Pehea ka hopena o Menopause iā OAB?

Anter

• Nā ʻōuli o OAB
• Kūleʻa nā pae Estrogen i ka wā o ka menopause
• Hoʻopili ka Estrogen i kāu bladder a me kou urethra
• ʻO ka hānau keiki, hōʻeha, a me nā kumu ʻē aʻe
• He aha kāu e hana ai e hoʻokele iā OAB?
• Nā Lapaʻau
• Kōkua paha ka hoʻololi ʻana i ka estrogen?
• E hana i kahi manawa me kāu kauka

ʻO nā hōʻailona a me nā ʻōuli o ka menopause

Hoʻomaopopo ʻia ka menopause ma ke ʻano he menstrual hope loa a ka wahine e ʻike ai. E kānalua paha kāu kauka i ka menopause inā he 12 mau mahina pololei o nā kau ʻole. I ka manawa i hiki mai ai, ua pau nā pōʻai ʻana o kāu menstrual ma o ka wehewehe ʻana.

ʻO ka manawa e piʻi i mua i ka menopause ʻike ʻia ʻo perimenopause. I ka perimenopause, hele kou kino i nā loli i ka pae hormonone. Hiki i kēia mau hoʻololi ke hoʻomaka i mau makahiki ma mua o kāu menopause maoli a hiki ke kumu i nā ʻōuli. Ma hope o ka perimenopause menopause, ka hopena o kāu manawa.

ʻO ka hapa nui o nā wahine i hōʻea i kēia wā o ke ola e nā kanahā mau makahiki a i ʻole nā ​​kanalima. ʻO ka makahiki maʻamau o ka menopause ma ka US he 51.

Ma mua a i ka wā menopause, ʻike paha ʻoe i kekahi mau hōʻailona a me nā ʻōuli, e like me:

• he hoʻololi i kāu manawa i ʻokoʻa mai kāu pōʻaiapuni maʻamau
• nā kukuna wela, a i ʻole ke ʻano wela o ka wela i ka ʻaoʻao luna o kou kino
• pilikia me ka hiamoe
• ke hoʻololi nei i nā manaʻo e pili ana i ka moekolohe
• loli ke kino a me ke ʻano
• loli me kou lua
• nā hoʻololi i ka kaohi o ka ʻai

Hiki i kēia mau hoʻololi i ke kaohi o kāu bladder ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i kahi bladder overactive (OAB). Ua hōʻike ʻia nā wahine he 351 ma Kina he 7.4 ka pākēneka he OAB. Ua ʻike pū lākou i ka nui o ka makaʻu o ka wahine me nā ʻōuli menopausal no ka OAB a me nā ʻōuli o OAB.

Nā ʻōuli o OAB

ʻO ka OAB kahi manawa no kahi hōʻiliʻili o nā ʻōuli e pili ana i ka kaohi o ka maʻi ʻaʻa. Pākuʻi ʻia paha kēia mau ʻōuli:

• ʻimi pinepine aʻe
• ke ʻimi nei i nā ʻōlelo kūpilikiʻi e heʻe aku
• ka loaʻa ʻana o ka pilikia i ka hele ʻana i ka lua a me ka ʻole o ka mimi mua ʻana
• pono e mimi i ʻelua a ʻoi mau manawa i ka pō

I ka ʻelemakule makahiki, hiki i kēia mau hōʻailona ke hoʻonui i kou makaʻu no ka hāʻule, keu hoʻi ke holo wikiwiki ʻoe i ka lua. Pili pū ka makahiki ʻelemakule me ka osteoporosis, no laila ʻoi aku ka nui o ka hewa o ka hāʻule. ʻImi pū kekahi me nā wahine ʻelemakule me OAB a me ka hoʻomau ʻole i ka nui o ka makaʻu no ke kīnā ʻole, ka helu pono ʻole ʻana iā ia iho, ka maikaʻi o ka hiamoe, a me ka maikaʻi holoʻokoʻa.

E hana i kahi manawa me kāu kauka inā ʻike ʻoe i kahi loli i kāu urinary a i ʻole nā ​​hōʻailona bladder. Inā ʻike pinepine ʻoe i ka makemake nui e mimiki paʻakikī e kaohi, loaʻa iā ʻoe ka OAB.

Kūleʻa nā pae Estrogen i ka wā o ka menopause

Hoʻopili ka Estrogen i kāu bladder a me kou urethra

ʻO ka OAB ma muli o ka menopause he hopena paha o ka hoʻololi ʻana i nā pae estrogen. ʻO Estrogen ka hormone wahine wahine mua. Hana kāu ovaries i ka hapa nui o kāu estrogen. Pono ia i kou olakino a me ka ʻōnaehana hānau. Hoʻopili pū ia i ke olakino o nā mea ʻē aʻe a me nā mea i loko o kou kino, e pili ana i kou mau puʻupuʻu pelvic a me kāu wahi urinary.

Ma mua o ka menopause, kōkua ka lako mau o ka estrogen i ka mālama ʻana i ka ikaika a me ka maʻalahi o kāu pelvic kākoʻo a me nā ʻaʻa. Ma ka perimenopause a me ka menopause, hāʻule nui kāu pae estrogen. Hiki i kēia ke hoʻonāwaliwali i kou mau pūnaewele. Hiki i nā pae estrogen haʻahaʻa ke hāʻawi i ka kaomi muscular a puni kāu urethra.

Hiki paha i nā loli i nā pae hormone ke hoʻonui i ka makaʻu o nā maʻi urinary tract (UTIs) i ka wā perimenopause a me ka menopause. Loaʻa paha i nā UTI nā ʻōuli like e like me OAB. E kamaʻilio me kāu kauka e pili ana i nā hoʻololi hou i kāu ʻano mimi.

ʻO ka hānau keiki, hōʻeha, a me nā kumu ʻē aʻe

ʻO ka nui o ka makahiki kahi mea pilikia maʻamau no nā maʻi pelvic papahele, me OAB a me ka mimiki ʻole. Hiki i kekahi ʻano o ke ola ke hoʻopili i kāu ʻōpū. ʻO kahi laʻana, hiki i ka hāpai ʻana a me ka hānau hānau ʻana ke hoʻololi i ke kani o kou ʻōpū, kou mau puʻupuʻu pelvic, a me nā ligament e kākoʻo ai i kāu ʻōpū.

Hiki ke hōʻino ʻia ke aʻalolo mai nā maʻi a me nā ʻehaʻeha ma waena o ka lolo a me nā pūpū. Hiki i nā lāʻau, ʻalekohola, a me ka caffeine ke hoʻopili i nā hōʻailona i ka lolo a hana i ka wai i ka wai.

He aha kāu e hana ai e hoʻokele iā OAB?

Inā loaʻa iā ʻoe ka OAB, manaʻo paha ʻoe i ka pono e hele i kahi lumipaku - nui loa. Wahi a ka National Association for Continence, he hapaha o nā wahine makua e ʻike i ka incontinence urinary. ʻO ke kumu o ia ka hoʻokahe ʻana i ka mimi me ka makemake ʻole ke hoʻouna ʻoe i ka makemake e hele. ʻO ka mea pōmaikaʻi, aia nā ʻanuʻu hiki iā ʻoe ke lawe e hoʻokele iā OAB a hoʻohaʻahaʻa i kou makaʻi o nā ulia pōpilikia.

ʻO ka lālani mua o ka mālama ʻana no ʻOAB he lāʻau lapaʻau ʻole. Pākuʻi ʻia kēia:

Hoʻomaʻamaʻa Kegel: ʻIke pū ʻia hoʻi me nā pelvic papahele nā ​​mākala hoʻoikaika kino, kegels kōkua iā ʻoe e hoʻokū i kāu ʻōpū o ka pale o ka maʻi ʻaʻa ʻole. Eono a ʻewalu paha mau pule ma mua o kou ʻike ʻana i kahi hopena.

Hoʻomaʻamaʻa hou ʻana i ka ʻai. Hiki ke kōkua i kēia me ke kūkulu mālie ʻana i ka manawa hiki iā ʻoe ke kali e hele i ka lua i ka wā e pono ai ʻoe e mimi. Hiki iā ia ke kōkua i ka hoʻohaʻahaʻa i kou makaʻala no ka hoʻomau ʻole.

Pālua ka hakahaka: E kali i kekahi mau minuke ma hope o ka mimiki ʻana a hele hou e hōʻoia i ka nele loa o kāu ʻōpū.

Nā pale komo Hiki ke kōkua i nā ʻaahu liner me ka incontinence i mea e pono ʻole ai e hōʻoki i nā hana.

Mālama i kahi kaupaona olakino: Kau ke kaupaona ke kaomi ma luna o ka puhaka, no laila hiki i ka pohō kaumaha ke kōkua i ka hoʻomaʻalahi ʻana i nā ʻōuli.

Nā Lapaʻau

Hiki i kāu kauka ke kuhikuhi i nā lāʻau inā ʻaʻole holo pono ka kegels a me ka hoʻomaʻamaʻa hou ʻana i ka maʻi. Kōkua kēia mau lāʻau i ka hoʻomaha i ka puhū a hoʻomaikaʻi i nā ʻōuli o OAB.

Kōkua paha ka hoʻololi ʻana i ka estrogen?

ʻOiai ʻo ka emi ʻana o nā pae o ka estrogen e hoʻopili ai i kāu bladder a me ka urethra, ʻaʻole paha he hopena maikaʻi ka estrogen therapy. Wahi a ka Mayo Clinic, ʻaʻohe lawa nā ʻike ʻepekema e kākoʻo i ka hoʻohana ʻana o nā kalima estrogen a i ʻole nā ​​pāʻina e mālama iā OAB. ʻAʻole ʻae ʻia ʻo Hormone therapy no ka mālama ʻana iā OAB a i ʻole incontinence, a ua manaʻo ʻia he "hoʻohana inoa ʻole" no kēia mau ʻano.

Eia nō naʻe, ʻōlelo kekahi mau wahine kōkua nā mālama ʻana o ka estrogen topical i ke kaohi ʻana i kā lākou kahe urinary a me ka makemake e hele. Hiki i kēia mau mālama ke hoʻomaikaʻi i ke kahe o ke koko a hoʻoikaika i nā mea a puni kou urethra. E kamaʻilio me kāu kauka inā makemake ʻoe i ka hoʻōla hou hormon.

ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau i hōʻailona ʻia ʻo kahi lāʻau i ʻae ʻia e ka FDA no hoʻokahi kumu e hoʻohana ʻia no kahi kumu ʻē aʻe i ʻae ʻole ʻia. Eia nō naʻe, hiki i ke kauka ke hoʻohana i ka lāʻau no ia kumu. ʻO kēia no ka mea hoʻoponopono ka FDA i ka hoʻāʻo a me ka ʻae ʻana o nā lāʻau, akā ʻaʻole pehea e hoʻohana ai nā kauka i nā lāʻau e mālama ai i kā lākou mau maʻi. No laila, hiki i kāu kauka ke kuhikuhi i kahi lāʻau akā manaʻo lākou ʻoi aku ka maikaʻi no kāu mālama.

E hana i kahi manawa me kāu kauka

E hoʻonohonoho i kahi manawa me kāu kauka inā ʻoe:

• mimi ma mua o ʻewalu mau manawa i kēlā me kēia lā
• ala mau i ka pō e mimi
• ʻike pinepine i ka kahe ʻana o ka mimi
• ua loli i kāu mau hana e lawe ai i nā ʻōuli o OAB a i ʻole ka urinary incontinence

Mai hoʻokuʻu iā OAB e hoʻopilikia i kāu leʻaleʻa i nā hana o kēlā me kēia lā. Kūpono nā mālama ʻana no ka OAB a hiki ke kōkua iā ʻoe e ola i kahi ola olakino.