Fitsari - matsala tare da kwarara

Matsalar farawa ko kiyaye rafin fitsari ana kiranta jinkirin fitsari.

Rashin jinkirin yin fitsari yana shafar mutane na kowane zamani kuma yana faruwa a cikin mata ko maza. Koyaya, anfi samun hakan ga tsofaffin maza masu girman glandan prostate.

Rashin jinkirin fitsari galibi yana bunkasa a hankali kan lokaci. Ba za ka iya lura da shi ba har sai ba za ka iya yin fitsari ba (wanda ake kira riƙe fitsari). Wannan yana haifar da kumburi da rashin jin daɗi a cikin mafitsara.

Babban abin da ke haifar da jinkirin yin fitsari a cikin mazan maza shine kara girman prostate. Kusan dukkan mazan maza suna da matsala game da dribbling, raunin fitsari, da fara yin fitsari.

Wani abin da ke haddasa shi shine kamuwa da cutar prostate ko kuma hanyar fitsari. Kwayar cutar mai saurin kamuwa da cutar sun hada da:

• Konawa ko ciwo da fitsari
• Yin fitsari akai-akai
• Fitsari mai duhu
• Yanayin gaggawa (mai ƙarfi, kwatsam don yin fitsari)
• Jini a cikin fitsari

Hakanan za'a iya haifar da matsalar ta:

• Wasu magunguna (kamar magunguna na mura da rashin lafiyar jiki, tricyclic antidepressants, wasu kwayoyi da ake amfani dasu don rashin jituwa, da wasu bitamin da kari)
• Rikicin tsarin jijiyoyi ko matsaloli tare da kashin baya
• Sakamakon sakamako na tiyata
• Takojin nama (tsananin) a cikin bututun da ke zuwa daga mafitsara
• Tsokokin tsoka a cikin ƙashin ƙugu

Matakan da zaku iya ɗauka don kula da kanku sun haɗa da:

• Kula da tsarin fitsarinka sannan ka kawo rahoto ga mai ba ka lafiya.
• Sanya zafi a cikin cikin ku na ciki (kasan maballin ciki da kuma sama da kashin al'aurar mutum). Anan ne mafitsara take. Zafin yana kwantar da tsokoki kuma yana taimakawa yin fitsari.
• Tausa ko amfani da matsi mai sauƙi a kan mafitsara don taimakawa mafitsara fanko.
• Yi wanka mai dumi ko ruwa don taimakawa motsa fitsari.

Kira wa masu samar maka idan ka lura da jinkirin yin fitsari, dribbling, ko raunin fitsari mara kyau.

Kira mai ba da sabis kai tsaye idan:

• Kuna da zazzabi, amai, gefe ko ciwon baya, girgiza sanyi, ko ƙarancin fitsari na kwanaki 1 zuwa 2.
• Kuna da jini a cikin fitsarinku, fitsarin girgije, yawan buqatar gaggawa ko yawan buqatar yin fitsari, ko fitowar al'aura ko farji.
• Ba za ku iya yin fitsari ba.

Mai ba ku sabis zai ɗauki tarihin lafiyarku kuma ya yi gwaji don kallon ƙashin ƙugu, al'aura, dubura, ciki, da ƙananan baya.

Ana iya tambayarka tambayoyi kamar:

• Tun yaushe ka sami matsalar kuma yaushe ta fara?
• Shin ya fi muni da safe ko da daddare?
• Shin ƙarfin fitsarinku ya ragu? Kuna yin dribbling ko fitsari?
• Shin wani abu ya taimaka ko ya kara matsalar?
• Kuna da alamun kamuwa da cuta?
• Shin kun sami wasu yanayin kiwon lafiya ko aikin tiyata wanda zai iya shafar kwararar fitsarinku?
• Waɗanne magunguna kuke sha?

Gwajin da za a iya yi sun hada da:

• Cutar da mafitsara don tantance yawan fitsarin da ya rage a cikin fitsarinku bayan yunƙurin yin fitsari da kuma samun fitsari don al'ada (samfurin fitsarin da aka katse shi)
• Cystometrogram ko nazarin urodynamic
• Canza duban dan tayi na prostate
• Hanyar fitsari don al'ada
• Fitsari da al'ada
• Cystourethrogram mai ɓoye
• Binciken mafitsara da duban dan tayi (gwargwadon fitsarin da aka bari a baya ba tare da daukar ciki ba)
• Cystoscopy

Jiyya don jinkirin urinary ya dogara da dalilin, kuma yana iya haɗawa da:

• Magunguna don taimakawa bayyanar cututtuka na faɗaɗa prostate.
• Maganin rigakafi don magance kowace cuta. Tabbatar da shan dukkan magunguna kamar yadda aka umurce ku.
• Yin aikin tiyata don magance toshewar ƙwayar ƙwayar cuta (TURP).
• Hanyar fadada ko yanke tabon abu a cikin fitsarin.

Jinkirta yin fitsari; Hesitancy; Matsalar fara yin fitsari

• Mace fitsarin mata
• Maganin fitsarin namiji

Gerber GS, Brendler CB. Kimantawa game da rashin lafiyar urologic: tarihi, gwajin jiki, da yin fitsari. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 1.

Smith PP, Kuchel GA. Tsufa na fitsari. A cikin: Fillit HM, Rockwood K, Young J, eds. Littafin karatun Brocklehurst na Magungunan Geriatric da Gerontology. 8th ed. Philadelphia, PA: Elsevier, 2017: babi na 22.