Pehea e hoʻokele ai i ka incontinence ma Dementia

ʻO ka incontinence ka mea maʻamau i ka ʻelemakule e ia a kū i ka hapa nui o nā mea maʻi me ka dementia i kekahi manawa. ʻOiai ʻaʻole pilikia e like me ka huhū, ka huhū, ka hoʻonāukiuki ʻana, a i ʻole ka hāʻule ʻana, hoʻonāukiuki ka hoʻomau ʻole iā ʻoe a me kāu mea aloha a ʻo ia ke kumu nui o ka poʻe me ka dementia e haʻalele i ka home a hele i kahi keʻena.

Nui a hewahewa nā ʻano like ʻole o ka incontinence e ʻike ai ka poʻe mākua. Pili kekahi mau ʻano i nā anatomical a me nā kumu olakino; e loiloi maikaʻi loa ʻia kēia mau ʻano a mālama ʻia e kahi urologist a i ʻole kekahi kauka. No kēia kumu, inā kūleʻa ʻole kēia mau ʻōlelo aʻoaʻo i ka incontinence, he mea nui e kūkākūkā i ka pilikia me ke kauka. (E hoʻomaopopo naʻe, ʻo nā lāʻau i kuhikuhi pinepine ʻia e hiki ai ke hōʻeha i ka noʻonoʻo a me ka hoʻomanaʻo.)

Inā loaʻa ka wai mimi o kāu mea aloha i ka wā e puʻu ai lākou, ʻūlū, a ʻakaʻaka paha, loaʻa paha iā lākou pilikia incontinence . ʻOi aku ka maʻamau o ka incontinence stress ma nā wahine makua a nā hopena mai ka nāwaliwali a i ʻole nā ​​ʻino i nā mākala pūpū e paʻa ana i ka mimi. Incontinence kahawai kū i ka wā a ka hakahaka ʻaʻole hakahaka. He mea maʻamau ia i nā kāne me ka prostate hoʻonui ʻia, ʻoiai hiki ke kū i nā wahine pū kekahi. Hoʻonui ʻia ka mākala o ka ʻai a hiki ke kulu a i ʻole ka spasm. ʻO ka mea hope loa, inā he ikaika nui kāu mea e aloha ai, a koi koke i ka mimi, pono e holo i ka lua, ʻaʻole hana mau i ka manawa a lākou e loaʻa ai. koi ikaika i ka hoʻomau ʻole (i kapa ʻia hoʻi ʻōpū hū ). I kekahi manawa he ʻano milder ko kēlā me kēia kanaka e alakaʻi nei i ka wikiwiki urinary a i ʻole nā ​​huakaʻi hele pinepine i ka lumipaku me ka ʻole o ka incontinence maoli. A, he hui kekahi o kekahi o kēia ʻano ʻano incontinence.

I ka dementia, ʻehā mau pilikia nui i hiki i ke kumu a i ʻole ke hoʻomāhuahua i ka incontinence. ʻO kekahi, no ka mea ua hōʻino ʻia nā lobes frontal o kēlā me kēia kanaka a me nā mea pili keʻokeʻo mai ka dementia, ua hōʻino ʻia ko lākou hiki ke kaohi i kā lākou ʻaʻa, a ʻaʻole hiki iā lākou ke hoʻopaʻa i kā lākou mimi me ka nānā ʻole i ka nui o ka hoʻāʻo ʻana. ʻO ka lua, ma muli o nā pilikia hoʻomanaʻo, poina paha lākou i ka hoʻohana ʻana i ka lua ma mua o ka hele wāwae lōʻihi a i ʻole ke kaʻa kaʻa, a poina paha iā lākou e hoʻoponopono i kā lākou lawe ʻana i nā wai ma mua o kahi hanana. Poina paha lākou a kuhi hewa paha i ka lōʻihi e hiki ai iā lākou ke hoʻopaʻa i kā lākou mimi, ʻoiai inā ua emi ko lākou hiki ke hoʻopaʻa i kā lākou mimi i nā makahiki. ʻO ke kolu, ʻaʻole pilikia kekahi poʻe me ka dementia inā mimi lākou i ko lākou lole a i ʻole nā ​​wahi kūpono ʻole ʻē aʻe. ʻO kēia nele o ka hopohopo no ka hoʻomaʻemaʻe e ʻike koke ʻia i ka poʻe me ka pono o ka lobe frontal e like me ka dementia frontotemporal, a i ʻole i ka wā koʻikoʻi o nā dementia. ʻO ka mea hope loa, inā ʻaʻole hiki i kāu mea aloha ke neʻe wikiwiki no kekahi kumu, e ʻoi aku ka paʻakikī iā lākou e hiki i ka lua i ka manawa kūpono.

Ma muli paha o nā pilikia i loaʻa i kekahi mea, e like me ka diarrhea, akā he mea maʻamau ia i ka dementia i ke kūlana haʻahaʻa a koʻikoʻi hoʻi no nā kumu like e like me ka maʻamau o ka mimi. Hoʻopilikia ʻia ka kaohi o ka ʻōpū a ʻoi aku ka liʻiliʻi o ka paʻa ʻana o nā ʻōpū me nā dementia i kā lākou feces. Poina paha lākou e hoʻohana i ka lua ke neʻe i ko lākou ʻōpū ma mua o ka hele ʻana i kahi huakaʻi. Ma muli o ka hana ʻole o ka lobe mua, ʻaʻole lākou e hopohopo inā lākou e lepo i ko lākou lole. A hou, inā pilikia ka hele wāwae o lākou, e liʻiliʻi ana lākou i ka hele i ka lua i ka manawa.

Nīnau Key:

ʻAʻohe oʻu manaʻo e hoʻomaʻemaʻe ke hele ʻo ia i ka lua i ka manawa kūpono a lepo iā ia iho, akā ke hakakā nei ʻo ia iaʻu ke hoʻāʻo wau e holoi iā ia.

• ʻO ka incontinence ka mea maʻamau i ka dementia. Ke makemake ʻole kēlā kanaka e hoʻomaʻemaʻe e hōʻike maʻamau i nā pilikia me ka hana o ka lobe frontal.

© Andrew E. Budson, MD, 2021, nā kuleana āpau.

Budson AE, Solomon PR. Loss Memory, Alzheimer's Disease, & Dementia: Kahi Alakaʻi Pono no nā Kauka Lapaʻau, 2nd Edition, Philadelphia: Elsevier Inc., 2016.