Among women of different ages, a urological disease is common - incontinence. It is especially common in a lady after 35 years. Because of frequent urge to urinate, the woman does not have time to reach the toilet room. There are various effective methods for treating incontinence in women at home.
-
Treatment of urinary incontinence in children -
Urinary incontinence in case of cough - causes and treatment -
Urine incontinence gymnastics - rules for performing -
We treat incontinence in women in simple ways -
Urinary incontinence after childbirth - causes and treatment
Important! This problem occurs when a woman loses control of her bladder muscles. Against the background of lifting weights, during the laughter or sneezing, urine is released spontaneously. Unfortunately, this happens more often in the daytime.
Causes of the disease
The main factors affecting the failure in the body:
- age, aging of the body;
- lack of estrogen;
- diseases of cranial and spinal nerves;
- of the CNS;
- result of trauma to the nerve trunks that regulate urination;
- sports load;
- work associated with heavy physical labor;
- heavy weight;
- spinal cord injury;
- the presence of diseases( diabetes, bladder cancer, stroke, chronic cough).
Important! Accelerates this disease by malnutrition, drinking, antidepressants.
Which doctor treats
A large percentage of the fair sex suffers from this ailment. Some hesitate to talk about this, do not know to which doctor to apply. When there is an involuntary urination, a specialist of a narrow profile, urologist-andrologist, is needed. It is this doctor that will help in the diagnosis and treatment of the problem.
Situations of
There are various situations or factors in which women may experience non-arbitrary bladder spasms and urination. Let's look at the common ones.
Stress incontinence
Urinary incontinence caused by stress is the most common cause of ailment. From medicamentous treatment, drugs are selected that will help solve the problem:
- alpha-adrenergic - promote muscle tone;
- duloxetine is an antidepressant that increases muscle contraction. Often used not for treatment but for relief of symptoms. The best effect can be obtained in combination with exercises;
- estrogens are hormones, often used for age-related atrophic vaginitis. Until the end of an unexplored drug.
When coughing
Sometimes even an ordinary cough can cause urination. In this case it is necessary to undergo a course of treatment. Involuntary discharge of urine when coughing is treated in this way:
- Kegel gymnastics - a conservative method of treatment, specially developed exercises for strengthening the pelvic muscles;
- therapy steep-free is the use of weights;
- magnetic stimulation of the pelvic floor and pelvic floor, strengthening the muscles;
- use of medicines( anti-inflammatory, antibacterial, hormonal);
- in rare cases, surgical intervention( "sling" operation, the operation with the removal of pain and urge to urinate).
Urinary incontinence at night
Often, during sleep, when the muscles are weakened, involuntary urination occurs. To get rid of enuresis, treatment is carried out in three main ways:
- conservative - regular performance of a number of exercises aimed at training the walls of the bladder, the muscles of the small pelvis;
- medicamentous - the reception of medicines, allowing to strengthen blood circulation in the bladder, to reduce the amount of produced urine;
- surgical - the operation to create a special loop, relieve the pain sensation and relieve the urge.
How to treat incontinence after childbirth
Weakened muscles after childbirth should recover after a while. If this pathology does not pass by itself, then treatment is needed, which provides:
- therapy with weight retention;
- gymnastics for Kegel, training of the bladder;
- physiotherapy for strengthening the pelvic muscles;
- medication.
In rare cases, after consulting a specialist, he can prescribe cardinal measures:
- loop operation;
- gel operation;
- surgery to strengthen the pubic-cystic ligament.
Than to treat in advanced age
To ladies of advanced years for the beginning appoint a complex of exercises and a diet which allow to strengthen muscles of a basin:
- gymnastics of Kegel, a special ring for a uterus;
- exclusion of tea, spirits, caffeinated drinks and products;
- use of gaskets, diapers.
Further it is recommended to carry out therapy with the help of weights for the vagina and take medications: Trospium chloride, Oksibutin hydrochloride, Tolterodin.
Spontaneous excretion of urine from the body at the age of 50 years can occur due to stress, increased activity of the bladder, unfinished urination process, the influence of external mechanisms. For treatment, the influencing factor is necessarily taken into account and complex treatment is applied:
- is prescribed antibiotics;
- drugs, restoring the ability to control urination, delay urine output;
- recommend a special set of exercises;
- visit to physiotherapy;
- surgical treatment;
- folk remedies( a common option).
A recipe for alternative medicine that will help you quickly get rid of the problem:
- 1 tbsp.l.fennel seeds pour 250 ml of boiling water, put in a warm place for 2 hours and cover with a blanket.
- After the time has passed, drink the infusion.
Treatment with folk remedies
There are conservative treatments for the problem described. Traditional medicine is not left out. If urinary incontinence occurs due to menopause, pathological birth or for another reason, you need to pay attention to folk remedies.
Herbs
Herbs for the treatment of urinary incontinence in women:
- sage infusion( traditionally, a tablespoon of dry herb is brewed in a glass of boiling water) is taken 250 ml three times a day;
- leaves yarrow steaming, boil in boiling water. Infusion of drinking 100 ml three times a day;
- on an empty stomach to drink a glass of fresh carrot juice;
- make the infusion of St. John's wort, it is necessary to filter. Drink during the day instead of tea and other drinks in unlimited quantities;
- make a decoction based on fresh or dried blueberries. Drink 50 ml to four times a day;
- make a tincture on dill seeds and strain. Infusion helps quickly and effectively cope with the problem of urinary incontinence. You need to drink 300 ml per day, at a time( do not stretch for a few receptions).
Special exercises
Urinary incontinence is caused by the inability to control the muscles of the pelvic floor. Therefore, you need to strengthen the muscles. For this purpose, special Kegel exercises have been developed that help women in the fight against the described problem.
Important! Kegel exercises, so that they show performance, you need to perform regularly. They will contribute to the recovery, strengthen the health of the entire genitourinary system.
It is quite easy to do exercises: you need to squeeze and unclasp the muscles of the vagina up to 100 times during the day. You can do lying, sitting, while walking. The surrounding movements are not noticeable, so that finding time for Kegel exercises will work even at work.
Things to do:
- normalize weight;
- identify types of food irritating the bladder mucosa: citrus fruits and chocolates, tomatoes and vinegar, dairy products, spices. Harmful in incontinence alcohol in any form, coffee.
How to train the bubble
You should learn to go to the toilet on a strict schedule, even if in the allotted time the urge to urinate is absent. It is necessary to stimulate urination by various methods to be able to control desires in the future.
Treatment with medicines
The incontinence drugs that are used in this disease:
- Anticholinergic drugs. Medications help to relax the bladder, increase the volume.
- Antidepressants. They help the person to calm down, accept the problem and start actively fighting it without fears and hysterics.
Tablets
Therapy of this kind of pathology is carried out with the help of various drugs that are prescribed starting from the cause:
- Imipramine, Tofranil, Duloxetine( antidepressants);
- DITROPAN, DITROL, OXYTHROL( anticholinergic drugs);
- Trospium, Darifenacin, Solifenacin, Rezirifetaroksin, Caspaicin, Botulinum Toxin A( selective anticholinergics).
Most drugs have contraindications and side effects. The effectiveness of some for certain factors may exclude the effect in other cases. Recommends to use as directed by a doctor.
Driptan
Driptan is an antispasmodic with positive responses. It is noted that in a short time it relieves of discomfort, it is easily excreted from the body within two hours and has indications for any age category. Its only drawback is drowsiness. Of the side effects can be identified the following factors:
- long-term tablets can lead to tooth decay( women with dentures can not survive);
- headaches, nausea;
- vision impairment, increased eye pressure;
- arrhythmia;
- is an allergy.
Apply 5 mg twice a day.
Out of contraindications:
- some diseases of the gastrointestinal tract( intestinal atony, ulcerative colitis);
- children under 5 years of age and individual intolerance;
- is an angle-closure glaucoma or bleeding.
Spasmox
Positive reviews of many women who suffer from involuntary urine output testify to the effectiveness of Spasmox. The drug helps to reduce the tone of the muscles of the urinary tract. Treatment with these pills is determined by the doctor, the duration of the course is up to three months.
The drug has contraindications and side effects. It is forbidden to take with:
- tachyarethmia;
- myasthenia gravis;
- delayed urination;
- glaucoma;
- during lactation;
- during pregnancy;
- children under 14 years.
Oxibutinin
Oxibutinin is an antispasmodic used for cystitis, enuresis, and weakness of the bladder. The drug relieves spasm, muscle makes more elastic, controls the urge to urinate, reduces their number. Has a significant number of contraindications and side effects, is used by the doctor's prescription.
Important! Apply recommend before meals 5 mg 2-3 times a day.
Use of pessary
Special medical device made from rubber. Inserted into the vagina up to the cervix to create additional pressure on the walls of the urethra, to support the muscular wall.
The device helps maintain the urethra in a closed position, which means that the fluid in the bladder is maintained during exercise. Devices of this type are used constantly.
Prevention of disease
What is important for prevention:
- Quit smoking( reduce the number of cigarettes).
- Try to drink less during the day.
- Revise medicines that are taken continuously. Involuntary urination is a side effect of many medications.
These are the main methods of treatment of urinary incontinence in women at home. You need to see the doctor and determine the cause of the pathology, with the consent of the doctor, start drinking certain herbs, doing Kegel exercises. If treatment does not help, you need to develop a strategy together with your doctor.