ʻO ka Incontinence Kāne: He aha kāu e ʻike ai
Anter
- He aha nā hōʻailona?
- He aha ke kumu o ka incontinence kāne?
- ʻO wai ka mea e makaʻala no ka incontinence kāne?
- Pehea kēia maʻi?
- Nā koho lapaʻau incontinence kāne
- Hoʻololi ka nohona
- Nā lāʻau a me nā lāʻau
- Nā ʻākena bulking
- ʻOki kino
- Nā hāmeʻe incontinence kāne
- E noho nei me ka mikiā incontinence
- Outlook
- Hiki ke pale aku i ka incontinence kāne?
- Pono 'oe
He mea maʻamau ka mālama kāne ʻole?
ʻO ka incontinence urinary (UI) ke kumu o ka liʻihue ʻole o ka mimi. ʻAʻole ia he maʻi, akā ʻo kahi hōʻailona o kahi kūlana ʻē aʻe. Kuhi kēia pilikia olakino i kumu e nalo ai ke kaohi o ka maʻi ʻaʻa.
ʻIke nā kāne a me nā wahine iā UI. Hoʻonui ka helu o ka poʻe hoʻomohala iā UI me ka makahiki. Heʻoiaʻiʻo loa kēia no nā kāne. E ʻike paha nā kāne ʻelemakule i ka UI ma mua o nā kāne ʻōpio.
Kuhi ʻia he 11 a 34 mau pākēneka o nā kāne ʻelemakule i kekahi ʻano UI. ʻElua a 11 pākēneka o nā kāne makua e hana me nā ʻōuli o UI i kēlā me kēia lā. Hiki i kekahi mau kāne ke ʻike ma mua o hoʻokahi ʻano o ka incontinence.
Ma aneʻi, e aʻo hou ʻoe e pili ana i ka UI, ke kumu o ia, pehea e mālama ai, a pehea e hoʻomaʻamaʻa ai i ke ola me nā ʻōuli.
He aha nā hōʻailona?
ʻO ka urinary incontinence kahi hōʻailona o kekahi ʻano a i ʻole pilikia. Hiki i kekahi ʻano UI ke hana i nā hōʻailona ma ka hoʻohui o ka mimi kulu.
ʻO kēia mau ʻano UI a me nā ʻōuli e pili pū ana:
- ʻO ka incontinence wikiwiki: ʻIke ʻoe i kahi pono nui, mimiki e pono ai ka mimi, a ukali ʻia e nā leka liʻiliʻi.
- ʻO ka incontinence koʻikoʻi: Lawe ʻia ka liʻiliʻi urine e nā neʻe wikiwiki a i ʻole ke kaomi, e like me ke kahe ʻana.
- Hoʻonui i ka incontinence: Piha loa kāu kīʻaha i loaʻa i kāu leakage.
- Paahana incontinence: Nā kīnā kīnā ʻole, nā mea keakea, a i ʻole ka paʻakikī e kamaʻilio i kāu pono e mimi e ālai iā ʻoe mai ka hana ʻana i ka lua i ka manawa kūpono.
- Hewa incontinence: ʻO kēia UI kūmau ka hopena pinepine o kahi manawa pōkole, e like me ka maʻi urinary tract. He hopena ʻē aʻe paha ia o ka lāʻau lapaʻau a i ʻole ka pilikia lapaʻau.
- Hoʻohui Incontinence: Kūhewa ʻole i hāʻule i loko o ʻelua a ʻoi paha o nā mahele i luna.
ʻIke like nā kāne a me nā wahine i nā hōʻailona like o UI. Kuhi nā ʻōuli āpau i kahi pilikia me ka mālama ʻana i ka maʻi ʻaʻai a me ka liu.
He aha ke kumu o ka incontinence kāne?
Ke kuhi nei i ke kumu kumu o nā ʻōuli UI hiki ke kōkua iā ʻoe a me kāu kauka e hoʻomaka i ka lāʻau.
Nā kūlana i kumu pinepine ai iā UI e:
- ʻūhā mau
- kōpaʻa
- momona
- ka maʻi ʻaʻai a i ʻole nā maʻi maʻi urinary tract
- he mea keakea i ke kaha urinary
- papakū pelvic nāwaliwali a i ʻole nā mākeke o ka ʻai
- nalo o ka ikaika sphincter
- pōʻino nerve
- prostate hoʻonui ʻia
- maʻi ʻaʻai prostate
- nā maʻi neurological, ka mea hiki ke hoʻopilikia i nā hōʻailona kaohi o ka bladder
Nā ʻano nohona ʻē aʻe e alakaʻi aku ai iā UI:
- puhipaka
- inu ana
- aole hooikaika kino
ʻO wai ka mea e makaʻala no ka incontinence kāne?
Inā loaʻa iā ʻoe hoʻokahi a ʻoi paha o kēia mau kumuhana pilikia, hiki paha iā ʻoe ke hoʻomohala iā UI. ʻO kēia mau kumuhana pilikia:
Makahiki: Hoʻolālā paha nā kāne i ka UI ke ulu a makua. ʻO kēia paha ka hopena o nā hoʻololi o ke kino e paʻakikī i ka hoʻopaʻa ʻana i ka mimi. ʻO kekahi mau maʻi a i ʻole nā kūlana i lilo i mea maʻamau me ka ʻelemakule, a ʻo ka nalo ʻana o ka kaohi o ka maʻi ʻaʻa he hōʻailona like paha.
Ka nele o ka hoʻoikaika kino: Hiki i ka hana kino ʻana ke hoʻonui i ka liu o ka mimi, akā ʻaʻole ka hoʻoikaika kino ʻana e hoʻonui i kou makaʻu no ke kaupaona a hoʻemi i ka ikaika holoʻokoʻa. Hoʻonui paha kēia i nā ʻōuli o UI.
Nui loa: Hiki ke kau kaupaona ma kāu midsection i ke kaomi pono ʻole ma luna o kāu ʻōpū.
Mōʻaukala o kekahi mau ʻano: ʻO ka maʻi ʻaʻai Prostate, kahi prostate hoʻonui ʻia, a me nā mālama ʻana no kēia ʻano e hiki ai i ka UI kūmau a paʻa paha. Hiki i ka maʻi diabetes ke alakaʻi iā UI.
Nā pilikia Neurological: ʻO nā maʻi e like me ka maʻi o Parkinson, ka maʻi o Alzheimer, a me nā sclerosis he nui e hiki ke hoʻopilikia i ka hiki i kou lolo ke hōʻailona pono i kāu ʻōpū a me ka mimi.
Nā hemahema hānau: Hiki paha iā ʻoe ke ʻike iā UI inā ʻaʻole i pololei ke ʻano o kāu urinary tract i ka ulu ʻana o ka fetal.
Pehea kēia maʻi?
Kū pololei kahi kuhi no UI. ʻO ka ʻike ʻana i ke kumu kumu o UI e lawe i kahi manawa hou aku. No ka loaʻa ʻana o kahi hōʻailona, e hoʻomaka kāu kauka ma ka loiloi ʻana i kāu mōʻaukala olakino. Mai laila mai, pono paha i nā hoʻokolohua hou aʻe. Pākuʻi ʻia kēia mau mea:
ʻImi kino: Hiki i kahi hoʻokolohua kino ke kōkua i kāu kauka e ʻike i nā pilikia.
ʻO ka hoʻokolohua hoʻopili digital: Kōkua kēia hoʻokolohua i kāu kauka e ʻike i nā blockages i kou ākea. Kōkua pū kekahi iā ia e ʻike i kahi prostate hoʻonui ʻia.
Nā hōʻike hōʻoia: Lawe paha kāu kauka i nā laʻana o kou mimi a me kou koko e hoʻāʻo no nā ʻano kumu.
Nā koho lapaʻau incontinence kāne
Pili ka mālama ʻana no UI i ke kumu o ka pilikia. E hoʻopili paha kāu papa hoʻolālā i hoʻokahi a ʻoi mau loli nohona i hoʻohui ʻia me ka lāʻau. I kekahi mau hihia, pono paha i nā kaʻina hana ʻoi aku ka holomua a pono paha.
Hoʻololi ka nohona
Hoʻoponopono wai: ʻO ka ʻai ʻana a me ka inu ʻana i ka manawa a puni kāu mau hana e kōkua iā ʻoe e kaohi pono i kou makemake e hele. Ma kahi o ka inu ʻana i ka nui o ka wai a i ʻole nā mea inu ʻē aʻe i ka manawa hoʻokahi, inu i nā mea liʻiliʻi i nā manawa maʻamau i ka lā holoʻokoʻa.
Hoʻomaʻo bladder: Pono ka hoʻomaʻamaʻa bladder iā ʻoe e hoʻolohi i kahi huakaʻi i ka lua i kēlā me kēia manawa ke makemake ʻoe. Pono e hoʻonui ikaika i kāu ʻōpū a me kāu mimi.
Hiki i ke hoʻonohonoho ʻana i nā huakaʻi i ka lua ke kōkua iā ʻoe e pale i nā koi. Ke hele ʻoe, ʻimi ʻelua mau manawa, hoʻokahi manawa i loko o kekahi mau minuke o kekahi, hiki ke kōkua i ka hoʻopau ʻana i ka mimi hou aʻe.
Nā hoʻoikaika hoʻoikaika hoʻoikaika i ka mākala pelvic: Hoʻomaopopo pū ʻia kēia mau hana ma ke ʻano he hoʻoikaika kino Kegel. Hiki iā lākou ke kōkua iā ʻoe e kūkulu hou i ka ikaika a hoʻopaʻa i nā mākala i kou pelvis a me ka ʻōnaehana urinary tract.
Hiki i nā loli nohona ke hoʻopili:
- E hooikaika kino hou aku. Hiki iā ia ke kōkua iā ʻoe e lilo i ka paona, pale i ka constipation, a hoʻēmi i ke kaomi o kāu kīʻaha.
- E ʻokiʻoki i ka waiʻona a me ka caffeine. Hiki i kēia mau mea ke hoʻonāukiuki i kāu ʻōpū.
- Uoki ka puhipaka.
Nā lāʻau a me nā lāʻau
Hoʻohana ʻia kekahi mau ʻano lāʻau e mālama iā UI.
- Anticholinergics, e like me Oxybutynin (Ditropan), hiki ke hoʻomaha i nā mākala bladder overactive. Mālama lākou i nā bladder overactive a koi i ka incontinence.
- Hāʻawi ʻia nā Alpha-blockers, e like me tamsulosin (Flomax) no nā kāne i loaʻa a hoʻonui i ka prostate. Hiki i kēia ke kōkua i nā kāne me ka koi a i ʻole ka overontin incontinence e hoʻonui piha i kā lākou kīloi.
- Hiki i ka Mirabegron (Myrbetriq) ke hoʻomaha i nā mākala o ka pākeke a kōkua i ka hoʻonui ʻana i ka nui o ka mimi i hiki i kāu ʻōpū ke hoʻopaʻa. Hiki iā ia ke kōkua iā ʻoe i ka hoʻopau piha ʻana i kāu ʻōpū i kēlā me kēia manawa ke mimi ʻoe.
- Botulinum toxin type A (Botox) hiki ke injected i loko o kāu bladder e kōkua hōʻoluʻolu nā mākāhā bladder.
Nā ʻākena bulking
I kēia kaʻina hana, ua hoʻopili ʻia kahi mea synthetic i loko o nā aʻa a puni kou urethra. E hoʻokau kēia mea i kāu urethra a kōkua iā ia e pani ke ʻaʻole ʻoe e mimiki.
ʻOki kino
ʻO ke ʻoki kino kahi hopena hope loa. Hoʻohana mua ʻia nā ʻoki ʻelua i nā kāne:
Pāpale urinary sphincter (AUS) pāluna: Hoʻokomo ʻia ka pāluna a puni ka ʻāʻī o kou kīloi. Kōkua kēia i ka pani ʻana i ka sphincter urinary a hiki i ka manawa e mimi ai. Ke mākaukau ʻoe e mimi, ʻo ka valve i hoʻonoho ʻia ma lalo o kou ʻili e hoʻoliʻiliʻi ka baluna. Hoʻokuʻu ʻia ka mimi, a hoʻopiha hou ka pāluna.
Ke kaʻina Sling: E hoʻohana kāu kauka i ka lole a i ʻole kahi mea synthetic e hana i kahi ʻeke kākoʻo e pili ana i ka ʻāʻī o ka pūpū. ʻO kēia ala, paʻa paʻa ka urethra ke kūpeʻe ʻoe, ʻū, holo a ʻakaʻaka paha.
Ma hope o ke kaha ʻana, hoʻōla ka hapanui o nā kāne i ka haukapila. Lawe paha kēia i nā wahi mai kekahi mau hola a i kekahi mau lā. Hiki i nā kāne he nui ke haʻalele i ka haukapila i ka lā like me ke kaʻina hana.
Pono ʻoe e hāhai i nā kuhikuhi a kāu kauka no ka hoʻōla a me ka hoʻōla. Mai hoʻi i ka hana maʻamau a hiki i ka hōʻoia ʻana o kāu kauka he palekana ka hana ʻana pēlā. Pono kou kino i ka manawa e hoʻōla ai mai ke ʻoki ʻana, a pono ʻoe i kekahi mau lā e maʻa i nā hopena o ke ʻoki.
Nā hāmeʻe incontinence kāne
Ma mua o kou mākaʻikaʻi ʻana i ke kauka invasive, e ʻōlelo paha kāu kauka i kahi mea hana e hiki ai ke hōʻemi i kāu mau hōʻailona a pale paha i ka pono o ke ʻoki ʻana. Pākuʻi ʻia kēia:
ʻO Catheters: Hiki i kahi catheter ke kōkua iā ʻoe e hoʻoneʻe piha i kāu ʻōpū. Hoʻokomo ʻia kēia paipu lahilahi a maʻalahi hoʻi i loko o ka uretra a i loko o ka pākeke. Holo ka mimi i waho, a hemo ka catheter. Noho mau kahi catheter Foley i loko, akā hiki ke kumu i nā maʻi maʻi urinary.
Nā ʻōnaehana hōʻiliʻili mimi: Kūpono kahi catheter condom ma luna o ka peni a ʻohiʻohi i ka mimi e hemo mai. Hiki ke hoʻohana ʻia no kahi manawa pōkole wale nō. Hoʻonui ka hoʻohana lōʻihi i kou makaʻi no nā maʻi maʻi urinary a me ka hoʻonāukiuki o ka ʻili.
Nā kiaʻi lole komo: Hoʻopaʻa kūikawā ʻia nā pads absorbent i kou lole komo e komo i ka mimi. ʻAʻole kū kēia huahana i nā kahe, akā hiki iā ia ke kōkua i ka pale ʻana i nā kiko a i ʻole ka pulu.
E noho nei me ka mikiā incontinence
Hiki i ka incontinence urinary ke keʻakeʻa i nā ʻano he nui o kou ola. Hiki i ka mālama ʻana no ke ʻano kumu ke hōʻoluʻolu i kēia mau ʻōuli. Eia nō naʻe, hiki paha iā ʻoe ke hopohopo e pili ana i kekahi mau ʻano o kou ola.
ʻO nā hopohopo nohona me UI e pili pū ana:
Hana kino: ʻO ka hoʻoikaika kino ʻana, ka māla ʻana, a me ka holoholo ʻana he mea hoʻomaikaʻi i ka ʻimi ʻana i ke kino, akā inā he UI ʻoe, ʻano weliweli paha lākou. Hana pū me kāu kauka e loaʻa ka hilinaʻi i kāu papa hana lapaʻau a me nā hopena, no laila e ʻoluʻolu ʻoe e alualu i kāu mau hana punahele.
Hana moekolohe: Hōʻalo kekahi mau kāne a me nā wahine me UI i ka moekolohe. Hiki iā ʻoe ke moekolohe, akā pono ʻoe e hana i kekahi mau kaʻina ma mua.
Makemake ʻoe e:
- Hōʻalo i ka inu ʻana i ka caffeine a i ʻole ka waiʻona no kekahi mau hola ma mua o ka moekolohe.
- Hōʻalo i nā wai āpau i hoʻokahi hola ma mua o ka moekolohe.
- Empty kou bladder koke ma mua o ka wahine.
- E kau i kahi kāwele ma waena o ʻoe a me kāu pakanā a me kahi moe inā ʻoe e hopohopo e pili ana i nā kahe.
E wehe me kāu hoa. ʻO ke kamaʻilio ʻana i kāu mau mea e hopohopo ai hiki ke kōkua i ka hoʻopau ʻana i nā hopohopo āu e manaʻo ai.
Outlook
He mea nui e kamaʻilio me kāu kauka e pili ana i nā ʻōuli āu e ʻike nei a i ka wā i hoʻomaka ai. Hiki ke mālama maikaʻi ʻia nā pilikia hoʻomalu o ka ʻōpū. Hiki iā ʻolua ke hoʻomohala i kahi hoʻolālā lapaʻau e kōkua iā ʻoe e loaʻa hou ka kaohi o kāu pākeke a mālama i kou ola.
Hiki ke pale aku i ka incontinence kāne?
ʻAʻole hiki ke pale ʻia ka mimiki. ʻO nā kumu weliweli, e like me nā makahiki a me nā kūlana neurological, ʻaʻole loa ʻoe e kāohi.
Eia nō naʻe, hiki ke kāohi ʻia nā mea nohona. ʻO ka hōʻemi ʻana i kāu makaʻi no nā ʻano nohona e hāʻawi i ka UI e kōkua iā ʻoe e pale i ke ʻano. Loaʻa kēia mau ana:
Pono 'oe
- ʻAi i kahi papaʻai kaulike, hoʻoikaika pinepine, a lilo i ka nui o ke kaupaona. Kōkua kēia mau ana āpau i ka hoʻēmi ʻana i ke kaomi ma luna o kāu bladder a hāʻawi i ka ikaika a me ke olakino maikaʻi.
- Pale i ka paʻa paʻa. ʻO nā pilikia Gastrointestinal, e like me ka constipation, hiki ke hoʻonui i kāu makaʻikaʻi no UI. ʻO ka papaʻai olakino me ka nui o ka fiber a me ka hoʻoikaika mau e hiki ke pale i ka paʻa paʻa.
- Hōʻalo i nā mea hoʻonāukiuki. Hiki i ka waiʻona a me ka caffeine ke hoʻoulu i ka hana bladder, i kumu ʻia ai nā ʻōuli o UI ma kahi o ka manawa.
- Hoʻoikaika i nā mākala pelvic papahele. ʻAʻohe mea ʻino i ka hana mau ʻana i nā hana Kegel e mālama i nā mākala pelvic papahele i ikaika. Hiki i kēia ke kōkua i ke pale aku iā UI i ka wā e hiki mai ana.