Kubva kune chikamu chekutanga chezvinyorwa, iwe watotodzidza pamusoro pezvinokonzera zvinokonzera, maitiro uye kuongororwa kwekuvhiringidza kwemakirini kuvakadzi. Iye zvino tichakurukura kuti ndeipi nzira dzokurapa urinary incontinence kuvadzimai, maitiro ekugadzirisa chirwere ichi pamusha uye zvimwe zvidzidzo zvinoda kuitika munyaya iyi.
Urodynamic test
Kuongororwa kwechimiro ichi hachikoshi kwete chete kumurwere, asi kuchipatara chaiwo. Nokudaro, kuongororwa kwechirwere chete kana chirwere ichi chichifanira kuongororwa kana kana kurapwa kwakachengeteka hakubvumiri mhinduro kuitira kuti tsanangudzo dzinokonzera chirwere chacho.
Kuongorora kweUrodynamic kunopa mukana wekuwana ruzivo rwehumwe huripo pamusoro pemashandiro emukadzi. Iyi nzira yekuongororwa inoshandiswa chete kana zvose zviitiko zvekare zvisingazopinduri mibvunzo yechiremba, ndiko kuti, chikonzero chekuvhenekera kwemuyo hachina kugadziriswa, uye kana chiremba achifungidzira kuti murwere akavhenganisa urwere kusatendeseka. Miedzo inogona kubatanidzwa mukudzidza nezvezvisikwa, dzimwe nguva kuchinja. Chiremba anogona kukutsanangurira kune zvakadaro kufungidzira:
Cystometrography (cystometry, uroflowmetry) inongororwa miedzo yekuona kushungurudzika mune bhiridha pazvikamu zvakasiyana-siyana zvekuzara kwayo. Ne cystometry, unogona kuwana zvinotevera:
- hukuru hunokonzera simba rehuturo, iyo inoratidzira kushandiswa kwemazuva ose ekuvhara kwakakwana kwekurethral lumen;
- kushungurudzika kunokonzera, iyo inosarudza kuti yakawanda sei musero we sphincter unomanikidzwa, nepo zvichibvira kuchengetedza urini.
Ultrasound diagnosis kana X-ray, umo kusara kwemvura inenge yakagadziriswa inogadziriswa mushure mokunge urinhi yakabva. Nzira dzakadaro dzekuongororwa dzinoita kuti zvibvirire kutsvaga chimiro chechirwere uye chidzara pasi petsoka, nekukanganiswa uye kunyura.
Kana nedzimwe nzira dzatakambotarisa, zvakanga zvisingakwanisi kuziva chikonzero chekuvhiringidza kwekuvhiringidza mumudzimai, saka kuongororwa kwakawanda kwakashandiswa. Zvidzidzo, zvatichakurukura zvakare, zvinoshanda kune vamwe varwere vane urinary incontinence.
Cystoscopy ndeyekushanda kwe endoscope yakaonda kudzidza mukati mezvigadziro zvechidimbu uye urethra.
Cystourethrogram iyi inonzi X-ray yekuongorora nzira iyo inoshandiswa nechinhu chisina chinhu chakasvibiswa uye chinopesana icho chine iodine kuti uwane mufananidzo wemadziro emukati emubhedha uye chikwata. Nekuedzwa uku, unogona kusarudza zvisikwa zvose zvemukati we urinary system, iyo inobatanidza nekuvhenekera kusagadzikana mumukadzi.
Ko incontinence inobatwa sei nevakadzi?
Kune nzira dzakawanda dzokurapa chirwere ichi. Kurapa kwakanakisisa kuri kurwisana nechikonzero chekuvhiringidza kwekuvhunga, nekufunga nezvehutano hwemurwere.
Zvinhu zvinokosha zvekurapa
- Chaizvoizvo, urinary incontinence inogona kudzorwa kana kurapwa.
- Vakadzi vakawanda vanoona kusagadzikana vanotanga kunzwa vari nani mushure mokuchinja mararamiro, vachicherechedza purogiramu yekubuda, vachishandisa zvigadzirwa zvakadai semapessaries, vachiita maitiro eKegel. Kana pasina kuchinja mune mishonga, vanotanga kubata chirwere chisina kukodzera.
- Kana incontinence ichiitika nekuda kwekukuvadza kusingachinji, iwe unofanirwa zvakare kudzidzisa chikwama chako kuitira kuti chinowanzoshanda. Zvinodhaka mune izvi zvinogona kubatsira, kunyange zvazvo kune zvimwe zvisingadiwi.
Shandura mararamiro ehupenyu hwemuitiro
Kegel kufamba kunogona kubatsira mukadzi wese neukoro kusadya, pasinei nehutano hwekurwara. Kudzidzira kwakadaro kunobatsira kusimbisa mazamu emapurvic, ayo anobatsira kukurudzira kusunungurwa kwemuti, zvinonyanya kukosha kuita zvidzidzo zvakadaro nekusaziva. Zvakakosha kuti uite maitiro uye nguva dzose kuitira kuti mugumisiro haukumirire iwe.
Kegel kudzidzira kunogona kusanganiswa nemishonga inoshandiswa pakuita biofeedback kuti uve nechokwadi chokuti murwere anodzidzisa mazamu aya aunoda. Unogona kuzvidzora: munwe weruoko unofanira kuiswa mumudzimai kuitira kuti simba rezvipfeko zvemasvikiro pasi pepelvic zvinzwike. Kuti udzivirire urinary incontinence kana iwe uchikandira kana kupera, iwe unofanira kubva uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita. Unogonawo kuyambuka makumbo ako.
Zvichida iwe unoda kubvisa mamwe mapaundi kuti usangane nekushaya.
Iwe unogona kuedza kushandura mararamiro ako nekushaya unhu. Edza kuziva zviratidzo zvinoshungurudza chidimbu uye usingazvipedza, somuenzaniso, chokoti, zvinonhuwira, vhiniga, macrorus, mishonga yemiti, tomate. Edza kusamwa kecineine uye doro.
Kune mhando mitatu yemitadzo inoshandiswa pakurapa urinary incontinence: kukanganisa kusanganisa, kurovedza chikwata uye kurination pogram.
Zvirwere zvokurapa
Pessary ibasa raRubber rinowanikwa mukati memadzimai kusvika kumuromo wechibereko kuti uwedzere kuwedzera kwekusimbisa uye kutsigira urethra kuburikidza nemusvingo rusvingo. Uyezve, chigadzirwa chakadaro chinobvumira urethra kuti irambe iri munzvimbo yakavharwa, uye iyo inenge yakasvibiswa. Pessary inonyanya kukosha nokuda kwekudzivirira. Vakadzi vakawanda vanoshingaira kuishandisa pazviito zvinoshanda, somuenzaniso, pavanenge vachikwira. Zvizhinji zvepessaries zvinogona kushandiswa nguva dzose. Zvisinei, kana uchishandisa nzira iyi, kutarisirwa kunofanira kutorwa mujenitourinary system yezvirwere. Izvo zvinodiwa nguva dzose kuti iongororwe nechiremba anoenda.
Mushonga wokuvhiya
Kune mhando dzakawanda dzemabasa ekuvhiya anobata urinary incontinence kuvakadzi, iyo inobatanidzwa nehutachiona hwepelvic pasi. Pamabasa ose, pane chinangwa chimwe chete - kuunza nhengo dzekuvhenekera urongwa huve huri huri huno. Mushure meizvozvo, kuchema, kuseka nekukanganiswa hazviwanzoita kuti urinary incontinence.
Kana kukurudzira kusava nekushanda kunoshandiswa pakukurudzira sarral system inotyisa, kana dzimwe nzira dzisingabatsiri zvinodiwa.
Usati watanga kuvhiyiwa, unofanirwa kuisa zvakajeka kuongororwa, kuenda kune dzimwe mishonga uye unonzwisisa zvakanakira kubatsira kwekupindira.
Nzira yekuzvidzivirira sei kubva pakuvandudza urinary incontinence?
Kuti kuderedze njodzi yekuvandudza chirwere ichi:
- kuchengetedza uremu hwehutano hwakanaka;
- usasvuta, nokuti nokuda kweizvi, vakadzi vanokanda, uye izvi zvinowedzera dambudziko rekuvhenekera kusadya;
- ramba uchirovedza mitsipa yepasi pepadvic.
Nzira yekurwisa sei urine kuchengetedza iwe pachako kumba?
Kana uine urinary incontinence, iwe unogona kutanga kurwisana nechirwere ichi.
- Ita purogiramu yekudzora pamwe nenguva ye4 kana 2, zvose zvinoenderana nezvido zvako.
- Enda kuhofisi yechiremba uye utaure naye nezvemishonga yose yaunotora. Mamwe mishonga inogona kungowedzera kusava nehanya.
- Chengetai diary apo iwe uchanyora pasi zviratidzo zvose nekuratidzwa kwechirwere, mamiriro ezvinhu uye mamiriro ezvinhu umo kune marwadzo emuuyo. Saka chiremba achave anoziva nezvemamiriro ako ezvinhu uye achakwanisa kukubatsira iwe nokukurumidza.
- Kana dambudziko rakadaro richiuya nekushanya panguva yakakodzera kuchimbudzi kana uchizorora urine, iwe unofunga kufunga nezvekuenda kuchivanze nekukurumidza. Kupfekedza mbatya dzinokurumidza uye nyore nyore kubviswa Kana pasina kubvira kwakadaro, chengeta pombi kana dhaka pedyo nemubhedha.
- Usanwa zvinwiwa nekenzaine (zvinwiwa zvezvinwiwa, teas, kofi).
- Usanwa doro.
- Kana iwe uchiita mafambiro, zvino shandisa tampon, somuenzaniso, paunenge uchikwira kana kutamba.
- Edza kumwa mvura yakawanda yemvura, kwete zvakawanda uye kwete zvishoma. Kana paine kushayikwa kwemvura mumutumbi, kupera simba kwemvura kunogona kuitika. Nemvura yakanyanyisa, chido chekuzora chinowedzera uye chinowedzera.
Kuchengeta kana kuderedza kusagadzikana kunogona kunge kuwedzera matanho. Zvisinei, unofanirwa kuyeuka kuti kuitira kuti uone chigumisiro chaunoda nguva uye nguva dzose.
- Zuva roga roga, simbisa mitsipa yechipfuva chepilvic neKegel kudhonza.
- Kana uine uwandu hwekuwedzera, zvichengete iwe pachako. Yeuka kuti kurasikirwa kwakanyanya kunorema hakusi kudya kwakakwana, kudya kwakakodzera uye kurapa muviri.
- Usabvumira kuzvidzora.
- Kana iwe utsi, edza kubvisa tsika iyi.