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问:老年妇女尿失禁该如何防治?答:绝经后年龄在60岁以上的妇女朋友,我们称她们为老年妇女。这个年龄段的妇女,尤其是有多产史、产伤史的老年妇女,在大笑、咳嗽、打喷嚏、抬重物时,腹压突然增高,常常出现尿液不自主地从尿道口流出,尿湿裤子。这种病症我们称它为压力性尿失禁。产生这种病症主要是因为绝经后妇女卵巢功能衰退,性激素分泌减少,尿道及膀胱三角区黏膜下静脉变细,血液供应减少。黏膜上皮层退化,尿道和膀胱的浅层上皮组织张力减退,尿道及周围盆底肌肉萎缩。膀胱与尿道解剖关系改变,尿道缩短。有的老年妇女阴道前壁膨出、合并尿道膨出。附着支持膀胱颈和尿道肌肉、筋膜
Q: How to prevent urinary incontinence in elderly women? A: After the menopause women aged 60 and older friends, we call them elderly women. Women of this age, especially elderly women with multiple births and birth trauma, suddenly experience a sudden increase in abdominal pressure when laughing, coughing, sneezing, and lifting heavy and often urinate involuntarily flows out of the urethra , Wet pants. We call it stress urinary incontinence. The main cause of this disorder is the decline of ovarian function in postmenopausal women, decreased secretion of sex hormones, submucosal veins in the urethra and the trigone of the bladder, and reduced blood supply. Mucosal epithelial degeneration, urinary tract and bladder shallow epithelial tissue tension decreased, the urethra and surrounding pelvic floor muscle atrophy. Bladder and urethra anatomy changes, urethral shortening. Some elderly women bulging anterior vaginal wall, urethral bulging. Attachment support bladder neck and urethra muscles, fascia