Bladder Category

Originally posted:March 31st, 2021. Last updated onSeptember 1st, 2021

Bladder Treatments

Living with a bladder condition such as overactive bladder can be both physically and emotionally demanding. When your bladder doesn’t want to cooperate, it can be more than just annoying.

Living with an overactive bladder may make you feel that your independence and social life has been taken away from you because of your frequent urges to go to the bathroom. We know this is no way to live your life and you shouldn’t have to suffer.

值得庆幸的是,有很多方法可以控制你的膀胱问题,如果自我护理没有带来你希望的改善,你可以和你的医生合作,找到一个更积极的方法overactive bladder treatmentplan with a combination of any of these approaches.

Treating An Overactive Bladder

Before we can look at the different ways you can treat an overactive bladder, it’s important to understand what it is and what causes it.

What Is An Overactive Bladder?

The termoveractive bladder treatment涉及对膀胱过度活跃(简称OAB)的诊断和治疗。OAB发生在一个人有规律和迫切的排尿需求的时候。这种感觉很难忽视和推迟,它可能发生在早上,下午或晚上,通常没有任何事先的迹象。

What causes OAB?

膀胱过度活跃并不罕见,各个年龄段的人都可能患有这种疾病。According to the NHS, roughly12% of the UK adult population experience some form of OAB. The actual cause of OAB is not known, but mental states, such as anxiety, can cause the problem to worsen. Those with a neurological disease are also a high risk group when it comes to an overactive bladder.

另一个影响症状严重程度的因素是你喝的液体类型和喝的时间。通常情况下,睡前最好不要喝水。

Bladder Training

任何膀胱训练计划的第一步都是尝试一个或多个推荐的解决方案,如下面概述的。这些都是不同的,因为没有两个人是相同的,所以找到正确解决方案的过程对每个人来说都是不同的。

然而,有了毅力和来自家庭和医生的额外支持,下面列出的一种或多种膀胱训练方案可以帮助你减少OAB问题,并可能一劳永逸地解决它。

Kegel OrPelvic FloorExercisesfor Bladder Training

强健膀胱的第一步是加强体能。决定养成锻炼膀胱的习惯,每天进行凯格尔或盆底锻炼将会有很大的帮助。

盆腔运动对压力性尿失禁和急迫性尿失禁一样有帮助(这与膀胱过度活跃有关)。Training exercises for OAB are more passive, but just as targeted: you can set anurge schedule坚持下去,当你想离开的冲动来临时,你会强迫你的膀胱等一会儿。

This may feel uncomfortable at first, but soon enough you’ll be able to hold it in for an extra minute, then a few minutes, and eventually up to an hour.

Using Vaginal Cones to Assist with Pelvic Floor Exercises

Not commonly known, but vaginal cones can be used to help with pelvic floor muscle training. This involves inserting small weights into the vagina and then, using your pelvic floor muscles, you can train in holding the weights in place.

As and when you feel ready, you can further improve your ability to cope with OAB by increasing the weight of the cone. Some women can feel some discomfort when using them, but with practice you can come to experience the benefits for your OAB condition, and also with mixed urinary incontinence and stress reduction.

Biofeedback to Further Improve Pelvic Muscle Strength

With Biofeedback, you can make further improvements to your pelvic muscle strength. This involves connecting the patient to electrical sensors which enables the reception and measurement of different aspects of their bodily functions. Using biofeedback sensors, the patient can learn how to make minor changes to their body, and which can have a significant positive impact in dealing with their OAB treatment.

The main benefit is knowing the strength of your pelvic muscles and whether you need to do more training. Using biofeedback over a prolonged period, and with ongoing pelvic training, you will eventually be able to improve your ability to feel when the urge to pass urine is arising and so you will be better able to hold back for a more convenient time.

Dietary Changes to Reduce Urges

A few dietary changes in your daily food choices can have a profound effect on your bladder control. There aren’t many foods that directly improve bladder function, but there are plenty of ingredients known to irritate the bladder and these should be avoided.

Start by eliminating diuretics, such as caffeine and alcohol, as they encourage the kidneys to produce more urine. Also, be sure to reduce or eliminate artificial sweeteners and acidic fruits, including citrus, pineapple, and tomatoes.

水在我们的日常饮食中扮演着重要的角色。增加水的摄入量似乎是一个奇怪的想法,但有趣的是,水太少会导致便秘和尿液集中,这可能会刺激你的膀胱,增加紧迫感。

Developing Better Bowel Habits

膀胱和肠道一起工作,当一个工作不正常时,其他趋势来补偿。便秘是不舒服的,但一个完整的肠也会压迫膀胱,使过度活动膀胱紧迫和失禁更严重。

To develop better bowel habits, start by increasing your soluble and insoluble fibre intake, since both are important for a healthy digestive tract:

  • Whole grains like barley and oatmeal
  • Fresh and dried fruit
  • Green veggies
  • Beans

这些食物选择将帮助你回到正轨,但如果节食不奏效,与你的医生讨论泻药的想法。

Weight Loss & Health Improvements To Reduce Your Symptoms

研究表明,减掉多余的体重可以减轻压力性尿失禁和膀胱过度活跃的症状。

What does this mean exactly? If you can lose about 8 percent of your body weight – that’s typically around 15 to 20 pounds – you will likely see remarkable results. In fact, even just a few pounds of weight loss can reduce incontinence episodes by over 25%.

除了所有其他的健康益处,通过减肥腹部将减轻该区域所有器官的压力,包括膀胱。

和减肥一样,经常锻炼可以减少肠道过度活跃的症状。运动可以帮助减轻膀胱的压力,这最终意味着更少的尿漏。

Stopping smoking can also help with OAB problems since the smoke from cigarettes can irritate your bladder. Smoking can also lead to hacking cough – a loud, dry cough – which can cause further leaks.

Consult Your Doctor

When you have been diagnosed and know what is causing your bladder problem, you will be able to discuss possible treatments with your doctor or continence advisor. They will help you to understand what is causing your problem and how the different treatments can help. Your doctor will also talk to you about the potential side effects or problems of any particular treatment. Together, you can decide which treatment is the most suitable for you.

Once diagnosed you will first be offered what are known asconservative treatments, which include ways in which you can help yourself, such as lifestyle changes.

根据你的症状和病史,药物治疗也可以作为一种选择,以及一些保守治疗。手术是最后的选择,除非你尝试了其他治疗方法一段时间没有成功,否则通常不会考虑手术。

What to expect from your doctor

In terms of an assessment, your nurse or doctor will ask you about your general health and in particular, about your OAB problem. You may be examined orally and internally, and you might be asked to give a urine sample to see if you have any obvious problems.

作为你治疗方案的一部分,你可能会被要求保持大约3天的膀胱日记,这通常包括记录每次你排尿的时间和多少尿通过。

You may also be asked to take aflow test, and in some cases apost-flow ultrasound test. This involves using a special machine which checks whether you completely empty your bladder and also measures how strong your flow is.

Here is a short list of possible questions your doctor may ask and the tests they may ask you to complete:

  • 你的病史概况
  • A physical examination, which could include a rectal exam and a pelvic exam in women.
  • Whether or not you leak urine unexpectedly and if so, how often it happens.
  • For how long you have had an OAB problem.
  • Whether or not you leak urine during your daily activities, including for example, bending down or walking.
  • What activities your overactive bladder symptoms prevent you from doing, if anything.
  • You may be asked to give a urine sample, which will be used to test for infections, traces of blood or other abnormalities.
  • 在某些情况下,完成神经系统检查可能是必要的,这可能有助于确定感觉问题或异常反射。

Medical Treatments for An Overactive Bladder

Depending on how successful they were and the strength of your condition, your doctor may recommend that you continue with the above treatments and return for another check-up after a specific period of time.

但是,如果他们通常在与病人协商后决定,治疗可能是有益的或有必要的,他们可以选择开一种或多种治疗方法,其中一些方法将在下文详细说明。

Anticholinergic Drugs for Overactive Bowel

这种特殊的药物是用来控制导致膀胱过度活跃的肌肉痉挛。抗胆碱能药物专注于阻断神经信号,通常触发膀胱不适收缩,降低频率和你小便的强烈欲望。

There are several anticholinergic drugs to choose from and they all require a doctor’s prescription. Most people have very favourable reactions to anticholinergics, though there are a few possible side effects which may include dry mouth, constipation, increased heartbeat and/or drowsiness.

Botox For An Overactive Bladder

虽然不常用,但肉毒杆菌毒素是一种方便的肌肉松弛剂,适用于各种情况,包括膀胱过度活跃。这种化合物被直接注射到膀胱中,在注射后的一年内,患者可以减少不舒服的收缩,增加膀胱容量。

However, Botox isn’t without its dangers. Some patients find that after the procedure they retain urine too much, and experience pain and complications (such as urinary tract infections). For these reasons, Botox for overactive bladder treatment is only considered for certain people.

Specific Antidepressants May Suppress Symptoms

特定的抗抑郁药物,如Tofranil,酪胺和去甲苯胺,可能有助于抑制过度活跃的膀胱症状。你的医生选择哪一种处方将取决于你的特定症状。

For example, the SSRI class of antidepressants works better for stress incontinence than for urge incontinence, although it’s not clear how it helps. Alternatively, tricyclic antidepressants are known to have anticholinergic side effects, which relax the bladder muscle and cause the muscles of the bladder neck to contract.

Natural Supplements You Can Take At Home

While there have been very few scientific studies on herbal remedies as an option for overactive bladder treatment, some remedies have shown promising results for some people.

来自日本的研究表明,使用一种名为Gosha-jinki-gan的草药,可以改善尿急、漏尿和减少夜间排尿。此外,来自南非的buchu植物被认为可以滋养膀胱组织,对抗可能导致感染和失禁的炎症。

There are also plenty of common herbs that may help with symptoms, including:

  • Corn silk
  • 辣椒素(辣椒中的有效成分)
  • Ganoderma lucidum

Remember to consult your doctor first before adding any of these herbal remedies into your overactive bladder management plan.

Using Nerve Stimulation for an Overactive Bladder

If you’re finding lifestyle changes and medication can’t control your overactive bladder symptoms, your doctor may recommend a slightly more invasive approach for long-term relief.

There is a procedure known asnerve stimulation它包括在体内植入一个小的电子设备,就像一个起搏器,位于你的皮肤下,向骶神经发送电脉冲,骶神经在膀胱排空中起着重要的作用。

The aim of this treatment is to strengthen the supporting muscles of the bladder and leads to better control. At the moment, however, there’s no guarantee that this procedure will eradicate all of your overactive bladder symptoms.

Altering the Bladder with Bladder Augmentation Surgery

When all other approaches to strengthen and retrain the bladder have failed, you may need to alter the bladder itself. This surgery is typically used as a last resort and in only the most severe cases of an overactive bladder.

Bladder augmentation involves enlarging the bladder with a section of your large intestine, so there’s more physical space to store urine in and less pressure to urinate frequently. The surgery is the most invasive and complicated procedure for solving overactive bladder problems, and includes a long recovery time and possible lasting consequences. Once you have bladder augmentation surgery, you will cease to be able to urinate naturally – you will have to use a catheter or stoma.

好消息是,许多(如果不是大多数的话)膀胱过度活跃的病例可以通过健康的生活方式改变,以及自然和传统的医学治疗得到很好的控制。重要的是要记住,并不是所有列出的治疗方案可能对每个人都有效。

Remember to discuss the above overactive bladder treatment options with your doctor before beginning them.

Coping and support

For those who decide to persevere with non-invasive, medical or natural treatments, it may be helpful to consider other techniques that help you to cope with your condition. In some cases, emotional and physical support can also be beneficial in reducing the stress of dealing with their overactive bladder symptoms.

Here are a few considerations to help you cope with OAB and some advice on where to get further support.

Make Regular And Controlled Visits

Double voidis another approach to dealing with OAB. This technique involves relieving yourself and then, a few minutes later, going again. This deliberate approach to bathroom visits helps you to make sure that after passing urine a second time, your bladder is mostly or completely empty. The main benefit of this approach is that you can avoid having to return to the bathroom just a few minutes after your initial visit, which is both a nuisance and sometimes embarassing.

Following A Schedule

It’s helpful to set yourself up with a schedule to follow and usually very easy to set up. This involves making a specific plan for when you visit the bathroom and allows you to space these visits out over the day. Eventually, you should aim for visits every 2 – 4 hours and in this way you can train yourself to pass urine at the same time, making it easier to plan your day and normal activities without interruption.

Trying Intermittent Catheterization

For those who are unable to empty their bladder effectively, using a catheter helps to ensure that your bladder functions properly. To find out if this approach is right for you, ask your doctor.

Wearing Absorbent Pads

穿内衣或吸水垫有助于保护你的衣服,避免尴尬的事件。它们还有助于确保你不需要改变或限制你的正常活动。

吸收垫和衣服通常有不同的尺寸和不同的吸收水平。

Getting Emotional Support

虽然过度活跃的肠道问题很常见,但人们往往会感到尴尬,因此避免谈论它。首先试着和你的家人和朋友谈谈,因为如果你需要的话,他们可以是一个可靠的情感和实际支持的来源。

You may also find that by opening up about your OAB problem, you may be surprised to learn that other people you know also suffer from overactive bladder problems.

If you don’t feel comfortable talking to a friend, colleague or family member, as a bare minimum you should at least talk with your doctor. Amongst other things, they can help you to find a support group where you can speak to other people who have similar problems.

Further Support

To find out whether or not you need further advice, you can use theNHS Bladder Self-Assessment survey. By answering just a few short questions, the survey provides you with a short summary of advice that you can follow and a set of useful links.

Reference: some of the above advice was provided by https://newlifeoutlook.com which aims to empower people living with chronic mental and physical health conditions, encouraging them to embrace a positive outlook despite unfortunate circumstances.

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