Koi aku i ka incontinence

Hiki mai ka incontinence urge ke loaʻa iā ʻoe kahi ikaika, pono koke i ka mimi he paʻakikī e hoʻopaneʻe. Kaomi ka ʻōpū, a i ʻole spasms, a lilo ka mimi iā ʻoe.

E like me ka hoʻopiha o kou ʻōpū i ka mimi mai nā puʻupaʻa, e kīloi ia i wahi no ka mimi. Pono ʻoe e ʻike i ka makemake mua e mimi ke loaʻa kahi liʻiliʻi ma lalo o 1 kīʻaha (240 milliliters) o ka mimi i loko o kāu pēke. Hiki i ka hapanui o nā kānaka ke hoʻopaʻa ma mua o 2 mau kīʻaha (480 milliliters) o ka mimi i loko o ka puhā.

Kōkua nā mākala ʻelua i ke kahe o ka mimi.

• ʻO ka sphincter kahi mākala e pili ana i ka wehe o ka ʻōpū. Hoʻopili ia i mea e pale ʻole ai i ka mimiki i ka urethra. ʻO kēia ka paipu a ka mimi e hele ai mai kāu pēke a i waho.
• Hoʻomaha ka puʻupuʻu o ka maʻi bladder i hiki i ka puhā ke hoʻonui a paʻa i ka mimi.

Ke mimi ʻoe, kaomi ka mākala o ka pā bladder e kaʻi aku i ka mimi mai loko mai o ka ʻai. Ke kū nei kēia, hoʻomaha ka ʻāʻī sphincter e ʻae i ka mimi e hele i loko.

Pono e hana pū i kēia ʻōnaehana āpau e kaohi i ka urination:

• Kou mau mākeke kino a me nā ʻāpana ʻē aʻe o kāu kahakaha urinary
• ʻO nā aʻalolo e kaohi ana i kāu ʻōnaehana urinary
• ʻO kou hiki ke noʻonoʻo a pane i ka makemake e mimi

Hoʻopaʻa pinepine paha ka ʻōpū mai nā pilikia ʻōnaehana a i ʻole ka huhū o ka maʻi ʻaʻa.

KANAWAI HUI

Me ka makemake nui ʻole, ua kulu ʻoe i ka mimi no ka mea kaomi ʻia nā mākala o ka pūpū, a i ʻole ka ʻaelike, i nā manawa kūpono ʻole. Kū pinepine kēia mau kuʻikahi no ka nui o ka mimi i loko o ka ʻai.

Koi ka hopena o ka incontinence mai:

• Kanesa maʻi ʻaʻai
• Huʻi ʻōpū
• Kekahi mea e ālai ana i ka mimi mai ka haʻalele ʻana i ka ʻai
• Pōhaku Bladder
• Maʻi kīnā
• Nā pilikia o ka lolo a me nā aʻa, e like me ka sclerosis a i ʻole ka hahau
• ʻEha ʻeha, e like me ka ʻeha o ke kuamoʻo

I nā kāne, koi ʻia ka incontinence ma muli o:

• Hoʻololi nā kīloi i ka prostate hoʻonui ʻia, i kapa ʻia ʻo hyperplasia prostatic benign (BPH)
• ʻO kahi prostate hoʻonui ʻia e ālai ana i ka mimi mai ke kahe mai ka pale

I ka hapanui o nā hihia koi incontinence, ʻaʻohe kumu i loaʻa.

ʻOiai hiki ke koi ʻia ka incontinence i kekahi me nā makahiki āpau, ʻoi aku ka maʻamau o nā wahine a me nā ʻelemakule makua.

ʻO nā hōʻailona me:

• ʻAʻole hiki ke kaohi ke hala ʻoe i ka mimi
• Me ka mimi pinepine i ke ao a me ka pō
• Pono e mimiki hikiwawe a me ka wikiwiki

I ka wā o kahi hoʻokolohua kino, e nānā kāu mea mālama ola i kou ʻōpū a me kou poli.

• E loaʻa i nā wahine kahi hōʻike pelvic.
• E loaʻa i nā kāne kahi hōʻike genital.

I ka hapanui o nā hihia, ʻaʻole e loaʻa ka pilikia i ka hoʻokolohua kino. Inā loaʻa nā ʻōnaehana hopohopo, loaʻa pū kekahi mau pilikia ʻē aʻe.

Hoʻopili nā hōʻike i kēia mau mea:

• Cystoscopy e ʻike i ka loko o kou kīʻī.
• Hōʻike pale. Kau ʻoe i ka pale a i ʻole nā ​​pale e hōʻiliʻili i kāu mimi pū kekahi. A laila kaupaona ʻia ka pale e ʻike i ka nui o ka mimi āu i lilo.
• Pelvic a i ʻole ka ultrasound ʻōpū.
• Ke aʻo Uroflow e ʻike i ka nui a me ka wikiwiki o kou mimi.
• Kau i hakahaka koena e ana i ka nui o ka mimi i waiho ʻia i loko o kāu pēke ma hope o kou mimiki ʻana.
• ʻO Urinalysis e nānā i ke koko i ka mimi.
• ʻO ka moʻomeheu mimi e nānā i ka maʻi.
• Hōʻike koʻikoʻi urinary (kū ʻoe me ka bladder piha a me ka puʻu).
• ʻO ka cytology mimi e hōʻoki i ka maʻi ʻaʻai.
• 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.
• Voiding diary e nānā i kāu lawe wai, puka mimi, a me ka pinepine urination.

Pili ka mālama ʻana i ka maikaʻi ʻole o kāu mau hōʻailona a me ka hopena o lākou i kou ola.

ʻEhā mau hana lapaʻau koʻikoʻi no ka incontinence koi:

• Hoʻomaʻamaʻa puʻupuʻu momona a me ka pelvic
• Hoʻololi ka nohona
• Nā Lapaʻau
• ʻOki kino

KA HOʻOPIʻI ANA I KA PALAPALA

Hoʻomaka ka mālama ʻana i ka incontinence pinepine me ka hoʻomaʻamaʻa hou ʻana i ka maʻi bladder. Kōkua kēia iā ʻoe e makaʻala i ka wā e lilo ka mimi ma muli o ka spadms bladder. A laila aʻo hou ʻoe i nā mākau e pono ai e hoʻopaʻa a hoʻokuʻu i ka mimi.

• Hoʻonohonoho ʻoe i kahi papa manawa o nā manawa ke hoʻāʻo ʻoe e mimi. Hoʻāʻo ʻoe e hōʻalo i ka urination ma waena o kēia mau manawa.
• Hoʻokahi kahi hana e koi iā ʻoe iho e kali i 30 mau minuke ma waena o nā huakaʻi i ka lua, ʻoiai inā makemake ʻoe e mimiki ma waena o kēia mau manawa. ʻAʻole hiki paha kēia i kekahi mau hihia.
• Ke hele a maikaʻi ʻoe i ke kali ʻana, hoʻonui hoʻonui i ka manawa e 15 mau minuke a hiki i kou mimiki ʻana i kēlā me kēia 3 a 4 mau hola.

KE KAUOHA ANA I PELVIC FLOOR MUSCLE

I kekahi manawa, hoʻohana paha nā hana Kegel, biofeedback, a i ʻole ka hoʻoulu uila me ka hoʻomaʻamaʻa hou ʻana i ka ʻai. Kōkua kēia mau hana i ka hoʻoikaika i nā mākala o kou papa pelvic:

Nā hana Kegel - Hoʻohana ʻia kēia mau mea e mālama ai i ka poʻe me ka incontinence koʻikoʻi. Eia nō naʻe, kōkua pū paha kēia mau hana i ka hoʻōla ʻana i nā ʻōuli o ka koi incontinence.

• Hoʻopili ʻoe i kou mau mākala pelvic e like me kou hoʻāʻo ʻana e hōʻoki i ke kahe o ka mimi.
• Hana i kēia no 3 a 5 kekona, a laila hoʻomaha no 5 kekona.
• E hana hou i 10 mau manawa, 3 manawa i ka lā.

ʻO nā puʻupuʻu Vaginal - He cone kaumaha kēia i hoʻokomo ʻia i loko o ka ʻōpū e hoʻoikaika ai i nā mākala pelvic papahele.

• Hoʻokomo 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, 2 manawa i ka lā.

Biofeedback - Hiki i kēia ala ke kōkua iā ʻoe e aʻo e ʻike a kaohi i kou mau puʻupuʻu pelvic.

• Hoʻonohonoho kekahi mau mea hoʻoponopono i kahi mea ʻike i loko o ka lua (no nā wahine) a i ʻole ka anus (no nā kāne) i hiki ai iā lākou ke haʻi ke paʻi lākou i nā mākala pelvic.
• E hōʻike ana kahi mea nānā i kahi pakuhi e hōʻike ana i nā mākala e ʻūlū ana a me ka mea hoʻomaha.
• Hiki i ka mea hoʻoponopono ke kōkua iā ʻoe e ʻike i nā mākala kūpono no ka hoʻokō ʻana i nā hana Kegel.

Hoʻonāuki uila - Hoʻohana kēia i kahi au uila uila e ʻaelike ai i nā mākala o ka bladder.

• Hāʻawi ʻia ke au i kēia manawa me ka hoʻohana ʻana i kahi aniani a he probe paha.
• Hiki ke hana i kēia lāʻau ma ke keʻena o ka mea hāʻawi a i ʻole ma ka home.
• ʻO nā kau maʻa mau ma hope o 20 mau minuke a hiki ke hana ʻia i kēlā me kēia 1 a 4 mau lā.

Percutaneous tibial nerve stimulate (PTNS) - Hiki i kēia lapaʻau ke kōkua i kekahi poʻe me ka bladder overactive.

• Hoʻokomo ʻia kahi nila acupuncture ma hope o ka kuʻekuʻe wāwae, a hoʻohana ʻia ka stimulate uila no 30 mau minuke.
• ʻO ka hapanui pinepine, e mālama ʻia nā mālama ʻana i kēlā me kēia pule ma kahi o 12 mau pule, a i kēlā me kēia mahina paha ma hope o kēlā.

NA OLELO OLA

E nānā i ka nui o ka wai e inu ai ʻoe a i kou inu ʻana.

• ʻO ka inu ʻana i ka wai lawa e kōkua ia e mālama i nā pilau.
• E inu i kahi wai liʻiliʻi i kēlā me kēia manawa i ka lā holoʻokoʻa, no laila ʻaʻole pono kāu pēpē e mālama i ka nui o ka mimi i hoʻokahi manawa. E inu ma lalo o 8 auneke (240 milliliter) i hoʻokahi manawa.
• Mai inu i ka nui o nā wai me nā meaʻai.
• E inu i nā wai liʻiliʻi ma waena o nā meaʻai.
• E hōʻoki i ka inu ʻana i nā wai e pili ana i 2 mau hola ma mua o ka hiamoe.

Hiki paha iā ia ke kōkua e hōʻoki i ka ʻai ʻana i nā meaʻai a mea inu paha e hoʻonāukiuki ai i ka pākeke, e like me:

• Kāpena
• ʻO nā meaʻai waikawa kiʻekiʻe, e like me nā hua citrus a me nā wai momona
• Mea ʻai nīoi
• Nā mea hoʻonani ʻoka
• ʻAlekohola

Hōʻalo i nā hana e hoʻonāukiuki ai i ka urethra a me ka bladder. Pākuʻi ʻia kēia i ka lawe ʻana i ka wai ʻauʻau a hoʻohana paha i nā kopa kolohe.

NA LAAU LAPAAU

Hoʻohana ʻia nā lāʻau lapaʻau e mālama i ka incontinence hoʻomaha i nā huikau bladder a kōkua i ka hoʻomaikaʻi ʻana i ka hana o ka ʻai. Nui a hewahewa nā ʻano lāʻau e hiki ke hoʻohana hoʻokahi ʻia a i ʻole pū.

• ʻO nā lāʻau Anticholinergic kōkua i ka hoʻomaha ʻana i nā mākala o ka ʻai. Hoʻopili lākou i ka oxybutynin (Oxytrol, Ditropan), tolterodine (Detrol), darifenacin (Enablex), trospium (Sanctura), a me solifenacin (VESIcare).
• Hiki i nā lāʻau agonist beta ke kōkua i ka hoʻomaha ʻana i nā mākala o ka ʻai. ʻO ka lāʻau wale nō o kēia ʻano i kēia manawa ʻo mirabegron (Myrbetriq).
• ʻO Flavoxate (Urispas) kahi lāʻau e hōʻoluʻolu i nā spasms muscle. Eia naʻe, ua hōʻike ʻia nā noiʻi ʻaʻole maikaʻi mau ia i ka kaohi ʻana i nā ʻōuli o ka incontinence koi.
• Tricyclic antidepressants (imipramine) kōkua i ka hoʻomaha ʻana i ka mākala momona o ka ʻai.
• Hoʻohana pinepine ʻia nā injection Botox e mālama i ka bladder overactive. Hoʻokomo ʻia ka lāʻau i loko o ka maʻi ʻaʻai ma o ka cystoscope. Hana pinepine ʻia ke kaʻina hana i ke keʻena o ka mea hāʻawi.

Hiki paha i nā lāʻau ke loaʻa nā hopena ʻē aʻe e like me ka puʻupuʻu, ka paʻa paʻa ʻana, a me ka waha maloʻo. E kamaʻilio me kāu mea hāʻawi inā ʻike ʻoe i nā hopena ʻaoʻao pōpilikia.

Inā loaʻa ʻoe i kahi maʻi, e kuhikuhi ana kāu mea hāʻawi i nā lāʻau antibiotic. E mālama pono i ka nui holoʻokoʻa e like me ke kuhikuhi.

NA MEA HANA

Hiki i ke kīpoki ke kōkua i kāu ʻōpala e mālama i ka mimi hou aʻe. Hiki iā ia ke kōkua i ka hoʻoluhi i ka kaomi ma luna o kāu bladder. Hoʻohana ʻia ke ʻoki kino no ka poʻe i pane ʻole i nā lāʻau a i ʻole nā ​​hopena i pili i nā lāʻau.

Hoʻopili ka stimulus nerve Sacral i ke kanu ʻana i kahi anakahi ma lalo o kou ʻili. Hoʻouna kēia anakuhi i nā paila uila liʻiliʻi i ke aʻalolo kapu (kekahi o nā aʻalolo e puka i ke kumu o kou kuamoʻo). Hiki ke hoʻoponopono i nā kaola uila i mea e kōkua ai i kāu mau hōʻailona.

Hana ʻia ka cystoplasty Augmentation ma ke ʻano he hopena hope loa no ka incontinence koʻikoʻi koʻikoʻi. I kēia ʻoki ʻana, hoʻohui ʻia kahi ʻāpana o ka ʻōpū i ka ʻōpū. Hoʻonui kēia i ka nui o ka bladder a ʻae iā ia e mālama i ka mimi hou aʻe.

ʻO nā pilikia i hiki ke hoʻopili ʻia:

• Huʻi koko
• Pā paʻa ʻōpū
• Maʻi kīnā
• Hoʻonui iki aʻe i ka makaʻu o nā tumors
• ʻAʻole hiki ke hoʻolei i kāu ʻōpū - pono ʻoe e aʻo pehea e hoʻokomo ai i kahi catheter i loko o ka pahu wai e hoʻokahe i ka mimi
• Maʻi ʻaʻai Urinary

ʻO ka mimiki kahi pilikia lōʻihi (lōʻihi). ʻOiai hiki i nā lapaʻau ke hōʻola i kou ʻano, pono ʻoe e ʻike i kāu mea nāna e mālama inā maikaʻi kāu hana a nānā i nā pilikia kūpono.

Maikaʻi kāu hilinaʻi ʻana i kāu mau ʻōuli, ʻike, a me kāu lāʻau. Pono nā poʻe he nui e hoʻāʻo i nā ʻano lāʻau ʻokoʻa (kekahi ma ka manawa like) e hōʻemi i nā ʻōuli.

ʻO ka loaʻa ʻoi aku ka maikaʻi o ka manawa, no laila e hoʻāʻo e hoʻomanawanui. Pono kahi poʻe liʻiliʻi i ke ʻoki e kāohi i kā lākou mau ʻōuli.

Kākaʻikahi nā pilikia o ke kino. Loaʻa paha ke ʻano i ke ʻano o nā hana kaiaulu, nā ʻoihana, a me nā pilina. Hiki iā ʻoe ke hōʻino iā ʻoe iho.

Kākaʻikahi wale, hiki i kēia ʻano ke hoʻonui i ka piʻi nui o ka pēpē, a hiki i ka hōʻino ʻana o ka hakuʻala.

Kāhea i kāu mea hāʻawi inā:

• Ke hoʻopilikia nei kāu mau ʻōuli iā ʻoe.
• Loaʻa iā ʻoe ka maʻi pelvic a i ʻole ke kuni ʻana me ka urination.

Ke hoʻomaka nei i nā hana hoʻomaʻamaʻa bladder i ke kakahiaka hiki ke kōkua i ka hōʻoluʻolu i kāu mau ʻōuli.

Overad bladder; Ka paʻa ʻole o Detrusor; Detrusor hyperreflexia; ʻAdmiʻi huhū; Pākuʻi Spasmodic; Pā paʻa paʻa ʻole; Kūmau ʻole - urge; Pākuʻi kīloi; Urinary incontinence - koi

• 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 Drake MJ. Overad bladder. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 76.

ʻO Kirby AC, ʻo Lentz GM. ʻO ka hana o ka urinary tract haʻahaʻa a me nā maʻi: physiology o ka micturition, hoʻopau ʻole i ka hana ʻole, ka hoʻomau ʻole ʻana o ka urinary, nā maʻi maʻi urinary, a me ka maʻi maʻi bladder. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 21.

ʻO Lightner DJ, Gomelsky A, Souter L, Vasavada SP. ʻIke a me ka mālama ʻana i ka bladder overactive (non-neurogenic) i nā mākua: AUA / SUFU Alakaʻi Hoʻololi 2019. J Urol. 2019; 202 (3): 558-563. PMID: 31039103 www.ncbi.nlm.nih.gov/pubmed/31039103.

Newman DK, Burgio KL. Ka mālama Conservative o ka urinary incontinence: behavioral a me ka pelvic papahele therapy a me ka urethral a me nā pelvic manaʻo. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 80.

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

ʻO Stiles M, Walsh K. Mālama i ka mea maʻi ʻelemakule. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 4.