Ke hoʻokahe nei ʻoe i kahi mimi liʻiliʻi me ka ʻike ʻole? Ke ʻōlelo nei anei kēlā ua piha kou ʻōpū mimi? E kamaʻilio kākou e pili ana i ka Overflow Incontinence!

Ke manaʻo nei ʻoe i kekahi manawa e like me ke kahe ʻana o kekahi mau kulu o ka mimi ma luna o kou mau lole? A i ʻole ke manaʻo nei ʻoe ua pau kāu mimi ʻana ? Hiki ke lilo i mea hoʻonāukiuki iki. Akā hiki nō hoʻi ke hana ʻia ke piha loa kou ʻōpū mimi ʻaʻole hiki ke paʻa hou i ka mimi. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana i kapa ʻia ʻo "Overflow Incontinence".

He aha kēia "Overflow Incontinence"?

I ka ʻōlelo maʻalahi, ʻo ka overflow incontinence ka wā e piha loa ai kou ʻōpū mimi a hiki ʻole iā ʻoe ke kāohi a kahe kekahi mimi i waho. Ua like ia me kahi pahu wai e piha ana ke pio ʻoe. Hiki ke hana kēia i ka wā e pono ai ʻoe e mimi pinepine, akā ʻaʻole hiki iā ʻoe ke hoʻokahe mau i kou ʻōpū mimi.

Manaʻo ka poʻe he nui he mea maʻamau ka hoʻokahe ʻana i kahi mimi liʻiliʻi i kou wā ʻelemakule. ʻOiaʻiʻo, hiki ke piʻi aʻe ka pilikia o kēia ʻano me ka makahiki. Akā, ʻaʻole ia he mea e hiki mai ana i nā kānaka a pau. ʻO kēia ʻano, i kapa ʻia ʻo "Overflow Incontinence", hiki ke hiki mai i kekahi.

He mea maʻamau ka hilahila, ka huhū, a me ka hoʻonāukiuki paha no kēia. Akā, ʻaʻole ʻoe makemake i kēia maʻi e hoʻopilikia i kou ola o kēlā me kēia lā. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me ke kauka e pili ana i ia mea, e ʻike i ke kumu pololei, a e loaʻa i ka lāʻau lapaʻau e pono ai. Hiki paha iā ʻoe ke loaʻa ke kōkua me nā lāʻau lapaʻau kūlohelohe, nā lāʻau lapaʻau, a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe e kōkua i ka kaohi ʻana i kēia maʻi.

Aia kekahi mau ʻano ʻē aʻe o ka incontinence urinary?

ʻAe, ʻo ka "Overflow Incontinence" hoʻokahi wale nō ʻano o ka incontinence mimi. He mea kākaʻikahi iki ia. Aia kekahi mau ʻano maʻamau:

• Ka Hoʻōki ʻana o ke Kino o ke Koʻikoʻi: Hana ʻia kēia ke nalowale kahi liʻiliʻi o ka mimi i ka wā e kaomi ʻia ai ka ʻōpū, e like me ka wā e ʻakaʻaka ai, e ʻū ana, a i ʻole e kihe ana.
• `(Urge Incontinence)`: ʻO kēia ka wā e loaʻa koke ai iā ʻoe ka makemake nui e mimi , a nalowale kekahi mimi ma mua o kou hiki ke hele i ka lua.
• `(Mixed Incontinence)`: Hiki i kēia ke loaʻa nā hōʻailona o nā ʻano `(Stress Incontinence)` a me `(Urge Incontinence)` i ʻōlelo ʻia ma luna.

E noʻonoʻo wale, ehia o kākou ma Sri Lanka i loaʻa i kēia pilikia? Hōʻike kekahi mau noiʻi he hoʻokahi o kēlā me kēia ʻekolu o ka poʻe ma ʻAmelika e loaʻa ana kekahi ʻano o ka incontinence urinary . Ma waena o kēia mau mea, he 5% wale nō ka poʻe i loaʻa i ka overflow incontinence.

He aha nā hōʻailona o kēia?

Inā manaʻo ʻoe he Overflow Incontinence kou, e makaʻala i kēia mau hōʻailona:

• Ke kahe mau nei ka mimi i kou mau lole, e like me ka paipa e kahe ana ka wai me ka ʻole o ka pani pono ʻia.
• ʻO ka pono e mimi pinepine , akā he kakaikahi wale nō ka mimi e puka mai ana.
• Ka paʻakikī e hoʻomaka ana e mimi .
• I ka wā e mimi ai , pau ia a ʻaʻole e hele mau.
• ʻOiai inā manaʻo ʻoe ua pau kou mimi ʻana , ke manaʻo nei nō ʻoe he mimi i loko o kou ʻōpū mimi.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e kamaʻilio me ke kauka e pili ana i ia mea.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻO ke kumu nui o ka hoʻokahe ʻole ʻana o ka mimi ka paʻa ʻana o ka mimi no ka manawa lōʻihi. ʻO ke ʻano kēia, ʻaʻole i piha loa ka ʻōpū mimi. He ʻāpana koʻikoʻi loa ka ʻōpū mimi i loko o kā mākou ʻōnaehana mimi. Aia kekahi mau kumu e piha ai kēia ʻōpū mimi:

• Hoʻonui ʻia ka hana ʻana o ka mimi : Hiki ke hana kēia i nā poʻe me kekahi mau maʻi, e like me ka maʻi diabetes mellitus, a i ʻole ka poʻe e lawe ana i nā lāʻau lapaʻau e hoʻoulu ai iā lākou e mimi hou aku, e like me nā diuretics.
• Ka ālai ʻana o ka puka ʻōpū : Pale kēia i ka ʻōpū mai ka hoʻokahe piha ʻana.
• Ka nāwaliwali o nā ʻiʻo o ka ʻōpū mimi a i ʻole ka hōʻino ʻia ʻana o nā aʻalolo: ʻO kēia ke kumu e hiki ʻole ai i ka ʻōpū mimi ke ʻaelike pono a hoʻokuke i ka mimi i waho.

ʻO wai ka mea i pilikia nui?

ʻOi aku ka nui o ka hiki i nā kāne, ʻoiai ka poʻe me nā pilikia prostate, ke loaʻa i ka incontinence overflow ma hope o ke ʻoki prostate. ʻO nā kūlana e like me ka benign prostatic hyperplasia (BPH) a i ʻole ke kanesa prostate hiki ke hana i ka urethra e ālai ʻia, e hopena ai i kahi liʻiliʻi o ka mimi e hele ana ma waena.

Ma hope o ka prostatectomy no ke kanesa prostate, a i ʻole ma hope o ka radiation therapy, a i ʻole ma hope o ke ʻoki ʻana ma ka urethra, hiki ke hana ʻia kekahi manawa nā ʻiʻo ʻeha. Hiki i kēia ʻiʻo ʻeha ke hoʻolilo i ka urethra i mea haiki (urethral stricture). Ke hana ʻia kēia, ʻaʻole hiki i ka ʻōpū mimi ke hoʻokahe piha, no laila e hoʻopiha koke hou ia. Ke hoʻopiha ʻia, e liki ka mimi .

Eia kekahi, ʻoi aku kou pilikia o ka hoʻomohala ʻana i ka Overflow Incontinence inā loaʻa iā ʻoe kēia mau kūlana:

• Maʻi diabetes
• Ka pōʻino o ke aʻalolo
• ʻEha o ke kaula iwi kuamoʻo

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe nā hōʻailona o ka incontinence overflow, he mea nui e ʻike i ke kauka. E nīnau ʻo ia e pili ana i kou mōʻaukala olakino, e nīnau e pili ana i kāu mau hōʻailona, ​​a hana i kahi hoʻokolokolo kino. Hiki i kēia hoʻokolokolo kino ke komo pū me kahi hoʻokolokolo pelvic inā he wahine ʻoe, a i ʻole kahi hoʻokolokolo rectal digital (e nānā i kou prostate) inā he kāne ʻoe.

I mea e kōkua ai i ka hana ʻana i kahi hōʻoia pololei, hiki i kāu kauka ke noi iā ʻoe e mālama i kahi "puʻupuʻu bladder" no ʻelua a ʻekolu mau lā. Ma kēia puke moʻolelo, pono ʻoe e hoʻopaʻa:

• He aha kāu e inu nei?
• ʻEhia ka nui o kāu inu ʻana?
• ʻEhia pinepine ʻoe e mimi ai ?
• ʻEhia pinepine ʻoe e hoʻokahe ai i ka mimi ?
• ʻEhia ka nui o ka mimi e liki ana?

Me kēia mau mea, hiki i ke kauka ke ʻōlelo i kekahi mau hoʻokolohua ʻē aʻe.

He aha nā hoʻokolohua e hana ʻia nei?

No ka ʻike pono ʻana inā loaʻa iā ʻoe ka "Overflow Incontinence", hiki iā ʻoe ke hana i nā hoʻokolohua aʻe:

• Urinalysis: Lawe ʻia kahi hāpana mimi mai ou aku a nānā ʻia no nā maʻi ʻaʻai mimi (UTIs) a me ke koko i loko o ka mimi (hematuria).
• ʻO ke kani ultrasound ʻōpū: Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e lawe i nā kiʻi kikoʻī o kou ʻōpū mimi, nā puʻupaʻa, a me nā ʻōpū ʻē aʻe i loko o kou ʻōpū. Hiki iā ia ke nānā i ka nui o ka mimi i koe i loko o kou ʻōpū mimi ma hope o kou mimi ʻana .
• Cystoscopy: Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi a hoʻomālamalama ʻia me kahi kāmela i hoʻopili ʻia (cystoscope) ma o kou urethra i loko o kāu ʻōpū mimi e nānā i kāu ʻōnaehana urinary.
• Voiding Cystogram (VCUG): Ma kēia hoʻāʻo , hoʻokomo ʻia kahi catheter urinary ma o kou urethra i loko o kou ʻōpū mimi, hoʻokomo ʻia kahi mea kūikawā (contrast dye) ma o ia mea, a lawe ʻia nā kiʻi X-ray. Hiki i kēia mea ke ʻike i ke ʻano o kou ʻōpū mimi i ka wā e piha ai a hakahaka ai.
• Hoʻāʻo Urodynamic: He ʻano hoʻāʻo kēia e nānā i ka maikaʻi o kāu ʻōpū mimi a me nā ʻāpana ʻē aʻe o kāu ʻōnaehana mimi e paʻa a hoʻokuʻu i ka mimi . Hiki i kēia ke komo pū me kahi hoʻāʻo mimi koena ma hope o ka void, kahi e ana ai i ka nui o ka mimi i koe i loko o kāu ʻōpū mimi ma hope o kou mimi ʻana .

Pehea e kaohi ʻia ai kēia a he aha nā lāʻau lapaʻau?

ʻO ka mālama ʻana no ka incontinence overflow e pili ana i ke kumu pololei. I kekahi manawa hiki iā ʻoe ke hoʻokele i ke kūlana ma ke ʻano kūlohelohe.

Nā mea hiki iā ʻoe ke hana ma ke ʻano kūlohelohe:

• Ke aʻo ʻana i ka ʻōpū mimi a i ʻole ka hoʻokahe manawa kūpono:ʻO kēia ka hele ʻana i ka lua i nā manawa i hoʻonohonoho ʻia i ka lā (no ka laʻana, i kēlā me kēia ʻelua a ʻekolu hola) e mimi . ʻO ka pahuhopu ka hoʻokahe i kou ʻōpū mimi ma mua o ka piha ʻana, ʻoiai inā ʻaʻole ʻoe e manaʻo i ka makemake e mimi .
• Ka lua ʻana o ka mimi: Ma kēia, ma hope o kou pau ʻana i ka mimi ʻana i hoʻokahi manawa, kali iki ʻoe ma mua o ka hoʻāʻo hou ʻana e mimi . A i ʻole, hoʻāʻo ʻoe e hoʻokahe loa i kou ʻōpū mimi ma ke kaomi ʻana (e hoʻohaʻahaʻa i lalo).

Lapaʻau lapaʻau:

ʻOkoʻa nā lāʻau lapaʻau ma muli o ke kumu. Hiki i kāu lāʻau lapaʻau ke komo pū me:

• Nā lāʻau lapaʻau: Inā loaʻa kēia ʻano ma muli o ka hoʻonui ʻia ʻana o ka prostate, hiki ke hāʻawi ʻia ka lāʻau lapaʻau e hoʻēmi iā ia.
• ʻO ke ʻoki kino: Inā he poloka i loko o ke ala mimi, pono paha ke kauka e hana i ke ʻoki kino e wehe ai.
• ʻO ke catheterization ponoʻī a i ʻole ka catheterization intermittent maʻemaʻe (CIC): Ma kēia, hoʻokomo ʻoe i kahi catheter i loko o kou ʻōpū mimi i nā manawa maʻamau i ka lā a pau e hoʻokahe i kou ʻōpū mimi. Wehe ʻia ka catheter ke pau ʻoe.
• Ka hoʻokomo ʻana i ka catheter i loko: Ma kēia, waiho ʻia kahi catheter i loko o ka ʻōpū mimi no ka manawa lōʻihi. Hōʻiliʻili ʻia ka mimi i loko o kahi ʻeke hoʻokahe mimi ma waho o ke kino.
• Catheter Suprapubic: Ma kēia kaʻina hana, hoʻokomo ke kauka lapaʻau i kahi paipu mau loa i loko o kou ʻōpū mimi mai kou ʻōpū haʻahaʻa. Hōʻiliʻili ʻia ka mimi i loko o kahi ʻeke. ʻAʻole hoʻohana kēia kaʻina hana i ka urethra.
• ʻO ka neuromodulation Sacral (hoʻoulu ʻana i ke aʻalolo): Hoʻokomo ke kauka i kahi uea lahilahi i loko o kou kua haʻahaʻa. Hoʻonoho ʻia ia ma kahi aʻalolo e pili ana i kou ʻōpū mimi a hāʻawi i ka hoʻoulu mālie a hoʻomau e kōkua i kou ʻōpū mimi e ʻūlū pono. Hoʻokomo ʻia kahi pila liʻiliʻi ma lalo o kou ʻili.

He aha ke ʻano o nā lāʻau lapaʻau i hoʻohana ʻia?

Inā loaʻa iā ʻoe ka incontinence overflow ma muli o ka prostate i hoʻonui ʻia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau alpha-blocker e kōkua i ka hoʻemi ʻana i kou prostate. Eia kekahi laʻana:

• ʻAlfuzosin
• `(Doxazosin)`
• `(Silodosin)`
• ʻO Tamsulosin
• `(Terazosin)`

Mai poina e hoʻohana wale ʻia kēia mau lāʻau lapaʻau ma ke ʻōlelo aʻoaʻo a ke kauka.

Nā pilikia ʻē aʻe e kū mai ana mai kēia

Hiki i ka poʻe me ka overflow incontinence ke hoʻokahe i ka mimi i kahi liʻiliʻi, akā no ka mea pinepine ia, hiki iā lākou ke hoʻokahe i ka nui o ka mimi i ka hopena o ka lā.

ʻO kēia mimiHiki iā ʻoe ke hoʻohana i nā lole komo kūikawā e omo ai i ka mimi. Eia nō naʻe, hopohopo paha ʻoe no ke ʻala a inā paha e ʻike ʻia ma o kou mau lole. Makaʻu paha ʻoe e hele i waho a noho a puni nā kānaka. Hiki i kēia ke alakaʻi i ka mehameha, ka hopohopo, a me ke kaumaha. ʻO ka ʻike pinepine ʻana i ka mimi hiki ke hana i nā ʻulaʻula a me nā ʻeha.

ʻO ka mea nui loa, inā ʻaʻole i hoʻokahe loa ʻia ka ʻōpū mimi, piʻi ka pilikia o nā maʻi ʻaʻai mimi (UTI), ʻo ia hoʻi nā maʻi o ka ʻōpū mimi, ka prostate, a me nā puʻupaʻa. Eia kekahi, hiki i ke koena o ka mimi ke alakaʻi i ka hoʻokumu ʻia ʻana o nā pōhaku ʻōpū mimi. Hiki i kēia mau pōhaku ke hoʻoulu i ka maʻi, ka mumū, a me ka ʻeha. ʻO ke kaomi mai kahi ʻōpū mimi piha mau hiki ke hōʻino i nā puʻupaʻa.

Pehea e pale ai iā ʻoe iho mai kēia? (Kāohi ʻana)

Hiki i ke aʻo ʻana i ka ʻōpū mimi a me ka hoʻokahe pālua ʻana ke kōkua i ka pale ʻana i kou ʻōpū mimi mai ka piha ʻana a me ke kumu o ka liki ʻana o ka mimi . He mea nui hoʻi e hana i kekahi mau hoʻololi i ke ʻano o ka nohona, e like me ka mālama ʻana i nā kūlana olakino e like me ka maʻi diabetes a me ka mālama ʻana i ke kaumaha olakino.

E ho'ōla loa ʻia anei kēia maʻi?

I ka hapanui o nā hihia, e hoʻomaikaʻi ka poʻe me ka overflow incontinence i ko lākou mau hōʻailona ke mālama ʻia ke kūlana paʻa urinary. ʻAʻole pono pinepine kahi catheter urinary. No laila, he mea nui e kamaʻilio me kāu kauka. Hiki iā ia ke kuhikuhi i nā ala kūpono loa e hoʻokele ai i kāu overflow incontinence a hōʻemi i kona hopena i kou ola.

Pehea wau e mālama ai iaʻu iho?

Hiki iā ʻoe ke hoʻohana i nā lole komo a i ʻole nā ​​​​pads e kōkua i ka omo ʻana i ka mimi i kou wā e loaʻa ana i ka lāʻau lapaʻau. He mea nui hoʻi e pale i kou ʻili mai nā ʻōpala a me nā ʻoki. ʻO ka hoʻohana ʻana i ka petroleum jelly a i ʻole kahi kirīmi i loaʻa ka zinc oxide hiki ke kōkua i ka pale ʻana i ka huhū o ka ʻili.

Inā ʻoe e hopohopo nei, hopohopo, a kaumaha paha ma muli o ka incontinence overflow, he mea maikaʻi nō hoʻi e kamaʻilio me kahi therapist a kākāʻōlelo a i ʻole psychologist.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka:

• Inā manaʻo ʻoe he pono e mimi hou ma hope o kou pau ʻana o ka mimi ʻana .
• Inā loaʻa iā ʻoe ka ʻeha ma kou ʻōpū haʻahaʻa, ke kua haʻahaʻa, a i ʻole ka ʻāpana genital i ka wā e mimi ana .
• Paʻakikī i ka mimi ʻana : ʻO ia hoʻi, he paʻakikī ke hoʻomaka e mimi .Ka paʻa ʻole o ka mimi, ka mimi pinepine ʻana, a i ʻole ka hiki ʻole ke mimi .
• Inā he mau hōʻailona kou o kahi maʻi, e like me ke kuni a i ʻole ke anu.
• Inā he koko i loko o ka mimi.

He aha nā nīnau āu e nīnau ai i ke kauka?

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me kēia:

• He aha ke kumu o ka paʻa ʻana o ka mimi a me ka incontinence overflow?
• He aha nā hoʻokolohua āu e paipai nei?
• He aha ka ʻōlelo a kaʻu mau hopena hoʻāʻo?
• Aia kekahi mau lāʻau lapaʻau e hiki iaʻu ke hoʻāʻo ma ka home?
• He aha nā koho lapaʻau āu e paipai nei?
• He kūpono anei iaʻu ke catheterization a i ʻole ka hoʻoulu ʻana o nā aʻalolo?
• He aha nā pilikia o kēlā mau lāʻau lapaʻau?
• Pono anei au e ʻike i kahi urologist?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Hiki i ka overflow incontinence ke lilo i mea hoʻoweliweli i ke ola. Hiki iā ia ke hoʻoluhi iā ʻoe a makaʻu hoʻi e hele i ka lua. Akā, ʻaʻole ia he ʻāpana maʻamau o ka ʻelemakule, a hiki i ka lāʻau lapaʻau ke kōkua. Me ka lāʻau lapaʻau kūpono, hiki i ka overflow incontinence ke hoʻomaikaʻi nui, a i kekahi manawa a piha loa. No laila, inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kamaʻilio me kāu kauka. Mai makaʻu e noi i ke kōkua.

Ka Hoʻokahe ʻana o ka ʻōpū, ka Mana Mimi, ka ʻōpū mimi, ka mimiLeakage, Prostate, Maʻi ʻAla Mimi, Ola Kino o Sri Lanka