Danniya rashin aikin fitsari

Matsalar fitsarin danniya na faruwa ne yayin da mafitsara take malalo fitsari yayin motsa jiki ko motsa jiki. Zai iya faruwa lokacin da kayi tari, atishawa, daga wani abu mai nauyi, canza matsayi, ko motsa jiki.

Rashin jituwa na damuwa yana faruwa yayin da abin da ke tallafawa fitsarinku ya yi rauni.

• Maziyyi da mafitsara suna tallafawa ta tsoffin ƙashin ƙugu. Fitsari yana gudana daga mafitsara ta mafitsara zuwa waje.
• Sphincter tsoka ce a kewayen buɗe mafitsara. Yana matsewa don hana fitsari malalawa ta cikin fitsarin.

Lokacin da kowane jijiyoyi suka zama masu rauni, fitsari na iya wucewa yayin da aka matsa lamba akan mafitsara. Kuna iya lura da shi lokacin da:

• Tari
• Yi atishawa
• Dariya
• Motsa jiki
• Dauke abubuwa masu nauyi
• Yi jima'i

Musclesananan tsokoki na iya haifar da:

• Haihuwa
• Rauni ga yankin fitsarin
• Wasu magunguna
• Yin tiyata a cikin yankin ƙashin ƙugu ko ƙugu (a cikin maza)
• Yin nauyi
• Dalilin da ba a sani ba

Rashin damuwa danniya ya zama ruwan dare ga mata. Wasu abubuwa suna ƙara haɗarin ku, kamar:

• Ciki da haihuwa.
• Ciwon mara. Wannan shine lokacinda mafitsara, mafitsara, ko dubura ke zamewa cikin farji. Isar da jariri na iya haifar da lalacewar jijiya ko nama a cikin yankin ƙugu. Wannan na iya haifar da ɓacin rai na watanni ko shekaru bayan haihuwa.

Babban alama ta rashin kwanciyar hankali shine yoyon fitsari lokacin da:

• Suna aiki a jiki
• Tari ko atishawa
• Motsa jiki
• Tsaya daga wurin zama ko kwance

Mai ba da lafiyar ku zai yi gwajin jiki. Wannan zai hada da:

• Nazarin al'ada a cikin maza
• Jarrabawar Pelvic a cikin mata
• Gwajin hanji

Gwaje-gwaje na iya haɗawa da:

• Cystoscopy don duba cikin mafitsara.
• Gwajin nauyin ma'auni: Kuna motsa jiki yayin sanye da takalmin tsafta. Sannan ana auna kushin don gano yawan fitsarin da kuka rasa.
• Bata labari: Kuna bin diddigin yanayin fitsarinku, kwararar ruwa da kuma shan ruwa.
• Pelvic ko duban dan tayi.
• Ragowar bayan-bayan (PVR) don auna adadin fitsarin da ya rage bayan yin fitsari.
• Fitsari don duba cutar fitsari.
• Gwajin matsi na fitsari: Kuna tsaye tare da cikakkiyar mafitsara sannan kuma tari.
• Nazarin Urodynamic don auna matsa lamba da kwararar fitsari.
• X-ray tare da fenti mai banbanci don kallon koda da mafitsara.

Jiyya ya dogara da yadda alamunku ke shafar rayuwarku.

Akwai nau'ikan magani guda 3 don rashin jituwa cikin damuwa:

• Canje-canjen halaye da horon mafitsara
• Horon jijiyoyin ƙasan farji
• Tiyata

Babu magunguna don maganin raunin rashin jituwa. Wasu masu samarwa na iya ba da umarnin magani da ake kira duloxetine. FDA ba ta yarda da wannan maganin ba don magance matsalolin rashin ƙarfi.

SAUYIN HALI

Yin waɗannan canje-canje na iya taimaka:

• Sha ruwa kaɗan (idan kun sha ruwa fiye da al'ada). Guji shan ruwa kafin kwanciya.
• Guji tsalle ko gudu.
• Fiberauki zare don kauce wa maƙarƙashiya, wanda zai iya sa matsalar rashin fitsari ta yi muni.
• Dakatar da shan taba. Wannan na iya rage tari da mafitsara na mafitsara. Shan sigari yana kuma kara haɗarin kamuwa da cutar kansa ta mafitsara.
• Guji shan giya da abubuwan sha mai kafe kamar kofi. Suna iya sa mafitsara ta cika da sauri.
• Rage nauyi mai nauyi
• Guji abinci da abin sha waɗanda zasu iya fusata mafitsara. Waɗannan sun haɗa da abinci mai yaji, abubuwan sha mai ƙuna, da kuma citrus.
• Idan kana da ciwon suga, kiyaye sukarin jininka ƙarƙashin kyakkyawan iko.

TARON BAYANTA

Horarwar mafitsara na iya taimaka maka wajen sarrafa mafitsara. An nemi mutum ya yi fitsari a lokaci-lokaci. Sannu a hankali, an ƙara lokacin tazara. Wannan yana sa mafitsara ta mike ta rike fitsari.

TARON MAGANIN MAGANIN MAGANIN MUTANE

Akwai hanyoyi daban-daban don ƙarfafa tsokoki a cikin ƙashin ƙugu.

• Biofeedback: Wannan hanyar zata iya taimaka muku koya don ganowa da kuma kula da tsokokin ƙashin ƙugu.
• Darasi na Kegel: Wadannan atisayen na iya taimaka wa tsokar da ke kusa da mafitsara ta karfi da aiki yadda ya kamata. Wannan na iya taimaka ka kiyaye fitsarin.
• Farji farji: Kuna sanya mazugi cikin farji.Bayan haka sai kuyi kokarin matse tsokar murfin ku don rike mazugar a wuri. Zaka iya sa mazugi na tsawon mintuna 15 a lokaci guda, sau biyu a rana. Kuna iya lura da ci gaba a cikin alamun ku a cikin makonni 4 zuwa 6.
• Maganin motsa jiki na ƙasan ƙugu: Masu kwantar da hankali na jiki waɗanda aka keɓance musamman a yankin na iya kimanta matsalar sosai tare da taimakawa atisaye da hanyoyin kwantar da hankali.

CUTUTTUKA

Idan sauran jiyya basa aiki, mai bayarwa zai iya ba da shawarar tiyata. Yin aikin tiyata na iya taimakawa idan kuna da matsalar rashin damuwa da damuwa. Yawancin masu samarwa suna ba da shawarar tiyata ne kawai bayan gwada magungunan mazan jiya.

• Gyara farji na baya yana taimakawa dawo da raunin bango na mace da rauni. Ana amfani da wannan lokacin da mafitsara ta bullo cikin farji (prolapse). Rushewar jiki na iya zama alaƙa da damuwa na fitsari.
• Arfin fitsari na roba: Wannan wata naura ce da ake amfani da ita wajen hana fitsarin fitowa. Ana amfani dashi akasari a cikin maza. Yana da wuya amfani da mata.
• Yin allura da yawa yana sanya yankin da ke kewaye da fitsarin yayi kauri. Wannan yana taimakawa sarrafa yoyo. Hanyar na iya buƙatar maimaita bayan 'yan watanni ko shekaru.
• Majaujaron maza shine tef ɗin raga da ake amfani da shi don matsa lamba a kan fitsarin. Abu ne mai sauki fiye da sanyawa mai aikin fitsarin roba.
• Sake dakatar da jinkirin daga mafitsara da mafitsara. Ana yin wannan ƙasa sau da yawa saboda yawan amfani da nasara tare da sifofin fitsari.
• Majajjawa daga mafitsara mace tef ne wanda aka yi amfani dashi don tallafawa fitsarin.

Samun lafiya yana ɗaukar lokaci, don haka gwada haƙuri. Kwayar cututtukan galibi galibi suna samun sauƙi ne tare da jiyya marasa magani. Koyaya, ba zasu warkar da rashin jituwa na damuwa ba. Yin aikin tiyata na iya warkar da yawancin mutane na rashin saurin damuwa.

Jiyya ba ya aiki sosai idan kuna da:

• Yanayin da ke hana warkarwa ko sanya tiyata ya zama da wahala
• Sauran matsalolin al'aura ko na fitsari
• Tiyata da ta gabata wacce ba ta yi aiki ba
• Ciwon sukari mara kyau
• Neurologic cuta
• Haske na baya zuwa ƙashin ƙugu

Rikici na jiki ba safai ba kuma galibi mai sauƙi ne. Suna iya haɗawa da:

• Jin haushi na leben farji (mara)
• Ciwan fata ko ulcewar matsa lamba a cikin mutanen da ke da laulayi kuma ba sa iya fita daga gado ko kujera
• Wari mara dadi
• Cututtukan fitsari

Yanayin na iya shiga cikin ayyukan zamantakewar jama'a, sana'oi, da dangantaka. Hakanan yana iya haifar da:

• Abun kunya
• Kaɗaici
• Bacin rai ko damuwa
• Rashin aiki a wurin aiki
• Rashin sha'awar yin jima'i
• Rikicin bacci

Matsalolin da ke tattare da tiyata sun haɗa da:

• Fistulas ko ƙura
• Raunin fitsari ko hanji
• Zuban jini
• Kamuwa da cuta
• Matsalar fitsari - idan kana da matsalar yin fitsari kana iya amfani da catheter. Wannan sau da yawa na ɗan lokaci ne
• Jin zafi yayin saduwa
• Rashin jima'i
• Dauke kayan da aka sanya yayin aikin tiyata, kamar majajjawa ko abin ƙyama na wucin gadi

Kira mai ba ku sabis idan kuna da alamun rashin daidaituwa na damuwa kuma suna damun ku.

Yin atisayen Kegel na iya taimakawa hana alamun. Mata na iya so suyi Kegels a lokacin da kuma bayan daukar ciki don taimakawa hana fitsari.

Rashin hankali - damuwa; Matsalar rashin fitsari; Pelvic prolapse - rashin ƙarfin damuwa; Matsalar rashin aiki; Rashin fitsari - damuwar rashin aiki; Fitsari daga fitsari - rashin kwanciyar hankali; Elasan Pelvic - rashin ƙarfin damuwa

• Cika kulawar catheter
• Ayyukan Kegel - kula da kai
• Tsarin kai - mace
• Dabarar bakararre
• Abincin katako - abin da za a tambayi likita
• Kayan fitsarin fitsari - kulawa da kai
• Yin tiyatar fitsari - mace - fitarwa
• Rashin fitsari - abin da za a tambayi likitan ku
• Jakar magudanun ruwa
• Lokacin yin fitsarin

• Mace fitsarin mata
• Maganin fitsarin namiji
• Matsalar rashin aiki
• Matsalar rashin aiki
• Maimaita mafitsara da gyaran fitsari - jerin

Yanar gizo Associationungiyar Urological American. Yin aikin tiyata na rashin ƙarfin fitsari na mata (SUI): jagorar AUA / SUFU (2017). www.auanet.org/guidelines/stress-urinary-incontinence-(sui)-guideline. An buga 2017. An shiga Fabrairu 13, 2020.

Hashim H, Abrams P. Bincike da gudanar da maza masu fama da matsalar rashin fitsari. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 72.

Kobashi KC. Kimantawa da gudanarwa na mata masu fama da matsalar yoyon fitsari da ɓarna. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 71.

Patton S, Bassaly RM. Rashin fitsari. A cikin: Kellerman RD, Rakel DP, eds. Conn's Far Far na yanzu 2020. Philadelphia, PA: Elsevier; 2020: 1110-1112.

Resnick NM. Rashin fitsari. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 23.