Me mimi pinepine koe? Kāore e taea te whakahaere? Me kōrero tātou mō te Pūngāwerewere Kaha Rawa (OAB)

Kei te whakarite koe ki te haere ki tētahi wāhi... kei te mahi rānei koe i tētahi mahi nui... ā, ka puta whakarere mai te hiahia ki te mimi. Kāore he wā ki te oma ki te wharepaku. I ētahi wā ka taea e koe te tango i ō kākahu me te kore e mōhio. Ka meinga koe e ēnei mea kia tino kore whakamarie, kia whakama hoki? Nō reira, i tēnei rā ka kōrero tātou mō tētahi kaupapa he mea tino nui ki a koe. Ko te Overactive Bladder, ko te OAB rānei te poto. Ahakoa he mea tēnei e kore e pai ki te kōrerohia e te tini o te tangata, ā, e whakama ana hoki, he mate tino noa. Waihoki, he pai ngā maimoatanga mōna.

He aha rawa te Pūngāwerewere Kaha Rawa (OAB)?

Ki te kī ngāwari, ehara te Pūngāwerewere Kaha Rawa i te mate, engari he kohinga tohu. Ko te mea e tupu ana i konei ko te kaha rawa o tō pūngāwerewere. I te nuinga o te wā, ina kī te pūngāwerewere, ka tukuna he tohu e te roro, e kī mai ana me mimi tātou. Heoi, i roto i te tangata whai OAB, ka tīmata ohorere te whakawhāiti i ngā uaua pūngāwerewere ahakoa kāore anō kia kī katoa te pūngāwerewere. Koinā te wā ka puta te hiahia nui ki te mimi, kāore e taea te whakahaere.

Koinei ngā tohu matua e kitea ana me te OAB.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei āhuatanga?

Ahakoa ka pāngia te tangata o ngā tau katoa e te OAB, he mea noa tēnei i te hunga neke atu i te 65 tau te pakeke . Ka pāngia hoki ngā wāhine e te mate i mua tata atu i ngā tāne, ka tīmata pea i te 45 tau te pakeke.

He tino noa tēnei āhuatanga, ā, miriona tāngata huri noa i te ao e pāngia ana e tēnei mate. Engari he tokomaha te hunga e whakama ana ki te kōrero mōna, nō reira kāore rātou e rapu rongoā. He mea whakamā tēnei. Nā te mea he mea tēnei ka taea te whakahaere mā te rongoā.

Ko te mea nui, kāore te OAB e ora ake i a ia anō. Ki te kore e rongoātia, ka kino haere pea ō tohumate i te roanga o te wā.

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He aha tēnei ka tupu ai? He aha ngā take o te OAB?

Ko te uaua detrusor he uaua kei roto i te pakitara o tō pūhā. Ka puta te OAB i ētahi āhuatanga, i ētahi whara rānei e pā ana ki tēnei uaua. Me titiro tātou ki ngā tino take.

• Te whara o te puku: I te wā e hapu ana, e whānau ana hoki, inā koa i roto i ngā wāhine, ka totoro, ka ngoikore hoki ngā uaua o te rohe hope. Ko ēnei uaua te mea e pupuri ana i te pūkahukahu me ētahi atu okana. Ina ngoikore, ka heke paku te pūkahukahu, ka pā ki tana mahi.
• Te kino o ngā io: Whakaarohia, ka kōrero tō tātou pūkahukahu me te roro mā roto i ngā io. He aha te mea ka puta mēnā ka whiwhi te roro i te tohu hē kia whakawāteahia tōna pūkahukahu i te wā hē? Koinei te mea e tupu ana i konei. Ka taea te kino o ēnei io e ētahi mate hauora me ngā aituā. Hei tauira:
• Pokanga hope, hope rānei
• Ngā mate o te taurakira (ngā kōpae herniated)
• Te rongoā irahiko
• Te mate a Parkinson
• Te mate urutā maha
• Whiu
• Ko ētahi rongoā, waipiro, me te kawheine: Ka taea e ēnei te whakaroa i tō pūnaha io, ā, ka pā ki ngā tohu e haere ana ki tō roro. Ka taea hoki e ngā diuretics (ngā rongoā e whakanui ana i te mimi) me te kawheine (tī, kawhe) te whakakī tere i tō pūkahukahu, ka arahi pea ki te mimi kore e taea te whakahaere.
• Ngā mate urutā:Ina puta he mate pēnei i te mate mimi (UTI), ka taea e ia te whakaoho i ngā io i roto i te pūkahukahu, ā, ka pēhia te pūkahukahu me te kore e hiahiatia.
• Taumaha nui: I te pikinga o tō taumaha tinana, ka nui ake te pēhanga ki tō pūkahukahu. Ka uaua ake hoki te whakahaere i tō mimi nā tēnei pēhanga.
• Te ngoikore o te Ētrogen i muri i te menopause: Ka puta hoki te OAB nā ngā huringa homoni e puta ana i roto i te tinana o ngā wāhine i muri i te menopause.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te tākuta mō ēnei tohu, ko te mea tuatahi ka mahia e ia ko te whakarongo pai ki tāu e kōrero ai. Kātahi ka āta tirotirohia e ia tō hope me te rohe huri noa i tō nono. Tērā pea ka pātai atu ia ki a koe i ētahi pātai pēnei i:

• He aha ō tohumate?
• Kia pēhea te roa o te pānga o ēnei tohu?
• Kei roto i tō whānau tētahi e pāngia ana e tēnei mate?
• He aha ngā rongoā e whakamahia ana e koe? (tae atu ki ngā rongoā ka taea te hoko kore utu)
• He aha tāu e inu ai i te rā? Āhea koe e inu ai?
• Kei te pēhea tō kai?

I ētahi wā ka tukuna koe e tō tākuta ki tētahi tohunga mimi.

Ngā whakamātautau tātaritanga

Tērā pea ka tūtohu tō tākuta i ētahi whakamātautau pēnei hei whakaū i te mate.

• Tātaritanga mimi: Ka tirohia e tēnei whakamātautau tō mimi mō ngā mate urutā, ngā pūtau toto, me ētahi atu. Mena he mea pēnei i te UTI te take o tō OAB, ka taea e tēnei whakamātautau te kite.
• Whakamātautau Urodynamic: Ka taea e ēnei whakamātautau te ine i ngā mea maha, pēnei i te nui o te mimi e toe ana i roto i te pūkahukahu i muri i tō mimi, te tere o te rere o te mimi ki waho, me te pēhanga ki runga i te pūkahukahu ina kī.
• Matawai Ultrasound: He matawai kore mamae tēnei ka taea te whakaputa whakaahua taipitopito o tō pūkahukahu me ngā whekau e karapoti ana.
• Matawai CT: Ka taea hoki e tēnei te whakaputa whakaahua toru-ahu (3D) o te pūkahukahu.
• Cystoscopy: Ko te whakaurunga o tētahi taputapu angiangi, he mea kei roto i te kāmera, e kiia nei ko te cystoscope, mā roto i tō urethra hei tirotiro i te roto o tō pūkahukahu. Ka hoatu he kirimi whakangote i mua i te tikanga, nō reira kāore he take e manukanuka ai. He tino onge te wā ka hoatu he rongoā whakamoe katoa ki a koe mō tēnei tikanga.

He aha ngā maimoatanga mō tēnei?

Ko te rongo pai, he maha ngā maimoatanga e wātea ana hei āwhina i te whakahaere i te OAB, tae atu ki ngā huringa o te noho me ngā whanonga, ngā rongoā, me ngā maimoatanga whakaohooho io.

1. Ngā panonitanga o te āhua noho me ngā whanonga

I mua i te tango i te rongoā, he maha ngā mea ka taea e koe te mahi. Koinei ngā mahi tuatahi o te maimoatanga.

Puritia he rātaka mō te mate pūkahukahu.

Tērā pea ka tono atu tō tākuta kia tuhia e koe he pukapuka rātaka mō ō tauira mimi mō ētahi rā. Mā tēnei ka āwhina i a koe ki te mārama ki te wā e kino haere ai tō āhua me te aha e kai ana, e inu ana rānei koe. Tuhia ēnei e whai ake nei:

• He aha tāu e inu nei?
• E hia te nui o tāu inu?
• He aha ngā mea hei kai?
• E hia ngā wā ka mimi koe?
• Mena ka tukuna te mimi, āhea, ā, e hia te nui?
• E hia ngā wā ka rongo koe i te hiahia kia tere te mahi?
• I turuturu tō mimi nā te maremare, te tihe, te kata rānei?

Te tiaki i tāu e kai ana, e inu ana hoki

Ka taea e ētahi kai me ētahi inu te whakaoho i te pūkahukahu, me te whakanui ake i ngā tohumate OAB. Ngāna kia whakaitihia, kia whakakorea rawatia rānei ēnei kai:

• Tī
• Kawhe
• Waipiro
• Ngā inu ngohengohe kawheine
• Ngā hua citrus me ngā inu hua (karaka, tangerines)
• Tiakarete
• Ngā tōmato me ngā kai kei roto ngā tōmato
• Ngā kai werawera me ngā kai waikawa
• Ngā mea kei roto ngā mea reka horihori (ngā inu kai, ētahi kapia ngaungau)

Kia pai te mahi a ngā whekau

Ka taea e te kōroke te pēhi i tō pūkahukahu, ā, ka whakanui ake i ngā tohumate OAB. Whakamātauria ēnei mea hei pupuri i te hauora o ō puku:

• Kai i ngā kai he nui te muka (raihi parauri, pīni, ōti, pīni, huawhenua, hua).
• Inuhia kia 2-4 atu karāhe wai i te rā.
• Whakakorikori tinana i ia wā, i ia wā.

Te whakahaere taumaha me te whakamutu i te momi hikareti

Mā te whakaiti i te taumaha nui ka taea te whakaiti i te pēhanga ki runga i te pūkahukahu. Waihoki, ki te kaipaipa koe, ka pā ki ngā uaua pūkahukahu. Nō reira, he mea tino nui hoki te whakamutu i te kaipaipa.

Me pēhea te whakangungu anō i te pūkahukahu? (Whakangungu Anō i te Pūkahukahu)

He tikanga tino nui, he tikanga whai hua hoki tēnei. Mēnā he OAB tōu, kua taunga tō pūkahukahu ki te whakawātea i a ia anō ina kī tonu. Ko tā mātou mahi i tēnei whakangungu he whakaako i te pūkahukahu kia nui ake te mimi. He rite ki te 'tautuhi anō' i te pūkahukahu.

Me pēhea te mahi i tēnei?

1. Kimihia tō tauira o nāianei: Tuatahi, tirohia tō rātaka mimi, kia mōhio ai koe ki te auau o tō mimi. Me kī, ka haere koe ki te wharepaku i ia hāora.

2. Whakanuia mārire te wā: Muri iho, ngana ki te tatari mō ētahi meneti ahakoa kei te hiahia koe ki te mimi. Ki te tīmata koe i roto i te haora kotahi, ngana kia kotahi haora me te tekau mā rima meneti.

3. Whakahaerehia te hiahia: Ina puta mai taua hiahia i ētahi wā, manawa hōhonu, ka tuku mārire i te manawa. Whakaarohia he wāhi hei whakamarie i a koe. Taria kia memeha te hiahia. Kātahi ka haere ki te wharepaku pērā i ngā wā katoa.

4. Mahi kia rite ki tētahi wātaka:Kia taea e koe te pupuri i tō wātaka hou (hei tauira, 1 hāora me te 15 meneti) mō te wiki pea, whakanuia te wā mā te 15 meneti anō. Āta whakanuia te wā kia taea rā anō e koe te pupuri i tō mimi mō te 2 ki te 4 hāora .

He mea tino nui te manawanui ki tēnei whakangungu. E ono ki te waru wiki pea ka kitea ngā hua. Nō reira kaua e ngākau māhaki.

Ngā rautaki mō te whakahaere i ngā hiahia

• Kati tāu mahi, noho ki raro mēnā ka taea. Noho marie.
• Whakakīkīhia, whakangāwarihia hoki ō uaua hope (pērā i ngā mahi Kegel) kia maha ngā wā me te tere.
• Whakangāwaritia te toenga o tō tinana. Mānu hōhonu.
• Whakaarohia te pehi i te hiahia ki te mimi.
• Kia mutu te hiahia, haere mārire ki te wharepaku pērā i te tikanga. Kaua e mataku.

Te maimoatanga hauora me ētahi atu tikanga

Mena kāore e ranea ngā huringa momo noho anake hei whakahaere i te mate, ka tūtohu pea tō tākuta i ētahi atu maimoatanga.

Ngā rongoā

He rongoā kei reira hei āwhina i te whakangāwari i ngā uaua o te pūkahukahu, hei whakahaere hoki i ngā kōpeketanga kāore e hiahiatia. Mā ēnei ka taea e te pūkahukahu te pupuri i te mimi.

• Ngā rongoā ārai mate kōrokoro: Ngā rongoā pēnei i te Oxybutynin (Ditropan®), Tolterodine (Detrol®), Solifenacin (VESIcare®).
• Ngā rongoā adrenergic Beta-3: Ngā rongoā pēnei i a Mirabegron (Myrbetriq®), Vibegron (Gemtesa®).

Me whakamahi noa i ēnei rongoā i runga i te tohutohu a te taote .

Te Whakaoho i te Io

Mena kāore e angitu ētahi atu maimoatanga, kei reira ngā maimoatanga e tuku ana i ngā tohu hiko ngawari ki ngā io e whakahaere ana i te pūkahukahu, kia whakahokia mai ai tā rātou mahi.

• Te whakaohooho i ngā io tapu: He tikanga whakaohooho i ngā io mā te whakatō i tētahi taputapu iti ki raro i te kiri.
• Te whakaohooho i te io tibial percutaneous: He tikanga e whakarato ana i te whakaohooho mā roto i te io e tata ana ki te pona waewae.

Ngā Werohanga Paitini Botulinum

Ko te Botox® te momo rongonui. Ka werohia te Botox ki roto i te pakitara o te pūkahukahu mā te cystoscope. Mā tēnei ka whakangāwari i ngā uaua o te pūkahukahu. E ono marama te roa o ngā pānga o tēnei maimoatanga, nō reira me werohia anō.

Me pēhea te whakahaere i te mamae i te wā e rongoatia ana?

I a koe e tatari ana kia whai hua tō maimoatanga, ki te kore rānei e taea e koe te whakahaere i te turuturu o te mimi i ētahi wā, tera pea ka pōuri koe, ka whakama hoki. Engari he otinga anō kei reira. Mā te whakamahi i ngā papa, i ngā nāpi rānei mō ngā pakeke (ngā hua mō te kore mimi) ka āwhina i a koe ki te hoki ki tō mahi o ia rā me te maia.

• Whakawhiti i ia wā:Mā te whakawhiti i te paraikete i muri i te mimi ka āwhina i te ārai i te haunga kino me ngā mate kiri.
• Whakapangia he parenga kiri: Mā te paninga o tētahi kirīmi ārai ki te kiri i mua i te whakauru i te papa ka āwhina i te ārai i te kino o te kiri i puta mai i te mimi.
• Kākahuhia ngā kākahu pōuriuri, korekore: Mā tēnei ka kore e kitea te papa. Ahakoa ka mākū, ka kore e kitea i roto i ngā kākahu pōuri.