Nɔmal wan, wi kin fil se wi want fɔ pis, ɛn wi kin kɔntrol am ɛn wet te wi go na di bafa. Ɔl dis kin apin tru wan wɔndaful kɔdineshɔn bitwin wi bren, spɛshal kɔd, nɛv, ɛn blad, we de wok lɛk kɔmpyuta sistɛm. Bɔt imajin wetin go apin if wi lɔs blad kɔntrol bikɔs ɔf prɔblɛm wit di nervɔs sistɛm we de kɛr dɛn mɛsej ya. Na dat wi kin kɔl ‘Nyurojɛnik Blada’ pan mɛrɛsin.
Fɔ tɔk am simpul wan, wetin na Nyurojɛnik Blada?
Di nervɔs sistɛm kin sɛn mɛsej, lɛk ilɛktrik signal, ɔlsay na wi bɔdi. Dis nervɔs sistɛm gɛt tri men pat dɛn:
- Bren
- Spinal kɔd
- Nɛv dɛn
Dɛn nɛv ya kin sɛn sayn to yu bren se yu blad dɔn ful-ɔp. Dɔn, wan signal frɔm yu bren kin sɛn mɛsej bak to yu blad we se, "Naw na di rayt tɛm fɔ pis." we dεn gεt dis signal, di blad mכsul dεm de kכntrakt εn di urine de kכmכt.
insay wan kכndyushכn we dεn kכl Nyurojεnik Blad, dis signal sistεm de disrupt biכs fכ wan dizכrd na di bren, spεnal kכd, כ nεv dεm. Dis kin mek yu nɔ ebul fɔ kɔntrol di blad kpatakpata. Dat min se di blad kin wok pasmak ɔ i nɔ kin wok fayn.
Tu men kayn Nyurojɛnik Blada de:
Nyurojenik Blada kin sheb to tu men tכp dεm, i dipכnt pan di kayn nεv dεm we de mek i pwεl. We yu ɔndastand dis, dat kin ɛp yu fɔ ɔndastand yu sayn dɛn fayn fayn wan.
| Di kɔndishɔn na di blad | Fɔ ɛksplen simpul wan... |
|---|---|
| Ovaaktiv Blad (Spastik/Haypa-riflɛsɛf) . Blad we de wok pasmak | wetin kin apin pan dis na dat di blad kin sεnsitiv pasmak. Ivin we i ful-ɔp smɔl, di blad mɔsul dɛn kin kɔntrakt wantɛm wantɛm ɛn tray fɔ pul urine. I tan lɛk pɔsin we de fred, we de du tin kwik kwik wan pan ivin di smɔl smɔl tin dɛn. |
| Blad we nɔ de wok fayn (Flaccid/Hypotonic) . Blad we nɔ de wok fayn | insay dis kes, di blad mכsul dεm kin bi "lεs." Ivin if di blad ful-ɔp bad bad wan, i nɔ kin ebul fɔ kɔntrakt strɔng wan fɔ ɛmti am. So, di urine kin de insay. |
Wetin na di sayn dɛm fɔ dis sik?
di mכst kכmכn simptom fכ nyurojεnik blad na we i nכ ebul fכ kכntrכl urine. Bɔt, di sayn dɛm kin difrɛn fɔ di kayn we aw yu gɛt.
| Bay di kayn simptom dɛm | |
|---|---|
| Di simptom dɛm fɔ di Blad we de wok pasmak | |
| I at fɔ pis, slo ɔ drib urine (Urinary hesitancy). | |
| Urinary incontinence na di urine we yu nɔ want. | |
| Nid fɔ pis pas 8 tɛm insay di de (Frɛkuɛnt urinate). | |
| Wantɛm wantɛm, nid fɔ pis (Urinary urgency). | |
| Simptom dɛm fɔ Underactive Bladder | |
| di blad nɔ de ɛmti ɔl ivin afta yu dɔn pis (Urinary retention). | |
| Ovaflɔ inkontinɛns na di lik we di urine de lik we i nɔ want bikɔs di blad ful-ɔp pasmak. | |
| Nɔ fil lɛk se yu blad dɔn ful-ɔp. | |
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 gɛt sik ɔ aksidɛnt we kin apin leta.
Di tin dɛn we kin mek pɔsin bɔn pikin:
- Spina bifida: Dis na komplikashכn fכ di spεnal kכd we de apin we dεn bכn am.
- Sεribra palsi: Na wan kכndyushכn we de afekt di bren divεlכpmεnt.
- di kכdal rεgrεshכn sεndrכm: di lכw pat pan di spayna nכ de gro fayn.
Di tin dɛn we kin mek i bigin leta:
- Sεntri nεv sεstem tכmכro dεm: Kansa כ כda tכmכro dεm we de divεlכp na di bren כ spεnal kכd.
- Multiple sclerosis (MS): Na sik we de pwɛl di nerve sheath.
- Pakinsin sik: Na wan sik wae de afekt di nerve cells na di bren.
- Strɔk: I kin ambɔg di blɔd we de go na di bren.
- Spinal kɔd injuri: Bikɔs ɔf fɔdɔm, motoka aksidɛnt, ɛn ɔda tin dɛn.
- Dayabitis: If yu nɔr kɔntrol yu shuga fɔ lɔng tɛm, dat kin mek yu nerv pwɛl.
Sɔm sayd ɛfɛkt dɛn we kin apin (kɔmplikɛshɔn dɛn) .
If dɛn nɔ trit di nyurojɛnik blad fayn, i go mɔs mek i gɛt ɔda wɛlbɔdi prɔblɛm.
- di kidni dεm we de pwεl: di prεshכn we de na di blad de go כp biכs di urine de rεtεn, εn da prεshכn de kin afekt di kidni dεm.
- Urinary tract infections (UTIs): If yu nɔ ɛmti di blad ɔl, dat de mek gud ples fɔ mek baktri dɛn gro.
- Urinary ston: Ston kin fɔm na di blad ɔ di kidni.
- Vesicoureteral reflux: Dis na denja kכndyushכn we di urine de fכlכ bak frכm di blad to di kidni dεm.
Apat frɔm dɛn prɔblɛm ya we kin apin to pɔsin in bɔdi, i kin gɛt bɔku prɔblɛm wit in maynd . De frayd fɔ lik urine kin mek yu fil frayd fɔ de wit ɔda pipul dɛn ɔr go trip. Dis kin mek yu fil lɛk se yu de wɔri, yu at pwɛl, ɛn yu kin fil yu wan . If yu de fil dɛn kayn tin ya, nɔ shem fɔ tɔk to yu dɔktɔ bɔt am.
Aw dɔktɔ kin no bɔt dis sik?
We yu go to dɔktɔ, i go tek tɛm lisin to yu sayn dɛn. Dɔn, dɛn go chɛk yu. If dɛn sɔprayz se yu gɛt nyurojɛnik blad, dɛn go rɛkɔmɛnd sɔm spɛshal tɛst dɛn we gɛt fɔ du wit di nervɔs sistɛm ɛn blad.
- Sistoskopi: fכ egzamin di insay pat pan di uretra εn blad bay we dεn de yuz wan tכn kεmεra we lεk tכb.
- Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:Tɛst dɛn lɛk CT skan, MRI skan, ɛn ɔltra saund.
- Urodynamic testing: Dis na sɔm spɛshal tɛst. I de mɛzhɔ ɔmɔs urine yu blad kin ol, di prɛshɔn we de insay di blad, di spid we di urine de flɔ, ɛn aw di blad de ɛmti fayn fayn wan.
Afta dɛn tɛst ya, dɛn kin sɛn yu to dɔktɔ we spɛshal pan blad ɛn urinary system, we na urologist .
Wetin na di tritmɛnt dɛm fɔ dis?
Di impɔtant tin na dat, no mɛrɛsin nɔ de fɔ Nyurojɛnik Blada. Bɔt if dɛn gi dɛn di rayt tritmɛnt, bɔku pipul dɛn kin ebul fɔ kɔntrol dɛn sik dɛn fayn fayn wan ɛn liv nɔmal layf.
De tritmɛnt plan na de kɔz fɔ yu sik ɛn di kayn sik wae yu gɛt.
1. Di chenj dɛn we pɔsin de liv in layf
Fɔs, di dɔktɔ kin tray fɔ kɔntrol dis wit simpul tin dɛn.
- Nɔ it ɛn drink dɛn we de mek yu blad vɛks (kɔfi, rɔm, drink dɛn we gɛt kabon).
- Kɔntrol Kɔnstipɛshɔn: Kɔnstipɛshɔn kin put prɛshɔn bak pan di blad.
- Blad trenin: Dɛn kin aks yu fɔ kip wan dayari fɔ di tɛm dɛn we yu de pis, di kayn we aw yu de pis, ɛn ɛnitin we yu de pis we yu nɔ want. Dis go ɛp yu fɔ lan fɔ pis di rayt tɛm.
- Kegel eksasaiz: Dɛn ɛgzampul ya de mek di mɔsul dɛn na di bɛlɛ strɔng ɛn i kin mek yu ebul fɔ kɔntrol di urinary fayn fayn wan.
2. Di mɛrɛsin dɛn we dɛn kin yuz
Difrɛn mɛrɛsin dɛn de we kin mek di blad mɔsul dɛn rilaks ɔ mek di blad gɛt kɔntrakshɔn. Fɔ ɛgzampul, yu dɔktɔ kin gi yu mɛrɛsin lɛk Oxybutynin, Tolterodine, ɛn Mirabegron.
3. Fɔ yuz kateshɔn
Dis we fɔ du tin rili impɔtant if di blad nɔ de ɛmti fayn fayn wan.
- Self-catheterization: Dɛn go tich yu aw fɔ ɛmti yu blad ɔltogɛda yuz klin, smɔl tiub (kateta) bɔku tɛm insay di de. Fɔs, i kin tan lɛk se dis nɔ izi, bɔt i go izi fɔ yu wans yu dɔn yus to am.
- Kɔntinyu fɔ put kateshɔn: Sɔntɛnde, dɛn kin nid fɔ kɔntinyu fɔ put kateshɔn.
4. Ɔda tritmɛnt ɛn ɔpreshɔn dɛn
If ɔda tritmɛnt dɛn nɔ wok fayn, yu dɔktɔ kin tink bɔt dɛn tin ya:
- Botox injεkshכn: Dɛn kin injekt bכtoks insay di blad mכsul dεm fכ stכp dεm fכ kכntrakt pasmak.
- Ɔpreshɔn:כpεrayshכn fכ inkrεs di kapasiti fכ di blad (augmentation cystoplasty) כ כpεrayshכn fכ chenj di rod we di urine fכ fכlכ (urinary diversion) kin nid fכ du insay kes dεm we nכ kin rili apin.
Yu dɔktɔ go tɔk to yu ɛn disayd us tritmɛnt go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Nyurojɛnik Blada na we yu nɔ de kɔntrol di blad bikɔs ɔf wan prɔblɛm we de na di nervɔs sistɛm. Nɔto sik, bɔt na bikɔs ɔf ɔda sik.
- If yu gɛt ɛni chenj pan di we aw yu de yuz yu urine, yu de pis ɔltɛm, ɔ yu nɔ de ebul fɔ ol yu urine, nɔ shem ɛn go to dɔktɔ kwik kwik wan.
- Pan ɔl we dɛn nɔ kin ebul fɔ mɛn dis sik ɔltogɛda, dɛn kin kɔntrol di sayn dɛm fayn fayn wan ɛn dɛn kin liv nɔrmal, aktif layf.
- Bɔku tritmɛnt dɛn de we yu kin gɛt. Yu dɔktɔ go ɛp yu fɔ pik di tritmɛnt we go fayn fɔ yu.
- Pe atɛnshɔn to di strɛs we dis kin mek pɔsin gɛt na in maynd. If nid de, tɔk to yu dɔktɔ bɔt am ɛn aks fɔ advays.
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