Izimbangela zokubheda kwabantu abadala kanye nezinketho zokwelashwa zango-2026

Ukuvuka embhedeni omanzi kuzwakala kungaphezu kwamandla, kodwa awuwedwa. Ukuchama embhedeni kwabantu abadala, okubuye kubizwe ngokuthi i-nocturnal enuresis, kuthinta u-1–2% wabantu abadala. Lesi simo sezempilo sithwala ihlazo elinzima, nokho sifanele ukuqonda, hhayi ukwahlulela.

Ungase uzizwe unesizungu, uzibuza ukuthi kungani lokhu kwenzeka kuwe. Yazi lokhu: Ukuchamisa umbhede kwabadala kunezimbangela ezicacile nezisombululo ezisebenzayo. Lo mhlahlandlela uzichaza ngokucacile.

Ukuchama embhedeni lapho usumdala kubangelwa izici ezilaphekayo. Ukufuna usizo kuphawula isinyathelo sakho sokuqala sokunika amandla. Ngokunakekelwa okufanele, ubusuku obomile buba ngokoqobo. Ufanelwe ukuphumula ngaphandle kokwesaba. Izixazululo zikhona, futhi i-2026 iletha izinketho eziningi kunangaphambili. Ukuze ungene ujule emaqinisweni, izimbangela, namasu angokoqobo, hlola insiza ephelele: Ukubheda Embhedeni Wabantu Abadala: Ingabe Uyazi Konke Odinga Ukukwazi?

Okuthathwayo Okubalulekile

• Ukuchama kumuntu omdala kuthinta u-1-2% wabantu abadala. Inezimbangela ezicacile. Awuwedwa.

• Ukuchama kungazelelwe kudinga ukunakwa ngokushesha. Ikhomba udaba olusha lwezempilo.

• Izinguquko ezilula zendlela yokuphila njengokunciphisa uketshezi lwantambama nokwenza izivivinyo ze-pelvic floor kungasiza ekunciphiseni ukuchama embhedeni.

• I-Desmopressin ithatha indawo ye-hormone umzimba wakho ovame ukuyenza ebusuku. Isiza umzimba wakho ukuthi wenze umchamo omncane ngenkathi ulele.

• Ukwelashwa okuthuthukisiwe okufana nokuvuselela inzwa ye-sacral kungasiza ezimweni ezinzima. Lezi zindlela zokwelapha ziqondise kumasignali ezinzwa.

• Ukucindezeleka nezakhi zofuzo kungathinta ukuchama embhedeni. Nakekela impilo yakho yengqondo. Funda ngomlando womndeni wakho.

• Izimpahla zokuzivikela zikugcina uphephile ngesikhathi sokwelashwa. Amanabukeni ama-Chiaus amadala azizwa ekhululekile.

• Ukuthola usizo lwezokwelapha kusenesikhathi kuholela emiphumeleni engcono. Ubusuku obomile buba umgomo wangempela.

Ukubheda Embhedeni Omdala: Ukuqonda Okuyisisekelo

Ukuchaza I-Enuresis Yasebusuku Yabantu Abadala

I-enuresis yabantu abadala ebusuku isho ukuthi uchama ngaphandle kokulawula ngenkathi ulele ebusuku. Lokhu kuhlukile ekungalawuleni kwasemini, lapho ukuvuza kwesinye isikhathi uvukile. I-enuresis yokulala yenzeka kuphela lapho umzimba wakho uphumule, futhi ungazi ukuthi kwenzeke kuze kube sekuseni. Odokotela bakubona lokhu njengesimo esihlukile esidinga olwaso uhlelo lokwelapha.

I-Enuresis Eyisisekelo vs

Ukwazi izinhlobo ezimbili ze-enuresis yasebusuku kukusiza ukuthi uthole isimo sakho. I-enuresis eyisisekelo isho ukuthi umanzise umbhede futhi uwuvale kusukela ebuntwaneni, ngaphandle kobude bomile obude. Lokhu kukhomba odabeni lwentuthuko noma lofuzo olungazange luphele ngokuphelele. I-enuresis yesibili isho ukuthi ukuchama kubuya ngemva kwezinyanga okungenani eziyisithupha zobusuku obomile. Lokhu kubuya okungazelelwe kuvame ukukhomba inkinga entsha yezokwelapha, njengokutheleleka, ukushintsha kwama-hormone, noma izinkinga zemizwa.

Lo mehluko ubalulekile ekwelapheni. Izimo eziyinhloko ngokuvamile ziba ngcono ngokuqeqeshwa kwesinye kanye nezinguquko zemithi. Izimo zesibili zidinga ukusesha imbangela yokuqala. Udokotela wakho uzobuza ngomlando wakho ukuze abone ukuthi yiluphi uhlobo olukufanelayo.

Umthelela Wangempela Ekuphileni Kwansuku Zonke

Ukuchamela umuntu omdala embhedeni kuthinta kakhulu kunokulala kwakho. Ungase weqe uhambo lwasebusuku, ukuphola, noma imicimbi yokuzijabulisa lapho wabelana ngendawo yokulala. Umsebenzi uyahlupheka uma ukhathele ngenxa yokungaphumuli ebusuku. Abantu abadala abaningi bathi abakhiqizi kahle futhi baphuthelwa amathuba emisebenzi ngenxa yokukhathala nokukhathazeka. Lesi simo siphinde sihlukumeze ubudlelwano obusondelene, njengoba ozakwethu bezama ukukuqonda nokukusekela.

I-Emotional and Psychological Toll

Isisindo esingokomzwelo sokuchama embhedeni ngokuvamile sizizwa sisinda kakhulu kunohlangothi olungokomzimba. Ucwaningo lubonisa ukuthi abantu abadala abanalesi simo babhekana namazinga aphezulu kakhulu okucindezeleka, ukukhathazeka, nesizungu kunabanye. Le mizwa yakheka ngokuhamba kwesikhathi, idale iluphu lapho ukucindezeleka kwenza izimpawu zibe zimbi nakakhulu, futhi izimpawu zengeze ingcindezi eyengeziwe.

Ukuzulazula Amahloni Nokukhathazeka

Ihlazo lihlala liseduze kwabadala abaningi. Ungase uzizwe ungakhululekile ukuthenga imikhiqizo yokuzivikela noma ukuchazela abangani ngama-sleepovers. Leli hlazo liholela ekusithekeni, okwenza ukuzihlukanisa kube kubi nakakhulu. Ucwaningo lubonisa ukuthi intsha kanye nabantu abadala abahlale bemanzisa umbhede bangase babhekane nokucindezeleka nokuzethemba, kanye nokusebenza okuphansi kwesikole kanye nokuphazamiseka komsebenzi nokuphila komphakathi. Umthwalo wengqondo ukhula minyaka yonke.

• Ukuchama lapho uneminyaka engu-14 ubudala kwakuxhunyaniswa nokungazethembi kanye nezimpawu zokucindezeleka emantombazaneni.

• Izingane eziyeka ukuchama lapho zineminyaka engu-11 zaba nezinkinga eziningi zempilo yengqondo lapho zineminyaka engu-11 nengu-13 kunalezo eziyeka lapho zineminyaka engu-9, okubonisa ukuthi ukuchama isikhathi eside kuyanezela emthwalweni wengqondo.

Lokhu okutholakele kubonisa ukuthi kungani usizo lwangaphambi kwesikhathi lubalulekile. Lapho ukuchama kuthatha isikhathi eside, kulapho izibazi ezingokomzwelo zijula.

Ukubaluleka Kokusekelwa Komphakathi

Awudingi ukuphatha lokhu uwedwa. Amaqembu okusekela, ku-inthanethi noma mathupha, akuxhumanise nabantu abathola lokho obhekene nakho. Ukwabelana ngezindaba kwehlisa ukuzihlukanisa futhi kukunikeza amathiphu wangempela wokubhekana nakho. Umndeni nabangane abaseduze bangakujabulisa nsuku zonke lapho ubafundisa ngesimo sakho. Ukwelulekwa ngokochwepheshe kusiza ngokukhathazeka nokudangala okuvame ukuza nokuchama isikhathi eside.

Ukwakha inethiwekhi yosekelo kushintsha umuzwa wakho. Uthola umbono, iseluleko esiwusizo, namandla angokomzwelo. Khumbula ukuthi ukuchamisa umuntu omdala kuyinkinga yezempilo, hhayi ukwehluleka komuntu siqu. Ukufinyelela odokotela nakubantu abathenjwayo kukhombisa isibindi, hhayi ubuthakathaka. Ngokusekelwa okufanele kanye nokwelashwa, ungabuyisa ubusuku bakho kanye nokuzethemba kwakho.

Izimbangela Zezokwelapha Zokuchama Abadala

Umzimba wakho uncike ochungechungeni oluqaphile lwezinyathelo ukuze uhlale womile ubusuku bonke. Ubuchopho, amahomoni, izinso nesinye kufanele kusebenze ndawonye ngokushelela. Uma noma iyiphi ingxenye yalolu ketango ihluleka, ukuchama embhedeni kungase kwenzeke. Ukufunda ngalezi zimbangela zezokwelapha kukusiza ukuthi ubone ukuthi kwenzekani emzimbeni wakho.

I-Hormonal and Kidney Factors

Izinso zakho zihlunga igazi futhi zenze umchamo usuku lonke nobusuku. Ebusuku, umzimba wakho ngokuvamile uyayibambezela le nqubo. Amahomoni nokusebenza kwesinye kudlala indima ebalulekile kulokhu kuncipha kwasebusuku.

Indima Ye-Antidiuretic Hormone (ADH)

I i-antidiuretic hormone (ADH) itshela izinso ukuthi zenze umchamo omncane. Ngokuvamile, umzimba wenza i-ADH eyengeziwe ebusuku ukuze uyeke ukuchama embhedeni. Kodwa abanye abantu abadala abayenzi ngokwanele le hormone ebusuku, okubangela umchamo omningi ukuba wakhe, isimo esibizwa ngokuthi i-nocturnal polyuria.

I-hormone ye-antidiuretic (ADH) itshela izinso ukuthi zenze umchamo omncane. Ngokuvamile, umzimba wenza i-ADH eyengeziwe ebusuku ukuze uyeke ukuchama embhedeni. Kodwa abanye abantu abadala abawenzi ngokwanele le hormone ebusuku, okubangela umchamo omningi ukuthi wakheke (i-nocturnal polyuria), okungase kubangele i-enuresis yasebusuku.

Amazinga e-ADH aphansi axhunyaniswa nokukhiqizwa komchamo owengeziwe, njengoba i-ADH ilawula ibhalansi yamanzi egazini. Uma i-ADH iphansi, esinyeni senza umchamo omningi kunalokho esingawubamba, okuphakamisa amathuba okuba ne-enuresis yasebusuku. Le nqubo ibonisa ukuthi inkinga ye-hormone elula ingakuphazamisa kanjani ukulala kwakho.

• Ukungenzi i-vasopressin (ADH) eyanele ngesikhathi sokulala kuholela ekukhiqizeni umchamo owengeziwe, udlule umthamo wesinye, okuyimbangela eyaziwayo ye-enuresis yasebusuku.

Isinye Esisebenza Kakhulu Kanye Nomthamo Oncishisiwe

Isinye sakho sisebenza njengethangi lokugcina. Kwabanye abantu abadala, imisipha yesinye iqina kusenesikhathi noma kaningi. Lesi simo, esibizwa ngokuthi isinye esisebenza ngokweqile, sidala ukuphuthuma noma ngabe esinyeni sibambe umchamo omncane kuphela. Ngesikhathi sokulala, lokhu kufinyeza kungabangela ukuchama ebusuku ngaphandle kokuthi uvuke.

Abanye abantu futhi banomthamo wesinye ngokwemvelo omncane. Isinye sazo sigcwala ngokushesha kunokujwayelekile, sifinyelele umkhawulo waso ngaphambi kokusa. Lapho isinye sichichima, ukuvuza kwenzeka. Kokubili imisipha yesinye esebenza kakhulu namandla anciphile kwenza kube nzima ukuthi uhlale womile ubusuku bonke.

Izinkinga ze-Neurological and Anatomical

Ubuchopho nesinye sakho zikhuluma zodwa njalo ngemizwa. Le nethiwekhi yokuxhumana kufanele isebenze kahle ukuze uphaphame lapho esinyeni sakho sibonisa ukugcwala. Uma le nethiwekhi iphuka, i-enuresis yokulala ingenzeka.

Ukuphazamiseka Kwesiginali Yezinzwa kanye Nezinkinga Zentambo Yomgogodla

Ukulimala kwezinzwa noma yikuphi endleleni esuka kwesinye kuya ebuchosheni kungavimba ikhono lakho lokuzwa isinye sigcwele. Izimo ezifana ne-multiple sclerosis, isifo sika-Parkinson, noma ukulimala komgogodla ziphazamisa lezi zimpawu. Ungase ungezwa isifiso sokuchama, noma ubuchopho bakho bungase bungacubunguli isignali yokukuvusa. Lokhu kuphazamiseka kusho ukuthi esinyeni sakho siyazithulula sodwa ngesikhathi ulele ungazi.

I-Prostate kanye Nesinye Ukuvinjelwa Kokuphuma Kwesinye Kwabesilisa

Kwabesilisa, i-prostate gland ekhulisiwe ingavimba ukugeleza komchamo. I-prostate igoqa i-urethra, ishubhu elikhipha umchamo emzimbeni. Lapho i-prostate ikhula, icindezela i-urethra, okwenza kube nzima ukuba umchamo uphume. Lokhu kuvinjelwa kuphoqa esinyeni ukuthi sisebenze kanzima ukuze sikhiphe. Ngokuhamba kwesikhathi, isinye siba buthaka futhi asikwazi ukubamba umchamo kahle. Amadoda anenkinga ye-prostate ngokuvamile aba nakho kokubili ukungakwazi ukuzithiba emini kanye nokuchama ebusuku.

Umthelela Wezimo Zezempilo Ezingamahlalakhona

Izimo zempilo eziningana zesikhathi eside ziphakamisa ngokuqondile ingozi yakho yokuchamela umbhede wabantu abadala. Lezi zimo zithinta izingxenye ezihlukene zesistimu yomchamo, kodwa zonke zihlanganyela umphumela owodwa: ukuphazamiseka kokulawulwa kwesinye ngesikhathi sokulala.

Isifo sikashukela, i-Sleep Apnea, namatshe ezinso

Isifo sikashukela sithinta ikhono lomzimba wakho lokulawula ushukela osegazini. Ngokusho kweNational Association for Continence, kuze kufike ku-40% wabesifazane abanesifo sikashukela abanenkinga yomchamo. Futhi, abantu abadala abanesifo sikashukela banengozi enkulu efinyelela ku-70% yokungakwazi ukuzithiba komchamo uma kuqhathaniswa nalabo abangenaso isifo sikashukela. Ushukela ophezulu wegazi uphoqa izinso zakho ukuthi zisebenze kanzima, okwenza umchamo owengeziwe. Lokhu kwanda kokukhiqizwa komchamo, okubizwa ngokuthi i-polyuria, kungase kweqe umthamo wesinye sakho ebusuku. Isifo sikashukela siphinde silimaze imizwa ngokuhamba kwesikhathi, sinciphise ukulawulwa kwesinye.

I-obstructive sleep apnea, ukuphazamiseka kokulala lapho ukuphefumula kuma ngokuphindaphindiwe lapho ulele, nakho kunezela ekomeleni embhedeni. Ukuphazamiseka kokuphefumula kubangela umzimba wakho ukuthi wenze i-atrial natriuretic peptide (ANP) eyengeziwe, ihomoni enyusa ukuphuma kwe-sodium namanzi ngezinso. Lokhu kuholela ekukhiqizeni okuphezulu komchamo. Ama-micro-arousals aphindaphindiwe avela ku-apnea aphinde aphazamise ukusabela okujwayelekile okuvusa inkanuko, okukwenza ungakwazi ukuvuka lapho esinyeni sakho sigcwala.

Ukungena komoyampilo ophansi ngenxa yokuvaleka kwendlela yokuphefumula kungafaka ingcindezi esinyeni. Lapho umzimba ungawutholi umoya-mpilo owanele, indlala ye-pituitary ingase ingakhiphi kahle i-hormone ye-antidiuretic, ngokuvamile etshela umzimba ukuthi umunce amanzi amaningi futhi uwavimbe angangeni esinyeni. Uma le hormone ingakhishwa ngezinga elivamile, umzimba ukhiqiza i-urea eyengeziwe, okuholela ekuchameni okwengeziwe ebusuku nokuchama embhedeni.

Uchungechunge lwezimo zeziguli ezi-5 zabantu abadala ezine-obstructive sleep apnea kanye ne-enuresis lubonise ukuthi zonke iziguli zazine-enuresis yazo yokuxazulula ngemva kokuqala ukwelashwa kwe-CPAP. Esinye isiguli saba nokubuya kwe-enuresis ehambisana nokungasebenzi kahle komshini we-CPAP, esekela ukuxhumana okuqondile phakathi kwe-apnea engelashiwe nokuchama embhedeni.

Amatshe ezinso angabangela nokuchama embhedeni. Lawa ma-mineral deposits aqinile angacasula ulwelwesi lwesinye noma avimbe ukugeleza komchamo. Ukucasuka kubangela ama-spasms esinyeni, kuyilapho ukuvinjelwa kuvimbela ukuphuma okuphelele. Zombili lezi zimo ziphakamisa ingozi yakho yezingozi zasebusuku.

Ukutheleleka kwe-Urinary Tract kanye Nemithi

Izifo ze-Urinary tract infections (UTIs) zicasula ulwelwesi lwesinye, lubangele ukuvuvukala kanye nama-spasms. Lokhu kucasuka kukwenza uzizwe ufisa ukuchama kaningi, ngisho noma esinyeni sakho cishe singenalutho. Ngesikhathi sokulala, lezi zinhlungu zingabangela ukuphuma komchamo ngokuzenzakalelayo. I-UTI iphinde ibangele ezinye izimpawu ezinjengokushisa lapho uchama, umchamo oguqubele, nobuhlungu be-pelvic.

Imithi ethile ingengeza ekomeni embhedeni. Ama-diuretics, avame ukubizwa ngokuthi amaphilisi amanzi, akhulisa ukukhiqizwa komchamo. Amaphilisi okwehlisa umzimba namaphilisi okulala angakwenza ulale ujule kangangokuthi ungavuki lapho isinye sakho sibonisa ukugcwala. Amanye ama-antidepressants nama-antipsychotics athinta nomsebenzi wesinye. Uma uqale umuthi omusha ngesikhathi esifanayo lapho uqala ukuchama embhedeni, khuluma nodokotela wakho ngakho.

Ukuqonda lezi zimbangela zezokwelapha kukunika isiqalo. Isizathu ngasinye siphazamisa indlela evamile yokulawula isinye ngesikhathi sokulala ngendlela ethile. Ukuthola imbangela yakho ethile kusiza udokotela wakho ukuthi aphakamise indlela yokwelashwa efanele yesimo sakho.

Izakhi Zofuzo, Indlela Yokuphila, Nezisusa Zengqondo

Izakhi zakho zofuzo, imikhuba yansuku zonke, kanye nesimo somzwelo konke kubumba ingozi yakho ukuchama umuntu omdala . Lezi zici zivame ukusebenzisana, okwenza kube nzima ukukhomba imbangela eyodwa. Ukuqonda ucezu ngalunye kukusiza ukuthi ubone isithombe esigcwele salokho okungenzeka emzimbeni wakho.

I-Hereditary Component

Ukuchama embhedeni kuhamba ngemindeni. Uma abazali bakho bemanzisa umbhede njengezingane, ubhekene nethuba eliphakeme lokubhekana nakho. Lesi sixhumanisi sofuzo sithinta indlela isinye sakho esikhula ngayo nendlela umzimba wakho okhiqiza ngayo amahomoni ngesikhathi sokulala.

Umlando Womndeni kanye neGenetic Predisposition

Umlando womndeni wakho unikeza izinkomba ezinamandla mayelana nobungozi bakho. Ucwaningo lubonisa iphethini ecacile esekelwe kokuhlangenwe nakho kwabazali bakho:

Lezi zinombolo zibonisa ukuthi izakhi zofuzo zidlala indima enkulu ekuguleni kwasebusuku. Uma bobabili abazali bakho benenkinga yokuchama embhedeni, unamathuba amathathu kwamane okubhekana nakho ngokwakho. Ngisho noma kunomzali oyedwa othintekile, amathuba akho ahlala asondele kuhhafu. Le ndlela yofuzo isho ukuthi akufanele uzisole. Umzimba wakho umane uthole izici ezithile ezithinta ukulawula esinyeni ngesikhathi sokulala.

Indlela Yokuphila Nethonya Lokudla

Izinketho zakho zansuku zonke zithinta ngokuqondile umsebenzi wakho wesinye ebusuku. Okuphuzayo, uma ukuphuza, nokuthi yimiphi imithi oyiphuzayo konke kunomthelela engozini yakho yokomela embhedeni. Ukulungiswa okuncane esimisweni sakho kungenza umehluko ophusile.

Imithelela Yotshwala, I-Caffeine, kanye Noketshezi Lwasebusuku Lwasebusuku

Utshwala ngaphambi kokulala budala inkinga ephindiwe esinyeni sakho. Icindezela i-antidiuretic hormone (ADH), inciphisa amandla ezinso zakho zokugcina amanzi futhi ikhulise ukukhiqizwa komchamo. Utshwala buphinde buphazamise ukulala kwakho ngokunciphisa imijikelezo ye-REM futhi buphazamise ikhono lakho lokuvuka ukuze uchame. Lo mthelela ombaxambili ungaholela ku-enuresis yasebusuku kubantu abadala, ikakhulukazi ngokusetshenziswa kotshwala obunzima noma isikhathi eside.

I-caffeine isebenza ngendlela ehlukile kodwa idala inkinga efanayo. Ivuselela isinye sakho, isenze sizwele futhi siphuthume. Uma uphuza ikhofi, itiye, noma i-soda sekusondele isikhathi sokulala, ugcwalisa esinyeni sakho ngokushesha futhi ucasule ulwelwesi lwaso. Uketshezi lwasebusuku lwanoma yiluphi uhlobo lwengeza enkingeni ngokukhuphula inani eliphelele isinye sakho okufanele silibambe ngobusuku bonke.

Ungathatha izinyathelo ezingokoqobo ukuze ulawule lobu bungozi:

• Nciphisa ukusetshenziswa kotshwala ne-caffeine, ikakhulukazi uma sekusondele isikhathi sokulala, njengoba kuvuselela esinyeni.

• Gada uketshezi oluphuzayo ngaphambi kokulala ukuze unciphise ingozi yokuchamela embhedeni.

• Gwema ukuphelelwa amanzi emzimbeni kodwa lawula uketshezi lwakusihlwa ukuze unciphise ukuphuma komchamo ebusuku.

Le mikhuba isiza isinye sakho ukuthi sihlale sizolile futhi singenalutho ngokwanele ukuze siqhubeke ubusuku bonke.

Imithi Engaba Nesandla

Imithi ethile kadokotela ingadala noma ibe yimbi kakhulu umuntu omdala ochamisa umbhede . Ama-diuretics, avame ukubizwa ngokuthi amaphilisi amanzi, aphoqa izinso zakho ukuthi zikhiqize umchamo omningi. Ukuthatha lokhu kusihlwa kusho ukuthi esinyeni sakho sigcwala ngokushesha phakathi nokulala. Amaphilisi okulalisa kanye namaphilisi okulala aphumuza umzimba wakho kangangokuthi ungase ungavuki lapho esinyeni sakho sibonisa ukugcwala. Amanye ama-antidepressants nama-antipsychotics nawo athinta ukusebenza kwesinye njengomphumela oseceleni.

Uma uqale umuthi omusha ngesikhathi esifanayo lapho uqala ukuchama embhedeni, buyekeza lokhu nodokotela wakho. Ukushintsha isikhathi esilula noma enye incwadi kadokotela ingase ixazulule inkinga ngokuphelele.

I-Psychological Stress and Trauma

Umqondo wakho nesinye kwabelana ngokuxhumana okuseduze. Ukucindezeleka ngokomzwelo kwenza kusebenze ukuphendula komzimba emzimbeni wakho, okuhlanganisa izinguquko ekukhiqizweni komchamo nokuzwela kwesinye. Kwabanye abantu abadala, lokhu kuxhumana kuba namandla ngokwanele ukuze kubangele izingozi zasebusuku.

Ukuxhumana Phakathi Kokucindezeleka Nokulawula Isinye

Ingcindezi engapheli kanye nokukhathazeka kwenza kusebenze impendulo yomzimba wakho wokulwa-noma-undiza. Lesi simo singabangela ukuthi izinso zakho zigcwale umchamo ngesikhathi sokulala, okuholela ekuguleni kwasebusuku. Umzimba wakho uhlala uqaphile, ukhiqiza amahomoni andisa ukuphuma komchamo ngisho nalapho uphumule.

Izehlakalo ezinkulu zempilo zidala ingcindezi efanayo. Ukuqala umsebenzi omusha, ukuba nengane, ukungena ebudlelwaneni obusha, ukuthutha, noma ukulahlekelwa othandekayo kungaphazamisa indlela yakho yokulala. Lezi zinguquko zivame ukuholela ebuthongweni obujulile kanye nokwehluleka ukuvuka ukuze uchame. Ingqondo yakho ayibhalisi isignali yesinye ngesikhathi.

Ukuhlala endaweni oyibona njengengaphephile, okuhlanganisa nezimo zokuhlukunyezwa ngokocansi noma ngokomzimba, kungase kubangele ukuchama komuntu omdala embhedeni njengempendulo yokucindezeleka. Umzimba wakho ubhekana nengozi ngisho nalapho ulele, ukhulula ukulawula ngezindlela ongeke ukwazi ukuzivimbela.

Ukubhekana Nokukhathazeka Okuyisisekelo Kwempilo Yengqondo

I-post-traumatic stress disorder (PTSD) iphethe isixhumanisi esiqinile sokungakwazi ukuzithiba. Omakadebona abane-PTSD kokuhlangenwe nakho kwempi banethuba eliphindwe kathathu lokungakwazi ukuzithiba umchamo, okuhlanganisa nokuchama, uma kuqhathaniswa nalabo abangenayo i-PTSD. Lokhu kuxhumana kubonisa ukuthi ukuhlukumezeka kuyithinta ngokujulile kangakanani imisebenzi yomzimba.

Ukwelapha isimo esiyisisekelo sempilo yengqondo ngokuvamile kuthuthukisa izimpawu zokuchama embhedeni. Ukwelashwa kukusiza ukuthi ucubungule ukuhlukumezeka futhi unciphise ukucindezeleka okungapheli. Ukwelulekwa kunikeza amathuluzi okulawula ukukhathazeka okuphazamisa ukulala kwakho. Amaqembu okusekela akuxhumanise nabanye abaqondayo izinkinga zakho.

Impilo yakho engokomzwelo idinga ukunakwa njengengxenye yohlelo lwakho lokwelapha ukuchama embhedeni. Uma ubhekana nezimbangela ezingokwengqondo, unikeza umzimba wakho ithuba elingcono kakhulu lokubuyisela ukulawula ebusuku. Uchwepheshe wezokunakekelwa kwempilo angakuqondisa ekuhlanganiseni okulungile kokusekela impilo yengqondo kanye namasu okulawula esinyeni.

Ukuqonda lezi zimbangela zofuzo, indlela yokuphila, nezingokwengqondo kukunikeza umbono ophelele wokuchama komuntu omdala embhedeni. Isici ngasinye sinikeza indlela engaba khona eya phambili. Ngokukhomba ukuthi yiziphi ezikuthintayo, ungasebenza nodokotela wakho ukuze wenze uhlelo oluqondiwe olubhekana nesimo sakho esithile.

Ukuchamisa Umbhede Wabantu Abadala: Uzombona Nini Udokotela

Ukwazi ukuthi ungabhukha nini leso sikhathi kungashintsha yonke into. Ungase uzizwe unamahloni, kodwa udokotela wakho ubona lolu daba njalo. Uma ukuchama embhedeni kuqala ngokuzumayo lapho umuntu esekhulile, kuwuphawu oluyisixwayiso oludinga ukunakekelwa kwezokwelapha okusheshayo. Ungalindi futhi uthembe ukuthi kuzodlula. Umzimba wakho ukutshela okuthile.

Amafulegi Abomvu Nezimpawu Zesexwayiso

Umzimba wakho ukunika izinkomba ngalokho okwenzekayo. Ukubuka lezi zimpawu kusiza wena nodokotela wakho ukuthi nithole indlela elungile ngokushesha.

Ukuqala Okungazelelwe vs. Iphethini yempilo yonke

Kudingeka wazi ukuthi ukuchama kwakho embhedeni kuyindaba yokuphila konke noma inkinga entsha yini. Lo mehluko uqondisa udokotela wakho ekuhlolweni nasekulashweni okufanele.

Uma une-enuresis yesibili, ukuqala kungazelelwe kukhomba imbangela entsha emzimbeni wakho. Lolu shintsho ludinga ukunakwa ngokushesha. Odokotela bazobheka izinkinga ezifana nokutheleleka nge-urinary tract, isifo sikashukela, i-apnea yokulala, noma izinkinga zemizwa. Nokho, i-enuresis yakho eyinhloko ingase ivele ezicini zofuzo ezingazange ziphele ngokuphelele. Zombili izinhlobo zidinga ukuhlolwa okufanele, kodwa ukuphuthuma kuyehluka.

Ezinye Izimpawu Njengobuhlungu noma Igazi

Bheka ezinye izimpawu ezibonakala ngokuchama kwakho embhedeni. Lezi zindlela zisiza udokotela wakho ukuthi anciphise izimbangela ezingenzeka:

• Izinguquko ekutheni uchama kangaki noma kangakanani phakathi nosuku

• Ubuhlungu noma ukushisa lapho uchama

• Ukugeleza komchamo okubuthakathaka

• Izinguquko kumbala womchamo wakho

• Ukushintsha kwemizwa noma ingcindezi entsha

• Akukho umnyakazo wamathumbu phakathi nosuku

Lezi zimpawu zikhomba izimo ezithile. Ubuhlungu lapho uchama kungase kubonise ukutheleleka komgudu womchamo. Ukusakaza okubuthakathaka kungase kusho ukuvaleka ku-urethra yakho. Ukuqunjelwa kungacindezela esinyeni sakho futhi kuphazamise izimpawu zemizwa. Ukushintsha kwemizwa kungase kuxhumane nokucindezeleka kwengqondo. Uphawu ngalunye lunikeza udokotela wakho umkhondo mayelana nokuthi yini ebangela ukuchama kwakho embhedeni.

Uhambo Lokuxilonga

Ukuvakashela udokotela wakho kulandela indlela ecacile. Ukwazi ukuthi yini ongayilindela kwehlisa ukukhathazeka kwakho futhi kukusize ulungele isinyathelo ngasinye.

Umlando Wezokwelapha kanye Nedayari Yesinye

Udokotela wakho uzoqala ngokubuza ngomlando wakho ogcwele. Bafuna ukwazi ukuthi ukuchama kwakho embhedeni kwaqala nini, ukuthi kwenzeka kaningi kangakanani, futhi uma unezinye izimpawu. Uzokhuluma nangomlando womkhaya wakini, njengoba izakhi zofuzo zinendima enkulu ekomelezeni umbhede kubantu abaningi abadala.

Udokotela wakho angase akucele ukuthi ugcine idayari yesinye. Leli thuluzi elilula lirekhoda ukuthi yini oyiphuzayo, lapho uchama, nalapho kwenzeka izingozi. Idayari isiza udokotela wakho ukuthi abone amaphethini ekuphuzeni kwakho uketshezi kanye nokusebenza kwesinye. Lolu lwazi luqondisa izinyathelo ezilandelayo ekuhloleni kwakho.

Ukuhlaziywa komchamo kanye ne-Post-Void Residual Measurement

I-urinalysis ihlola umchamo wakho ngezimpawu zokutheleleka, igazi, noma ushukela. Ukutheleleka noma amazinga aphezulu eglucose akhomba izimo ezifana nezifo zomgudu womchamo noma isifo sikashukela. Lokhu kuhlolwa kulula futhi akubuhlungu.

Isilinganiso sensalela ye-post-void sihlola ukuthi ungakanani umchamo ohlala esinyeni sakho ngemva kokuchama. Udokotela wakho usebenzisa i-ultrasound ukukala leli nani. Insalela ephezulu isho ukuthi esinyeni sakho asiqedi ngokugcwele. Lokhu kungenzeka ngezinkinga ze-prostate, ukulimala kwezinzwa, noma imisipha yesinye ebuthakathaka. Lokhu kuhlola kusiza udokotela wakho ukuthi athole imbangela yokungakwazi ukuzithiba kwakho.

Ukuhlolwa Okuthuthukisiwe: I-Urodynamics ne-Cystoscopy

Uma ukuhlolwa okuyisisekelo kungabonisi imbangela, udokotela wakho angase asikisele ukuhlolwa kwe-urodynamic. Le sethi yokuhlola ikala ukuthi isinye sakho sigcina futhi siwukhiphe kanjani umchamo. Ihlola umfutho wesinye, amandla, nokusebenza kwemisipha. I-Urodynamics isiza ukuxilonga izinkinga zesinye noma zemizwa ezithinta ukulawulwa kwesinye.

I-cystoscopy isebenzisa ikhamera encane ukuze ibheke ngaphakathi kwesinye kanye ne-urethra yakho. Udokotela wakho angabona ukuvinjelwa, amatshe, noma izinkinga zesakhiwo. Lokhu kuhlola kusiza ukuthola izinkinga ezingokomzimba ezibangela ukuchama embhedeni. Kwabesilisa, kungaveza ukwanda kwe-prostate ngokucindezela i-urethra. Kwabesifazane, kungabonisa ukungahambi kahle kwesinye.

Lezi zinyathelo zokuxilonga zingase zibonakale zesabisa, kodwa zisiza udokotela wakho ukuthi enze uhlelo lokwelapha oluhlosiwe. Ukuthola imbangela kuholela emiphumeleni engcono. Ukuze uthole imininingwane eyengeziwe mayelana nohlu olugcwele lwezimbangela nezisombululo, hlola insiza *ukuchama umuntu omdala : uyakwazi okumele ukwazi?*.

Izinketho Ezisebenzayo Zokwelapha Ukubheda Embhedeni zango-2026

Ukwelashwa kwe ukuchama umuntu omdala kulandela indlela ecacile. Uqala ngokushintsha indlela yokuphila elula, bese udlulela emithini, futhi ekugcineni ucabangele izinqubo ezithuthukisiwe uma kudingeka. Le ndlela yesinyathelo ngesinyathelo ikusiza ukuthi uthole ukwelashwa okulungile kwesimo sakho esithile ngaphandle kokugxumela kunketho ehlasela kakhulu kuqala.

Umugqa Wokuqala Ukuguqulwa Kokuziphatha Nendlela Yokuphila

Isinyathelo sakho sokuqala sibandakanya ukushintsha imikhuba yansuku zonke ethinta esinyeni sakho. Lezi zinguquko ezilula ngokuvamile ziveza imiphumela enengqondo ngaphandle kokungenelela kwezokwelapha.

Ukuphathwa Kwe-Fluid kanye Nokungashayi eceleni Okuhleliwe

Ungakwazi ukunciphisa umchamo wasebusuku ngokubheka ukuthi uphuzani. Yeka ukuphuza uketshezi amahora amabili ngaphambi kokulala. Yeqa i-caffeine notshwala kusihlwa, njengoba kokubili kwenza esinyeni sakho sisebenze kakhulu futhi kukhulisa ukuphuma komchamo. Emini, phuza amanzi anele ukuze uhlale unamanzi, kodwa ukhululeke lapho kufika kusihlwa.

Ukweqa okuhleliwe kusho ukuthi ukhipha esinyeni sakho ngezikhathi ezimisiwe usuku lonke. Ungase uchame njalo ngemva kwamahora amabili kuya kwamathathu, ngisho noma ungasizwa isidingo. Lo mkhuba uvimba isinye sakho ukuthi singagcwali kakhulu. Ngaphambi kokulala, hlala uchama, ngisho noma ucabanga ukuthi akudingeki uhambe. Lo mkhuba olula wehlisa inani okufanele isinye sakho silibambe ebusuku.

Ukuqeqeshwa Kwesinye kanye Nokuzivocavoca Kwesitezi Socansi

Ukuqeqeshwa kwesinye kusiza isinye sakho ukubamba umchamo omningi ngokuhamba kwesikhathi. Ungeza kancane kancane isikhathi esiningi phakathi kohambo lokugezela phakathi nosuku. Qala ngokulinda eminye imizuzu eyi-15 lapho uzwa isifiso. Isonto ngalinye, engeza eminye imizuzu engu-15. Le nqubo yelula umthamo wesinye sakho futhi ikhuphule ukulawula kwakho.

Ukuzivocavoca phansi kwe-pelvic kwakha imisipha ebamba umchamo. Ungenza lokhu kunyakaza noma yikuphi, futhi kuthatha imizuzu nje usuku ngalunye. Ukuze uthole imisipha efanele, misa ukugeleza komchamo wakho phakathi nomfula kanye. Leyo misipha ozizwa uyicindezela yi-pelvic floor yakho. Bakhame imizuzwana emihlanu, bese uphumule imizuzwana emihlanu. Phinda lokhu izikhathi eziyishumi, kathathu ngosuku. Imisipha ye-pelvic floor enamandla ikunikeza ukulawula okungcono ngesikhathi sokulala.

Izindlela Zokulala Nezindawo Zokulala Ezivikelayo

Isimiso esiqinile sokulala sitshela umzimba wakho ukuthi sekuyisikhathi sokuphumula. Lala ngesikhathi esifanayo njalo ebusuku. Dala indawo ezolile engenazo izikrini nengcindezi. Le mikhuba ithuthukisa ikhwalithi yokulala, ekusiza ukuthi uphaphame lapho isinye sakho sibonisa ukugcwala.

I-alamu yokuchama embhedeni ingaqeqesha ubuchopho bakho ukuba sabelane nezimpawu zesinye. Le divayisi inamathela engutsheni yakho yangaphansi futhi ikhale i-alamu lapho umswakama uyithinta. Ngokuhamba kwesikhathi, ingqondo yakho ifunda ukuvuka ngaphambi kokuba i-alamu ikhale. Ucwaningo lubonisa ukuthi le ndlela isebenza kahle kubantu abadala abaningi, nakuba idinga isineke nokungaguquguquki.

Izingubo zokulala ezivikelekile zikunikeza ukuphepha ngenkathi usebenza ekwelashweni. Izembozo zikamatilasi ezingangeni manzi zivikela umbhede wakho futhi zinciphise isikhathi sokuhlanza. Imikhiqizo yekhwalithi yokuchamisa abantu abadala, njengaleyo evela e-Chiaus, inikeza induduzo nesithunzi phakathi nale nqubo.

Ukungenelela Kwezokwelapha Nezokwelapha

Uma ukushintsha kwendlela yokuphila kukodwa kungayilungisi inkinga, udokotela wakho angase asikisele imithi. Lezi zindlela zokwelapha zihlose izimbangela ezithile ze-enuresis yasebusuku.

I-Desmopressin (DDAVP) kanye Neminye Imithi

I-Desmopressin, ebizwa nangokuthi i-DDAVP, ithatha indawo ye-hormone ye-antidiuretic umzimba wakho ongashoda ngayo ebusuku. Le hormone yokwenziwa itshela izinso zakho ukuthi zenze umchamo omncane lapho ulele. Uyithatha njengethebhulethi noma isifutho samakhala ngaphambi kokulala. Abantu abadala abaningi babona ukuthuthuka phakathi nezinsuku. Udokotela wakho uzohlola amazinga akho e-sodium ngenkathi usebenzisa le mithi.

I-Anticholinergics Yesinye Esisebenza Kakhulu

Imithi ye-Anticholinergic ithulisa esinyeni esisebenza ngokweqile. Le mishanguzo iphumuza imisipha yesinye, inciphisa imihuzuko ebangela ukuchama ebusuku. Izinketho ezivamile zihlanganisa i-oxybutynin ne-tolterodine. Lawa maphilisi uwaphuza kanye ngosuku, ngokuvamile ngaphambi kokulala. Asebenza kangcono kubantu abadala abakotela kwabo kubangelwa ukusebenza ngokweqile kwemisipha yesinye esikhundleni sokukhiqizwa komchamo oweqile.

Iqhaza lama-Tricyclic Antidepressants

Ama-antidepressants e-Tricyclic, njenge-imipramine, aphatha ukuchama embhedeni ngendlela ehlukile. Le mithi inciphisa ukufinyela kwesinye futhi ithinte izindlela zokulala. Zikusiza ukuthi uvuke lapho esinyeni sakho sigcwala. Odokotela banquma lokhu kancane manje ngenxa yemiphumela engemihle engaba khona, kodwa bahlala beyinketho lapho ezinye izindlela zokwelapha zingaphumeleli. Udokotela wakho uzokuqala ngedosi ephansi futhi alungise njengoba kudingeka.

Izinketho Ezithuthukisiwe Nezokuhlinzwa

Kubantu abadala abangaphenduli ekushintsheni kwendlela yokuphila noma emithini, izinqubo ezithuthukisiwe zinikeza ithemba. Lezi zindlela zokwelapha ziqondise izimbangela ezingokomzimba zokuchamela umuntu omdala embhedeni.

I-Sacral Nerve Stimulation (InterStim)

I-Sacral nerve stimulation isebenzisa idivayisi encane efakwe eduze kwe-sacral nerve yakho. Le nerve ithwala amasignali phakathi komgogodla wakho nesinye. Lolu cingo luthumela ama-pulses kagesi athambile alawula ukusebenza kwesinye. Uthola isikhathi sokuhlola kuqala ukuze ubone ukuthi ukwelashwa kuyasebenza yini. Uma kuphumelele, udokotela wakho ufaka idivayisi ehlala njalo. Abantu abadala abaningi babika ukuthuthuka okuphawulekayo ezimpawu zokungakwazi ukuzibamba.

Imijovo ye-Botox kwesinye

Imijovo ye-Botox iphumuza umsipha wesinye. Udokotela wakho ujova ubuthi be-botulinum ngqo odongeni lwesinye ngesikhathi sokulashwa ngokushesha. Ubuthi buvimba amasignali ezinzwa abangela ukugogeka kwemisipha. Imiphumela ihlala izinyanga eziyisithupha kuya kweziyishumi nambili, bese uphinda inqubo. Lokhu kwelashwa kusebenza kahle kubantu abadala abanesinye esisebenza ngokweqile esinamandla esingaphenduli emithini yomlomo.

Ukulungiswa Kokuhlinzwa Kokungajwayelekile Kwe-Anatomical

Abanye abantu abadala banokuvaleka ngokomzimba okubangela ukuchama embhedeni. Amadoda ane-prostate ekhulisiwe angase adinge ukuhlinzwa ukuze kukhishwe izicubu eziningi. Abesifazane abane-prolapse yesinye bangadinga izinqubo zokulungisa. Lokhu kuhlinzwa kubhekana ngqo nomsuka wayo. Udokotela wakho uzoxoxa ngokuthi ukuhlinzwa kuyahambisana yini nesimo sakho ngokusekelwe ekuhlolweni kokuxilonga.

Ukuphatha Ukubheda Ngemikhiqizo ye-Chiaus

Ngenkathi uphishekela ukwelashwa, imikhiqizo yekhwalithi inikeza induduzo nokuzethemba. I-Chiaus ikhiqiza amanabukeni abantu abadala kanye namaphedi angaphansi aklanyelwe ukuphepha ebusuku. Ibhrendi inobuchwepheshe obunelungelo lobunikazi obungaphezu kuka-217, obuqinisekisa izici ezintsha ezibeka phambili isithunzi sakho.

Chiaus amanabukeni amadala anikeza ukuvikeleka okunobuhlakani okunokumunca okuphezulu. Ulala ubusuku bonke ngaphandle kokukhathazeka. Izinto ezithambile zivimbela ukucasuka kwesikhumba, futhi ukulingana okuvikelekile kuvimbela ukuvuza. Ama-underpads engeza isendlalelo esengeziwe sokuvikela umatilasi wakho. Le mikhiqizo isekela uhlelo lwakho lokuphatha ngenkathi usebenza ukuya kubusuku obomile.

Ukwelashwa okufanele kokuchama komuntu omdala kuncike kusizathu sakho esithile. Qala ngokushintsha indlela yokuphila, bese uhlola imithi, futhi ucabangele izinketho ezithuthukile uma kudingeka. Kulo lonke lolu hambo, imikhiqizo yekhwalithi evela kwa-Chiaus ikunikeza ukuvikeleka kokuphumula ngokuthula. Khuluma nomhlinzeki wakho wezempilo mayelana nokuthi iyiphi indlela evumelana nesimo sakho kangcono.

Ukuchamela umuntu omdala kuyinkinga yezempilo engelapheka. Akulona iphutha lakho. Manje uyazi ukuthi kubangela ububanzi kusuka ezinkingeni zamahomoni kuya ezinkingeni zesakhiwo somzimba. Ukuthola ukuxilongwa okufanele kukusiza ukuthi uthole ukwelashwa okufanele. Izinguquko ezilula emikhubeni yansuku zonke, imithi, nezinqubo ezikhethekile zingasiza. Imikhiqizo yekhwalithi efana namanabukeni abantu abadala e-Chiaus ikunikeza ukunethezeka nokuphepha ngenkathi uba ngcono. I-Nocturnal enuresis ithinta abantu abadala abaningi, kodwa ukwelashwa okuhle kuyatholakala ngo-2026. Ungavumeli ihlazo likuvimbele ekutholeni ukunakekelwa. Yenza isikhathi nodokotela wakho namuhla. Ukubhekana nokungakwazi ukuzithiba kuqala ngenkulumo eyodwa enesibindi. Ubusuku obomile kuwumgomo wangempela ongawufinyelela. Ufanelwe ukuphumula ngaphandle kokwesaba. Thatha leso sinyathelo sokuqala manje.

FAQ

Ingabe ukuchama komuntu omdala kuyinkinga evamile?

Yebo, ukuchama kumuntu omdala kuthinta u-1–2% wabantu abadala. Lokho kusho ukuthi izigidi zabantu nazo zibhekana nakho. Awuwedwa kulo mzabalazo. Abantu abadala abaningi basiphatha buthule lesi simo njalo ebusuku. Ukwazi abanye ababhekene nenkinga efanayo kungasiza ekudambiseni amahloni ongase abe nawo.

Yini ebangela ukuchama kungazelelwe kubantu abadala?

Ukuchama kungazelelwe ngokuvamile kukhomba inkinga entsha yezempilo. Izifo zomgudu womchamo, isifo sikashukela, i-apnea, noma izinkinga ze-prostate zingayibangela. Eminye imithi nayo inendima. Uma ukozela embhedeni kuqala kungazelelwe, bonana nodokotela ngokushesha. Lesi sibonakaliso sidinga ukunakekelwa okufanele kwezokwelapha ukuze kutholwe imbangela.

Odokotela bayixilonga kanjani i-enuresis yasebusuku?

Udokotela wakho uqala ngomlando wakho wezokwelapha kanye nedayari yesinye. Uzolandelela ukuthi uphuza kangakanani nokuthi uchama kangaki. I-urinalysis ihlola ukutheleleka noma ushukela. Isilinganiso sensalela ye-post-void sibonisa ukuthi ungakanani umchamo ohlala esinyeni sakho. Le nqubo isiza ukuthola imbangela eqondile ye-enuresis yakho yasebusuku.

Yiziphi izindlela zokwelapha ezisebenza kangcono kubantu abadala?

Ukwelashwa kuhamba isinyathelo ngesinyathelo. Uqala ngoshintsho lwendlela yokuphila njengokusika uketshezi lwakusihlwa nokwenza izivivinyo ze-pelvic floor. Uma kudingeka, imithi efana ne-desmopressin noma i-anticholinergics ingasiza. Izinketho ezithuthukisiwe zifaka i-sacral nerve stimulation noma imijovo ye-Botox. Udokotela wakho ukhetha ukwelashwa okufanele ngokusekelwe kusizathu sakho esithile.

Ingabe ukucindezeleka kungabangela ukuchama komuntu omdala?

Yebo, ukucindezeleka nokukhathazeka kungase kubangele ukozela embhedeni. Ingcindezi yesikhathi eside yenza kusebenze impendulo yakho yokulwa noma yendiza, okuthuthukisa ukukhiqizwa komchamo ngesikhathi sokulala. Izinguquko ezinkulu empilweni noma ukuhlukumezeka kungaphazamisa ukulawula esinyeni. Ukwelapha izinkinga zempilo yengqondo ngokwelashwa kuvame ukuthuthukisa izimpawu. Impilo yakho engokomzwelo ithinta ngokuqondile umsebenzi wakho wesinye ebusuku.

Ingabe imikhiqizo yokuzivikela iyasiza ngesikhathi sokwelashwa?

Ikhwalithi imikhiqizo evikelayo ikunikeza ukuvikeleka ngenkathi usebenza ekwelashweni. Amanabukeni abantu abadala kanye nama-underpads avela ezinkampanini ezithenjwayo anikeza induduzo nesithunzi. Le mikhiqizo ivikela umatilasi wakho futhi inciphise isikhathi sokuhlanza. Bakunikeza ukuzethemba ukuze ulale ngokuthula. Ungagxila ohlelweni lwakho lokwelashwa ngaphandle kokukhathazeka ngezingozi.

Kufanele ngimbone nini udokotela mayelana nokuchama embhedeni?

Bonana nodokotela ngokushesha uma ukuchama embhedeni kuqala ngokuzumayo ngemva kwezinyanga zobusuku obomile. Futhi thola usizo uma unezinhlungu, igazi, noma ukusha lapho uchama. Lezi zimpawu zingase zibonise isimo esibucayi esingaphansi. Ukunakekelwa kwezokwelapha kusenesikhathi kuholela emiphumeleni engcono. Ungavumeli amahloni abambezele ukuvakasha kwakho.

Ingabe umlando womndeni uthinta ingozi yami yokuchama embhedeni?

I-Genetics idlala indima enkulu ekuchameni embhedeni. Uma bobabili abazali bemanzisa umbhede njengezingane, unamathuba angama-75% okubhekana nakho. Umzali oyedwa othintekile ukunika cishe ithuba elingu-50%. Le ndlela yofuzo isho ukuthi akufanele uzisole. Umzimba wakho uzuze ifa izici ezithinta ukulawula esinyeni ngesikhathi sokulala.