Urinary incontinence i nā helu
Ka nui o ka mimi
ʻO ka prevalence o ka urinary incontinence ua manaʻo ʻia aia ma kahi o 5% i ka heluna lehulehu1. ʻOi aku ka kiʻekiʻe o kēia prevalence i nā poʻe ma mua o 65: 49 a 77% o ka poʻe i mālama ʻia i ka haukapila a i ʻole e noho ana i kahi ʻoihana medico-social e hoʻopilikia ʻia e ka maʻi.2.
Hoʻonohonoho pono ʻia ka laha e piʻi aʻe, ʻoiai e piʻi nui ana ka nui o ka poʻe ma luna o 65 i nā makahiki e hiki mai ana. No laila he mea nui e hana i nā mea āpau e hiki ai ke pale, ʻike a mālama ʻia.
ʻO ke kumukūʻai o ka hoʻomau ʻana i ka mimi
Ma Farani, ʻo ke kumukūʻai holoʻokoʻa o ka incontinence urinary i manaʻo ʻia ma 4,5 biliona euros. E hoʻohālikelike ʻia kēia kumukūʻai me nā kūlana e like me ka osteoarthritis a i ʻole ka maʻi pneumonia3.
Kaumaha urinary incontinence
Ma Farani, kokoke 3 miliona wahine o na makahiki a pau e pili ana i na pilikia o ka mimi.
1 i ka 5 mau wahine pilikia maikoʻikoʻi urinary incontinence, me kahi kiʻekiʻe loa ma waena o 55 a me 60 mau makahiki.
Ma kahi kokoke i 10% o nā wahine ʻōpio nulliparous (ʻo ia hoʻi ka mea ʻaʻole i hānau ʻia) e hoʻopilikia ʻia, akā hiki ke piʻi kēia helu i 30% i ka wā ʻoi loa lākou.4. Hoʻohaʻahaʻa ʻia paha kēia mau helu no ka mea he mea kapu loa ia: ʻaʻole makemake nā wahine e kamaʻilio e pili ana i ia mea me kā lākou mea lapaʻau, ʻoiai ʻo lākou ʻōpio.5.
ʻO ka nui o nā leaks i ka wā hoʻoikaika kino i nā wahine haʻuki ʻokoʻa ma waena o 0% no ke kolepa a me 80% no ka trampoline. No laila, hilinaʻi nui ia ma Ke ʻano o ka hana : nā hoʻoikaika kino e hoʻoulu pinepine ai (trampoline, gymnastics, hula, athletics) e hoʻonui i ke kaomi i ka perineum i hiki ke hoʻonui ʻia i ka 10.
Overad bladder
Hōʻike ʻia ka ʻōpū nui loa e ka mimi pinepine (ma waena o 7 a 20 manawa i ka lā a me ka pō), hiki ke hele pū me lele mimi ma muli o ka makemake e mimi.
Ua manaʻo ʻia ka laha ʻana o kēia maʻi 17% o ka heluna kanaka akā, e hōʻailona hou ʻia ma hope o ka makahiki 65. ʻŌlelo aʻo: ma kahi o 67% o ka poʻe me ka ʻōpū nui ʻaʻole i ʻike i ka hoʻomau ʻole ʻana i ka mimi (ua kapa ʻia ʻo ia ka overactive dry bladder)6.
ʻO ka hāpai ʻana a me ka mimi ʻole
Ma kahi o 6 i loko o 10 wahine hāpai ʻike i nā "koi koi" i paʻakikī ke lohi. Ma 1 a 2 i 10 mau hihia, ʻo kēia mau "pilikia" ka hopena i ka leak urinary7. mai ka la 2st trimester, 3 a 4 i loko o 10 wahine hāpai loaʻa i ka "stress" urinary incontinence (ʻo ia hoʻi, pāʻani haʻuki, hāpai i kahi haʻahaʻa kaumaha, a ʻakaʻaka wale paha)8...
No ka hoʻoponopono ʻana i kēia, e makaʻala 7 mau manawa antenatal o 45 mau minuke, kanaka a hui paha, ua uhi ia e ka Inikua Ola.
A ma hope o ka hānau? I nā lā ma hope o ka hānau ʻana, 12% o nā wāhine i ka hānau ʻana no ka manawa mua e hoʻopiʻi i ka leakage mimi9.
Ka hana ʻana a me ka mimi ʻana
ʻO ka diuresis maʻamau, ʻo ia hoʻi ka nui o ka mimi i hana ʻia e nā puʻupaʻa, ua manaʻo ʻia e komo pū ʻia ma waena o 0,8 a me 1,5 L no 24 hola. Mahalo i kona mana elastic, hiki ke komo i ka ʻōpū a hiki i ka 0,6 L ma ka awelika.
Mai ka 0,3 L, akā, ka makemake e mimi manaʻo. Hiki ke hoʻopiha ʻia ka ʻōpū e like me ka pono e mimi ua hana hou ia kaomi, akā, hoʻopaʻa mau ʻia ka hoʻomau ʻana ma o ka hoʻopaʻa manawaleʻa. Hiki i ka pono ke lilo koke (ma kahi o 400 ml) a laila eha (ma kahi o 600 ml). ʻO ke alapine maʻamau o ka mimi ma kahi o 4 a 6 manawa i ka lā.
Kegel Exercises
ka ʻepekema na Kegel ua manaʻo ʻia e hoʻoikaika i ka perineum a hōʻike ʻia i nā hihia o ke koʻikoʻi o ka urinary incontinence. Pono lākou e hana mau i nā pule he nui e hāʻawi i kahi hopena maikaʻi. ʻO 40% a 75% o nā wahine e hoʻohana nei e ʻike i ka hoʻomaikaʻi ʻana i kā lākou hoʻomalu mimi i nā pule e hiki mai ana.
ʻO ka hoʻomau ʻole ʻana o ka urinary, kaʻawale a me ke kaumaha
Ua hōʻike ʻia kahi haʻawina ma waena o 3 mau wahine hana i ka makahiki 364 a hiki i ka 18 me ka incontinence mimi koʻikoʻi, 60% pono e hoʻololi i ke ʻano hana1 no keia hemahema.
ʻIke pinepine ka poʻe incontinent i ka hopohopo, ʻo ia ka mea i unuhi i kekahi ke kaʻawale. No ka makaʻu i nā pilau ʻino, no ka hilahila o ka lehulehu i ka wā o kahi ulia pōpilikia, maʻa mau ka poʻe i hoʻopaʻa ʻole. e hāʻule i hope iā lākou iho.
Wahi a kahi noiʻi i hana ʻia ma Kanada, ʻo 15,5% o nā wahine ʻaʻole i hoʻopaʻa ʻia pā kapu10. Ke piʻi nei kēia helu i 30% i waena o nā wahine ma waena o nā makahiki 18 a me 44 a hoʻohālikelike ʻia me ka helu kaumaha o 9,2% ma waena o nā wahine ʻāina.
ʻO ka hoʻomau ʻole i nā keiki
Manaʻo pinepine nā mākua e hoʻomaʻemaʻe nā keiki ma mua o ke komo ʻana i ke kula, ʻo ia hoʻi ma kahi o 3 mau makahiki, akā ʻokoʻa ka mea maoli i ka ulu ʻana o ke kūpaʻa o ka mana o ka ʻai. a i ka makahiki 5.
No laila, ʻaʻohe pono e hopohopo inā ʻaʻole hiki i ke keiki ke hoʻopaʻa ma mua o kēia mau makahiki: ʻaʻole paha i oʻo ka ʻōnaehana urinary. No laila, ʻaʻole hiki i ka urinary incontinence ke hoʻopilikia i nā keiki ma lalo o 5 mau makahiki.
No laila, i ka makahiki 3, 84% o nā kaikamahine a me 53% o nā keikikāne i loaʻa ka maʻemaʻe o ke ao. I hoʻokahi makahiki ma hope mai, hiki i kēia mau helu he 98% a me 88%.11.
Ma ka ʻaoʻao ʻē aʻe, pili ka incontinence urinary nocturnal 10 a 20% o nā keiki 5 makahiki. E emi malie ana ka laha ma na makahiki a hiki i ka 1% o na keiki he 15 makahiki.
E hoʻomaopopo ' 1. LOH KY, SIVALINGAM N. ʻAi ʻole i ka urinary i ka poʻe ʻelemakule. ʻO ka puke pai Lapaʻau o Malaysia. [Hōʻike]. 2006 ʻOkakopa; 61(4): 506-10; nīnau nīnau 11. 2. SAXER S, HALFENS, RJ, DE BIE, RA, DASSEN, T. ʻO ka maʻamau a me ka ulu ʻana o ka mimi ʻole o nā poʻe noho home hānai Swiss i ke komo ʻana a ma hope o ʻeono, 12 a me 24 mau mahina. Nūpepa o nā kahu hānai. 2008 Sep ; 17(18) : 2490-6 3. DENIS P. Epidemiology a me medico-economic hopena o anal incontinence i loko o nā mākua. e-memoir mai ka National Academy of Surgery [serial on the Internet]. 2005; 4: Loaʻa mai: http://www.biusante.parisdescartes.fr/acad-chirurgie/ememoires/005_2005_4_2_15x20.pdf. 4. K. Eliasson, A. Edner, E. Mattsson, Urinary incontinence i nā ʻōpio a me ka hapa nui o nā wahine nulliparous me ka mōʻaukala o ka hoʻomaʻamaʻa ʻana i ka trampoline kiʻekiʻe kiʻekiʻe i hoʻonohonoho ʻia: hanana a me nā kumu pilikia, Int Urogynecol J Pelvic Floor Dysfunct, 19 (2008). ), pp. 687–696. 5. GW Lam, A. Foldspang, LB Elving, S. Mommsen, Ka pōʻaiapili pilikanaka, kaʻaeʻana i ka pilikanaka, a me kaʻikeʻana i ka pilikia i hoʻopiliʻia me ka maʻi mimi wahine makua, Dan Med Bull, 39 (1992), pp. 565-570 6. Tubaro A. Ka wehewehe ʻana i ka bladder overactive: epidemiology a me ka ukana o ka maʻi. Urology. 2004; 64: 2. 7. Cutner A, Cardozo LD, Benness CJ. Ka loiloi o nā hōʻailona mimi i ka wā hāpai mua. Br J Obstet Gynaecol 1991; 98: 1283–6 8. C. Chaliha a me SL Stanton « Nā pilikia urological i ka wā hāpai » BJU International. Paʻi mua ʻia ka ʻatikala ma ka pūnaewele: 3 APR 2002 9. Chaliha C, Kalia V, Stanton SL, Monga A, Sultan AH. ʻO ka wānana Antenatal o ka urinary postpartum a me ka fecal incontinence. Obstet Gynecol 1999; 94: 689±94 10. Vigod SN, Stewart DE, Ke kaumaha nui i ka hoʻomau ʻana o ka mimi wahine, Psychosomatics, 2006 11. Largo RH, Molinari L, von Siebenthal K et al. He loli nui anei ka hoʻomaʻamaʻa ʻana i ka halepaku i ka ulu ʻana o ka ʻōpū a me ka ʻōpū? ʻO Dev Med Child Neurol. 1996 Dek; 38 (12): 1106–16 |