January 26, 2014
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How does urinary incontinence?
Daytime and nighttime urinary incontinence in women and men can be primary and secondary . To distinguish between these species, it should be noted that the primary incontinence due to sphincter defects, i.e. those muscles which lock the bladder. This may be due to congenital abnormalities, there is a urinary incontinence in older women who have had multiple births, and others. Secondary enuresis is due to reasons that are not associated with abnormalities of the urinary tract. It may be a mental disorder, spinal cord injury, and others.
According to the statistics, and reviews of doctors, urinary incontinence is a common problem. There is evidence that menopausal age incontinence occurs in about 40% of women. However, given the delicacy of the problem, treatment of urinary incontinence in men and women is not always carried out because people are embarrassed to see a doctor with such complaints. Discovering at such symptoms, women prefer to just use pads or take drugs on the advice of friends. Meanwhile, the problem does not go away by itself, and the quality of life of the patient is seriously deteriorating.
The number of cases of involuntary discharge of urine increases with age. It is noted that urinary incontinence in older women occurs much more frequently. Experts attribute the primary incontinence with labor. When asked why after delivery there is day and night incontinence in women, can be answered by taking into account the peculiarities of the female anatomy. Often, after the baby is born to women for a long time had to use feminine pads in connection with incontinence. However, if taken in a timely manner was the correct treatment of urinary incontinence after childbirth, with time a woman can forget about this problem. In particular, practice special exercises, which will be discussed below.
Another classification provides division of urinary incontinence on Stress and Urge . Stress incontinence determined in those cases when a person is released involuntarily urine during physical exertion, sneezing, laughing, coughing, and others. The patient does not feel the urge to urinate expressed. Urge incontinence women and men determined if the patient feels the urge to urinate, which he can not overcome, and then he comes involuntary urination. As a result, people may not have time to use the toilet as urination occurs almost immediately after the urge.
A more rare type of incontinence is the over-filling. In this pathology a person with full bladder leaking urine involuntarily, but completely empty the bladder man can not. This symptom may occur when prostate adenoma men and women suffering myoma Which becomes large.
Urinary incontinence affects not only women. There is also stress and urge urinary men. Most often there is senile incontinence in men. Typically, the symptoms of incontinence observed at night in older men. Incontinence can occur in elderly men drunk. In this case, to improve the human condition are important not only medicines but also maintain proper lifestyle.
Why manifested urinary incontinence?
There are certain reasons for this condition, and factors that influence the manifestation of this symptom. Stress incontinence is invariably associated with the failure of the sphincter of the bladder. The patient notes abnormal mobility of the urethra and the significant weakening of the pelvic floor muscles. When a person laughs, sneezes, coughs, the pressure in the bladder is increased, and urine leaks.
Causes of urge incontinence associated with the manifestations of the syndrome overactive bladder . Consequently, when the bladder is filled, there is an involuntary contraction of the bladder muscle wall. Such a condition occurs when neurological illnesses - Parkinson's disease . Alzheimer . But sometimes the cause still remains unknown. This case is defined by idiopathic overactive bladder . Some people say urgency only in the colder months.
There are many factors causing incontinence. Among the factors that contribute to incontinence, it should be noted obesity . hormonal disruptions . diseases of the nervous system . operations . conducted pelvic . congenital abnormalities of the pelvis and the pelvic floor . hereditary factor . multiple pregnancies and births .
Enuresis observed in adolescents, more rarely - in adults. Adolescents night incontinence can occur several times a month. This problem causes a feeling of severe discomfort. Therefore, be sure to discuss with experts how to treat enuresis, to overcome this disease. Often urinary incontinence in adolescents is the result of psychological reasons. Incontinence happens both in adolescents congenital (that is caused by a problem that occurred during pregnancy, severe birth), and Acquired (a consequence of psychological trauma, disease, injury).
If teenage boys incontinence is often a symptom of bedwetting, the causes of urinary incontinence in women is often explained by the influence of other factors. For example, a teenager during puberty may occur involuntary urination while laughing. In most cases, this phenomenon extends itself, though sometimes in the study found signs of an overactive bladder.
How to get rid of urinary incontinence?
The first step is to see a specialist, he set to the correct diagnosis. The doctor conducts the survey and inspection of the patient, assigns the necessary tests and ultrasound. In addition, a so-called sample by coughing. Treatment of urinary incontinence when coughing is carried out using the methods that are prescribed by a doctor. But initially the doctor asks the patient to cough and determines whether it is allocated urine during coughing. If a strong cough is allocated a certain amount of urine, such a sample is positive.
Answering the question of how to treat stress urinary incontinence, the doctor may suggest medication and non-drug techniques, as well as surgery. If a patient is diagnosed Urge incontinence, the therapy involves the reduction of overactive bladder. For this purpose, the anticholinergics, antidepressants.
If a woman has urinary incontinence occurs after childbirth or during menopause, the doctor initially establishes what caused the condition. Treatment of urinary incontinence menopause Usually performed using conservative methods. Sometimes surgery incontinence is unacceptable in view of the patient's age or illness, which provoked involuntary urination.
But in some cases, drug treatment is not necessary, because the desired effect render special exercises incontinence. Gymnastics includes a series of exercises designed to strengthen the pelvic organs and muscles of the perineum. It is also recommended to carry out every day the so-called Kegel exercises - Several dozen times decompress and compress the muscles of the vagina.
Answering the question of how to treat urinary incontinence in women, be sure to mention the methods of physiotherapy. In particular, an effective treatment is galvanic currents, electrophoresis. Depending on what kind of doctor treats the disease, sometimes specialist may recommend and some traditional methods of treatment of urinary incontinence. Yet the treatment of folk remedies should be practiced in combination with traditional therapies. Only then such drugs will be effective. You should also prevent the impact of all the factors that can trigger incontinence.
If from stress urinary incontinence can not get rid of for a year, then the doctor may recommend surgery.
In the case of urinary incontinence can not be cured within a year using conservative methods, the doctor may recommend surgery to hold. During operation it is strengthened bladder. It is a simple operation, which is carried out under local anesthesia.
During treatment is recommended to use special pads that protect against leakage. It is also recommended to take steps to normalize bowel function, as constipation incontinence increases. The load to the bladder are also extra weight, so your weight should also be monitored.
The treatment of urinary incontinence in children is carried out if the child is already four years old, and incontinence observed him regularly. It is noted as urinary night and day of incontinence in children. Determine the causes of such a state will help the pediatrician, neurologist and other specialists. If there is bedwetting in children 6-10 years, such a child must explore the urologist. In order to accurately establish the diagnosis and its features, a doctor conducts a survey of parents to find out whether there is daylight or urinary incontinence occurs only at night in children. Further held uroflowmetry, cystourethrography, ultrasonography, and others.
If a child says imperative (uncontrollable) incontinence , The doctor may use various methods of treatment. Used physiotherapy techniques, drugs, hypnosis, auditory training, and others. Good results in the treatment of enuresis can be obtained by applying the methods of psychotherapy. It is recommended in the treatment process and apply teas decoctions herbs (valerian, Leonurus, mint), herbal baths.
Parents should be very carefully and calmly to the child who suffers from enuresis. One should tell the child that his illness is curable, that the problem has many children. You can not blame the child who woke up wet. Doctors do not recommend to wear at night so children diapers, as a child in a diaper difficult to control yourself.
It is important to teach a child to ensure that before going to sleep he always went to the toilet. Should not be given at night to drink plenty of fluids. A child should not be subjected to a lot of stress, excitement before bedtime. It is important to be sure to praise your child for that night he stayed dry.
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