Overactive bladder i loko o nā wāhine: lapaʻau, kumu, symptoms

Overactive bladder i loko o nā wāhine ma lalo o lapaʻau ua koi koke ma hope o ka ka loaʻaʻana o ka pilikia, ia mea he 'aʻe' ana o kekahi papa mimi hoʻomāhuahua a me ka helehelena o ka pahikaua makemake i nele bladder. Kēia e pono He pinepine huʻi, a hiki aku i ka involuntary aku o ka kekahi nui o ka mimi (incontinence).

Mea maʻa mau, Inc hoʻomaka me ka noi o ka 'ano' ( 'ano') papa kōnane o - kauka Meu inu i ka wai, a me ka inu ma ka haʻalele 'ana, e hele i ka' Ia kēlā lā i kekahi manawa, a me hoʻonalowale i ka ulia koi aku ia, e kōkua i ka pelvic papahele nāʻiʻo. Inā mau ana mai i ke kōkua, he mea'ē aʻe ano o ka hana maikaʻi maʻi.

symptoms

Inā 'oe i kekahi pilikia me ka urination, i ka mea i kā lākou mau kumu, he pono overactive bladder. Symptoms i na wahine e like penei:

• ka koke helehelena o ka pono, e kipa i ka 'Ia, a me keia nele ka loa paʻakikī i ka hooponopono ana;
• incontinence o ka mimi, a laila involuntary hoʻokuʻu ia koke ma hope o ka hanana makemake e ninini i ka bladder;
• pinepine urination, IeAUPIIe, IAa IO oi aku mamua o ewalu manawa no ka lā;
• nocturnal polyuria (nocturia) - nocturnal koi aku ia e hele i ka 'Ia, i ka hiamoe ka puana oi ma mua o nā hahauʻana.

ʻOiai he nui loa nā mea maʻi kahu ai e kiʻi ai i ka 'Ia akau aku, i ka puka ana a ka mea, he hoopaapaa pilikia, kokoke e pau e loaa ana, mai keia maʻi, ka hoao ana stress i loko o ka hoʻoikaika emptying o ka bladder kekahi mau manawa o ka lā.

Ka maʻamau functioning o ke kino

Nā puʻupaʻa paka mimi, a laila kahe mai i loko o ka bladder. Ka wā e hele aku e ike i ka restroom mimi Haʻalele i ka ke kino ma ka papaa puka ma ka lalo, a kahe mai ma ka Tube i kapaʻia ka "urethra". Ma nā wāhine, i ka weheʻana o ka urethra ua aia pono ma luna o ka vagina, no na kanaka - ma ka maka o ka glans penis.

E like me ka hoopiha ana i ka bladder a hiki i ka lolo lepa, mai nā aʻalolo mea, i loko o ka hopena, i ka pono, e ninini aku i ko. I ka hemo o nā aʻalolo lepa i kahi kūlike i ka hoʻomaha o ka pelvic palaoa nāʻiʻo a me ka urethra (ka hope haawiia keia i na nāʻiʻo o ka urinary sphincter). Nāʻiʻo Makamae kino (hoemiia), hahau mimi mai.

pathology hookomo ana i

A hiki aku i ke kino nāʻiʻo hoʻomaka i ka Makamae koke (a hiki ina ka buke o ka mimi i loko o ia mea kamumu o ke aheahe), kauka diagnose overactive bladder. Symptoms i loko o nā wāhine ma luna o nā mea a pau i ka pahikaua ma muli o ka pono, a hiki e ukali ma na hoailona o ka maʻi, luna; elue no ka hooulu ana o keia maʻi. Eia naʻe, maʻi maʻi - mea ole ka mea wale kumu o ka pilikia. Ke kumu nui loa o ka hele ana i ka 'Ia, a urinary incontinence e moe:

• neurological kāna hana me Parkinson ka maʻi, hahauʻana, hoʻolaha (mau) sclerosis;
• Mālama nui? Iecaianoaaiiuo o ka mimi, mai ka hoopau ana o ka nui puke o ka loli, hune hakuʻala hana, a mimikō;
• ka lapaʻauʻia, accelerating a mimi auaiaea zapivaniya e noi ana nui o ka loli;
• huʻi nā mea palahēhē o ka urethra, e kauoha ana i ka symptoms like maʻi me symptoms e like me overactive bladder i loko o nā wāhine;
• hui, pathology (hikoko, na pohaku);
• nā pilikia i ka maʻamau urination (no na kanaka ka mea hiki ke hooakeaia prostate, na wahine - constipation a muaʻoki kino no ka iapaau ana o nā ano o ka incontinence);
• excessive 'ana o ka caffeine a kanakaʻona mau nā mea inu;
• inhibition o cognitive lolo hana ku i ka poe oo hoi o ka meaola, ai ka bladder apuepue ke hoʻomaopopo iho i ka mea e hoʻopā ai no lepa;
• pilikia e hele, no ka mea, o ka a ole a pau nā mea maʻi hiki e 'āwīwī e kiʻi i ka restroom;
• kāpili emptying o ka bladder, a hiki alakai i symptoms o ka hyperactivity aie i ka ka ho'ēmiʻana o noa kahua no ka hou mimi e hele mai ana, mai puʻupaʻaʻelua.

Pinepine, nae, i poe akamai i hiki ole ke hai pololei aku i ke kumu o ka hyperactivity maʻi pale kino.

lapaʻau '

Inā 'oe e ae mai unbearable pono nui pinepine e hele i ka' Ia, ka kauka ma ka wahi mua, e kaha i kou mimi no i ke alo o ke koko a me ka maʻiʻaʻai. Ua mea i pono, e hooku paa, ina e ninini i kou bladder loa. Full lapaʻau 'ana a pau, aolie e hookomo i ke kēia mau hana:

• 'inikua moʻolelo;
• iniiaiie physical ninaninau me ka kūikawā kākauʻana ma luna o nā nā loko o ka abdomen a me ka groin;
• mimi ho'āʻo ma e nānā no ka maʻiʻaʻai, ke koko kohu a me na hana mana e o ka pathology;
• kālele ana neurological keia hookolokolo ana, e hōʻike sensory kāna hana a pilikia me ka hōʻuluʻulu manaʻo.

Special haʻawina

Mua, i ke kauka, e hookupaa ai ia i ka pololei a me kaʻike, conjectural preconditions no ka hooulu ana o ka ia i ka ino ana i overactive bladder i loko o nā wāhine. Lapaʻau, e hilinaʻi ma na mea he nui aʻe, akā, mua o nā mea a pau - ka mea e like ai o ka functioning o ke kino. I ka hiki ana o ka bladder mau a pau kahe aku la ia kulana kupono ma urodynamic ao, a he o kekahi mau okoa kālailai.

He aha ka mea i hookomoia ma ka manaʻo o urodynamic Ka Ikepili

• Ana o ke koena mimi ka leo. Kēia Ka Ikepili mea pololei ai nui, ina i ke kino, aole ia e ninini i loa ia e mimi, a ina oe e ae mai ka incontinence. Koena mimi ke kumu no symptoms like i na hoailona o ka hyperactivity. E ana i ke kinowai koena ma hope o emptying, ke kauka e koi 'ia ka ultrasound hookolokolo ana o ka bladder a kau i ka kūikawā catheter (lahilahi Tube) e hōʻike' a me ka study o residues.
• Ana o ka mimi pele kōmi. Inā 'oe makemake e manaʻo i ka buke a me ka mämä holo o ka urination, ke kauka e ninau aku au ia oe, e ninini aku i ko kou bladder ma Uroflowmeter - ka mea i ana i ka ke koho' ia kiko'î a pio ia i loko o ka haʻalele 'ana hoʻololi emptying kōmi.
• Hoʻoholo 'ana o intravesical puʻe. cystometry hana kōkua ai i nā puʻe ana i loko o ka hui, a na nā'aʻaʻa a puni ka wā piha me ka wai. Iloko o keia ao, ke kauka hoʻohana he lahilahi Tube (catheter) e lohi hoʻopiha i ka bladder me ka mehana ka wai. Kekahi catheter me ka mīkiniʻimi i ka 'ikepili i ka loli i loko o ka puʻuwai, ua waihoia lakou ma ka vagina. Kēia kaʻina hana kōkua ke kumu he mea overactive bladder i loko o nā wāhine, e hoomaopopo. Lapaʻau, e hilinaʻi ma ka mea e Ka Ikepili e involuntary contractions a hui pa a me kona oolea, ma muli o ia a ka bladder i hikiʻole ke hoahu mimi i haahaa puʻe e malama. Oe i ke noi i ka hoi nele iloko o ke ao, e ana i ka'aloʻahiʻa koi 'ia no ka emptying i ke kino, a me ka möakäka hou i ke alo a kaawale o ka hiki blockage (iaʻi). Iaʻi e ia lŘlŘ ma muli o ka prolapse o pelvic nā loko, ke alakai i symptoms ano no laila, he pono ole maʻi puʻuwai like overactive bladder i loko o nā wāhine. Nā kumu (lapaʻau, e like me kaʻikeʻia, hiki ke koho wale i kekahi palapala hōʻoia no kanaka) i loko o keia hihia kokoke mau loaʻa neurological maʻi ka heluna i ka spinal kaula.

Lapaʻau ma ka 'ano' Inc

'Ano' Inc, a kūʻai pono e hakakā i ka maʻi o ka maikaiʻano - o ka mua loa pono a me ka anu u ma ke alanui a hiki i ke ola. Ke maopopo ka pono o keia iaoia mea i ka wa e kaawale aku o kaʻaoʻao loa. Inā 'oe i aole lakou i ike pehea e hana overactive bladder i loko o nā wāhine, e ho'āʻo i ka hahaiʻana i nā' ikamu 'enehana.

Ka maikai epekema e hoʻopau pilikia

• Kino no ka mea pelvic papahele nāʻiʻo. Kegel kino i ole no ka mea i loaa i nā hualoaʻa a kona kaulana a me ka launaʻole hiʻona: he mea paha kekahi ala hou maoli, e hooikaika i kou pelvic palaoa nāʻiʻo a me urinary sphincter. Ikaika nāʻiʻo hiki ke hoopakele ia oe mai o involuntary contractions o ka bladder pa. Ke kauka e haawi piha aʻo ma ka pololei manaʻo o ka hale haʻuki kaulana. E hahai i nā koi o ka 'oihana, a e ahonui: no ka mea, i kekahi' hana i ola pinepine lawe loa o ka lōʻihi manawa (eono i ewalu pule).
• Malama i ke ola i ke kaumaha. Inā 'oe e loohia mai obesity, i ka hoʻi a hiki i ka maʻamau kaumaha, e kōkua tame overactive bladder i loko o nā wāhine. Lapaʻau (hōʻike manaʻo hiki ina oe e makemake, e huli ma ke kūkākūkā Usenet) i loko o keia hihia o ia hoʻi, adherence i kaʻai ma muli ma luna o ka loina o ka pono no kou kino.
• Ka mālamaʻana loliʻai ana. Ke kauka i waiho aku ke kaupalenaʻana i ka pono o ke kinowai, a, e kōkua e hana i kekahiʻoluʻolu haʻalele 'ana ia' oe i ke inu i kou punahele ka mea inu.
• Menina emptying. I ka bladder mea pono kaawale, e kali oe i kekahi mau minuke ma hope o ka emptying mua, a laila, ho'āʻo hou e hoʻolauleʻa uuku hemahema.
• ? Oaony urination. Ano O hoʻopaʻa 'mea pono,ʻaʻole wale nō i loko o hua'ōlelo o ka loliʻai ana, akā, no hoi, e kipa i ka' Ia. Inā 'oe e hahai i ka n ieaie? Haʻalele' ana (no ka laʻana, e hele aku i ka make up kela 2-4 hola), i ke kinoʻia hoʻohana 'ia ka ia pololei ia, a me' oe e 'ike i ke keu stress o koke palapala e pono ai.

He aha hou aʻe hiki ke hana?

• Intermittent catheterisation. I ka diagnosed me overactive bladder i loko o nā wāhine, a me ka lapaʻau hōʻike manaʻo o ka hoakakaia Inc pili kēia hilinaʻi nui ma luna o ka kanaka laulā o ka i koho ia hana. Eia naʻe, loaʻa nō, he pono ole, ao ala e höʻike aku i ka symptoms o ka maʻi, i hoʻohuʻu papa'āweʻaweʻa kemika ana o ka catheter no ka piha emptying o ke kino. Nīnau aku i ke kahuna lapaau e pono i mua o ka hoʻohana 'ana i kēia hana.
• Ua hoʻokomoʻia urological nā pale poʻohiwi. E ho ohana i urological nā pale poʻohiwi a hana absorbent undergarment e kōkua mālama kapa, mai ka hopena o ka incontinence, a hoʻopau i ka hui pu manaʻoʻike stress. Oia linings a me ka huihui hele mai i loko o nā mea a pau nui like 'ole a me ka i okoa omo lawelawe.
• Bladder aʻo. Kēia manawa pili ana i ka hooulu ana i kā lākou mau hana, e deter uuku hemahema. Oe E hoʻomaka me ka pōkole manawa - no ka laʻana, 30 minuke, ma hope o ka mea e hiki ke kiʻekiʻe o hoʻonui i nāʻanuʻu like loa me oe e ole e hele i ka 'Ia wale kekahi manawa, o kela mea keia ekolu i eha hora. Overactive bladder i na wahine (lapaʻau, kumu, symptoms, ike luna) ia mea hiki ke stabilize ai wale ia oe e hiki e hooikaika oe ia oe iho (oki) ka pelvic papahele nāʻiʻo.

Overactive bladder i loko o nā wāhine: lapaʻau (ka lapaʻauʻia)

hoʻohana 'ia lapaʻauʻia relaxes ke kino pa e ho'ēmi i hyperactivity kāna hana. Ka mea, e:

• tolterodine ( "Detrol");
• oxybutynin i loko o ka palapala o ka ili (transdermal) one ( "Oksitrol");
• oxybutynin i loko o ka tuko pīlali ke ano ;
• trospium;
• solifenacin;
• darifenacin;
• fesoterodine.

e ao

Ka luna ai 'hiki iʻaoʻao loa, me maloo waha a me ka constipation, a hiki aggravate na symptoms o ka maʻi like overactive bladder i loko o nā wāhine. Lapaau (papa a me nā hoomakaukau no ku una ana) e e koi 'ia e ke kauka, aka, ina oe e ae mai i kēia mauʻaoʻao loa, ka mea i pono, e nīnau aku i ka hoʻomalu no ka hope o na papa io gels a me nā loʻi.