女性における尿失禁
1University of Utah School of Medicine, 50 N Medical Drive, Salt Lake City, UT 84132, USA. peggy.norton@hsc.utah.edu
Lancet (London, England)
|January 10, 2006
まとめ
尿失禁は多くの女性に影響しますが,しばしば見過ごされます. 治療法が存在しますが,新しい選択肢は,長期的な安全性と有効性の評価を必要とします.
科学分野:
- 泌尿器科 泌尿器科とは
- 女性の健康 女性の健康
- 骨盤床の障害 骨盤床の障害 骨盤床の障害
背景:
- 尿失禁 (Urinary Incontinence,UI) は,女性における一般的な疾患であり,しばしば診断が不十分であり,治療が不十分である.
- UIの病理生理学には,膀と尿道との複雑な相互作用があり,出産や老化などの要因によって混乱します.
- 一般的なタイプには,ストレス性尿 incontinence (ストレス性尿 incontinence) や衝動性尿 incontinence (衝動性尿 incontinence) が含まれる.
研究 の 目的:
- 女性における尿失禁に関する現在の理解をレビューする.
- プライマリケアで利用可能な診断アプローチについて議論する.
- 新しい治療法を含む治療法の選択肢の範囲と結果を評価する.
主な方法:
- 女性における尿失禁に関する文献レビュー.
- ストレスと衝動性尿失禁の診断方法の分析.
- 現在のおよび新興の治療戦略の評価.
主要な成果:
- 尿失禁は一般的ですが,女性では報告されず,治療もされていない.
- 診断は,往々にして,病歴と臨床評価を通じて達成できます.
- 新しい治療法や器具は,長期的な安全性と有効性に関するデータは限られているが,結果も様々である.
結論:
- 尿失禁の管理には,診断方法と治療法の選択肢を慎重に検討する必要があります.
- 新しい治療法の普及は,長期的な安全性と有効性に関するさらなる研究を必要とします.
- 広告による公衆の意識の向上は,エビデンスベースのケアの必要性を強調しています.
関連する概念動画
01:23Urinary Bladder
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
01:26The Micturition Reflex
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
01:20Disorders of the Urinary System
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
01:21Nursing Assessment of the Genitourinary System I: Health History
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
01:17Urinary Tract Infection IV: Nursing Management
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...