Chinyorwa chakanyorwa naDr Henry, Sphere Health shamwari

Mhando dzakasiyana dzekutadza kwechirume

Kana varume vari vashoma pane vakadzi kuti vave vanyajambwa vekusagadzikana, iko kuvonga kwechimiro chavo. Varume vane urethra yakareba, chikamu chekutanga icho chakakomberedzwa neprostate gland. Murume wacho anobatsirawo kubva kune striated uye ine simba sphincter iyo inosangana nechepasi ye urethra, iyo inoderedza njodzi dzekusagadzikana. Mukuwedzera, varume havatamburi nekuora kwe perineum kunokonzerwa nekuzvitakura.

Kune marudzi akasiyana eweti incontinence muvarume. Chirwere chega chega chinozivikanwa kuburikidza nezviratidzo chaizvo.

Kufashukira incontinence

Ndirwo rudzi rwekusagadzikana kwevarume. Iyi incontinence ndeyechipiri kune kuvharika kwenguva refu kwedundira. Dundira rinobva ranetseka kubuda, rinobvaruka uye richiramba rakazara nguva dzese. Kana huwandu hwedundira hwapfuura, kubuda kweweti kunooneka pasina murwere akwanisa kudzora chiitiko. Iyi incontinence inowanzoitika nekuda kwekuvharidzirwa nebenign prostatic hyperplasia (adenoma) yeprostate. Kukura kusina kujairika kweprostate gland kunogona kukonzera kudzvinyirirwa kwe urethra, uye nokudaro kunokonzera dambudziko nekubuda kwechiropa, icho chinozopedzisira chichipararira uye chinoramba chakazara.

Stress incontinence 

Zvinokonzera kubuda kamwe kamwe kweweti panguva yekushanda kwemuviri. Zvinogona kuitika kana murwere achiseka, kukosora, kumhanya, kufamba, kuhotsira kana kuita chero kumwe kuedza kunokumbira tsandanyama dzemudumbu. Inowanzoitika muvakadzi, asi inogonawo kubata varume.

Muvarume, kusagadzikana kwekusagadzikana kwepfungwa kunenge kuri kwechipiri kuvhiyiwa (kazhinji kubviswa zvachose kweprostate kunotevera gomarara: radical prostatectomy).

Munguva yekuvhiyiwa, tsandanyama inotarisira continence: iyo striated sphincter inogona kukuvara. Izvo zvino hazvichakwanise kupinza weti mudundira panguva yekukwira kwemudumbu kudzvinyirirwa kunoitika panguva yekuedza uye kubuda kweweti kunoonekwa.

Incontinence ne "kukurumidza"

Inodanwawo kukurudzira incontinence kana nekusagadzikana kwedundira kana weti yekukurumidzira uye zvinoitika apo murwere anonzwa kuda kwekukurumidzira kuita weti pasina kutambura nekubuda. Pano, chido chekuita weti chinokurumidza uye chisingachinjiki, kunyange kana dundira risina kuzara. Zvimwe zviitiko zvezuva nezuva kana mamiriro ezvinhu anogona kutungamirira kune rudzi urwu rwekusagadzikana, sekiyi mukiyi kana nzira yemaoko pasi pemvura inotonhora.

Zvikonzero zverudzi urwu rwekusagadzikana ndizvo zvirwere zvese zvinogona kugadzira kuzvimba kwedundira uye nekudaro kuputika kusingaite:

• The urinary tract infections kana prostatitis : izvi ndizvo zvakajairika. Iyo incontinence inozove yenguva pfupi uye inokurumidza kupera nekurapwa kwakakodzera kwemishonga inorwisa mabhakitiriya.
• THEadenoma yeprostate inogona zvakare kuve nemhosva yekukurudzira incontinence. Panguva yekugadzirwa kweprostate adenoma mamwe ma nerve fibers anokura uye anogona kukonzera kubvongodzwa kwedundira.
• The maronda emamota edundira kana dundira polyps inoda kutariswa chaiko.
• vamwe chirwere chetsinga (multiple sclerosis, parkinson's disease) inogona kukonzera kutundisa dundira uye kubuda kwechimbichimbi.

Mixed incontinence

Inobata nezve 10% kusvika ku30% yevarwere, inobatanidza zviratidzo zvekushungurudzika kusagadzikana uye kukurudzira kusagadzikana. Zvinogoneka kuti imwe yemhando mbiri idzi yekusazvidzora ndiyo inonyanya kutonga uye inofanirwa kubatwa sechinhu chakakosha. Ndiyo chiremba uyo panguva yekukurukurirana achasarudza kurapa kwakakodzera.

Functional incontinence

Zvinonyanya kubata vakwegura. Zvinoitika kana chikonzero chacho chisina chokuita nebasa redundira. Murwere haakwanise kuzvidzora pasina mamiriro edundira rake ari chikonzero.

Vamwe varwere vane chirwere chetsinga uye mune dzimwe nguva vanogona kusangana nekusagadzikana. Izvi zvinonzi neurogenic incontinence. Muchiitiko ichi, dambudziko harisi kubva pakusagadzikana kwemuviri sezvatingafungidzira munyaya yekusagadzikana kwepfungwa, asi kubva pakusashanda kwehutano hwemagetsi semuchirwere cheAlzheimer semuenzaniso.

Vanhurume nokudaro havadzivirirwe nekutadza kuita weti kunyangwe zvazvo ivo vasina kubatwa nechirwere ichi pane vakadzi. Zvakakosha kuti ukwanise kutaura nezvazvo pasina taboos kuna chiremba wako nekukurumidza sezvinobvira. Zvichienderana nezvikonzero uye rudzi rwekusagadzikana kwakaonekwa, kune mishonga yakawanda yakakodzera uye kutarisirwa. Nyanzvi yezvehutano inogona kukurudzira kudzoreredza, kurapwa kwezvinodhaka kana kurapwa kwekuvhiya. Kurapa kwezvinodhaka, murwere ane bladder yakawandisa anozorongerwa anticholinergic zvinodhaka, semuenzaniso, izvo zvinogona kusanganiswa nepelvic uye perineal rehabilitation.

Izvo hazvifanirwe kukanganwa kuti chero kusashanda pamwero weurinary system kunogona kukonzeresa kuderera, kunyanya pamwero weitsvo, saka kudikanwa kwekuita ongororo yakajairika. Urinary incontinence haifanire kuremara munhu anobatwa nazvo sezvo mhinduro dziripo (kudzoreredza mune semuenzaniso mune yekusagadzikana kwekusagadzikana uye kunoshanda kwekurapa kana kuvhiya kurapwa). Kuti uite izvi danho rimwe chete, taura nachiremba wako kana nyanzvi.