People who often watch serial dramas know that the urine point, the so-called no urine point of the whole process, refers to the wonderful plot, from the beginning to the end, do not get up. However, although some people will be attracted by the plot, they can't control their urination, always can't help it, and need to run the bathroom one after another. What's going on? Is it a urinary tract infection, or is the bladder suffering from ADHD? Could it be a kidney function problem? Let's solve your doubts now.
The bladder can also occur ADHD, which is not a joke, but a real disease, this disease, called bladder hyperactivity, or instability of the bladder, the detrusor muscle instability of the bladder, is an automatic occurrence during the urinary storage period or cough, other stimuli induced by the contraction of the bladder detrusor muscles. Usually, the involuntary contraction strength of the detrusor muscle of the bladder reaches 15 cm of water column to meet the diagnostic criteria. Urinary frequency, urgency, and urgency urinary incontinence are the main manifestations of overactive bladder.
The diagnosis of overactive bladder disease requires comprehensive judgment based on the relevant symptoms and urine dynamic examination results, and at the same time, it is also necessary to exclude acute or chronic cystitis, lower urinary tract obstruction, genitourinary system diseases, pressure urinary incontinence and other conditions through examination, and carefully distinguish before the diagnosis can be established.
The occurrence of overactive bladder is influenced by a variety of factors. For example, spinal cord injury or cerebrovascular accident, resulting in damage to the cerebral cortex or nerve fibers, the inability to control the contraction of the bladder, resulting in hyperreflexia of the detrusor muscles of the bladder. However, the etiology of most bladder hyperactivity disorders is not clear enough, and possible factors include obstruction of the bladder outlet site caused by prostatic hyperplasia, hypoglyctic development or degeneration, tissue or organ diseases in adjacent parts of the bladder's elasticity changes, inflammation, and psychological factors.
Overactive bladder will bring 1 group of symptoms, typical of which is an increase in the number of urinations, which can reach more than 8 times a day, and there will be an increase in nocturia, and you need to get up more than 2 times during sleep. In addition, urgency is also a common symptom, with sudden or uncontrolled urge to urinate, and when you encounter urge to urinate, there is a leak, you may have just gone to the bathroom, and soon you want to go again, feeling that you can't completely empty your bladder. In such cases, it is necessary to seek medical attention in time for a urodynamic examination.
Overactive bladder can seriously affect the quality of life of patients. The current solution is mainly behavioral training combined with drug therapy. The main point of behavioral training is to increase the bladder capacity and extend the interval between urination, during training to make a good record, according to the patient's tolerance, gradually extend the interval between urination, training is best arranged during the day, however, if there is a strong bladder involuntary contraction, it is not appropriate to carry out such training. Drug treatment, now more choice is the use of anticholine drugs, the most commonly used is tolterodine, the main purpose is to reduce bladder pressure, increase bladder capacity, adverse reactions after taking the drug are mainly dry mouth, constipation, urinary retention. In addition, a new drug specifically for the treatment of hyperactivity of the bladder has been applied for in March 2020, and the specific efficacy remains to be seen. The latest clinical guidelines add treatment options such as oral mirabelon and intramuscular botulinum A in the bladder.
To maintain the health of the bladder, there are 8 measures that can be tried in daily life, the first, not holding urine, reducing the load borne by the detrusor muscles of the bladder. Second, pay attention to changes in urine. Third, when you don't have a feeling of peeing, don't go to the bathroom. Fourth, replenish water in a small amount and many times in time, and do not wait until you are thirsty to drink a lot of water too quickly. Fifth, develop good living habits, quit smoking, and limit alcohol. Sixth, do not blindly use drugs. Seventh, actively engage in physical activity, do more levator exercises, and enhance the strength of the pelvic floor muscles. Eighth, pay attention to personal hygiene, especially timely change and wash underwear, to avoid infection.
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Your health, my concern. Professionals observe health from a scientific and humanistic perspective, including a series of details, reminders, doubts, observations, opinions, and historical stories of the express report, which are original works of author Wei Hongling and his team. All forms of misappropriation and reproduction without permission will be refused, otherwise they will be prosecuted in accordance with relevant laws.