Yuav ua li cas mus xaiv ib tug yeeb tshuaj los ntawm urinary incontinence? Review ntawm nrov tshuaj

Mob txeeb incontinence - ib qho urological teeb meem uas tshwm ntau nyob rau hauv cov neeg laus cov neeg mob. Nrog cov tsos mob ntawm tus kab mob yuav pab tau kom tiv kom xaiv cov tshuaj rau urinary incontinence. Tactics kho mob yuav nyob ntawm seb qhov ua rau ntawm kev loj hlob ntawm pathological tej yam kev mob. Xav txog cov feem ntau txhais tau tias zoo rau cov kev kho mob ntawm tus kab mob thiab tshwj xeeb tshaj yog lawv cov kev siv.

Yuav ua li cas mus xaiv cov tshuaj?

Mob txeeb incontinence yuav tshwm sim tiv thaiv lub keeb kwm ntawm ib tug ntau yam yog vim li cas. Cov kev pheej hmoo ntawm kev tsim muaj tus kab mob yuav tsub kom ho nrog lub hnub nyoog.

Ntawm cov predisposing yam yuav tsum nco ntsoov cov nram no:

• hormonal hloov (nyob rau hauv cov poj niam thiaj li zus tau tej cov tshuaj no);
• muaj hnub nyoog txog kev hloov ntawm lub prostate caj pas nyob rau hauv cov txiv neej;
• lub xub ntiag ntawm BPH;
• kab mob ntawm lub genitourinary system;
• cov tsis muaj zog ntawm lub pelvic pem teb nqaij;
• lub xub ntiag ntawm tshaj qhov hnyav;
• urolithiasis;
• mob ntshav qab zib;
• ib tug keeb kwm ntawm ua hauj lwm ua nyob rau hauv lub urogenital cheeb tsam;
• mob loj heev neurological kab mob;
• puas siab puas ntsws.

Yuav ua li cas cov tshuaj yog siv los kho?

Ntsiav tshuaj ntawm urinary incontinence yog xaiv nyob ntawm seb lub hom ntawm tus kab mob. raws li yuav tsum tau thiab kev nyuaj siab hom feem ntau nyob rau hauv kev kho mob xyaum. Nyob rau hauv thawj cov ntaub ntawv ntawm tuskheej tshwm sim vim overactive zais zis. Txawm muaj ib tug me ntsis filling nws tshwm sim unbearable along tso zis. Kev nyuaj siab tuskheej yog txuam nrog kev cuam tshuam ntawm cov nqaij (qaug zog) lub luag hauj lwm rau hauv lub qhov zis, - sphincter.

Yuav kom tshem tawm cov inflammatory dab nyob rau hauv lub urogenital system tshuaj antispasmodics, "Spazmeks", "Driptan", "Enableks", "Vesicare," "Oxybutynin". Qhov no pab pawg neeg tso cai rau lub tshuaj saib paj impulses extending nyob rau hauv lub phab ntsa ntawm lub zais zis thiab tsub kom lub sij hawm nruab nrab ntawm cov impulses.

Cawv nyob rau contractile kev ua si ntawm cov leeg yuav anticholinergic tshuaj urinary incontinence. Cov poj niam nyob rau hauv cov laus hnub nyoog, tus kab mob no yog heev. Rau txoj kev kho nyob rau hauv lub adjuvant therapy yog pom zoo kom noj hormonal tshuaj thiab sedatives. Cov antidepressant tshuaj yuav tsum tau muab sau tseg xws li "Imipramine", "duloxetine".

Txhais tau hais tias "Driptan"

Fabkis tshuaj tuskheej yog oxybutynin nyob rau hauv muaj pes tsawg leeg (active ingredient), anhydrous lactose, microcrystalline cellulose thiab calcium stearate. Cov tshuaj muaj ib tug muaj zog spasmolytic nyhuv, thiaj li muaj cov zaus tso zis. Ntsiav tshuaj yuav siv tau los kho tuskheej, tshwm sim los ntawm neurogenic mob, raws li tau zoo raws li idiopathic detrusor kawg. Raws li cov lus qhia, cov tshuaj yuav pab tau zoo nyob rau hauv cov kev kho mob ntawm enuresis nyob rau hauv cov me nyuam laus tshaj 5 xyoos.

Cov pom zoo txhua hnub koob tshuaj noj tshuaj - 10-15 mg (2-3 ntsiav tshuaj). Mob txeeb incontinence nyob rau hauv cov neeg laus "Driptan" feem ntau yog siv nyob rau hauv ua ke nrog nrog lwm yam tshuaj. Nyob rau hauv cov ntaub ntawv no kuj yuav tau ib lub tshuaj haum.

Mob tshwm sim thiab contraindications

Raws li kev txheeb xyuas, cov ntsiav tshuaj yog tiag tiag zoo tawm tsam nrog qhov teeb meem ntawm urinary incontinence. Txawm li cas los, nyob rau hauv ntau cov neeg mob cov tshuaj ua rau ib qho kev tsis haum cov tshuaj tiv thaiv, raws plab, kiv taub hau, insomnia, xeev siab.

Contraindications xws li tej pathological lub xeev raws li ulcerative mob plab, myasthenia Heavy kev, lub kaum ntse ntse-kaw glaucoma, plab hnyuv atony, hnyuv rhuav txhua, obstructive uropathy, nce los ntshav ib txwm.

Cov tshuaj tuskheej "Vesicare 'zis

Cov tshuaj no muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj uas muaj 5 los yog 10 mg ntawm active tshuaj ntawm solifenacin succinate. Nws yog ib txog kev inhibitor ntawm daim nyias nyias cov nqaijrog, uas yog lub luag hauj lwm rau cov kis ntawm cov hlab impulses.

Nrog nquag tso zis, overactive zais zis, koj yuav tau siv sij hawm cov tshuaj no. Tuskheej haus ntsiav tshuaj ib hnub ib zaug (5 mg). Nyob rau hauv tej rooj plaub, lub koob tshuaj twb tau nce mus rau 10 mg. Tshuaj raws li nws possesses anticholinergic thiab spasmolytic nyhuv.

Xyuas

Nyob rau hauv urological xyaum feem ntau siv los kho cov neeg mob cov tshuaj los ntawm urinary incontinence. Nyob rau hauv cov laus cov txiv neej, thiab tej kho kev mob nkees schemes yog zoo tib yam. Raws li cov kws muaj txuj tswv yim mus cuag zoo tau ntawm txoj kev kho yog tau sai sai txaus. Cov neeg mob hais tias cov kev txhim kho yuav tsum muaj tsis pub dhau 10-14 hnub.