6 Nā lāʻau Medicolinergic e mālama ai i ka Bladder Overactive
Anter
- Pehea e hana ai nā lāʻau lapaʻau anticholinergic bladder
- Nā lāʻau Anticholinergic no OAB
- Oxybutynin
- Tolterodine
- ʻO Fesoterodine
- Trospium
- Darifenacin
- Solifenacin
- Hele mai ka kāohi bladder me nā pilikia
- Hana me kāu kauka
Inā ʻoe e mimi pinepine a loaʻa nā kulu ma waena o nā kipa ʻauʻau, loaʻa paha iā ʻoe nā hōʻailona o ka bladder overactive (OAB). Wahi a ka Mayo Clinic, hiki i ka OAB ke hoʻolele iā ʻoe i ka mimi ma kahi o ʻewalu mau manawa i loko o kahi manawa he 24 mau hola. Inā ala pinepine ʻoe i waenakonu o ka pō e hoʻohana i ka lumipaku, ʻo OAB paha ke kumu. Aia kekahi mau kumu ʻē aʻe e pono ai ʻoe e hoʻohana i ka lua i ka pō wale nō. ʻO kahi laʻana, pono i nā poʻe he nui e hoʻohana i ka lua i ka pō i ka pō pinepine i ko lākou wā ʻelemakule ma muli o nā loli i hiki i ka makahiki.
Inā loaʻa iā ʻoe ka OAB, hiki iā ia ke hoʻopili i kou ola. E ʻōlelo paha kāu kauka e hana i nā loli i kou nohona e kāohi ai i kāu mau ʻōuli. Inā holo ʻole ka hoʻololi ʻana i kāu ʻano maʻamau, kōkua paha nā lāʻau. Ke koho nei i ka lāʻau kūpono e hoʻololi paha i nā mea āpau, no laila e ʻike i kāu mau koho. E nānā i kekahi mau lāʻau OAB i kapa ʻia anticholinergics ma lalo.
Pehea e hana ai nā lāʻau lapaʻau anticholinergic bladder
Kauoha pinepine ʻia nā lāʻau Anticholinergic e mālama iā OAB. Hana kēia mau lāʻau i ka hoʻomaha ʻana i nā mākala o ka bladder. Kōkua pū lākou i ka pale ʻana i nā kahe mimi ma ka kaohi ʻana i nā spadms bladder.
ʻO ka hapa nui o kēia mau lāʻau e like me nā papa waha a i ʻole nā capsule. Hele mai lākou i nā pā transdermal a me nā gela kumuhana. Loaʻa ka hapa nui e like me nā kuhikuhi, akā loaʻa ka patch ma luna o ka pā.
Nā lāʻau Anticholinergic no OAB
Oxybutynin
ʻO Oxybutynin kahi lāʻau anticholinergic no ka bladder overactive. Loaʻa ia i nā ʻano aʻe:
- papa waha (Ditropan, Ditropan XL)
- pākuʻi transdermal (Oxytrol)
- gel topical (Gelnique)
Lawe ʻoe i kēia lāʻau i kēlā me kēia lā. Loaʻa ia i nā ikaika he nui. Hiki mai ka papa waha i ka hoʻokuʻu koke a i ʻole nā ʻano hoʻokuʻu lōʻihi. Hoʻokuʻu koke ʻia nā lāʻau i loko o kou kino, a hoʻokuʻu hoʻokuʻu ʻia i nā lāʻau i loko o kou kino. Pono ʻoe e lawe i ka palapala hoʻokuʻu hoʻokuʻu koke a ʻekolu mau manawa i kēlā me kēia lā.
Tolterodine
ʻO Tolterodine (Detrol, Detrol LA) kahi lāʻau ʻē aʻe no ka mālama ʻana i ka ʻōpū. Loaʻa ia i nā ikaika he nui, e like me 1-mg a me 2-mg papa a i ʻole 2-mg a me 4-mg capsule. Hiki wale mai kēia lāʻau i loko o nā papa hoʻokuʻu koke a i ʻole nā capsule hoʻolōʻihi ʻia.
Hoʻohui pū kēia lāʻau me nā lāʻau ʻē aʻe, keu hoʻi ke hoʻohana ʻia ia ma nā mea kiʻekiʻe. E ʻike pono ʻoe e haʻi aku i kāu kauka e pili ana i nā lāʻau āpau loa a me nā lāʻau hoʻomākaukau, nā mea hoʻohui, a me nā mea kanu āu e lawe nei. I kēia ala, hiki i kāu kauka ke kiaʻi no ka launa ʻana o ka lāʻau hoʻoweliweli.
ʻO Fesoterodine
ʻO Fesoterodine (Toviaz) kahi lāʻau hoʻomalu hoʻonui hoʻokuʻu hoʻokuʻu ʻia. Inā ke hoʻololi nei ʻoe mai kahi lāʻau hoʻokuʻu koke ma muli o nā hopena ʻaoʻao, ʻo ka fesoterodine paha ke koho maikaʻi loa iā ʻoe. ʻO kēia no ka mea ua hoʻonui ʻia nā ʻano hoʻokuʻu o nā lāʻau OAB i ka hopena o ka hopena ma mua o nā mana hoʻokuʻu koke. Eia nō naʻe, ke hoʻohālikelike ʻia i nā lāʻau OAB ʻē aʻe, hiki i kēia lāʻau ke hui pū me nā lāʻau ʻē aʻe.
Hele mai ʻo Fesoterodine i ka 4-mg a me ka 8-mg mau papa waha. Lawe ʻoe i hoʻokahi manawa i kēlā me kēia lā. Lawe paha kēia lāʻau i kekahi mau pule e hoʻomaka i ka hana. I ka ʻoiaʻiʻo, ʻaʻole paha ʻoe e ʻike i ka hopena piha o fesoterodine no 12 mau pule.
Trospium
Inā ʻaʻole ʻoe e pane i nā lāʻau liʻiliʻi o nā lāʻau hoʻomalu bladder ʻē aʻe, hiki i kāu kauka ke paipai iā trospium. Loaʻa kēia lāʻau lapaʻau ma ke ʻano he 20-mg papa hoʻokuʻu koke i lawe ʻia i ʻelua mau manawa i kēlā me kēia lā. Hele mai ia ma ke ʻano he 60-mg kīʻaha hoʻokuʻu hoʻokuʻu lōʻihi āu e lawe ai i hoʻokahi manawa i kēlā me kēia lā. ʻAʻole pono ʻoe e ʻai i kekahi wai ʻona i loko o ʻelua mau hola o ka lawe ʻana i ka palapala hoʻokuʻu lōʻihi. Hiki ke inu i ka waiʻona me kēia lāʻau i hiki ke hoʻonui i ka hiamoe.
Darifenacin
Mālama ʻo Darifenacin (Enablex) i nā spadms bladder a me nā spasms muscle ma loko o ka urinary tract. Ua hele mai i loko o ka 7.5-mg a me 15-mg hoʻonui-hoʻokuʻu papa. Lawe ʻoe i hoʻokahi manawa i kēlā me kēia lā.
Inā ʻaʻole ʻoe e pane i kēia lāʻau i hope o ʻelua mau pule, hoʻonui paha kāu kauka i kāu lāʻau. Mai hoʻonui i kāu kau ma kāu iho. Inā manaʻo ʻoe ʻaʻole holo ka lāʻau e kaohi i kāu mau ʻōuli, e kamaʻilio me kāu kauka.
Solifenacin
E like me darifenacin, solifenacin (Vesicare) kaohi i nā spasms i loko o kāu pēpē a me kāu wahi urinary. ʻO ka ʻokoʻa nui ma waena o kēia mau lāʻau i nā ikaika i hele mai ai lākou. Hele mai ʻo Solifenacin i 5-mg a me 10-mg papa āu e lawe ai i hoʻokahi manawa i kēlā me kēia lā.
Hele mai ka kāohi bladder me nā pilikia
Hāpai kēia mau lāʻau i ka hopena o ka hopena. ʻOi aku paha ka hopena o ka hopena ke lawe ʻoe i kekahi o kēia mau lāʻau i ke ana kiʻekiʻe. Hiki ke ʻeha nā hopena ʻē aʻe me nā ʻano hoʻolōʻihi ʻia o nā lāʻau OAB.
Hiki i nā hopena ʻaoʻao ke hoʻopili i:
- waha maloo
- kōpaʻa
- hiamoe
- pilikia pilikia hoʻomanaʻo
- hoʻonui i ka makaʻu o ka hāʻule, keu hoʻi no ka poʻe ʻelemakule
Hiki i kēia mau lāʻau ke hoʻololi i kāu helu puʻuwai. Inā loaʻa nā loli o ka puʻuwai, e ʻike koke i kāu kauka.
Hiki i nā lāʻau i hoʻohana ʻia e mālama iā OAB ke launa pū me nā lāʻau ʻē aʻe. ʻOi aku paha ka launa pū me nā lāʻau OAB ke lawe ʻoe iā lākou i kahi lāʻau kiʻekiʻe. E ʻike pono iā ʻoe e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā lāʻau lapaʻau, nā lāʻau, a me nā mea kanu a pau āu e lawe nei. E nānā ana kāu kauka no ka launa pū e kōkua iā ʻoe e palekana.
Hana me kāu kauka
Hiki i nā lāʻau Anticholinergic ke hōʻoluʻolu iā ʻoe mai kāu mau ʻōuli OAB. Hana pū me kāu kauka e ʻike i ka lāʻau i ʻoi aku ka maikaʻi iā ʻoe. E hoʻomanaʻo inā ʻaʻole he koho maikaʻi nā lāʻau anticholinergic nāu, aia kekahi mau lāʻau ʻē aʻe no ka OAB. E kamaʻilio me kāu kauka e ʻike inā e holo ana kahi lāʻau ʻē aʻe nāu.