He aha kāu e ʻike ai e pili ana i ka incontinence koi

Anter

• He aha ke kumu e koi ai i ka incontinence?
• Āhea ʻoe e ʻike ai i ke kauka?
• Pehea e hōʻoia ʻia ai ka incontinence urge?
• Aia kekahi mau lāʻau home no ka incontinence koi?
• Hoʻololi ka nohona
• Hoʻomaʻamaʻa Kegel
• Ke hoʻomaʻamaʻa hou ʻana i ka ʻai
• He aha nā lāʻau lapaʻau e loaʻa ai?
• Nā hoʻopili Botox
• Nā stimulator nerve
• Pīpē mimi
• He aha nā pilikia e pili ana i ka incontinence urge?

He aha ka incontinence koi?

Hana ke koi ʻole i ka incontinence ke loaʻa koke kahi koi e mimiki. I ke koi ʻole i ka incontinence, ʻaelike ka maʻi urinary i ka wā pono ʻole ia, e hoʻoheheʻe ana i kahi mimi ma waena o nā mākala sphincter e paʻa ana i ka puhaka paʻa. ʻO nā inoa ʻē aʻe no kēia ʻano:

• ʻōkuhi overactive (OAB)
• spasms bladder
• ʻōpū spasmodic
• ʻōpū huhū
• hoʻonāukiuki detrusor

ʻOiai he pilikia maʻamau kēia a hiki ke hoʻopili i kekahi, ʻoi aku ka nui o ka makaʻu o nā wahine a me nā mākua i ka hoʻomohala ʻana iā ia.

He mea nui e hoʻomanaʻo i ka hōʻeuʻeu incontinence ʻaʻole ia he maʻi i kēlā me kēia. ʻO kahi hōʻailona o ka nohona a i ʻole nā ​​pilikia olakino a i ʻole nā ​​pilikia kino.

ʻO ka incontinence urge kahi ʻāpana o ke kumu nui o ka incontinence urinary. Aia kekahi mau ʻano o ka miki ʻole, mai ka hoʻokahe ʻana i nā mimi liʻiliʻi me ka puʻu a i ʻole ka ʻū ʻana i kahi bladder overactive (OAB).

Hiki i kāu kauka ke kuhikuhi i kāu ʻano incontinence kikoʻī a me kāna kumu, a hiki iā lākou ke ʻōlelo he hiki i nā koho lapaʻau.

He aha ke kumu e koi ai i ka incontinence?

I nā manawa he nui o ka incontinence koi, ʻaʻole hiki i ke kauka ke kuhikuhi i kahi kumu maoli. Eia nō naʻe, hiki i kekahi mau kumu kūpono ke hoʻopili i:

• maʻi ʻaʻai
• ʻōhū
• pōhaku bladder
• keʻakeʻa o ka wehe ʻana o ka bladder
• prostate hoʻonui ʻia
• maʻi ʻaʻai ʻōpū
• nā maʻi o ka ʻōnaehana ʻōnaehana, e like me nā sclerosis (MS) he nui.
• kahi ʻeha i ka ʻōnaehana hopohopo, e like me ka hōʻeha ʻana i ka iwi kuamoo a i ʻole ka hahau ʻana

Āhea ʻoe e ʻike ai i ke kauka?

No ka poʻe he nui, hoʻonāukiuki ka incontinence he mea hōʻeha wale ia e koi ʻole ai i ke kipa a ke kauka.

Eia nō naʻe, inā loaʻa iā ʻoe kahi hihia koʻikoʻi o ka incontinence koi, pono ʻoe e ʻimi koke i ka lāʻau. Hiki i kāu mau hōʻailona ke hōʻailona:

• maʻi ʻaʻai
• ʻōhū
• he mea keakea
• nā pōhaku i loko o ka hū a i ʻole ka hakuʻala

ʻO kekahi mau hōʻailona e kiaʻi no ka ʻaoʻao o kāu incontinence koi he ʻeha ma ka ʻāpana pelvic, e ʻā ana a ʻeha paha me ka urination, a i ʻole nā ​​ʻōuli e hoʻomau mau ana no kekahi mau lā.

Eia hou, inā hoʻohoka ka incontinence i kāu mau hana i kēlā me kēia lā, makemake paha ʻoe e kipa i kāu kauka e kūkākūkā i nā koho lapaʻau a i ʻole nā ​​ala ʻē aʻe e mālama ai i kāu kūlana.

Pehea e hōʻoia ʻia ai ka incontinence urge?

No ke kuhi hewa ʻana i ka incontinence a hoʻomohala i kahi hoʻolālā lapaʻau, e nīnau aku kāu mea mālama ola iā ʻoe e pili ana i kāu mōʻaukala a me ka mōʻaukala o ka incontinence E hana paha lākou i kahi hoʻokolohua kino, me kahi hōʻike pelvic, a lawe i kahi laʻana mimi.

Hiki i kāu kauka olakino ke hana i nā hoʻokolohua hou inā pono, me:

• Loiloi papahele pelvic. Hōʻaia kēia i ka ikaika o kou mau mākala pelvic papahele.
• Urinalysis. Nānā kēia hōʻoia no nā hōʻailona o ka maʻi a i ʻole nā ​​pilikia ʻē aʻe
• Moʻomeheu mimi. Inā kuhi ʻia kahi maʻi maʻi urinary, hiki i kēia hoʻokolohua ke hoʻoholo i ke ʻano o ka bacteria i loaʻa.
• ʻO ka ultrasound urinary bladder. ʻAe kēia i kāu kauka e nānā i ka anatomy o ka puhā a ʻike i ka nui o ka mimi i koe i loko o ka pākeke ma hope o ka mimiki ʻana.
• Cystoscopy. Hoʻokomo ʻia kahi pahu paʻi kiʻi liʻiliʻi ma kahi ʻāpana fiberoptic i kāu urethra a hoʻohana ʻia e nānā i kāu urethra a me kāu kīwī.
• Nā aʻo ʻana ma ka lā ʻ X-ray. ʻAe i nā noi uila X ʻokoʻa i kāu kauka e hōʻoia i ka incontinence:
  • Pyelogram intravenous (IVP). Hoʻokomo ʻia ka wai i loko o kou kahe koko, a lawe ʻia nā fluoroscopic X-ray o kāu wahi urinary e ukali i ke kala i ka neʻe ʻana i o a i loko o kāu ʻōnaehana mimi.
  • Ke aʻo ʻana i nā hakuʻala, ureter, a me ka bladder (KUB). Hiki ke hoʻohana ʻia i kēia ʻano kiʻi ʻoniʻoni X-ray e hōʻike i nā kūlana e pili ana i nā ʻōnaehana mimi a me nā ʻōpū.
  • CT scan. Hoʻohana ʻia nā kamepiula a me nā mīkini X-ray e kiʻi kikoʻī i nā kiʻi o kāu nā lālā.
• Nā aʻo Urodynamic. Hoʻohana ʻia kēia mau aʻo ʻana e loiloi i ka holo ʻana o kāu bladder a me ka urethra.
  • Cystometrogram. Hoʻokumu kēia hōʻike i kāu nui o ka bladder a inā e holo pono ana kāu pākeke.
  • Uroflowmetry. Hoʻoholo kēia hōʻike i ka nui o ka mimi āu e hoʻokuʻu ai a pehea ka wikiwiki e hoʻokuʻu ai.
• Ke hoʻāʻo koʻikoʻi. E noi aku kāu kauka iā ʻoe e hana i nā hana e kumu ai i kāu mau hōʻailona incontinence.

E noi paha kāu mea mālama ola iā ʻoe e mālama i kahi diary bladder e nānā i kāu lawe wai a me ka mimi. Hiki i kēia ʻike ke kōkua i ka hōʻike ʻana i nā ʻano hana i hiki ke hoʻohuli i kāu hoʻolālā mālama.

Hoʻololi nā mālama ʻana a kaukaʻi ʻia i kāu mau ʻōuli kū hoʻokahi a me kou ʻano. E loaʻa i kēlā me kēia kanaka kahi papa hana ʻokoʻa ʻokoʻa.

E paipai paha kāu kauka iā ʻoe e hoʻāʻo i nā ʻano hana, e like me ke hoʻomaʻamaʻa hou ʻana i ka ʻai a me nā hoʻoikaika hoʻomaha ʻana o ka ʻai, ma mua o ka hōʻike ʻana i nā lāʻau hōʻino hou aʻe. Ua paipai paha kāu kauka e hana i nā hana Kegel.

Aia kekahi mau lāʻau home no ka incontinence koi?

ʻO ka hapa nui o nā poʻe me ka incontinence koi hiki ke noho me ka ʻole o ka lāʻau. Eia nō naʻe, ʻoluʻolu ʻole ke ʻano a hoʻopilikia maoli i kou ola i kēlā me kēia lā. E makemake paha ʻoe e noʻonoʻo i ka hoʻāʻo ʻana i kekahi o nā koho lapaʻau he nui i loaʻa no ka incontinence urge.

Hiki ke mālama ʻia kekahi mau ʻano ma ka home. E kamaʻilio me kāu kauka inā hōʻeha a maikaʻi ʻole kāu mau ʻōuli.

Hoʻololi ka nohona

Ke hoʻololi nei i nā meaʻai āu e ʻai ai hiki ke hōʻemi i ka huhū o ka maʻi ʻaʻa. Pono ʻoe e kaupalena i kāu lawe ʻana i ka wai ʻona, caffeine, a me nā meaʻai ʻona, ʻikikika, a i ʻole loaʻa nā meaʻono ʻoluʻolu.

E hoʻāʻo e ʻai hou i ka fiber e pale ai i ka paʻa paʻa, i hiki ke hoʻokau i ka pākī a i ʻole e loaʻa iā ʻoe ka makemake e hoʻoneʻe i kāu ʻōpū.

Eia hou, e hoʻāʻo e nalo ke kaupaona inā ʻoi nui kou kaona. Inā loaʻa ʻoe i ka maʻi diabetes, makemake ʻoe e hoʻāʻo e mālama i kahi pae glucose glucose kūpaʻa a ʻoluʻolu hoʻi.

Inā puhi ʻoe i ka paka, e noʻonoʻo e haʻalele. ʻO ke kaʻe e hopena i hiki ke alakaʻi ʻia i ka incontinence stress ma luna o ka makemake nui ʻole.

Makemake paha ʻoe e komo i kahi pad absorbent ʻoiai ʻoe e hana ana i nā hana e hoʻonui ai i kāu makaʻu o ka liu.

Hoʻoholi i kāu ʻano nohona e ʻoi aku ke olakino holoʻokoʻa.

Hoʻomaʻamaʻa Kegel

ʻO nā hana Kegel ka mea maʻamau no ka mālama ʻana i ka mimi. Hoʻoikaika ke kaʻina i nā mākala e pili ana i ka hoʻopaʻa ʻana i ka mimi, kikoʻī nā mākala pelvic papahele.

E hoʻāʻo e hana i ka papahele pelvic no 5 a 10 mau kekona, a laila hoʻomaha no ka manawa like. ʻO ke kuʻikahi ʻana i ka papa pelvic ka hana like i hoʻohana ʻia ke hoʻopau manawaleʻa ʻoe i ke kahe o ka mimi waena.

Inā kānalua ʻole ʻoe inā e hana pololei ana ia, e hoʻāʻo e kāpae i kāu mimi waena. Ke hana nei i kahi hana Kegel e pono e hoʻohālikelike i kēlā ʻano manaʻo o ka hoʻokū ʻana i kou mimi.

ʻO ka nānā wale ʻana i kāu pae pelvic papahele a me ka ʻaelike e hoʻoulu i nā mākala kūpono. E hana hou i kēia kaʻina no nā hana hou i hiki iā ʻoe, ʻekolu a ʻoi paha mau manawa i kēlā me kēia lā.

Hiki iā ʻoe ke hana i nā hoʻolālā Kegel i kēlā me kēia manawa a me kēlā me kēia wahi. Inā mālama ʻia e kahi kauka, hiki iā ʻoe ke hoʻohana i nā cone Kegel, nā cones kaupaona ʻia i mālama ʻia i loko o ka ʻōpū ma o ka hana ʻana i ka papahele pelvic. Ke ikaika nei kou mau mākala, hoʻohana ʻoe i nā kaupaona kaumaha.

ʻO kahi koho no ka hoʻoikaika pelvic papahele he mana uila o nā hana Kegel. Ma aneʻi e hoʻokomo kahi kauka i kahi kuʻina i loko o ka puka o ka wana a anal paha e hoʻoulu ai i nā mākala pelvic papahele e ʻaelike. Kōkua kēia i ka hoʻoikaika iā lākou. Eia nō naʻe, he mau mahina a he nui nā mālama e pono ai.

Ke hoʻomaʻamaʻa hou ʻana i ka ʻai

Hiki i ka hoʻoponopono hou ʻana i kāu ʻōpū ke hoʻoikaika i nā mākala e pili ana me ka urination. Hoʻokahi ʻenehana e komo i ka mimiki wale i nā manawa kikoʻī ʻia i kēlā me kēia lā. ʻAʻole hiki iā ʻoe ke mimiki i nā manawa ʻē aʻe, ʻoiai inā makemake ʻoe e hele.

I ka manawa mua, hiki iā ʻoe ke hele i kēlā me kēia hola a laila hoʻonui i ka manawa kali me nā manawa hapalua hola a hiki i kou hiki ke hana iā 3 a 4 mau hola me ka ʻole o ka liu.

ʻO kekahi ʻano hana e hoʻopaneʻe i ka urination ke kū mai ka ʻiʻini. Hoʻoikaika kēia i kou hiki ke hoʻopaʻa i ka mimi. Hiki paha iā ʻoe ke hoʻāʻo i ka mimi a laila e hele hou koke ana ma hope e aʻo pehea e hoʻonele ai i ka hakahaka.

He aha nā lāʻau lapaʻau e loaʻa ai?

Hiki i kāu kauka ke hāʻawi iā ʻoe me nā koho lapaʻau hou aʻe, e like me ka lāʻau a i ʻole ke ʻoki ʻana, e kōkua ai me ka ikaika o ka mākala a me ka hana ʻana o ka sphincter. Eia kekahi mau koho ʻē aʻe:

Nā hoʻopili Botox

Hiki i nā liʻiliʻi o Botox (botulinum toxin) ke hoʻōki i nā mākala bladder mai ka hana kuʻikahi. Pono paha nā injection he nui. Kōkua kēia i ka hoʻomaha ʻana i nā mākala urinary bladder, akā holo pū nō hoʻi ia i ka makaʻu o ka paʻa ʻana o ka mimi.

Nā stimulator nerve

ʻO nā stimulator nerve nā mea liʻiliʻi e like me nā pacemaker. ʻO ka hāmeʻa paʻa, i hoʻokomo ʻia ma lalo o ka ʻili o kou ʻōpū, he uea kēpau e hoʻopili i ke aʻalolo kapu. Hoʻouna ia i nā puʻuwai kukui i ke aʻalolo e kōkua i ke kaohi ʻana i ka hana o kāu bladder.

Pīpē mimi

ʻO kahi catheter urinary kahi koho ʻokoʻa ma ka home i kikoʻī ʻia no ka poʻe i loaʻa kekahi ʻano incontinence, e like me ka incontinence overflow. E aʻo aku kāu kauka iā ʻoe pehea e hoʻokomo ai i ka catheter, kahi e kōkua ai i ka ninini ʻana i kāu ʻōpū i ka wā e mimi ai ʻoe.

He aha nā pilikia e pili ana i ka incontinence urge?

Ma muli o ke koi ʻole ʻana i ka incontinence maʻa mau he kūlana maʻi mau ʻole ia i nā pilikia koʻikoʻi, aia kekahi mau pilikia e pili ana me ka ʻimi ʻole i ka lāʻau.

ʻOiai ʻaʻohe ou mau hōʻailona ʻē aʻe me kāu incontinence koi, e like me ka ʻeha a i ʻole ke kuni ʻana i ka wā he mimi, aia kahi liʻiliʻi.

Akā ʻoi aku ka maikaʻi ʻole o ka incontinence urge untreated, a hiki ke hoʻopilikia i nā hana o kēlā me kēia lā a me nā pilina.

Hoʻohui ʻia, pono ʻoe e ʻike i ke kauka inā he maʻi, nā pōhaku bladder, a me nā kumu ʻē aʻe o ka mumū ka mea i manaʻo ʻia he kumu no kou incontinence. Inā loaʻa, hiki i kahi maʻi pāhū ke hoʻolaha aku i nā puʻupaʻa, ke kahe o ke koko, a me nā wahi ʻē aʻe o ke kino.