Yu tink se urine de lef na di blad ivin afta yu dɔn fɔ pis? (Post-Void Residual Urine Test) Lɛ wi fɛn ɔl wetin i bi!

Sɔntɛnde yu kin fil lɛk se yu nɔ dɔn ɛmti yu blad ɔl afta yu dɔn pis ? Ɔ yu fil se yu nid fɔ pis bɔku tɛm insay di de, sɔntɛm ivin pas aw yu tink? If yu gɛt dɛn smɔl smɔl tin ya we nɔ fayn, nɔ tink se na ɛnitin fɔ wɔri bɔt. Sɔntɛnde, ivin we yu tink se yu dɔn dɔn fɔ pis , sɔm urine kin lɛf na yu blad. Wi dɔktɔ dɛn kin kɔl dis ‘Post-Void Residual’ (PVR) . Fɔ tɔk am simpul wan, i min “urine we lɛf afta yu dɔn pis .”

Wetin mek dɛn kin du dis ‘pɔst-void rɛsɛdyuɛl’ (PVR) tɛst?

Okay, naw yu go mɔs de tink se, "So wetin mek wi de du dis PVR tɛst?" Di men rizin fɔ du dis na fɔ no ustɛm yu blad de ɛmti ɔl, ɔ if yu gɛt urine we lɛf. dis urine retention dεn kכl am ‘urinary retention’ . Pan ɔl we i nɔmal fɔ gɛt smɔl urine we lɛf, if bɔku urine lɛf, i kin bi sayn fɔ sɔm wɛlbɔdi prɔblɛm.

Yu dɔktɔ kin tɛl yu fɔ du PVR tɛst if yu gɛt ɛni wan pan dɛn sik ya:

• Yu kin pis bɔku tɛm : If yu nid fɔ pis bɔku tɛm insay di de, sɔntɛm wan tɛm insay di awa.
• I nɔ izi fɔ kɔntrol yu urine (incontinence): We yu gɛt wan urine we yu nɔ want we yu tinap.
• Urinary Tract Infections (UTIs): If yu gɛt UTI ɛvri sɔm mɔnt ɔr mɔr tɛm.
• Fɔ fil se di bɛlɛ de ebi ɛn fil se di blad nɔ ɛmti ivin afta yu dɔn pis .
• If dɛn dɔn no se yu gɛt blad ston.

Imajin, yu padi, lɛ wi kɔl am Supun. Supun bin de gɛt fɔ pis bɔku tɛm dɛn tɛm ya. I gɛt fɔ grap tu ɔ tri tɛm insay nɛt. I se afta i pis , i kin fil se in bɛlɛ ful-ɔp. We i go si dɔktɔ, di dɔktɔ tɛl am fɔ du dis PVR tɛst. Na da tɛm de dis tɛst kin bi impɔtant.

Aw dɛn kin du dis PVR tɛst?

Okay, naw lɛ wi si aw fɔ mɛzhɔ di urine we lɛf na di blad, ɔ PVR. Tu men we dɛn de we dɛn kin yuz fɔ du dis.

1. Blada Kateshɔn

Dis na wan we. Dɔktɔ dɛn kɔl am ‘bladder catheterization’ . Na dis na wetin kin apin:

Yu fɔs go na tɔylɛt ɛn ɛmti yu blad as yu ebul. afta dat, dכkta כ nכs we dεn tren go insay wan tכb we rili tכn, we kin fכm – wi kin kכl dis ‘kateta’.– Dɛn kin put am fayn fayn wan insay yu blad along yu urethra. we dεn put am insay, dεn kin pul כl di urine we de rεst na di blad εn mכsu di כmכnt. Dis kin tan lɛk se i nɔ izi fɔ du, bɔt dɛn kin tek tɛm du dis.

2. Ultrasound egzamin

Di ɔda men we fɔ du am na fɔ du ɔltra saund tɛst. Sɔntɛm yu dɔn yɛri bɔt dis. Dis kin yuz sawnd wev fɔ luk insay di blad. Tu we dɛn de bak fɔ du dis:

• Blad Skan: Insay dis, dɛn kin du di skan na yu bɛlɛ, usay yu blad de. Dɔktɔ kin put smɔl tin (wi kin kɔl am ‘probe’ ) na yu bɛlɛ ɛn yuz sawnd wev fɔ tek pikchɔ fɔ yu blad ɛn si ɔmɔs urine lɛf.
• Transvaginal Ultrasound: Dis na wan kayn skan we dɛn kin du pan uman dɛn. na ya, dεn de put wan ‘prob’ tru di vagina fכ tek pikchכ fכ di blad. Sɔntɛnde, dis we ya kin mek pɔsin gɛt klia pikchɔ dɛn.

Di dɔktɔ go pik di wan we go fayn fɔ yu pan dɛn tu we ya bay aw yu sik.

Aw a fɔ rɛdi fɔ dis tɛst?

Bɔrku tɛm, nɔr spɛshal pripiamɛnt nɔr de fɔ dis PVR tɛst. Yu kin it ɛn drink lɛk aw yu kin it. Bɔt sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ drink smɔl mɔ wata sɔm awa bifo di tɛst ɛn fɔ mek yu blad ful smɔl. So, i bɛtɛ fɔ aks yu dɔktɔ ɔ di nɔs wokman dɛn bifo di tɛst if ɛni spɛshal instrɔkshɔn de we yu nid fɔ fala.

Wetin kin apin rili we dɛn de ‘Bladder Catheterization’?

Lɛ wi se yu pik fɔ mɛzhɔ yu PVR bay we yu de yuz blad kateshɔn. Dɔn sɔntin lɛk dis kin apin:

1. Fɔ ɛmti blad: Fɔs, dɛn go sɛn yu na tɔylɛt ɛn aks yu fɔ ɛmti yu blad fayn fayn wan ɛn kɔmplit wan as yu ebul.

2. Fɔ Pripia: Dɔn, dɛn go aks yu fɔ ledɔm na tebul fɔ ɛgzamin, bɛn yu ni dɛn, ɛn spre yu leg dɛn to di sayd dɛn. Dis go mek yu ebul fɔ si yu urethra fayn fayn wan.

3. Klin ɛn Numbing: Dɔn, di dɔktɔ ɔ nɔs go klin yu urethra ɛn di say we de rawnd am fayn fayn wan. Dɔn, dɛn go put smɔl lokal anestetik fɔ mek di say nɔ gɛt bɛtɛ trɛnk. Dis go ɛp yu fɔ lɛ yu nɔ fil pen.

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5. Fɔ pul di urine ɛn mɛzhɔ: Dɛn kin pul ɔl di urine we lɛf na di blad tru di kateshɔn ɛn mɛzhɔ di amount kɔrɛkt wan.

6. Fɔ pul di kateshɔn: Afta dɛn dɔn gɛda di urine, dɛn kin tek tɛm pul di tiub bak.

I go jɔs tek sɔm minit fɔ mek ɔl dis dɔn.

Wetin kin apin we dɛn de du ɔltra saund PVR tɛst?

Naw lɛ wi si wetin kin apin we dɛn mɛzhɔ PVR wit ɔltra saund. Dis difrɛn smɔl frɔm kateshɔn.

1. Fɔ ɛmti blad: If na so i bi, dɛn go fɔs sɛn yu na tɔylɛt ɛn aks fɔ ɛmti yu blad as mɔ as yu ebul.

2. Fɔ Pripia: Neks, dɛn go mek yu ledɔm na ɛgzam bed.

3. Fɔ put jel: Fɔ mek yu skan yu blad, dɛn kin put spɛshal jel na yu bɛlɛ, usay yu blad de. Dis jel de ɛp fɔ mek gud kɔnekshɔn bitwin di prob ɛn yu skin. fכ transvaginal ultrasound, dεn de put di jel pan di prob.

4. Skan: Nεks, di dכkta de put di כltra saund prob εither pan yu bכdi (fכ blad skan) כ insay yu vagina (fכ transvaginal ultrasound) fכ gεt di bεst imej dεm fכ yu blad. Yu kin si dɛn pikchɔ dɛn ya na wan monita we de nia yu.

5. Fɔ dɔn: Afta dɛn dɔn tek di pikchɔ dɛn we nid fɔ de na di blad, dɛn kin pul di prob. Dɔn yu kin was ɛni jel we pasmak.

Dis sɛf go dɔn insay sɔm minit dɛn.

Wetin kin apin afta di PVR tɛst?

Dis PVR tɛst nɔ kin bi wan we we rili kɔmplikt. Wi kin kɔl dis ‘ɔtpeshɛnt prosidyushɔn’ . Dis min se jɔs afta dɛn dɔn du di tɛst, yu kin go na os ɔ go bak to yu nɔmal wok. Yu kin bigin bak fɔ du tin dɛn we yu kin du ɛvride lɛk aw yu kin du.

Bɔt if yu dɔn gɛt blad kateshɔn , as di mɛrɛsin we de mek yu nɔ fil fayn de west, yu kin fil smɔl fɔ mek yu nɔ fil fayn ɔ yu kin bɔn na yu urethra fɔ sɔm dez. Di bɛst tin fɔ du fɔ dis na fɔ drink mɔ wata ɛn pis bɔku tɛm insay di de. Dis go ɛp fɔ ridyus di diskɔmfɔt to bɔku bɔku wan.

Ɛni risk de wit dis PVR tɛst?

No big risk nɔ de we pɔsin kin du we dɛn du ɔltra saund tɛst. I rili sef.

Bɔt pan ɔl we dɛn kin put blad kateshɔn , pan ɔl we i nɔ kin apin so ɔltɛm, i kin gɛt sɔm smɔl smɔl prɔblɛm dɛn. Dɛn tin ya na:

• Smɔl chans de fɔ mek yu gɛt urinary tract infection (UTI). dis na biכs dεn de introdכks sכmtin fכrin insay di urethra. Bɔt, dis nɔ kin apin so ɔltɛm. Sɔntɛnde yu dɔktɔ kin gi yu wan mɛrɛsin we dɛn kɔl ‘ antibayɔtiks ’ fɔ ridyus dis prɔblɛm.
• Yu kin gɛt sɔm blɔd na yu urine (hematuria). Bɔku tɛm, dis kin sɔlv insay wan ɔ tu dez.
• Na sכmtεm, i kin bi sכmtin lεk sכm injuri na di urethra כ blad.

Bɔt, a de ripit, dɛn risk ya rili smɔl. Dɔktɔ dɛn kin du dis tɛst wit bɔku ɛkspiriɛns ɛn kia. So nɔ fred we yu nɔ nid fɔ fred. If yu gɛt ɛni dawt, tɔk to yu dɔktɔ.

Wetin di ‘post-void residual’ (PVR) valyu fɔ bi nɔmal wan?

Okay, naw mek wi luk di rizulyt fɔ dis PVR tɛst. di amount of urine we de rεst na yu blad dεn kin mכsu am insay mililita (mL).

• Fɔ big pɔsin we gɛt wɛlbɔdi, bɔku tɛm dɛn kin tek am se i nɔmal fɔ lɛs dan 50 mililita (50 mL) urine de na di blad afta i dɔn pis .
• if i de bitwin 50 εn 100 mililita (50 mL - 100 mL), sכmtεm i kin bi nכmal, כ i kin bi sכmtin we nid fכ invεstigat mכr.
• if mכr dan 100 mililita (100 mL) de lεf, dεn kin kכnsidr am כltεm as ‘urinary retention’.

Bɔt mɛmba dis: Yu dɔktɔ go disayd ɛksaktɔli wetin na ‘nɔmal’ ɛn ‘abnɔmal’ PVR fɔ yu. I dipen pan bɔku tin, lɛk yu ej, yu wɛlbɔdi, ɛn di mɛrɛsin dɛn we yu de tek. So, wans yu rizulyt dɔn in, i impɔtant fɔ tɔk to yu dɔktɔ bɔt dɛn ɛn ɔndastand wetin dɛn min.

Aw lɔŋ i kin tek fɔ no di rizɔlt fɔ di PVR tɛst?

Dis na sɔntin we yu fɔ no. Bɔku tɛm, di rizɔlt fɔ PVR tɛst kin de wantɛm wantɛm, ɔlmost wantɛm afta dɛn dɔn du di tɛst. Ɔltrasɔund kin tɛl yu wantɛm wantɛm. Kateshɔn kin tɛl yu bak ɔmɔs blɔd de flɔ we dɛn mɛzhɔ. Bɔt i bɛtɛ fɔ aks yu dɔktɔ ɔ nɔs ustɛm yu go ebul fɔ tɔk bɔt di tin dɛn we go apin.

Wetin mek dis blad de ol tumɔs urine (High PVR Volume)?

Bɔku rizin dɛn de we mek tumɔs urine kin de na di blad, ɔ wan ay PVR. Na sɔm pan di men tin dɛm wae kin mek dis ‘urinary retention’ kɔndishɔn:

• Blɔk sɔmsay na yu urinary system: Fɔ ɛgzampul, sɔntin lɛk blad tumor, urinary ston, ɔ urethra blok.
• Enlarged prostate (BPH): Dis kin apin to man dɛn we dɛn de ol. we di prɔstat gland big, i kin kɔmprɛs di urethra, we kin mek i nɔ izi fɔ mek di urine kɔmɔt.
• As wan sayd ɛfɛkt fɔ sɔm mɛrɛsin dɛn: Sɔm pen kil, antihistamine, ɛn sɔm mɛrɛsin fɔ mental sik kin afɛkt di blad wok.
• Narrowed urethra ɔ urethral stricture: If di urethra dɔn smɔl, ilɛksɛf na infɛkshɔn ɔ injuri.
• Prɔblɛm dɛn we de na di nervɔs sistɛm:Nyurolɔjik sik dɛm lɛk dayabitis, spɛnal kɔd injuri, Pakinsin sik, ɛn mɔltipɛl sklɛrosis kin pwɛl di nerv dɛm we de kɔntrol di blad sɛns ɛn wok. Dɛn kɔl dis sik nyurojɛnik blad .
• We di blad mɔsul dɛn wik.
• Kɔnstipɛshɔn: Bɔrku kɔnstipɛshɔn kin put prɛshɔn bak pan di blad ɛn mek di urine nɔ flɔ fayn fayn wan.

Aw fɔ trit di blad we de kɔntinyu fɔ de?

If dɛn si se yu PVR ay, we min se mɔ urine lɛf na di blad, yu dɔktɔ go luk di ɔndalayn kɔz nɛks , bikɔs dɛn go no di tritmɛnt bay da kɔz de.

• If di tin we kin mek i apin na di sayd ɛfɛkt we wan mɛrɛsin gɛt, dɛn kin chenj di mɛrɛsin ɔ ridyus di doz.
• If di prɔstat gland big, dɛn kin trit am wit mɛrɛsin ɔ sɔntɛm dɛn kin du smɔl ɔpreshɔn.
• If di urinary tract blok, dɛn kin du ɔpreshɔn ɔ ɔda tin fɔ pul am.
• If na prɔblɛm wit yu nerve, yu kin yuz mɛrɛsin ɔ ɔda we fɔ ɛp yu fɔ ɛmti yu blad we yu de trit am . Sɔm pipul dɛn kin se dɛn fɔ praktis fɔ mek dɛn nɔ gɛt wata ɔ yuz kateshɔn.

Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ tɔk to yu bɔt dis ditayli, ɛksplen wetin yu go ebul fɔ du, ɛn if yu nid fɔ du ɛni ɔda tɛst. So, nɔ fred fɔ aks yu kwɛstyɔn dɛn.

Ustɛm a fɔ go to dɔktɔ?

Dis na tin bak we rili impɔtant.

If yu si se yu nɔ ebul fɔ pis atɔl, we min se yu urine dɔn blok ɔltogɛda, na imejensi. Yu fɔ go na ɔspitul in imejensi dipatmɛnt (ETU) wantɛm wantɛm. Nɔ delay.

Apat frɔm dat, if yu gɛt wan ɔ mɔ pan dɛn sik ya, mek shɔ se yu go to yu famili dɔktɔ ɔ dɔktɔ we de mɛn yu uro:

• If yu gɛt pen ɔ swɛlin na yu bɛlɛ we de dɔŋ.
• If yu gɛt pen ɔ bɔn we yu de pis .
• If yu gɛt fiva.
• If di urine gɛt dak kɔlɔ ɔ i gɛt bad smel.
• If blɔd de na di urine.
• A nid fɔ pis bɔku tɛm, bɔt na smɔl wan nɔmɔ.
• If yu blad stil fil ful afta yu dɔn fɔ pis .

Nɔ ignore dɛn sayn ya. If yu go to dɔktɔ kwik kwik wan, dat kin mek di sik nɔ wɔs.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, fɔ dɔn, if yu tink se yu gɛt sayn dɛm fɔ urinary retention, dat na, urine we lɛf na di blad, yu dɔktɔ kin aks yu fɔ du dis ‘post-void residual’ (PVR) test. Pan ɔl we i nɔmal fɔ mek yu gɛt smɔl urine we lɛf na yu blad sɔm tɛm, if yu gɛt bɔku urine, i kin pwɛl yu blad, i kin afɛkt yu kidni, ɛn i kin mek yu gɛt infɛkshɔn ɔltɛm. Nɔto dat nɔmɔ, bɔt i kin bi sayn bak fɔ wan ɔndalayn kɔndishɔn we nid fɔ trit.

If yu PVR bɔku, yu dɔktɔ go no di tin we mek yu gɛt am ɛn tɛl yu di bɛst tritmɛnt fɔ yu. If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis tɛst ɔr yu rizɔlt, nɔ shek fɔ aks yu dɔktɔ. Yu gɛt ɔl di rayt fɔ mek dɛn no bɔt yu wɛlbɔdi biznɛs. Stay wit wɛlbɔdi!

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