Yu gɛt blad we dɔn big? (Distended Bladder) Mek wi no bɔt dis!

Sɔntɛnde yu kin fil lɛk se yu nɔ ebul fɔ pis? Ɔ yu kin fil lɛk se yu blad ful-ɔp ɛn ebi? If dis kכndyushכn de, yu kin gεt wan kכndyushכn we dεn kכl ‘Distended Bladder’. Nɔ wɔri, wi go tɔk bɔt dis ditayli.

Wetin na distended bladder?

Fɔ tɔk am simpul wan, ‘distended bladder’ na we yu blad, di sak we de ol yu urine, big ɛn swel pas aw i kin bi. Tink bɔt am lɛk balyɔn. We i ful-ɔp wit wata, di balyɔn kin swel, nɔto so? Na so i bi.

Di men rizin fɔ dis na bikɔs di urine nɔ de flɔ fayn ɛn i kin gɛda na di blad . Wi kin kɔl dis pan mɛrɛsin ‘Urinary Retention’. Bɔt nɔto ɔlman we gɛt ‘Urinary Retention’ gɛt blad we dɔn swel.

Naw luk, na wi kidni dɛm de filta di bɔdi in wata ɛn dɔti tin dɛm we wi nɔ want ɛn mek urine. di urine we de prodyuz dis we de stכr insay di blad te wi nid fכ pis. we di blad fulכp, i de sεnd signal to wi bren se, "Okay, a nid fכ pis naw."

Urinary retention na we yu blad ful, bɔt yu nɔ kin ebul fɔ ɛmti am ɔl. Wetin kin apin da tɛm de? Di blad kin strɛch smɔl smɔl ɛn i kin big, ɔ i kin swel fɔ mek i ebul fɔ ol mɔ urine. Na dat wi kin kɔl ‘distended bladder.’

Dis na mɛdikal imejensi?

Blad we dɔn big nɔmɔ nɔto ɔltɛm na mɛdikal imejensi. Bɔt if yu nɔ ebul fɔ pis atɔl, ɔ yu jɔs pas smɔl pis, ɛn i kin kam wit bad bad pen, i kin bi imejensi. Dɛn kɔl dis akyu urinary retention. If yu nɔ ebul fɔ pis wit da kayn bad bad pen de, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Wetin na di sayn dɛm fɔ blad inflamɛns?

If na so i bi, yu kin si sayn dɛn lɛk dis:

• urine we de lik (wi kin kɔl dis bak ‘urinary incontinence’).
• Wan nid fɔ pis wantɛm wantɛm, kwik kwik wan.
• Fɔ fil pen, prɛshɔn, ɔ tayt insay ɔ rawnd di bɛlɛ we de dɔŋ.
• Ɔda sayn dɛn we de sho se yu nɔ de pis na we yu nɔ de pis smɔl, yu nɔ de pis, ɔ yu de fil se yu nid fɔ pis bak afta yu dɔn pis .

Bɔt sɔm pipul dɛn nɔ kin notis dɛn big big sayn ya.

Wetin kin mek dis apin?

di men rizin we mek di blad de swel na bikɔs di urine nɔ de flɔ fayn ɛn i de gɛda. Bɔku rizin dɛn kin de fɔ dis. Lɛ wi si wetin dɛn bi:

• Intafɛreshɔn: .
• Ston dɛn we de na di blad
• Wan tumbu (`Tɔmɔ`) .
• Prɔstat we dɔn big pan man dɛn
• Tin dɛm lɛk kɔnstipɛshɔn kin blok di urinary tract.
• if di pikin in blad swel na di bכdi (`Fetal megacystis`), di men kכz na wan kכndyushכn we dεn kכl ``Lower urinary tract obstructions (LUTOs)``. Dat min se, sɔntin de we de ambɔg di ɔda pat we de dɔŋ di urinary tract.

• Inflameshɔn (we de swel): .
• If ɛni inflamɛns de na di blad ɔ di urethra (di tiub we de kɛr urine frɔm di blad), i kin mek bak yu nɔ ebul fɔ ɛmti yu urine fayn fayn wan.
• Dɛn kayn inflammatory conditions ya kin kam bikɔs ɔf injury ɔr urinary tract infection.

• Nyurolɔjik kɔndishɔn dɛn:
• Sɔm sik dɛm, lɛk multiple sclerosis (MS), Parkinson’s disease, Alzheimer’s disease, ɛn strok, ɛn sɔm mɛrɛsin dɛm (especially opioids), kin mek di bren nɔr kin sɛn signal fayn fayn wan we di blad ful-ɔp. Dis kin mek i nɔ izi fɔ ɛmti yu blad insay di tɛm.

• Ɔpreshɔn:
• Anestezi, we dɛn kin yuz fɔ mek di pen nɔ de we dɛn de du ɔpreshɔn, kin ambɔg sɔntɛnde di ebul fɔ ɛmti di blad.
• Ska ɔ swel we kin kam we dɛn du ɔpreshɔn pan di bɛlɛ kin mek bak di blad ɔ di urethra blok.

Wetin na di prɔblɛm dɛn we kin apin we blad inflamɛns?

sכmtεm, ivin afta tritmεnt, blad swel kin mek sכm difεlεnt fכ pis (`Bladder dysfunction`). Fɔ ɛgzampul:

• Smɔl lik we di urine de lik.
• Fɔ fil se yu nid fɔ pis ivin we yu nɔ nid fɔ pis.
• Nɔ ebul fɔ ɛmti di blad ɔltogɛda.

Aw yu no dis?

We yu go to dɔktɔ, i go aks yu bɔt yu sik dɛn ɛn chɛk yu. I kin prɛs yu bɛlɛ we de dɔŋ ɛn aks yu if yu gɛt ɛni pen. If i sɔprayz se yu blad dɔn swel, i kin ɔda sɔntin lɛk ɔltra saund skan.

If yu na mama we gɛt bɛlɛ, sɔntɛnde, we yu du ɔltrasɔund bifo yu bɔn, yu kin no se yu pikin in blad dɔn swel.

Us tɛst dɛn kin du fɔ dis?

Dɔktɔ dɛn kin no dis sik bay we dɛn de luk yu blad bay we dɛn yuz ɔltra saund. spεshal wan, dεn kin yuz ‘post-void residual urine test’ fכ si aw yu ɛmti yu blad fayn fayn wan. Dis involv fɔ luk yu blad wit ‘ultrasound’ mashin afta yu dɔn fɔ pis (afta yu dɔn pas bɔku urine as yu ebul). I kin ɛp bak fɔ no wetin mek ɛni prɔblɛm de.

Di dɔktɔ kin du ɔda tɛst dɛn bak fɔ no wetin mek di pɔsin nɔ ebul fɔ pis.

Aw dɛn kin trit dis?

Dɔktɔ dɛn kin trit dis mɔ bay we dɛn kin pul di ɛkstra urine we dɔn gɛda na di blad. If yu nɔ ebul fɔ pis atɔl, di fɔs tin we yu dɔktɔ go du na fɔ pul di urine bifo i tray fɔ fɛn di tin we mek yu gɛt am ɔ mek ɛni ɔda diagnosis.

Dɔn, dɛn kin no di ɔndalayn kɔz fɔ di kɔndishɔn (bɔku tɛm na di urinary retention) ɛn trit am. Dis kin min fɔ tek mɛrɛsin, ɔpreshɔn, ɔ ɔda we dɛn.

di fetal megacystis (we di blad de swel na di pikin we de insay di bεlε) kin bεtε insεf sכmtεm we di pikin de gro.

Spɛshal we dɛn fɔ trit di blad we de swel

di mכst kכmכn we dεn kכl am ``Transurethral bladder catheterization.'' Dis involv fכ put wan tin tכb (catheter) tru yu urethra (di opin usay yu de pis) insay yu blad εn afta dat yu de drεn di urine. Di dɔktɔ kin yuz dis tiub fɔ ɛmti yu blad wan tɛm, ɔ i kin lɛf am na in ples fɔ sɔm dez ɔ wik.

if yu fכ trit di fetal megacystis כ nכ de dipכnt pan di situeshכn. Di tritmɛnt dɛn we yu kin gɛt na:

• Vesicocentesis: na we dכkta de yuz nidul fכ pul wata na di pikin in blad.
• Vesicoamniotic shunt: dכkta de put wan tכb insay di pikin in blad εn i de drεn wata tru am.

Di sayd ɛfɛkt dɛn we di tritmɛnt kin gɛt

Afta dɛn dɔn pul di kateshɔn, yu kin gɛt tin dɛn lɛk:

• sכm sכm bכdi na di urine (`Hematuria`).
• Nid fɔ pis bɔku tɛm.
• Lɔw blɔd prɛshɔn (haypɔtɛnshɔn).

Bɔt nɔr wɔri, bɔrku tɛm dɛn sayd ɛfɛkt ya na fɔ shɔt tɛm ɛn dɛn go bɛtɛ insay sɔm dez.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Yu go bigin fɔ fil sɔm kayn fridɔm jɔs lɛk aw di dɔktɔ ɛmti yu blad. Di lɔng tɛm we yu go nid ɔda tritmɛnt go dipen pan di tin we mek yu nɔ de urinary.

Wetin a kin ɛkspɛkt if a gɛt blad inflamɛns?

Blad we swel kin mek yu fil pen, ɛn i kin min se yu nɔ de pis fayn. Yu kin trit dis bay we yu put kateshɔn fɔ mek yu pul wata na di blad. Yu kin nid bak fɔ kɔntinyu fɔ gɛt tritmɛnt fɔ di rizin we mek yu gɛt dis sik.

If yu gɛt bɛlɛ ɛn yu pikin we nɔ bɔn yet gɛt blad swel, tɔk to di pɔsin we de kia fɔ yu bifo yu bɔn fɔ no mɔ.

Yu tink se dɛn kin mek di blad nɔ inflamɛns?

If yu gɛt sik dɛn we nɔ de mɛn we kin mek yu nɔ ebul fɔ pis, if yu manej dɛn fayn fayn wan, dat kin ɛp fɔ mek yu nɔ gɛt blad swel. כltu, insay sכm kes dεm, lεk di blad we de swεla afta dεn כpεrayshכn כ di fetal megacystis, i nכ pכsibul fכ avεnt am.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu nɔ ebul fɔ pis ɛn yu de fil bad bad wan, go na di imejensi rum we de nia yu ɔ go to dɔktɔ wantɛm wantɛm. Akyu urinary retention na mɛdikal imejensi. Nɔ ignore am.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

I go fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek dis bin apin to mi?
• Wetin a fɔ du fɔ mek sɔntin lɛk dis nɔ apin igen?
• Us tritmɛnt opshɔn dɛn a gɛt?
• A go nid fɔ kɔntinyu fɔ gɛt tritmɛnt?

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Bɔku tɛm, dɛn kin trit di blad inflamɛns bay we dɛn ɛmti di blad. Bɔt i impɔtant fɔ trit di ɔndalayn kɔz fɔ urinary retention. If i nɔ izi fɔ yu fɔ pis, ɔ if yu gɛt pen na yu bɛlɛ ɔ rawnd yu bɛlɛ, mɔ if dɛn jɔs dɔn du ɔpreshɔn pan yu, tɛl yu dɔktɔ. Blad inflamɛns nɔto imejensi, bɔt we yu nɔ ebul fɔ pis atɔl kin bi imejensi. So if yu gɛt ɛnitin we de mɔna yu, nɔ ɛva delay fɔ go to dɔktɔ. Yu wɛlbɔdi rili impɔtant to yu.

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