尿失禁常见问题解答
尿失禁是很常见的. It affects men and women of many different ages. It tends to affect people as they get older, although it also happens with young people. 研究表明,从未怀孕过的女性在运动或运动时都会出现一定程度的压力性尿失禁.
如果你有尿失禁, 这意味着你无法控制你的膀胱,当你不想尿的时候,你会有一定量的尿出来. 一些医生称之为“漏尿”,并询问患者是否有尿漏的问题. If they do, there are often treatments that can help.
- What are the different types of incontinence?
The two most common types of incontinence are stress incontinence and urge incontinence. 压力性尿失禁通常发生在患者咳嗽、打喷嚏、大笑、跳跃或举起重物时. Urge incontinence often occurs during bladder spasms, 当人们在去洗手间的时候有小便的冲动和尿漏时,会发生什么.
- What is the first step of the treatment process?
第一步是根据患者的舒适度和患者所经历的尿失禁类型——压力性尿失禁或急迫性尿失禁而定. A large variety of womens' and mens' incontinence diagnoses are treatable. Some treatments are more invasive than others. Typically doctors try to keep the treatment as uninvasive as possible. Exercises and education are a good place to start. Some women may be able to treat urge incontinence simply by making dietary changes.
- What are treatment options for stress incontinence?
For stress incontinence, the first steps is getting the pelvic floor muscles stronger. 如果结果不令人满意, 然后试用阴道阴道环(一种装在阴道内的小硅胶装置)可以帮助轻度失禁的人——特别是只在运动或跑步时发生的失禁. It applies pressure to the opening of the bladder and helps keep it from leaking. 手术也是一种选择. There are a large number of surgeries that have been successful for stress incontinence.
In 2018, the most common type of surgery for stress incontinence was a sling, 其中包括在尿道下面放置一小片网状物来帮助支撑尿道. This helps prevent leakage when a patient coughs or sneezes. There are also medications for urge incontinence. However, there is not a medication that works well for stress incontinence.
- What are treatment options for urge incontinence?
Urge incontinence pelvic floor exercises can help but diet is also important. Caffeine and acidic foods like orange juice, 蔓越莓, 菠萝, and tomatoes can be very irritating to the bladder and can cause it to be more spastic. 膀胱训练通常是有用的. 患者被告知膀胱痉挛的诱因,这些诱因会导致急迫性尿失禁. 有些病人会说,当他们站起来、下车或把钥匙插进前门时,他们无法控制自己的膀胱. 这通常是由于膀胱学会了某种活动和上厕所之间的联系.
For men, urge incontinence is often related to an enlarged prostate. 有一些很好的药物可以帮助缩小前列腺的大小或减少前列腺的张力. These medications can be very helpful in allowing the bladder to empty more easily, which often helps with the urge incontinence.
- What are other types of treatments for incontinence?
治疗可以包括简单的盆底运动或可以广泛的工作姿势肌肉. 改善姿势, 核心强化和核心稳定都是影响膀胱压力的因素.
- Does 蔓越莓 juice help with incontinence?
Cranberry juice has some limited use for urology problems. If you drink a lot of straight 蔓越莓 juice, 味道很糟糕, or took 蔓越莓 supplements it may help prevent some urinary tract infections. 但在大多数情况下,蔓越莓汁是没有帮助的,因为它非常酸,可能会导致更多的问题比它解决. 如果患者有复发性尿路感染,医生可能会鼓励患者服用蔓越莓补充剂,而不是蔓越莓汁.
- Are there foods and beverages we should avoid?
Try to avoid foods and beverages with caffeine and increase water intake. Water intake helps to dilute urine so the bladder does not get as irritated. Staying hydrated and increasing water is important. It sounds counterintuitive to people that are having trouble with incontinence. 病人 often do not want to drink more when they already leak. 但教育他们,他们稀释了尿液,所以它不是一种刺激物是非常重要的.
- Is incontinence something to be concerned about?
Incontinence is not typically a precursor to something more concerning, but it is not normal and there are treatments that can help. 女性经常会和她们的朋友聊天,发现其他女性也有同样的问题,所以她们倾向于认为尿失禁只是随着年龄的增长而发生的事情. 医生的工作是提供选择,让病人知道有可能有帮助的治疗方法.
- Is the need for pads or briefs often a turning point for people?
当女性到处戴着护垫时,尤其是当她们感冒或锻炼时,通常不会吓到她们, but if they start wearing briefs or diapers that tends to prompt them to ask for help.
- Do men have trouble talking about incontinence?
Men are less likely to talk about incontinence. 在一个人的生活中,当他寻求帮助的时候,经常会发生一件事.
- What typically causes incontinence in men?
在男性, 急迫性尿失禁可以发生在任何类型的泌尿外科手术后,它也与前列腺肥大有关.
- 尿失禁是一个渐进的问题吗? Should you get it taken care of as soon as possible?
不要等到. It’s not normal not to have full control over your bladder. Incontinence can be an indicator of risk for bladder damage. It is important, particularly for men, to have urinary problems evaluated.
- When should patients start to consider solutions like medication and physical therapy?
第一步是帮助你的医生很好地了解你正在经历什么-如果你有压力性尿失禁或急迫性尿失禁或两者的混合. 一旦确定了, 医生通常建议女性考虑进行盆底物理治疗或盆底运动, 通常被称为凯格尔运动. 这是一种自然的、侵入性较小的治疗方法,通常对两种类型的渗漏都有帮助.
- 骨盆底的解剖结构是什么?
肾脏是过滤血液并将尿液通过小管道输送到膀胱的器官. The bladder stores the urine until you’re ready to go the bathroom. As you are going about your day the bladder is slowly filling up. 盆底肌肉, 包括括约肌吗, act like the door that only opens while urinating.
盆底肌肉 are like a hammock. 有一层肌肉从耻骨(你腹部下部的骨头)延伸出来。. 它们能让你的器官向上和向内,帮助封闭膀胱和直肠,以维持对肠道和膀胱的控制.
- How does a physical therapist contribute to a woman’s recovery from incontinence?
Physical therapists often start treatment with biofeedback. 这项技术在早期很有帮助,因为它让人们看到他们的肌肉在做什么,以及他们是否在使用正确的肌肉, 什么是恢复的关键.
- 什么是生物反馈?
Physical therapists use visualization techniques and try to help people relax, especially if they’re feeling tight in their pelvic floor muscles. 它还有助于缓解肌肉收缩或放松时的虚弱和意识. 一个感觉电极被放置在皮肤上,将患者与一台电脑连接起来,以监测他们的肌肉. 治疗师还使用卡车和鲜花等视觉意象来帮助患者将他们的肌肉正在做的事情和他们在屏幕上看到的东西联系起来.
- How do physical therapists start to work with women with incontinence problems?
Biofeedback and awareness of the muscles is a good start. Education about Kegel exercises are also helpful. Many women have heard about Kegeal exercises, but may not be educated about the proper way to perform Kegel exercises.
- 凯格尔是什么?
Kegel is another term for a pelvic floor muscle contraction. Therapists teach patients about Kegels and how to use their muscles.
- How does a patient get access to a physical therapist?
去看物理治疗师需要你的初级保健医生或泌尿科医生的推荐.
- What type of training have Frye Regional's physical therapists received?
领导弗莱地区项目的物理治疗师拥有物理治疗博士学位.
- 有帮助的课程吗?
核心 & 除了 弗莱地区是否开设了一门课程——一门旨在教育并使盆腔健康成为人们更愿意谈论的话题的社区课程. This exercise class may help with treatment of milder forms of incontinence. 这也给了你机会去诊所外看物理治疗师,并讨论物理治疗是否可能帮助你.
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