{"id":31876,"date":"2024-05-30T11:57:28","date_gmt":"2024-05-30T09:57:28","guid":{"rendered":"https:\/\/www.mgc.es\/?p=31876"},"modified":"2024-03-26T11:59:39","modified_gmt":"2024-03-26T10:59:39","slug":"per-que-tens-perdues-dorina-i-que-hi-pots-fer","status":"publish","type":"post","link":"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/","title":{"rendered":"Per qu\u00e8 tens p\u00e8rdues d\u2019orina i qu\u00e8 hi pots fer"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\"><p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndex de continguts<\/p>\n<\/div><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/#La_incontinencia_urinaria\" >La incontin\u00e8ncia urin\u00e0ria<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/#A_qui_afecta\" >A qui afecta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/#Classes_dincontinencia\" >Classes d\u2019incontin\u00e8ncia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/#Com_es_diagnostica\" >Com es diagnostica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/#Com_es_tracta\" >Com es tracta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/#Tractament_medic\" >Tractament m\u00e8dic<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/#Tractament_quirurgic\" >Tractament quir\u00fargic<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/#Tractament_funcional\" >Tractament funcional<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.mgc.es\/ca\/blog\/per-que-tens-perdues-dorina-i-que-hi-pots-fer\/#Noves_alternatives\" >Noves alternatives<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/03\/mujer-con-canas2.jpg\" alt=\"\" class=\"wp-image-31874\" srcset=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/03\/mujer-con-canas2.jpg 800w, https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/03\/mujer-con-canas2-440x293.jpg 440w, https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/03\/mujer-con-canas2-768x512.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"La_incontinencia_urinaria\"><\/span><strong>La incontin\u00e8ncia urin\u00e0ria<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>La incontin\u00e8ncia urin\u00e0ria (o <a href=\"https:\/\/www.mayoclinic.org\/es\/diseases-conditions\/bed-wetting\/symptoms-causes\/syc-20366685https:\/www.mayoclinic.org\/es\/diseases-conditions\/bed-wetting\/symptoms-causes\/syc-20366685\">enuresi<\/a>, en termes m\u00e8dics) \u00e9s l\u2019emissi\u00f3 involunt\u00e0ria d\u2019orina en un moment i un lloc inadequats. Aix\u00f2 origina un problema higi\u00e8nic i social per als qui en pateixen. Fins ara no s\u2019ha reconegut com una malaltia pr\u00f2piament, sin\u00f3 com un signe o un s\u00edmptoma com\u00fa de moltes altres alteracions o malalties.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_qui_afecta\"><\/span><strong>A qui afecta<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>S\u2019estima que entre mig mili\u00f3 i un mili\u00f3 de dones t\u00e9 aquest problema a Espanya. Sabem que nom\u00e9s un petit percentatge d\u2019aquestes dones cerquen ajuda m\u00e8dica. Les dones no solen fer consultes directes per aquest tema; ans al contrari, miren d\u2019amagar el trastorn tant de temps com poden i acostumen a suportar-lo amb esto\u00efcisme, sigui per vergonya, perqu\u00e8 consideren que \u00e9s inevitable o perqu\u00e8 suposen que \u00e9s una conseq\u00fc\u00e8ncia inherent de l\u2019envelliment i, per tant, sense soluci\u00f3. A causa d\u2019aquesta ocultaci\u00f3, sovint esdev\u00e9 un problema tab\u00fa o un s\u00edmptoma sense analitzar durant un temps llarg.<\/p>\n\n\n\n<p>Tot i que des del punt de vista m\u00e8dic no \u00e9s un problema greu, t\u00e9 repercussions socials importants i pot arribar a afectar l\u2019autoestima de la persona, fins a causar estralls en l\u2019estat de salut i el benestar de les dones que en pateixen (depressi\u00f3, isolament social, <a href=\"https:\/\/solidaridadintergeneracional.es\/wp\/la-enuresis-puede-derivar-en-sintomatologia-emocional\/\">perjudicis en l\u2019autoestima<\/a> i la identitat pr\u00f2pia, etc.).<\/p>\n\n\n\n<p>De la mateixa manera, s\u2019ha comprovat que la qualitat de vida d\u2019aquestes dones tamb\u00e9 \u00e9s inferior. Els aspectes de la vida di\u00e0ria que m\u00e9s se\u2019n ressenten s\u00f3n el son i el rep\u00f2s, la mobilitat, el comportament emocional, la interacci\u00f3 social i les activitats d\u2019esbarjo. Els professionals de la salut tenen un paper fonamental en la detecci\u00f3 de la incontin\u00e8ncia d\u2019aquestes pacients.<\/p>\n\n\n\n<p>L\u2019edat \u00e9s el principal factor associat amb la incontin\u00e8ncia i se n\u2019ha identificat un pic de m\u00e0xima freq\u00fc\u00e8ncia entre els 50 i els 60 anys. D\u2019altra banda, s\u2019han trobat una s\u00e8rie de factors de risc addicionals: obstetricoginecol\u00f2gics (gestaci\u00f3, part, <a href=\"https:\/\/www.msdmanuals.com\/es-es\/hogar\/salud-femenina\/prolapso-de-%C3%B3rganos-p%C3%A9lvicos-pop\/prolapso-de-%C3%B3rganos-p%C3%A9lvicos-pop\">prolapse dels \u00f2rgans pelvians<\/a> o histerectomia), malalties com ara l\u2019obesitat, les cardiopaties, la hipertensi\u00f3 arterial, els tractaments amb di\u00fcr\u00e8tics, malalties del sistema nervi\u00f3s i, tamb\u00e9, factors ambientals i ocupacionals, que poden predisposar al trastorn.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Classes_dincontinencia\"><\/span><strong>Classes d\u2019incontin\u00e8ncia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>B\u00e0sicament hi ha les seg\u00fcents classes d\u2019incontin\u00e8ncia urin\u00e0ria:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mayoclinic.org\/es\/diseases-conditions\/stress-incontinence\/symptoms-causes\/syc-20355727\">D\u2019esfor\u00e7<\/a>: \u00e9s la p\u00e8rdua o fuita d\u2019orina involunt\u00e0ria quan es fa cap esfor\u00e7 quotidi\u00e0 com ara tossir, esternudar, riure, c\u00f3rrer, caminar, saltar, aixecar pes, incorporar-se d\u2019un seient baix, etc. \u00c9s la classe d\u2019incontin\u00e8ncia m\u00e9s freq\u00fcent en les dones.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.lyxurologia.com\/noticias\/que-es-la-incontinencia-urinaria-de-urgencia-por-que-se-produce-como-resolverla\/\">D\u2019urg\u00e8ncia<\/a>: \u00e9s la p\u00e8rdua involunt\u00e0ria d\u2019orina associada a un desig intens d\u2019orinar. Les afectades se n\u2019adonen i no ho poden evitar. Sol implicar anar m\u00e9s sovint al v\u00e0ter, tant de dia com de nit.<\/li>\n\n\n\n<li>Mixta: quan coincideixen la p\u00e8rdua d\u2019orina involunt\u00e0ria i la incontin\u00e8ncia d\u2019urg\u00e8ncia i d\u2019esfor\u00e7.<\/li>\n\n\n\n<li>Cont\u00ednua: p\u00e8rdua constant i continuada d\u2019orina.<\/li>\n\n\n\n<li><a href=\"https:\/\/abs.bimedica.com\/consejos-para-vivir-tranquilo\/incontinencia-por-rebosamiento\/\">Per sobreeiximent<\/a>: p\u00e8rdua involunt\u00e0ria d\u2019orina que es manifesta en forma de degotament, associada a una retenci\u00f3 de l\u2019orina. En aquest cas, les dones poden reportar incontin\u00e8ncia i, alhora, dificultat per buidar la bufeta.<\/li>\n\n\n\n<li><a href=\"https:\/\/medlineplus.gov\/spanish\/overactivebladder.html\">Bufeta hiperactiva<\/a>: inclou les pacients amb s\u00edmptomes que ha augmentat la freq\u00fc\u00e8ncia miccional i la urg\u00e8ncia, amb incontin\u00e8ncia d\u2019urg\u00e8ncia o sense, probablement per causa del mateix mecanisme que interv\u00e9 en la incontin\u00e8ncia urin\u00e0ria d\u2019urg\u00e8ncia.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Com_es_diagnostica\"><\/span><strong>Com es diagnostica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>L\u2019<a href=\"https:\/\/patients.uroweb.org\/es\/incontinencia-urinaria\/evaluacion-y-diagnostico-de-la-incontinencia-urinaria\/#:~:text=Se%20puede%20medir%20mediante%20un,las%20causas%20de%20su%20incontinencia.\">avaluaci\u00f3 i l\u2019estudi<\/a> d\u2019una pacient amb incontin\u00e8ncia urin\u00e0ria comen\u00e7a amb una extensa anamnesi ben feta o preguntes encaminades a obtenir tota la informaci\u00f3 rellevant del cas, seguida d\u2019una exploraci\u00f3 cl\u00ednica completa i dels estudis complementaris que estimi oportuns l\u2019especialista responsable (an\u00e0lisis, t\u00e8cniques de diagn\u00f2stic per la imatge, estudis urol\u00f2gics especialitzats, etc.).<\/p>\n\n\n\n<p>Entre els procediments diagn\u00f2stics b\u00e0sics hi ha la hist\u00f2ria cl\u00ednica, els factors de risc i predisposants, les an\u00e0lisis b\u00e0siques de sang i d\u2019orina, els anomenats q\u00fcestionaris de s\u00edmptomes i de qualitat de vida i el diari miccional (registre de tots els episodis relacionats amb la micci\u00f3 i els s\u00edmptomes urinaris durant un per\u00edode determinat de 2 a 7 dies). L\u2019exploraci\u00f3 f\u00edsica \u00e9s completa i inclou una part general, per\u00f2 tamb\u00e9 una exploraci\u00f3 neurol\u00f2gica, urol\u00f2gica, pelviana i ginecol\u00f2gica.<\/p>\n\n\n\n<p>Entre els procediments urol\u00f2gics especialitzats hi trobem habitualment una exploraci\u00f3 urodin\u00e0mica, \u00e9s a dir, la mesura de la pressi\u00f3, el flux i el volum de l\u2019orina de la pacient. Consta de diverses proves, com ara la fluxometria o la representaci\u00f3 gr\u00e0fica de la micci\u00f3; la cistomanometria o la mesura de la relaci\u00f3 volum\/pressi\u00f3 de la bufeta de l\u2019orina; l\u2019estudi sobre pressi\u00f3\/flux, que explora la fase de buidatge del cicle miccional, i altres estudis electrofisiol\u00f2gics m\u00e9s sofisticats, com ara l\u2019electromiografia de l\u2019esf\u00ednter uretral, entre d\u2019altres.<\/p>\n\n\n\n<p>Les t\u00e8cniques de diagn\u00f2stic per la imatge m\u00e9s habituals s\u00f3n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u2019ecografia.<\/li>\n\n\n\n<li>La radiografia simple de l\u2019abdomen.<\/li>\n\n\n\n<li>La <a href=\"https:\/\/myhealth.ucsd.edu\/RelatedItems\/92,p09235\">cistografia<\/a> (estudi de la bufeta) o la radiografia amb contrast de la bufeta de l\u2019orina.<\/li>\n\n\n\n<li>La urografia intravenosa o la radiografia amb contrast de tota la via urin\u00e0ria.<\/li>\n\n\n\n<li>La resson\u00e0ncia magn\u00e8tica nuclear.<\/li>\n<\/ul>\n\n\n\n<p>Per acabar, es pot fer tamb\u00e9 una endosc\u00f2pia urin\u00e0ria o una uretrocistosc\u00f2pia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Com_es_tracta\"><\/span><strong>Com es tracta<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Cada classe d\u2019incontin\u00e8ncia demana un tractament espec\u00edfic i, per aix\u00f2, \u00e9s tan important una valoraci\u00f3 escaient i un estudi individualitzat de les pacients. \u00c9s interesant de saber les prefer\u00e8ncies de les pacients, quina mena de vida fan i les seves circumst\u00e0ncies personals.<\/p>\n\n\n\n<p>S\u2019han proposat diversos tractaments, que exposarem de manera resumida:<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Tractament_medic\"><\/span><strong>Tractament m\u00e8dic<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>B\u00e0sicament inclou:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Les mesures higienicodiet\u00e8tiques m\u00e9s elementals, com ara la restricci\u00f3 de beure l\u00edquids i de distribuir-ne el consum al llarg del dia.<\/li>\n\n\n\n<li>Les t\u00e8cniques de modificaci\u00f3 de la conducta, com ara l\u2019anomenada micci\u00f3 programada, l\u2019entrenament vesical, l\u2019adaptaci\u00f3 miccional, els exercicis de s\u00f2l pelvi\u00e0 i les t\u00e8cniques de relaxaci\u00f3 per reduir el grau d\u2019ansietat que tot sovint s\u2019hi associa. En definitiva, un seguit de t\u00e8cniques o de tractaments que incorporen els conceptes de les teories de l\u2019aprenentatge en els trastorns de la conducta.<\/li>\n\n\n\n<li>Els medicaments, en general del grup farmacol\u00f2gic anticolin\u00e8rgic (oxibutinina, clorur de trospi, tolterodina, etc.). Aquests f\u00e0rmacs milloren i, fins i tot, arriben a resoldre la urg\u00e8ncia miccional, per\u00f2 no s\u00f3n efectius en el cas de la incontin\u00e8ncia urin\u00e0ria d\u2019esfor\u00e7.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Tractament_quirurgic\"><\/span><strong>Tractament quir\u00fargic<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u00c9s el tractament d\u2019elecci\u00f3 en la incontin\u00e8ncia urin\u00e0ria d\u2019esfor\u00e7. Hi ha disponibles diverses t\u00e8cniques quir\u00fargiques. En l\u2019actualitat, les m\u00e9s comunes es fan per la vagina, amb la col\u00b7locaci\u00f3 de diversos materials o cintes al voltant de la uretra o el conducte de l\u2019orina, que tenen com a objectiu situar-lo al lloc anat\u00f2mic correcte.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Tractament_funcional\"><\/span><strong>Tractament funcional<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Fonamentalment passa per la rehabilitaci\u00f3 del s\u00f2l pelvi\u00e0, on hi ha els m\u00fasculs que obren i tanquen l\u2019esf\u00ednter de la bufeta. La finalitat dels exercicis del s\u00f2l pelvi\u00e0 \u00e9s millorar, en general, el to dels m\u00fasculs d\u2019aquesta zona i, m\u00e9s en concret, d\u2019un m\u00fascul important anomenat detrusor de la bufeta.<\/p>\n\n\n\n<p>Entre aquests exercicis destaquen els anomenats <a href=\"https:\/\/www.mayoclinic.org\/es\/healthy-lifestyle\/womens-health\/in-depth\/kegel-exercises\/art-20045283\">exercicis de Kegel<\/a>, que consisteixen a estroncar de manera volunt\u00e0ria el raig de l\u2019orina durant la micci\u00f3. Aquest exercici ajuda les dones a saber quins m\u00fasculs s\u2019han de contreure, que es van enfortint de manera gradual. S\u2019han de practicar, fora de la micci\u00f3, sessions de 25 moviments seguits tres vegades al dia. Com amb qualsevol exercici f\u00edsic, cal ser constant en el tractament, perqu\u00e8 els seus efectes s\u2019observen a llarg termini. Tots aquests exercicis es fan per millorar la incontin\u00e8ncia urin\u00e0ria d\u2019esfor\u00e7.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Noves_alternatives\"><\/span><strong>Noves alternatives<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Solucions injectables: \u00e9s la creaci\u00f3 d\u2019una compressi\u00f3 al voltant de la uretra que fa augmentar la resist\u00e8ncia al mecanisme de tancament. S\u2019hi fan servir, amb resultats desiguals, diferents subst\u00e0ncies com ara el col\u00b7lagen, els microbalons plens de s\u00e8rum fisiol\u00f2gic o de col\u00b7lagen, microesferes de carb\u00f3, greix, etc.<\/li>\n\n\n\n<li>Neuromodulaci\u00f3 d\u2019arrels sacres: indicada en pacients amb incontin\u00e8ncia urin\u00e0ria d\u2019urg\u00e8ncia que no han respost al tractament conservador i, pr\u00e8viament, a la cirurgia. Consisteix a estimular amb impulsos el\u00e8ctrics una arrel nerviosa del plexe sacre (conjunt de nervis a l\u2019al\u00e7ada dels ronyons), amb la finalitat de modular els reflexos involuntaris an\u00f2mals del tracte urinari inferior. El sistema d\u2019estimulaci\u00f3 \u00e9s totalment implantable i consta de tres components: un el\u00e8ctrode, un generador d\u2019impulsos el\u00e8ctrics similar al d\u2019un marcapassos i un cable que els connecta entre si.<\/li>\n\n\n\n<li>Pal\u00b7liaci\u00f3: quan cap dels tractaments anteriors \u00e9s efica\u00e7. Fa que millori sensiblement la qualitat de vida dels pacients i, encara que no resolgui directament les causes del problema, s\u00ed que en minimitza les conseq\u00fc\u00e8ncies socials. En aquesta mena de tractaments pal\u00b7liatius s\u2019empren productes sanitaris per a la incontin\u00e8ncia entre els quals destacarem els absorbents, popularment coneguts com a bolquers. Tal com indica el nom, s\u00f3n productes destinats a absorbir i retenir l\u2019orina, que duen les persones amb incontin\u00e8ncia sobre el cos per mantenir-se eixutes i evitar de mullar la roba o el llit. N\u2019hi ha disponibles de diverses formes, mides i capacitats d\u2019absorci\u00f3 que en faciliten l\u2019\u00fas en funci\u00f3 de la classe d\u2019incontin\u00e8ncia urin\u00e0ria, les caracter\u00edstiques f\u00edsiques dels pacients i l\u2019activitat. Se subjecten al cos mitjan\u00e7ant un dispositiu de fixaci\u00f3 adequat.<\/li>\n<\/ul>\n\n\n\n<p>Bibliografia<\/p>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/www.elsevier.es\/es-revista-offarm-4-articulo-incontinencia-urinaria-femenina-diagnostico-tratamiento-13116880\n<\/div><\/figure>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/www.msdmanuals.com\/es-es\/professional\/trastornos-urogenitales\/trastornos-de-la-micci%C3%B3n\/incontinencia-urinaria-en-adultos\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>La incontin\u00e8ncia urin\u00e0ria La incontin\u00e8ncia urin\u00e0ria (o enuresi, en termes m\u00e8dics) \u00e9s l\u2019emissi\u00f3 involunt\u00e0ria d\u2019orina en un moment i un lloc inadequats. Aix\u00f2 origina un problema higi\u00e8nic i social per als qui en pateixen. Fins ara no s\u2019ha reconegut com una malaltia pr\u00f2piament, sin\u00f3 com un signe o un s\u00edmptoma com\u00fa de moltes altres alteracions [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":31874,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-31876","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salut"],"featured_image_src":"https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/03\/mujer-con-canas2.jpg","author_info":{"display_name":"Revista Inter\u00e8s Mutu","author_link":"https:\/\/www.mgc.es\/ca\/blog\/author\/interesmutu\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Per qu\u00e8 tens p\u00e8rdues d\u2019orina i qu\u00e8 hi pots fer - MGC M\u00fatua<\/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:\/\/www.mgc.es\/blog\/por-que-tienes-perdidas-de-orina-y-que-puedes-hacer\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Per qu\u00e8 tens p\u00e8rdues d\u2019orina i qu\u00e8 hi pots fer - MGC M\u00fatua\" \/>\n<meta property=\"og:description\" content=\"La incontin\u00e8ncia urin\u00e0ria La incontin\u00e8ncia urin\u00e0ria (o enuresi, en termes m\u00e8dics) \u00e9s l\u2019emissi\u00f3 involunt\u00e0ria d\u2019orina en un moment i un lloc inadequats. Aix\u00f2 origina un problema higi\u00e8nic i social per als qui en pateixen. Fins ara no s\u2019ha reconegut com una malaltia pr\u00f2piament, sin\u00f3 com un signe o un s\u00edmptoma com\u00fa de moltes altres alteracions [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.mgc.es\/blog\/por-que-tienes-perdidas-de-orina-y-que-puedes-hacer\/\" \/>\n<meta property=\"og:site_name\" content=\"MGC M\u00fatua\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/mgcmutua\" \/>\n<meta property=\"article:published_time\" content=\"2024-05-30T09:57:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/03\/mujer-con-canas2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"533\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Revista Inter\u00e8s Mutu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@mgcmutua\" \/>\n<meta name=\"twitter:site\" content=\"@mgcmutua\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"Revista Inter\u00e8s Mutu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minuts\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Per qu\u00e8 tens p\u00e8rdues d\u2019orina i qu\u00e8 hi pots fer - MGC M\u00fatua","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.mgc.es\/blog\/por-que-tienes-perdidas-de-orina-y-que-puedes-hacer\/","og_locale":"ca_ES","og_type":"article","og_title":"Per qu\u00e8 tens p\u00e8rdues d\u2019orina i qu\u00e8 hi pots fer - MGC M\u00fatua","og_description":"La incontin\u00e8ncia urin\u00e0ria La incontin\u00e8ncia urin\u00e0ria (o enuresi, en termes m\u00e8dics) \u00e9s l\u2019emissi\u00f3 involunt\u00e0ria d\u2019orina en un moment i un lloc inadequats. 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