Monday, June 11, 2007

Makcik batuk sampai terkencing...(for ladies)

"Seksa benar minggu ni nak...." said a 65 years old lady who came to see me.
"Batuk ni dah seminggu tak mau surut-surut. Habis sakit dada dan kepala makcik bila batuk tu datang" she continued.
"Yang susah tu batuk sampai terkencing-kencing...susah nak (me)nahan kau tau ke?" She was a bit embarassed and concerned when making this statement.

I assurred her there is nothing embarassing about it. I told her she did not on purpose pee in her panties.She can't help it. The pressure of repeated and continous coughing can do that to a woman(and man too).Especially if the sufferer is an elderly lady.

So what is her problem? And has that got to do with us bloggers? Well, a lot I would say.
She is suffering from stress incontinence.

Stress incontinence is an involuntary loss of urine occuring during physical activity such as coughing,sneezing,laughing and exercise.

Why does stress incontinence(SI) occur?

SI is a bladder storage problem in which the strenght of muscles to help control urination is reduced.The sphincter is unable to prevent urine flow when there is increased abdominal pressure. This muscle/sphincter is part of the pelvic floor.

What is the Pelvic floor?

The pelvic floor is the layers of muscle that stretches from your pubic bone in the front to your tailbone(coccyx) at the back. It is the main support structure for the pelvic organs(bladder,uterus and bowels).

A toned pelvic floor helps close off the bladder and bowels outlets to help prevent leakage( yes bocor).It can also contribute to sexual response and orgasm( ahh..I see the men are taking this more seriously).

Floppy Floor?
( no no its not floopy disc or Flop Poppy)

Several factors contribute to weakening of pelvic floor muscles.These include:
* pregnancy(especially frequent)
*Childbirth( especially prolonged labour and use of instrumentations or bag babies)
*Straining to empty the bladder or bowel with or without constipation
* Constipation
*Persistent heavy lifting
*Chronic cough(from smoking or asthma)
*Overweight
*Lack of general fitness.

This means almost any woman can have weak plevic floor muscles.It's a good thing that anyone,too,can do the exercises that strenghten these muscles.

A Firmer Floor.

The first step is to correctly indentify the muscles. Sit comfortably.Your tighs,buttocks and abdominal muscles should be relaxed.Lift and squeeze the muscles in your pelvis as if you are trying to hold back urine or flatulence( senang cerita, orang Melayu sebut Kemut! Ada faham?)

If you feel unsure wether you have indentified the correct muscles,try to stop your flow when passing urine,then restart it. Only do this to identify the correct muscles to use.This is JUST a test,NOT an exercise.

Let's get down and dirty.

Let's start the pelvic floor exercise. Its also called Kegel exercise

At first you may need to perform these exercises while sitting or lying down.As the muscles strenghten, you can progress to exercise standing up.As in any muscle training activity,start with what you can achieve and progress from there.

If you can feel the muscles working,exercise them by:

1- "Kemut"ing strongly for as long as you can(1 to 10 seconds). Keep breathing! Now release and relax.You should have a definite feeling of letting go.

2-Rest 10-20 seconds.Repeat step 1 and remember,it is important to rest.If you find it easy to hold your kemutan,hold it longer and repeat as many as you are able to.Work towards 12 long strong holds.

3-Now try 5-10 short,fast strong kemutans.

While you are exercising:
*Do NOT hold your breath
*Do NOT push down(meneran) instead of squeezing and lifting(kemut)
*Do NOT pull in your tummy tightly
*Do NOT tighten your buttock and tighs.

Try to set aside 5-10 minutes each day for the exercise routine and remember,QUALITY is important.A few good kemutans are more beneficials than many half-hearted ones.And good results take time and effort.

Remember to use the muscles when you needed them most: ALWAYS kemut before you cough,sneeze,lift,bend,get up from a chair or prolonged laughing,etc.

Getting Stronger.

Increase the lenght of time you kemut and the number of holds you do in succession before experiencing muscle fatigue.Increase the number of short,fast strong kemutans.Always do your maximum number of quality kemutan.

Some helpful hints:
# Seek medical advice for chronic coughing.
#Keep your weight within a healthy range for your haight and age.
#Develop a good bowel habits
#Improvement of the kemut exercise will take 3-6 months of regular training.

So, you ladies( and men)out there, do start doing the Kegel exercise from now.Don't you wait till you have the stress incontinence will you start. And hubby will like it too.

Kandungan posting mungkin ada kena mengena atau tidak dengan makhluk yang hidup atau yang telah tiada.Kalau sapa-sapa terasa nak buat macamana kan. Sapa makan cabai melaka dia pedaih laa

872 comments:

1 – 200 of 872   Newer›   Newest»
Bunga Telur & Bally Shoes said...

assalamualaikum,

pekabar? sorilah ganggu je komen ni. bukan nak komen pun cuma nak tanya. camne nak letak lagu dalam blog supaya bila org bukak blog kita ada muzik (walaupun mak dara x minat ahli muzik)?

termakasih daun keladi

tokasid said...

Salam to bunga teloq kasut bally:

Jazakallah for visiting here.
I saw your blog and terlioq tengok keta tolak juai cendoi di Penang tu. And it was nice that you met Sheikh Imran Hossein. I met him several yaers ago in KL for a talk and launching of his book. He was indeed a very good man and have the Palestinian issues close to his heart.

Can I link your blog in mine?

Cara nak boh lagu:
Kat blog I ente will nampak logo iwebmusic kan? Ente right click dan bula page for iwebmusic.Ente akan di suruh daftar(FOC) sebagai member. Bila dah jadi member ente boleh pilih lagu ,ada 2 cara.
1)ikut alphabet artis(yg ni senang sikit)
2) ikut alphabet nama lagu( yg ni leceh banyak).

Bila dah dapat lagu yg nak left click tang nama lagu akan keluar page yg tanya samada lagu tu main sekali je atau berulang-ulang(pilih ikut suka ente lah).Lepas click yg sepatutnya akan dibuka page yg ada html. Enta copy apa yg ada dlm kotak tu.

Seterusnya kat blog ente, click customise kat atas sebelah kiri.Akan keluar page baru edit blog. Pilih dan click Add page element. Kat situ pilih Add HTML/Java script.Click yg tu. Akan keluar ruangan utk tajuk(lagu) dan kat bawah tu utk add htlm. So ente pastekan htlm dari iwebmusic yg ente pilih.

Save kan dan ente reload blog ente.Lagu tu akan timbul utk di dengari.
Selamat mencuba.
Salam.

zabs said...

Maaf Tuan TA, tak boleh nak pi laman web "Kegel exercise" tu.

Kena pakai pamper ke nanti kalau dah jadi macam tu? Kalau buat pelvic floor exercise selalu ada lain lagi manfaatnya kan Doc.kan?

Fauziah Ismail said...

Salam Tokasid
I get very worried when I start to cough.
The Chinese termed it as the "100 Days Cough. It takes three months to go away.
Thank you for the exercise. I hope to make it a routine.

tokasid said...

Pak zabs:

Kegel exercise dah boleh dilawati.Semalam lupa nak paste html dia kat entry kot.

Yes according to responses yg Dr Kegel dapati is the patients claim that their sexual life and attainment of orgasm is much better. Wallahu'alam.

tokasid said...

Fauziah:

Yes 100 days cough is irritating.Its actualy Bronchitis. Despite taking cough syrups and various antibiotics this condition is stubborn.
Sometimes it just go off in the 3rd months. Few will have this recurring on the yearly basis. Hope you are not in that category.
Happy Kegelling.

Anonymous said...

Dearest TA,
Saya adalah seorang lelaki yang agak hensem (sajalah nak cakap ,takut TA tak tanye)..itu bukan masaalah saya tapi saye kuat ketawa sampai terkencing .Kalu tak ketawa susah saya ...tu camna....Awang Kelana

tokasid said...

Awang kelana:
Kah3..kita semua hensem di mata sendiri jgn risau.Macam saya biar org kata tak hensem( terutama kawan lama CGOPD) tapi di mata saya saya yg paling hensem dalam dunia.

Semua org perlu ketawa utk hilangkan tension. Tapi ketawa yg macamana? Kita boleh ketawa tapi ada kadarnya.Jgnlah sampai terbahak-bahak sampai terkencing dalam seluar pula. Nabi s.a.w. pun ketawa tetapi tak sampai terbahak2. So cuba ubah cara ketawa. Dan jika sukar ubah AK boleh buat Kegel exercise.Ianya bukan spesifik utk wanita sahaja. Ianya utk lelaki. terutama yg ada masaalah prostate.
You would be suprise that this Kegel exercise actually improves men's erection becoz it strenghtens the pelvic muscles. It does the same to ladies. Selamat mencuba

Bunga Telur & Bally Shoes said...

assalamualaikum,

terimakasihlah kerana reply soalan saya yg baru nak berjinak2 dgn blog ni.

toksah katakan tokasid, saya sendiri kalau tengok gambar2 atau teringat Pulau Mutiara tu mesti meleleh air lioq.

yes, please add me to your blog. link my blog and yours. syok, rasa cam dapat makan satay kajang je.

saya sebenarnya nak masukan lagu 'to sir with love' tapi lagu tu takde dalam iwebmusic. saya dah register dan cuba upload dari komputer saya sebab saya ada lagu tu. tapi tak berjaya. bolehke saya upload lagu dari komputer saya sendiri? sorilah bebanyak kalau saya menyusahkan tokasid. saya budak baru belajar...

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