Kuwanda kweurinary incontinence

Kuwanda kwekusagadzikana kweweti kunofungidzirwa kuve kunosvika 5% muhuwandu hwevanhu¹. Kupararira uku kwakakwira zvakanyanya muvanhu vane makore anopfuura makumi matanhatu neshanu: 65 kusvika 49% yevanhu vari muchipatara kana vanogara munzvimbo yemedico-social vangazobatwa nechirwere ichi.².

Huwandu hunofanirwa kukwira, sezvo huwandu hwevanhu vanopfuura makumi matanhatu neshanu huchawedzera zvakanyanya mumakumi emakore ari kuuya. Saka zvakakosha kuita zvese zvinogoneka kudzivirira, kuzviziva uye kurapwa.

Mutengo weurinary incontinence

MuFrance, mutengo wese weti weti incontinence unofungidzirwa kuva 4,5 bhiriyoni euros. Mutengo uyu ungaenzaniswa neyemamiriro akaita seosteoarthritis kana pneumonia³.

Stress urinary incontinence

MuFrance, zvinenge 3 mamiriyoni evakadzi vemazera ose vanobatwa nedambudziko reurinary incontinence.

1 pavakadzi gumi anotamburaurinary stress incontinence, ine nhamba yepamusoro yepamusoro pakati pe55 ne60 makore.

Vanosvika chikamu gumi kubva muzana chevakadzi vadiki vane nulliparous (kureva vasina kumbozvara) vanobatwa, asi huwandu uhu hunogona kukwira kusvika pa10% kana vachinge vachimhanya zvakanyanya.⁴. Nhamba idzi dzinenge dzisingatarisirwe nekuti inyaya isingafadzi: vakadzi vanowanzozeza kutaura nezvazvo nemurapi wavo, kunyanya sezvo vachiri vadiki.⁵.

Kuwanda kwekudonha panguva yekurovedza muviri muvakadzi vemitambo kunosiyana pakati pe0% yegorofu uye 80% ye trampoline. Saka inotsamira pazviri Rudzi rwekuita : maekisesaizi emuviri anokonzera kusvetuka-svetuka (trampoline, gymnastics, kutamba, mitambo) wedzera imwe dzvinyiriro pane perineum inogona kuwanzwa negumi.

Kunyanyisa kuita dundira

Dundira rinoshanda zvakanyanyisa rinoratidzwa nekuwanzoita weti (pakati pe7 ne20 nguva pazuva neusiku), iyo inogona kuperekedzwa ne weti inobuda nekuda kwekuda kuita weti.

Kuwanda kwechirwere ichi kunofungidzirwa kuve kwakapoteredza 17% yehuwandu asi inozonyanya kucherechedzwa mushure memakore makumi matanhatu neshanu. Yambiro: vangangoita 65% yevanhu vane dundira rakawandisa havaite weti incontinence (izvi zvinonzi overactive dry bladder)⁶.

Kubata pamuviri uye weti incontinence

Vanenge vatanhatu pavakadzi gumi vane pamuviri kuwana “zvishuvo zvinomanikidza” zvakaoma kunonoka. Mu1 kusvika ku2 mune gumi kesi, idzi "emergency" dzinokonzerawo kubuda kweweti⁷. kubva ku2^st trimester, 3 kusvika 4 pavakadzi gumi vane pamuviri kuva ne "stress" urinary incontinence (ndiko kuti, kutamba mitambo, kusimudza mutoro unorema, kana kungoseka)⁸...

Kuti ugadzirise izvi, ziva kuti 7 zvirongwa zvepamberi zvemaminitsi makumi mana nemashanu, vanhu kana mapoka, anovharirwa neHealth Insurance.

Uye mushure mekuberekwa? Mumazuva anotevera kusununguka. 12% yevakadzi asununguka kekutanga achichema-chema nekubuda kweweti⁹.

Kugadzira weti uye weti

Normal diuresis, kureva kuwanda kweweti inogadzirwa neitsvo, inoonekwa sekubatanidzwa pakati pe0,8 ne1,5 L pamaawa makumi maviri nemana. Nekuda kwesimba rayo elastic, dundira rinogona kuve ne kusvika ku0,6 L paavhareji.

Kubva pa0,3 L, zvakadaro, kuda kuita weti anonzwa. Dundira rinogona kuramba richizara se kuda kuita weti inoitwa zvakanyanya kudzvinyirira, asi continence nguva dzose inosimbiswa nekuita kwekuzvidira. Kudiwa kunogona kuve kwekukurumidzira (kutenderera 400 ml) ipapo zvinorwadza (inenge 600 ml). The normal frequency of weti ndeye anenge 4 kusvika ku6 nguva pazuva.

Kegel Exercises

The boora by Kegel zvinotarisirwa kusimbisa perineum uye zvinoratidzirwa mumamiriro ekushungurudzika urinary incontinence. Dzinofanira kuitwa nguva dzose kwemavhiki akawanda kuti dzipe mugumisiro unobatsira. 40% kusvika 75% yevakadzi vanoishandisa vanocherechedza kuvandudzwa mune yavo kudzora weti mumavhiki anotevera.

Urinary incontinence, kuparadzaniswa uye kuora mwoyo

Imwe ongororo yakaratidza kuti pakati pevakadzi vatatu vakashanda vane makore 3 kusvika 364 vane weti yakanyanya incontinence, 18% vaifanira shandura rudzi rwebasa¹ nekuda kwehurema uhu.

Vanhu vane incontinent vanowanzosangana nekushushikana, izvo zvinoshandura mune imwe kuzvidzora. Nekutya kunhuhwirira kwakashata, kunyadziswa pachena pakaitika tsaona, vanhu vasingazvidzori vanowanzoita. kudonha shure pamusoro pavo. 

Zvinoenderana neongororo yakaitwa muCanada, 15,5% yevakadzi vasina kugadzikana vanotambura muchimwiro¹⁰. Chiyero ichi chinokwira kusvika ku30% pakati pevakadzi vane makore ari pakati pe18 ne44 uye inopesana nehuwandu hwekuora mwoyo kwe9,2% pakati pevakadzi vekondinendi. 

Incontinence muvana

Vabereki vanowanzofunga kuti vana vanofanira kunge vakachena vasati vapinda chikoro, kureva makore anenge matatu, asi chokwadi chakasiyana zvikuru sezvo kugadzikana kwekudzivirira dundira kunokura. kusvika pamakore mashanu.

Naizvozvo hapana chikonzero chekunetseka kana mwana asingakwanisi kuzvidzora pamberi pezera rino: weti yake inogona kunge isati yakura. Urinary incontinence saka haigoni kukanganisa vana vari pasi pemakore mashanu.

Nokudaro, pazera remakore matatu, 3% yevasikana uye 84% yevakomana vakawana utsanana hwemasikati. Kwapera gore, nhamba idzi dzinosvika 53% uye 98% zvichiteerana¹¹.

Ukuwo, kutadza weti yeusiku kunganetsa 10 kusvika 20% yevane makore mashanu. Huwandu hunobva hwadzikira zvishoma nezvishoma nekufamba kwemakore kusvika pa1% yevana vane makore gumi nemashanu.