What is female urinary incontinence?

Core Tip: Incontinence is often expressed in novels after people are frightened, but in life, some women cough a sneeze and even lead to leaking. Fortunately, there are still ways to deal with this situation.

Swelling is a phenomenon that people love to see. However, when the liquid is not spewing out after exhausting the solution, it is indiscriminate when it is inadvertently drooling. (Of course, here is a fight.) For example, blown fluid and urine are not the same thing). Urinary incontinence is a problem that plagues many women. Although the direct impact on health is not serious, the “old wet” issue is also enough to disturb, which will directly affect the quality of life on weekdays, emotional status, and body image. Sex life. According to the American Center for Medical Quality and Medical Research, more than 13 million Americans suffer from urinary incontinence, and 85% of them are women.

Incontinence is not uncommon

Where the body stores urine is located in the bladder, urine is excreted through the urethra. Urinary bladder contraction of the bladder wall, the urine "squeeze" out of the bladder, into the urethra, while the urethral sphincter relaxation, so that the urine can be excreted smoothly, so when the control of urination, nerve spread, bladder muscle contraction or urinary sphincter contraction If you don’t give your “door”, you will have incontinence. When you feel that you cannot control the discharge of urine, it may mean that urinary incontinence has been found. In most cases, there will only be a very small amount of one or two drops. Of course, there are occasional unfortunate cases of excessive traffic. However, do not think that incontinence is a bad and shameful thing that only happens to you. This is much more common than you think. In the United States, about 25%-45% of women suffer from urinary incontinence problems. Do not think that urinary incontinence is an exclusive problem for middle-aged and elderly women. In fact, affected by genetic factors of sports injury or muscle injury, 20% to 30% of female patients are young people.

There are differences in incontinence

Short-term urinary incontinence may be caused only by urinary tract infections, drug side effects, or constipation, which can be cured with minor adjustments or treatment. The more intractable urinary incontinence problems mainly include two types of Stress incontinence and Urge incontinence.

Stress urinary incontinence is the most common bladder control problem and refers to the formation of pressure on the bladder in the form of sneezing, coughing, laughing, jogging, jolting, or other conditions that eventually lead to "cannot suppress." In general, the amount of urine in stress urinary incontinence will not be large. The pelvic floor muscle strain may be the culprit causing this problem. The pelvic floor muscle is the muscle group that closes the bottom of the pelvis. This muscle group is like a "draft net", urethra, bladder, vagina, uterus, rectum and other organs. By this "net" tightly hanging. When the pelvic floor muscles are damaged, once the "net" elasticity becomes poor and the "constraining power" is insufficient, the organs in the "net" cannot be maintained in the normal position. At this time, the muscles that control the opening and closing of the urethra will be affected. The corresponding impact. Fertility, weight gain, or strenuous exercise can cause damage to the pelvic floor muscles.

Urgent urinary incontinence refers to the sudden and strong urge of the patient to go to the toilet, resulting in the release of water before rushing to the toilet. This does not mean, of course, that it takes place during the "brewing" period when urination is too long, but rather that a small amount of urine also causes this. There are also patients who do not feel anything at all until "this is the point."

Some patients with urinary incontinence will have more serious conditions. The urine volume may be greater, soaking the pants or running down the legs. Patients with multiple sclerosis, Parkinson's disease, or urinary tract infections may all induce urinary incontinence. Of course, in real life, the difference between the above two situations may not be obvious. Linda Brubaker, a professor of female pelvic medicine at Strick's School of Medicine at Loyola University in Chicago, believes that most patients will experience both conditions. The difference in real life may not be as big as we think.

It is not too difficult to deal with incontinence

For most patients, subtle changes in lifestyle may be of great benefit in inhibiting urinary incontinence. Here are some points:

Record your "drinking urine diary log" to know exactly what you are doing. At the same time, this is also a diagnostic material that doctors attach great importance to;

Do not drink a lot of water at a time, this will increase the pressure of the bladder in an instant, you can try to drink a small amount;

Caffeine is a typical diuretic, so drink less like cola, coffee, etc.

Take appropriate control of emotions, don't forget to laugh, control the level of coughing sneezes;

Maintain a healthy weight;

If you go to the toilet a few times, you will not lose shame. Observe the shortest path towards the toilet in advance and wear loose clothes to prepare for the unexpected;

Bladder exercises. Try to increase your own time to stay, control your emotions, take a deep breath, and slow your breathing. For example, if you go to the toilet every 30 minutes, you can gradually extend it to 40 minutes and 50 minutes until the urgent symptoms are relieved.

Try simple pelvic muscle exercises, such as "Kegel" training.

The surgical study of urinary incontinence is also under way. Although the effect is considered to be half-baked, there are already about 200 surgical methods. For example, suspension or slinging techniques can be used to support the bladder neck or support the urethra with surgical lines or slings to relieve problems caused by muscle damage and treat stress urinary incontinence.

Recently, research by the Urinary Incontinence Treatment Network showed that after 2 years of surgery, patients treated with suspensions are prone to urinary tract infections or urge urinary incontinence, but they are still used 2/3 of the time. Patients treated with slings and about half of those treated with surgical wire suspensions cured stress urinary incontinence. The satisfaction rate of sling treatment was as high as 86%, and the satisfaction rate of suspended treatment patients was also 78%. It can be seen that the surgical treatment of urinary incontinence is still promising.

In the end, we must mention two points. For women, there is no need to worry too much. Urinary incontinence is a common situation. There is no need to feel so envious that it is hard to see people. Regardless of the age of the patient, most types of urinary incontinence are treatable.

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