Understanding Frequent Urination and Bladder Health
Frequent urination is a common issue many people may encounter, especially when the need to visit the restroom becomes very frequent that it affects daily life. This could be a warning sign from your bladder about potential health concerns. Dr Lo Ting-kit, Consultant in Urology at Gleneagles Hospital Hong Kong, points out that the causes of frequent urination vary and include overactive bladder, benign prostatic hyperplasia, excessive intake of diuretic beverages (such as coffee), or even underlying health problems like sleep apnea, heart failure, kidney disorder, prostate or bladder cancer etc.
Definition and Common Causes of Frequent Urination
Traditionally, urinating more than seven times a day while awake may be considered frequent urination, but this can also be influenced by individual water intake habits, diet, and activity levels. If accompanied by sudden urges to urinate or increased nighttime urination, it could be a sign of overactive bladder. Dr Lo recommends seeking medical advice promptly if frequent urination persists or disrupts daily life to identify the root cause.
Treatment and Daily Management
Generally, treatment for overactive bladder can involve medication, lifestyle adjustments, and bladder training. Medications such as anticholinergic agents and Beta-3 agonists can help stabilise bladder muscles in the treatment of overactive bladder. Additionally, reducing the intake of diuretic beverages (like coffee) can also alleviate symptoms. Bladder training can help extend the intervals between urination, gradually improving the issue. If these treatments do not provide satisfactory results, patients may consider percutaneous tibial nerve stimulation (PTNS) to regulate bladder nerves or Botox injections to stabilise the bladder wall. 🔎 Please click here to watch the interview of Dr Lo Ting-kit on frequent urination related common questions and bladder health (in Cantonese only).
認識尿頻及膀胱健康
尿頻是許多人可能遇到的問題，在日常生活中頻繁地需要上洗手間，甚至影響到工作或休息，這可能是膀胱發出的健康警號。港怡醫院泌尿外科顧問醫生盧挺傑指出，尿頻的原因多樣，包括膀胱過度活躍症，良性前列腺增生，攝入過多利尿飲品（如咖啡），甚至是潛在的健康問題，如睡眠窒息症，心臟衰竭，腎臟疾病，前列腺或膀胱癌等。
尿頻的定義與常見原因
傳統上，清醒時每日小便超過七次可能被視為尿頻，但這也受個人喝水習慣、飲食及活動量影響。若伴隨突發性尿急或夜尿增多，則可能是膀胱過度活躍症的表現。盧醫生建議，若尿頻情況持續或影響生活，應及早尋求醫生檢查，找出根本原因。
治療與日常管理
一般而言，治療膀胱過度活躍症所引至的尿頻可從藥物、改善生活習慣及訓練膀胱著手。藥物治療如抗膽鹼藥和Beta-3受體促進劑（又稱「 β3-腎上腺素受體激動劑」）可穩定膀胱肌肉。另外，改善生活習慣如減少攝入利尿飲品（如咖啡），也有助改善尿頻情況。訓練膀胱有助延長排尿間隔時間，逐步改善尿頻問題。假如以上治療方案沒有達到理想效果，患者就可以考慮進行脛神經電擊治療以調節膀胱的神經線或肉毒桿菌治療讓膀胱壁穩定。 🔎 請按此觀看盧挺傑醫生分享有關尿頻常見問題與膀胱健康的訪問。 | 
No comments:
Post a Comment