Pepeiao urinary artipona

ʻO nā Sphincters nā mākala e ʻae i kou kino e paʻa i ka mimi. ʻO kahi sphincter synthetic (hana ʻia e ke kanaka) kahi mea olakino. Mālama kēia mea i ka mimi ʻole mai ke kahe ʻana. Hoʻohana ʻia ia ke hana maikaʻi ʻole kāu sphincter urinary. Ke pono ʻoe e mimi, hiki ke hoʻomaha i ka cuff o ka sphincter hana. ʻAe kēia e kahe kahe.

ʻO nā kaʻina hana ʻē aʻe e mālama ai i ka liʻu mimi a me ka incontinence me:

• Tension-free vaginal tape (midurethral sling) a me autologous maʻa (wahine)
• ʻO Urethral bulking me nā mea hana (kāne a me nā wahine)
• Hoʻomaha ʻia Retropubic (wahine)
• Kāʻei urethral male (kāne)

Hiki ke hana i kēia kaʻina hana aia ʻoe ma lalo o:

• Anesthesia laulā. E hiamoe ʻoe a hiki ʻole ke ʻeha.
• Anesthesia iwi kuamoʻo. E ala ʻoe akā ʻaʻole e hiki iā ʻoe ke ʻike i kekahi mea ma lalo o kou pūhaka. E hāʻawi ʻia nā lāʻau iā ʻoe e hoʻomaha ai.

He ʻāpana ʻekolu o kahi sphincter ʻāpana:

• ʻO kahi cuff, kahi e pili ana i kāu urethra. ʻO ka urethra ka paipu e lawe i ka mimi mai kāu pēpē i waho o kou kino. Ke hoʻoulu ʻia ka cuff (piha), pani ka cuff i kou urethra e hoʻōki i ke kahe o ka mimi a i ʻole ka liu ʻana.
• He baluna, i hoʻonoho ʻia ma lalo o kou mau ʻōpū ʻōpū. Mālama ʻo ia i ka wai like me ka cuff.
• ʻO kahi pauma, kahi e hoʻomaha ai i ka cuff ma ka hoʻoneʻe ʻana i ka wai mai ka cuff a i ka baluna.

E ʻokiʻoki ʻia kahi ʻoki lāʻau i kekahi o kēia mau wahi i hiki ai i ka cuff ke hoʻokomo ʻia i kahi.

• ʻO Scrotum a perineum paha (kāne).
• Labia (wahine).
• ʻO ka ʻōpū o lalo (nā kāne a me nā wahine). I kekahi mau hihia, ʻaʻole pono kēia incision.

Hiki ke waiho i ka pauma i ka scrotum a ke kāne. Hiki ke kau ʻia ma lalo o ka ʻili i loko o ka ʻōpū o ka wahine a i ʻole ka wāwae.

Ke kū ka sphincter ʻimi hoʻopunipuni, e hoʻohana ʻoe i ka pauma e hoʻowahāwahā (deflate) i ka cuff. Hoʻoneʻe ke kuʻi ʻana i ka pauma i ka wai mai ka cuff a i ka baluna. Ke hakahaka ka cuff, hāmama kāu urethra i hiki iā ʻoe ke mimi. E hoʻonui hou ka cuff iā ia iho ma 90 kekona.

Hana ʻia ke ʻoki sphincter ʻimi hoʻopunipuni e mālama ai i ke koʻikoʻi incontinence. ʻO ka incontinence koʻikoʻi kahi leakage o ka mimi. Hana ʻia kēia me nā hana e like me ka hele wāwae, hāpai hāpai ʻana, hoʻoikaika kino ʻana, a i ʻole ka ʻeha a i ʻole ka ʻū ʻana.

Paipai ʻia ke kaʻina hana no nā kāne i loaʻa ka liʻiliʻi miki me ka hana. Hiki i kēia ʻano leakage ke hana ma hope o ke kahakaha ʻana o ka prostate. Kūkā ʻia ka sphincter ʻimi hoʻopunipuni ke hana ʻole nā ​​ʻano lāʻau ʻē aʻe.

ʻO nā wahine i loaʻa ka mimiki pinepine e hoʻāʻo pinepine i nā koho lapaʻau ʻē aʻe ma mua o ka hoʻokau ʻia ʻana o kahi sphincter ʻimi hoʻopunipuni. Hoʻohana iki ʻia ia e mālama ai i ke koʻikoʻi urinary incontinence i nā wahine ma United States.

ʻO ka hapa nui o ka manawa, e paipai kāu mea mālama ola i nā lāʻau a me ke hoʻomaʻamaʻa hou ʻana o ka maʻi ma mua o ka ʻoki ʻana.

ʻOi aku ka palekana o kēia kaʻina hana. E nīnau i kāu mea hāʻawi e pili ana i nā pilikia kūpono.

Nā pilikia e pili ana i ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, kahe koko
• Maʻi kīnā

Pākuʻi ʻia paha nā pilikia no kēia ʻoki kino:

• Ka hōʻino i ka urethra (i ka manawa o ke ʻoki ʻana a ma hope paha), ka maʻi ʻaʻai, a me ka ʻōpū
• Hōʻalo ka paʻakikī i kāu ʻōpū, e koi paha i kahi catheter
• Urine leakage e ʻinoʻino paha
• Hoka a ʻaʻapo paha o ka hāmeʻa e koi ai i ke ʻoki e hoʻololi a lawe aku paha iā ia

E haʻi mau i kāu mea hāʻawi i nā lāʻau āu e lawe nei. E hoʻomaopopo pū i ka mea hoʻolako e pili ana i nā lāʻau, nā mea kanu a me nā mea hoʻopiha i kūʻai ʻole ʻia e ʻoe i kūʻai ai me ka ʻole o ka lāʻau.

I nā lā ma mua o ke kaha ʻana:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), a me nā lāʻau ʻē aʻe paʻakikī i kou koko ke ʻū.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai e lawe i ka lā o kou ʻoki ʻana.

I ka lā o kou ʻoki kino:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai i kekahi mea no 6 a 12 mau hola ma mua o ke kaha.
• E lawe i nā lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wai liʻiliʻi.
• E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila.

E hoʻāʻo kāu mea hāʻawi i kāu mimi. E hōʻoia kēia ʻaʻole ʻoe i kahi maʻi urinary ma mua o ka hoʻomaka ʻana i kāu ʻoki.

Hiki paha iā ʻoe ke hoʻi mai ke ʻoki kino me kahi catheter ma kahi. E hoʻopau kēia catheter i ka mimi mai kāu pēke no kekahi manawa iki. E hoʻoneʻe ʻia ia ma mua o kou haʻalele ʻana i ka haukapila.

ʻAʻole ʻoe e hoʻohana i ka sphincter hana no kekahi manawa ma hope o ke kaha ʻana. Kēia 'o ia hoʻi oe e nō miki leakage. Pono kou kino i kēia manawa e hoʻōla.

Ma kahi o 6 mau pule ma hope o ke kahakaha ʻana, e aʻo ʻia ʻoe pehea e hoʻohana ai i kāu pauma e hoʻonui i kāu sphincter hana.

Pono ʻoe e lawe i kahi kāleka ʻeke a hoʻokomo i ka ʻike olakino. ʻLelo kēia i nā mea hoʻolako iā ʻoe he sphincter hana. Pono e hoʻopau i ka sphincter inā pono ʻoe e kau i kahi catheter urinary.

Pono paha nā wahine e hoʻololi pehea lākou e hana ai i kekahi mau hana (e like me ka holo kaʻa paikikala), no ka mea, kau ʻia ka pauma i ka labia.

Hoʻoemi ka liʻiliʻi urinary no nā poʻe he nui i loaʻa i kēia kaʻina hana. Eia nō naʻe, aia paha kekahi kahe. I ka hala ʻana o ka manawa, hoʻi paha kekahi a i ʻole nā ​​kulu āpau.

Aia paha kahi lohi e lole ana i nā mea urethra ma lalo o ka cuff.Hiki i kēia kiko ke lilo i spongy. Hana paha kēia i ka mea ʻoi aku ka liʻiliʻi a i ʻole e kumu e hemo i loko o ka urethra. Inā hoʻi mai kou incontinence, hiki ke hoʻololi ʻia i ka hāmeʻa e hoʻoponopono iā ia. Inā holo ka mea i loko o ka urethra, pono e hemo.

Art sphincter (AUS) - mimi; Sphincter ʻimi hoʻopunipuni hiki ʻole ke hoʻoulu ʻia

• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• ʻO ka catheterization ponoʻī - wahine
• Mālama pōpoki Suprapubic
• Nā huahana incontinence urinary - mālama pono iā ʻoe iho
• ʻOki kino incontinence - wahine - hoʻokuʻu
• Nā ʻeke hoʻokahe mimi
• Ke loaʻa ʻoe i ka incontinence urinary

• Sphincter ʻimi hoʻopunipuni hiki ʻole ke hoʻoulu ʻia - series

Pūnaewele ʻAmelika Urological ʻAmelika. He aha ke koʻikoʻi urinary incontinence (SUI)? www.urologyhealth.org/urologic-conditions/stress-urinary-incontinence-(sui)/printable-version. Loaʻa iā ʻAukake 11, 2020.

Danforth TL, Ginsberg DA. ʻHhinu mimi ʻimi hoʻopunipuni. I: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. ʻO Hinman's Atlas of Urologic Surgery. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 102.

ʻO Thomas JC, Clayton DB, Adams MC. ʻO ke kūkulu hou ʻana o nā wahi mimi i nā keiki. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 37.

ʻO Wessells H, Vanni AJ. ʻO nā kaʻina hana no ka incontinence sphincteric i ke kāne. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 131.