Sɔntɛnde yu kin fil lɛk se yu aksidɛntli lik sɔm drop dɛn pan yu klos pan yu klos? Ɔ yu fil se yu jɔs dɔn fɔ pis ? Dis kin mek yu at pwɛl smɔl. Bɔt i kin apin bak we yu urinary bladder ful-ɔp fɔ ol ɛni mɔ urine. Tide, wi go tɔk bɔt wan kɔndishɔn we dɛn kɔl ``Overflow Incontinence''.
Wetin na dis ``Ovaflɔ Inkɔntinɛns''?
Fɔ tɔk am simpul wan, ɔvaflɔ inkɔntinɛns na we yu blad ful-ɔp so yu nɔ ebul fɔ kɔntrol am ɛn sɔm urine de lik kɔmɔt. I tan lɛk se wata tank de ful-ɔp we yu ɔf am. Dis kin apin we yu fɔ pis bɔku tɛm, bɔt yu nɔ kin ebul fɔ ɛmti yu blad ɔlsay ɔltɛm.
Bɔku pipul dɛn kin tink se i nɔmal fɔ lɛ yu lik smɔl urine as yu de ol. Na tru se di risk fɔ gɛt dis sik kin bɔku we pɔsin de ol. Bɔt nɔto sɔntin we kin apin to ɔlman. Dis kɔndishɔn, we dɛn kɔl ``Overflow Incontinence``, kin apin to ɛnibɔdi.
Na nɔmal tin fɔ mek yu shem, vɛks, ɔ fil bad bɔt dis. Bɔt yu nɔ want dis sik fɔ ambɔg yu ɛvride layf. Di tin we impɔtant pas ɔl na fɔ tɔk to dɔktɔ bɔt am, fɔ no di rayt tin we mek i apin, ɛn gɛt di tritmɛnt we yu nid. Yu kin ebul fɔ gɛt ɛp wit natura l mɛrɛsin, mɛrɛsin, ɔr ɔda tritmɛnt fɔ ɛp fɔ kɔntrol dis sik.
Ɔda kayn tin dɛn de we kin mek pɔsin nɔ ebul fɔ pis?
Yes, ``Overflow Incontinence`` na jכs wan kayn urinary incontinence. I nɔ bɔku smɔl. Mɔ kayn dɛn de we kɔmɔn:
- Stress Incontinence: Dis kin apin we smɔl urine de lɔs we prɛshɔn de pan di bɛlɛ, lɛk we yu de laf, kɔf, ɔ sniz.
- `(Urge Incontinence)`: Dis na we yu gɛt strɔng want fɔ pis wantɛm wantɛm , ɛn yu kin lɔs sɔm urine bifo yu ivin go na tɔylɛt.
- `(Mixed Incontinence)`: Dis kin gɛt simptom dɛm fɔ ɔl tu di `(Stress Incontinence)` ɛn `(Urge Incontinence)` kayn we wi bin dɔn tɔk bɔt.
Jɔs tink bɔt aw bɔku pan wi na Sri Lanka gɛt dis prɔblɛm? Sɔm stɔdi dɛn dɔn sho se lɛk wan pan ɔl tri pipul dɛn na Amɛrika gɛt sɔm kayn we fɔ mek dɛn nɔ ebul fɔ urinary . Fɔ dɛn wan ya, na lɛk 5% nɔmɔ gɛt ɔvaflɔ inkɔntinɛns.
Wetin na di sayn dɛm fɔ dis?
If yu tink se yu gɛt Overflow Incontinence, no bɔt dɛn sayn ya:
- Yurin kin drɔp dɔŋ yu klos ɔltɛm, lɛk pɔt we de drɔp wata we dɛn nɔ lɔk am fayn.
- Di nid fɔ pis bɔku tɛm , bɔt na smɔl urine nɔmɔ de kɔmɔt.
- I nɔ izi fɔ bigin fɔ pis .
- We yu de pis , i de stɔp ɛn nɔ de go kɔntinyu.
- Ivin if yu tink se yu dɔn dɔn fɔ pis , yu stil fil lɛk se urine de na yu blad.
If yu gɛt wan ɔr mɔr pan dɛn sik ya, i rili impɔtant fɔ tɔk to dɔktɔ bɔt am.
Wetin mek dis de apin? Wetin na di rizin dɛn?
Di men tin we kin mek pɔsin nɔ ebul fɔ kɔntrol di wata we de rɔn pasmak na we i nɔ kin ebul fɔ urinary fɔ lɔng tɛm. Dis min se di blad nɔ ɛmti ɔl. di blad na wan rili imכtant כgan na wi urinary sistεm. Bɔku rizin dɛn de we mek dis blad kin ful-ɔp:
- Di urine we de mek dɛn urine bɔku: Dis kin apin to pipul dɛn we gɛt sɔm sik dɛn lɛk dayabitis, ɔ di wan dɛn we de tek mɛrɛsin we de mek dɛn pis mɔ, lɛk diuretics.
- di blad ɔutlet obstruction: Dis kin mek di blad nɔ ɛmti ɔl.
- di blad mכsul dεm we wik כ di nεv dεm we de pwεl: Dis kin mek di blad nכ kin kכntrakt fayn εn push di urine kכmכt.
Udat dɛn de pan denja pas ɔlman?
Man dɛm, mɔ di wan dɛm we gɛt prɔstat prɔblɛm, kin gɛt ɔvaflɔ inkontinɛns afta dɛn dɔn ɔpreshɔn dɛn prɔstat. di kכndishכn dεm lεk benign prostatic hyperplasia (BPH) כ prכstat kansa kin mek di urethra blok, we kin mek sכm urine pas tru am.
Afta dɛn dɔn pul di prɔstat fɔ prɔstat kansa, ɔ afta dɛn dɔn du redyushɔn tɛrapi, ɔ afta dɛn dɔn du ɔpreshɔn pan di urethra, sɔntɛnde, ska tisu kin fɔm. dis ska tisu kin mek di urethra sכmtεm (urethral stricture). We dis kin apin, di blad nɔ kin ebul fɔ ɛmti ɔl, so i kin ful-ɔp bak kwik kwik wan. We i ful-ɔp, di urine kin lik.
Apat frɔm dat, yu de pan ay risk fɔ gɛt Ovaflɔ Inkontinɛns if yu gɛt dɛn tin ya:
- Shuga
- Nɛv dɛn we dɔn pwɛl
- Spinal kɔd injuri
Aw dɔktɔ kin no dis?
If yu gɛt sayn dɛm fɔ ɔvaflɔ inkontinɛns, i impɔtant fɔ go to dɔktɔ. I go aks bɔt yu wɛlbɔdi istri, aks bɔt yu sik dɛn, ɛn du ɛgzam fɔ yu bɔdi. Dis fyzikal egzam kin inklud pelvik ɛgzam if yu na uman, ɔ dijital rɛktal ɛgzam (fɔ chɛk yu prɔstat) if yu na man.
Fɔ ɛp fɔ no di sik kɔrɛkt wan, yu dɔktɔ kin aks yu fɔ kip "bladder diary" fɔ tu to tri dez. Insay dis dayari, yu fɔ rayt:
- Wetin yu de drink?
- Aw bɔku yu de drink?
- Aw ɔltɛm yu kin pis ?
- Aw ɔltɛm yu kin lik urine ?
- Aw bɔku urine de lik?
Apat frɔm dɛn tin ya, di dɔktɔ kin tɛl yu bak fɔ du sɔm ɔda tɛst dɛn.
Us tɛst dɛn de du?
Fɔ no if yu gɛt ``Overflow Incontinence'', yu kin du dɛn tɛst ya:
- Urinalysis: Dɛn kin tek urine sample frɔm yu ɛn chɛk fɔ urinary tract infection (UTI) ɛn blɔd na di urine (hematuria).
- Abdominal ultrasound: Dis kin yuz ay frikshɔn sawnd wev fɔ tek ditayli pikchɔ dɛn fɔ yu blad, kidni, ɛn ɔda ɔgan dɛn na yu bɛlɛ. I kin chɛk bak ɔmɔs urine lɛf na yu blad afta yu dɔn pis .
- Sistoskopi: Insay dis, dɛn kin put wan tint tiub we gɛt layt we gɛt kamɛra we dɛn tay (cystoscope) tru yu urethra insay yu blad fɔ chɛk yu urinary system.
- Voiding Cystogram (VCUG): Insay dis tɛst , dɛn kin put wan urinary catheter tru yu urethra insay yu blad, dɛn kin injekt wan spɛshal tin (kɔntrast day) tru am, ɛn tek ɛkstrem rayt pikchɔ dɛn. Dis tin de mek di dɔktɔ si aw yu blad de luk we i ful-ɔp ɛn ɛmti.
- Yurodaynamik tɛst: Dis na sɔm tɛst dɛn we de chɛk aw yu blad ɛn ɔda pat dɛn na yu urinary system de ol ɛn rilis urine fayn fayn wan . Dis kin inklud fɔ du post-void residual urine test, we de mɛzhɔ di amount of urine we lɛf na yu blad afta yu dɔn urinate .
Aw dɛn kin kɔntrol dis ɛn wetin na di tritmɛnt dɛn?
Tritmɛnt fɔ ɔvaflɔ inkontinɛns dipen pan di rayt kɔz. Sɔntɛnde, yu kin ebul fɔ kɔntrol di sik bay we yu de du tin.
Tin dɛn we yu kin du fɔ yusɛf:
- Blad trenin ɔ tɛmd voiding:Dis min se yu fɔ go na tɔylɛt di tɛm we yu dɔn sɛt ɔl di de (fɔ ɛgzampul, ɛvri tu to tri awa) fɔ pis . Di gol na fɔ ɛmti yu blad bifo i ful-ɔp, ilɛksɛf yu nɔ fil se yu want fɔ pis .
- Dabl voiding: Insay dis, afta yu dɔn fɔ pis wan tɛm, yu de wet smɔl bifo yu tray fɔ pis bak. Ɔ, yu de tray fɔ ɛmti yu blad kɔmplit wan bay we yu de strɛch (bear down).
Di tritmɛnt we dɛn kin gi fɔ mɛn pipul dɛn:
Di tritmɛnt dɛn kin difrɛn difrɛn wan bay di tin we kin mek i gɛt am. Yu tritmɛnt kin inklud:
- Mɛrɛsin: If dis sik na bikɔs ɔf di prɔstat we dɔn big, dɛn kin gi am mɛrɛsin fɔ mek i smɔl.
- Ɔpreshɔn: If di say we yu de urinary tract blok, di dɔktɔ go nid fɔ du ɔpreshɔn fɔ pul am.
- Self-catheterization ɔ klin intermittent catheterization (CIC): Insay dis, yu kin put kateshɔn insay yu blad ɔltɛm ɔlsay na di de fɔ ɛmti yu blad. Dɛn kin pul di kateshɔn we yu dɔn.
- Indwelling catheterization: Insay dis, dɛn kin lɛf wan kateshɔn na di blad fɔ lɔng tɛm. di urine dεn kin kכlekt insay wan urine drenage bag we de na do na di bכdi.
- Suprapubic catheter: Insay dis prɔsidyu, dɔktɔ we de du ɔpreshɔn kin put wan pɔrmanent tiub dairekt insay yu blad frɔm yu bɛlɛ we de dɔŋ. Dɛn kin gɛda di urine insay wan bag. Dis prosidur nɔ de yuz di urethra.
- Sacral neuromodulation (nerve stimulation): Dɔktɔ kin put wan tin waya insay yu bɔdi we de dɔŋ. i de put am nia wan nεv we de kכnekt to yu blad εn de gi jεntεl, kכntinyu fכ εp yu blad kכntrak fayn fayn wan. Dɛn put smɔl batri ɔnda yu skin.
Us kayn mɛrɛsin dɛn kin yuz?
If yu gɛt ɔvaflɔ inkontinɛns bikɔs ɔf di prɔstat we dɔn big, yu dɔktɔ kin gi yu wan mɛrɛsin we de blok alfa fɔ ɛp fɔ mek yu prɔstat smɔl. Fɔ ɛgzampul:
- `(Alfuzosin)`
- `(Dɔksazosin)`
- `(Silodosin)`
- `(Tamsulosin)`
- `(Tɛrazosin)`
Nɔ fɔgɛt se dɛn mɛrɛsin ya fɔ jɔs yuz pan dɔktɔ advays.
Ɔda kɔmplikeshɔn dɛm wae kin kam wit dis
Pipul wae gɛt ɔvaflɔ inkontinɛns kin lik smɔl smɔl urine , bɔt bikɔs i kin apin ɔltɛm, dɛn kin lik bɔku urine we di de dɔn.
Dis urine naYu kin yuz spɛshal ɔndawea we de absɔb ɛn urinary pad fɔ absɔb di urine. Bɔt yu kin wɔri bɔt di smel ɛn if i go sho tru yu klos. Yu kin fil se yu de fred fɔ go na do ɛn de nia pipul dɛn. Dis kin mek i de in wan, wɔri, ɛn pwɛl at. If yu de na yu urine ɔltɛm, i kin mek bak yu skin gɛt rash ɛn sɔri.
di tin we impɔtant pas ɔl na dat, if di blad nɔ ɛmti ɔl, di risk fɔ gɛt urinary tract infection (UTI) go bɔku, we min se yu go gɛt infɛkshɔn na di blad, prɔstat, ɛn kidni. כlso, di urine we de rεst kin mek di blad ston dεm fכm. Dɛn ston ya kin mek pɔsin gɛt infɛkshɔn, inflamɛns, ɛn pen. Di prɛshɔn we de kɔmɔt frɔm blad we ful-ɔp ɔltɛm kin mek bak di kidni pwɛl.
Aw fɔ protɛkt yusɛf frɔm dis? (Prɛvenshɔn) .
Blad trenin ɛn dabl voiding kin ɛp fɔ mek yu blad nɔ ful-ɔp ɛn mek yu urine lik. I impɔtant bak fɔ mek sɔm chenj dɛn na yu layf, lɛk fɔ mɛn yu mɛrɛsin lɛk dayabitis ɛn fɔ mek yu gɛt wɛl bɔdi wet.
Yu tink se dis sik go wɛl kpatakpata?
Bɔrku tɛm, pipul dɛm wae gɛt ɔvaflɔ inkontinɛns go impɔtant dɛn simptom dɛm wans dɛn dɔn trit di ɔndalayn urinary retention condition. I nɔ kin rili nid fɔ gɛt kateshɔn fɔ mek yu urinary. So, i impɔtant fɔ tɔk to yu dɔktɔ. I kin rikomɛnd di bɛst we fɔ mɛn yu ɔvaflɔ inkontinɛns ɛn ridyus di impak we i de gɛt pan yu layf.
Aw a kin kia fɔ misɛf?
Yu kin yuz ɔndawea ɔ pad we de absɔb fɔ ɛp fɔ absɔb yu urine we yu de gɛt tritmɛnt. I impɔtant bak fɔ protɛkt yu skin frɔm rash ɛn kɔt. If yu yuz petrolium jeli ɔ krim we gɛt zink ɔksayd, dat kin ɛp fɔ mek yu skin nɔ irita.
If yu de fil strɛs, wɔri, ɔr pwɛl hat bikɔs ɔf ɔvaflɔ inkontinɛns, i fayn bak fɔ tɔk to tritmɛnt ɔr advays ɔr sayɛnsman.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm:
- If yu fil se yu nid fɔ pis bak afta yu dɔn pis .
- If yu fil pen na yu bɛlɛ we de dɔŋ, yu bɔdi we de dɔŋ, ɔ yu bɔdi we yu de pis .
- I nɔ izi fɔ pis : Dis min se i nɔ izi fɔ bigin fɔ pis .Yu nɔ kin ebul fɔ pis, yu kin pis bɔku tɛm , ɔ yu nɔ kin ebul fɔ pis atɔl.
- If yu gɛt sayn dɛm fɔ wan infekshɔn, lɛk fiva ɔ kol.
- If blɔd de na di urine.
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:
- Wetin kin mek di urinary retention ɛn ovaflow incontinence?
- Us tɛst dɛn yu kin advays?
- Wetin mi tɛst rizɔlt se?
- Ɛni tritmɛnt dɛn de we a kin tray fɔ du na os?
- Us tritmɛnt dɛn yu kin advays?
- Yu tink se kateshɔn ɔ nerve stimulation fayn fɔ mi?
- Wetin na di prɔblɛm dɛn we dɛn tritmɛnt dɛn de gɛt?
- A fɔ go to dɔktɔ we de mɛn yu uro?
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
Ovaflɔ inkontinɛns kin bi wan tin we kin mek pɔsin in layf de pan denja. I kin mek yu nɔ fil fayn ɛn yu kin fred fɔ go na di bafa. Bɔt nɔto nɔmal tin we pɔsin kin ol, ɛn tritmɛnt kin ɛp. If yu trit yu fayn, di ɔvaflɔ inkontinɛns kin impɔtant bad bad wan, ɛn sɔm tɛm dɛn kin ivin impɔtant. So, if yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, tɔk to yu dɔktɔ. Nɔ fred fɔ aks fɔ ɛp.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Yu tink se ɔvaflɔ inkontinɛns na kɔmɔn tin we kin apin as wi de ol?
Nɔ. Urinary incontinence na wan sik wae kin afɛkt pipul dɛm wae gɛt ɔl kayn ej. Ovaflɔ inkontinɛns na we yu blad ful-ɔp ɔltɛm (lɛk ɔvaflɔ) ɛn yu nɔ ivin no am (we yu nɔ fil fɔ tɔsti).
💬 Wetin mek a nɔ de fil ɛni pen ivin we mi blad ful?
Bɔku tɛm, di men tin we kin mek dis apin na di nerve we de pwɛl di blad bikɔs ɔf siriɔs dayabitis. we di nεv dεm stכp fכ wok, di signal nכ de go na di bren we di blad fulכp. na di כda say, pan man dεm, dis kin apin bak we di prכstat gland swel εn blok di urethra.
💬 Na jɔs fɔ wɛr dayapɛt?
Nɔto so atɔl! Mɔ tritmɛnt dɛn de fɔ dis pas fɔ wɛr dayapɛt. If di urethra blok, dɛn kin klin am bay ɔpreshɔn (TURP). If di blad nɔ de kɔntrakt bikɔs ɔf prɔblɛm wit di nɛv dɛn, i pɔsibul fɔ pul di urine fɔ yusɛf bay we yu put klin tiub (sɛlf-kateterization) bɔku tɛm insay di de.
Ovaflɔ Inkontinɛns, Yurinary Kɔntrol, Blad, YurinLik, Prɔstat, Urinary Tract Infɛkshɔn, Sri Lanka Wɛlbɔdi
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