Many women may have the embarrassing experience of urine leakage, which is manifested in coughing, sneezing or laughing, and the serious one leaks urine when walking or standing quickly. Then, why can coughing cause incontinence? Why can women have incontinence after childbirth?
Cough why incontinence
It is mainly the symptom of stress urinary incontinence.
Some female stress urinary incontinence, mainly manifested as coughing or laughing when urine flow out of the body involuntarily, in sneezing or coughing and other situations, resulting in increased abdominal pressure, will also make the bladder affected, even if there is no obvious bowel movement before, we can observe the urine flow out of the urethra. In addition, the influence of factors such as the patient's age or birth history will lead to the aggravation of symptoms. Women are the high incidence group of urinary incontinence, among which the incidence of middle-aged and old women is the highest in clinic. When many patients show cough, they will have urine overflowing unconsciously. Of course, some young women may also encounter this situation.
The causes of stress urinary incontinence include coughing, sneezing or laughing, and leakage of urine, which is a very common condition. The most common cause in women is stress urinary incontinence, according to statistics, 1 / 3 of postmenopausal women have this situation. The causes are as follows:
1. Pregnancy and vaginal delivery are the main causes of stress urinary incontinence. In the process of pregnancy, the fetal first dew over compresses the pelvic floor muscle, and the pregnancy hormone causes the relaxation of the pelvic floor muscle. Relaxation and expansion of pelvic floor muscles during natural labor.
2. Chronic cough and long-term heavy physical labor
3. Estrogen in postmenopausal women decreases and vaginal wall relaxes
4. obesity
5. History of large pelvic mass compression or pelvic surgery
How to calculate the serious subjective index of urine leakage
Mild: urinary incontinence occurs when coughing and sneezing, at least twice a week;
Moderate: urinary incontinence occurs when walking fast and other daily activities;
Severe: urinary incontinence occurs when standing.
Postpartum is the golden time to prevent stress urinary incontinence. Postpartum is the golden time to prevent stress urinary incontinence. You can take part in postpartum rehabilitation exercise, especially after the second child is released, it is more necessary for the elderly mother to prevent it. Stress urinary incontinence may occur after cesarean section and delivery, but pelvic floor muscle exercise is more important after delivery.
Treatment of cough urinary incontinence
Patients with mild to moderate degree can choose functional exercise, Kegel exercise or biofeedback therapy.
1. Lie on your back and bend your knees.
2. Contract the muscles of buttocks to lift up the anus.
3. Close the urethra, vagina and anus (they are supported by the muscles at the pelvic floor at the same time). This feeling is like urgency of urination, but it is necessary to close the urine when unable to go to the toilet.
4. Keep the pelvic floor muscles contracted for five seconds, then slowly relax, and then contract again after five to ten seconds.
5. During the whole exercise, breathe as usual and keep other parts of the body relaxed. You can touch the abdomen with your hands. If the abdomen is constricted, the moving muscles are wrong.