Sneess and laugh, leakage urine experts to solve embarrassing stressful urinary incontinence

After the second child was born, he found that he couldn't help urinating. As long as he laughed, sneezed or walked fast, he leaked. Sometimes I can't wait to go to the bathroom, the pants are already wet. So even if it is a high temperature in the heat, she has to use a pad or sanitary napkin every day.

And such embarrassing and embarrassing hidden in women is not a minority. According to statistics, about 10%to 20%of women are deeply troubled by stress urinary incontinence, such as daily activities and limited exercise, increased psychological pressure, and social obstacles. In life, many women mistakenly believe that urinary incontinence is normal after childbirth, or the natural phenomenon of increasing age, ashamed to open teeth, and can only endure silently. As everyone knows, long -term urinary incontinence will not only lead to severe urinary system, but also cause diseases such as pelvic inflammatory inflammatory disease, cystitis, vaginitis, and sexual dysfunction. Experts from the Department of Urology of the People's Hospital of Shaanxi Province reminded that if women find that they "urinate as soon as they cough", they must seek medical treatment early.

"Hidden" is the need for treatment to be treated

Pressure urinary incontinence refers to the phenomenon of incompetence at the urethral opening without sneezing, coughing, laughing, exercise or physical activity. High incidence of stress urinary incontinence includes postmenopausal women, multiple pregnancy and childbirth, obesity, long -term chronic cough, constipation, long -term physical labor, long -term smoking, and past pelvic surgery. They often suffer endless troubles in daily life: exercise that dare not laugh, dare not want to do whatever they want, and even be careful about cough and sneezing, for fear that if you are not careful, you will become an embarrassing center.

What caused stress urinary incontinence? Experts introduced that when the muscles and other tissue of the urethra support, the anatomical relationship between the bladder and the urethra changes, the pressure in the abdominal cavity suddenly increases, and the structure of the urethra cannot be effectively controlled, which will cause urinary incontinence. After multiple delivery or menopause, the weakening or lack of tension of women's vaginal walls and pelvic foundation may also lead to urinary incontinence. In addition, female patients with urethral mass, urethral sphincter surgery, and male patients with root -rooted prostate dehumidities may be damaged as a result of this, causing urinary incontinence.

Do a professional evaluation, treat individualization

Clinically, many patients with stress urinary incontinence often do not want to explain the condition in detail because of embarrassment. This is not conducive to the diagnosis and treatment of doctors. Detailed and truthfully communicate with the doctor in order to better help doctors understand the condition in order to make reasonable individual treatment plans.

When diagnosing whether the patient is stress incontinence, the doctor will ask questions about urinating frequency, urine leakage, causing urine -related activities, and conduct physical examinations, understand the degree of condition, and whether there are other related issues, such as stressurururia Patients with incontinence may also have problems such as urgency urinary incontinence or stool incontinence.

此外，患者可能会被要求填写一份排尿日记，连续记录72小时饮水、小便及漏尿情况，包括每次液体摄入的时间、种类、液体摄入量，每次小便的时间、小便量、 The number of times of urine, the cause of urine and the amount of urine leakage. Doctors may conduct more comprehensive and accurate assessment of urinary urinary incontinence in urinary pad tests, pressure induction tests, cotton swab tests, pelvic ultrasound ultrasound, urinary fluid dynamic examination, etc. At the same time, through ultrasonic assessment, judging the surplus urine in the bladder after the end of the urine, and the routine urine analysis check whether there are urinary tract infections. These can help doctors make reasonable individual treatment plans for different situations of each patient.

Experts said that surgery is not the preferred treatment method for stress urinary incontinence, and many conservative treatment solutions can effectively improve the symptoms of stress urinary incontinence. For example, develop a good and regular drinking habit; obese patients need to reduce weight and maintain normal weight to improve stress urinary incontinence. In addition, quitting and improving constipation are also helpful for relieving stress urinary incontinence. Potting bottom muscle training is an effective way to improve the symptoms of stress urinary incontinence. For patients with stronger vaginal muscles, adherence to regular and effective basal floor muscle training can significantly improve the symptoms of stress urinary incontinence. Patients with urgency urinary incontinence may also need to do bladder behavior training and cooperate with drug treatment. In addition, there are biological feedback and electrical stimuli treatment of pelvic floor, and safe and effective minimally invasive surgical treatment.

Patients with poor conservative treatment effects or severe urinary symptoms can choose surgical treatment. There is no tension suspension in the middle of the urethra. It is a relatively common surgical method. Putting a permanent suspender in the middle of the urethra. The suspender can provide support for the urethra during cough, sneezing or exercise to relieve the symptoms of urinary leakage. During surgery, a small incision is cut on the front wall of the vagina. The strap can wear the skin through the back of the pubic bone through both sides of the urethra, or you can wear the skin through the closing of the thighs. Essence

Xi'an Newspaper All Media Journalist Ma Xiang

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