwa uku, mungathe kudziŵa zofooka zonse za m'munsi mwa urinary system, zomwe zimagwirizanitsidwa ndi ubwino wosakaniza mkazi.
Kodi kusakhulupirika kumachitidwa bwanji ndi akazi?
Pali njira zingapo zothandizira matendawa. Mankhwala abwino amamenyana ndi chifukwa cha kugwidwa kwa mkodzo, osaganizira za thanzi la wodwalayo.
Zinthu zofunika pa chithandizo
- Kwenikweni, kuyamwa kosakaniza kumatha kuyang'aniridwa kapena kuchiritsidwa.
- Azimayi ambiri omwe amadziona kuti ndi osadzimva amayamba kukhala osangalala pambuyo pa kusintha kwa moyo wawo, kuyang'ana ndondomeko ya kutuluka, pogwiritsa ntchito zipangizo monga pessaries, kuchita machitachita a Kegel. Ngati palibe kusintha kwa mankhwala, amayamba kuchita opaleshoni.
- Ngati incontinence imachitika chifukwa cha chilakolako chosalephereka, ndiye kuti muyeneranso kuphunzitsa chikhodzodzo chanu kotero kuti chimagwira ntchito. Mankhwalawa angathe kuthandizira, ngakhale kuti pali zotsatira zina zosayenera.
Sinthani kalembedwe ka moyo wa zochitikazo
Kusuntha kwa Kegel kungathandize amayi onse kuti asatengeke, mosasamala kanthu za mtundu wa matenda. Zochita zoterezi zimathandiza kulimbitsa mitsempha ya m'mimba, zomwe zimathandiza kuti mkodzo utuluke, ndizofunika kwambiri kuchita masewero olimbitsa thupi ndi kusadziletsa. Ndikofunika kuti musamayende mobwerezabwereza kuti zotsatira zisakuyembekezereni.
Zochita za Kegel zingathe kuphatikizapo njira zowonongeka za biofeedback kuti mutsimikizire kuti wodwalayo amaphunzitsa minofu yomwe mukusowa. Mukhoza kuilamulira: chala cha dzanja chiyenera kulowetsedwa mukazi kuti mphamvu ya mitsempha ya m'mimba imveke. Pofuna kupewa kutsekemera kwa umuna pamene mukutsokomola kapena kupopera, muyenera kumangoyenda nthawi yomweyo. Mukhozanso kudutsa miyendo yanu.
Mwinamwake muyenera kuchotsa mapaundi owonjezera kuti mupirire kusadziletsa.
Mungayesetse kusintha moyo wanu mwa kusadziletsa. Yesetsani kupeza zakudya zomwe zimapweteka chikhodzodzo osati kuzidya, monga chokoleti, zonunkhira, viniga, zipatso, mkaka, tomato. Yesetsani kumwa zakumwa za khofi ndi mowa.
Pali mitundu itatu ya zizolowezi zothandizira kuti munthu asamangidwe kansalu: kukakamiza kukodza, kuphunzitsa chikhodzodzo ndi kugwedeza pogram.
Zida zamankhwala
Pessary ndi chipangizo cha raba chimene chimalowetsedwa m'kati mwa chiberekero kupita kuchibelekero kuti apange zovuta zowonjezera ndikuthandizira urethra kudzera mu khoma lamtundu. Komanso, chida choterechi chimalola kuti urethra ukhalebe wotsekedwa, ndi madzi m'chikhodzodzo. Pessary ndi ofunika kwambiri chifukwa chosadziletsa. Amayi ambiri amagwiritsa ntchito mwakhama pamagwira ntchito, mwachitsanzo, pamene akukwera. Zambiri za pessaries zingagwiritsidwe ntchito nthawi zonse. Komabe, mukamagwiritsa ntchito njirayi, chisamaliro chiyenera kutengedwa m'thupi lanu la matenda opatsirana pogonana. Ndikofunikira nthawi zonse kuti afufuzidwe ndi dokotala yemwe akupezekapo.
Chithandizo cha opaleshoni
Pali mitundu yambiri ya opaleshoni yomwe imathandiza kuti amayi asamadzidwalitse, zomwe zimakhudzana ndi minofu yofooka. Kwa ntchito zonse, pali cholinga chimodzi - kubweretsa ziwalo za urinary dongosolo kuti likhale lachikhalidwe. Pambuyo pake, kunyoza, kuseka ndi chifuwa sizimayambitsa kukwera kwa ubongo.
Mukalimbikitsanso kusadziletsa kumayambitsa kusokonezeka kwa sacral nervous system, ngati njira zina sizibweretsa zotsatira.
Musanayambe opaleshoni, muyenera kuika chithandizochi mwachindunji, kudutsa mankhwala ena ndikumvetsetsa bwino ubwino wochita opaleshoni.
Kodi mungadziteteze bwanji kuti musamangidwe?
Pochepetsa kuchepetsa matendawa:
- kukhala ndi thupi lolemera;
- musasute, chifukwa cha izi, akazi akufufuzira, ndipo izi zimapangitsa kuti munthu asatengeke;
- Phunzitsani nthawi zonse minofu ya pansi.
Kodi mungatani kuti musamangokhala nokha pakhomo?
Ngati muli ndi ubwino wosuta, ndiye kuti mukhoza kuyamba kulimbana ndi matendawa.
- Pangani ndondomeko ya kukodza ndi nthawi ya 4 kapena 2, zonse zimadalira zosowa zanu.
- Pitani ku ofesi ya dokotala ndikumuuza za mankhwala omwe mumatenga. Mankhwala ena amangoonjezera kusadziletsa.
- Sungani zolemba komwe mungalembetse zizindikiro zonse ndi mawonetseredwe a matenda, mkhalidwe ndi zochitika zomwe mumakhala mkodzo. Kotero dokotala adziŵa bwino zomwe mukukumana nazo ndipo adzakuthandizani mofulumira.
- Ngati vutoli limabwera ndi maulendo oyendetsa panthawi yamakono pamene mukukaka mkodzo, ndiye kuti muyenera kuganizira momwe mungapititsire kuchimbudzi mofulumira. Kuvala zovala zomwe zimachotsedwa mosavuta komanso mosavuta. Ngati palibe zotheka, pewani mphika kapena bakha pafupi ndi bedi.
- Musamamwe zakumwa ndi khofi (zakumwa zakumwa, teas, khofi).
- Musamamwe mowa.
- Ngati mupanga kayendetsedwe kake, ndiye gwiritsani ntchito ndondomeko, mwachitsanzo, pamene mukuyenda kapena kuvina.
- Yesani kumamwa madzi ambiri, osati zambiri komanso pang'ono. Ngati kulibe madzi okwanira m'thupi, kutaya madzi m'thupi kungabwere. Ndi madzi owonjezera, kusowa kofunikira kumakula ndipo kumakhala kolimba.
Kuletsa kapena kuchepetsa kusamalidwa kungakhale zowonjezera. Komabe, muyenera kukumbukira kuti kuti muwone zotsatira zomwe mukufunikira nthawi ndi nthawi zonse.
- Tsiku lirilonse, limbitsani minofu ya phulusa ndi Kegel.
- Ngati muli ndi kulemera kwambiri, dziyang'anire nokha. Kumbukirani kuti kuchepa kwabwino kwambiri si zakudya zokwanira, zakudya zabwino komanso zolimbitsa thupi.
- Musalole kudzimbidwa.
- Ngati mumasuta, yesani kuchotsa chizoloŵezichi.