Miki ʻole
Loaʻa ka incontinence urinary (a i ʻole bladder) ke hiki ʻole iā ʻoe ke mālama i ka mimi mai ka hemo ʻana o kāu urethra. ʻO ka urethra ka paipu e lawe ana i ka mimi mai kou kino mai kāu pākuʻi. E kulu paha ka mimi mai kēlā me kēia manawa. A i ʻole, ʻaʻole hiki iā ʻoe ke hoʻopaʻa i kahi mimi.
ʻO nā ʻano nui ʻekolu o ka miki ʻole ka:
- ʻO ka incontinence koʻikoʻi - hiki i nā hana e like me ka uha ʻana, ka ʻū ʻana, ka ʻaka ʻana, a me ka hoʻoikaika kino.
- Koi incontinence - kū i ka hopena o ka ikaika, hiki wawe ka mimi koke. A laila kaomi ka mimiki a lilo ka mimi iā ʻoe. ʻAʻole lawa kou manawa ma hope o kou manaʻo he pono e mimi e hele i ka lua i ka lua ma mua o kou mimi ʻana.
- Overontin incontinence - kū i ka wā o ka bladder ʻaʻole hakahaka a me ka nui o ka mimi iʻoi aku i kona hiki. ʻO kēia ke alakaʻi i ka dribbling.
Hana ʻia ka incontinence huikau ke loaʻa iā ʻoe nā koʻikoʻi ʻelua a koi i ka incontinence urinary.
ʻO ka inkontinence bowel ke hiki ʻole iā ʻoe ke kaohi i ka hele ʻana o ka noho. ʻAʻole uhi ʻia i kēia ʻatikala.
Kumu o ka urinary incontinence nā:
- ʻO ka ālai ʻana i ka ʻōnaehana urinary
- Nā pilikia lolo a nerve paha
- ʻO Dementia a i ʻole nā pilikia olakino noʻonoʻo e hana paʻakikī i ka manaʻo a pane i ka makemake e mimi
- Nā pilikia me ka ʻōnaehana mimi
- Nā pilikia o ke aʻalolo a me nā mākala
- Nāwaliwali o nā pelvic a i ʻole nā mākala urethral
- Prostate hoʻonui
- Diabetes
- Hoʻohana o kekahi mau lāʻau
Kūleʻa paha ka incontinence a hele aku ma hope o kahi manawa pōkole. A i ʻole, hoʻomau paha ia i ka wā lōʻihi. ʻO nā kumu o ka incontinence hiki ʻole a i ʻole manawa ʻole:
- Bedrest - e like me ke wā e ola nei ʻoe mai ke ʻoki kino
- ʻO kekahi mau lāʻau (e like me diuretics, antidepressants, tranquilizers, kekahi batukū a me nā lāʻau anuanu, a me nā antihistamines)
- Huikau o ka noʻonoʻo
- Hapai keiki
- ʻO ka maʻi Prostate a i ʻole ka pehu
- Ka hakahaka o ka noho ʻana mai ka paʻakikī paʻa paʻa, kahi e kumu ai kaomi i ka ʻai
- ʻO ka maʻi urinary tract a i ʻole ka mumū
- Kaumaha hoʻonui
Nā kumu i lōʻihi paha ka lōʻihi:
- Maʻi Alzheimer
- Kanesa maʻi ʻaʻai.
- Manuahi spadms.
- ʻO ka prostate nui i nā kāne.
- Nā kūlana ʻōnaehana hopohopo, e like me ka sclerosis a i ʻole ka hahau.
- Hoʻopilikia ke aʻalolo a i ʻole ka mākala ma hope o ka hoʻomaʻamaʻa ʻana o ka radiation i ka pelvis.
- Pelvic prolaps i loko o nā wahine - hāʻule a paheʻe paha o ka maʻi ʻaʻai, urethra, a i ʻole ke kiko i loko o ka ʻōpū. ʻO kēia paha ke kumu o ka hāpai a me ka lawe ʻana.
- Nā pilikia me ka maʻi urinary.
- Nā hōʻeha iwi kuamoʻo.
- ʻO ka nāwaliwali o ka sphincter, nā mākala ʻano pōʻai e hāmama a hoʻopau i ka ʻai. Hiki ke kumu ʻia kēia e ke kahakaha prostate i nā kāne, a i ʻole ke ʻoki ʻana i ka ʻōpū i nā wahine.
Inā loaʻa iā ʻoe nā hōʻailona o ka incontinence, ʻike i kāu mea mālama ola no nā hoʻokolohua a me kahi hoʻolālā mālama. ʻO ka lāʻau āu e loaʻa ai ma muli o ke kumu o kou incontinence a me ke ʻano āu.
Nui a hewahewa nā ala no ka urinary incontinence:
Hoʻololi ka nohona. Hiki i kēia mau hoʻololi ke kōkua i ka hoʻomaikaʻi ʻana i ka incontinence. Pono paha ʻoe e hana i kēia mau hoʻololi me nā ʻano lāʻau ʻē aʻe.
- E mālama mau i kou neʻe ʻana o kou ʻōpū e hōʻalo i ka paʻa paʻa. E hoʻāʻo e hoʻonui i ka fiber i kāu papaʻai.
- Hoʻomaha i ka puhipaka e hoʻoliʻiliʻi i ka huehue a me ka huhū o ka maʻi ʻaʻano. 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, kahi e hoʻoulu ai i kāu ʻōpū.
- Lilo i ke kaumaha inā pono ʻoe.
- 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 hua citrus a me nā wai.
- Inā loaʻa ka maʻi diabetes, mālama i kāu kō kō i lalo o ka kaohi maikaʻi.
No nā kahe mimi, komo i nā pale komo a me nā lole komo o loko. Nui a hewahewa nā huahana i hoʻolālā maikaʻi ʻia e ʻike ʻole ai kekahi.
Hoʻomaʻamaʻa bladder a me nā hoʻoikaika pelvic papahele. Kōkua ka hoʻomaʻamaʻa hou ʻana i ka ʻai. Hiki i nā hoʻolālā Kegel ke kōkua i ka hoʻoikaika ʻana i nā mākala o kou papa pelvic. Hiki i kāu mea hāʻawi ke hōʻike iā ʻoe pehea e hana ai iā lākou. ʻAʻole hana pololei nā wahine he nui i kēia mau hoʻomaʻamaʻa, ʻoiai inā manaʻoʻiʻo lākou ke hana pololei nei lākou. ʻO ka manawa pinepine, pōmaikaʻi ka poʻe mai ka hoʻoikaika ʻana i ka ʻai a me ka hoʻomaʻamaʻa hou ʻana me kahi loea pelvic papahele.
Nā Lapaʻau. Kaukaʻi ʻia i ke ʻano o ka incontinence i loaʻa iā ʻoe, e kuhikuhi paha kāu mea hāʻawi i hoʻokahi a ʻoi paha nā lāʻau. Kōkua kēia mau lāʻau i ka pale ʻana i ka spasms Muscle, hoʻomaha i ka puhā, a hoʻomaikaʻi i ka hana o ka ʻai. Hiki i kāu mea hāʻawi ke kōkua iā ʻoe e aʻo pehea e lawe ai i kēia mau lāʻau a mālama i ko lākou hopena.
ʻOki kino. Inā ʻaʻole holo pono nā lapaʻau ʻē aʻe, a i ʻole he koʻikoʻi nui ʻole kāu, hiki i kāu mea hāʻawi ke ʻōlelo ʻoki kino. Ke ʻano o kāu ʻoki āu e hilinaʻi ai:
- Ke ʻano o ka incontinence i loaʻa iā ʻoe (e like me ka ʻiʻini, ke koʻikoʻi, a me ka hoʻonui ʻana)
- Ka paʻakikī o kāu mau ʻōuli
- Ke kumu (e like me ka pelvic prolaps, prostate hoʻonui ʻia, hoʻonui ʻia uterus, a i ʻole nā kumu ʻē aʻe)
Inā loaʻa ka nui o ka incontinence a i ʻole ʻaʻole hiki iā ʻoe ke hakahaka piha i kāu ʻōpū, pono paha ʻoe e hoʻohana i kahi catheter. Hiki iā ʻoe ke hoʻohana i kahi catheter e noho ana i ka wā lōʻihi, a i ʻole e aʻo ʻia ʻoe e hoʻokomo a lawe iā ʻoe iho.
Hoʻonāukiuki nerve. Hoʻomaʻamaʻo i ka incontinence a me ka pinepine urinary i kekahi manawa e ka stimulate nerve uila. Hoʻohana ʻia nā pulse o ka uila e reprogram reflexes o ka maʻi ʻaʻa. I hoʻokahi ʻano hana, hoʻokomo ka mea hāʻawi i kahi stimulator ma o ka ʻili kokoke i kahi aʻalolo i ka wāwae. Hana ʻia kēia i kēlā me kēia pule ma ke keʻena o ka mea hāʻawi. Hoʻohana kekahi ʻano hana i ka hāmeʻa hoʻokomo ʻia e like me ka pacemaker i hoʻonoho ʻia ma lalo o ka ʻili ma ka ʻaoʻao haʻahaʻa.
Nā hoʻopili Botox. Hiki ke mālama ʻia ka incontinence urge i kekahi manawa me ka injection o onabotulinum A toxin (ʻo Botox kekahi). Hoʻomaha ka ʻume i ka mākeke o ka ʻai a hoʻonui i ka hiki i ka mālama ʻana i ka maʻi bladder. Hāʻawi ʻia ka pahu kui ma o kahi paipu lahilahi me ke kāmela ma ka hopena (cystoscope). I ka hapanui o nā hihia, hiki ke hana i ke kaʻina hana i ke keʻena o ka mea hāʻawi.
E kamaʻilio i kāu mea hoʻolako e pili ana i ka incontinence. ʻO nā mea hoʻolako e mālama i ka incontinence he gynecologists a me nā urologist i loea i kēia pilikia. Hiki iā lākou ke ʻimi i ke kumu a koi i nā lapaʻau.
Kāhea i kāu helu pilikia kūloko (e like me 911) a i ʻole e hele i kahi keʻena pilikia inā lilo koke ka mana o ka mimi a loaʻa iā ʻoe:
- Ke kamaʻilio paʻakikī ʻana, ka hele wāwae ʻana, a me ka ʻōlelo ʻana paha
- Ka nāwaliwali koke, ka helu, a me ke kani ʻana i ka lima a me ka wāwae
- Lilo o ka hihiʻo
- Ka nalowale o ka ʻike a huikau paha
- Ka nalowale ʻana o ka ʻōpū
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:
- Mīʻū kapua a koko paha
- Luku ʻana
- Pono pinepine a koi paha e mimi
- ʻEha a puhi paha i ka wā e mimi ai ʻoe
- Ka pilikia e hoʻomaka ana i kou kahe mimi
- Fiva
Lilo o ka mālama ʻana i ka ʻai; Urination kaohi ʻole; Urination - kāohi ʻole ʻia; Hoʻomau ʻole - urinary; Overad bladder
- Mālama catheter i loko
- Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
- Sclerosis maha - hoʻokuʻu
- ʻO ka Prostate resection - minimally invasive - hoʻokuʻu
- Prostatectomy radical - hoʻokuʻu
- ʻO ka catheterization ponoʻī - wahine
- ʻO ka catheterization ponoʻī - kāne
- ʻAno hana Sterile
- Transurethral resection o ka prostate - hoʻokuʻu
- 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
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ʻO Reynolds WS, Dmochowski R, Karram MM. Hoʻoponopono ʻoki lāʻau o ka detrusor pagsunod abnormalities. I: Baggish MS, Karram MM, eds. Nā Atlas o ka Pelvic Anatomy a me nā ʻōpala Gynecologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 93.
ʻO Vasavada SP, Rackley RR. Uila stimulate a me neuromodulation i ka mālama ʻana a me ka haʻalele ʻana i ka holo pono ʻole. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 81.