Kaumaha urinary incontinence

Hoʻopilikia ka pilikia urinary i ka wā e kulu ka huehue i ka mimi i ka wā o ke kino a i ʻole ka hoʻoikaika ʻana. Kūleʻa paha ʻoe ke kahe ʻoe, kaʻuʻu, hāpai i kahi mea kaumaha, hoʻololi i nā kūlana, a i ʻole ka hoʻoikaika kino.

Hana ʻia ka incontinence koʻikoʻi ke nāwaliwali ka mea i kākoʻo i kou urethra.

• Kākoʻo ʻia ka ʻōpū a me ka urethra e nā mākala pelvic papahele. Kahe ka mimi mai kāu pēpē ma o kāu urethra a i waho.
• ʻO ka sphincter kahi mākala e pili ana i ka wehe o ka ʻōpū. Hoʻopili ia i mea e pale ʻole ai i ka mimi ma o ka urethra.

Ke nāwaliwali paha kekahi o nā mākala, hiki i ka mimi ke hala ke kau ʻia ke kaomi ma luna o kāu pēpē. E ʻike paha ʻoe iā ia ke:

• Cough
• ʻŪhū
• Akaaka
• Hoʻoikaika kino
• E hāpai i nā mea kaumaha
• Loaʻa ka moekolohe

Hoʻokumu ʻia nā mākala nāwaliwali e:

• Hānau keiki
• Ka hōʻeha i ka wahi urethra
• ʻO kekahi mau lāʻau
• ʻOki kino ma ka pelvic wahi a i ʻole ka prostate (i nā kāne)
• Kaumaha nui ʻana
• Nā kumu i ʻike ʻole ʻia

ʻO ka incontinence koʻikoʻi ka mea maʻamau i nā wahine. Hoʻonui kekahi mau mea i kou makaʻu, e like me:

• Hāpai hānau a me ka lawe ʻana i ka ʻōpū.
• Hoʻolaha pelvic. ʻO kēia ka wā o kāu bladder, urethra, a i ʻole ke kīkaha paʻakai i loko o ka moku. Hiki i ka hāʻawi ʻana i kahi pēpē ke hōʻeha i nā aʻa a i ʻole nā ​​ʻaʻa i ka wahi pelvic. Hiki i kēia ke alakaʻi i ka pelvic prolaps mau mahina a i ʻole mau makahiki ma hope o ka lawe ʻana.

ʻO ka hōʻailona nui o ka incontinence o ke koʻikoʻi ke kulu ʻana i ka mimi ke ʻoe:

• ʻEleu kino
• Cough a sneeze paha
• Hoʻoikaika kino
• Kū mai kahi noho a i ʻole moe i lalo

E hana i kāu mea mālama ola i kahi hoʻokolohua kino. E hoʻopili kēia:

• ʻIke genital i nā kāne
• ʻImi pelvic i nā wahine
• Hōʻike kūpono

E komo pū paha nā hoʻāʻo:

• Cystoscopy e nānā i loko o ka puhā.
• Hōʻike kaupaona pale: hoʻoikaika ʻoe i ke kau ʻana i kahi pale hoʻomaʻemaʻe. A laila kaupaona ʻia ka pale e ʻike i ka nui o ka mimi āu i lilo.
• ʻO ka diary diary: Hoʻomaʻamaʻa ʻoe i kāu ʻano urinary, leakage a me ka lawe wai.
• Pelvic a i ʻole ka ultrasound ʻōpū.
• Residual residual (PVR) e ana i ka nui o ka mimi i koe ma hope o kou mimiki ʻana.
• ʻO Urinalysis e nānā i ka maʻi urinary tract.
• Hōʻike koʻikoʻi urinary: Kū ʻoe me kahi bladder piha a laila kahe.
• Nā haʻawina Urodynamic e ana i ke kaomi a me ke kahe o ka mimi.
• ʻO nā kukuna X me ka pena ʻokoʻa e nānā i kou puʻupaʻa a me ka ʻai.

Pili ka mālama ʻana i ka hopena o kāu mau hōʻailona i kou ola.

Aia he 3 ʻano o ka mālama ʻana no ka incontinence stress:

• Hoʻololi ka hana a me ka hoʻomaʻamaʻa bladder
• Hoʻomaʻamaʻa mākala pelvic
• ʻOki kino

ʻAʻohe lāʻau lapaʻau no ka mālama ʻana i ka incontinence stress. E kuhikuhi paha kekahi mau mea hoʻolako i kahi lāʻau i kapa ʻia ʻo duloxetine. ʻAʻole ʻae ʻia kēia lāʻau e FDA no ka mālama ʻana i ka incontinence koʻikoʻi.

NA OLELO HOU

Hiki ke kōkua i ka hana ʻana i kēia mau hoʻololi:

• E inu i ka wai liʻiliʻi (inā inu ʻoe ma mua o ka nui o ka wai). Hōʻalo i ka inu wai ma mua o ka hiamoe.
• Hōʻalo i ka lele a holo paha.
• Lawe i ka fiber e hōʻalo ai i ka paʻa paʻa, kahi e hōʻino ai i ka incontinence urinary.
• E haʻalele i ka puhi pua ʻana. Hiki i kēia ke hoʻohaʻahaʻa i ka huehue a me ka huhū o ka maʻi bladder. Hoʻonui pū ka puhihihi ʻana i kou makaʻi no ka maʻi ʻaʻai.
• Hōʻalo i ka wai ʻona a me nā mea inu caffeinated e like me ka kope. Hiki iā lākou ke hoʻopihapiha i kāu bladder.
• Lilo i ka nui o ke kaupaona.
• Hōʻalo i nā meaʻai a me nā mea inu e hoʻonāukiuki paha i kāu ʻōpū. Hoʻopili kēia i nā meaʻai nīoi, nā mea inu kalapona, a me nā citrus.
• Inā loaʻa ka maʻi diabetes, mālama i kāu kō kō i lalo o ka kaohi maikaʻi.

KE KAUOHA ANA I KA BLADDER

Hiki paha i ka hoʻomaʻamaʻa bladder ke kōkua iā ʻoe e kaohi i kāu ʻōpū. Nonoi ʻia ke kanaka e mimi i nā manawa mau. Lohi, hoʻonui ʻia ke kaʻina manawa. ʻO kēia ke kumu e hoʻolōʻihi a paʻa i ka mimiki.

KE KAUOHA ANA I PELVIC FLOOR MUSCLE

Aia nā ala like ʻole e hoʻoikaika ai i nā mākala i kāu papa pelvic.

• Biofeedback: Hiki i kēia ala ke kōkua iā ʻoe e aʻo e ʻike a kaohi i kou mau puʻupuʻu pelvic.
• Nā hana Kegel: Hiki i kēia mau hoʻomaʻamaʻa ke kōkua i ka mālama ʻana i ka mākala a puni kou urethra me ka hana maikaʻi. Kōkua paha kēia iā ʻoe e kāpae i ka mimi.
• Nā puʻupuʻu puʻupuʻu: Hoʻonoho ʻoe i ka puʻupuʻu i loko o ka lua. A laila hoʻāʻo ʻoe e ʻūlū i kou mau mākala pelvic papahele e paʻa ai ka puʻupuʻu. Hiki iā ʻoe ke ʻaʻa i ka cone a 15 mau minuke i ka manawa hoʻokahi, ʻelua mau manawa i ka lā. ʻIke paha ʻoe i ka hoʻomaikaʻi o kāu mau hōʻailona ma 4 a 6 mau pule.
• Palekiko pelvic papahele kino: hoʻomaʻamaʻa kūikawā nā pelekikena i ka wahi i hiki ke loiloi piha i ka pilikia a kōkua me nā hoʻoikaika kino a me nā hoʻoponopono.

NA OIHANA

Inā ʻaʻole holo pono nā ʻano lāʻau ʻē aʻe, manaʻo paha kāu mea hāʻawi i ke kahakaha. Hiki ke kōkua i ke kaha inā loaʻa ʻoe i kahi incontinence stress koʻikoʻi. Hōʻike ka hapanui o nā mea hoʻolako i ke kahakaha ʻana ma hope o ka hoʻāʻo ʻana i nā lāʻau lapaʻau conservative.

• Kōkua ka hoʻoponopono ʻōhū mua i ka hoʻihoʻi hou ʻana i nā paia liʻiliʻi a palupalu. Hoʻohana ʻia kēia i ka wā e huʻupuʻu ai ka maʻi bladder i loko o ka ʻōpū (prolaps). Pili paha ka Prolapse me ka incontinence urinary stress.
• ʻO ka sphincter urinary artipisyal: He mea hoʻohana kēia e mālama i ka mimi mai ka kahe ʻana. Hoʻohana ʻia ia i nā kāne. ʻAʻole hoʻohana pinepine ʻia i nā wahine.
• Hoʻonui ka injection i ka wahi a puni ka urethra mānoanoa. Kōkua kēia i ka mālama ʻana i ka liu. Pono e hana hou i ke kaʻina hana ma hope o kekahi mau mahina a mau makahiki paha.
• ʻO ka maʻa kāne kahi kāwele hei i hoʻohana ʻia e hoʻokau i ka urethra. ʻOi aku ka maʻalahi o ka hana ma mua o ke kau ʻana i kahi sphincter urinary artipisyal.
• Hāpai nā hoʻomaha Retropubic i ka puhā a me ka urethra. Hana pinepine ʻia kēia ma muli o ka hoʻohana pinepine a me ka kūleʻa me nā maʻa urethral.
• ʻO ka maʻa urethral wahine kahi kāwele i hoʻohana ʻia e kākoʻo i ka urethra.

ʻO ka loaʻa ʻoi aku ka maikaʻi o ka manawa, no laila e hoʻāʻo e hoʻomanawanui. ʻOi aku ka maikaʻi o nā ʻōuli me nā lāʻau nonsurgical. Eia naʻe, ʻaʻole lākou e hoʻōla i ka incontinence stress. Hiki i ke ʻoki kino ke hoʻōla i ka hapanui o ka poʻe incontinence stress.

ʻAʻole maikaʻi ka mālama ʻana inā loaʻa iā ʻoe:

• Nā kūlana e pale ai i ka hoʻōla a i ʻole e ʻoi aku ka paʻakikī o ke ʻoki
• Nā pilikia ʻē aʻe a i ʻole ka mimi
• ʻO ke kāpili i hala i holo ʻole
• ʻO ka maʻi diabetic maikaʻi ʻole
• Maʻi Neurologic
• ʻO radiation mua i ka pelvis

Kākaʻikahi nā pilikia o ke kino a akahai pinepine. Hiki iā lākou ke hoʻopili:

• ʻO ka huhū o nā lehelehe wahine (vulva)
• ʻO nā ʻeha o ka ʻili a i ʻole nā ​​puʻupuʻu kaomi i ka poʻe i loaʻa ka incontinence a hiki ʻole ke hele i waho o kahi moe a noho paha
• Nā ʻala ʻoluʻolu ʻole
• Nā maʻi maʻi urinary

Loaʻa paha ke ʻano i ke ʻano o nā hana kaiaulu, nā ʻoihana, a me nā pilina. Hiki iā ia ke alakaʻi i:

• Hilahila
• Hoʻokaʻawale
• Kaumaha a hopohopo paha
• Loaʻa ka hana ma ka hana
• Ka nele o ka hoihoi i ka moekolohe
• Nā haunaele hiamoe

Nā pilikia e pili ana i ke kahakaha ʻana:

• Nā fistula a i ʻole nā ​​abscesses
• ʻO ka hōʻeha a me ka ʻōpū
• Kahena
• Maʻi kīnā
• Urinary incontinence - inā pilikia ʻoe i ka mimiki pono ʻoe e hoʻohana i ka catheter. He manawa pōkole kēia
• ʻEha i ka wā o ka moekolohe
• Hewa ka wahine
• Ke lawe nei i nā mea i hoʻonoho ʻia i ka wā o ke ʻoki, e like me ka maʻa a me ka sphincter hana

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ke koʻikoʻi incontinence a hoʻopilikia lākou iā ʻoe.

Hiki i ka hana ʻana i nā hana Kegel ke pale aku i nā ʻōuli. Makemake paha nā wahine e hana i nā Kegels i ka wā a ma hope o ka hāpai ʻana e kōkua ai i ka pale ʻana i ka incontinence.

Hoʻomau ʻole - koʻikoʻi; ʻO ke koʻikoʻi incadence o ka bladder; Hoʻolaha pelvic - incontinence stress; Hoʻomaha ʻole koʻikoʻi; Kaha o ka mimi - incontinence stress; Urele kulu - stress incontinence; Papahele pelvic - incontinence stress

• Mālama catheter i loko
• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• ʻO ka catheterization ponoʻī - wahine
• ʻAno hana Sterile
• Nā mīkini mimi - he aha e nīnau aku ai i kāu kauka
• Nā huahana incontinence urinary - mālama pono iā ʻoe iho
• ʻOki kino incontinence - wahine - hoʻokuʻu
• Urinary incontinence - he aha e nīnau aku ai i kāu kauka
• Nā ʻeke hoʻokahe mimi
• Ke loaʻa ʻoe i ka incontinence urinary

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne
• ʻO ka incontinence koʻikoʻi
• ʻO ka incontinence koʻikoʻi
• Hoʻoponopono a me ka hoʻoponopono urethral - series

Pūnaewele ʻAmelika Urological ʻAmelika. Ka lāʻau lapaʻau o ka wahine stress urinary incontinence (SUI): AUA / SUFU alakaʻi (2017). www.auanet.org/guidelines/stress-urinary-incontinence-(sui)-guideline. Paʻi ʻia 2017. Loaʻa ʻia ma Pepeluali 13, 2020.

Hashim H, ʻo Abrams P. Ka loiloi a me ka hoʻokele o nā kāne me ka incontinence urinary. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 72.

Kobashi KC. ʻO ka loiloi a me ka hoʻokele o nā wahine me ka incontinence urinary a me ka pelvic prolaps. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 71.

ʻO Patton S, Bassaly RM. Miki ʻole. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier; 2020: 1110-1112.

Resnick NM. Miki ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 23.