Women’s weakness

Women's weakness

«Urinary incontinence in women is now — one of the most common diseases. The urgency of the problem due to the high social significance. Today, all kinds of diseases amenable to correction — is important only professional approach.

Treatment appropriate to start with the least invasive methods. Only when there is no result with conservative therapy should proceed to surgery. The exception is expressed pathological anatomical changes in the lower urinary tract in women — cystocele, ie omission of the front wall of the vagina. In these cases, conservative therapy is doomed to failure.

When complaints about the loss of urine immediately contact a specialist. Not to neglect a situation and do not self-medicate. Take care and watch out for your health. «

In recent decades, doctors began to address the problem of urinary incontinence in women. But now we can not say that Russian doctors — gynecologists and urologists sufficiently focused on active detection and treatment of this disease.

By definition, the International Society for the problems of incontinence 1CS (International Continence Society), urinary incontinence, or it is also called incontinence, — any condition that leads to involuntary leakage of urine. The disorder manifests with varying degrees of intensity. At some time during physical exertion, cough or laugh may be released only a few drops of urine. In such cases, the discomfort is not essential, and the woman adjusts to her new condition using napkin. Others problem may take a more severe course with a significant loss of urine. If untreated, the disease progresses, gradually reducing the quality of life of patients. The inconvenience and embarrassment deprive them of the joy of communicating with family and friends. They become withdrawn and isolated from society. These circumstances injure and disrupt the normal rhythm of life of women. Another important issue — this pathology leads to sexual maladjustment. Many women simply refuse to have sex.

WHAT’S HAPPENING?

When you cough, sneeze or laugh increases intra-abdominal pressure. This results in the expulsion of urine from the bladder through the urethra. The weakened sphincter (the reflex) unit of the urethra does not oppose the current fluid. This happens involuntary leakage of urine. The urge, and if it occurs, usually develops suddenly, and she does not have time to empty the bladder.

FIGURES …

Urinary incontinence is widespread throughout the world. In the US and Europe this disease affects 34-38% of women. According to the research of Russian scientists about 38.6% of women say the symptoms of involuntary urination, and 20% leakage of urine was shown regularly. With age, the incidence of disease increases. Approximately 50% of women between 45 and 60 lay celebrated ever involuntary urinary incontinence. Low detection of the disease is caused by a false shyness ill women, lack of awareness of both physicians and patients, as well as fear of surgery. Another reason for the refusal of medical care — natural age-related changes in the body. Some of them think is inevitable and incurable.

AT THE RECEPTION

The doctor with the help of special questionnaires clarify all complaints, information about the symptoms of urinary incontinence episodes and the frequency of its volume since their beginning, the relationship with physical activity. Also ask about associated diseases, pregnancy and childbirth, endured surgery on the organs of the urinary and sexual disorders. Conduct tests Bonnie (Vonneu). Then will give direction to the delivery of a general analysis of urine, blood, urine culture on the flora and sensitivity to antibiotics, biochemical blood test, transvaginal ultra-sonography (US) and complex urodynamic study (Cudi). If necessary, appoint a cystoscopy.

After a survey to determine the form of urinary incontinence. Their three. Stress incontinence — the involuntary leakage of urine during stress, coughing or sneezing.

Urge or imperative urinary incontinence — the involuntary leakage of urine that occurs immediately after a sharp urge to urinate.

Mixed incontinence — the involuntary leakage of urine accompanied by a sharp urge, also increased sharply, voltage, sneezing or coughing.

STOP — Incontinence!

The main element of the process of observation of patients with this diagnosis — treatment. It can be conservative and surgical. Conservative is to hold bladder training and exercises for the pelvic floor muscles. Bladder training involves three main components — the training, the creation of the plan and its implementation urination. Its meaning — compliance with pre-established and agreed with the doctor plan urination. In patients with this disease for several years, formed a kind of stereotype of the disease urination, is to try to empty the bladder in the event of even a minor urge. The program is also aimed at the progressive increase in the interval between urination. This woman should not try to urinate when there is the urge to urinate, and in accordance with their individual plans for the day. It is recommended to increase the interval between voiding for half an hour every two to three weeks to reach 3-3.5 h. Most often held in conjunction with medication.

By the end of a course of drug therapy (three months), a new psychological stereotype of urination.

SECRET GYMNASTICS DOCTOR Kegel

Slow compression

Tighten the muscles as to stop urinating. Slowly count to three. Relax. It will be a bit more complicated if, while holding the muscles to hold them in this position for 5-20 seconds, then slowly relax.

Exercise «Lift». Getting a smooth rise — stifle muscles slightly (1st floor), hold for 3-5 seconds, continue to rise -zazhimaem bit stronger (2nd floor), hold, and so on to its limit — 4-7 floors.

Down we go down the same stages, pausing for a few seconds on each floor.

REDUCTION

Tense and relax your muscles as quickly as possible.

Popping

Tuzhtes moderately, as in childbirth or defecation.

Start your workout with ten slow contractions, abbreviations and ejection five times a day. Each week, add five more exercises until the number reaches 30. If the muscles are tired in the middle of the exercise, rest a few seconds and continue. Do not forget about the regular breathing. The exercises can be done anywhere and at any convenient time — while driving, walking, watching TV, sitting at a desk or lying in bed. Routinely perform at least 150 exercises.

These classes are often combined with electrical stimulation. Another alternative method — vaginal cones. However, their use is limited due to the possible side effects — discomfort, vaginitis and vaginal bleeding.

HANDS ABOVE feet wider

It leads to good results, and therapeutic exercise with elements of Kegel exercises.

Starting position — feet shoulder width apart. Hands support buttocks. Tighten your pelvic floor muscles upwards-inwards.

Starting position — the emphasis on his knees, his head rests on your hands. Tighten your pelvic floor muscles but the upward-inward.

Starting position — lying on his stomach.

One leg bent at the knee. Perform alternately tensing and relaxing the pelvic floor muscles.

Starting position — lying on his back, legs bent at the knees and slightly out to the sides, heels on the floor. One hand rests on the abdomen and the other — under the buttocks. Squeeze your pelvic floor muscles.

-Starting position — sitting cross-legged, back straight. Tighten your pelvic floor muscles in the direction of inward-up, as it were, taking them off the floor.

Starting position — feet shoulder width apart, hands rest on his knees. Back straight. Stretch the muscles of the pelvic floor upwards, inwards.

DID NOT HELP

If conservative treatment without results, the doctor will determine the indications for surgical treatment. Today it is represented by the following types.

Colposuspension — a surgical procedure in which the upper part of the wall of the vagina is attached to the abdominal wall by means of a non-absorbable suture material. It is used in prolapse (prolapse) of the vaginal wall.

gt; Sling surgery (TVT, TVT-O, TVT SECUR system) — the holding of free vaginal tensioned loop under the urethra.

Injectable treatments — the introduction of natural and synthetic bulking media. Main Operating principle stimulating the formation of its own collagen seal that prevents the uncontrolled disclosure of the urethra

Another important aspect of conducting patients — observe and monitor the results of treatment with your doctor. In the beginning conservative treatment results should be monitored monthly, and six months intervals can be increased to three — six months. After surgery, check-ups are necessary every two to three weeks for six months, as likely to develop postoperative complications.

If conservative treatment without results, the doctor will determine the indications for surgical treatment. Today it is represented by the following types.

Colposuspension — a surgical procedure in which the upper part of the wall of the vagina is attached to the abdominal wall by means of a non-absorbable suture material. It is used in prolapse (prolapse) of the vaginal wall.

Sling surgery (TVT, TVT-O, TVT SECUR system) — the holding of free vaginal tensioned loop under the urethra.

Injectable treatments — the introduction of natural and synthetic bulking media. Main Operating principle stimulating the formation of its own collagen seal that prevents the uncontrolled disclosure of the urethra

«According to medical studies, with incontinence — urinary incontinence (UI) — face approximately one third of women over 40 and almost half after 60. The factors that trigger this unpleasant phenomenon, which causes severe discomfort until serious psycho-emotional disorders, and significantly reduces the quality of life, It may be different. This excess weight, heavy class sports, childbearing and childbirth, physical activity, sex hormone deficiency, leading to atrophy of the mucosa of the urogenital tract, nervous disorders urogenital a result of degenerative disc disease of the lumbar spine and a pinched sciatic nerve. Most often it is caused by weakening of the pelvic floor muscles and disruption of external urethral sphincter. With this type slightest exertion (coughing, laughing, physical effort) that increases abdominal pressure, which is transmitted to the bladder, causing involuntary leakage of urine.

It should be noted that a single, suitable for everybody incontinence correction method does not exist (pharmacology, surgery, a set of special exercises and various combinations thereof).

One of the most effective innovative methods of prevention and treatment of urinary incontinence — elektromyshechnaya stimulation of muscles throughout the body (EMC), which is confirmed by numerous medical studies (in particular, the Institute of Sport Science of the University of Bayreuth)

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