Muchiitiko chekudonha urinary, ndiani wekutaura?

Chekutanga pane zvese kuna chiremba wake. Zvino nekukurumidza, zvinotora nyanzvi kuona kuti kuongororwa.

Mumadzimai, iwe unofanirwa kusiyanisa pakati pekushushikana kwekusagadzikana weti uye kukurudzira kusagadzikana (inonziwo "kurudzira" kana "yakanyanyisa dundira").

Kushungurudzika kuita weti kusagadzikana kunoda kugadzirisa uye pamwe kuvhiyiwa, uku uchikurudzira kusagadzikana kuchirapwa nemushonga uye, kana zvikakundikana, neuro-modulation. Muchidimbu, maviri akasiyana zvachose uye anopikisana kurapwa. Ndokureva kuti kana tikaitira mumwe, isu tinopinda munjodzi.

Ndechipi basa renyanzvi? Ko zvakadii nachiremba wezvedundira?

Kana kuri kuita weti nekuda kwekukurumidzira - ndiko kuti kana dundira razara murwere abuda - murapi anogona kurapa neanticholinergics.

Asi mune dzakawanda zviitiko, weti kusagadzikana ibasa renyanzvi. Paakangoona kuti pakanga pasina hutachiona hwehutachiona uye kuti pakange paine kusagadzikana chaiko, chiremba mukuru akaendesa murwere wake kuna chiremba wezvedundira. 

Vanenge makumi masere muzana evarwere vanogunun'una nezve weti yekudonha vanosvika mune yedu tsika. Kunyanya nekuti zvinodikanwa kuti uite urodynamic kuongorora kuti kuongororwa. 

Chii chinonzi kuongorora kweurodynamic?

Kuongorora kweurodynamic kunosanganisira bvunzo nhatu: flowmetry, cystomanometry uye urethral kumanikidza chimiro.

Flowmetry inobvumidza kusimbisa kuyerera kweurwere kwemurwere. Mhedzisiro yacho inounzwa muchimiro che curve kubva iyo urologist inogadza yakanyanya kuyerera kuyerera, nguva yekuita weti uye voiding vhoriyamu.

Bvunzo yechipiri ndeye cystomanometry. Isu tinozadza dundira nemvura uye isu tinoona kuti inoshanduka sei, ndiko kuti kumanikidza kuri mukati medundira. Muedzo uyu unokutendera kuti uone kana paine chero "kumanikidza kumanikidza" uko kunogona kutsanangura kusagadzikana, uye kuziva kana dundira riine yakawanda mvura kana kwete. Saizvozvovo, isu tichakwanisa kuongorora kana murwere achinzwa kudiwa.

Yetatu, isu tinoita a urethral kumanikidza chimiro (PPU). Uyu mubvunzo wekucherechedza kuti kumanikidza kunogoverwa sei mukati meiyo urethra. Mukuita, sensor yekumanikidza inotorwa nekumhanyisa nguva, kubva padundira kusvika kunze. Izvi zvinotibvumidza kuongorora sphincter kusakwana kana, nekusiyana, sphincter hypertension.

Ndeipi nzira yakajairika yekuvhiya kuvakadzi?

Mukana wekushushikana weti kusagadzikana, usati wapa kupindira, kurapwa kunowanzo kutanga nekuvandudza. Izvi zvinoshanda mune imwe chete muzviitiko zviviri.

Kana izvi zvisina kukwana, mitsetse inoiswa pasi peiyo urethra. Icho chirevo ndechekuumba ndege yakaoma inogona kumira kumanikidza kweiyo urethra. Saka kana iyo urethra iri pasi pekumanikidzwa, inogona kusendamira pane chimwe chinhu chakasimba uye nekupa kuenderera. 

Ini ndinowanzo shandisa fananidzo iri nyore kutsanangura maitiro kuvarwere vangu. Fungidzira iwe uchitora yakavhurika hosi yebindu uye mvura ichiyerera. Ukatsika payipi netsoka yako uye paine jecha pasi, iyo hosi inonyura mukati uye mvura icharamba ichiyerera. Asi kana pasi iri kongiri, huremu hwako hunodimbura kumanikidza kwemvura uye kuyerera kunomira. Izvi ndizvo zvatiri kuyedza kuwana nekuisa matanda pasi peiyo urera.

Ko varume?

Muvanhu, zvinotanga kudikanwa kuti uone kana kuri kufashukira kusagadzikana kana kana iri sphincter kusakwana. Izvo zvakakosha kuti utore hutachiona ipapo ipapo kuti usape mushonga usina kukodzera.

Panyaya yekufashukira kusagadzikana, dundira haribude. Naizvozvo kune "kufashukira" kunodonha. Kuvhiringidzika kunokonzerwa neprostate. Urologist inobvisa chipingamupinyi ichi nekuvhiya kana nekumisikidza mushonga kuti uderedze saizi yeprostate.

Chikonzero chechipiri chekusagadzikana muvarume kushayikwa kweshinha. Inowanzo kuve mhedzisiro yekuvhiyiwa, senge radical prostatectomy.

Ruzivo rwese nezve kuongororwa uye kurapwa kweiyo weti kusagadzikana kunogona kuwanikwa mu Yakakosha Hutano Pasipoti faira.