Urinary incontinence in women. Part 1
The second reason. It is impossible to overcome the urge to urinate, when such a desire appears suddenly and a person simply does not have time to reach the assortment. And this problem occurs even when there is no liquid in the bladder. Some women are simply deprived of warning signs that leakage of urine is coming. Many patients feel this at the time they touch the pouring water or when they themselves drink water. An ellipsis bladder also has a relationship to the problem of a strong urge to urinate, which can not be overcome. Also, not every woman who has a very active urinary bladder suffers from urinary incontinence.
Mixed urinary incontinence is a combination ofSome types of disruption of the bladder, as the rule, incontinence because of an irresistible desire to urinate and out-squeeze. Often mixed type is inherent in elderly women.
Causes of urinary incontinence in women
There are several reasons for urinary incontinence:
- Urinary incontinence with irresistible desire to emerge. In this situation, the muscles of the urinary bladder involuntarily contract, while there is a strong urge and the patient does not have time to reach the toilet.
- Because of a child's birth or excessivethe weight muscles are stretched when the pressure is incontinent. In the case where the muscle fibers are not able to maintain the position of the bladder, this organ begins to lower to lower the vagina, blocking the reduction of the sphincter of the urethra. Therefore, with each additional pressure: coughing, laughing, sneezing and other actions, urinary incontinence occurs. A chronic cough that occurs as a result of smoking develops urinary incontinence in women.
Too active bladder caused incontinence because of an uncontrollable urge.
Women often suffer mixed incontinence, when there is more than one reason, but several.
There are other types of urinary incontinence in women who are not so prevalent. These include:
- Total incontinence;
- Anatomic incontinence;
- Overflow incontinence;
- Functional incontinence.
Are there any differences in the symptoms of urinary incontinence in women?
The most important and widespread manifestation of thisAilment, like incontinence is the inability to control urination. The type of incontinence and the characteristics of the disease depend on the causes that led to such a disease.
Symptoms of incontinence includeinvoluntary emis- sion, which occurs when active actions occur. And men suffer this much less often. As a rule, incontinence involves the allocation of an average or small volume of urine.
To the symptoms of urinary incontinence urge uncontrollable urgerefers to a sijuskundnoe desire to urinate, the need for the emis- sion. In this situation, a small or significant amount of urine is released. A small leakage of fluid is possible only at the moment when the bladder is weakly filled.
Because of what the disease appears?
Urinary incontinence, which occurs spontaneously and,as a rule, disappears after the treatment of the cause, is called temporary. For example, urinary incontinence can occur because of an infectious lesion of the urinary system, and when the pathogen is overcome, the ailment disappears.
Chronic or simply prolonged incontinence often occurs and develops in stages and the disease worsens very slowly. When symptoms increase, women change their habits and behavior:
- become more passive;
- they are ashamed of being on a bagel or in a company of people, so they begin to avoid it;
- there are problems of a physical nature due to the fact that the skin is often in contact with urine, for example, infection of the genitourinary system, irritation in the inguinal region.
Treatment, which is directed at the source of the disease-the cause, makes it possible to control the ailment.
What increases the possibility of developing such a disease?
Sometimes combinations of factors are necessary tourinary incontinence. For example, age changes in the body, severe coughing due to smoking or chronic bronchitis, several episodes of baby's birth in the past can greatly increase the risk of urinary incontinence.
Diseases that contribute to the emergence of this disease:
- the birth of a baby and pregnancy;
- elderly age;
- overweight and obesity;
- removal of the uterus (transferred hysterectomy);
- chronic bladder disease;
- stones in the urinary vesicle;
- blockade of the bladder (stone / infection);
- structural anomalies of the genitourinary system.
Diseases, manifestations of which can cause urinary incontinence in women:
- Parkinson's disease
- Chronic cough due to smoking or chronic bronchitis
- Multiple sclerosis
- Damage to the spinal cord
- Prolapse of pelvic organs
- Cancer of the bladder
- Alzheimer's disease.
Food and medications that enhance the manifestations of urinary incontinence:
- alcoholic beverages;
- beverages containing caffeine or carbonate, for example, carbonated water, tea, coffee;
- prescription drugs that increase the production of urine (eg, diuretics) or relax the bladder (antidepressants or anticholinergic drugs).
What diagnostic methods are used?
To diagnose incontinence, doctormust first clarify the woman's details of the development of the disease and conduct a medical examination, the same applies gynecological. Sitting on sterility, a culturological study of fluid that is released from the urinary tract and a general urine test will help determine if there is an infection of the urinary system.
It is very important to accurately diagnose, because an erroneous decision can not only not give effective results, but you can damage the patient.
The doctor must definitely askpatient about what symptoms of urine incontinence she had, about her habits, for example, how often a woman urinates, in what situations a leakage of urine occurs, how much and what fluid she drinks throughout the day, whether there are other symptoms that bother the woman. The answers the doctor receives will give him the opportunity to establish the real cause of urinary incontinence.
If the patient has started to keep a diary in advanceit will be much easier to answer questions. It is especially important to note all the urges for kmocheispuskaniyu, the situation when the leakage of liquids occurred and visits to the toilette 3-4 days before the visit to a specialist.
What additional procedures do you need to go through to confirm the diagnosis?
- Bonnie test or stress test for urinary bladder. To conduct such an investigation the doctor introduces a liquid into the bladder and asks for a little cough (or in another way to exert pressure) to determine if the patient has an incontinence. Bonnie's test differs from the first test in that the neck of the bladder rises (stretched) with the help of a tool or a finger that is inserted into the vagina when a normal stress test is performed.
- Test of gaskets. Thanks to this study, it is possible to determine how often and how much the leakage of fluid from the urinary bladder occurs throughout the day. Particularly useful is this test, when an ordinary medical study does not provide specific information to identify and diagnose incontinence.
- Culturological research or general analysisurine is carried out in the event that the doctor suspected an infectious burden of the genitourinary system, it also has the opportunity to see the sugar and blood in the secreted fluid.