ʻO ka incontinence overflow: He aha ia a pehea e mālama ʻia ai?

Anter

• He mea maʻamau kēia?
• He aha ke kumu o kēia a me ka mea i ka makaʻu
• Pehea e hoʻohālikelike ai i nā ʻano incontinence ʻē aʻe
• ʻIke i ka incontinence overflow
• Nā koho lapaʻau
• Hoʻomaʻamaʻa hana ma ka home
• Nā huahana a me nā pono lapaʻau
• Laau Lapaʻau
• ʻOki kino
• Lapaʻau no nā ʻano incontinence ʻē aʻe
• Nā hoʻoponopono hoʻoponopono
• Outlook

He mea maʻamau kēia?

Kū ka incontinence overflow inā ʻaʻole nele ka ʻōpala i ka wā e mimi ai ʻoe. Kulu ka liʻuliʻu o ka mimi i koe no ka mea ua piha loa kāu kīʻaha.

ʻAʻole paha ʻoe e ʻike i ka pono e mimi ma mua o ka hiki ʻana o nā kulu. ʻO kēia ʻano urinary incontinence i kapa ʻia i kekahi manawa ka dribbling.

Ma waho aʻe o ke kahe o ka mimi, ʻike paha ʻoe:

• ka pilikia e hoʻomaka ana i ka mimiki a me kahi kahawai nāwaliwali ke hoʻomaka koke ia
• e ala mau ana i ka pō e mimi
• nā maʻi maʻi urinary pinepine

ʻO ka nui o ka urinary incontinence i nā mākua makua. o ko ʻAmelika mau makahiki 65 a ʻoi paha i ʻike iā ia.

ʻO ka incontinence urinary ma ka laulā aia i loko o nā wahine e like me nā kāne, akā ʻoi aku ka nui o nā kāne ma mua o ka nui o ka incontinence o nā wahine.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i nā kumu, nā mea weliweli, mālama ʻana, a me nā mea hou aʻe.

He aha ke kumu o kēia a me ka mea i ka makaʻu

ʻO ke kumu nui o ka incontinence overflow ka paʻa ʻana o ka urinary, ʻo ia hoʻi ʻaʻole hiki iā ʻoe ke ninini i kāu ʻōpū. Pono paha ʻoe e mimi pinepine akā loaʻa ka pilikia e hoʻomaka ana i ka mimi a hoʻopau loa i kāu ʻōpū.

ʻOi aku ka maʻamau o ka hoʻopaʻa mimi ma nā kāne ma mua o ka wahine. I nā kāne, hana pinepine ʻia ia e ka benign prostatic hyperplasia, ʻo ia hoʻi ka hoʻonui ʻia ʻana o ka prostate akā ʻaʻole ka maʻi ʻaʻai.

Aia ka prostate ma ke kumu o ka urethra, kahi paipu e lawe i ka mimi mai ke kino o ke kanaka.

Ke hoʻonui ʻia ka prostate, kau ʻia kaomi i ka urethra, e ʻoi aku ka paʻakikī i ka mimiki. Hiki nō hoʻi i ka ʻōlepele ke lilo i mea hana nui, e hana ana i kahi kāne me kahi pākuʻi hoʻonui i ka makemake e mimi pinepine.

I ka hala ʻana o ka manawa, hiki i kēia ke hoʻonāwaliwali i ka mākeke o ka ʻai, e paʻakikī ana i ka ninini ʻana i ka ʻōpū. ʻO ka mimi i koe i loko o ka pākeke e hoʻopiha pinepine ai, a puka ka mimi i waho.

ʻO nā kumu ʻē aʻe o ka nui o ka incontinence i nā kāne a me nā wahine e komo pū ana:

• pōhaku bladder a i ʻole nā ​​tumors
• nā kūlana e hoʻopili i nā aʻalolo, e like me nā sclerosis (MS) he nui, diabetes, a i ʻole nā ​​ʻeha o ka lolo
• ʻoki kino pelvis mua
• kekahi mau lāʻau
• ʻōhumu nui o ka kōpū o ka wahine a i ʻole ka ʻai

Pehea e hoʻohālikelike ai i nā ʻano incontinence ʻē aʻe

ʻO ka incontinence overflow kekahi o nā ʻano o ka incontinence urinary. He mau kumu a me nā ʻano like ʻole kā kēlā me kēia.

ʻO ka incontinence koʻikoʻi: Hana ʻia kēia i ka hoʻoikaika kino ʻana, e like me ka lele ʻana, ʻakaʻaka ʻana, a me ka ʻeha ʻana, e kulu ai ka mimi.

Nāwaliwali nā kumu hiki a nāwaliwali paha nā mākala pelvic papahele, sphincter urethral, ​​a i ʻole ʻelua paha. ʻO ka maʻamau, ʻaʻole ʻoe e noʻonoʻo i ka pono e mimi ma mua o ka hiki ʻana o nā liu.

Hiki paha i nā wahine i hānau pēpē ke makaʻu no kēia ʻano incontinence no ka mea hiki ke hōʻino ʻia nā mākala pelvic a me nā aʻalolo i ka wā hānau.

Koi i ka incontinence (a i ʻole ka overad bladder): ʻO kēia ke kumu o ka ikaika nui, hiki koke ke mimiki ʻoiai ʻaʻole i piha kāu kīʻaha. ʻAʻole hiki iā ʻoe ke hoʻokau i ka lua i ka manawa kūpono.

ʻAʻole ʻike pinepine ʻia ke kumu, akā mālama ʻia i nā mākua makua. I kekahi mau hihia, he hopena ʻino ia o nā maʻi a i ʻole kekahi mau ʻano, e like me ka maʻi o Parkinson a i ʻole MS.

Hoʻohui kūpono ʻole: ʻO kēia ka loaʻa iā ʻoe o ke koʻikoʻi a koi i ka incontinence.

ʻO nā wahine me ka incontinence maʻamau i kēia ʻano. Hana ʻia ia i loko o nā kāne i wehe ʻia i kā lākou prostate a i ʻole ua ʻoki ʻia no kahi prostate hoʻonui ʻia.

Hoʻohāiki reflex: Hoʻokumu ʻia kēia e nā aʻa ʻino i hiki ʻole ke aʻoaʻo i kou lolo ke piha kou ʻōpū. Hana ʻia ia i ka poʻe me ka pōʻino neurological koʻikoʻi mai:

• ʻeha nā iwi kuamoʻo
• MS
• ʻoki kino
• lāʻau hoʻomākalakala

Paahana incontinence: Hana ʻia kēia ke pili ʻole kahi pilikia i ka maʻi urinary e loaʻa iā ʻoe nā ulia.

Kahi kikoʻī, ʻike ʻole ʻoe pono ʻoe i ka mimi, ʻaʻole hiki ke kamaʻilio e pono ai ʻoe e hele, a i ʻole hiki ʻole i ke kino ke hele i ka lua i ka manawa kūpono.

Hiki i ka hana hana ʻole ka hopena o:

• lualua
• Maʻi ʻo Alzheimer
• ka maʻi noʻonoʻo
• kīnā o ke kino
• kekahi mau lāʻau

ʻIke i ka incontinence overflow

E noi paha kāu kauka iā ʻoe e mālama i kahi diary bladder no hoʻokahi pule a ʻoi paha ma mua o kāu koho ʻana. Hiki i kahi diary bladder ke kōkua iā ʻoe e ʻike i nā lauana a me nā kumu kūpono no kou incontinence. No kekahi mau lā, e hoʻopaʻa:

• ʻehia kāu inu
• ke mimi ʻoe
• ka nui o ka mimi āu e hana ai
• inā paha he makemake ʻoe e mimi
• ka helu o nā liu i loaʻa iā ʻoe

Ma hope o ke kūkākūkā ʻana i kāu mau ʻōuli, hiki i kāu kauka ke hana i nā hoʻokolohua diagnostical e ʻike ai i ke ʻano o ka incontinence i loaʻa iā ʻoe:

• ʻO kahi hoʻokolohua kūmaka (a i ʻole ka hoʻāʻo koʻikoʻi) pili i ka huehue ʻoiai ke kauka e nānā inā ʻike kahe o ka mimi.
• Nānā kahi hōʻike mimi i ke koko a i ʻole nā ​​hōʻailona o ka maʻi i loko o kāu mimi.
• ʻO kahi loiloi hōʻike prostate no kahi prostate hoʻonui ʻia i nā kāne.
• Hōʻike kahi hōʻike urodynamic i ka nui o ka mimi e hiki ai i kāu ʻōpelu ke hoʻopaʻa a inā hiki ke ninini loa.
• Kuhi kahi koena o ke koena ma hope o ka hakahaka i ka nui o ka mimi i koe i loko o kāu pēpē ma hope o kou mimi ʻana. Inā koe ka nui he nui, ʻo ia paha he blockage kāu i kāu wahi urinary a i ʻole kahi pilikia me ka mākala a me nā aʻa.

E ʻōlelo paha kāu kauka i nā hoʻokolohua hou aʻe, e like me ke pelvic ultrasound a i ʻole cystoscopy.

Nā koho lapaʻau

Kaukaʻi ʻia i kāu mau kikoʻī kikoʻī, hiki i kāu hoʻolālā lapaʻau ke hoʻopili i hoʻokahi a ʻoi paha o kēia mau mea:

Hoʻomaʻamaʻa hana ma ka home

Hiki i ka hoʻomaʻamaʻa hana ma ka home ke kōkua iā ʻoe e aʻo i kāu ʻōpū e kāohi i nā kahe.

• Me hoʻomaʻamaʻa bladder, kali ʻoe i kahi manawa o ka mimi ma hope o kou makemake e hele. E hoʻomaka me ke kali ʻana he 10 mau minuke, a hoʻāʻo e hana i kou ala a hiki i ka mimiki wale ʻana i kēlā me kēia 2 a 4 mau hola.
• Hakahaka pālua ʻo ia hoʻi ma hope o kou mimiki ʻana, kali ʻoe i kekahi mau minuke a hoʻāʻo e hele hou. Hiki i kēia ke kōkua i ke hoʻomaʻamaʻa i kāu ʻōnaehana e waiho wale.
• E hoʻāʻo wāwahi halepaku i hoʻonohonoho ʻia, kahi e mimi ai ʻoe i kēlā me kēia 2 a i ka 4 mau hola ma kahi o ke kali ʻana e manaʻo e makemake e hele.
• Nā hana pelvic muscle (a i ʻole Kegel) hoʻoikaika kino pili i ka hoʻopaʻa ʻana i nā mākala āu e hoʻohana ai e hōʻoki i ka mimi. E hoʻopaʻa paʻa iā lākou no 5 a 10 mau kekona, a laila hoʻomaha no ka manawa like. E hana i kou ala a hana i 10 reps, ʻekolu manawa o ka lā.

Nā huahana a me nā pono lapaʻau

Hiki paha iā ʻoe ke hoʻohana i nā huahana aʻe e kōkua e hoʻokū a hopu i nā kahe.

Nā kapa komo makua like like ka nui me ka lole maʻa maʻa mau akā ka omo i nā kulu. Hiki iā ʻoe ke komo iā lākou ma lalo o ka lole o kēlā me kēia lā. Pono paha nā kāne e hoʻohana i kahi mea hōʻiliʻu drip, kahi pale hoʻoluʻu i hoʻopaʻa ʻia e nā lole paʻa kokoke.

A popoki He paipu palupalu ʻoe e hoʻokomo i loko o kāu urethra i nā manawa he nui i ka lā e hoʻokahe i kāu bladder.

Hiki i nā Inserts no nā wahine ke kōkua me nā pilikia pili i ka incontinence.

• A pessary he apo peʻa paʻa ʻoe e hoʻokomo a komo i ka lā holoʻokoʻa. Inā loaʻa iā ʻoe kahi kōpū a i ʻole ka bladder, kōkua ke apo i ka paʻa o kāu ʻōpū i mea e pale aku ai i ka liʻu o ka mimi.
• A hoʻokomo urethral kahi mea hoʻolewa e like me ka tampon āu e hoʻokomo ai i ka urethra e hoʻōki i nā kahe ʻana. Hoʻokomo ʻoe iā ia ma mua o ka hana ʻana i nā hana hoʻoikaika kino e hana maʻamau i ka incontinence a hemo ia ma mua o ka mimiki ʻana.

Laau Lapaʻau

Hoʻohana pinepine ʻia kēia mau lāʻau e mālama i ka incontinence overflow.

Nā-ārai Alpha hoʻomaha i nā olonā i nā prostate o ke kāne a me nā mākala ʻāʻī o ke kāne e kōkua i ka hakahaka e hoʻonele hou. ʻO nā alpha-blockers maʻamau ka:

• alfuzosin (Uroxatral)
• tamsulosin (Flomax)
• doxazosin (Cardura)
• silodosin (Rapaflo)
• terazosin

5a nā mea hoʻohālua reductase he koho lapaʻau kūpono paha ia no nā kāne. Kōkua kēia mau lāʻau i ka mālama ʻana i kahi gland prostate hoʻonui ʻia.

Hoʻohana mua ʻia nā lāʻau no ka incontinence overflow i nā kāne. Hiki i nā kāne a me nā wahine ke hoʻopōmaikaʻi i ke kahakaha ʻana a i ʻole ka hoʻohana ʻana i nā catheters e kōkua i ka hakahaka e like me ka mea e pono ai.

ʻOki kino

Inā holo ʻole nā ​​ʻano lāʻau ʻē aʻe, he koho paha ke ʻoki ʻana, me:

• ʻōnaehana maʻa
• kāpae ʻāʻī bladder
• ke kīpoki prolaps (kahi koho maʻamau maʻamau no nā wahine)
• sphincter mimi pāheʻe

Lapaʻau no nā ʻano incontinence ʻē aʻe

Nā Anticholinergics Hoʻohana ʻia e kōkua i ka mālama ʻana i ka maʻi kīnā overactive ma ka pale ʻana i nā spadms bladder. ʻO nā anticholinergics maʻamau e:

• ʻoxybutynin (Ditropan XL)
• tolterodine (Detrol)
• darifenacin (Enablex)
• solifenacin (Vesicare)
• trospium
• fesoterodine (Toviaz)

ʻO Mirabegron (Myrbetriq) hoʻomaha i kaʻiʻo bladder e kōkua ai i ka mālama ʻana i ka incontinence. Hiki iā ia ke kōkua i kāu pēpē e paʻa hou i ka mimi a hakahaka hou aku.

Nā Paʻi hāʻawi i ka lāʻau i kou ʻili. Ma waho aʻe o ka papa papa, oxybutynin (Oxytrol) hele mai ma ke ʻano he urinary incontinence patch e kōkua i ka mālama ʻana i nā spasms muscle bladder.

Estrogen-kumuhana estrogen hiki ke hele mai i kahi kalima, paʻi, a i ʻole ke apo wahine. Hiki ke kōkua i nā wahine e hoʻihoʻi a me ke kani o ke kani i ka urethra a me nā wahi āpau e kōkua ai me kekahi mau hōʻailona incontinence.

Nā hoʻoponopono hoʻoponopono

He mea maikaʻi paha nā lāʻau lapaʻau interventional inā ʻaʻole kōkua nā mālama ʻē aʻe i kāu mau hōʻailona.

Aia kekahi mau ʻano o nā therapist intervensi no ka mimiki ʻole.

ʻO ka mea e kōkua nui paha me ka incontinence overflow e pili ana i nā injection o kahi mea synthetic, i kapa ʻia he bulking material, i nā mea a puni ka urethra. Mālama kēia i kou urethra pani, kahi e hōʻemi ai i ka liʻu o ka mimi.

Outlook

Inā loaʻa ka nui o ka incontinence, e kamaʻilio me kāu kauka e pili ana i nā koho lapaʻau.

Hiki paha iā ʻoe ke hoʻāʻo i kekahi mau hana ma mua o ka ʻike ʻana i kahi e hana ana nāu, akā hiki pinepine ke mālama i kāu mau ʻōuli a hoʻēmi i nā kahamaha i kou ola i kēlā me kēia lā.