Urinary incontinence - implant implant

Hoʻokomo nā injectable i nā mea i loko o ka urethra e kōkua i ke kaohi ʻana i ka mimi mimi (urinary incontinence) i hoʻokumu ʻia e kahi sphincter urinary nāwaliwali. ʻO ka sphincter kahi mākala e hiki ai i kou kino ke hoʻopaʻa i ka mimi i loko o ka pale. Inā kū ka maikaʻi o kou mākala sphincter, loaʻa iā ʻoe ka liu mimi.

ʻO nā mea i injected mau ʻia. ʻO Coaptite a me Macroplastique kekahi mau laʻana o ʻelua mau mana.

Hoʻokomo ke kauka i nā mea ma o ka nila i loko o ka paia o kāu urethra. ʻO kēia ka paipu e hali i ka mimi mai kou kīloi. Hoʻopili nā mea i kaʻiʻo urethral, ​​e hoʻopili ana. Kū kēia i ka mimi mai ka hemo ʻana mai loko mai o kāu bladder.

Loaʻa paha iā ʻoe kekahi o nā ʻano anesthesia (ʻehaʻeha) no kēia kaʻina hana:

• Anesthesia kūloko (ʻo ka wahi e hana ʻia nei e maloʻo ia)
• Spest anesthesia (e numb ʻoe mai ka pūhaka i lalo)
• General anesthesia (e hiamoe ʻoe a ʻaʻole hiki ke ʻike i ka ʻeha)

Ma hope o kou hiamoe a hiamoe paha mai ka anesthesia, kau ke kauka i kahi lāʻau lapaʻau i kapa ʻia he cystoscope i loko o kāu urethra. ʻAe ka cystoscope i kāu kauka e ʻike i ka wahi.

A laila hele ke kauka i kahi nila ma o ka cystoscope i loko o kāu urethra. Hoʻokomo ʻia nā mea i loko o ka paia o ka urethra a i ʻole ka ʻāʻī bladder ma o kēia nila. Hiki i ke kauka ke hoʻopili i nā mea i loko o ka mea kokoke i ka sphincter.

Hana pinepine ʻia ka hana implant i ka haukapila. A i ʻole, hana ʻia ia i ke kauka lāʻau o kāu kauka. Hana ke kaʻina hana ma kahi o 20 a 30 mau minuke.

Hiki i nā implants ke kōkua i nā kāne a me nā wahine.

Hiki i nā kāne i loaʻa ke kahe o ka mimi ma hope o ke kaha ʻana o ka prostate e loaʻa i nā implants.

ʻO nā wahine i loaʻa ka mimiki a makemake i kahi kaʻina maʻalahi e kāohi i ka pilikia hiki ke koho e loaʻa kahi kaʻina implant. ʻAʻole makemake paha kēia mau wahine e hana i kahi ʻoki e koi ai i ka anesthesia ākea a i ʻole kahi ʻoki lōʻihi loa.

ʻO nā pilikia no kēia kaʻina hana:

• Ka hōʻino ʻana i ka urethra a i ʻole ka bladder
• Piʻi ka mimi ʻoi aku ka maikaʻi
• ʻO ka ʻeha kahi i hana ʻia ai ke kuʻi
• ʻO ka hopena āpau i ka mea
• Kanu mea hoʻoneʻe e neʻe (neʻe) i kahi ʻē aʻe o ke kino
• Hoʻopilikia i ka mimiki ma hope o ke kaʻina hana
• Maʻi ʻaʻai Urinary
• Koko i ka mimi

E haʻi i kāu mea mālama ola i nā lāʻau āu e lawe nei. Hoʻopili kēia i nā lāʻau, nā mea hoʻopiha, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

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 e paʻakikī i kou kōkō ke kō.

I ka lā o kāu kaʻina hana:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea no 6 a 12 mau hola ma mua o ke kaʻina hana. E hilinaʻi kēia i ke ʻano o ka anesthesia e loaʻa iā ʻoe.
• E lawe i nā lāʻau a kāu mea hāʻawi i kauoha aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila a i ʻole ka haukapila. E hōʻea pono i ka manawa.

Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home ma hope koke o ke kaʻina hana. Hiki paha i hoʻokahi mahina ma mua o ka holo pono ʻana o ka injection.

E lilo paha i mea paʻakikī e hoʻokuʻu i kāu ʻōpū. Pono paha ʻoe e hoʻohana i kahi catheter no kekahi mau lā. ʻO kēia a me nā pilikia urinary ʻē aʻe e hele maʻamau.

Pono ʻoe i 2 a i ʻole 3 mau injection i loaʻa nā hopena maikaʻi. Inā neʻe aku ka mea mai kahi i ʻino ʻia ai, pono paha ʻoe i nā lāʻau hou aʻe i ka wā e hiki mai ana.

Hiki i nā implants ke kōkua i ka hapa nui o nā kāne i loaʻa ka transurethral resection o ka prostate (TURP). Kōkua nā mea hoʻopili i hoʻokahi hapalua o nā kāne i wehe ʻia i kā lākou gland prostate e mālama i ka maʻi ʻaʻai prostate.

Hoʻoponopono i ka hemahema o ka sphincter intrinsic; Hoʻoponopono ISD; Injectable bulking konohiki no stress urinary incontinence

• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• ʻO ka catheterization ponoʻī - wahine
• Mālama pōpoki Suprapubic
• 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

Dmochowski RR, Blaivas JM, Gormley EA, et al. Hōʻano hou o ke alakaʻi AUA e pili ana i ka hoʻokele hoʻokele o ka wahine urinary incontinence. J Urol. 2010; 183 (5): 1906-1914. PMID: 20303102 www.ncbi.nlm.nih.gov/pubmed/20303102.

Herschorn S. Injection therapy no ka urinary incontinence. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 86.

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.