Female friends asked: “Is it normal to cough, sneeze, and leak urine during pregnancy?” "It's been three years since I gave birth to my child. I can't control my urine when I lift heavy objects, sneeze, or laugh. My pants are wet, especially in the summer. It's so embarrassing!" "Is it normal to leak urine occasionally? I see everyone has this problem, but it really affects my life. I don't know what to do." The mothers' questions show that few people pay attention to the problem of urine leakage. It may be difficult to talk about it, but urine leakage in women is indeed a "social cancer for women". So what exactly causes urine leakage? Let me explain it in detail. What is postpartum urinary incontinence? The inability to control urination and involuntary urine loss after childbirth is called postpartum urinary incontinence. Stress urinary incontinence refers to the involuntary urine loss caused by a sudden increase in abdominal pressure (coughing, sneezing, lifting heavy objects, laughing, climbing stairs). Its characteristics are no enuresis under normal conditions, but automatic urine flow out when abdominal pressure suddenly increases. Urge urinary incontinence refers to the strong urge to urinate, but the inability to control it by will, and the urine flows out through the urethra. Why do I leak urine? Female urinary incontinence is often related to pregnancy and childbirth. The pelvic floor muscles are like a huge "net". During pregnancy, the uterus of a woman grows larger and larger. From a mechanical point of view, the pressure that should be directed to the lumbar sacral region causes the pelvic floor muscles to bear enormous pressure. In addition, during the delivery of the fetus, excessive pressure is placed on the pelvic floor muscles, causing relaxation of the pelvic floor muscles. Even worse, it causes damage to the nerves and muscles, resulting in the net being unable to support itself, which may cause prolapse of the anterior vaginal wall and uterine prolapse (the uterus falls out of the vagina or even out of the vagina). What effects will urine leakage have on us? 1. Diseases that cause vaginitis, pelvic inflammatory disease, cystitis, sexual dysfunction, etc.); 2. Affect the emotional life of couples: the tightness of the vagina decreases; 3. Psychological aspects: may cause anxiety, depression, etc.; 4. Affects social interaction. Urinary incontinence makes it impossible to carry out normal interpersonal communication. What should we do? 1. During pregnancy, control your diet and weight reasonably; 2. Perform pelvic floor muscle training and trunk core muscle training under the guidance of a rehabilitation therapist; 3. After delivery, you need to go to a professional hospital pelvic floor rehabilitation clinic for evaluation and develop a suitable and individualized rehabilitation plan (pelvic floor magnetic stimulation, pelvic floor biofeedback therapy, acupuncture treatment, moxibustion, exercise training). Urinary incontinence in women will affect their quality of life. Urinary incontinence will not improve over time. As women age, estrogen levels decrease, and the pelvic floor muscles become more relaxed. Urinary incontinence will only become more serious, even continuing into middle age and old age. The condition will worsen, and after menopause, the symptoms of urinary incontinence in women will often worsen. It is common for women to experience urinary incontinence after giving birth. Although it is difficult to talk about, even so, it is crucial to seek help from professional rehabilitation treatment, detect it as early as possible, and treat it as early as possible! |
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