urgent urination troubles middle-aged and elderly people
In 2007, in the guidelines for the diagnosis and treatment of bladder hyperactivity issued by the urology branch of the Chinese Medical Association, OAB was defined as “a syndrome characterized by urgency of urination, often accompanied by frequent urination and nocturia, with or without urgent incontinence”. Modern studies believe that OAB is the result of bladder aging (especially detrusor aging), and the root cause lies in the appearance of symptoms such as urgency of urination caused by abnormal contraction of bladder muscles. In terms of diagnosis, urgency of urination is the core symptom of OAB. If there is no urgency of urination, but only incontinence and nocturia, OAB can not be diagnosed, because patients with prostate hypertrophy and other diseases also have symptoms of nocturia and incontinence. The standard of urination frequency is usually too frequent urination during the day or at night, urination ≥ 8 times during the day, and urination volume
A recent survey in China shows that about 100 million people in the country are troubled by OAB. The first large-scale epidemiological survey of OAB in China jointly released by the urology branch of the Chinese Medical Association and the urology group of the urology branch of the Chinese Medical Association shows that the overall prevalence of OAB among people over 18 years old in China is 5.9%, and it shows a gradual increase with the growth of age. Among people over 40 years old, there is one patient in every 10.
OAB likes to harass people with the following living habits or behavioral characteristics: women who like drinking coffee and tea, long-term physical labor, smoking too much and smoking too long, often drinking Baijiu, women who have given birth and have stopped menstruation, have given birth or curettage more times, and men with benign prostatic hyperplasia.
it is harmful to life, body and mind.
“I can’t hold my urine” sounds like a trivial matter, but it’s very harmful. First of all, it directly affects the quality of life, leading to various inconveniences in life. Some people don’t dare to drink more water, so they have to take a urine pad to go out; Some people often go to the toilet for fear of wetting their pants, which delays many important things; Some people have to spend a lot of time and energy on cleaning; There are also people who are afraid to participate in social activities because of their bad smell.
Secondly, because of frequent urination of pants, long-term urine erosion and irritation will lead to local skin infection, causing repeated urinary system inflammation, and even affecting kidney function. Sick women may also reject sexual life, affecting the relationship between husband and wife. Especially for the elderly, the risk of wrestling and bone fracture is also greatly increased by getting up in a hurry for many times.
Finally, OAB will also cause patients a great psychological burden, loss of confidence, fear of becoming a family burden, indifference and resistance to things, and then trigger a series of psychological obstacles, such as shame and isolation, which will directly affect patients’ families and work. Over time, it is easy to breed bad emotions such as anxiety and depression, which makes patients prone to loneliness and helplessness, and even depression. Foreign surveys show that the incidence of depression in OAB patients is significantly higher than that in non OAB patients.
change the concept and seek treatment as soon as possible
At present, the treatment of OAB patients in China is not ideal. The survey of Urology branch of Chinese Medical Association shows that the medical treatment rate of OAB patients is only 53%; About 80% of people think that OAB related symptoms belong to the normal phenomenon of the elderly, not a serious disease, and it’s OK not to treat them. Wrong concepts have caused many conditions that could have been controlled to delay repeatedly, and even from urgency and frequency of urination to incontinence.
For patients with mild symptoms, bladder training can be used to improve symptoms. First, hold your urine training: don’t rush into the bathroom immediately when you are in a hurry, but hold your breath for some time and wait for the feeling of urination to weaken before going. Second, urinate regularly: whether you need it or not, urinate every hour. After that, gradually increase the time interval of urination until you can hold your urine for 3-4 hours. Third, the skills to suppress the urge to urinate: 1. Relax: don’t be nervous, and focus on the area outside the pelvic floor. 2. Focus: turn your attention to other places, such as breathing. Take 5-10 deep breaths slowly. 3. Rapid contraction: squeeze the pelvic floor muscles quickly and forcefully, and the urge to urinate is often weakened every 5-10 times. Fourth, pelvic floor muscle training: it is a kind of exercise that actively contracts and relaxes the vagina and anus. Contract the muscle for 3 seconds, then relax it for 3 seconds, repeat 10 times. Perform a group of 10 muscle contractions in three different positions: sitting, standing and lying down. The three groups of 10 muscle contractions only take about 3 minutes, and these exercises need to be repeated at least twice a day.
If you can’t hold your urine seriously and have repeated attacks, you need medication. For patients whose conservative treatment is ineffective or whose stress incontinence is the main cause, surgical treatment can also be selected.
Changing the bad lifestyle is also important for the treatment of OAB. First, patients should pay attention to the intake of water and beverages. Drink 6-8 cups of water or drinks every day, and avoid taking a large amount of water at one time; Abstain from alcohol and all foods and beverages containing caffeine; Try to take in most of the water during the day, and stop drinking water when going to bed. Secondly, eat more foods rich in cellulose to prevent the increase of abdominal pressure caused by constipation. Thirdly, if you need to go to the toilet in advance for major activities, you should determine the orientation of the toilet in advance when you go to a new place. Finally, we should actively exercise and improve our physical condition.
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