Tursasa rashin haƙuri

Rashin saurin fitsari na faruwa ne lokacin da kake da karfi, kwatsam kake buƙatar yin fitsari wanda yake da wahalar jinkiri. Sannan mafitsara tana matsewa, ko kuma spasms, kuma sai ku rasa fitsari.

Yayinda mafitsararka ta cika da fitsari daga kodan, tana mikewa don samar wa dakin fitsarin. Ya kamata ka ji yunwar farko ta yin fitsari lokacin da fitsari ya ke ƙasa da kofi 1 (mililita 240) a cikin mafitsara. Yawancin mutane na iya riƙe fitsari sama da kofi 2 (miliyon 480) a cikin mafitsara.

Tsokoki biyu suna taimakawa wajen hana yaduwar fitsari:

• Sphincter tsoka ce a kewayen buɗe mafitsara. Yana matsewa don hana fitsari shiga cikin fitsarin. Wannan shine bututun da fitsari ke bi daga mafitsara zuwa waje.
• Tsokar bangon mafitsara tana shakatawa saboda mafitsara zata iya fadada kuma ta rike fitsari.

Lokacin da kake fitsari, tsokar bangon mafitsara tana matsi don tilasta fitsari daga cikin mafitsara. Kamar yadda hakan ke faruwa, tsokar tsoka tana sassautawa don barin fitsarin wucewa.

Duk waɗannan tsarin dole ne suyi aiki tare don sarrafa fitsari:

• Tsokokin fitsarinka da sauran sassan fitsarinka
• Jijiyoyi masu juya tsarin fitsarinku
• Abilityarfin ku na ji da amsawa ga yunƙurin yin fitsari

Mafitsara na iya yin kwangila sau da yawa daga matsalolin tsarin juyayi ko fushin mafitsara.

GAGGAUTA INGANTA

Tare da rashin saurin fitsari, kuna malalar fitsari saboda jijiyoyin mafitsara suna matsewa, ko kwangila, a lokutan da ba su dace ba. Wadannan cututtukan na faruwa ne sau da yawa komai yawan fitsarin da ke cikin mafitsara.

Rashin saurin gaggawa na iya haifar da:

• Ciwon daji na mafitsara
• Kumburin mafitsara
• Wani abu yana toshe fitsarin daga mafitsara
• Duwatsu masu mafitsara
• Kamuwa da cuta
• Matsalolin kwakwalwa ko na jijiya, kamar su sclerosis ko bugun jini da yawa
• Raunin jijiyoyi, kamar daga rauni na kashin baya

A cikin maza, tura rashin daidaito kuma na iya zama saboda:

• Canjin mafitsara da ya karu ta hanyar kara girman jini, wanda ake kira hyperplasia mai saurin yaduwa (BPH)
• Fitsari mai girma wanda yake toshe fitsari daga mafitsara

A mafi yawan lokuta rashin saurin kamuwa da cuta, ba a iya samun wani dalili.

Kodayake rashin saurin kamuwa da cuta na iya faruwa ga kowa a kowane zamani, ya fi faruwa ga mata da tsofaffi.

Kwayar cutar sun hada da:

• Rashin samun damar sarrafawa lokacin da kake fitsari
• Yin fitsari sau da yawa yayin dare da rana
• Bukatar yin fitsari kwatsam da gaggawa

Yayin gwajin jiki, mai ba da lafiyarku zai kalli cikinku da dubura.

• Mata zasuyi gwaji na mara.
• Maza zasuyi gwajin al'aura.

A mafi yawan lokuta, gwajin jiki ba zai sami matsala ba. Idan akwai abubuwan da ke haifar da juyayi, za a iya samun wasu matsaloli.

Gwaje-gwaje sun haɗa da masu zuwa:

• Cystoscopy don duba cikin cikin mafitsara.
• Kushin gwaji. Kuna sanya pad ko pads don tattara duk fitsarin da ya malala. Sannan ana auna kushin don gano yawan fitsarin da kuka rasa.
• Pelvic ko duban dan tayi.
• Binciken Uroflow don ganin yaya da saurin fitsarinku.
• Sanya sauran fanko don auna adadin fitsarin da ya rage a cikin fitsarin bayan kun yi fitsari.
• Fitsari don bincika jini a cikin fitsari.
• Al'adar fitsari don bincika kamuwa da cuta.
• Gwajin matsi na fitsari (ka tsaya tare da cikakkiyar mafitsara da tari).
• Kimiyyar fitsarin fitsari don kawar da cutar kansa ta mafitsara.
• Nazarin Urodynamic don auna matsa lamba da kwararar fitsari.
• X-ray tare da fenti mai banbanci don kallon koda da mafitsara.
• Bugun littafin don tantance yawan shan ruwa, fitowar fitsari, da yawan fitsarin.

Yin jiyya ya dogara da irin yadda alamunku suke da kyau da kuma yadda suke shafar rayuwar ku.

Akwai manyan hanyoyin kulawa guda huɗu don neman rashin haƙuri:

• Bladder da ƙashin ƙuguwar tsoka
• Canjin rayuwa
• Magunguna
• Tiyata

KARATUN KARFE

Gudanar da rashin saurin kamuwa da cuta galibi yakan fara ne da maimaitawar mafitsara. Wannan yana taimaka maka ka san lokacinda fitsarinka ya fita saboda bazuwar mafitsara. Sannan zaka sake sanin kwarewar da kake bukatar rikewa da sakin fitsari.

• Kun sanya jadawalin lokutan da ya kamata kuyi fitsari. Kuna ƙoƙari ku guji yin fitsari tsakanin waɗannan lokutan.
• Hanya ɗaya ita ce tilasta kanka ka jira minti 30 tsakanin tafiye-tafiye zuwa banɗaki, koda kuwa kana da sha'awar yin fitsari a tsakanin waɗannan lokutan. Wannan bazai yuwu ba a wasu lokuta.
• Yayinda ka kware a jira, a hankali ka kara lokacin da mintina 15 har sai kayi fitsari duk bayan awa 3 zuwa 4.

TARON MAGANIN MAGANIN MAGANIN MUTANE

Wani lokaci, ana iya amfani da atisayen Kegel, biofeedback, ko motsawar lantarki tare da sake maido da mafitsara. Waɗannan hanyoyi suna taimakawa ƙarfafa tsokoki na ƙashin ƙugu:

Darasi na Kegel - Ana amfani da waɗannan galibi don magance mutane masu fama da rashin ƙarfi. Koyaya, waɗannan darussan na iya taimakawa wajen kawar da alamun rashin ƙarfi na rashin jituwa.

• Kuna matse tsokar ƙashin ƙugu kamar kuna ƙoƙarin tsayar da fitsari.
• Yi haka na tsawon dakika 3 zuwa 5, sannan ka huta na dakika 5.
• Maimaita sau 10, sau 3 a rana.

Magungunan farji - Wannan mazugi ne mai nauyi wanda aka saka a cikin farji don ƙarfafa ƙwayoyin ƙashin ƙugu.

• Kuna sanya mazugi a cikin farji.
• Bayan haka sai kuyi kokarin matse tsokar murfin ku don rike mazugar a wuri.
• Kuna iya sa mazugi na tsawon mintuna 15 a lokaci guda, sau 2 a rana.

Biofeedback - Wannan hanyar za ta iya taimaka maka ka koya yadda za ka iya ganowa da kuma kula da tsokoki na ƙashin ƙugu.

• Wasu masu ilimin kwantar da hankali suna sanya firikwensin a cikin farji (na mata) ko dubura (ga maza) don haka za su iya sanin lokacin da suke murɗa muryoyin ƙashin ƙugu.
• Mai saka idanu zai nuna jadawali wanda yake nuna tsokoki suna matsewa da waɗanda suke hutawa.
• Mai ilimin kwantar da hankalin zai iya taimaka muku samun tsokoki madaidaici don yin aikin Kegel.

Haɓaka wutar lantarki - Wannan yana amfani da wutar lantarki mai taushi don kwangilar tsokoki na mafitsara.

• Ana gabatar da halin yanzu ta amfani da bincike na dubura ko na farji.
• Ana iya yin wannan maganin a ofishin mai bayarwa ko a gida.
• Zaman jiyya yawanci yakan wuce mintuna 20 kuma ana iya yin kowane kwana 1 zuwa 4.

Tashin jijiya na tibial mai motsa jiki (PTNS) - Wannan maganin na iya taimaka wa wasu mutane da mafitsara mai aiki.

• An sanya allurar acupuncture a bayan idon, kuma ana amfani da zafin lantarki na mintina 30.
• Mafi sau da yawa, jiyya zai faru kowane mako don kusan makonni 12, kuma wataƙila kowane wata bayan haka.

SAUYIN YANAYI

Kula da yawan ruwan da za ku sha da kuma lokacin da za ku sha.

• Shan isasshen ruwa zai taimaka wajen kiyaye warin.
• Sha ruwa kadan kadan a lokaci guda a duk tsawon yini, don haka mafitsara ba ta bukatar rike fitsari mai yawa a lokaci guda. Sha kasa da oza 8 (millilit 240) a lokaci guda.
• Kar a sha ruwa mai yawa da abinci.
• Zub da ruwa mai yawa tsakanin abinci.
• Dakatar da shan ruwa kusan awa 2 kafin bacci.

Hakanan yana iya taimaka wajan dakatar da cin abinci ko abin sha waɗanda zasu iya fusata mafitsara, kamar:

• Maganin kafeyin
• Abincin mai yawan gaske, kamar 'ya'yan itacen citrus da ruwan' ya'yan itace
• Abincin yaji
• Kayan zaki na wucin gadi
• Barasa

Guji ayyukan da ke harzuka mafitsara da mafitsara. Wannan ya hada da yin wanka da kumfa ko kuma amfani da sabulai masu kauri.

MAGUNGUNA

Magungunan da ake amfani da su don magance rashin karfin jiki suna shakatawa kwangilar mafitsara kuma suna taimakawa inganta aikin mafitsara. Akwai nau'ikan magunguna da yawa wadanda za'a iya amfani dasu kai kadai ko tare:

• Magungunan anticholinergic suna taimakawa shakatawa tsokoki na mafitsara. Sun hada da oxybutynin (Oxytrol, Ditropan), tolterodine (Detrol), darifenacin (Enablex), trospium (Sanctura), da solifenacin (VESIcare).
• Magungunan agonist na iya taimakawa shakatawa tsokoki na mafitsara. Iyakar maganin wannan nau'in a halin yanzu shine mirabegron (Myrbetriq).
• Flavoxate (Urispas) magani ne da ke kwantar da ciwon mara. Koyaya, karatuna sun nuna cewa ba koyaushe yake da tasiri ba wajen sarrafa alamomin rashin saurin haƙuri.
• Tricyclic antidepressants (imipramine) na taimakawa shakata da sanyin tsokar mafitsara.
• Ana amfani da allurar Botox don magance mafitsara mai aiki. An yi amfani da maganin cikin mafitsara ta hanyar cystoscope. Ana yin aikin sau da yawa a ofishin mai bayarwa.

Wadannan magunguna na iya samun illoli kamar su jiri, maƙarƙashiya, ko bushewar baki. Yi magana da mai ba ka idan ka lura da illolin da ke damun ka.

Idan kana da kamuwa da cuta, mai ba ka izini zai rubuta maganin rigakafi. Tabbatar ɗaukar duka adadin kamar yadda aka umurce ku.

Tiyata

Yin aikin tiyata zai iya taimaka wa mafitsara ɗinka yawan fitsari. Hakanan zai iya taimakawa taimakawa matsa lamba akan mafitsara. Ana amfani da tiyata don mutanen da ba su amsa magunguna ko waɗanda ke da illa masu alaƙa da magunguna.

Tashin jijiya na Sacral ya haɗa da dasa ƙaramin abu a ƙarƙashin fatarku. Wannan naurar tana aika kananan bugun lantarki zuwa jijiyoyin jijiya (daya daga cikin jijiyoyin da ke fitowa a gindin kashin bayan ku). Za'a iya daidaita bugun lantarki don taimakawa bayyanar cututtuka.

Cystoplasty na Augmentation an yi shi azaman makoma ta ƙarshe don tsananin rashin karfin ciki. A wannan aikin tiyatar, an kara wani sashin hanji a cikin mafitsara. Wannan yana kara girman fitsari kuma yana bashi damar adana karin fitsari.

Matsalolin da ka iya faruwa sun hada da:

• Jinin jini
• Toshewar hanji
• Kamuwa da cuta
• Increasedan ƙara haɗarin ƙari
• Rashin samun damar yin fitsari da fitsari - wataƙila kuna buƙatar koyon yadda ake saka catheter cikin mafitsara don zubar da fitsari
• Hanyar kamuwa da fitsari

Rashin fitsarin fitsari matsala ce ta dogon lokaci. Duk da yake jiyya na iya warkar da yanayinka, ya kamata har yanzu ka ga mai ba ka sabis don tabbatar da cewa kana aiki sosai kuma ka bincika matsaloli masu yuwuwa.

Yaya za ku yi ya dogara da alamun ku, ganewar asali, da magani. Yawancin mutane dole ne su gwada magunguna daban-daban (wasu a lokaci guda) don rage alamun.

Samun lafiya yana ɗaukar lokaci, don haka gwada haƙuri. Smallananan mutane suna buƙatar tiyata don sarrafa alamun su.

Rikicin jiki ba safai ba. Yanayin na iya shiga cikin ayyukan zamantakewar jama'a, sana'oi, da dangantaka. Hakanan zai iya sa ka ji daɗi game da kanka.

Ba da daɗewa ba, wannan yanayin na iya haifar da ƙaruwa sosai a cikin matsewar mafitsara, wanda zai haifar da lalacewar koda.

Kira mai ba da sabis idan:

• Alamunka na haifar maka da matsala.
• Kuna da rashin jin daɗin ciki ko ƙonewa da fitsari.

Fara dabarun dawo da mafitsara da wuri zai iya taimaka wa alamominka.

Mafitsara mai aiki; Rashin zaman lafiyar Detrusor; Detrusor hyperreflexia; Fitsari; Mafitsara na spasmodic; M mafitsara; Rashin hankali - turawa; Yammacin mafitsara; Matsalar fitsari - roko

• 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

Drake MJ. Yawan mafitsara. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 76.

Kirby AC, Lentz GM. Functionananan aikin yanki na urinary da cuta: ilimin lissafin jiki na lalata, lalacewar ɓarna, rashin aikin fitsari, cututtukan urinary, da ciwo mai ciwo na mafitsara. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 21.

Lightner DJ, Gomelsky A, Souter L, Vasavada SP. Ganewar asali da maganin mafitsara mai wuce gona da iri (mara sa kwayar cuta) a cikin manya: Kwaskwarimar Jagorancin AUA / SUFU 2019. J Urol. 2019; 202 (3): 558-563. PMID: 31039103 www.ncbi.nlm.nih.gov/pubmed/31039103.

Newman DK, Burgio KL. Gudanar da ra'ayin mazan jiya game da matsalar rashin fitsari: halayyar ɗabi'a da gyaran farji da jijiyoyin fitsari da kayan kwalliya. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 80.

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

Stiles M, Walsh K. Kula da tsofaffi mai haƙuri. A cikin: Rakel RE, Rakel DP, eds. Littafin karatun Magungunan Iyali. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 4.