Yu kin ɛva si se yu tinap na di bafa, de wet fɔ mek yu pis bigin, pan ɔl we yu fil se yu want fɔ pis? Ɔ sɔntɛm yu urinary stream kin stɔp wantɛm wantɛm mid-flow, bɔt i kin kɔntinyu fɔ drip afta yu strɛs? If yu dɔn gɛt dɛn kayn sik ya, yu kin gɛt wan sik we dɛn kɔl urinary hesitancy . Na Nirogi Lanka , wi want fɔ ɛp yu fɔ ɔndastand wetin dis min ɛn aw dɛn go ebul fɔ manej am.
Wetin wi min wit Urinary Hesitancy? (Wan simpul gayd frɔm Nirogi Lanka)
Fɔ tɔk am simpul wan, fɔ shem fɔ pis de tɔk bɔt prɔblɛm we yu kin gɛt we yu nid fɔ pis. Dis min se yu kin strɛs fɔ stat di prɔses, ɔ yu kin si am se i nɔ izi fɔ mek yu kɔntinyu fɔ flɔ ɔltɛm ɛn nɔ de chenj. Sɔntɛnde, yu kin fil lɛk se yu stil nid fɔ pis, bɔt di wata kin stɔp wantɛm wantɛm.
Pan ɔl we dis kin apin to ɛnibɔdi, dɛn kin si dis sik mɔ pan man dɛn.
Dɔktɔ dɛn kin yuz di wɔd “hesitancy” fɔ tɔk bɔt da patikyula strɛch de we yu de tray fɔ bigin pis ɔ di tray we yu nid fɔ mek di wata kɔntinyu fɔ pis.
Wetin na de sayn dɛm wae yu kin gɛt?
di praymar indikεtכ dεm f כ urinary hesitancy na di difikulti fכ initiate di fכ fכl כ εn di fכlכ we de stכp bifo yu blad fil kכmplit ɛmti. Apat frɔm dat, yu kin gɛt:
- Filin se yu nid fɔ go, bɔt yu nɔ ebul fɔ bigin.
- Di nid fɔ strɛch ɔ push fɔ mek di urine flɔ.
- Wan strim we rili wik, ɔ notis se i de kɔmɔt as tin drip.
- Post-void dribbling (urine de lik aut afta yu don finish).
Ɔda sayn dɛn ɛn ustɛm fɔ tek akshɔn
Sɔntɛnde, we yu de shem fɔ pis kin mek yu nɔ ebul fɔ pis , usay yu nɔ kin ebul fɔ ɛmti yu blad atɔl. If yu gɛt dɛn tin ya, go to dɔktɔ wantɛm wantɛm:
- Pen na yu bɛlɛ we de dɔŋ.
- Filin fɔ blo ɔ ful-ɔp na di say we di bɛlɛ de.
- di urine we de lik we yu nɔ want (dɛn kɔl am urinary incontinence ).
Wetin mek dis kin apin? Di tin dɛn we kin mek i apin
Bɔku rizin dɛn de we mek yu kin gɛt prɔblɛm wit yu urinary hesitancy. Lɛ wi luk di wan dɛn we kɔmɔn pas ɔl.
Wan tin we kin apin to man dɛn
Di tin we kin mek man dɛn gɛt mɔ na Benign Prostatic Hyperplasia (BPH) , ɔ we di prɔstat dɔn big. dis kin kכmכn bכku pan man dεm we pas 60. di prכstat na sכmכl gland we de rawnd di urethra (di tכb we de kכri urine). We i big, i de swɛt di urethra, we de mek di urine nɔ ebul fɔ flɔ.
Ɔda tin dɛn we kin apin
Ɔda tin dɛn we kin mek i apin na:
- Urinary Tract Infections (UTIs) ɔ Bladder Infections: Dɛn tin ya kin rili kɔmɔn ɛn dɛn kin afɛkt yu flɔ.
- Prɔstataytis: Na inflamɛns ɔ infɛkshɔn na di prɔstat gland.
- Yurethral Strictures: Ska we de insay di urethra bikɔs ɔf injury ɔ infɛkshɔn dɛn we dɔn pas, we de mek di chanɛl smɔl.
- Sivɛri Kɔnstipɛshɔn: Big prɛshɔn na di bɔdi kin prɛs pan di blad ɛn afɛkt di we aw yu de pis.
- Sɔm Mɛrɛsin Dɛm: Drɔg lɛk sɔm trisayklik antidipreshan, mɛrɛsin fɔ blad we de wok pasmak, ɔ ivin sɔm mɛrɛsin fɔ kol ɛn alɛji.
- Pεlvik Fכl Disfכnkshכn: I nכ ebul fכ rilaks di bכdi mכsul dεm fayn fayn wan we yu de pis.
- Nyurolɔjik kɔndishɔn: Kɔndishɔn wae kin afɛkt di signal dɛm frɔm yu bren to yu blad, lɛk strok, Multiple Sclerosis (MS), ɔ nyuropathy we gɛt fɔ du wit dayabitis.
- Pεlvik כgan Prolaps: We di bכdi mכsul dεm wik, di כgan dεm lεk di blad kin shift, we kin afekt yu ebul fכ pas urine.
Udat dɛn de pan denja?
Pan ɔl we dis kin apin to ɛnibɔdi, i kin apin mɔ pan man dɛn we dɔn pas 60 ia we de dil wit wan prɔstat we dɔn big (BPH).
Aw yu dɔktɔ go no bɔt dis?
We yu tɔk to yu praymari kia dɔktɔ bɔt dɛn sik ya, dɛn go rivyu yu mɛdikal istri ɛn du yu bɔdi ɛgzam fɔ no di rizin we mek dɛn gɛt dis sik.
Kwɛstyɔn dɛn we yu dɔktɔ go aks:
- Aw lɔng yu dɔn de gɛt dɛn prɔblɛm ya?
- Yu urine strim wik pas aw i kin bi?
- Yu tink se dɛn sik ya bin apin wantɛm wantɛm, ɔ dɛn dɔn bigin smɔl smɔl?
- Yu de tek ɛni ɔva-di-kɔnta mɛrɛsin fɔ trit dis?
- Yu dɔn notis se sɔm tin dɛn we yu kin it, drink, ɔ tin dɛn we yu kin du kin mek dɛn sik ya wɔs?
Yu ansa go ɛp yu dɔktɔ fɔ ɔndastand yu wɛlbɔdi prɔfayl mɔ.
Test dɛn fɔ no if pɔsin gɛt di sik:
Fɔ kɔnfirm di diagnosis ɛn fɔ no di patikyula kɔz fɔ urinary hesitancy , yu dɔktɔ kin se yu fɔ du ɔda tɛst.
- Yurodaynamik Tεst dεm: Dis na siriכs tεst dεm fכ evaluate yu urinary hεlth bay we dεn de ases:
- Di totɛl urine volyum we yu pas.
- Di flɔ rit ɛn di fɔs we yu de pis .
- Di prɛshɔn we de insay yu blad.
- Imej Test: Yu dɔktɔ kin tɛl yu fɔ du ɔltra saund ɔ CT skan fɔ si aw yu blad de ful-ɔp ɛn ɛmti, ɛn fɔ chɛk di sayz fɔ yu prɔstat. wan wan tεm, dεn kin du wan prכsidכm we dεn kכl Cystoscopy , usay dεn kin put sכmכl kεmεra tru di urethra fכ si di blad layn.
- Dijital Rɛktal Ɛgzam (DRE): Na fyzikal asɛsmɛnt fɔ chɛk di sayz ɛn tɛkstɔr fɔ yu prɔstat gland.
- Urinalysis: Na analisis fכ wan urine sεmpl fכ no di maykroskכpik כ kεmikכl abnכmaliti dεm.
- Yurin Kɔlchɔ: Na patikyula tɛst fɔ no if yu gɛt baktriyal infɛkshɔn na yu urine .
Aw dɛn kin trit Urinary Hesitancy na Nirogi Lanka?
Di tritmɛnt fɔ Urinary Hesitancy dipen pan di ɔndalayn kɔz ɛn yu ɔl wɛl bɔdi prɔfayl. Yu dɔktɔ na Nirogi Lanka kin tɛl yu fɔ du dɛn tin ya:
- Blad Ritrenin / Taym Voiding
- Pelvik Flɔr Fizik Tɛrapi
- Di mɛrɛsin dɛn we dɛn kin yuz
- Di we aw dɛn kin du ɔpreshɔn
- Sakral Nεv Stimulεshכn / Sakral Nyuromodyulεshכn
Lɛ wi luk insay dɛn tin ya mɔ ditayli.
Blada Ritrenin (Timed Voiding) .
Di gol ya na fɔ tren yu blad mɔsul dɛn bak. Dɛn go aks yu fɔ pis di tɛm we dɛn dɔn sɛtul (tipikul ɛvri tu awa) , ivin if yu nɔ fil di want. Dis kin ɛp fɔ ɛmti di blad bifo i ful-ɔp pasmak.
Pelvik Flɔr Fizik Tɛrapi
Dis tεrapi de tich yu spεshal εksεsayz dεm fכ rilaks di mכsul dεm na yu bכdi. If yu rilaks dɛn mɔsul ya fayn fayn wan, dat kin mek i izi fɔ pis ɛn i kin izi fɔ pis.
Di mɛrɛsin dɛn we dɛn kin yuz
Dipen pan wetin yu dɔn no, yu dɔktɔ kin gi yu mɛrɛsin fɔ manej di prɔstat saiz (ɛgz., Dutasteride, Finasteride) ɔ alfa-blɔka fɔ ɛp fɔ rilaks di blad ɛn prɔstat mɔsul dɛm. If infekshɔn de, dɛn go gi yu antibayɔtik.
Di we aw dɛn fɔ du di ɔpreshɔn
If yu urethra smɔl, i kin nid fɔ du tin lɛk Urethral Dilation ɔ Reconstruction . If na di prɔstat we dɔn big (BPH) na di kɔz, difrɛn ɔpreshɔn dɛn de fɔ pul di tisu we pasmak—frɔm di we aw dɛn kin du ɔfis we nɔ kin tek bɔku mɔni to di advans lɛsa ɔ ilɛktrik tritmɛnt dɛn. Sɔntɛnde, dɛn kin nid fɔ pul sɔm pat ɔ ɔl di Prɔstat . Fɔ kɔndishɔn lɛk Pelvic Organ Prolapse , ɔpreshɔn kin mek di ɔgan dɛn kam bak to dɛn kɔrɛkt pozishɔn.
Sakral Nεv Stimulεshכn
insay dis prosidur, dεn kin put wan sכmכl nyurostimulεta divays כnda di skin nia yu bכtכk. i de sεnd jεntεl ilektrikal puls dεm to di sakral nεv dεm fכ rεgεl di blad mכsul fכ wok fayn fayn wan.
Yu kin ebul fɔ manej dis na os?
Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ du simpul chenj dɛn na yu layf we yu kin ebul fɔ du na os fɔ ɛp yu wit Urinary Hesitancy .
- Ɔt Aplikeshɔn: We yu was wam wam ɔ yuz ɔt pad na yu bɛlɛ we de dɔŋ, dat kin ɛp fɔ rilaks yu bɛlɛ mɔsul dɛn, ɛn dis kin mek yu pis fayn.
- Masaj: If yu masaj di bɛlɛ we de dɔŋ (di blad eria) jisnɔ we yu de pis, dat kin ɛp fɔ mek yu flɔ ɛn trɛnk bɛtɛ.
- Stul Softeners ɔ Laxatives: If yu de sɔfa wit krɛse kɔnstipɛshɔn, fɔ manej yu bɔdi wɛlbɔdi tru it ɔ mɛrɛsin we dɛn gi yu kin mek yu nɔ gɛt prɛshɔn pan di blad indaykt wan.
Di tin we impɔtant pas ɔl: Ɔltɛm tɔk to yu dɔktɔ bifo yu bigin ɛni mɛrɛsin na os fɔ mek shɔ se i sef fɔ yu patikyula kɔndishɔn.
Di bɛnifit dɛn we ‘Bladder Diary’ gɛt.
Yu dɔktɔ kin aks yu fɔ kip "Bladder Diary" fɔ trak yu abit. Yu fɔ rikodɔ:
- Tכtal intake fכ fluid dεm tru di de.
- di aprכksimat vכlyum fכ di urine we dεn prodyuz.
- Di trɛnk ɛn di flɔ we yu strim de flɔ.
- Aw lɔng i kin tek fɔ mek yu bigin fɔ pis .
- Di frɛkuɛns we yu kin go na yu bafa.
- Ɛni ɔda sayn wae yu kin gɛt.
Dis dayari de gi impɔtant tin fɔ yu ɛn yu dɔktɔ fɔ ɔndastand mɔ bɔt di men tin we de mek yu gɛt di sik.
Wetin na di tɛmlayn fɔ wɛl afta tritmɛnt?
Fɔ wɛl kin dipen ɔl pan di tin we mek yu Urinary Hesitancy ɛn di tritmɛnt plan we yu dɔn pik.
- Pelvic Floor Physical Therapy: Yu kin bigin fɔ notis di rizulyt afta sɔm wiks we yu dɔn de du tin ɔltɛm.
- Mɛrɛsin we de mek di mɔsul dɛn rilaks: Dɛn tin ya kin bigin fɔ wok insay sɔm awa to sɔm dez.
- Sacral Nerve Stimulator: Yu kin notis se yu go ebul fɔ du bɔku tin fɔ sɔm wiks as dɛn de ajɔst di sɛtin dɛn.
- Pɔst-Ɔspitul: Fɔ wɛl kɔmplit wan kin tek sɔm mɔnt dipen pan di kɔmplisiti fɔ di prɔsidyu.
Yu tink se dɛn kin ebul fɔ avɔyd dis sik?
Pan ɔl we wi nɔ kin ebul fɔ stɔp ɔltin we kin mek yu gɛt Urinary Hesitancy , bɔku tɛm yu kin gɛt rilif bay we yu kɔntinyu fɔ gɛt wɛlbɔdi blad abit ɛn mek yu nɔ gɛt kɔnstipɛshɔn. Dis min se yu fɔ aim fɔ pis ɛvri sɔm awa pas fɔ ol am fɔ lɔng tɛm. Apat frɔm dat, tray fɔ kip yu bɔdi ɔltɛm ɛn fayn fɔ yu bɔdi ɛvride.
Ustɛm yu fɔ go to dɔktɔ?
Si dɔktɔ jɔs afta yu notis se yu gɛt prɔblɛm fɔ pis ɔ if yu flɔ kin wik ɔltɛm pas aw yu kin pis. Nɔ ignore dɛn sayn ya ɔr tink se dɛn go jɔs sɔlv fɔ dɛnsɛf. Pan ɔl we i kin shem fɔ tɔk bɔt blad, i impɔtant fɔ mek dɛn chɛk yu kwik kwik wan fɔ si if yu gɛt ɛni nyu ɔr we nɔ de dɔn.
Yu nid fɔ go na di Imejɛnsi Rum (ER)?
If yu nid fɔ pis kwik kwik wan bɔt yu si se yu nɔ ebul fɔ pas ɛni urine atɔl, mɔ if yu de fil pen na yu bɛlɛ we de dɔŋ ɔ yu bɛlɛ, go na di Imejɛnsi Rum we de nia yu wantɛm wantɛm. Dis na tin we nɔ fɔ delay.
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
We yu go to yu dɔktɔ, mek shɔ se yu aks dɛn kwɛstyɔn ya:
- Wetin yu tink se na di ɔndalayn kɔz fɔ mi prɔblɛm fɔ pis ?
- Us diagnostik tɛst dɛn yu kin advays?
- Ɛni ɔda skrinin dɛn de we a fɔ du?
- Us tritmɛnt plan yu se fɔ mi?
- Yu tink se di prɔblɛm we a gɛt fɔ pis go sɔlv kpatakpata wit tritmɛnt?
Mɛsej we dɛn kin kɛr go na os
Nɔto tɔpik we wi kin tɔk bɔt ɛvride, bɔt wi ɔl no di rilif we pɔsin kin gɛt we i ɛmti ful blad fayn fayn wan. We sɔntin de ambɔg yu fɔ pis izi wan ɛn ful wan, i kin mek yu at pwɛl ɛn yu nɔ kin fil fayn. Dis na wetin wi kin kɔl Urinary Hesitancy.
If simpul ajɔstmɛnt na yu os nɔ de mek yu sik bɛtɛ, duya nɔ shem fɔ tɔk to dɔktɔ. Natin nɔ de fɔ shem we i kam pan fɔ put yu wɛlbɔdi fɔs wit Nirogi Lanka. If yu de tray tranga wan, duya tray fɔ kia fɔ yu.
👩🏽 ⚕️ Kwɛstyɔn dɛn we dɛn kin aks bɔku tɛm (FAQs)
💬 Yu tink se Urinary Hesitancy na di sem wit Urinary Retention?
Nɔ. Urinary Retention na di kɔmplit inability fɔ pas urine. Bɔt Urinary Hesitancy na we yu fil se yu want fɔ go, bɔt yu kin gɛt prɔblɛm ɔ yu kin delay fɔ stat ɔ kip yu urine strim we nɔ de chenj.
💬 Wetin na di men tin we kin mek man dɛn de shem?
pan lεk 90% pan di man dεm we de ol, dis kin kכz fכ Benign Prostatic Hyperplasia (BPH), כ wan prכstat we big. Bikɔs di prɔstat de rawnd di urethra, as i de gro, i de swɛt di tiub. Dis kin mek i nɔ izi fɔ bigin pis ɛn i kin mek yu wik, tan, ɔ driblin.
💬 Dis kin nid ɔpreshɔn ɔltɛm?
Atɔl. Bɔrku tɛm, dɛn kin ebul fɔ mɛn am fayn fayn wan wit mɛrɛsin. fכ di tin dεm we de rilet to di prכstat, di alfa-blכk dεm (lεk Tamsulosin) kin bכku tεm rili ifektiv fכ rilaks di mכsul dεm fכ mek di fכ fכlכ fayn. Bɔku tɛm, dɛn kin tink bɔt ɔpreshɔn nɔmɔ we di mɛrɛsin dɛn nɔ ebul fɔ gi pɔsin inof rilif.
Ki wɔd dɛn: Urinary hesitation, difficulty to urinary, Urinary Hesitancy, BPH, prɔstat, urinary tract infection, urinary symptoms
