Yu dɔn ɛva fil lɛk se i nɔ izi fɔ yu fɔ bigin pis , ɔ yu stil gɛt urine na yu blad afta yu dɔn pis ? Sɔntɛm yu urine strim de slo ɛn i kin de wan wan tɛm. Yu fɔ grap bɔku tɛm na nɛt fɔ pis ? Dɛn tin ya nɔto sayn dɛn we wi fɔ ignore. Bladder Outlet Obstruction (BOO) na wan poshubul mεdikal kɔz fɔ dis diskɔmfɔt. Tide, wi go tɔk bɔt dis simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Bladder Outlet Obstruction?
Tink bɔt yu blad lɛk balyɔn we ful-ɔp wit wata. di opin we dis balכn de opin na di say we di urine de kכmכt na di urethra. Bladder Outlet Obstruction min se blɔk de sɔmsay na di rod we di urine de kɔmɔt na di blad. Dis blok de mek di urine slo, ɔ i kin stɔp am kpatakpata.
dis kכndyush כn kin kכmכn bכku pan man dεm we pas 65. bכt i kin apin bak pan uman dεm, yכng pipul dεm, yכng pikin dεm, εn ivin pan di pikin we dεn bכn. dis kכndyushכn we de apin na di bεlε, dεn kכl am bak Fetal Lower Urinary Tract Obstruction (LUTO). Na sɔm kayn tin we kɔmpleks ɛn we nɔ kin apin so ɔltɛm.
uman dεm, spεshal wan dεm we gεt blad we dεn kכl (cystocele), kin gεt dis obstrכkshכn.
Wetin na di sayn dɛm fɔ dis sik?
Pɔsin wae gɛt Bladder Outlet Obstruction kin gɛt difrɛn kayn diskɔmfɔt. We dɛn sik ya kam togɛda, wi kin kɔl dɛn Lower Urinary Tract Symptoms (LUTS) pan mɛrɛsin. Tek wan luk fɔ si if yu gɛt dɛn sik ya bak.
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| I nɔ izi fɔ bigin fɔ pis | Ivin if yu tray fɔ pis , i kin tek sɔm sɛkɔn ɔ mɔ fɔ mek di urine strim bigin. |
| Blad nɔ de ɛmti ɔl | Ivin afta yu dɔn fɔ pis, yu kin fil lɛk se urine stil de insay. |
| Wik, wan wan tɛm urine strim | di urine nכ de kכmכt fכs, i de kכmכt sכmtεm sכmtεm. Sɔntɛnde, di strim kin stɔp fɔ sɔm tɛm, dɔn i kin bigin bak. |
| Fɔ pis bɔku tɛm na nɛt | We yu de slip fayn, yu fɔ grap fɔ pis tu ɔ tri tɛm insay wan nɛt ɔ mɔ. |
| Nid fɔ pis bɔku tɛm | A kin gɛt fɔ pis bɔku tɛm insay di de, bɔt na smɔl tin nɔmɔ kin kɔmɔt ɛvri tɛm. |
| I nid fɔ pis kwik kwik wan | As a fil se a nid fɔ pis , a nɔ ebul fɔ ol am ɛn a fɔ rɔn go na di was rum. |
| Pen na di bɛlɛ we de dɔŋ ɔ na di tu say dɛn na di bak | di blad fulכp bikoz fכ di urinary rεtεnshכn kin mek di lכw bכdi pen כ pen na di tu say dεm na di bak bikoz fכ di ifekt dεm pan di kidni dεm. |
| Pen we yu de pis we yu de pis | Bɔn ɔ pen we yu de pis (especially if infection de) . |
Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?
Bɔku rizin dɛn kin de fɔ dis urinary tract obstruction.
Di men rizin we de afɛkt man dɛn
Di tin we kin mek man dɛn gɛt dis sik na we di prɔstat gland big . Wi kin kɔl dis pan mɛrɛsin we dɛn kɔl Benign Prostatic Hyperplasia (BPH).di prכstat na sכmכl gland we de dכn di blad, we de rawnd di urethra. As yu de ol, bɔku tɛm afta yu dɔn ol 50 ia, dis gland kin bigin fɔ big smɔl smɔl. Dis nɔto kansa. Bɔt as dis gland de big, i kin bigin fɔ blok di urethra. Na da tɛm de i kin at fɔ pis.
Ɔda tin dɛn we kin mek pɔsin gɛt dis sik
Apat frɔm BPH, bɔku ɔda tin dɛn kin afɛkt dis.
- Yurethral Stricture: Ska tisu kin fכm na di urethra bikoz fכ infεkshכn, aksidεnt, כ כpεrayshכn, we de mek di pasej sכm.
- Blad Ston: We minral dεm de kכlכm na di blad εn fכm ston, dεn kin lod insay di urethra εn blכk di pasej fכ urine.
- Pεlvik כgan Prolaps: pan sכm uman dεm, spεshal uman dεm we big we dεn bכn bכku pikin dεm, di blad כ di uterus kin dכn dכn insay di vagina. Dis kin mek di urethra bɛn ɛn blok.
- Sivεr Kɔnstipɛshɔn: Insay pɔsin we gɛt siriɔs kɔnstipɛshɔn, di stɔl we de ful-ɔp di rεktum kin prɛs pan di blad ɛn di urethra.
- Kansa: Dɛn blɔk ya kin bi bak bikɔs ɔf kansa lɛk prɔstat kansa, blad kansa, ɛn sɛvikal kansa.
- Prɔblɛm dɛn na di nervɔs sistɛm: Dis sik kin apin bak we di blad mɔsul dɛn nɔ de wok fayn bikɔs ɔf prɔblɛm wit di bren, spɛshal kɔd, ɔ di nerv dɛn we kɔnɛkt to di blad.
Di tin we impɔtant pas ɔl na dat if yu gɛt dɛn sik ya, nɔ jɔs tink se, "Dis na nɔmal tin as yu de ol," ɛn fɔ tru fɔ go to dɔktɔ. Bikɔs na if dɛn no di rayt tin we mek dɛn du am, na in dɛn go ebul fɔ gi di rayt tritmɛnt.
Aw di dɔktɔ kin no dis sik klia wan?
We yu go to dɔktɔ wit dɛn sik ya, i go fɔs tek tɛm lisin to yu sayn dɛn. Dɔn, dɛn go chɛk yu. Insay dis tɛm, dɛn kin se dɛn fɔ du bɔku tɛst fɔ no di rayt tin we mek dɛn du dis.
| Tɛst | Wetin yu si pan dis? |
|---|---|
| Urinalysis we dɛn kin du | Dɛn go chɛk yu urine fɔ si if i gɛt infɛkshɔn, blɔd, ɔ ɔda tin dɛn we nɔ fayn. |
| Blɔd Tɛst | Fכ no if di kidni dεm de afekt bay we dεn de rεtεn di urinary (chεk tin dεm lεk di kriaytinin lεvεl dεm). |
| Ultrasound Skan we dɛn kin du | dis de egzamin di kidni dεm, di blad dεm, εn di prכstat (insay man dεm). I kin chɛk fɔ blok, blad ston, ɛn post-void residual urine . |
| Sistoskɔpi we dɛn kin du | Insay dis, dɛn kin pas wan tin tiub we gɛt smɔl kamɛra we dɛn tay dɔŋ yu urethra, ɛn di dɔktɔ kin wach wetin de apin insay yu blad ɛn urethra pan skrin. Dis kin si klia wan if ɛnitin de we dɔn blok, we de smɔl, ɔ we gɛt ston ɛnisay. |
| Yurodaynamik Tɛstin | Dis na spɛshal tɛst we de mɛzhɔ di prɛshɔn ɛn di mɔsul dɛn we de wok na di blad we i de ful-ɔp ɛn ɛmti. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di bɛst tin na dat difrɛn tritmɛnt dɛn de fɔ Bladder Outlet Obstruction, i dipen pan di tin we mek i apin. Yu dɔktɔ go pik di tritmɛnt we go fayn fɔ yu.
- Di kayn mɛrɛsin dɛn we dɛn kin yuz:
- Fɔ di tin dɛn we de ambɔg di prɔstat we dɔn big (BPH), dɛn kin gi mɛrɛsin dɛn lɛk alfa-blɔk we de rilaks di mɔsul dɛn we de rawnd di gland.
- Sɔntɛnde, dɛn kin gi am bak mɛrɛsin lɛk Finasteride, we de ridyus di sayz fɔ di prɔstat.
- Ɔda tritmɛnt dɛn:
- uman dεm kin gεt rεlif frכm prכblεm dεm we dεn kin kכz fכ di pεlvik כgan prolaps wit wan tin we dεn k כl pessary, we dεn kin put insay di vagina.
- di fyzikal tεrapi fכ mek di mכsul dεm na di bכdi strכng de εp sכm pipul dεm bak.
- Ɔpreshɔn ɛn ɔda we dɛn:
- Kateshɔn: If di urethra blok ɔl, dɛn kin put wan tɛmporari tiub (Foley catheter) insay di blad fɔ mek di urine kɔmɔt. Sɔm pipul dɛn kin praktis fɔ put dɛnsɛf kateshɔn na os.
- כpεrayshכn fכ pul di blכk: fכ kכndishכn lεk BPH, dεn de pas instrכmεnt dεm tru di urethra fכ pul di pat dεm we blכk na di prכstat (כpεrayshכn lεk TURP).
- Laser Lithotripsy: If ston de na di blad, dɛn kin krɔs am ɛn pul am bay we dɛn de yuz laser bim.
- Yurethroplasty: If di urethra smɔl (stricture), dɛn kin du ɔpreshɔn fɔ mek di pat we dɔn smɔl bak.
Bɔku tɛm, dɛn kin du dɛn ɔpreshɔn ya bay we dɛn nɔ kin yuz bɔku tin dɛn fɔ du. Dat min se dɛn kin du dɛn we dɛn nɔ kɔt big big say ɛn tru smɔl ol dɛn, so di tɛm we dɛn kin de na ɔspitul kin shɔt ɛn i kin wɛl kwik kwik wan.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Dis rili impɔtant. Sɔntɛnde, dis kin bi imejensi.
If yu gɛt pen we yu nɔ go ebul fɔ bia na yu bɛlɛ , ɔ if yu nɔ ebul fɔ pis ivin afta yu dɔn tray fɔ lɔng tɛm , na imejensi. Dɔn bak, if yu gɛt sɔm sayn dɛn fɔ yurinary tract infection, lɛk fiva, kol, ɛn shek shek , go na di ɔspitul we de nia yu in imejensi dipatmɛnt (ETU) wantɛm wantɛm .
If dɛn nɔ trit dis sik, i kin mek i gɛt siriɔs prɔblɛm lɛk urinary tract infection, kidni damej, kidni nɔ de wok fayn, ɛn blad ston. So nɔ ignore di sayn dɛm.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ignore di prɔblɛm dɛn we yu kin gɛt we yu de pis (wik strim, i nɔ kin izi fɔ bigin, yu kin pis ɔltɛm) ɛn tink se i "jɔs nɔmal as yu de ol."
- Pan ɔl we di men rizin fɔ dis na bikɔs di man dɛn prɔstat gland kin big we dɛn de ol, dis sik kin apin bak to uman ɛn yɔŋ man dɛn fɔ ɔda rizin dɛn.
- If dɛn nɔ trit dis sik kwik kwik wan, i kin mek di kidni pwɛl fɔ ɔltɛm, so fɔ no di sik kwik kwik wan ɛn fɔ trit am rili impɔtant.
- If yu gɛt dɛn kayn sik ya, nɔr shem ɔr frayd fɔ go to dɔktɔ. Bɔrku tɛm, dɛn kin kɔntrol dis sik fayn fayn wan wit mɛrɛsin ɔr simpul we.
- If yu gɛt pen we yu nɔ go ebul fɔ bia ɔ yu nɔ de pis ɔlsay, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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