Thursday, February 18, 2010

Exit Without Cause Urine is realized in Elderly

Kapanlagi.com-incontinence of urine and Alvi is one of the major complaints in patients with advanced age. Inkontinenensia passage of urine or feces is involuntary, in the amount and frequency sufficient shingga cause problems health problems and / or social. Variation of urinary incontinence include only a few drops of urine come out, till really a lot, sometimes even accompanied by incontinence Alvi. Because both of these are just a symptom, the cause should be sought and treated promptly.
Urinary incontinence
Patients who suffer from urinary incontinence tends to not report the symptoms suffered, perhaps because they feel embarrassed or think nothing can be done to help himself. However, urinary incontinence was suffered by the elderly group. Prevalence continues to increase with age, occurs more frequently in women than men and elderly patients who were treated in hospital.
Being older does not cause incontinence, but some changes related to aging process and pathological conditions which frequently occur in the elderly can support the occurrence of incontinence.
Urinary incontinence has a great possibility to be cured, especially in patients with mobility and mental status is good enough. Even if it can not be cured completely, incontinence can always strived better, so that patients can be improved quality of life and alleviate the burden borne by those who care for patients.
Because geriatric patients are generally reluctant and frustrated and embarrassed to discuss incontinence of their injuries, it is important to continuously monitor the progress of these symptoms.
Management of urinary incontinence among others, begins with an outline to distinguish whether the cause of the problem in terms of urology or neurology. Then important to determine whether urinary incontinence occurs in acute or chronic. Acute incontinence is usually reversible, associated with acute illnesses that are suffered, and will recover when the acute illness had been cured. While for chronic persistent incontinence, optimal treatment depends on the type of sustained incontinence.
Distribution of persistent urinary incontinence are:
1. Stress Type
Urine out beyond setting urination, usually in small amounts, due to increased pressure within the abdominal cavity. Many occur when sneezing, laughing or exercise. Also occur in certain circumstances such as obesity and chronic bronchitis. This type of incontinence is rare in men.
2. Type Urgency
Urine out beyond the normal micturition settings, usually in large quantities, because of inability to postpone urination.
3. The flow type
This type is characterized by leakage / discharge of urine, usually in small amounts as a result of mechanical pressure of the bladder was very tense.
4. Functional Type
Functional types are marked with urine due to inability to achieve an early secar where urination because of physical or cognitive disorders or other environmental disturbances.
In general, urinary incontinence in elderly patients treated with rehabilitation programs such as the bladder response to exercise, exercise behavior, urination, pelvic floor muscle exercises and modification of the micturition, Kateterisasi (periodic or constant), Medicine and Surgery.
Alvi incontinence
Alvi incontinence are less common than urinary incontinence. Defecation, as well as micturition, is the physiological process involving the coordination of the nervous system, reflex response, smooth muscle contraction, sufficient awareness and ability to reach a place to defecate. The changes due to aging process can spark the incontinence, but incontinence Alvi is not something that normally in the elderly.
Clinically, Alvi incontinence can appear as a liquid or feces and the unformed stool that was shaped out, once or twice a day dipakaian or bed.
These differences in clinical appearance may indicate different causes, including urinary incontinence due to constipation Alvi (hard to defecate), symptomatic (associated with large bowel disease), neurological disturbances in bowel habit process (neurogenic), and due to the loss of anal reflex .
With appropriate diagnosis and treatment (supportive measures, medications and surgery if necessary), Alvi incontinence in the elderly is almost entirely preventable and treatable. The goal is not only in a less comfortable situation, even embarrassing for the sufferer, but the fact that urinary incontinence can Alvi is the first indication of serious disease in lower gastrointestinal tract requiring early treatment if actually found. (Klinikpria / *)

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