Yu kin gɛt prɔblɛm bak fɔ kɔntrol yu urine? Lɛ wi lan bɔt Urge Incontinence!

Sɔntɛnde yu kin gɛt nid fɔ pis wantɛm wantɛm, we yu nɔ go ebul fɔ bia ( urinary urgency), sɔntɛnde yu kin pas smɔl urine bifo yu ivin rich na di bafa? Ɔ yu fɔ pis bɔku tɛm insay di de, sɔm tɛm dɛn kin pis pas et tɛm? Na nɔmal tin fɔ mek yu wek tu ɔ tri tɛm insay nɛt fɔ pis ? If dɛn tin ya de afɛkt yu layf, nɔ wɔri , nɔto yu wan. Tide wi go tɔk bɔt dis sɔdɛn nid fɔ pis , ɔ insay mɛrɛsin, `(Urge Incontinence)`.

Wetin na Urge Incontinence?

Fɔ tɔk am simpul wan, Urge Incontinence na we yu nɔ ebul fɔ kɔntrol di we aw yu de urine. Dis na we yu kin want fɔ pis wantɛm wantɛm, we yu nɔ kin ebul fɔ kɔntrol , we kin at fɔ kɔntrol, ɛn sɔntɛnde yu kin pas urine bifo yu ivin gɛt tɛm fɔ rɔn go na di bafa. Sɔm pipul dɛn kin gɛt fɔ go na di bafa pas et tɛm insay di de, ɛn dɛn kin grap bɔku tɛm insay di nɛt fɔ pis . Dis kin rili mek yu at pwɛl.

Ɔda kayn tin dɛn de we kin mek pɔsin nɔ ebul fɔ pis?

Yes, sɔm ɔda kayn urinary incontinence de, inklud ``Urge Incontinence''. Ɛni wan pan dɛn kin gɛt fɔ du wit fɔ lɔs smɔl urine we yu nɔ want. Lɛ wi tek wan luk pan wetin dɛn bi:

• Stress Incontinence: Dis na we yu de lik smɔl urine we yu de laf, kɔf, sniz, ɔ es sɔntin we ebi. Tink bɔt am lɛk we yu laf lawd wan wit yu padi dɛn ɛn yu lik smɔl urine .
• Miks inkontinɛns: Dis kin inklud ɔl tu di ``Urge Incontinence'' ɛn ``Stress Incontinence''. Dis min se yu kin want fɔ pis bak , ɛn yu kin lik urine bak we yu de laf ɔ kɔf. Dɛn se pas af pan di uman dɛm we gɛt urge incontinence kin gɛt ``Stress Incontinence'' bak.
• Overflow Incontinence: Dis na we di urine de lik aut bikɔs di blad (di bag we de ol urine ) ful-ɔp tumɔs, ɔ bikɔs i nɔ pɔsibul fɔ urinate ɔl. I tan lɛk se wata we de kɔmɔt na tank we ful-ɔp.
• Functional Incontinence: Dis na we yu nɔ ebul fɔ go na di bafa di rayt tɛm, ɔ yu nɔ fil se yu nid fɔ pis , bikɔs ɔf ɔda tin (fɔ ɛgzampul, wan sik we de mek yu nɔ gɛt bɛtɛ trɛnk lɛk at at).

Aw kɔmɔn dis wan we pɔsin nɔ kin ebul fɔ urinate wantɛm wantɛm?

I kɔmɔn pas aw yu go tink. Risach sho se lɛk 40% pan uman dɛm ɛn 30% pan man dɛm go gɛt dis sik sɔm tɛm na dɛn layf. So nɔto jɔs yu.

Wetin na di men tin we kin mek pɔsin gɛt `(Urge Incontinence)`?

Bɔku tɛm di men tin we kin mek dis apin na we di blad de wok pasmak . Dis na we di mɔsul dɛn na yu blad kin kɔntrakt mɔ pas aw dɛn fɔ kɔntrakt. I tan lɛk se yu blad de tɛl yu ɔltɛm fɔ “ pis , pis .” Yu kin fil tranga wan fɔ pis bifo yu blad ivin ful-ɔp ɔl.

we di blad kכntrakt lεk dis, di sphincter mכsul na yu urethra (di mכsul we lεk valv we de stכp di urine fכ fכlכ kכmכt) jכs opin. Na da tɛm de urine kin lik.

Wetin na di sayn dɛm fɔ `(Urge Incontinence)`?

Di men sayn na we pɔsin kin want fɔ pis wantɛm wantɛm we i nɔ ebul fɔ kɔntrol am ɛn we i kin mek smɔl smɔl pis kin lik .

Apat frɔm dat, ɔda sayn dɛn kin de we de sho se yu blad de wok pasmak:

• Yu kin pis bɔku tɛm ( yu kin pis pas et tɛm insay di de).
• Fɔ grap fɔ pis pas tu tɛm insay di nɛt we yu de slip (Nocturia).
• Yurin we de lik , bifo yu go na di bafa ɔ jɔs afta yu pis .
• Fɔ wet na bed (Enuresis).

Apat frɔm dɛn diskɔmfɔt ya na yu bɔdi, `(Urge Incontinence)` kin afɛkt yu maynd wɛl bɔdi bak. Sɔm pipul dɛn kin fred fɔ go na do we di sik bad bad wan. We yu tink bɔt tin dɛn lɛk "Wetin if batrum nɔ de nia de?" "Usay a go go if a fɔ pis ?", yu de pan risk bak fɔ gɛt mental kɔndishɔn lɛk `(Stress)`, `(Anxiety)`, ɛn `(Depression) .

Udat dis tin kin afɛkt mɔ?

uman dεm kin gεt ``Urge Incontinence'' tu tεm pas man dεm. I kin kam bak mɔ ɛn mɔ as wi de ol. Bɔt, dɔktɔ dɛn se nɔto nɔmal tin we pɔsin kin ol. Dat min se dɛn kin trit am.

Ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• Shuga.
• If yu dɔn gɛt ɔpreshɔn na di say we yu de na di bɛlɛ, lɛk fɔ pul yu bɛlɛ.
• Sɔm mɛrɛsin, fɔ ɛgzampul, mɛrɛsin wae de mek pɔrsin gɛt pwɛl hat, mɛrɛsin wae de mek pɔrsin nɔr gɛt wata, ɛn mɛrɛsin wae de mek pɔrsin fil bad.
• Menopause we pɔsin kin gɛt.
• Sik dɛm na di nervɔs sistɛm, fɔ ɛgzampul Alzaima, Pakinsin sik, ɛn Multiple Sclerosis (MS).
• Bɔdi Mas Indeks (BMI) we pas 25 (i.e., ɔvaweit/ɔbisiti).
• Fɔ smok.
• Kɔndishɔn dɛn lɛk strok.
• Infεkshכn dεm na di Urinary Tract (UTIs).
• Bεlε εn bכn pikin (especially di vagina dεlivεri).
• If yu bin dɔn gɛt redyushɔn tɛrapi to di pelvik eria fɔ ɛni rizin.
• Prɔstat prɔblɛm, fɔ ɛgzampul, prɔstat kansa ɔ benign prostatic hyperplasia.

Wetin mek a nɔ bin ebul fɔ kɔntrol mi urine wantɛm wantɛm ?

Sɔntɛm yu dɔn gɛt smɔl smɔl sayn dɛn fɔ sɔm tɛm, ɛn yu nɔ go no if dɛn jɔs bigin fɔ tranga. Bɔt if dɛn sik ya dɔn apin afta dɛn dɔn ɔpreshɔn yu i nɔ tu te yet, aksidɛnt, ɔ afta yu dɔn bigin fɔ tek nyu mɛrɛsin, yu fɔ rili go to dɔktɔ. I kin bi bikɔs ɔf di nerve damej ɔ ɔda prɔblɛm.

Aw fɔ no `(Urge Incontinence)`?

Dɔktɔ go no dis sik bay we i tek yu mɛdikal histri ɛn aks yu bɔt yu sik dɛn. Dɛn go du ɛgzam bak fɔ dɛn bɔdi. If yu na uman, dɛn kin du pelvik ɛgzam, ɛn if yu na man, dɛn kin du dijital rɛktal ɛgzam.

Fɔ ɛp fɔ no di sik kɔrɛkt wan, yu dɔktɔ kin aks yu fɔ kip "bladder diary" fɔ tu to tri dez. Insay de, yu fɔ rayt dɛn tin ya:

• Tin dɛn we yu de drink (lɛk wata, ti, kɔfi).
• Aw bɔku yu de drink?
• Aw ɔltɛm yu kin go na di bafa?
• Aw ɔltɛm yu kin lik urine , ɛn aw bɔku i kin lik?
• Wetin yu bin de du we yu lik urine ?

Apat frɔm dat, di dɔktɔ kin du tɛst dɛn bak lɛk:

• Wan urine test (Urinalysis) fɔ chɛk fɔ tin dɛn lɛk urinary tract infection (UTIs) ɛn blɔd na di urine (Hematuria).
• כltra saund na di bכdi fכ luk כgan dεm lεk di blad εn di kidni dεm.
• Chek di urinary system wit cystoscopy.
• Yurodaynamik tɛst na tɛst fɔ si aw di urinary system de ol ɛn pul urine fayn fayn wan, ɛn post-void residual urine test na tɛst fɔ si aw bɔku urine de lɛf na di blad afta yu dɔn urinate.

Yu tink se `(Urge Incontinence)` go jɔs bɛtɛ?

Urge incontinence nɔr kin jɔs bɛtɛ. Bɔt, tritmɛnt kin ridyus yu sik dɛn bad bad wan.

Wetin na di bɛst tritmɛnt fɔ dis?

Tritmɛnt fɔ ``Urge Incontinence'' de dipen pan aw yu simptom dɛn tranga. Yu dɔktɔ go aks yu kwɛstyɔn dɛn lɛk dis fɔ no aw de sik de afɛkt yu layf:

• Ɔmɔs tɛm yu kin pis insay di de?
• Aw many tɛm yu kin grap fɔ pis na nɛt we yu de slip?
• Yu de lik urine ?
• Aw bɔku urine de lik?
• Ustɛm di urine kin lik?
• Us kayn wata yu kin drink?

Frɔm dɛn ansa ya ɛn di tin dɛn we dɛn dɔn du fɔ di tɛst, di dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:

• Pelvik flɔ fizik tɛrapi. dis kin inklud Kegel εksεsayz εn εksεsayz fכ rilaks di mכsul dεm na di pεlvik fכl.
• Fɔ tren yu blad bak.
• Di we aw pipul dɛn de liv dɛn layf kin chenj.

Kegel de du ɛksɛsayz

Pεlvik fכl εksεsayz na εksεsayz dεm we de mek di mכsul dεm we de sכpכt yu urinary sistεm strכng. We dɛn du am kɔrɛkt wan, dɛn kin ridyus yu sayn dɛn.

Bɔt fɔ no ɛn yuz di rayt mɔsul dɛn nɔ izi lɛk aw yu go tink. Wan pɔsin we de mɛn yu bɛlɛ kin tich yu aw fɔ du dɛn ɛgzampul ya kɔrɛkt wan. Dɛn kin yuz wan tɛknik bak we dɛn kɔl ``Biofeedback'' fɔ chɛk if yu de du dɛn kɔrɛkt wan. Fɔ si impruvmɛnt pan yu simptom dɛm fɔ ``Urge Incontinence'', yu fɔ du dɛn ɛgzampul ya ɔltɛm fɔ lɛk 4 to siks wik.

Sɔntɛnde, di blad simptom dɛm we de ɔva aktiv kin wɔs bay we yu tayt ɔ tayt na yu mɔsul dɛm na yu bɛlɛ. If na so i bi, pɔsin we de mɛn yu bɔdi kin tich yu aw fɔ rilaks dɛn mɔsul dɛn ya ɛn kɔdinɛt dɛn togɛda.

Fɔ tren yu blad bak

Dis min se yu fɔ go na di bafa jɔs di tɛm dɛn we yu dɔn sɛt. Di gol na fɔ wet smɔl bifo yu pis , ilɛksɛf yu rili want fɔ pis . dis go mek yu pelvik fכl mכsul dεm strכng εn εp yu fכ ol yu urine insay fכ lכng tεm.

Sɔm pipul dɛn kin gɛt fɔ pis bɔku tɛm, fɔ ɛgzampul, ɛvri tu awa. Dis na bikɔs dɛn kin fil di want fɔ pis nɔmɔ afta dɛn blad dɔn ful-ɔp bad bad wan, we kin mek i nɔ izi fɔ pis. So, if yu go ɔltɛm ɛn kip di blad ɛmti, dat kin ɛp fɔ ridyus di prɔblɛm we de mek yu lik.

Di we aw pipul dɛn de liv dɛn layf kin chenj

Dis na layf stayl chenj wae kin ɛp fɔ ridyus ``Urge Incontinence'':

• If yu de smok, stɔp am.
• Fɔ drink smɔl drink dɛn we de mek yu blad (drink dɛn we gɛt kafinɛ lɛk kɔfi ɛn ti, drink dɛn we gɛt kabon lɛk soda, ɛn rɔm).
• Fɔ mek yu gɛt wɛlbɔdi wet we fit yu.
• Nɔ mek yu nɔ gɛt kɔnstipɛshɔnIt tin dɛn we gɛt bɔku fayv ɛn drink bɔku wata. Kɔnstipɛshɔn kin mek di urge incontinence wɔs.
• If ɔda mɛrɛsin de we kin de mek yu gɛt ``Urge Incontinence'', go to tritmɛnt fɔ dɛn.

Ɔda Tɛrapi dɛn

If di trenin fɔ blad ɛn chenj di we aw yu de liv yu layf nɔ ɛp, yu dɔktɔ kin tɛl yu fɔ du tritmɛnt dɛn lɛk dɛn wan ya:

• Botulinum toxin (Botox ®) injεkshכn dεm.
• Nyuromoduleshɔn tɛrapi.

Botox we dɛn kin yuz

Botox de wok bay we i de rilaks di mכsul dεm na yu blad, we de mek yu ebul fכ ol mכr urine. Bɔt i nɔto sɔlv we go de sote go. Yu go nid fɔ gɛt injɛkshɔn ɛvri siks mɔnt ɔ so as di ifɛkt dɛn de west.

Nyuromoduleshɔn tɛrapi

Tri we dɛn de fɔ mek di nerv dɛn we de kɔnɛkt to yu blad, wok saful wan. Dis kin ɛp fɔ rigul di we aw yu nervɔs sistɛm de tɔk to yu blad. Dɛn we ya na:

• Percutaneous tibial nerve stimulation (PTNS): Dis min se yu fɔ stimul wan nerve jɔs ɔp yu anklɛ. Dɛn kin gi dis tritmɛnt wan tɛm insay di wik fɔ lɛk 12 wik. I nɔto big tin, ɛn dɛn kin du am na di dɔktɔ in ɔfis, ɛn i simpul pas ɔda we dɛn.
• Implantable tibial nerve stimulation (ITNS): dis involv fכ put wan sכmכl divays כnda di skin nia yu ankכl fכ stimulate di posita tibial nerve. Dis kin mek yu ebul fɔ du di stimulashɔn na os, pas fɔ go na ɔfis wan tɛm insay di wik.
• Sacral neuromodulation (SNM): Dis involv fכ implant wan sכmכl divays na yu lכw bכk. Dɔktɔ kin put smɔl waya insay di bays pan yu spɛnal kɔd ɛn i kin mek wan nɛv we de kɔnɛkt dairekt to yu blad ɔltɛm ɛn saful saful. Dɛn kin put batri bak ɔnda di skin.

Aw fɔ ridyus di risk fɔ `(Urge Incontinence)`?

Di sem tin dɛm wae de ɛp fɔ trit ``Urge Incontinence'' de ɛp bak fɔ mek yu nɔr gɛt am:

• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu.
• Nɔ gɛt kɔnstipɛshɔn.
• If yu de smok, stɔp am.
• Ridyus kafin, drink we gɛt kabon, ɛn rɔm.
• Pis bɔku tɛm fɔ mek yu blad nɔ ɛmti.

Wetin pɔsin we gɛt `(Urge Incontinence)` fɔ ɛkspɛkt?

Urge incontinence kin rili strɛs. Yu kin ridyus yu urge incontinence wit hom remedies lek Kegel exercise en bladder training. Bɔt, e kin tek wan mɔnt ɔr mɔr fɔ si difrɛns, ɛn de sik nɔr kin dɔn ɔl. So, i impɔtant fɔ mek yu tɔk to dɔktɔ.Dɔn i go tɛl yu aw yu sik tranga ɛn di bɛst we fɔ mɛn am ɛn nɔr de ambɔg yu layf.

Wetin kin apin if dɛn nɔ trit `(Urge Incontinence)`?

If dɛn nɔ trit am, ``Urge Incontinence'' kin wɔs. Yu kin nid fɔ go na di bafa bɔku tɛm ɛn lik mɔ urine . Dɛn prɔblɛm ya kin wɔs if yu de smok ɔ yu nɔ de kip yu bɔdi fayn.

Aw fɔ dil wit `(Urge Incontinence)`?

Urge incontinence kin mek yu urine lik, so yu kin yuz absorbent underwear ɔ urinary pad te yu tritmɛnt go wok fayn. Bɔt if yu put yu urine bɔku tɛm, i kin mek yu dayap rɔsh ɛn sɔl. Fɔ protɛkt yu skin, i fayn fɔ put sɔntin lɛk petrolium jeli (Vaseline®) . If petrolium jeli nɔmɔ nɔ ɛp, tray fɔ tek krim ɔ ɔnt we gɛt zink ɔksayd, ɛn go to dɔktɔ.

If yu de gɛt strɛs, pwɛl hat, ɔr de wɔri bikɔs yu nɔr ebul fɔ kɔntrol yusɛf, i go fayn fɔ tɔk to dɔktɔ ɔr saikɔlɔjis . Dɛn kin ɛp yu fɔ kɔntrol yu maynd wɛl bɔdi.

Ustɛm a fɔ go to dɔktɔ?

Tɔk to yu dɔktɔ jɔs lɛk aw yu fɔs notis di sayn dɛm fɔ ``Urge Incontinence'' ɔ if yu notis chenj na yu batrum abit. Dɛn kin ɛp yu fɔ no di kɔz, trit am, ɛn kɔntrol yu sayn dɛm. I impɔtant bak fɔ chɛk fɔ si if yu gɛt urinary tract infection (UTI) if yu sik dɛn de wɔs.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na di rizin we mek a gɛt `(Urge Incontinence)`?
• Us kayn tɛst yu kin du?
• Aw i siriɔs mi ``Urge Incontinence''?
• Yu tink se a go nid Botox, nerve therapy, ɔ ɔpreshɔn?
• Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt Botox, nyuro ɔpreshɔn, ɔ ɔpreshɔn?

Wetin na di difrɛns bitwin `(Urge Incontinence)` ɛn `(Stress Incontinence)`?

Di tin dɛn we kin mek dɛn tu tin ya kin apin ɛn di sayn dɛn we dɛn kin gɛt difrɛn:

• Stress Incontinence: Dis kin bi bikɔs di bɛlɛ de prɛs di blad. If na so i bi, di urine kin lik smɔl smɔl.
• Urge Incontinence: Dis kin bi bikɔs yu blad de wok pasmak. I kin mek mɔ urine lik pas strɛs inkɔntinɛns.

We yu de tɔk bɔt aw yu de was, dat kin mek yu shem, so yu go tink se na yu nɔmɔ gɛt dis prɔblɛm. Bɔt nɔto yu wan de. Urge incontinence kin afɛkt bɔrku pipul dɛn sɔm tɛm na dɛn layf.

We yu tɔk to yu fambul ɔ padi dɛn we yu kin abop pan bɔt dis, dat kin ɛp dɛn fɔ ɔndastand aw yu de chenj di we aw yu de biev. Dɛn kin ɛp yu bak fɔ ridyus di impak we di urge incontinence kin gɛt pan yu layf bay we dɛn kin ɛp yu fɔ fɛn batrum we yu de na do ɛn go, ɛn bay we dɛn de pul ɔda pipul dɛn maynd if yu de na di bafa fɔ lɔng tɛm.

De tin wae impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt fɔ yu sik. Wit tritmɛnt, plan bifo tɛm, ɛn sɔpɔt frɔm ɔda pipul dɛm, yu kin ridyus di impak wae urge incontinence kin gɛt pan yu layf.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

• Urge incontinence na wan sik wae yu kin trit, so nɔr shem ɔr frayd.
• Di men rizin fɔ dis kin bi di blad we de wok pasmak.
• Ivin simpul tin dɛm lɛk fɔ chenj yu layf, fɔ du ɛksɛsayz na Kegel, ɛn fɔ tren yu blad kin mek big difrɛns.
• I impɔtant fɔ go to dɔktɔ if yu gɛt sɔm sayn dɛn. If yu no di sik ɛn trit yu fayn fayn wan, dat kin mek yu liv bɛtɛ layf.
• Nɔto yu wan de. Dis tin we kin apin kin afɛkt bɔku pipul dɛn. So gɛt sɔpɔt, ɛn tich ɔda pipul dɛn bɔt dis.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

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