Yu kin fred bak fɔ pis na do? Lɛ wi lan bɔt dis ‘Shy Bladder Syndrome’ (Paruresis)!

Yu dɔn ɛva go na pɔblik tɔylɛt ɔ yu padi in os ɛn yu bin gɛt fɔ pis , bɔt yu bin tu shem ɔ fred fɔ pis ? Pan ɔl we yu nɔ ebul fɔ ol yu urine , sɔntɛnde yu jɔs nɔ ebul fɔ du am, nɔto so? Pan ɔl we dis kin tan lɛk jok to sɔm pipul dɛn, fɔ tru, na mɛdikal kɔndishɔn. Wi go tok abaut dis tide.

Wetin na ‘Shy Bladder Syndrome’ (Paruresis)?

Fɔ tɔk am simpul wan, Shy Bladder Syndrome, ɔ as dɔktɔ dɛn kin kɔl am , Paruresis , na wan sik we de mek pɔsin wɔri bɔt ɔda pipul dɛn . I kin bi se yu nɔ kin ebul fɔ pis ɔ i kin rili at fɔ pis na do na yu os, mɔ na pɔblik tɔylɛt. Imajin se yu gɛt strɔng want fɔ pis , bɔt if ɔda pɔsin de nia yu, ɔ if di tɔylɛt yu nɔ sabi, yu jɔs nɔ ebul fɔ pis ilɛksɛf yu tray tranga wan.

Dɛn kɔl dis ɔda tin, yu go dɔn yɛri bɔt am:

• `(Avoidant Paruresis)`
• `(Bashful Blada Sindrom - BBS)` ɔ `(Bashful Kidni)`
• `(Pee Phobia)` (Fɔ fred fɔ pis )
• `(Saykojɛnik Yurinari Ritɛnshɔn)` (Inkontinɛns bikɔs ɔf saykolojik rizin)
• Urophobia (di nɔrmal fred fɔ pis) .

De tin wae impɔtant pas ɔl na dat pipul dɛm wae gɛt dis sik nɔr kin gɛt ɛni prɔblɛm wit dɛn blad ɔr urinary system . Dɛn kin pis na dɛn bɔdi. Bɔt bikɔs ɔf di wɔri we pɔsin kin wɔri pasmak, di mɔsul dɛn na di blad ɛn di urethra kin tayt ɛn nɔ kin rilaks as nid de fɔ mek di urine kɔmɔt. Fɔ tɔk di kɔrɛkt tin, dis kin apin bikɔs pɔsin de fred na wi maynd.

If dɛn nɔ trit dis sik, i kin gɛt bɔku impak pan di kwaliti fɔ layf. Sɔm pipul dɛn kin stɔp fɔ travul, fɔ spɛn tɛm wit dɛn padi dɛn, fɔ go na say dɛn we pipul dɛn kin gɛda, ɛn sɔntɛnde dɛn kin ivin go wok. Dɔktɔ dɛn kin yuz saykotɛrapi, bihayvya tɛrapi, ɛn sɔntɛnde dɛn kin yuz hipnosis as tritmɛnt. Sɔm pipul dɛn kin gɛt prɔblɛm fɔ pis na do na os, so dɛn kin yuz kateta , we na tin tiub, fɔ ɛmti dɛn blad.

Udat kin gɛt dis sik?

Dɔktɔ dɛn biliv se if yu mama ɛn papa bin gɛt dis sik (Paruresis), yu kin gɛt mɔ chans fɔ gɛt am bak. Dɔn bak, pipul dɛm wae gɛt ɔda kayn wɔri sik kin gɛt bɔrku risk fɔ gɛt dis ‘shy bladder syndrome’. Dat min se, if yu gɛt kɔndishɔn lɛk dis, yu go gɛt (Paruresis):

• Jɛnɛralized Anxiety Disɔda (GAD) we de mek pɔsin wɔri (GAD) .
• If yu bin dɔn gɛt maynd sik bifo (History of Mental Illness) .
• Obsesiv-Kɔmpulsiv Disɔda (OCD) .
• Panik Atak ɔ Panik Disɔda

Dis sik (Paruresis) kin mek yu frayd, wɔri, ɔr gɛt strɔng filin. Bɔku tɛm, i nɔ kin izi fɔ pis na pɔblik ples, ɛn i nɔ kin izi bak fɔ pul dɔti. Dɔktɔ dɛn kin kɔl am (Parcopresis) .

Aw dis sik kin kɔmɔn?

Dɔktɔ nɔr gɛt ɛksaktɔl nɔmba fɔ ɔmɔs pipul dɛn rili gɛt dis sik. Bɔt, i kin bɔku pas aw yu go tink . Sɔm stɔdi dɛn sho se te to 25% pan di pipul dɛm na Amɛrika gɛt sɔm digri pan paruresis. I kin afɛkt ɛnibɔdi, ilɛksɛf na man ɔ uman, ej, ɛn ivin smɔl pikin dɛn.

Wetin na di tin dɛm wae kin mek yu gɛt ‘shy bladder’?

Dɔktɔ dɛn nɔ no bɛtɛ bɛtɛ wan wetin kin mek i apin. Bɔt sɔmtɛm, e kin kam wit pɔst-traumatik strɛs disɔda (PTSD) . Sɔm pipul dɛm wae gɛt paruresis kin dɔn gɛt prɔblɛm wae nɔr fayn ɔr kin mek dɛn fil bad na pɔblik tɔylɛt trade. Fɔ ɛgzampul, sɔntɛm dɛn bin dɔn du mami ɛn dadi biznɛs wit dɛn, dɛn bin de trit dɛn bad, ɔ sɔmbɔdi bin de provok dɛn ɔ mek dɛn fred we dɛn de pis .

Pipul wae de shem ɔr wae gɛt reserved personality kin si am bad bad wan fɔ pis bifo ɔda pipul dɛm. Dɛn kin wɔri tumɔs bɔt di smel we dɛn de smɛl ɛn di sawnd we dɛn kin mek we dɛn de pis .

We tinkin lɛk "Oh, i go yɛri mi de pis ?" "A go smɛl?" kam na yu maynd, di frayd de go ɔp ɛn di urine de stɔp fɔ kɔmɔt.

We dis kayn wɔri ɔr filin kin kam, i kin at fɔ bigin fɔ mek yu urine flɔ. As dis frayd de go bifo, di mɔsul dɛn kin tayt mɔ ɛn mɔ. Fɔ pipul dɛm wae gɛt ‘shy bladder’, sɔm situeshɔn kin kin rili trigεr . Dat min se, pan dɛn kayn tin ya, dis prɔblɛm kin bɔku mɔ ɛn mɔ. Fɔ ɛgzampul:

• Tray fɔ pis we pipul dɛn we yu sabi ɔ we yu nɔ no de de.
• Fɔ gɛt pɔsin we de nia am so dat ɔda pipul dɛn tink se dɛn kin yɛri, si, ɔ smɛl dɛn urine .
• Fɔ fil lɛk se sɔmbɔdi de rɔsh yu .
• Nɔ gɛt prayvet pat fɔ pis . Imajin se na pɔblik tɔylɛt we nɔ gɛt domɔt, ɔ pɔsin tinap nia di domɔt.
• Tray fɔ fos yusɛf fɔ pis . Dis go jɔs mek di mɔsul dɛn tayt mɔ ɛn mɔ, ɛn dis go mek di prɔblɛm wɔs.

Wetin na di sayn dɛm fɔ dis?

Di sayn dɛm fɔ shy bladder syndrome kin kɔmɔt frɔm smɔl to siriɔs . Bɔrku tɛm, de sik kin wɔs as tɛm de go. Sɔm pipul dɛn kin ebul fɔ pis nɔmɔ we dɛn wangren de na os.

Pipul wae gɛt mild paruresis kin jɔs ebul fɔ pis pan sɔm kayn tin dɛm. Fɔ ɛgzampul, man kin ebul fɔ pis na prayvet stɔl we nɔ gɛt ɛni prɔblɛm, bɔt i nɔ kin ebul fɔ pis na pɔblik urinal. Ɔ, na pɔblik tɔylɛt, i kin delay smɔl fɔ stat di urine strim.

Pipul wae gɛt dis sik kin du tin lɛk:

• Fɔ drink smɔl wata ɛn wata bifo yu kɔmɔt na os ɛn we yu de na do.
• Di sayn dɛm fɔ panik atak na fɔ mek yu ed de tɔn, yu mɔt de dray, yu de swet pasmak (hayperhidrosis), ɛn yu at de bit kwik kwik wan.
• A de luk fɔ tɔylɛt usay a go ebul fɔ de mi wan, a tink se i nɔ mata aw fa a fɔ go .
• Yu kin nid fɔ tray spɛshal trik dɛn fɔ ɛp yu fɔ pis . Fɔ ɛgzampul, fɔ imajin wata we de flɔ, ɔ we yu de ɔn di tap ɛn tray fɔ pis to di sawnd we wata de mek.
• Dɛn kin stɔp fɔ travul, fɔ go wok, ɛn fɔ atɛnd sɔshal ivent dɛn.
• If yu gɛt siriɔs kes, agoraphobia kin kam, ɛn dis kin mek yu nɔ ebul fɔ kɔmɔt na yu os. Dis kin ambɔg famili padi biznɛs ɛn mek i nɔ pɔsibul fɔ ol di wok we dɛn de du.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Bɔrku tɛm, dɔktɔ kin no if yu gɛt paruresis bay we i tɔk bɔt yu sik dɛn. If yu kin go na di bafa we yu nɔ gɛt ɛni prɔblɛm na os, bɔt yu gɛt prɔblɛm fɔ pis na do na yu batrum, yu dɔktɔ kin sɔprayz se yu gɛt paruresis. Fɔ no dis kɔrɛkt wan, yu dɔktɔ kin sɛn yu to dɔktɔ we de stɔdi bɔt pɔsin in maynd ɔ to dɔktɔ we de mɛn yu uro .

Di dɔktɔ go chɛk fɔs fɔ si if ɛni ɔda tin de we de mek pɔsin nɔ ebul fɔ pis. Dis na bikɔs i kin at fɔ pis bikɔs ɔf tin dɛn lɛk infɛkshɔn, nerve prɔblɛm, ɔ ureteral obstruction. Fɔ chɛk fɔ dɛn tin ya, di dɔktɔ go du wan ɛgzam pan in bɔdi. I kin ɔda bak fɔ mek dɛn du di urinalysis , fɔ kɔmplit blɔd kɔnt (CBC) , ɔ fɔ mek dɛn du ɔltra saund fɔ luk di blad.

Sɔm mɛrɛsin dɛn kin mek bak i nɔ izi ɔ i nɔ kin ebul fɔ pis . So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Dis go ɛp dɛn fɔ no if na dɛn de mek yu gɛt di sik.

Wetin na di tritmɛnt fɔ ‘shy bladder syndrome’?

I bɛtɛ fɔ tɔk to yu dɔktɔ bɔt us tritmɛnt we bɛtɛ fɔ yu. Bɔku tritmɛnt dɛn de we yu kin pik:

• Cognitive Behavioral Therapy (CBT) : Dis kin min fɔ chenj yu bihayvya bay we yu de ɛp yu fɔ luk yu wɔri difrɛn we. Fɔ tɔk am simpul wan, i de ɛp yu fɔ chenj di we aw yu de tink ɛn mek yu nɔ fred.
• Graduated Exposure Therapy : Insay dis, yu kin praktis fɔ pis na say we dɛn kin kɔntrol. Wit pɔsin we de mɛn yu, yu padi, ɔ yu fambul, yu kin tray smɔl smɔl fɔ pis na ɔda tɔylɛt dɛn apat frɔm yu os tɔylɛt. Yu kin du dis bɔku tɛm insay di wik, ɛn smɔl smɔl yu kin go na pɔblik tɔylɛt. As tɛm de go, yu kin pis ɛnisay, ɛnitɛm we yu want.
• Hypnotherapy : Insay dis, yu kin du gayd rilaks ɛgzampul dɛn we yu maynd de rilaks. Dis kin mek yu ebul fɔ pe atɛnshɔn bak pan di wɔri we yu de wɔri ɛn tich yusɛf aw fɔ pis na pɔblik tɔylɛt.
• Mɛrɛsin fɔ lɛf fɔ wɔri : Sɔntɛnde, dɔktɔ dɛn kin gi yu mɛrɛsin fɔ kɔntrol wɔri.
• Meditashɔn ɛn ɛksesaiz fɔ blo : Dɛn tin ya kin ɛp yu fɔ kɔntrol di wɔri ɛn rilaks di mɔsul dɛm na yu urinary tract.
• Saykotɛrapi , ɔr tɔk tritmɛnt: Dis kin ɛp fɔ trit mɛntɛl hεlth prɔblɛm wae kin de kɔz de ‘shy bladder’ kɔndishɔn.
• Self-catheterization / Clean Intermittent Catheterization : If yu nɔ ebul fɔ ɛmti yu blad na do na os, dis we ya na fɔ put tiub fɔ ɛmti yu blad. Dɛn fɔ du dis ɔnda dɔktɔ in sɔpɔtishɔn ɛn wit di rayt trenin.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

No patikyula we nɔ de fɔ mek dɛn nɔ gɛt paruresis. Bɔt if yu gɛt ɔda prɔblɛm dɛn we de mek yu wɔri, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt di tritmɛnt ɔ mɛrɛsin dɛn we go ɛp yu fɔ kɔntrol di we aw yu de fil. Dis kin ɛp fɔ ridyus di risk fɔ dɛn kayn tin ya.

Wetin na di tumara bambay fɔ pipul dɛm wae gɛt dis sik? Yu tink se i go bɛtɛ wit tritmɛnt?

Bɔrku pipul kin gɛt rilif frɔm dɛn paruresis afta tritmɛnt. Sɔm stɔdi dɔn sho se te to 80% pan di pipul dɛm wae gɛt dis sik kin ebul fɔ pis na pɔblik afta CBT ɛn ɛksplɔshɔn tɛrapi . Hypnosis, psychotherapy, ɛn CBT kin rili ɛp pipul dɛm fɔ ɔndastand aw dɛn de wɔri ɛn chenj dɛn bihayvya.

Bɔt if dɛn nɔ trit am, shy bladder syndrome kin mek yu gɛt prɔblɛm wit ɔda pipul dɛn ɛn na yu wokples. Fɔ ɛgzampul, pipul dɛn we dɛn fɔ gi urine sɛmpul fɔ tɛst fɔ drɔgs kin nid fɔ mek spɛshal arenjmɛnt wit dɛn bɔs. If dɛn nɔ gɛt urine sample, dɛn kin gɛt blɔd, ia, ɔ saliva sɛmpul insted.

We yu ol yu urine bikɔs ɔf paruresis, i kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm . Sɔm pan dɛn tin ya na:

• Infεkshכn dεm na di Urinary Tract (UTI) .
• di damej pan di blad mכsul dεm kin mek i gεt kכndyushכn lεk urinary incontinence, we na di urine we dεn nכ kכntro.
• If i siriɔs, ivin tin dɛn we rili denja lɛk we blad bɔs kin apin.

Ustɛm yu fɔ go to dɔktɔ?

I impɔtant fɔ chɛk if ɛni ɔda wɛlbɔdi prɔblɛm de we de mek yu nɔ ebul fɔ pis . Ivin afta yu dɔn kɔnfyus se nɔr de kayn tin wae kin mek yu gɛt bɔdi, if dis ‘shy bladder’ kɔndishɔn de afɛkt yu ɛvride layf, i rili fayn fɔ tɔk to dɔktɔ. If dis sik de mek yu nɔ ebul fɔ go wok, go na do, ɔ avɔyd fɔ du sɔshal ivin, i rili fayn fɔ mek yu go to dɔktɔ.

Mɛmba mɔ: If yu rili want fɔ pis ɛn yu nɔ ebul fɔ pis fɔ sɔm awa (ilɛksɛf na os ɔ na do), go to dɔktɔ wantɛm wantɛm . I rili denja fɔ ol yu urine fɔ lɔng tɛm. If yu ol yu urine fɔ sɔm awa, ivin if yu go na di bafa na os, yu blad mɔsul dɛn kin rilaks ɛn yu nɔ go ebul fɔ pas urine.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Shy bladder syndrome (paruresis) na wan sik wae kin gɛt bɔrku impak pan yu kwaliti fɔ liv. If yu si se yu de tray spɛshal fɔ mek yu nɔ yuz di bafa we de na do na yu os, tɔk to yu dɔktɔ. If dɛn nɔ trit am, di sayn dɛm fɔ dis wɔri sik kin wɔs as tɛm de go. If yu ol yu urine bak fɔ lɔng tɛm, dat kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm, lɛk urinary tract infection (UTI) ɛn blad prɔblɛm. Bi opin ɛn ɔnɛs to yu dɔktɔ bɔt yu sik dɛn ɛn ustɛm dɛn kin apin. Tritmɛnt kin ɛp yu fɔ ɛnjɔy tin dɛn lɛk fɔ travul ɛn fɔ de wit ɔda pipul dɛn fayn fayn wan ɛn gladi at. Nɔto yu wan de, ɛn ɛp de.

` Paruresis, Shy Bladder Syndrome, Difεlεns fכ pis, Sɔshial Fכbia, Anxiety, Mental Wεlth, Urinary Retention