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Magungunan likita na rashin fitsari
Yana da mahimmanci ganin likita don alamun da ke kama da rashin fitsari. Da zarar an gano ganewar asali, sauran kwararrun likitocin za su iya ba da taimako mai taimako. Wannan na iya zama mai ba da shawara na jinya ko rashin kula da rashin kwanciyar hankali ko likitan ilimin motsa jiki wanda ya ƙware kan gyaran mafitsara. Ana samun jerin ƙwararrun ƙwararrun ƙwararru a cikin rashin kwanciyar hankali a Kanada akan gidan yanar gizon Gidauniyar don tallafawa rashin daidaituwa (duba Shafukan sha'awa). |
Jiyya ta bambanta dangane da sanadin da tsananin ciwonrashin yin fitsari. Idan ya zama dole, tabbas, cutar da ke haifar da rashin bacci yakamata a yi maganin ta, ban da magance alamun.
Food
Dubi sashin Rigakafin don ƙarin bayani kan abinci don ragewa ko gujewa.
Dabaru na ɗabi'a
Waɗannan dabarun galibi suna buƙatar goyon bayan wani physiotherapist or physiotherapist ko a m. Wasu sun ƙware a matsalolin rashin kwanciyar hankali.
Kegel Aiki
Wannan aikin da aka sani yana inganta haɓaka sautin tsoka ƙashin ƙugu (perineum). Mata da maza duka za su iya amfani da shi don danniya ko kuma su yi kira ga rashin kwanciyar hankali.
The rawar soja yakamata ayi akai akai tsawon makonni da yawa don bada sakamako mai fa'ida. 40% zuwa 75% na matan da ke amfani da shi suna lura da haɓakawa a cikin su iko fitsari1. Dangane da maza, galibi ana amfani da wannan aikin bayan cire prostatectomy (prostatectomy).
Notes. Ta hanyar ƙarfafa tsokar ƙasan ƙashin ƙugu, darussan Kegel suma suna iya inganta aikin jin dadin jima'i.
Yadda ake yin Kegel17, 18 |
A farkon, aiwatar da waɗannan darussan yayin kwance a baya, gwiwoyi sun lanƙwasa kaɗan kaɗan (tare da faɗin ƙashin ƙugu). Da zarar an ƙware, fara yin su a zaune, sannan a tsaye. - kwangila tsokoki na ƙashin ƙugu ta hanyar riƙe kwangila don 5 zuwa 10 seconds. (Ka tabbata kana yin kwangila daidai tsoka! Ya kamata ka ji ƙanƙarar tsokar da ke kewaye da farji ko azzakari, kamar yana riƙe da fitsari ko ɗaki. Hankali: Kada a matse tsokar ciki da gindi.) - numfashi cikin nutsuwa yayin kwanciya. - Don saki kwangila a lokacin 5 zuwa 10 seconds. - maimaita daga 12 zuwa 20 sau da sake zagayowar kwangila da annashuwa. Za a yi shi sau 3 a rana, da kyau da safe, da tsakar rana da maraice. Don ƙarin bayani, duba takardar bayanan da Incontinence Foundation ta samar (ɓangaren Shafukan sha'awa). |
biofeedback
Biofeedback zai iya taimaka wa mata su ji kuma su sarrafa ƙusoshin tsokar ƙasan su da kyau. Wannan dabarar tana ba ku damar gani da gani akan allon kwamfuta ƙuntatawa da annashuwa na tsokoki yayin aikin Kegel. Wannan hangen nesa, wanda aka yi tare da taimakon firikwensin da aka sanya a cikin farji, yana kawo sani, a cikin madaidaiciyar hanya, tsananin ƙanƙancewa da tsawon sa.
Gyaran mafitsara
Ana iya yin wannan ta hanyoyi daban -daban, gwargwadon nau'inrashin yin fitsari.
- Ɗaya iya jinkirta fitsari. Da farko, lokacin da aka ji sha'awar yin fitsari, muna ƙoƙarin jira mintuna 10 kafin mu sassauta wa kanmu. Sannan an ƙara wannan lokacin zuwa mintuna 20, makasudin shine yin fitsarin sararin samaniya aƙalla awanni 2 (awanni 4 a ƙalla).
- Idan akwai rashin jituwa, wanda zai iya yin aikin motsa jiki magudana biyu. Ya ƙunshi yin fitsari, sannan a sake gwadawa bayan fewan mintuna kaɗan. Yana ba ku damar koyon yadda ake mafi kyawun komai mafitsara domin kaucewa kwararar fitsari.
- Ɗaya iya dauki tsayayyen jadawali. Labari ne game da zuwa bandaki a lokutan da aka tsara, maimakon jira har sai kuna son yin fitsari. Manufar ita ce yin fitsari a sarari aƙalla awanni 2, da awanni 4 aƙalla. Wannan aikin yana da mahimmanci kuma galibi yana da tasiri a cikin tsofaffi waɗanda ke da matsalolin motsi.
- Don sarrafa sha'awar yin fitsari, kuna iya seHuta shan wasu numfashi mai zurfi. Hakanan kuna iya raba hankalin ku ta hanyar kasancewa mai aiki: ta hanyar karatu, yin kalmomin ƙetare ko wanke jita, misali.
zafin lantarki
Ƙarfafa wutar lantarki, ko kuzarin lantarki, ya haɗa da shigar da lantarki a cikin farji ko dubura don motsawa da sautin tsokar ƙasan ƙashin ƙugu. Ta hanyar haɗa wannan hanyar tare da biofeedback, zamu iya hango ƙuntatawar tsoka akan allon kwamfuta. Wannan sannan yana ba ku damar jin daɗin su, sabili da haka don sarrafa su. Wannan hanyar yawanci galibi an keɓe ta ne ga mutanen da dabarun ɗabi'a ba su da tasiri.
magani
Wasu magunguna suna taimakawa rage ƙanƙancewar al'aurar mafitsara. Don haka suna da amfani idan akwaigagarar fitsari : oxybutynin (Oxybutynin® da Ditropan®, alal misali), flavoxate (Urispas®) da tolterodine (Detrol®). Ofaya daga cikin illolin su shine bushewar baki, wanda zai iya sa marasa lafiya su sha ƙarin. Akwai hanyoyi daban -daban don rage su. Tattauna da likitansa.
Maganin gida da estrogen na iya taimakawa rage alamun ga wasu mata a kusa da lokacin menopause. Ana amfani da sinadarin Estrogen akan farji a cikin nau'in ƙwai (misali, Vagifem®), zobba (Estring®), ko kirim. Allurai na hormones da ake amfani da su ƙanana ne a cikin ƙwai da zobba. Suna da ɗan girma fiye da kirim, wanda wani lokacin yana buƙatar progestin (misali Provera®) don rage haɗarin da ke tattare da maganin hormone na dogon lokaci. Don ƙarin bayani, duba takardar mu ta Menopause.
Za'a iya amfani da wasu magunguna don magance cutar da ke haifar da rashin fitsari, misali, maganin rigakafi don kamuwa da ciwon fitsari.
Na'urori daban -daban da kayan haɗi
Na'urorin waje
- gamsai masu gamsarwa
- Diapers ga manya
- Na'urorin tattara fitsari (maza)
- Riga na kariya
Na'urorin cikin gida
Sau da yawa ana amfani da su azaman mafaka ta ƙarshe.
- Catheter. Yana da bututu mai sassauƙa kuma mai bakin ciki mai haɗawa da jakar waje. Ana shigar da bututun a cikin urethra, wanda ke ba da damar fitsari ya shiga cikin jakar. A wasu lokuta, marasa lafiya na iya koyan sakawa da cire bututu (sau 3 ko 4 a rana), wanda ke kawar da buƙatar ɗaukar jaka a koyaushe.
- Pessary. Likitan ya saka tsayayyen zobe a cikin farji don rike mafitsara a wuri kuma hana shi saukowa. Yana da amfani ga mata masu zurfin mafitsara.
tiyata
A lokuta da yawa, tiyata na iya zama dole. A cikin mata, galibi ana amfani da shi don kula da mafitsara a wuri ko don ɗaga shi lokacin da aka samu zurfin mafitsara, ta hanyar sa baki da ake kira cystopexie.
Can kuma:
- yi aiki akan ƙwayar mafitsara, fibroid na mahaifa, urogenital fistula ko ƙwayar prostate;
- saita na'urar don dakatar da wuyan mafitsara da mafitsara a cikin mata;
- shigar da bututun fitsari na wucin gadi (musamman a maza);
- shigar da na'urar da ke motsa jijiyoyin sacral (jijiya da ke bayan sacrum).