尿失禁の種類とは

第31回介護福祉士国家試験問題より

問題72
　尿失禁に関する次の記述のうち、正しいものを1つ選びなさい。

1 　認知症で尿を漏らすのを、腹圧性尿失禁という。
２　トイレまで我慢できずに尿を漏らすのを、切迫性尿失禁という。
３　重いものを持った時に尿を漏らすのは、混合性尿失禁という。
４　いろいろな原因が重なって尿を漏らすのを、溢流性尿失禁という。
５　前立腺肥大症で尿を漏らすのを、機能性尿失禁という。

正解は↓

答え　２
　尿失禁に関する設問です。

１　×　認知症が進むとトイレの位置がわからなくなり、トイレ以外の所に排尿することは、機能性尿失禁に分類されます。
２　〇　トイレまで間に合わなくて漏らす切迫性尿失禁は、膀胱炎・脳血管障害・パーキンソン病等が原因となることが多いです。　
３　×　重たいものを持った時に尿を漏らすのを腹圧性尿失禁といい、女性に多く、骨盤底筋の筋力低下などによって生じることいわれています。　
４　×　溢流性尿失禁は、尿がうまく出せず、膀胱にたまった尿がじわじわ出てくる状態をいいます。主に男性に多く、前立腺肥大や糖尿病、脊髄損傷などに多くみられます。
５　×　前立腺肥大で尿を漏らすのは、溢流性尿失禁に分類されます。機能性尿失禁は、自分で尿を出せるのに、排尿以外の身体機能の低下や認知症などにより、自力でトイレにたどり着くことができないときの尿失禁のことをいいます。

英訳

From the 31st National Examination Question for Care Workers

Problem 72
Please select the correct one from the following statements regarding urinary incontinence.

1 Leakage of urine due to dementia is called stress urinary incontinence.
2 It is called urge incontinence to leak urine without being able to put up with the toilet.
3 Leaking urine when holding a heavy object is called mixed urinary incontinence.
4 Overflow incontinence is when urine is leaked due to various causes.
5 Leakage of urine due to benign prostatic hyperplasia is called functional urinary incontinence.

The correct answer is ↓

Answer 2
This is a question about urinary incontinence.

1 × As dementia progresses, the position of the toilet becomes unknown, and urinating to a place other than the toilet is classified as functional urinary incontinence.
2 〇 Urge incontinence that leaks in time for the toilet is often caused by cystitis, cerebrovascular accident, Parkinson’s disease, etc. It was
3 × Leakage of urine when holding a heavy object is called stress urinary incontinence, which is common in women and is said to be caused by weakness of the pelvic floor muscles. It was
4 × Overflow incontinence is a condition in which urine does not come out well and urine accumulated in the bladder gradually comes out. It is mainly found in men, and is often found in benign prostatic hyperplasia, diabetes, and spinal cord injury.
5 × Leakage of urine due to benign prostatic hyperplasia is classified as overflow incontinence. Functional urinary incontinence is urinary incontinence when you can urinate by yourself, but you cannot reach the toilet on your own due to deterioration of physical functions other than urination or dementia.