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“一不小心就尿出来”?别因羞于启齿而延误治疗

科普中国-乐享健康 2018-08-02

  “一不小心就尿出来”?尿失禁是常见的中老年疾病,有尿失禁症状的患者常常觉得尴尬又难堪,因此很少选择主动接受治疗。那么,尿失禁是怎么回事?尿失禁会带来哪些不同的危害?该如何治疗尿失禁?

  据《钱江晚报》报道,尿失禁是古老的毛病,中医称之为“遗溺”,唐朝以后被称为“小便不禁”,症状是清醒时小便自动出而不觉,或小便次数很多难以控制,尿频尿急。这个病大部分发生在产后或50岁后的妇女,常在大声咳嗽、大笑、用力、爬楼梯时小便不自主流出,所以又被称为“膀胱咳”,中医认为这个病是“五气所病——膀胱不利为癃,不约为遗溺”。总结来说,患尿失禁的原因可能是天生体质就不好,脾肺虚弱,做产时伤到气血,导致肾气不固;或者年龄增大,肝肾亏虚,命门火衰,不能温煦膀胱,膀胱气化无力;又或者心肾亏虚,阳气衰冷,传送失度,五脏虚寒等。

  尿失禁会带来哪些危害?据《健康报》报道,尿失禁给许多患者带来了巨大身体上的痛苦和心理上的压力,如果不加以干预,将严重影响患者的身心健康。例如,患者若长期得不到治疗,尿道感染的风险会大大提高,经常反复性的尿道感染有时会引发急性膀胱炎、肾盂肾炎,严重时甚至会发生高氮血症或尿毒症等并发症。实际上,尿失禁并非无法根治,但很多患者因对此病认识不够,或羞于启齿而延误了治疗时机。尿失禁患者应积极治疗,不要一拖再拖,使小病变大病。

  那么,如何治疗尿失禁?据人民健康网报道,对于尿失禁治疗,首先强调行为治疗,即改变一些生活习惯,比如可以采取少吃刺激性的食物、减肥或者锻炼身体等措施。另外,患者可以适当延长上厕所的时间,比如说想去尿的时候,稍微憋30秒再去,等下次想去尿了,再憋40秒,以此建立起控尿的自信。其次,还可以选择手术治疗。其中,对于急迫性尿失禁、排尿功能障碍的病人,当物理治疗、药物治疗,行为等保守治疗不能有效控制症状,或病人不能耐受这些治疗时,还可以接受“膀胱起搏器”的治疗。

  据中国江苏网报道,膀胱起搏器是骶神经调节(Interstim)的俗称。类似于心脏起搏器,是一种置入体内长期使用的电调节治疗通过弱电脉冲影响骶神经,调控膀胱、括约肌和盆底神经反射。简而言之,就是能让主管膀胱和排尿的神经准确向大脑送达“开”“关”信号。(张峰)

  本文由山东省省立医院泌尿外科副主任医师曹庆伟进行科学性把关,其擅长并熟练掌握泌尿外科和男科常见病、多发病的诊治,对泌尿外科疑难杂症有独到的见解。

责任编辑:王超

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