He paʻakikī anei iā ʻoe ke mimi? (Urinary Hesitancy) E kamaʻilio kākou e pili ana i kēia!

Pono anei ʻoe e kali i kekahi manawa no ka puka ʻana mai o kou mimi ? A i ʻole e pau koke ana ʻoe i ka wā e mimi ana , a he wahi liʻiliʻi wale nō e puka mai ana ke hoʻāʻo hou ʻoe? Inā ua hiki mai kēia iā ʻoe, a laila loaʻa paha iā ʻoe ke ʻano a mākou e kamaʻilio nei i kēia lā, ʻo ia hoʻi ka 'paʻakikī o ka mimi ʻana '. Ua kapa ʻia kēia ma ke ʻano lapaʻau ʻo (Urinary Hesitancy). E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.

He aha kēia paʻakikī i ka mimi ʻana ? (Urinary Hesitancy ma nā huaʻōlelo maʻalahi)

I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka (Urinary Hesitancy) ʻo ia hoʻi he paʻakikī iā ʻoe ke mimi (ʻo ia hoʻi ke kahe ʻana o ka mimi). ʻO ke ʻano o kēia, he paʻakikī paha iā ʻoe ke hoʻomaka e mimi , a i ʻole he paʻakikī paha iā ʻoe ke hoʻomau i ka mimi ʻana i kahi wikiwiki paʻa. I kekahi manawa, hiki iā ʻoe ke hoʻōki i ka mimi ʻoiai makemake mau ʻoe e mimi .

Hiki i kēia ke hana i kekahi, akā inā he kāne ʻoe, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi.

Hoʻohana nā kauka i ka huaʻōlelo "hesitancy" e pili ana i ka paʻakikī i ka hoʻomaka ʻana e mimi a i ʻole ka paʻakikī i ka mālama ʻana i ke kahe o ka mimi .

He aha nā hōʻailona āu e ʻike ai ma kēia kūlana?

ʻO nā hōʻailona nui o ka "Urinary Hesitancy" ʻo ia ka paʻakikī i ka hoʻomaka ʻana e mimi a me ka hoʻōki ʻana i ka mimi ma mua o ka hakahaka ʻana o ka ʻōpū mimi. Eia kekahi, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe.

• Manaʻo e like me ka mea e pono ai ʻoe e mimi , akā ʻaʻole hiki ke mimi .
• ʻO ka makemake e mimi .
• Manaʻo e like me ka holo mālie ʻana o kou mimi , a i ʻole e like me ke kahawai lahilahi o ka mimi .
• Ka kahe ʻana o ka wai, ʻoiai ma hope o kou pau ʻana o ka mimi .

Nā hōʻailona ʻē aʻe ma waho aʻe o ka paʻakikī o ka mimi ʻana

I kekahi manawa, hiki i kēia kūlana o ka "Urinary Hesitancy" ke alakaʻi i ka "Urinary Retention" a i ʻole ka hiki ʻole ke mimi . I kēia hihia, hiki ke hele pū me nā hōʻailona e like me:

• Ke ʻeha nei ma ka ʻōpū lalo.
• Manaʻo e like me ka pehu ʻana o kou ʻōpū.
• Ke kahe ʻana o kahi mimi liʻiliʻi me ka ʻike ʻole ʻia (i kapa ʻia hoʻi ʻo "Urinary Incontinence").

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

Aia kekahi mau kumu e paʻakikī ai ka mimi . E nānā kākou i ke ʻano o lākou.

ʻO ke kumu maʻamau e hoʻopilikia pinepine ai i nā kāne

ʻO ke kumu maʻamau o kēia, ʻo ia ka hoʻonui ʻia ʻana o ka nui o ka prostate gland (Benign Prostatic Hyperplasia - BPH).ʻO kēia ka mea maʻamau i nā kāne ma luna o 60 mau makahiki. He ʻāpana liʻiliʻi ka prostate i loaʻa i nā kāne wale nō. Aia ia ma lalo o ka ʻōpū mimi, e hoʻopuni ana i ka urethra. No laila, i ka wā e ulu ai, hiki iā ia ke ʻūlū i ka urethra a ālai i ke kahe o ka mimi .

Nā kumu maʻamau ʻē aʻe

Eia kekahi, aia paha kekahi mau kumu ʻē aʻe:

• Nā Maʻi ʻAla Mimi (UTI) a i ʻole nā ​​Maʻi ʻAmi Pūpū: He mea maʻamau loa kēia i waena o mākou.
• Prostatitis: He ʻano kēia e pehu ai a loaʻa ka maʻi i ka prostate gland.
• Ka ʻōpala a me ka hāiki ʻana o ka urethra (Urethral Stricture): Hiki ke hāiki ka urethra mai loko mai ma muli o kahi ulia a i ʻole ka maʻi.
• Paʻa paʻa koʻikoʻi: Ke koʻikoʻi ka paʻa paʻa, hiki iā ia ke kau i ke kaomi ma luna o ka ʻōpū mimi a hoʻopilikia i ka mimi ʻana .
• ʻO kekahi mau lāʻau lapaʻau: No ka laʻana, hiki i kekahi mau antidepressants (Tricyclic Antidepressants), nā lāʻau lapaʻau no ka incontinence urinary, a me kekahi mau lāʻau lapaʻau no ke anu a me nā allergies ke hana i kēia.
• ʻAʻole hiki ke hoʻomaha pono i nā ʻiʻo papahele pelvic: Pono kēia mau ʻiʻo e hoʻomaha i ka wā e mimi ai . Inā ʻaʻole lākou e hoʻomaha pono, hiki ke paʻakikī ke mimi (Pelvic Floor Dysfunction).
• Nā maʻi o ka ʻōnaehana aʻalolo: Nā maʻi aʻalolo kahi i hana pono ʻole ai nā hōʻailona mai ka lolo a i ka ʻōpū mimi. No ka laʻana, ka hahau ʻana, ka sclerosis maha (MS), a i ʻole ka neuropathy e pili ana i ka maʻi diabetes.
• ʻO ka Pelvic Organ Prolapse: Ke nāwaliwali nā ʻiʻo i loko o ka lua pelvic, hiki i nā ʻōpū e like me ka ʻōpū mimi ke hāʻule i lalo. Hiki i kēia ke hoʻopilikia i ka mimi ʻana .

ʻO wai ka mea i ʻoi aku ka pilikia o kēia kūlana?

E like me ka mea i ʻōlelo ʻia ma mua, hiki ke hana ʻia kēia i kekahi kanaka, i kēlā me kēia makahiki. Eia nō naʻe, ʻoi aku ka maʻamau i nā kāne ma luna o 60 mau makahiki me ka prostate i hoʻonui ʻia (BPH).

Pehea e ʻike ai ke kauka i kēia?

Ke haʻi aku ʻoe i kāu kauka ʻohana (Primary Care Physician - PCP) e pilikia ana ʻoe i ka mimi ʻana , e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​e lawe i kou mōʻaukala olakino, a e hana i kahi hoʻokolokolo kino.

Nā nīnau e nīnau aku iā ʻoe

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

• ʻEhia ka lōʻihi o kou pilikia ʻana i ka mimi ?
• Ke manaʻo nei ʻoe e mimi lohi ana ʻoe ma mua o ka maʻamau?
• Ua hiki koke mai anei kēia mau hōʻailona, ​​a ua piʻi mālie paha?
• Aia kekahi lāʻau lapaʻau e hiki iā ʻoe ke lawe mai ka hale kūʻai lāʻau lapaʻau e hoʻomaha ai i kēia?
• Ua manaʻo paha ʻoe e piʻi aʻe ana kēia paʻakikī ke ʻai ʻoe i kekahi mau meaʻai a hana paha i kekahi mau mea?

Ma muli o kāu mau pane i kēia mau nīnau, hiki i ke kauka ke loaʻa kahi manaʻo maikaʻi o ke kūlana.

He aha nā hoʻokolohua e hana ʻia?

Ma hope o kēlā, hiki i ke kauka ke kauoha i kekahi mau hoʻokolohua e hōʻoia i ke kūlana o ka "Urinary Hesitancy" a ʻike i ke kumu.

• Nā Hoʻāʻo Urodynamic: He hui pū ʻana kēia o kekahi mau hoʻāʻo. Nānā kēia i:
• ʻEhia ka nui o kou mimi ʻana ?
• Pehea ka wikiwiki a me ka ikaika o kou mimi ʻana ?
• Pehea ke kaomi i loko o kou ʻōpū mimi?
• Nā hoʻāʻo kiʻi: No ka laʻana, hiki ke kauoha ʻia kahi scan ultrasound a i ʻole kahi scan CT. Hiki i kēia ke nānā i ke ʻano o ka piha a me ka hakahaka o kāu ʻōpū mimi, a hiki ke nānā i ka nui o kou prostate. I kekahi manawa hiki ke hana ʻia kahi cystoscopy, e pili ana i ka hoʻokomo ʻana i kahi kāmela liʻiliʻi ma o kou urethra e nānā i loko o kou ʻōpū mimi.
• Hoʻokolohua Rectal Digital: Pili kēia i ka nānā ʻana i ka nui o ka prostate me ka lima.
• Urinalysis: Lawe ʻia kahi hāpana o kāu mimi a hoʻāʻo ʻia nā mea i loko (nā ʻōkuhi microscopic, nā kemika).
• Moʻomeheu Mimi: Hana ʻia kēia hoʻāʻo e nānā i kahi maʻi bacteria i loko o ka mimi .

He aha nā lāʻau lapaʻau no ka pilikia o ka mimi ?

ʻO ke ʻano o ka mālama ʻana i ka kānalua o ka mimi e pili ana i ke kumu a inā he mau maʻi ʻē aʻe kāu. Hiki i kāu kauka ke kuhikuhi i kēia mau lāʻau lapaʻau:

• Hoʻomaʻamaʻa hou ʻana o ka ʻōpū mimi / ka hoʻokahe manawa kūpono
• Ka Lapaʻau Kino o ka Papahele Pelvic
• Nā lāʻau lapaʻau
• ʻoki kino
• Hoʻoulu ʻana i ke aʻalolo Sacral / Neuromodulation Sacral

E nānā kākou i kēlā me kēia me nā kikoʻī hou aku.

Hoʻomaʻamaʻa ʻana i ka ʻōpū mimi (Manawa Hoʻokahe)

Hoʻomaʻamaʻa hou kēia i nā ʻiʻo o kou ʻōpū mimi. Hoʻokomo kēia i ka mimi ʻana i nā manawa maʻamau (ʻo kēlā me kēia ʻelua hola). Hana ʻia kēia ma ka hoʻokahe ʻana i kou ʻōpū mimi ma mua o ka piha ʻana. ʻOiai inā ʻaʻole ʻoe makemake e mimi , pono ʻoe e hoʻāʻo e mimi i nā manawa maʻamau.

Ka Lapaʻau Kino o ka Papahele Pelvic

ʻO kēia ke aʻo ʻana iā ʻoe i nā hoʻomaʻamaʻa e kōkua iā ʻoe e hoʻomaha i nā ʻiʻo ma kou papahele pelvic. Ke hoʻomaha pono ʻia kēia mau ʻiʻo, e maʻalahi ka mimi .

Nā lāʻau lapaʻau

Hiki i ke kauka ke hāʻawi iā ʻoe i nā lāʻau lapaʻau e kāohi i ka ulu ʻana o ka prostate a i ʻole e hoʻēmi i ka mea e kū nei (e like me Dutasteride, Finasteride). A i ʻole e hāʻawi paha ʻo ia iā ʻoe i nā lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo o ka ʻōpū mimi a me ka prostate (Alpha-blockers). Inā he maʻi, e hāʻawi ʻo ia iā ʻoe i nā antibiotics.

ʻoki kino

Inā ua haiki ka urethra, hiki ke hana ʻoki kino e hoʻonui iā ia (Urethral Dilation) a i ʻole e hana hou iā ia (Urethral Reconstruction). Inā ua hoʻonui ʻia ka gland prostate ma muli o BPH, aia nā ʻano hana ʻoki kino like ʻole e wehe i nā ʻiʻo keu. He maʻalahi kekahi a hiki ke hana ʻia ma ke keʻena o ke kauka. ʻO kekahi he mau ʻoki kino e hoʻohana ana i ka ikehu uila a i ʻole ka ikehu laser. I kekahi manawa hiki ke hana ʻia kahi ʻoki kino e wehe i kahi a i ʻole ka gland prostate āpau (Prostatectomy). Inā ua hāʻule nā ​​​​​​kikona pelvic Organ Prolapse), aia nā ʻoki kino e hoʻihoʻi i nā kino i ko lākou wahi a kākoʻo iā lākou e pale aku iā lākou mai ka hāʻule hou ʻana.

Hoʻoulu ʻana i ke aʻalolo Sacral

Ma kēia, ua hoʻokomo ʻia kahi mea liʻiliʻi i kapa ʻia ʻo "Neurostimulator" ma lalo o ka ʻili kokoke i kou puʻupuʻu. Hoʻouna kēia mea hana i nā impulses uila maikaʻi loa kokoke i kou aʻalolo sacral e hoʻoulu i nā ʻiʻo o ka ʻōpū mimi.

He aha nā mea hiki ke hana ma ka home?

I kekahi mau hihia, hiki i ke kamaʻilio ʻana me kāu kauka a me ka hana ʻana i nā mea maʻalahi ma ka home ke kōkua i ka hōʻoluʻolu ʻana i kēia maʻi (Urinary Hesitancy).

• Wela: ʻO nā mea e like me ka ʻauʻau wela a i ʻole ke kau ʻana i kahi ʻōmole wai wela a i ʻole kahi pale hoʻomehana ma kou ʻōpū haʻahaʻa hiki ke hoʻomaha i nā ʻiʻo papahele pelvic, e maʻalahi ai ka mimi .
• Lomilomi: ʻOiai e mimi ana , ʻo ka lomilomi mālie ʻana i kou ʻōpū lalo (kahi o ka ʻōpū mimi) me kou mau lima a i ʻole ke kaomi mālie ʻana e hiki ke kōkua i ka hoʻonui ʻana i ka wikiwiki a me ka ikaika o ke kahe ʻana o kāu mimi .
• Nā Mea Hoʻomālielie i ka Noho a i ʻole nā ​​Laxatives: Inā loaʻa iā ʻoe ka paʻa ʻana o ka ʻōpū, ʻo ka lawe ʻana i nā meaʻai kūpono, nā mea inu, a me nā lāʻau lapaʻau (ma ka māhele laxative) e hoʻomau i ka neʻe pono ʻana o kou ʻōpū e kōkua pū i ka hana o ka ʻōpū mimi.

ʻO ka mea nui loa, ma mua o ka hoʻāʻo ʻana i kēia mau lāʻau lapaʻau ma ka home, pono ʻoe e nīnau i ke kauka a hana wale iā lākou inā ʻōlelo lākou "palekana ia no ʻoe e hana i kēia mau mea."

Nā pono o ka mālama ʻana i kahi 'diary bladder'

E noi paha kāu kauka iā ʻoe e mālama i kahi "puʻupuʻu moʻolelo bladder," he puke e hoʻopaʻa ana i nā mea e pili ana i kou ʻōpū mimi. Ma loko, pono ʻoe e hoʻopaʻa i nā mea e like me:

• ʻO ka nui o ka wai a me nā wai āu e inu ai i ka lā.
• ʻO ka nui o ka mimi āu e mimi ai (e ana inā hiki).
• ʻO ka wikiwiki o ka mimi ʻana (e like me ka holo maikaʻi ʻana a lohi paha).
• ʻEhia ka lōʻihi o ka mimi ʻana ?
• ʻEhia mau manawa āu e mimi ai i ka lā?
• Eia kekahi, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe.

Ma ka mālama ʻana i kahi puke pai e like me kēia, hiki iā ʻoe a me kāu kauka ke hoʻomaopopo maikaʻi i kēia kūlana.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

Aia maoli kēia i ke kumu o kou kānalua mimi a me ka lāʻau i kuhikuhi ʻia iā ʻoe.

• Hiki i ka hoʻōla kino o ka papahele pelvic ke hala i kekahi mau pule e ʻike i nā hopena.
• Hiki i nā lāʻau hoʻomaha ʻiʻo ke hala i kekahi mau hola e hoʻomaka ai ka hana.
• Ma hope o ke kau ʻia ʻana o ka mea hoʻoulu o ke aʻalolo sacral , hiki ke hala i kekahi mau pule e ʻike i nā hopena.
• Hiki ke hala i kekahi mau mahina e ho'ōla piha ai ma hope o ke ʻoki kino .

Hiki ke pale ʻia kēia kūlana?

ʻAʻole hiki iā mākou ke pale aku i nā kumu āpau o ka (Urinary Hesitancy). Eia nō naʻe, ʻo ka mālama ʻana i nā ʻano mimi maikaʻi a me ka pale ʻana i ka paʻa ʻana o ka ʻōpū hiki ke kōkua i kekahi ʻano. ʻO ia hoʻi, pono ʻoe e mimi i kēlā me kēia mau hola, mai hoʻopaʻa i kāu mimi i loko. Eia kekahi, pono ʻoe e neʻe mālie a maikaʻi i hoʻokahi manawa i ka lā.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

E ʻike koke i ke kauka ke ʻike ʻoe e paʻakikī ana ʻoe i ka mimi ʻana a i ʻole ua lohi ke kahe ʻana o kou mimi ma mua o ka maʻamau. Mai hoʻowahāwahā i kāu mau hōʻailona a manaʻo paha "e nalo wale nō ia." Hiki ke hilahila ke kamaʻilio e pili ana i ka mimi ʻana , akā he mea nui e nānā koke i kahi hōʻailona hou.

Pono ʻoe e hele i ka Emergency Treatment Unit (ETU) ?

Inā manaʻo ʻoe i ka makemake nui e mimi akā ʻaʻole hiki iā ʻoe ke mimi , ʻoiai inā hele pū me ka ʻeha ma kou ʻōpū haʻahaʻa a i ʻole ka ʻāpana genital, e hele koke i ka Emergency Room (ER). He mea kēia ʻaʻole pono ʻoe e hoʻopaneʻe.

Nā nīnau koʻikoʻi e nīnau aku i ke kauka

Ke hele ʻoe e ʻike i ke kauka, mai poina e nīnau i nā nīnau e like me kēia:

• He aha kou manaʻo no ke kumu o koʻu pilikia mimi ʻana , e ke kauka?
• He aha nā hoʻokolohua i ʻōlelo ʻia iaʻu e hana?
• Pono anei iaʻu e hana i kekahi mau hoʻokolohua hou aʻe?
• He aha ka lāʻau lapaʻau i ʻōlelo ʻia noʻu?
• E hoʻomaikaʻi loa anei koʻu pilikia i ka mimi ʻana ?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻOiai ʻaʻole ia he mea a mākou e kamaʻilio nei i kēlā me kēia lā, ke loaʻa iā ʻoe ka nui o ka mimi , he mea olakino loa ia e hoʻokahe loa i kou ʻōpū mimi a mimi , ʻeā? Akā i ka manawa like, e noʻonoʻo i ke ʻano hoʻonāukiuki a hilahila hoʻi i ka wā hiki ʻole iā ʻoe ke mimi me ka ʻoluʻolu a piha a ke hoʻopilikia nei kekahi mea. ʻO ia ka mea i kapa ʻia ʻo (Urinary Hesitancy).

Inā ʻaʻole kōkua nā lāʻau lapaʻau maʻalahi ma ka home i kāu mau hōʻailona, ​​​​mai hilahila e kamaʻilio me ke kauka. ʻAʻohe hewa o ka mālama ʻana i kou olakino, a ʻaʻohe mea e hilahila ai. No laila, inā he pilikia kāu, e kiʻi i ke kōkua āu e pono ai.