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Dra. Maria Paula Tanaka
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Physiotherapy Urogenicológica

Physiotherapy Urogenicológica Abdominal poorly made generates urinary incontinence.
 
In contrast to imagine, everyone is susceptible to the disease.
Abdominal exercises and bad habits made inappropriate can cause the problem of urinary incontinence. According to physiotherapist Maura Regina Seal, a specialist in urogenicologia in Brazil, about 18 million people suffering with the problem, 80% of whom are women.
In contrast to imagine, the condition affects not only the group of senior citizens, but also children, athletes and women who have just to have children or are in menopause. The problem, however, can be solved by sessions of gymnastics specific to the region.
Many women in the postpartum fill gyms to shape the body again. The problem is that in some years, as the abs, there is an imbalance in the transmission of pressure from the diaphragm and abdominal region, which instead of directing the force to the sacral region of the spine, is moving to crack vaginal, favoring the emergence of the problem.
Other habits such as constipation and non-respect of the need to urinate body, not going to the bathrooms on each of 3 or 4 hours, also damaging.
Another factor contributing to the worsening of urinary incontinence is the lack of treatment during menopause.
According to Maura, there is still a big taboo on the subject, resulting in demand for help too late. "Only when the situation is very severe the patient resolve the situation to tell the doctor," he says. For her, this case became public health, because the disease affects much the patient's psychological and promotes social isolation. "The more young people begin to change the routine, to avoid leaving home, and older beginning to show a high level of depression," said the physiotherapist.
 
Treatment
According to Maura, in Europe, all women in the postpartum form a series of exercises called hipopressivos, who work the muscles responsible for the problem. "They stimulate and strengthen the walls of the vagina and perineal muscles, helping to locate the bodies of the low-belly, encouraging posture correction," she explains.

The gym can be used in the prevention as the cure. According to physical therapist, a patient who had a very large loss of urine - up to twenty fraud daily use - after three sessions, has already started to control and decreased the number of frauds. Other patients have chagaram to be restored completely by carrying out of ten to fifteen sessions.
 
How to strengthen the muscles
The gym hipopressiva is quite simple and can to show to everyone. Some years of contraction can be made even at work or in the car. How to teach physical therapist Maura Seal, men can also strengthen the urethral sphincter of contracting and relaxing the muscles of 30 to 50 times in a row, three times a day. The contraction should also be made at the time of sneezing, coughing and doing some physical effort, to prevent urinary loss, both for men as for women. The improvement appears in about ten days.

 

Fill the abdomen of breath, contract and hold for a few moments.

 

 

 

 

Repeat the exercise with your legs up, tilting the trunk as a waist.

 

 

 

 

Stay on your knees now. Inspire, hold your breath, contract the abdomen and slowly relax.
 


What could help
Abdominal muscles strong and perineum very weak;
Perineal muscle weakness caused by pregnancy and childbirth;
Muscle weakness and hormonal changes of menopause;
Constipation (difficult to evacuate);
Frequent urinary infections;
In men, incontinence usually appears after surgery for prostate.
 
What to do to prevent urinary incontinence

  • Strengthen the perineum with abdominal exercises appropriate.
  • Prevent constipation with a healthy diet.
  • During pregnancy, make a good preparation for childbirth - learn to relax the perineum to the expulsion of the baby.
  • Urinate every three or four hours at least.

Urinary incontinence affects 10% of the elderly Eight out of ten carriers of the disease are women Urinary incontinence affects approximately 900 thousand people in Parana, which is equivalent to 10% of the population of the state. About 80% of people affected by the disease are women - most because of hormonal problems caused by menopause. To address the clinical picture, which deviates from its bearers of social coexistence, in Brazil there are no policies of information, while offering modern techniques of medical rehabilitation that can prevent the advancement of the problem. Some of these techniques were presented yesterday in lecture sponsored by the Hospital Santa Cruz de Curitiba.
They were invited to participate in the event the experts Eduard French-Guy Leclere, president of the Hospital Clinic Des Orneaux Le Havre, France, and Françoise Nourdin-Bizouard, Head of the Department of Physical Therapy, Hospital Lariboisière of Paris. The Santa Cruz also called on health authorities to study a preventive campaign on the incontinence.
The French doctors said that the incidence of urinary incontinence is so worrying in the world that motivated this week special congress on the subject in Paris.
Nourdin Bizouard Francoise explains that there are two broad categories of victims of urinary incontinence. There are people who pee involuntarily after a momentary excess of effort such as coughing, sneezing, or lifting some weight after a laugh. And there are those who simply have a sudden need to eliminate urine, failing to arrive on time in the bathroom.
The work of prevention, for the French experts, is considered crucial to ensure that the bearer of incontinence is treated early. The message "if you have a small loss urination, not to embarrass, talk to your doctor" is spread over several hospitals and other health centers and work so that people do not lose time before starting treatment.
Depending on the medical assessment of the patient may be subjected to surgery, be treated with medications or be sent to reeducation. The rehabilitation is not complete in the short term, but is considered very effective in ensuring that the woman covers the contraction of the perineal muscles and get rid of incontinence.