ื›ืœ ืžื” ืฉื—ืฉื•ื‘ ืœื“ืขืช ืขืœ ืชืกืžื•ื ืช ื”ืฉืœืคื•ื—ื™ืช ื”ืจื’ื™ื–ื”

ืชืกืžื•ื ืช ื”ืฉืœืคื•ื—ื™ืช ื”ืจื’ื™ื–ื” (Overactive Bladder OAB), ืฉืžื•ื›ืจืช ื’ื ื›ื‘ืขื™ื™ืช ืื™ ืฉืœื™ื˜ื” ืขืœ ืกื•ื’ืจื™ื,ย  ื”ื™ื ืœืžืขืฉื” ื“ื—ืฃ ืื• ืฆื•ืจืš ืคืชืื•ืžื™ ืœืžืชืŸ ืฉืชืŸ. ื–ื” ืฉื•ื ื” ืžื‘ืจื™ื—ืช ืฉืชืŸ, ืฉืžืชืจื—ืฉืช ื›ืฉืื ื—ื ื• ื‘ืชื ื•ืขื”, ื›ืžื• ืœืžืฉืœ ื”ืชืขื˜ืฉื•ืช ืื• ืฉื™ืขื•ืœ, ืžื” ืฉื™ื•ืฆืจ ืœื—ืฅ ืคืชืื•ืžื™ ืขืœ ื”ืฉืœืคื•ื—ื™ืช, ื•ื’ื•ืจื ืœื ื• ืœืจืฆื•ืช ืœื”ืฉืชื™ืŸ. ื™ืฉื ื ืžืฆื‘ื™ื ื‘ื”ื ืงื™ื™ื ืฉื™ืœื•ื‘ ืฉืœ ืฉืชื™ ื”ืชืกืžื•ื ื•ืช.

 

ืชืกืžื•ื ืช ื”ืฉืœืคื•ื—ื™ืช ื”ืจื’ื™ื–ื” ืžื•ื’ื“ืจืช ืขืœ ื™ื“ื™ ืืจื‘ืขื” ืžืืคื™ื™ื ื™ื ืขื™ืงืจื™ื™ื:

  1. ื“ื—ื™ืคื•ืช ื‘ืžืชืŸ ืฉืชืŸ – ืžื™ื“ืช ื”ื—ืจื™ืคื•ืช ืฉืœ ื”ืฆื•ืจืš ืฉืœื ื• ืœื”ืฉืชื™ืŸ.
  2. ืชื“ื™ืจื•ืช – ืžืกืคืจ ื”ืคืขืžื™ื ืฉื‘ื”ืŸ ืื ื—ื ื• ืžืจื’ื™ืฉื™ื ืฆื•ืจืš ืœื”ืฉืชื™ืŸ; 8 ืคืขืžื™ื ื‘-24 ืฉืขื•ืช ื ื—ืฉื‘ ืกื™ืžืŸ ืœืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื”.
  3. ื ื•ืงื˜ื•ืจื™ื”, ืื• ืฉืชืŸ ื‘ืœื™ืœื”; ื–ื”ื• ืžืฆื‘ ืฉื‘ื• ืื ื• ืฆืจื™ื›ื™ื ืœื”ืฉืชื™ืŸ ื™ื•ืชืจ ืžืคืขื ืื—ืช ื‘ืขืจื‘. ื’ื ื–ื” ืกื™ืžืŸ ืœืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื”.
  4. ื‘ืจื™ื—ืช ืฉืชืŸ, ืื• ื“ืœื™ืคืช ืฉืชืŸ

 

ืื™ืŸ ืžื“ื•ื‘ืจ ื‘ื“ืจืš ื›ืœืœ ื‘ื‘ืขื™ื” ื‘ืจื™ืื•ืชื™ืช ื—ืžื•ืจื”, ืื‘ืœ ืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื” ื™ื›ื•ืœื” ืœืคื’ื•ืข ื‘ืกื“ืจ ื”ื™ื•ื ืฉืœื ื•, ื•ื”ื”ืชืžื•ื“ื“ื•ืช ืื™ืชื” ืื™ื ื” ื ื•ื—ื” ืคื™ื–ื™ืช ื•ืจื’ืฉื™ืช. ืืœื” ืžืื™ืชื ื• ืฉืกื•ื‘ืœื™ื ืžื”ืชืกืžื•ื ืช ืžื“ื•ื•ื—ื™ื ืœืขืชื™ื ืงืจื•ื‘ื•ืช ืขืœ ืชื—ื•ืฉืช ืžื‘ื•ื›ื”, ืœื—ืฆื™ื, ื‘ื“ื™ื“ื•ืช ื•ื“ื™ื›ืื•ืŸ, ื•ืœืจื‘ื™ื ืื—ืจื™ื ื™ืฉ ื‘ืขื™ื” ืœื”ืฉืชืชืฃ ื‘ืคืขื™ืœื•ื™ื•ืช ื—ื‘ืจืชื™ื•ืช, ืœืœื›ืช ืœืขื‘ื•ื“ื”, ืœืงื™ื™ื ื™ื—ืกื™ ืžื™ืŸ, ื•ืืคื™ืœื• ืœื™ืฉื•ืŸ. ืœืขืชื™ื ืงืจื•ื‘ื•ืช, ืคืขื™ืœื•ื™ื•ืช ื˜ื‘ืขื™ื•ืช ื•ืฉื’ืจืชื™ื•ืช ืืœื” ืžื˜ื•ืจืคื“ื•ืช ืขืœ ื™ื“ื™ ืžืฆื‘ื™ ื—ื™ืจื•ื ืฉืœ ื‘ืจื™ื—ืช ืฉืชืŸ.

ืœืกื•ื‘ืœื™ื ืžืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื” ื”ืžืœื•ื•ื” ื‘ื‘ืจื™ื—ื•ืช ืฉืชืŸ ืžื•ืžืœืฅ ืœื”ืฉืชืžืฉ ื‘ืคืชืจื•ื ื•ืช ืœื‘ืจื™ื—ืช ืฉืชืŸ ื›ื’ื•ืŸ: ื—ื™ืชื•ืœื™ื ืœืžื‘ื•ื’ืจื™ื, ืชื—ืชื•ื ื™ ืกืคื™ื’ื” ืœืžื‘ื•ื’ืจื™ื ื•ืžื•ืฆืจื™ ื”ื”ื™ื’ื™ื™ื ื” ื”ืฉื•ื ื™ื.

 

ืชืกืžื™ื ื™ ื”ืฉืœืคื•ื—ื™ืช ื”ืจื’ื™ื–ื” ื“ื•ืขื›ื™ื ืชื•ืš ืžืกืคืจ ื—ื•ื“ืฉื™ื ื›ืืฉืจ ืžื˜ืคืœื™ื ื‘ื‘ืขื™ื”, ืื•ืœื ื–ื” ืขืœื•ืœ ืœืงื—ืช ืฉื ื™ื ืจื‘ื•ืช ืขื“ ืฉืžื’ื™ืขื™ื ืœืฉืœื™ื˜ื” ืขืœ ื›ืš. ื•ื‘ื›ืœ ื–ืืช, ืขื ืื‘ื—ื ื” ื•ื˜ื™ืคื•ืœ ื ืื•ืชื™ื, ืจื•ื‘ื ื• ื‘ืžืฆื‘ ื–ื” ื™ื›ื•ืœื™ื ืœื”ื•ื‘ื™ืœ ื—ื™ื™ื ืžืœืื™ื ื‘ื”ื’ืฉืžื” ืขืฆืžื™ืช.

ื›ืœ ืžื” ืฉื—ืฉื•ื‘ ืœื“ืขืช ืขืœ ืชืกืžื•ื ืช ื”ืฉืœืคื•ื—ื™ืช ื”ืจื’ื™ื–ื”

ืื– ืžื™ ื ืžืฆื ื‘ืกื™ื›ื•ืŸ?

 

ืœืžืจื•ืช ืฉืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื” ื™ื›ื•ืœื” ืœื”ืชืคืชื— ืืฆืœ ื›ืœ ืื—ื“ ืžืื™ืชื ื•, ืขื“ื™ื™ืŸ ืชื”ื™ื” ื ื˜ื™ื” ื—ื–ืงื” ืืฆืœ ืื ืฉื™ื ืžืกื•ื™ืžื™ื, ื•ื‘ื ื•ืกืฃ, ื”ืกื™ื›ื•ื™ื™ื ื’ื“ืœื™ื ื•ื”ื•ืœื›ื™ื ืขื‘ื•ืจ ื›ื•ืœื ื• ื›ื›ืœ ืฉืื ื• ืžืชื‘ื’ืจื™ื. ืœื ืฉื™ื ื™ืฉ ืกื™ื›ื•ืŸ ื’ื‘ื•ื” ื™ื•ืชืจ ืœืกื‘ื•ืœ ืžื”ืชืกืžื•ื ืช ืžืืฉืจ ืœื’ื‘ืจื™ื, ื•ื–ืืช ื‘ืฉืœ ืฉื™ื ื•ื™ื™ื ื‘ืฉืœืคื•ื—ื™ืช โ€‹โ€‹ื”ืฉืชืŸ ืœืื—ืจ ื’ื™ืœ ื”ืžืขื‘ืจ.

ื’ื•ืจืžื™ื ื ื•ืกืคื™ื ื”ืชื•ืจืžื™ื ืœืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื” ื›ื•ืœืœื™ื, ื‘ื™ืŸ ื”ื™ืชืจ: ื”ืฉืžื ืช ื™ืชืจ, ืขื™ืฉื•ืŸ, ืกื•ื›ืจืช, ืชืจื•ืคื•ืช ืžืกื•ื™ืžื•ืช, ืขืจืžื•ื ื™ืช ืžื•ื’ื“ืœืช ืื• ื—ืกื™ืžื•ืช ื“ื•ืžื•ืช, ืฆืจื™ื›ืช ืงืคืื™ืŸ ืžื•ื’ื–ืžืช, ืฆืจื™ื›ืช ืืœื›ื•ื”ื•ืœ, ืžืฆื‘ื™ื ื ื•ื™ืจื•ืœื•ื’ื™ื™ื ื›ืžื• ืžื—ืœืช ืคืจืงื™ื ืกื•ืŸ, ื˜ืจืฉืช ื ืคื•ืฆื” ืื• ืฉื‘ืฅ, ื‘ืขื™ื•ืช ื ื™ื™ื“ื•ืช, ื“ืœืงืช ืคืจืงื™ื ื•ืขื•ื“.

ื›ื“ื™ ืœืื‘ื—ืŸ ื›ืจืื•ื™ ืืช ืชืกืžื•ื ืช ื”ืฉืœืคื•ื—ื™ืช ื”ืจื’ื™ื–ื” – ื•ื‘ื›ืš ืœื‘ื˜ืœ ืกื™ื‘ื•ืช ืืคืฉืจื™ื•ืช ืื—ืจื•ืช ืฉืœ ื‘ืจื™ื—ืช ืฉืชืŸ – ื”ืจื•ืคื ืฉืœื›ื ื–ืงื•ืง ืœื”ื™ืกื˜ื•ืจื™ื” ืจืคื•ืื™ืช ืžื“ื•ื™ืงืช. ื‘ื“ื™ืงื•ืช ืคื™ื–ื™ื•ืช ื ื•ื™ืจื•ืœื•ื’ื™ื•ืช ืขืฉื•ื™ื•ืช ืœื”ืชื‘ืฆืข, ื›ืžื• ื‘ื“ื™ืงืช ืฉืชืŸ ื•ืื•ืœื™ ืกืจื™ืงื” ืฉืœ ืฉืœืคื•ื—ื™ืช โ€‹โ€‹ื”ืฉืชืŸ. ื‘ื™ืŸ ื›ืœื™ ื”ืื‘ื—ื•ืŸ ืื—ืจื™ื, ื”ืจื•ืคื ืฉืœื›ื ืขืฉื•ื™ ื’ื ืœื”ืฉืชืžืฉ ื‘ืžื›ืฉื™ืจ ื”ืžื•ื“ื“ ืืช ื–ืจื™ืžืช ื”ืฉืชืŸ ื›ื“ื™ ืœืžื“ื•ื“ ืืช ื”ื ืคื— ืฉืœื•, ืื• ื‘ืžื›ืฉื™ืจ ืฉื ืงืจื ืฆื™ืกื˜ื•ืžื˜ืจ, ืืฉืจ ืงื•ื‘ืข ืืช ื”ื™ื—ืก ื‘ื™ืŸ ื–ืจื™ืžืช ื”ืฉืชืŸ ืœื‘ื™ืŸ ื”ืœื—ืฅ ืขืœ ื”ืฉืœืคื•ื—ื™ืช.

 

ื˜ื™ืคื•ืœ ื‘ืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื” – ืžื” ืื ื—ื ื• ื™ื›ื•ืœื™ื ืœืขืฉื•ืช?

 

ืœืื—ืจ ืฉืื•ื‘ื—ื ืชื ื‘ืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื”, ื”ืงื• ื”ืจืืฉื•ืŸ ืฉืœ ื”ื˜ื™ืคื•ืœ ื‘ืชืกืžื•ื ืช ื™ื”ื™ื”, ื›ื›ืœ ื”ื ืจืื”, ืชืจื’ื™ืœื™ื ื•ืฉื™ื ื•ื™ื™ื ื”ืชื ื”ื’ื•ืชื™ื™ื – ื“ื‘ืจื™ื ืฉืืชื ื™ื›ื•ืœื™ื ืœืขืฉื•ืช ื‘ืขืฆืžื›ื, ื‘ื‘ื™ืช. ืืชื ืขืฉื•ื™ื™ื ืœื”ืชื‘ืงืฉ ืœืงืฆืฅ ื‘ื›ืžื•ืช ื”ืงืคื” ืื• ื”ืืœื›ื•ื”ื•ืœ ืื• ืœื”ืฉื™ืœ ื›ืžื” ืงื™ืœื•ื’ืจืžื™ื ืžืžืฉืงืœื›ื. ื”ืจื•ืคื ืขืฉื•ื™ ืœื•ืžืจ ืœื›ื ืœืฉืชื•ืช ืคื—ื•ืช ื ื•ื–ืœื™ื, ื‘ืžื™ื•ื—ื“ ื‘ืกืžื•ืš ืœืฉื™ื ื”. ื‘ื ื•ืกืฃ, ื”ืจื•ืคื ื™ื™ืชืŸ ืœื›ื ืœื”ืชืืžืŸ ืขืœ ืื—ื“ ืื• ื™ื•ืชืจ ืžื”ืชืจื’ื™ืœื™ื ื”ื‘ืื™ื:

  1. ืชืจื’ื™ืœื™ ืงื’ืœ, ืฉื‘ื”ื ืืชื ืžืืžืฆื™ื ืืช ืฉืจื™ืจื™ ืจืฆืคืช ื”ืื’ืŸ ืฉืœื›ื ื›ื“ื™ ืœืฉืคืจ ืืช ื”ืฉืœื™ื˜ื” ื‘ืฉืœืคื•ื—ื™ืช โ€‹โ€‹ื”ืฉืชืŸ.
  2. ืื™ืžื•ืŸ ืฉืœืคื•ื—ื™ืช โ€‹โ€‹ื”ืฉืชืŸ, ืฉื‘ื• ืืชื ืžืชืืžื ื™ื ืขืœ ื”ื—ื–ืงืช ื”ืฉืชืŸ ืฉืœื›ื ืœืžืฉืš ื–ืžืŸ ืืจื•ืš ื™ื•ืชืจ.
  3. ื ื™ื”ื•ืœ ื”ืคืขืžื™ื ืฉืืชื ื”ื•ืœื›ื™ื ืœืฉื™ืจื•ืชื™ื ื‘ื›ืš ืฉืชืงื‘ืขื• ืขื‘ื•ืจ ื–ื” ื–ืžื ื™ื ืžืกื•ื™ืžื™ื ื‘ื™ื•ื, ืขื“ ืฉื›ื‘ืจ ืœื ืชืจื’ื™ืฉื• ืืช ื”ื“ื—ืฃ ืœื”ืฉืชื™ืŸ ืžืขื‘ืจ ืœืžื” ืฉืงื‘ืขืชื.

ืฉืžื™ืจื” ืขืœ ื™ื•ืžืŸ ื›ืฉื™ืฉ ืœื›ื ืฉืœืคื•ื—ื™ืช โ€‹ืจื’ื™ื–ื”, ืฉื‘ื• ืืชื ืžืชืขื“ื™ื ืžืชื™ ื•ื›ืžื” ืืชื ืฆืจื™ื›ื™ื ืœื”ืฉืชื™ืŸ, ื™ื›ื•ืœื” ื‘ื”ื—ืœื˜ ืœื”ื•ืขื™ืœ ื‘ืชื”ืœื™ืš ื”ืื™ืชื•ืจ ืื—ืจ ื”ื’ื•ืจืžื™ื ืœืชืกืžื•ื ืช ืืฆืœื›ื.

 

ื˜ื™ืคื•ืœ ื‘ืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื” – ืžื” ื”ืจื•ืคืื™ื ื™ื›ื•ืœื™ื ืœืขืฉื•ืช ืขื‘ื•ืจื ื•?

ืื ื”ืฉื™ื ื•ื™ื™ื ื”ื”ืชื ื”ื’ื•ืชื™ื™ื ืœื ืžืžืฉ ืขื•ื‘ื“ื™ื ืœื›ื, ืื• ืื ื”ืจื•ืคื ืฉืœื›ื ืžื—ืœื™ื˜ ื›ื™ ื™ืฉ ืœื ืงื•ื˜ ื‘ืฆืขื“ื™ื ื ื•ืกืคื™ื, ื”ื•ื ืขืฉื•ื™ ืœืจืฉื•ื ืชืจื•ืคื•ืช ืœื˜ื™ืคื•ืœ ื‘ืฉืœืคื•ื—ื™ืช ื”ืจื’ื™ื–ื” ืฉืœื›ื. ืชื•ืคืขื•ืช ื”ืœื•ื•ืื™ ื›ื•ืœืœื•ืช ื™ื•ื‘ืฉ ื‘ืคื” ืื• ืขืฆื™ืจื•ืช.

ืืคืฉืจื•ืช ื ื•ืกืคืช ื”ื™ื ื‘ื•ื˜ื•ืงืก, ืืฉืจ ื”ืจื•ืคื ืžื–ืจื™ืง ืœืชื•ืš ืฉืœืคื•ื—ื™ืช โ€‹โ€‹ื”ืฉืชืŸ ืฉืœื›ื ืขืœ ืžื ืช ืœืฉืชืง ืืช ื”ืฉืจื™ืจื™ื. ื”ืชื•ืฆืื•ืช ื™ื›ื•ืœื•ืช ืœื”ื—ื–ื™ืง ืžืขืžื“ ื—ื•ื“ืฉื™ื – ื•ืืคื™ืœื• ืฉื ื” – ืื ื›ื™ ืื—ืช ืžืชื•ืคืขื•ืช ื”ืœื•ื•ืื™ ื”ืฉื›ื™ื—ื•ืช ื‘ื˜ื™ืคื•ืœ ื–ื” ื”ื™ื ืฉื™ืฉื ื ืื ืฉื™ื ืžืกื•ื™ืžื™ื ืฉื™ื”ื™ื• ื—ื™ื™ื‘ื™ื ืœื”ืฉืชืžืฉ ื‘ืงื˜ื˜ืจ ืขื“ ืฉื™ืชืจื’ืœื•, ืœืคื—ื•ืช ื‘ืชื—ื™ืœื”.

ืœื‘ืกื•ืฃ, ื‘ืžืงืจื™ื ื—ืžื•ืจื™ื ื™ื•ืชืจ ืฉืœ ืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื”, ื ื™ืชื•ื— ืขืฉื•ื™ ืœื”ื™ื•ืช ื”ื‘ื—ื™ืจื” ื”ื ื›ื•ื ื”. ื’ื™ืจื•ื™ ืขืฆื‘ื™, ืฉื‘ื• ื—ื•ื˜ ืฉืžื•ืฉืชืœ ืžืฉื“ืจ ื“ื—ืคื™ื ื—ืฉืžืœื™ื™ื ื›ื“ื™ ืœืขืฆื•ืจ ืืช ืฉืœืคื•ื—ื™ืช โ€‹โ€‹ื”ืฉืชืŸ ืžืคื ื™ ื”ืชืงืฉืจื•ืช ืขื ื”ืžื•ื—, ื”ื•ื ืืคืฉืจื•ืช ืื—ืช. ื”ืžืงืจื™ื ื”ื—ืžื•ืจื™ื ื‘ื™ื•ืชืจ ืขืฉื•ื™ื™ื ืœื”ืฆืจื™ืš ืฆื ืชื•ืจ, ืฉื‘ื• ืฆื™ื ื•ืจ ืงื˜ื˜ืจ ืžืžื•ืงื ื‘ืชื•ืš ื”ื’ื•ืฃ ื›ื“ื™ ืœืขื–ื•ืจ ื‘ืฉื—ืจื•ืจ ื”ืฉืชืŸ. ื˜ื™ืคื•ืœื™ื ืื—ืจื™ื ื‘ืงื• ื”ืื—ืจื•ืŸ ื›ื•ืœืœื™ื ื ื™ืชื•ื— ื›ื“ื™ ืœื”ืคื•ืš ืืช ืฉืœืคื•ื—ื™ืช โ€‹โ€‹ื”ืฉืชืŸ ืฉืœื›ื ืœื’ื“ื•ืœื” ื™ื•ืชืจ ืื• ื”ืกืจืช ืฉืœืคื•ื—ื™ืช โ€‹โ€‹ื”ืฉืชืŸ ื›ื•ืœื”, ืื ื›ื™ ื”ื“ื‘ืจ ื ื“ื™ืจ ืžืื•ื“.

 

ื‘ืกื•ืคื• ืฉืœ ื“ื‘ืจ, ืื ืืชื ืžืืžื™ื ื™ื ืฉืืชื ืขืœื•ืœื™ื ืœืกื‘ื•ืœ ืžืฉืœืคื•ื—ื™ืช ืจื’ื™ื–ื”, ืคื ื• ืœืจื•ืคื ืฉืœื›ื ืœืคื ื™ ืชื—ื™ืœืช ื”ื˜ื™ืคื•ืœ. ื”ื•ื ื™ืื‘ื—ืŸ ืืช ื”ืžื—ืœื” ืฉืœื›ื ื•ื™ืขื–ื•ืจ ืœื›ื ืœืœื›ืช ื‘ื›ื™ื•ื•ืŸ ื”ื ื›ื•ืŸ.