urine ? urine (also known as incontinence) is a common situation and often makes people feel embarrassed and confused. The severity of the disease may occur from a urination occasionally until even coughing or sneezing causes the patient to urinate suddenly without control, unable to run to the toilet.
Despite urinary incidents in the elderly, urination is not the consequences of the aging process. If urine affects daily activities, the patient is recommended to see a specialist for examination and advice. Mostly for everyone, just changing the lifestyle or using the medication can reduce the situation of incontinence and lead to a sense of comfort to the patient.
Causes of Urination's disease
urine is not a disease, but a symptom of many different diseases. The cause of urination may be caused by lifestyle, disease or treatment. Urinus is divided into 2 categories as follows:
Temporary urination
due to some types of food, drinks or medications for diuretic, bladder stimulation and increased urine as:
Alcohol
caffeine
Carbonated mineral water
Artificial sweets chocolate
chili
Foods contain lots of spices, spicy, sugar, acid, especially citrus fruits
Medications for heart disease and blood pressure, sedative, muscle relaxants
Vitamin C is high doses
Urinary tract infections cause bladder stimulation that causes patients to urinate a lot and sometimes urinating.
Constipation: Rectal has an anatomical location near the bladder and the same nerves dominated. When constipation makes the stool stimulate the nerve in the rectum often and excess, and makes the patient want to urinate regularly.
urination due to disease or body changes
prolonged urination may be due to a number of problems or physical changes of the body, including:
Pregnant. Hormonal changes and fetal weight increase lead to incontinence.
Primle: Due to the process of giving birth, in the process of pushing too hard and long time causing damage to muscles, tissue and nerve control of the bladder. In addition, the condition of uterine prolapse, bladder, uterus, rectum or small intestine can be pushed away with the original anatomical position and protruding into the peach sound, leading to unprocessed urination.
Age changes: Because the muscles of the bladder is weaker when the age is higher, it is impossible to hold the urine tightly in the bladder, causing the urine to leak out. >
menopause. After menopause, the woman produces less estrogen - a hormone that helps keep the tissue, bladder mucosa and urethra. The decline of these tissues can aggravate the indefinite situation.
Uterine cutting: In women, the bladder and uterus are supported by a lot of the same muscles and ligaments. Any surgery at a woman's reproductive system such as uterine removal will damage the pelvic floor muscles leading to incontinence.
Prostate hygiene is common in older men.
Prostate cancer
Tumors anywhere along the urinary tract can block normal urine, leading to urination when full of bladder.
Urinary stones
neurological disorders such as multiple sclerosis, Parkinson's disease, stroke, brain tumor or spinal trauma can hinder neurological signals related to bladder control, Causes urinary incontinence.
Symptoms of Urination's disease
A lot of people have experienced a little bit of urination, however, the amount of urine can be small to a lot and the development is increasing in frequency. :
urination when increased the pressure in the abdomen (stress incontinence): The urine leaks when the patient increases the bladder pressure by coughing, sneezing, laughing, exercise or lifting heavy objects.
Urge incontinence: This symptom occurs when there is an urination, the patient suddenly wants to urinate so that the patient cannot go to the toilet. The frequency of this type of appearance often occurs and occurs at night. Causes of urinary incontinence may be caused by infections, neurological disorders or diabetes.
Overflow incontinence: because the bladder always has urine, the patient has a constant or continuous urine dripping condition.
Functional incontinence: Due to physical and mental problems, the patient cannot go to the toilet. For example, if the patient has severe hip arthritis, the patient limits the ability to open zippers quickly enough to go to the toilet.
mixed incontinence: is the situation of urinary combination of all types of urine.
So when the patient needs to see a specialist:
Patients feel uncomfortable about their own urination.
Frequent frequency of urination and affect the quality of life.
Limit social activities and social communication.
There is a risk of falling when the patient has to move quickly to the toilet.
Transmission route of Urination's diseaseUrination
Urinary urinary diseases are not transmitted from patients to healthy people.
People at risk for Urination's disease
Gender: urine in women has a much higher incidence than urine in men Surgical architecture varies with men, having pregnancy and childbirth. However, men also suffer from this disease due to prostate problems that increase urination and urination.
The higher the age, the muscle is responsible for the control of the bladder and the urethra, which is reduced in muscle tone, so it increases the possibility of urine overflow.
Overweight: Increased weight increases pressure on the bladder and surrounding muscles, weakening muscles and causing urine to flow when the patient cough or sneezing. P>
Smoking. Using tobacco can increase the risk of incontinence.
genetic: If in the family or close relatives with urination, the possibility of the next generation is higher than other families.
Calfage: neuropathy or diabetes may increase the risk of urination.
Prevention of Urination's disease
Uncontrolled urination is not always prevented, however, some of the following ways will reduce the risk of urination:
Maintain the right weight
Practice pelvic floor exercises
Avoid bladder stimulants, such as caffeine, alcohol and acidic food.
Eat a lot of fiber, can prevent constipation, a cause of incontinence.
No smoking, or if any, look for help to quit smoking
Diagnostic measures for Urination's disease
It is important that the patient needs to determine that he is suffering from an incontinence and regularly shares this information to the doctor so that the doctor will make a decision on the direction of treatment.Examination of disease history, doctors may ask patients to cough to detect incontinence urination.
Testing should be done
urine tests to detect infections, blood in urine or other abnormal condition.
Bladder diary: The patient records the amount of water that has been drinked and the amount of urine has gone in a certain day, thereby estimating the amount of water Urine has a number of urination.
Measurement of urine to save after urination: The patient is required to urinate into the urine measuring device. The doctor will then check the remaining urine in the bladder by ultrasound or using a catheter. If the amount of urine is left over in the bladder, the patient is blocking the urinary tract or having problems with nerves or bladder muscles.
Urination's disease treatments
Depends on the cause, level and type of urination for the doctor to offer appropriate treatment. The doctor will prioritize the treatment of the cause first and prioritize the use of less invasive measures first, if this method fails, it will switch to another method or combine many methods.Change behavior
Practicing bladder by fasting when stimulated. Patients can start by trying to hold back for 10 minutes whenever you want to urinate. The goal is to extend the time between going to the toilet until you urinate from 2.5 to 3.5 hours.
Double Voiceing (Double Voiceing) This is a technique to help patients learn how to make bladder drum completely to avoid urination when full of bladder (overflow incontinence) by walking urine, then wait a few minutes and continue to urinate.
Diet management: Patients need to cut or avoid alcoholic foods, caffeine or acid. Reducing liquid consumption, weight loss or increased physical activity can also reduce the problem.
Pelvic floor muscle exercise for men
The doctor will encourage patients to perform these exercises regularly to enhance muscles to help control urination. Also known as Kegel exercises, this exercise is especially effective for urinary incontinence due to stress.
Electrical stimulation
The electrodes are inserted into the patient's rectum or vagina to stimulate and strengthen the pelvic floor muscles. Gentle electrical stimulation is effective for incontinence due to stress and stimulating urinary tract, but patients need many treatments for a few months.
Treatment with drugs is based on the patient's condition, examination/test results, doctors can prescribe medications to treat appropriate urination. Use medical equipment
Urethral insert (Urethral insert): This is a small device, once used, like tampon is put into the urethra before the woman prepares to have those women. Physical activity is as much as tennis play, which can be triggered without control. Therefore, this device acts as a plug to prevent leakage and be removed before urinating.
pessary is a hard ring inserted into the vagina and the wearing time is all day. This device is often used in people with uterine prolapse causing incontinence. Pessary helps keep your bladder, located near the vagina, to prevent urine leaks.
Surgery
Sling processures: This is the method, the doctor will use the body's tissue and synthetic materials to create a frame around the urethra. And the patient's bladder neck to help the urethra when the patient cough or sneezing is not urinated.
Artificial Urinary Sphincter: In men, the doctor will use a small ring filled with liquid implanted around the neck of the bladder to keep the sphincter water sphincter. Urinary closed until the patient is ready to urinate. To urinate, the patient only needs to press the valve to be transplanted under the skin, causing the loop and allows urine to flow from the bladder.
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