Some women in the older or after the birth of a child, the body will have the problem of leakage, a sneeze on the leakage of urine, so many women are very embarrassed, but there is no difficult to say, and even many women think, but the urine can not hold it, what is this, and not a big deal, you may think wrong.
This is because there are muscles that support the pelvis, and these muscles can produce upward pressure against the abdominal cavity. When these supports are weakened, the downward pressure is lost, the urethra opens and urine slips out.
In medical terms, we call this stress urinary incontinence. Patients who are affected by this disease are afraid to laugh, to do strenuous activities, to go out …… and even before sneezing or coughing, they have to worry about whether they will suddenly leak some urine out.
The causes of female urinary incontinence
1, mental factors
Modern women, due to work tension, stress, anxiety or neurogenic bladder and other problems, thus causing an allergic reaction of the bladder muscle, resulting in their inability to control the contraction of the bladder, and therefore cause incontinence.
2.Production damage
Multiple childbirth, urethral bulge, uterine prolapse, etc. This is due to the fact that during childbirth, the pelvic muscles are damaged to varying degrees and the ability to support some organs in the pelvis is reduced, so this can also lead to stress urinary incontinence. The incidence of urinary incontinence in vaginal births is clinically found to be higher than in caesarean births.
3, after menopause, women’s estrogen levels decrease so that the urethral mucosa becomes thinner and the tension decreases.
4, older, the accumulation of abdominal fat abdominal pressure increases on the bladder produces greater pressure.
5, the body is too obese
Because of the increase in women’s own age, and the body has more fat accumulation, resulting in a relatively large pressure on the bladder, and therefore produce urinary incontinence.
6, racial factors, large-scale surveys show that Asian incontinence than Europeans.
7, surgical injuries directly damage the pelvic floor muscles and nerves, such as cortical disorders (stroke, dementia, etc.) damage to the urethral sphincter or pelvic nerve surgery.
8, if the body’s urinary organs out of order, it will occur, such as frequent urination, urinary urgency, painful urination, incontinence symptoms, urethritis, cystitis, pyelonephritis, etc. will cause incontinence, urine examination microscopic detection of pus cells or a large number of white blood cells, in serious cases accompanied by systemic infection poisoning symptoms.
9, such as frequent urination at the same time each urine volume, and no other performance, the first thing to pay attention to whether to drink too much water, especially those who like sugar water is easy to urinary incontinence.
10, such as frequent urination with urine volume, at the same time, there is thirst and drink more, how, wasting, should pay attention to check the urine, such as urine containing sugar should be considered diabetes, such as urine without sugar and low specific gravity should be thought of urolithiasis.
How to do about female urinary incontinence
When female friends have urinary incontinence should do? I believe this is a question that many women want to know. Then the following we will look at it together.
1, when the doctor, treatment does not take a detour
Although the incidence of the disease is high, but the patients who really get reasonable treatment is very little. The main reason is that most women do not know enough about this disease, thinking that many sisters around them have similar problems, so overflowing urine is also a normal physiological phenomenon of women like menstruation, so there is no need to see a doctor. Secondly, some patients are too shy to talk about it and are reluctant to seek medical help.
In addition, due to the imperfect diagnosis and treatment of doctors, many of the patients we see are referred from gynecology, traditional Chinese medicine and neurology, and they all have the experience of irregular treatment, many of them think it is caused by neurasthenia and weakness, and they often prescribe and take tonic medicine, which not only treats ineffectively but also wastes money, leading some patients to lose confidence in medical treatment. A variety of reasons resulting in most patients do not receive timely treatment, quality of life and health status is seriously affected.
There are many classifications of urinary incontinence, mainly stress incontinence, urge incontinence and mixed incontinence in women. The main symptoms of stress incontinence are involuntary flow of urine when coughing, sneezing, lifting heavy objects or laughing, leakage of urine when going up and down stairs, doing manual labor or even walking in serious cases, long-term use of urine, repeated urinary tract infections, vaginitis, peripheral dermatitis and even ulceration, which seriously affects the physical and mental health of patients. Different types of urinary incontinence are treated differently, so an accurate diagnosis is very important. For ladies who often have involuntary overflow of urine, do not be ashamed to say it and tolerate as much as you can, delaying treatment and delaying the condition.
2, the new method of treatment, the trouble goes without trace
Treatment of urinary incontinence is broadly divided into behavioral therapy, drug therapy and surgical treatment. For urgent and mixed incontinence, drug therapy has improved; for stress incontinence, some patients with mild symptoms, behavioral therapy is effective, but drug therapy is often disappointing; heavier symptoms, often only by surgical treatment.
There are many surgical methods, commonly used clinically, such as bladder neck suspension and perivaginal ligament suspension, which are difficult to be accepted by patients for a variety of reasons. In recent years, there has been great progress in the method of surgery for stress urinary incontinence. In the past, the surgery required general anesthesia or semi-anesthesia, the surgical incision in the abdomen was as long as 12 cm, and the operation took more than three hours, which was traumatic, with a long hospital stay and inaccurate treatment results. Now the new method to do surgery only requires lumbar anesthesia or local anesthesia, do the lower abdomen two 0.5 cm size, generally without sutures and 1.5 cm size incision in the vagina, healing does not affect the aesthetics, the operation time is only 30 to 60 minutes, 1 to 2 days after surgery can be discharged, overflow urine phenomenon from now on away from patients.