Matsalar fitsari a lambobi

Matsalar fitsari a lambobi

Matsalar fitsari a lambobi
A cewar Ƙungiyar Ƙasashen Duniya, rashin daidaiton fitsari (galibi ana taƙaita shi UI) an bayyana shi sosai a matsayin duk wani korafi na asarar fitsari da gangan. Koma cikin adadi akan alamar da ke da wahalar ɗauka.

Yaduwar yawan fitsari

An kiyasta yawaitar rashin tsayayyar fitsari kusan kashi 5% a cikin yawan jama'a1. Wannan yaɗuwar ta fi yawa a cikin mutanen da suka haura shekaru 65: 49 zuwa 77% na mutanen da ke asibiti ko kuma ke zaune a cikin cibiyar kiwon lafiya da cutar za ta shafa.2.

Ana sa ran yaduwar cutar a hankali, saboda adadin mutanen da suka haura 65 za su ƙaru sosai cikin shekaru masu zuwa. Don haka yana da mahimmanci a yi duk mai yuwuwa don hanawa, ganewa da magance shi.

Kudin kumburin fitsari

A Faransa, an kiyasta jimlar kuɗin da ke tattare da rashin fitsari a Yuro biliyan 4,5. Wannan kuɗin zai yi daidai da na yanayin kamar osteoarthritis ko ciwon huhu3.

Damuwar rashin fitsari

A Faransa, kusan Mata miliyan 3 na kowane zamani yana fama da matsalolin rashin fitsari.

1 cikin 5 mata yana fama dadanne urinary incontinence, tare da matsakaicin ganiya tsakanin shekaru 55 zuwa 60.

Kusan kashi 10% na samarin da ba sa jin yunwa (watau waɗanda ba su taɓa haihuwa ba) abin ya shafa, amma wannan adadi na iya tashi zuwa kashi 30% lokacin da suke wasan motsa jiki.4. Wataƙila ba a ƙima waɗannan adadi ba saboda batun da ya dace: mata galibi ba sa son yin magana game da shi tare da likitan su, musamman tun suna ƙuruciya.5.

Yaduwar kwarara yayin motsa jiki a cikin mata masu wasa suna bambanta tsakanin 0% don golf da 80% don trampoline. Saboda haka ya dogara sosai Nau'in aiki : motsa jiki na jiki wanda ke haifar da tsalle tsalle (trampoline, gymnastics, rawa, wasannin motsa jiki) ƙara ƙarin matsin lamba akan perineum wanda za'a iya ninka shi da 10.

Yawan mafitsara

Fitsarin mafitsara yana bayyana ta yawan fitsari (tsakanin 7 zuwa 20 sau a rana da dare), wanda zai iya kasancewa tare da fitsari na zuba saboda son yin fitsari.

 

An kiyasta yawaitar wannan yanayin 17% na yawan jama'a amma za a fi yin alama bayan shekaru 65. Gargadi: kusan kashi 67% na mutanen da ke da mafitsara ba sa fuskantar matsalar fitsari (wannan ana kiransa bushewar mafitsara)6.

Ciki da rashin fitsari

Kimanin 6 cikin 10 masu juna biyu gogewa “latsa latsawa” waɗanda ke da wahalar jinkiri. A cikin 1 zuwa 2 cikin lokuta 10, waɗannan “gaggawa” kuma suna haifar da fitar fitsari7. daga 2st trimester, 3 zuwa 4 cikin 10 masu juna biyu suna da “danniya” rashin fitsari (wato yin wasanni, ɗaga kaya mai nauyi, ko dariya kawai)8...

Don magance wannan, san cewa Zaman 7 na haihuwa na mintuna 45, daidaikun mutane ko kungiyoyi, Inshorar Lafiya ta rufe su.

Kuma bayan haihuwa? A cikin kwanakin bayan haihuwa, 12% na mata bayan haihuwar a karon farko kukan fitsarin fitsari9.

Samar da fitsari da fitsari

Diuresis na al'ada, watau ƙarar fitsarin da kodan ke samarwa, ana ɗauka ya haɗa tsakanin 0,8 da 1,5 L a cikin awanni 24. Godiya ga ƙarfin ta na roba, mafitsara na iya ƙunsar har zuwa 0,6 L a matsakaita.

Daga 0,3 L, duk da haka, son yin fitsari ji. Mai mafitsara na iya ci gaba da cika azaman bukatar yin fitsari ana yi fiye da haka latsa, amma ana tabbatar da haƙurin zama ta hanyar sa kai na son rai. Bukatar na iya zama na gaggawa (kusan 400 ml) sannan Mai raɗaɗi (kusan 600 ml). Yawan yawan yin fitsari shine kusan sau 4 zuwa 6 a rana.

Kegel Aiki

The rawar soja da Kegel an yi niyya ne don ƙarfafa perineum kuma ana nuna su a cikin matsanancin damuwa urinary incontinence. Dole ne a yi su akai -akai tsawon makonni da yawa don ba da sakamako mai fa'ida. 40% zuwa 75% na matan da ke amfani da shi suna lura da haɓakawa a cikin su sarrafa fitsari a cikin makonni masu zuwa.

Rashin fitsari, kadaici da bacin rai

Wani bincike ya nuna cewa a cikin mata 3 masu aiki masu shekaru 364 zuwa 18 tare da matsanancin rashin fitsari, kashi 60% dole canza yanayin aiki1 saboda wannan rashin lafiya.

Mutanen da ba su da haɗin gwiwa galibi suna fuskantar damuwa, wanda ke fassara zuwa wani rabuwar. Don tsoron ƙanshin wari, na jin kunya a bainar jama'a a yayin haɗarin, mutanen da ba su da hankula sukan saba don komawa baya a kansu. 

Dangane da binciken da aka gudanar a Kanada, kashi 15,5% na mata marasa haquri suna fama da cutar matattarar ruwa10. Wannan ƙimar ya haura zuwa 30% tsakanin mata tsakanin shekarun 18 zuwa 44 kuma ya bambanta da yawan baƙin ciki na 9,2% tsakanin matan nahiyar. 

Rashin kwanciyar hankali a cikin yara

Iyaye kan yi tunanin cewa yakamata yara su kasance masu tsabta kafin shiga makaranta, watau kusan shekara 3, amma gaskiyar ta bambanta sosai yayin da kwanciyar hankali na sarrafa mafitsara ke tasowa. har zuwa shekaru 5.

Don haka babu buƙatar damuwa idan yaro ba zai iya jurewa ba kafin wannan shekarun: tsarin fitsarin na sa bai balaga ba. Saboda haka rashin yin fitsari ba zai iya shafar yara 'yan kasa da shekaru 5 ba.

Don haka, a shekaru 3, 84% na 'yan mata da 53% na samari sun sami tsabtace rana. Bayan shekara guda, waɗannan adadi sun kai 98% da 88% bi da bi11.

A gefe guda, rashin jin daɗin fitsarin dare zai damu 10 zuwa 20% na yara masu shekaru 5. Sannan yaduwar ta ragu a hankali a tsawon shekaru don isa 1% na yara masu shekaru 15. 

References

1. LOH KY, SIVALINGAM N. Ciwon mara a cikin tsofaffi. Jaridar Lafiya ta Malaysia. [Bita]. 2006 Oct; 61 (4): 506-10; tambaya 11.

2. SAXER S, HALFENS, RJ, DE BIE, RA, DASSEN, T. Yalwa da faruwar matsalar rashin fitsari na mazaunan gidan kula da tsofaffi na Switzerland lokacin shiga da bayan watanni shida, 12 da 24. Jaridar Nursing na asibiti. 2008 Satumba; 17 (18): 2490-6

3. DENIS P. Epidemiology da ilmin likitanci da tattalin arziki na rashin kwanciyar hankali a cikin manya. e-memoir daga National Academy of Surgery [serial on the Internet]. 2005; 4: Akwai shi daga: http://www.biusante.parisdescartes.fr/acad-chirurgie/ememoires/005_2005_4_2_15x20.pdf.

4. K. Eliasson, A. Edner, E. Mattsson, Rashin fitsari a cikin ƙanana ƙanana da galibin mata marasa galihu tare da tarihin horar da trampoline na yau da kullun da aka shirya: abubuwan da ke faruwa da abubuwan haɗari, Int Urogynecol J Pelvic Floor Dysfunct, 19 (2008) ), shafi na 687-696.

5. GW Lam, A. Foldspang, LB Elving, S. Mommsen, mahallin zamantakewa, kauracewa zamantakewa, da sanin matsalar da ke da alaƙa da balagaggun fitsari na mata, Dan Med Bull, 39 (1992), shafi na 565-570.

6. Tubaro A. Bayyana mafitsara mai yawan motsa jiki: annoba da nauyin cuta. Urology. 2004; 64: 2.

7. Cutner A, Cardozo LD, Benness CJ. Gwajin alamun fitsari a farkon ciki. Br J Obstet Gynaecol 1991; 98: 1283–6

8. C. Chaliha da SL Stanton «Matsalolin Urological a ciki» BJU International. Mataki na farko da aka buga akan layi: 3 APR 2002

9. Chaliha C, Kalia V, Stanton SL, Monga A, Sultan AH. Hasashen haihuwa na fitsari na bayan gida da rashin bacci. Obstet Gynecol 1999; 94: 689 ± 94

10. Vigod SN, Stewart DE, Babban baƙin ciki a cikin rashin fitsarin mace, Psychosomatics, 2006

11. Largo RH, Molinari L, von Siebenthal K et al. Shin babban canji a cikin horon bayan gida yana da fa'idar ci gaban hanji da mafitsara? Dev Med Child Neurol. 1996 Disamba; 38 (12): 1106–16

 

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