Ina o ka urinary leakage, ka mea e hoʻopili?

ʻO ka mea mua i kāna kauka. A laila wikiwiki koke, e lawe ia i kahi loea loea e hoʻokumu i kahi kuhi.

I nā wahine, pono ʻoe e hoʻokaʻawale i waena o ke koʻikoʻi urinary incontinence a me ka urge incontinence (i kapa ʻia ʻo "urge" a i ʻole "bladder overactive").

ʻO ke koʻikoʻi urinary incontinence pono i ka hoʻoponopono hou ʻana a me ke kahakaha ʻana, ʻoiai e mālama ʻia ka incontinence me ka lāʻau a, inā ʻaʻole maikaʻi, me neuro-modulation. I ka pōkole, ʻokoʻa ʻokoʻa ʻokoʻa a hoʻoponopono antagonistic. ʻO ia ka mea e ʻōlelo inā hana mākou i kekahi no kekahi, holo mākou i ka pōpilikia.

He aha ke kuleana o ka mea hana maʻamau? Pehea ka urologist?

Inā he urinary incontinence ma muli o ka wikiwiki - ʻo ia ka mea ke piha ka ʻōpū i ka maʻi o nā mea maʻi - hiki i ka mea hana maʻamau ke mālama me nā anticholinergics.

Akā i ka hapanui o nā hihia, ʻo ka urinary incontinence ke kuleana o ka loea. I ka manawa i ʻike ʻo ia ʻaʻohe maʻi maʻi urinary a aia he ʻoluʻolu maoli, ua hāʻawi ka mea lapaʻau i kāna mea maʻi i ka urologist. 

Ma kahi o 80% o nā maʻi e hoʻopiʻi i ka liʻiliʻi urinary i hōʻea i kā mākou hana. I ke kikoʻī no ka mea pono pono e hoʻokō i kahi loiloi urodynamic e hana i ke kuhi. 

He aha ka loiloi urodynamic?

Hoʻokomo ʻia ka loiloi urodynamic ʻekolu mau hoʻokolohua: flowmetry, cystomanometry a me ka ʻikepili kaomi urethral.

Kahekaheka ʻae e kuhikuhi i ke kahe urinary o ka mea maʻi. Hōʻike ʻia ka hopena ma ke ʻano o ke piko kahi e hoʻoholo ai ka urologist i ka nui o ke kahe o ka kahe, ka manawa o ka urination a me ka leo voiding.

ʻO ka lua o ka hōʻike cystomanometry. Hoʻopiha mākou i ka puhā me ka wai a nānā mākou pehea e loli ai, ʻo ia ka ʻōlelo i nā kaomi i loko o ka pā. Hāʻawi kēia hōʻike iā ʻoe e ʻike inā aia kekahi mau "kahe kaomi" i hiki ke wehewehe i ka incontinence, a e ʻike inā loaʻa ka wai i ka wai nui ʻaʻole paha. Pēlā nō, hiki iā mākou ke nānā inā manaʻo ka mea maʻi i ka pono.

ʻO ke kolu, hoʻokō mākou i ʻO ke kiʻi paʻi kiʻekiʻe (PPU). He nīnau ia e nānā ana i ka hoʻokaʻawale ʻana o nā kaomi i loko o ka urethra. I ka hoʻomaʻamaʻa, unuhi ʻia kahi mea hoʻopili puʻupuʻu i ka wikiwiki mau, mai ka ʻai a i waho. ʻAe kēia iā mākou e hōʻoia i ka lawa ʻole o ka sphincter a i ʻole, i ka ʻokoʻa, hypertension sphincter.

He aha nā hana ʻoki maʻamau no nā wahine?

Ina o stress stress urinary incontinence, ma mua o ka hāʻawi ʻana i kahi kōkua, hoʻomaka pinepine ʻia ka lapaʻau me ka hoʻoponopono hou ʻana. Hana kēia ma kahi o hoʻokahi i nā hihia ʻelua.

Inā ʻaʻole lawa kēia, waiho ʻia nā ʻāpana ma lalo o ka urethra. ʻO ke kumumanaʻo e hana i kahi mokulele paʻakikī e hiki ke kū i ke kaomi o ka urethra. No laila ke kaomi ka urethra, hiki iā ia ke hilinaʻi i kahi mea paʻa a hāʻawi i ka hoʻomau. 

Hoʻohana pinepine wau i kahi hoʻohālikelike maʻalahi e wehewehe i ke kaʻina hana i kaʻu mau maʻi. E noʻonoʻo e lawe ʻoe i kahi kaukini kīhāpai hāmama a e kahe ana ka wai. Inā ʻoe e heʻe i ka hose me kou wāwae a aia ke one ma lalo, e komo ka pauma i lalo a e kahe mau ana ka wai. Akā inā paʻa ka papahele, ʻoki kou kaumaha i ke kaomi wai a kū ke kahe. ʻO kēia kā mākou e hoʻāʻo nei e hoʻokō i ke kau ʻana i nā ʻāpana ma lalo o ka urethra.

Pehea nā kāne?

I nā kānaka, pono mua e hoʻoholo inā he overflow incontinence a i ʻole inā ʻaʻole lawa ka sphincter. He mea nui loa ia e hana koke i ka hōʻailona inā ʻaʻole e hāʻawi i kahi lāʻau kūpono ʻole.

I ka hihia o ka incontinence overflow, ʻaʻohe hakahaka o ka ʻai. No laila aia kahi "overflow" e kahe ana. Hoʻokumu ʻia ka ālai e ka prostate. Lawe ka urologist i kēia ālai ma o ka ʻoki ʻana a i ʻole ke kau ʻana i kahi lāʻau e hōʻemi i ka nui o ka prostate.

ʻO ka lua o ke kumu o ka incontinence i nā kāne he lawa ʻole ka sphincter. ʻO ka hopena pinepine ia o ke kahakaha, e like me ka prostatectomy radical.

Loaʻa nā ʻike āpau e pili ana i ke kuhi a me ka mālama ʻana i ka incontinence urinary i ka ʻO ka faila Passport Health kūikawā.