Urinary incontinence - hoʻopilikia-manu ʻaʻohe liʻiliʻi lola

ʻO ke kau ʻana o ka lipine liʻiliʻi manuahi ʻo ia ke kahakaha e kōkua ai i ka mālama ʻana i ka hiamoe urinary. 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 kīʻaha 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.

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, ʻōlohelohe ʻoe a ʻaʻohe ʻeha.

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

Hoʻokiʻoki ʻia kahi ʻoki ʻoki liʻiliʻi (incision) i loko o kāu ʻōpū. Hana ʻia ʻelua mau ʻoki liʻiliʻi i loko o kou ʻōpū ma luna pono o ka laina lauoho pubic a i ʻole ma loko o kēlā me kēia ʻūhā o loko e kokoke ana i ka pūhaka.

Hoʻomoe ʻia kahi lepe hana kanaka (synthetic mesh) kūikawā i loko o ka ʻoki o loko o ka lua. Hoʻonohonoho ʻia ka lepe ma lalo o kāu urethra. Hoʻoholo ʻia kahi wēlau o ka lepe ma o kekahi o nā ʻūhā o ka ʻōpū a i ʻole ma o kekahi o nā ʻūhā o loko o ka ʻūhā. Hoʻoholo ʻia ka hopena ʻē aʻe o ka lepe ma o ka ʻoki ʻana o ka ʻōpū a i ʻole i ka ʻūhā ʻūhā o loko.

Hoʻomaʻa ke kauka i ka paʻa (tension) o ka leki e lawa pono e kākoʻo i kāu urethra. ʻO kēia nui o ke kākoʻo ke kumu i kapa ʻia ai ke ʻoki ʻana he manuahi ʻole. Inā ʻaʻole ʻoe e loaʻa i ka anesthesia laulā, noi ʻia ʻoe e hu. ʻO kēia e nānā i ka hoʻoluhi o ka lepe.

Ma hope o ka hoʻoponopono ʻana o ka haunaele, ʻokiʻoki ʻia nā wēlau o ka leki me ka ʻili ma nā ʻokiʻoki. Pani ʻia nā ʻokiʻoki. Iā ʻoe e hoʻōla ai, e hoʻopaʻa nā mea ʻili i nā ʻokiʻoki i nā lipine i wahi e kākoʻo ʻia ai kāu urethra.

ʻO ke kahakaha ma kahi o 2 mau hola.

Hoʻokomo ʻia ka lipine liʻiliʻi manuahi e mālama i ka incontinence stress.

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
• Nā pilikia hanu
• ʻO ka maʻi i keʻokiʻoki a wehe paha kaʻoki
• Hoʻopili ke koko i nā wāwae
• Nā maʻi ʻē aʻe

ʻO nā pilikia o kēia ʻoki kino:

• ʻO ka hōʻeha i nā mea kokoke - Nā loli i ka ʻōpū (prolapsed vagina, kahi ʻaʻole i loaʻa ka pūpū ma kahi kūpono).
• Ka hōʻino ʻana i ka urethra, bladder, a i ʻole ka ʻōpū.
• Ka hoʻoneʻe ʻana o ka leki i nā aʻa kūlohelohe (urethra a i ʻole vagina).
• Fistula (ʻāpana kūpono ʻole) ma waena o ka puhā a i ʻole ka urethra a me ka lua.
• ʻO ka huhū huhū, ke kumu o ka mimiki pinepine pinepine.
• Ua lilo paha i mea paʻakikī ka hoʻokuʻu ʻana i kāu kīloi, a pono paha ʻoe e hoʻohana i ka catheter. Pono paha kēia i kahi ʻoki hou.
• ʻEha ʻeha Pubic.
• Eʻoi aku paha ka maikaʻi o ka liua o ka mimi.
• Hiki paha iā ʻoe ke pane i ka lipine synthetic.
• ʻEha me ka launa pū.

E haʻi i kāu mea mālama ola 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 hoʻonohonoho no ka holo kaʻa i ka home a ʻike pono e lawa kāu kōkua ke hiki aku ʻoe i laila.

I ka lā o ke kaha:

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

Lawe ʻia ʻoe i kahi lumi hoʻōla. E noi nā kahu iā ʻoe e puʻe a hanu i ka hanu e kōkua i ka hoʻomaʻemaʻe ʻana i kou akemāmā. Loaʻa paha iā ʻoe kahi catheter i loko o kāu ʻōpū. E hoʻoneʻe ʻia kēia i ka wā e hiki ai iā ʻoe ke hoʻonele i kāu iho i kāu iho.

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 ke kakahiaka aʻe inā ʻoe e noho pō.

Hele paha ʻoe i ka hale i ka lā like inā ʻaʻohe 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.

Hoʻoemi ka liʻiliʻi urinary no ka hapa nui o nā wahine i loaʻa i kēia kaʻina hana. Akā loaʻa mau paha kahi kahe. ʻO kēia paha no ka loaʻa ʻana o nā pilikia ʻē aʻe i kou incontinence. I ka hala ʻana o ka manawa, hoʻi paha kekahi a i ʻole nā ​​kulu āpau.

Maʻa Retropubic; ʻO ka maʻa Obturator

• 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 Reynold 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.

ʻO Walters MD, Karram MM. ʻO nā maʻa midurethral synthetic no ka incontinence urinary stress. I: Walters MD, Karram MM, eds. Urogynecology a me ka hana hou ʻana o Pelvic Surgery. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 20.