Idan akwai fitar fitsari, wa za a tuntubi?

Da farko ga babban likitansa. Sannan cikin sauri, zai ɗauki ra'ayin ƙwararre don kafa ganewar asali.

A cikin mata, dole ne ku rarrabe tsakanin damuwa da rashin kwanciyar hankali na fitsari kuma ku nemi rashin kwanciyar hankali (wanda kuma ake kira "turawa" ko "mafitsara mai wuce gona da iri").

Rashin damuwa na fitsari yana buƙatar gyara da yuwuwar tiyata, yayin da ake buƙatar rashin jituwa tare da magani kuma, idan akwai gazawa, tare da canzawar neuro. A taƙaice, jiyya daban -daban guda biyu daban da na gaba. Wato idan muka yi wa juna ɗaya, za mu faɗa cikin bala'i.

Menene aikin babban likita? Me game da urologist?

Idan matsalar rashin fitsari ce saboda gaggawa - wato idan mafitsara ta cika mai haƙuri yana zubar da jini - babban likitan na iya yin maganin magungunan kashe ƙwari.

Amma a mafi yawan lokuta, matsalar rashin fitsari shine alhakin kwararre. Da zaran ya lura cewa babu kamuwa da cutar fitsari kuma akwai rashin jin daɗi na ainihi, babban likitan ya tura marassa lafiya zuwa likitan urologist. 

Kimanin kashi 80% na marasa lafiya da ke korafin zubar fitsari sun isa aikinmu. Musamman saboda ya zama dole a gudanar da kimar urodynamic don yin ganewar asali. 

Menene kimar urodynamic?

Gwajin urodynamic ya haɗa da gwaje -gwaje uku: flowmetry, cystomanometry da profile matsa lamba urethral.

Matsakaicin motsi yana ba da izinin ƙwanƙwasa fitsari na mai haƙuri. An gabatar da sakamakon ta hanyar lanƙwasa daga inda urologist ya ƙayyade matsakaicin adadin kwarara, lokacin fitsari da ƙarar ɓarna.

Jarabawa ta biyu ita ce cystomanometry. Muna cika mafitsara da ruwa kuma muna lura da yadda yake canzawa, wato matsin da ke cikin mafitsara. Wannan gwajin yana ba ku damar ganin ko akwai “hauhawar matsin lamba” wanda zai iya bayyana rashin daidaituwa, da sanin ko mafitsara tana da ruwa mai yawa ko a'a. Hakanan, zamu iya tantance ko mai haƙuri yana jin buƙata.

Abu na uku, muna aiwatar da a bayanin matsa lamba na fitsari (PPU). Tambaya ce ta lura da yadda ake rarraba matsi a cikin fitsari. A aikace, ana fitar da firikwensin matsa lamba cikin saurin gudu, daga mafitsara zuwa waje. Wannan yana ba mu damar tantance rashin kuzarin sphincter ko, akasin haka, hauhawar jini na sphincter.

Mene ne mafi yawan hanyoyin tiyata ga mata?

Idan akwai damuwa na rashin fitsari, kafin bayar da sa baki, yawanci ana fara magani tare da gyarawa. Wannan yana aiki akan kusan ɗaya cikin biyu.

Idan wannan bai isa ba, ana sanya tube a ƙarƙashin mafitsara. Ka'idar ita ce ta samar da jirgin sama mai tsauri wanda zai iya jure matsin lamba na fitsari. Don haka lokacin da fitsari yake cikin matsin lamba, zai iya dogaro da wani abu mai ƙarfi kuma ya ba da najasa. 

Sau da yawa ina amfani da kwatankwacin sauƙi don bayyana hanya ga marasa lafiya na. Ka yi tunanin ka ɗauki bututun lambun da aka buɗe kuma ruwan yana gudana. Idan kun taka takalmin da ƙafarku kuma akwai yashi a ƙasa, tiyo ɗin zai nitse kuma ruwan zai ci gaba da gudana. Amma idan kasan yana kankare, nauyin ku yana yanke matsin ruwan kuma kwararar ta tsaya. Wannan shine abin da muke ƙoƙarin cimmawa ta hanyar sanya tube a ƙarƙashin mafitsara.

Maza fa?

A cikin mutane, da farko zai zama dole don tantance idan ya cika ambaliyar ruwa ko kuma rashin isasshen sphincter. Yana da matukar mahimmanci a yi bincike nan da nan don kada a ba da magani da bai dace ba.

A cikin yanayin rashin ruwa mai yawa, mafitsara ba ta zama fanko. Don haka akwai “ambaliyar ruwa” mai zubowa. An toshe matsalar ta prostate. Likitan urologist yana kawar da wannan cikas ko dai ta tiyata ko ta hanyar rubuta magani don rage girman prostate.

Dalili na biyu na rashin samun kwanciyar hankali a cikin maza shine rashin isasshen kumburin ciki. Sau da yawa sakamakon tiyata ne, irin su prostatectomy m.

Ana iya samun dukkan bayanai akan ganewar asali da kuma maganin rashin fitsari Fayil Fasfo na Lafiya na Musamman.