Delayed mecheispuskaniya (ishuria) - in women it happens infrequently, because it's impossible to urinate with a full bladder. The delay of urination in women is both acute (develops suddenly), and chronic (with gradual development).
Delayed urination in women - causes
The main reasons for the absence of urination with a full bladder:
- a mechanical obstruction to the flow of urine from the bladder (with a blockage of stones, a tumor);
- diseases of the central nervous system (with trauma or tumors of the spinal cord or brain);
- reflex disorders (after severe labor, surgery on the perineum and uterus, after spinal anesthesia, with prolonged stays in a supine position, under severe stress);
- with intoxication (alcoholic, medicamentous).
Acute retention of urination occurs more often after trauma, intoxication, diseases of the nervous system, surgical interventions in the small pelvis. And chronic retention of urination develops with gradual compression of the urethra with a tumor or stone.
Also distinguish between complete and incomplete retention of urination. At full delay, despite attempts and the urge to urinate, the woman will have no urination or urine, and if the urine is partially discharged, the bladder remains full. If the bladder remains overstrained for a long time, then paradoxical ishuria can arise - due to the atony of the sphincter urine is constantly released in a small amount, but the bladder is not emptied and remains overstrained.
Ishuriyu should not be confused with anuria - the absence of urination in women with ishuria is associated with problems of the bladder, and with anuria - with a violation of the kidneys that stop excreting urine and in the bladder it is gone, as there is no urge to urinate.
There are other possible causes of urinary retention, such as pregnancy. The delay of urination during pregnancy is due to mechanical compression of the bladder by the uterus with a growing fetus.
Delayed urination in women - treatment
If you are diagnosed with ishuria (for example, with uzi a full bladder is found in the absence of urination), first of all, you should make sure that it is not caused by a mechanical blockage of the bladder with a stone or tumor.
If an acute urinary retention is diagnosed, then an urgent help in this case is to empty the bladder. The main treatment for such a delay in urinating is the bladder catheterization .
To do this, the woman lies in a horizontal position with her legs divorced on the ship, a rubber oilcloth is under the basin, the nurse puts on sterile gloves. The genitals are treated with an antiseptic solution, sterile tampons dilute the labia and find a hole in the urethra and also treat with a sterile swab with an antiseptic.
A rubber sterile catheter is injected slowly, 2 cm to a depth of 7-8 cm slowly into the depth of the urethra.
Less often, a permanent catheter is left in the bladder for several days, but in this case the bladder is regularly washed with an antiseptic solution to prevent infectious complications. If the urinary retention can not be eliminated by catheterization, surgical intervention is used to remove obstructions to urinary outflow.