Isiphumo sikhumbuza isikhathi esibalulekileyo sokuguqulwa empilweni, nokho bobabini abesilisa nabesifazane bangase babone ukuwohloka okukhulu emzimbeni nakwengqondo, okuhlanganisa ukuzisholo, izinkinga ze-urinary tract, ukwanda kwe-prostate, kanye nezinkinga zokulala ebusuku. Ukuze ulawule indlela yokulala ebusuku kahle futhi uthuthukise impilo ye-urinary, kubandakanya ukuphathwa kwengcindezi, ukulungiswa kwemikhuba yansuku zonke, ukudla okunempilo, ukwelashwa kwezobuchwepheshe, kanye nokuthuthukiswa kwengqondo. Le ndatshana izobheka izinkinga ze-urinary ezitholakala kalula kubesilisa nabesifazane abaphakathi kokushintsha, izinkinga zokulala ebusuku, nezixazululo ezithile ezisebenzisekayo.
Okwesibili, izinguquko zempilo ye-urinary nezizathu zokungakwazi ukuhlala phansi ebusuku zenzeka ngenxa yokushintsha kwamanani we-hormone, okwenziwa yizinguquko ezinkulu ezincikene ne-hypothalamus, i-pituitary gland, ne-gonadal axis. Kubantu besifazane, ukwehla kwe-estrogen ne-progesterone akusizi kuphela ekupheleni kokuhamba kwenetha, kodwa kungathinta futhi i-bladder ne-urethral mucosa, okuwubuhlungu esikhathini esikhiqiza izimpawu ezifana nokwanda kwezikhumbuzo, ukuzinakekela, nezinkinga zokulala ebusuku. Kubantu besilisa, ukwehla kwe-androgens kuholela ekwandeni kwe-prostate (prostatic hyperplasia), kuholele ekwandeni kokuphazamiseka kwengxenye ye-bladder, kubonisa izinkinga ezinjengokuphuma komchamo okuncane, ukuthuthumela, nezinkinga zokukhishwa komchamo. Ngaphezu kwalokho, ukukhathazeka, ingcindezi, ukushintsha kwezinga le-hormone, kanye nezinkinga ze-autonomic nervous system kungenza kube lula ukuba impilo yokulala ebusuku yehlule.
Ngokwenziwa izifundo eziningi, izinkinga ze-urinary kanye nokungakwazi ukuhlala phansi ebusuku zenzeka kubantu besilisa nabesifazane abaphakathi kokushintsha ngenani elingaphezu kuka-30%, okuthinta amandla omsebenzi, ukukhumbula, ukusebenza, kanye nokuzinza kwemizwa. Uma siqonda ngempela izizathu zalo, futhi sikhombisa ukuzinikela ekuphatheni impilo yethu, sizokwazi ukuthuthukisa izinga lempilo nempilo.
Okwesithathu, ukwakha ukuzisholo kubalulekile ekulungiseni impilo ye-urinary ngesikhathi sokushintsha. Abaningi babo abavakashele emaklinikini ngenxa yokuphazamiseka okungapheli, ukuphuma, noma ukwanda kwe-prostate, besebenzisa indawo kwenhliziyo, kungenzeka kube nemiphumela emibi ezimpilweni zabo. Ukuzisholo, ikakhulukazi ngezindlela ezifanele zansuku zonke, kungathuthukisa ukuqonda kwezimilo zomuntu, kuthuthukise ukusiza abantu ukuba baphumelele lezi zinkinga.
Izixazululo ezithile:
1. Ukukhuluma nemibono emihle: Njalo lapho uvuka, khuluma kahle ngezinto ezinjengokuthi "Ngikhona ukulawula izinguquko zomzimba", noma "Ngiyakwazi ukufuna usizo ngezinkinga".
2. Ukubeka imigomo emincane: Isibonelo, phakathi kosuku, kancane uhambe, noma ubhale okukodwa okufanele ukwenze ngesikhathi sokuphinda uphume.
3. Ukuqaphelela imizwa: Bhala phansi izimo ezikukhathazayo, ukukhathazeka, kanye nezikhathi ezinhle ukuze kube nomqondo ocacile kwezimo.
Okwesine, izinkinga ezikhona kwezokungena emzimbeni kanye nezinkinga zokwehla kwezinto ziyavela, okubandakanya:
1. Ukwehla kwe-estrogen kubalulekile ekuthintekeni kwe-bladder ne-urethra, kuthinta izinkinga ezifanele.
2. Ukuphumula kokusebenza komzimba kungenza kube lula ukwakha izinkinga ze-stress incontinence.
Izixazululo:
- Ukuqeqeshwa kwamathambo asezansi (Kegel Exercises): Qhubeka ukwenzela ubuncane izikhathi ezi-2-3 ngosuku nophawulo lokwenziwa kwemizuzu eyi-10, okuthuthukisa ukusebenza.
- Ukusebenzisa i-cream ye-estriol: Ngemva kokuhlolwa udokotela, sebenzisa le cream emakhosini engaphezulu kabili ngeviki ukuze uvikele i-mucosa.
- Gwema iziphuzo ezi-diuretic: Nciphisa ukusetshenziswa kwekhofi, itiye, nohlobo lwe-alcohol emva kwehora le-5.
Ezicashile, ubudlelwano obuhle bokuphumula nohlelo oluqinile lwezokwelapha kudinga ukubheka izinto ezizwakalayo. Lokhu kungasiza ukuphuza kahle impilo yakho ye-urinary.
Sibheke phambili ekwakheni impilo enempilo kakhulu kweminyaka ephakathi nendawo. Sugela isenzakalo, futhi sithuthukise empilweni yethu.