{"id":3805,"date":"2025-01-15T11:57:09","date_gmt":"2025-01-15T09:57:09","guid":{"rendered":"https:\/\/www.kliinikum.ee\/naistekliinik\/?page_id=3805"},"modified":"2026-08-27T12:13:16","modified_gmt":"2026-08-27T09:13:16","slug":"ambulatoorne-husteroskoopia","status":"publish","type":"page","link":"https:\/\/www.kliinikum.ee\/naistekliinik\/ambulatoorne-husteroskoopia\/","title":{"rendered":"Uriinipidamatuse ravi h\u00fcdrogeeliga"},"content":{"rendered":"\n<table class=\"wp-block-advgb-table advgb-table-frontend\"><tbody><tr><td><strong>URIINIPIDAMATUSE RAVI POL\u00dcAKR\u00dc\u00dcLAMIID H\u00dcDROGEELIGA<\/strong><\/td><\/tr><tr><td>Pingutus- ehk stressuriinipidamatuse ravis kasutatav pol\u00fcakr\u00fc\u00fclamiid h\u00fcdrogeel (nt Bulkamid) on spetsiaalne veep\u00f5hine geel mis koosneb 97,5% veest ja 2,5% pol\u00fcakr\u00fc\u00fclamiidist.<\/td><\/tr><tr><td>Pingutusuriinipidamatuse p\u00f5hjuseks on kusiti sulgurmehhanismi puudulikkus v\u00f5i kusiti hoidesidemete ja vaagnap\u00f5hjalihaste l\u00f5tvus.<\/td><\/tr><tr><td>Geeli s\u00fcstitakse kui mahuainet kusiti limaskesta sisse, et parandada kusiti sulgemisfunktsiooni ja v\u00e4hendada tahtmatut uriinileket pingutusel (nt k\u00f6himisel, aevastamisel, tantsimisel, treeningutel).<\/td><\/tr><tr><td>Kliiniliselt on t\u00f5estatud, et s\u00fcstegeel leevendab uriinipidamatuse kaebuseid kuni seitsme aasta jooksul. Osa uuringuid lubab toimet siiski vaid 2-3 aastaks. Efektiivsuse kadumisel saab protseduuri korrata. Samas on ka patsiente, kes ei saa soovitud efekti ehk uriinipidamatus j\u00e4\u00e4b alles.<\/td><\/tr><\/tbody><\/table>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<table class=\"wp-block-advgb-table advgb-table-frontend\"><tbody><tr><td><strong>See ravimeetod on sobiv naistele:<\/strong><\/td><\/tr><tr><td>\u25a1 kes ei soovi operatsiooni (linguoperatsiooni) ja eelistavad v\u00e4heinvasiivset lahendust;<br>\u25a1 kelle varasem linguoperatsioon on osutunud ebaefektiivseks;<br>\u25a1 kellele on linguoperatsioon vastun\u00e4idustatud;<br>\u25a1 kes soovivad veel s\u00fcnnitada;<br>\u25a1 kes on eakad ja esineb kusiti sfinkteri e. sulgurlihase puudulikkus;<br>\u25a1 kes on l\u00e4bi teinud kiiritusravi;<br>\u25a1 kes on adipoossed ja paljude kaasuvate haigustega.<\/td><\/tr><\/tbody><\/table>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<table class=\"wp-block-advgb-table advgb-table-frontend\"><tbody><tr><td><strong>ENNE PROTSEDUURI<\/strong><\/td><\/tr><tr><td>Paar n\u00e4dalat enne protseduuri tehakse naistearsti juures vajalikud terviseuuringud ja anal\u00fc\u00fcsid, sh uriinianal\u00fc\u00fcs ja -k\u00fclv.<\/td><\/tr><tr><td>Kui protseduur toimub lokaalanesteesias, soovitame 1-2 tundi enne protseduurile tulekut v\u00f5tta kodus valuvaigistit (1 g paratsetamooli). Protseduuri p\u00e4eval v\u00f5tke sisse ka oma tavap\u00e4rased ravimid koos v\u00e4hese veega.<\/td><\/tr><tr><td>Kui protseduur teostatakse narkoosis, siis ei tohi protseduuri p\u00e4eval s\u00fc\u00fca. Vett v\u00f5ib juua protseduuri hommikul kuni 200 ml 3-4 lonksu haaval.<\/td><\/tr><\/tbody><\/table>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<table class=\"wp-block-advgb-table advgb-table-frontend\"><tbody><tr><td><strong>PROTSEDUURI KULG<\/strong><\/td><\/tr><tr><td>Protseduur on minimaalselt invasiivne ja v\u00e4heste k\u00f5rvaltoimetega. Protseduur viiakse l\u00e4bi kas kohaliku tuimestusega v\u00f5i l\u00fchiajalises narkoosis.<\/td><\/tr><tr><td>Esmalt kontrollitakse optilise instrumendi \u2013 uretroskoobiga \u2013 p\u00f5ie ja kusiti seisukorda. Seej\u00e4rel s\u00fcstitakse geel uretroskoobi kontrolli all peene n\u00f5elaga kusiti limaskesta alla tavaliselt kolme kuni nelja kohta. Protseduur kestab\u00a0 10-15 minutit. Teid j\u00e4etakse j\u00e4lgimisele, kuni saate ise vabalt urineerida. Selleks v\u00f5ib kuluda kuni paar tundi.<\/td><\/tr><\/tbody><\/table>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"615\" height=\"484\" src=\"https:\/\/www.kliinikum.ee\/naistekliinik\/wp-content\/uploads\/2026\/07\/pilt-3.jpg\" alt=\"\" class=\"wp-image-5603\" \/><\/figure>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<table class=\"wp-block-advgb-table advgb-table-frontend\"><tbody><tr><td><strong>V\u00d5IMALIKUD K\u00d5RVALTOIMED<\/strong><\/td><\/tr><tr><td>Protseduurij\u00e4rgselt v\u00f5ivad esineda j\u00e4rgmised k\u00f5rvaltoimed, mis on enamasti l\u00fchiajalised ja m\u00f6\u00f6duvad ise:<\/td><\/tr><tr><td>\u25a1 p\u00f5ie t\u00fchjendamise raskused urineerimisel (kuni 2% patsientidest);<br>\u25a1 kerge valu, survetunne v\u00f5i kipitus kusiti piirkonnas;<br>\u25a1 v\u00e4ike veritsus urineerimise ajal.<\/td><\/tr><\/tbody><\/table>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<table class=\"wp-block-advgb-table advgb-table-frontend\"><tbody><tr><td><strong>P\u00c4RAST PROTSEDUURI<\/strong><\/td><\/tr><tr><td>\u25a1 V\u00e4ltige<strong>\u00a0intensiivset treeningut<\/strong>\u00a0ja raskuste t\u00f5stmist\u00a0<strong>1\u20132 n\u00e4dala jooksul<\/strong>. Liigne pingutus v\u00f5ib muuta geeli asukohta ja m\u00f5jutada efektiivsust.<br>\u25a1 Soovitatav on v\u00e4ltida<strong>\u00a0seksuaalvahekorda 1\u20132 n\u00e4dalat.<\/strong><br>\u25a1 V\u00e4ltige\u00a0<strong>basseini, sauna ja vanni<\/strong>\u00a0<strong>1\u20132 n\u00e4dalat<\/strong>, et v\u00e4ltida infektsiooni riski.<br>\u25a1 Jooge palju vedelikku, et v\u00e4ltida kuseteede infektsioone.<br>\u25a1 T\u00f6\u00f6le v\u00f5ite \u00fcldjuhul minna p\u00e4rast protseduuri j\u00e4rgmisel p\u00e4eval.<\/td><\/tr><\/tbody><\/table>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<table class=\"wp-block-advgb-table advgb-table-frontend\"><tbody><tr><td><strong>V\u00f5tke \u00fchendust oma arstiga, kui Teil tekivad j\u00e4rgmised s\u00fcmptomid:<\/strong><\/td><\/tr><tr><td>pidev v\u00f5i tugev valu, mis ei m\u00f6\u00f6du paari p\u00e4eva jooksul;<br>palavik, k\u00fclmav\u00e4rinad v\u00f5i infektsiooni n\u00e4hud;<br>verejooks v\u00f5i verise uriini eritumine, mis kestab kauem kui paar p\u00e4eva;<br>urineerimisraskused v\u00f5i p\u00f5ie mittet\u00e4ieliku t\u00fchjenemise tunne p\u00e4rast esimest p\u00e4eva.<\/td><\/tr><tr><td>Vajadusel p\u00f6\u00f6rduge E\u2013R 8\u201318 naisten\u00f5uandla valvekabinetti. Muul ajal (sh n\u00e4dalavahetustel, \u00f6\u00f6sel ja riigip\u00fchadel) EMOsse.<\/td><\/tr><tr><td>Tartu \u00dclikooli Kliinikumi naistekliinik<br>G\u00fcnekoloogia osakond<br>Telefonid: 731 9952, 731 9954<\/td><\/tr><\/tbody><\/table>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<table class=\"wp-block-advgb-table advgb-table-frontend\"><tbody><tr><td><em>Koostajad: dr \u00dclle Kadastik, dr Pille Soplepmann<br>2026<\/em><\/td><\/tr><\/tbody><\/table>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":17,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-3805","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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