Gebelik, Doğum ve Doğum Sonrası Dönemlerde Üriner İnkontinans ve Korunma Yollar›

Year 2008, Volume: 16 Issue: 62, 143 - 149, 16.09.2014

Ayten Dinç

Abstract

Üriner inkontinans kad›nlar›n sosyal, emosyonel ve seksüel yaflamlar›n› k›s›tlayan yayg›n bir problemdir. Üriner inkontinans
kad›nlarda erkeklere oranla 2–5 kat daha fazla görülmektedir.
Gebelik, parite, vajinal do¤um, epizyotomi, üçüncü derece perine y›rt›¤› ve pelvik kas hasar›, yanl›fl yap›lan müdahaleler, iri
bebek, obezite, üriner inkontinansa neden olan risk faktörleri aras›ndad›r. Alt üriner sistem semptomlar› ve üriner inkontinans
özellikle gebelikte yayg›nd›r ve gestasyonel haftalar ilerledikçe, terme kadar flikayetler artmaktad›r. Do¤umdan sonra ise
semptomlar genellikle azalmaktad›r. Ancak bir k›s›m hastada do¤um sonu kal›c› inkontinans görülebilmektedir.
Gebelik ve do¤um sonras› dönemde üriner inkontinans flikayeti olan kad›nlar için en uygun tedavi yöntemi olarak, konservatif
tedavi yöntemlerinden pelvik taban kas egzersizleri önerilmektedir.
Üriner inkontinans›n önlenmesi ve tedavisi multidisipliner bir ekip yaklafl›m› gerektirir. Ekibin vazgeçilmez üyelerinden olan
hemflireler bu alanda dan›flman, e¤itimci, araflt›r›c›, klinisyen ve koordinatör rolleriyle önemli görevler almaktad›rlar.
Anahtar Kelimeler: Üriner inkontinans, gebelik, do¤um, do¤um sonras›.

Keywords

Üriner inkontinans, gebelik, doğum, doğum sonrası

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