MALAYSIA 
SINGAPORE Stress Incontinence
壓力性尿失禁
近年時常聽到病人或朋友提到尿失禁，總覺束手無策，尤其是女性，人到中年，或生育過多，或產後、久病體虛，或停經婦女，每因噴嚏、咳嗽、大笑，而出現輕微尿失禁，甚至跑步或跳動也會忍不住遺尿，實在難為情，同時亦帶來生活上的不便，不敢外遊，患者有口難言，情緒大受困擾。
現代醫學認為「壓力性失禁」，即患者因為生產，或錯誤和過量作下腹受壓運動，損害骨盆底肌肉，造成鬆弛，尿道結構容易受壓，導致用力咳嗽、劇烈運動時，腹腔壓力增加而造成遺尿，據近年醫學調查所得，壓力性失禁有年輕化趨勢，所以必須正視。
中醫認為遺尿的病因主要在於脾腎虧虛。脾虛則中氣下陷，宗筋鬆弛，膀胱容易下垂；腎虛則下元不固，膀胱收攝失調，導致小便失禁。治法以健脾益腎，收斂固澀為主。臨床常以補中益氣湯、縮泉丸或腎氣丸等加減治療，此外，配合針灸亦可提高治療效果。配合提肛運動或腹式呼吸，有助升提中氣及訓練骨盆底肌，加強骨盆底肌的支撐功能，防治尿失禁。患者應減少咖啡、濃茶、寒涼利尿之品。
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