Yu kin gɛt prɔblɛm bak fɔ pis fayn? Lɛ wi lan bɔt Nɔn-Nyurojɛnik Voiding Dysfunction!

Sɔntɛnde yu kin fil lɛk se yu gɛt prɔblɛm fɔ pis ? Ɔ yu fil se yu blad nɔ ɛmti ɔl afta yu dɔn fɔ pis ? Sɔntɛm yu de ivin lik urine we yu nɔ bin de ɛkspɛkt. Dis nɔto jɔs prɔblɛm fɔ yu, bɔt na fɔ bɔku pipul dɛn. Tide, wi go tɔk bɔt urinary incontinence we nɔr kin kam wit ɛni nyurolɔjik prɔblɛm . fכ mεdikal, wi kin kכl dis ``Nכn-Nכrojεnik Vכyd Disfכnkshכn''.

Wetin na Nɔn-Nyurojɛnik Vɔyd Disfɔkshɔn?

Fɔ tɔk am simpul wan, dis na tin we yu nɔ ebul fɔ ɛmti yu blad ɔltogɛda. di wod "non-neurogenic" ya min se di kכndyushכn nכ de kכz fכ eni prכblεm wit yu nεv sεstem, dat na yu bren, spεnal kכd, כ nεv dεm. "Voiding dysfunction" min se di prכsεs we yu de pis nכ de apin fayn fayn wan.

Dis sik kin apin to ɛnibɔdi. Bɔrku tɛm, dis kin bi bikɔs ɔf di blad mɔsul dɛm we wik, we de blok sɔmsay na di urinary system, ɔr bad abit dɛm we wi dɔn yus to fɔ lɔng tɛm. כltu, dis kכndyushכn kin kכmכ n mכr pan yכŋ pikin dεm we dεn bi tכylεt tren bitwin 4 εn 6 εn pan uman dεm we pas 40. Imajin, lεk wan pan fayv pikin dεm we ol bitwin 4 εn 6 ia kin gεt fכ pis insay di de biכs fכ dis `(Non-neurogenic voiding dysfunction)`. Dɔn bak, pas 6% pan di uman dɛn we dɔn pas 40 ia gɛt dis sik.

Wetin na di sayn dɛm fɔ dis sik? (Symptom dɛm fɔ Nɔn-Nyurojɛnik Voiding Dysfunction)

Si if yu gɛt ɛni wan pan dɛn kwaliti dɛn ya:

• I at fɔ bigin fɔ pis ? Ɔ yu fɔ strɛs we yu de pis ?
• Yu tink se di urinary tract rili smɔl? Ɔ di urinary tract kin bigin, stɔp fɔ sɔm tɛm, dɔn bigin bak?
• Yu fɔ tayt yu bɛlɛ mɔsul dɛn we yu de pis ? Ɔ yu fɔ ol yu bɛlɛ we de dɔŋ wit yu tu an?
• Yu fil se yu blad nɔ ɛmti ivin afta yu dɔn fɔ pis ?
• Yu gɛt kɔnstipɛt ? (Dis kin gɛt sɔntin fɔ du wit am bak bɔku tɛm)
• Yu de pis pas aw yu kin pis (yu kin pis bɔku tɛm) ɔ smɔl?
• Yu kin aksidɛntli lik sɔm urine (urinary incontinence)?
• Yu kin fil wantɛm wantɛm se yu nid fɔ pis kwik kwik wan (urge incontinence)?
• Fɔ pis pas wan tɛm na nɛt we yu de slipYu geht foh grap foh du am (nocturia)?

Spɛshal kwaliti dɛn we yɔŋ pikin dɛn kin gɛt:

If yɔŋ pikin dɛn gɛt dis sik, dɛn kin sho tin dɛn lɛk:

• Wet yu klos insay di de (ivin afta yu dɔn tren yu fɔ tɔylɛt).
• Difrɛn tin dɛn de we kin mek pɔsin nɔ ebul fɔ pis. Fɔ ɛgzampul:
• Mi leg dɛn dɔn krɔs.
• Fɔ skwatin we yu sidɔm.
• Dɛn de ol dɛn leg togɛda, wit dɛn an ɔ wit dɛn il.

If yu si yu pikin de du dɛn tin ya, yu fɔ wɔri smɔl.

Wetin kin mek dis apin? (Di Kɔz dɛm fɔ Nɔn-Nyurojɛnik Voiding Dysfunction)

Bɔku men rizin dɛn de fɔ dis kayn tin:

• We di blad mɔsul dɛn wik.
• Blɔk de sɔmsay na yu urinary system.
• Ova aktiv blad (ova aktiv blad).
• di blad nכ de wok fayn, we min se nכ filin de fכ nid fכ pis (wan ``underactive bladder'').
• Kɔnstipɛshɔn (dis na rizin we rili impɔtant).
• Infεkshכn dεm na di Urinary Tract (UTIs).
• Ivin if yu nid fɔ pis , yu nɔ de pe atɛnshɔn to am ɛn wet te yu blad ful bifo yu go pis leta.
• pan man dεm, na di prכstat gland we big (Benign Prostatic Hyperplasia - BPH).
• Prɔstat kansa.

pan yכŋ pikin dεm, dis kin kכz bak bay wan kכndyushכn we dεn kכl "dysfunctional elimination syndrome," we na we di mכsul dεm εn di nεv dεm na di blad nכ de wok togeda fayn fayn wan.

Wetin na de prɔblɛm wae kin kam wit dis sik?

We yu blad nɔ ɛmti ɔl, di baktri dɛm we de na di urine we lɛf kin mek yu gɛt infɛkshɔn. Fɔ ɛgzampul, urinary tract infection (UTIs). Yu kin gɛt bak kidni ston ɔ blad ston. Sɔntɛnde, if dis prɔblɛm wɔs, i kin ivin mek di kidni pwɛl.

De tin wae impɔtant pas ɔl na dat wae yu gɛt sɔm kayn prɔblɛm wit aw yu de pis kin afɛkt yu maynd bak. Bɔku pipul dɛn kin shem ɛn wɔri bikɔs dɛn nɔ ebul fɔ kɔntrol dɛn urine . Yu kin tink bak se, “Mi na lod fɔ ɔda pipul dɛn?” If yu fɔ stɔp yu ɛvride aktiviti wit dɛn sik ya ɔltɛm. If yu de fa frɔm sosayti bikɔs ɔf dis, yu kin gɛt siriɔs prɔblɛm dɛn bak lɛk fɔ wɔri ɛn pwɛl hat.

Aw dɔktɔ dɛn kin no se pɔsin nɔ gɛt nyurojɛnik voiding dysfunction?

Dɔktɔ kin no se yu nɔr gɛt nyurojɛnik voiding dysfunction bay wae i aks bɔt yu mɛdikal histri ɛn du fyzikal ɛgzam. I kin du pelvik ɛgzam bak fɔ uman ɔ dijital rɛktal ɛgzam fɔ man dɛn.

Apat frɔm dat, yu dɔktɔ kin aks yu fɔ kip "bladder diary." Insay de, yu go rayt se:

• Aw bɔku wata yu de drink fɔ wan de?
• Us tɛm yu kin pis ?
• Aw bɔku urine yu kin pas wan tɛm?
• Ustɛm ɛn aw di urine kin lik we yu nɔ no?

Wit dis infɔmeshɔn, di dɔktɔ kin du sɔm ɔda tɛst dɛn bak fɔ kɔnfirm di sik.

Us tɛst dɛn dɛn kin du?

Di dɔktɔ kin du wan ɔ mɔ pan dɛn tɛst ya:

• Prɔstat-spɛsifi k antijen (PSA) tɛst: Dis na blɔd tɛst. I de luk fɔ ɛlevɛt PSA lɛvɛl. If di PSA lεvεl dεm hכy, prכblεm kin de wit di prכstat gland.
• Urinalysis: Dis kin ɛp fɔ no if yu gɛt urinary tract infection (UTI).
• Ultrasound scan: Dis de chɛk ɔmɔs urine lɛf na yu blad afta yu dɔn pis . I kin chɛk bak if di sik dɔn afɛkt yu kidni dɛm.
• Urodynamic testing: Dɛn tɛst ya de mɛzhɔ ɔmɔs urine yu blad kin ol ɛn aw di mɔsul dɛn na yu blad, urethra, ɛn pelvic floor de wok togɛda fayn fayn wan.
• Sistoskopi: Insay dis tɛst, di dɔktɔ kin put wan lɔng, tin inschrumɛnt (we gɛt kamɛra we dɛn tay) tru yu urethra fɔ chɛk if prɔblɛm de na yu urethra ɛn blad.

Fɔ yɔŋ pikin dɛn, bɔku tɛm dɛn tɛst ya nɔ kin rili ambɔg dɛn. Di dɔktɔ kin aks yu fɔ kip yu urine dayari, ɛn i kin jɔs tɛl yu fɔ du blɔd tɛst, urinelysis, ultrasound, ɛn sɔm urodynamic tests.

Aw dɛn kin trit dis? (Aw dɛn kin trit am?)

di tritmεnt fכ dis kכndyushכn (Non-neurogenic voiding dysfunction) de difrεn dipכnt pan di kכz. Di tritmɛnt kin inklud:

1. Fɔ tren yu blad

Yu kin tren yu blad mɔsul dɛm fɔ ol urine insay fɔ lɔng tɛm. Dis min se yu nid fɔ go na tɔylɛt ɔltɛm ɔl di de, ilɛksɛf yu nɔ fil se yu nid fɔ go . Dis kin ɛp fɔ stɔp yu blad fɔ mek i nɔ ful-ɔp. Wan dɔktɔ we de mɛn yu bɔdi we spɛshal pan prɔblɛm dɛn we gɛt fɔ du wit yu bɛlɛ kin ɛp yu wit dis.

2. Pεlvik fכl mכsul εksεsayz (Pεlvik fכl tεrapi) .

Wan spɛshal pɔsin we tren fɔ mɛn yu bɔdi kin tich yu aw fɔ rilaks yu bɛlɛ mɔsul dɛn so dat yu go ebul fɔ pis izi wan. dεn kin put "biofeedback sensors" dεm bak na yu vagina כ rεktum fכ mek sכh se yu de εksεsayz di rayt mכsul dεm.

Dɛn go tich yu bak Kegel ɛksɛsayz fɔ mek yu mɔsul dɛn na yu bɛlɛ strɔng. Strɔng pelvik flɔ mכsul dεm de εp fכ mek yu nכ ebul f כ urinary incontinence εn i de urge incontinence.

3. Di mɛrɛsin dɛn we dɛn kin yuz

Mɛrɛsin dɛn de we kin ɛp fɔ mek yu gɛt prɔblɛm wit yu urinary. Ɛgzampul dɛn:

• Alfa-blɔk, fɔ ɛgzampul tamsulosin (Flomax®).
• Urinary antispasmodics, lɛk ɔksibutynin (Ditropan®) ɛn tolterodine (Detrol®).

4. Botulinum pɔyzin

Yu dɔktɔ kin injekt botulinum toxin (Botox®) insay yu blad. dis de mek di blad mכsul dεm rilaks εn i de ridyus di urge incontinence.

5. Pεrkyutan tibial nεv stimulashכn (PTNS) .

sכmtεm, yu nid fכ gi yu nεv dεm sכm "bכst" fכ mek yu blad mכsul dεm wok. Insay PTNS, yu dɔktɔ de put wan ilɛktrɔd nia yu tibial nɛv na yu anklɛ. Dɔn, dɛn kin sɛn ilɛktrik signal dɛn we rili saful to di ilɛktrɔd. dis de mek di tibial nεv, we de travul go na di sakral nεv dεm na yu bכdi. dis de stכp di abnכmal signal dεm frכm di sakral nεv dεm to di urinary sphincter, blad, εn pelvik fכl mכsul dεm, we de εp yu fכ kכntrכl di blad bak.

6. Sakral nεv stimulashכn

We yu de du dis, yu dɔktɔ go du ɔpreshɔn fɔ put ilɛktrɔd dɛn ɔnda di skin jɔs ɔp yu bɔdi. dis ilektroyd dεm de sεnd jεntεl ilektrikal signal dεm to di sakral nεv tru wan tכn waya (prob) we de go כnda di skin. Dɛn sayn ya de mek di mɔsul dɛn na yu blad kɔntrakt.

7. Self-kateshɔn

Yu kin put urinary catheter insay yu blad ɔltɛm ɛn gɛda yu urine insay bag. Yu dɔktɔ go sho yu aw fɔ du dis (sɛlf-kateterization).

8. Ɔpreshɔn

If ɔda tritmɛnt dɛn nɔ wok, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ mek yu gɛt bɔku blad (cystoplasty). Dis ɔpreshɔn de mek yu blad big so i kin ol mɔ urine .A kin ebul fɔ handle bɔku tin.

Wetin na di fɔs tritmɛnt fɔ non-neurogenic ovaactive bladder?

Dɛn tin ya na di fɔs layn tritmɛnt fɔ dis sik:

• Fɔ ridyus di it ɛn drink dɛn we de ambɔg di blad (ti, kɔfi, rɔm, it dɛn we gɛt spays ɔ asid).
• Fɔ tren fɔ blad.

If dɛn chenj ya we de apin na di we aw pɔsin de biev nɔ ɛp, dɔktɔ dɛn kin gi dɛn mɛrɛsin lɛk dɛn wan ya, i go dipen pan di kayn nɔ-nyurojɛnik voiding dysfunction:

• Antikolinɛrijik dɛn
• Alfa-blɔk dɛn
• Beta 3 rεsεptכr agonist dεm

Aw dɛn kin trit dis sik pan yɔŋ pikin dɛn?

Alfa-blɔka ɛn anticholinergic mɛrɛsin kin ɛp fɔ trit di blad we de wok pasmak pan yɔŋ pikin dɛn. Dɛn kin tich sɔm pikin dɛn bak fɔ du ɛksɛsayz na di bɛlɛ.

Di dɔktɔ kin tɛl yu bak se yu fɔ tren yu blad. Fɔ ɛgzampul, fɔ ɛnkɔrej di pikin fɔ go tɔylɛt di tɛm we dɛn dɔn sɛt ɛn tich am di rayt we fɔ tinap na di tɔylɛt.

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

I kin difrɛn difrɛn wan fɔ di tritmɛnt. Fɔ tren yu blad ɛn ɛksesaiz fɔ yu bɛlɛ kin bigin fɔ wok insay sɔm wik ɔ mɔnt. Di nerve stimulation kin bigin fɔ wok insay sɔm wiks. Di mɛrɛsin dɛn fɔ bigin fɔ wok insay sɔm dez ɔ wik. Yu dɔktɔ go gi yu gud aidia bɔt dis.

Ustɛm a fɔ go to dɔktɔ?

Tɔk to dɔktɔ jɔs afta yu bigin fɔ notis dɛn prɔblɛm ya we yu de go tɔylɛt:

• Nɔ ebul fɔ pis fɔ lɔng tɛm.
• Chenj na yu urine : Fɔ ɛgzampul, yu gɛt strɔng smel, dak kɔlɔ, ɔ blɔd na yu urine (hematuria).
• Pen we yu de pis (dysuria).
• Di sayn dɛm we de kɔntinyu fɔ sho se pɔsin gɛt kɔnstipɛshɔn.
• Sayn dɛm fɔ se yu gɛt di sik: fiva, kol, ed we de at.

We yu go to dɔktɔ, yu kin aks dɛn kwɛstyɔn ya bak:

• Aw yu no se a gɛt `(Non-neurogenic voiding dysfunction)`?
• Wetin na di rizin fɔ mi sik?
• Us tritmɛnt yu kin kɔmɛnt fɔ mi?
• Wetin na di bad tin dɛn we da tritmɛnt de kin du?
• Aw lɔng i go tek fɔ si di rizɔlt frɔm da tritmɛnt de?
• Us chenj na layf yu kin advays fɔ ridyus mi sik?
• Us prɔblɛm dɛn a fɔ wach fɔ?
• A fɔ go to dɔktɔ we de mɛn yu uro?

Yu tink se dɛn go ebul fɔ stɔp dis?

Yu kin ɛp fɔ mek yu nɔ gɛt dis sik (Non-neurogenic voiding dysfunction) bay we yu chenj yu layf ɛn it. Dɛn tin ya kin bi:

• Fɔ ridyus di it ɛn drink dɛn we de ambɔg di blad: drink dɛn we gɛt kafinɛ (kɔfi, ti), sitrus frut dɛn (lɛk ɔrɛnj, laym), it dɛn we gɛt spays, ɛn rɔm ɔl kin mek di blad wok ɛn mek yu gɛt prɔblɛm wit yu pis.
• Fɔ it mɔ it dɛn we gɛt fayv: Kɔnstipɛshɔn kin mek dis sik ɔ mek i wɔs. Yu kin gɛt fayv bay we yu it mɔ bins, frut, vɛjitebul, ɛn ɔl gren (wɔl gren bred, ɔts, quinoa, brawn rays, ɛn ɔl gren pasta). Yu kin tek laxatives (` laxatives ') bak fɔ kɔnstipɛshɔn. Bɔt yu fɔ tɔk to yu dɔktɔ bifo yu tek laxative ɔ gi pikin am.
• Fɔ mek yu gɛt wɛlbɔdi wet fɔ yu: If yu bɔdi mas indeks (BMI) pas 25 (we yu gɛt bɔku bɔku bɔdi), i kin put prɛshɔn pan yu blad ɛn mek yu urine lik.
• Fɔ lɛf fɔ smok: Nikotin, we na di men tin we de insay tabak, kin mek di mɔsul dɛn na di blad wok. Di wan dɛn we de smok kin gɛt kɔf bak we nɔ de dɔn, we kin mek dɛn gɛt prɛshɔn pan di blad.

Wetin a kin ɛkspɛkt if a gɛt non-neurogenic voiding dysfunction?

De luk fɔ pipul dɛm wae gɛt dis sik kin fayn. Wit tritmɛnt, bɔrku pipul kin kɔntrol dɛn blad. כpεrayshכn fכ mek di blad big (cystoplasty) nכ kin nid fכ du am.

Wetin na di difrɛns bitwin Nɔn-nyurojɛnik ɛn Nyurojɛnik Voiding Dysfunction?

Nyurojenik voiding disfכnkshכn (dεn kכl am bak nyurojεnik blad) na wan kכndyushכn we de afekt yu nεv sεstem. Dis min se yu nɔ go ebul fɔ kɔntrol yu blad bikɔs ɔf prɔblɛm wit yu bren, nerv, ɔ spɛnal kɔd.

כltu, di ``Non-neurogenic voiding dysfunction'' we wi bin tכk bכt tide na kכndyushכn we de apin we di nεv sεstem nכ de involv.

Di tin we impɔtant pas ɔl fɔ mɛmba: Nɔn-Nyurojɛnik voiding dysfunction (NNOVD) na wan sik we de mek pɔsin in layf de pan denja we kin afɛkt pikin ɛn big pipul dɛn. I kin mek pɔsin shem ɛn nɔ kin fil fayn. I kin mek yu fil bak se yu nɔ go pis we yu nid fɔ pis. Bɔt yu nɔr want fɔ mek dis sik afɛkt yu kwaliti fɔ liv. If yu ɔ pɔsin we yu lɛk de gɛt dɛn kayn sik ya, tɔk to dɔktɔ. Dɛn kin ɛp yu fɔ no di tin we de mek yu gɛt dis sik ɛn trit am.

Sɔma (Mɛsej we dɛn kin tek go na os) .

Okay, so naw yu gɛt gud ɔndastandin fɔ wetin wi tɔk bɔt tide, ``Non-Neurogenic Voiding Dysfunction''. Dis nɔto natin pas wan prɔblɛm we de na di nervɔs sistɛm.Dis na di tin we impɔtant pas ɔl. We di blad mɔsul dɛn wik, di wata we de ambɔg di urinary system, bad abit, ɛn kɔnstipɛshɔn kin mek dis apin.

• Di sayn dɛm: I nɔ kin izi fɔ pis , yu nɔ kin ebul fɔ pis, yu nɔ kin ɛmti blad kɔmplit wan, yu nɔ kin pis , yu kin pis na de na pikin dɛm, ɛn ɔda tin dɛm.
• Diagnosis: Tru mɛdikal tɛst, urine dayari, ɔltra saund, ɛn urodynamic testing.
• Tritmɛnt: Fɔ chenj di we aw yu de liv yu layf, fɔ tren yu blad, fɔ ɛksesaiz yu bɛlɛ, fɔ tek mɛrɛsin, ɛn sɔm patikyula tritmɛnt dɛn.
• Impɔtant: If yu gɛt sɔm kayn sik, nɔ shem ɛn go to dɔktɔ. If yu bigin tritmɛnt kwik kwik wan, dat kin mek yu nɔ gɛt prɔblɛm dɛn.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ aks dɔktɔ. Stay wit wɛlbɔdi!

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