The unspeakable suffering of postpartum women-stress urinary incontinence

Many postpartum women have a problem: they always fall in love with the toilet and cannot control their urination. Sometimes they will pee into their pants when they cough, sneeze, or laugh out loud, which is very embarrassing. Embarrassing and painfully embarrassing the originally loving couple. What has actually happened? It turns out that most of it is because of the supporting structures at the bottom of the postpartum box: muscle, ligament, and fascia relaxation, resulting in stress urinary incontinence .

Under normal circumstances, the female pelvic cavity structure is relatively stable and harmonious with each other, and there will be no urinary incontinence. There are three-chamber structures in the front, middle and back of the female pelvis: the bladder in the front, the uterus in the middle, and the rectum in the back. These structures will be relatively active or displaced due to the filling and excretion of the bladder, the peristalsis of the intestinal cavity, respiration and postural changes. , but this kind of movement and displacement is limited, within the normal range, and will not affect normal physiological functions, which is due to the credit of the supporting structures in the pelvis: restrained by ligaments, fascia, and muscles, such as: main Ligaments, round ligaments, broad ligaments, ovarian proper ligaments, sacral ligaments, etc., one end is connected to the organ , and the other end is connected to the pelvic wall, sacral vertebrae and other structures, restricting the activities of these organs; the three-layer muscles of the pelvic floor are also Do not sit idle, wrap these organs like a net bag, and do not let them fall; and the covering and connection of various fascia, with tension and relaxation, and tightness, so that the various tissues and organs in the pelvic cavity form a whole, orderly, harmonious and unified. Each plays its own role to ensure that the normal function is not affected and no problem occurs.

Why does stress urinary incontinence occur after childbirth? This is mostly related to the enlargement of the uterus during pregnancy and the long-term traction or compression of the surrounding structures. First of all, is pregnant in October , once giving birth, the pregnancy period is a long process; secondly, the normal non-pregnant uterus: the wall thickness cavity is small, the weight is about 50-70g, the length is about 7-9cm, the width is about 4cm, and the thickness is about 4cm. About 2-3cm, the capacity is about 5ml; during pregnancy, with the progress of pregnancy, the formation and development of the fetus, placenta and amniotic fluid, the uterus gradually increases, and the size is about 35cm × 25cm × 22cm at full term pregnancy , the capacity is about 5000ml, which is 500-1000 times that of non-pregnant period. It is conceivable that the enlarged uterus will not affect the surrounding structures? In fact, the postpartum uterus and the surrounding ligaments, fascia, and muscles become quite loose, and the fixed and protective effect on the bladder, uterus and rectum is greatly reduced. And because of long-term stretching and compression, it will inevitably lead to the decline of ligament, fascia and muscle function; if you don’t know how to maintain postpartum and functional exercise, the root of the disease will fall, causing stress urinary incontinence in mild cases, and bladder and uterus in severe cases. Or rectal prolapse , the consequences are unimaginable.

How does know if he has the sequelae of pelvic floor muscle insufficiency or disorder? First of all, review whether you have any related symptoms in that respect, such as: unable to control peeing, always in love with the toilet, sometimes coughing or sneezing, the urine is taken out, and the lower abdomen is bloated, etc.; Second, feel for yourself The strength of the pelvic floor muscles, such as: whether the contraction of the vagina and anus is strong, whether the urine is controllable, etc. Again, pelvic floor muscle function can be assessed by perineal ultrasonography . Now this technology is very mature. It is mainly through the dynamic observation of the three-chamber structure to understand the position of the bladder, uterus and rectum. functional impairment.Pelvic floor ultrasound is a good option for postpartum women.

What should I do if I have postpartum pelvic floor muscle dysfunction? suffering from pelvic floor muscle dysfunction must be very depressed, very distressed, and even indescribable. Therefore, it is particularly important to have a correct attitude and face it bravely. Don’t dare to seek medical treatment because of shyness or embarrassment. , where is the problem? Did you lose weight? Is it serious? Wait, and then formulate treatment measures and rehabilitation methods , is it surgery? Or functional exercise? Now, such as Kegel exercise , shrinking anus, abdominal breathing , etc. are all good methods, but under the guidance of a doctor, you must choose the one that suits you in a targeted manner, in order to receive good results .

How to prevent pelvic floor muscle dysfunction? First of all, ideologically, we should pay attention to the postpartum recovery of and . Pregnancy is a process of great consumption. Many people only pay attention to nutrition, but ignore the active recovery after childbirth. Many tissues and organs after childbirth, including their supporting structures, have been depleted and damaged to varying degrees, requiring a process of self-cultivation and active recovery. It should not be rushed: premature fatigue will aggravate the damage to the pelvic floor muscles. Engage in some activity or exercise to avoid pelvic floor muscle deterioration. Secondly, learn more about and master the knowledge of postpartum recovery, don't be impatient, and put it into action step by step.. Postpartum recovery should not be taken lightly, and there is no need to worry too much, and there is no need to carry a large ideological burden. In fact, the human body has a very strong repair and compensation function. As long as the method is appropriate and implemented properly, there will be no problems.