Nsogbu urinary incontinence

Oge nrụgide nke nrụgide na-eme mgbe eriri afọ gị na-agbapụta mmamịrị n'oge ọrụ ahụ ma ọ bụ mgbatị. O nwere ike ime mgbe ịkwara ụkwara, zaa uzere, bulie ihe dị arọ, gbanwee ọnọdụ, ma ọ bụ mgbatị ahụ.

Enweghị nchekasị na-apụta mgbe anụ ahụ nke na-akwado urethra gị na-ada mbà.

• Afọ na urethra na-akwado akwara pelvic. Mmamịrị si na eriri gị na-esi n’akwara gị pụta n’èzí.
• Sphincter bụ akwara gburugburu oghere nke eriri afo. Ọ na-afanyekwa iji gbochie mmamịrị ịpịsị n’akwara mamịrị.

Mgbe akwara abụọ adịghị ike, mmamịrị nwere ike ịgafe mgbe a na-etinye nrụgide na eriri afo gị. Nwere ike chọpụta ya mgbe ị:

• .Kwara
• Snee
• Na-achị ọchị
• Mmega
• Welite ihe dị arọ
• Nwee mmekọahụ

Enwere ike ịme ahụ ike:

• Birmụ nwa
• Emerụ ahụ na mpaghara ure
• Medicinesfọdụ ọgwụ
• Surwa ahụ na mpaghara pelvic ma ọ bụ prostate (na ụmụ nwoke)
• Ibu ibu
• Ihe ndị a na-amaghị ama

Inwe nsogbu mgbakasị ahụkarị ụmụ nwanyị. Thingsfọdụ ihe na - abawanye n'ihe egwu gị, dịka:

• Ime ime na nnyefe nwanyi.
• Pelvic mgbapụta. Nke a bụ mgbe eriri afo gị, urethra, ma ọ bụ ikensi ga-abanye na ikpu. Inye nwa ọhụrụ nwere ike ịkpata akwara ma ọ bụ mmebi anụ ahụ na mpaghara pelvic. Nke a nwere ike iduga ọnwa pelvic ma ọ bụ afọ mgbe nnyefe.

Ihe nrịba ama nke enweghi nsogbu bu mmamiri mgbe ị:

• Na-arụsi ọrụ ike
• Kwara ma ọ bụ zee
• Mmega
• Guzoro site nodu ma obu idina ala

Onye na-ahụ maka ahụike gị ga-eme nyocha anụ ahụ. Nke a ga-agụnye:

• Inyocha ụmụ nwoke na ụmụ nwoke
• Nyocha Pelvic na ụmụ nwanyị
• Nyocha ule

Ule nwere ike ịgụnye:

• Cystoscopy anya n'ime eriri afo.
• Ule ibu ubu: exercise na-emega ahụ mgbe ị na-eyi ihe nhicha ahụ. Mgbe ahụ, a na-atụle mpe mpe akwa iji chọpụta oke mmamịrị gị furu efu.
• Idingzụta ihe edetu: track na-agbaso usoro urinary gị, nkwụsị mmiri na oriri mmiri.
• Pelvic ma ọ bụ abdominal ultrasound.
• Ihe ndi ozo (PVR) iji tụọ ego nke mmamịrị ha hapụrụ mgbe ị mamịrị.
• Urinalysis iji chọpụta ọrịa urinary tract.
• Urinary stress ule: I na-eji eriri afo zuru ezu guzo ma kpokwara ukwara.
• Urodynamic ọmụmụ tụọ mgbali na mmamịrị igba.
• X-ray na dye dị iche iji lee akụrụ na eriri afọ gị anya.

Ọgwụgwọ dabere n’etu mgbaàmà gị si emetụta ndụ gị.

Enwere ụdị ọgwụgwọ 3 dị iche iche maka nsogbu nrụgide:

• Àgwà gbanwere na ọzụzụ eriri afọ
• Ọkpụkpụ akwara Pelvic
• Gerywa ahụ

Enweghị ọgwụ maka ọgwụgwọ nke eriri afọ nke mgbagha. Somefọdụ ndị na-enye ọrụ nwere ike ịkọwa ọgwụ a na-akpọ duloxetine. Ọgwụ FDA anaghị anabata ọgwụ a maka ọgwụgwọ nke nrụgide enweghị nchekasị.

AKWHAKWỌ AKWHAKWỌ

Ime mgbanwe ndị a nwere ike inye aka:

• Na-a lessụ obere mmiri (ma ọ bụrụ na ị na-a moreụ karịa nkịtị ichekwa ọmụmụ). Zere ị drinkingụ mmiri tupu ị lakpuo ụra.
• Zere ịwụli elu ma ọ bụ ịgba ọsọ.
• Were eriri iji zere afọ ntachi, nke nwere ike ime ka urinary ghara ịdị njọ.
• Kwụsị ise siga. Nke a nwere ike belata ụkwara na eriri afo iwe. Ụ sịga na-emekwa ka ohere ị nwere ịrịa ọrịa cancer akpa ume na-eme ka ị ghara ị .ụ mmiri.
• Zere mmanya na ihe ọ cafụ cafụ caffeinated dị ka kọfị. Ha nwere ike ime ka eriri afo gị jupụta ngwa ngwa.
• Kwụsị ibu ibu.
• Zere nri na ihe ọ drinksụ drinksụ ndị nwere ike iwe akpịrị gị. Ndị a gụnyere nri dị ụtọ, ihe ọ drinksụ carbonụ carbon, na citrus.
• Ọ bụrụ na ị nwere ọrịa shuga, dowe shuga shuga gị nke ọma.

AHADRAD ADLỌ

Ọzụzụ eriri afo nwere ike inyere gị aka ịchịkwa eriri afọ gị. A gwara onye ahụ ka ọ gaa mamịrị oge. Nwayọọ nwayọọ, a na-amụba oge etiti oge. Nke a na - eme ka eriri afo ghara ịgbatị wee jigide mamịrị ọzọ.

LỌ MGBE AKA NA-AH FL MKA

E nwere ụzọ dị iche iche iji wusi mọzụlụ na okpuru ala gị.

• Biofeedback: Usoro a nwere ike inyere gị aka ịmụta ịmata na ịchịkwa akwara pelvic gị.
• Omume Kegel: Omume ndị a nwere ike inyere aka mee ka akwara dị n'akụkụ ure gị sie ike ma rụọ ọrụ nke ọma. Nke a nwere ike inye aka mee ka ị ghara mamịrị mamịrị.
• Mmamiri cones: place na-etinye cone n'ime ikpu. Mgbe ahụ ị na-anwa ịpịpụta uru ahụ pelvic gị iji jide cone ahụ. Nwere ike iyi cone ihe dị ka minit 15 n'otu oge, ugboro abụọ n'ụbọchị. Nwere ike ịchọpụta mmelite nke mgbaàmà gị n'ime izu 4 na 6.
• Pelvic n'ala ọgwụgwọ anụ ahụ: ndị na-agwọ ọrịa ahụ nke a zụrụ azụ na mpaghara ahụ nwere ike nyochaa nsogbu ahụ n'ụzọ zuru ezu ma nyere aka na mmega ahụ na ọgwụgwọ.

Ọrịa

Ọ bụrụ na ọgwụgwọ ndị ọzọ anaghị arụ ọrụ, onye na-eweta gị nwere ike ịwa ahụ ịwa ahụ. Wa ahụ nwere ike inyere gị aka ma ọ bụrụ na ị nwere nsogbu nrụgide anaghị ekwe ekwe. Ọtụtụ ndị na-enye ọrụ na-atụ aro ịwa ahụ naanị mgbe ha nwesịrị ọgwụgwọ ọgwụgwọ.

• Mmezi mmamiri ihu na-enyere aka weghachite mgbidi na-adịghị ike. A na-eji nke a mgbe eriri afo buliri n'ime ikpu (prolapse). Prolapse nwere ike jikọta na nrụgide urinary incontinence.
• Rhein urinary sphincter: Nke a bụ ngwaọrụ eji egbochi mmamịrị. A na-ejikarị ya eme ihe na ụmụ nwoke. A naghị eji ya eme ihe na ụmụ nwanyị.
• Bulking injections na-eme ka mpaghara gburugburu urethra. Nke a na-enyere aka ịchịkwa ụcha. Usoro ahụ nwere ike ịdị mkpa ịmeghachi mgbe ọnwa ole na ole ma ọ bụ afọ ole na ole gasịrị.
• Ebube nwoke bụ teepu ntupu eji etinye nrụgide na urethra. Ọ dị mfe ịme karịa ịtụkwasị eriri afọ urinary sphincter.
• Retropubic nkwusio ebuli eriri afo na urethra. A na-eme nke a obere oge n'ihi ojiji na ihe ịga nke ọma na nsị urethral.
• Lingbè nwanyị na-amị arụ ọrụ ya bụ mesh mebesh iji kwado ure ya.

Ime ka mma na-ewe oge, yabụ gbalịa inwe ndidi. Mgbaàmà na-akawanye mma site na ọgwụgwọ na-enweghị ọgwụgwọ. Agbanyeghị, ha agaghị agwọ enweghị nrụgide nsogbu. Wa ahụ nwere ike ịgwọ ọtụtụ ndị nke enweghị nsogbu nrụgide.

Ọgwụ adịghị arụ ọrụ nke ọma ma ọ bụrụ na ịnwee:

• Ọnọdụ ndị na-egbochi ọgwụgwọ ma ọ bụ mee ka ịwa ahụ sie ike karị
• Nsogbu ndi ozo ma obu urinary
• Surgerywa ahụ n'oge gara aga nke na-arụ ọrụ
• Ọrịa na-arịa ọrịa na-adịghị mma
• Ọrịa Neurologic
• Igwe ụzarị a na-enwe na pelvis

Nsogbu anụ ahụ dị obere ma na-adịkarị nwayọọ. Ha nwere ike ịgụnye:

• Iwe nke egbugbere ọnụ ikpu (vulva)
• Mgbu akpụkpọ anụ ma ọ bụ ọnya nrụgide na ndị nwere nkwenye na-enweghị ike ịpụ na akwa ma ọ bụ oche
• Na-esi ísì ụtọ
• Urinary tract ọrịa

Ọnọdụ a nwere ike ịbụ ihe mmegide nke ọrụ mmekọrịta, ọrụ, yana mmekọrịta. O nwekwara ike iduga:

• Ihere
• Nnọpụ iche
• Da mba ma ọ bụ nchegbu
• Loss nke arụpụtaghị na-arụ ọrụ
• Enweghi mmasị na inwe mmekọahụ
• Nsogbu ihi ụra

Nsogbu ndị metụtara ịwa ahụ gụnyere:

• Fistulas ma ọ bụ etuto
• Eriri afo ma ọ bụ eriri afọ mmerụ
• Ọbara ọgbụgba
• Ofufe Ọrịa
• Urinary incontinence - ma oburu n’inwe nsogbu itu urinya odi nkpa ka iwere catheter. Nke a na-adịkarị nwa oge
• Mgbu n'oge mmekọahụ
• Mmekọahụ na-enwe mmekọahụ
• Aringyipụ ihe ndị e debere n’oge ịwa ahụ, dị ka èbè ma ọ bụ ihe na-emepụta ihe

Kpọọ onye na-eweta gị ma ọ bụrụ na ị nwere mgbaàmà nke nrụgide mgbagha na nsogbu ha.

Ime omume Kegel nwere ike inye aka gbochie mgbaàmà. Womenmụ nwanyị nwere ike ịchọ Kegels n'oge ime na mgbe afọ ime gachara iji nyere aka gbochie eriri afọ.

Incontinence - nchegbu; Afọ eriri afọ nrụgide; Pelvic prolapse - enweghi nchekasị; Enweghị nchekasị; Leakage nke mmamịrị - nrụgide ekweghị ekwe; Urinary leakage - enweghi nchekasị; Pelvic n'ala - nrụgide ekweghị ekwe

• Na-elekọta catheter
• Omume Kegel - ilekọta onwe gị
• Onwe gi - nwanyi
• Usoro aghụghọ
• Urinary catheters - ihe ị ga-ajụ dọkịta gị
• Urinary incontinence ngwaahịa - nlekọta onwe onye
• Urinary incontinence ịwa ahụ - nwanyị - ihapu
• Urinary incontinence - ihe ịjụ dọkịta gị
• Mmamịrị drainage akpa
• Mgbe onyonyo na enweghi nsogbu

• Nwanyi urinary tract
• Nwoke urinary tract
• Enweghị nchekasị
• Enweghị nchekasị
• Eriri afo na urethral mmezi - usoro

Ebe nrụọrụ weebụ American Urological Association. Ọgwụgwọ nke ịwa ahụ nke urinary incontinence (SUI): AUA / SUFU guideline (2017). www.auanet.org/guidelines/stress-urinary-incontinence-(sui)-guideline. Bipụtara 2017. Nweta February 13, 2020.

Hashim H, Abrams P. Nyocha na njikwa nke ụmụ nwoke nwere urinary incontinence. Na: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Ulology nke Campbell-Walsh. Nke 11. Philadelphia, PA: Elsevier; 2016: isi 72.

Kobashi KC. Nyocha na njikwa nke ụmụ nwanyị nwere urinary incontinence na pelvic prolapse. Na: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Ulology nke Campbell-Walsh. Nke 11. Philadelphia, PA: Elsevier; 2016: isi nke 71.

Patton S, Bassaly RM. Urinary ekweghị. Na: Kellerman RD, Rakel DP, eds. Ọgwụ Conn nke ugbu a 2020. Philadelphia, PA: Elsevier; 2020: 1110-1112.

Resnick NM. Urinary ekweghị. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 23.