Urinary incontinence tuaj yeem muab faib ua tsib hom: kev ntxhov siab tsis txaus ntseeg, xav tsis thoob, sib xyaw incontinence, overflow incontinence, thiab functional incontinence. Cov kab mob pathogenesis thiab kev kho mob tshwm sim ntawm txhua hom sib txawv, xav tau kev pab cuam.
Stress Incontinence: Stress incontinence yog hais txog qhov tsis tuaj yeem tso zis thaum lub plab siab dheev nce siab, feem ntau tshwm sim thaum hnoos, txham, lossis tawm dag zog. Nws yog feem ntau cuam tshuam rau cov leeg hauv plab hauv plab kom so thiab txo qis urethral sphincter muaj nuj nqi, thiab muaj ntau dua hauv cov poj niam tom qab yug menyuam lossis postmenopausal. Cov mob me me mus rau nruab nrab tuaj yeem txhim kho nrog Kegel ce, thaum mob hnyav yuav tsum tau kho phais xws li mid- phais urethral sling.
Urge Incontinence: Urge incontinence yog tus cwj pwm los ntawm qhov tshwm sim tam sim ntawd, muaj zog tso zis uas tswj tsis tau, feem ntau nrog rau cov zis ntau zaus thiab ceev ceev. Ua rau muaj xws li lub zais zis ntau dhau, urinary tract infections, lossis neurological ntshawv siab. Kev kho mob tej zaum yuav muaj kev qhia zais zis ua ke nrog tshuaj, xws li solifenacin succinate ntsiav tshuaj thiab oxybutynin hydrochloride txuas ntxiv - tso cov ntsiav tshuaj (M receptor antagonists). Kev txhaj tshuaj Botox hauv lub zais zis tej zaum yuav tsim nyog nyob rau qee kis.
Mixed Urinary Incontinence: Mixed urinary incontinence nthuav tawm ob qho tib si kev ntxhov siab thiab kev xav kom tus yam ntxwv, suav txog kwv yees li 30% ntawm cov neeg mob urinary incontinence. Kev kuaj urodynamic yog xav tau los txiav txim siab hom tseem ceeb. Kev kho mob yuav tsum muaj kev sib koom ua ke ntawm kev coj cwj pwm, kev siv tshuaj, thiab txawm tias kev phais mob. Nws yog tshwm sim nyob rau hauv cov poj niam laus thiab ze ze rau kev txo qis cov tshuaj hormones thiab pelvic pem teb degeneration.
Overflow Incontinence: Overflow incontinence tshwm sim los ntawm kev zais zais zais zais, feem ntau pom nyob rau hauv cov xwm txheej xws li benign prostatic hyperplasia thiab mob ntshav qab zib neurogenic zais zis. Cov tsos mob muaj xws li cov zis tsis muaj zog thiab kev xav ntawm lub zais zis tsis tiav. Kev kho mob yuav tsum tau txo qis cov kab mob urinary, xws li siv tamsulosin hydrochloride txuas ntxiv - tso tshuaj ntsiav los txhim kho zis. Cov mob hnyav tuaj yeem xav tau catheterization lossis cystostomy.
Functional Urinary Incontinence: Functional urinary incontinence yog tshwm sim los ntawm lub cev muaj zog lossis kev paub tsis meej, xws li cov neeg mob mob caj dab tsis tuaj yeem tso zis sai lossis dementia cov neeg mob tsis nco qab tso zis. Kev kho mob yuav tsum tau txhim kho kev txav mus los, tsim kom muaj cov phiaj xwm tso zis, thiab siv cov cuab yeej pab xws li cov ntaub qhwv laus. Lub zais zis ua haujlwm feem ntau yog ib txwm nyob rau hauv hom incontinence; lub hom phiaj yog kom tshem tawm ib puag ncig obstacles.
