尿失禁常见问题解答
尿失禁是很常见的. 它影响许多不同年龄的男性和女性. 随着年龄的增长,它往往会影响人们,尽管它也发生在年轻人身上. Studies have shown that women who have never been pregnant report some amount of stress incontinence when they are active or playing sports.
如果你有尿失禁, it means you are not able to control your bladder and some amount of urine comes out when you don’t want it to. Some physicians call it "leaking out" and ask patients if they have trouble with leaking urine. 如果是这样,通常有治疗方法可以帮助.
- 尿失禁有哪些不同类型?
The two most common types of incontinence are stress incontinence and urge incontinence. Stress incontinence often happens when patients cough, sneeze, laugh, jump or lift something heavy. 急迫性尿失禁常发生在膀胱痉挛期间, which can occur when people get the urge to urinate and leak urine as they are headed to the bathroom.
- 治疗过程的第一步是什么?
The first step varies based on patient comfort and the type of incontinence the patient is experiencing - stress incontinence or urge incontinence. 许多女性和男性的尿失禁诊断是可以治疗的. 一些治疗比其他治疗更具侵入性. 通常情况下,医生会尽量保持无创治疗. 锻炼和教育是一个很好的开始. 一些女性可能仅仅通过改变饮食就能治疗急迫性尿失禁.
- 压力性尿失禁有哪些治疗选择?
对于压力性尿失禁,第一步是让盆底肌肉更强壮. 如果结果不令人满意, then a trial of a vaginal pessary ring (a little silicone device that fits inside the vagina) can help people with milder types of incontinence - especially if it only occurs during exercise or running. 它对膀胱开口施加压力,防止膀胱渗漏. 手术也是一种选择. 对于压力性尿失禁有很多成功的手术.
In 2018, 压力性尿失禁最常见的手术类型是吊带, which involves a small piece of mesh that goes under the urethra that helps support the urethra. 这有助于防止病人咳嗽或打喷嚏时渗出. 也有治疗急迫性尿失禁的药物. 然而,没有一种药物可以很好地治疗压力性尿失禁.
- 急迫性尿失禁有哪些治疗选择?
急迫性尿失禁盆底运动可以帮助,但饮食也很重要. 咖啡因和橙汁等酸性食物, 蔓越莓, 菠萝, 西红柿对膀胱非常刺激,会导致膀胱更加痉挛. 膀胱训练通常是有用的. 病人 are educated about triggers for bladder spasms that can cause urge incontinence. Some patients will say they are unable to control their bladder when they stand up or when they get out of the car or put the key in the front door. This is often a result of the bladder learning an association between a certain activity and going to the bathroom.
对于男性来说,急迫性尿失禁通常与前列腺肥大有关. There are good medications to help reduce the size of the prostate or to make the prostate have less tone. 这些药物对让膀胱更容易排空很有帮助, 哪一种能缓解尿失禁的急迫性.
- 尿失禁还有其他的治疗方法吗?
Treatment can consist simply of pelvic floor exercises or can be as broad as working on postural muscles. 改善姿势, core strengthening and core stabilization are all these things that can affect the pressure on the bladder.
- 蔓越莓汁对尿失禁有帮助吗?
蔓越莓汁对泌尿系统疾病的作用有限. 如果你喝了很多蔓越莓汁, 味道很糟糕, 或者服用蔓越莓补充剂,它可能有助于预防一些尿路感染. But for the most part 蔓越莓 juice is not helpful because it very acidic and can cause more problems than it solves. If people have a recurrent urinary tract infections doctors may encourage patients to take 蔓越莓 supplements rather than 蔓越莓 juice.
- 有哪些食物和饮料是我们应该避免的?
尽量避免含咖啡因的食物和饮料,并增加水的摄入量. 饮水有助于稀释尿液,这样膀胱就不会受到刺激. 保持水分和补充水分是很重要的. 对于那些有尿失禁问题的人来说,这听起来违反直觉. 病人往往不想喝更多,因为他们已经泄漏. But educating them that they are diluting out that urine so it’s not an irritant is very important.
- 尿失禁是值得关注的事情吗?
尿失禁通常不是更令人担忧的事情的前兆, 但这是不正常的,有治疗方法可以帮助. 女性 will often talk to their friends and find out that other women have the same problem so they tend to think incontinence is just something that happens as we get older. The job of physicians is to offer options and let patients know treatments are available that are likely to help.
- 对护垫或内裤的需求常常是人们的转折点吗?
When women wear a pad here and there especially if they have a cold or when the exercise it typically doesn't alarm them, 但如果他们开始穿内裤或尿布,往往会促使他们寻求帮助.
- 男人在谈论尿失禁时有困难吗?
男性不太可能谈论尿失禁. There is often an event in a man's life when he has an accident when he reaches out for help.
- 男性尿失禁的典型原因是什么?
在男性, urge incontinence can occur following any type of urologic surgery It is also related to having an enlarged prostate.
- 尿失禁是一个渐进的问题吗? 你应该尽快处理一下吗?
不要等到. 不能完全控制自己的膀胱是不正常的. 尿失禁可能是膀胱损伤风险的一个指标. 对泌尿系统问题进行评估是很重要的,尤其是对男性而言.
- 患者何时应该开始考虑药物和物理治疗等解决方案?
The first step is to help your doctor get a good understanding of what you are experiencing - if you have stress incontinence or urge incontinences or a mixture of both. 一旦确定了, doctors usually recommend that women consider doing pelvic floor physical therapy or pelvic floor exercises, 通常被称为凯格尔运动. This is a natural, less invasive treatments and typically help with both types of leakage.
- 骨盆底的解剖结构是什么?
The kidneys are the organs that filter our blood and send urine down small tubes to the bladder. 膀胱储存尿液,直到你想上厕所. 当你在日常生活中,膀胱会慢慢充满. 盆底肌肉, 包括括约肌吗, 表现得像只在小便时才打开的门.
骨盆底肌肉就像一个吊床. There is a sheet of muscles that extend from the pubic bone (the bone in the lower part of your abdomen). They hold your organs in and up and help to close off the bladder and rectum to maintain control over the bowel and bladder.
- 物理治疗师如何帮助女性从尿失禁中恢复?
物理治疗师通常从生物反馈开始治疗. This technique is helpful early on because it lets people see what their muscles are doing and and if they are using the right muscles, 什么是恢复的关键.
- 什么是生物反馈?
物理治疗师使用可视化技术,试图帮助人们放松, 尤其是当她们感到盆底肌肉紧张时. It also helps with weakness and awareness of when their muscles are contracting or relaxing. A sensory electrode is placed on the skin that connects patients to a computer to monitor their muscles. Therapists also use visual imagery like trucks and flowers to help patients connect what their muscles are doing and what they are seeing on the screen.
- 物理治疗师如何开始治疗有尿失禁问题的女性?
生物反馈和肌肉感知是一个好的开始. 关于凯格尔运动的教育也很有帮助. 很多女性都听说过瑜伽, 但可能不知道凯格尔运动的正确方法.
- 凯格尔是什么?
凯格尔是骨盆底肌肉收缩的另一个术语. 治疗师教病人凯格尔和如何使用他们的肌肉.
- 病人怎样才能接触到物理治疗师?
A visit with a physical therapist requires a doctor's referral from your primary care doctor or urologist.
- 弗莱地区的物理治疗师接受了什么样的培训?
The physical therapist that leads Frye Regional's program has a doctoral degree in physical therapy.
- 有帮助的课程吗?
核心 & 除了 is a class available at Frye Regional - a community class designed to educate and make pelvic health a topic that people are more willing to talk about. 这种运动课程可能有助于治疗轻度失禁. It also gives the opportunity to see a physical therapist outside of the clinic and discuss if physical therapy can possibly help you.
欲了解更多信息,请致电 828.315.3186.