He uaua anō hoki ki a koe te whakahaere i tō mimi? Me ako tātou mō te Urge Incontinence!

Kei te hiahia ohorere koe ki te mimi (te hiahia nui ki te mimi ), i ētahi wā ka mimi pakupaku koe i mua i tō taenga ki te wharepaku? Me mimi rānei koe i ngā wā maha i te rā, i ētahi wā neke atu i te waru ngā wā? He mea noa kia ara ake koe i te rua, i te toru rānei ngā wā i te pō ki te mimi ? Mena kei te pāngia tō oranga e ēnei mea, kaua e manukanuka , ehara i te mea ko koe anake. I tēnei rā ka kōrero tātou mō tēnei hiahia ohorere ki te mimi , arā, ko te '(Urge Incontinence)'.

He aha te Urge Incontinence?

Ki te whakarapopoto, ko te Urge Incontinence te kore e taea te whakahaere i te rere o te mimi. Koinei te wā ka puta he hiahia ohorere, kāore e taea te whakahaere ki te mimi , he uaua ki te whakahaere, ā, i ētahi wā ka taea e koe te mimi i mua i te oma ki te wharepaku. Ko ētahi tāngata me mimi neke atu i te waru ngā wā i te rā, ā, me ara ake i ngā wā maha i te pō ki te mimi . He wheako tino whakararuraru tēnei.

He momo anō o te kore e taea te pupuri i te mimi?

Ae, he maha atu anō ngā momo mate mimi kore e taea te pupuri, tae atu ki te "Urge Incontinence". Kei roto i ia momo ko te ngaromanga o te iti o te mimi. Me titiro tātou ki ēnei:

• Te kore e taea te pupuri i te mimi i te ahotea: Koinei te wā e turuturu ana te mimi i a koe e kata ana, e maremare ana, e tihe ana, e hiki ana rānei i tetahi mea taumaha. Whakaarohia pērā i te wā e kata nui ana koe me ō hoa, ā, ka turuturu te mimi i a koe.
• Te kore e taea te pupuri i te mimi i roto i te toto: Ka uru atu pea tēnei ki te "kore e taea te pupuri i te mimi" me te "kore e taea te pupuri i te mimi i te ahotea". Ko te tikanga o tēnei ka hiahia anō koe ki te mimi , ā, ka turuturu hoki tō mimi ina kata koe, ina maremare rānei. E kiia ana neke atu i te haurua o ngā wāhine e pāngia ana e te kore e taea te pupuri i te mimi he "kore e taea te pupuri i te mimi i te ahotea".
• Te kore e taea te pupuri i te mimi: Koinei te wā e turuturu ana te mimi nā te mea kua kī rawa te pūkahukahu (te putea e pupuri ana i te mimi ), nā te mea rānei kāore e taea te mimi katoa. He rite ki te wai e maringi ana i roto i te tāke kī tonu.
• Te kore e taea te pupuri i te mimi i te wā tika: Koinei te wā kāore e taea e koe te haere ki te wharepaku i te wā tika, kāore rānei koe e hiahia ki te mimi , nā tētahi atu āhuatanga (hei tauira, he āhuatanga ngoikore pēnei i te mate rumatiki).

He pēhea te auau o tēnei mate mimi ohorere?

He mea noa ake tēnei i tō whakaaro. E whakaatu ana ngā rangahau e pāngia ana e tēnei mate te 40% o ngā wāhine me te 30% o ngā tāne i tētahi wā o ō rātou oranga. Nō reira, ehara i te mea ko koe anake.

He aha te tino take o te `(Urge Incontinence)`?

Ko te tino take o tēnei he nui rawa te mahi a te pūkahukahu . Koinei te wā e piki haere ai ngā uaua o tō pūkahukahu i te auau e tika ana. Me te mea nei kei te kī tonu tō pūkahukahu ki a koe kia " mimi , mimi ." Ka rongo koe i te hiahia nui ki te mimi i mua i te kīnga o tō pūkahukahu.

Ina pēnā te mimi, ka puare noa te uaua sphincter i roto i tō urethra (te uaua rite ki te takirere e aukati ana i te mimi kia rere ki waho). Koinā te wā ka turuturu te mimi .

He aha ngā tohu o te `(Urge Incontinence)`?

Ko te tohu matua ko te hiahia ohorere, kore e taea te whakahaere ki te mimi , me te turuturu o te iti o te mimi .

Hei tāpiritanga, tera pea ētahi atu tohu o te pūkahukahu puku e kaha rawa ana:

• Te mimi pinepine ( te mimi neke atu i te waru ngā wā i te rā).
• Te ara ake ki te mimi neke atu i te rua ngā wā i te pō i a koe e moe ana (Nocturia).
• Te turuturu o te mimi , i mua i te haere ki te wharepaku, i muri tonu rānei i te mimi .
• Te mākū i te moenga (Enuresis).

Haunga ēnei mamae tinana, ka pā anō hoki te `(Urge Incontinence)` ki tō hauora hinengaro. Ka wehi ētahi tāngata ki te haere ki waho ina tino kino te mate. Ina whakaaro koe ki ngā mea pēnei i te "Me pēhea mēnā kāore he wharepaku e tata ana?" "Me haere ahau ki hea mēnā me mimi ahau?", kei te tūpono hoki koe ki te whakawhanake i ngā mate hinengaro pēnei i te `(Stress)`, `(Anxiety)`, me te `(Depression) .

Ko wai te mea tino pāngia e tēnei āhuatanga?

E rua ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e te "Urge Incontinence" i ngā tāne. Ka nui haere hoki te kitea i a tātou e pakeke haere ana. Heoi, e kī ana ngā tākuta ehara i te mea noa o te koroheketanga. Ko te tikanga ka taea te rongoā.

Tērā atu anō ngā āhuatanga mōrearea:

• Mate huka.
• Mena kua pokangahia koe i te rohe pelvic, pēnei i te hysterectomy.
• Ko ētahi rongoā, hei tauira, ngā rongoā antidepressants, ngā diuretics, me ngā rongoā antihypertensive.
• Te paheketanga.
• Ngā mate o te pūnaha io, hei tauira te mate a Alzheimer, te mate a Parkinson, me te Multiple Sclerosis (MS).
• Te Taupū Papatipu Tinana (BMI) neke atu i te 25 (arā, te taumaha rawa/momona).
• Te momi hikareti.
• Ngā āhuatanga pēnei i te whiu.
• Ngā Mate Pukupuku o te Ara Mimi (UTI).
• Te haputanga me te whānautanga (ina koa te whānautanga tara).
• Mena kua whiwhi koe i te rongoā irahiko ki te rohe hope mō tētahi take i mua.
• Ngā raruraru o te repeure, hei tauira, te mate pukupuku repeure, te benign prostatic hyperplasia rānei.

He aha i kore ai e taea e au te whakahaere i taku mimi ?

Tērā pea kua pāngia koe e ngā tohu iti mō tētahi wā, ā, kāore pea koe i te mōhio mēnā kua tīmata noa te kino haere. Heoi, mēnā kua puta mai ēnei tohu i muri i tētahi pokanga tata nei, i tētahi aituā, i muri rānei i te tīmatanga o tētahi rongoā hou, me toro atu koe ki te tākuta. Tērā pea nā te kino o te io, nā tētahi atu raruraru rānei.

Me pēhea te mōhio ki te `(Urge Incontinence)`?

Mā te tākuta e tātaritanga tēnei mate mā te tango i tō hītori hauora me te pātai atu ki a koe mō ō tohumate. Ka tirotirohia hoki e rātou te tinana. Mena he wahine koe, ka tirotirohia pea e rātou te hope, ā, ki te mea he tāne koe, ka tirotirohia pea e rātou te remu matihiko.

Hei āwhina i te tautuhi tika i te mate, ka tono pea tō tākuta kia pupuri koe i tētahi "rātaka tōngāmimi" mō ngā rā e rua, e toru rānei. Me tuhi e koe ngā mea e whai ake nei ki roto:

• Ngā mea e inuhia ana e koe (pēnei i te wai, te tī, te kawhe).
• E hia te nui o tāu inu?
• E hia ngā wā ka haere koe ki te wharepaku?
• E hia ngā wā ka turuturu tō mimi , ā, e hia te nui o te turuturu?
• I aha koe i te wā i turuturu ai tō mimi ?

Hei tāpiri, ka taea e te tākuta te whakahaere i ngā whakamātautau pēnei i:

• He whakamātautau mimi (Urinalysis) hei tirotiro mō ngā mate pāwera o te ara mimi (UTI) me te toto i roto i te mimi (Hematuria).
• Mā te ultrasound o te puku hei tirotiro i ngā whekau pēnei i te pūkahukahu me te whatukuhu.
• Tirohia te pūnaha mimi mā te whakamahi i te cystoscopy.
• Ko te whakamātautau Urodynamic he whakamātautau hei tirotiro i te pai o te pupuri me te tuku mimi e te pūnaha mimi, ā, ko te whakamātautau mimi toenga i muri i te mimi he whakamātautau hei tirotiro i te nui o te mimi e toe ana i roto i te pūkahukahu i muri i te mimi.

Ka pai ake rānei te `(Urge Incontinence)`?

Kāore te koretake o te hiahia mimi e pai haere noa iho. Heoi anō, mā te maimoatanga ka taea te whakaiti i ō tohumate.

He aha te rongoā pai rawa atu mō tēnei?

Ko te maimoatanga mō te "Urge Incontinence" e whakawhirinaki ana ki te kaha o ō tohu. Ka pātai atu tō tākuta ki a koe i ēnei pātai hei whakatau i te nui o te pānga o te mate ki tō oranga:

• E hia ngā wā ka mimi koe i te awatea?
• E hia ngā wā ka ara ake koe ki te mimi i te pō i a koe e moe ana?
• Ka turuturu tō mimi ?
• E hia te nui o te mimi e turuturu ana?
• Āhea ka turuturu te mimi ?
• He aha ngā momo wai e inuhia ana e koe?

I runga i ēnei whakautu me ngā hua o te whakamātautau, ka tūtohu pea te tākuta i ngā mea penei:

• Te whakaora tinana o te papa o te hope. Kei roto pea i tēnei ko ngā mahi Kegel me ngā mahi whakangāwari uaua o te papa o te hope.
• Te whakangungu anō i te pūkahukahu.
• Ngā huringa o te āhua noho.

Ngā mahi whakakori tinana Kegel

He mahi whakapakari ngā mahi whakakorikori papa hope hei tautoko i tō pūnaha mimi. Mēnā ka tika te mahi, ka āwhina i te whakaiti i ō tohumate.

Heoi, ehara i te mea ngāwari te tautuhi me te whakamahi i ngā uaua tika pērā i tō whakaaro. Ka taea e te kaiwhakaora tinana o te papa pelvic te ako i a koe ki te mahi tika i ēnei mahi whakakori tinana. Tērā pea ka whakamahia e rātou he tikanga e kiia nei ko te "Biofeedback" hei tirotiro kei te tika tāu mahi. Hei kite i te whakapainga o ō tohu o te "Urge Incontinence", me mahi tonu koe i ēnei mahi whakakori tinana mō te whā ki te ono wiki pea.

I ētahi wā, ka kaha ake ngā tohu o te pūkahukahu puku mā te piripono, te whāiti rānei o ngā uaua o te papa hope. Mēnā koinei te āhua, ka taea e te kaiwhakaora tinana te ako i a koe me pēhea te whakangāwari i ēnei uaua me te hono tahi i a rātou.

Te whakangungu anō i te pūkahukahu

Ko te tikanga o tēnei, me haere ki te wharepaku i ngā wā kua whakaritea anake. Ko te whāinga kia tatari mō tētahi wā roa ake i mua i te mimi , ahakoa he kaha te hiahia ki te mimi . Mā tēnei ka whakapakari i ngā uaua o te papa hope, ā, ka āwhina i a koe ki te pupuri i tō mimi ki roto mō te wā roa.

Me mimi tonu ētahi tāngata, hei tauira, i ia rua hāora. Nā te mea ka hiahia tonu rātou ki te mimi ina kī tonu te pūkahukahu, ā, ka uaua ake te mimi. Nō reira, mā te haere pinepine me te pupuri i te pūkahukahu kia takoto kau ka taea te whakaiti i te raru o te turuturu.

Ngā huringa āhua noho

Koinei ngā huringa āhua noho hei āwhina i te whakaiti i te "Urge Incontinence":

• Ki te kai hikareti koe, kati.
• Te whakaiti i te inu i ngā inu e whakaoho ana i te pūkahukahu (ngā inu kawheine pēnei i te kawhe me te tī, ngā inu warowaihā pēnei i te houra tunutunu, me te waipiro).
• Te pupuri i te taumaha hauora e tika ana mōu.
• Ārai i te mate pāweraKai i ngā kai he nui te muka, ā, inu nui i te wai. Ka kino ake te kore e taea te pupuri i te mimi i te wā e kore e taea te mimi.
• Mena he āhuatanga hauora anō kei te pūtake o te "Urge Incontinence", rapua he maimoatanga mō rātou.

Ētahi atu Whakaora

Mena kāore te whakangungu pūkahukahu me ngā huringa momo noho e āwhina, ka tūtohu pea tō tākuta i ngā maimoatanga pēnei i:

• Ngā werohanga paitini botulinum (Botox®).
• Te rongoā neuromodulation.

Botox

Mā te Botox ka whakangāwari i ngā uaua o tō pūkahukahu, ka taea ai e koe te pupuri i te mimi. Engari ehara i te otinga pumau. Me werohanga koe i ia ono marama, i te wā e memeha haere ana ngā pānga.

Te rongoā neuromodulation

E toru ngā huarahi hei whakaoho mārire i ngā io e hono ana ki tō pūkahukahu. Mā tēnei ka āwhina i te whakahaere i te huarahi e kōrero ai tō pūnaha io ki tō pūkahukahu. Ko ēnei tikanga:

• Te whakaohooho i te io tibial percutaneous (PTNS): Kei roto i tēnei ko te whakaoho i te io i runga ake i tō pona waewae. Ka tukuna tēnei maimoatanga kotahi i te wiki mō te 12 wiki pea. Ehara i te mea nui, ā, ka taea te mahi i te tari o te tākuta, ā, he māmā ake i ētahi atu tikanga.
• Te whakaohooho i te io tibial tāpui (ITNS): Ko te whakatakoto i tētahi taputapu iti ki raro i te kiri e tata ana ki tō pona waewae hei whakaoho i te io tibial o muri. Mā tēnei ka taea e koe te mahi i te whakaohooho i te kāinga, kaua e haere ki te tari kotahi i te wiki.
• Te whakarerekētanga io o te ngākau tapu (SNM): Ko te whakaurunga o tētahi taputapu iti ki roto i tō tuara o raro. Ka whakaurua e te tākuta tētahi waea iti ki roto i te pūtake o tō taurakira, ā, ka tukuna he whakaohooho ngawari, pumau ki tētahi io e hono tika ana ki tō pūkahukahu. Ka whakauruhia hoki he pākahiko ki raro i te kiri.

Me pēhea te whakaiti i te mōrearea o te `(Urge Incontinence)`?

Ko ngā mea e āwhina ana ki te rongoā i te "Urge Incontinence" ka āwhina anō hoki ki te ārai i tēnei:

• Kia mau ki te taumaha hauora e tika ana mōu.
• Ārai i te mate kōroke.
• Ki te kai hikareti koe, kati.
• Whakaitihia te kawheine, ngā inu warowaihā, me te waipiro.
• Me mimi pinepine kia noho kau ai tō pūkahukahu.

He aha ngā mea e tika ana kia tumanakohia e te tangata e pāngia ana e te `(Urge Incontinence)`?

Ka tino taumaha te kore e taea te pupuri i te mimi. Ka taea e koe te whakaiti i tō kore e taea te pupuri i te mimi mā te whakamahi i ngā rongoā kāinga pēnei i ngā mahi Kegel me te whakangungu mimi. Heoi, ka roa pea te marama, neke atu rānei, ka kitea te rerekētanga, ā, kāore pea ngā tohu e memeha katoa. Nō reira, he mea nui kia kōrero ki te tākuta.Kātahi ia ka kōrero ki a koe te kaha o tō āhua me ngā huarahi pai hei whakahaere i taua āhuatanga, hei whakaiti hoki i te pānga ki tō oranga.

Ka aha mēnā kāore te `(Urge Incontinence)` e rongoātia?

Ki te kore e rongoatia, ka kino haere te "Urge Incontinence". Me haere pea koe ki te wharepaku i ngā wā katoa, me te mimi anō hoki. Ka kino haere pea ēnei raruraru mēnā kei te momi hikareti koe, kāore rānei koe e pupuri i te taumaha hauora.

Me pēhea te whakatau i te `(Urge Incontinence)`?

Ka taea e te kore e hiahia ki te mimi te turuturu i te mimi , nō reira me whakamahi pea koe i ngā kākahu o roto mimiti, i ngā papa mimi rānei kia whai hua rā anō tō maimoatanga. Heoi, mā te mimi tonu ka puta he kiri mākūkū me ngā mate pāwera. Hei tiaki i tō kiri, he mea pai kia pania he mea pēnei i te hinu tiēre (Vaseline®) . Ki te kore e āwhina te hinu tiēre anake, ngana ki te whakamahi i tētahi kirīmi, hinu rānei kei roto te konutea waikura, ka toro atu ki tētahi tākuta.

Mena kei te pāngia koe e te ahotea, te pouri, te manukanuka rānei nā te kore e taea te pupuri i te hiahia, he mea pai te kōrero ki tētahi kaiwhakaora hinengaro, ki tētahi tohunga hinengaro rānei . Ka taea e rātou te āwhina i a koe ki te whakahaere i tō hauora hinengaro.

Āhea ahau me toro atu ki te tākuta?

Kōrero ki tō tākuta ina kite koe i ngā tohu o te "Urge Incontinence" mēnā rānei ka kite koe i tētahi panoni i roto i ō tikanga kaukau. Ka taea e rātou te āwhina i a koe ki te kimi i te take, te rongoā, me te whakahaere i ō tohu. He mea nui anō hoki kia tirohia mēnā he mate mimi (UTI) mēnā ka kino haere ō tohu.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ka hiahia pea koe ki te pātai atu ki tō tākuta i ēnei pātai:

• He aha te take e pāngia ai ahau e te `(Urge Incontinence)`?
• He aha ngā momo whakamātautau e mahia ana e koe?
• Kia pēhea te kaha o taku "Urge Incontinence"?
• Ki tō whakaaro me Botox, me rongoā mō ngā io, me pokanga rānei ahau?
• He aha ngā mōrearea o te Botox, te pokanga roro, te pokanga rānei?

He aha te rerekētanga i waenganui i te `(Urge Incontinence)` me te `(Stress Incontinence)`?

He rerekē ngā take me ngā tohu o ēnei e rua:

• Te kore e taea te pupuri i te mimi i te ahotea: Nā te pēhanga o te puku ki te pūkahukahu tēnei. I tēnei wā, ka turuturu mārire te mimi .
• Te kore e taea te pupuri i te mimi: Ko te nuinga o te wā ka puta mai i te mimi puku e kaha rawa ana te mahi. Ka nui ake te turuturu o te mimi i te kore e taea te pupuri i te mimi i te wā e taumaha ana te taumaha.

He mea whakama pea te kōrero mō ō tikanga kaukau, nō reira ka whakaaro pea koe ko koe anake te tangata e pāngia ana e tēnei raruraru. Engari ehara i te mea ko koe anake. He maha ngā tāngata e pāngia ana e te hiahia kore mimi i tētahi wā o ō rātou oranga.

Mā te kōrero ki te whānau pono, ki ngā hoa rānei mō tēnei mea ka āwhina i a rātou ki te mārama ki ō huringa whanonga. Ka taea hoki e rātou te āwhina i a koe ki te whakaiti i te pānga o te kore e taea te pupuri i te hiahia ki tō oranga mā te āwhina i a koe ki te kimi i tētahi wharepaku ina kei waho koe, me te whakararuraru i ētahi atu mēnā kei roto koe i te wharepaku mō te wā roa rawa.

Ko te mea nui ko te kōrero ki tō tākuta mō te maimoatanga pai rawa atu mō tō āhua. Mā te maimoatanga, te whakamahere i mua, me te tautoko a ētahi atu, ka taea e koe te whakaiti i te pānga o te hiahia kore-mimi ki tō oranga.

Ngā mea nui hei maumahara (Karere hei kawe ki te kāinga)

• He mate ka taea te rongoā te kore e taea te pupuri i te mimi , nō reira kaua e whakama, kaua hoki e mataku.
• Ko te tino take pea o tēnei he nui rawa te mahi a te pūkahukahu.
• Ahakoa ngā mea māmā noa pēnei i te whakarerekētanga o te momo noho, ngā mahi Kegel, me te whakangungu mimi, ka nui te pānga.
• He mea nui kia rapu tohutohu hauora mēnā ka pā mai ngā tohu. Mā te tātaritanga tika me te maimoatanga tika ka pai ake te kounga o tō oranga.
• Kāore koe i te mokemoke. He maha ngā tāngata e pāngia ana e tēnei āhuatanga. Nō reira, rapua he tautoko, ā, whakaakona ētahi atu mō tēnei.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

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