April 18, 2014
- It has identified a protein that affects blood pressure
- Hydronephrosis
- Discharge of blood from the urethra
- Bilateral nephroptosis
Acute urinary retention and absence of urination - A state of the body in which the person does not leave on their own urine, but the bladder is full. In such a process kidney function and urine form, but it goes out of the bladder due to obstacles, which are on the level of urethral sphincter.
How does acute urinary retention?
Almost always Symptoms of acute urinary retention associated with the presence of strong urge to urinate. At the same time the urine or not released at all, or it is allocated only a small amount. Acute urinary retention is very often accompanied by excruciating pain sensations in the lower abdomen. The pain becomes stronger when the person moves, trying to make some physical effort, making an attempt to help.
Acute urinary retention in men and women and is often accompanied by another non-specific symptoms, the manifestation of which depends on the causes of such a state. Acute urinary retention in women - a condition in which may appear vaginal discharge; men - from the urethra. In addition, possible nausea and vomiting, headache , A sharp rise in pressure. Patient temperature can be raised, sometimes there is a sense of urgency to defecate.
Visually may be considerably below the protrusion of the anterior abdominal wall, or the doctor assisting in acute urinary retention, notes full bladder. During palpation determined painful during pressing globular formation in the lower abdomen.
Very often, patients who suffer from acute urinary retention, noted that before the phenomenon of urination is painful, the jet - a very sluggish, with a small quantity of liquid.
Determined full and incomplete delay. For a state of total delay characteristic of the absolute lack of urine, despite straining and expressed the need to urinate. In some diseases, chronic urinary retention in both men and women leads to the fact that urine discharged on the catheter to the patient for many years. It is important to distinguish between the full extent of detention by state anurii Whereby urine production in the body ceases.
Part delay - a condition in which fluid from the bladder comes partially. Thus after each act of urination certain amount of liquid remains in the bladder. Sometimes this can be a significant amount - up to 1 liter. Such a condition often becomes chronic, and for a long time is imperceptible to the patient. As a consequence, can develop stagnation of urine in the urinary tract, as well as the disruption of the normal functioning of the kidneys. If this condition continues for a long time, then later, the patient developed a pronounced stretching the muscle of the bladder wall . atony . stretching sphincters . When such violations urine is released spontaneously, going outside drops. This state is called in medicine paradoxical ischuria .
Why manifested acute urinary retention?
Causes of urinary retention in men and women may be associated with different factors affecting the function of the urinary system. In particular, the possible mechanical causes of acute urinary retention, associated with the appearance of stones in the bladder or urethra, urethral injury, the development of tumors, etc. Causes of urinary retention in men is sometimes explained by the development of adenoma or prostate cancer . acute prostatitis . phimosis .
This symptom is typical for certain diseases of the central nervous system. Symptoms of urinary retention in men and women appear at injuries and brain tumors . spinal cord And when myelitis . tabes dorsalis . In this case there is a disorder regulation detrusor and sphincter nervous system. Problems with urination can also be a consequence of the previously received spinal injuries.
Defined as reflex functional reasons urinary retention in men and women. It is a condition after surgery on the genitals human rectum. Reflex urinary retention occurs in the first period after surgical manipulation of the abdominal organs. Such symptoms are sometimes manifested after delivery , Stress, hysteria, in a state of extreme intoxication. Acute urinary retention in some cases, there is, and people who for a long time remain in the supine position due to certain diseases and abnormalities in the body.
Problems with the discharge of urine may occur against a background of drug intoxication resulting from the adoption of large doses of sleeping pills or narcotic analgesics.
Experts note that most of the causes of urinary retention in older men are associated with the development of benign prostatic hyperplasia . In men with BPH develop acute urinary retention due to prolonged sitting, constipation , Hypothermia, alcohol reception.
For injuries of the urethra difficulty urinating observed predominantly in men, because, in contrast to the female urethra, the male is longer.
If the delay is manifested by a sudden interruption of urination, it may be due to the emergence of bladder stones . When the process starts a discharge of urine, moving the stone across the opening in the urethra, which leads to an interruption of the process. To resume urination, a person is forced to change its location. Often the people who formed the stones in the bladder to urinate, only taking a certain posture.
In women, in rare cases, a delay of urine during pregnancy. It occurs in the last months of gestation, as the uterus increases significantly, which provokes additional compression of the bladder.
How to get rid of acute urinary retention?
If a person says this symptom, it should definitely provide specialized medical care, and, delay seeking medical attention with such complaints can not. Self-treatment of urinary retention in women and men often leads to unpleasant consequences. In particular, there can be a gap bladder infection, leading to chronic diseases, injuries of the urethra, resulting in attempts to put the catheter alone. Chronic urinary retention leads to the manifestation Chronic renal failure . Therefore, in no case should not act on its own, practicing treatment of folk remedies. Emergency treatment for acute urinary retention should be carried out by qualified personnel only. The patient must either seek emergency urologist or call an ambulance.
Before the doctor begins treatment of acute urinary retention in men and women, can temporarily relieve a bit of the human condition, if we put the heat on the abdomen or perineum. Before the arrival of the doctor, you can take a warm bath, use of antispasmodic drugs.
The doctor must perform a diagnosis, determine the cause and treatment. To establish the correct diagnosis, necessarily conducted laboratory tests of urine, blood, ultrasound of the kidneys, bladder, pelvic organs. Before you treat urinary retention in men passes as of the prostate. According to the testimony may be assigned to other studies ( urethrography . cystography . urography and etc.).
Emergency treatment of urinary retention in men and women requires the use of a catheter, which is inserted into the urethra and allows you to empty the bladder . The catheter should be administered only by a specialist, since the introduction of the risk of mismanagement damaging the urethra . If the need exists, the catheter remains in the bladder for several days . In this case, it is important to take all measures to avoid infection . For this purpose, the patient is assigned to a course of antibiotics, antiseptics used for washing . If a rubber catheter to the patient can not be entered, it should urgently address to the urologist . In cases where the bladder catheterization for some reason can not be held, practiced bladder puncture or surgery . Sometimes made the imposition epitsistostomy - a catheter that is output through the abdominal wall and through which urine exits .
If a person suffers from reflex urinary retention, apply some of the techniques that contribute to the resumption of normal urination. For example, external genitalia can irrigate with warm water. A person can try to listen to the sound of murmuring water, the perception of which reflexively promotes urination.
During treatment your doctor may prescribe introduction of 1-2% solution novocaine into the urethra. Sometimes it is advisable to carry out the introduction of neostigmine subcutaneously, the doctor determines the dose individually.
In acute delay after helping the doctor conducts research and makes a decision about the need for treatment or surgery to remove obstructions to the normal emptying.
All further treatment system depends on the disease, which has provoked a manifestation of this symptom. It should be clearly understood that after the establishment of the catheter symptom may occur again later. To prevent serious complications, be sure to take the necessary steps for treatment.
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