Urinary incontinence - urethral sling ʻōnaehana

ʻO nā ʻōnaehana ʻo ke kuamo ʻo ke ʻano o nā ʻoki ʻana e kōkua ai i ka kaohi urinary incontinence. ʻO kēia ka liu mimi e hana i ka wā e ʻakaʻaka ai ʻoe, ʻūlū, uunu ai, hāpai i nā mea, a hoʻoikaika kino paha. Kōkua ke kaʻina hana i kou urethra a me ka ʻāʻī bladder. ʻO ka urethra ka paipu e lawe ana i ka mimi mai ka pūpū a i waho. ʻO ka ʻāʻī bladder ka ʻāpana o ka pākā e hoʻopili i ka urethra.

Hoʻohana nā hana maʻa maʻa i nā mea like ʻole:

• Kāpena mai kou kino
• ʻO nā mea hana a ke kanaka (synthetic) i ʻike ʻia me ka hei

Loaʻa iā ʻoe ka anesthesia ākea a i ʻole ka anesthesia spinal ma mua o ka hoʻomaka ʻana o ke kaha.

• Me ka anesthesia laula, ke hiamoe nei ʻoe a ʻaʻohe ʻeha.
• Me ka anesthesia ʻōiwi, ua ala ʻoe, akā mai ka pūhaka i lalo ua manō ʻoe a ʻaʻole ʻeha.

Hoʻokomo ʻia kahi catheter (Tube) i loko o kāu pēpē e hoʻokahe i ka mimi mai kāu pēpē.

Hoʻokipa ke kauka i kahi ʻoki ʻoki liʻiliʻi (incision) i loko o kāu ʻōpū. Hana ʻia kekahi ʻoki liʻiliʻi ma luna pono o ka laina lauoho pubic a i ʻole ke ʻūlū. Hana ʻia ka hapa nui o ke kaʻina ma o ka ʻoki o loko o ka lua.

Hoʻokumu ke kauka i kahi maʻa mai ka mea a i ʻole nā ​​mea synthetic. Hoʻoholo ʻia ka maʻa ma lalo o kou urethra a me ka ʻāʻī bladder a hoʻopili ʻia i nā pūnaewele ikaika i loko o kou ʻōpū haʻahaʻa, a i waiho ʻia paha i wahi e hoʻōla ai kou kino a hoʻokomo i loko o kāu kiko.

Hana ʻia nā kaʻina slag Vaginal e mālama i ke koʻikoʻi urinary incontinence.

Ma mua o ke kūkā kamaʻilio ʻana, e hoʻāʻo ka kauka iā ʻoe e hoʻāʻo hou i ka bladder, hoʻoikaika kino Kegel, nā lāʻau, a i ʻole nā ​​koho ʻē aʻe. Inā ua hoʻāʻo ʻoe i kēia mau mea a ke loaʻa nei nā pilikia me ka hoʻokahe ʻana o ka mimi, ʻo ke ʻoki paha kāu koho maikaʻi loa.

Nā pilikia o kekahi ʻoki kino:

• Kahena
• Hoʻopaʻa ke koko i nā wāwae e hele paha i nā akemāmā
• Nā pilikia hanu
• ʻO ka maʻi i keʻokiʻoki a wehe paha o keʻoki
• Nā maʻi ʻē aʻe

ʻO nā pilikia o kēia ʻoki kino:

• ʻO ka hōʻeha i nā mea pili kokoke
• ʻO ka haki ʻana i nā mea synthetic i hoʻohana ʻia no ka maʻa
• Ka hoʻoneʻe ʻana o nā mea synthetic ma o kāu kiko maʻamau
• Nā loli i ka ʻōpū (prolapsed vagina)
• ʻO ka hōʻino i ka urethra, bladder, a i ʻole nā ​​ʻōpū
• ʻO ke ala maʻamau (fistula) ma waena o ka puhā a i ʻole ka urethra a me ka ʻōpū
• ʻO ka huhū huhū, ke kumu o ka mimiki pinepine pinepine
• ʻOi aku ka paʻakikī o ka hoʻokuʻu ʻana i kāu ʻōpū, a me ka pono e hoʻohana i kahi catheter
• Worsening o ka mimi leakage

E haʻi i kāu kauka i nā lāʻau āu e lawe nei. Hoʻopili kēia i nā lāʻau, nā mea hoʻopihapiha, a i ʻole nā ​​mea kanu āu 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 nā lāʻau āu e lawe ai i ka lā o ke ʻoki.
• Inā puhi ʻoe, hoʻāʻo e kū. Hiki i kāu mea mālama ola ke kōkua.

I ka lā o ke kaha:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea no 6 a 12 mau hola ma mua o ke kaha ʻana.
• E lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila. E hōʻea pono i ka manawa.

Loaʻa paha iā ʻoe ka ʻūlū ʻino i loko o ka lua ma hope o ke kaha ʻana e kōkua ai e hōʻoki i ke kahe ʻana o ke kahe. Lawe pinepine ʻia ia i kekahi mau hola ma hope o ke kaha ʻana a i ka lā aʻe.

Hiki iā ʻoe ke haʻalele i ka haukapila i ka lā like me ke ʻoki. A i ʻole noho ʻoe i 1 a i ʻole 2 mau lā.

E hoʻoheheʻe ʻia nā kuʻi (sutures) i loko o kāu ʻōpala ma hope o kekahi mau pule. Ma hope o 1 a 3 mau mahina, hiki iā ʻoe ke moe kolohe me ka ʻole o nā pilikia.

E hāhai i nā ʻōkuhi e pili ana i ka mālama ʻana iā ʻoe iho ma hope o kou hoʻi ʻana i ka home. Mālama i nā wā hoʻopaʻa hope.

ʻOi aku ka maikaʻi o ke kahe urinary no ka hapanui o nā wahine. Akā loaʻa mau paha kahi kahe. ʻO ia paha no ka loaʻa ʻana o nā pilikia ʻē aʻe i ka incontinence urinary. Ke holo nei ka manawa, hoʻi paha ka liʻuli.

ʻOʻopa puʻupuʻu; Māhele Transobturator; Maʻa Midurethral

• 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

ʻO Dmochowski RR, ʻo Osborn DJ, ʻo Reynolds WS. Maʻa: autologous, biologic, synthetic, a me midurethral. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 84.

Paraiso MFR, Chen CCG. ʻO ka hoʻohana ʻana o nā meaola biologic a me ka hei synthetic i ka urogynecology a me ka hana pelvic reconstructive. I: Walters MD, Karram MM, eds. Urogynecology a me ka hana hou ʻana o Pelvic Surgery. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 28.