Yu fɔ pis ɔltɛm? Nɔ kɔntrol? Lɛ wi tɔk bɔt Overactive Bladder (OAB) .

Yu de rɛdi fɔ go sɔmsay... ɔ yu de pan impɔtant wok... ɛn wantɛm wantɛm yu fil se yu nid fɔ pis. Yu nɔ ivin gɛt tɛm fɔ rɔn go na di bafa. Sɔntɛnde, yu kin ivin slip yu klos we yu nɔ ivin no. Dɛn tin ya kin mek yu nɔ fil fayn ɛn shem? So tide wi go tok abaut wan topik we rili impotant to yu. Dat na Overactive Bladder, ɔ OAB fɔ shɔt. Pan ɔl we dis na tin wae bɔrku pipul nɔr kin lɛk fɔ tɔk bɔt ɛn fil fɔ shem bɔt, na tin wae kin pasmak. Dɔn bak, gud tritmɛnt dɛn de fɔ am.

Wetin rili na Ɔvaaktiv Blada (OAB)?

Fɔ tɔk am simpul wan, Overactive Bladder nɔto sik, bɔt na wan kɔlekɛshɔn fɔ di sayn dɛm. Wetin kin apin ya na dat yu blad kin wok pasmak. Nɔmal wan, we di blad ful-ɔp, di bren kin sɛn signal, we kin tɛl wi se wi nid fɔ pis. Bɔt pan pɔsin we gɛt OAB, di blad mɔsul dɛn kin bigin fɔ kɔntrakt wantɛm wantɛm ivin we di blad nɔ ful-ɔp ɔl. Na da tɛm de di nid fɔ pis kwik kwik wan we pɔsin nɔ ebul fɔ kɔntrol, kin apin.

Dis na di men sayn dɛm wae dɛn kin si wit OAB.

Udat kin gɛt dis sik mɔ?

Pan ɔl we OAB kin afɛkt pipul dɛn we gɛt ɛni ej, i kin bɔku pan pipul dɛn we dɔn pas 65. Uman dɛn kin gɛt dis sik bak smɔl smɔl pas man dɛn, sɔntɛm i kin bigin arawnd 45 ia.

Dis kin so kɔmɔn dat bɔku bɔku pipul dɛn ɔlsay na di wɔl kin sɔfa wit dis sik. Bɔt bɔku pipul dɛn kin shem tumɔs fɔ tɔk bɔt am, so dɛn nɔ kin go fɛn tritmɛnt. Dat na rial shem. Bikɔs dis na sɔntin we dɛn kin kɔntrol bɔku pan dɛn wit tritmɛnt.

Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt OAB?

di detrusor mכsul na wan mכsul we de na di wכl na yu blad. OAB de kכz fכ sכm kכndishכn כ injuri dεm we de afekt dis mכsul. Lɛ wi luk di men tin dɛn we kin mek wi du dis.

• bכdi trauma: We uman bεlε εn bכn pikin, spεshal wan pan uman dεm, di mכsul dεm na di bכdi εria kin strεch εn wik. na dεn mכsul dεm ya de ol di blad εn כda כgan dεm na in ples. We dɛn wik, di blad kin drɔp smɔl, ɛn dis kin afɛkt di we aw i de wok.
• Nεv dεm we dεn dכn pwεl: Tink bכt, wi blad εn wi bren de kכmכnik tru nerv dεm. Wetin kin apin if di bren gɛt di rɔng signal fɔ ɛmti in blad di rɔng tɛm? Na dat de apin ya. Dɛn nerv ya kin pwɛl bikɔs ɔf sɔm mɛrɛsin ɛn aksidɛnt dɛn. Fɔ ɛgzampul:
• Pelvik ɔ bak ɔpreshɔn
• Di prɔblɛm dɛn we kin apin na di spaynal kɔd (di disk dɛn we gɛt hεnia) .
• Redyushɔn tɛrapi
• Dis sik we dɛn kɔl Parkinson
• Di sik we dɛn kɔl multiple sclerosis
• Strok
• Sɔm mɛrɛsin dɛn, rɔm, ɛn kafin: Dɛn tin ya kin mek yu nervɔs sistɛm slo ɛn afɛkt di sayn dɛn we de go na yu bren. Diuretics (mɛrɛsin we de mek yu pis mɔ) ɛn kafin (ti, kɔfi) kin mek bak yu blad ful-ɔp kwik kwik wan, we kin mek yu nɔ ebul fɔ kɔntrol yu urinate.
• Infɛkshɔn dɛn: .we sɔntin lεk urinary tract infection (UTI) apin, i kin mek di nεv dεm na di blad wok εn mek di blad kכntrakt we i nכ nid.
• Ɛkstra wet: As yu bɔdi de wet, i de put ɛkstra prɛshɔn pan yu blad. Dis prɛshɔn kin mek i nɔ izi bak fɔ kɔntrol yu urine.
• εstrojen dεfichεns afta mεnopos: OAB kin apin bak bikoz fכ di כmon chenj dεm we de apin na uman in bכdi afta mεnopos.

Aw yu go fɛn dis, Dɔktɔ?

We yu go to dɔktɔ bɔt dɛn sik ya, di fɔs tin we i go du na fɔ tek tɛm lisin to wetin yu gɛt fɔ tɔk. Dɔn, i go jɔs chɛk yu bɛlɛ eria ɛn di say we de rawnd yu an. I kin aks yu kwɛstyɔn dɛn lɛk:

• Wetin na yu sayn dɛm?
• Aw lɔng dɛn sik ya dɔn de apin?
• Ɛnibɔdi na yu famili gɛt dis sik?
• Us mɛrɛsin dɛn yu kin yuz? (inklud di mɛrɛsin dɛn we dɛn kin bay we dɛn nɔ de bay)
• Wetin yu de drink insay wan de? Ustɛm yu kin drink am?
• Aw yu de it?

Sɔntɛnde, yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu uro.

Test dɛn fɔ no if pɔsin gɛt di sik

Yu dɔktɔ kin tɛl yu fɔ du sɔm tɛst dɛn lɛk dis fɔ no if yu gɛt di sik.

• Urinalysis: Dis tɛst de chɛk yu urine fɔ infɛkshɔn, blɔd sɛl, ɛn ɔda tin dɛn If sɔntin lɛk UTI de mek yu OAB, dis tɛst kin no am.
• Yurodaynamik tɛst: Dɛn tɛst ya kin mɛzhɔ bɔku tin, lɛk ɔmɔs urine lɛf na di blad afta yu dɔn pis, di spid we di urine de kɔmɔt, ɛn di prɛshɔn we de pan di blad we i ful-ɔp.
• Ultrasound scan: Dis na skan we nɔ de mek yu fil pen ɛn we kin mek yu blad ɛn di ɔgan dɛn we de rawnd yu fayn fayn wan.
• CT skan: Dis kin mek bak tri dimɛnshɔnal (3D) pikchɔ dɛn bɔt di blad.
• Sistoskopi: Dis min se yu fɔ put wan tin we gɛt kamɛra we dɛn kɔl sistoskɔp tru yu urethra fɔ chɛk di insay pat na yu blad. Dɛn go gi yu wan jel we de mek yu nɔ fil fayn bifo dɛn du di prɔsidyu, so nid nɔ de fɔ wɔri. Na smɔl tɛm nɔmɔ, dɛn kin gi yu ful anestesia fɔ dis prɔsidyu.

Wetin na di tritmɛnt dɛm fɔ dis?

Di gud nyus na dat difrɛn tritmɛnt dɛn de fɔ ɛp fɔ mɛn OAB, lɛk fɔ chenj di we aw pɔsin de liv in layf ɛn di we aw i de biev, mɛrɛsin dɛn, ɛn tritmɛnt dɛn we de mek pɔsin gɛt nerve stimulation.

1. Chenj na di we aw pipul dɛn de liv dɛn layf ɛn di we aw dɛn de biev

Bifo yu tek mɛrɛsin, bɔku tin dɛn de we yu kin du yusɛf. Dis na de fɔs tin wae yu fɔ du fɔ trit yu.

Kip wan blad dayari.

Yu dɔktɔ kin aks yu fɔ rayt di dayari fɔ di we aw yu de pis fɔ sɔm dez. Dis go ɛp yu fɔ ɔndastand ustɛm yu sik de wɔs ɛn wetin yu de it ɔ drink. Mek wan not pan dɛn tin ya:

• Wetin yu de drink?
• Aw bɔku yu de drink?
• Wetin na di tin dɛn we wi fɔ it?
• Aw ɔltɛm yu kin pis?
• If yu urine kɔmɔt, ustɛm ɛn ɔmɔs?
• Aw ɔltɛm yu kin fil se yu nid fɔ du sɔntin kwik kwik wan?
• Yu bin lik urine bikɔs yu bin de kɔf, sniz, ɔ laf?

Tek kia ɔf wetin yu de it ɛn drink

Sɔm it ɛn drink kin mek di blad wok ɛn mek di OAB simptom dɛn bɔku. Tray fɔ ridyus ɔ pul dɛn it ya kɔmɔt kpatakpata:

• Ti
• Kɔfi
• Rum
• Sɔft drink dɛn we gɛt kafinɛ
• Sitrus frut ɛn frut drink (ɔrɛnj, tanjɛrin) .
• Chɔklɛt
• Tomato ɛn it dɛn we gɛt tomato
• Fɔd dɛn we gɛt spays ɛn we gɛt asid
• Tin dɛn we gɛt atifishal switin (diet drink, sɔm chewing gums) .

Fɔ mek di insay dɛn kɔntinyu fɔ wok fayn fayn wan

Kɔnstipɛshɔn kin put ɛkstra prɛshɔn pan yu blad ɛn inkrisayz di OAB simptom dɛm. So tray dɛn tin ya fɔ mek yu bɔdi gɛt wɛlbɔdi:

• It it dɛn we gɛt bɔku fayv (brawn rays, bins, ɔts, ligɛm, vɛjitebul, frut).
• Drink 2-4 mɔ glas wata wan de.
• Ɛksesaiz ɔltɛm.

We yu de kɔntrol yu wet ɛn lɛf fɔ smok

If yu lɔs bɔku bɔku wet, dat kin mek di prɛshɔn we de na di blad nɔ bɔku. Dɔn bak, if yu smok, i kin afɛkt di blad mɔsul dɛn. So, i rili impɔtant bak fɔ lɛf fɔ smok.

Aw fɔ tren di blad bak? (Blada Ritrenin) .

Dis na wan we we rili impɔtant ɛn we go wok fayn. We yu gɛt OAB, yu blad kin yus fɔ ɛmti insɛf we i ful-ɔp smɔl. Wetin wi de du wit dis trenin na fɔ tich di blad fɔ ol smɔl mɔ urine. Fɔ tɔk am simpul wan, i tan lɛk se yu de ‘rɛset’ di blad.

Aw fɔ du dis?

1. Fɛn di we aw yu de pis naw: Fɔs, luk yu urine dayari ɛn fɛn ɔmɔs tɛm yu kin pis. Lɛ wi se yu kin go na di bafa ɛvri awa.

2. Inkrisayz di tɛm smɔl smɔl: Dɔn, tray fɔ stɔp fɔ sɔm minit ilɛksɛf yu fil se yu nid fɔ pis. If yu go fɔs insay wan awa, aim fɔ wan awa ɛn 15 minit.

3. Kɔntrol di tin we yu want fɔ du: We da tin de we yu want fɔ du wan wan tɛm, tek dip briz ɛn pul di briz smɔl smɔl. Tink bɔt wan ples we de mek yu at kol. Wet te di tin we yu want fɔ du pas. Dɔn go na di bafa lɛk aw yu kin go.

4. Wok to wan schedule:Afta yu dɔn ebul fɔ ol yu nyu schedule fayn fayn wan (e.g., 1 awa ɛn 15 minit) fɔ lɛk wan wik, inkrisayz di tɛm bay ɔda 15 minit. Smɔl smɔl yu de spɛn di tɛm te yu ebul fɔ ol yu urine fɔ 2 to 4 awa .

Strateji fɔ kɔntrol di urges

• Stɔp wetin yu de du ɛn sidɔm if yu ebul. Stay stil.
• Tayt εn rilaks yu bכdi mכsul dεm (lεk insay Kegel εksεsayz) bכku tεm kwik kwik wan.
• Rilaks di ɔda pat na yu bɔdi. Tek dip briz.
• Jɔs tink bɔt fɔ stɔp di want fɔ pis.
• We di tin we yu want dɔn pas, go na di bafa smɔl smɔl lɛk aw yu kin du am. Nɔ panik.

Mɛdikal tritmɛnt ɛn ɔda we dɛn

If di chenj we yu de chenj yu layf nɔmɔ nɔ go du fɔ kɔntrol di sik, yu dɔktɔ kin tɛl yu fɔ du ɔda tritmɛnt dɛn.

Di mɛrɛsin dɛn we dɛn kin yuz

Mεdikeshכn dεm de we de εp fכ rilaks di mכsul dεm na di blad εn kכntrכl di kכntrikshכn dεm we yu nכ want. Dɛn tin ya kin mek di blad ebul fɔ ol mɔ urine.

• Antikolinerjik drɔgs: Drug dɛn lɛk Oxybutynin (Ditropan®), Tolterodine (Detrol®), Solifenacin (VESIcare®).
• Beta-3 adrenergic drɔgs: Drug dɛn lɛk Mirabegron (Myrbetriq®), Vibegron (Gemtesa®).

Dɛn mɛrɛsin ya fɔ jɔs yuz pan dɔktɔ advays .

Narv Stimulashɔn

If ɔda tritmɛnt dɛn nɔ wok, tritmɛnt dɛn de we kin sɛn smɔl smɔl ilɛktrik signal to di nerv dɛn we de kɔntrol di blad, ɛn dis kin mek dɛn wok bak.

• sakral nεv stimulashכn: Na we fכ stimula di nεv dεm bay we dεn de put sכm sכm tin כnda di skin.
• Pεrkyutan tibial nεv stimulashכn: na mεtכd we de gi stimulashכn tru wan nεv nia di ankכl.

Botulinum Toxin Injɛkshɔn dɛn we dɛn kin yuz

Botox® na di kayn we we pipul dɛn lɛk pas ɔl. Dɛn kin injɛkt bɔtɔk insay di blad wɔl tru wan sistoskɔp. Dis kin mek di blad mɔsul dɛn rilaks. Di ifekt dɛm fɔ dis tritmɛnt kin las fɔ lɛk 6 mɔnt, so dɛn nid fɔ injɛkshɔn bɔku tɛm.

Aw fɔ mɛn di diskɔmfɔt we yu de du tritmɛnt?

Wae yu de wet fɔ mek yu tritmɛnt bigin fɔ wok, ɔr if yu nɔr ebul fɔ kɔntrol di lik wan wan tɛm, yu nɔr kin fil fayn ɛn shem. Bɔt sɔlv dɛn de. If yu yuz spɛshal pad ɔ dayapɛt fɔ big pipul (inkontinɛns prɔdak) go ɛp yu fɔ go bak to yu ɛvride rutin wit kɔnfidɛns.

• Switch ɔltɛm:If yu chenj di pad afta yu dɔn pis, dat kin ɛp fɔ mek yu nɔ smɛl ɛn nɔ gɛt infɛkshɔn na yu skin.
• Put tin fɔ protɛkt yu skin: If yu put barɛri krim pan di skin bifo yu put di pad, dat kin ɛp fɔ mek yu nɔ pwɛl di skin we yu de urine.
• Wear klos we lɔs ɛn we gɛt dak kɔlɔ: Dis go mek yu nɔ go si di pad. Dɔn bak, ilɛksɛf i wet sɔm we, i nɔ go izi fɔ si am pan klos we gɛt dak kɔlɔ.