Esinyeni Overactive kwabesifazane: ukwelashwa, izimbangela, izimpawu

esinyeni Overactive besifazane ngaphansi ukwelashwa liyadingeka ngokushesha emva ukuthola inkinga, kungukuphula umsebenzi umchamo ekuqongeleleni kanye nokubonakala izifiso abukhali ukuze esinyeni esingenalutho. Lesi sidingo ngokwengxenye ngokuvamile oyingozi futhi kuholela ukukhululwa okungalindelekile ka ethile umchamo (incontinence).

Ngokwesiko, ukwelashwa iqala isicelo yokuziphatha (kokuziphatha) amasu - odokotela batusa amanzi okuphuza kanye nezinye iziphuzo usohlelweni, ukuya ethoyilethi nsuku zonke ngesikhathi esithile futhi ukulawula esezizwa efikelwa ukusiza imisipha floor kwezitho zangasese. Uma lezi zinyathelo musa asize, kunezinye izindlela kokuphatha isifo.

izimpawu

Uma uneminye nezinkinga nge ukuchama, hhayi yokuthi imbangela yabo isinye nje overactive. Izimpawu kubantu besifazane zimi kanje:

• ukuvela ngasikhathi sinye isidingo ukuvakashela yangasese, futhi lesi sidingo kunzima kakhulu ukulawula;
• incontinence umchamo, isb okungalindelekile ukukhululwa ngokushesha ngemva nesenzakalo ufisa ukuba athululele isinye;
• ukuchama kaningi, ngokuvamile kweziyisishiyagalombili izikhathi ngosuku;
• polyuria ebusuku (nocturia) - nesifiso sokufuna ebusuku ukuya ethoyilethi, liphindwe izikhathi ezingaphezu kuka ezimbili ngesikhathi sokulala.

Nakuba iziguli eziningi ukuphatha ukuze uthole ethoyilethi zisuka nje lapho kukhona isidingo abukhali, cishe konke ukuhlupheka kwalesi sifo, isipiliyoni kucindzeteleka ophoqelelwe bethulula kwesinye izikhathi eziningana ngosuku.

Ukusebenza evamile umzimba

Izinso ukukhiqiza umchamo, okuyinto ke ugobhozela ku esinyeni. Uma uvakashela umchamo lwegumbi akube kusakhulunywa ngaye umzimba ngembobo isitoreji esinqeni ugobhozela ngepayipi wabiza "urethra". Ngo abesifazane, kuvulwa urethra itholakala ngenhla nje sangasese, ngoba amadoda - enhlonhlweni wenduku glans.

Njengoba ukugcwaliswa kwesinye amasignali ubuchopho kusukela emizweni, ekugcineni, kubangele isidingo uthulule. Lapho uchama amasignali ezinzwa iqondise ukuphumula we imisipha esitezi okhalo kanye urethra (okokugcina okukhulunywe imisipha sphincter urinary). Imisipha umzimba esishubile (encishisiwe), ephoqa umchamo phandle.

zokugula Izimbangela

Lapho imisipha yomzimba eqala esishubile ngokuzumayo (ngisho noma ivolumu umchamo kuwo namanje encane), odokotela ukuxilonga esinyeni overactive. Izimpawu kubantu besifazane ngenhla zonke ukuvela abukhali izidingo kanye kungenziwa ephelezelwa izimpawu zesifo, izikhulu izimfanelo sokuthuthukiswa ngalokhu kugula. Nokho, izifo ezingelapheki - akayona imbangela kuphela inkinga. The main ingxenye kokuya ethoyilethi futhi incontinence urinary angase alale:

• iziyaluyalu zezinzwa kuhlanganise Parkinson isifo, unhlangothi, eqonda (multiple) sclerosis;
• ukukhiqizwa Fundzisisa umchamo ukusetshenziswa lemiqulu emikhulu uketshezi, abampofu umsebenzi izinso, noma isifo sikashukela;
• imithi, kuyashesha noma umchamo okukhipha zapivaniya ezidinga amaningi uketshezi;
• izifo ngokujulile urethra, okubangela izimpawu isifo esifanayo ne izimpawu ezifana esinyeni overactive kwabesifazane;
• isitho zokugula (izimila, amatshe);
• izithiyo ukuchama evamile (yamadoda ke kungenziwa lakhulisiwe wendlala yabesilisa, abesifazane - ukuqunjelwa noma ukuhlinzwa odlule ekwelapheni nezinye izinhlobo incontinence);
• ukusetshenziswa okweqile caffeine noma uphuzo oludakayo;
• okusithiyayo of engqondweni yethu nokusebenza kobuchopho ngenxa yokuguga umzimba, lapho isinye neze uyakuqaphela amasignali engenayo;
• kanzima, ngenxa okuyinto hhayi zonke iziguli kungaba ngesikhathi esifanele ukuze uthole indlu encane;
• Ukuthulula akuphelele kwesinye, okungaholela izimpawu of hyperactivity ngenxa ukuncishiswa isikhala mahhala umchamo elisha elizayo nezinso.

Nokho, ngokuvamile abantu ngisho nochwepheshe sisho ombangela hyperactivity syndrome umzimba.

ukuhlola

Uma uhlushwa izidingo babulawa kakhulu bavame ukuya ethoyilethi, udokotela kwasekuqaleni uzohlola umchamo wakho ukuze khona igazi noma izifo ezithile. Kuyadingeka ukusungula ngabe uthulule ngokuphelele esinyeni. ukuhlola Okugcwele kungenzeka ukufaka imisebenzi elandelayo:

• nemlandvo wetekwelashwa kwakhe;
• eyinhloko behlolwa ngekugcila kakhulukati izinhlaka esiswini imbilapho;
• ukuhlolwa noma omchamo ukuze bahlole ukutheleleka, igazi amabala nezinye izimpawu zokugula;
• ebhekiwe luhlolo zezinzwa ukuba bakwazi ukubona izifo noma izinkinga sezinzwa nge zibona.

izifundo ezikhethekile

Okokuqala, udokotela kuyomisa i ukusazi ngokunembile isifo esikuphethe futhi preconditions ziwukuqagela sokuthuthukiswa sisengotini ezifana esinyeni overactive kwabesifazane. Ukwelashwa kuzoncika ezintweni eziningi, kodwa kuqala kunazo zonke - ikhwalithi ukusebenza emzimbeni. Ikhono kwesinye njalo futhi ngokuphelele akhishwe uhlolwa cwaningo urodynamic, esakhiwa cwaningo eziningana ezahlukene.

Yini ehlanganisiwe nomqondo ukuhlaziywa urodynamic

• Yokukala asalile ivolumu umchamo. Lokhu kuhlaziya kubalulekile, uma umzimba akusho uthulule ngokuphelele uma ukuchamela, noma uma uhlushwa incontinence. umchamo asalayo kubangela nezimpawu ezifanayo ukuze izimpawu hyperactivity. Ukulinganisa okuseleyo liquid emva bethulula, udokotela imithi luhlolo ultrasound esinyeni noma ufake ipayipi ekhethekile (tube mncane) ukubonisa nokutadisha izinsalela.
• Yokukala umchamo ukugeleza rate. Uma ufuna ukulinganisa umthamo nesivinini ukuchama, udokotela ngeke akucele ukuba athululele esinyeni e Uroflowmeter - idivayisi ukuthi ulinganisa nemingcele eshiwo futhi oguqula wabayisa schedule izinguquko bethulula izinga.
• Ukunqunywa ingcindezi intravesical. cystometry indlela kusiza ingcindezi ukumeda isitho kanye nezicubu ezungeze lapho egcwele uketshezi. Ngalesi cwaningo, udokotela isebenzisa tube mncane (ipayipi) ukuba kancane ukugcwalisa isinye ngamanzi afudumele. Enye ipayipi nge inzwa ozwelayo izinguquko ingcindezi, ibekwa emomozini. Le nqubo isenza sibone ukuthi kungani kukhona esinyeni overactive kwabesifazane. Ukwelashwa kuzoya kakhulu ngokuthi yikuphi ngeke ukuhlaziywa sizoba Kufinyeta okungalindelekile noma isitho izindonga noma ukuqina yayo, ngenxa okuyinto esinyeni iba abakwazi ukugcina umchamo ngomfutho ongaphakeme. Ungase ucele ezingenalutho phakathi nesifundo ukukala ingcindezi adingekayo bethulula umzimba, futhi ukucacisa khona noma ukungabi khona komuntu ukuvaleka kungenzeka (isimiso). Isimiso ukuthi kwenzeka ngenxa prolapse kwezitho okhalo, kungaholela izimpawu nobuntu izifo ezivamile ngakho njengoba esinyeni overactive kwabesifazane. Izizathu (impatho, njengoba yaziwa, ungakwazi kuphela liqoke umuntu oqeqeshiwe) kulesi simo cishe njalo zihlanganisa izifo zezinzwa ezithinta emgogodleni.

Ukwelashwa nge-yokwelapha yokuziphatha

yokwelapha yokuziphatha, noma ukuthenga ezidingekayo zokunqanda isifo imikhuba emihle - kuyisinyathelo sokuqala futhi ephumelela kakhulu indlela eholela ekululameni. Inzuzo okusobala le ndlela kuyinto engekho amathuba okuba nemiphumela engemihle. Uma nakwazi kanjani ukwelapha isinye overactive kwabesifazane, zama izinto ubuchwepheshe ezilandelayo.

Izindlela ezingcono kakhulu ukuqeda izinkinga

• Umzimba for imisipha esitezi okhalo. Kegel umzimba kukhona lutho yazuza emhlabeni wonke udumo nokuduma engakaze ibonwe: kukhona cishe kuyindlela lemvelo ukuze letfutfukisa imisipha yakho okhalo phansi futhi sphincter urinary. imisipha Stronger ungakwazi ukuqeda wena Kufinyeta okungalindelekile odongeni isinye. Udokotela Ngiyonika iseluleko enemininingwane ekusetshenzisweni efanele ejimini abadumile. Landela izincomo a professional futhi ubekezele: I-ubungcono olubonakalayo empilweni kuvame Adalberto isikhathi eside (nelesithupha amaviki).
• Gcina isisindo esinempilo. Uma uhlushwa ukukhuluphala ngokweqile, ukubuya isisindo evamile kuzosiza yokulawula esinyeni overactive kwabesifazane. Ukwelashwa (izibuyekezo kungaba uma ufuna ukuthola phezu izinkundla ingxoxo) kulokhu kusho ukunamathela ukudla sisekelwe eenkambisweni ka umsoco ofanele.
• Ukuqapha baphuza uketshezi. Udokotela angase atuse ukuba okulinganisela ukusebenzisa uketshezi futhi kuzosiza ukudala isimiso ukhululekile ukuthi kufanele uphuze isiphuzo sakho ozithandayo.
• Ukuthulula Double. Lokho esinyeni ayinalutho nhlobo, linda amaminithi ambalwa ngemva bethulula kuqala bese uyazama futhi ukugubha isidingo encane.
• ukuchama Lohleliwe. Indlela uhlelo kuyasiza hhayi kuphela ngokuya baphuza uketshezi, kodwa futhi ukuvakashela yangasese. Uma ukulandela isimiso kuhlelwe (isibonelo, ukuya yokugezela njalo emahoreni 2-4), umzimba Ufika esetshenziswa mode efanayo, futhi ngeke usakubona ukucindezeleka extra isifo Rolls izidingo.

Yini enye engenziwa?

• catheterisation Kweseva. Lapho ethola ukuthi unesifo esinyeni overactive e abesifazane, kanye nokwelashwa Izibuyekezo yokwelapha ebekiwe ixhomeke ukusebenza ngazinye indlela ebekiwe. Nokho, kukhona evamile, ngendlela jikelele ukuze akhulule ngezimpawu zesifo, okusho ukusetshenziswa ngezikhathi ipayipi ukuze bethulula ephelele emzimbeni. Xhumana nodokotela ngaphambi kokusebenzisa le ndlela.
• Ukugqoka pads urological. Ukusebenzisa pads urological noma yangaphansi ekhethekile umswakama kuzosiza ukuvikela izingubo emiphumeleni incontinence futhi uqede ukucindezeleka ngokwengqondo ehambisana. Linings okunjalo futhi izingubo zangaphansi beze bonke osayizi kanye ehlukile ukumuncwa ukusebenza.
• ukuqeqeshwa Isinye. Le nkulumo ibhekisela ukuthuthukiswa kwekhono yabo angenze isidingo encane. Kufanele uqale nge esifushane - isibonelo, imizuzu engu-30, ngemva kwalokho ungakwazi kancane kancane ukwandisa ngezikhawu nje ngeke ukuya ethoyilethi amahora kanye njalo emithathu kuya kwemine. esinyeni Overactive kwabesifazane (impatho, izimbangela, izimpawu, bheka isithombe esingenhla) kungenzeka nokusimamisa kanjalo kuphela uma bayakwazi uzikhandle (cut) imisipha esitezi okhalo.

esinyeni Overactive kwabesifazane: ukwelashwa (imithi)

imithi esetshenziswa ephumula odongeni umzimba ukunciphisa hyperactivity sifo. Ziyakwazi:

• tolterodine ( "Detrol");
• oxybutynin ngesimo isikhumba (transdermal) patch ( "Oksitrol");
• oxybutynin e ifomu gel ;
• trospium;
• solifenacin;
• darifenacin;
• fesoterodine.

Qaphela

Izidakamizwa ngenhla kungabangela imiphumela emibi, kuhlanganise nomlomo owomile kanye ukuqunjelwa, okungase babhebhethekise izimpawu zesifo njengoba esinyeni overactive kwabesifazane. Ukwelashwa (amaphilisi kanye amanye amalungiselelo ukusetshenziswa temlomo) kufanele udokotela, kodwa uma uhlushwa miphumela emibi, kungcono ubonane onguchwepheshe amaphilisi esikhundleni si kanye nezimagqabhagqabha.