Urinary incontinence is a symptom of various diseases and conditions that powerfully affects the psychological and even mental state of a person. Impossibility to control urination always requires a doctor to find out the reasons and find a solution to the problem.
A conscious command for emptying the bladder normally gives the brain. Namely: sections of its bark. Then the impulse passes through the spinal cord, from where it is transmitted directly to the organs of urination. If there is an obstruction on this path of the nerve impulse, the commands of consciousness do not reach the goal. The process of urination can be controlled only by the centers of the spinal cord, whose activities are outside the sphere of the desires and will of man.
Such an obstacle can be:
• Edema or hematoma (also associated with trauma);
• Psychogenic disorder of the nervous transmission (psychological trauma).
In addition, the cause of incontinence can be pathological changes in the organs of urination. For example: inflammation, scarring. In this case, despite the commands of consciousness, the bladder and urethra simply cannot work adequately.
One of the types of urinary incontinence is enuresis - spontaneous urination, beyond thinking control. As a rule, this happens at night. For children under five, this condition is normal. Many parents from the earliest infancy try to teach the kid to write on command. Some do it, some do not.
Here it is important to understand that the ways of transmission of the nerve impulse are formed during the first years of life. Of course, this does not happen automatically on the fifth birthday. Awareness of the act of urination can form even to a year and a half, and later. It is important not to put pressure on the child, not to set strict requirements and not to punish them. For older children and adults, lack of control of urination is a symptom of impairment. And here one of the leading factors is psychological trauma. The condition is aggravated by fear, panic and shame, which causes every incontinence event.
The cause of the condition may be a one-time shock or, more often, a prolonged stressful situation. It is interesting that often people around do not attach importance to the strength of psychological stress; do not take the suffering of a person seriously. Such callousness aggravates the situation and in itself leads to the development of pathology. All patients with a similar problem require the attention of specialists. Close people are obliged to give them the maximum support and help.
The tactics of treating of night urinary incontinence always include a set of measures.
1. Psychological trainings - if the child is sick, then parents can be involved in a therapy. Adult people need psychotherapy sessions. After revealing the traumatic circumstances, the specialist with the patient is looking for ways to overcome them, restore mental comfort. A good effect is provided by aromatherapy, art therapy, outdoor walks - anything that can distract and calm, give the person confidence and maintain a good mood.
2. Drug therapy - sedatives can be used to normalize the nervous system, relieve unnecessary emotional tension. In some cases, serious drugs that suppress anxiety are prescribed. If additional factors are identified, for example, increased tones of the bladder - drugs that correct the condition are used. With concomitant infections, antibiotics are prescribed. If the daily rhythm of urine formation is disturbed, Detrol is very helpful. It makes sense to take even restorative means, for example, multivitamin complexes.
3. Physiotherapy, reflexology, spa treatment - if possible, the patient should receive referral to the procedures. The effect can be on the genitourinary system or the body as a whole. Especially it is well proven in the treatment of enuresis acupuncture. But with regard to children, you first need to find out if the sessions will not be an additional trauma.
Urinary incontinence in women:
Inadequate control of urination is especially common in women of mature and advanced age. This is due to the weakening of the pelvic floor muscles, which is caused by their stretching and trauma during pregnancy and childbirth.
In the climacteric period, when estrogen production decreases, tissues lose elasticity. This, among other things, leads to a decrease in the tone of the muscles that delay urination. Anatomically, the urethra in women is broader and shorter, which also contributes to an easier outflow of urine.
The main method of combating this unpleasant phenomenon is:
• Arbitrary training of perineal muscles;
• Timely prevention of hormonal dysfunction;
• Prevention and timely treatment of any infectious and inflammatory processes affecting the genitourinary system.
Urinary incontinence in men:
In rare cases, it is observed in young men during the period of maximum sexual activity against the background of absolute health. This is a physiological state. The centers responsible for sexual activation and urination are nearby. Excessive excitation can give an "erroneous" impulse to the bladder. This condition goes on independently on condition of regular sexual life.
In adulthood, men face incontinence, due to psychological problems - powerful stress and sexual disorders. Here, treatment involves first of all restoring psychological comfort. The third group consists of those to whom the prostate gland was removed. In the previous period, when the hyperplastic (enlarged) organ was constantly pressing on the bladder - the urethra was adapted to such a strain. Thus, there is an increased tone of the walls of the bladder, which can lead to involuntary ejection of urine. Treatment of urinary incontinence consists in medically relaxing the corresponding muscles.
After you faced with such a problem, immediately go to the doctor. The sooner you establish the cause of your condition and begin treatment - the less traumatic this situation will be. It makes sense first to consult with a therapist. He/she will assign basic research and help establish what kind of causes are leading - nervous, psychological, infectious, urological, hormonal, etc.
Further it is necessary to receive consultation of the profile expert. For example, an endocrinologist when it comes to incontinence during the onset of menopause, or an urologist if an infection is detected. Do not refuse hospitalization if it is offered. Treatment in a hospital, as a rule, helps more quickly. Besides being in a hospital among patients with similar problems can be psychologically easier than trying to lead a "normal life" hiding their difficulties.