Methods of non-drug treatment of urinary incontinence
People who have never encountered incontinenceurine may have come to mind - as you can tell, and everything is clear. However, for the patients themselves, this problem seems to be so complex that it seems almost impossible. On the one hand, incontinence is actually far from being a simple problem, but on the other - almost always possible to find an acceptable solution for each patient.
Urinary incontinence affects nearly all aspects ofof life of patients, significantly impairing their social, domestic, professional and family adaptation, that is, what is denoted by the term "quality of life".
For non-drug treatment of urinary incontinence are holding bladder training, exercises for the pelvic muscles.
Methods of bladder training has three main components - the training, the establishment of voiding the plan and its implementation.
The main purpose of training is topatient compliance predetermined and agreed with the doctor urination plan, that is, the patient should urinate at regular intervals. Patients in the disease for several years formed a kind of stereotype urination, is the desire to empty the bladder in case of even a slight urge. This tendency is due to the fear of possible non-withholding of urine, which may occur in the wrong situation.
bladder training program aimsthe progressive increase in the interval between urination. In this case the patient should try not to urinate when there is the urge to urinate, and in accordance with their individual plan for the day. To do this, patients should contain the resulting urge to urinate by a strong contraction of the anal sphincter.
Treatment for bladder training programusually lasts a few months. It is recommended to increase the interval between voiding for half an hour every 2-3 weeks to achieve a 3-3.5 hour time period.
Bladder training is most often carried outin combination with drug treatment. At the time of completion of the course of drug therapy, usually lasts 3 months, a new psychological stereotype of urination should be formed. Discontinuation due to this should not lead to a resumption of frequent urination and urinary incontinence.
The history of use for muscle exercisesthe pelvic floor in the treatment of urinary incontinence has a long history. For the first time a scientific substantiation of this method gave in 1948 the famous American gynecologist Arnold Kegel. After his work exercises for the pelvic muscles are widely used in the treatment of urinary incontinence, and do these exercises began sometimes called a method of treatment for Kegel.
The sooner treatment is started, the betterresults will be achieved. In recent years, the exercises for the pelvic muscles is widely used for the prevention of urinary incontinence, even before the first symptoms.
Women must learn to reduce isolationthe muscles of the perineum by squeezing the vagina and anus raising for 15-20 seconds. It is necessary to try to learn how to reduce muscle external urethral sphincter, for example, trying during normal urination interrupt the stream of urine.
Subsequently, you need to ensure that the muscles of the pelvic floor reflex decreased at any increased intra-abdominal pressure, such as coughing, any physical activity and so on.
During the day, the patient should be carried 5sessions of exercises for the pelvic muscles. During each session you must complete at least 15-20 cuts of each type - slow and fast. We recommend to alternate these cuts, that is to perform them one by one in a single session. After the tonic contraction for 1-5 seconds and a short period of rest (up to 5 seconds) produced a strong quick short cut, after which the rest time can be increased to 10 seconds. Thus, the number of such cycles per session should be about 15-20.
Start exercises are best in a sitting position. The main values to achieve the positive results of treatment is regular exercise, without any interruptions. Usually, a month after the start of classes in the exercises can be performed standing, and then walking.
The first results of the treatment, provided regularexercises and the correctness of their performance, seen in 2-3 weeks after the start. The most common initial positive changes is the disappearance of urinary leakage with low physical activity, especially in the morning.
The duration of treatment for thismethod can not be predetermined. Training should be carried out as long as not only stop urinary incontinence, and pelvic muscles formed the ability to reflex contraction in response to an increase in intra-abdominal pressure.
For incontinence should be treated in the same waylike any other disease. There is nothing shameful or reprehensible. His reasons are known abnormalities in the structure and function of certain body systems that can effectively be eliminated by various methods of treatment.