Yu kin ɛva gɛt aksidɛnt we yu de lik we yu de laf, kɔf, ɔ sɔntɛnde ivin fɔ no rizin? Nɔto yu wan de. Dis na tin wae kin pasmak, bɔt stil bɔrku pipul kin si am wae nɔr kin izi fɔ tɔk bɔt bikɔs dɛn kin shem. Bɔt dis na sik we dɔktɔ dɛn no se. Na Nirogi Lanka , wi biliv pan opin tɔk, bikɔs if dis de afɛkt yu ɛvride layf, ifektiv sɔlvishɔn dɛn de.
Wetin rili na Urinary Incontinence? Mek wi brok am dɔŋ!
fכ simpul tεm dεm, urinary incontinence de tכk bכt di lכs fכ di blad kכntrכl, we de mek di urine lik we i nכ want. Fɔ ɔndastand wetin mek dis kin apin, i go fayn fɔ luk aw yu bɔdi in plaba sistɛm de wok.
Yu kidni dɛn kin filta dɔti we kɔmɔt na yu blɔd fɔ mek yu urine, we kin travul dɔŋ tu tiub dɛn we dɛn kɔl ureters fɔ rich na di blad . Tink bɔt yu blad lɛk wan balyɔn we kin chenj we de na yu bɛlɛ we de dɔŋ; i de pan as i de ful-ɔp ɛn shrink wans yu ɛmti am.
We yu nid fɔ pis, di mɔsul dɛn na di blad wɔl kin kɔntrakt, ɛn wan sɛkɔndari mɔsul we dɛn kɔl sfinkta kin rilaks fɔ mek yu urine kɔmɔt na di urethra . di inkontinεns kin apin we dεn blad mכsul dεm ya de wok pasmak כ if di sfinkt nכ de wok fayn fayn wan di rayt tεm. if dεn mכsul dεm ya kכntrakt tu fכs, dεn kin win di sfinkt, we kin mek i lik.
Di kayn we dɛn we pɔsin kin gɛt we i nɔ kin ebul fɔ urinary
di urine lik we yu nɔ want kin sho difrɛn we dɛn. Na di men kayn dɛn ya:
1. Stress Inkontinɛns
If yu gɛt lik we yu de laf, kɔf, sniz, ɔ es sɔntin we ebi, i go mɔs bi se na strɛs inkɔntinɛns . Dis kin apin bikɔs prɛshɔn na in bɔdi kin mek i nɔ ebul fɔ kɔntrol insɛf. I kin rili kɔmɔn pan uman dɛn, mɔ we dɛn dɔn lɛf fɔ gɛt bɛlɛ ɔ afta dɛn bɔn pikin.
2. Urge Inkɔntinɛns
Dis kayn tin kin bi se yu kin want fɔ pis wantɛm wantɛm ɛn i nɔ kin izi fɔ ol, ɛn bɔku tɛm i kin mek yu lik bifo yu rich na di tɔylɛt. Bɔrku tɛm i kin gɛt fɔ du wit "ɔva aktiv blad" ɛn i kin kɔmɔn pan pipul dɛm wae gɛt nyurolɔjik kɔndishɔn lɛk dayabitis , strok , multiple sclerosis , Alzheimer's disease , ɔ Parkinson's disease .
3. Ɔvaflɔ Inkɔntinɛns
Dis kin apin we yu blad ful-ɔp ɔltɛm bɔt yu nɔ ebul fɔ ɛmti am ɔl. Dis kin mek di blad kin rɔn, ɛn dis kin mek smɔl smɔl lik dɛn kin lik bɔku tɛm ɛn yu nɔ kin ivin fil se yu want fɔ go. dis kin bi fכ tin dεm we de ambɔg lεk we di prכstat big na man dεm כ di spεnal kכd injuri.
4. Inkontinɛns we de wok
Dis nɔto prɔblɛm wit di urinary system insɛf, bɔt na di tin dɛn we de ambɔg yu bɔdi ɔ yu maynd we de mek yu nɔ ebul fɔ rich na di bafa insay di tɛm. Sɔm ɛgzampul dɛn na at at sik wae nɔr kin ebul fɔ muv, wae pɔrsin kin gɛt injury, wae pɔrsin kin gɛt dis maynia sik , ɔr wae pɔrsin kin yuse mɛrɛsin wae de mek pɔrsin fil fayn wae kin mek i nɔr kin izi fɔ yu fɔ pis.
Udat de pan ay risk fɔ gɛt urinary incontinence?
Pan ɔl we ɛnibɔdi kin gɛt dɛn tin ya, yu risk kin bɔku if:
- Yu na uman .
- Yu dɔn pas 50 ia .
- Yu de sɔfa bikɔs yu fat pasmak .
- Yu gɛt famili histri bɔt blad kɔntrol prɔblɛm.
dis sik kin apin tu tεm pas di uman dεm, bכku pan di bεlε, bכn pikin, εn mεnopos kin ambɔg di mכsul dεm na di bכdi . di prεshכn we pikin we de gro kin gεt pan di blad we i bεlε na di kכmכn tin we kin mek i nכ kin ebul fכ sכk fכ sכm tεm.
Aw dis kin afɛkt yu maynd wɛlbɔdi?
Pan ɔl we bɔku bɔku pipul dɛn kin sɔfa wit dis, bɔku pan dɛn kin shem ɔ wɔri. Dis kin mek i nɔ de tink bɔt insɛf ɛn i kin mek i nɔ ebul fɔ liv in layf we i nɔ nid.
If dis sik de mek yu strɛs, wɔri , ɔr pwɛl hat , duya go to dɔktɔ kwik kwik wan. Yu nɔ nid fɔ sɔfa we yu nɔ tɔk natin.
Sayn dɛm we de sho se yu kin gɛt blad prɔblɛm
Go to dɔktɔ if yu notis dɛn sayn ya:
- Fɔ pis bɔku tɛm. Pan ɔl we di nɔmba fɔ di trip dɛn we yu kin go na di bafa kin dipen pan di wata we yu de it ɛn di we aw yu de it natura l diuretics lɛk kɔfi ɔ ti, we yu chenj wantɛm wantɛm na yu beslayn na signal fɔ tek not.
- Lik we yu de tray tranga wan lɛk fɔ laf, kɔf, ɛksesaiz, ɔ fɔ de nia dɛnsɛf.
- Lik we nɔ gɛt ɛni wɔnin ɔ ɛnkɔrejmɛnt.
- I nɔ izi fɔ delay fɔ pis wans di want dɔn kam.
- Bedwetting (nocturnal enuresis), we kin apin pan pikin ɛn big pipul.
- di nyurolכjik simptom dεm lεk di leg dεm we wik, di sכmtin we de na di bכdi de sכmtεm, כ we yu de lכs fכ fil.
- Fɔ fil se yu de prɛs ɔ yu de tayt na yu bɛlɛ we de dɔŋ .
Wetin kin mek pɔsin nɔ ebul fɔ urinary?
Yu nɔ kin ebul fɔ urinary incontinence kin kam bikɔs yu gɛt chenj na yu wɛl bɔdi, di prɔblɛm dɛn we de ɔnda yu mɛrɛsin, ɛn di we aw yu de liv yu layf.
Wɛlbɔdi Chenj
- Ol : As yu de ol, i kɔmɔn fɔ mek yu mɔsul dɛn wik .
- Kɔnstipɛshɔn : If yu gɛt siriɔs ɔr yu blaynd, dat kin put bɔku prɛshɔn pan yu blad, ɛn dis kin afɛkt di we aw i de wok.
- Dayabitis : Dayabitis kin mek yu nerv dɛn pwɛl, ɛn dis kin mek yu nɔ ebul fɔ kɔntrol yu blad bɔku tɛm.
- Urinary Tract Obstruction: Dis kin bi bikɔs ɔf di kidni ston, di ureteral ston, di prɔstat we dɔn big na man, ɔ di ska tisu afta dɛn dɔn du di ɔpreshɔn.
- Ovaweit: We yu kɛr di wet we pasmak, dat kin mek yu blad ɛn di mɔsul dɛn we de rawnd yu bɔdi, i kin mek yu gɛt mɔ prɛshɔn.
- Urinary Tract Infection (UTI): UTI kin mek yu blad vɛks, i kin mek yu nid fɔ pis ɔltɛm ɛn kwik kwik wan ɛn i kin mek i nɔ izi fɔ kɔntrol yu.
Di Kɔndishɔn dɛn we De ɔnda di Mɛdikal Kɔndishɔn
Sɔm mɛrɛsin dɛn kin pwɛl di blad mɔsul dɛn ɔ di nerv dɛn we de sho ustɛm fɔ kɔntrakt ɔ rilaks.
- Dis sik we dɛn kɔl Alzaima.
- Di sik we dɛn kɔl multiple sclerosis.
- Dis sik we dɛn kɔl Parkinson.
- Bɛlɛ ɛn bɔn pikin.
- Prɔstat ɔpreshɔn we dɛn kin du.
- Spinal kɔd we dɔn pwɛl.
- Strok.
Di Impekt dɛn we di Layf Stayl De Du
Sɔm it dɛn, drink dɛn, ɛn mɛrɛsin dɛn bak kin mek pɔsin gɛt dis sik:
- Rum.
- Atifishal tin dɛn we dɛn kin yuz fɔ swit.
- Sɔm blɔd prɛshɔn mɛrɛsin dɛn.
- Kafin (kɔfi, ti, ɛnaji drink dɛn).
- Di tin dɛn we de mek pɔsin fil fayn.
- Soda ɛn drink dɛn we gɛt kabon.
- Fɔd dɛn we gɛt spays.
- Di ay dos fɔ Vitamin C.
- Smok ɛn sidɔm layf kin ɛp bak fɔ mek dɛn gɛt dɛn prɔblɛm ya.
Aw yu dɔktɔ kin no bɔt dis sik?
We yu go to yu dɔktɔ, dɛn go tɔk bɔt yu sik dɛn ditayli. Dɛn kin aks yu kwɛstyɔn dɛn lɛk:
- Aw bɔku urine kin lik, ɛn aw ɔltɛm?
- Yu kin lik pan yu klos, ɔ yu kin rich na di tɔylɛt?
- Yu tink se dis kin apin sɔm patikyula tɛm dɛn insay di de?
- I kin apin we yu de du sɔm patikyula tin dɛn lɛk fɔ sniz ɔ fɔ du ɛksɛsayz?
- Yu kin fil pen ɔ nɔ kin fil fayn we yu de pis?
- Yu kin fil se yu want fɔ pis wantɛm wantɛm?
- Ɔmɔs tɛm insay di de yu kin go na di bafa?
- Yu kin si am se i nɔ izi fɔ bigin fɔ pis wans yu dɔn de na tɔylɛt?
- Aw di trɛnk we yu urine strim gɛt?
- Yu kin fil lɛk se yu blad dɔn ɛmti kpatakpata afta yu dɔn?
Yu dɔktɔ go aks yu bak bɔt ɔda tin dɛn we kin mek yu gɛt dis sik ɛn di mɛrɛsin dɛn we yu kin tek:
- Yu gɛt ɛni nyurolɔjik kɔndishɔn, kidni ɔ ureteral ston, ɔ prɔstat prɔblɛm?
- Yu de tek ɛni mɛrɛsin naw? If na so i bi, uswan dɛn?
- Yu kin tek ɛni ɛbul mɛrɛsin ɔ vaytamɛn sɔpɔtmɛnt?
- Yu dɔn ɛva gɛt bɛlɛ ɔ yu dɔn bɔn pikin bay vagina?
- Yu dɔn du ɛni ɔpreshɔn pan yu bɛlɛ ɔ yu bɛlɛ?
- Yu dɔn ɛva du ɔpreshɔn pan yu prɔstat?
Yu dɔktɔ go du yu bɔdi ɛgzam bak. Dɛn kin chɛk fɔ sayn dɛm fɔ spɛnal kɔd prɔblɛm, lɛk we yu leg wik ɔ we yu gɛt swɛt na di say we yu de bɔn. Dɛn kin du rɛktal ɛgzam fɔ chɛk if dɛn gɛt kɔnstipɛshɔn ɔ, pan man dɛn, fɔ chɛk di prɔstat. If yu na uman, dɛn kin du ɛgzam na yu bɛlɛ fɔ chɛk fɔ si if yu vagina atrofi.
Tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt di sik
Fɔ mek yu no se yu gɛt di sik, yu dɔktɔ kin tɛl yu fɔ du dɛn tɛst ya:
- Urinalysis: Dis kin ɛp fɔ no di liva sik, kidni sik, dayabitis, ɛn UTI.
- Test fɔ di kidni fɔ wok: Dɛn kin tɛst yu blɔd ɔ yu urine fɔ si aw yu kidni de wok fayn fayn wan.
- Post-void residual (PVR) urine test: Dɛn de mɛzhɔ ɔmɔs urine de lɛf na yu blad afta yu dɔn tray fɔ ɛmti am.
- Yurin kɔlchɔ: I de chɛk fɔ baktri ɔ jem we de mek pɔsin gɛt infɛkshɔn.
- Urodynamic testing: I de evaluate di nerve ɛn muscle function, di spid we yu urine stream de go, ɛn di prɛshɔn we de insay ɛn rawnd di blad.
- Bladder diary: Na rεkɔd fɔ di wata we yu de it, frɛkuɛns we yu de pis, volyum, ɛn di tɛm we yu de pis.
Tritmɛnt de fɔ di prɔblɛm dɛn we de wit di blad kɔntrol?
Yɛs, fɔ tru! Dɔktɔ dɛn kin bigin wit tritmɛnt opshɔn dɛn we nɔ gɛt ɔpreshɔn.
- di tin dεm we dεn kin yuz fכ kכntrכl di blad: Lεk wan pεsεri, fכ sכpכt di urethra εn ridyus di lik.
- Fɔ tren yu blad bak: Fɔ mek tɛm fɔ go na di bafa ɛn smɔl smɔl fɔ mek di tɛm bitwin dɛn go ɔp.
- Bayofidbak: I de ɛp yu fɔ no ɛn gɛt kɔntrol bak pan yu mɔsul dɛm na yu bɛlɛ.
- Fɔ ridyus di we aw pɔsin de drink rɔm ɛn kafinɛ.
- ilektrikal stimulashכn: dεn de yuz am fכ stimulate di nεv dεm we de rεgεl di blad fכ wok.
- Kegel εksεsayz (pεlvik fכl εksεsayz): dεn kin rili wok fכ mek di bכdi strכng εn fכ mek di kכntrכl bכku.
- Fizik tɛrapi ɛn ɛksesaiz dɛn we dɛn dɔn tɔk bɔt.
- We yu nɔ gɛt bɔku bɔku bɔdi: If yu gɛt bɔku bɔku bɔdi, if yu lɛf fɔ it bɔku bɔku it dɛn, dat kin mek yu fil fayn.
If di tritmɛnt dɛn we nɔ gɛt ɔpreshɔn nɔ wok, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn:
- Mesh we dɛn kin yuz fɔ ɔpreshɔn.
- di prכsidכs dεm fכ sling: fכ gi sכpכt "sling" fכ di urethra.
- di urethral bulking agents: Injεkshכn fכ tik di urethral wכl dεm.
- Botox® injɛkshɔn: Dɛn kin yuz am fɔ di blad mɔsul fɔ trit di urge incontinence.
- Divays dɛn we dɛn kin put insay di nerve stimulation.
- Artificial urinary sphincter: Na tin we dɛn kin yuz bɔku tɛm fɔ man dɛn.
Wetin na di bɛst mɛrɛsin fɔ dis?
If yu nid mɛrɛsin, yu dɔktɔ go gi yu tritmɛnt we fit fɔ yu patikyula kayn blad prɔblɛm. Duya nɔ bigin ɛni mɛrɛsin if yu nɔ gɛt pɔshɔnal mɛdikal kɔnsultɛshɔn frɔm Nirogi Lanka ɔ yu wɛlbɔdi prɔvayda.
- Fɔ ‘Urge incontinence’: Dɛn kin gi mɛrɛsin lɛk `Oxybutynin (Oxytrol®)`, `Tolterodine (Detrol®)`, `Darifenacin (Enablex®)`, `Solifenacin (VESIcare®)`, ɛn `Trospium (Sanctura®)`. Dɛn tin ya kin wok bay we dɛn kin mek di blad mɔsul dɛn rilaks, ɛn dis kin ɛp fɔ mek di pɔsin nɔ want fɔ pis wantɛm wantɛm.
- Fɔ ‘Strɛs inkontinɛns’: Sɔntɛnde dɛn kin tink bɔt mɛrɛsin lɛk `Imipramine (Tofranil®)` ɔ `Pseudoephedrine (Sudafed®)`. Bikɔs dɛn tin ya kin gɛt sayd ɛfɛkt, yu dɔktɔ go tek tɛm luk yu wɛlbɔdi biznɛs bifo i tɛl yu bɔt dɛn.
- Fɔ ‘Overflow incontinence’: Dipen pan di ɔndalayn kɔz, yu dɔktɔ kin gi yu advays fɔ `Bethanechol (Duvoid®)` fɔ ɛp di blad fɔ kɔntrakt, ɔ mɛrɛsin lɛk `Terazosin (Hytrin®)`, `Alfuzosin (Uroxatral®)`, ɛn `Finasteride (Proscar®)` fɔ manej di simptom dɛm we gɛt fɔ du wit prɔstat.
Wetin yu kin ɛkspɛkt wit dis sik?
Fɔ bɔku pipul dɛn, dɛn kin ebul fɔ kɔntrol di sayn dɛn we de sho se dɛn nɔ ebul fɔ urinary fayn fayn wan ɔ ivin sɔlv am fayn fayn wan wit tritmɛnt. Sɔntɛnde, di prɔblɛm kin apin fɔ sɔm tɛm, lɛk we i gɛt infɛkshɔn na di urinary tract infection ɔ we i gɛt bɛlɛ; insay dɛn kayn tin ya, bɔku tɛm di sayn dɛm kin dɔn wans dɛn dɔn adrɛs di ɔndalayn kɔz.
Bɔt if yu de liv wit krɛse sik lɛk dayabitis ɔ `(Multiple Sclerosis)`, inkontinɛns kin kɔntinyu. If na so i bi, i rili impɔtant fɔ wok togɛda wit yu dɔktɔ fɔ mek yu plan fɔ du di wok we yu fɔ du. Duya una nɔ wɔri; bɔrku fayn fayn we dɛn de fɔ mɛn dis sik.
Wetin yu kin du fɔ mek yu nɔ gɛt bɔku prɔblɛm?
Pan ɔl we yu nɔ go ebul fɔ protɛkt ɛvri kes we yu nɔ ebul fɔ kɔntrol yusɛf, dɛn tin ya we yu fɔ du bifo tɛm kin ɛp fɔ ridyus yu risk:
- Strɔng yu pelvik flɔ mɔsul dɛn wit Kegel ɛksɛsayz. Aks yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi fɔ advays yu bɔt di kɔrɛkt we aw yu fɔ du am.
- Limit tin dɛn we de mek yu blad lɛk rɔm, drink dɛn we gɛt kafinɛ, it dɛn we gɛt spays, ɛn tin dɛn we dɛn mek fɔ swit.
- Mek yu gɛt wɛlbɔdi wet fɔ mek yu nɔ gɛt prɛshɔn we nɔ nid fɔ de pan yu blad.
- Inkrisayz fayv na yu it fɔ mek yu nɔ gɛt kɔnstipɛshɔn, we kin mek di blad prɔblɛm wɔs.
- Klof ɔ ridyus fɔ smok fɔ mek yu nɔ gɛt bɔku kɔf we nɔ de dɔn, we kin mek yu gɛt strɛs pan yu bɛlɛ mɔsul dɛn.
- Stay fɔ du tin wit yu bɔdi.
Aw yu go ebul fɔ kɔntrol di kɔmfɔt we yu de gɛt ɛvride?
Bɔku pipul dɛn kin gɛt fridɔm we dɛn yuz ɔndawea we nɔ kin ebul fɔ kɔntrol dɛnsɛf, dayapɛt fɔ big pipul dɛn, ɔ pad dɛn we kin absɔb. Blad sɔpɔt, we de wok lɛk tampon, na tin dɛn bak we sef ɛn we go wok fayn. Dɛn prɔdak ya na sɛns ɛn dɛn mek am fɔ wɛr ɔnda klos. Pan ɔl we sɔm dɛn kin yuz wan tɛm nɔmɔ, ɔda wan dɛn kin was ɛn yuz dɛn bak. Fɔ mek yu skin nɔ irita ɛn nɔ smɛl, mɛmba fɔ chenj yu pad ɔ dayapɛt ɔltɛm ɔl di de.
Ustɛm yu fɔ go to dɔktɔ?
Sɔt tɛm blad prɔblɛm kin apin bikɔs ɔf di urinary tract infection, kɔnstipɛshɔn, it, ɔ sayd ɛfɛkt frɔm mɛrɛsin. Bɔt if dɛn sik ya de fɔ pas wan wik ɔ i rili ambɔg yu kwaliti fɔ liv, duya go to pɔsin we sabi bɔt wɛlbɔdi biznɛs. Nɔ nid fɔ shem—dis na tin we pipul dɛn kin wɔri bɔt wit mɛrɛsin.
Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?
Yu go si se i go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:
- Us kayn urinary incontinence a de gɛt?
- Wetin na di men tin we mek dis prɔblɛm de?
- I go mɔs bi se i go sɔlv am fɔ insɛf?
- Risk de fɔ mek i gɛt dis sik bak?
- Us tritmɛnt dɛn yu kin advays?
- Sɔm patikyula ɛgzampul dɛn de we a kin du na os?
- Us chenj dɛn we a fɔ du na mi layf?
Wetin mek yu kin fil kwik kwik wan nia tɔylɛt?
If yu gɛt siriɔs nid fɔ pis jɔs lɛk aw yu si tɔylɛt ɔ yɛri wata we de rɔn, bɔku tɛm dis na sayn fɔ ‘Urge Incontinence’ . Dis kin apin to pipul dɛm wae gɛt sɔm kayn nerve issues. I kin apin bikɔs yu bren kin sɛn signal bifo tɛm to yu blad fɔ ɛmti, ilɛksɛf i nɔ ful-ɔp. Di gud nyus na dat, bɔrku tɛm dɛn kin ebul fɔ mɛn dis wit tritmɛnt wae dɛn dɔn tɔk bɔt.
Faynal tinkin frɔm Nirogi Lanka
Fɔ liv wit urinary incontinence kin tranga ɛn kin mek yu at pwɛl. I fayn fɔ ɔndastand if yu dɔn stɔp yu soshal aktiviti bikɔs yu de fred fɔ lik ɔ yu nɔ gɛt bɛtɛ tɔylɛt.
Mɛmba se, duya nɔ fred fɔ tɔk bɔt dis wit yu dɔktɔ. Bɔrku pan di kes dɛm kin de fayn fayn wan, ɛn bɔrku pan dɛn kin trit gud gud wan.
We yu patna wit yu wɛlbɔdi tim, yu kin no wetin mek yu gɛt dis sik ɛn fɛn di tritmɛnt we go wok fayn fɔ yu layf. Nɔto yu wan de, ɛn ɛp de.
Urinary leak, urinary control, urinary incontinence, blad, strɛs inkontinɛns, urge incontinence, urinary tract infection
