Yu kin gɛt prɔblɛm bak fɔ kɔntrol yu urine? Sɔntɛm di tin we kin mek i apin na di nervɔs sistɛm! (Nyurojɛnik Blada) .

Sɔntɛnde yu kin fil lɛk se yu nɔ ebul fɔ kɔntrol yu blad ? Yu kin fil se yu nid fɔ pis wantɛm wantɛm, ɔ yu kin fil lɛk se yu nɔ ebul fɔ pis fayn? Dis nɔto jɔs ɔda tin, i kin bi bikɔs ɔf sɔm prɔblɛm na yu nervɔs sistɛm. Na dat wi kin kɔl Nyurojɛnik Blada pan mɛrɛsin. Lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin na Nyurojɛnik Blada?

Tink bɔt yu bɔdi lɛk wan kɔmpleks ilɛktrik sɔrkwit. Di bren na di masta kɔntrol sɛnta. di mεsej dεm de kכmכt frכm di bren to כl di pat dεm na di bכdi tru di nεv dεm. we yu blad ful, i de sen signal to di bren se, "Okay, naw di blad don ful, yu nid fכ ɛmti am." Dɔn we di tɛm rich, di bren kin sɛn signal to di mɔsul dɛn na yu blad fɔ kɔntrakt, ɛn i kin sɛn signal bak fɔ opin di say we di urine pas. Ɔl dis kin apin tru di nervɔs sistɛm. insay wan kכndyushכn we dεn kכl Nyurojεnik Blada, dis signal sistεm de disrupt biכs fכ damej pan di bren, spεnal kכd, כ nεv dεm. I tan lɛk se na misway. Dis kin mek di blad nɔ kin gɛt di rayt mɛsej, ɔ i kin gɛt di rɔng mɛsej. Dis kin mek yu nɔ ebul fɔ kɔntrol yu blad igen.

Tu men kayn Nyurojɛnik Blada de:

dipכnt pan di we aw di nεv sεstem dεn dכn pwεl, dεn kin sheb di Nyurojεnik Blad to tu men tכp dεm. 1. di blad we de wok pasmak (Spastic Bladder): insay dis kayn we, di blad de kכntrakt bכku tεm εn i nכ de kכntro. Fɔ tɔk di kɔrɛkt tin, di bren kin kɔntinyu fɔ sɛn signal fɔ ɛmti di blad ivin we i ful-ɔp smɔl. Dis kin mek di blad fil lɛk se i nid fɔ pis bɔku tɛm, ɛn i kin want fɔ pis wantɛm wantɛm. 2. Underactive Bladder (Flaccid Bladder): Di opozit na tru. di blad mכsul dεm nכ de gεt di rayt signal fכ kכntrakt. So, ivin we di blad ful-ɔp, i nɔ kin izi fɔ ɛmti am ɔl. Yurin kin stil de na di blad.

Wetin na di sayn dɛm fɔ dis sik?

Di sayn dɛm kin difrɛn difrɛn wan bay di kayn Nyurojɛnik Blada we yu gɛt. Lɛ wi tek wan luk pan wetin na dɛn sayn ya.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Bɔku tin dɛn de we kin mek pɔsin gɛt Nyurojɛnik Blada. Sɔm na tin dɛn we pɔsin kin bɔn wit, ɛn ɔda wan dɛn kin kam bikɔs ɔf sik ɔ aksidɛnt we kin apin leta.

Di tin dɛn we kin mek pɔsin bɔn pikin

• Spina bifida: Dis na kכndyushכn we de apin we di spεnal kכd nכ de divεlכp fayn we dεn bכn am.
• Sεribra palsi: Na wan kכndyushכn we de afekt di bren divεlכpmεnt.
• Caudal rεgrεshכn sεndrכm:di lכw spayna nכ de divεlכp fayn fayn wan.

Leta tin dɛn we kin mek pɔsin apin

• Spinal kɔd injuri: Damej pan di spaynal kɔd bikɔs ɔf aksidɛnt ɔ fɔdɔm.
• Sik dɛm wae de afɛkt di nervɔs sistɛm:
• Mɔltipɛl sklɛrosis ( MS ) .
• Dis sik we dɛn kɔl Parkinson
• Stroke we pɔsin kin gɛt
• Sεntri nεv sεstem tכmכro dεm: Tכmכro dεm we de divεlכp na di bren כ spεnal kכd.
• Dayabitis: Dayabitis fɔ lɔng tɛm kin mek yu nerv pwɛl.

Ɔda prɔblɛm (kɔmplikɛshɔn) wae kin kam bikɔs ɔf dis

If dɛn nɔ trit di nyurojɛnik blad fayn, ɔda wɛlbɔdi prɔblɛm kin apin.

• Urinary tract infection (UTIs): di urine we de lɛf na di blad de mek di chans fɔ mek baktri dɛn gro ɛn mek infɛkshɔn bɔku.
• di kidni dεm we dεn dכn pwεl: di kidni dεm kin damej bikoz fכ di prεshכn we de go כp na di blad כ bikoz fכ di urine we de fכlכ bak insay di kidni dεm ( vesicoureteral reflux ).
• Ston we de na di urinary: Ston kin fכm na di blad כ di urinary sistεm.
• Saikɔlɔjik impak: If yu nɔ ebul fɔ kɔntrol yu urine kin mek yu fil shem ɛn fred fɔ go na pɔblik. Dis kin mek yu fil bad ɛn gɛt pwɛl hat . Nɔ shek fɔ tɔk to yu dɔktɔ bɔt dɛn filin ya.

Aw dɔktɔ kin fɛn dis?

We yu tɛl yu dɔktɔ bɔt dɛn sik ya, i go aks yu bɔt yu mɛrɛsin histri. Dɔn, dɛn go du wan ɛgzam fɔ dɛn bɔdi. If dɛn tink se nyurojɛnik blad de, dɛn kin se dɛn fɔ du bɔku tɛst fɔ no di rayt tin we mek dɛn gɛt am.

• Imej tɛst: Dɛn kin aks yu fɔ du ɔltra saund skan, CT skan , ɔ MRI skan fɔ luk yu kidni ɛn blad.
• Sistoskopi: Dɛn kin pas wan tint tiub we gɛt kamɛra tru di urethra fɔ chɛk di insay pat pan di blad.
• Yurodaynamik tɛst: Dis na spɛshal tɛst we de mɛzhɔ ɔmɔs urine yu blad kin ol, di prɛshɔn we de insay di blad, di spid we di urine de flɔ, ɛn aw yu blad de ɛmti fayn fayn wan.

Afta dɛn tɛst ya, dɛn kin sɛn yu to dɔktɔ we de mɛn yu uro.

Aw dɛn kin trit am? Yu tink se dɛn go ebul fɔ mɛn dis?

Dɛn kin no di tritmɛnt plan bay di sayn dɛm wae yu gɛt, aw de sik tranga, ɛn de kɔz.

1. Fɔ chenj di we aw yu de liv yu layf ɛn fɔ tren yu blad

Di dɔktɔ go tɛl yu fɔ tray tin dɛn lɛk dis fɔs.

• Kip blad dayari: Kip rεkɔd fɔ ɔmɔs tɛm yu de pis insay wan de, ɔmɔs yu de pis, wetin yu de drink, ustɛm yu nid fɔ pis, ɛn ɛni tɛm we yu aksidɛntli pis. Dis kin ɛp yu fɔ no wan patɛn ɛn yus fɔ pis di rayt tɛm.
• Di it: Tin dɛn lɛk kɔfi, ti, rɔm, ɛn drink we gɛt kabon kin mek di blad wok kwik kwik wan. I advays fɔ stɔp dɛn.
• Kegel eksasaiz: Na di eksasaiz we de mek di mכsul dεm na di bכdi strכng.

2. Di mɛrɛsin dɛn we dɛn kin yuz

Mεdikeshכn dεm de we kin rεdכks di blad mכsul dεm we de kכntrakt pasmak כ rilaks di blad. fכ egzampl, mεdikeshכn dεm lεk `oxybutynin`, `tolterodine`, `mirabegron`. Dɛn fɔ yuz dɛn tin ya ɔnda dɔktɔ advays nɔmɔ.

3. Fɔ yuz kateshɔn

Dis we fɔ du tin rili impɔtant fɔ di wan dɛn we nɔ ebul fɔ ɛmti dɛn blad ɔltogɛda.

• Self-catheterization: Fɔ ɛmti yu blad bay we yu put wan klin, smɔl tiub (catheter) insay yu urethra bɔku tɛm insay di de. Yu dɔktɔ ɔ nɔs go sho yu aw fɔ du dis.
• Kɔntinyu fɔ put kateshɔn: Na fɔ yuz kateshɔn we dɛn kin wɛr ɔltɛm.

4. Ɔda tritmɛnt dɛn

• Botox® injεkshכn: Yu kin injεkt bכtoks insay di blad mכsul dεm fכ ridyus dεn ova aktiviti.
• Ɔpreshɔn: If no ɔda tritmɛnt nɔ wok, dɛn kin tink bɔt fɔ du ɔpreshɔn. fכ egzampl, wan augmentation cystoplasty כ wan urinary diversion.

Yu dɔktɔ go tɔk to yu us tritmɛnt go fayn fɔ yu sik. Nyurojɛnik Blad, urinary kɔntrol, nervous sistɛm, blad, blad kɔntrol sinhala, urinary incontinence sinhala, urinary retention sinhala