Yu kin lik urine bak we yu nɔ no? Dɛn kɔl dis fɔ mek pɔsin nɔ ebul fɔ kɔntrol insɛf! Wi go tɔk bɔt dis?

Sɔntɛnde yu kin lik yu urine we yu nɔ no? Ɔ yu kin pis bifo yu gɛt fɔ rɔn go na tɔylɛt? Dis na prɔblɛm we bɔku pipul dɛn gɛt, bɔt i kin shem smɔl fɔ tɔk bɔt. Nɔ wɔri, nɔto yu wan de. insay mεdikal tεm dεm, dεn kכl dis kכndyushכn ``Functional Incontinence'' . Fɔ tɔk am simpul wan, nɔto bikɔs ɔf wan big prɔblɛm wit yu blad (we urine kin gɛda), bɔt na bikɔs yu nɔ kin ebul fɔ go na tɔylɛt di rayt tɛm fɔ sɔm ɔda rizin. Lɛ wi tɔk mɔ bɔt dis .

Wetin na Fɔnshɔnal Inkɔntinɛns?

Fɔ tɔk am simpul wan, ``(Functional Incontinence)`` na we yu lɔs kɔntrol pan yu blad ɛn aksidɛntli lik yu urine. Bɔt dis nɔto bikɔs ɔf wan dairekt sik na yu urinary system. I kin apin we yu gɛt prɔblɛm fɔ go na tɔylɛt di rayt tɛm, ɔ fɔ no se yu nid fɔ pis , bikɔs ɔf ɔda sik na yu bɔdi ɔ yu maynd. Imajin, yu gɛt wan rili strɔng want fɔ pis , bɔt no we nɔ de fɔ go na tɔylɛt, dɔn dis na wetin kin apin.

Dɛn kin kɔl dis bak ``Functional Urinary Incontinence''. Dɛn ɔl tu min di sem tin.

Aw dis sik kin kɔmɔn?

fכ tru, in jεnarכl, urinary incontinence, כ ``Urinary Incontinence'', na mכr kכmכn pas aw yu kin tink. Akɔdin to sɔm ripɔt, nia 30 milyɔn pipul dɛm na kɔntri lɛk Amɛrika gɛt sɔm kayn ``Urinary Incontinence''. So yu kin imajin aw bɔku pipul dɛn na Sri Lanka de sɔfa bak wit dis kayn diskɔmfɔt. ``Functional Incontinence'' na wan pan dɛn kayn tin ya. So dis nɔto tin wae kin apun to yu nɔmɔ, bɔrku pipul kin sɔfa wit dis sik.

Wetin na di sayn dɛm fɔ Functional Incontinence?

Wɛl, den aw wi go no dis ``(Functional Incontinence)`` kɔndishɔn? Si if dɛn tin ya apin to yu:

• Yurin kin lik (dribling) bɔku tɛm we yu nɔ no .
• Sɔntɛnde, di wan ol blad kin ɛmti we i nɔ kin no.
• A nɔ ebul fɔ ol mi urine te a go na tɔylɛt.
• Yu fil lɛk se urine de smɛl na yu klos ɔ rawnd di os.

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i fayn fɔ pe atɛnshɔn to dɛn.

Wetin na di tin we kin mek pɔsin nɔ ebul fɔ du sɔntin?

Naw lɛ wi luk wetin de mek dis ``Functional Incontinence'' kɔndishɔn. Fɔ tru, bɔku tin dɛn kin de we kin mek i apin.

• Disɔda wae de mɛk pɔrsin nɔr de fil fayn : Dɛn tin ya na dis maynia sik (we pɔrsin nɔr kin mɛmba ɔltɛm), delirium (we kin mek pɔrsin nɔr de mɛmba ɔltɛm), ɛn wae pɔrsin nɔr kin ebul fɔ tink fayn. Fɔ ɛgzampul, pɔrsin wae gɛt dis maynia sik kin gɛt prɔblɛm fɔ pis .Yu nɔ go mɛmba wetin yu nid fɔ du, ɔ yu nɔ go ebul fɔ fɛn usay di tɔylɛt de.
• Nyurolɔjik disɔda: Na tin wae kin afɛkt di bren, spɛshal kɔd, ɔr nervɔs sistɛm, lɛk multiple sclerosis (MS), Parkinson’s disease (we kin mek pɔrsin shek), ɛn strok. Dɛn tin ya kin mek di sayn dɛn we yu nid fɔ kɔntrol yu blad stɔp fɔ wok fayn fayn wan.
• Sik dɛm we kin afɛkt di mɔsul dɛm, we kin mek i nɔ izi fɔ go na tɔylɛt ɔ drɛs : Fɔ ɛgzampul, `(Atraytis)` (jɔyn pen). Naw imajin se yu mama ɔ papa gɛt `(Atraytis)`. I nɔ kin izi fɔ dɛn fɔ bɛn ɛn strɛch dɛn an ɛn fut dɛn. Dɔn, we i nɔ izi fɔ mek pɔsin we wɛr skit es am ɔp, fɔ mek pɔsin we wɛr pant opin in bɔtin, ɔ fɔ zip am, i kin tek tɛm fɔ go na tɔylɛt ɛn rɛdi. Na da tɛm de yu kin go smɔl we yu nɔ no.
• wan wik blad ɔ di pεlvik fכl mכsul dεm : We dεn mכsul dεm ya wik, i kin at fכ ol di urine.
• Di tin dɛn we de ambɔg di bɔdi : Tin dɛn lɛk stej, layt we nɔ fayn, ɔ i nɔ kin izi fɔ fɛn tɔylɛt na say we pipul dɛn kin bɔku. Imajin wan ol pɔsin we de na wilchia, ɛn nɔto ɔl tɔylɛt dɛn de we wilchia kin go.
• di vagina tisu we de tכn כ infεkshכn.
• Mεdikeshכn dεm wae de afekt yu tinkin : Slip pils, εtk.Dεn kin mek yu slip εn mek yu fכgεt f כ pis .
• Diuretics : Dɛn kin gi dɛn mɛrɛsin ya fɔ sɔm sik dɛn.
• Urinary Tract Infections (UTIs) : Dis na tin bak we kin mek pɔsin gɛt sik.
• Kɔnstipɛshɔn : Ivin we kɔnstipɛshɔn rili bad, prɛshɔn kin bɔku pan di blad, ɛn dis kin mek pɔsin gɛt dis kayn tin.

"Yu si, plenti rizin de. So dis no de limited to jos wan tin."

Udat kin gɛt di sik we dɛn kɔl functional incontinence?

Pan ɔl we dis sik kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm.

• If yu gɛt sik we de afɛkt di bren wok (`(Cognitive disorder)`).
• If yu gɛt nyurolɔjik disɔda.
• If yu gɛt wan sik we de afɛkt di mɔsul ɛn jɔyn dɛn, lɛk at at sik.
• If yu de tek sɔm mɛrɛsin dɛn, fɔ ɛgzampul, diuretics, ɔ mɛrɛsin dɛn we de mek yu slip.
• Pipul dɛn we dɔn pas 65 ia : Dis sik kin apin mɔ to ol pipul dɛn we de na say usay dɛn de kia fɔ ol pipul dɛn. Di risk kin go ɔp wit di ej as di bɔdi de chenj.
• Dis risk kin pasmak bak fɔ di wan dɛm wae nɔr de du bɔrku bɔdi.

Aw dɛn kin no dis? (Aw dɛn kin no se pɔsin nɔ ebul fɔ kɔntrol insɛf?)

If yu tink se yu gɛt dɛn sik ya, wetin yu fɔ du nɛks? Yu fɔ rili go to dɔktɔ. Di dɔktɔ ɔ nɔs go chɛk yu ɛn aks yu sɔm kwɛstyɔn dɛn. Dɛn kwɛstyɔn ya kin bi:

• Naw, dɛn de trit yu fɔ ɛni ɔda mɛrɛsin?
• Wetin na di we aw yu de it? Aw bɔku yu de it ɛn drink?
• Aw bɔku wata yu de drink fɔ wan de? Wetin yu de drink?
• Yu kin drink rɔm ɔ kafin (ti, kɔfi)?
• Aw bɔku ɛksesaiz yu kin du? Us kayn ɛksesaiz yu kin du?
• Yu go ebul fɔ muv rawnd izi wan?

I rili impɔtant fɔ ansa dɛn kwɛstyɔn ya ɔnɛs wan , bikɔs na da tɛm de nɔmɔ di dɔktɔ go ebul fɔ ɔndastand di rayt tin.

Us kayn tɛst dɛn go du?

Di dɔktɔ kin du sɔm tɛst dɛn fɔ no di rayt tin we mek i apin.

• Urinalysis : Dis na fɔ tek wan sɛmpul pan yu urine fɔ chɛk if yu gɛt infekshɔn ɔ ɔda prɔblɛm dɛn.
• di tεst dεm fכ di pεlvik fכl dεm : dεn ya de chεk aw yu bכdi mכsul dεm de wok fayn fayn wan εn aw dεn strכng.
• Urodynamic testing : Dis na wan mכr komplεks tεst. I de mכsu tin dεm lεk aw di nεv dεm εn mכsul dεm na yu blad de wok, aw yu urine de fכlכ fast, εn di prεshכn we de insay εn rawnd yu blad.

Sɔntɛnde yu dɔktɔ kin rifer yu to spɛshal pɔsin we de du di urinary ɛn riprodaktiv sistɛm (wan ``Urologist'') ɔ spɛshal pɔsin we de trit di prɔblɛm dɛn we gɛt fɔ du wit di bɛlɛ na uman dɛn (wan ``Urogynecologist'').

Aw yu kin ridyus di funkshɔnal inkɔntinɛns?

Okay, naw lɛ wi si wetin dɛn kin du fɔ ridyus ɔ kɔntrol dis ``Functional Incontinence`` kɔndishɔn. Di we aw dɛn kin trit am kin dipen pan di tin we kin mek i gɛt am.

Fɔ ɛgzampul, if yu gɛt at at ɛn i nɔ kin izi fɔ yu fɔ pul yu klos, i bɛtɛ fɔ wɛr klos we izi fɔ pul, we elastik, ɔ Vɛlkro. If yu gɛt urinary tract infection (UTI), yu dɔktɔ go gi yu antibayɔtik. If sɔm mɛrɛsin dɛn de mek yu gɛt dis sik, yu kin tɔk to yu dɔktɔ fɔ si if ɛni ɔda mɛrɛsin de.

Apat frɔm dat, tin dɛn lɛk dis kin ɛp bak:

• Inkontinɛns pad ɔ ɔndawea : Dɛn kin gɛt dɛn tin ya na famasi. Wan pɔpul brand de bak we dɛn kɔl Depends®. If yu yuz dɛn tin ya, dat kin ɛp fɔ mek yu nɔ wet klos ɛn nɔ fil fayn if yu aksidɛntli pis.
• Blad trenin : Dɛn kin kɔl dis bak timed voiding. Insay dis, dɛn kin aks yu fɔ pisIvin if yu nɔ nid fɔ du dat, go na tɔylɛt ɔltɛm ɔl di de (bɔku tɛm ɛvri tu awa). Dis go ɛp yu fɔ ɛmti yu blad bifo i ful-ɔp. Yu kin inkrisayz di intaval bitwin dɛn tɛm ya smɔl smɔl.
• Urinary catheter : Sɔm kayn bad bad tin dɛn kin apin, dɔktɔ kin tɛl yu fɔ yuz urinary catheter fɔ sɔm tɛm ɔ fɔ lɔng tɛm. dis involv fכ put wan tint, fleksibul tכb tru di urethra insay di blad, fכ kכlekt urine insay bag.
• Kɔndɔm kateta : Dis na sɔntin we man kin yuz. i kin tay pan di penis lεk kכndכm, εn dεn kin kכlekt urine insay bag tru wan tכb we kכnεkt to am.
• Pɛlvik flo fizik tɛrapi : Wan spɛshal pɔsin go tich yu ɛksɛsayz (lɛk Kegel ɛksɛsayz) fɔ mek yu mɔsul dɛn na yu bɛlɛ strɔng. If yu strɔng dɛn mɔsul ya, dat kin ɛp yu fɔ ol yu urine fɔ sɔm tɛm bifo yu go na tɔylɛt.

We yu de na os, kip di rod fɔ go na di tɔylɛt klia. Kip di domɔt dɛn opin ɛn di flɔ klia frɔm tin dɛn we nɔ nid fɔ mek yu nɔ gɛt bɔku chans fɔ trip ɛn slip. If yu gɛt prɔblɛm fɔ si, put ɛkstra layt dɛn rawnd di os ɔ kip smɔl tɔch nia de. Na gud abit bak fɔ luk fɔ tɔylɛt bifo yu go na do.

Yu tink se dɛn go ebul fɔ stɔp dis? (Dɛn kin mek pɔsin nɔ ebul fɔ kɔntrol insɛf?)

infakt, wi nכ kin bכku sכm pan di tin dεm we de mek `(Functional Incontinence)`, dat na sik dεm we de afekt di mכsul dεm, di nεv sεstem, כ di bren fכ wok (`(Mכsul, nyurolכjik כ kכgnitiv kכndishכn)`). Dis min se wi nɔr gɛt dairekt we fɔ stɔp sik lɛk `(Dementia)` fɔ mek i nɔr de divɛlɔp. Bɔt wi kin tray fɔ ridyus sɔm tin dɛn we kin mek wi gɛt prɔblɛm. Fɔ ɛgzampul, tin dɛn lɛk fɔ liv fayn layf ɛn fɔ kia fɔ yu bɔdi.

Wetin a kin ɛkspɛkt if a gɛt functional incontinence?

If yu gɛt funkshɔn inkontinɛns bikɔs ɔf wan sik we nɔr de mɛn, lɛk Pakinsin sik, yu kin gɛt fɔ liv wit am fɔ di res ɔf yu layf. Bɔt dat nɔ min se yu fɔ sɔfa. Insay dɛn kayn tin ya, e fayn fɔ tɔk to yu dɔktɔ bɔt aw fɔ mɛn yu sik dɛn fayn fayn wan. Bɔku we dɛn de fɔ mek layf izi.

Aw a kin kia fɔ misɛf? (Aw a kin tek kia ɔf misɛf?)

If yu gɛt ``(Functional Incontinence)``, dɛn tin ya kin ɛp yu fɔ tek kia ɔf yusɛf:

• Kip blad dayari : Dis go inklud di wata we yu de drink fɔ wan de, wetin yu de it ɛn drink (especially caffeine, spacy foods), aw ɔltɛm yu de pis , ustɛm yu de pis , ɛn aw lɔng yu de pis.Rayt tin dɛm lɛk aw yu kin pis, aw ɔltɛm yu kin pis, ɛn ɔda tin dɛm Dis infɔmeshɔn go rili ɛp fɔ tren yu blad ɛn fɔ mek yu dɔktɔ ɔndastand yu kɔndishɔn.
• Nɔ it ɛn drink dɛn we de mek yu blad wok : Kafin (we de insay ti, kɔfi, ɛn chɔklɛt), rɔm, soda, it dɛn we gɛt spays, ɛn sitrus frut jus lɛk tomato, laym, ɛn ɔrɛnj kin mek yu blad ɛn mek yu want fɔ pis bɔku tɛm. Tray fɔ kɔt dɛn tin ya smɔl ɛn si if yu notis difrɛns.
• Mek yu gɛt wɛlbɔdi wet fɔ yu : If yu bɛlɛ fat pasmak, dat kin mek yu blad prɛshɔn we yu nɔ nid. If yu lɔs sɔm wet, dat kin ɛp bak.
• Waka ɔltɛm : We yu waka, i de mek yu bɔdi wok fayn ɛn i de ɛp yu fɔ no we yu blad ful-ɔp ɛn we yu nid fɔ fɛn tɔylɛt. Tray fɔ waka fɔ at le 30 minit insay di de.
• Klof fɔ smok : Sɔntɛnde, we yu kɔf we yu de smok kin mek bak yu urine lik. Smok kin ambɔg di blad bak. So, fɔ lɛf fɔ smok kin ɛp bak fɔ ridyus dis sik.

Ustɛm a fɔ go to mi wɛlbɔdi biznɛs pɔsin?

I bεst fɔ go to dɔktɔ jɔs afta yu bigin fɔ gɛt sɔm sayn dɛm fɔ ``Functional Incontinence'', lɛk fɔ lik yu urine we yu nɔ want, ɔ fɔ go na tɔylɛt fɔ sɔm tɛm. Nɔ shem ɔ fred. Dis na nɔmal tin fɔ dɔktɔ. Dɔn yu kin no di tin we de mek yu sik, manej di kɔndishɔn di we we go fayn fɔ yu, ɛn gɛt ɛp fɔ mek yu nɔ lik we yu nɔ want.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ fɔgɛt fɔ aks kwɛstyɔn dɛn lɛk dis:

• Wetin na di rizin we mek a gɛt dis ``Functional Incontinence'' kɔndishɔn?
• Us kayn tɛst dɛn de du fɔ kɔnfirm dis?
• Ustɛm wi go no di rizɔlt fɔ di tɛst dɛn?
• Ɛni tin dɛn de we a fɔ avɔyd ?
• Us it ɛn drink dɛn a fɔ avɔyd ?
• Aw a fɔ kia fɔ misɛf we a de na os?
• Aw a fɔ kia fɔ misɛf we a de kɔmɔt na os?
• Ɛni ɔda sayn dɛn de we a fɔ de wach fɔ ?

We yu aks dɛn kwɛstyɔn ya, yu go ɔndastand di tin we de apin.

Ɔda kayn tin dɛn de we kin mek pɔsin nɔ ebul fɔ pis?

Yes, `(Functional Incontinence)` na wan kayn nɔmɔ. Bɔku ɔda kayn dɛn de we tan lɛk dis. Lɛ wi lan smɔl bɔt dat bak.

• Overflow incontinence : Dis na we yu blad ful, bɔt yu nɔ ebul fɔ ɛmti am ɔl. Yu kin lik urine bikɔs yu blad ful-ɔp, bɔt yu nɔ go no se yu nid fɔ go na tɔylɛt.
• Stress inkontinɛns (`(Stres inkontinɛns)`) .: Dis kin apin we prɛshɔn (strɛs) de na di blad wantɛm wantɛm, fɔ ɛgzampul, we yu de kɔf, laf, sniz, es ebi ebi tin, ɔ du sɔm ɛksesaiz, we de mek yu urine lik kɔmɔt we yu nɔ no.
• Urge incontinence : Dis na we yu gɛt wan want fɔ pis wantɛm wantɛm, we yu nɔ ebul fɔ kɔntrol , bɔt yu nɔ ebul fɔ ol am te yu rich na tɔylɛt.

Dis na di ɔda men kayn dɛn we dɛn kin si. Sɔm pipul dɛn kin gɛt pas wan pan dɛn kayn tin ya we dɛn put dɛn togɛda.

Faynal Mɛsej fɔ Tek-Hom

Functional incontinence kin bi big disrupshɔn pan yu ɛvride layf. Pan ɔl we i kin bɔku pas aw yu tink, yu kin shem ɔ shem fɔ tɔk bɔt am. Yu kin ivin avɔyd fɔ du tin dɛn we yu de du ɛvride ɛn fɔ de wit ɔda pipul dɛn bikɔs yu de fred se yu nɔ go ebul fɔ go na tɔylɛt kwik.

Mɛmba se nɔto yu wangren gɛt dɛn prɔblɛm ya.

• Functional incontinence nɔto sɔntin we yu kin du ɛnitin bɔt. I kin gɛt tin dɛn we kin mek pɔsin in bɔdi ɔ in maynd.
• Di tin we impɔtant pas ɔl na fɔ tɔk to dɔktɔ bɔt dis ɛn nɔ shem ɔ fred.
• Wae dɛn dɔn no di rayt kɔz, bɔrku we de fɔ mɛn ɛn kɔntrol dis sik.
• Simpul chenj na yu layf, ɛksesaiz, ɛn sɔmtɛm fɔ tek mɛrɛsin if nid de, kin ɛp yu fɔ liv fayn fayn wan wit dis sik.
• Pipul dɛn de we go ebul fɔ ɛp yu. So gɛt di rayt advays frɔm dɔktɔ.

If yu ɔr pɔrsin wae yu sabi gɛt dɛn sik ya, duya go to dɔktɔ fɔ advays so dat yusɛf go liv fayn layf wit dis sik.

` Fכnshכnal Inkontinεns, Yurinary Ejakulεshכn, Lכs כf Urinary Kontrol, Urinεshכn , εlda Kεriכn, Nyurכlכji, Dimεnshכn