ʻO Sclerosis Multiple a me ka Incontinence

Anter

• No ke aha MS kumu incontinence?
• Nā mālama ʻana no ka incontinence o ka bladder
• Nā Lapaʻau
• ʻO ka stimutan tibial nerve stimulus
• Pākuʻi kino pelvic papahele
• InterStim
• Nā inikua BOTOX
• Nā mālama ʻana ma ka home no ka incontinence o ka ʻai
• Hoʻololi kūkaʻi pilikino
• Ka lawe ʻana i ka wai mālama
• Nā mālama no ka incontinence ʻōpū e pili ana i ka MS
• Ke hoʻokumu nei i nā ʻano olakino
• Komo i ka hoʻoikaika kino hana
• E noʻonoʻo i kahi papahana hoʻomaʻamaʻa ʻōpū
• Ke pale nei i nā meaʻai i ʻike ʻia e hāʻawi i ka incontinence
• Aia kekahi mau pilikia no ka incontinence MS?
• Nā ʻōlelo aʻoaʻo no ka hoʻopā a me ke kākoʻo

He aha nā sclerosis maha?

ʻO ka sclerosis maha (MS) kahi kūlana kahi e "hoʻouka" ai ke kino o ke kino i ka myelin i ka ʻōnaehana waena. ʻO Myelin kahi momona momona e hoʻopuni a pale i nā olonā nerve.

Me ka ʻole o ka myelin, hiki ʻole i nā ʻume a i ʻole mai ka lolo ke huakaʻi pū kekahi. Hoʻokumu ʻo MS i nāʻiʻo makaʻu a puni nā aʻa aʻa. Hiki i kēia ke hoʻololi i nā hana o ke kino, me ka bladder a me ka ʻōpū.

Wahi a ka National MS Society, ma kahi o 80 pākēneka o ka poʻe me MS i ʻike i kekahi kekelē o ke kīnā o ka maʻi bladder. Hana kēia inā hoʻopau ka pale pale i MS i nā hunaola nerve e hele i ka ʻōpū a i ʻole ke kōkō.

Inā ʻike ʻoe i ka incontinence e pili ana i kāu MS, loaʻa nā lāʻau a me ke kākoʻo.

No ke aha MS kumu incontinence?

Ke hoʻomaka a piha kou ʻōpū a kīʻaha paha, hoʻouna kou kino i nā hōʻailona i kou lolo e pono ʻoe e hele i ka lua. Ke hiki ʻoe i ka lua, lawe i kou lolo i nā hōʻailona i kou ʻōpū a i ʻole pākuʻi ua maikaʻi ia e kāpae i kāu ʻōpū a i ʻole ke neʻe o kou ʻōpū.

Ke luku ʻo MS i ka myelin, hana ia i nā wahi ʻili i kapa ʻia he lesions. Hiki i kēia mau leona ke hoʻopau i nā ʻāpana o ke ala o ka lawe ʻana mai ka lolo i ka pūpū a me ka ʻōpū.

Hiki i nā hopena ke pale i ka wai e piha ʻole, overactive, a i ʻole ʻaʻole paʻa maikaʻi ka mimi. ʻO nā laʻana o nā hōʻailona e pili ana i kekahi me MS i kā lākou bladder:

• paʻakikī e paʻa i ka mimi
• pilikia i ka hoʻomaka ʻana i kahi kahawai
• me ka manaʻo e like me ka ʻole e hakahaka loa ka ʻōpala
• pono e hele i ka lua i ka lua i ka pō
• me ka mimi pinepine

Nui nā poʻe me MS ka ʻike i kahi bladder overactive. Hiki i ka MS ke hoʻopili i nā aʻalolo e hoʻoili i nā mākala e kuleana no ka waiho ʻana i kou ʻōpū. Hiki i nā hopena ke paʻa i ka constipation, incontinence, a i ʻole ka hui ʻana.

Nā mālama ʻana no ka incontinence o ka bladder

Loaʻa nā lāʻau olakino a me nā ʻano nohona e mālama ai i ka incontinence pākuʻi e pili ana i ka MS. ʻO nā laʻana o nā hana lapaʻau e like me:

Nā Lapaʻau

Hiki i kekahi mau lāʻau lapaʻau ke hōʻemi i ka hanana o ka incontinence i kekahi me MS. Pono e noʻonoʻo kāu kauka i nā lāʻau āu e lawe nei e pili ana i kāu MS a me nā kūlana olakino ʻē aʻe.

Kapa ʻia nā lāʻau lapaʻau maʻamau no ka mālama ʻana he anticholinergics. Hoʻoemi kēia mau lāʻau i ka hanana o nā kuʻina muscle.ʻO nā laʻana me ka oxybutynin (Ditropan), darifenacin (Enablex), imipramine (Tofranil), tolterodine (Detrol), a me ka trospium chloride (Sanctura).

Loaʻa i kēlā me kēia lāʻau lapaʻau kahi hoʻonohonoho ponoʻī o nā hopena ʻē aʻe e like me ka hiamoe, waha maloʻo, a me ka paʻa paʻa. He mea nui e kūkākūkā i nā pilikia a me nā pono me kāu kauka.

ʻO ka stimutan tibial nerve stimulus

Hoʻopili kēia mālama no ka bladder overactive i ka hoʻokomo ʻana i kahi electrode liʻiliʻi ma o ka nila i loko o kou kuʻekuʻe wāwae. Hiki i ka electrode ke hoʻoili i nā impulses nerve i nā aʻalolo e hoʻopili i kou ʻōpū a me kou pūpū. Lawe pinepine ʻia kēia hana no 30 mau minuke i hoʻokahi pule no 12 mau pule.

Pākuʻi kino pelvic papahele

Hoʻopili kēia hana i ka hana ʻana me ka pelvic papa hana hoʻoponopono kino i loea i ka hoʻolaha ʻana i nā hoʻoikaika kino e hoʻonui ai i ka ikaika o kāu mau puʻupuʻu pelvic. Hiki i kēia ke hoʻomaikaʻi i kou kaohi i ka urination, nā mea ʻelua no ka hoʻopaʻa ʻana i kou mimi, a no ka hoʻonele ʻana i kāu ʻōmole.

InterStim

Pili kēia hana i kahi kauka lūlū e hoʻokomo i kahi hāmeʻa ma lalo o kou ʻili e hiki ai ke hoʻonāukiuki i nā ʻalalā kapu. Hiki i kēia ke hōʻemi i nā ʻōuli o ka bladder overactive, ka hoʻomau o ka ʻōpū, a me ka paʻa ʻana o ka mimi.

Nā inikua BOTOX

ʻO BOTOX kahi ʻano ʻona botulinum i ʻae ʻia e ka FDA e hiki ai ke hōʻeha i nā mākala overactive. ʻO nā inikina BOTOX i loko o nā mākala bladder kahi koho no ka poʻe i pane ʻole a i ʻole hiki ʻole ke lawe i nā lāʻau e hōʻemi i nā spadms bladder.

Hāʻawi ʻia kēia lapaʻau ma lalo o ka anesthesia. Hoʻohana ke kauka i kahi laulā kūikawā e nānā i ka loko o kāu kīʻaha.

Nā mālama ʻana ma ka home no ka incontinence o ka ʻai

E paipai paha kahi kauka iā ʻoe e hoʻohui i nā hana ma ka home i kāu hoʻolālā lapaʻau maʻamau. Aia kēia mau koho i:

Hoʻololi kūkaʻi pilikino

Pili pono ka catheterization iā ʻoe iho i ka hoʻokomo ʻana i kahi paipu liʻiliʻi a lahilahi i loko o kāu urethra. ʻAe kēia iā ʻoe e haʻalele piha i kāu ʻōpū.

E hoʻēmi ia i nā hanana o ka leakage i ka lā. Hiki i kekahi poʻe ke catheterize iā lākou iho a i ʻehā mau manawa i kēlā me kēia lā.

Ka lawe ʻana i ka wai mālama

ʻAʻole pono ʻoe e ʻokiʻoki i ka lawe ʻana i ka wai no ka mea hiki ke hoʻonui i kou makaʻu no ka ʻeha puʻuwai koʻikoʻi (AKI). Eia naʻe, inā ʻoe e hōʻalo i ka inu ʻana i ka wai ma kahi o ʻelua mau hola ma mua o ka hiamoe, ʻaʻole pono ʻoe e hoʻohana i ka lua i ka pō.

Hiki iā ʻoe ke hana i nā ʻanuʻu e hōʻoia ai ke puka ʻoe i waho hiki iā ʻoe ke hele wikiwiki i kahi lumipaku. E hoʻolālā paha ʻoe i nā kū pinepine e hoʻohana i ka lumipaku e pili ana i kēlā me kēia ʻelua hola.

Hiki iā ʻoe ke komo i ka lole pale pale a i ʻole nā ​​pale. A mālama i kahi ʻeke liʻiliʻi a ʻeke paha me nā lako, e like me ke keu o ka lole komo ma lalo, ka pale, a i ʻole ka catheter hiki ke kōkua ke hele aku ʻoe mai ka home.

Nā mālama no ka incontinence ʻōpū e pili ana i ka MS

ʻO ka mālama ʻana i nā pilikia o ka ʻōpū ke hilinaʻi ʻia inā ʻoe e ʻike i ka constipation a i ʻole incontinence. Paipai pinepine nā kauka ma ka home a me nā mālama ʻana i ka papaʻai e paipai i ka maʻamau. Nā laʻana o nā ʻanuʻu hiki iā ʻoe ke lawe me:

Ke hoʻokumu nei i nā ʻano olakino

ʻO kekahi o nā kī i ka hele ʻana i nā pahu holo ʻoluʻolu e loaʻa ana ka lawa o ka wai i kēlā me kēia lā, maʻamau 64 auneke a i ʻole 8 mau kīʻaha wai. E hoʻonui nā Fluids i kāu ʻeke a e maʻalahi a maʻalahi hoʻi e hele.

ʻAi ʻoe i ka fiber lawa, i hiki ke hoʻohui i ka nui o kāu pahu. Pono ka hapa nui o ka poʻe ma waena o 20 a 30 mau lika i ka lā. ʻO nā kumulāʻau fiber maikaʻi loa e pili ana i nā meaʻai, nā huaʻai, a me nā mea kanu.

Komo i ka hoʻoikaika kino hana

Hiki i ka hoʻoikaika kino hoʻoikaika i kou ʻōpū a mālama iā ʻoe i nā manawa maʻamau.

E noʻonoʻo i kahi papahana hoʻomaʻamaʻa ʻōpū

Ua like kēia mau polokalamu me ka manaʻo o ka waiho ʻana i kou ʻōpū i nā manawa mau. Hiki i kahi kauka ke hana pū me ʻoe ke hiki ke hōʻoluʻolu hou aku i ka hele i ka lua i kēlā me kēia lā.

Hiki i kekahi poʻe ke "hoʻomaʻamaʻa" i ko lākou ʻōpū e neʻe i nā manawa i koho ʻia. Hiki i kēia polokalamu ke mālama i ʻekolu mau mahina e ʻike ai i nā hopena.

Ke pale nei i nā meaʻai i ʻike ʻia e hāʻawi i ka incontinence

Hoʻomaopopo ʻia kekahi mau meaʻai e hoʻonāukiuki i kou ʻōpū. Hiki i kēia ke kumu i ka incontinence. Nā laʻana o nā meaʻai e hōʻalo ai me nā meaʻai momona a me ka nīoi.

E kūkākūkā paha kāu kauka i nā hiki ʻole ke hoʻomanawanui, e like me ka hoʻomanawanui ʻole i ka lactose a i ʻole ka gluten, kahi e hōʻeha ai i nā hōʻailona incontinence.

Aia kekahi mau pilikia no ka incontinence MS?

ʻAʻole hiki i nā lapaʻau no ka incontinence pili i ka MS ke hoʻohuli i kāu mau ʻōuli. Akā nui lākou no ka hōʻoia ʻana ʻaʻole ʻoe e ʻike i nā hopena ʻaoʻao. ʻO kahi laʻana, ʻoi aku ka makaʻu o ka poʻe i hiki ʻole ke hoʻowahāwahā loa i kā lākou mau ʻaʻa.

Inā hopena kāu incontinence i nā maʻi palahalaha a i ʻole nā ​​UTI, hiki i kēia ke hōʻemi i kou olakino holoʻokoʻa. I kekahi manawa hiki i nā UTI ke hoʻoulu i nā pane pale ʻē aʻe i kahi kanaka me MS. ʻIke ʻia kēia ma ke ʻano he relse pseudo.

Loaʻa paha i kahi kanaka i kahi pseudo relaps i nā ʻōuli MS ʻē aʻe, e like me ka nāwaliwali o nā mākala. Ke mālama pono ke kauka i ka UTI, hele pinepine ka pseudo relaps hōʻailona.

Eia kekahi, hiki i ka maʻi bladder a me ka bowel ke alakaʻi i nā maʻi o ka ʻili. Kāhea ʻia ka maʻi ʻoi loa ka urosepsis, a he mea make ia.

ʻO ka ʻimi ʻana i nā lāʻau i ka wā hiki loa ke kōkua i ka hoʻolohi a hoʻolohi paha i ka holomua o nā hōʻailona incontinence pili i ka MS. Hiki i kēia ke hoʻēmi i ka likelika i hiki i kou ʻōnaehana ke lilo i nāwaliwali a i ʻole spastic.

Ma waho aʻe o nā hopena ʻino o ke kuhi ʻole, hiki i nā hopena olakino noʻonoʻo. Pale ka poʻe me MS i ka hele ʻana i ka lehulehu no ka makaʻu e loaʻa iā lākou kahi hanana incontinence. Hiki i kēia ke alakaʻi i ka haʻalele ʻana mai nā hoaaloha a me nā ʻohana ka mea kōkua pinepine pinepine.

Nā ʻōlelo aʻoaʻo no ka hoʻopā a me ke kākoʻo

Kamaʻilio hāmama me kāu kauka e pili ana i kāu mau hōʻailona incontinence a me ka hana ʻana i nā hopena he mau papa hana maikaʻi.

Loaʻa nā pūʻulu kākoʻo no kēlā me MS a me ko lākou mau ʻohana. ʻAe kēia mau pūʻulu iā ʻoe e kaʻana like i kāu mau makaʻi a me kāu mau hopohopo, a lohe i nā ʻōlelo aʻoaʻo a me nā haʻina mai nā poʻe ʻē aʻe.

Hiki iā ʻoe ke kipa i ka ʻAoʻao Pūʻulu Kākoʻo National MS Society e nānā no kahi hui kākoʻo i kou wahi. Inā ʻaʻole ʻoe ʻoluʻolu me kahi hui kākoʻo o ke kanaka, aia nā pūʻulu kākoʻo pūnaewele.

Aia kekahi mau hui e kākoʻo i ka poʻe me ka hopohopo incontinence. ʻO kahi laʻana ka National Association for Continence, nona nā papa leka a hoʻonohonoho i nā hanana.

Hiki i kāu hui olakino ke kōkua pinepine iā ʻoe e ʻike i nā kumuwaiwai kūloko ma ia wahi. A hiki iā ʻoe ke kamaʻilio me nā lālā o ka ʻohana hilinaʻi a ʻoiai paha ʻaʻole maopopo mau iā lākou i kēlā me kēia hōʻailona āu e loaʻa nei.

I kekahi manawa e hoʻomaopopo iā lākou pehea e hiki ai iā lākou ke kōkua iā ʻoe, e like me ke ʻohi ʻana i nā wahi no ka hoʻākoakoa ʻana me nā lumipaku hiki ke maʻalahi, hiki ke hoʻololi i kou olakino.