Winter is a terrible incontinence...45% of adult women's experiences
Dec 22, 2024
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Urinary incontinence is especially more severe in winter these days. This is because when the weather gets colder, the irritation of the bladder intensifies and the amount of water that escapes through sweat and breathing decreases, increasing the amount of urinary incontinence.
Urinary incontinence can come from both men and women of all ages, but it appears frequently in women, nervous patients, and the elderly after middle age. In particular, in the case of adult women, it has increased significantly around the age of 45 to 50 when the menopause begins, and 35 to 40% of adult women are known to have incontinence. In fact, a survey found that 45% of adult women in Korea experience incontinence.
Professor Kim Jung-joon of the Department of Urology at the Catholic University of Korea's Incheon St. Mary's Hospital said, `Many people may think of incontinence as part of the aging phenomenon, but this is not true. "It should be viewed as a pathological condition that requires active treatment" and "He said, "There are many cases of hesitation to visit a hospital because he thinks that surgery is the only treatment method, but only a few patients need surgery, and there are effective treatments other than surgery, and rather, incontinence of the kind that cannot be corrected by surgery and must be treated by non-surgical methods is common as well."
◇4 out of 10 middle-aged women in Korea 'Incidentity' Experience...Even young people don't feel safe
Initial incontinence is largely divided into abdominal pressure incontinence, urgent incontinence, and first-rate incontinence. Abdominal incontinence coughs or sits down When I wake up, I lie down It refers to the symptoms of urine leakage when abdominal pressure rises, such as when it occurs. Urinary incontinence causes urination to become unbearably dry or intolerant, causing urination to leak. Iostatic urinary incontinence is a symptom of overflowing urine due to accumulation of residual urine due to poor urination.
Abdominal pressure urinary incontinence, which is common in women, is caused by weak pelvic muscles that support the urethra and bladder. This is because the ability to close the urethra decreases due to pregnancy and childbirth, menopause, and uterine disease (automotic extraction). In particular, women are more likely to develop urinary incontinence because of the shorter urethra than men. Aging can also be the cause.
Pregnancy and childbirth cause vaginal relaxation, sphincter, and vulva muscle weakness enough to be called the `third growing pain.' After menopause, a lack of female hormones (estrogen) causes urethral mucosal atrophy and leads to a decrease in urethral obstruction, which causes urinary incontinence.
In recent years, urinary incontinence often occurs in young people because caffeine in coffee or soda promotes diuretic action and stimulates the bladder and urethra. Wearing tight underwear, stockings, and leggings can also strain the bladder. Normally, when weight is increased, all kinds of incontinence are more likely to occur, and the symptoms also tend to worsen.
Urgent incontinence, which causes underwear to get wet even with a small amount of urine in the bladder, is caused by urinary tract infections, drug use, cerebral neurological diseases such as stroke and dementia.
◇ Treatment varies depending on symptoms and degree...I'm not a surgeon
Curinary incontinence does not mean that everyone has to undergo surgery. As each patient has different symptoms and degrees, different treatments are applied.
In general, abdominal pressure urinary incontinence can be effective through physical therapy such as pelvic muscle exercise if the symptoms are not severe. Even if surgery is necessary, it can be treated in a simple way and through surgery that does not leave scars. It also performs a 'sling surgery' that strengthens the function of the urethra, and it is a method of hanging a tape (mesh) under the urethra.
Urgent incontinence is treated with both medication and behavioral therapy. Biofeedback, magnetic field therapy, and Kegel exercise, along with education on normal urination, can increase and strengthen the size of the bladder, increasing the treatment effect.
Anticholinergics can reduce symptoms by suppressing unnecessary bladder contraction and increasing the volume of the bladder or controlling the central nervous system with beta agents. If the drug does not work, Botox is injected into the bladder wall to receive treatment that partially paralyzes the muscles.
In principle, mixed incontinence accompanied by urgent and abdominal incontinence is performed simultaneously with drug treatment and surgical treatment, but surgical treatment or drug treatment may be performed alone.
Professor Kim Jung-joon said, "Curinary incontinence is often delayed or pain is endured due to the burden of surgery, but it is better to receive active treatment rather than neglecting it as a disease with great daily discomfort and psychological anxiety.".
To prevent incontinence, lifestyle improvements are essential. You should refrain from eating foods that irritate your bladder, such as alcohol, soda, coffee, black tea, and chocolate. Avoid spicy and irritating foods. In particular, it is better to exercise your pelvic muscles steadily after giving birth, and if you are obese, you should lose weight right away. Avoid fatty foods and eat fiber-rich foods. Full-body exercise, such as swimming or aerobic exercise, is helpful for dieting and is effective in treating incontinence.
Professor Kim Jung-joon said, `Smoking can cause coughing and irritate the bladder, resulting in severe incontinence"Regular urination habits are also important, and for this purpose, it is recommended not to drink water, eat, or drink alcohol an hour or two before bedtime. "
"Considering that skipping or reducing dinner, regardless of age and gender, improves urinary incontinence as well as several other health indicators, it is also recommended to start by eating a good breakfast and lunch and skipping dinner." he advised.
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bellho@sportschosun.com
