Low Bladder (Cystocele): He aha ia, nā ʻōuli a me ka mālama ʻana
Anter
- Pehea e ʻike ai inā haʻahaʻa kāu pākā
- Nā hoʻokolokolo no ka bladder haʻahaʻa
- Nā hana no ka bladder haʻahaʻa
- 1. Nā hoʻoikaika kino no ka mimiko haʻahaʻa
- 2. Physiotherapy no ka haʻahaʻa bladder
- 3. Nā hoʻoponopono no ka bladder haʻahaʻa
- 4. ʻoki kino haʻahaʻa
Kū ka haʻahaʻa bladder ke hiki ʻole i nā mākala a me nā ligament o ka papa pelvic ke hoʻopaʻa pololei i ka puhā, ʻo ia ke kumu e 'heʻe' ai mai kona kūlana maʻamau a hiki ke hoʻopā maʻalahi ʻia ma o ka ʻōpū.
Hiki ke kapa ʻia kēia kūlana he cystocele, prolad bladder, low bladder a i ʻole hāʻule hāʻule, he pinepine i nā wahine ma mua o 40 mau makahiki, a ua hāpai. Loaʻa paha i ka wahine i kahi bladder hāʻule, akā hāʻule pū ka kōpū, urethra a me ka pololei i ka manawa like.
Hiki ke hana i ka hoʻomaʻamaʻa no ka bladder haʻahaʻa me nā loli nohona, me ka pohō kaumaha, hoʻōki i ka puhipaka, hakakā ʻana i ka constipation, me ka hoʻohui o ka physiotherapy, nā pelvic, i hōʻike ʻia e ka physiotherapist, a i ʻole ma o ke kaha ʻana, i nā hihia ʻoi loa, ke hiki aku ka puhaka i ka puka komo. i ka ʻōpala a i ʻole hele ma waena o ka lua.
Pehea e ʻike ai inā haʻahaʻa kāu pākā
ʻO nā hōʻailona a me nā hōʻailona e hōʻike ana e hāʻule ana ka maʻi ʻaʻai:
- Lū i ka puki, i hiki ke ʻike ʻia me ka maka ʻōlohelohe a i ʻole manaʻo ʻia me nā manamana lima i ka wā o ka huehue;
- Ke kaumaha o ke kaumaha i loko o ka ʻai;
- ʻIke poepoe i ka ʻōpū;
- Paʻi a hōʻoluʻolu paha i ka wahi pelvic;
- Ka nāwaliwali a palupalu paha o nā mākala a me nā ligament o ka perineum;
- Kūleʻa paha ka nalowale o ka mimi;
- Ka paʻakikī i ka hele ʻana i ka mimi i loko o nā kekona mua o ka mimiki;
- ʻO ka wikiwiki a hoʻonui i ka pinepine o ka urinary;
- ʻEha a me ka ukiuki i ka ʻōpū i ka wā pili kolohe;
- I ka hihia o ka polu, aia paha ke hoʻokumu ʻia ʻana o kahi 'ʻeke' kokoke i ka anus, e hōʻeha ai i ka ʻeha, pilikia a me ka paʻakikī i ka hoʻopau ʻana i ka pahu.
ʻO ke kauka i hōʻike nui ʻia e hana i ke kuhi a hōʻike i ka lāʻau no nā hihia o ka bladder haʻahaʻa ʻo ia ka gynecologist i loea i ka urogynecology. He mea pono nō hoʻi ʻo Physiotherapy i ka mālama ʻana.
Nā hoʻokolokolo no ka bladder haʻahaʻa
Hiki i nā hoʻokolohua ke noi ʻia e ke kauka wahine e loiloi i ka maʻi hāhā i hāʻule.
- Ka loiloi i ka ikaika o nā mākala pelvic;
- Transvaginal ultrasound: e nānā i nā mākala o ka perianal ʻāpana a me ka nānā inā aia kekahi hoʻololi i ka uterus, ka waiho ʻana o ka maʻi ʻaʻai a i ʻole ka urethra;
- Nā aʻo Urodynamic: e loiloi i ka hiki o ka ʻōpū e mālama a hoʻopau i ka mimi;
- Kiʻi resonance ʻume mākenēki: i kahi ʻike ʻoi aku ka maikaʻi o nā hale āpau i ka pelvic.
- Cystourethroscopy: e ʻike i ka urethra a me ka ʻai, i nā wahine i loaʻa ka wikiwiki, ke alapine urinary, ʻeha i loko o ka puhū a i ʻole ke koko i ka mimi.
ʻOi aku ka maʻamau o ka hāʻule o ka bladder i ka wā a ma hope paha o ka menopause, ma hope o ka hāpai ʻana, ma nā hihia o ka constipation, ma hope o ke kahakaha ʻana e hemo ai ka uterus, inā ʻoi ke kaumaha a momona paha, ma hope o 50 mau makahiki, a me nā wahine puhipaka.
ʻO kekahi kūlana e makemake i ka hāʻule ʻana o ka bladder he mau hana e koi ai i ka hoʻoikaika kino, e like me ka hana hale a i ʻole kahi e pono ai e hoʻopaʻa a hāpai paha i nā mea kaumaha. No laila, i mea e pale ʻole ai i ka hāʻule o ka waiū, pono ʻoe e hōʻalo i kēia mau kumu āpau.
Nā hana no ka bladder haʻahaʻa
Hoʻololi ka hoʻomaʻamaʻa e like me ke kekelē o cystocele he wahine kahi:
ʻAno | Hiʻona | Lapaʻau |
Papa 1- māmā | Hāʻule ka pāpaʻi liʻiliʻi i ka lua, me ka ʻole o nā ʻōuli | Nā hana pelvic + Hoʻololi ke ola |
Papa 2 - kaulike | Ke hiki i ka puhaka i ka wehe o ka lua | Physiotherapy + Pelvic Exercises + ʻoki kino |
Papa 3 - koʻikoʻi | Ke puka aku ka puhaka ma loko o ka lua | ʻOki kino + Physiotherapy + Nā hana pelvic |
Papa 4 - koʻikoʻi loa | Puka piha o ka puhaka ma o ka lua | ʻOki kino koke |
1. Nā hoʻoikaika kino no ka mimiko haʻahaʻa
Hōʻike ʻia nā hana Kegel no nā hihia ʻoi aku ka paʻakikī, kahi i hāʻule ai ka wahine i ka hāhā a i ʻole nā mākala pelvic nāwaliwali, me nā ʻōuli liʻiliʻi, a no laila ʻaʻole hōʻike ʻia ke ʻoki. Pono e hana i kēia mau hana i kēlā me kēia lā i mea e loaʻa ai ka hopena i manaʻo ʻia a maikaʻi loa ke hana pololei ʻia.
Pehea e hana ai i nā hana kegel:
- Empty the bladder;
- Kuhi i ka mākala pubococcygeal: e hana i kēia, hoʻāʻo e hōʻoki i ke kahawai pee i ka manawa e urination ai;
- E hoʻopaʻa hou i ka mākala pubococcygeal ma hope o ka mimiki ʻana e ʻike pono ʻoe pehea e ʻaelike pono ai i ka mākala;
- Hana i nā kuʻikuʻi mākala he 10 i ka lālani;
- Hoʻomaha no kekahi mau manawa;
- Hoʻomau hou i ka hoʻoikaika kino, e hana ana ma kahi o 10 set of 10 contraction i kēlā me kēia lā.
Hiki ke hana i nā hana Kegel i kēlā me kēia kūlana, inā e noho ana, e moe ana a i ʻole e kū ana, a hiki ke hana ʻia me ke kōkua o nā pōpō gymnastic. Eia naʻe, ʻoi aku ka maʻalahi o ka hoʻomaka ʻana ma ka moe ʻana i lalo me kou mau wāwae i kūlou. E nānā i nā kikoʻī hou aʻe i kēia wikiō:
Pehea e hana ai i nā gymnastics hypopressive:
Hōʻike ʻia kekahi o nā gymnastics Hypopressive e hakakā i ka pale haʻahaʻa no ka mea kōkua ia i ka hoʻoikaika ʻana i nā mākala pelvic papahele. E hana:
- Inhale maʻamau a ma hope o ka hoʻokuʻu ʻana i ka ea āpau, a hoʻomaka ka ʻōpū e hana kuʻikahi nona iho a laila 'shrink the ʻōpū', omo i nā ʻōpū ʻōpū i loko, me he mea lā e hoʻāʻo ana e hoʻopā i ka piko i ka hope.
- Pono e mālama ʻia kēia contraction no 10 a 20 kekona i ka mua a, i ka hala ʻana o ka manawa, hoʻonui iki i ka manawa, ke koena ka lōʻihi me ka hanu ʻole.
- Ma hope o ka haki, hoʻopiha i kou mau māmā me ka ea a hoʻomaha loa, hoʻi i ka hanu maʻamau.
E ʻike i kēlā me kēia ʻāpana o nā hana hypopressive i kēia wikiō:
2. Physiotherapy no ka haʻahaʻa bladder
I ka physiotherapy, me ka hoʻohui i nā hana i hōʻike ʻia ma luna, aia kekahi mau mea ʻē aʻe, e like me ka hoʻohana ʻana i ka pessary, kahi mea liʻiliʻi e lawelawe ai i loko o ka ʻōpū e kōkua ai i ka paʻa i ka maʻi ʻaʻai. He mau pōpō kēpau kēpau ia o nā kaupaona like ʻole i hiki ke hoʻokomo ʻia i loko o ka ʻōpū i ka wā o ka hoʻoikaika kino.
Hiki ke hoʻohana ʻia nā kumuwaiwai ʻē aʻe i ka stimulate uila intravaginal a i ʻole biofeedback, nā mea hana e kōkua i nā wahine e makaʻala i ko lākou mau puʻupuʻu pelvic, i mea e kōkua pono ai i ka hana o nā hana.
ʻO ka physiotherapy i ke olakino wahine e pili ana i nā kau pākahi, mai 30 mau minuke a 1 hola, a pono e hana ʻia ma ka liʻiliʻi i hoʻokahi manawa i ka pule, ʻoiai pono e hoʻokō ʻia nā hana, ma ka home, i kēlā me kēia lā. E ʻike i nā kikoʻī hou aku no ka physiotherapy no ka incontinence urinary.
3. Nā hoʻoponopono no ka bladder haʻahaʻa
Hiki ke hoʻohana ʻia kekahi mau lāʻau i kūkulu ʻia me ka estrogen i ka manawa o ka menopause e kōkua ai i ka mālama ʻana i nā ʻōuli o ka cystocele, no laila hōʻike pū ʻia ka hōmona i ka wā o ka menopause i mea e kōkua ai i kekahi mau wahine. E aʻo hou aʻe i nā kikoʻī e pili ana i ka hoʻoliʻiliʻi hormone.
4. ʻoki kino haʻahaʻa
ʻO ke kāpili Cystocele ka hoʻoikaika ʻana i nā hanana o ka pelvic ʻāpana e hoʻihoʻi i ke kūlana kūpono o ka ʻai, kōpū a me nā hale āpau i hāʻule '. ʻO ka manawa maʻamau hoʻonohonoho ke kauka i kahi 'upena' e lawelawe ai i kākoʻo no nā kino pelvic, kahi mea maikaʻi loa, e hōʻike nui ʻia ana no nā hihia koʻikoʻi loa.
Hiki ke hana ʻia kēia ʻano ʻokiʻoki ma o ka laparotomy a i ʻole ka ʻoki ʻana i ka ʻōpū, me ka anesthesia ākea a i ʻole ka lehulehu, akā e like me nā mea ʻē aʻe āpau he mau pōpilikia ia, e like me ka perforation o nā meaola, ke kahe ʻana o ke kō, ka maʻi, nā ʻeha i ka wā o ka pilina a me ka hoʻi ʻana o ka hoʻomau urinary, i kekahi mau hihia .
Wikiwiki ka ʻoki kino a hoʻokipa ʻia ka wahine ma ka hale maʻi ʻo 2 a 3 mau lā wale nō, akā pono pono e hoʻomaha i ka home a pale i ka hoʻoikaika ʻana i ka pule mua ma hope o ke ʻoki. E ʻike i nā kikoʻī hou aʻe o ka hoʻōla ʻia mai kēia ʻano ʻoki ʻana ma: ʻoki kino no ka incontinence urinary.