{"id":6440,"date":"2023-08-31T16:53:35","date_gmt":"2023-08-31T13:53:35","guid":{"rendered":"https:\/\/gokcenerdogan.com\/idrar-kacirma-inkontinans\/"},"modified":"2023-10-05T00:39:52","modified_gmt":"2023-10-04T21:39:52","slug":"urinary-incontinence-treatment","status":"publish","type":"post","link":"https:\/\/gokcenerdogan.com\/en\/urinary-incontinence-treatment\/","title":{"rendered":"Urinary Incontinence Treatment"},"content":{"rendered":"\t\t
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U\u0308riner inkontinans, halk aras\u0131ndaki ad\u0131yla \u201cidrar kac\u0327\u0131rma\u201d, mesanenin istemsiz olarak idrar tutamama durumudur. Kad\u0131nlarda bu durum erkeklere k\u0131yasla daha s\u0131k go\u0308ru\u0308lu\u0308r. Genelde, idrar kac\u0327\u0131rma \u015fika\u0302yeti kad\u0131nlarda belirli bir ya\u015ftan sonra ba\u015flar.<\/p>\n

Hic\u0327 do\u011fum yapmam\u0131\u015f kad\u0131nlarda da idrar kac\u0327\u0131rma go\u0308ru\u0308lme olas\u0131l\u0131\u011f\u0131 vard\u0131r. Bunun en o\u0308nemli sebepleri kronik kab\u0131zl\u0131k ve a\u015f\u0131r\u0131 kilolu olmakt\u0131r. A\u015f\u0131r\u0131 kilo pelvik taban kaslar\u0131n\u0131 zorlad\u0131\u011f\u0131ndan dolay\u0131 bu bir su\u0308re sonra idrar kac\u0327\u0131rmaya neden olabilmektedir. Asl\u0131nda bu durum c\u0327ok say\u0131da genc\u0327 kad\u0131n\u0131n fiziksel ve psikolojik olarak ya\u015fam kalitesini de du\u0308\u015fu\u0308rebilmekte ve cinsel hayat\u0131n\u0131 olumsuz yo\u0308nde etkileyebilmektedir.I\u0307drar kac\u0327\u0131rma durumu birc\u0327ok sebebe ba\u011fl\u0131 olarak meydana gelebilmektedir.<\/p>\n

U\u0308riner inkontinans prevalans\u0131:<\/p>\n

    \n
  • U\u0308riner inkontinans eri\u015fkin kad\u0131nlar\u0131n yakla\u015f\u0131k yar\u0131s\u0131n\u0131 etkiler ki bu grup kad\u0131nlar\u0131n %16\u2019s\u0131nda rahats\u0131z edici semptomlara yol ac\u0327ar.<\/li>\n
  • Seksen ya\u015f u\u0308stu\u0308 kad\u0131nlar\u0131n ise %75\u2019i inkontinantt\u0131r.<\/li>\n
  • Kad\u0131nlarda 50 ya\u015f\u0131na kadar bask\u0131n olan stres inkontinans iken, buya\u015ftan sonra s\u0131k\u0131\u015fma tipli inkontinans s\u0131kl\u0131\u011f\u0131 artar.Mesanede olu\u015fabilecek enfeksiyonlar, vajina enfeksiyonlar\u0131, mesane ta\u015flar\u0131, zor do\u011fumlar, hormonal de\u011fi\u015fiklikler, mesane tu\u0308mo\u0308rleri, sinirsel hastal\u0131klar, mesane c\u0327\u0131k\u0131\u015f\u0131 t\u0131kan\u0131kl\u0131klar\u0131 idrar kac\u0327\u0131rman\u0131n nedenlerindendir.<\/li>\n<\/ul>\n

    I\u0307drar kac\u0327\u0131rma bir hastal\u0131k de\u011fildir, bir sa\u011fl\u0131k sorunu belirtisidir. Altta yatan ciddi bir durumun habercisi olabildi\u011finden sadece ya\u015fla ilgili rahats\u0131zl\u0131k olarak du\u0308\u015fu\u0308nu\u0308lmemelidir. C\u0327u\u0308nku\u0308, idrar kac\u0327\u0131rma \u015fikayetlerinin bu\u0308yu\u0308k k\u0131sm\u0131 u\u0308reme c\u0327a\u011f\u0131ndaki kad\u0131nlarda da go\u0308ru\u0308lebilmektedir. I\u0307drar kac\u0327\u0131rma \u015fikayetini artt\u0131rabilen nedenleri \u015fu \u015fekilde s\u0131ralayabiliriz:<\/p>\n

      \n
    • Mesane kaslar\u0131n\u0131n idrar\u0131 tutabilme gu\u0308cu\u0308nu\u0308n azalmas\u0131,<\/li>\n
    • Mesane kaslar\u0131n\u0131n a\u015f\u0131r\u0131 c\u0327al\u0131\u015f\u0131yor olmas\u0131,<\/li>\n
    • Mesane u\u0308zerinde etki go\u0308steren sinir sisteminin hasara u\u011fram\u0131\u015f olmas\u0131,<\/li>\n
    • Mesanenin du\u0308zgu\u0308n c\u0327al\u0131\u015ft\u0131\u011f\u0131 halde de kas iskelet sisteminiz hareketlerinizi k\u0131s\u0131tlamas\u0131.<\/li>\n<\/ul>\n

      Ayr\u0131ca, gu\u0308n ic\u0327erisinde a\u015f\u0131r\u0131 miktarda al\u0131nan c\u0327ay, kahve vs. ic\u0327ecekler idrara s\u0131k\u0131\u015fman\u0131za yol ac\u0327abildi\u011fi gibi, baz\u0131 sa\u011fl\u0131k sorunlar\u0131 da idrar kac\u0327\u0131rman\u0131n nedeni olabilir:<\/p>\n

        \n
      • I\u0307drar yolu enfeksiyonu gibi bakteri kaynakl\u0131 hastal\u0131k gec\u0327irmek,<\/li>\n
      • Amfizem, kistik fibrozis gibi ciddi solunum hastal\u0131klar\u0131 ya\u015famak,<\/li>\n
      • Diu\u0308retik gibi mesaneyi fazla c\u0327al\u0131\u015ft\u0131ran ilac\u0327lar\u0131 kullanmak,<\/li>\n
      • Uzun ve sanc\u0131l\u0131 du\u011fum o\u0308yku\u0308su\u0308,<\/li>\n
      • I\u0307leri ya\u015fta do\u011fum yapm\u0131\u015f olmak,<\/li>\n
      • Birden fazla do\u011fum yapm\u0131\u015f olmak,<\/li>\n
      • Menopoz gibi sebeplerle mesane kaslar\u0131n\u0131n elastikiyetinin azalmas\u0131,<\/li>\n
      • Mesaneyi s\u0131k\u0131\u015ft\u0131rmaya yol ac\u0327an kab\u0131zl\u0131k durumunu s\u0131k s\u0131k ya\u015famak,<\/li>\n
      • Orta ya\u015f ve u\u0308zeri olmak,<\/li>\n
      • Aktif hareket etmeyi engelleyecek du\u0308zeyde a\u015f\u0131r\u0131 kilolu olmak,<\/li>\n
      • Belirtileri aras\u0131nda s\u0131k s\u0131k idrara c\u0327\u0131kma durumu olan diyabetten muzdarip olmak,<\/li>\n
      • Le\u011fen kemi\u011finin k\u0131r\u0131lmas\u0131na veya omurgada sakatl\u0131\u011fa yol ac\u0327an bir kaza gec\u0327irmi\u015f olmak,<\/li>\n
      • Romatizma hastal\u0131klar\u0131n\u0131n olmas\u0131 veya kas kontrolu\u0308nu\u0308n yitirebildi\u011fi Multipl skleroz gibibir hastal\u0131\u011fa sahip olmak.
        Bunun gibi durumlar mesanenizin idrar tutma go\u0308revini sa\u011fl\u0131kl\u0131 \u015fekilde yerine getirmesine\u00a0<\/li>\n<\/ul>\n

        engel olabilmektedir.<\/p>\n

        Yine; birinci derece yak\u0131nlar\u0131n\u0131z\u0131n o\u0308yku\u0308lerinde, mesaneyi kontrol eden sinir sisteminin du\u0308zgu\u0308n c\u0327al\u0131\u015fmas\u0131n\u0131 etkileyen Alzheimer, Parkinson, Demans D1 gibi hastal\u0131klar\u0131n olmas\u0131 idrar kac\u0327\u0131rma \u015fikayetlerinin geli\u015fmesine sebep olabilir.<\/p>\n

        I\u0307drar Kac\u0327\u0131rma Tipleri 1. Stres inkontinans\u0131<\/p>\n

        Stres tipi idrar kac\u0327\u0131rma, kar\u0131n u\u0308zerinde bas\u0131nc\u0327 olu\u015fturan hap\u015f\u0131rma, gu\u0308lme ve o\u0308ksu\u0308rme gibi fiziksel eforu gerektiren durumlarda mesaneden istemsiz bir \u015fekilde idrar akmas\u0131n\u0131 tan\u0131mlar. Stres u\u0308riner inkontinans, genc\u0327 kad\u0131nlarda idrar kac\u0327\u0131rman\u0131n en yayg\u0131n sebebidir ve ya\u015fl\u0131 kad\u0131nlarda ise, en s\u0131k ikinci nedendir diyebiliriz. Do\u011fumun zor gec\u0327mi\u015f olmas\u0131, bu\u0308yu\u0308k bebek do\u011furma, anne olma ya\u015f\u0131n\u0131n ileri olmas\u0131, do\u011fumdan y\u0131llar sonra bile stres tipi idrar kac\u0327\u0131rma ya\u015fanmas\u0131na neden olabilmektedir. Kad\u0131nlarda, menopozla birlikte ya\u015flanma su\u0308reci de bu tip idrar kac\u0327\u0131rma \u015fikayetine yol ac\u0327abilir. Ayr\u0131ca, s\u0131k s\u0131k o\u0308ksu\u0308rmeye neden olan amfizem, kistik fibrozis gibi ciddi solunum hastal\u0131klar\u0131 da stres tipi idrar kac\u0327\u0131rmaya neden olabilmekte ve stres tipi idrar kac\u0327\u0131rma mesane kaslar\u0131n\u0131n zay\u0131flamas\u0131na ba\u011fl\u0131 olarak geli\u015fmektedir.<\/p>\n

          \n
        1. A\u015f\u0131r\u0131 aktif mesane (S\u0131k\u0131\u015fma tipi idrar kac\u0327\u0131rma)<\/li>\n<\/ol>\n

          Bazen mesaneniz tam olarak dolmad\u0131\u011f\u0131 halde tuvalete s\u0131k\u0131\u015fm\u0131\u015f gibi hissedebilirsiniz. S\u0131k\u0131\u015fmay\u0131 tuvalete yeti\u015fememe takip ederse idrar\u0131n\u0131z\u0131 kac\u0327\u0131rarak s\u0131k\u0131\u015fma tipi idrar kac\u0327\u0131rmaya maruz kal\u0131rs\u0131n\u0131z. S\u0131k\u0131\u015fma durumu her zaman idrar kac\u0327\u0131rman\u0131za neden olmasa da, d\u0131\u015far\u0131da tuvalete yeti\u015fme ihtiyac\u0131 nedeniyle i\u015f ve sosyal ya\u015fam\u0131n\u0131z\u0131n kesintiye u\u011framas\u0131na yol ac\u0327abilir. O\u0308zellikle kad\u0131nlarda, sistit ve erkeklerde prostatit gibi mikroplar\u0131n neden oldu\u011fu idrar yolu hastal\u0131klar\u0131, mesanede ta\u015f olmas\u0131, iyi huylu prostat bu\u0308yu\u0308mesi, prostat kanseri tedavisi, multipl skleroz, parkinson gibi kas ve sinir sistemini etkileyen hastal\u0131klar\u0131n varl\u0131\u011f\u0131 s\u0131k\u0131\u015fma tipi idrar kac\u0327\u0131rmaya neden olabilir. S\u0131k\u0131\u015fma tipi idrar kac\u0327\u0131rma, mesane kaslar\u0131n\u0131n zay\u0131flamas\u0131na ba\u011fl\u0131 olarak geli\u015fen stres tipi idrar kac\u0327\u0131rman\u0131n tersine, mesane kaslar\u0131n\u0131n a\u015f\u0131r\u0131 aktif c\u0327al\u0131\u015fmas\u0131ndan kaynaklanmaktad\u0131r.<\/p>\n

            \n
          1. Ani i\u015feme hisli (s\u0131k\u0131\u015fma tipli, urge) inkontinans<\/li>\n<\/ol>\n

            Mesane dolu veya bo\u015f iken aniden geli\u015fen i\u015feme hissini takiben istemsiz idrar kac\u0327\u0131rmad\u0131r. O\u0308zellikle su sesi (o\u0308rne\u011fin bula\u015f\u0131k y\u0131kama), so\u011fuk ic\u0327ecekler veya so\u011fu\u011fa maruz kalma semptomu<\/p>\n

            tetikleyebilir. Beklenmedik zamanlarda ortaya c\u0327\u0131kabilen bu durumda (uyku da dahil) bu\u0308yu\u0308k miktarda idrar kac\u0327\u0131rma go\u0308ru\u0308lu\u0308r.<\/p>\n

              \n
            1. Kar\u0131\u015f\u0131k tip idrar kac\u0327\u0131rma<\/li>\n<\/ol>\n

              Kar\u0131\u015f\u0131k idrar kac\u0327\u0131rma, mesane kaslar\u0131n\u0131n zay\u0131flamas\u0131na ba\u011fl\u0131 olarak geli\u015fen \u201cstres tipi idrar kac\u0327\u0131rma\u201dile mesane kaslar\u0131n\u0131n a\u015f\u0131r\u0131 aktif c\u0327al\u0131\u015fmas\u0131ndan kaynaklanan \u201cs\u0131k\u0131\u015fma tipi idrar kac\u0327\u0131rma\u201d belirtilerinin bir arada ya\u015fanmas\u0131d\u0131r. Kad\u0131nlarda daha s\u0131k go\u0308ru\u0308lse de, prostat ameliyat\u0131 gec\u0327irmi\u015f erkekler ve ya\u015fl\u0131lar da kar\u0131\u015f\u0131k tip idrar kac\u0327\u0131rmadan \u015fikayetc\u0327i olabilirler.<\/p>\n

                \n
              1. Ta\u015fma tipi idrar kac\u0327\u0131rma<\/li>\n<\/ol>\n

                Mesanenizkas\u0131l\u0131rken idrar c\u0327\u0131k\u0131\u015f\u0131 ic\u0327in gev\u015femesi gereken mesane kapa\u011f\u0131n\u0131z yeterince gev\u015feyemedi\u011fi ic\u0327in her idrara c\u0327\u0131k\u0131\u015f\u0131n\u0131zda mesanenizin tam olarak bo\u015falmad\u0131\u011f\u0131n\u0131 hissedebilirsiniz. Genelde,ya\u015fl\u0131bireylerdego\u0308ru\u0308lu\u0308r.Mesanedekalanbirmiktaridrar,idrartorbas\u0131 u\u0308zerinde su\u0308rekli bask\u0131 olu\u015fturur. Bu durum idrar kac\u0327\u0131rmaya neden olur. Bu tip idrar kac\u0327\u0131rmaya \u201cta\u015fma tipi idrar kac\u0327\u0131rma\u201d denir. Rahmin olmas\u0131 gerekti\u011fi yerden a\u015fa\u011f\u0131ya du\u0308\u015fmu\u0308\u015f olmas\u0131, \u015feker hastal\u0131\u011f\u0131 nedeniyle mesaneyi kontrol eden sinirlerin harabiyeti, omurilik yaralanmalar\u0131 gibi mesaneyi yo\u0308neten sinir hu\u0308crelerinin hasarlanmas\u0131 ta\u015fma tipi idrar kac\u0327\u0131rma nedenleri aras\u0131nda sayabiliriz.<\/p>\n

                  \n
                1. Fonksiyonel tip idrar kac\u0327\u0131rma<\/li>\n<\/ol>\n

                  Mesanenizin iyi c\u0327al\u0131\u015fmas\u0131na ra\u011fmen romatizma hastal\u0131klar\u0131 sebebiyle hareket etmede zorlanabilir ve tuvalete yeti\u015femeyerek idrar\u0131n\u0131z\u0131 kac\u0327\u0131rabilirsiniz. Bu tu\u0308r \u015fikayetlere fonksiyonel tip idrar kac\u0327\u0131rma problemi diyebiliriz. Demans, Alzheimer ve inme gibi sinir sistemi sa\u011fl\u0131\u011f\u0131 sorunlar\u0131 olan bu hastalarda daha s\u0131k olmakta ve tuvalete gitmeyi unuttuklar\u0131 ic\u0327in mesanelerinin doldu\u011funu bile fark edememekteler.<\/p>\n

                    \n
                  1. Gec\u0327ic\u0327i inkontinans<\/li>\n<\/ol>\n

                    Gec\u0327ecek bir durum (o\u0308rne\u011fin u\u0308riner enfeksiyon, diu\u0308retik, trankilizan, kolinerjik, sempatolitik ilac\u0327 kullan\u0131m\u0131 gibi) aras\u0131ra idrar kac\u0327\u0131rmad\u0131r.<\/p>\n

                      \n
                    1. Yap\u0131sal inkontinans<\/li>\n<\/ol>\n

                      Anatomik yap\u0131sal sorunlar inkontinansa yol ac\u0327ar. C\u0327ocukluk c\u0327a\u011f\u0131nda tan\u0131 konulan ektopik u\u0308reter veya obstetrik ve jinekolojik travmaya ba\u011fl\u0131 geli\u015fen fistu\u0308ller (s\u0131kl\u0131kla vezikovajinal daha nadiren ureterovajinal fistu\u0308ller) devaml\u0131 inkontinansa neden olur.<\/p>\n

                        \n
                      1. Psikojenik inkontinans<\/li>\n<\/ol>\n

                        S\u0131kl\u0131kla emosyonel bozukluklar veya depresyon gibi psikolojik nedenli idrar tutma kontrolu\u0308nu\u0308n kayb\u0131d\u0131r. Ani korku veya duygu de\u011fi\u015fikliklerine idrar kac\u0327\u0131rma e\u015flik edebilir.<\/p>\n

                          \n
                        1. K\u0131k\u0131rdama inkontinansi<\/li>\n<\/ol>\n

                          Daha ziyade ku\u0308c\u0327u\u0308k k\u0131z c\u0327ocuklar\u0131nda gu\u0308lme esnas\u0131nda veya hemen sonra k\u0131smi veya tam bir i\u015femenin ortaya c\u0327\u0131kmas\u0131d\u0131r. U\u0308rodinamide belirgin bir patoloji yoktur.<\/p>\n

                          Durum e\u011fitimi, metilfenidat ve imipiramin ile iyi sonuc\u0327lar bildirilmektedir.<\/p>\n

                            \n
                          1. Koital inkontinans<\/li>\n<\/ol>\n

                            Vajinal penetrasyon veya orgazm esnas\u0131nda (cinsel e\u015fli veya mastu\u0308rbasyon) ortaya c\u0327\u0131kan idrar kac\u0327\u0131rmad\u0131r. S\u0131kl\u0131kla pubou\u0308retral ligaman gev\u015fekli\u011fine ba\u011fl\u0131d\u0131r. Tedavide retropubik miduretral ask\u0131 cerrahisi tercih edilmelidir.<\/p>\n

                            Idrar Kac\u0327\u0131rma Tedavisi Ankara<\/p>\n

                            Yukar\u0131da sayd\u0131\u011f\u0131m\u0131z ya\u015fam kalitenizi etkileyen bu durumlar\u0131 ya\u015famak zorunda de\u011filsiniz. Bir yolu her zaman vard\u0131r. Bunun ic\u0327in ilk basamak olarak kendi alan\u0131nda deneyimli kad\u0131n hastal\u0131klar\u0131 ve do\u011fum uzman\u0131 ve u\u0308roloji uzman\u0131na ba\u015fvurulmal\u0131d\u0131r. I\u0307nkontinans ile ba\u015fvuran kad\u0131nlar\u0131n pelvik muayenesi yap\u0131lmal\u0131d\u0131r. Bununla birlikte, o\u0308zellikle ya\u015fl\u0131 kad\u0131nlarda olas\u0131 di\u011fer fakto\u0308rler ve altta yatan durumlar\u0131n saptanmas\u0131 ic\u0327in gereken kontroller yap\u0131lmal\u0131d\u0131r. U\u0308riner inkontinans hem genc\u0327 hem de ya\u015fl\u0131 insanlar ic\u0327in s\u0131k\u0131nt\u0131 yaratan ve bazen hayat\u0131 tehdit eden hastal\u0131\u011f\u0131n tek belirleyici semptomu da olabilir. Bu nedenle de\u011ferlendirme yaparken, no\u0308rolojik durumlar, mesane kanserleri ve uyku apnesi ac\u0327\u0131s\u0131ndan da detayl\u0131 de\u011ferlendirme gerekmektedir.<\/p>\n

                            Gu\u0308nu\u0308mu\u0308zde idrar kac\u0327\u0131rma sorununda ameliyats\u0131z tedaviler ilk basamak olarak uygulan\u0131r. Pelvik taban kaslar\u0131n\u0131n egzersizleri (Kegel egzersizleri), u\u0308retra c\u0327\u0131k\u0131\u015f\u0131nda du\u0308zelmenin sa\u011flanmas\u0131 ic\u0327in hastalara lokal o\u0308strojen hormonunun uygulanmas\u0131 ve menopoz do\u0308neminde olanlar ic\u0327in fitil, krem veya jel \u015feklinde lokal o\u0308strojen uygulamas\u0131 da faydal\u0131 olabilmektedir.<\/p>\n

                            Genellikle ilk cerrahi giri\u015fimin ba\u015far\u0131 \u015fans\u0131 oldukc\u0327a yu\u0308ksektir. Hastan\u0131n, ya\u015f\u0131, kilosu, menapozal durumu, inkontinans\u0131n tipi ve beraberinde e\u015flik eden sarkma derecesi ameliyat tipini karar vermede o\u0308nemlidir. Ameliyat tipinin sec\u0327iminde; hastan\u0131n genel durumu, u\u0308retran\u0131n testlerdeki hareketlilik durumu, ameliyat o\u0308ncesi u\u0308rodinamik parametreler, cerrahi deneyim ve uygulanacak tekni\u011fin olas\u0131 komplikasyonlar\u0131 go\u0308z o\u0308nu\u0308nde bulundurulur.<\/p>\n

                            \u00a0<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

                            U\u0308riner inkontinans, halk aras\u0131ndaki ad\u0131yla \u201cidrar kac\u0327\u0131rma\u201d, mesanenin istemsiz olarak idrar tutamama durumudur. Kad\u0131nlarda bu durum erkeklere k\u0131yasla daha s\u0131k go\u0308ru\u0308lu\u0308r. Genelde, idrar kac\u0327\u0131rma \u015fika\u0302yeti kad\u0131nlarda belirli bir ya\u015ftan sonra ba\u015flar. Hic\u0327 do\u011fum yapmam\u0131\u015f kad\u0131nlarda da idrar kac\u0327\u0131rma go\u0308ru\u0308lme olas\u0131l\u0131\u011f\u0131 vard\u0131r. Bunun en o\u0308nemli sebepleri kronik kab\u0131zl\u0131k ve a\u015f\u0131r\u0131 kilolu olmakt\u0131r. A\u015f\u0131r\u0131 kilo pelvik taban […]<\/p>\n","protected":false},"author":1,"featured_media":6458,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[121],"tags":[],"class_list":["post-6440","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-home"],"yoast_head":"\nUrinary Incontinence Treatment - G\u00f6k\u00e7en Erdo\u011fan<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gokcenerdogan.com\/en\/urinary-incontinence-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Urinary Incontinence Treatment - G\u00f6k\u00e7en Erdo\u011fan\" \/>\n<meta property=\"og:description\" content=\"U\u0308riner inkontinans, halk aras\u0131ndaki ad\u0131yla \u201cidrar kac\u0327\u0131rma\u201d, mesanenin istemsiz olarak idrar tutamama durumudur. Kad\u0131nlarda bu durum erkeklere k\u0131yasla daha s\u0131k go\u0308ru\u0308lu\u0308r. Genelde, idrar kac\u0327\u0131rma \u015fika\u0302yeti kad\u0131nlarda belirli bir ya\u015ftan sonra ba\u015flar. Hic\u0327 do\u011fum yapmam\u0131\u015f kad\u0131nlarda da idrar kac\u0327\u0131rma go\u0308ru\u0308lme olas\u0131l\u0131\u011f\u0131 vard\u0131r. Bunun en o\u0308nemli sebepleri kronik kab\u0131zl\u0131k ve a\u015f\u0131r\u0131 kilolu olmakt\u0131r. 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