Reba: 0 Umwanditsi: Muhinduzi wurubuga Gutangaza Igihe: 2026-09-22 Inkomoko: Urubuga
Wigeze uhangayikishwa nuburyo bwo kwirinda inkari n’inda? Nturi wenyine. Abagore bagera kuri 1 kuri 3 nabagabo 1 kuri 10 bafite ubwoko bumwe bwo kudashaka. Iyi miterere igira ingaruka mubuzima bwawe bwa buri munsi, ariko urashobora kuvura no kuyirinda. Kumenya ibitera biguha kuyobora umubiri wawe. Impinduka zoroshye nko kurya neza no gukora imyitozo ya pelvic hasi birashobora kunoza cyane kugenzura uruhago. Urashobora gufata neza ubuzima bwawe kandi ukagira bike. Aka gatabo gatanga intambwe zifatika zagufasha kwirinda inkari ninda. Uzamenya ibitera impanuka nuburyo bwo kubaka ingeso nziza. Tangira uyumunsi, uzabona impinduka nziza.
Kutanyurwa bigira ingaruka kubantu benshi, ariko urashobora kubicunga.
Menya ubwoko bwa incontinence ufite kugirango ubashe guhitamo uburyo bwiza.
Hindura ibyo urya n'ibinyobwa kugirango bigufashe guhagarika imyanda.
Hugura uruhago rwawe ujya mu bwiherero kuri gahunda yagenwe.
Kora hasi ya pelvic yawe hamwe nimyitozo ya Kegel.
Koresha uburyo bwa Knack kugirango uhagarike kumeneka mugihe ukorora.
Reba umuganga niba ibimenyetso byawe bibangamiye ubuzima bwawe bwa buri munsi.
Koresha ibicuruzwa bikurura kugirango wumve neza kandi wizeye.
Kugira ngo ukosore imyanda yawe, ugomba kubanza kumenya ni ubuhe bwoko ufite . Incontinence ntabwo ari ikibazo kimwe gusa. Iza muburyo butandukanye, kandi buri fomu igira impamvu zayo nimpamvu. Umaze kubona icyitegererezo cyawe, urashobora gutera intambwe iboneye kugirango ugarure kugenzura.
Kudahagarika inkari bivuze ko usohora inkari nta busobanuro kuri. Ubwoko butatu bwingenzi ni guhangayika, kwifuza, no kurengerwa. Buri bwoko bwumva butandukanye kandi bibaho kubwimpamvu zitandukanye.
Andika |
Ibisobanuro |
Imbarutso Rusange |
|---|---|---|
Shimangira |
Kuvamo umuvuduko wumubiri kuruhago |
Kwitsamura, gukorora, guseka, guterura, gukora siporo, kubyibuha birenze |
Saba kwinezeza |
Mu buryo butunguranye, bikenewe cyane kwihagarika udashobora gutinda |
Inzoga, cafeyine, ibinyobwa bya karubone, itabi, UTIs, impatwe |
Kurenza urugero |
Uruhago ntiruzimangana rwose, inkari rero zirasohoka buri gihe |
Ibibazo bya prostate mubagabo, kwangirika kw'imitsi , amabuye y'uruhago, ibibyimba |
Uratemba iyo usunitse cyangwa usimbutse? Ibyo byerekana guhangayika . Isubiramo ry’ubushakashatsi 48 ryabonye ko 78% by'abagore bafite ikibazo cyo kutagira inkari bafite ubwoko bw'imihangayiko, bigatuma bikunze kugaragara. Gusaba kutinangira bikunze gutera nta nteguza. Urumva bikenewe cyane kugenda, kandi ntushobora kugera kumusarani mugihe. Abantu bamwe bavanze kutanyurwa , bihuza guhangayika no gusaba ibimenyetso. Ibyo bivuze ko ushobora gutemba mugihe cy'imyitozo ngororamubiri kandi ukumva nijoro utunguranye.
Kudahagarika amara bivuze ko udashobora kugenzura intebe cyangwa gaze. Bigira ingaruka kuri 8% byabantu bakuru kwisi yose, ukurikije ubushakashatsi bwakozwe 80. Igipimo kizamuka kigera kuri 9.3% kubantu bakuze barengeje imyaka 60. Abagore bahura nabyo kenshi ugereranije nabagabo.
Abaturage |
Ikwirakwizwa |
|---|---|
Muri rusange abantu bakuru |
8.0% |
Abakuze imyaka 60 |
9.3% |
Abakuze <imyaka 60 |
4.9% |
Abagore |
9.1% |
Abagabo |
7.4% |
Ibintu byinshi bitera amara. Impiswi irashobora kurenga sisitemu yawe. Kuribwa mu nda birashobora kurambura urukiramende no kugabanya imitsi. Kubyara kubyara ibyara birashobora gutanyagura anal sphincter. Kwangirika kw'imitsi iterwa na diyabete, ubwonko, cyangwa igikomere cy'umugongo nabyo bigira uruhare. Hemorroide, kugabanuka k'urukiramende, na rectocele nayo itanga umusanzu. Kudakora kumubiri bituma ikibazo gikomera.
Imitsi yawe yo hasi ifasha uruhago rwawe, amara, na nyababyeyi. Babika kandi inkari nintebe imbere kugeza uhisemo kubirekura. Iyo imitsi igabanutse, sisitemu zombi zirababara. Clinical data yerekana ko inkari na fecal incontinence zibana muri 35-50% by'abarwayi . Uku guhuzagurika kwerekana impamvu isangiwe: pelvic hasi idakora neza.
idakomeye Imitsi itakaza ubushobozi bwo gufata ingingo mu mwanya. Ibi birashobora gutuma umuntu agabanuka, aho ingingo zijya hepfo. Gutakaza inkunga bigira ingaruka kuri rectum, bigatera ubusa nubusa. Ibibazo byo kugenzura uruhago bikunze kugaragara hamwe nibibazo byo munda kuko imitsi imwe ishyigikira byombi. Gukomeza hasi ya pelvic ukoresheje imyitozo igamije birashobora kunoza ubwoko bwombi bwo kumeneka. Amakuru meza nuko iyi mitsi yitabira neza imyitozo, uko imyaka yawe yaba ingana kose.
Impinduka nto zirashobora gukora itandukaniro rinini. Ntugomba guhindura ubuzima bwawe bwose guhagarika kumeneka . Ingeso yoroshye ya buri munsi irashobora gushimangira umubiri wawe no kugabanya impanuka. Izi mpinduka zikosora impamvu nyayo zitera kumeneka, ntabwo ari ibimenyetso gusa. Uzamenya ibyo kurya, kunywa, nuburyo bwo gutoza uruhago rwawe. Buri ntambwe igufasha kubaka neza intambwe ku yindi.
Ibyo urya bigira ingaruka kumpago no munda. Ibiryo bimwe bituza sisitemu. Abandi batera uburakari. Guhitamo neza birashobora guhagarika kumeneka mbere yuko bitangira. Imbonerahamwe ikurikira irerekana ibiryo bifasha nibiryo kugabanya.
Ibyokurya bisabwa |
Ibiryo byo kwirinda |
|---|---|
Amazi - kunywa bihagije bihagarika inkari ziteye kubabaza uruhago rwawe |
Cafeine (ikawa, icyayi, soda) - ikangura uruhago rwawe, igutera kumva ko byihutirwa |
Ibiryo birimo fibre nyinshi (ibinyampeke, imboga, ibinyomoro) - guhagarika igogora, umuvuduko wuruhago |
Inzoga - ituma ushishoza cyane, ikorohereza imitsi y'uruhago |
Ibiryo bikungahaye kuri magnesium (epinari, imbuto y'ibihaza, avoka) - bifasha imitsi y'uruhago gukora neza |
Ibiryo birimo ibirungo - byangiza uruhago rwawe |
Omega-3 fatty acide (salmon, walnuts, imbuto za chia) - kubyimba hasi mumitsi yinkari |
Imbuto za Citrus & imitobe - aside nyinshi irashobora kubabaza uruhago rwawe |
Imbuto zifite aside nkeya (ibitoki, amapera, pome) - witonda ku ruhago rwawe |
Ibiryo biryohereye - bihujwe no gukanda uruhago rwinshi |
Ibiryo byorohereza uruhago (imyumbati, oati, sayiri) - gutuza |
Ibinyobwa bya karubone - gaze igutera kubyimba, izamura umuvuduko wuruhago |
Ibiryo bikungahaye kuri porotiyotike (yogurt, kefir, sauerkraut) - fasha amara yawe na sisitemu yinkari gukomeza kugira ubuzima bwiza |
Ibiryo bitunganijwe cyane - umunyu mwinshi ninyongera bitera kubyimba cyane |
Urologiya Emily Slopnick, MD , urutonde rwuruhago rusanzwe. Ibinyobwa bya cafeyine nka kawa n'icyayi biri hejuru. Soda, ibijumba, ibinyobwa, n'ibiryo bya acide nk'inyanya n'umutobe wa orange nabyo bitera ibibazo. Ntugomba kubaca byose. Tangira ufite bike urebe uko umubiri wawe umeze. Imbarutso ziratandukanye kuri buri muntu, rero witondere icyakubabaje cyane.
Fibre ni urufunguzo rwo gusya. Ibiryo birimo fibre nyinshi bigufasha kwirinda kuribwa mu nda, bigashyira umuvuduko mwinshi ku ruhago rwawe. Iyo amara yawe yuzuye, asunika uruhago rwawe kandi rushobora gutera. Ongeramo ibinyampeke, imboga, n'ibinyomoro mumafunguro yawe bituma ibintu bigenda neza. Ihinduka ryoroshye rigufasha kwirinda kuribwa mu nda kandi bigabanya amahirwe yo guhura nimpanuka.
Kunywa amazi ahagije bifasha kugenzura uruhago muburyo butandukanye. Iyo utanyweye bihagije, inkari zawe zirakomera. Inkari zikomeye zibabaza uruhago rwawe kandi zishobora gutera imitsi. Kutanywa bihagije nabyo bigutera kuribwa mu nda, byongera igitutu ku ruhago rwawe. Kuguma mumazi bituma sisitemu yawe ikora neza.
Amabwiriza rusange yamazi arashobora gufasha kugabanya kumva ko ukeneye guhita byihutirwa. Ibyifuzo bisanzwe byo gufata amazi ni Ibiro 50 kugeza kuri 70 (hafi litiro 1,5-2) kumunsi, bikwirakwira umunsi wose, kandi wirinda amazi mumasaha make yo kuryama. Ubushakashatsi bwabonye igabanuka ryinshi mubice bisohoka mumasaha 24 kuva itangiye kugeza ibyumweru 10 (p <0.001).
Kurikiza gahunda yoroshye y'amazi kugirango utezimbere uruhago. Intego ya Ibiro 40-60 by'amazi meza buri munsi. Kunywa amazi kenshi aho kunywa byinshi icyarimwe . Ibi bihagarika uruhago rwawe kurengerwa. Gabanya amazi nyuma ya saa kumi n'ebyiri z'umugoroba kugirango ugabanye nijoro. Menya neza ko ujya mu bwiherero mbere yo kuryama kugirango usibe uruhago rwawe rwose.
Urashobora kandi gukurikirana ingeso zawe ukoresheje ikarita y'uruhago. Andika ibyo unywa, iyo ugiye mu bwiherero, nigihe utemba. Iyi nyandiko igufasha kubona imiterere. Urashobora kubona ko ikawa mugitondo itera impanuka saa sita. Umaze kubona ihuza, urashobora guhitamo neza. Gucunga amazi yawe ni imwe mu mpinduka nziza zubuzima ushobora gukora.
Amahugurwa y'uruhago yigisha uruhago rwawe gufata inkari nyinshi igihe kirekire. Ubu buryo bukora neza kubushake bwo kutivanga nubwoko buvanze. Buhoro buhoro wigisha uruhago rwawe gutegereza, ukarushaho kugenzura igihe. Imbonerahamwe ikurikira irerekana uburyo bukuru.
Ubuhanga |
Ibisobanuro |
|---|---|
Guteganya |
Kujya mu bwiherero mugihe cyagenwe, buhoro buhoro ukora umwanya hagati yo gusurwa kuva kumasaha 1 kugeza kumasaha 3-4. |
Kurwanya |
Kwiga gutegereza mugihe wumva ubushake, guhera kuminota 5-10, ukoresheje umwuka mwinshi hamwe na pelvic hasi. |
Imyitozo ya Pelvic Igorofa (Kegels) |
Gukomeza imitsi igenzura inkari zifasha kugenzura uruhago. |
Urupapuro rw'uruhago |
Gukurikirana iyo ushishoje, uko unywa, nigihe utemba kugirango ubone imiterere nintangiriro. |
Impinduka zubuzima |
Gucunga cafeyine, inzoga, iyo unywa amazi, nimirire kugirango ugabanye uruhago. |
Tangira ufite amajwi ateganijwe. Jya mu bwiherero mugihe cyagenwe, nubwo waba utumva ubushake. Tangira ingendo zamasaha hanyuma buhoro buhoro ukore umwanya muremure. Intego yawe nukugera kumasaha 3-4 hagati yo gusura ubwiherero. Ibi bisaba kwihangana, ariko uruhago rwawe rumenyera igihe.
Guhagarika ibyifuzo bigufasha gukemura ibibazo bitunguranye. Iyo wumva ukeneye kugenda, hagarara uhumeke neza. Gabanya imitsi ya pelvic hasi imitsi inshuro nke. Witondere igitekerezo cyangwa ikiganiro. Tangira utegereje iminota 5-10, hanyuma ukore kugeza igihe kirekire. Buri ntsinzi yubaka icyizere no kugenzura.
Isuzuma rya Cochrane ryerekanye ko imyitozo y'uruhago ishobora kugabanya umubare w'ibice bitagaragara ugereranije no kutavurwa. Ibimenyetso birerekana gutera imbere muburyo ukunze gushishoza hamwe ninshi ufata . Ingendo nke zo kwiyuhagiriramo hamwe nubushobozi bunini bwuruhago bivuze amahirwe make yo kumeneka. Ubu buryo bwo guhugura uruhago bufasha mu buryo butaziguye ibibazo byo kugenzura uruhago no kugufasha guhagarika imyanda. Kuba ibintu bihamye kuruta gutungana. Komera kuri gahunda yawe, ukurikirane iterambere ryawe, kandi wishimire intsinzi nto munzira.
Imitsi yawe ya pelvic hasi ikora nka hammock. Ziva mumagufwa yawe yigituba kugeza umurizo wawe. Iyi mitsi ifata uruhago rwawe, amara, na nyababyeyi. Iyo zacitse intege, uba ubuze kuyobora. Imyitozo ya pelvic hasi yubaka iyo nkunga hejuru. Bituma imitsi ikomera ihagarika inkari nintebe kumeneka. Iyi myitozo ifasha kugenzura inkari ndetse no munda icyarimwe. Urashobora kubikora ahantu hose, igihe icyo aricyo cyose, kandi ntanumwe uzabimenya. Icyangombwa nukubikora neza no kugumana nayo. Ibisubizo bifata igihe, ariko kwishyura birakwiye.
Mbere yo gukora igorofa yawe ikomeye, ugomba kuyibona. Abantu benshi bakoresha imitsi itari yo batabizi. Basunika igifu, ikibero, cyangwa ikibuno aho. Iri kosa ritera gucika intege kandi nta bisubizo. Koresha bumwe muri ubwo buryo bwagaragaye kugirango ubone imitsi ikwiye.
Uburyo |
Ninde |
Uburyo bwo kumenya |
Kwemeza |
|---|---|---|---|
Kwipimisha inkari |
Byose |
Tangira kwihagarika, hanyuma uhagarare; umva imitsi mu gitsina / uruhago / anus ikomere kandi uzamuke |
Kumva imitsi ikomera byemeza neza |
Palpation |
Abagore |
Shyiramo urutoki mu gitsina; komera nkaho ufashe inkari |
Umva imitsi ikomera kandi ikazamuka hejuru |
Palpation |
Abagabo |
Shyiramo urutoki muri rectum; komera nkaho ufashe inkari |
Umva imitsi ikomera kandi ikazamuka hejuru |
Igituba |
Abagore |
Shyiramo ibikoresho biremereye mu gitsina; komeza hasi ya pelvic kugirango uyifate mu mwanya |
Ubushobozi bwo gufata igikoresho mumwanya wemeza gukoresha imitsi neza |
Biofeedback |
Byose |
Electrode / sensor zishyirwa munda, agace ka anal, cyangwa mu gitsina / anus; monitor yerekana ibikorwa byimitsi |
Igishushanyo cyerekana imitsi igabanuka, ifasha therapiste kuyobora neza imitsi |
Urashobora kandi kugerageza uburyo bworoshye bwo kubona amashusho. Gabanya imitsi ikikije urutoki rwabashakashatsi hanyuma ukuremo kandi winjire. Tekereza guhagarika gaze ukomeza impeta yimitsi ikikije anus. Ugomba kumva gufunga no guterura utarinze amaguru cyangwa ikibuno. Kubagabo, tekereza kwimura imboro hejuru no hasi utimuye ikindi kintu. Ku bagore, umva igituba na rectum bikurura kandi byinjiremo. Ubundi buryo ni uguhagarika inkari hagati-amasegonda 1-2 hejuru yumusarani. Iyi 'stop-test' isanga imitsi ikikije igice cyimbere. Koresha gusa kugirango ubone imitsi, ntabwo ari imyitozo isanzwe. Urashobora kandi kwiyumvisha guhagarika inkari no gufata gaze icyarimwe. Humura ikibero cyawe, ikibuno, ninda. Shyira hafi yimbere, unywe hejuru, kandi unyunyuze hafi yinyuma. Abagore barashobora kwiyumvisha gukanda tampon hejuru mu gitsina.
Abitangira benshi bakora amakosa asanzwe. Basunika inda cyangwa glute aho kuba hasi. Bashyira umugongo wo hepfo mugihe cy'imyitozo. Bahumeka umwuka, uzamura umuvuduko w'inda kandi ukungurura hasi. Barabirenze bafata kwikuramo igihe kirekire cyangwa gukora amaseti arenze atatu kumunsi. Iyi mitsi mito ikeneye kuruhuka. Niba ubona nta gihinduka nyuma yicyumweru, tekinike yawe irashobora kuba yibeshye. Ibintu bimwe, nkububabare bwa pelvic, bikenera imyitozo yo kuruhuka aho gukomera. Mugihe ushidikanya, baza ubufasha bwumubiri bugufasha.
Umaze kubona imitsi ikwiye, urashobora gutangira imyitozo ya kegel . Tekinike ifite akamaro kuruta imbaraga. Imiterere mibi irashobora guteza ingaruka mbi kuruta ibyiza.
Menya neza ko uruhago rwawe rufite ubusa, hanyuma wicare cyangwa uryame. Kenyera imitsi yo hasi. Fata neza ubare amasegonda 3 kugeza kuri 5 . Humura imitsi ubare amasegonda 3 kugeza kuri 5. Subiramo inshuro 10, inshuro 3 kumunsi (mugitondo, nyuma ya saa sita, nijoro). Uhumeka cyane kandi woroshye umubiri wawe mugihe ukora iyi myitozo. Menya neza ko udakomera igifu, ikibero, ikibuno, cyangwa imitsi yo mu gatuza. Umaze kwiga kubikora, ntukitoze imyitozo ya Kegel icyarimwe urimo kwihagarika inshuro zirenze ebyiri mukwezi, kuko ibyo bishobora kugabanya imitsi yo mumitsi yawe mugihe runaka.
Kurikiza ubu buryo ku ntambwe kuburyo bukwiye:
Shakisha imitsi ya pelvic hasi uhagarika inkari hagati cyangwa utekereza ko uhagarika gaze.
Tangira ukomeza imitsi ya pelvic hasi mumasegonda atatu , hanyuma uruhuke amasegonda atatu. Ibi bibarwa nka kegel imwe.
Subiramo ibi inshuro 10 kugirango urangize iseti imwe. Niba 10 bigoye cyane, gabanya kubisubiramo bitanu kugeza ubonye imbaraga.
Kora iseti imwe mugitondo nindi imwe nijoro.
Mugihe ugenda ukomera, ongera ufate kandi uruhuke igihe cyamasegonda atanu buri umwe.
Buhoro buhoro wongere umubare wa kegel kuri seti 10 hanyuma inshuro zigera kuri eshatu kumunsi.
Komeza guhumeka bisanzwe mu myitozo; ntugahumeke cyangwa ngo ukomere igifu, ikibero, cyangwa imitsi.
Iyi myitozo ya pelvic imitsi itanga ibisubizo nyabyo. Ubushakashatsi bumwe bwakurikiranye abagore bakora imyitozo ya kegel nyuma yo kubyara. Ku cyumweru cya 4, 10% gusa mumatsinda ya kegel yari afite icyiciro cya mbere cyo kutagira inkari , ugereranije na 13.3% mumatsinda yo kugenzura. Ku cyumweru cya 8, 3,3% gusa yitsinda rya kegel ryagize ibyiciro bya kabiri byo kutagira inkari, naho 6.7% mumatsinda yo kugenzura. Ntamuntu numwe muritsinda wigeze agira fecal incontinence. Itsinda rya kegel ryagaragaje kandi iterambere ryinshi mu mibereho, harimo imikorere, imikorere, n’ubuzima bw’isi. Bumvaga umunaniro muke, impiswi, anorexia, no kuribwa mu nda ugereranije n’ibanze.
Dr. Fernandez Cuadrado agira ati: 'Hamwe n'imitsi ikomeye kandi ihujwe n'imitsi yo hasi, urashobora kubaka neza no kwigirira icyizere, kugabanya ibyihutirwa, no kugabanya amahirwe yo kumeneka.' Imyitozo ya Kegel nayo itezimbere igihe no guhuza. Bemerera 'gukanda mbere' mugihe wumva ubushake buje. Ubu buhanga bugufasha kunoza uruhago mubihe byukuri.
Guhora bikubita imbaraga. Imitsi yawe ya pelvic hasi ni nto. Basubiza imyitozo isanzwe, iringaniye kuruta amasomo rimwe na rimwe. Intego ya gahunda irambye ushobora gukomeza buri munsi.
Kora imitsi ya pelvic hasi kumasegonda 3-5 , humura amasegonda 3-5, subiramo inshuro 10.
Buhoro buhoro kwiyongera kugeza kumasegonda 10-masegonda no kuruhuka.
Intego y'imyitozo 30-40 buri munsi, ikwirakwizwa umunsi wose.
Shyiramo flicks byihuse: 2-3 isegonda ya kabiri no kurekura.
Tegura amasomo yawe neza. Koresha iminota 5-10 kumasomo, hamwe nikiruhuko kigufi nikiruhuko cyiminota 2 niba ukora iminota 10. Imyitozo byibuze iminsi 5 mucyumweru, nubwo imyitozo ya buri munsi ari nziza. Urashobora gukora amasomo agera kuri atatu kumunsi, utandukanijwe mugitondo, saa sita, nimugoroba. Irinde gukabya. Hagarara mugihe wumva gutakaza imbaraga 50%. Iyo umunaniro yerekana imitsi yawe ikeneye kuruhuka, ntabwo ari akazi kenshi.
Kwihangana ni ngombwa. Ivuriro rya Cleveland rivuga ko abantu benshi babona impinduka zo kutamenya nyuma ibyumweru bitandatu kugeza ku munani by'imyitozo ihamye ya kegel. Rose City Urology yerekana ko abantu benshi batangira kubona impinduka nyazo mugihe cyibyumweru 4-6, hamwe nimbaraga zikomeye nyuma y amezi 5-6. Bavuga ko 70% byiterambere mubibazo byo kutamenya. Ikigo cy'igihugu gishinzwe diyabete n'indwara zifungura n'impyiko (NIDDK) kivuga ko kurwanya uruhago bishobora gutera imbere nyuma Ibyumweru 3 kugeza kuri 6 byimyitozo ihamye.
Iyi myitozo ya pelvic hasi ikemura ibibazo byombi byo kugenzura uruhago no kuva amara. Bakomeza itsinda rimwe ryimitsi ishyigikira sisitemu zombi. Ntukeneye ibikoresho byihariye cyangwa umunyamuryango wa siporo. Urashobora kubikora kumeza yawe, mumodoka, cyangwa mugihe ureba televiziyo. Imyitozo ihinduka akamenyero, kandi ingeso iba igisubizo. Komera kuri gahunda zawe. Kurikirana iterambere ryawe. Kwishimira iterambere rito. cyawe Igitereko kizasubiza, kandi igenzura ryawe rizakomera buri cyumweru.
Ingeso ya buri munsi ihindura uruhago rwawe no kugenzura amara kurenza uko wabitekereza. Impinduka nto kuri gahunda zawe zirashobora guhagarika impanuka mbere yuko zitangira. Izi ngamba zimyitwarire zikorana na pelvic hasi imyitozo kugirango iguhe ikizere umunsi wose. Ntukeneye ibikoresho byihariye cyangwa imiti. Ukeneye gusa imyitozo ihamye no kwitondera ibimenyetso byumubiri wawe.
Uruhago rwawe rwiga mubisanzwe. Iyo utegereje ko byihutirwa, utumira impanuka. Ingendo ziteganijwe mu bwiherero zica ubwo buryo. Shiraho ibihe byihariye byo gukoresha umusarani, nubwo wumva nta bushake. Tangira usura buri saha hanyuma wongere buhoro buhoro iminota igera kuri 15 icyarimwe. Gahunda isanzwe yo guhugura uruhago ikoresha uruhago rwo gukora urutonde rwawe. Ukurikiza iyo gahunda niyo ubushake bwumva bworoheje cyangwa budahari. Ubu buryo busubiramo uruhago rwawe kugira ngo ufate inkari nyinshi kandi bigabanye gutemba.
Kubura kabiri byongera urundi rwego rwo kurinda. Ubu buhanga bugufasha gusiba uruhago rwose. Nyuma yumugezi wawe wambere uhagaze, guma wicaye kandi uruhuke. Iyegereze gato hanyuma utegereze amasegonda 20-30. Noneho gerageza kongera kwihagarika nta mananiza. Iki cyuho cya kabiri gikuraho inkari zisigaye ubundi zaguma inyuma. Inkari nke zisigaye zisobanura amahirwe make yo gutemba gutemba hamwe ningendo zihutirwa. Witoze guterura kabiri mugitondo, mbere yo kuryama, nyuma yo gufata amazi menshi, cyangwa igihe cyose ibimenyetso bibaye bibi. Imyitozo ihamye irashobora kugabanya inshuro kandi byihutirwa muminsi. Mugihe cibyumweru, urashobora kubona neza kugenzura uruhago hamwe nindwara zinkari nke.
Imyitozo itunguranye ifata abantu bose. Kwitsamura cyangwa gukorora bitera umuvuduko utunguranye ku ruhago rwawe. Imyitozo ya Knack iguha kwirwanaho gukomeye. Ubu buhanga bukubiyemo kunyunyuza imitsi ya pelvic hasi mbere na mugihe cyo gukorora cyangwa kwitsamura. Ubushakashatsi ku mavuriro bwerekanye ibisubizo bitangaje. Abagore batwite bagabanije agace kabo kava 43.2 cm² kugeza kuri cm 6,9; ku kizamini cyo gupimisha. Abagore batwite bagiye kuri cm 14.8; kugeza kuri 0.0 cm². Muri ubwo bushakashatsi, 76,6% by'abagore batwite bagabanije kumeneka, naho 18.8% barabihagarika burundu. Mu bagore batwite, 79.3% bagabanije kumeneka, naho 55.1% bahagarika kumeneka burundu.
Abaturage |
Mbere ya Knack (median) |
Nyuma ya Knack (median) |
Akamaro k'Ibarurishamibare |
|---|---|---|---|
Abagore batwite (n = 64) |
43.2 cm² |
6.9 cm² |
p <0.0001 |
Abagore batwite (n = 29) |
14.8 cm² |
0.0 cm² |
p = 0.001 |
Imyitozo ya Knack ikora ako kanya. Ntukeneye ibyumweru byamahugurwa kugirango wungukire. Gusa wibuke gukanda mbere yo gukorora, kuniha, guseka, cyangwa kuzamura ikintu kiremereye. Iki gikorwa cyoroshye kiguha uburinzi bwihuse bwo gutakaza inkari ziterwa no guhangayika. Witoze mugihe cyibikorwa bya buri munsi kugeza bihindutse byikora.
Isuku ikwiye irinda kwandura no kurwara uruhu. Izi ngeso zifite akamaro kanini mugihe ucunga incontinence. Buri gihe guhanagura imbere n'inyuma nyuma yo gukoresha umusarani. Iki cyerekezo kirinda bagiteri kuva murukiramende rugera muri urethra yawe. Iyo ngeso yoroshye igabanya ibyago byo kwandura inkari.
Sukura imyanya ndangagitsina yawe buri gihe ukoresheje isabune yoroheje n'amazi. Isabune ikaze ihungabanya uburinganire bwa pH kandi bigatera uburakari. Koresha pH iringaniza cyangwa uhanagura kugirango ugumane aside irike kandi ugabanye umunuko. Ibicuruzwa bikora neza kuruhu rworoshye, ariko ubikoreshe mukigereranyo. Ntibisimbuza gukaraba bisanzwe.
Kwitonda neza ariko bifite akamaro ni urufunguzo. Guhura ninkari nintebe birashobora gukurura ibibazo nka dermatite iterwa no kutandura (IAD), bityo rero kugira isuku kuruhu no kurindwa bifite akamaro rwose. Iyo ushizemo ubuvuzi bwimbitse bwuruhu nkigice cyo kwita kumunsi, bifasha kubungabunga ihumure, kwirinda indwara, kandi bigashyigikira ubuzima bwiza muri rusange.
Kurikiza ibintu byoroshye byintambwe enye nyuma ya buri mara. Ubwa mbere, sukura uruhu byihuse ukoresheje ibintu byoroheje, bitagira isabune, kandi bitarimo inzoga. Nta-kwoza ifuro no guhanagura gukuramo imyanda utumye uruhu rwawe. Icya kabiri, kanda uruhu rwumye witonze. Irinde guswera, bitera kwangirika. Icya gatatu, koresha amavuta yo kwisiga nta nzoga kugirango ugumane uruhu. Icya kane, urinde agace hamwe na cream barrière irimo okiside ya zinc. Ibi birema urwego rukingira rufunga ubuhehere kandi rukarinda kurigata. Ongera ushyire kuri barrière nyuma ya buri gikorwa cyo koza no gukama. Izi ngeso z'isuku zituma uruhu rwawe rugira ubuzima bwiza kandi neza mugihe ukora akazi ko kunoza ibibazo byo kugenzura uruhago.
Urashobora kwibaza niba ibimenyetso byawe bikeneye kwitabwaho na muganga. Igisubizo ni yego niba babonye inzira yumunsi wawe. Gukomeza cyangwa kuba bibi kumena inkari bigomba guhora bigenzurwa, nubwo utekereza ko ari igice cyo gusaza. Ibimenyetso byinshi byo kuburira bivuze ko ugomba kubona igitekerezo cyumwuga.
Amaraso mu nkari zawe arashobora gusobanura kwandura, kubyimba, cyangwa kanseri.
Kudashobora gukuramo uruhago rwose ni ikimenyetso cyo kugumana.
Ububabare mu nda yawe yo hepfo bushobora kwerekana ikibazo cyinkari.
Peeing inshuro umunani cyangwa zirenga kumunsi nikimenyetso gisanzwe cyo kuburira.
Kubabara cyangwa gutwika iyo urebye akenshi byerekana kwandura cyangwa kubyimba.
Ibindi bimenyetso byingenzi birimo gusohora kenshi bitesha gahunda zawe za buri munsi. Bukwi na bukwi, bigoye-kugenzura ubushake pee ni ikimenyetso cyambere cyerekana ubushake. Kwinuba kenshi nijoro birashobora guhungabanya ibitotsi byawe. Niba ufite ikibazo cyo gusiba, reba neza. Kandi, reba inzobere mubuzima niba ufite ububabare nibimenyetso byawe cyangwa impinduka zitunguranye muburyo ukora. Ibi bimenyetso birashobora kwerekana imiterere yihishe ikeneye kuvurwa. Niba ibibazo byo kugenzura uruhago bihungabanya ubuzima bwawe, ibuka ko gusaba ubufasha byerekana imbaraga.
Muganga wawe azatangira kuganira nawe amateka yubuvuzi bwawe. Bazabaza igihe ibimenyetso byatangiriye, uko byahindutse mugihe, amateka yo gutwita, amateka yo kubaga, imiti, nubuvuzi bwashize. Iki kiganiro kibafasha kumva imiterere yawe yihariye.
Ibikurikira biraza ikizamini cyumubiri . Muganga azagenzura inda yawe, umugongo, na pelvic. Ku bagore, ikizamini cya pelvic gishobora kubamo inkorora kugirango barebe ko yamenetse. Muganga azagenzura kandi kugabanuka no gupima imbaraga imitsi ya pelvic hasi. Kubagabo, ikizamini cya prostate kirashobora gukorwa.
Ibigize Ikizamini |
Intego ya Clinical |
|---|---|
Kugenzura inda no gukanda uruhago |
Shakisha imbaga, ububabare, cyangwa kubyimba bivuze kurengerwa |
Ikizamini cya Limb |
Reba urujya n'uruza no kubyimba amaguru |
Ikizamini cya prostate (abagabo) |
Shakisha prostate yagutse ihagarika inkari |
Ikizamini cyo hanze cyabagore (abagore) |
Reba neza kunanuka mu gitsina cyangwa kurakara |
Muganga wawe arashobora kandi gutegeka ibizamini byinshi. Urupapuro rwerekana uruhago rukurikirana ibyo unywa nuburyo ucyura byibuze iminsi itatu. Ikizamini cya dipstick kigenzura inkari zawe za bagiteri, amaraso, cyangwa proteyine. Kwipimisha inkari zisigaye bipima urugero inkari ziguma mu ruhago rwawe nyuma yo gushishoza. Ibi bifasha kugenzura kurengana. Niba bikenewe, ibizamini byinshi nka cystoscopi cyangwa ubushakashatsi bwa urodynamic birashobora gukorwa. Ibi bizamini bipima umuvuduko mugihe uruhago rwawe rwuzuye.
Gahunda yawe yo kuvura iterwa n'ubwoko n'uburyo kutamenya kwawe ari bibi. Amahitamo menshi arahari. Muganga wawe azakorana nawe kugirango ubone igikwiye.
Kugirango udahangayitse, pessary ibyara irashobora gufasha. Iki gikoresho gikurwaho gishyigikira urethra.
Kubaga urethral sling kubaga ikoresha mesh hammock kugirango ishyigikire urethra kubwo guhagarika umutima.
Kubagwa kugirango uzamure ingingo zisubiza mu mwanya wazo, akenshi kugirango ingingo zangirika.
Kugirango ushishikarire, imiti irashobora gutuza uruhago rudakabije.
Imiti igabanya ubukana irashobora gufasha kuvanga kwivanga.
Abaganga bakunze guhuza uburyo bwo kuvura ubwoko bwombi bwibimenyetso mugihe abarwayi bavanze kutanyurwa.
Pelvic hasi ikomeza binyuze mumyitozo ya Kegel cyangwa electrostimulation yubaka imbaraga zimitsi.
Ihitamo ridahwitse rikora neza kubantu benshi. Muganga wawe arashobora kandi gutanga ibitekerezo byubuzima, amahugurwa, cyangwa ingamba zimyitwarire. Kuvanga neza kuvura biguha amahirwe meza yo kongera kugenzura. Ntugomba kwemera iki kibazo nkibihe byose. Ubufasha buri hanze, kandi burakora.
Ibicuruzwa bikurura neza birashobora kugufasha kumva umerewe neza buri munsi. Ugomba gutekereza bikwiranye, imikorere, nubwoko bwibicuruzwa . Toranya ubunini ukurikije ikibuno cyawe no gupima ikibuno. Urwego rwibikorwa byawe nukuntu kumeneka ari bibi. Ibirango bitandukanye bikoresha imbonerahamwe zingana. Urashobora gukenera kugerageza bike mbere yuko ubona ibyiza. Igicuruzwa cyiza kigomba kwicara hafi yumubiri wawe nta cyuho. Ibi bihagarika kumeneka kuruhande kandi bikagufasha neza.
Shakisha ibicuruzwa bihuye nuburyo usohora. Kumeneka byoroheje bikenera kwifata cyane kuruta kumeneka cyane. Ibicuruzwa byiza ukoresha ibikoresho byinjira cyane kugirango ukure uruhu rwawe. Bahagarika kandi umunuko kugirango wumve ufite ikizere. Chiaus numwizerwa ukora ibintu byiza-byiza impapuro zabakuze hamwe nudupapuro twinshi. Ibicuruzwa byabo bifite igipimo kinini cyo kwinjiza nibikoresho bihumeka. Urashobora guhitamo hagati yimikorere ikoreshwa. Ibicuruzwa bikoreshwa biroroshye gukoresha no guhinduka. Ibicuruzwa bikoreshwa birashobora gukaraba kandi byiza kubidukikije. Buri bwoko bukora kubintu bitandukanye. Toranya uburyo bujyanye n'ubuzima bwawe neza. Igicuruzwa cyiza kigufasha kwimuka umunsi wawe nta mpungenge.
Uburyo bwo kuvura bwumwuga burahari kuri bombi inkari n'amara . Muganga wawe arashobora gutanga uburyo bushingiye kukibazo cyawe. Kubibazo byo kudahagarika umutima, gukuramo inkari ni amahitamo rusange. Ubu buvuzi butera jel yoroshye kurukuta rwinkari. Gele ifasha urethra yawe gufunga neza. Inzira ifata gusa Iminota 3-5 ku ivuriro. Urashobora gusubira mubikorwa bisanzwe mumasaha 24. Abagore benshi bumva bamerewe neza nyuma yubu buryo. Ingaruka zigenewe kumara imyaka myinshi.
Kubishaka, Gutera Botox nubundi buryo. Muganga wawe yinjiza imiti murukuta rwuruhago rwawe mugihe cyo gusura byihuse. Ingaruka zimara amezi 6-9. Urashobora gukenera gusubiramo inshinge mugihe runaka. Sakrale neuromodulation nubundi buryo bwo kwihutirwa. Igikoresho gito cyohereza ibimenyetso byoroheje mumitsi igenzura uruhago rwawe. Uragerageza mbere ikizamini. Niba ikora neza, umuganga wawe ashyiramo burundu. Ubu buryo buguha kugenzura ibimenyetso byawe. Vugana na muganga wawe kubijyanye nuburyo bukubereye. Ntugomba kwemera kumeneka nkikibazo gihoraho.
Gukoresha ibicuruzwa bidahwitse ntibisobanura ko ugomba kureka gahunda zawe zisanzwe. Ibicuruzwa bigezweho bikozwe mu cyubahiro no guhumurizwa. Barareba kandi bumva ari imyenda y'imbere isanzwe. Urashobora kuyambara munsi yimyenda iyo ari yo yose utabibonye. Shiraho gahunda ya buri munsi yo guhindura ibicuruzwa. Ibi bigufasha kuguma mushya kandi bigabanya ibyago byo kurwara uruhu. Koresha isabune yoroheje n'amazi ashyushye igihe cyose usukuye ahantu. Shyira uruhu rwawe rwumye mbere yo gushyira ibicuruzwa bishya.
Tekereza gukoresha imifuka yo guhagarika impumuro yo guta wenyine. Iyi mifuka umutego unuka kandi ituma kujugunya byoroshye murugo cyangwa mugenda. Ibipfunyika bihumeka birashobora gutanga uburinzi bwinyongera. Nibyoroshye kandi biza mumabara menshi. Urashobora kugumana uburyo bwawe bwite mugihe wumva ufite umutekano. Shakisha ibicuruzwa bito bikora urwego rwo kumeneka. Ibi biguha ubuzima bwite no guhumurizwa. Bika ibicuruzwa bike mumufuka wawe cyangwa mumodoka. Kwitegura bigufasha kumva ufite ikizere aho ugiye hose. Hamwe nibicuruzwa byiza ningeso nziza, urashobora kubaho ubuzima bwawe nta mpungenge.
Kutanyurwa bigira ingaruka kuri miriyoni, ariko urashobora kubicunga. Intambwe nto, ihamye itera impinduka zirambye. Tangira imyitozo ya pelvic hasi, guhindura imirire, no guhugura uruhago. bikorwa bitatu biguha kugenzura cyane kumeneka Ibi . Ntugomba kuvugurura ubuzima bwawe ijoro ryose.
Gushaka ubufasha bwubuvuzi byerekana imbaraga, ntabwo ari intege nke. Abaganga batanga imiti ikora. Urashobora gufata inshingano zubuzima bwinkari nu mara uyumunsi. Hitamo inama imwe cyangwa ebyiri muriyi mfashanyigisho hanyuma uyimenyereze buri munsi. Wubake aho ngaho uko ugirira ikizere. Intsinzi nto yose igutera kwiyegereza umudendezo wo kudacika intege . Umubiri wawe witabira kwihangana no kwitoza. Tangira nonaha, uzabona iterambere mugihe cyibyumweru.
Abantu benshi babona iterambere mubyumweru 4 kugeza kuri 6 byimyitozo ya buri munsi. Imitsi yawe ya pelvic hasi ikora nkindi mitsi. Kubikora buri gihe bifite akamaro kuruta kubikora cyane. Komeza gukora imyitozo yimitsi ya pelvic burimunsi. Uzagenda buhoro buhoro ugenzura neza igihe.
Nibyo, abantu benshi bakora neza. Igisubizo giterwa nubwoko nimpamvu yo kudacika intege. Guhangayikishwa no guhangayika akenshi bigenda neza cyane hamwe nimyitozo yihariye. Gusaba kutitonda bigenda neza hamwe namahugurwa y'uruhago. Kuvangavanga bivanze birashobora gukenera kuvanga uburyo. Muganga wawe arashobora kugufasha kubona inzira nziza.
Guhangayikishwa no guhangayika bibaho iyo umuvuduko wumubiri usunitse inkari. Gukorora, kuniha, cyangwa guterura birashobora kubitera. Kwihutira kwinezeza bivuze ko wumva gitunguranye, gikomeye ukeneye pee. Ntushobora kugera mu musarani mugihe. Kumenya ubwoko bwawe bigufasha guhitamo uburyo bwiza.
Ibicuruzwa bigezweho bikozwe kugirango bitagaragara. Bihuye hafi yumubiri wawe kandi baryamye munsi yimyenda. Ntawe uzamenya ko wambaye. Toranya ibicuruzwa bito bikora kurwego rwawe rwo kumeneka. Uzumva ufite umutekano kandi neza umunsi wose.
Reba umuganga niba kumeneka bigenda muburyo bwubuzima bwawe bwa buri munsi. Amaraso mu nkari zawe, ububabare, cyangwa ikibazo cyo gusiba uruhago rwawe nabyo bivuze ko ugomba kugenda. Impinduka zitunguranye mubimenyetso byawe zikeneye kwitabwaho na muganga. Gusaba ubufasha byerekana imbaraga, ntabwo ari intege nke. Kuvura hakiri kare bitanga ibisubizo byiza.
Nibyo, imyitozo y'uruhago ikora neza kubantu benshi. Isubiramo ry’ubushakashatsi ryagaragaje ko rigabanya ibice bitemba ugereranije no kutavurwa. Buhoro buhoro wigisha uruhago rwawe gufata inkari nyinshi. Kujya mu bwiherero kuri gahunda no kwiga gutegereza bifasha kubaka igenzura ryawe. Komeza gahunda y'ibyumweru byinshi.
Yego rwose. Imitsi ya pelvic hasi ifata uruhago rwawe nu mara. Kubakomera bitezimbere kugenzura byombi. Ubushakashatsi bwerekana ko 35-50% byabantu bafite ikibazo cyo kutagira inkari nabo bafite amara. Imyitozo ya Kegel ikosora neza intege nke zimitsi.
Chiaus ikora impuzu zikuze , ipantaro ikurura, hamwe nudupapuro twinshi. Ibicuruzwa byabo bifite ibintu byinshi byinjira kandi bihumeka. Urashobora guhitamo hagati yimikorere cyangwa ikoreshwa. Ibicuruzwa byose binyura mu igenzura rikomeye. Byakozwe kubwicyubahiro, guhumurizwa, no kwigirira icyizere mubuzima bwa buri munsi.