Mukati
Kurapa kwekurapa kusagadzikana
Zvakakosha kuona chiremba kune zviratidzo zvakafanana nekusagadzikana weti. Kana kuongororwa kwaitwa, vamwe vashandi vehutano vanogona kupa rubatsiro runobatsira. Uyu anogona kunge ari mukoti anoona nezvekusazvidzora kana kuti physiotherapist anoshanda nekugadzirisa dundira. Rondedzero yenyanzvi dzine hunyanzvi hwekusagadzikana muCanada inowanikwa pawebhusaiti yeNheyo yerutsigiro rwekusagadzikana (ona Nzvimbo dzekufarira). |
Kurapa kunosiyana zvichienderana nechikonzero uye kuoma kweiyoweti kusagadzikana. Kana zvichidikanwa, hongu, chirwere chinokonzera kusagadzikana chinofanira kurapwa, kunze kwekurapa zviratidzo.
chikafu
Ona chikamu cheDziviriro kuti uwane rumwe ruzivo nezve chikafu chekudzikisa kana kudzivirira.
Maitiro ekuzvibata
Nzira idzi dzinowanzoda tsigiro ye a physiotherapist or physiotherapist kana mukoti. Vamwe vanoita zve incontinence problems.
Kegel Exercises
Iyi tsika inozivikanwa inovandudza tsandanyama inzwi pelvic pasi (perineum). Vese vakadzi nevarume vanogona kuishandisa kushushikana kana kukurudzira kusazvibata.
The boora inofanira kuitwa nguva dzose kwemavhiki akawanda kuti ipe mugumisiro unobatsira. 40% kusvika 75% yevakadzi vanoishandisa vanocherechedza kuvandudzwa mune yavo masimba weti1. Kana ari varume, tsika iyi inonyanya kushandiswa mushure mekubviswa kweprostate (prostatectomy).
Notes. Nekusimbisa iyo pelvic pasi tsandanyama, Kegel maekisesaizi anogona zvakare kugadzirisa iyo kunakidzwa pabonde.
Maitiro ekudzidzira Kegel maekisesaizi17, 18 |
Pakutanga, ita zviitwa izvi wakarara pamusana, mabvi akakotama uye zvishoma zvishoma (pamwe nehupamhi hwechiuno). Kana wagona, tanga kuzviita wakagara, wozomira. - chibvumirano pelvic floor tsandanyama nekuchengetedza chibvumirano che 5 kusvika 10 masekondi. (Iva nechokwadi chokuti uri kubata tsandanyama dzakafanira! Unofanira kunzwa kugwinha kwemhasuru dzakatenderedza chibereko, sokunge wakabata weti kana kuti chitsvina. Chenjero: Usasvina mhasuru dzemudumbu nemagaro.) - Fema zvakadzikama panguva yekugunzva. - Kusunungura kukanganisa panguva 5 kusvika 10 masekondi. - dzokorora kubva ku12 kusvika ku20 nguva kutenderera kwekugadzirisa uye kuzorora. Inofanirwa kudzidzira katatu pazuva, zvakanaka mangwanani, masikati uye manheru. Kuti uwane rumwe ruzivo, ona bepa reruzivo rakagadzirwa neIncontinence Foundation (chikamu Saiti dzekufarira). |
biofeedback
Biofeedback inogona kubatsira vakadzi kuti vanzwe uye vadzore kusimba kwavo kwetsandanyama yepilvic zviri nani. Iyi tekinoroji inobvumidza iwe kuti utarise pane komputa dhizaini uye kuzorora kwemhasuru panguva yekudzidzira Kegel maekisesaizi. Iyi yekuona, iyo inoitwa nerubatsiro rwe sensor yakaiswa mukati memukadzi, inounza kukuziva, nenzira chaiyo, kusimba kwechibvumirano uye nguva yayo.
Kugadziridza dundira
Izvi zvinogona kuitwa nenzira dzakasiyana, zvichienderana nerudzi rweweti kusagadzikana.
- Mumwe anogona kunonoka weti. Pakutanga, apo chido chekuita weti chinonzwika, tinoedza kumirira maminitsi gumi tisati tazvisunungura. Iyi nguva inobva yawedzerwa kusvika kumaminitsi makumi maviri, chinangwa chiri chekuisa nzvimbo yeti nemaawa maviri (10 maawa akawanda).
- Muchiitiko chekufashukira incontinence, munhu anogona kudzidzira basa re kaviri drain. Inosanganisira kuita weti, wozoedza zvakare maminetsi mashoma gare gare. Zvinokutendera kuti udzidze nzira yekudurura zvirinani zvako dundira kuitira kudzivirira kuwandisa weti.
- Mumwe anogona tora purogiramu yakatarwa. Ndezvekuenda kuchimbuzi panguva dzakatarwa, pane kumirira kusvika wada kuita weti. Chinangwa ndechokuisa weti nemaawa angangoita maviri, uye maawa mana zvakanyanya. Iyi tsika inokosha zvikuru uye inowanzoshanda kune vakwegura vane matambudziko ekufamba.
- Kuti udzore chido chekuita weti, unogona sedekara kutora kufema kwakadzika. Iwe unogona zvakare kukanganisa kutarisisa kwako nekuramba wakabatikana: nekuverenga, kuita crosswords kana kusuka ndiro, semuenzaniso.
electrostimulation
Kukurudzira magetsi, kana kuti magetsi, kunosanganisira kuisa electrode munhengo yesikarudzi kana kuti anus kuti ukurudzire uye kuridza tsandanyama dzepelvic floor. Nekusanganisa nzira iyi nebiofeedback, tinogona kuona mhasuru kudzvanywa pakombiyuta skrini. Izvi zvinobva zvaita kuti unzwe zviri nani, uye nekudaro kuvadzora. Iyi nzira inowanzochengeterwa vanhu avo maitiro ehutsika asingashande kwavari.
Mishonga
Mimwe mishonga inobatsira kuderedza macontractions e dundira. Saka ivo vanobatsira kana panekukurumidza weti incontinence : oxybutynin (Oxybutynin® uye Ditropan®, somuenzaniso), flavoxate (Urispas®) uye tolterodine (Detrol®). Imwe yemhedzisiro yavo ndeye muromo wakaoma, izvo zvinogona kuita kuti varwere vanwe zvakanyanya. Pane nzira dzakasiyana dzekudzideredza. Kurukura nachiremba wake.
Kurapwa munharaunda ne estrogen inogona kubatsira kuderedza zviratidzo zvevamwe vakadzi panguva ye kumiswa kwemwedzi. Estrogen inoshandiswa kumukadzi muchimiro chemazai (eg, Vagifem®), zvindori (Estring®), kana kirimu. Miyero yehomoni inoshandiswa idiki kwazvo muchiitiko chemazai nemhete. Iwo akatikwirira zvishoma kukirimu, izvo dzimwe nguva zvinoda progestin (eg Provera®) kuderedza njodzi dzine chekuita nekurapa mahormone kwenguva refu. Kuti uwane rumwe ruzivo, ona peji redu reMenopause.
Mimwe mishonga inogona kushandiswa kurapa chirwere chinokonzera urinary incontinence, somuenzaniso, mishonga inorwisa mabhakitiriya yehutachiona hwehutachiona.
Zvishandiso zvakasiyana uye zvishongedzo
Zvigadzirwa zvekunze
– Mapedhi anopinza
– Manapukeni evakuru
- Zvishandiso zvekuunganidza weti (varume)
– Chipfeko chemukati chinodzivirira
Zvishandiso zvemukati
Ivo vanowanzo shandiswa seyekupedzisira sarudzo.
– Catheter. Ichubhu inochinjika uye yakatetepa yakabatana nebhegi rekunze. Iyo chubhu inopinzwa muurethra, iyo inobvumira weti kupinda mubhegi. Mune zvimwe zviitiko, varwere vanogona kudzidza kuisa uye kubvisa catheter (3 kana 4 kanomwe pazuva), izvo zvinobvisa kudiwa kwekutakura bhegi nguva dzose.
– Pessary. Chiremba anopinza ring yakasimba musikarudzi kuti dundira rirambe riri panzvimbo uye kuti risaburuke. Inobatsira kune vakadzi vane kudzika kwedundira.
sejari
Muzviitiko zvakawanda, kuvhiyiwa kungave kuri madikanwa. Muvakadzi, inonyanya kushandiswa kuchengetedza dundira panzvimbo kana kuti kuisimudza kana paita kudzika kwedundira, nekupindira kunonzi cystopexie.
Inogona zvakare:
- shandisa bundu redundira, uterine fibroid, urogenital fistula kana prostate tumor;
- gadzira mudziyo wekumisa mutsipa wedundira uye dundira muvakadzi;
- isa artificial urinary sphincter (kunyanya muvarume);
- isa chigadziro chinokurudzira sacral nerve (nerve iri kuseri kwesacrum).