ʻO ka ʻatikala i kākau ʻia e Dr Henry, hoa hana Sphere Health

ʻO nā ʻano ʻokoʻa o ka incontinence kāne

Inā liʻiliʻi ka liʻiliʻi o nā kāne ma mua o ka lilo ʻana o nā wahine i poʻe incontinence, mahalo ia i kā lākou anatomy. Loaʻa ka urethra lōʻihi o nā kāne, ʻo ka hapa mua o lākou e hoʻopuni ʻia e ka gland prostate. Pōmaikaʻi pū ke kāne mai kahi sphincter striated a me ka mana i hoʻopili ʻia me ka ʻaoʻao haʻahaʻa o ka urethra, kahi e hōʻemi ai i nā pilikia o ka incontinence. Eia hou, ʻaʻole ʻeha nā kāne mai ka hōʻino ʻana o ka perineum i hoʻokumu ʻia e ka hāpai keiki.

Aia nā ʻano like ʻole o ka urinary incontinence i nā kāne. ʻIke ʻia kēlā me kēia maʻi ma o nā ʻōuli kikoʻī loa.

Incontinence kahawai

ʻO ia ka ʻano maʻamau o ka incontinence i nā kāne. Kēia incontinence mea lua i ka maʻi ālai o ka bladder. A laila e loaʻa ka paʻakikī i ka ʻōpū i ka ninini ʻana, e ʻaloʻalo a kokoke e piha i nā manawa āpau. Ke ʻoi aku ka mākaukau o ka bladder, e ʻike ʻia nā kulu urinary me ka hiki ʻole i ka mea maʻi ke kaohi i ka hanana. ʻO kēia incontinence pinepine pinepine ia ma muli o ka ālai ʻia e ka benign prostatic hyperplasia (adenoma) o ka prostate. Hiki i ka hoʻomohala kino ʻole o ka gland prostate ke hana i ka compression o ka urethra, a no laila e hoʻokumu i kahi pilikia me ka ninini ʻana o ka puhā, kahi e ʻaloʻalo ai a noho piha.

ʻO ka incontinence koʻikoʻi 

Kuhi ia i ka hoʻokuʻu koke ʻana o ka mimi i ka hoʻoikaika kino. Hiki ke hana i ka wā e ʻakaʻaka ai ka mea hoʻomanawanui, ʻūlū, holo, hele wāwae, ʻino a i ʻole nā ​​hana ʻē aʻe e noi i nā mākala o ka ʻōpū. ʻOi aku ka maʻamau i nā wahine, akā hiki ke hoʻopili i nā kāne.

I nā kāne, ʻaneʻane ʻelua wale nō ke koʻikoʻi lua ʻole i ke kaha ʻana (ʻo ka hapa nui o ka wehe ʻana i ka prostate ma hope o ka maʻi ʻaʻai: prostatectomy radical).

I ka wā o ke ʻoki ʻana, ʻo ka mākala ke kuleana no ka hoʻomau ʻana: hiki ke hōʻino ʻia ka sphincter striated. ʻAʻole hiki iā ia ke hoʻopaʻa i ka mimi i loko o ka hakahaka i ka wā o ke kaomi ʻana o ka ʻōpū i ka wā o ka exertion a ʻike ʻia nā liu mimi.

Kūpaʻa ʻole e "urgent"

Kāhea ʻia nō hoʻi ia koi ikaika i ka hoʻomau ʻole a i ʻole ke kūpaʻa ʻole o ke kīloi a i ʻole ka urination urgent a kū i ka wā e manaʻo ai ka mea maʻi i ka pono nui e mimi me ka ʻeha ʻole o ka liu. Maʻaneʻi, koi a koi ʻole ka makemake e mimi, ʻoiai ʻaʻole piha ka ʻai. Hiki i kekahi mau hanana o kēlā me kēia lā ke alakaʻi i kēia ʻano incontinence, e like me ke kī i ka laka a i ʻole ke hele ʻana o nā lima ma lalo o ka wai anuanu.

ʻO nā kumu o kēia ʻano incontinence nā maʻi āpau i hiki ke hana i ka hoʻowahāwahā ʻana o ka pūpū a no laila no ka hōʻiliʻili ʻole.

• ka nā maʻi maʻi urinary tract or prostatitis : ʻo kēia nā mea maʻamau. Lawe ka incontinence a nalo koke me ka mālama pono ʻana i nā lāʻau antibiotic.
• THEadenoma o ka prostate kuleana pū kekahi no ka incontinence koi. I ka wā o ka hoʻomohala ʻana o ka prostate adenoma e hoʻomohala kekahi mau olonā nerve a hiki ke hoʻoulu i nā kuʻikuʻi ʻole o ka huki.
• ka maʻi ʻino o ka ʻōpū aiʻole nā ​​polyps bladder e koi ai i ka hoʻokele kikoʻī.
• kekahi nā maʻi neurological (mau sclerosis, ka maʻi ʻo parkinson) hiki ke kumu i kahi bladder overactive a me nā kahe pilikia.

ʻO ka incontinence hui

Pili ia e pili ana iā 10% a i 30% o nā mea maʻi, hoʻohui i nā ʻōuli o ke koʻikoʻi incontinence a me ka makemake nui ʻole i ka incontinence. Hiki paha i kekahi o kēia mau ʻano o ka incontinence ke ʻoi aku ka nui a pono e mālama ʻia ma ke ʻano he makakoho. ʻO ia ke kauka nāna e hoʻoholo i ke kūkā kūpono loa i ke kūkā kūkā ʻana.

Hana incontinence

Hoʻololi nui ia i ka ʻelemakule. Kūpono ia ke kumu ʻole o ke kumu me ka hana o ka maʻi ʻai. ʻAʻole hiki i ka mea maʻi ke kaohi iā ia iho me ka ʻole o ke ʻano o kona ʻaʻa ke kumu.

Loaʻa i kekahi mau maʻi i nā maʻi neurological a i kekahi mau hihia e ʻike paha i ka incontinence. ʻO kēia ka incontinence neurogenic. I kēia hihia, ʻaʻole mai ka pilikia mai kahi maʻi kīnā o ke kino e like me kā mākou e noʻonoʻo ai i ka hihia o ke koʻikoʻi incontinence, akā mai kahi hana ʻole o ka ʻōnaehana e like me ka maʻi ʻo Alzheimer.

No laila ʻaʻole pale aku nā kāne i ka incontinence urinary ʻoiai ʻoi aku ka liʻiliʻi o ka hopena ma mua o nā wahine. He mea nui e hiki ke kamaʻilio e pili ana me ka ʻole o nā kapu i kāu kauka ke hiki koke. Kaukaʻi ʻia i nā kumu a me ke ʻano o ka incontinence i ʻike ʻia, nui a hewahewa nā mālama kūpono. Hiki i ke kauka olakino ke koi aku i ka hoʻoponopono hou ʻana, ka lāʻau lāʻau ʻana a i ʻole ke kauka lāʻau. No ka lāʻau lapaʻau, e kuhikuhi ʻia ka mea hoʻomanawanui me kahi bladder overactive i nā lāʻau anticholinergic, no ka laʻana, hiki ke hoʻohui ʻia me ka pelvic a me ka perineal rehabilitation.

ʻAʻole pono e poina i kēlā me kēia hana pono ʻole i ke kiʻekiʻe o ka ʻōnaehana urinary hiki ke alakaʻi i kahi degradation, ma ke ʻano ma ka pae o nā puʻupaʻa, no laila ka pono e hoʻokō i kahi loiloi laulā. ʻAʻole pono ka hemahema urinary i ke kanaka e pili iā ia ma muli o ka loaʻa ʻana o nā hopena (rehabilitation in the for example in the case of stress incontinence and effective medical or surgical treated). E hana i kēia i hoʻokahi kaʻina, e kamaʻilio i kāu kauka a i ʻole ka loea.